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PRE 2010 DOCSCity of Fridley, Mian. 1,T0 9627 BUILDING PERMIT y/, P, 71 Date: Manh_ _ 80 l9 owner: Henning Diel°on Colt. Co. BuilderSallie a Address 4W lh_-£®11° _ y Address &M-- -- LOCATION OF BUILDING No. —VA Street ._.._71@' Nu . _ — Part of Lot Lot _ _I? —.__ Block 2 _ — Addition or Sub -Division . o !2d NO= Corner Lot _ Inside Lot — X Setback 351 --- Sideyard —_ 51 32*5 t Sewer Elevation — §Wk69 ---- I I I R= — *69 Top of Fosti�ag DESCRIPTION OF BUILDING To be Used as: XU -09 Front _301 1 Depth 2$180` Height 281 Sq. Ft- �+ 91— cu. F, 2llO GarageFront 201 Depth 251 Height 10 t Sq. Ft. _� Cu. Ft. !"`�� Type of Construction .._. FraM Est. Cost _._. QQQ: Q. — To be Completed SERR LOCATION - 3.11 East of Manhole WATER LOCATI€N — 21.5t East of Manhole In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $_W-4*QQ , permit is hereby granted to Kennum blain CMWt* Coo to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, main te re andre g of buildings within the city limits and this permit may be revoked at any time uppn'violahion of of ovisions of saidordinances.f1 1 1 f OMCIAL Building • NOTICE: This permit don not covor the construction, hoftWon for wiring, phuinbing, gw heating, sewer or water. Be sun to we 1-1 the Building Inspector for separate permits for thew items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S;:., .E1ME �BL'7I,DER 2 ,� ADDRESS �%lG �� ._:_ADDRESSs-� 40CATION. OF BUILDING V.r NO. STREET %/f7a LOT/ BLOCIL�- F ADDITION OR SUBDIVISION CORIaERLO'�,,,.,_ II SIDE LOT SETBACK: cJ ,�7 SIDEYARD _ i SEWER` EiTVATIOPT TOP. OF FOOTIN G. 1 ` [n Applicant attach to t4is form.Two.Certificates of S.urvey.of-.Lot and proposed building loctation_drawn on these Certificates. DE$CRIPTION.-OF-BUr4DIfNG., • To Se. Used As.i. Front Depth Height 2 a Square feetCubic Feet: Front ;2 0 Depth_ Height o Q Square feet',. ��L Cubic Feet Type of Construction 'rte Estimated Cost a ao To Be Completed The undersigned hubby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE__�� _SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). 'AAw-0 '40'4�� Qt1�tC¢Q,�a'Z`��M Q/ Applicatalan ftr Pawor Phwri and Ha pg. Ccclimago V02-ilationa MOMSOmMon and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560-3450 GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........... each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR. Steam ...... Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... Each add. 200 sq. ft. EDR Steam ...................... Each add. 320 sq. ft. EDR Hot Water .................. RATE TOTAL $ $10.00 c $ 6,00 $ 6,00 3:& $ 3.00 $' /0-0--d k -a $ ftkkx$ $ ka $ OIL BURNER—to 3 gal. per hour over 3 gal. per hour--eee Fee Schedule GAS BURNER (up to a9&BTU).. ............... 5.00 $ GAS FITTING HE: 199-1000 BTU NO RATE TOTAL 1st 3 Fixtures x sm $_.Z . [rzf Additional Fixtures0. x $ Gas Range to x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE $ / `7 0-0 $10.00 3.00 6.00 6.00 3.00 $10.00 10.00 3,00 3.00 Location City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn I� /3 , 19 �d' Owner I Kind of Building Used as _ To be completed about 22LU Estimated Cost, $ Old-(!!;. uilding Permit No. % Z, Permit No. DESCRIPTION OF WORIC 6'oo HEATING or POWER PLANTS—Steam, Hot Water, m Ai No. Trade Name Size No_�4� /i o Capacity — Sq. Ft. E.D.R.® ® o BTU- H.P. $2.00 Total Connected Load_ 4 910 Kind of Fue .75 $5.00 BURNER — Trade Name Size No Capacity. (REMARKS'—OVER) 4 2 Sq. Ft. E.D.ft BTU H.P. Signed -- iii �1°SD71701-hvu-- By Q 9CUSIOR BLVD. MINNEAPOLIS 1fiN,. Business Phone No as �. 3tJ' s: a AIRCONDer . INC. Job Narr►sl�y v r" �/C — /�►. I{t� J �r ats ^ Yf "SO tsnatster tMriifatrlt, Mtsu Pelts 14 Mile. SMT Job A Wiatrips .tid Cnstrtti�t� No. It1.Eiat 3 —� 'ludo Dao Reierente Kwan fintwan cei g Roof Floor Kind 1 Applied b�No 19..._.., F1.1t v . „c & Room Length X d "Width f Y Height 1i Fl.I ✓ Rina, I Lrnath Width __S` Height Windows and Doors---CraclEa;e and Area Width, Height No. of Lineal M Ares No. of pans of pane lights of crack eq. ft. -Width- Height Me. of Lineal a. Area .Ve. of pane of pane Iighte. OE c k A. t, f. Coef. &U, Coef-I Btu Infiltration �. / Glace 0 A 1 -A,. b Glass '7 F- 37 9 0 0 Exp. wall I y ' ,s ;IL -/0. 'x 7 o Int. wan Net exp. wall Int. wan - r..3t- 0 ! t; -- i;E r tT T Ceiling /11 y o Int. wan Ceiling Floor Ceiling Floor 3 I otal Ulu. Zequired sq. ft. E.D.R. or sq. ins. WA. Leader area Fl.1 N Room I Length Width Windows and boon--Crackage and Area Width Haight o. of Lineal ft. Area xo. of pane of pane lights of crack p. ft.. Windows and bora—Crackage and Ana Width, Height No. of Lineal M Ares No. of pans of pane lights of crack eq. ft. as fdv 3 6 /Z. C f. Coef. &U, Infiltration 117-7 tl 740 Glace /?J, ru 4 J 0 Exp. wall F- t. wall 1Net'exp. wan r -/0. 'x 7 o Int. wan oor I L- X ( 'D 0 Ceiling .-- tT T Floor' /11 y o Int. wan Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area fight dr`F ,"T , a.,/ Room I Length TS Width r n Hei>:ht Coef. Btu -filtration 1 /q.3 Wo Ap Dasa OC A a v S'b acp. wan ' (p 'et exp. wall - U G, it. wan ening oor 01f 3 -otal Btu. equired sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 9 m;' w Room ILenitth % -i, Width 1 cHei>:ht Windows and Doors--Crackage and Area Width 1Height No. of Lineal ft. Area D. of pans of pane lights ` of -crack N, ft. as fdv 3 6 /Z. C f. Btu Altration " t1 0 14 U Infiltration 37.7 Rp. wall Qx 4*0 1 160 6 it exp. wall t. wall 5 0 a ro piling = /� tL oor I L- X ( 'D 0 ital Lieu. -quired sq. ft. E.D.R. or sq. ins. WA. Leader area Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pace of pane lights of crack q. ft. as fdv 3 6 /Z. C Coef.1to Btu Infiltration 37.7 4*0 1 160 6 Glass 366 5 0 a ro Exp. wan 2- ? x = /� tL Net exp. wan .-- tT T It, /11 y o Int. wan Ceiling Ceiling Floor 3 © Floor `l otal Lieu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area Fl.I V, ,;%,C- Room I Length IJ Width / 4 Height Windows and Doors—Crackage and Area Width Height No. of Lineal t. Area No. of pans of pane lights of crack sq. ft. 042 0 3 b. C Coef. Btu Infiltration �.?.0 ao ✓6 d Glass 366 5 0 a ro Up. wall Net exp. wan .-- tT T It, 7rT-5 Int. wan Ceiling Floor 1 C7 7 d haat fuu. Required sq. h. E.D.R. or sq. ins. WA. Leader area CRONSTROMS NTNG. & AIR COND, INC. Job Nam; }'t°A-$ jj If d lir V tyss 4410 t.esto. 4ied..ord, Mlaneopolis Ilk Minn. , ' ' J �, ; �•• , MMMT LM iALiYLA770Ni Z ob Add Wea stri isF. Guide Ars+ Construction No. 1 Insulation lind s I Reference Out. Wan Int. Wan Ceiling I Roof Floor Kind How Applied 0 0 19.1,2 1 f 42 NRoom► Length /3 Width Height a .134 K Room Length 7 Height Windows a d Doors--Crackage and Area Widt I Helght No. bf Lineat Area . No. of pane et pane ilghts of crack sq. ft. Coef. Btu Infiltration s, O / v/� Glass ZS, p Exp. -walla x = 1 L Net exp. wall _ f /01 7 (, 0 Int. wall Ceiling /1447 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Rom -1 Length / S --width / ?; Height Windows and Doors--Crackage and Area - Width Height No et Lineal it. Area No. or pane of pane lights of crack sq. ft. Windows and Doors—Crackage and Area ---�-e-- w Coef. Btu InfiltrationS : U / el? Glass 35•. G S-0 0,0 `. fxp. wan 2s"& 17 - 2 Lip. wap Net mp: wall Glass Net aw. wall 1' :.Int. wan L E O Esp. wan .'Ceiling �.y► / D Net ew. wan Floor . - Retluitedsq. ft. E©.R. or w. asst. X1.+11. r ane / o Total Btu Windows and Doors—Crackage and Area ---�-e-- w Width Belght No. of Lineal ft. Ana No. of pane of lights of amok . ft. Width Height Na of Unsal it. Area No. of pane of pane lights of amok p. et. Btu v Infiltration lCoef. BW Infiltration S ; Coef. Btu Infiltration 2s"& 17 - 2 Lip. wap 7 4 o Glass Net aw. wall 1' So L E O Esp. wan Ceiling / J �.y► / D Net ew. wan Tatwl Btu. - Retluitedsq. ft. E©.R. or w. asst. X1.+11. r ane / o Int. wan Ceiling 7 S o Floor Total Btu. •— - ----- --� - - Windows and Doors-- Fackage and Area ---�-e-- w Width Belght No. of Lineal ft. Ana No. of pane of lights of amok . ft. 3f, 'Is Btu v Infiltration lCoef. BW Infiltration S ; n 1 q-1 4 Gass 2s"& 0 r3 4 Lip. wap Net aw. wall Int. wan Ceiling / J �.y► / D Floor Tatwl Btu. - I otal tato. 3 Required sq. ft.E.D:R, o: sq. ins. W.A. Leader area Required sq. ft. MR or sq. in& W.A. Latder area Room Lettgth Width Height j•7,) Room IL Lasgth Width ht Windows and Doors--Crackage' amd Area Windows and Doors--nekage and Area. f Width HeigAt Na of Nesi ft. Area Width Height No. o ol ftot. Area NO. of pan* of pam lights of emailsq. et No of pee* at lights of clack *q. ft. <0� 40 RequitviI4100 Ie. E M at i9� int.1 .A, leader am BW Btu v Infiltration clasi . EM6 W, WA UL Cel Z. /� Tatwl Btu. - Retluitedsq. ft. E©.R. or w. asst. X1.+11. r ane U City of Fridley Application for Plumbing and Gas Fitting Perndt DESCRIPTION OF WORK Number. Rind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIST= RATES: NO. RATE TOTAL Number Fixtures ...................... 63 x Gir $ -�L- . &-2� Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg . ............ x 1.20 $ x 1.00 $ ZZ3� $ c� gi S < o� o (9 ZZ Z oo F N WATER HTR. cas E�Ec Base / 1st 2nd _ 3rd 4th • Future Connection Openings New Fixture, ON Openings Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIST= RATES: NO. RATE TOTAL Number Fixtures ...................... 63 x Gir $ -�L- . &-2� Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg . ............ x 1.20 $ x 1.00 $ x 3.25 $ X $ -3•e-e x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL let 3 Fixtures .......................... x 4&A&�— Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................ TOTAL FEE $l• DepL of Bldgs. Phone SII 4-7470 ssf/ v7 .0 ..- City of Fridley: The undersigned hereby makes application for a permit for the work heret specified, agreeing to do 411 work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn Owner��-dao Kind of Building f - Used as V/V. To be completed about Estimated Cost, $� Old New Building Permit No Permit No. 7 �3 Signed 61 By Business Phone No ROUGH FINAL 410>42 M A-- ---A L -n for Power rhoft and HaaNnq. Cooling. Yentita�iona Rehigorallon and Air ConManbig Sydem and Dors PARTIAL RATE SCHEDULE GRAAVM WARM AIB: IRATZ TOTAL Furnace Shell & Duct Work .. ................ .. $10.00 $ Replacement of Furnace ....... ......... ..... WO $ Repairs & Alterations --up to X00.00 6.00 Repairs & Alterations each add. $500.00 3.00 MECH. WART[ AM Furnace Shell & Duct Work to 190,000 BTU ......... ..610.00 ; each add. 60,000 BTU .................... .. 3.W $ Replaced of Firnace .. . .. .... 6.00 $ Repairs & Alterations—W to $500.00 6.00 ; Repairs & Alterations each add. $500.00 .... .. ..... 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $- Fu:rnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $- Each add. 200 sq. ft. IDR Steam 6.00 $--- ___Each Eachadd. 320 sq. ft. IDR Hot Water 3.00 1�— OIL BURNER—to 3 gaL per hour too $ _ over 3 gal. per hour -wee Fee Schedule GAS BURNER (up to U%000 BTU) ... &00 ; over 1!1!1,000 BTU Be* Fee Schadub GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures X$ 200 $ Additional Fixtures : .76 $ Gas Range to 10!1.000 :s 600 $ X AIR CONDITI0NI><0 14,6'e 2'/� FAN HEATS SYSTFJM Bee Fee aleltadale VEUTILAT1100 SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ RO17013 Dept. of Bid9L rhos. 80 -MM —74-31-, l bnr_z 4)o`- City of Fridley: The undersigned hereby makes application for a permit for the work :hereat specified, agreeing to do all work in strict accordance with the City ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true �and correct. Fridley, Minn k ®� LL�d lg Z2 owner 1&0 Kind of Building��(�''� Used asTo be completed about Estimated Cost, $/04 � Ol New. Building Permit No. Penait No. DZSCRE TION OF WORK BEATING or POWER PI.ANTS— 36mu, Hot Water, Warm Aar—No - Trade Name She Ne - Capacity Sq. Ft ED -R- BTU H.P. - Total Connected Load Rand of Fuel - BURNER — Trade Name Size �- Capacity Sq. Ft L.D.R- BTU Mr. (SURCHARGE $_.50) � (REMARRf-OYERI Business R , ti's- City of Fridley SUBJECT 15936 AT THE TOP OF THE TWINS BUILDING P E R M I T rp RE ' COMMUNITY DEVELOPMENT DIV. .:------, r' PROTECTIVE INSPECTION SEC. P o 3 1 � = HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 9/18/80 JOB ADDRESS 14 - 71st Wa 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 2 Ri verwood Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leo Bender, 146 - 71st WAy 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Economic Builders, P.O. Box 20-390, Mpls., 55420 341-3067 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW I9 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Room Addition and deck 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 72600.00 3 80 WITH WHETHER $Q-CIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT ESUME1 IOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIO S OF ANY fsR STATE OR LOCAL L REGULATING CON - 48.00 STRUCTIO OR THE P RFO ANCE OF CONSTRUC N. PLAN CHECK FEE TOTAL FEE 12.00 $63.80 SIGNATURE OF CONTRACTOR OR AUTHORQAZLNT (DATE) f WHEN PROP E Y VALIDATE THIS IS YOUR PERMIT IF} /le t -o BLDG INSP DATE SIGNATURE OF OWNER 0F OWNER BUILDERI (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (Wert, Alterations, Additions, or Repairs) OWNER: Ly U JV16G� BUILDER. suit ADDRESS: I��o I� WAY ADDRESS: TEL NO: TEL WO: A 3aG7 Construction Location STREET NO: STREET: / �4 T LOT: L Z BLOCK: ^ ADDITION: R1 V CnL•.jQCM0 Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form. two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: 1.0 Depth: 10_ 100 Height: Square. Feet: Cubic Feet: ?CP qCI Q ��(�- Front: 'Zoe Depth: Height: Square - Feet: j('0 Cubic Feet: Type of Construction: FaA M rL Estimated Cost: $ To $e Cbrripleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the work -'herein specified, agreeing to do_all work in strict accordance with.the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE: Stipulations: Pr. n,*% r �x� � �l•oa 12.�u 3 � �►o � 3• EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER I. E 0 13 a -I I> E P. SITE ADDRESS_ 14•(0, '") l Sr w y CONTRACTOR -L4-QA *spe- Q vm p ER,S DATE L a PHONE Determine working square footage of each. 1. Total exposed wall area...... 4¢q sq. ft. x .185= /03.06 2. Total roof/ceiling area...... ...ZD sq. ft. x -04= Jf. F Total exposed wall area above floor= 400 a. Total wall window area ..................................... SR 4 b. Total door c. Total siding glass door area.......... ..................... d. Total fireplace wall area ............................... e. Total wall framing area (average 10%) ...............e,,,,,, E ,� f. Total net wall area above floor ... 00.00 .................... go Total rim joist area ....................................... Total exposed foundation area-- b. rea= h. Total foundation door area ................. i. Total foundation window area (includes sliding doors)..... j. Total net foundation area above grade ..................... ^� k. Total wall framing area (average 1. Total net wall framing�- Determine "U" value of each wall segment a. X"U" , +1 = 7-1Z4 b0_ X1.1 X,,U,, 14- = Z.¢6P c e X"U" do X"U.' ee 3 t.3S X"U.. f. 7-15). /.r 'U„ .07 go- 49 X„U., . o 7 = -3-4-3 h. X1'U'0 •.�� _ X.IU" Xf o u" k e X"U" 1. X.U.. 3...................eee00a0.0eeee.eee.a0.ee0Tota1 If item #3 is the same as, or less than item #1,' you have met the intent of SBC 6006 (c)2. Total exposed roof/ceiling area = a a.0 m. Total skylight area...... .... n. Total roof/ceiling framing area ( average 'T %) ...... 16.4 o. Total net insulated roof/ceiling area........ ...... 7-04-40 Determine "U" value for each roof/ceiling segment. M, X"U" _ n. IS -4 X'sull 4e o e o * a o e a * e a * * e o e e @ e e @ 9 * e e a ......Total If total of #4 is the same or, less than #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items $3 and #4 shall not be greater than the sum of item #1 and #2. 1. + 2. 3. + 4. M 3 -2 d - 1 5 4 ,Ceil. Frame R_ 9" Insulation 1 - Interior Air Film .61 1 - Interior Air Film 2 - 2" Sheetrock .45 2 - 2" Sheetrock 3 - 5h" Soft Wbod 6.87 3 - 9" Insulation 4 - Exterior Air Film .61 4 - Exterior Air Film .68 Total R 8.54 .45 Total R - 34" Insulation Total U .117 - 2" Fiberboard Sheating 1.22 Total U 3 -2 ��A � y y I/ 3---,� R d - 1 5 4 2 - �" Sheetrock .45 .45 3 ��A � y y I/ 3---,� R R_ 1 - Interior Air Film .61 2 - �" Sheetrock .45 .45 - 32" Soft Wood 4.35 4 30.00 5 - 7/16" Med. Dense Hdbd .67 .61 - Exterior Air Film d } m 31.67 7.54 z z .032 o J o - Interior Aix Film .68 CL Frame Wall R_ 1 - Interior Air Film .68 2 - �" Sheetrock .45 3 - 32" Soft Wood 4.35 4 - 1?" Fiberboard Sheathing 1.22 5 - 7/16" Med. Dense Hdbd .67 6 - Exterior Air Film .17 Total R 7.54 Total U .13 Insulated Wall R_ 1 - Interior Aix Film .68 2 - 2" Sheetrock .45 3 - 34" Insulation 11.00 4 - 2" Fiberboard Sheating 1.22 5 - 7/16" Med. Dense Hdbd .67 6 - Exterior Air Film .17 Total R 14-.T9- 4:19Total TotalU .07 Rim Joist R Interior Air Film .68 2 - Insulation 32" 11.00 1 - 12" Soft Wood 1.88 3 - 7/16" Med. Dense H3bd .67 Exterior Air Film .17 Total R 14.4 Total U .07 1-A Conc. Blk. Uninsulated Total R 2.12 Total U .47 1-B Conc. Blk Stripping & Styrofoam 3/4" & 2" Sheetrock 3 Total R 6.7 Total U .15 LL 0 w z to w w O � w y O w O OC R 0 O z z V � ,J d U) CV) N O Liz w Cfl 2 Uj U _ Ln Ln LL v O v w Jw J U w I - to N i FA e r ANDERSON WINDOW UNITS Quantity Unit Sq. Ft. Sash R U Lin. Ft. Crack o z m Opening LU z < a a O Basm't Unit 3.11 1.85 .54 8'-0" G-336 9.75 1.85 .54 9'-4" G-436 12..6 1.85 .54 10'-4" G-536 16.8 1.85 .54 11'-4" G-44 14.7 1.85 .54 11'-4" G-54 19.8 1.85 .54 12'-4" G-64 22.4 1.85 .54 13'-4" G-55 23.3 1.85 .54 i4'-4" G-65 27.5 1.85 .54 15'-4" LL G-805 37.5 1.85 .54 26'-8" 0 Patio Door W 6068 38.0 1.85 .54 18'-11" U W W WIN3 5.98 1.85 .54 101-4-3/8" N o W W2N3 12.42 1.85 .54 201-8-3/4" c °a a W3N3 18.86 1.85 •.54 311-1-1/8" W4N3 25.30 1.85 .54 41'-52" Q z W5N3 31.74 1.85 .54 51'-9-7/8" V 5 W1N4 7.87 1.85 .54 121-4-3/4" W2N4 16.35 1.85 .54 24'-92" a W3N4 24.84 1.85 .54 37'-22" W M a W4N4 33.32 1.85 .54 49'-7"V9 C n W5N4 41.80 1.85 .54 61'-11-3/4" 1 w W1N5 9.79 1.85 .54 14'-5-1/8" 'a W2N5 20.33 1.85 .54 28'-102" W3N5 30.88 1.85 .54 43'-3-3/8" 0 W4N5 41.42 1.85 .54 57'-82" W5N5 51.97 1.85 .54 72'-1-5/8" _ LO WX2N3 13.75 1.85 .54 211-6-3/4" f" co WX2N4 17.93 1.85 .54 25'-72" * WX2N5 22.51 1.85 .54 29'-834" 2832 8.4 1.85 .54 13'-11" 3032 9.5 1.85 .54 14'-11" 2846 12.0 1.85 .54 16'-7" 3046 13.5 1.85 .54 17'-7" 3446 15.0 1.85 .54 18'-7" 0 0 18-4446-18 34.5 1.85 .54 27'-2" Pease 38 x 68 Pease 20. 7.10 .14 19'-4" 2 x 6 17.7 7.10 .14 18'-8" Side Lite 7.7 1.85 .54 15'-8" W E E J Q W W F- U co S v1 *Not Standard EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER LEO E"p a l_ SITE ADDRESS_ 4.& --) I Sr w oq y CONTRACTOR P—Coo/pohy 1,3 Ia,Dr-" DATE Z PHONE Determine working square Iootage of- each. 1. Total exposed wall area...... 44t sq. I t . x .185= P3.016 2. Total roof/ceiling area...... .2 a O sq. ft. x -04= F F Total exposed wall area above iloor= 4 00 a. b. Total Total wall window area..............,Se.F ....................... door segment c. Total area ........................................... siding glass door 1-). 7 d. Total area........... fireplace wall area X.. U.. e. Total .............. wall framing area (average 10%) ...................... E f. Total net wall area above floor 3 g. Total ............ ............... rim joist area........... e. 3 Z.3S ....... .................... 4 9 Total exposed foundation arva- I h. Total foundation door area ................. i. Total foundation window area (includes sliding; doors)...., j. Total net foundation area above grade,,,,,,,,,,,,,,,,,,,,, k. Total wall framing area (average 10%). 1. Total net wall framing area Determine "U" value of each wall segment b • 1. 1 X.. U.. c. X.OUI. _ e. d. X1.Ull _a = e. 3 Z.3S X"U" . / S =_ 4• Ip f. 2_11.IS X191l11 .d g• 49 X,'U„ .07 = s 43 i . -- X"J!" 1 " j• �— X"U" _ k. X.full 1. --- x 1. U.. 3...........................................Total = Sir.II If item #3 is the same as, or less than item #,l, yoc'i h,cv, 1,01 the intent of SBC 600f, (c)2. Total exposed root/ceiling area = 012.0 M. Total skylight area ................................ n. Total roof/ceiling framing area (average 7%)....., d6.4 o. Total net insulated roof/ceiling area... e .... oo.... Z 04.6 Determine "U" value for each roof/Ceiling segment. mo X" U" _ n. IS -4 x.,u„ . 117 o. Z..ta4.. f. X„U„ , 03 -L 4.................................Total = �• If total of #4 is the same or, less than #2, you have met the intent of SBC 6006(c)l. Alternate Building Envelope Desif;n To utilize the total envelope system method, the value:i ostahlishod by the sum of items #3 and #4 shall not be greater t han the sum of i trim #1 and #2. 1. + 2. 3. + 4. 1-1 - . Gail. Frame R 1 - Interior Air Film .61 2 - h" Sheetrock .45 3 - 5�" Soft Trod 6.87 4 - bcterior Air Film .61 .68 Total R 8.54 1 - 1;" Soft Wood Total U .117 9" Insulatio:i 1 - Interior Air Film 2 - '.1" Sheetrock 3 - 9" Insulation 4 - i�:terior Air Film Total R Total U R IL.UU 4 - Y' T'.ibm-board Sheating 1.22 5 - 7/1 G " Med. Dense mW .67 .61 .17 Total RZ X4.19 Total U .45 Rim Joist R Interior Air Film .68 30.00 11.00 1 - 1;" Soft Wood 1.88 3 - 7/16" Med. Dense ]Ubd .61 Exterior Air Film o m 14.4 31.67 .07 z z .032 z 4 & Y" Sheetrock 3 Total It 6.7 a O a O �-a l,uu.LCIL-Lull IL.UU 4 - Y' T'.ibm-board Sheating 1.22 5 - 7/1 G " Med. Dense mW .67 6 - Lxtcprior Air Film .17 Total RZ X4.19 Total U .07 Rim Joist R Interior Air Film .68 2 - Insulation 3z" 11.00 1 - 1;" Soft Wood 1.88 3 - 7/16" Med. Dense ]Ubd .67 Exterior Air Film .17 Total R 14.4 Total U .07 1-A Cone. Blk. Uninsulated Total R 2.12 Total U .47 1-B Conc. Blk Stripping & Styrofo,. n 3/4" & Y" Sheetrock 3 Total It 6.7 Total U .15 a 1 ANDERSON WIrl)OW UMIIS 21antity Unit Sq. Ft. Sash R U Lin. Ft. Crack Opening Basm't Unit 3.11 1.85 .54 8'-0" G-336 9.75 1.85 .54 9'-4" G-436 12.6 1.85 .54 10'-4" G-536 16.8 1.85 .54 11'-4" G-44 14.7 1.85 .54 11'-4" G-54 19.8 1.85 .54 12'-4" G-64 22.4 1.85 .54 13'-4" G-55 23.3 1.85 .54 14'-4" G-65 27.5 1.85 .54 15'-4" G-805 37.5 1.85 .54 26'78" Patio Door 6068 38.0 1.85 .54 18'-11" WIN3 5.98 1.85 .54 101-4-3/8" W2N3 12.42 1.85 .54 20'-8-3/4" W3N3 18.86 1.85 .54 31'-1-1/8" W4N3 25.30 1.85 .54 41'-5Y" W5N3 31.74 1.85 .54 51'-9-7/8" W1N4 7.87 1.85 .54 12'-4-3/4" W2N4 16.35 1.85 .54 24'-9TO W3N4 24.84 1.85 .54 37'-24" W4N4 33.32 1.85 .54 49'-7" W5N4 41.80 1.85 .54 61'-11-3/4" W1N5 9.79 1.85 .54 14'-5-1/8" W2N5 20.33 1.85 .54 28'-10k" W3N5 30.88 1.85 .54 43'-3-3/8" W4N5 41.42 1.85 .54 57'-84" W5N5 51.97 1.85 .54 72'-1-5/8" WX2N3 13.75 1.85 .54 21'-6-3/4" WX2N4 17.93 1.85 .54 25'-74" * WX2N5 22.51 1.85 .54 29'-84" 2832 8.4 1.85 .54 13'-11" 3032 9.5 1.85 .54 14'-11" 2846 12.0 1.85 .54 16'-7" 3046 13.5 1.85 .54 17'-7" 3446 15.0 1.85 .54 18'-7" 18-4446-18 34.5 1.85 .54 27'-2" Pease 3u x 68 20. 7.10 .14 19'-4" Pease 28 x 68 17.7 7.10 .14 18'-8" Side Lite 7.7 1.85 .54 15'-8" *rbt Standard 11 SUBJECT P , City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT .30059 � `v -__��_ COMMUNITY DEVELOPMENT DIV. r - PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-571-3450 RE NUMBER 910.F15 REV DATE 8/16/99 PAGE OF APPROVED BY 10B ADDRESS 146 71st Wa 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 2 R'verwood Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ed Sandin - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO B B Roofing 6760 Ma - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 72 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof (20 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION ZONING SO. FT CU FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED VALUATION SURTAX WITH THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1748 $.87 DO N T PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE P OVIS NS OF ANY THER STA OR LOCAL LAW REGULATING CON - PERMIT FEE SAC CHARGE RU ION OR THE ERFORMA 0 ONSTRUCTION $63,1S Fire 5 PLAN CHECK FEE TAL FEE '11e SIG Aru OFCON'RACTORORAUTNOaiZEDAGENT ,DATE, HENP OPER DATED TH IS YOUR PERMIT S,GNATURE OF OWNEA„F OWNER BUILDER, -DATE, BL NSP r,AT NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: r Owner Name & Address: ? ® v 1� ©/ A-) Tel. # Contractor: �/ ` - �7 MN LICENSE #�7; Address: % Tel. #.-S- 7J e5i:Z `fid Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA:. Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction TYp�w% % - C� Estimated Cost: $ /N5 Driveway Curb Cut Width Needed: DATE:OI—/�'�% APPLICANT. Ft. + 6 Ft = Ft x $ Tel. # _571 -cg rf STIPULATIONS: CITY USE USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 47s .001 of Permit Valuation (1/10th%) State Surcharge $ % $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge _ $ 0 ® $5.00 (State Licensed Residential Contractors) . . Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: sUBJECT IT City of Fridley F3;il2 5 9 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. ____ COMMUNITY DEVELOPMENT DIV. v INSPECTION SEC. r PROTECTIVE I I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 28/00 JOB ADDRESS 146 71st Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 12 2 Riverwood Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ed Sandin 146 71st Way NE 571-2038 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEWJ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 20' x 14' Deck addition (treated wood) 9 CHANGEOFUSEFROM TO STIPULATIONS For stipulations, see attached plans. WARNING SN91S 9NV PNIGW(ild Before digging call for `JNIHN 9NIaIM all utility locations :UOJ MOM 45" 002 SAWHU MUMS REQUIRE® BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,293.60 $1.15 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 Fie SC $2.29 PLAN CHECK FEE TO AL FEE 6.69 S�GNAT EOF CO FIA pOR AUTHOR ED AGENT IDATE. HEN PR P VALID AT THIS IS YI 2WR PERMIT o SLOG iNSD OAiE Z S,GNATURE O� OWNER�c OWNER BUILDER, iDATE� NEW I ADDN Jx] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: 6 ,J,4 rrrf Tel. Contractor: 0w,j -- -r- MN Address: Tel. # Effective 1/1/2000 (763) 672-3604 Bldg Insp� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length ZC> Width Hgt/Ground `7 Sq. Ft OTHER: Construction Type: / 9rBa'f� I.,J®c> d Estimated Cost: $ v� �J' •�¢� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: %— 2-7pliAPPLICANT: Tel. # 57/— :Z0 ?v CITY USE ONLY - Call (763) 672-3604 for Permit Fees if mailing in application Permit Fee $ 3 •�S Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $_� / $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $, Driveway Escrow Erosion Control Park Fee Sewer Main Charge STIPULATIONS: $ $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] Building MECHANICAL permit NO.:I_r Inspections RESIDENTIAL APPLICATION Received B 763-572-3604 CITY OF FRIDLEY Date Recd: ' DATE YOUR E-MAIL ADDRESS SITE ADDRESS l �/ A 1V THIS APPLICANT IS: O OWNER CONTRACTOR NAME: A PROPERTY CITY STATE ZIP OWNER/ADDRESS: TENANT PHONE: l .3 — 1 7 .a — 0�# U") COMPANY NAME: E tiI `►�l T-�-+ J N CONTRACTOR SUBMIT A COPY OF CONTACT PER.SON:� _ O &OA SS fv, 4:Y4 a YOUR STATE WITH STATE LICENSE # EXP DATE S S_5 i� JZn �) CTIY fir, tivJk ST N) ZIP LICENSE ADDRESS: ) '? APPLICATION PHONE-) lad ^ " " ' 367 FAX 2 s PERIVIIT TYPE INGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 1 1 NEW J"LACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODEL: SIZEIBTU Equipment Installed MFG: MFG: MODEL: SIZEBT SIZE/BTU U MFG; MODEL: A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGWOVEN $10.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WAD) $35.00 NEW GAS GRILL 0.0.00 BOILER $35.00 ,FURNACE $35.00 GAS UNIT HTR $10.00 _POOL HEATER CHIMNEY LINER $10.00 _GAS DRYER $10.00 R $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTII,ATOR $1500 Permit Fee $ C� .00Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ .( Number of fixtures @ $25.00 1 x $25.00 = $ �- Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which r u s review and app oval of plans. ����SIGNATURE OF APPLICANT PRINT NAMF \`MDATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropaneUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Building AND MATERIALS: BUILDING VN THE ®9� Permit No.: W -b 0 Inspections ,(USING RESIDENTIAL APPLICATION Received By: 763-572-3604 See Back Page for Fee Schedule Plan Review $ NJ 763-502-4977 FAX CITY OF FRIDLEY .001 times the total job valuation n 'a $ -15b .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ EFFECTIVE 1-1-2010 Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ DATE YOUR E-MAIL ADDRESS $ SITE ADDRESS Sewer Main Charge $ THIS APPLICANT IS: ❑ OWNER 066NTliACTOR $ 2 r) T" , PROPERTY OWNER/ NAME: TENANT ADDRESS: S Cr m f CITY STATE ZIP PHONE: Gl (Ott CONTRACTOR NAME: SUBMIT A COPY YOUR STATE LICENSE STATE LICENSE # a ©D U 0 EXP DATE 3 / O AND CERTIFICATE OF ADDRESS:4;-f -e CITY C STA ZIP $ � INSURANCE PHONE ;76 FAX PROPERTY TYPE El'SNGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED &MDOWS ❑ BASEMENT FINISH❑ I;QOF ❑ DRAIN TILE ❑ DECK IDING ❑ OTHER. ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADRION ❑ MAINTENANE/REPAIR MODELING -C DESCRIBE WORK BEING DONE: ewe f � c( -P a -t SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ H SE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES O'fiOUSE & GARAGE 1. Existing Floor Plan GARAGESt14 C TACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SID�G I'Vinyl LAS� flit FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum �L �T •m 1. Site Plan/Survey showing the existing structures and proposed project. ❑ Other CYFascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDONYS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF GJ GI Gi/ "0 Q1 p w MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & l TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: VN THE ®9� U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ,(USING OCCUPANCY TYPE Permit Fee $ 15 1. See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 1500 .001 times the total job valuation Surcharge $ -15b .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 2 r) T" , Make checks savable to: City of Fridlev Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of a ork which requires review and approval of plans. SIGNATURE OF APPLICANT 1919 PRINT NAME DATE