PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N° 582 5
Date: �"'_ _ _�
Owner: a. i ra., Builder
Address tr` Address —�
OFBVILDING
No.� Street Part of L
Lot Zt:__ Block Ad conn or Sub -Division
—V,
Corner Lot --- Inside Lot _ _00r . Setback � W Si yard ___
Za
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
T Used i�
Front arm=-- Depth Leight Sq. Ft.r Cu. Ft. =t
Depth --� Height, Sq. Ft. — Cu. Ft.
Type of Construction e Est. CokI I-4j.:eo be Completed
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 $ , permit is hereby granted to—
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, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon viol 'of any of the provisions of said
ordinances.
F �
`5 Building Inspector
NOTICE
This permit does net cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits. for these hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name g Builder �^
Address
LgCAT �J �' UILDING
Street Part OfUot
Lot BlockAddition or Subdi sion4 — 74�4
Corner 'Lot Inside Lot_g.,__�Setback, P -
Side -Yard
SEWER ELEVATION .FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
Front Depth-jHeight 'q
Sq. Ft. 2 Cu. Ft. ��y- L�
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cool,
To be Completed
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
(Schedule of Fee Costs can be found on the Reverse Side).
City of Fridley
Application for Plumbing and Gras Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:RATE
TOTAL
Number Fixtures ........
x $1.50
$ ' o
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ... .. .....................
x 3.25
$
aU'
_ Ax 2.00
$ O
New Ground Run Old Bldg . ............
CI
II
e
$
GAS FITTING FEES:
€ yg�
�_
�5�
�^
Y
z �i
�n
C Z
p
z
lZj _
,
W
�jO ,Sj�
J
W
t9
?
z
F
N
WATER HTR.
GAS
ELEC.
(�9°d
(�9�
(�ry0
Base
1st
2nd
3rd
4th
• Fugue Connection Openings
Connected with
New Fixture, Old Openings
I
Sewer �
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:RATE
TOTAL
Number Fixtures ........
x $1.50
$ ' o
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ... .. .....................
x 3.25
$
Water Heater (Up to 200,000 BTU) ......
_ Ax 2.00
$ O
New Ground Run Old Bldg . ............
x 3.25
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ...... ..................
x $1.50
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
¢
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $ °
City of Fridley:
10,
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all 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 applicatio are true and correct.
A Fvlev. Minn_ Z/ 71 ? 19AL
Owner
Kind of Building
Used as
To be completed about
01
Estimated Cost, $
Old e4Quflding Permit No P..it�To.
A �l
ROUGH 12 - l y' 6, 2
FINAL
as 2M
Business Phone
Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
r Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
OIL BURNER—to 3 gal. per hour . ...................... 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ 1�
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures .... I ......
...... . x $1.50
$
Additional Fixtures ...............
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$�
ALTERATIONS & REPAIRS
TOTAL FEE
$
ROUGH
FINAL
Dept. of Bldgs. Phone SII 4-7470
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—
Owner
' U
Kind of Building
Used as
To be completed about
Estimated Cast, ✓�
Old-�`New ,Building Permit No. Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS --.Steam, Hot Wa War�A�
/
F
Trade Name'. �.,� %�� C (t- Size No /—CL:LI —
Capacity Sq. Ft. E.D.R D ZZ' BTU ° H.P.
Total Connected Load i ce' Kind of Fuel L' _i
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Sign AY N. WELTER HEATING CO.
4637
CHIUAUU AVM -
By Mir4NLAR01-15 7, MINNESOT/,
4z sM Business Phone No
2 'f" 6 `(/ f
(REMARKS -OVER)
Windows an oors—Crackage and Area
p�j fir° . �• A-0r4fs�;
�LjJ�/��. "%`� " lii�5�
/ill.
C/f Z 1
Lineal ft.
of crack
Area
sq. ft.
HEAT LOSS
CALCULATIONS DEPARTMENT
OF BUILDINGS
MINN.
Weatherstrips
Ir I v tq
''E" .
uide
Construction No.
Insulation
Windows
Doors
Reference
Out. Wall Int. Wall Ceiling
Roof Floor Kind
How Applied
—No
I e
No
19—
Net exp. wall
. �".
0 E`e,Q, n';
Fl.jpZ,i '
Room Length 3 r Width Zo Z -Height G
j FI.1 e 0 Room I Length
.. Width /,?" Height
Windows an oors—Crackage and Area
Width
No. of pane
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
C/f Z 1
Lineal ft.
of crack
Area
sq. ft.
r
2 &
Coe£
Btu
Infiltration
Ir I v tq
47,21
.2-
11756
Glass
/O•,t
00
2
Z 70 d
Exp. wall
:71( X
3*76
Btu
Infiltration
Net exp. wall
Ceiling Y 5—
1Z3F1
Floor Floor
3-2-92P
Int. wall
Ceiling
Se 4'* f 2 A r,"
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1.1
p
Floor
(,
Windows and Doors—Crackage and Area
Width
No. of pane
Height
of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
r
2 &
-T..
/ Orl
1105-
Ir I v tq
47,21
.2-
lCoef.1
150—
/O•,t
00
Glass 65-0
/
Exp. wall V G X $
µ
Coef.1
Btu
Infiltration
Ceiling Y 5—
1Z3F1
Floor Floor
/.rP / &
Glass
ep
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1.1
-_7 2
/1 a 0
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
US Q:z
Fl.oom Length ,, Width
Height AT
Windows and Doors--Crackage and Area
Width Height No. of Lineal ft Area
No. of ne of Dane Ilghte of crack sq. ft.
Coef. Btu
Infiltration
Coef.
Btu
Ir I v tq
47,21
.2-
lCoef.1
Btu
Infiltration 8
00
Glass 65-0
/
Exp. wall V G X $
µ
Net exp. wall /
Q
Int. wall
Ceiling Y 5—
CJ
Floor Floor
/
Total Btu.
ep
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1.1
Fu %%.- I Lenath J / ► Widthl -3 -r Heii:ht 5F
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of Dane of pane lights of crack aq. ft.
2.®
01, T 70
Coef. Btu
Infiltration
Coef.
Btu
Ir I v tq
Glass
.2-
3 r
Exp. wall 2 l{, s y✓
Net exp. wall
Glass
/
Int. wall
Exp. wall
Ceiling/ X
CJ
Floor
/
�t
Tbtal Btu.
ft. E.D.R. or sq. ins. W.A. Leader area
Exp. wall tf
Net exp. wall' B 10 ev / Do
Inc. wall
Ceiling S+C7 17 ,'� 2 -
Floor , P r
Total Btu.
Required sq. ft. E. r . ins. W.A. Leader area
Fl.l m I Length 7 - Wid p Heigh
Windows and Doors—Crackage and Area
width Height No. of Lineal 1t. Area
No. of cans of pane lights of Crack eq. tt
Infiltration "
Glass
Exp. wall j% .g
Net exp. wall
Int. wall
Ceiling K
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
"'J F1_I /A x . Rem I LAnath 11 /Width /b Heist
76
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
7-7T_ ®5 .9
Coef.
Btu
Infiltration
.2-
3 r
2 /
Glass
Exp. wall
Net exp. wall
C? q0
Int. wall
Ceiling /.It
® P1
;' Y ei
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins, WA. Leader area
. ,_BROOK LYN_PBINTING & ABY_ CO_
r ,
•
City of Fridley, Minn.
BUILDING PERMIT
Date: July 14s 1965
Builder
SUSSEL CC "lPANY
Address 351 - 79 WAY N.E. Address 1850 Como Avenue
Fridley, Minnesota St. Paul' Minnesota
';"'rf
N° 8193
LOCATION OF BUILDING
No 351 Street ?9 WAY N.E. Part of Lot
Loth_ Block 2 Addition or Sub -Division Spj!jn� Brook Park
Corner Lot _ Inside Lot Setback ____ Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: ,R.?
Det. Garage Front 24 Depth Height 10 Sq. Ft. 576 Cu. Fti 5,760
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction FrMt Fit. Cost —$1, 0.00 To be Completed 9-1-65
DETACHED GARAGE
In consideration of the issuance to me of a
the proposed cY work in accordance with the des
ordinances ,=work
city of Fridley.
to constru the building described above I agree to do
bove set and in comp with a'll provisions of
C c
In consideration of the payment of a fee of $ , permit is hereby granted to HARRY G. IMMBRECHT
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 thereof'
thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota re��ardiag 1permiotn'may be revoked t any three upamamo maintenance, repair
off ate► of the proand visions o said
within the city limit s anof
d this
ordinances.
ADEN G. JENSEN
NOTICE:
Ibis penb do" not cewr the cendnwdw, hmu f dm for wkbm pfembing, gas heating, werer m water. Be sun to sw
the eeffding In*wor for wpwate pwadit for thew bens.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY$ MINNESOTA
OWNER'S NAME -i= BUILDER-�f
f7 �
ADDRESS=,�j) .. 129 � �, �c.,f tea. ADDRESS �
LOCATION OF BUILDING
NO. STREET PART OF LOT
LOT oZ —�� BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE.LOT SETBACK SIDE -YARD
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates..
DESCRIPTION OF BUILDING
To be used a •
Front�Depth_ _o Height
Sq. Ft. �� %6 _Depth,_
Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost J LICS- 6.
To be completed 91
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 C6
(Schedule of Fee Costs can be found on the Reverse Side).
0. • ._1_ 0
, W.
LOT
NAME
-SIZE
G
Z4. ,
BLOCK
ADDRESS
VALUE
.351 - 79TH \Va . E .
14 S ®`_
ADD'N.
AREA
TYPE
p—
t"1Z 11J
�21�
/SFI�� h�OT �/AOE
O ; QCJAIZE \NlIrH Rou5F
a
C.eIeriEur 10 Aal ,5T[+,uE LOCATioc�9 `o
Our So Oc..aAjE2- CAa! Exc_A.4k-re '
1702 (- 2oca., OF (3f_oc.ats
® TeJ5T"ALL• JOk&7 7 F3 A SE
�
A&30
o,.v asH H+•3® Cocjl)ca/T
®Il) sT a L.L. l- iZ o c.v ®F 8"
rf�2 r} MESH
I�c.oct�S Cu 13— SI DES OF `N
J4413 Ac-, .7f-4cc�1.9
6Gs jEfe �vfc-` ��ATEIZPRoO�
aijo f3AcW_Fl ..r_
cq L'
M
Ort ow /T
_3I P
M
0
Wd A
City of Fridley
Application for Plumbing and G= Fining Permit 53 8�-S9i5.5i
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK 351 N-6. 79 way
Number. Kind and Location of Fixtures Location
yeZ
v7
NO. RATE TOTAL
Number Fixtures ......................
x $2.00
$
Future Fixture Opening ................
x $1.50
c�
New Fixture Old Opening ..............
c Z
o
Z
S
uu•�<1�ii
<3
°1
w
��
?
0 O
•
F
•
N
WATER HTR.
GAS
ELEG
Base
a $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ...... ...................
2 x $2.00
$ 2. 00
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
install (1) gas grill &
(1) lite
6.00
Ist
2nd
3rd
4th
• Future Co inectioa Openiags
New Fixture, Old Openings
I
Connected With
Sewer �
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $2.00
$
Future Fixture Opening ................
x $1.50
$
New Fixture Old Opening ..............
x $1.50
$
Catch Basin ............................
x $3.25
$
Water Heater (Up to 99,000 BTU) ......
x $3.00
$
New Ground Run Old Bldg. ............
x $3-W
$
Electric Water Heater
a $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ...... ...................
2 x $2.00
$ 2. 00
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
install (1) gas grill &
(1) lite
6.00
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $ 8.00
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all 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, AM'nn Aug. 28, 1970 19,
owner Harry Lambrdcht
Kind of Building f rame
Used as residence
To be completed about Sept. 1j 1970
Estimated Cost, $ 20.00
Older New. Building Permit
ROUGH
FINAL
4z
SUBJECT
City of Fridley
33669 `
AT THE TOP OF THE TWINS
BUILDING P E R M)
r
r ,
JWXE+PTlfo
1 - _ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1
CITY HALL FRIDLEY 55/32
'36r
NUMBER
REV
DATE
PAGE OF
APPROVED By
'
L J` 763-571-3450
910-F15
7/3/03
JOB ADDRESS 351 79 Way NE
T LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12,13
2
Spring Brook Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Harry.Lambrecht 351 79 Way NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Norling Exteriors 341 79 Way NE Fridley, MN 2-2 763-784-8936
d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Q. REPAIR O MOVE ❑ REMOVE
B DESCRIBE WORK
Reside; Reroof; Replace Windows
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive
barrier be placed over exterior sheathing to protect the interior wall covering.
Exceptions for this provision would be if sheathing is a:, approved weatherproof
panel or when the siding is an approved weather barrier. Vinyl siding is not
a weatherproof covering unless the manuacturer states this in their application
guidelines. Call for inspection of wrap before covering or take pictures. Caulk
and flash all exterior openings. Underlaymen_t must comply with the State Building Cod
Provide smoke detectors in all sleeping rooms and or. all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all
exterior openings.
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
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
1
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$9,000
$4.50
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-
$167.25
Fire $C
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$9.00
7
PLAN CHECK FEE
'
TOTAL FEE
,en a SC $5.00
$185.75
OF CONTRACTOR OR AUTHORIZED A T iOATE.
ROPERLY VALIOATED THIS IS YOUR ERMIT
JATURE
M
SIGN ATURE OF OWNER,IF OWNER BUiLDERi iDATE,
BOG NSR r�ArE
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 672-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: �� t l,* /
Legal Description:
Owner Name & Address: Tel. #
Contractor: - -, ¢ ��'�^ MN LICENSE # fd7 670
Address: '/�`' ` r Tel. # 2f Y -
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Construction Type: �e.s:;,b�74 4f-1t,'-ne4f Estimated Cost: $_� ®�-
i/r HL,S llo,.-fe - (5`4-,Ve
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
DATE: '7 _ -3 r -0 3 APPLICANT: -�% ` 9 Tel. # 76j-
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-5714287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL $ os ,
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 per SAC Unit
$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 [ ]
NEW Il
ADDN [J
ALTER [ ]
Construction Address: �3Si
Legal Description:
Owner Name & Address:
Contractor ^- O's
a o os ®®"7/S -
CITY OF FRIDLEY
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) T287 -Fa)
BUILDING PERMIT APPLICATION
qbl v -C -
'-.L
Address: Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft��
Length
Length
Width
Width
Height Sq. Ft
Hgt/Ground Sq. Ft.
Construction Type'rX ���"�- �'`��� Estimated Cost: $ -7, 000
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: q146 S APPLICANT: Tel. # 73 9e� u
Call (763) 572-3604 for Permit Fees if mailing In application. Fax to 763-571-1287 If using credit card and wr will call
you for card number.
TOTAL $_ �� Q7 STIPULATIONS:
CITY USE ONLY -
Permit Fee
f-
$
Fee Schedule on Reverse Side
Plan Review
65% of Permit Fee
Fire Surcharge
.001 of Permit Valuation (1/10th%)
State Surcharge
$C 00
$.50/$1,000 Valuation
SAC Charge
$
$1450 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Curb Cut 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 $_ �� Q7 STIPULATIONS:
REScheck Compliance Certificate
2000 Minnesota Energy Code
REScheck- Software Version 3.6 Release 2
Data filename: UntitIed.rck
PROJECT TITLE: 14' x 20' Home Addition
COUNTY: Anoka
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
WINDOW / WALL RATIO: 0.19
DATE: 04/24/05
DATE OF PLANS: April 15th 2005
PROJECT DESCRIPTION:
14' x 20' Home Addition.
DESIGNER/CONTRACTOR:
Daniel & Jessica Sather
COMPLIANCE: Passes
Maximum UA = 75
Your Home UA = 47
37.3% Better Than Code (UA)
Permit Number
Checked By/Date
Gross Glazing
Area or Cavity Cont. or Door
Pram R --Value $1Va1ue UA
Ceiling 1: Flat Ceiling or Scissor Truss 280
Wall 1: Wood Frame, 16" o. c. 160
Wall 2: Wood Frame, 16" o.c. 160
Wall 3: Wood Frame, 16" o. c. 112
Wall 4: Wood Frame, 16" o. c. 112
Window 1: Above-Grade:Vmyl Frame.Double Pane with Low -E 28
Window 2: Abova-Grade:Vmyl Frame:Double Pane with Low E 24
Window 3: Above-Grade:Vinyl Frame:Double Pane with Low -E 10
Door 1: Glass 42
Floor l: All -Wood Joist/Truss:Over Outside Air 280
19.0
3.0
12
19.0
3.0
8
19.0
3.0
8
19.0
3.0
6
19.0
1.0
0
0.039
1
0.039
1
0.039
0
0.039
2
30.0
1.0
9
Proposed and Maximum U -Factor Averages
Proposed Maximum
Average U Factor Allowed U -Factor
REScheck Inspection Checklist
2000 Minnesota Energy Code
REScheck Software Version 3.6 Release 2
DATE: 04/24/05
PROJECT TTfLE: l4' x 20' Home Addition
PLAN REVIEW AND INSPECTION ISSUES
This list ofitems may be helpful ibr Plan Reviewers and Building hispectors to use as a guide for enfibrcing the Minnesota
Energy Code. The items apply to Group R, Division 3 Occupancies, one- and two-family residential dwellings. The
items marked with * apply only to detached one- and two-family residential dwellings.
PLAN REVIEW ISSUES
FOUNDATION INSPECTION
[ ] foundation wall insulation R-5 minimum
[ ] foundation insulation extends from top ofwall down to top ofthe footing
[ ] exterior foundation insulation is covered by a protective coating finish
CONCRETE SLAB OR UNDER -SLAB INSPECTION
[ ] slab on grade perimeter insulation R-5 minimum
[ ] slab insulation extends from top ofslab to design frost line or top offooting
[ ] floors over unheated space R-30 minimum
WINDOWS / DOORS / SKYLIGHTS
[ ] average U value is 0.37 maximum for windows and glass doors (excludes foundation windows)
[ ] window U -values consistent with building plan and RES check Certificate
[ ] window and door areas consistent with building plan and REScheck Certificate
MECHANICAL VENTILATION ISSUES
[ ] residential mechanical ventilation system provides adequate ventilation per code requirements*
[ ] fiumce efficiency is consistent with REScheck Certificate or building plan
[ ] protection against excessive depressurization is installed per code requirements*
ENVELOPE INSULATION FOR PLAN REVIEW
[ ] interior basement insulation R-5 minimum (ifno exterior insulation)
[ ] ceilings with attics R-38 minimum or consistent with building plan and REScheck Certificate
[ ] wall taming and insulation level is consistent with building design and REScheck Certificate
INSPECTION ISSUES
CONCEALED INSULATION
Framing and Sheathing
[ ] wind wash barrier installed at attic edge
[ ] exterior wall comets framed so that insulation can be installed after exterior sheathing is installed
[ ] intersections of interior partition walls and exterior walls framed so that insulation can be installed between the
partition and exterior sheathing after exterior sheathing is installed
[ ] gaps between framing less than one-halfinch are eliminated by securing tarring together or are insulated at the time
ofassembly *
[ ] all penetrations between conditioned and unconditioned spaces made prior to framing inspection are sealed *
Interior Air Barrier
[ ] all fire stops are air sealed
[ ] pipes, ducts, wires, equipment and Tues and chimneys through the interior air barrier are sealed
[ ] a sealed continuous interior air barrier is installed on the wane side ofthe building envelope at ceilings, walls, and
Poor rim joist areas *
[ ] air barrier behind tub and shower is sealed and protected
[ ] recessed light fixtures are sealed
Envelope Insulation
[ 1 basement insulation R-5 minimum
wind wash barrier on wall separating house and garage is sealed
loose fill insulation is prevented from entering the eaves
insulation on skylight shads and walls exposed in attics is supported on the unconditioned side
Attic Insulation
[ ] attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel
[ ] attic card attached to flaming near access opening
[ ] notification ofattic R -value and date ofinstallation posted now building permit inspection card
This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the
Department ofPublic Service Infkatation Center at 651296-5175 or 1-800-657-3710.
Above -Grade Windows and Glass Doors 0.039 0.370
Includes Foundation Windows > 5.6112
COMPLIANCE STATEIVUNT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been designed to
meet the 2000 Minnesota Energy Code requirements in REScheck Version 3.6 Release 2 (finmerly MECcheck) and to
comply with the mandatory requirements listed in the REScheck Inspection Checklist.
BuildaYDesigaer c Date 6 s
NOTES: ELECTRICAL / MECHANICAL SPECIFICATIONS MAY BE NEEDED FOR BUILDING PERMIT
*INCLUDE TYPE, SIZE, AND PLACEMENT OF HEATING / AIR CONDITIONER
*ELECTRICAL LAYOUT INCLUDING SMOKE ALARMS
WINDOWS: VERIFY ROUGH OPENING WITH WINDOW MANUFACTURER
(EXAMPLE: 2460 - 24' WIDE x 60" HIGH)
TYPICAL INSULATION
FRICTIONFI T FIBERGLASS OR
BLOWN4N INSULATION
R-38 MINIMUM
12
4 PARALLEL TRUSSES
TYPICAL CEILING FINISH
518 -DRYWALL OVER 4 MIL POLY
2'-0'
MASONRY FOOTING 5¢E
INTERIOR FINISH DRYWALL
T]P
WITH WOOD TRIM OVER 4 MIL POLY
2,6 STUD WALL AT 16 -OC
May substitute
INSULA
2"x 4" walls. This
FIBERGLASS INSULATION
wiB affect trusses,
512' (R-19)
wall framing,
EXTERIOR SHEATHING
windows and
7/16" OSB
insulation.
POLY VAPOR
AIR INFILTRATION BARRIER
= HOUSE WRAP
BARRIER
SIDING OPTIONS
OR COMPACTED 2000psi
STEEL, VINYL. WOOD 4' SLAB
'oo
TYPICAL TRUSS DESIGN
30140 LB. SNOW LOAD AND
80 MPH WIND LOAD
GRADE
MASONRY FOOTING 5¢E
CONCRETE BLOCK AND
UNDERSOIL
7a'
NG BULDIN DETERMINED
INSULA
"
5 COURSES OF 0 CONCRETE
BY�LOCAL
R-10 VALUE
BLOCK WITH 12' ANCHOR
BOLTS 6' ON CENTER
SOIL BEARING CAPACITY
POLY VAPOR
UNDISTURBED
BARRIER
"
OR COMPACTED 2000psi
REQUIRED
UNDER SLAB
TIP
If using posts verify concrete pier size with local codes. Floor joists
insulated with R-38 fiberglass and capped with treated 1/2" plywood.
SECTION DETAIL
SCALE: 1/4"=1'
-NEW [ ] CITY OF FRIDLEY
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [: ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Addre
Legal Description:,
Owner Name & Address: J QSSLc_I ( )41r`_Q Rtk efL Tel. #
Contractor: Co. QIL�- V -t- MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
I I 1
LIVING AREA: Length Width r Height Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: .,ngth Width Hgt/Ground Sq. Ft
OTHER:
Construction Type�krX 6n �a^~L- Co -')54' Estimated Cost: $ -7,�� ®�� �
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: `I,S G S 4PPLICANT: " i Tel. # 7(a3 -4V. -9P6
Call (763) 572-3604 for Permit Fees if mailing In application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge.
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
$
Fee Schedule on Reverse Side
$ ;31-7. q 1
65% of Permit Fee
$
.001 of Permit Valuation (1/10th%)
$
$.50/$1,000 Valuation
$
$1450 per SAC Unit
$
$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 [ ]
TOTAL $ J�y lS� STIPULATIONS:
OwMER-------- — Vn V.n......� V,_ . x I VP 0n0n00g6ArVLIO
326 PLYMOUTH BUILDING FEDERAL 8-8721
INDUSTRIAL - JUDICIAL HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA
BUSINESS — TOPOGRAPHICAL
CITY LOTS — PLATTING Ourbtpor's trai att
Robert W. Loftus �
I
67
� t
e
JAMES NELSON
SURVEYOR
ESTABLISHED 0922
METROPOLITAN LAND
SURVEYORS. camausHED 1050
Invoice 22 lg
7 _1:%/_ 4
vem
I hereby certify that this is a true aml correct representation of a survey of:
:lot 12 stir's ia, clock `', 'pring Brook Pari
.=no'.a Co,=t� p ::inn., pub j ct to therid;i.ts
"
the p-; ; c 1�
f%.s. L'V?r frli'? I?tctiE ,�.:' `'h��t taer':or for
road T)u" 103eS.
s located bd me this 4th aa -o_' - P'-'il, ? �:iL .
SIGNED
CA RIGHT AND O
REScheck Inspection Checklist
2000 Minnesmti Energy Code
REScheck Soltware Version 3.6 Release 2
DATE: 04/24/05
PROJECT TITLE: 14' x 20' Home Addition
PLAN REVIEW AND INSPECTION ISSUES
This list ofitems may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the Minnesota
Energy Code. The items apply to Group R, Division 3 Occupancies, ono- and two-family residential dwellings. The
items marked with *,apply only to detached one- and two-family residential dwellings.
PLAN REVIEW ISSUES
FOUNDATION INSPECTION
[ ] foundation wall insulation R-5 minimum
[ ] foundation insulation extends from top ofwall down to top ofthe footing
[ ] exterior foundation insulation is covered by a protective coating finish
CONCRETE SLAB OR UNDER -SLAB INSPECTION
[ ] slab on grade perimeter insulation R-5 minimum
[ ] slab insulation extends from top of slab to design frost line or top of footing
[ ] floors over unheated space R-30 minimum
WINDOWS / DOORS / SKYLIGHTS
[ ] average U value is 0.37 maximum tar windows and glass doors (excludes foundation windows)
[ } window LJ values consistent with building plan and RES check Certificate
[ ] window and door areas consistent with building plan and REScheck Certificate
MECHANICAL VENTILATION ISSUES
[ ] residential mechanical ventilation system provides adequate ventilation per code requirements*
[ ] firmace efficiency is consistent with REScheck Certificate or building plan
[ ] protection against excessive depressurization is installed per code requirements*
ENVELOPE INSULATION FOR PLAN REVIEW
[ ] interior basement insulation R-5 minimum (ifno exterior insulation)
[ ] ceilings with attics R-38 minimum or consistent with building plan and REScheck Certificate
[ ] wall taming and insulation level is consistent with building design and REScheck Certificate
INSPECTION ISSI7ES
CONCEALED INSULATION
Framing and Sheathing.
[ ] wind wash barrier installed at attic edge
[ ] exterior wall comers tamed so that insulation can be installed ager exterior sheathing is installed
[ ] intersections,ofintedor partition walls and exterior walls tamed so that insulation can be installed between the
partition and exterior sheathing afer exterior sheathing is installed
[ ] gaps between taming less than ono-halfinch are eliminated by securing taming together or are insulated at the time
ofassembly *
] all penetrations between conditioned and unconditioned spaces made prior to framing inspection are sealed *
Interior Air Barrier
[ ] all fire stops are air. sealed
[ ] pipes, ducts, wines, equipment and flues and chimneys through the interior air barrier are sealed
[ J a sealed continuous interior air barrier is installed on the warm side ofthe building envelope at ceilings, walls, and
fioorrim joist areas *'
[ ] air barrier behind fab and shower is sealed and protected
[ ] recessed light fixtures are sealed
Envelope Insulation
[ ] basement insulation R-5 minimum
[ J wind wash barrier on wall sqparating house and garage is scaled
[ ] loose fill insulation is prevented from entering the eaves
[ ] insulation on skylight shads and walls exposed in attics is supported on the unconditioned side
Attic Insulation'
[ ] attic access panel insulated to R-38 iDr ceiling panel and R-19 tar wall panel
[ ] attic card attached to framing new access opening
[ ] notification ofattic R value and date ofinstallation posted near building permit inspection card
This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the
Department ofPublic Service Information Center at 651296-5175 or 1-800-657-3710.
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