AF - 35334Village of Fridiey, Minn.
�UI�DII�TG 1DER�'II�
N° 125
- Office of IllTSPEG°rOB OF Bt7II,DING$
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Owner--�#i�--� � ��'��
Architect Fridley, Minn., � 19
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Builder �`�
LOCATION OF B ING
No.�� � Street ��� � ?art of Lot
�t Block Addition or Sub-Diviaion
DESCR,IPTION OF BUILDING
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P'ront � Depth'�' Height �� Storiea 6°� Dlanner oP Construction ����++ ..�i (� '�
To be used as To be completed �- ` `� �� Esf3mated Cost����
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Permit ie here ted "'�°
to �-- '�-�`��
the buildin � descrlbed. in the above statement. Thfs permit is graated
upon the expreas condit3on `� the peraon to whom it ia gra,nted, aad his agents, employees and workmen, in a11
the work done in, around aad upon sa3d building, or any part thereof, shall conform ffi all respects to the ordi-
nances oi Fridley, Mina„ regarding the construction, a,itera.tion, mafntenance, repair and moving of buildings
within the city limits, a,afl t,�is perm3t ma,y be revaked at any time upon �ation oP any o3 the provlsions of said
ordinaacea. � ,
� �� � _:
pector ot Buildings.
AGRF;EN�NT AND S�VORN STA�EMENT
In consideration of the issue and delivery to me by the I�sp�ector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth an.d according to the provisions of the ordinances of I+`ridley, and, being first duly
sworn, I hereby sta,te and say that the facts stated by me and contained ixi the above permit are
true as therein stated. - � _�..
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Subscribe .and sworn to before me at Fridley, Minneuo , thi4�'�
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day o � .D. 19 ` � _
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Village of Fridley, Minn.
BUILDING PEai.MI�
� ri s : Offic� of IIN�PECTO� OF BUILDIIY(,�B ,
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Oevner,��a�.�°s - � � s�.� �,��� �,� k::�°�� �;.
.Architeet. Fridley, Minn., ,�� ����' ,/ �U , �g,� ,„�t�
� Bwilder -
LOCATI�N OF BUILDING
No. �"�(��' �'� � , Street '��$�'���';-�_� �-�. __. �,� . _ Part of 7,ot
Lot Block Addition or 8ub-Divteion
DESCR,TPTION OF' BUILDING
'' �, � �, '^ �'' d,:: � � �
Front y Depth Height � Stari�s "" Man�ter of Coastruction�, �"";°��`�� °-•�-�.:� �°-"- •=
To be uaed as .�'� `��""�-��-�.`4°°�; To be camplet� ���= a� ��� ��rEstfmated Cost
y`� ��N�°'��t'�L_.�Y�'� �s'E.-�,.- ,�.
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Permit 3s hereby gr8n � ���: . :,��°`'° �.� � i� tp �''" ` > �• :-�. , �-
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the buiidiag '�°`�. >_. cYeserlbed ia the BbOV@ Statemen� Thie permi� it4 gTarited
". upon the ezpreae condition that the person to Whom it is gxanted, and hie agents, employees and 'worinnen, in a1I
the work done in, arouad and upon seid buiiding, or an.y part thereof, ahall conform in a11 respecfisg to the ordi-
nancea of Frldley, B2inn.. regarding the construction, alteration, maiatenance, repafr and moving oP bufldinge
wlthin the city limite, aad th4s permit may i� revoked at any time upon violation of aay of the pmviaions of said
! ordinances. :
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£� . �,, s ° �.,, ' .'`°�°�"'�- 7��tor oP Buildings.
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' AGRF�'�'�'�' AND SWORN STAT�ENT
In consideration of the issue ancl delivexy to yne by the Inspector of Buildingna of �idley af
the above germit, i hereby agree to do the proposed work ia accordance with the description ,
above set %�th a.nd according to the provisiona of the ordinances of Fridley, ancl, being first duiy '
sworn, I hereby state aad say that the facta stated by �ae and contained in the above perm:it are
true as therein stat�l. �-
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.��!`' ^' ,r° - �� - X,.�wa �„ °'�!`';;.-#��`"6�'a^� .
Subscribed and sworn to before me at Fridle , Minne�ta, thiss .' � `m"�;- ��
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BUILDING PERMIT
Village of Fridley, Min.n. N� 2 4 61
Date � � �'f! �'•� •,t'. . . . . . . . . . . . . . . . . . . . . . .
Owner.�.��. � . .�iC�j�,,,.t�7.x . . . . Builder . .�°i� � �?:�.�: � . . . . . . . . . . . . . . . . . . . . . . . . .
Addres� '� , �� `��.P �_��,.,�': . . . . . . . . .
Address.......................................
LOCAitON OF BUfLD(NG
No. �� �%,� . . . . . . . . Street . �C�:� :�r�'. . . . .t�.�. t:k%!:. . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . .
Loi . r''�.�.. .. .. . . . . . Block . . . . . . . . . . . . . . . . Addition or Sub-Divi o . �"�,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Corner Lot . .. �':': . . .. . Inside Lot . .. . . . . .. . .. Setback . � # ,�,� � ' . .. ...
..�¢ Sideyard ..���;r.,.;.�.
DES�CRIPTION OF BUILDHNG
To be Used as:
�l��`/' • -
����"�:�"• • • • Front � r�. . . . . Depth ; �+. . . . Height �.�r. . . . .
' /� �"' �,,,�,�..
•'���'�. .:`��'''ront��.� .� Depth . .. . . . . . Sieight . .. .. .. ..
Type of Construction .�7-�a: �. , Est Co� � +�'��. . ��, , , , , , , ,
_ j
Sq. Ft. +%sf��lGC�. Cu. Ft, ........
Sq. Ft. . .: . . .. . Cu. Ft. . .. .. . . .
To be Completed ,� �� j. . . . . . . . . . .
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 village of Fridley.
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������r�i�cAnside•ration of the payment of a fee of $,I�,�. `'".". , permit is hereby granted to �j���,�, •,� ...
��+°�':�~. ....... to construct the building or ad dition as described above. This permit i5 granted upon
the e�cpress condition that the person to whom it is granted �nd his agents, employees and worlmien, in all work
done in, arourid and upon said building, or any part thereof, shall conform in all respects to the ordinances oP
�'ridley, Minnesot�, regarding loca.tion, construction; alteration, maintenance, repair and moving oi buildings with-
in the village limfts and ihis permit ma.y be revoked at any time upon violation of any of the provisions of said
ordinances. .,,.�-r
,� Building Inspector
NOTICE:
This permit does not cover the construction, installatfon or alteration for wiring, plumbing, gas heating,
sewer or water. Be sura to see the Building Inspector for separate,permits for these items.
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FIZIDLEY
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E., FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
January 19, 1988
Ronal d and S af ia Smol ik
5921 Benjanin Street N.E.
Fri�Iley. PN 55432
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RE: Non-Complianoe of �e FricIley City Code at 5921 Benjanin Street N.E.
Dear Mr. and Mrs. Ronald Smcalik:
�n January 15, 1988, it was confirmed by an on-site inspection that the
property at 5921 Benjanin Street N.E does not meet the minimum s►.andards
�aessarY to maintain a gleasant and prosperous suburhan er�vironuent. While
major a�de requirenents are satisfied, the following item does not comply
wi� the performar�oe standards of the City Code:
L One �lioensed vd�icle: a 1982 burguncl�, plymouth gorizon, 2-door.
Yotu' iirsnediate acti� to oorrect this situatiori woulcl be a great improvement
for your �operty and the enti�e--oo�mta�itl, as well. An inspection will be
aonducted on or about February l� 1588, to deterniir�e aoanpliana�e.
If you have any questions or aonoerns,
Fridley Civic ,Center, 571-3450.
Sinoerely,
Li sa Campbell
Code Enfa�ra�nent
LC/ls
C-88-18
glease feel free to aontact me at the
sue,ietT � PER�
c�ty of Fridley 30894
AT THE TOP OF TNE TWINS � � f L D I N G P E R�II I T
r
� �� RECEIPT NO.
COMMUNITY DQVELOPMENT OIY. � ���
� ; V ����� � .
f � � PAOTECTIVE INSPECTION SEC.
� _ �"'1 � CI?Y NALL FRIOLE� SS132 NUA1pEF liEV O�TE v�GE O� �nvqOVED Br
�----� • •,� 612-571-3450 9tQ-F15 5/2/00
/ �
10B ADpRESS 5921 Benjamin Street NE
t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. Z3 Auditor's Subdivision �i�'92 SHEET
2 PqOPERTY OWNER MAIL ADDR�S$ ZIP PNONE
Ron Smolik 5921 Benjamin Street NE 571-0533
3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO
Norling Exteriors Inc 341 79 Way NE, Fridley, MN 55432 784-8936 20098700
4 ARCMITECT OR DESIGNER MAI ADDRESS ZIP PHONE LICENSE NO.
B ENGINEER MAIL AODRESS , ZIP PHONE LICENSE NO
8 USE OF BUIlOING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION 0 ALTERATION � REPAIR ❑ MOVE O FiEMOVE
8 DESCRIBE WORK
Install soffit & Fascia
9 CHANGE OF USE FROM TO
STIPULATIONS
Install soffit ventilation to mee� the StaCe Building Code.
SEPARATE PERMITS AqE RE�UIRED FOF ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO
VEN7ILATING OR AIR CONDITIONING
TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SQ. FT CU. FT
AUTHORIZED IS NOT COMMENCED Y�1ITHIN BO DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AF7ER WORK IS COMMENCEO. NO. DW4G. UNI7S OFFSTpEET PARKING
I HEREBY CERTIFV THAT I MAVE READ AND �XAMINEO THIS APPIICATION 1 STALLS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. A�L PROVISIONS Of LAWS VALUATION SURTAX
ANO ORDINANCES GOVERNING THIS TYPE Of WORK WI�L BE COMP�IED @
WITH WHETHER SPECIFIED NEREIN Oii NOT. TME GRANTING OF A PERMIT `V1fSOO � �.75
DOES N07 PRESUME TO GIVE AU7HORITY TO VIOLATE OR CANCEL THE pEpMIT FEE SAC CMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON•
STRUCTION OR THE PERfORMANCE Of CONSTRUCTION �S�F.00 Fire SC �I.SO
PLAN CMECK FEE T07 FEE
_ ° .� ��� $61. 25
�GNATUAE OF CON'RACTOp OA AUTIiOp�ZEO ENT IOA7�r EN ROPE IIDAT TMIS IS Y q RMIT
���'
S�GNaTUi7E O� OWNEQi�� OWNEpBU�LDEAi IDATE� BLO �NSp ' pp}E
� C �-�!}
NEW []
ADDN [ �
ALTER �
Constnaction Address:
Legal Description: �
Owner Name & Address:
Contractor: ,/��r�� � a
CITY OF FRIDLEY '
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
°i � 1 ('� �
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Effective 1/1/2000
(763) 572-3604 Bldg Insp
i �; 1'
Tel. # �� "��_ � �
MN LICENSE # � �� � `�
Te�. #__ 7 ��/ � 3 �
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LMNG AREA: Length Width Height Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER:
Construction Type: �� � �,�.���� ° � Estimated Cost: $ � �' ��� „
� .
Driveway Curb Cut Wd#h Needed: Ft. + 6 Ft = Ft x$ _$
DATE: s �.. m ��-� APPLICANT: �r�n � � �� Otl� �"( i � Tel. #��o�� ���
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ �j L{ .�� 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 $_ ,��$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:
$
� � s._�
BUII.,DING PERMIT FEE SCHEDULE
The Cluef Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $5�
$501 to $2,(�0
$2,001 to $25,0�
$25,001 to $50,000
$50,001 to $100,000
$100,�1 to $500,000
$500,�1 to $1,000,000
$1,000,001 and up
M�,��
$23.50
$23.50 for first $5� plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional$1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional$1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1, 000 or fraction thereof, to and including $100, 000
$993.75 for first $100,000 plus $5.60 for each additional
$1,0� or fraction thereof, to and including $500,000
$3,233.75 for the first $SQ0,0� plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1, 000, 000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,(�0 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alterna.te "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for construction will be issued" a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and' �f �e construction site.
A Certificate of Survey of the lot, si�o�ing the location of the foundation once it has it has l�en constructed will
be required before prQCeeding with the°framing. New Houses Onlv
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COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When realacing an existing furance, the undersigned hereby verifies that the
venting has be�n examined and is free from rust, deterioration, obstructions, .
and.is securely supported and;firestopped where required. Yes � No ()�_
The venting system is plastiGPVC and meets al) current codes and m�nufacturer `
specifications including sizing, length, number of elbows and termination. Yes () No (� �
The undersigned also verfies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliance�.,
The existing combustion air is sized and installed to meet the cuRent eodes
and m.anufacturer's specifications.
When required to install a new combustion air. it will be sized and installed
To meet the current codes and manufacturers specifications.
Yes Q(j No ( )
Yes � No ( )
Yes �' No ( )
When installin� a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the cuRent codes and manufacturer's
spec�cations. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances. Yes � No O
Is the common;venfi;and �vent connectorssized and installed correctly after
an appliance has been removed f[pm,the.common vent and vented
separately as per cprrent codes.� ` � _ Yes �) No (�)
Appliance Tvae and Size/Common Vent and Vent Connector Inforonation
l�`Jo+ � N�'A�� nce #1 Type Q�i � BTU Input Fan Assisted or Nat
��✓'��pliance #2 Type Nc?, ��-� BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances �- Total Btu Input /��, �� � �
o' or
Common Vent Type � j�ss C Vent. He�h� ��i�m�ter_ ___---- i�ie� --
- — -- — ----- ,— .
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Conne�tor Height ft Length ft Diameter in Type
ALTERATIONS: (Describe) �� � ��r /c -efi�%e�,�t- ° .�%w�`�.�. S �, �0,��7� �
� � �J-��u '� � �' Cr � �
� ��� _ _ . .��.��-s�-. e/9, t�o�
�. �
.•;� HEATING CO: /��'1 ���vvrcti C�2t � � 1 c �•..c� � ,� �% �
Signed By: Date : �- Z��— � Z
FE8-18-2002 05�54 MINNEGASCO
R1GhTi'•7 IAAD AND EQUJ�R�Nf SiJ1�RvIA►RY
Filet�me: 5921 Benjant�
g�; Gyaltsan
gy: Minnegasoo
WIIV�?R DfiSI(3N CONDT[iON5
pu�i �: —2 0 Deg F
Snside db� ? Z �8 �
C�� TI�; �2 De� F
I�ATATCr SIJMMARY _
,___ ___ -- ..__ ._
-��. -
Bldg. Heat Loss �' 4 90 0 9 Btuh ,�
Ventilation Air 0 CFM -
vent Au I.o� ' ._.____ _ o �
Ih;siga Heat I.�d 49009 Btuh
IlVFII,TRAT7pN
M�od Simplified
Constrweti� Quality Average
�ireplaces �
F�AATING• COOLIN4
t�+ea (sq.fl.) 1100 1100
Volume(cuit.) 5500 5500
Air Chan�ey/fiout 1. 0 0. 5
Equivaletrt C�'M 92 a 6
HFATIl�TG EQU�iv�Ni' SUNII�IARY
612 321 5220 P.��
O1l21l02
3ob �
WSIu Minneapol�gl5t. P3u1 AE I�IId
Zonc Entire Hou�@
SUN,Qv1ER DEST(3N CONDT1�nAIS
Outsfde db: 95 Ue8 F
�,side db: � 2 '�8 �
_ ���. --�3 -Deg�
Dmily �tangc M
Rel. Huut. : 50 °10
Grrains Water 33 g
SEN3IBLE C�QLING EQIT� IAAD SIZ�NG
Struchuv 19767 Btuh
Vtaltil�tion Q �
Design. Ttx��. Swing 3. 0 Iaeg F
Use Mfg. Data n
�IsteJ$wiag Mult 1. QO
Tutal Sens $qnip Load 19767 I3LUtl
LATBN'f CCIOLINQ EQTJIQ LOAD ST�ING
�� � 920 BtuSi
Ventilation 0 Btuh
�iltra�on 10� � Btub
!'ot �,atent Equip Laad 1951 Brith
7otu1 Equip Load 2 7.'717 1Bt�h
COOI.ING EQUIPh�1T SIJMMARY
,
��i�lz�
ivlslce Maice
�p� Model
Typs 'TYDe
E�oieucy ! HSPi' 0. 0 0 COPI�Es1Z/S�ER 0. 0 0
H�,ting �nput 0 t3tuh �asible Cooling 0 Btul�
iiettMing Output Q�tuh i.atent Cooli� 0�tuh
�Ieatiag Tcmp Risz 0 DEg F Total Coolin� � B«
Aotual Heating Fan 1 Ds 7 cFM Acd�ei cuol3ug �as� 1 o s 7 cF'A+t
Htg Air Fiow Fa4�tor 0. 42Z CFM/f3tuh Clg Air Flow Factor 0. 0 5 3 CFMBtuh
9�ce Thermost�t K,oad 3ens Htat Ratio 91
MANU',AI.J:7thEd, RLGHTJ: v� 3, 0.14 S1N 12079
Prmtout eertitied by ACGA to mcet al! ��ueremea� of Meaual Form J
�l
�j('�v�
,
TOTAL P.04
�� � l �
` � wHOUSE HEATING TEST RECORD p% ,.0 ��,�
l�
♦DDRESS � � ��� APT. FLOOR CITY ....______5US D__,.___.__.,
QCCUPANT OWNER
HEAT I.OSS �.�DATE HTG I T '��
SOI.D BY � INS7ALLED BY �
El�i�ol Work Bp � Gas Lin� By
TYPE OF NEAT GA FA NW STEAM SPACE HTR. UNIT HTR. OTHER
�. � . AS j)ES{i'a�l_ ,� CONYERSION
MAKE
�f) .
SNIO� .
iaPUT
CONTROLS
TH�RIAOSTAT �at Plua
Yalr�
Lia�it s,��
Limlt S�Hiny
Fa� S�ttioo
Pilot TYp�
Pilot AAain
�
Pilw Mod�l
Pilot Timinq
�.w. Cut Off
Pr�saw� P��c�nt COZ � � �
I�ut CFH P.rc.nt OZ f
Stack T�mp. Percent CO �'
Fa�n Z35
MAKE OF BURNER
Max. BTU Rati�g
MAKE OF FURNACE
hAodsl
!/
V�nt Siz�
KIND OF LINER �— SIZE NONE
Drah Hood
ReyulaTOr
Filt�rs 5is� Numb�r
Chimn�y Lototion (ns d� Outside
Chimn�y Construction
Smoke Bomb
Droft
Wiriny
T•st Toq
Door Pressurs ��Li�tin,p Inst.
Date Teatsd � °�
Compa�y Teating; � � ^
Nome of 7ssfer '
_
C� ! I �F
FR[DL�.Y
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
August 23, 2002
Mr. Kalsang Gyaltsen
5921 Benjamin St NE
Fridley, MN 55432
Re: Final Inspection at 5921 Benjamin Street NE
Contractor: Team Mechanical Inc.
Dear Mr. Gyaltsen:
A mechanical permit was issued on March 1, 2002 to install a boiler at your address.
According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on
the work authorized by this pernut. As of this date the inspection has not been requested.
The pernut fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your pernut open for another 30 da.ys and if we do
not hear from�you within this time to set up the inspection, we will mark the pernut "no
inspection called for by homeowner after notification" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh
- ��n�,a„� ���5 c��- coc�(v�
� ,' i� g BUILDING PermitN .. (�O " (?LQ
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Date Rec'd: CJ c��
DATE I V���� I� O� � YOUR E-MA ADDRESS
s�.�D�ss �I �n�a� � � sr- na E�'�' �-r� S s� ��
THIS APPLICANT IS: �WNER ❑CONTRACTOR
PROPERTY OWNER/ N�: � 1 ' � ((�' S�
TENANT AvnitESS: ��02 I�i�+'� f a� `n ��° �°� crrY STATEM�P�� �j�
PHONE: �%C � �O � % � �
CONTRACTOR N�:
SUBMIT A COPY OF STATE LICENSE # EXP DATE
YOUR STATE LICENSE ADDRESS: CITY STATE_ZIP
WITH APPLICATION pH NE FAX
PROPERTY TYPE SINGLE FAMII,Y/NEW CONSTRUCTION SIZE
❑ TWO FAMII.Y/NEW CONSTRUCTION STORIES
PERMIT TYPE � �DTfION ❑ GARAGEISHED ❑ w�rrnows
❑ BASEMENT FII�TISH ❑ ROOF ❑ DRAIN TII,E
ECK � SIDING ❑ OTf�R
❑ SWIMMING POOL
TYPE OF WORK: K' ❑ ADDITION
1�`1C�IAINTENANC AIR ❑ REMODELING
DESCRIBE WORK BEING DONE: RPA � � ` �'� �� °� � ��'°'►� S� �, �e �
SIZE OF IlVIPROVEMENT LENGTH �� WIDTH oi-� HEIGHT .� �'�- S. Ft�
ROOFING ❑ HOUSE ONLY l.
NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT:
GARAGES ❑ ATTACF�D GARAGH 1. Existing Floor Plan
PROPOSED SIZE: ❑ DETACHED GARAGE 2• ProPosed floorplan
PROPOSED HEIGHT: 3. List of structural members to be used
SIDING FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures
❑ Other ❑ Fascia and pmposed pmject.
WINDOWS 2• Two sets of construction plans
IN EXISTIlVG OPENINGS ❑Yes ONo LOCATTON OF WINDOWS 3. Energy Calcularions
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUA"1'1UN, llVCLUll11VG TliE CUS"1' UF LABUK AND MA'1'1:KIALS:
(USING T 97 U.B C FEE SCHEDULE)
TOTAL JOB VALUATION $� 6�� OCCUPANCY TYPE
Permit Fee $ e�j See Back Page for Fee Schedule
Plan Review $ ,/ � 65% of Building Permit Fee
Fire Surcharge $ �,$ _.001 rimes the total job valuation
Surcharge $ a- __ .0005 x Permit Valuation Minimum $.50
License Surcharge $ $5.00 (5tate Licensed Residential Contractors)
SAC Charge $ $1675 per SAC Unit (Plans to MWCC far determination)
Curb Cut Escrow $ ft + 6 ft = ft x$21 =$
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary () Non Necessary ()
Total Due $ .�a- Make checks uavable to: City of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acirnowledge 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 Cades; 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 wi]] be in accordance with the approved
plan in the case of all work which re�res review and approval of plans. y
SIGNATURE OF APPLICANT �`;� ,, � �,' �—� � PRINT NAME I S�'� G "`✓ �1 r°�s�" llA'1'E � �`� �� I I '- � �'�
.�
. , , ..
i'` 1' '' i I :. ENARD� �I. I ��� �
>. �.
�
tl,. -
*�* Take this sheet to the Building INaterials desk to purchase your mat��i�ils. ***
You selected a 1 level deck with: Be1ow is a sec�ion o� �he r�ilir� s Ie
Pressure Treated Framing Material options you have selected �or you� deck
6 x 6 Framin Posts
�/4" x 6" Pressure Treated Deck Boards �,� �
aure oo ings u e eep � ' `� ��� --
� f �.� � ,���
�remium Gold Combo Drive Screws � �� _ -
Galvanized Framing Fasteners - � � � 3 �� ; � ; � ; ; , �; �� ,� i � � o�
Pnvacy Green Treated Lattice v r.# � , i ; ; , � : : �:
Handrail selections:
36" 2x6 Horizontal Handrail Railing
3"x3"'x36" Pressure Treated Tumed Spindles
��"x4"x48" Pressure Treated Utop Notched Railing
2"x6" Pressure Treated Hand Rail
You may
�Ulenards cai
for`plan com p.(
_�from �hose pictu
�` �J l � �rti�
�I
Ri
'
Spindle placement �s ap�eoz;:4"'apart;�d�pe�ding on style
�
all the materials or any part at low c�sh and carry prices. Bec�use �f th� �de vari�ble xrl codes,
guarantee that materials Gsted will meet your code requiremer�s:: CGheck vu�th �our )b�a1 m�nicipality
: and buildir�g perm�. These plans are suggested desig ns and material �l�sts onl�: ��n�e" ` ms may vary :
We do not gua tee trte completeness or prices�.of tfie� structur� : Tax I�f�. and t��iery nof included.
.
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�� Illustration intend+�d �o sh�w generad deck siz� and �hape.
�--�«��r� � Some o tions selected ma not be shown for �ctu�� `'
P � p . �laniy.
Taday's cost for materials estimat�d in �his desi � n�ri��i o tio{n ����04.9Z
g � �.�
�Th� base price includes: 40 PSF deck liae Ioad, AC2 �ated - horizona! 2x6deck �rds, 4x4 p�, 2z8 'ois� and �ams,;galva ized fr�min
fasteners, RCZ troated 3G° Verti�l handrai( to joist �iihout �, and premium �r�vs. � '-,
iih
. . � A E ���eje 1021,3
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*** Ta�e this sheet to fihe
. � ` , R � 0�1 120 �
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t
, ° �
�� Mate�als desk io purchase your �nater�ials�* **
Level 1: .18' x,12' .
_____ 3'-6" off fhe ground
---= Horizontal Decking
— ?'��" . ni_ _r
_ — _ 2" x 12" Beams
-- � eck ive Load
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Toda °s cost �or mat�r�als estimate� ir� this desi n�`i���o �i���: 150 .92
� � �
� The �ase 'ce includes: 44 PSF deck 1'�ve I�d AC2 treat�d • horizon�l 2xSdeck b�rds, 4x4 2x8. oists and �eams, lva iaed framin
�a
�fasteners, AC2 �reated 36° Vertical handrail to joist without �, and pe�rnium screi�: �. �� �e
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Layaut di�nension sheets �re intended as a construction aid. f�ot al! option� selected are shown. .
,
1917 8912
Please bring these plans to
the cashier to pu�chase.
Posts I-
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Post and Beam Dimension Sheet
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Layout dimension sheets are intended as a construction aid. Not afl option� �elected are shown.
a ,'
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Mark
' Joist Layout for Your Deck
� The Scale is 1/4":1'
Design# �173
Descri
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;
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A 11'9" , 13-Zx8 Green Treated VJoist� �
B 17}9" '� . 1-2x8 Green Treated Le�ger
C 11 10-1/2 2-2x8 G�een T�eated Rim joist -
� 18' 1T2x8 Green Treated Rim joi�t
Joi�s to be on 15' cer�e�s.
Joists to I� hung ftom the letlger w�th joist tiangers.
Joists to be toe-nailed to beams v�ith 3-1�2" (1f�i) galvan�ed nails.
Rim joists to be face-nailed #o joists & ledge�s w�th 3-9�" (16d} gahran¢ed nails.
Y bracing is estimated, butnot shown. Blocking and bridging may be required by your lo�al code:. .� �
Layout dimension sheets are intended as a con�truEtion aid. Plot �`Il op�i�ns selected are sho�rn.
� Estimate From
1_ �, # �
ESTIMATE FOR:
JOHNSON
5941 benjamin st ne
Fridley, NII�T 55432
STORE # 3018 FRID PHONE: (763) 571-8689
5351 Central Ave. NE FAX: (763) 571-1932
Fridley, MN 55421
c �
❑
_ i
Estimate # SOl 73
Page 1 of 3
Ph: (763 ) s�4-i�sz ESTIMATE BY ESTIMATE DATE
_ mj io/1o/0�
SKU NUMBER DESCRIPTION QTY TO ORDER ADDITIONAL ITEM INFORMAT'ION
111-0423 1X8-12' AC2 TREATED AG ARSENIC FREE LW 2 EACH O�' SAi.,I:' TNRU I�%';/ ;
Stair Riser
111-0672 18' AC2 THICK CUSTOM DECKAG 27 EACH ON fiA!,F. TFIR:' . : 7'
Deck Boarde
111-0805 2X4-6' AC2 TREATED AG ARSENIC FREE LW 2 EACH
Strs Sttm Rail
111-O61H 2X4-8' AC2 TREATED AG ARSENIC FREE LW 1 EACH OA1 SALE THRU 7.0/14/07
Y Sracing
111-0821 2X4-10' AC2 TREATED AG ARSENIC FREE LW 1 EACH ON SAL.E 'CHRL� 10% i•� i'•'�
Bottom Rail Bd
111-0834 2X4-12' AC2 TREATED AG ARSENIC FREE LW 1 EACH ON tiALF. THHU 1':;�� -
Bottom Rail Bd
111-0876 2X4-20' AC2 TREATED ARSENIC FREE LW 1 EACH ON SALE THRU 10/14jt77
Bottom Rail Bd
111-1011 2X6-6' AC2 TREATED AG ARSENIC FREE LW 2 EACH
Strs Hnd Rail
111-1037 2X6-10' AC2 TREATED AG ARSENIC FRSE LW 1 fiACH ON SALF. THRU 10/14/07
Aand Rail
111-1D66 2X6-16' AC2 TREATED AG ARSENIC FREE LW 2 EACH
Hand Rail
111-1341 2X6-12' AC2 TREATED AG ARSENIC FREE LW 13 EACH ON SALE THRU i0/:•71Cii
Internal Joist
111-1341 2X8-12' AC2 TREATED AG ARSENIC FREE LW 2 EACH ON SALE THRU 1DJ14/i7�
Rim Joist
111-1370 2X8-18' AC2 TREATED ARSENIC F�tEfi LW 1 EACH ON SALE THRU 10/14/01
Ledger Joist
111-1370 2X6-18' AC2 TRfiATED ARSfiNIC FREE LW 1 EACH ON SALE TWF2U i^v1i+j;`'/
Rim Joist
111-1972 2X12-18' AC2 TREATED GC ARSENIC FREE LW 2 EACH GN SALE THRU :,. ,:.
Beama
111-2816 6X6-6' AC2 TREATED GCS ARSENIC FRfiE LW 1 EACH
Posta
111-3103 4X4X48 U TOP-IT DECK POSTAC2 TREATfiD 4 EACH
Str Rail Pets
111-3103 4X4X48 U TOP-IT DECK POSTAC2 TREATED 14 EACH
Railing Posts
111-3501 3X3X36" COLONIAL SPINDLE AC2 TREATED 20 EACH
Stair Spindles
111-3501 3X3X36" COLONIAL SPINDLE AC2 TREATED 75 EACH
Railing Spncils
111-3936 5 STEP STRINGER HT:35° ACZ TREATED 3 EACH
Stair SErngrs
111-4U63 2X12-6'TRTD STAIRTREAD AC2 TREATED 3 EACH
Stair Treada
This is an estimate. It is given only for general price informa6on. This is not sn offer and there can be no legally binding contract
between the perties based upon diis e'stimate. The prices stated herein are subject to change depending upon the market condieons.
The prices stated on this esdmate are not firm for any time period unless sp�cally written otherwise on this fom�. The availability
of materials is subject to inventory conditions. MENARDS IS NOT RFSPONSIBLE FOR ANY LOSS iNCURRED BY THE
GUFST WHO RELIES ON PRICES SET FORTH IIEREIN OR ON THE AVAILABILITY OF ANY OF THE MATERIALS
STATED HEREIN. All information on this fomi, otber than pric�, has been provided by guest and Menards is not responsible for
any errors in the information on this estirmate, includ'mg but not limited to quan6ty, dimension and q�lity. Please eacamine this esrimate GUE S T C OPY
carefully. hIENARDS MAKES NO REPRESENTATIONS, ORAL, WRI7TEN OR OTHERWISE THAT THE MATERIALS
LISTED ARE SUITABLE FOR ANY PURPOSE BEING CONSIIIERED BY THE GUFST. BECAUSE OF WIDE
VARIATIONS IN CODFS, THERE ARE NO REPRFSENTATIONS THAT THE MATERIALS LISTED HEREfN H9EET PAGE 1�? F 3
YbUR CODE REQUIREMENTS.
. �
A
�
. � � Estimate From
. ' � j � � �
ESTIMATE FOR:
JOHNSON
5941 benjamin st ne
Fridley, MN 55432
Ph: (763) 574-1732
SKU NUIVIBER D
STORE # 3018 FRID
535] Centrai Ave. NE
Fridley, MN 55421
PHONE: (763) 571-8G89
FAX� (763) 571-1932
ESTIMATE BY ESTIMATE DATE
' m7 io/io/o�
TY TO ORDER
Estimate # gp I 73
Page 2 of' 3
AuUiTfONAL ITEM (NFORMAT"ION
111-4342 PRIVACY LATTICE PANEL TRT4'XS'
Skirting 6 EACH
111-4351 LATTICE Cpp B� I,pNG P/C
Skirting 3 ��
111-4393 LATTICE DIVIDER HEAVy DUT1 1J2 X 2 8'
2 Ep,CFi
Skirting
157-1010 8� DECK FLASHING PLASTIC BLACK 3 ��
Ledgr&RimFlaeh
1B9-1030 PREMIXED CONCRETE MIX 60 LBS
19 EACH.
Post Footing
189-5159 12"X4' REMOVABLE CONCRETEFORMING TUSfi 3 ��
Poet Footing
191-7668 HOW TO BUILD - D&CIC PLpN G90050 1 EACH
Deck Plan
227-1507 NAILS 1-1/2 JOIST HANGER 1LB GALV 3 ��
Joist Hangers
227-1742 2 X 8 JOIST HANGER 18 GAUNS28-TZ 14 EACH
Intemal Joist
227-1752 6 X 6 PpST ANCHpR PA66E-TZDP 3 ��
Post Footing
227-1761 6 X 6-8 POST CONNECTOR PB66-6TZ 6 ��
Pos'ts
ZZ�-1768 ANGLE 1-3/8" X 4-1/2" MPA1-TZ z .,��
JoistCrnrAnchr
227-1789 ANGLE 2-1/4 X2-1/4 X4-5/8MP5-TZ 6 ��
Stair Hangere
229-5444 IdAIL 4D GALVANIZED BOX 1 LB BOX • 1 BOX
Lattice Panela
229-5457 NAIL 6D GALVANIZED BOX 1 LB BOX 1 BOX
LaticOrECDCkBde
229-5473 NAIL BD GALVANIZED BOX 1 LB BOX 1 BOX
DkBdsOrFram3ng
229-5499 NAIL 16D GALVANIZF,D BOX 1 LB BOX 3 BOX
PstCnctrs&Jate
229-5570 NAIL 16D GALVANIZED BOX S LB SOX 1 BOX
PstCnctrs&Jsts
230-5512 2-1/2 PREM DECKSCREW GLD COA480 1LB 1 �p�
Deck or Railing
230-5523 3-1/2 PREM DECKSCREW GLD CONBO 1LS 3 EACH
Railing Rails
230-5552 2-1/2 PREN1 DECKSCRSW GLD COMBO SLB 2 EpCH
Deck or Railing .
230-5558 3 PREM DECKSCREW GLD COMBO SLB 1 EACH
Deck or Railing
This is an estimate. It is given only for general price information. This is not an offer and there can be no legally binding con�xact
between the parties ba�ci upon this estimate. The prices stabed herein are subject � change depending upon the market conditions.
The prices stated on this estimate are not firm for any dme period unless spec�ea��y wri�n otherwi.se on this form. The availability
of materials is subject to inventory conditions. D7EI�IAgDS IS NOT RESPONSIBLE FOR ANY LOSS INCURRED BY 7'HE
GUEST WHO RELIES ON PRICFS SET FORTH HEREIIV OR ON THE AVAII,ABILiTY pF ANY OF THE MATERIALS
STATED iIEREIIV. All information on this foim, other than price, has been provided by guest and Menards is not responsibie for
any errors in flie inform86on on tUis estimate, including but not limited to quantity, dimension and qualiry. Please examine this estimate
carefully. MENARDSMA,KESNOREPRESENTA'1'IONS,ORAI.,WRI7TEIVOROTHERWISETHATTHEMATERIALS GUEST C�OP�
LISTED ARESUITABLE FOR ANY PURPOSE BEING CONSiDERED By THE GUEST. BECAUSE OF WiDE
YOUR CODE REQUIREMEN'15. �E NO REPRESENTATIONS THAT THE MATERIALS L[STED HEREIN MEET pA(YE 2OF 3
� ` Estimate From
p r�
� � !
ESTIMATE FOR:
JOHNSON
5941 benjamin st ne
Fridley, MN 55432
STORE # 3018 FRID PHONE: (763) 571-8689
5351 Central Ave. NE FAX: (763) 571-1932
Fridley, MN 55421
• o
- � ..
f
- e
Estirriate # $0173
Page 3 of 3
Ph: (763) s�4-i�sz ESTIMATE BY ESTTMATE DATE
. mj 10/10/07
SKU NUMBER DESCRIPTION QTY TO ORDER ADD(TIONAL 1TEM (NFORMATInN
232-4373 3/8 X6GALV.LAG SCREW 7PC 34373-1 LB. 3 EACH
Ledger Joist
232-4755 3/BX6GALV.CAR.BOLT 6PC 34755-1 LB. 7 EACH
Railing Posts
232-5589 3/8 HEX NUT BPC GALV 35589-SLIM PACK 2 EACH
Railing Poste
232-5628 3/BXI6GALV.HEX NUT 24PC 35628-FAT PACK 1 EACH
Railing Posts
232-5660 3/8 FLATWASHER 8PC GALV 35660-SLIM PACK 2 EACH
LdgrOrRaiingPat
232-5709 3/BGALV.FLAT WASHER 24PC 35709-FAT PACK 2 EACH
LdgrOrRaiingPst
232-9000 1/2°X6" PIDG ANCHOR BOLT AB126iIDGBMC BAG 2 EACH
Post Footing
563-4235 PAINTER'S PREMZUM CLEAR WL0037720 100Z 3 EACH
Flshing&LagScr
This is an es6mate. It is given only for genecal price infotma6on. This is not an offer and there can be no legally binding contract TODA Y'S S U S-TOTA L.: ,'� '> �`� �
between the parties based upon this estimate. The prices stated herein are subject to change depending upon the market condidons. REG U LA R SU B-TO"f A I_: :, .���••
The pricesalated on this estimace are not firm for any time period unless specifically written otherwise on this form. The availability
of materials is subject W inventory conditions. MENARDS IS NOT RESPOIVSIBLE FOR ANY LOSS INCURRED BY 71i E
GUEST WHO RELIES ON PRICES SET FORTH HEREIN OR ON THE AVAILABILITY OF ANY OF THE MATERIALS
STATED iiEREIN. AII informadon on this form, other than price, has been provided by guest and Menazds is not responsible for
any etrors in the information on this es6mate, including but not limited to quantity, dimension and quality. Please examine this estimate GUE S T C OPY
carefully. MENARDS MAKffi NO REPRESENTATIONS, ORAL, WRTI'PLIY OR OTHERWLSE TEIAT TNE MATERIALS
USTED ARE SUITABLE FOR ANY PURPOSE BEING CONSIDERED BY THE GUFST. BECAUSE OF WIDE
VARIATIONS IN CODES, THERE ARE NO REPRESENTATIONS THAT THE MATERIALS LISTED HEREIN MEET ]PAGE 3 OF 3
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