AF - 43906, �,
'�%
BUILDING PERMIT
Village of Fridley, Minn. N� 2 3 0 4
Date ���+��� � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Owner ��:`:� ; �.� �����•fi� �7� Suilder �""`a.�✓`':°.'°.r[.+!st� . . . . .' . . . . . . . . . . . . . . . . . . .
a/ � {
. !�. P�d . . .��.':�: �: �: � ..>� . . . . . . . . . . . . . . . . . . . . . . . . �. . . . . . . . . . . . . . . .
Address . .... ... Address
LOCAT[ON OF BUILDIN�G
No. . .�.�..:. ... Street .[�.;y`��� e�r�c�' ."�!' �' . ...... .. Part of Lot . .. ....... .. .... . ... . ..
�r �r' ,,� .
Loi . . . o��T. . . . . . . . Block . . . . f� . . . . . . . Addition or Sub-Division . .��. .'�k;�!G;'��. �+? .'��.,/�'.'"�."!Lf°% . . .
Corner Lot . . . . . . . . . . . . Inside Lot . . . . . . . . . . . . Setb ack �1�.�� . Sideyard ��'�'.�. �,+�'lT."!+'!`-� ; . . . . , , , ,
DESCR[PTION OF' BUILDING
To be Used as:
. ��� `.'�'.� . . Front . �i/. . Depth f. .� . . . Height it�! ". . . . . . Sq. Ft. . . . . . . . . Cu. Ft, . . . . . . . .
.................... Front ........ Depth ........ Height ......... Sq. Ft. ........ Cu. Ft. ........
Type of Construction :�:`�!� . . Est Cost . !. .'.�.'�.a� .�. . . . . . . . . . . To be Completed . � `!�!T�: . . . . . . . .
In eonsideration 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 o,f
ordinances of the village of Fridley.
„ ...................................................
•- i'�� n of the payment of a fee of $. .%�". .., permit is hereby granted to �� �.. . ... .. .
. ...... to construct the building or ad dition as described above. This permit is granted upon
the•express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work
done in, around and upon said building, or any part thereof, shall canform in all respects to the ordinances of
Fridley, Minnesota. regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limiL�s and this permit may be revoked at any time o� viol f any of the provisions of said
ordinances. �i�`,�'��,,,���
" . ✓: . y,� . . `'� . .�l,�f:4'�":"� �f/. . . . Building Inspector
NOTICE:
This permit does not cover the construction, installatton or alieration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Buifding Inspector for separate permits for these items.
� ..��r.
sue�ecT PERMIT NO.
City of Fridley ,; 2 5�
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T� -
r
RECEIPT NO.
� �` _�___ COMMUNITY DEVELOPMENT DIV.
� v � PROTECTIVE INSPECTION SEC. ZZ�
r , ,
� _ ,
( /�'i � CITY HALI FHIDLE� SS43P NUMBER HEV DATE PAGE Of APPROVED BV
�----� � �'� 612-571-3450 910-F15 / /
6/17/94
JOB ADDRESS 5803 Central Avenue NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. Z( 4 Parkview Ma.nor SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Frank Strangis 5803 Central Avenue NE 571-6 3
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Panelcraft of Minn Inc. 3118 Snellin Ave S M ls. MN 5 -
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION �O REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Siding, soffit/fascia, trim, gutters/downs outs
8 CHANGEOPUSEFROM TO
STIPULATIONS
Owner to provide smoke detectors adjacent to all sleeping areas and in
basement.
TYPE OF CONST. OCCUPANCY OROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL, PLUMBING, HEATIN(i,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINO S�. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOH A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. 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 ypLUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO $9�000 ��F.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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- �lOH.00 Fire SC $9.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
License SC $5.00 $126.00
SIGNATUREOFCONTRACTORORAUTHORI2EDAGENT IDATEI WHEN PROP LY VALIDATED THIS IS YOUR PERMIT
�� ^�
SiGNATURE OF OWNER iiF OWNER BUIIDERi iOATE� - B G�NSp �p E
NEW [ ]
ADDN [ ]
ALTER[]
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
B�tilding Permit Application
Construction Address: ,fi8I3
Legal Description:
Owner Name & Address: �
Contractor: ,
Address: �311 � _ ,�
LIVING AREA:
GARAGE AREA:
DECI� AREA:
OTHER:
Effective 1/1/93
.�#z2S�
Tel. # �?� � 6 S,3 �
MN LICENSE # /� a/ 7� ,
Tel. # 7a / -� � � �
A�tach 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
Length � Width Height
Length � Width . Hgt/Ground
, � � • o� � � .. ---�- -
Sq. Ft.
Sq. Ft. �
Sq. Ft. �
Corner Lot [] Inside Lot [ J Ft. Yd Setback Side Yard Setbacks
Type of Conslruction: Estimated Cost: $. �C�',�� ��
Approx. Campletion Date: �
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � APPLICANT: L�(�,�'� Tel. # �� �— � � � d
CITY USE ONLY
Permit Fee $ /0� .� Fee Schedule on Reverse Side
Fire Surcharg�e=" .$` 1•� .001 of Permit Valuation (1/lOth�)
State Surc arge ���Z/'$ . � $.50/$1,000 Valua.tion
SAC Char�- --'` $ $750 per SAC Unit
License Surcharge $ S' � 0 $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above .
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ �rgreement Necessary [] Not Necessary []
TOTAL
STIPULATIONS:
$ / a � � �-'o
sue�ecr P IT NO. �
City of Fridley 2 6� 3 Q
AT THE TOP OF TNE TWINS g � I L D I I� G P E R M I T
�
; � RECEIPT NO.
� ; L ___�� COMMUNITV OEVELOPMENT DIV.
r � �� PROTECTIVE INSPECTION SEC. ��j � �
� � �
`.-_. A �/'��,.; CITY HALL FRIOLEv $$432 NUMBER REV DATE PAGE OF APPiiOVED BY
i �• 612-571-3450 910-F15 7/27/98 / /
JOB ADDRESS
5803 Central AVE
1 LEGAL �OT NO. BIOCK TRACT Oii ADDITION SEE ATTACHED
DESCR. 2( 4 Parkview Ma.nor SNEET
2 PROPERTY OWNER MAIL ADDRESS IIP PHONE
Frank Stran is 5 1-6 8
3 CONTRACTOR MAIL ADDRESS 21P pHONE LICENSE NO.
Tom Walek Construction 6 0
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDINCi
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WOHK
Reroof hous nd ara e Z S Tea - f
9 CNAN(iE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
SEPARATE PEHMITS AfiE RE�UIRED FOR ELECTRICAL. PLUMBINO, HEATINd, �PE OF CONST. QCCUPANCY dROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING.
TH1S PEi;M1T BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NINf3 SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF t20 DAYS AT
ANY TIME AfTER WORK IS COMMENCED. NO. OWLG. UNITS OfFSTREET PARKING
I HEFEBY CERTIFV TNAT I HAVE READ AND EXAMINEO 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
WITN WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1669 .$3
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiM1T FEE SAC CMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OF THE PEFifORMANCE OF CONSTRU �on►. $54.�� Fire $C �1.66
�n � l PLAN CHECK FEE TOTA FEE
� � � �� 6.49
SIGNAtUtiE OF C ' P OR AUTMOpIZED AGENT IDATEi
PR P R LIDAT D NIS IS VOU PERMIT
S�GNATURE OF OWNER�iF OWNER BUILOER� IDATE� � � �� �
' Bl0( 1 P f14TE
1�1EW
ADDN
ALTER
[l
[l
[l
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/98
��?���� �
� �
ConstructionAddress: � �C�3 � � c� � � v�,�- � � I�--�-P ° (� ° �
Legal Description:
Owner Name & Address: 2� u1, �1 �'.� ; S Tel. # ' %/ , �3�
Contractor: Q,,�, .�' � �u i� MN LICENSE �# T""%
Address�-- 3 (� �-I -- Cl� �S-E' � � i`� J``� • Y1 � 1/� jJ �S � ��% �j Tel. # '%�% " �.�c�l �
LIVING AREA:
GARAGE -A,REA:
DECB AREA:
01'HER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
Length
DESCRIPTION OF IMPROVEMENT
v -c�
Width Height
Width Height
Width Hgt/Ground
V' e� b1 �u.r--e ���e I
Sq. Ft.
Sq. Ft.
Sq. Ft.
�
Construction Type: Estimated Cost: $ 1��r� '
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: %'�-� °' �/ � APPLICANT: !' r � � Tel. # �� % -�%.�� �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
,
$ � �-/. v0
$ 1. (� �
$ �
$
�
$
$
$
$
$ S�-�
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,0� Valuation
$1000 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 [ ]
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THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
(:OMM(�f� VFNTrVENT GONNEGTOR AND G(�MgIISTION AIR VERIFIGATI(�N
When _r� �n a_ing an existin,oa furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes�j R�o ()
The venting system is plasticlPVC and meets all cuRent codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes �Q No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The PY�st�n8_ c�me���t�on air is sized and installed to meet the current codes
and manufacturers specifications.
When �equi�ed to install a new comh�ctien air� it will be sized and installed
to meet the current codes and manufacturers specifications. �
Wh@� inc alli a new venting cyctPm, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers ,
specifications. This does include AGA-GAMA Category I Central Fumace
Ventirig Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
Yes � No ( )
Yes ( ) No (�
Yes � No ( )
Yes� No( )
Yes�No( )
� � � �, , _
�
ppliance #1 Type �/� ' BTU Input � ��an Assisted or Nat
Appliance #2 Type t�l � BTU Input � Fan Assisted or Nat
Appliance #3 Type BTU Input ' Fan Assisted or Nat �
Totai Appliances =�_ T�tai Bfu Input
Common Vent Type Vent Height � . Diameter�_ inches �
�
!1
Appliance #1 Vent Connector Height,,�,�ft Length �ft Diameter v� in Type ��C.
Appliance #2 Vent Connector Height � ft Length _�ft Diameter �/ 4 in Type ��a _�
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
�
HEATING
Signed By:
� ,
9
� �
Date.:� �',
I�
�� ��
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
s ii-36u4 r��:
: 5803 CENTRAL AVE NE
: 243024230022
: PARKVIEW MANOR
: LOT 26 BLOCK 4
: BUII.,DING
: RESIDENTIAL
: DECK
s�l-izu�
r - �
PERMIT NO.: 2004-01635 ;
_....
!�;
DATE ISSUED: 09/21/2004
VALUATION : $ 1,500.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT AN 8' X 5' DECK.
APPLICANT
STRANGIS FRANK S
5803 CENTRAL AVE NE
FRIDLEY, MN 55432
OWNER
STRANGIS FRANK S
5803 CENTRAL AVE NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time atter work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regu�atint g co ctio 01�6�� gerformance of co �ctio�
Appli �ra,.� Date 2/ ¢
Bldg
BUILDING PERMIT FEE
PLAN CHECK FEE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
TOTAL
PAID WIT'H CHECK # 4912
SEPARATE PERMITS REOUIIZED FOR WORK OTI�R THAN DESCRIBED ABOVE
54.00
35.10
1.50
0.75
91.35
NEW
ADDN
ALTER
[] CITY OF FRIDLEY �,"� -� �/ Effective 4/1/2004
[) 6431 University Ave NE, Fridiey, MN 55432 (763) 572-3604 Bldg Insp
[] - SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPUCATION , e �-�
,��'�!K% d �'/�� J�
Construction Address: J�CJ O � �'��� � � � � l .� ` � s
Legal Description:
Owner Name & Address:
��� �_� �.�
Te�.# 7�� 3— ���-��'.�,�
Contractor. MN LICENSE #
Address: Tel. #
LMNG AREA:
GARAGE AREA:
DECK AREA:
Attach to this application, a Certificate of Survey of the
bt, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height
��
Length _� Width .� � HgUGround ,�(_
Sq. Ft
Sq. Ft � � � °�'�` ,
OTHER: ^
� °,�. �� � d r � '
�ohven� W:k��,w 'f—� �� - c _,
n� �� �O O �'t��,�' : �/�; ��,�
Construction Type: � le ��' � � o�` Estim ted o t• � ,
��-��: ,
/�v �' �� p /�,� %�� .S°� �' �� �" .k��,' � �
a.. �_
Drnreway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
• � /? ¢ APPLICANT: � �5 %'�+ #� �`�� � �� .�`�,_� ,�}
DATE.
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
$ �� ���� �
$ �.-' e� �� ;
$ a � �`
$ �,�
$
.$
$
$
$
$
CITY USE ONLY -
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 $ ��� �������� STIPULATIONS:
BUII.DING PERMIT FEE SCHEDULE
The Cluef Building Official shall, before issuing pernvts 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
sttucture, 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 $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $1� or
fraction thereof, to and including $2,0(}0
$69.25 for first $2,000 plus $14.00 for each additional $1,�
or fraction thereof, to and including $25,�
$391.25 for first $25,000 plus $10.10 for each addidonal $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.fi5 �for first $1�,000 plus $5.60 for each addidonal
$1,000 or fracdon thereof, to and including $500,�0
$3,233.75 for the fust $500,000 plus $4.75 for each addidonal
$1,000 or fraction thereof, to and including $1, 0(�,000
$5,608.75 for the first $1,000,0(}0 plus $3.15 for each additional
$1,Q00 or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined
rate
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 of the construction site.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Onlv
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COMMON VEN�', VENT CONNECTOR AND COMBUSTION AIR VERIFiCATION
When replacina an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where cequired. Yes () No ()
The venting system is plasticlPVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the cuRent codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The existina combustion air is sized and installed to meet the current codes
and manufacturers specifications. _
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturers specifications.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
When installinq a new ventina svstem, the undersigned hereby verifies that
it 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 appliances. Yes () No ()
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per cuRent codes. Yes () No ()
Appliance Type arrd Siae/Coenmon i/ent and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type _
Vent Height Diameter inches
Appliance #1 Vent Connector Height fit L�ngth ft [?iamet�r in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTE�AilOP9Sa iDescribe)
HEATING CO:
Signed By: Date :