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PRE 2010 DOCSCity of Fridley, Minn. BUHMING PERMIT N® 3782 Date: ... z5' 7 ...... .. ........... Owner ....................................... Builder-", fe;K .......... Address ...................................... Address ............................................. LOCATION OF BUILDING No. 67.3.9f... Street �??:s►% !.. :.!� ..... Part of bot .................... .. —Lot ... ...... Block .... PZ .......... Addition or Sub -Division . Corner Lot ............ Inside Lot . A ........ Setback : '. + SIcKeyard 167b .................. DESCRIPTION OF BUILDING C� //63 .......... Front r Depth °?i�.'Height /. �.—� Sq. Cu. F't. ..... ......... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ ... ... l Type of Construction ................ Est. Cost./ . .M.. To be Completed ................... In consideration of the Issuance to me of a permit to construct the building desribed 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. X., ............................................... 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. • ® f®�gcyf. <9eo.�.e ..... 7. Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. r t 97-84-879001 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ ' Future Fixture Opening x 0 $ _^ Water as 0 m u m A � m $5.00 w H C•a a m m A $ .oi V w r•. $ Water Softener Heater $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x ab !J x c (d d� 'lec O 41 u 0 M L N r- •.01 0 O N•m 0 8 $ V N imp ' N rom y��1 U) u w P q U N 9 9 w M a 9 6 ;as 1st irr ir 2nd 3rd 4th (R) o Future Connection Opening Connected with Sewer (') o New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ ' Future Fixture Opening x $2.00 $ _^ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge. S .50 TOTAL FEE $ 8 00 REINSPECTION FEE sa1n nn% Job Address 5371 IE Madison Department of. Buildings _ City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facto and reprosentations stated in this application are true and correct Fridley, Mn. 6-28-79 , 19 OWNER Ng,TGHTON KIND OF BUILDING ' fr me USED AS TO BE COMPLETED ABOUT 7-5-79 ESTIMATED COST ho .00 OLD - NEW BUILDING PERMIT NO. PER14IT NO. ;e. Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MWNEGASCO MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 7 A Wtseq.3 ,tom �p c AetT' r -70 D-36 93 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Guide Construction No. Insulation Wows ors Reference. Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied e No I. es No 19— I -_ • Y/ R....... I 1 annth JT r NIRAPh 14-;..t -OV 1 nnafh 17 Width % CA Raiaht M / Windows and Doors—Crackage and Area Doors-Crackage and Area WidthHeight No. of No. of Dane or pane llg�h_te Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. it. �/ s!P � 1 r i p 0 J w /. Glass Exp. wall Coef. Btu Infiltration Infiltration Glass`(] Exp. wall Infiltration 7 j f Glass Exp. wall & Exp. wall / Int. wall 67 .o Ceiling Net exp. wall Floor p Int. wall Ceiling Floor Total Btu. Required s4. ft. E.D.R. or sq. ins. W.A. Leader area I Fl.l oM /7t/ Room I Lenath 1-2 Width 16 Height Windows a d Doors-Crackage and Area Doors-Crackage and Area WidthHeight No. of No. of Dane or pane llg�h_te Lineal ft. Area of)craa`ck sq. ft. �/ s!P of pane lights of crack sq. ft. Width Height No. of Lineal ft. No. of pane of pane, lights of crack J w /. Glass Exp. wall t� Net eap. wall Int. wall Coef.1 Btu Infiltration Glass`(] Exp. wall Infiltration j Net exp. wall Exp. wall Int. wall Net exp. wall 3 Ceiling Floor Int. wall rvzj 67 .o Total Btu.' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area J F1.I Ds et • / Ai . Room I Length J Width J f Heiaht . Windows aril Doors-Crackage and Area Width Height No. of Lineal 1t. Area No. of panne of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. No. of pane of pane, lights of crack J w Glass Exp. wall t� Net eap. wall Int. wall Coef. Btu Infiltration j Glass Exp. wall fp Net exp. wall 3 10 1430 Int. wall rvzj 67 .o Ceiling Floor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I AP 3 1' illFBIL __w— -____ ___ Windows and Doors--Crackage and Area - Width Height No. of Lineal 1t. Area No. of panne of pane lights of crack sq. ft. Pa Windows and Doom—Crackage and Area Width Height No. of Lineal ft. No. of pane of pane, lights of crack Coef. Btu Infiltration Glass Exp. wall t� Net eap. wall Int. wall Ceiling Floor s Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1 I Roo (Length W1 'delgth t H ' ht r m Windows and Doom—Crackage and Area Width Height No. of Lineal ft. No. of pane of pane, lights of crack Area sq. ft. Q' Coef. Btu Infiltration Glass 1D Exp. wall 72 - Net exp. wall Int. wall rvzj 67 .o Ceiling Floor Lf Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows' and Doors—Crackage and Area Width Height No. of Lineal tt. Ares No. O! pane ofpane tights of crack Coef. Btu Infiltration Glass •- Exp. wall ""-Y Net exp. wall Int. wall Ceiling Floor Total Btu. ' Required sq. ft. E.D.R. or sq. ins. WA. Leader area DS6 9.6 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide WindowsI Doos Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19— / Fl.1 &A . Room Length x".21 Width Heistht .,A) II FI.I Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. _221— Ar y Coef. Btu Infiltration Coef. Btu Infiltration ,� Exp. wall,, Glass44e Ceiling Net exp. wall Exp. wall Int. wall Net exp. wall Ceiling Floor 170 /0 f! Int. wall Ceiling Floor Total 13tu. I Z) Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 F1.1 RRoom I Lenath .1. Width Height Windows and Doors—Crackage and Ana Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq., ft. Ar y Coef. Btu Infiltration Coef. Btu Infiltration Glass Net exp. wall Exp. wall,, Ceiling Net exp. wall ,d Int. wall Ceiling Floor Total Btu. ,�P+ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Tbtal Btu. Required 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 pane of pane light,, of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.I Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Ana Width Height No. of Lineal ft. Area No. of pane of -pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 97-8h-879001 ._ .-,. i, -.i � •';u! :J f•,lili UiiS ,"I I i'lu •.IL',I r Ll I 3 L.,�4 b in -I -'- ! t.,t.te ...r.ne..tlac G1..:nlrJ �' :.etCc3 w:•— th Sewer Nater Job Audcrsy 5371 NE Madison Dr-parLrPr:nC c1; City of t•ridll:y Tel, b5li-3.150 9'ha tit,dorylgn.:d I;ar;:Cy , .;kea appllc_cl.:- i -r a �r:c:t („ " ®pe"fled 1 C1 a. re,:i1). 3 La dc' al., work ir. SLr:-' -Ga�ar.:o Witt. v,ClC,,dcs and rulings of 010 M!"ArUrCnL of 8.:al,iir. ; 010 facCu at:ona Stat.03 1r - rocr 'Glare: ttat at: C,J0 and 9-22-80 ty--- OWNER NAUGHTIN _ KIND OF IIUI LZol u7 ; frame USED AS res. — TO BE C01111•LE:ED UL;ur 9-29-80 9 ESTINATI D CUSP 50.00 OLD - HCN UUILCN,; PL1,1•111 t2. FL(� `-"'I'any 51,p :.t Ey ROUGH INSP, Data FINILL I116P. -= ) Dass hl•PItUVAL VOR FEIoll'f fq3 M111IMU11 11:L• I,:q I-II' 1•LUrulHu Prhilr IS 0.50 PLUS 6.50 :1).Tt 6URC31A1uGg I Jltl: Kn i [r RAT E TOTAI. tut,,tr. CaIa C+6;rnIr1 X $2.00 $ -1Le, Old ul,e:.l: , tt S:. CO $ Ua411, $5.00 $ 1.1 L 1 uJ, J00 blU to 1S »:.0 BTI, x 510. 00 $ lftr� �..ttenar x 57.00 $ lew :.:L.II d It)n OW BJtl.11r., x 55.00 5 :leLL,t, Nater tleatar x $5.00 $ 5 I' I I f ING FtES; 1st t ttaturaa , x $].00 $ tt.ittt„oai El.tura® ��— x $1.00 $ '•sa 1s9,0uiu blu x $10.00 $ r.><I rt1 4 ALTHL;TIONS 1t:.t )lau.uu $s.00 $ ts�n o.ta. $IJO.du ..c lracuan $2.00 5 5 So TOrr.L i LL �W Job Audcrsy 5371 NE Madison Dr-parLrPr:nC c1; City of t•ridll:y Tel, b5li-3.150 9'ha tit,dorylgn.:d I;ar;:Cy , .;kea appllc_cl.:- i -r a �r:c:t („ " ®pe"fled 1 C1 a. re,:i1). 3 La dc' al., work ir. SLr:-' -Ga�ar.:o Witt. v,ClC,,dcs and rulings of 010 M!"ArUrCnL of 8.:al,iir. ; 010 facCu at:ona Stat.03 1r - rocr 'Glare: ttat at: C,J0 and 9-22-80 ty--- OWNER NAUGHTIN _ KIND OF IIUI LZol u7 ; frame USED AS res. — TO BE C01111•LE:ED UL;ur 9-29-80 9 ESTINATI D CUSP 50.00 OLD - HCN UUILCN,; PL1,1•111 t2. FL(� `-"'I'any 51,p :.t Ey ROUGH INSP, Data FINILL I116P. -= ) Dass hl•PItUVAL VOR FEIoll'f fq3 M111IMU11 11:L• I,:q I-II' 1•LUrulHu Prhilr IS 0.50 PLUS 6.50 :1).Tt 6URC31A1uGg 01 SUBJECT City of Fridley 25829 AT THE TOP OF THE TWINS BUILDING P E R M I T RECEIPT NO. • _____ COMMUNITY DEVELOPMENT DIV. - PROTECTIVE INSPECTION SEC. Y65 r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 3/3/98 JOB ADDRESS 5371 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 1 Temple Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William Dokken 5371 Madison Street NE 571-9206 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Seal Guard Systems Inc 11464 Robinson Dr NW M ls. MN 55433 757-0097 20093688 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 ❑ ADDITION ❑ ALTERATION Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (Tear -off), Residing, Soffit & Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment on roofing must meet the State Building Code. Install building wrap under the siding and have inspection of same. Install ventilation in soffits to meet the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 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 $16,850 $8.43 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. $249.75 F e SC $16.85 PLAN CHECK FEEAL T FEE Lic S $5. $280.03 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI VAEN THIS IS YOUR PERMIT MP�ALID BLDG ASP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 01 NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: mlk�W� Effective 1/1/97 Tel. # ( - GaC)Cp M�CE�NSE t�c� � # �g8 Tel. # -75'7-0W-7 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF Il"ROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: I 51 imated Cost: $ ry" fa_ Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ — $ DATE: 2 iw APPLICANT. Tel, # STIPULATIONS: CITY USE ONLY Permit Fee $�49 - -1 5 Fee Schedule on Reverse Side Fire Surcharge $ , to. SS .001 of Permit Valuation (1/10th%) State Surcharge $ • �j $.501$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $j, ®� $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: 4--) -)4 Effective January 1, 2003 CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning - All Sizes $ 25.00 $_21S .CSC) (2o- r r , -e -r- -3'T `TVC IS I5 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ Commercial/Industrial 1.25% of Value of Appliance or Work $ aS._CD 0 State Surcharge $ .50- TOTAL 50 TOTAL FEE $ S I MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS OWNER Crc`n ��r1g i ,euX BUILDING USED AS �������f 1L'C. ESTIMATED COST a \ C0. 0® PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE '�Z - I —� CenterPoint Energy Miunegasco HEATING CO13562 Central Ave NE, Anoka, MN 55304 Signed 763-757=6202 "A4ZW-9�_ FAX # 763-757-6701"0 _'L� Approved By _ Rough -In Date' Final Date _�3 THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When t�enla,:inr7 "'n existinn furanre, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, Yes (x) No ( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer Yes (X) No ( ) specifications including sizing, length, number of elbows and termination. The undersigned also verifies 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 Furnace Venting Tables for fan Yes (x) No ( ) assisted and natural draft appliances. The is sized and installed to meet the current codes Yes No ( ) and manufacturers specifications. When required to 3n�u a now cembustien air_ it will be sized and installed Yes No �) ( ) to meet the current codes and manufacturer's specifications. When Inatalling a new yonting system, the undersigned hereby verifies that it is a listed assembly and meets current codes and ees Furnace AGA-GAMA Category I Centhe tral specifications. This does Yes f) No( } Venting 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 Yes (X) No ( ) separately as per current codes. Tyne Si7e/C n men Vent anti Vent Cannnater Infennatien pl*anc-o and Appliance #1 TypeBTU Input Fan Assisted or Nat BTU Input Fan Assisted or Nat __ Appliance #2 Type 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 ft Length ft Diameter _in Appliance #2 Vent Connector Height ft Length ft Diameter Type in Type Type Appliance #3 Vent Connector Height ft Length ft Diameter in M HEATING CO:CenterPoint Fnergy Him" e$asee 13562 Central Ave NE, Anoka, MN 55304 Date: Signed By: