Loading...
PRE 2010 DOCSVillage of Fridley, Minn. BUILDING PERMIT ° 1865 lei �. Date: j,.'6 ......... caner Builder.��'........... � Address...................................... Address ............................................. LO ATION OF BUILDING No. ............. Street le .... !' ........ Part of Lot ........... .... . Lot ... O . ..... Block ..... �......... Addition or Sub -Division ... � rc e'C:"'� ::"f Corner Lot ........... Inside Lot ... / ... Setback i..... Sideyard ... .................... DESCRIPTION OF BUILDING To be used ✓.� - .� Front :VA.. Depth ��c �� : ?— Height 'S Sq. Ft. ........ Cu. Ft. ........ ..................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ 0 .;oa t0 Type of Construction Est. Cost . .. .:............ To 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 village of Fridley. In consideration of the payment of a fee of $e.l. permit is hereby granted to 41 ......................... 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 village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ... .. Building Inspector .......... NOTICE: This permit does not cover t 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. BUILDING PERMIT Village of Fridley, Minn. N° 2773 Date .... tel f?f . Owner ...f/ Address o�r C / 70 Builder ... ....... Address LOCATION OF BUILDING No. ...��j��.. Street ... .. .-. .... ted'.?.. .,, . Part of Lot ....................... s Lot ............. Block .... 5........ Addition or Sub -Division ..... .... I��.%� .. ��.. �� ....... Corner Lot ............ Inside Lot ....Z.100'.. Setback ............ Sideyard .....r... DESCRIPTION OF BUILDING To be Used as: ... Front .. A Depth .4mQ . Height ......... Sq. Ft. r Llai Cu. Ft. ........ .................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. ........ /J!rr?LZ� y 0­0yc� Type of Construction Fst. Cost .... /�. ���.... ... To be Completed . �. >5070 "��'�J (�14 t�_r**'O` 1 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. 11014r_. ) ..................................... conside ° on o the payment of a fee of $. y�.` 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 village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. . �.� .... . uilding Inspector NOTICE: IThis 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. IVA Pal SUBJECT PER City of Fridley 20417 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ,'� L 612-571-3450 910-F15 6/8/90 JOB ADDRESS 5740 Madison Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 8 Donnay `s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerome Olson 5740 Madison Street N.E. 571-6664 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House. & Garage (23 Squares) - 9 CHANGE OF USE FROM TO STIPULATIONS On aU new roofs or tear -offs and replacement roofs, State Code requires that 2 layers of 15 ib. felt, mopped together, be installed to a point 24 inches up from exterior walHitl>f;° 0fr � ,� of other approved underlayme*-memlxaA`; TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,150 $.58 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $29.58 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDAATTEI HEN R V DATED THIS ISYOUR QpPERMIT -A' DG INSP DATE NATURE OF OWNER OF O NER BUILDER) (DAT IVA Pal NEW [ ] ADDN [ ] ATS [ ] R-1 AND R-2 Building Permit Application Effective 1/1/90 Legal Description: Owner Name & Address: '0 L=7f2® PUS e cy L �) ® �11 Tel. # S71-144 y Contractor: CS EL F7 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DFSCRIPTICK OF LIM G AREA: Length Width Height Sq. Ft. GARAGE AREA: Iength Width Height Sq. Ft. DECK AREA: length Width Hgt/Ground Sq. Ft. OTS:-r-=-A-v _ jo Fr- -L- �� P, ton F-%�.3 S*4— Corner Lot [ ] Inside lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: Approxi Completion Date: Proposed Driveway Width If NewIs Desired: Ft. $ $ Width + 6' See Back Page DATE: _� g q0 APPLICANT:T- sz;;�Tel. #l- G to CITY USE ONLY Permit Fee $ c79,00 State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPULATIONS: Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY f 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: (763) 571-1287 PERMIT NO.: 2004-02127 DATE ISSUED: 11/18/2004 ADDRESS : 5740 MADISON ST NE PIN : 233024130071 LEGAL DESC : DONNAYS LAKEVIEW MANOR ADD : LOT 14 BLOCK 8 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS # GAS DRYERS 0 # GAS RANGES # OF NEW FIXTURES 0 VALUE (FOR MINIMUM CALC) # WATER TRMT APPLIANCES 0 APPLICANT GAVIC & SONS PLUMBING 12725 NIGHTINGALE ST COON RAPIDS, MN 55448- (763)755-6468 OWNER BRUCE ABFALTER 5740 MADISON ST 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 after 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 wort 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 re const'-ction or the performance of construction. ADDlicant II Date MOM. %.RRO — I- 11 a PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 10949 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. RJ 1 1 0 300 0.00 0.00 0.00 0.00 0.00 35.00 0.00 0.00 0.00 0.50 35.50 TY OF FRIDLEY INSPECTION DiViSION w 1,31 University Ave NE 1) �6 kil-.5 idley, MN 55432 APPLICATION FOR 06WER PLANTS AND HEATING, COOLING, VENTILATION, m 63} 572.3604 REFRIGERATION: AND AIR CONDITIONING SYSTEMS AND DEYICES C� LX (763) 571-1287 LO RATE_SCHEDULE N ssidential Rate TOTAL P •urnace Shell and Duct Work, Burner . ;1so Replacement Furnace $ 30.00 $ J0 (Side Vent . Fill Out Back) nas Piping (Needed with new furnace, $10.00 $ but not replacement) .3as Range $ 10.00 $ aas Dryer ry $ 10.00 $ %ir Conditioning • All Sizes $ 25.00 $ 111 Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ W A )rnmerclal/Industrial U- ..25% of Value of Appliance or Work $ U- 0 State Surcharge S .50 } TOTAL FEE $ 0 W U- IHIMUM FEE -FOR ANY HEATING/COOLING/VENTILATION N.FRIGERATION/AIR CONDITIONING PERMIT IS 125 00 ..U$ THE S.59—ST—ME SURCHARGE 9 :INSPECTION FEE $47.00/Hr N it Conditioners can not be placed in a side yard without •itten permission from adjoining property owner. UJ . E JOB ADDRESS January 1, 2003 OWNER rLJ L V ;)/&X 1J,, - � BUILDING USED AS ESTIMATED COSTO— PERMIT NO. DESCRIPTION QF FURNACE AND OR BURNER No. of Heating$�-Units Hot Wat _L Circle One (Steam} (Warm Air) Trade Nme -7 -7. n Size No. BTU --E2, HP I EDR ' Fuel ,�j/�� � Total Connected Load '7Q: 000 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 ai rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE -)Cj & HEATING Signed TEL # FAX # 4Z Approved By Rough. In Date' Final Date ILL -OUT BACKSIDE E -08 -STACK VERIFICATION ON REPLACEMENT FURNACE SEP -02-2003 12:33 FROM CITY OF FRIDLEY TO 9528911656 P.05i08 �� OW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR'THE TION W LL BE RETURNED When , the undersigned hereby verifies that the venting pals been examined and is free from rust, deterioration, obstructions, and is sects* supported and firestopped where required. Yes f? No ( ) The venting system is plastirJPVC and meets all current codes and manufacturer spetafilt ations including sizing, length, number of elbows and termination. Yes (-Ao ( ) The- ,undemigned also verifies that the replacement unit is a listed assembly and meets the comment codes and manufac turees specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No ( ) The AwLelina immbusbw aic is sized and installed to meet the current codes and marndacturets spec'fcations. Yes No( ) VM".required to a nnuu natnhiLcion 2i4 it will be sized and installed to meet the current codes and manufacturers specifications. Yes (�No ( ) VVhSn , the undersigned hereby verifies that it is a listed assembly and meets the cu t codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes (4 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 current codes. Yes . No (; ) AWliance Tine and Sr�lCemrnnn 19 _enc and Vent Qnmetnr Infonnaiion Aphl rM #1 Type ` —�` BTU Input 4 4- a Ce U Fan AssistedNat Appliance #2 Type 3- -,i �1� BTU Input .R 0, V iu v.... Fan Assisted or at Awe 03 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input 1 3 5 a OU Common Vent Type Vent Height Diameter_ inches App>•isrloe #1 Vent Connector Height -a—ft Length aft Diameter 4L in Type rK ,�-NPt Appliance #2 Vent Connector Height__,.t_ft - Length , ft Diameter _.T- Type L_ Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CU: la 1 AJ C— Signed W. Date : CITY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (763) 572-3604, FAX (763) 571-1287 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** l Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge TOTAL FEE $ __5'0 JOB ADDRESS S%i% /'lUdL soa Sf. 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: OCA aa -12004 OWNER &410YQLIAr BUILDING USED AS 6 we lit M ESTIMATED COST 4�02. PERMIT NO. PLUMBING COMPANY Sons SIGNED BY / TEL N0. 763 Approved By Rough -In Date Final Date $ 3S•� OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furnace, 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 () No( ) The venting system is plastic/PVC 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 current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When installing a new venting system, 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 Furnace 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 current codes. Yes No Appliance Type and Size/Common Vent 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 ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date s ®®3-74 NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: /a"/ Tel. 6W2 A? f-fS—A 5 ' Contractor. 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 LIVING AREA: Length Width Height GARAGE AREA: DECK AREA: OTHER: Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft Constructiqn Type:7'e� d# I - AW P , 6414'141 Estimated Cost: $ )0 S7S- Driveway Curb Cut Width Needed: Ft. + 6 F $ _ $ 2 DATE: 3 - 2 V -O 5— APPLICANT: G'v Tel. # 2 S 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. CITY USE ONLY - Permit Fee $ c;23. Fee Schedule on Reverse Side - an --mewl' �F"t $ c9,3, 65% of Permit Fee Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ ,, $.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 $ STIPULATIONS: /47 d