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PRE 2010 DOCSUILDING PERMIT Vill ge of Fridley, Minn. N° 2227 Date 16411 .................... .......... Owner -�� ^:� F .......... Builder _,,'''...... Address J�•: y '. ' rl�!Ofk% Address ..................................... LO41= ATION OF BUILDING No../34$2...... Street % ..... `*"S ....... Part of Lot ....................... Lot ........ ..... Block ....... `... Addition or Sub -Division .. � ................ Corner Lot ............ Inside Lot .. ...... Setback a,,,�.�:3ir' Sideyard . DES4RIPTION OF BUILDING To be Used as: ........ Height -&Wal .. Front . A# I .................... Front ........ Type of Construction . e?4_P:+—. In consideration of the issuance to the proposed work in accordance with ordinances of the village of Fridley. considerat' a payment of a f .. to construct the • e.express condition that the person to v done in, around and upon said building, o Fridley, Minnesota regarding location, coi In the village limits and this permit may 1 ordinances. .e.. Height.. Sq. Ft......... Cu. Ft. ........ 3epth ........ Height ......... Sq. Ft......... Cu. Ft........ . Cost .... To be Completedo of a permit to construct the building described above, I agree to do description above set forth and in compliance with all provisions of a of $, : ''�',.,�, permit is hereby granted to � �...... . wilding or addition as described above. This permit is granted upon nom it is granted and his agents, employees and workmen, in all work any part thereof, shall conform in all respects to the ordinances of truction, alteration, maintenance, repair and moving of buildings with- , revoked at any time upgn viglation y of the provisions of said Inspector NOTICE: This permit does not cover the con truction, installation or alteration for wiring, plumbing, gas heating, --er or water. se sure to see the suil�iing Inspector for separate permits for these Items. City of Fridley, Alinn. N® 7656 BUILDING PERMIT Date: June 11, 1965 Owner: Waverly Peters Builder Reco Construction Address 6350 Madison Street N. E. Adm 1311 South 5th Street LOCATION OF BUILDING No. 6350 Street Madison Street N. E. part of Lot Lot 5 _Block 5Addition or Sub -Division Christie Add. Corner Lot _ Inside Lot _ __ Setback — Sideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front r _ Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Construction Est Cost $3 ,* 000.00 _ To be Completed Storm damage repair In consideration of the issuance to me of a permit to co et the the proposed work in accordance with the description above se ; forth a ordinances of the city of Fridley. I agree to do provision of I/ a In consideration of the payment of a fee of1$ 0•00 permit is hereby granted to Reco Constr. Co. 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 regardinglocation, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions ii—BM ordinances. Allen Jensen Biding Inspector NOTICE: ihb parrot don W eorer the contracHm, inst&Wm for v hb& phnnbine, an heaHee, sewer or water. Be sun to we the Buildh* Inspector for sepaMa pwWft for thus Hams. 1 OWNER'S APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEYP MINNESOTA ADDRESS_ (o � 6 G' d" -'d L -i ADDRESS �®cl P%` LOCATION.OF BUILDING No._ ao dart of Lot LOT BLOCK ADDITION OR SUBDIVISION Corner LotInside 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. ®®� H] r7 DESCRIPTION OF BUILDING �0 W To be used as: Front Depth _ Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 3 0 ® ® 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. kca a 0 r DATE ' —SI GRATURE (Schedule of Fee Costs can be found on C a Reverse Side). A . - Permit forPLUMBING AND GAS h i TING N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for inspection shall be phoned in to the plumbing Inspector, SM -3450 giving number of this permit., Number. Bind and Location of %=tures Story RW IW- C q Z m Z a m Y tl) = Y Y F Z 7 w O C m O z S m m z K Vy IA y N m 2 WATER HTR. GAS ELEC. V aa m F m 0 = F G ILdj IJi. O tF u m C J i ILL C Q t O 6 Basement 1st 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby gran CLQ to do the plumbing and gas fitting in the building described in the statement her attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked aany-time-upon the violation of -any -of the-provisions-of—wdordmnces, By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. 42 JM --6.69.V N? 501'7 Ws 7G"-" Permit Fee $ City of Fridley Owner " Location 3 Kind of Building Used as To be Completed o , 19-(---, Estimated Cost $ / f-5-. a -e) Old -Nem. Building Permit No. Date ti e DESCRIPTION ®t WORK /�y _ C "�`A W . Number. Kind and Location of Fixtures Lowti.� l� 3 15_0 s � d U' WATER HTR. 6, �( Za epi p <z Q�? O z ® a 0 O P RI GAS ELEC. Easr- 2nd - - -- - - -- - — 31-3- - - -- - - - - — 4th - — ° Future, Connection Openings Connected with — -- --- e Now Fixture, Old OpeningsI CeSewer PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $200 $ 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 $3.26 $ Electric Water Heater : $200 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .... .. ... ........ x $200 $ Additional Fixtures ..... .............. x $ .,M $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS A ALTERATIONS—Refer to Code Description ......... ..................... ...........$ TOTAL FEE 2 ��— 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 fac9 and representations stated in this app'c tion ar true and correct 1 Fri �-, Minn L Owner /_&/ Kind of Building Used as To be completed about Estimated Cost, $ �D/17 (61 New. Building Permit No.—_ - _ _Permit No. Signed. By-. -- Business Phone No- 6� ROUGH FINAL - l % - ? �cj 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 $ NECK. 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 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 $ 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 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ LTERAT S &REPAIRS TOTAL FEE $ S - ti ROUGH FINAL Dept. of Bldgs. Phone SII 4.7470 Location e5 '3'5-0 oe-.;7 i�SO �• :- 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 19 — Owner 6,1)14 Ye' Kind of Building �'- Used as To be completed about Estimated Cost, $ J� Ol New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Wate , Warm Air No 4i Trade Name Size No Capacity. Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.B. (REMARKS -OVER) Signe ByNO AIR TIONING ING. 4410 EXCELSIOR BLVD, MINNEAPOLIS 16, 42 2M Business Phone -No- wA. 6-6567 HOUSE HEAT TESTING DEPARTMENT Auth. No Folio Alccount- TEST RECORD Date 7~ Address ec- 6- 642 Apt Town Year Built f -/- Heat Loss Estimate MCF, Meter Set Date Phone Phone /'�� CF/DD Insulation: Walls Ceiling Date Weatherstr'p: Doors-; oors M SOLD BY ;' �� ." - ''f ' � Installed by Date Electrical Work by Gas Reset by TYPE OF HEAT G. D. Conv._ MAKE Je S ez Modell I C/ � /�� I've Serial 7 Br/ /4 CIO Z / 3 Input — 00 Conversion: Make of Plant Model Serial Firepot Coil Controls: Thermostat�!'Y�Heating Plug. Valve 4 -Limit�elay Trans.: M ke Model Sec. V V. A. Pilot Type e- Make_��� Model Liner: Kind Size Riser: Size Lengtl+ Ells Reg cF L W. Cut Off Vent: Size Lengths—, engths Ells D. H Filters: CL ° Rep. Size Z!� e Number Chimney: Location s O ®� �'�� Constructio Flue— d� Flue Size -- Condit' d Pressure c -- Smoke Bomb — Reset FilterR P Test "'T'ag -i egrit <- Input Z C;Lo ' Pilot Timing 4/J7q Wiring Low Water CO Inst. Card�- Stack Temp Fan Setting Controls, Fuse Size 1 � � Gov. Seal Percent CO2 Limit Setting / 7 t Salt Cap Sea --Meter Size Percent 02 Draft -ell, -,r- t Hood - • e Meter Seal Dam Percent CO2 6011 Door Pressure Liner Meter Statn _ Write Orsat Reading for other Sections on other side. w1A SwE - CHIMNEY AND STACK VERIFICATION VENT DAMPER INSTALLATIONS LOCATION C4 `��� �� DATE OWNER W ,`�,jlt� 5 ADDRESS Y-eSChimney properly sized and in safe condition Is liner installed yes no _ Heat exchanger test yes no _ Vent connectors properly sized yes no _ Vent connectors need replacing yes Vl'no Vent connectors properly supported and fastened lyes no _ Furnace/Boiler replacement necessary —7' yes no Are other appliances tied into vent V yes no The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined 2. Is free from rust or deterioration 3. No foreign objects are lodged within /2 4. That it is securely supported 5. That it meets present current code 5 requirements for size and total BTU connected 6. Total Heating BTU 2_!rl' X00 All other BTU �$� 1®O TOTAL 1 6 6 Diagram of existing installation: (include proposed damper location). --Additional work necessary on existing installation --Install combustion air per SBC 7722 (Note fireplace and exhaust fan �= installations that may create back draft conditions on chimney or vent.) --Electrical-work necessary for installation (list). (Electrical permit required, for electrical work.,) s" --Installer certification when required by vent damper manufacturer sA'1fiw.h --Contractor license when required by municipality Vent damper installation instructions must be left at job site. REMARKS: Heating Permit # SIGNED Licensee By Address Telephone License # 7 SUBJECT - P City of Fridley -_ 0 7446 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIP O. • COMMUNITY DEVELOPMENT DIV. ....... r � � PROTECTIVE INSPECTION SEC. t � i CITY HALL FRIDLEY 55432 ,.j NUMBERREV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 14/9/84 JOB ADDRESS 6350 Madison Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 5 Christie SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. B & L Home Improvement Inc. 1161 - 79th Avenue N.E., SXpX2Xg Spring Lake Park 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 780-4533 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO ST PULATIONS Roof can be the.2nd layer but not the.3rd. Install ridged galvanized Valleys where necessary, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt 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 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 $750 $.50 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 NY OTHER STATE OR LOC LAW REGULATING CON- $15.00 RM F RUCTION. MTION:EPE PLAN CHECK FEE TOT$IaFE50 NATURE OF CONTRACTOR OR AUTHORIZED AGENT '(DATE) WHEN PROPERLY VA TED THIS IS YOUR PERMIT BLDG )NSP ` 11AT ' SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) 7 NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: Property Owner/Address: G 3 0 Tel. # Contractor: B4 L 1'19'r e _____Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: /�- oo %2 /z aF- Corner Lot [ ] Inside Lot Dq Ft. Yd. Setback 'SZO Side Yard Setback a" Type of Construction: l&go � ' Estimated Cost: $ 7-5 0 - Approx. Completion Date: y Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: L� APPLICANT: Tel. # ��G `/� 33 CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $ $ /S7 '(� ?) Fee Schedule on Reverse Side 25% of Building Permit Fee $•50/$1,000 Valuation $425 per SAC Unit . Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Building $ 91A5 - %APlan BUILDING Permit NO.: -- , 0(c3 Inspections $ -3 RESIDENTIAL APPLICATION Received By: 763-572-3604 $ �, tir-1 CITY OF FRIDLEY $ DATE YOUR E-MAIL ADDRESS Erosion Control SITE ADDRESS ('9 35ZJ Park Fee THIS APPLICANT IS: ❑ OWNER > CONTRACTOR $ PROPERTY OWNER/ NAME: A I H G TENANT ADDRESS: / o • CITY STATFf!±tIP--M.32— PHONE: '7k;? - 577713-71,1 — — CONTRACTOR NAME: P (Lt t (® (- / c t T SUBMIT A COPY OF STATE LICENSE # C� O 6 (ca 3 (p 7 EXP DATE ?131 l 0 e YOUR STATE LICENSE ADDRESS: 13 J�1— e E � ov 6l E �� Irf( Aam CITY MF�D�;�R7S. STATEA1'1IP SJ'�dp WITH APPLICATION PHONE b f -I - G S6 'Y (a 9 FAX c PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH )°ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING❑ HOUSE ONLY NUMBER OF SQUARES 2-5—HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES 11 ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans FVIlVDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OFWINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: 2 (USING THE 1997 U.B.0 FEE SCHEDULE) 30V TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ 91A5 - %APlan Plan Review $ Fire Surcharge $ -3 Surcharge $ 1,52-1- .52-1-License LicenseSurcharge $ �, tir-1 SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ /661-W-11 See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge 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 Codes; 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 will be in accordance with the approved plan in the case of all work which requires review and approval of plans. / / SIGNATURE OF APPLICANT PRINT NAME Ce ti �T DATE 6 / 14 ` ,