PRE 2010 DOCSVillage. of Fridley, Minn.
No 19UM ING pERWr
103 OEice of lQ1TSPErm OF BUILmms
II r
j p
Owner
Architect r Fridley, Minn., ]
Builder
9 C2-.5 N
LOCATIO�F BUILDING
� i
No. Street
Lot = Block _Y Addition or Sub -Division
rt of Lot
DESCRIPTION OF BUILDING
Front P- Depth Leight Stories ? Maniner of Constructions
To be ed as '`�' r �` ` To be completed Estimated Covetu
'" a . �'•'%-'rr^ i.� �. Fi q! .t f. V sa Ifs C.. .... x •�i'1... � . - �" J", -_ i l� ..'
;• �� � F' 4 "r� �'�,-fes
Permit to hereby granted to
the buildingdescribed in the above statement. This permit is !
�I
upon the express condition that the person to whom it is granted, and his agents, employees and workmen
the work done in, around and upon said building, or any part thereof, shall conform in all respects to th
trances of Fridley, Minn., regarding the construction, alteration, melntenance, repair and moving of bi
within the city limits, and this permit may be revoked at any time upon violation of any of the provisions
ordinances.
ctor of Bu
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Frid
the above permit, I hereby agree to' do the proposed work in accordance with the descr
above set forth and according to they provisions of the ordinances of Fridley, and, being firs,
sworn, I hereby state and say that the facts stated by me and contained in the above perm
true as therein stated.
411
Subscribed and sworn to before me at Fridley, Minnesota, this
day of ,.��.�a.�A.D. 19
-
City of Fridley, Minn.
BUILDING PERMIT N°5413
Date:
Owner: - Builder
Address - , _ Address
&LDING
No.� Street ' Part of Lot
Lot ,fig — Block AP Udition or Sub -Division
Corner Lot _ Inside Lot Setback Side d
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as'
Front Depth Height Sq. Ft Cu. Ft.
Front Deptheight _ Sq. Ft. Cu. Ft.
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 city of Fridley.
J
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 inalU spects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenanc , - epair and moving of buildings
within the city limits and this permit may be revoked at any u on of5phy of the provisions of said
ordinances.
Building Inspector
NOTICE:
This permit does not cover the construction, Installation for wiring,, plumbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for these ltems.
1. 4
�- ---- .n z
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name Builder
Address� Address
LOCATION OF BUILDING
No. � Street ��° -�- Part of Lot
Lot Block / Addition or Subdivision Lt—w �-ea-yp'
Corner Lot Inside Lot_ Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
A
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
Front_ Depth ® Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction o ." ,�, '� Estimated Cost` ea o
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 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.
DATE -A SK SIGNATURE /<-7/ � v _
(A Schedule of Fee 'Costs can be found on the Reverse Side.)
v
City of Fridley, Minn.. 7111-2
6431 University Ave. N.E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: August 3, 1971
Owner: Clifford Skillings _ guilder Lumber King Co.
Address 5925 Main Street N.E. Address 5145 Oliver Ave. So.
LOCATION OF BUILDING
No. 5925 Street Main Street N.E. part of Lot
14t 22 & 23 Block 9 Addition or Sub -Division Hyde Park
Corner Lot .._—
Sewer Elevation
Inside Lot X Setback
Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
image Front 24 Depth 24 Height 10 Sq. Ft. 576 ctL rt 5760
Front ._ Depth Height — Sq. Ft. __ Cu. Ft.
Type of Construction Frame Est, Cost $2200. To be Completed Sept. 71
Hard Surface Drive
Drainage to be directed to alley
Letter from owner stating improvements to alley will not be expected & door header
to be constructed into west wall for possible future garage door.
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
ft proposed work in accordanwith the description aboves t forth and in Mliar r all provisions of
Ordinances of the city of Fridley. �//
In consideration of the payment of a fee of $1 1 _00 , permit is hereby granted to L mber King 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 regarding location, construction, alteration, maintenance, repair and moving of buildiag9
on� city limits and this permit may be revoked at any time upon violation of any of the provisions of said
Building Inspector
HANK MUNICH
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for these hems.
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME :_ C I 1 �40 re Ski J_/Ltq� a BUILDER: h U Py be i Al", h C4 co
ADDRESS: Mall ST /Y6 ADDRESS: 1wey, A°P SS."
M �s
r
NO:. STREET: /%%izr%
SUBJECT
City of Fridley
WRECKING
2483 5
AT THE TOP OF THE TWINS
P,
W @L. Of
G# P E R M I T (�
LRIF I I It
RECEIPT N N O.
Ir
DIV.
COMMUNITY DEVELOPMENT
r � � PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
�'j 612-571-3450
910-F15
12/20/96
JOB ADDRESS 5925 Main Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
22-23
9
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Fridley HRA 6431 University Avenue NE
572-3599
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Herbst & Sons Construction Co Inc 2299 Co Rd H,
New Brighton MN 55112 784-8510
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
❑
❑ REPAIR ❑ MOVE X REMOVE
8 DESCRIBE WORK
Wreck 30' x 22' Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Clean site of all demolition debris.
City will disconnect sewer and
water.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES N PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROV I S OF ANY OTHER S ATE OR LOCAL LAW REGULATING CON-
((C ON OR THE PERFO NCE OF CONSTRUCTION.
1.5.00
PLAN CHECK
FEE
TOTAL FEE
/f
15.00
VSI6hfATfjRE OF CON RACTORORAUTHORIZEDAGENT (DAT I
WHENPROPERL VALIDATED THIS IS YOUR PERMIT
BLD
two
INSP DATE
SIGNATURE OF OWNERIIF OWNE R BUILDER) IDATEI
CITY OF FRIDLEY
6431 University Ave NE
Fridley MN 55432
572-3604
Job Address:1
Legal Descrintion:
Owner & Add
Contractor:
Address:'; ;
EFFECTIVE 33/1/96
MOVING[ ] OR WRECKING[ ] PERMIT APPLICATION
HOUSE: Length
GARAGE: Length z_ ---
OTHER:
OTHER: Length
Estimated Cost $
c 5'-3y/ Z,tate License ##
OF BUILDING
Tel. ##
Tel.
Width Height ) Sq. Ft. Cu. Ft. (C Cc)
Width Height
Width Height
Approx.
UTILITIES City Water/S w
NOTIFIED: 571-3450
Water Bill Paid: Yes [ ] or
Moving Route: I In-tl,
_ Sq. Ft. Cu. Ft.
_ Sq. Ft. Cu. Ft..
Completion Date
Minnegasco�� N S P U S West _
372-4720 �'-'�"
Y/l=�--____� flij' 663-6000
-* k � -330-5'(-'0oCollect [$s ,6� ] Signature
til n
The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing.
to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State
Code which requires any water well on the property to be sealed by a State licensed water well driller, and
hereby declares that all facts and representatip s stated in this application are true and correct.
%9G
Date
Signature
Moving: Principle Building into Fridley .... $300.00
Accessory Building into Fridley .... $ 42.00
Through or within the City ...... $ 20.00
Move a building out of City ...... $ 80.00
Wrecking: For each 1,000 cubic feet or fraction .. $ 1.25
For structures which would be impractical
to cube the fee shall be based on the
total cost of wrecking at the rate of
$6.00 for each $500.00 or fraction.
PERMIT FEE: /-S— 00 STIPULATIONS:
Minimum Fee: $20.00
7)( /' ds = 8')-�—
_ N
Minimum ee: $15.00
SUBJECT
City of Fridley
2 718 7
AT THE TOP OF THE TWINS
BUILDING
PERMIT
rp
�•
RECEIPT NO.
______ COMMUNITY DEVELOPMENT DIV.
1 ~ PROTECTIVE INSPECTION SEC.
r
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
8/14/98
JOB ADDRESS
5 925 Main St
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
22 &23
9
Hyde Park Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Alliance Home Values. Inc. 6250 Starlite Blvd, Fridley
571-4335 7825
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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
Cjj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a XM 29' x 28' Dwelling and a 22' x 22' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide City with verifying survey before capping.
Provide sod in the
front and side yards. Provide a hard
surface driveway. See
notations on plan.
.SANITARY SEWER: to Lot 23, 8.5' N of Mid Black Manhole
WATER: 327' N of Centerline of 58 Avenue NE
Before dtaRNM �. call for
all utility locations
' TE RMfTS RM '
Uma. `
REQUIRED o2
BY ��
MOW
.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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 1 HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL
VALUATION
S X Fire SC
21
BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$118 412.24cJU
$118.41
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
$982,25
$1,000
yj
PLAN CHECK FEE
TOTA FEE
'---`
Licen
5.0
164.87
SIGNATURE OF CONTRAC OR OR AUTHORIZED AGENT IDATEI
E NIS I$ UR PERMIS,GNATUREOFOWNEROFOWNERBUILDERi
j,<EN54R0PVALID
nATE
IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Legal Description:
Owner Name & Address: V oAss-e- s x s-s�, Tel. # � i k- 3
Contractor: VNI �`' 'A MN LICENSE # Q4�, )A2
Address L 2.TO S& -a tLAA MLS � � 9 Y -c A. e� Tel. # 4-
Attach to this application, a Certificate of Survey of the 3
lot, with the proposed construction drawn on it to scale .fi�I�� ' y
y 4'a®:4Y
DESCRIPTION OF BIPROVEMENT 2,11'0
LIVING AREA: Length 241 Width Height Sq. Ft.
GARAGE AREA: Length UL_ Width Height Sq. Ft. _4
DECK AREA: Length ° Width.1 Hgt/Ground Sq. Ft. i -L
OTHER:
14
Construction Type: Lv,,.o— Estimated Cost: $ ITC) C9_GV 112,2y
'(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: — S APPLICANT:11 j&j�. Tel. # S Z`—A13 3 S'
Permit Fee
$
Fire Surcharge
$
State Surcharge
SAC Charge
$
License Surcharge
$ CIO
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ Z y> 7
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 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 _IM;6
Agreement Necessary [ ] Not Necessary [ ]
U6. 6L 425'b42 i BACKER. PAGE 01
CjL=ATE OF SM&M
'FOR ALLIANCE HOME VALUES, INC.
5925 Main St., NE.
Fridley, Mn
LEGAL ESCR)< MN: Lots 22 and 23-, Block 9, "Hyde Park-.
LEGEPEDu PROPOSED KL&YA=S INFEE-
1 inch = 30 feat (863.50) Denotes ground elevation at dwelling
Bearings as shown are assumed (864.00) Denotes top of block elevation
e Denotes Iron Monument Found (856.00) Denotes top of base neat Boor elevation
C Denotes t" x 2" Wood Hub (862.33) Denotes top of garage floor elevation
—Denotes Surfce Drainage BENCH MAIM, Top Nut Hydrant @ 60th St.
de ( ) Denotes Vertical Spot Elevations & Main St. NE..- 864:134 ft. (NOVD-29).
P - Plat Measurements J= Distances as mdasu vd are in feet, tenths &
Meas - Actual Measurements hundredths of a foot.
Area =10343.'9 sq. ft or 0.2375 Acres
s
f# �4 r ��
yak
`o,vl �; f �.� is }.� My LOCO-�Iq
� 2),20Movs6
40 4�p4 ,� " 31.83
0 _
� `y�. ,���� Driveway ;" � ,�,°s'lv ��� �•� V � � � c '
Z,..._.,._
c!�
c o n M t O�
Z opo 14lbs o� b�
s
�Jx���d•fi�> # 47, 1l (11V Flat) , i �D
I hereby certify that this CERTIFICATE OF SURVEY
was prepared by me and that I am a duly Registered Land
Surmyof under the lawkof the S o esota. As
suby ran this a
SUM y of 1998.
WASiERIO
un
VjWm
L. Ba#x, Land Surveyor, Mn. Lia. No. 10948 10948
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER Lel c, A (rg4
SITE ADDRESS 5 12_5- t iH S-�.
CONTRACTOR A1`\gyACcZ�\pVwz0G�t.tst DATE-2'�_�PH0NE 7�-43S
DETERMINE WORKING SQUARE FOOTAGE OF EACH:
1.
TOTAL
EXPOSED WALL
AREA
....... 2 ksq
ft
X
"U",(t
2.
TOTAL
ROOF/CEILING
AREA.......
621,2 sq
ft
X
"U",02.4Q=
?J-4
3. TOTAL EXPOSED WALL AREA CALCULATIONS:
Total exposed wall area
above floor .............. ?-OC) sq ft.
a) Total wall window area: r�
glazed ..... sq ft X "U" = IS
glazed..... sq ft X "U"
b) Total door area.... ��. �j -sq ft X "U". C)(0tn= 2-,
c) Total sliding glass door area:
��j\ glazed..... 7� sq ft X "U" o3D
glazed..... — sq ft X "U"
d) Total fireplace wall area sq ft X
e) Total wall framing area
(Average is about 10%)..\1?- sq ft X"U"
f) Total net wall area above floor
(Insulated) .............. 11,13,S sq ft X "U"
g) Total rim joist area...[(Q _sq ft X "U"
Total foundation area •Exposed) ...... sq ft
h) Total foundation 3.7
window area........... R-�sq ft X "U" .`_
i) Total net foundation 10
area above grade......SSS _sq ft X "U". =
TOTAL a) thru i) 1 g 3
4. If item 3 total is less than or the same as item 1 above you l
have met the intent of S.B.C. Section 6006 (C) 2.0
5. Total exposed
roof ceiling area .....
S�_sq ft
j) Total skylight area..... sq ft X "U" =
k) Total roof/.ceiling framinf
area {Average is 10°x) ......F2_ sq ft X "U",, 0ZS
1) Total net insulated
roof ceiling area..........�sq ft X "U"
TOTAL J thru L .2
6. It the total of 5 is equal to or less than 2 you have met the
intent of S.B.C. Section 6006 (C) 1. �k— Me. - s ��,�¢,,,�
ALTERNATE BUILDING ENVELOVE DESIGN
To utilize the total envelope system method the sum of items 3
and 5 shall not be greater than the sum of items 1 and 2 above.
1--11S.1
3.
+ 2
+ 5 A�.�
= 25 4. 1
214, rL
CERTIFICATION
I hereby certify that I have calculated the "U" and "R"
values herein and that the building herein described does
meet or exceed the State of Minnesota Energy Conservation
Act.
Si nature
24—l'
Date
AW
FRIDOF
LEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287
November 24, 1998
Alliance Home Values Inc
6501 Fridley St
Fridley, MN 55432
Re: Final Inspection at 5925 Main Street NE, Fridley, MN
Dear Sirs:
A final inspection was conducted on November 24, 1998 of the above
address and the following items were noted which must be completed
before the structure can be finaled out;
1. Provide sod in the front and side yards by June 15, 1999.
2. Complete siding by December 1, 1998.
3. Provide City with copy of verifying survey by December 1,
1998.
We will expect the above noted work to be completed on or before
the above scheduled dates and a reinspection called for. If you
have any questions on this matter, please feel free to contact me
at 572-3603.
Sincerely,
4 -W -Z4 1(-4 k/ -
Y W. RIESCH
Building Inspector
BWR/mh
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1. 1998
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Water, Bath;: Wash Drink. Floor Catch Auto. Gas Gas Misc. Water Heater
Stories Closet Urinal Tub.!:'Shower Sink Tray Fount. Drain Basin Washer Appl. Range Fixt `' Gas Elec
Basement
Floor 1
Floor 2
Floor 3
Floor 4
PLUMBING FIXTURE RATES:
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**
Gas Range**
NO. RATE TOTAL JOB ADDRESS 5 / a , � s LOLPh 5�/
T
Gas Dryer**
Back Flow Preventer Required ( )Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
S. (X� 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.
ld� ,1998
Owner
A91W Building Used As
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS D
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $94,10
Estimated Cost
PERMIT NO. - / _� 3 0�
PLUMBING COMPANY�p9VR �% � �/Gj JCC
SIGNED BY ��� �� TEL N0. 75'%-6 3� ,P
./Approved By Rough—In Date Final Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00
PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
CITY OF FRIDLEY INSPECTION DIVISION
Effective On January 1; 1998
6431 University Ave NE
Fridley, MN 55432 APPLICATION
FOR POWER PLANTS
AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS S �a 57 %`� �) l� 5/
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential
Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner -
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace
$ 30.00
$��
representations stated in this application are true and correct.
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace)
$10.00
$ A d
'1998
OWNER
Gas Range
$10.00
$
BUILDING USED AS
Gas Dryer
$10.00$
ESTIMATED COST S DO OC -2 PERMIT NO.
*Air Conditioning - All Sizes
$ 25.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK
1 % of Value of Appliance or Work
$
No. of Heating Units J Circle One (Steam) (Hot Wat (Warm
Trade Name a';Q�^� L Size No.
Commercial/Industrial
BTU 25� oT-15;> HP EDR
1.25% of Value of Appliance or Work
$
Fuel 0A t- Total Connected Load
State Surcharge
TOTAL FEE
$ .50
g7vzU
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name
BTU
Size No.
HP EDR
HEATING COMPANY 5<2-A }✓ee!�! ���, � /'r� 411 C
�10
Signed By -
Approved By
FILLOUT BACKSIDE F R
REPLACEMENT FURNACE
Tel No. 649 7V�- ,,�9><`
_ Rough -In Date Final Date 110e%4x
STACK VERIFICATION ON ! e
and total BTU's connected Yes () No ( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
CHIMNEY AND STACK VERIFICATION
Yes (
The
undersigned hereby verifies that the existing chimney or stack:
( )
1.
. Has been carefully examined Yes ()
No ( )
2.
Is free from rust or deterioration Yes ()
No ( )
3.
Has no foreign objects lodged within Yes ()
No ( )
4.
Is securely supported . Yes ()
No ( )
5.
Meets all current Code requirements for size
and total BTU's connected Yes () No ( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes (
)
No
( )
8.
Has combustion air been provided for water heater
Yes (
)
No
( )
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
HOUSE HEATING TEST RECORD
Address /v'I �i(� Apt. Floor City Suburb
Occupant Owner
i
Heat Loss / Date Heating Installed
Sold By 57a i WA lyJ ��"t Installed By S i✓aR.�G' �/� /�J c
Electrical Work By V Gas Line By 7 " ' ✓�`
Type of H!' .1 GA FA ` HW Steam Space Hir. Unit Hir. Other
� yGAS DESIGN CONVERSION
Make of Burner
-Model r9 ,o D'? S - '3 Model
Serial 8 Max. BTU Rating
Inr;ut _ % 5,� Make of Furnace
Model
CONTROLS
i Thermostat )C- Heat Plug
Vent Size
Valve
e-_ Size None
Kind of Liner2-!20,
Limit �N�N//�D
Draft Hood .0 •20, • Regulator
Limit Setting aZ b
Filters: Size 16 �-�SJ� / Number l
Fan Selling,
Chimney Location Inside Outside
Pilot Type d ,'Ao�ce
Chimney Construction C % 6 5
Pilot Make f
Pilot Modelti
Smoke Bomb �� Wiring
Pilot Timing
Draft Test Tag it
L. W. Cut Off
Door Pressure J ` Lighting Ins;. Y
Pressure,. S Percent CO2
16
Date Tested — a LJ 5
Lir)ul CFH Percent 02
9
Company Testing
Slack Temp. g L Percent CO
Name of Tester
F
06/16/1995 11:12 4256427 BACKER
4L+A na via• "'
FOR, INC.
AL INC.
5925 MainSt., NE.
Fridley, Mg►
LEGAL MICINYMN: Lots 22 and 23, Block 9, „Hyde Park".
UN .
1 inch ¢ 30 feet
Bearings as shown are assumed
0 Denotes Iron Monument Found
a Denotes V x 2° Wood Hub
�—Denotes Surface Drainage
( ) Denotes Vertical Spot Elevations
P - Plat Measurements
Meas - Actual Metsurements
Area � 10343.79 sq. R or 0.2375 Acres
V-
,;
�I
x,1'1
P GE 01
C W, .
PRO SE �f•EV Ti N IN MM
(863.50)Denotes ground elevation at dwellicq;
(864.00) Denotes top of block elevation
(856.00) Denotes top of basement floor elev dO4
(862.33) Denotes top of garage floor deviation I
E MA 4: Top Nut Hydrant @ bath St:
& Main St. NE: - 864.1311(NGVD-29).
Distances as measured are in feet, tenths &
hundredths of a foot.
4o -
I
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e
...o '',l _ • 31.86 ! �� �'
L'l��p fea
12y��`eS�ec°`
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°qaO./ ; a g' til i 124 pm) � .,I 12� ` t0
%1461" g� '�+�'v''
.( 't� � ' a� <y e`� 588°4,0A E
t-,!WlAurvey Check this Lday ofAn
xiL
1998. required b/y Lim City of Fridley,
By:
GaryL. Ba r, Land Surveyor, Mn. Lic. 1094
I hereby certify that this CERTIFICATE OF SURVEY
was prepared by me and that I am a duly Registered Land
Surveyor under the laws, of the S o IN mesota. As
surf by me thisAn— ay of 1998.
F." Id g1a'"*-
Land Surveyor, Mn. Lic, No. 10948
,a
��3
(I 29 p1' 4)
AOL
e4.3 10 E
I2�,20MWI
- 44a
c,)))
y o: ori ue way
a K N f b v
4o -
I
�b o
e
...o '',l _ • 31.86 ! �� �'
L'l��p fea
12y��`eS�ec°`
i
W rCA
I
od
Z j
b
o� q
IWO
lb�'�l,dotir I
°qaO./ ; a g' til i 124 pm) � .,I 12� ` t0
%1461" g� '�+�'v''
.( 't� � ' a� <y e`� 588°4,0A E
t-,!WlAurvey Check this Lday ofAn
xiL
1998. required b/y Lim City of Fridley,
By:
GaryL. Ba r, Land Surveyor, Mn. Lic. 1094
I hereby certify that this CERTIFICATE OF SURVEY
was prepared by me and that I am a duly Registered Land
Surveyor under the laws, of the S o IN mesota. As
surf by me thisAn— ay of 1998.
F." Id g1a'"*-
Land Surveyor, Mn. Lic, No. 10948
,a
��3
unroF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
June 15, 1999
Alliance Home Values Inc
6250 Starlite BLvd NE
Fridley, MN 55432
Re: Final Reinspection at 5925 Main Street NE, Fridley, MN
Dear Sirs:
A final reinspection was conducted on June 15, 1999 of the above address and the
following item was noted which is still incomplete and which must be completed before
the structure can be finaled out;
1. Provide sod in the front and side yards.
We will expect the sod to be installed on or before July 30, 1999 and a reinspection called
for. If you have any questions on this matter, please feel free to contact me at 572-3603.
Sincerely,
BARRY W. RI SCH
Building Inspector
BWR/mh
CC: Homeowner, 5925 Main St NE
rA
SUBJECT
PERMIT NO.
City of Fridley
30873
AT THE TOP OF THE TWINS
BUILDING
D C D� A
` C"'v1
L _ COMMUNITY DEVELOPMENT DIY.
INSPECTION SEC.
f 1 PROTECTIVE
CITY HALL FRIDLEY 55432
NuMBEN
REV
DATE
PAGE OF
AOPAOVEO By
%'�
1 612-571-3450
910 -FIS
4/28/00
10B ADDRESS 5925 Main Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
22,23
9
1 Hyde Park Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Tri Nguyen 5925 Main Street NE
574-1772
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
B USE OF BUILDING
Residential
7 CLASS OF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Construct an 18' x 16' Deck
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan.
118 IG
Before digging call for
SEPARATE PERMITS
all utility locations
454-0002
REO.UIRED FOR:
REQUIRE® BY L��4Vi/
P �Mg g AND SIGNS
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING. HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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 1 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
$2,707
$1.35
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-
$83.25
Fire SC $2.71
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
T TAL FEE
$87.31
` N TORE OF CON'R .51 OR AUTI�OR�Z NT (DATE.
EN P OP Y VA 0 ED THIS IS YO PERMIT
CfJp. ,"'
9l0 r 5p ryAtE
S.GNn TUR' O� OWNER ��% OWNER BU0. DE Ri iDATEi
rA
Iq
NEW
ADDN
ALTER
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 55- 5- M A-;�jy .s� Fg� bjFAMA/Legal Description: 161-s 2 2 P)Lca t( }-� �I � PO
Effective 1/1/2000
(763) 572-3604 Bldg Insp
�l
Owner Name 8� Address: lu u � L /L' S `� MA'iv S e T . # 5 -7 —1-7 7 �
Contractor: 0 U Aj 1 R MN LICEN
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 Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length (� , Width Hgt/Ground Sq. Ft 2
• Y�F411
Construction Type: Estimated Cost: $%D
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$
DATE: APPLICANT: A�' �� Tel. #
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$ l� $.50/$1,000 Valuation
$ $1100 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 [ ]
$ -%
�Zm5-Jagsl3 ,
NEW [ ] CITY OF FRIDLEY
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 52-3q04 BI n
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 51-1 7
BUILDING PERMIT APPLICATION
)S S
�11'4
Construction Address: Mri�
Legal Description: /. `
Owner Name & Address: 04& rt 5945 M4 Tel. # 763 S7/ 3 7 7 d
Contractor: �L�e�rs cy, s 4- � Si4r �oy S MN LICENSE # �3C - 2 D e/%/�%�
Address: ZZ/ /40 1 h'IoIf gle P✓Tel. # 7K?-7�0 - 930,O
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 Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER: Scrtz h PO re, A r121 SU n r o �,M -71 , 2pj"
Construction Type: Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
DATE: 3& a S APPLICANT: "& r16W ( 6" S Tel. # 763--2 - 93 f-0
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
TOTAL
CITY USE ONLY -
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1450 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 [ ]
STIPULATIONS: