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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N sos Date: :.,P' 001,71 Owner: _ Builder — Address Address LOCAT ILDINC No. Street a %W. 6 OFF, Part OfAt _ Lot _ Block Addition or Sub•Divislon, Corner Lot _ Inside Lot — Setbacks — Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Us Front Depth Height Sq. Ft Depth eight Sq. Ft. Cu. Ft. Type Construction Fant. ---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. y� In consideration of the payment of a fee of permit is hereby granted to to construct the building or addition as described above. This t is granted upon the express condition that the person to whom it is granted and his agents, employees an workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all re to the ordinances of Fridley, 1Viinnesota regarding location, construction, .alteration, maintenance, _ moving of buildings within the city limit$ and this permit may be revoked at anyviolation o aay of the provisions of said ordinanc:eB. Building Inspector NOTICE: Me peneit does not corer the construcHoe, hutagaHon for whip, phnobleg, ges heaHag, sewer or crater. Be sore to see the BWMbg hupector for separate perm6s for these honor APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name � e [���Builder Address f0 I�o�s� .= Address LOCATION Oy BUILDING No. Street Part of Lot Lot Block / Addition or 'Subdivision 0V_W_ _4 Corner`Lot Inside Lo t_,?!!�_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. DESCRIPTION OF BUILDING To be used as: Front Depth Height Sq, Ft. Cu. Ft. Front' Depth Height Sq. Ft. Cu. Ft Type of Construction Estimated -Cost 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. DATE (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Healing. 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 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ e ®'8 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 $ ALTERATIONS & REPAIRS TOTAL FEE SID ROUGH FINAL — Dept. of Bldgs. Phone SU 4-7470 R 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 t;ue and correct. Fridley, Owner '�9- '&'&A, Kind of Building Used as To be completed about 196 � Estimated Cost, $ Old-dQ Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or PO team, Hot Water,WNo Trade Name P Size No�� Capacity. Sq. Ft. E.D. BTU H.P. Total Connected Load Kind of Fuel - BURNER — Trade Nam Size No Capacity Sq. Ft. E.D.R BTU H.P. U D��6� �9 TING & Sff[T METRh SUB 8419 CENTER DRIVE N. E. Signed MINNEAPOLIS 21, MINT, By 42 2M Business Phone No- (REMARKS -OVER) IM6...az HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E, Construction No. Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor —No I No 19.4O y Fl. Room Length®� Width / / Height / Fl.� Windows And Doors—Crackage and Area Width Height oorsNo. of Lineal t . Area ' No. i of pane o[ pane lights of crack se. ft. Coef. Btu Infiltration Glass y Exp. wall Net exp. wall Int. wall Ceiling ®/� ®,p Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area m I l .on&th -1 % / W;& th av, 14eist,► s? 0 Windows and D : - rackage and Area l 54 Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. !— 2'r 0 L. v Z/wo/ol / Net exp. wall Coef. Btu Infiltration Btu Glass Z Exp. wall Glass Net exp. wall ,J Int. wall Ceiling Floor v ,® 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 7.,7,-:7' A-1Room I Length/ -3 / Width /)/ Heiuht a / Windows and Doors—Crackage and Area l 54 Width Height No. of Lineal ft. Area No. of patine of pane llghts of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. ?r f Y o� Net exp. wall Coef. Btu Coef. Btu Infiltration _3 p'dfQ Net exp. wall Glass Int. wall ,J Exp. wall Floor Net exp. wall � / 3 Int. wall Ceiling Floor lbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /�p >i FRIDLEY, MINNS Insulation t?....... it .w..l1. O� fi/' .Afk / %1 Fdaint.r 0 / v endows and Doors—Crackage and Area l 54 Width Height No. of Lineal ft. Area No. of patine of pane llghts of crack sq. ft. O Exp. wall Net exp. wall Coef. Btu Infiltration Glass Exp. wall p'dfQ Net exp. wall Int. wall ,J Ceiling Floor Height Total Btu. Iy 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 rt. Area No. of Wane of Wena Il`hts of crack ec. ft. Infiltration I,-xe l 54 Glass Exp. wall Net exp. wall Int. wall Ceiling p'dfQ Floor Total Btu. ,J Required sq. ft. E.D.R. or sq. ins. W.A. Leader area OC Room I Length / Width / Height Windows and Doors—Crackaite and Area LI Coef. Btu Infiltration p Glass Exp. wall Net exp. wall Int. wall Ceiling 2. Floor Total Btu. y Required sq. ft. E.D.R. or sq. ins. WA. Leader area Ing SUBJECT PE City of Fridley , 14383 AT THE TOP OF THE TWINS PERMIT r BUILDING ECEIPT NO. ►y ______ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. � �9� 1 i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ._•-� � L , 812-580-3450 910-F15 9/22/77 JOB ADDRESS 6533 Pierce Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 10 1 Don's 2nd Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Alvin Berg 6533 Pierce Street N.E., Fridley 571-0028 3 CONTRACTOR MAILADDRESS 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 Ej ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 81 x 26' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Addition side yard setback must be at least * feet. Release signed by neighbor. �2 SEPERATE PERMIT.4 . REQUTAD FOR- WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 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 N AND ORDINANCES TYPE OF WORK WILL BEWITH $1,505 $.75 EING REINIOR NOT. THE GRANTING OF AOPERMIDT WHETHER SPECIFIED 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- $8.32 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $9.07 SIGVfUREOFFC/ONTRACTOR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG. INSP o� DATE OF SIGNATURE OF OWNE IIF OW ERI RBU (DATE) Ing OWNER: Address No.. CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING (NEW, ALTERATIONS, ADDITION. Street: BUILDER: Address: Tel. No.. PEMI TS LOT: 1® BLOCK: �_ ADDITION: �-7& CORNER LOT: INSIDE LOT: �7 SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: f ront:X 9 Depth: Height: / Square Feet: Cubic Feet: /. Front: Depth: Height: Square Feet: Cubic Feet: 14, b Type of Construction:/8-a Estimated Cost: $�®� To Be Completed:�y� ��,� ��/ ��s���" Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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 tru and correct. See reverse side r additiona formation. r DAT��% SIGNATURE: Stipulations:? �/ n S,06 Yvei'l A0 n �.pill IF, On N& I �o Lu vvjo!.,V!f /*S',7 -alftowt ca, -OU40.5, 0 I" Mi o j I" Mi 0 j rn z G) z rn � O rn Lq k -n AGREEMENT I, owner of the property r located at have no objection to the City allowing the construction of a to be located at 3-3&-.-Je�—S&/AFNithout the required certificate of survey that the City ordinarily requires for all new construction. Signature /V L Address -Z61 4 �z zz Date fitness I SUBJECT M NO. IT City of Fridley 27249 AT THE TOP OF THE TWINS BUILDING PERMIT r , � NO. COMMUNITY DEVELOPMENT DIV. v r PROTECTIVE INSPECTION SEC. o 1 . i NUMBER REV DATE PAGE OF APP11bVED BY CITY HALL FRIDLEY 55432 �.__.1`•� ,•� 612-571-3450 910-F15 18/18/98 10B ADDRESS 6533 Pierce Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 1 1 Don's 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ruth Ber Sharla Blischok 571-0028 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO PTL Contractiniz 2393-7400 5294 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 ElNEW ❑ ADDITION ❑ ALTERATION Ek REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (26 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 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 $2168 $1.08 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 TH ERFORMANCE OF CONSTRUCTION $74.75 Fire SC $2.16 PLAN CHECK FEE TOTAL FEE Licens 5.00 $821A9 SIG/ ATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI1rf-EYNrOPE 111,ALI DATE QoOgIS IS YOUR P MIT 01 B G )NSP L GATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI I NEW [ J Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 9 BUILDING PERMIT APPLICATION ConstructionAddress: (053 3 P1 erC, S Legal Description: Owner Name & Address: / ,�� �% /� l SC�io% Tel. # Contractor: TL NI` 7-1/2�. MN LICENSE # :5 R I Li Address: 2 E,2(o 4J. "t- s- -,A., k %'ly 5s --3o Tel. # ?23 =-7 CtOD 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: $ $5.00 (State Licensed Residential Contractors) Driveway Escrow D. Wsated Alt. "A" or Alt. "B" Above Construction Type: 5 Cost: $ $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ `i ` S Fee Schedule on Reverse Side Fire Surcharge $/ .001 of Permit Valuation (1/10th%) State Surcharge $ /,Q5, $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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: