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PRE 2010 DOCSCity of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK 6' '? —5, y Number, Kind and Location of Fixtures Location '�i � Z � Z� Z z �0 ya °QpC z 2 O a , UW' N Z • 6 WATER HTR. GAS ELEC. Base 1st 2nd _ 3rd 4th Future Connection OpeningsI New Fixture, Old Openings Connected with Sewer Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE �TOTAL Number Fixtures ...................... x $1.50 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ S2, OZ 1/5 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 $ REPAIRS & ALTERATIONS—Refer to Code Description...............................................!"� TOTAL FEE $ 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 fact and representations stated in this application are true and correct. dley, Minn '5' 19� Owner n"6 Kind of Building Used as - To be completed about Estimated Cost, $ Old— Building Permit No _Permit N ROUGH of m 9 — & I FINAL By Business Phone No. Parer and bleating. lingo Ven0atien. Refwigeration and Air Condiffming Sydem and Derives PARTIAL RATE SCHEDULE GRAY!TY WARM AIR: MTN TOTAL. Furnace Shell & Duct Work ................ .. $10.00 i Replacement of Furnace ... 6.00 i Repairs & Alterations—up to $500.00 ... B.00 $ Repairs & Alterations each add. $500.00 3.00 $__._. MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........ .. $10.00 $ each add. 60,000 BTU .................... .. 3.00 ; Replacement of Furnace .... 6.00 $ Repairs & Alterations—up to $500.00 .. 6.00 $ Repairs & Alterations each add. $500.00 .... .. &00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 20.00 $_ Each add. 200 sq. ft. EDR Steam 3.00 Each add. 320 sq. ft. EDR Hot Water 3,00 $_ OIL BURNER—to 3 gal. per hour 6,00 $ _ over 3 gal. per hour --See Fee Schedule GASB (up to M'000 BTU) .. 5.00 $ over 169,000 BTU See Fee we GAS FITTING NO RATE TOTAL 1st 3 Fixtures xS 2.00 $— Additional Fixtures x .76 $ Gas Range to 109,000 ROUGH ,i: RIMFE Dept. of Bldgs. Phone SM -M 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 Ordiihance. and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are tru and correct. Fridley, Mian fi n Owner Kind of Building Used as To be completed about Estimated Cost,(�--- &—New. Building Permit No. Permit No. BURNER — TradeNa**+p Size leo Capaci Sq. FL EM.R BTU . (REMARKS -OVER) City of Fridley, Nmm.. 16 2 9 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: August 30, 1972 Owner: 1 -chard Glumac Builder Same Address 5725 Quincy Street N.E. Address 1010L.1 11 M a i, Same No. _. 5..7..25 Street Qum Street N.E. Part of Lot Lot Block 6 Addition or Sub -Division DOnnay's Lakeview Manor Corner Lot ___.._ _. Inside Lot — X Setback Sideyard Sewer Elevation _ _ _ _ ,_ __ .. _ Foundation Elevation _....... DESCRIPTION ®F BUILDING To be Used as: Garage Addition Front 10 1 Depth 24' Height 10' Sq, Ft. 240' Cu. Ft. 2400' Vest., Addition — Front 12' Depth 55' Height 81 Sq. Ft. 60' Cu. Ft, 480' Type of Construction Wood Frame Est. Cost $1087.20 To be Completed 5 months In consideration of the issuance to me of a permit to construct the building described above I agree tq do the proposed work. in accordance with the description above set fqj4h and in compha4ce with a'll provisions of Ordinances of the city of Fridley. .55 State Surcharge In consideration of the payment of a fee of $ 5 .00 , permit is hereby granted to Richard Glumac 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 ordingnces of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildii3g8 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of sand ordinances. CLAUNCE BELXSLE NOTICE: Phis permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to some the Building inspector for separate permits for these items. i a TYPICAL SLAB DETAIL i c 2" 40 Grade. UA w, 2- 4 Re -Bars C m —,N 12 Mint i 66 x 10 wire mesh 45° 8" Min. The above is a substitute design for frost footings, horaever, itis not yet accepted by the State as an amendment to the Uniform Building Code, Section 2905,a. Therefore upon using this method of construction, I agree to hold the City of Fridley harmless of any possible claim for foundation failure or structural damage caused by foundation failure. Witness Property Owner Date Address of Prt erty /Legal Desc. f d A r C d' File- No. 5696 Book No. /36/ 3l by cJ /�j : �. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: Richard Glumac BUILDER: Same ADDRESS.. 5725 Quincy Street N.E. ADDRESS: Same • NO:. 5725 $ : Quincy Street N.E. LOT: 21 BLOCK: 6 ADDITION: Qonnays Lakeview Manor CORNER LOT: INSIDE LOT: X SETBACK: SIDEYARD: 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: Garage Addition Front: 10 Depth: 24 Height- _ / Square Feet: 240 Cubic Feet: 19 20 Vest. Addition Fronts 12'-0" Depth: 5'-0° Height: 8'-0" Square Feet; 60 Cubic Feet: 480 Type of Construction: Frame Estimated Cost:2,200 To Be Completed: 5 months The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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. August 25 1972 Od—� NATE: 9 � SIGNIlT[J�: (See Reverse Side For Additional Information.) 0 SUBJECT City of Fridley jPER o 3224 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION ' r � � SEC. 1 . i /�--5 CITY HALL FRIDLEY 55432 ,.J NUMBER REV. DATEP AGE OF APPROVED BY 612-580-3450 910-F15 9/24/75 / JOB ADDRESS 5725 Quincy Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 6 1 Donnay's Lakeview Manor SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Richard Glumac 5725 Quincy Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW - C} ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 16' Addition to Dwelling and a partial reroof of house 9 CHANGE OF USE FROM TO STIPULATIONS As marked on plans k;fl"� Before digging call local utilitils TELEPHONE - ELECTRIC - GAS Etc. REURED BY LAW SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. wood Frame 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 R-1 384 4608 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 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. 4.34 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8,678.40 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEpERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCALi LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $30.30 $34.64 PLAN CHECK FEE TOTALFEE SIGNATURE OF CONTRA OR OR AUTHORIZED AGENT - (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �- dl JC 11.�c �� c� �i� 9 BLDG INSP D TE SIGNATURE OF OWNER(IF OWNER BUILDER) 1 ATE) - i Ai'i'1,ii.AI WN i,'Ult itL�illLiV l'i� L, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: R i c t.+ 4 9!2 CT' L i.L �Y9 tf C BUILDER : �5 f+lo r; ADDRESS : 5 7 ,,Z 5,! i x� c v, A/. F ADDRESS: • S ta_ .y1 N0:. 7oZ S STREET: c` i,r c / -r At. � E' , LOT: �i 1 BLOCK: ADDITION: I D rpt Ig A V -S CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: 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 : j�j ► I�� Wmt,g HDP. Front: Depth: / b Height Square Feet: Ss `l Cubic ' Feet : Front: 'Depth: Height: _Square Feet; Cubic Feet: e% Type of Construction: -1-0 N i gl t=- Estimated Cost : _ To Be Completed: ' %y%�,y-r S The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stxict 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: SIGNATURE (See Reverse Side For Additional Inform qm 3 ® 7X - �r377 PG�R��r� ,RC1 City of Fridley SUBJECT • A8866 AT THE TOP OF THE TWINS BUILDING PERMIT r � IPT Y_ COMMUNITY DEVELOPMENT DIV. INSPECTION r � �. PROTECTIVE SEC. 1 � i CITY HALL FRIDLEY 55432 � ,•� NUMBER REV. DATE PAGE OF APPROVED BY ""� 612-560-3450 910-F15 8/21/78 JOB ADDRESS 5725 Quincy Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 6 Donnay I s Lakeview Manor SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Richard Glumac 5725 Quincy Street N.E. 571-5725 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION El REPAIR ❑ MOVE El REMOVE 8 DESCRIBE WORK Construct a 13' x 5' Vestibule 8 CHANGE OF USE FROM TO -STIPULATIONS Call for all inspections. Before QiFi�l�B telt tocsl.utili�Ies TELEPHONE . ELECTnIC - GAS Etc, .SEPMATE "PERMITS Re'"WIRED R woom By ,,��,�,' HEATING, PLUMBING AND SIG, 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 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 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. $2,Q00 $1.00 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 . - $12.00Q STR TION OR THE PE FORMANCE OF CONSTRUCTION. PLAN CHECK FEE .00 TOTALFEE $16.00 1-7 SIGNATURE OF ONTRACTOR OR AUTHORIZED AGENT DATE) PROP RLY VALIDATED'TH IS IS YOUR PERMIT ,{,.+( o pWHEEN lJ> > O ' BLDG. INSP. DATE SIGNATURE OF OWNER (IF OWNER BUILDERI (DATE) PE O. � a i APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEWo ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: k e� BUILDER: -SAM , Address: _7A rm1V 51- Address: Tel. No.:. No.: 6 7 Street:.-Aec ;z 45x^ Al jx'�_ _.. LOT: I BLOCK: (ar ADDITION: i)®QA.: v'Y-&KEya= �'/APdi2 CORNER LOT: INSIDE LUT: r SETBACK: SIDEYARL"S: Appl.icatit attach 'to this form A-io Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ell Front: /3 '6' Depth: S 0' Height: 9— o Square Feet: Cubic Feet: zoSC-1' front: `%-®a Depth: a�� Height: Square Feet: Cubic Feet:,2 L) _ Type of Construction: WOOL> Estimated Cost: $ 2000.00 To Be Completed: ,- Mawro5 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 true and correct. See reverse side for additional information. DATE: c,, �/./4%� SIGNATURE: -_- D� +��&-- � Stipulations : ��i ( ° �p ��'� > 1Lt /,�, G® ate. ^�.0"'h com s !."""d t•'eG" to • - CD CD co + sus�i -EET IN C� u I QTR g� c) -n a - 0 –3 I I LI, ll� 8 S35 e^P^ 79 '�"dme f%t%SC ocn( 1;46' ;J' f }�P 1 , 200 < l s� ee araff G �° ® pp`� M. W � e b .� ani /%LOJL�C?Ol,pal B P.F ray ! .e 43i gym® �p s"40.2a J .. "3 ICU t1e �u1.1din.o fit- 5'725 L, c.�aa fig Q ®.t 9,2� ,i{I ® rJ CLCD -3 iaJ C1 4iF r2 tit G . oy � • ce �- • ° a� I a ` P^� f">co o h > Ci? rn � CIS �' •.ti) 1 ' ! m C CD CLA�Mr 4.8 90 ".yy ppad� eyeed/ W , f ( ,.J .• '! cn CD CD s a -73 t� CD a =3s Z—z CD 77 CD � ' CD "rte '� d .. _ ' • �, SUBJECT City of Fridley AT THE TOP OF THE TWINSBUILDING PERMIT CE COMMUNITY DEVELOPMENT DIV. V ______ PROTECTIVE INSPECTION SEC. t✓ Q CITY HALL FRIDLEY 55432 i•_--� NUMBER REV. DATE PAGE OF APPROVED By ��'��,•� j, 612-571-3450 910-F15 4/4/83 JOB ADDRESS 5725 Quincy Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21 I 6 I Donnay's Lakeview .Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Glumac 5725 Quincy Street N.E. 571-5725 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Leo 0. Sanders 7813 Jackson Street N.E. 786-2860 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Install drain tile 9 CHANGE OF USE FROM TO STIPULATIONS Electrical extension cords can not be used as part of the power s our ce to the pump. 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 $21200 $1.10 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 ROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- T CTIO THE PERFO NCE OF CONS CTION. $38.50 e PLAN CHECK FEE TOTAL FEE r° $39.60 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPER VALIDATED THIS IS YOUR PERMIT BLDG iNSP I r5ATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) CITY OF FRIDLCY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PE-MITS (New, Alterations, Additioni, or Repairs) y OW11ER: ADDRESS: TEL NO: BUILDER: ADDRESS: TEL NO: Construction Location bTRECT NO: STREET: (t p, LOT:�i BLOCK: C� ADDZTZON e -)0 �3 tj S Corner Lot: Insiae Lot: Setback: Sideyards: Applicant attach to this fora two Certificates of Survey of lot and proposled building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION — ------- _ Front: Depth: Height: Square Poets Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: _�� _�� Estimated Costs $ 'lb Se Cbr.ipletecl: - --9 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 ir, strict accordance with the City of Fridley Ordinances and rulings of the' Delklrtment of Buildings, and hereby declares that all the facts and representations stated in this applicationre true and correct. DATEz SIGNATv:E: —e- e-' r_,,n ai-4�zog Stipulations: Cb I.r�► CITY OF FRIDLEY Effective Date January 1, 1991 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE QESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer • Air Conditioning (all sizes) All Others/Repairs and Alterations It of Value of Appliance or work COMMERCIAL/INDUSTRIAL li of Value of Appliance or Work REINSPECTION FEE $30.00: Rough Insp. RATE TOTAL $_20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ S State Surcharge TOTAL MM Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address 5_f7 2,.S— � 1m4eX r-/ ' d , Building Inspection Div. 6431 University Ave NE Fridley MN 55432 Tel. No. 572-3604 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 facts and representations stated in this application are true and correct. InA OWNER Di C-4 KIND OF BUILDING -JCC) 8 rt-(4-rY 'Q- USED AS To BE COMPLETED ABOUT. 3'� ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. J�/ ✓�J �� DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Were Air- No. Trade Name Size No. AJ 114 /t Q '7i Capacity 2-L oy o Sq. Ft. FDR BTU HP Total Connected Load j Ode') Kind of Fuel AJ 03 BURNER - Trade Name Capacity Sq. Ft. EDR Size No. /�°] BMTU al", Company l /US 1 U ,ri- Signed B"Q 02 s Tel. No. �5'_2/10: 93 Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,i, 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 connected Yes ( No ( ) 6. Has Total heating BTU's of AJ /1i All other BTU's L/O 00-0 TOTAL Vd,, 80 d Rema rk s Company % —C Zoh�6JIew Signed ByL��Vxe�- Da to 5`13 --el SUBJECT City of Fridley 24 AT THE TOP OF THE TWINS BUILDING PERMIT Ir? t l • ______ COMMUNITY DEVELOPMENT DIV 1 v PROTECTIVE INSPECTION SEC r NUMBERREV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/25/94 JOB ADDRESS 5725 Quincy St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 6 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dick Glumac 5725 Quincy Street NE 571-5725 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Thurs Construction 5717 113 Ave N, Champlin MN 55316 525-5624 9346 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 j] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (32 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 ] 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 $2,400 $1.20 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- CONSTRUCTION $54.00 Fire SC $ 2.40 STRUCTION OR THE PERFORMANCE OF PLAN CHECK FEE TOTAL FEE License SC $5.00 1 $62.60 SI NATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPS Y VALIDATED THIS IS YOUR PERMIT V SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BLD INSP DATE NEW [ ] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: f i Legal Description: Owner Name &Address: S 7 d,5— C c- Tel. # Contractor: fiA � r S �o n S f' MN LICENSE # 9 Address: S 7 / --7 :12.3 � 04 v z lt)o , 6,Aa 1, Y. S 75� Tel. #, Yr.), �s�a LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length S Sq. Ft, Sq. Ft. Sq. Ft. orner Lot [ ] inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: fir ,�- 6_G} Estimated Cost: $ i�0 Approx. Completion Date: - (Cost on Back) 'veway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ ATE: /D y -� APPLICANT: /�, G�u� Tel. # I M USE ONLY Permit Fee $ `7. 0 0 Fee Schedule on Reverse Side Fire Surcharge $ 6 ..001 of Permit Valuation (1110th%) State Surcharge $ / 2 L,) $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ 00 $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 C ] Not Necessary [ ] TOTAL $� STIPULATIONS: _r . Building $ BUILDING See Back Page for Fee Schedule Pemlit No.: ®01 bol 221 Inspections P RESIDENTIAL APPLICATION RES 65% of Building Permit Fee Received By: 763-572-3604 a_i CITY OF FRIDLEY Fire Surcharge Date Rec'd: ('0 = � DATE —� " YOUR E-MAIL ADDRESS License Surcharge SITE ADDRESS S�-as Qui n c u .W,E. $5.00 (State Licensed Residential Contractors) THIS APPLICANT IS: O OWNER °CONTRACTOR PROPERTY OWNER/ NAME: RaU KO I TENANT ADDRESS: SJ! N. E-. CITYFrd iq'i STATEkhZlP�4Sa PHONE: (D�� " �I ' �F_ $ CONTRACTOR NAME:R►t^k'6 Roo -l1' s` iciina tnc $ STATE LICENSE N Q,% ,_�S ) EXP DATE a3— O� c.1land-61-el. S.W. CITYNFW STATE MIP SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION ADDRESS: I PHONE s1_ — FAX tD�3— Lt PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE O ADDITION O GARAGEISHED O WINDOWS O BASEMENT FINISH XROOF O DRAIN TILE O DECK O SIDING O OTHER O SWIMMING POOL TYPE OF WORK: ANEW O ADDITION MAINTENANCE/REPAIR O REMODELING DESCRIBE WORK BEING DONE: -Fear o� A re — b Q f SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING NUMBER OF SQUARES O OUSE ONLY OUSE &GARAGE pASPMENT REMODELING SUBMIT >»90 1. Existing Floor Plan GARAGES - ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: O DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, O Vinyl 0 Aluminum 0soffit O Trim ADDITIONS I. & PORCHES SUBMIT,• Site Plan/Survey showing the existing structures 0 Other O Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Epergy Calculations M EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) 0, 3. V3 TOTAL JOB VALUATIONS OCCUPANCY TYPE Permit Fee $ (11.� e; See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ a_i (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ el01.001 x Permit Valuation (1/10%) License Surcharge $ e0_00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 R = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 1 3 .� Make checks payable to: City of Fridley Attach Stipulations THIS 1S AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and 1 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 ��re""q��uires review and approval of plans. I I, SIGNATURE OF APPLICANT tx1149I :PRINT NAMPAnOlr"M LO�11eCKe�- k-a-O(n