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PRE 2010 DOCSCity of Fridley, Atinn. BUILDING No *6-9-3) Date:'°"'_'`, Owner: _ _ _ _ udder _.._ __.._ _ _. Address _ _ _ _ Address —•-••--- --- LO,CATl j -N OF BUILDING No. Street _ _ Part,C f, Lot --•.-••- Lot _ ._ _ ___ Block Addition or Sub -Division — Corner Lot __ Inside Lot Setback ._._,� Sideyard __. . : Sewer Elevation _ _ __ _ Foundation Elevation DESCRIPTION OF BUILDING To Used '"" ,. Front ` Depth - Height _ Sq. Ft. , cu. Ft- _ _Fio�nt Depth Height r: "r3" Sq. Ft. _ _ Cu. Ft. _ i Type of ConstructionEst. 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. P V 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 in all respects to the ordinances of Fridley, Minnesota regarding location, 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 of said prdinancm �""0 fi/) " 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 Items. a APPLICATION FOR BUILDING PERMIT CITY OF FRIDiEY, MINNESOTA Owner's Name'/Lo Address -5;v/e----Address LOCATION OF BUILDING No. ,4 '3 � � Street/ .f errs ,fJ/c � � Part of Lot �- Lot Block Addition or Subdivision�r Corner Lot Inside Lot _ Setback r Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front:�L­Deptl% Height Sq. Ft. Ft. 2 S 8 j FrontDepth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost%�. r To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all worts 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 ��� ® SIGNATURE _ UZI)' `� f (A Schedule of Fee Costs can be found on the Reverse Side.) (� City of Fridley Application for Plnnrbing and Gas Fitting Perndt Dept. of Bldgs. Phone SU 4-7470 10DESCRIPTION OF WORK , ,� —.2-1 a O � Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..................... x $1.50 $ U 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) ...... �L x 2.00 $ 5 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $—/• S c! 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 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 al-�� Kind of Building 0 Used as To be completed about Estimated Cost, $ old -4e3 Building Permit No ''-&—a , —Permit No.�- Signer' a 'o A L- By Business Phone No ROUGH 6' 11- b I FINAL e a 2M 7-59 Zz 'a� N pZ w iTjZ O w 0 Z 2 0U' . N WATER HTR. GAS ELEG �O LL N (gip U Q3 U°d �� O Base 1st 1 2nd _ 3rd _ 4th • Future Connection Openings Connected with Sewer E] New Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..................... x $1.50 $ U 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) ...... �L x 2.00 $ 5 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $—/• S c! 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 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 al-�� Kind of Building 0 Used as To be completed about Estimated Cost, $ old -4e3 Building Permit No ''-&—a , —Permit No.�- Signer' a 'o A L- By Business Phone No ROUGH 6' 11- b I FINAL e a 2M 7-59 �I I Application for Power Plants and Heating, Cooling, Ventilation. ReFri� cid Air Conditioning Systems and DeYices PARTIAL RATE SCHEDULE &RAVITY WARM AIR: r Furnace Shell & Duct Work .......................... v' Replacement of Furnace ..................... Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ lz 2.00 $ 5.00 $ 5.00 $ 2.50 $ Dept. of Bldgs. Phone SII 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. Owner Kind of Building Used as STEAM or HOT WATER "SYSTEM To be completed about �I��d� mV 4II lI �� p Furnace Shell & Lines—to 400�— sq. ft. EDR Steam ...... 8.00 $ Estimated Cast, $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ......... -� ew - ding Permit No.. ............. 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ DESCRIPTION OF WORK 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 DATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ ; REMARKS: 195— 195— 195— HEATING oAft Warm Air—/No Trade Name Size No - Capacity— o Capacity Sq. Ft. E.D.R 'P/"�z A -e -w BTU H.P. Total Connected Loa Kind of Fuel- BURNER — Trade Name Size No- 'k Capacity---✓ Sq. Ft. `BT1T 1001 Xenia Av. S. Minneapolis 16, Minn. Sign By 11 POST IM -12-58 Business Phone0 A 0 f1l Z) &I HEAT LOSS CALCULATIONS DEPAIRTMENT OF BUILDM VMLAGE OF ST.:.ANISONY, MINK. Weatherstrips KV.LConstruction No. Insulation . Guide ►Vi oevs I rs Reference Out. Wall W. Wall Ceiling Roof I FloorKind How Applied e 19 F1.1 Room I Length ✓ t 1, FU Room I Length Width 66%i6t Windows and. Doors—Cracknge and Area 400 Width Height Noof --Unoalft. I Area. No. of pane of pane ilgitte of crack I sq. ft. O E,7te'" Coef. Btu Infiltration Glass see Exp. wall Nei exp. wall Int. wall 14U �5 Ceiling Net exp. wall Int. wall Floor, :tiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI Roo L.e h ° 'dth He' ht m ngt 1 tg Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of sans of vane lights of crack sq. ft. Coef. Btu Glass /" Exp. wall y Net exp. wall Int. wall Ceiling FloorY" rotal Btu. Required sq. ft. E.D.R. or sq. ins. W.A.. Leader area AM -00 D-- I 1 __...1. /t t W:a.L' Windows and Doors—Crackage and Area lJ Width Height No. of Lineal ft. Area Jo. of pane of pane lights of crack sQ. fL ® E,7te'" G)AL Btu infiltration Masa Exp.wall Ceiling Net exp. wall Int. wall Floor :tiling Floar Windows and Doors--Crackage and Area width Height No. of eat 11,Ataa No of pane of pane lights of crack s0• ft ✓�( ll o-02 Infiltration Vii` Glass Exp. wall Net exp. wall Int. wall Ceiling _ Floor J Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 'FI_I .. ;,.d :Raotn I L.efufth .:� Widths He'titlht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane' of pane lights of, crack sq. iL j E,7te'" f. to Infiltration C4lass . Exp, wall Net exp. wall Int. wall Exp. wall .149 Ceiling Floor II It AW AR. or sqi his. W.A. Leader area '2.enn, 11 .'natio /.s.. Width 6. Heisiltt ' dowa and Doors—Crackage 7d Area Width Height Na of Lineal ft. Area Na of pane,of pane lights of crack m ft. --7 :4:4 E,7te'" CoefBtu InfiltrationAvt Glass S Exp. wall .149 jr Net exp. wall Int. wall Ceiling SVC Floor / Total Btu. II Total Btu. Required sq. ft. E.D.R. or, sq. -ins. W.A. -Leader area. INI Required sq. ft.. E.D.R. or sq. ins. W.A. Leader area SUBJECT PER City of Fridley 0 15.3.9 2 AT THE TOP OF THE TWINS BUILDING PERMIT N ' • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/13/79 JOB ADDRESS 5521 Regis Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Parkview Oaks 1St Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Walther 5521 Regis Drive N.E. 571-1556 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548 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 ❑ REMOVE 8 DESCRIBE WORK Reroof structure 9 CHANGE OF USE FROM TO STIPULATIONS 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 I 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 $] 500 $. 75 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- $9.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $9.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) , 1 WHEN PROPERLY VALIDATpED THIS IS YOUR PERMIT _ 8 G G) BLDG )NSP OAFTE SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) CITY OF FRIDLE'Y APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: of e /I H� ADDRESS: ���� (� D"e_ iV E - TEL NO: STREET NO: STREET: LOT: BLOCK: BUILDER S: 0'J_ e ADDRESS: TEL NO: Construction Location ADDITION: jqbj)ka Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square. Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic. Feet: Type of Construction: Estimated Cost: $ To Be Oompletedt • 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 cor�ect. DATE: i SIGNATURE: Stipulations: C5 o T 9 41 • • y \ } SUBJECT NO. City of Fridley 2 5 5 7 AT THE TOP OF THE TWINS BUILDING PERMIT I _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC.® NUMBER REV DATE PAGE OF APPROVED By _"'1 CITY HALL FRIDLEY 55432 �""� 612-571-3450 910-F15 10/8/97 JOB ADDRESS 5521 Regis Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 3 Parkview Oaks First Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Walther 5521 Regis Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pro Exteriors 3012 Kentucky Ave N, Crystal MN 55427 546-8329 6094 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 Ej REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (20 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 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 $1,668 $.83 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- $ STRUCTION OR PERFORMANCE OF CON TRUCTIOIJ. PLAN CHECK FEE TOTAL -E Li $5.00 $61.50 SIGN TUBE CO .RACTORORAUTHORIZEDAGENT IDATEt N P PER LIDATE,# r BLDG AXP IS IS YOUR PERMIT r /� v � DATE SIGNATURE OF OWNEROF OWNER BUILDERI IDATEI NEW [ ] Effective i/l/97 ADDN [ ] CITY OF FRIDLEY /1� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 04. ConstructionAddress: `j j 1 Pp eg z'e AO d -Q ,9 Legal Description: (%Q V S � Owner Name & Address: ��� Tel. # Contractor: MN LICENSE # to Address: Tel. # 5 w 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: g r9Q �Tcfc7a" Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed. DATE: O7 APPLICANT: , Tel. S1 iPULATIONS: CITY USE. ONLY Permit Fee $ y '�7 , 6) 6 Fee Schedule on Reverse Side Fire Surcharge $ �°,7 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 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 [ ] t TOTAL $, S1 iPULATIONS: