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PRE 2010 DOCSCity of Fridley, inn BUILDING PERMIT N° 5:978 Date: Owner: . Buildei Address _ _ _ __.__ _ _ Address LOST NE B ILDING No. Street-= - Pa Lot Lot --.--.Addition or Sub-Divisio Corner Lot __ _ _ Inside Lot Setback _ Sideyard 0 Sewer Elevation _ _ _ ___ _ _ Foundation Elevation _ DESCRIPTION OF BUILDING To Used , Front ' Depth4 F't. Height: Sq: " Cu. Ft:' _ _ o Depth Height _ Sq. Ft.. Cu. Ft. Type of nstructiog Est. Cost 00 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. is 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 aVmany n viola of any of the provisions of said ordinances. n Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to as the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name 1e V' -"C9- CC, ��x1Builder �r Address —Address LOCATION OF BUILDING No. "1577 ® Street--�=1 � � te"&- Part of. Lot Lot 14� Block Addition or Subdivision, &"umz Of -A -s- - z5sr Corner Lot _Inside Lot Setback a r Side -Yard .v/t 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: P� f-ak-� c-'�rys�, �lcUr���,r� Front epth v� Height i / Sq. Ft. Cu. Ft. Z 7-, Z .act 23 4a, Front Depth Z/' Height . Z Sq. Ft. Cu. Ft.37j Type of Constructions- Estimated Cost To be Completed i The undersigned hereby makes application for a permit for the work herein specified, 2� agreeing to do all work in strict accordance with the City Ordinances and ruling of 1z' the Department of Buildings, and hereby declares that all the facts and representations stated in this -application are true and correct. _ DATE � r a 2- SIGNATURE / Y?o/O/ e Sdtaj (A Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK�"' �y ' ✓.S � /� Number. Kind and Location of Fixtures I'ohon C ya_ Z.. S NN Y Z Z w WATER HTR. GAS EEEG 3 0 �, 3 K 3 o� Base 1st 2nd _ 3rd _ 4th • Future Connection Openings Connected with Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .... x $1.50 $-7—,,5-0= Future Fixture Opening .............. x 1.20 $A New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heate:.(Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ 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 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 17 -'zZ� , 19 /� , Owner a/7/ 'JI'D� 0/gyx- Kind of Building Used as Z-,? , To be completed about / Estimated Cost, $ a v v r Old w. uilding Permit ROUGH Y - Z & - i. — FINAL .QMW42 2M 7-59 By Business P one No Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE L 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 $J 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 A ALTERATIONS & REPAIRS TOTAL FEE $ z RfUGH FINAL — i 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. Kind of Building Used as 19 — To be completed about 'OW Estimated Cost, $ a �a Permit No. '*'� Y ZZ_ permit No. DESCRIPTION OF WORK HEATING c�r-P6 , Warm Air—No A Trade Nam Size Capacity Sq. Ft. E.D. A ` BTU H.P. , Total Connected Loa 0049,Kind of Fuel BURNER — Trade Nam Size Capacity Sq. Ft. E.D.–Me2TU H.P. ®. S*q1r4_1,V1rTG 4 Aeft-CONN. CO 1001 Xen'.a AV. S. Minneapo;;s 1v, Minn. (REMARKS -OVER) kgLW .tom 42 2M Business Phone A P�' D•56 i v HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows1(-Ye-s Doors Reference Out. Wall Int. Wall Ceiling Roof Floor No No 19— Fl.l Room l Length - . :R Width /'S,/a Heiizht 11 F1.1 Windows and Doors—Crackage and Area d� J Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �ft. Jam® a7, G �✓� Coef. Btu ( Coef. Btu Infiltration Infiltration e) � 0 o 6-�76? -9 r z5�5-o Glass -'1,'' r A1000 Exp. wall Exp. wall e j` o Y Exp. wall Net exp. wall Net exp. wall Net exp. wall �K P� Int. wall Floor /� °� ,s �' a 4av-wa41 e�, Ceiling ; T Ceiling Floor p a Floor x &-® Floor IAL lwl) 4Z Aq d 2 Total Btu. le 6 - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /m] Rnnm l 1.ength Height Windows and Doors—Crackage and Area d� J Width Height No. of Lineal ft. Area No. of Dane of pa®®n. lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �ft. Jam® Coef. Btu Infiltration Coef.1 Btu Btu Infiltration Infiltration e) � 0 o 6-�76? Glass Glass Net exp. wall -'1,'' r A1000 Exp. wall 1/9 Exp. wall Net exp. wall Net exp. wall - �K P� Int. wall Floor /� °� ,s �' a Ceiling Ceiling Floor z< Floor p a Total Btu. f ` Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /F1.1 -al Room ILenrathP��j Width P' Heiaht r� Windows and Doors—Crackage and Area d� J Width Height No. of Lineal ft. Area No. of Dane of pa®®n. lights of crack sq. ft. L� 9 �ft. Jam® Coef. Btu Infiltration Coef.1 Btu Infiltration Glass Infiltration e) � 0 o 6-�76? Glass Net exp. wall Glass 65? Exp, wall ,Y- 1/9 Exp. wall Net exp. wall Floor �K Int. wall Floor /� °� ,s �' a Ceiling A io Floor z< Ceiling � Total Btu. Required sq. ft. E.D.R. or sq, ins. W.A. Leader area MINNEAPOLIS. MILAN. Insulation Kind How. Applied Rnnm I Length l.? e` Width Height P" Windows and Doors—Crackage and Area j Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. y Ogry �ft. Jam® Coef. Btu Infiltration Infiltration J Glass Infiltration e) � 0 o Exp. wall Net exp. wall Glass Int. wall Net exp. wall,_u" Ceiling Exp. wall Int. wall Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ® P1 _ I *�� Rnnm I Lenath Width /.4 Heiaht f` Windows and Doors—Crackage and Area j Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of.pane lights of crack sq. �ft. Jam® Coef. Btu Infiltration z-� Btu Infiltration Glass Exp. wall Glass Net exp. wall,_u" Exp. wall Int. wall Ceiling Net exp. wall Floor /� °� ,s �' a � A io Total Btu. -S'" Required sq. ft. E.D.R. or sq. iris. W.A. Leader area -,'V1 I .-. �,- . , ,.,..R.,.,... I i .onath ®moi Width Height 91 Windows and Doors—Crackage and Area j 4e Width Height No. of Lineal ft. Area No. of pane of.pane lights of crack sq. �ft. Jam® Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall /w/� ' Int. wall Ceiling Floor IAL lwl) e N ? is9 'i/9� _ Aja - Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ,914?e,3 City of Fridley, Minn. N° 8639 BUILDING PERMIT Date: DECEMBER 21, 1965 Owner: EUGENE MC DONOUGH Builder THE SUSSEL COMPANY Address 5590 Regis Drime Karma Address ? S5.0. Comn" A-; a-mi'm Fridley, Minnesota 55421 St. Paul, Minnesota LOCATION OF BUILDING No. 5590 Street -REGI -s- DRTVE ____ _ ___ Para of Lot Lot _ 4 __ Block 4 Addition or sub -Division ____ PARmnyll nAuc, 'EIRcm A=TION Corner Lot Inside Lot -- Setback Sideyard Sewer Elevation __. w Foundation Elevation DESCRIPTION OF BUILDING To be Used as: BASEMENT FINISlJ;�ront _ Depth - Height Sq. Ft Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Construction Est Cost _ _ 2 s .OQU 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 th ail provisions of ordinances of the city of Fridley. a Q � In camsideration of the payment of a fee of $ 12.00 , permit is hereby granted toTHESUSSS& CPM= 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 ordinances. ALLEN G. JENSEN Building rnqxwtor Nonce: Tido porn h don net never the sandtreafien, hutdhetan hr wkbM phrmhin8, Ba heating, awer or wafer. Be sen to as As BWMh* hmpeater ler aparafe penaNa for these Nemo. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME<a/� y �� �o �(/®tl�ff BUILDER � �G moo. ADDRESS��%C� /� c�/� DR!/az-_ ADDRESS /,?Sr LOCATION OF BUILDING NO, STREET_, ZE <;; 15 PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE 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. DESCRIPTION OF BUILDING To be used as: F&�F Fhr- Front Depth Height Sq, Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Fit. Type of Construction FRV f Estimated Cosh 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, DATE3:pz5_c (Schedule of Fee Costs can be rouna on me xeverse siae). PARTIAL RATE -SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures Future Fixture Opening New Fixture Old Opening Catch Basin Water Heater (Up to 99,000 B71D New Ground Run Old Bldg. Electric Water Heater GAS FITTING FEES: x $2.00 X $1.50 x $1.50 x $3.25 $ x $3.00 $ 12 z J !2 WATER HTR. V 0 0 0 P N GAS ELEC J 2nd 3rd 4th Yukare Gam Ovsninw nxtm' Old Openjup ftwer El cempool [] PARTIAL RATE -SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures Future Fixture Opening New Fixture Old Opening Catch Basin Water Heater (Up to 99,000 B71D New Ground Run Old Bldg. Electric Water Heater GAS FITTING FEES: x $2.00 X $1.50 x $1.50 x $3.25 $ x $3.00 $ x $3.25 $ z $2.00 6 - NO. RATE TOTAL 1st 3 Fixtures .... .... . ........... .. x IMM $_ Additional Fixtures ..... .............. —x$. -M $ Gas Range. to 199,000 BTU ............... — X $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .................................. . ............ !p_ TOTAL FM $L City of Fridley: The undersigned hereby makes application for a permit for the work herd specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn Owner Kind of Building — Used as - � UJ& LU Mr, To be completed about Estimated Cost, Old—New. Building Permit No--- —Permit No.- Signed C�44 _-Jr 2 er 4� By- 06 -1 Business Phone leVAO-1— ROUG*L� 0ri&81 Permit for AUMBING AND GAS PITTING N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., DESCRIPTION OF WOGS II Number, Sind and Location of Fixtures Connected with Gas Piping for Openings Permission is hereby granted czLU do the plumbing and gas fitting in the building described in the statemkht hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. 4z IM—"9.v N? 5001 053�1 . -/,.f 4:5-9 [pr$" F15- 6-6 City of Fridley a 1 , .19-Y, y Owner e 4t:L4� Location Kind of Building d Used as To be Completed ,19____ Estimated Cost Old New. Building Permit No. 0 Date Inspector of Buildings. C hl F p �r 4 MO m m F O a OZSFStories pa m WZOR' WATER HTR. GAS ELEC. Basement ist 2nd 3rd 4th Connected with Gas Piping for Openings Permission is hereby granted czLU do the plumbing and gas fitting in the building described in the statemkht hereto 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 at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. 4z IM—"9.v N? 5001 053�1 . -/,.f 4:5-9 [pr$" F15- 6-6 City of Fridley a 1 , .19-Y, y Owner e 4t:L4� Location Kind of Building d Used as To be Completed ,19____ Estimated Cost Old New. Building Permit No. 0 Date Inspector of Buildings. SUBJECT PER City of Fridley 19921 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. LW. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 75 ;)9 CITY HALL FRIDLEY 55432 NUMBER REV. DATE - PAGE OF APPROVED BY L J\ 612-571-3450 910-F15 5/26/89 JOB ADDRESS 5590 Regis Drive N.E. 1 LEGALLOT NO. 4 BLOCK 4 TRACT OR ADDITION SEE ATTACHED Parkview Oaks lst Addn. DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fred Baumgardner 5590 Regis'Drive N.E. 572-9631 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. The American Handyman Cont. Inc. 1202 Hathaway Lane N.E., Fridley 571-2655 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 j7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (27 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. 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 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 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 $1,350 $.68 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 THE PERFORMANCE OF CONSTRUCTION. $33.00 PLAN CHECK FEE TOTALFEE $33.68 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI VALIDATED HIS IS YOUR PERMIT ,),WH,,ENP,ROPERLY (� BLDG INSP ATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI Prepaid Plan Check $ Effective 5/1/88 Estimated Cost $�/ OF FRIDIEY Receipt # R- �CIAL & 33MUSTRIRL ding Pemtit Application Y e�7 Construction Address Zoning Legal Description Property O4 rner/Address Fee,) (J-q" ,, r,-.� ✓ l� to Tel . # r-2,2-76'11 CONTRACMR & ADDRESS `� Tel . # Architect & Address Reg.# Engineer & Address Reg.# TYPE OF WORK [ ] New [ ] Addition W Alteration -Describe F SZ o 7 Applicant Signature s e� �i10 Tel # S�/ , v W Date s Width OFC. AREA: Length WHSE AREA: Length CGHEM AREA: Length Height Sq. Ft. # of Stories Width Height Width Height Width Height Sq. Ft. Sq. Ft. Sq. Ft. Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Sq. Ft. x $ Cast/Sq. Ft. = Valuation $ Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use . Construction Type Occupancy Group Air Conditioning []Yes []No Fire Protection Provided []Yes []No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No Permit Fee $Js,3 , oo Plan Check $ State Surcharge $=� SAC Charge $ Park Fee $ Spec. Assessments $ Driveway Escrow $ mrAw $ 3113. t�S 5 See Fee Schedule on Reverse Side In E:Kcess of Prepaid Amount - See Reverse Side $.50/$1,000 Valuation (See Sched. for > $1 Million) $575 per SAC Unit Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $13.50/foot � � wM •1.�:=�+MMiU Y �;,ti �;, ;oaf'/�.-7�=���`� CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes Rate TOTAL po $ 20.00 $- $10.00 $10.00 $ $10.00 $ $10.00 $- $10-00 $10.00 $ All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB 19 61, 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 ruling of the Building Division, and hereby dec ares that all the facts and representations stated in this ap icatio are true and correct. /� 17 '199L OWNER J(�rd'4111M qej i -I BUILDING USED AS t' dell ESTIMATED COST LOU PERMIT NO. 1%/9111 DESCRIPTION OF FURNACE AND OR BURNER W 41i No. of Heating its Circle One (Steam) (Hot Water) (Warm Air) Trade Names Size No. - BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR ROYALTON HEATING & COOLING HEATING COMPANY 4120 -85TH AVENUE N. BROOKLYN Signed By nuinki AII% Approved By � Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been care ully examined Yes ( ) No ( ) 2. Is free from st or d terioration Yes ( ) No ( ) 3. Has no rei n bjed s 1 ged within Yes ( ) No ( ) 4. Is secu el s pp rted 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 Remarks List Alterations Being Done: HEATING COMPANY. a Signed By Date SUBJECT P� N City of Fridley 21873 AT THE TOP OF THE TWINS BUILDING PERMIT r ' , R � • _ COMMUNITY DEVELOPMENT DIV. �: ----- qq r PROTECTIVE INSPECTION SEC. 1. I/ Q 1 i NUMBER REV DATE PAGE OF APPROVED BV ` CITY HALL FRIDLEY 55432 612-571-3450 910415 5%25/93 JOB ADDRESS 5590 Regis Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 4 Parkview Oaks First Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Fred Baumgardner 5590 Regis Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. American Handyman 2835 Central Ave NE M ls. MN 55418 788-2881 3887 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 .0 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install skylite in kitchen area 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1r2Q.0 $e6O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29.. QO ,Fire SC $1.20 STRUCTION R THE PERFORMANCE DI57CPNSTRUCTION. PLAN CHECK FEE TOTAL FEE &44,License SC $5,00. $35.80 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGEN IDATEI WFiE P RLY i'LID ED THIS IS YOUR PERMIT BLDG INSP MATE SIGNATURE OF OWNER IF OWNER BUILDERI IDATEI TYPE OF WORK M- /,% A/I BURDM Pyr APPLICATION .ssl � Effective 1/1/93 zoning of I [ l New [ ] M4on 't-j� Alteration Describe - '�tf x/e 4-60F A &J W Applicant Signature hength Width Height Sq. Ft. # of Stories OFC. AREA: Length idth Height Sq. Ft. %USE AREA: Length 'Width Height Sq. Ft. C7TM AREA: Length Width Height Sq. Ft. VATlQ MCK Sq. Ft.x $ cost/Sq. Ft. = Valuation $ ) Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $ Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) 'TOTAL VAIM Building Use 1AA e Construction Type v`� _ Occupancy Group Aix Conditioning []Yes []No Fire Protection Provided []Yes []No Performance Bond Amount $ See Reverse for Schedule Received []Yes Permit Fee Plan Check Fire Surcharge State Surcharge $�rUf1 $ �?® S '6o SAC $ spec. AsseSSMents $ Driveway EscrowTOM $ [ ]No See Fee Schedule on Reverse Side In Excess of Prepaid Ammmt - See Reverse Side .001 x Permit Valuation (1/10th o) $.50/$1,000 Valuation (See Sched. for > $1 Million) $750 per SAC Unit (Plans to NWOC for determination) Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $13.50/foot 1 sue�Ecr IT NO. City Of Fridley 33477 AT THE TOP OF THE TWINS BUILDING PERMIT �• RECEIPT � COMMUNITY DEVELOPMENT DIV. - '____ r PROTECTIVE INSPECTION SEC. I a� I 1 NUMBER REV GATEPAGE OF APPROVED BY i 1 1 CITY HALL FRIOLEY 55432 I1'' 763-571-3450 910-F15 4/29/03 JOB ADDRESS 5590 Regis Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 4 1 Parkview Oaks First Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Van Orsow 5590 Regis Drive NE 651-503-7783 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Dave Kraemer Service .6220 167 Ave NW, Ramsey, MN 612-834-1118 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20149471 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION JJ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage ( 28 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS ' Underlayment must comply with the State Building Code. Refund license surcharge collected in error. 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 S0. 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 1STALLS 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 $31242 $1'62 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NO RESUME TO GtV AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI NS OF ANY OTHE STATE OR LOCAL LAW REGULATING CON- $97.25 Fire SC $3.24 TR C ION R THE E RMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE �/ p "7 �/ 0 44__4/$0/$ OO $102.11 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IOATI,VA6_Od_u#;SP PROPERLY VALIDATED THIS IS YOUR PERMIT S-GNATURE OF OWNER,lo OWNER BUILDERi iDATE. OATS 11 1 NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION r:nncfnir_finn Aririrass. 55 q0 1<-c I'S O6_f Ve— 1�b (G!'ec,h Legal. Description: Owner Name & Address: CL U f Tel. # &5 I S03 77k-3 Contractor d"LrP1"el- wc-e MN LICENSE# Vie- aU1`t�y� Address: 6d,90 1 PW fa. . c e� M ti Tel. # Cola 8'3 Lf 11 1 if 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: Lengtj W�idtjh Hgt/Ground Sq. Ft. OTHER: i1 C� f 3 - %.%- tr—��`CI�, e 6W L 3 �C�!' A, Construction Type: Estimated Cost: $ g jil Driveway Curb Cut Width Needed: F 6 Ft = tx _ $ DATE: � d? o APPLICANT: �---- Tel. # 60-- 9-31-I / I 1 &' Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-5714287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ o? Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1275 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut 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 $ Y STIPULATIONS-