Loading...
PRE 2010 DOCSCity ®f Fridley, NUmn. N° 91 0 BUILDING PERMIT -71 Date: JANUARY 17, 1967 Owner: DR. DELZELL Bider RODNEY BILT,ME1Ns INCORPORATED Address Address 3000 36th. AVENUE N , E, - MINNEAPOLIS, MLqNESOTA 55418___ LOCATION OF BUILDING No. 5290 Street ._._ ST. IMIER DRIVE N. E. __ Part of rot Lot_ 7 _ Block 2 - Addition or Sub -Division -_ _INNSBRUCK, 5TH ADDITION Corner Lot -- % Inside Lot Setback — 351 —_ Sideyard " Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING DWELLING Front 66 Depth 28 & 3&Ight2 storySq. Ft. 2,702 Cu. Ft. Front Depth freight Sq. Ft. Cu. Ft. Type of Construction FRAME Fit. Cost $30000____ _ To be Completed _ PLUS $100.00 SEWER CONNECTION CHARGE 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 provisions of ordinances of the city of Fridley. / e T, 'ems In consideration of the payment of a fee of $ 45.00 , permit is hereby granted to...._.RODNEY B71a,MAN_, INCORPORATED to construct the building or addition as described above. This permit is granted "upon the express condition that theperson 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. CLARENCE BELISLE Building Igor NOTICE: Thb permit does not cover the construction, instaMon for whine, Plumbing, on heating, sewer or wafer. Be sore to see the Building hopector for separate permhs for thus Rema. A APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 1 EI i BUILDER % 1/X/ ' �. LOCATION OF BUILDING N0. STREET PART OF LOT LOT, BLOCK "% ADDITION OR SUBDIVISIOD ,,A�—Tk� 9 CORNER LOTINSIDE LOT SETBACK Q�r SIDE YARD i SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front—d' Depth '-,?V'3�Height -? //70 Sq. Ft. IS- Cu. Ft. Front Depth Height Sq. Ft. Cu; Ft. Type of Construction /`1/I� _ .Estimated Cost y., ¢- 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. DAT?edule SIGNATURE" (Sc of Fe Costs cant Pe found on Reverse Side). CZA tA JY r -Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices Dep:. of Bldgs. Phone SII 4-7470 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 $ MEC*. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ .w w Replacement of Furnace 5.00 $ `6' Repairs & Alterations—up to $500.00 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or 11OT QJITER MTEM . Furnace Shell & Lines—to 400 sq. ft. IDR 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 T TAL 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 $ -v ALTERATIONS & REPAIRS TOTAL FEE $ / s; ROUGH FINAL 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 c9rrect. Fridley, Minn Owner Kind of Buildin Used as To be completed about le Estimated Cost, $ 11 7 ' Permit No. (lin't Permit No. IM 59 DESCRIPTION OF WORK HEATING Warm Air—No —� Trade Name Size No gd'J�f Capacity Sq. Ft. E.D. O BTU H.P. Total Connected Loa Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.Ij 51 ' 5W H.P. Signe By 4z 2M Business Phone No- m � (REMARKS—OVER) Glass 17 � f Exp. wall Area sq. ft.� e Net exp. wall do Int. wall 10, Ceiling (F 7 7 ® ®ice HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTIONS Total Btu. MUMEAPOLIS. MILAN. Weatherstrips A.S.H.V.E. 6-2:) Construction No. . Room I Length Width eight Insulation Int. wall Guide Height No. of Lineal ft. Area of pane lights of crack eq. ft. y, Ceiling Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19— If I FI. Room Length idth Height Fl. Room Length Width >-1`Ieight Windows and Doors—Crackage and Area Windows an Doors—Crackage and Area Height No. of Lineal ft. Area Width Width Height No. ofLineal ft. Area No. of pane of pane lights of crack sq. ft. ss!! 1G v No. offppane of Dane lights of crack sq. ft. n f 4� ® Coef. Btu I a Coef. Btu Infiltrationlv 6 ® Infiltration A Glass 17 � f Exp. wall Area sq. ft.� e Net exp. wall do Int. wall 10, Ceiling ,� ® ®ice Floor Total Btu. OF Af� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 6-2:) FI.I . Room I Length Width eight Windows and Doors—Crackagiland Area Int. wall Width No. of pane Height No. of Lineal ft. Area of pane lights of crack eq. ft. y, Ceiling e Coef. Btu Infiltration Glass Exp. wall Net exp. wall ' Int. wall Ceiling Floor Total Btu. Fl.j/,,,v1&y. Room I Length Zt9 WidthoHeight Windows an Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane .fpane light. of crack eq. ft. -`/S;r j,' I I I •I_ ICoef.I Btu Infiltration I ,F,/q -,f Glass Exp. wall Net exp. wall Int. wall Ceiling Floor BA7 ZY Total Btu. P Glass ® AV Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. y Kequfred sq. ft. Zr.tM or sq. ms. w.F►. Leafier area I ® FV W. ,Ili mm I Length i-jP Width Heiaht r Windows and Doors--Crackage and ea � f f Lineal ft. ®pane liht ights o. ts of crack No. Width paa of gh Area sq. ft.� e 001 Coef. Btu Infiltration Glass Coef. to Infiltration ' Net exp. wall Int. wall Glass Ceiling 6-2:) Exp. wall Net exp. wall Floor 77 Int. wall Ceiling Floor Total Btu. - f sr, " `y / Required sq. ft. E.D.R. r sq. ins. W.A. Leader area FI.I%MoD} eom I Length 0 Width �ff' Height Windows and Doors—Crackag and Area Width Height No. of Lineal ft. Area No. off pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall ' Net exp. wall Int. wall Ceiling Floor 77 Total Btu., , Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 11 Required aq. ft. E.D.R. or sq. ins. W.A. Leader area W- Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Length Width 7I/ Windows and Doors—Crackage and Area too - 10 1 Width Height No. of Lineal ft. Area No. of vane of pane lights of crack aq. ft. HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTIONS Infiltration �� MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E. Exp. wall W Construction No. Net exp. wall Int. wall 3 Insulation 01 Guide �'Exp. wall k WindowsI Doors Reference 1.Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19— F1.rbg Room Length Width Height Fl. ��,� Room Length Width /S eight Windows and Doors—Crackage and Area Windows and Doors—Crackage nd Area Width Height No. of Lineal ft. Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. P)�j e I No. of pane of pan. lights of crack sq. ft. / _ el Coed. Btu Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Length Width 7I/ Windows and Doors—Crackage and Area too - 10 1 Width Height No. of Lineal ft. Area No. of vane of pane lights of crack aq. ft. Coef. Btu Infiltration �� Jr Glass "0 Exp. wall W Net exp. wall Int. wall 3 Ceiling 01 Floor �'Exp. Total Btu. 6 &Jo 100, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .. Windows and Doors—Crackage and Area too - 10 1 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. No. Coef. Btu Infiltration Coef.1 Btu Infiltration Exp. wall to J Glass 01 Floor �'Exp. wall k Net exp. wall Int. wall C1 Ceiling > � Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Exp. wall . 1L , m Net exp. waff 50M���� Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room l Length Width Q Height Windows and Doors—Crackag and Area Width Height No. of Lineal ft. Area a No. of pane of pane lights of crack sq. ft. '�fdlY�tl � J Coef.1 Btu InfiltrationZv Glass to Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ".I y*Room l Length Width eighir In ows and Doors—Crackage and Area A I S Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall to Net exp. wall Int. wall 10 Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area C I T Y O F F R I D L E Y 6431 University Ave. N. E. Fridley, Minnesota 55421 Feb.2, 1968 Williams Electric Co. 2312 Central Ave. N. E. Minneapolis, Minnesota RE: PytMIT SIIORTAGE 5290 St. Imier Gentlemen; Your permit for the above captioned address was short the following: 1-10 $ 2.75 We would appreciate it if you would kindly give this matter your preferred attention. When sending in the above amount, kindly place it on a regular Minnesota State Affidavit so that we may properly process this permit. LE :bks Thank you. Yours very truly, LEONARD EICHMILLER Electrical Inspector City of Fridley Original PERMIT for Power plants and Heating. Cool- ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants to be installed—altered—repaired Make g, Ae e- / e 3 6 Oil fired—,- Coal fired—,- Gas fired ; Gas Authorization Remarks Approved Final Inspection Date , 19_ Inspector Peru N® 4520 Fee Office of the Inspector of Buildings City of Fridley City of Fridley, Min/A , 19-1-,2 Owner Location Kind of BuildinJg How Occupied Q Work to be Commenced �' ,19� To be Completed F^ /.15- ,19-G� Estimated Cost, $ ®';2� , v --'J Old -New, Building Permit No. Permission is hereby granted to to install—erect—use the material and devices described in the above statement. This permit is granted upon he express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this permit on file in the office j'ice o f the Inspector of Buildings. � � / CV ® i� - � , Inspector of Buildings az 2M 11-7 V S-3�� City of Fridley,.Minn. BUILDING PERMIT Date: _ September 22, 1970 Owner: Allen W. Delzell Builder —Minnetonka Pools Address - 5290 Si: Address 10820 Wayzata Boulevard LOCATION OF BUILDING Igo. ._ _5222 _ _ Street St. Imier Drive Part of Lot Lot 7 _ Block 2 Addition or Sub -Division . Innsbruck Corner Lot _ Inside Lot Setback Sewer Elevation To be Used as: Sideyard Foundation Elevation DESCRIPTION OF BUILDING Swimming Rool Front — Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Construction Steel & Vynle r Est Cost _$5,000.00 To be Completed Oct. 15, 1970 In consideration of the issuance to me of a permit to construct the building described bove, I agree to do the proposed work in accordance with the description ab ov t forth and in corn ante th all provisions of ordinances of the city of Fridley. I In consideration of the payment of a fee of $ 30.00 , permit is hereby granted to Minnetonka Pools 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 andmoving of buildings within� city limits and this permit may be revoked at any time upon violation of any of the provisions of said �'�G� Building Inspector MUHM H NOTICE: " permit does not cover The construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sore to no the Building hrspeetor for separate permits for these hems. (M/N) �vlityiyE"I Gi'vi:N, h:;Ni 1. S5343 r 4 MINNETOt','.e<% POOL CO. P1 tqi l.E: 5,'S - 32`x. DR. A. W. .��-go sr..71Vr4fR DR. 9/ie07o FRI DI.LY, MINH. A MTK�DL�POW- Co. r APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME;%,, ,_ 1�, D�`,Lz = ,C L • BUILDER: /�//Y/r/�'%.4 S ADDRESS : J;21� o J-7' / /�+/)k-f( 6/R, ADDRES s R 141 0) 1?104 P , NO:STREET: LOT: 7 BLOCK: aZ ADDITION: / /VAI S ,? /% G 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: Lri /Iy )Yl /"1'9 bob, Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; �i�S`% Cubic Feet: Type of Construction:eG�/.�. _ �� Estimated Cost: Ar To Be Completed: 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. DATE : * �� _, SIGNATURE: t Ix (See Reverse Side For Additional Information.) 10820 Wayzata Blvd., Minnetonka, Minn. 55343/612.546-3281 I, I(we?) tt L (/.1, L Z�l-L� as ownerCI of the property located at J�,�9 d ST M_ fZ FL OLCY agree -to assume; responsibility to erect a fence -around proposed swim- ming wimming poo-l.at thee above mentioned -address within twenty-one (21) days of p-nol completion,_ P L further agree to build the fence to comply with the following code:: ax L41-19 M D RIBUTOR OF FOX POOLS I STRONG NAME IN POOLS 7 -4 0 ENGINEERING GEOTECHNICS 7708 LAKELAND AVENUE P. OSSEO, MINNESOTA :moo Scale 0 Denote Iron Monument CERTIFICATE OF SURVEY Si E- 2 , Q o o' 4c' O X w Co,aC. $1pC\VAS-K to 9S N Q, Y m x .0 Co>JC. r 4.1 �Sa� Y' 30 «.o• ® n L- p T -1 , 13%- OG(C_ 2 Zhw%fb ZaC14, 570 ADO 1Tt 0 � A N-�' o gyp, G © u LAND SURVEYING PHONE (612) 425-2181 We hereby certify that this is a true and correct representation of a survey of the boundaries of the land described above,.and of the I.ocation of all buildings thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this ZZ 'J" day of ---.-_--_ --S c -P -r-' hgE�-___ CASWELL and ASSOCIATES by — 7", file N , 4'83- �',:._ Book .__- ,. _.-- Page _. _ - -_--__ Minnesototo_ M 10820 Wayzata Blvd:, Minnetonka, Minn. 55343/612.546-3281 1(we) AL AJ L Zas owner ("R of the property located at S'�P9 d SJ ..744)-EOZ agree -to assume responsibility to erect a fence- around proposed swim - Ming pool at the above mentioned.address within twenty-one C21) days of pool completion, "i I_further agree to build the fence to comply with the following code: CIA(}J. A D DISTRIBUTOR OF FOX POOLS / STRONGEST NAME IN POOLS MINNETONKA POOL CO. 10820 WAYZATA BLVD. MINNETONKA, MINN. 55343 PHONE: 546-3281 City ®f Fridley, Yllb m.. BUILDING PERMIT Date: May 3. 1971,. Owner: Dr. A. W. Delzell Builder Same LOCATION OF BUILDING No. 5290 Stmt _ St. Imier Drive N.E. — part of Lot Lot 7 __ Block _ ..__ Addition or Sub -Division Innsbruck 5th Addition Corner Lot __ X Inside Lot Setback _ __ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING 10996 To be Used as: Filter gbp-T -er Front 12' Depth 10' Height 10' Sq. Ft. 120' Q, Ft 1200' Equipment Storage Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est Cost ` $800.00 _ To be Completed dune 15, 1971 DOUBLE FEE 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 f^ and in complier with all provisions of ordinaaoes of the city of Fridley. ( lu" ��,, ll lam• In consideration of the payment of a fee of $ 12.00 permit is hereby granted tom Delzell the express condition that toth construct the building or addition as described above. This permit is granted upon person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or anyppart 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. y 00, CLARENCE BELISLE e NOTICE This permit does not cover the construction, installation for whdng, plumbing, gas heating, sewer or water. Be sure to am the Building inspector for separate permits for these items. 4 APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA (SAmif) OWNER'S NAME • . DR, A. VU 0 E_L Z t LL_BUILDER :--P A 9 V_Y ADDRESS : J`_c3- % O S t - _A4 ) d k IDA- ADDRESS • NO • . a g ® STREET: LOT: ! BLOCK: Z ADDITION: 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 Front:Depth:- Height: ` Square Feet: __/ •Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: _ _Z Estimated Cost:_$ To Be Completed: 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. DATE:' LJ- �� �� SIGNATURE: LJ- A4 (See Reverse Side For Additional Information.) e �r12,�,. a•to > POOL CO. I0S201 VY"(ZATA BLVD. rVIIINN I r,, —-. 55343 lk= f 61 C 10 �rp 2 Z)/,, saj4 aw Aq P-4Ajns sV PU01 PIOS LIU 10 -UJ.14 'ALID J! s"olplinq i1r; 4o wll;-)DCj OL44 joPUD o-Nroqo 40 ,,rjjj r; ., - ,;q; jc,,p �1;4jz)D Aqajaq @AA 18 i C'S Y Z]9 31,'OHd 5NIA3A?JnS dNV-1 O 0 Cl 3n *"AV r-23 �A -, cl N T- < `b N vN- --I ci t 7c.cJ7 n. 0 X. 1p C> 74 �wwnu�yj oo�! a c - - -- ---. ----iol ., n c;, cc>l -v*,x 4Z-1 0-1- -a t� t " t V -i AE]Mns :jo 9-ivDi--imi3D S -D 1,1-,l H D3 10 3 J saloon , I -'!'J]AV C!N'113NV-! SOLI 9NlZ8]JN19N3 City of Fridley, Minn.. No K 099 EUII.DING PERMIT Date: May 3, 1971 Owner: Dr. A. W. Delzell Builder Same Address 5290 St. Imier Drive N.E. Address Same LOCATION OF BUILDING No. 5290 Street St. Imier Drive N Ems.,_ part of Lot Lot Block _____ __ 2_ Addition or Sub -Division Corner Lot — X Inside Lot -- Setback __ _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Alterations to HouseFront Depth Height _ Sq. It. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Thermo Door Est. Cost �..QO _ To be Completed April 2R, 1971 Completed Already M 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 fornd in compliance with all provisions of ordinances of the city of Fridley. I ,j W• In consideration of the payment of a fee of $ 6.00 , permit is hereby 4A n, 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. t, NOTICE: M permh does not cover the construction, hntallation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permhs for these hamm APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ,}� ( s AM OWNER'S NAME : SCJ � , � . w , DEL z t a_ BUILD ADDRESS Sy ST -T'4 fa. Q R ADDRESS: NO :. S j 0' STREET: , . �'� , 0 p . LOT: BLOCK: ADDITION: fn Y)s� r ti Add i o) 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: Front • Depth: Height -* i Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: oR te.rVI, Estimated Cost: 0 To Be Completed: � Z 13 l 7 ---a- The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict 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 : , _ 9— -3 � , - SIGNATURE (See Reverse Side For Additional Information.) or City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: April 26, 1972 per: __ A. W. Delzell Builder Same ,Addregg 5990 Si-_ Tmi ar Drive N _E _ Address Same LOCATION OF BUILDING No. 5290 Street St. Imier Drive N.E. part of Lot ?rot 7 Block 2 Addition or Sub -Division Innsbruck 5th Addition Corner Lot X Inside Lot Setback _ Sideyard Bewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Pnrr•b.__ Front _.131 Depth 14t Height —IV 12 t Sq. Ft. 182 Ca. Ft. ._ Basement 1Front Depth Height Sq. Ft. Cu. Ft. Type of Construction WOO d Fxame Est. Cost _ 83—OD0..00 To be Completed 3 months r Stipulations: Frost footings under porch 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 pity of Fridley. C:�� 4� A� 2.50 State Surcharge In consideration of the payment of a fee of $_30._09 , permit is hereby granted to Mrs. Delzell 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 Pridley, 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 NOTICE: This permit does not cover the construction, installation for wiring, plumbing, Bas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these hems. s APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING P,tRMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: De` �� lI BUILDER: ADDRESS: ADDRESS: NO • . �2 :Z p STREET: LOT: 7 BLOCK: ADDITION: CORNER LOT: y 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: Add",� Front: ' i,3Depth: Height: x'n Q Square Feet: ` Cubic Feet Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: c� Z`YP Joe r4.,-, Estimated Cost: $.Lebo To Be Completed: 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. DATE: SIGNATURE: (See Reverse Side For Additional Information.) �0 4 EMEG City of rridley: The undersigned hereby makes application for a permit for the work here!, speeified, agreeing to do ail work in strict accordance with the Qty Ordinance and exiling of the Department of Buildings. and hereby declares that all the fact and representations stated in this application are true and correct 19=7Z Kind of Bower 0 Used [71 PLVMIdHMG FIXTURE RATESoO. Number xtums ................ X .�RATE� �TOTAL Future Fixture Opening .... a ...... X $1.50 t New Fixture Old Opening... • ...... x $1.50 $ Catch Basin .................... x $33.25 8 Water Neater (Up to 99,000 BTU) 3 3 3 3 X $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electg@ Rater Hmtw .............. a $22.00 $ GAS FITTING FEEB. NO. BATE TOTAL 1st 3 Fixtures ............ a .. • • x $2.00 $ Atonal Platura................. x $$.775 $ qq G& Range to . B b 6b' . . a. s e . o e .e. x $5.00 State Surcharge $ .50 RE PAM & ALTERATIONS—Roger is CodeDanal_ p"on............................................ TOTAL 710 $ To be s; EstimaU (�I�dew. Building Permit No. Pormit No. .522 s SignedL� ROUGH FHxAL � • v2 �/- �.5� By Business Phune No 7 9 @ ENGINEERING GEOTECHNIC31; 1705 AKELAND AVLt.6= P 0 CISSF0. W�1.'.:ESOTA I*_ scolo ) - so LAND SURVEYING PHC,'4E 612, 425-21,81 CERTIFICATE Of: SURVEY For M I 1-a l') s R6 c), ,- s. , I -*.->'c. - TRC> ar - 4o. 1p 3-- 't. kA 6) 9, 4 �.t 30 'c' -T 2.. Z N U S fL.tA. C V., 57c c) o -T I c, %IZ:11 We hereby cert-fv TI-,z;t th, trie., or)c: sur-.cy Of th,. L-Dundaric--, Jf ti.. !,nddf:­,rnhed above and of 0�., kcctt,n of r--jl! buddir-gS Th,rL­rl. if 3tl\/, rt or !)n said larld A, surveyed by r-ne this J, f 19 10 Z 'CIA18 *00 _100d V'11,:01_­�% ::i FA CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 August 10, 1983 Mr. David Delzell 5290 St. Imier Drive N.E. Fridley, MN 55421 Re: Intersection Vision Safety Zone Obstruction (SECOND NOTICE) Dear Mr. Delzell: Enclosed you Will find this department's letter dated July 11, 1983 which brought to. your attention the need to trim the lower branches from the Pine tree located on the corner of your property. As indicated, a reinspection was conducted on August 10, 1983• The inspection found that the obstructing branches have not been removed from the Pine tree and that the branches continue to obstruct the vision of motorists traveling on Berne Road N.E. Therefore, to provide a clear sightline for motorists traveling in your neighborhood, the City must again require you to remove the lower branches from this Pine tree. A reinspection will be conducted on or about August 22, 1983 to determine compliance. The City is confident in your cooperation on this matter and if any questions or problems result from this letter, please feel free to call on me at 571-3450. Sincerely, J/1�11 STEVEN J. OLSON, R.S. Environmental Officer SJO/mh ENC: 1 July 11, 1983 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. David Delzell 5290 St. Imier Drive N.E. Fridley, MN 55421 Re: Intersection Vision Safety Zone Obstruction Dear Mr. Delzell: TELEPHONE ( 512)571-3450 In order to provide safe passage for vehicular and pedestrian traffic in the City of Fridley, periodic inspections of street intersections are conducted. An inspection on July 11, 1983 has determined that the sightline for the intersection on your property is obstructed and could present a hazard to traffic. Section 205.154 of the City Code requires that, "On a corner lot in a vision safety control zone, nothing shall be erected, placed, planted or allowed to grow in such a manner as to impede vision..., the vision safety control zone is described as follows: That area bounded by the street right of way lines of a corner lot and a straight line joining points on said right of way lines twenty five (25) feet from the intersection of said right of way lines." Therefore, the City is requesting you, the property owner, to correct the following problem and to make the Cityfs streets safer for travel. A reinspection will be conducted on or about July 25, 1983 to determine compliance. We are confident in your cooperation to correct this problem, but if there is any problem with the interpretation of this letter, please feel free to call on me at 571-3450. The inspection of your property indicated that the following obstruction existed and should be corrected: Trim up the lower branches of the Pine tree to provide a clear night line for motorists. Sincerely, 6 P STEVEN J. OLSON, R.S. Environmental Officer SJO/mh MEMO TO: John Flora, Public Works Director MEMO FROM: Steve Olson, Environmental Office; - MEMO DATE: July 11, 1983 REGARDING: Memo JF -189, Intersection Obstructed at 5290 St. Imier Drive N.E. I made an inspection on this date and mailed out our standard letter asking the property owner, Mr. David Delzell, to trim up the lower branches of the Pine tree (see attached letter). The Police Department says there was no accident at this location. A motor vehicle parked in front of 160+ Berne Road was hit from behind on July 4, 1983 by a car rounding the corner from St. Imier. SJO/mh ATTACH: 1 SUBJECT PERMIT NO. City of Fridley 142 18764 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. r • COMMUNITY DEVELOPMENT DIV. - ------ i PROTECTIVE INSPECTION SEC. � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY - j, 612-571-3450 910-F15 12/15/86 JOB ADDRESS 5290 St. Imier Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7 2 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Delzell 5290 St. Imier Drive 571-0853 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, Marick Builders, Inc. 200 West 88th Street, Bloomington 55420 888-2929 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 Interior Remodeling 9 CHANGE OF USE FROM TO STIPULATIONS Provide w= products of combustion fire alarm on 2nd floor, sleeping area, and in basement. SEPARATE PERMITS R.EQUfRED FOR WIRING, HEATING, PLUPA- BLUG AND SEGUS.. 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 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 $7,550 $3.78 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- TION OR THE PERFORMANCE OF CONSTRUCTION. $68.50 PLAN CHECK FEE TOTALFEE 123 1 $89.41 I6NATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY LIDATED THIS IS YOUR PERMIT BLD3 )NSP gaTE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI Construction Address: Legal Description:_ Owner Name & Address: Contractor: 1WIe Address: City of Fridley Effective 14/1/86 �R-1 AND R-2 Building Permit Application a -- y s. "17-1 /ka A L,7ZxL-Z , Tel. # W-09 S;_3 z2 c Tel. # i2�it9�d 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: Corner Lot 0I Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Alt. A Alt B See Back Page for Explanation DATE: C APPLICANT: /,/�41x,�(CIK bU(���� �/�L � Tel. 9- S, �; l :�X7_:�-/ Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL. t QTTDQ TTT_ATTnM• �afZ� (;Z%— CITY USE ONLY $ (Aso $ $ Ian. pllou �fuz YcI®rjcjcq ()1z C� awJ30sTQ ®.kJ Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $1475 per SAC Unit Fee Determined by Engineering Agreement Necessary'[ ] Not Necessary [ ] 00o 6)'(0 11 SUBJECT P - City of Fridley 7 3 2 9 AT THE TOP OF THE TWINS BUILDING P E R M I T Ir RECEIPT NO. i • COMMUNITY DEVELOPMENT DIV `a: r ------ PROTECTIVE INSPECTION SEC. I � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 12/21/95 JOB ADDRESS 5290 St Imier Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Allen/Linda Delzell 5290 St Imier Drive NE 571-0853 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO E L Construction Inc 14701 Oakwood Rd Mtka MN 55345 538-1128 5860 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 0 NEW 0 ADDITION CK ALTERATION 0 REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Remodel Kitchen 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS„ 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 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 $23,500 @ $11.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOESNOT SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI S F ANY OTHER STATE OR LOCAL LAW REGULATING CON- PERFORMANCE OF CONSTRUCTION $337.25 Fire SC $23.50 STRUC ON THE PLAN CHECK FEE TOTAL FEE License SC $5.00 $377.50 I_ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ' FWHEN PROP Y VALIDATED THIS IS YOUR PERMIT plc �A i 27-9f _ SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BLI 1 )NSP DATE 11 NEW Effective 8/l/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: :.? %o 5-T, ` Legal Description: Owner Name & Address: L, A-tj =4 Tel. # 571 - Contractor: 7/ -Contractor: r e y=4- t MN LICENSE # 5'J k'c Address: /Y 7o,, OA wt -'w-'�A Tel. # 3 :s- c J- S' �-► e_y 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: t� -4�-• c, e.r. -, - Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ 3S'va Approx. Completion Date: 2 J (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = . Ft x $ _ $ Lj < r DATE: L/�� %s APPLICANT: Tel. # - 7 ,Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ zzi Fee Schedule on Reverse Side $ �, 16 .001 of Permit Valuation (1/10th%) $ Ih 7 $.50/$1,000 Valuation $ $850 per SAC Unit $, ex) $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Pian Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] 0 A CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH Fi MM Effective On March 1, 1996 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 co Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ C. S2, JOB ADDRESS :�; Z!® 6 �17'n j1 e� I r. 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. 1 , 1996 Owner blL, 6 t L L- U Building Used As LI L L' /' ® C9 e s, Estimated Cost /��� PERMIT NO.FF 1. PLUMBING COMPANY -12e to b tA) SIGNED BY TEL N0. 5 337-z'-) Approved By Rough -In Date Final Date MINIMUM FE FOR ANY PLUMBING G&S PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE L ' **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 80 INCHES. Building AMCHANICAL fR it No.: v Inspections RESIDENTIAL APPLICATIONived By: 7.63-572-3604 CITY OF FRIDLEY �gi: DATEYOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: 0 OWNER 06ONTRACTOR PROPERTY NAME: /3 44 OWNER/ ADDRESS: 5�a90 0.-rAlieo_ d 'Vd- CITY A5 w/, STATE/�% IP$_ /��, TENANT PHONE: CONTRACTOR COMPANY NAME: e A, SUBMIT A COPY OF CONTACT PERSON: �i.;L�e �eci' YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 197A46( 011/d CITY '60 STATEM±�ZIP—� APPLICATION PHONE '763% 6§r9 -X676 FAX G C PERMIT TYPE SINGLE FAMILY O TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: O NEW 0 REPLACEMENT 0 ALTERATIOWREMODEL DETAILED DESCRIPTION OF WORK F%'r /`c -L/K/'000/. PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODEL: SIZEIBTU Equipment Installed MFG: SIZEBTU MFG: MODEL: MFG:MODEL: SIZEBTU AIC $25.00 _FIREPLACE (GAS) $15.00 GAS RANG RILL $ $10.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $14.00 BOILER $35.00 _FURNACE $35.00 GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $IO 00 VENTILATOR $IS 00 Fee $ Number of fixtures @ $10.00 x $10.00 = Permit $ Number of fixtures @ $15.00 x $15.00 = $ Surcharge TOTAL DUE .50 $ —15- Number of fixtures @ $25.00 Number of fixtures @ $35.00 x $25.00 = $ x $35.00 = $ State Surcharge = $ 50 Total = $ THIS IS AN APPLICATION FOR A PERMrr NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I 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 requires review and approval of plans. SIGNATURE OF APPLICANT "W4 ,�_J.I PRINT NAME tel• ilae/ /feo /`i DATE B 7-Zlf_�_ City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ENGINIFE-PING 77C'S i.AKEL/,N.) A.L.k,: F6r— &:Ole I -EOTE,-Hti-K- CERTIFICATE OF SURVEY LAND SUff"VEYIN'C3 PHC,'.i 6 1 ^- 4 2 5 2: 1 We hereby ccr,,f\ tf c6, -..e and -..f :'' if oily, f; -n- '.Dr -,r,, A-- surv;vci by r -c- Ov,, i uZo C -P C> 19 4.1 40. 01o 1 > Ip I is i 00 j1 41- 0 30 C> • C> LAND SUff"VEYIN'C3 PHC,'.i 6 1 ^- 4 2 5 2: 1 We hereby ccr,,f\ tf c6, -..e and -..f :'' if oily, f; -n- '.Dr -,r,, A-- surv;vci by r -c- Ov,, i uZo C -P ' -t' 19 4.1 '00 lok-jLi 4 T Building,' BUILDING Permit No.:. -t) Inspections RESIDENTIAL APPLICATION Received By: 763-572=3604 CITY OF FRIDLEY SATE ;D O YOUR E-MAIL ADDRESS ' C 3 C-�i14�1 YA a . CO M SITE ADD S PHIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER! NAME: S—Ak"10— C TENANT ADDRESS:_ ZZ O S�I' M JQ�L�CITY STA IP4 L2-/ PHONE: CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE ADDRESS: C STATIIPS59 9 WITH APPLICATION PHONE .- Z "' 00 F �' �'f �" 7 9 7' PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ADDITION ❑ GARAGE/SHED ❑ WINDOWS BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING O OTHER O SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR O REMODELING re DESCRIBE WORK BEING DONE: �— SIZE OF IMPROVE _ _ _ LENG TH HEIGHT Sq. Ft. ROOFING 0 HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1- 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: O DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: (�_ I SIDING " °� FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ vinyl OSoffit / ` — ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim n 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS OYes 0No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OFWINDOWS L FEES ARE BASED ON VALUATION, INCLUDING T14E COST OF LABOR AND MATERIALS: ALAi (U1997 U.B.0 FEE SCHEDULE) ALUATION S OCCUPANCY TYPE Permit Fee $ e'�'ZtSee Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ te-*.001 times the total job valuation Surcharge $ -5 . qq .0005 x Permit Valuation Minimum $.50 License Surcharge $ C5-1t1V $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ _ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I 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 witllthe approved plan in the case of all work w�flTgquires reviewAn(Japproval of plans. l # SIGNATURE OF APPLICANT _I ___ n AAA' _ 5 L—J4J ✓\ PRINT NAME r-OeAl L d "Aw DA' NOV-30-190000: s\ REScImck CoA 2000 EFCC RESdsa* So4wwo i Dom f1cumm, c -moi 2004\07065,ro'k CITY' FlidlcX STATE: Miunmom IDD:7391 CONSTRUCTION T WINDOW / *ALL I DATE. 10/12107 DATE OF PLANS: Act, f,elrtifieAte Chockcd BY/I%ft 3.6 Release 2 3 and Seib p\OvmxkMy DOM' nmft\Di=e!s FileADrdinj'and Dwipt i Single Family k 0.0 25, 2OC7 PROJECT DESCRIP ION-. cmg Clay Entry A&Iftion at 5296! St bm Plan #07065 COMPLIANCE:85s �UA— Pout Home [IA - 3&-- < -34.60/a Beettef T, ban Cc* (UA) Gross cdazhg Area or Cavity Cc at or Docr cooing: Fig 0;ing or sdfisw Tr,as s 140 44.0 6.0 Walh Wood Fr=4 140 o.c. z-rz 19.0 6-(1 Window: Wand Ftamk) uNe Paij i n , a with Ldw-E 8 0.360 Door. Solid � � : 21 0.260 I 1 crmd spa= mwowy�al Io& with Elnpty cells: 140 10.0 Ok Wall height -,4.0' Depth bdcwigmde: PLY Insulation dqAIL- 4011 COMPLIANCE STAT4MWr: Tbl-. proposod bdldiug design dwwIml hem is consistent with the build - I qxr.ifulions, imd othor cWaffitions Aubrn*W with the p2mlt --application. The proposed building has, ba mom the 2000 mcc m4nirmcm mi -kESdjm*V=ioa 3.6 Release 2 Mrmedy MWehwf and to comply I mandatory mquhwmOa listcd in the RESdw* Impection CbmkUst Bufldwtesignek %!10-7 P.01 3 12 3 5 Mg pIIM i deigned to wi* the TOTAL 13. 01 i Building BUILDING Permit Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FR.IDLEY Date Rec'd: J t— VA DATE,/ a� "� t b YOUR E-MAIL ADDRESS C'y C `4PQ4 LZ� SITEADDRESS X2-90 9Z Ind l -Ql, 1201, THIS APPLICANT IS: ❑ OWNER OCONTRACTOR PROPERTY OWNER/ NAME: 5 V -P- - G TENANT ADDRESS: 2 S% / CI STATEIP2 J PHONE: CONTRACTOR NAME: C' C_ t✓ o STATE LICE/NESE q °--4>S4.52, 3 EXP DATE / % CITY � �S_STATE, SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: T 3'7 oeyw-drt 4 4y --e �1e��?i WITH APPLICATION PHONE - FAX - -- Z PROPERTY TYPE gSINGLE FAMILY/NEW CONSTRUCTION SIZE I7 TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE o ADDITION 0 GARAGE/SHED O WINDOWS 0 BASEMEN' FINISH VkOOF O DRAIN TILE 0 DECK C3 SIDING O OTHER 0 SWIMMING POOL TYPE OF WORK: 0 NEW 17 ADDITION O MAINTENANCE/REPAIR O REMODELING DESCRIBE WORK BEING DONE: �� l �A 12 SIZE OF 11VlPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING a NUMBER OF SQUARES 3 o 0 HOUSE ONLY A'HOUSE & GARAGE BASEMENT REMODELING SUBMIT• 1. Existing Floor Plan GARAGES O ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: O DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT. SWING FOR NEW CONSTRUCTION INCLUDING DECKS, O Vinyl OSoiiit ADDITIONS & PORCHES SUBMIT: 0 Aluminum s, 0 Trim 1. Site Plan/Survey showing the existing structures O Other O Fascia and proposed project. 2. Two sets of construction plans Ni�INDOWS 3. Epergy Calculations IN EXISTING OPENINGS OYes ®No 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) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ �_ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ ,, (.0005) times the total job valuation - Minimum $.50 Fire Surcharge $ .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary( ) Non Necessary ( ) Total Due . $ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I 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 workyNch requires review and approval of plans. SIGNATURE OF APPLICANT �i�1� PRINT NAME U-,Q�g DATE Building $ BUILDING See Back Page for Fee Schedule Permit No. Inspections RESIDENTIAL APPLICATI®N Fire Surcharge Rec ' y .001 times the total job valuation Surcharge $ o 763-572= License Surcharge OF CITY � FRIDLEY ,1). 06-;P Date Rec'd: DATEO YOUR E-MAIL ADDRESS — r RC 1 x0 V Awl, C -W7 SITE ADREM Curb Cut Escrow $ THIS APPLICANT IS: O OWNERCONTRACTOR Erosion Control PROPERTY OWNER/ NAME: $450 Conservation Plan Review TENANT ADDRESS: �. O ITY STATIIPO Fee Determined by Engineering PHONE: $ CONTRACTOR NAME: �;, c Total Due STATE LICENSE # EXP DATE D-; i. 1:25- SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: !� /� CITY AV �ryyp�p,� b TATE - TH WIAPPLICATION NE Z. * , , F ,• ""��� PROPERTY TYPE ATSINGLE FAMILY/NEW CONSTITUCTION SIZE 0 TWO FAMILY/NEW CONSTRUCTION STORIES PERMTT TYPE 0 ADDITION 0 GARAGE/SHED 10 WINDOWS 0 BASEMENT FINISH 0 ROOF 0 DRAIN TILE 0 DECK AtIDING 0 OTHER i 0 SWAVIIvIIING POOL TYPE OF WORK: D NEW 0 ADDITION ❑ MAINTENANCE/REPAIR 0 REMODELING DESCOltj;CIBEII�TG DONE:yryLg�/►tZ _ 5i'1 jet --R �.f.Q W g�VY�?L�C. 1'�Q UtJti t�tl� SIZE�""77O0OF'��IIVIPSR�VVE MENYTY LENGTH WIDTH HEIGHT Sq. Ft. ROOFING 0 HOUSE ONLY NUMBER OF SQUARES 0 HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ATTACHED GARAGE I. Existing Floor Plan PROPOSED SIZE: 0 DETACHED GARAGE 2. proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, 0 Vinyl OSoffit ADDITIONS, & PORCHES SUBMIT: O Aluminum O Trim 1. Site Plan/Survey showing the existing structures 0 0 Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS GYes ONo LOCATION OF WINDOWS 3. Energy Calculations 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) TOTAL JOB VALUATION $ / Z. 60dO . W OCCUPANCY TYPE Permit Fee $ a.p 1 • j See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ & . ty .0005 x Permit Valuation Minimum $.50 License Surcharge $ ,1). 06-;P $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ D-; i. 1:25- Make checks savable to: City of Fridlev Attach Stiaulations THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I 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 isnot a permit but only an applica' 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 wo which equires review ftd ppp, pval of plans. L 1 Building BUILDING See Back Page for Fee Schedule Permit No ' -63 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF F12IDLEY Surcharge $ 763-502-4977 FAX License Surcharge $ ' $5.00 (State Licensed Residential Contractors) SAC Charge EFFECTIVE 1-1-08 $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow DATE �- ^' ) " t U YOUR E-MAIL ADDRESS re- � � � O m �✓ SITE ADDRESS $ $450 Conservation Plan Review Park Fee THIS APPLICANT IS: ❑ OWNER MCONTRACTOR Fee Determined by Engineering PROPERTY OWNER/ NAME: c9 e e r H TENANT ADDRESS: 6 -3-+ rile( I[_- i? CITY I f:;:7 -r f e STATE IP Make checks payable to:' City of Fridley Attach Stipulations PHONE: NAME:{, ADDRESS: t.A) CITY Ct'VW ✓t✓ TATEAb4IP_.,,� CONTRACTOR SUBMIT A COPY OF PHONE % 4 3 q FAX 6 63 414d Y �'g YOUR STATE LICENSE STATE LICENSE # 5;2 [� EXP DATE PROPERTY TYPE 4k9NGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION W AfD- ITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: CQ r GI'J-P ,J/ a "- l -VN SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT a f SQ FT 3 ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES MITOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: 0-jo ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIG FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ®Soffit ADDITIONS & PORCHES SUBMIT: ❑ Vinyl �l nm 1. Site Plan/Survey showing the existing structures ❑ Alummu 60 /A 4 Gk%scia and proposed project. 1$3 -Other 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS []Yes ]o LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF ���Y 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 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ ////`�, See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ ' $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to:' City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a buiWnikermit and I 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 wi 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 on site; that the work will a in accordance with the appy ued-Irh3nin-the-c se of all work which re qu r s review and approval of plans. SIGNATURE OF APPLIC NT PRINT NAME T rete I2 �,O r1 --V) .-P DATE —)3 APPROVED BYj. DATA �7" N : PA vf--- RNIB STROH, 'PC December 18, 2007 Mr. Satveer Chaudhary 5290 St. Imere Drive Fridley, MN 55421 Re. Structural InspQrtinn of Foundation for New Garage Addiction Dear Mr. Chaudhary: iSi�UCiUa�l CUbSUL11NC As requested, I have completed my inspection of the foundation and footing work of the new garage additiuii at your residence located at 5290 St. Imere drive Fridley, MN. The new garage addition will have a lower level and precast concrete plank will be used to span the garage floor. The footing for the new addition is 2W wide X 12" deep reinforced with two #5 bars_ The foundation walls are 12" masonry block with # 5 vertical bars at 6' on center maximum. I inspected the existing foundation wall and found it to be in good structural condition. According to my calculations the existing foundation all and the new foundation wall / new footing will be adequate to support the precast concrete plank garage floor. A concrete topping should be poured on top of the precast plank sloped to the garage doors. Please forward a copy of this report to the City of Fridley Building Inspections Department. Sincerely, Stroh t gineering Bernie Stroh ti�ti111�ttit LICENsf=t7 jPR0FEBSI0NA1.ENGINEER _ 1426:9 %%b ti O11i7 im rism winiilil mum uruam ur+rurr Ila rs++a __ rjp. {rrjj ar,t Ciao arrirr IQclt acv nett r uen rrnnnran+ur�arr.,rnur�rr urr Z0 3E)Vd 9809V90T99 96:60 800Z/GT/Z0 02/12/08 10:08 FAX $51 788 0229 MOLIN CONCRETE PRODUCTS 1@001/004 ATTN: BRETT LARSON 763-221-37% 763-444-8247 FAX 2113/08 DEE CHAUDHRAY 5290 ST MER DR NE FRIDLE'Y MN MOLIN SUPPLIED 4 PCS 8 X 24 0 21'4 LONG .... .D38 1 PC S X 16 @ 21'4 LONG .,,D27 FILLER PC SEE ATTACID LOAD TABLE..... ANY QUESTIONS, CONTACT MOLIN CONCRETE 651-786-7722. ASIC FOR, ENGINEERING. MOLIN JOB # 08-8010- £'d L690-6L9(£9L) ke4pnE4o aZ£:60 80 tq qQ=l Feb 14 08 09,32a Chaudhary (763)571-0897 p.4 I 0- 0 MA .x b 4) o CE 3: too/zoo pl P O 8 II 11 It H Q -4 o :9 -am ilQwa V3iiomoa Krum 6aao SSL TS9 IVA 90:0T SO/CT/90 s0 4 OaV uGJ 0 MA .x b 4) o CE 3: too/zoo pl P O 8 II 11 It H Q -4 o :9 -am ilQwa V3iiomoa Krum 6aao SSL TS9 IVA 90:0T SO/CT/90 Building zwtDo 0)( PLUMBING Permit No:;_�"—WQ�5 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY4iqM__ 763-502-4977 FAX EFFECTIVE 1-1-08 DATE 1 -lb -IDD YOUR E-MAIL ADDRESS SITE ADDRESS wgio sTi'►'ll e& THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: ADDRESS: CITY�'C%&A-e'1 STATE-ITAP TENANT PHONE: CONTRACTOR NAME: S1yy-%QL°( ?LXjyr'*)6lWi0 STATE LICENSE # N Vn (9m UO 62`i EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # R U 5 9gV3 l 6 EXP DATE CERTIFICATE OF ADDRESS:yw 1B- 0"1 CITY f"%) F- 1- STATE M J ZIP 5533"D INSURANCEPHONE -Zl��`12,��`3��1 FAX iia � PERMIT TYPE 0( SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: I(NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK hAp Tz' 5 PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. BATH SINKILAV DRAINS SHOWER _ WATER PIPING _ _FLOOR _ _ BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) _ _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 TOTAL DUE $ (MINIMUM $15.50) (MINIMUM $15.50) Total = $ ' THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I 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 on site; that the work will be in accordance with the approved p m the�se of all work which requires review and approval of plans. ¢ SIGNATURE OF APPL PRINT NAME �� O T'J S 1 A DATE ,k' 08 APPROVED BY DATE a Viaµy City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 .763-572-3604 FAX: 763-502-4977 MECHANICAL Permit Nazg, Building Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec' 763-502- 977 FAX EFFECTIVE 1-1-08 DATE YOUR E-MAIL ADDRESS SITE ADDRESS (> S� I m 'THISNT IS: ❑ OWNER ]CONTRACTOR PROPERTY- NAME: ADDRESS: 1 �i �T �rv+'�L'� �� CITY �%i e� Gti �° STATE�_ZIP R/ NT PHONE: CTOR 11 COMPANY NAME: S �J �7 mSON z rie CONTACT PERSON: �T� r NOTE:E CITY S ARE OR GAS STATE LICENSE # EXP DATE STATL�4 ZIP G7.5 at AC. DRESS: 0A �i'J c,Tcy 'Sr CITY t, V b 64-7-S SUBMIT COPY OF BOND PHONE 65) Fj FAX ANDINSURANCE PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW ❑ REPLACEMENT �QLTERATION/REMODEL TYPE OF WORK: DETAILED DESCRIPTION OF WORK U PJ a: T H 9: fa'rtf PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) SIZE/BTUp� ®� Equipment Installed MFG: ton 1� I� 2ND MODEL: MFG; MODEL: SIZEBTU MFG: MODEL: SIZEBTU A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 NEW GAS GRILL $10.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 GAS UNIT HTR $10.00 _BOILER $35.00 _FURNACE $35.00 CHIMNEY LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _GAS '�DUCT WORK 00 9K GAS PIPING $10.00 VENTILATOR $15.00 y}{^�$10 WE .�.. 1 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ _3O Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $—� OR Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 MINIMUM $15.50 MINIMUM $15.50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a mechanical permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances this is not a but only an application for a permit and work is not to and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand permit start without a permit; that the work will be in accordan w the prove Fplan in the case of all work which requires review and approval of plans. f SIGNATURE OF APP L T PRINT NAME CNF,,( -LI -s5 W. t ^N< DATE DATE APPROVED BY �� . # w+ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 .763-572-3604 FAX: 763-502-4977 Building BUILDING See Back Page for Fee Schedule Permit No !' 65% of Building Permit Fee Fire Surcharge $ e Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 = ` CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow EFFECTIVE 1-1-08 ft + 6 ft = ft x $21 =$. Erosion Control DATE � d —C/ S' YOUR E-MAIL ADDRESS T '7k i` I E4a tK 0 J- / d SITE ADDRESS d Qn �" k--�I.+I��f--e�� ,-r-Pr'J �' 1/ $ THIS APPLICANT IS: ❑ OWNER 0 ONTRACTOR Sewer Main Charge PROPERTY OWNER/ NAME: V e g— VV Total Due TENANT ,7_ �+� �9`I ADDRESS:�/` 1` t � � �?' CITY P ri STATEA�ZIP /-('2 PHONE: (®1 �Y® 1 .10 J NAME: s^•e eL' ADDRESS LA-) CITY:4AIf Jl c STATE IP CONTRACTOR SUBMIT A COPY OF PHONE �° _� % �( FAX -° L �i ei- �� y %' YOUR STATE LICENSE STATE LICENSE #_a6 I? Sol C J, EXP DATE PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH • EI ROOF ❑ DRAIN TILE ❑ DECK '❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION El jpDITION ❑ MAINTENANCE/REPAIR VIREMODELING DESCRIBE WORK BEING DONE: 4.-cR ra vn e a ►��� SIZE OF IMPROVEMENTo LENGTH WIDTH HEIGHT I B SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE I. Existing Floor Plan GARAGES wA"FrACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING � ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl L1Soffit yl frim 1. Site Plan/Survey showing the existing structures ❑ L�ther ®l�, �`� f18°I��ascia and proposed project. Z. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No 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 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 0 I C-�'c co 0 OCCUPANCY TYPE Permit Fee $ . '--20 L7 See Back Page for Fee Schedule Plan Review $ " . 65% of Building Permit Fee Fire Surcharge $ e .001 rimes the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$. Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I 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 on site; that the work be in accordanw With the apWeve4flZ in the case of all work which requires review and approval of plans. SIGNATURE OF APPLJC NT _ PRINT NAME 4) /f 4.0t,J'ev7 DATE 1FAWOMIKI;Ad to Permit Fee $ Number of fixtures Ts x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.60 = $ TOTAL DUE $ OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 (MINIMUM $15.50) MINIMUM $15.50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit, and I 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 Fridle and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is n t to start without a permit on site; that the work will be in accordance with the approved plan in the cash work which re s re iew and approval of pi S. n f PRINTNAM SIGNATURE OF APPLICANT `� APPROVED BY City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 DATE/ y PI�TJMBING Permit No.: � f Building Inspections RESIDENTIAL* APPLICATION Received By: /� 763-572-3604 CITY OF FRIDLEY Date Rec'dJZZ- 763-502-4977 FAX EFFECTIVE 1-1-05 YOUR DATE �� E- ADDRESS SITE ADDRESS ° THIS APPLICANT IS: ❑ OWNER MONTRACTOR PROPERTY NAME: ADDRESS:z-P CI STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME. _ STATE LICENSE # 7 6 2- 7S EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE STA7�W Z CERTIFICATE OF ADDRESS: INSURANCE PHONE=� �� FAX PERMIT TYPE gr NGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW PLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK 1 PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = plus .50 surcharge 0 FOR PROTECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. WATER PIPING BATH SI NK/LAV DRAINS _FLOOR —SHOWER —BATH _WATER SOFTNER {$35) _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER CLOSET _ BACKFLOW PREY. ($ 15) _ CLOTHES WASHER _ KITCHEN SINK _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION — — WATER METER —OTHER SMmss.,.., -r Permit Fee $ Number of fixtures Ts x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.60 = $ TOTAL DUE $ OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 (MINIMUM $15.50) MINIMUM $15.50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit, and I 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 Fridle and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is n t to start without a permit on site; that the work will be in accordance with the approved plan in the cash work which re s re iew and approval of pi S. n f PRINTNAM SIGNATURE OF APPLICANT `� APPROVED BY City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 DATE/ y