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PRE 2010 DOCS0.1 City of Fridley SUBJECT PE ® 12477 AT THE TOP OF THE TWINS BUILDING PERMIT a r i.ECEIPT NO. ' COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 , NUMBER REV. DATE PAGE OF APPROVED BY = 1` /---1 CITY HALL FRIDLEY 55432 L ----A / %j 612-560-3450 910-F15 14/4/74 / JOB ADDpt 5 Washin ton Street N.E. 1 LEGAL. LOT NO: BLOCK TRACT OR ADDITION SEE ATTACHED DESCR of 8 and S. 133 f of Lot 9 Block 1 Adams St. AdnSHEET 2 PROPERTYN15Mh 13.341 d`fuLt" ES16 Block 4 ZIP PHONE Omar Nelson 5797 Washington Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK New foyer house and garage 9 CHANGE OF USE FROM TO STIPULATIONS 1- Provide a verification survey 2. Provide a hard surface driveway SEP ERATE PERMITS REQUIRED FOR WIRINOt HEATING, PLUMBING AND SIGN& SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. F CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1 . .. Y 19UOS OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS x1all STREET PACkL.4480 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYVIOLATE TEL� PERMIT F48OO SAC CHARGE O PROVISIONS OF ANY OTHER STATE ORLOCAL AWREGU AT NGCON 3 U STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $3'59.28 SI TUREOFOONTRACTOROORRj(�y,UTHORIZEDAGENT (DATE) PROPERLY VA {1 ED THIS YOUR PERNM BLDG WSP JIS DATE GNATURE OF OWN ER I IF OWN R.UILDERI. (DATE) APPLICATION FOR RLSIDENTI.-L, ALTERATION, OR ADDITION BUILDING PERMIT C11'Y OF FI:IDLIY, MINNESOTA OWNER'S NAME• ;� SU&I BUILDER ADDRESS: ;'�'7 C���� t/` AC ADDRESS .-�— T NO.- . � ��� STREET i✓ TOOT ��04. BLOCK: � ADDITION: CORNER LOT:` INSIDE LOT: SETBACK: �r SIDEYARD. ® � Applicant attach to this form Two Certificates of Survey of Lot and proposed buildirig location drawn on these Certificates, DESCRIPTION OF BUILDING To Be Used As: le.as-c Front: 211 Depth: *7/V Height: , 0 PCOVe-9 514XIIICI Square Feet: f Cubic Feet • fo mar a��' 71 , e. Front : If Depth: Height: Square Feet;— Cubic Feet:/-� Type of Construction: i.YP Estimated Cost: $ , gLe To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that ,i11 the facts and representations stated in this application are true and c orrc-c t . DATE: 3 . �� --Z S R; MUM: �c'_��—• (See Reverse Side For Additional,Tnformatio,.) City of Fridley AT THE TOP OF THE TWIN$ rv------COMMUNITY DEVELOPWRT DIV, i PROTECTMIC r49ftCT*M VZPT, i CITY HALL FRIDL4V 6032 $IOIJEGT Permit No._�, PLUMBING PERMIT APPLICATION Job Address Owner Address Phone 0, Plumbi g Con cto Address Phone Kindof Building' Use Completion Date lEstimatedCost� a /� -/ ;;'�`� M a Q 0 be a f� d 3 Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 % �, QC-) Future Fixtures x.$1.50 New Fixture -Old Open. x $1.50 Catch Basin x $3.25 Water Heater -99,000 BTU / x $3.00 13.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: 1st 3 Fixtures `�- x $2.00 x.00 Additional Fixtures x $ .75 Gas Range -199,000 BTU x $5.00 Repairs &-Alterations See Description: Code State Surcharge .50 TOTAL*FEE !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 declare that all'the facts and representations stated in this applic tion are true and correct. 'Signature tP Alr-Thiangh p='m m7d cowl= PARTIAL RATE SCHEDULE wt.. of �I*1 � am-sm GRATI'1°5i WARM AIF: RATE 'rwj I.. F urnwe Shell & Due Work ... ... . $10.00 $ / &. (j 61 Replacement of Furnace 3.00 OL - Repairs &r Alterations—up to $300.00 6.00 g Repairs & Alterations each add. 8500.00 3W S "+rel;'"w:-. ��i:'• :1. •. �:�: i2f Furnace Shell & Duct Work to 120,000 BTU .110-00 S each add. 60,000 BTU . 3.00 $ Repleent of Furnace 5.00 $ Repairs & Alterations -up to 8500.00 3.00 $ Repairs & Alterations each add. $300.00 3.00 $ S'H'EAF or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. F.DR Steam $10.00 $ Furnace Shell & Line to 640 sq. ft. EDR Hot Water 10.00 $, Each add 200 sq. ft. EDR Steam a.00 8 Each add. 320 sq. ft. EDR Hot Water 3.00 5 OIL SUIR lER—to 3 gal- per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS SIMNER (up to 19x9,000 BTU) 5.00 over 199,000 FM Sae Fee Schedule GAS F17MNG F -XZ: NO RATE TOTAL TAL Ist 3 nxtures x$ Zoo 3 Additional Fixtures .75 Gas Range to M.M0 AM CAHMrn023MQ r r t. .WWF- SYS-AMW City of 1FWdley: The undersigned hereby makes application for a permit for the work hereW. specified, agreeing to do all work in strict accordance with the City Ordimance>~ and ruling of the Department of Buildings, and hereby declares that an the fad and representations stated in this application are true and correct. Fridley, Minn Owner Kind of Building A Used as To be completed about, Estimated Cost, $ bid New Building Permit No. _ -- Permit No.—(00 "y 7 HEA77NG or POWER tease, Hoot Water, rasa ��No Trade Name : Sizse N04�q'�s� Capacity--- — Sq. Ft. E.D.1t Total Connected lwd�'� � �� Ktad Of 1 BURNER — Tri Flame Sire No Capacity Sq. 1F. ED R- BTU 1 aaa�s-1 D-36 ,'< , a z HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied es No No 19— 11 1 / Fl. Room i Length / Width 4:2Height / F1.1 RoomI Length f,>R Width 14 Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Hetght No. of Lineal ft. Area Width Heigh No. of Lineal ft Area or pane of pan lights of crack eq. ft. No. of pane of pane Ifgbte of crack eq. 1t. Coef. Btu I I I I jCoef. Btu Infiltration Infiltration Glass tvGlass _ Exp. wall Exp, wall Net exp. wall "? Net exp. wall ® 7,46 Int. wall Int. wall Ceiling Ceiling /6 Floor Floor Total Btu. ® Total Btu. J 716-11 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area m Lenlrth--V/ Width J --n Heifrht r 1:1 1 B 0,,....,11 e.,s►1. la W;Ailk Win ows and Doors—Crackage and Area 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 Dane of pane Ilghts of crack eq. it. ® �C+ �® Exp. wall Coef. Btu Infiltration lCoef.1 Btu Infiltration Glass'( Floor Exp. wall Exp. wall Glass Net exp. wall ® e �ar� Exp. wall Ceiling Ceiling �( Net exp. wall Int. wall Floor Id, 19 Ceiling Floor Total Btu. `® 5A Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F 1:9 1 o,�sD___ I f ___.t e r VVIL1.L tl-:_t. le Windows and Doors—Crackage and Area 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. ofppane of pane lights of crack sq. ft. Infiltration Glass �® Exp. wall Coef. Btu Infiltration Infiltration Glass Glass'( Floor Exp. wall Exp. wall Required sq. ft. E.D.R. or sq. ins. -WA. Leader area Net exp. wall Net exp. wall 7 4p v 396 70 Int. wall Int. wall Ceiling Ceiling �( Floor r Floor Tbtal Btu.' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. ofppane of pane lights of crack sq. ft. Infiltration Glass �® Exp. wall Coef. Btu Infiltration Ceiling Glass'( Floor Exp. wall Required sq. ft. E.D.R. or sq. ins. -WA. Leader area Net exp. wall 7 4p v 396 70 yo Int. wall Ceiling �( Floor Id, 19 Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area Room I Length O Width Height ,6— Windows and Doors—Crackage and Area Width Hetght No. of Lineal ft. Area No. of Wane of Wane liable of crack aa. ft Coef. Btu Infiltration Glass �® Exp. wall Net exp. wall x�® Int. wall Ceiling r Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. -WA. Leader area GERALD T. COYNE 300 BRUNSWICK AVE. S. GOLDEN VALLEY, MINN. MINN. REG. NO. 4741 INDUSTRIAL — JUDICIAL COMMERCIAL — TOPOGRAPHICAL CITY LOTS — PLATTING LOT SURVEYS COMPANY LAND SURVEYORS REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEA>,OLIS 5747 W. Broadway 533-9922 Minneapolis, Minnesota 55428 Aburbeporo. Certificate RAYMOND A. PRASCH 6917 IDAHO AVE -N. BROOKLYN PARK, PAINN. MINN. REG. NO. 6743 INVOICE NO. a' f F.B. NO. SCALE 1" *Denotes Iron All of Lot 8 and the South 13.33 feet of Lot 9 in EloLk• 1 and the North 13.34 feet of Lot 16,"Block 4, All in Adams Street Addition to Minneapolis. We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and the location of all buildings and visible encroachments, if any, from"or on said land. Surveyed by us this day of Revised April 12, 1974 Signed ° •'" - s` r`° �.,`' , LOT SURVEYS COMPANY suedEcTRMFT NO. City of Fridley 26289 AT THE TOP OF THE TWINS BUILDING ERVIT P ` RECEIPT NO. r.v __�___ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ` Lt(�� r i 1 NUMBER REV PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 i 612-571-3450 910415 JDATE 6/18/98 Ij JOB ADDRESS 5765 Washington Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8, pt 9 1 1 1 Adams Street Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Mitch Airhart 5765 Washington Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jayson Lindsay Roofing 2638 Clearview Ave, Mounds View, MN 55112 792-1857 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20098263 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION 0 ALTERATION J3 REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof House & Garage (26 Sq) Tear -off; Reside House; Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Install building wrap and call for inspection of same. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $9,168 $4.58 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 A OTHER STATE OR LOCAL LAW REGULATING CON- $149.75 Fire SC $9.17 STRUCTION OR HE PER RMAOF CONSTRUCTION. r PLAN CHECK FEE T AL FEE Licens SC $ $168.50 G'NATURE OF CONTRA TOR Sy UTMORIZED AGF.�TF� IDATEI E I Y 1A D, ED THIS IS YOUR PERMIT _� OG IN5 r• ♦ X DATE SIGNATURE OF OWNER (IF OWNER BUILDERi IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress : Legal Description: WA Effective 1/1/98 Owner Name & Address: M A i rz,k Tel. # Contractor: � 4-JS&,,j (_, r^JQUA &0 s A\j $ MN LICENSE # 200 8 -1 Address: �� M, � Tel. # -79 2 -/-9s7 Attach to this application, a Certificate of Survey of the �` �' lot, with the proposed construction drawn on it to scale5�-- �j ®.�' �6 SSS 400 DESCRIPTION OF E\IPROVEMENT LIVING AREA: eig t. GARAGE AREA: Len,.,„y a� Sq. Ft. DECD AREA: Length Width Hgt/Ground Tq.Vt. OTHER: Construction Type: - A Estimated Cost: $ dam (Fee Schedule on Back Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: -9 Permit Fee $ Y, ?, 7S Fire Surcharge $ , /7 State Surcharge $s� SAC Charge $ License Surcharge r $ / c� Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ d)� STIPULATIONS: Tel. # 7q,--9-/SS' 7 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $,50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A” or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ]