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PRE 2010 DOCSo F. C +� +�� 48 :.bJD A � 4- A • � � o O CO d) i# . 10 0 44 Cd c o` P4 (d r0 C' O NN+ 3.• Cd N U � Sr .Cd P CO °o 41 09 co o � 0 9 bD 41 01 Cd v p�d o P. A . bio bio Oj cccc o • • 00 zs. , a ami a„ o.•! d C) 0 o O •O `�' d v �• �• > n_ Y � k � m N cdID a � '"O o Z rh 42 rr Ocu° O .Q Z ® d w ,s 'W W � §U °'D • N A 0 <C o F. C +� +�� 48 :.bJD A � 4- A • � � o O CO d) i# . 10 0 44 Cd c o` P4 (d r0 C' O NN+ 3.• Cd N U � Sr .Cd P CO °o 41 09 co o � 0 9 bD 41 01 Cd v p�d o P. A . bio bio Oj cccc o • • 00 zs. , a ami a„ o.•! d C) 0 o O •O `�' d v �• �• > n_ k � k cdID a � '"O o Z rh 42 rr Ocu° O .Q Z ® d w .dT 'W W � §U °'D a � o F. C +� +�� 48 :.bJD A � 4- A • � � o O CO d) i# . 10 0 44 Cd c o` P4 (d r0 C' O NN+ 3.• Cd N U � Sr .Cd P CO °o 41 09 co o � 0 9 bD 41 01 Cd v p�d o P. A . bio bio Oj cccc o • • 00 zs. , a ami a„ o.•! d C) 0 o O •O `�' d v �• �• > n_ S o Stt � k cdID '"O U o O W rh to U rr 4)c w 'W 41 � §U °'D a � u o O w, 1. .Z� w 0 0 � o H o F. C +� +�� 48 :.bJD A � 4- A • � � o O CO d) i# . 10 0 44 Cd c o` P4 (d r0 C' O NN+ 3.• Cd N U � Sr .Cd P CO °o 41 09 co o � 0 9 bD 41 01 Cd v p�d o P. A . bio bio Oj cccc o • • 00 zs. , a ami a„ o.•! d C) 0 o O •O `�' d v �• �• > n_ S o Stt � k cdID U o rh to U rr 4)c w v � °'D Y cd O P4cds w 0 0 � o • � V 'O � C C w cd bq o > x cd o N o d V R U o Rq� t� 41 0 o F. C +� +�� 48 :.bJD A � 4- A • � � o O CO d) i# . 10 0 44 Cd c o` P4 (d r0 C' O NN+ 3.• Cd N U � Sr .Cd P CO °o 41 09 co o � 0 9 bD 41 01 Cd v p�d o P. A . bio bio Oj cccc o • • 00 zs. , a ami a„ o.•! d C) 0 o O •O `�' d v �• �• > %9/ ® s - Ca Fridley, BUEWING PERMIT N® 6373 Date: - -� L� Owner: Builder .,�... ----- Address Address -- LOCATI F ILDING No. 6!� Street 4, —_ Part of t Lot __ Block _ — Addition or Sub -Division . ® d 6 Corner Lot ._ Inside Lot Setback _ _ _ Sideyard Sewer Elevation Foundation Elevation a DESCRIPTION OF BUILDING T beU Front Depth Height If C Sq. Ft. Cu. Ft. Front _ _ _ _ Depth Height _ Sq. Ft. Cu. Ft. Type of Construction ._ Est. �.lC _ f°�—"iso 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 fWth and in compliance with 21 provisions of ordinances of the city of Fridley. 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 location, construction, alteration, maintenance, repair and moving of buildings within the city limits permit may be revoked at any time upon violation of any of the provisions of said ordinances. .0-N Building Inspector NOTICE Ibb permit don not cover the construction, hotaMon for wiring` phnnhing, gas heating, sewer or water. Be sure to we the BuNing kgm*or for separate permits for these Menu. V APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name A, L. W/J 1 -,AIF Builder L/• (.- Address �6 Co,;z E-- ,;Address le o — LOCATION OF BUILDING No. Street `M PPart of Lot Lot Block Addition or Subdivision 9-2 Corner Lot Inside Lot.—Jz Setback. Side -Yard SMIER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING Front D epth Freight Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of constructionA Estimated Cost IS To be Completed 4 SQ o Al -A S ,Cc) S s 7L C 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 ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE,�nSIGNATURE (Schedule.of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas Firing Permit Dept. of Bldgs. Phone SII 4-7 DESCRIPTION OF WORK Number, Kind and Location of Fixtures qy yy, RATE T076AL yy �/) Number Fixtures ...... ...... " ....... Vj H �3Z N W end w �U' Z W �U'.O • R N WATER HTR. GAS ELEC. r 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ J New Ground Run Old Bldg. ..... I ...... x 1 V� < Base 1st 2nd 3rd 4th • Future Connection Openings Connected with e New Fixture, Old Openings Sewer Eg Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE T076AL U Number Fixtures ...... ...... " ....... x $1.50 $` Future Fixture Opening ................ p g x 1.20 $� New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ J New Ground Run Old Bldg. ..... I ...... x 3.25 $ City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and orrect. �/ Fridley, Minn Nom` � , 19-&r Kind of Building Used as - ®� To be completed about — Estimated Cost, $ Old—New. Building Permit ROUGH /-/" � b FINAL GAS FITTING FEES: NO. RATE TO�TA�LL 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 $® 42 2tA MLS Business Phone No- a v '?v® °� -� � R APPlication for Power Phmts and Hearing, Cooling, Ventilation, .Re%igeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, V 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 $ .each add. 60,000 BTU ... _. .................. 2.00 $ Replacement of Furnace ............................. x.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 ......... I I ....... 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 BTL) ....................... 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®® ALTERATIONS & REPAIRS TOTAL $ ROUGH Dept. of Bldgs. Phone SII. 4-7470 W City of Fridley: /71�, 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 armee )true and correct. i Minn X 40`1 7.t5l( 19 Owner Kind of Building — - V v6—,/,2— i Used as To be completed about Estimated Cost, $ Old New. uilding Permit No.� Permit No. DESCRIPTION OF WORM HEATIN or POWER team, Hot WaterWarm Air No Trade Nam Size No Capacity ®� Sq. Ft. E.D.R BTU H.P. Total Connected Load /0 Kind of Fuel `-'6X BURNER — Trade Name Size No Capacity Sq. It. E.D.R BTU H.P. FINAL (REMARKS -OYER) Signer C(�_42 2M7-59 Business Phone No + <as D•56 2 s � �r HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAP®LIS, Weatherstrips A.S.H.Y.E. Construction No. Insulation Guide Windows . I Doors Reference Out. Wall Int. Wall Ceiling Roof I Floor Kind How Applied eY s—No Yes—No 19— Fl.� Length a'°: WidthHeight Room I Length ;.; Width Height Windows and Doors-Crackage and Area width Height No. -of Llneal f . Area Fof pane of pane lights of crack sq. ft. Coef.1 Btu Wass Exp. walln3 Net exp. wall to Int. wall Ceiling "+ ' �°�' n j - Total Btu. ;. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 r- Room Length I.A Width � `;� eight` - -Windows and Doors—Crackage and Area - Width Height No. of Lineal ft. Area No. of pane of pane tights of crack eq. ft. Width Height No. of Lineal. ft., .. Area. ' No. of pane of pane lights of crack ` sq. ft.71 a r Coef. Btu Infiltration LIT FCo. ti Exp. walla' Exp. wall ; ; a Net exp. wall Net exp. wall , . '- ee, , , ° ' Int. wall ` Net exp. wall Int: wall Ceiling Floor Ceiling , Floor . + - g e. Total:Btu. ."' . Required sq, ft: E.D.R. or sq. ins. W.A. Leader area ' ., . 1' F-1 -1�2 � - c4-.. R.,..,., I t `nno+t, ? I l4 A,,I. , -:e t4 -,_L. Aia Windows and Doors—Crackage and Area - Width Height No. of Lineal ft. Area No. of pane of pane tights of crack eq. ft. - Width Height No. of Lineal ft. Area .130. of pane of pane lights of crack sq. ft. a r Coef. Btu Infiltration",:`! Glass LIT 4 13,344, ti Exp. walla' ' Fg Glass,.q Net exp. wall , : Exp. wall77 Int. wall " ` Net exp. wall Int: wall Ceiling Floor , Total Btu sq. ft. E.D.R. or 'sq. ins. W.A. Leaden area .Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane tights of crack eq. ft. 3.1 Ago a r Coef. Btu Infiltration Glass, Exp. wall Btu LIT 4 13,344, Net exp. wall Int. wall Ceiling Floor. , ' Fg Glass,.q Total Btu. s Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FIG' `' Room I Lenseth Width Heights Windows and Doors—Crackage and Area °' Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. a r Coef. Btu Infiltration' , ' Fg Glass,.q ;,r> : Exp. wall77 " ` Net exp. wall Int: wall , Ceiling . �p ! . + - g e. Fluor e5:"r fI Total . Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Len.th Width f 77Z -Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. a r Coef.F Btu Infiltration :.Glass , ' Fg Exp. wall Net exp. wall ` In't. wall Ceiling �p ! . + - g e. Floor. A fI e, Is'q. ft. E.UA-16i sq. ins. W.A. Leadq:ar a . �i . HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A•S.H.V.E, Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall i°,eiling Roof Floor Kind How Applied Yes—No Yes—No 19_ F1.1 a > Room I Length 4 Width o#0^ '146 -ht r''0 � II FI_I Room I Length Width Height Windows and Doors—Crackage and Area _ - Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. •:�_��'+ g' use? - �'" e f Coef. Btu Infiltration Coef. Coef. Btu Infiltration Glass 3 Lltm�40 X.111 A. 7, 0 'Pol ij� ._i' V 54 Exp. wall Net exp. wall } var ; / a Floor wall R tai 6 Total. Btu. Ceiling' 'Iw"; ' ;I a " " Floor ' "' 6C 02 KOS- 1 otal btu. &` Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �Room I Length f Width , . Height IAf Windows and Doors—Crackage and Area _ - Width Height No. of Lineal ft. Area e - No. of panof pane Ilghts of crack sq. ft. •:�_��'+ g' use? - �'" e f Coef. Btu Infiltration Coef. Btu Infiltration Glass 1 547 3 Lltm�40 X.111 A. Exp. wall Net exp. wall Int. wall 710 Glass .. Ceiling var ; r Floor r CO tai 6 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 'FI -1 Room I Length -214' WidthXQ eight Windows and Doors—Crackage and Area _ - Width Height No. of Lineal ft. Area .No. of pane of pane lights of crack sq. ft. •:�_��'+ g' use? - �'" e f Coef. Btu Infiltration Coef.1 Btu Infiltration Exp. wall 4, Net exp. wall Int. wall Exp. wall Ceiling Floor Glass Net exp. wall ; r Exp. wall A ` ^' 6 Total. Btu. Net exp. wall a " " Mwowillow HAS&/P11rt 6C 02 KOS- Ceiling Floor ! 4 � J . ' W .1/'1`0 25 of 40. Total Btuv Required sq. ft. E.D.R. or sq. ins. W.A. Leader Windows and Doors—Crackage and Area _ Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Infiltration Glass Exp. wall Net exp. wall Int. wall Exp. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.I 1, Room I Length Width Height Windows and Doors—Crackage and Area Width HeNo. o% Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Infiltration Glass Exp. wall 04v, .Net exp. wall Int. wall .r Ceiling Floor" Total Btu. Required sq. ft. E.D.R. or, sq, ins. W.A. Leader area Room I Length Width Height Windows and Doors—Crackage and Area _ Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass` Exp. wall Net exp. wall Ceiling Floor ^' Total. Btu. Required sq., ft. E.D.R._ or sq. ins. W.A. Leader..area,.• Application for Power Pbnts and Heating, Cooling, Ventilation, .Refiigeration and Air Conditioning Systems and Devices 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 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ........................ 2.00 $ Replacement of Furnace §.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 $— ALTERATIONS & REPAIRS TOTAL FEE ROUGH- OUGH FINAL- FINAL Dept. of Bldgs. Phone SU. 4-7470 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, 1yf,'nn J 1963 Owner Kind of Building Used as To be completed about Estimated Estimated Cost, $ Old ew j Building Permit No. 1 Permit No DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade NamP Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel AlU /(J BURNER — Trade Name Size No.! ff J6 -/ Capacityr. �` -r . Ft. E.D.R BTU H.P. (REMARKS—OVER) WHO H T�NQ AND SHEET METAL SiX M MARSHAL L SIA L By � trw422M 7-59 Business Phone No City ®f Fridley, .kOCATIOLXA DING �� � , Noy Street _ Part of Lot __ Block Addition orSub- vision ' r" Corner Lot . Inside Lot : Setback _ _ - Sideyard _ Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING as: MqWn : Front _� Depth _.Z� Height Sq. Ft. Cu. FtAk) Front Depth. Height Sq. Ft. Cu. Ft Type of Construction ' r FitCo x. �To be Completed 00 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. In consideration of the payment of a fee of $�� , permit is hereby grLed 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 ggait 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. „ A � ---% NOTICE: Ibb permit doer not cover the construction, hwoMen for w1ring, phmbtng, on heating, wwor or water. Be sure to see the BulkUng ingmtor for separate permits for these Roma. APPLICATION FOR BUTIDING PERMIT C-1TY OF FRTDLkY, 1.2-TIMSOTA 01diV:r00 S BLAME � �' BUILDER ' ADDRE s � � �� f ���. , ADDRESS V LOCATION OF WILDING Y. . No. 'c� Street d<�,ma� Part of Lot Block Addition or Subdivision Corner Lot Inside Lot g.6 Setback `�`� r Side -Yard SEWED ELEVATION FOUNDATI0N ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: r �-�• �t'�;� Fronta Depth - Height � b Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction .'vk, Estimated Cost`'' 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. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side. W . - City of Fridley SUBJECT ER5 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r • COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. _ q CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/14/79 JOB ADDRESS 5940 Stinson Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 26 Aud. Sub. #92 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harvey Wa ar 5940 Stinson Boulevard N.E. 571-4660 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. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS Garage addition to be .5 feet from side lot line. Provide a hard surface driveway. Wm" tical alt SEPERATE PERMITS REQUIREDFORWONalt INJUM TELEPHONE - ELECTMC - GM Etc. HEATING, PLUMBING AND SIGH REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION 12O 1200 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,000 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $7.50 STRUCT) N OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 5 /c,W /� $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY ALIDATEDIS YOUR PERMIT pTHIIS 11 BLDG INSP 05ATE I NATURE OFIO1 UIL R) (DATE) I I MA • CITY 01= FRIDLEY , APPLICATION FOR RESIDENTIAL BUILDING PERMITS . (NEW, ALTL•RATIns, ADDITIONS, OR REPAIRS) 0WHER: 0' u 1�- (�� DUILDBR: S � L�= Address: C). "i�e _se /JY L Address: Tel. No.:7�` No. --gg LOT: Street: BLOCK: ADDITION: COMER LOT: IIJSIDE LOT: L-- SETBACK: SIDL'YARDS: Applicant attach 'to this form Trio Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To 13e Used As: 47 Fronts Depth: -G .r Height.: % Square Feet:_ Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type cf Construction: /. F Estimated Cost: $ 4-6-+��--f�-0 To Be Completed: JV AJ 7 ___. Alt. A Alt. B Proposed Driveway Width If Neia Opening Is Desired $ $ (SEE 12EVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Dcoartment of Buildings, and hereby declares that all the .facts and representations stated in this application are true and correct. *See reverse side for additional information. DATE: /41- 5i SIGNATURE: � Stipulations: - v ® 00 AGREEME14T I,-XIxaA owner of the property located at ��S �, , have no objection to the City allowing theconstruction of a a& cLl to be located at J 9q o d -&O without the required certificate of survey that the City ordinarily requires for all new construction. s' nature V S%,f"o 577`/v, Address Date CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WAPM AIR: RATI3 TOTAL Furnace Shell & Duct Work $12,00 ¢ ' Replacement of Furnace 7,00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs &Alterations each add. $500;00 4.00 $ MECHANICAL SsAPUM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ /� n each add. 50,000 BTU 4.00 $ ,pe *Replacewe:t of Furnace 7.00 $ ?e:airs & Alterations -up to $500.00 7,00 ^� Repairs & Alterations each add. $500,00 4,00 $ STZA%1 OR HOT 1ATER SYSTE-1: Boiler &Lines up to 200,000 BTU ;2. PQ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.AA $ each adds. 50,000 BTU ¢.QA •sP OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour }A,Aq $ GAS BURNER- from lcO,000 BTU To 1�s,ggq RTK (over 199,999 BTU see Fee Scheule due) GAS FITTING FEES:- 2st 3 Fixtures Additional 'Fixtures Gas Range to 199,000 BTU ;C 1A; AA AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS 4 REPAIRS $ State Surcharge $ .50 TOTAL FEE $ If -51 MUCH INSP. REINSPECTION FEE Date ($10.00) FMIAL INS?. —2 Date �(4�APPROVAL FOR PERM®IT r KIN—MU'? FEE FOR. MY HEATING PER."ZT IS $7.50 PLUS $.50 STATE SURCHARGE *Attae:ed stack verification fora ,lob Address 5940 Stinson Blvd. Department of BuijcUngS City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and 'hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. ® , 19'7_% 01MER Harvey Tgagar r -IND PF BUILDING Frame PsEP Zo M?g . TA Pr FO.MPLNTFR RAPT PSTTN=PR PAST PR - W PgTRTNG P MTT NQ. PFRf>T NO. QESQRTPTTQq AF FUR'jACE/FUR+VER II TING R PA1 4 #'? NT$r 91:D ?Rr #SRS Fi4erf Waxes 4;No. 1 Trade Name Lennox Size No. G12(A-F-137 Capaoity Sq. at. EDP, 13 7 , 0 040u if? Total Connected Load kind of Fuel Nat. Gas BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Mill City Heating Co. Signed By, Tel. No. 559 500 HETLOSS CAL ULATLON5 Plan # __r._ Name,�1�$?.; �, _._ Address��' otal Heat Lossx ss _, Is :--Total;Btu Input IAII .windows &doors are Weatherstripped Room Lgth. = Wth Ht FI. t. E Room I Lgth. ' Wth.! -- W Ith He ght Nn of 1 L ne t T A r.r `^ , _NO ' pant "�.W Pane-- - ghts __-I 1 c ac4. I srt. fl T _ I _No W tlth r, Height No. of Lineal ft. r ArBB- ,. 'i111 + 1 _ o_t Done of pane lights of crack sq. ft.' r e - -• �` e�rdoors / a I rdoors /doors Coll- BTU - !doors Cotff. - CQo .a Infiltrat on Wmdnws � I fr �' " r infiltration Windows Jim I Infiltreuon VV/Doors r Infiltration W/Doors Infiltration S, Doors ia'.rC Infiltration S/Doors E xp. Wall Exp.Well24 q aYj Class& Doors a :`fie yGlass& Doors --- -- Gam — ---Y '.o ! Net Exp. -Wall_ - �_-----�e„v �. , -✓fit �s.a q Net Exp. Wall , a. Ceiling CeilingA 17 7a . r F loor F loor Total Btu. - ((,d Total Btu. �4 Ht. F I. Roam i Lgth, jr/ ®' Wth. .�" Ht: E1. Room I Lgth. L..=' Wth. ,Vvw Ht. fN Width Height No. of L 1. tea No. Width Height No. of Linealft. Area of pane of pane lights rn F1. . - 5 Ift; Room I L No. Width of pane Heig t of p�anee � of Crack sq. ft, - t Cir% Infiltration Windows /doors ®� /doors Coef. BTU Infiltration Windows V InfiltrationW/Doors 1. G Infiltration S/Doors E xp. Wall. Glass & Doors Net Exp. Wall Ceiling ____/ !�, ZX Floor /' f /GA. o Total Btu. rn F1. . - 5 Ift; Room I L No. Width of pane Heig t of p�anee No. of lights - t Cir% BTU 4— Wth. 'r®r' Ht -b " sHF1��!"" Rtaorre lg1 Area Wrottfi Height j �flo.of `Li sq. tt. No• of pane of plate I mitts l m r__] 11_ it 1. ;o.-! i / Ir — rt-- — --- ---1 /door, b --�-- — _ -- /dCOfs —Coef. BTU - Infiltration -Windows____-- Infiltrat n W/Doors r Infiltration S/ Doors 6 hss & Do.,rs Net E xp Wall. ---- -- - ---- L• a• -__ l '"j ,ra"�j .`,P. '. Total Btu /doors /doors CoN. ®TU Infiltration Windows. Infiltration W/Doors Infiltration S/Doors Exp. Wall Glass & Doors l Net Exp. Well Ceiling Flopf -- — Total Btu. a Infiltration Windows Infiltration W/Doors ®� 1. G 4— Wth. 'r®r' Ht -b " sHF1��!"" Rtaorre lg1 Area Wrottfi Height j �flo.of `Li sq. tt. No• of pane of plate I mitts l m r__] 11_ it 1. ;o.-! i / Ir — rt-- — --- ---1 /door, b --�-- — _ -- /dCOfs —Coef. BTU - Infiltration -Windows____-- Infiltrat n W/Doors r Infiltration S/ Doors 6 hss & Do.,rs Net E xp Wall. ---- -- - ---- L• a• -__ l '"j ,ra"�j .`,P. '. Total Btu /doors /doors CoN. ®TU Infiltration Windows. Infiltration W/Doors Infiltration S/Doors Exp. Wall Glass & Doors l Net Exp. Well Ceiling Flopf -- — Total Btu. a 4 #101 _ Address-- - --- h 4:- LOSS CALCULATIONS Plan #______---=--- Name-----. { =Total Btu Input IAl windows &doors are weatherstripped, Total Hem LOSS 65 X 1 15 — - - gt --- - FI Room L _ -- H t th. FI ;� Room L9thr -Wth, - —--1 i �.uvrr th Height No. of Linealft. Aref Vy,iftn d'r He�gnt 1Vd of Linea. tt 1 Area No. _t Pane ofpanets of crack sq. ofpa Tr lk l.sq, ft.. - -- + - -- +- doors---- -�- - ------ --+ ----j.- - coal. BTU j tt0- - L 'doors t - -- - /doors 1 , —_ - � Coef. BTU Infiltration Windows -� Infiltration W/Doors InfiltratiVn W;Doors -- 4-Y .i - ------ ? < ^< Infiltration S/Doors Infiltratu�n S/Doors •�i p 's E xP. Wall &xp.Wall i e C7. —.r. /_ -- i Ll 2 Glen & Doors class & Doors Net Exp• Wall Net Exp Wall - --- -- t o - -- - - Ceiling x Ceiling f _--- -- Floor � • - _ - ---- -- - 3 (,� Total Btu.,. Total Btu r , }els--°' F1. Room I Lgth. r r°{filth. Ht. • FI, p. /�. ".tom Room Lgth Wth. °� Ht. , ft: Aroa ' ,..t,�, Width Height No. Of Li :;• No. c Width Height No. of Lineolft. I Are® No. of .pane of pane I U of crack wl. ft. of pane of pane lights of ereek sq. ft., nfittration Windows ' %Infiltration.W/Doors ' Infiltration S/Doors Exp. Wall Glass & Doors Net Exp. Well Ceiling Ftoor S y9 Total Btu FI. _ �^Width� r,Ane of /doors Coen.. BTU. /moors Infiltration Windows Infiltration W/Doors Infiltration S/Doors Exp. Wall I r ' Glass & Doors 0 ;.-E P. Well Ceiling Flow Total Btu. Room I Lgth• " Wth. Ht. .r FI No. of Lineell 1. I' is of crack Area sq, ft. wid Coal. BTL /doors Infiltration Windows Infiltration W/Doors Infiltration S/Doors c EXP. Wall ' Glass & Doors Net Exp. Wall `,1:PralNng -- Total Btu, filtration Windows. (filtration W/Door# tfiltration S/Doors XP. Well lass & Doors let Exp. Wall ;ailing = loor Total Btu.. SUBJECT PER City of Fridley 19 4 9 AT THE TOP OF THE TWINS BUILDING PERMIT o COMMUNITY DEVELOPMENT DIV.® U a r PROTECTIVE INSPECTION SEC. � , CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 6/30/93 JOB ADDRESS 5940 Stinson Blvd NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt. 26 Auditor ' s Subdivision #92 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harvey Wagor 59.40 Stinson Blvd NE 571--4660 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Wright Siding 11241 Magnolia NW Coon Rapids MN 55448 755^2754 611 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 X❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Soffit & Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors as per UBC 1210, adjacent to all sleeping areas and in basement. Provide adecquate attic ventilation, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 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 048. $2 0�8 $2? $1, 02 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 54.00 Fire SC $2,05 STRUCTION ORT PERFORMANCE OF CO RUCTION. PLAN CHECK FEE TOTALFEE F License SC $5.00 $62,07 SIGNATURE OF CONTRACTOR OR AUTHORIZED ENT (DATEI WHI' DPE ALIDATED THIS IS/YOUR PERMIT B OG v P AL DATE SiGNATURE OF OWNER OF OWNER BUILDER) IDATEI-I -' NEW [ ] Effective 5/26/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 6- `l &/0 -6-714- -15-;a x/ 04 r/,p, Legal Description: Owner Name & Address:r?6g6s a v e vo < Tel. # Contractor: id <ce%/,r set < `�, j MN LICENSE #.y () 0 (Q l/7 Address: 11d Vl dui! 1,&-141 -14 AA 6.1, Tel. # 7 moi' LIVING AREA: Length Attach to this application, a Certificate of Survey of the lot, with the proposal construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: S 0 ff ,17` l` i? 5c l A AI -CW 2 CZz s Corner Lot [ ] Inside Lot [ J Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ A o y F, o (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 6641 APPLICANT: Tel. # 7 3 it Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ Fee Schedule on Reverse Side $ c2-0-5- .001 of Permit Valuation (1/10th%) $ $.50/$1,010 Valuation $ $750 per SAC Unit $ -S-,00 $5.00 (State Licensed Residential Contractors) F-9 Park Fee $ Sewer Main Charge TOTAL $ Alt. "A" or Alt. "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: l 01, 53-_,� SuBjECT IT NO. City of Fridley 30406 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. __--- PROTECTIVE INSPECTION SEC. j - 1 e � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 10/14/99 JOB ADDRESS 5940 Stinson Blvd. NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt. of 26 Auditor's Sub. #92 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jean Wagar 571-4660 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Banner Roofing 6001 Lyndale Ave S Mpls MN 55419 798-4970 2001204 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 24 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCY GROUP OCCUPANC.YLOAD 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 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 $2095 $1.05 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 $83.25 Fie SC $2.10 PLAN CHECK F E TOT L FEE Licen S 5 91.40 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI R VALID THIS Il� PERMIT BL -NSP = DATE S-GNATURE OF OWNER„F OWNER BUILDER, (DATE, l 01, 53-_,� KEW [ ] iop, qq Za, � Effective 1/ 1/98 A'DDN ' [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �P�30 ConstructionAddress: Zgild Legal Description: -SaA fid- vim Owner Name & Address: C)'0 -d 'e eft Tel. # .7/ 4 u uo Contractor: &t7lLa MN LICENSE #&i ON964 �( Address:(/ lam /��tt.� �/. �D Tel. # %q? "gg7D 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 W'dth Hgt/Ground Sq. Ft. OTHER: ; ! ' v Construction Type: Estimated Cost: $ .. ® �6 4%. (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 14,111 APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: 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 [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MADk' All IAARGD M: MYTI IDGC Tn RF IIURTAI I i=n nm FArW FI r)nP Effective On May 10, 1999 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** NO. RATE Gas Range** Gas Dryer*` Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance TOTAL JOB ADDRESS S'N® 5�t'►YL3�c�a� State Surcharge $ .50 TOTAL FEE $ C SZ) 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. i7 AbI). '1999 Owner I.EAYy 1.J ►q(�a�l Building Used Ascc6 Icer© �J i n I Estimated Cost ��®� PERMIT NO. PLUMBING COMPANY SIGNED BY e� y TEL NO Approved By Final Date 9'19—CK e/aevW WIT IS $20.00 0„�9� **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. x::.•:: al Shower Wash Tray :r:{ Floor Drain • .Auto. .:..::......... `��� Washer Gas •Water Heater �':'�"��''�����'rr� Ran a �• Gas Elec Stories aseme t Basement Floor 1 F:r: Floor 2 B Floor 3 Floor 4 %:%:< F ::•:%i:4% �:%:%: PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** NO. RATE Gas Range** Gas Dryer*` Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance TOTAL JOB ADDRESS S'N® 5�t'►YL3�c�a� State Surcharge $ .50 TOTAL FEE $ C SZ) 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. i7 AbI). '1999 Owner I.EAYy 1.J ►q(�a�l Building Used Ascc6 Icer© �J i n I Estimated Cost ��®� PERMIT NO. PLUMBING COMPANY SIGNED BY e� y TEL NO Approved By Final Date 9'19—CK e/aevW WIT IS $20.00 0„�9� **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. OF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 June 22, 2001 Ms. Jean Wagar 5940 Stinson Blvd NE Fridley, MN 55432 Re: Final Inspection at 5940 Stinson Blvd NE Contractor: Shiloah Water Co Inc Dear Ms. Wagar: - A plumbing permit was issued on November 18, 1999 to install a water softener at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Plumbing Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expired the permit and no further action will be taken. To set up the inspection, or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, 9ENSEN C,i Inspector DJ/mh --7 SuerE�r P --- City of Fridley('.'3 17 5 4 AT THE TOP OF THE TWINS BUILDING PERMIT • COMMUNITY DEVELOPMENT DIV. 604 _____ f 1 PROTECTIVE INSPECTION SEC. —@� 1 s � CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/20/01 JOB ADDRESS 5940 Stinson Blvd NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. I Pt 2 1 1 Auditor's Subdivision #92 SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Jean Wagar 5940 Stinson Boulevard NE 763-571-4660 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 350 73 Ave NE, Fridley, MN 55432 612-502-4777 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20130983 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Gk REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace 14 window inserts within existing openings 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $9, 764 $4.88 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- $181.25 Fire $9.76 STRU,CTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK F TOTAL EE Lice e S $5.00 00.89 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT IDATEI EN ROPE ALIDAT D IS IS Y ERMIT Gv/ S-GNATURE OF OWNEAoF OWNER SUILDERi IDATEI BLO INSR' TIATE --7 NEW[ Effective 5/10/99 • DDFR r ALTER SINGLE a r DUPLEXES R-1 a :. BUILDING r tAPPLICATION Construction Address: -284 b 'bkty'`- ® -M 1A a Legal Description: Owner Name & Address: :YRn,..nc��' Tel. # 4U3•S''1.4WO . Contractor:, RENEWAL BY ANDERSEN MN LICENSE # 350 -73RD AVE. NE Address: FRIDLEY, MN 55432 Tel. # (612) 502-4777 LICENSE #20130983 of Survey. of the wn on it to scale. LIVING AREA. Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECD . Length Width Hgt/Ground Sq. Ft. OTHER: Qin t►n n P n I lJr ate% n .. _.11. Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: Ft x $ = $ DA'Z'E: As ftc '-A • ® i APPLICANT: Tel. # Is,? -W;- (o®y *f Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow ]Erosion Control $ 1'�0 •�� $ $ 4.1% CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,00 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer lain Charge $ Agreement Necessary [ 1 Not Necessary [ ] TOTAL. $ 68STIPUL.A IONS: �. The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing budding or structure, or for any alteration or -repair to any existing building or structure, upon application therefore, require the payment by the applicant=: for:: such. permit :.of fees to the amount .herein below set forth and in the manner herein provided -to -wit: TOTAI. VALUE ---_ FEES $1 to $500 $23.50 $501 to $2,000 $23.50_.f0r first $500 plus. $3.05 for each additional $100 or fraction thereof, to andincluding;_$2000 $2,001 to $25,000 $69.25 for firat'.$2;04fl plus 514.00 -for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for Inst $25,000 plus $10.10 for each additional $1,000 or fraction thereof,. to and: including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof,, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "E Removal -and replacement of curb and gutter and--Ws—tall a 3 foot :-wide_, approach with 6 inch depth - Driveway width plus 6 feet times $23.25. A Permits for construction will be issued a minimum of 24 hours -from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. CITY OF FRIDLEY-INSPECTION DIViSION 6431 University.Ave NE c Fridley, MN 55432 APPLICATION FOR POWER PLANTS:AND HEATING, COOLING, VENTILATION, 763.572.3604 : REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRE RATE -,SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent Fill ,but Back) Gas Piping (Needed with=new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning • AIISizes All Others/Repairs &-Alterations (LIST ON BACK) 1%, of Value of Appliance or.Work Commercial/Industrial 1.25%, of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY°HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50:STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. OWNER TOTAL $ 50 $'so BUILDING USED A Effective On'January 1, 2001 In ESTIMATED COST ( PERMIT.NO. DESCRIPTION OF FURNACE AND OR BURNER No.,of Heating Units Circle One (Steam) :(Hot Waster) arm Ai ) Trade Name � Size No. BTU Z HP ED Fuel r otal Connected toad: Burner Trade Name Size No BTU HP EDR 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true,and correc 410'A'cST LXI'�—.C— �. d .__�T DATE / NENNEAPOLIS, Mil 515.4103-2998 ! HEATING CO Signed �� # Approved By Rough -in Date Final D. - BACK SIDE MUST/BE FILLED IN ON VENT SIZE, VENT CON 'ECTO S AND COMBUSTION`AIR VERIFICATION COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes O No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination, Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No.( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes O No ( ) Is the common vent and vent connectors. sized and installed correctly after an appliance has been removed from the common Vent and vented separately as per current codes. Yes( )'No (` ) Appliance Type and Sizo/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height I Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft . Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date: , ANS WORK ORDER,at.ne 1082 Payne Ave. STANDARD 410 W. Lake St. St. Paul, MN 55101 9 Minneapolis, MN 55408 651/772-2449 6EAT' O 612/824-2656 & AIR CONDITIONING A Blue Doi: Service Co. EQUIPMENT INFORMATION LAST FIRST / ADDRESS 'T -yd CITY I -,z ✓ ZIP 5z - HM PH -5-7/ 14 4a WK PH TECH roti 7" DATE �57- TYPE ORSAT TEST RECORD MAKE METERED INPUT Cfh MODEL 02 A), �� % SERIAL FLUE SIZE in. INPUTr'��1 PILOT OUTAGE sec ORSAT TEST RECORD CO2 S' . % METERED INPUT Cfh CHIMNEY TYPE 02 A), �� % LIMIT SETTING 0 ° FLUE SIZE in. CO % PILOT OUTAGE sec CONNECTOR SIZE in. NET STACK TEMP 3 > c TOTAL CHIMNEY INPUT U�-®fjc) btuh CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 February 28, 2003 Ms. Jean Wagar 5940 Stinson Blvd NE Fridley, MN 55432 Re: Final Inspection at 5940 Stinson Blvd NE Contractor: Standard Heating & Air Conditioning Co Dear Ms. Wagar: A mechanical permit was issued on September 7, 2001 to install a furnace at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY LT Date Rec'd: d ® YYjOUR E-MAIL ADDRESS DATE Cts j� g ADDRESS / D 5%�``>� P� 1�1 dam'/ ISITE ' THIS .APPLICANT IS: ❑ OWNER CONTRACTOR NAME: `e ars W a qck r - F_PROPERTY OWNER/ rrp `` ``'5543;1 ADDRESS: CITYe G t�•V STATBMOZIP '55 3 ;1 TENANT 25, i PHONE: CONTRACTOR NAME: r S SU$MIT A COPY OF STATE LICENSE # — EXP DATE f r 1CGl �1Pk l'1 STATF� OZIP SS ( 43 YOUR STATE �! ADDRESS: CITY LICENSE WITH PHONE(�1 3 66--1540 FAX APPLICATION PERMIT TYPE WINGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW PLACEMENT DETAILED DESCRIPTION OF WORK Rp II C1 ce 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 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS _ SHOWER _WATER PIPING _ _FLOOR GAS PIPING a&ED cmttCEvsE) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER _ KITCHEN SINK —WATER CLOSET _BACKFLOW PREY. ($15) DISHWASHER LAUNDRY TRAY _WATER. HEATER ($35) FOR IRRIGATION — _ WATER METER —OTHER PE�MI'�'..FEFPR07ECT%FO .& Number of fixtures @ $10.00 x $10.00 = $ Permit Fee $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 i x $35.00 = $ 3S-• o® TOTAL DUE $ State Surcharge = $ .50 Total = $ '5.5_ SO THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I 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 work which requires review and approval of plans. A SIGNATURE OF APPLICANT PRINT NAME PL�iSE.�1flTE : ��F:,����`��� %�,>�? F. •'`R� �� `� ' %';�.F4 � ,z w������-;��� .7.�i� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Engineering WATER AND SEWER Permit No. -0 632`532-3551 PERMIT APPLICATION Received By: c 76-!; 571-1287 fax CITY OF FRIDLEY D %' EFFECTIVE 6/9/09 APPLICTATION DATE: _7 YOUR E-MAIL ADDRESS: D PSA K I T *7!j r di .6a t. b --i _ THIS APPLICANT IS: ❑ OWNER [CONTRACTOR JOB ADDRESS: % j rl -8 S,r V, A ..i NEW CONSTRUCTION PERMIT# (IF APPLICABLE): PROPERTY NAME: TON ADDRESS: � 9K C" S 7/'6244" z - CITY_ l " t �% �y'�l STATE ZIP PHONE: CONTRACTOR NAME: 3)4'.d_P!?eKKtrt C'i�,Q�►.��•i 1.1 �- e . SUBMIT A COPY OF YOUR STATE—��--'� DRESS: CITY ZIPTjQb LICENSE WITH �ITATENI' PHONE q611-9x9_6/&"4 . CELL PHONE: •� APPLICATION STATE LIC # G f L! i> STATE BOND: a S l l BsEXP DATE: ge- at 1. Narrative/written descri on: 2. Please attach sketch showing curb line, utili line, building, etc. with distances. PERMIT TYPE ❑ SEWER CONNECTION PERMIT $50 ❑ WATER CONNECTION PERMIT $50 ❑ WATER LINE REPAIR $40 00 ❑ SEWER LINE REPAIR $40 ❑ ADD STATE SURCHARGE $.50 ❑ SAC CHARGE @ $2000 = O'so .OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST — SEE UTILITY BILLING SPECIAL ASSESSMENTS — SEE FINANCE WATER TAP — SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / WEEKENDS & HOLIDAYS $125/HOUR-BILLED THIS IS AN APPLICATION FOR A PERMrr-NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) 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. I understand this is not a permit but only an application for a permiwork is n t to start without a permit. �? Q SIGNATURE OF APPLICANT �" PRINT NAME: IJ,, ,P r /"Q � DATE:—.2f 5,,.e7AF APPROVED BY: _. DATE: COPY G T : ❑ UTI TY BILLING (only if new meter) ❑ PUBLIC WORKS ❑ ENGINEERING City of Fridley Engineering Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3551 FAX: 763-571-1287 I ave pelellillS contle.-DIC 110 h1c. 7060 143rd Ave. NW, Ste. 100 • Ramsey, MN 55303-6014 • (763) 427-0109 • Fax (763) 427-3806 ATTENTION ALL RESIDENTS Ref: Stinson Blvd NW Sub: Street Closed Due to sewer repair Stinson Blvd NW will be closed Thursday September 24th From B:OOam to 7:OOpm At the address of 5940 Stinson Blvd NW the street will be closed to thru traffic. Detour: Gardena Ave To Benjamin Street To 61St Ave ENTERPRISES 30622 Forest Blvd • P.O. 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