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PRE 2010 DOCSCity of Fridley, Minn., BUR DING PERMIT N® 3753 Date:. �..`�. ............ Owner....................................... Builder ,. Address ...................................... Address ............................................. LOCATION OF BUILDING No. � Street .�...e......... Part of Lot ........................... .. Lot ... //...... Block ...... X ........ Addition or Sub -Division �'. . /............ . Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To Us Af ..... ..... Frontj ! • Depth.. Height sq. Ft.///,0?. Cu. Ft.07/ � ... From !. :"!� Depth , Height Sq. Ft.��.. cu. FtPZ %.e Type of Co ction ................... Est. Cost.. � �.�. To be Completed ........ . In consideration of the issuance to me of a permit to construct the building desribed 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. Y................................................. In consideration of the payment of a fee of permit is hereby granted to ................... ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it Is granted and his agents, employees and workmen, in. all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. -� ........ Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. SUBJECT PERMIT NO. City of Fridley ® 15492 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • _____ COMMUNITY DEVELOPMENT DIV. - r PROTECTIVE INSPECTION SEC. 1 � NUMBER REV. DATE OF APPROVED BY i "-n CITY HALL FRIDLEY 55432 ---e i 612-571-3450 910-F15 9/26/79 FPAGE / / JOB ADDRESS 5824 Tenni.son Avenue N. E. 1 LEGAL LOT NO. TRACT OR ADDITION SEE ATTACHED DESCR. TBLOCK 11 2 Parkview Heights Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Henry Legas 5824 Tennison Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof house 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be second but not third roof. Install ridged galvanized valleys, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 $ $.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT <'sS,OO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT F"E SAC CHARGE PROVISIONS OF ANY OZHER STATE OR LOCAL LAW REGULATING CON-9• STRUCTION OR THE P R O ANCE OF CONSTRUCTION. PLANCHE^K FEE TOTAL FEE $9.75 SIGNATURE OF CON R C OA,OR AUTHORIZED AGENT IDATEI,>.�. RPERLY VA (DATED THIS IS YOUR PERMIT lir �­,,NPp­ SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) r)A E CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: Henry Legas Address: 5824 Tennison Dr. No. . LOT: BUILDER: iiilton Ll JoF-inson Corn any Address: Tel. No.: 5824 Tennisoltreet: BLOCK: ADDITION: 2515 Central N E CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: 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: Square F Type of Construction: Roof i To Be Completed: Proposed Driveway Width If house Depth: Height: Cubic Feet: Estimated Cost: $ 1,500.00 Alt. A Alt. B Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do al work in strict accordance with the City of Fridley Ordinances and rulin s of the Department of Buildings, and hereby declares that all the facts nd representations stated in this application are true and correct. See r verse side for additional information. nom. DATE: — aSIG TURE: Stipulations: 9. 7 J IVo I BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, ` or for any alteration or repairs 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: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVRWAY DEPRESSION: (Concrete Curb Streets Only) _Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet -x $11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $15.40 For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 Per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In -no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: 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 been constructed will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the La or occupaancy of any structure for which a building permit has been issued; and d si-ructure shall not be used or occupied until a Certificate of Occupancy has _sued. 4-. CenterPoint. Einer Minnegasco I Dr ADDRESS _� . ,-/ �'P�i�/ r�ie°i OCCUPANT V—R ida- HEAT LOSS Yes DATE HTG. INST. SOLD BY CenterPoint Energy Minnegasco Electrical Work By . i I TYPE OF HEAT FA SPACE HTR. GAS DESIGN MAKE �Ay" Model Serial NPUT 0®" Er,(l CONTROLS THERMOSTAT Heat Plug Value f' Limit Limit Settin 1!60" Fan Setting w� Pilot Type Pilot Make w Pilot Model Pilot Timing ef, Pressure 51_ L Percent CO2 !9 nput CFH w) OVI) Percent 02 _4v(e Stack Temp. 3q 0 Percent CO ' .1® APT. FLOOR CITY'S OWNER f1 INSTALLED BY CenterPoint Energy Minnegasco Gas Line By i I UNIT HTR. OTHER CONVERSION Wiring Test Tag Lighting Inst. >e Date Tested 2fm e® 5 Company Testing CenterPoint EneWy Minnegasco Name of Tester Vent Size KIND OF LINER SIZE NONE Draft Hood Regulator Filters Size a 1espr )( 0 Number Chimney Location Inside -w,Outside Chimney Construction i3 — Wiring Test Tag Lighting Inst. >e Date Tested 2fm e® 5 Company Testing CenterPoint EneWy Minnegasco Name of Tester 63 -8b -h16051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE N'=.Wer Fitit.:res e^1t`:re F.xture Opening New Fixture, Old Opening Catch Basin Water heater to 99,000 BTU 100,000 B:J to 199,000 BTU water softener Xew Ground .^..sn Old Building lectric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Cas Range to 199,000 BTU RZ?AiRS & ALTERATIONS First $100.00 eazh add.. $100.00 or fraction x $3.00 x y x $2.00 >, m x $5.00 x o x $7.00 b+ $5.00 Water a o m R H e »c rS m a i $4 w Heater - U U 45C M E - •-t x J 11 U 1+ m .0 K rJ .c.. U W 34 s: ! :� ^ »i x c c 3 p o -c o C U o Esc a H ro N y cn n .Ci u o h c � •Na o 0 u, u M" ti '20: um � chi o as lec I s _ I ep aC8 r a ng ad 3r:! s 4 _-i - Future connection Opening F-- Connected with Sewer - New Fixture, Old Openin-, Water I - PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE N'=.Wer Fitit.:res e^1t`:re F.xture Opening New Fixture, Old Opening Catch Basin Water heater to 99,000 BTU 100,000 B:J to 199,000 BTU water softener Xew Ground .^..sn Old Building lectric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Cas Range to 199,000 BTU RZ?AiRS & ALTERATIONS First $100.00 eazh add.. $100.00 or fraction x $3.00 x $2.00 x $2.00 x $5.00 x $5.00 x $10.00 x $7.00 x $5.00 x $5.00 x $3.00 x $1.00 x $10.00 State Surcharge TOTAL FEE REINSPECTION FEE (510.00) $5.00 $2.00 TOTAL S $ .50 $ 8.00 Job Address 582b Tennison Drive Department of Buildings 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 ecrrect Fridley, Mn. 1-30-81 , 19 OWNER LE -GAS KIND OF BUILDING frame USED AS r es. 2-6-81 TO BE COMPLETED ABOUT ESTIMATED COST 50.00 OLD - NEW BUILDING PERKIT NO. ?-rX4XT NO. Company MINNEGASCO Signed By Tel. No. ROUGH INSP. Date FINAL INSP.' Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 01 SUBJECT IT , City ®f Fridley 25860 AT THE TOP OF THE TWINS BUILDING PERMIT P REC COMMUNITY DEVELOPMENT DIV. v r� d ; ; PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 IL � ---- 612-571-3450 9t0 -F15 3/20198 JOB ADDRESS 5824 Tennison Drive NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11 2 Parkview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Maria Dorr. 5824 Tennison Dr NE 574-9293 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R & M Associates 3482 Auger Ave White Bear Lake MN 55110 770-9322 4391 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 ja REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (24 Sq) Tear -off; Vinyl Replacement Windows 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Install smoke detectors to meet the State Building Code - on each level of house, adjacent to sleeping rooms and in each sleeping room. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $7,800 $3.90 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- Fire SC $7.80 STRUCTION THE PERFORMANCE OF CONSTRUCTION. $137.25 PLAN CHECK FEE TOTAL FEE License SC $5.00 $153.95 SIGNATU OF ^ ACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPE A&q'4 SP VALIDATED THIS IS YOUR PERMIT 1/7^20--f7 MATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI If 01 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 0 BUILDING PERMIT APPLICATION d, 6 (p ConstructionAddress: 5 ` 2 Y 711VO iSCIV i2e IAlr Legal Description: Owner Name &Address: r r ;� _ Tel. # I-7 ei - V9 3 Contractor: MN LICENSE # Address: 3q ,2, ;v Lg , i` �d isd �, "�� � Tel. # -7 i 6 --1 - `L Z - 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: Width Hgt/Ground Sq. Ft. --1 OTHER: S s EW ac -01 Construction Type: Vjru L Estimated Cost: $ -_80C) ef-1-- (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Q� APPLICANT: Tel. i} -47 \ CITY USE ONLY Permit Fee $ ��%;�Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1 / 10th %) State Surcharge $ '(j $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 0D $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building 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: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus- $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 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 $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION 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. vwq-1 CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2002 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement. Furnace (Side Vent • Fill Out Back)' Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes 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 ll ll •' i •• • � l j REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner'. 4/6'RUUCJ vAm1_� 3 0 q dd " JOB ADDRESS 3N Feh111�n Duel— RATE .el— OWNER 10h^ TOTAL j BUILDING USED AS_ lf'5�5 48- ESTIMATED COST?[ PERMIT NO. -c .DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) arm Airi $ Trade Name llewcj. Size No. uGPK—f® - -. BTU %60, Ow HP EDR Fuel x-106 4I % Total Connected Load ' Burner Trade Name Size No. $ BTU HP EDR P $ The undersigned hereby makes application fora permit for the work herein specified agreeing to do all work in trict accordance with the City Codes an .50 rulings of the Building Division, and hereby declares that all the facts' and representations stated in this application are true and correct. $ :5 5y Center Point Energy MGCO ^ATE �2 13562 Central Ave NE . HEATING CO Anoka. MN 55304 rr Signe�• � TEL # FAX ���-151- ID�DI Approved By Rough -In Date Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT_ VENT CONNECTOR AND COMBUSTION AOR VERIFICATION When renla _i g an P-Asting.ran _ -, 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 ( No ( ) The venting system is plasticIPVC and meets all current codes and manufacturer BTU Input Fan Assisted or Nat specifications including sizing, length, number of elbows and termination. Yes ( No( ) The undersigned also verifies that the replacement unit is a listed assembly BTU Input Fan Assisted or Nat and meets the current codes and manufacturer's specifications. This does Total Btu Input include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) The taY�g nnmhuci±inn air is sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When required to install a new aemhucfinn air.itwill be sized and installed to meet the current codes and manufacturer's specifications. Yes ( No( ) When ine_talling a new ventinp!;jtsMm, 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 appliarces. Yes ( 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. Yesj-�,No ( ) 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 Diameter . inches Appliance #1 Vent Connector Height ft t--ef°igth ft Diameter in Type Appriance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type Center Point Energy MGCO 13562 Central Ave NE HEATING CO: Anoka, MN 55304 �►� Signed By: ems, Date 0