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PRE 2010 DOCSCity of Fridley, Mm. BUILDING PERMIT Date: •.•.r". i Owner: _. ' _ _ Builder Address Address ,1 "_e4J , r.Ayde�oe OF BUILDING No. Streets � .._ Fart of t _ Lot .._..... _._._.__ Block Addition or Sub -Division � - . ... Corner Lot ____ Inside Lot _.._. Setback _ __ _ Sideyard Sewer Elevation____ _ _ _ Foundation Elevation — DESCRIPTION OF BUILDING ^} Front Depth. A�� Height _4f:fa Sq. Ft. Cu. Ft pV o Depth . __ He t _.._ -, Sq. Ft. ._ _ Cu. Ft. Type of Construction Fast. Cost , To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of Qrdinances 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 regarding location, construction, alteration, maintenance, repair and moving of buildings wiithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _ :'n Building Inspector NOTICE: This permit does not cover the constwdion, ladallation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. — .- 1. .4004 k,-4_-._— APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEYo MINNESOTA Owner's Name .Builder., Address Address �%'Vw� LOCATION OF BUILDING No. ze vs_ Street%-^ _.�r.Y1 Part of Lot r LotBlock Addition or Subdivision�� Corner Lot Inside Lot ✓ Setback :3 Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: (---4' '4- FrontDepth Height sq. Ft. Cue Ft.. Front, Depth ,� Height sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing Ito 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. SIMATUREE--- ` (Schedule of Fee Costs can be found on the Reverse Side). BUILDING PERMIT FEE SCHEDULE Section 2. The inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, 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: 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fireproof garage, warehouse, factory or grain elevator, or for the erection of any fire- proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof build- ing other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2�4.. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing building or for each such building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose of computing fees for building permits the cubical con- tents of any building or addition to a uniform height throughout ,by 'multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of,the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. 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. 2.6. in no case shall the fee charged for any permit as set forth in Section 2 Pe less tY $4.00. City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ y 1.20 $ New Fixture Old Opening .............. x 0 00 �n too F N WATER HTR. GAS ELEG Base 2.00 $ 52! U V New Ground, Run Old Bldg . ............ x 3.25 l GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 _-% Additional Fixtures .................... x .50 $ 1st x 2.00 $ 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 $ 52! U V New Ground, Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 _-% Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Z� Description ............................. TOTAL FEE $ f '� Dept. of Bldgs. Phone SII 4-7470 Lew-aNnin 4- 6- City of Fridley: L The undersigned hereby makes application for a permit for the work hereit 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 facl and representations stated in this application are true and correct. Fridley, Minn Owner� Kind of Building Used as To be completed about Estimated Cost, $ _ Ol New Building Permit No `�% Permit No.� Signeli B Business Phone No ROUGH S - ?'' 6 "-- FINAL s FINAL 0' Application for Power Plants andHeating. Cooling. Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... Furnace Shell & Duct Work to 120,000 BTU ............ .each add. 60,000 BTU ........................ Replacement of Furnace .............................. Repairs & Alterations up to $500.00 ................. Repairs & Alterations each add. $500.00 .......:...... . RATE' TOTAL, 8.00 $ 5.00 $ 5.00 $ 2.50 $ J_ 8.00 $ 2.00 $ §.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ '1 t Furnace Shell & Line—to 640 sq. ft. EDR Biot 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 VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH- OUGH FINAL— FINAL See See Fee Schedule TOTAL FEE $� 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, Alum �/ z <:g , 1910 9 O - — - I Owner Kind of Building a . Used as To be completed about�— Estimated Cost, $ S Old—New. Building Permit No. \,S— / A--5 Permit No. DESCRIPTION OF WORK Y BEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade NamejyZ �� ,N� Size No ` = Capacity Sq. Ft. E.D.R BTU H.P. Total Connected LoadKind of Fuer BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU - H.P. (REMARKS -OVER) _. d % z Q��42 2M 7-59 Business Phone No- rae— �. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area Width Height No. oP Lineal ft. Area No. of pane of pane lights of crack sq. ft.. of cra}ckk sq. ft. Windows and Doors—Crackage ind Area Width Height No. of Lineal ft. Area No. of pane of Palle lights of crack sq. ft. e _ kv 1�3 Int. wall Coef.1 jBtU "!, 1? Glass OSS CALCULATIONS DEPAR 0 B I GS TMENT F U LDINstrips S. �• kYesNo Int. wall A.S.H.V.E.Construction No. Insulation .Guide Glassv' Total Btu. og Required t. E D.R. or sq. ins. W.A. Leader area 2 0 f �.j 2 rs Reference Out.Wall Int.Wall Ceiling Roof Flo Kind How. Applied ; Yes . No 19—"P Room I Length Width Height Fl se Room I Length / Widt a,? Heig Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area Width Height No. oP Lineal ft. Area No. of pane of pane lights of crack sq. ft.. of cra}ckk sq. ft. Windows and Doors—Crackage ind Area Width Height No. of Lineal ft. Area No. of pane of Palle lights of crack sq. ft. e _ kv 1�3 Int. wall Coef.1 jBtU "!, 1? Glass Coef. Btu Infiltration Net exp. wall e a Int. wall Of -?//z Glassv' Total Btu. og Required t. E D.R. or sq. ins. W.A. Leader area 2 0 f �.j 2 Exp. wall ; Net exp. wall " /0 ?aro Int. wall Ceiling '3�i' j /0 70 Floor ,r'r�.�, Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights I of cra}ckk sq. ft. Windows and Doors—Crackage ind Area Width Height No. of Lineal ft. Area No. of pane of Palle lights of crack sq. ft. e _ kv 1�3 Int. wall -1 otal Btu. ' Required $q. ft E.D.R. or sq. ins. W.A. Leader area Fl ` Room Length/ Width f Height � Windows and Doors—Crackage ind Area Width Height No. of Lineal ft. Area No. of pane of Palle lights of crack sq. ft. e _ kv 1�3 Int. wall Coef.1 jBtU Infiltration + ' 1? Glass Total Btu. Exp. wall Net exp. wall e a Int. wall Ceiling Floor Total Btu. og Required t. E D.R. or sq. ins. W.A. Leader area 91401"- 1 Fl. ¢ Room I Lenqt — Widt Heigh ° Witidows and Doors—Crackage and Area Width Height No. oL Lineal ft. Area No. of Pane of pane llg to of crack Be. ft. Infiltration I Glass / Exp. wall qJ7 Net exp. wall Int. wall Ceiling v/ 0 4" oor k 4 1z Z9 5 Total Btu. / - ReAuired sq. ft. E.D.R. or sq. ins. W.A. Leader area Coef. Btu Infiltration 7 / / Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required s' /-t Windom Wid No. of of Infiltration V7 .D.R. or sq. ins. W.A. Leader area 1. Room I Length /' Widt Doors—Crackage and Area [eight No. of Lineal ft. Area [ Wane liehto of crack Glass' ' Exp. wall ,-i' 52' Net exp. wall Int. wall Ceiling �✓' Floor d z Total Btu. rs g,4Z Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 49 q FI.VJaM6 Room I Length Widt ` Height?" Windows and Doors—Cracks and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Infiltration 1 —.3 - � � ---------- ----- ---- / Glass f' P Exp. wall Net exp. wall f� Int, wall Ceiling d Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 4 - City of Fridley, NUnn. 1q 7508 PERMITBUILDING Date: -1by 4s 1965 Owner: James Rains Builder Schold Co. Address 5995 i Og N. R• Address 2021 Qdbec Ave. No. LOCATION OF BUILDING NO. 5825 street Washington St, R• E• Part of Lot Lot 12 —_ Block 1 Addition or Sub -Division Corner Lot . _ Inside Lot _ _ Setback _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost 200•E�0 w To be Completed Re—Dash Stucco In consideration of the issuance to me of a permit toconstru the building described above I agree to do the proposed work in accordance with the description above set and in compliance with 0'11 provisions of ordinances of the city of Fridley. A) i r C) . In consideration of the payment of a fee of s 5 • , permit is hereby granted toti�lold# thto construct the building or addition as described above. This permit is granted upon e 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 Bart Thereof, shall conform in all respects to the ordinances of Fridley, Blinnesota arcing lacatioa, construction, alteration, maintenance, repair and moving of buildings Vwithin the city ]imits�an dthia permit may be revoked at any time upon violation of aay of the Provisions of said dinance. NOTICE: 'lids petmh doss not emr the eondrudlen, hutaMen for whing, plumbing, ga headeg, wwor w water. Be etre to we the Building hopeetor for separate peraft for those heum. ,77d13 _S - APPLICATION FOR B ING PERMIT CITY OF FRIDLEYi ,NNESOTA rol "JITTOM "T 11 r p e ADDRESS �® ADDMS8 ?,, s LOCATION OF BLMDTNG No, Street LPart of Lot__ - Lot / .. Block Addit.iout or Subdly i©n / Corner Lot Inside Lot __..$etVmk Side-Yart1-._.. SEVER ELEVATION FOUNDATION EUYOION Applicant attach,to thin form, Two Certificates of Survey of Lot and ,proposed build- ing location ;drawn: on these Certificates.. DESCRIPTION OF BUILDING Tat be used as: pront Depth �ie3P,ht Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft.. Type of Construction .r Estimated Cost ..-Tb-..ba Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to rho all work iit 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. Oche u e.of Fee Costs can be found on the Reverse Side). BVILDIN PERMIT FEE SCHIOME 4 Section 2. The Inspector of Buildings-ibl•l, before, isauiag any permit for the erection of any building or structure, •ox for any add;Lti to any exist - Ing building or structure, or for,. any alterat"ptb `""paixb to any existing buildiaig or structure, upon applicat0a erefor, 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 -wits ^: - 2.1. For any ouch permit for the ereo.tion of`any fire4t". f buildipg,. other p than a garage, warehouse, factory. vx in' evgtW4 Ov Ifir, -the er"t•ioi of ` 'any fixe -proof addition, fox isia}�,]-ar'xo�c�It ey, ko: at'y existlog buil-di shall be at the rate of $1.40 for ea.0.704e thousand pubic feet, or•lrao•tion r .. thereof, in such cubical contpnts. . n 2:. For any such permit-. fes.... he..erection of any lire -proof gyrase.. ��^•. ,,, ' factory sr grain elevator, or or the erection of anyiproof for similar occupancy, � ..ekisti p' p Y� to. any ng �a�ildi�g. sha1.I• •be at .t)ie for• 'eaeh one .thousand cubic .feet.*%,classified .ae,"fireproof" by .S+ the MiaricP�cr;L3,s Su¢it�g 'Cotte.-,�pd�Cye,r.:• HOUSES Fdr au i such permit for the 'erection of any non -fireproof bbildiag ` than a garage, warehouse, factory or. grain elevator, 'any tion -fire _g, ; addition, for simi� ar ocCupa y, to any a*istidg-Uuildi,ng - permit $1.00 for each -one thousalnt3 cubLO feet.& GARAGES 2.4. For any such pergiit for the erection of any non -fireproof garage, warehouse, factory or grain -elevator, or for the erection of any non -fireproof' addition, for-s;tmilae.occupancy, to any existing building & for each such ;,building or addition - ninety cents ($0.90).for each,one thousand cubic feet or fraetion thereof, in the cubical -contents thereof with a minimum of $4.00,., For the purpose of computing fees for building permits, the. cubical contents• of any building or addition to a. uniform height throughout •'by Multiplying the,.,. ground area covered.from a 'point six (6) inches below the floor line.of..the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the maim gable of a.pitched roof. .2.5, For repairs or alterations to an existidg struct .t, Ate fee shall be • at the rate of $3.00 per each Five i�undred• Dolli r..s .($30&4.60y oic, fraction �thereof in the cost of e17,.prop+osed work, q 2.. In no. case shall the 'fee_Char Rte;#;ar ais}� porm3r, : sed forth in Section...2" be less_ than •,$4 00: . " MiNNEGASCO G Cifiy of 1=iiGlay 53-84-s-915.51 • PI--m•T 7 rm Ap pllC�i�ai1 ��Z9' �1u8FtL'iii� � �� �'z"s...•'� ��'est.� �e.sea_.t , Dept- of Bldg3. Phone M-3450 DESCRIPTION O: WO111 5825 N. E. Washington street Nuz%%--*r, XUtd and Location of Fixtures Lo w q NO. RATE "TOTAL F x $2.00 �ZtlII� Future Fixture Opening ............ •Z1FZ x $1.50 I+ Z� N 'i a OZI WATER NTR. $ New Ground Run Old Bldg....:..:. East S Electric Watar Haatar...... ....... a $2.00 3 ZAS FITTING FEES: NO. ROTE TOTAL 1st 3 Fixtures ............... x $2.00 $ . Additional Fixtures .............. x S .75 $ 1 5.00 Gas Range to 199.000 BTU ........... 1strn4tal 6 g 2nd _ 3:d. :d4;h ---T- 4 th. • Fur=& Coa :oz.'. -.a Oponlz ,s $ Xaw Fl:.-tur®. Old Oponir.,rs W iL-YIe.V1i N.W Sauar Ccoapool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE "TOTAL Number Fixtures ................ x $2.00 S Future Fixture Opening ............ x $1.50 $ _. - New Fixture Old Opening ..... .•.... x $1.50 $ Catch Basin .................... x 53.25 $ Water Iieater 'Up to 99.000 BTU) • • • • x S3.00 $ New Ground Run Old Bldg....:..:. -- x $.3.25 S Electric Watar Haatar...... ....... a $2.00 3 ZAS FITTING FEES: NO. ROTE TOTAL 1st 3 Fixtures ............... x $2.00 $ . Additional Fixtures .............. x S .75 $ 1 5.00 Gas Range to 199.000 BTU ........... x $5.00 6 City o1 Fridley: s The undersigned hereby makes application for a permit for the Work herei specified, a,:,reeing to, do all % c -.k in strict accordance with the City C:diranee and ruling of the Department of Builctngs, and hereby declares that all the fad and representations stated in this xppL`ca::on are true and correct Ridley, 9r -inn 7-22-75 Owner James P. Rains -- Kind of Building Frame Res. Used as To be completed about 7-29-75 •Estimated Cast. S 10.00 Old Building Permit No. Fora it No. Signed _Z"—oi.-a c bm By MINNECAsna Business Phone do ROUGH PAIRS & ALTERATIONS—Rater to Code .50 State Surcharge P.E .Description......................................... • TOTAL FEE 5.50 — Dass ".A"' SLurcharke a50? - J SUBJECT PER O. City of Fridley 1495° AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT NO COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r SEC. 1 = � �l /'•••1 CITY HALL FRIDLEY 55432 ,�� NUMBER REV. DATE PAGE OF APPROVED BY i••" 612-560-3450 9t0 -F15 10-13-78 JOB ADDRESS 5825 Washington Street N. E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 1 Lyndale Builders 7th Addn.. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Rains same 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Norske Concrete 7401 Central N.E. Fridley 786-1910 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Detached Garage 7 CLASS OF WORK �E7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS e o. � Vo0 `ZlQ,S���' 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 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 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. $3,475.20 1.73 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- $19.20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $ 20.93 S., ATURE OF CONTRACTOR OR AU HORIZED AGENT (DATE) W N PAOPERLY VALIDAT THIS IS YOUR PE MIT Q� -? BLDG. INSP DATE SIGNATURE OFOWN F OW ER BUILDER) (DATE) J CITY OF FRIDLEY APPLICATIOti FOR RESIDENTIAL BUILDING PER141TS (NEW, ALTERATInsi ADDITIONS, OR REPAIRS) • OWNER:j�,y, CS /C1�'/ /� MILDER:Ci�W�At Al Address: .72 S�IfSN S7 Address: Tel. No.: AM No. � Street: f7.5�®'®v rI �G I,pT; _ �/ BLOCK: ADDITION: CORNER LOT: INSIDE TAT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates oL Survey of Lot and proposed building location drawn on these Certificates. i DESCRIPTION OF BUILDING To Be Used As: �® Front: �07 t/ Depth: ° 4=Height : a - Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ s To Be Completed: Alt. A Alt. B Prciposed Driveway Width If New Opening Is Desired $ $ (SEE RE\TERSE 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 Department 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: 14011-317k SIGNATURE: �t • Stipulations: 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. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $14.50 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 $17.20 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 lier 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. Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. SuBJECT PERMIT Lity of r ridley ®.r AT THE TOP OF THE TWINS BUILDING PERMIT`S r ECEIPT NO COMMUNITY DEVELOPMENT DIV. f E PROTECTIVE INSPECTION SEC. •A _ CITY HALL FRIDLEY 55432 ,'� NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 9/3/65 JOB ADDRESS 5825 Washington Street N.E. 1 LEGAL LOT NO. 12 BLOCK 1 TRACTOR ADDITION SEE ATTACHED L`mdale Builders 7th Addition DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ja.-ies P. Rains 5825 Washington Street N.E. 571-76391 3 CONTRACTOR MAILADDRESS IIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER NAPLADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Res i dentia 1 7 CLASS OF WORK ❑ NEW Ek ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK :;onstruct a Screen Porch Adc;ition to Back of Dwelling (14' x 1.1l) 9 CHANGE OF USE FROM TO STIPULATIONS WARNING Blafore dig h.t, call local utilities ttp.A ASE PERMITS REQUIRED FOR TELEPHONE - ELECTRIC - GAS Etc. � , HEATING, PLUMBING AND SIG'A4 REQUIRED BY LAW 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 OWLG UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT 1 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 $2, 110 $1.05 WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR T4IE PERFORMANCE OF CONSTRUCTION v PLAN CHECK FEE TOTALFEE � 49.1n a S.Gti4TdREOFC0147RACTOROQAUTNOp,ZEOAGEai iDATE. E yyHE'N WROPERLY VALIDATED THIS IS YOUR PERMIT : SG%A%94 Or.,'.%E- .c Oti.NE-6-. :)Ep GAGE 6- t' pArE NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: 5s7'-2-.5— Legal Description: 40 7 - Owner Owner Name & Addr/ess : P ' ��-S Tel. # S-7/- 76 Contractor: HG l /K /2 9A-" CK Tel. # S 71 — 100 J-9 Address: Cr m Et- ®7- Z- A-Al'e /77 � 0 t EV A-tAJ Attach to this application, a Certificate of Survey of the lot, With the proposed construction drawn on it to scale. LIVING AREA: Length DESCRIPTION OF IMPROVEMENT Width Height GARAGE AREA: Length Width DECK AREA: Length Width OTHER: I (PZ C Corner Lot [ ] Inside Lot [ Ft. Yd. Setback _ Type of Construction: Approx. Completion Date: SE P / Height Hgt/Ground 0, f Sq. Ft. Sq. Ft. Sq. Ft. 71ut, Side Yard Setback Estimated Cost: $ 21 ♦ t� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation 913 /Y� APPLICANT: "� Tel. jf 71 ^ � o/� DATE: , CITY USE ONLY v ?� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge i -volt l STIPULATIONS: Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] , 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 Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for,each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 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 been constructed will be required before proceeding with the framing. 0210a 2aaft- t ,�f SUBJECT P City of Fridley (-2-7604 AT THE TOP OF THE TWINS BUILDING PERMIT � � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ ______®>� v PROTECTIVE INSPECTION SEC. r T NUMBER REVT9/8/98 ATE PAGE OF APPROVED BY CITY HALL FRIOLEV 55432 j 612-571-3450 910415 JOB ADDRESS 5825 Washington St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 1 1 L ndale Builders 7th Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE James P. Rains 5825 Washington St NE 5 102 571-7639 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 C REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & garage 26 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 I 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 $2,228.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ STRUCTION OR THE PERFORMANCE OF C STRUCTIO19. PLAN CHECK FEE TOT L FEE G�.?.� Licens $5.00 $83.09 SIGNATURE OF CONTRACT R UTHORI AGENT IDATEI EMPjMVAL1D)ErTHI$ B INSP IS Y UR MIT Ji ' • f1A TE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ;A�g�e Legal Description: Owner Name & Address: Contractor: Address: Effective 1/1/98 '6p -aa -16®y 1 Tel. # J-71— 76d MN LICENSE # Tel. # _e___, 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: O h , , O -4 V , %z— V Construction Type: Estimated Cost. $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. # CITY USE ONLY �%� Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ i. / $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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 $ 6j C� STIPULATIONS: _6-71-76,3 9 BUILDING PERMIT FEE SCHEDULE The Chief Building Oficial 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) Altemate "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. CITY OF FRIDLEY INSPECTION DIV. P ,� 6431 University Ave NE �� �J�✓ Fridley, MN 55432 572-3604 1��Iqlw_x APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTAII Fn nN FACN P nnn Effective On January 1, 1999 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS MJ5 P)z yl 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** Gas Range** _I 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 $42.030/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 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. 2z2v dc)';� Owner us:Sr�" Building Used As Estimated Cost PERMIT NO. PLUMBING COMPANY WGUIRE & SONS 5 12th Avenin SouU, SIGNED BY &, 0V", Al 50343 TEL NO.q,% �1 Approved By AA -4" Rough—In Date MINIMUM FEE ROR ANY PLUMBIC ® PLUS THE $.50 STATE SURCHARGE _ Final Date **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES.