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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date:=_1 . — 61 d� - Owner: K� Address Builder Address ggLOCATIC0, F BUILDING No. Street . ---:e�'� c . Parteot, Lot Addition or Sub -Division . - J Corner Lot ___ _ .____ Inside Lot Setback_._ _ _ideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Tor Used ' Front46�—Depth Height _ Sq. Ft. Cu. Front Depth H ' ht _ _ Sq. Ft. Cu. Ft. _ Type of Construction_ Est. 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 ordinances of the city of Fridley. In consideration of the payment of a fee ofpermit 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 within the city limits and this permit may be revoked at any time u vu of any of the provisions of said ordinances. ,�� :� ,P Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. .QW4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, NMQWOTA Owners Name Builder Address Address vj- LOCATION OF BUILDING B .e. NO. Street �-�� `� Part of Lot Lot _ Block . Addition or Sub.Div. Corner Lot Inside Lot t Back J J-' Side -Yard % ° / T 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: Front Sq. Ft. ) Cu. 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 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 representa- tions stated in this application are true and correct. DAT& SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) Application for Power Plants and H Cooling, Ventilation .Refri and ba� APPS 9. g• Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 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 ............ y each add. 60,000 BTU .... . ................. . Replacement of Furnace .............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. S)rEAM or HOT WATER SYSTEM I Furnace Shell & Lines—to 400 sq. ft. EDR Steam...... . P _ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... Each add. 200 sq. ft. EDR Steam ...................... Each add. 320 sq. ft. EDR Hot Water .................. 8.00 $ 2.00 $ _ 5.00 $ 5.00 $ 2.50 $ 8.00 ��ii m'tG $�!� 8.00 $ 2.50 $ 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule t�D 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 City 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, it inn 19 Owner Kind of Buildings Used as To be completed about .� Estimated Cost, $ Old—New. Building Permit No\ - Permit No.— DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Waate Warm No Trade Name �y2���2 �7ff / ze No— Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load ' �� � Kind of Fuel BURNER —Trade Name Size Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Sign By p� 42 2M 7-59 Business Phone No. S6 A � 9 HEAT LOSS CALCULATIONS ` �' DEPARTMENT OF BUILDINGS • Mme• Weatherstrips A.S.H.V.E, Construction No. Insulation Guide - ows DeRrs Reference Out. Wall Int. Wall Ceiling Roof I Floor Kind How. Yes No I es No 19. t Fl.LRoom I Length /,.� Width 111f Height Fl.yaM Room I Length IVX Width Y, Windows and Doors—Crackage and Area Wtdth Height No. of Llseal ft. Area No. of pane of pane tights of crack sq. ft. Windows dDoors—Crackage and Area Width Height No. of Lineal f . Area No. of Total Btu. Re�gryuiZ y , / p /� .R, or sq. ins. W.A. Leader area M1_V 17Y iV I &C° R.. 1 T P..th / W rIth NP�.ht Windows and Doors—,Crackage and Area �.o..� Width Height No. of Lineal ft. I Area No. of pane of pane lights of crack I sq. ft. pane of Pana lights of crack eq. ft. E Coef. Btu Coef. Btu r/G &M In/110 W Exp. wall — Coef. Btu Infiltration Glass Net exp. wall /® �® Exp. wall� s.... Int. wall Ceiling Net exp. wall Ceiling Floor 149 Int. wall I ArfflL5 Ceiling, Floor Ceiling3F Floor x Total Btu. Re�gryuiZ y , / p /� .R, or sq. ins. W.A. Leader area M1_V 17Y iV I &C° R.. 1 T P..th / W rIth NP�.ht Windows and Doors—,Crackage and Area �.o..� Width Height No. of Lineal ft. I Area No. of pane of pane lights of crack I sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crVck sq. ft. e� s s Coef. Btu Coef. Btu Infiltration Glass &M In/110 W Exp. wall — AV 40 �Fv Exp. wall Net exp. wall /® �® Int. wall Floor Int. wall Ceiling Ceiling Floor 149 Flq_or Total Btu. llowffL Required ; Fl _ W I —.0— ! _ Windows and Doors—Crackage and Area �.o..� Width Height No. of Lineal ft. I Area No. of pane of pane lights of crack I sq. ft. a Coef. Btu Coef. Btu Infiltration Infiltration OqF 611,44 - Glass AV 40 �Fv Exp. wall Int. wall 6v Net exp. wall WL Floor Int. wall Net exp. wall Ceiling /® 149 Flq_or I ArfflL5 Total Btu. ft. E.D.R. or sq. ins. 'W.A. Leader area Coef. Btu Infiltration Glass Exp. wall Net exp. wall AV 1199 Int. wall Ceiling Floor Total Btu. ®_3 _ Requir%d sq. E. .R. or sq. ins. W.A. Leader area Fl Room I Length " Width /Heig Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. fte .,24 �(d-1(/ 1 O Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall Glass Ar Int. wall 6v Exp. wall WL Floor -9AV Net exp. wall ® /® Int. wall Ceiling, Floor Total Btu. &356 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ir L9 L!....... I i e.,...h . Wlrltl, ' T-TPight 1 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of.pane of crack sq. ft. �lights Coef. Btu Infiltration Glass % Exp. wall Net exp. wall Ar Int. wall Ceiling Floor Total Btu. sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and Gas Fitting Permit D tf Bld Ph SU 4 7470 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 ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ f x 3.25 $ Water Heater (Up to 200,000 BTU) ...... ✓ x 2.00 $ J New Ground Run Old Bldg . ............ x 3.25 $ GAS PITTING FEES: NO. RATE TOTAL C� 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 $ ep . o gs. one 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 Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, .Minns 19�� Owner Kind of Building Used as To be completed about Estimated Cost, $ , Ol N w wilding Permit No Permit No. —2-7;.// Signed- By- Business igne ByBusiness Phone No ROUGH FINAL yL, z 2z C94a 0U` z `aa (70 • F • N WATER HTR. GAS ELEC. Base 1st 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 ............................ f x 3.25 $ Water Heater (Up to 200,000 BTU) ...... ✓ x 2.00 $ J New Ground Run Old Bldg . ............ x 3.25 $ GAS PITTING FEES: NO. RATE TOTAL C� 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 $ ep . o gs. one 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 Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, .Minns 19�� Owner Kind of Building Used as To be completed about Estimated Cost, $ , Ol N w wilding Permit No Permit No. —2-7;.// Signed- By- Business igne ByBusiness Phone No ROUGH FINAL City of Fridley, BUILDING PERMIT Date: August 1, 1968 owner: _ Richard J. Dulong Builder Address 5836 Washington St. N. E. Address Same Same N® 9859 LOCATION OF BUILDING No. 5836 T Street ._.. Washington St. N. E. _ part of Lot Lot 6 _ Block 2 Addition or Sub -Division Lyndale Blders, 7th Addn. Corner Lot . Inside Lot --- Setback Sideyard _ Sewer Elevation —__ _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Detached Garage Front 24' Depth 24' Height 10' Sq. Ft. 576 Cu. F•t, 5760 Front Depth Height Sq. Ft.. _ Cu. F't. Type of Construction Frame Est. Cost — 800•_00._..__.. 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 fo and co pliance 21 revisions of ordinances of the city of Fridley. _ In consideration of the payment of a fee of s ----L- 00 permit is hereby granted to Richard J. Dulong to construct the building or addition ars described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Official Building NOTICE: This permit does not cover the construction, installation for whdng, plumbing, gas heaMae, sower or water. Be sure to no the Building Inspector for separate permits for these horns. APPLICATION FOR BUILDING PEWMT CITY OF FR-tDLE'f MnMESOTA OWNER't,NAME C (n,a Q,_ BUILDER_ . ADDRESS.��� ���Ca 'c r i��, ax �Q RESS� LOCATION OF BUILDING N0, STREET LOT BLOCK -ADDITION OR SUBDIVISION/ COMER LOT INSIDE LOT SETBACK SIDE"YAI�D__„ SEWER EYZVATION TOP OF FOOTING Applicant attach. to this.jorm Two Certificates. of Survey:of Lot aa&.*proposed building location drawq►. ou;,these Certificates. DESCRIPTION OF BUILDING `{ To Be Used As: Front..- Depth Height,T Square feet Cubic Feet c�-' . Depth a Height Square. -,feet vf'�1 Cubic Feet 2� Type of ConstructionEstimated Cost l�D To Be Completed�r__`�` The undersigned hereby snakes 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/� w _ SIGNATURE Z�._ (Schedule of Fee Costs can be found on the Reverse Side). BUILDING PERMIT FEE SCHEDULE SECS The Inspector of Buildings shall, before Issuing permits for the erection of sny, building., or structure' ar°for'any addition to any -existing structure.o'r'building',"or'fet any`Alteration or repairs to any existing building or structure, upon•,applicat•i}on theref6re, require the the payment by the applk6i1it f6r`such permit bf fees to the amount herein below set forth and in the manner herin provided to -wit: Uniform Suilding Code; Type 1, 2, & 4- $1.75 for each 'one thousand cubic feet, or fraction, thereof, in such cubical . contents . Type 3 & 5- $1_.50 for each, one . thousand cubic feet: For the_ ,purpose of computing fees for buildiagiertiCs the cubical contents ®f..sny building''or a4a tion'to a uviform height throughout by multiply-ir2g`tihe ground area covered from a. poi°at •six '(6) inches below, the flop: line of the basement or.the'celta* te the average height of the 6-poer surface or to the -'average height of the roof surface of the,main gable of a pinched roof. For repairs or alterations. to :an existing wtructure; 'the 'fee -shall be at the rate. of $3'.0® 1 er' each five hundred` dollars ($500.00) or fraction thereof in the cost of Tall proposed work..,,. In no case shall the fee charged for any permit.as set iorth.in Section 2 be less than $5.80. NSSSD Connection Charges based on location- Area 1 or 2. suedEcr PER City ®f Fridley210 31 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. _ Tr PROTECTIVE INSPECTION SEC. u CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 [8/27/91 JOB ADDRESS 5836 Washington Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 Lyndale Builders, 7th Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Mary/Greg Schwartz 5836 Washington Street NE 571-4778 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Q ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 121.x 12' Three Season Porch-Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations, on plan. Provide fire alarms on both-levels. of existing hom e. MVI A. 031ilnbm SUORE301 kPin P SEPARATE PERMITS REQUIRED FOR Jo} lin 8u1821p aaolas WIRING, HEATING, PLUMBING AND SIGNS, DNINHVM TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING: ZONING SQ. 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. 'HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $ 2 200 $1„10 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT r PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 Fire SC $2.20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 7. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PRO ERLY VA D E T S YOUR PERMIT / / 9 / BLDG IN SP BATE SiGNATURLr OF OWNER OF OWNER BUILDER) fe IDATEI M [ ] Effective 1,/1/91 ADM [ ] R-1 AND R-2 AIT [ ] Building Permit Application construction Address: N � Legal De riPtion: Zog /6/mak .2 Z "17da/e Ou; iaers 7 Ow1:er Name & ='_-' PY/cu v 6reer '!`el. # 57/ CmYcractor: Sa s^n(' 11e1 • # Address: .50, vrw- Attach to this application, a Oertificate of Survey of the lot, with the proposed pian drawn on it to scale. MM ri IPTIQJ OF IIrz o r YE + = LIVIM AREA: Length Width P � height Sq. Pt. MUM XM: Length Width Hei0t Sq. Ft. 1 AREA: Length Width Hgt/Ground Sq. Ft. 072MR: 1�� ra Corner Lot [ ] Inside Iot [ ] Ft. Yd Setback Side Yard Setbacks ape of Constnictian: Estimated Cost: Approx. Ompletion Date: Prognosed Driveway Width If New opening Is Desired: Ft. $ S Width + 6' See Hack Page DATE: 8 -,NO 01/ APPLICANT:%u/ �C'�'r, Tel. #_,S 7 7 %�) Permit Fee $ �U1 It ®� Fire Surcharge $ c� ea States F, 10 SAC �e'$ � •.,, . . Driveway Escrow $ Park Fee $ Charge S y"AtAw Fee Schedule an reverse Side .001 x Permit Valuation (1/10th t) $.50/$1,000 Valuation ; $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by;,,�r;*� Agreement Necessary [ ] Not Necessary [ ] UIMCMA 00 °0— yrs r �c� Zhe Chief Building Official shall, before issuing permits for the erection of any building or sem, or for any addition to any existing building or structure, or for any alteration or repair to any ®fisting building or structure, upon application therefore, regi,; re the payment by the applicant for such permit of fees to the amount herein below set forth and in the mamer herein provided to -wit: $1 to $500 $15 (Minim Fee is $15 plus surdharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or f mo tiara thereof EUVEMY CEFFAMIM Z9C.K W (Concrete Qnrb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Ramal and u +eplaoement Of curb and gutter and install a 3 foot wide approach with 6 inch depth - Drive ray width plus 6 feet times $15.75. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the prc�posed structure and of the cion site. A Certificate of Survey of the lot, showing the location of the foundation cnoe it has it has been constructed will be required before proceeding with the framing. TG N CiA a ca -Mk? S Lm� A -PLI-2- 11\r. a, Cts''; Tn S'9 nia� �►"� i ,�u ®a�-'�Si c� C i 9 4+� x 11-7 V rrea42 y I r f i t Aj777777��po r j a. � I dp p�Ma1 � i r �r 36 1 n d r16 F-