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PRE 2010 DOCSCity of Fridley, Minn. BUILDING Date: - 7 16 I` Owner: Address M 5' 00' Builder- _ _.�... ..._. _. Address j,;OCNXION OF BUILDING No., a Street Part of Lof� Lot _ Block _ ---Addition or Sub -Division . '' '`+ .0 Corner Lot ---- Inside Lot - __ d' " Setback Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING a be U �#� Front Depth Height Sq. Ft Cu. Ft +' t Depth H 'ght _ Sq. Ft Cu. Ft. Type of Constructio _ _ Est Cost "Fwr 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. X In consideration of'the payment of a fee of $y _ _ , 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 within the city limits and this permit may be revoked at any time upon violan of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, Installation for ,wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CI'T'Y OF FRIDLEY, MINNESOTA owner's Name Builder Addres LOCATION OF BUILDING No. ji qs Street Lj STS W, Part of Lot Lot Block 1/ Addition or Subdivision iro Corner Lot Inside Lot �—Setback 21'S ide-Yard /fl `-(- /J�` SEVER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: 04- .4 -S-Q V/ Front Depth Height Sq. Ft. Cu. Ft. Front��____, DDepth _ ieight 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 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 ��-- � , SIGNATURE s *---- (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Appiication for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: iii Number Fixtures ...................... 6d �F f) $ ? 3� e� New Fixture Old Opening .............. H %� ti t�� < �U' °d w �G4a Z O • R N WATER NTR. GAS ELEC Base GAS FITTING FEES: NO. RATE TOTAL�� Z $1.50 $ f®� 1st 3 Fixtures .......................... x Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 1st 2nd 3rd 4th • Future Connection Openings I New Fixture, Old Openings Connected with Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE T�OT�A, L Number Fixtures ...................... x $1.50 f) $ 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 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL�� Z $1.50 $ f®� 1st 3 Fixtures .......................... x Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code ................................. �1 Description ............... — C6 TOTAL FEE $ Dept. of Bldgs. Phone SII 4-7470 Location— City ocation City of Fridley: The undersigned hereby .makes application for a permit for the work hereat 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. Owner Kind of Used as To be completed about Estimated Cost, $ Ol —Ne PBuilding Permit No Permit No. By Business Phone No, ROUGH 3 - 30 - � Z�- FINAL d2 2M t— Application for Power Plants and Heating, Cooling, Ventilation,.Refrigeration 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 $ NECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ —n .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 ist 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 FINAL Dept. of Bldgs. Phone STP. 4-7470 City of Fridley: X. (��- 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. Owner Kind o: Used as =`To be completed about '-- .Estimated Cost, $ = Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POM3R PLANTS—Steam, Hot Water, No =Trade Name J Size No eo Capacity Sq. Ft. E.D.R- BTU H.P. .41 Total Connected Load 21 'Z / Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. �Ti� L�GZ1".J Signe By E 4 z 2M 7-59 Business Phone No- (REMARKS -OVER) D•S6 9 HEAT LOSS CALCULATIONS/,//,;,/ DEPARTMENT OF BUILDINGS Weatherstrips A.S.H. .E. Guide Construction No. ffdq ws I Yeors Reference Out. Wall Int. Wall Ceiling Roof Floor s o s No 19. '' F1.1 /_ 4eao�.y Room l Length .J/ Width / Height o Windows nd Doors—Crackage and Area Infiltration Width Height No. of Lineal ft. Area No. of pan of pan lights of crack sq. ft. Width Height No. of Lineal f , Area No. of pane of pe�w lights of craccky sq. ft. ® r (� low AA ff Net exp. wal ®. Coef.1 Btu Coef. Btu Infiltration kv, �E® Exp. wall .10 Glass Net exp. wall Exp. wall,6 s Ceiling Net exp. wall Floor //,-f� Floor Int. wall Ceiling goo Floor 1 otal Btu. Required s D.R. or sq. ins. W.A. Leader area Fl. V-iVl Roo; -1 Length/ Width /,?/ Height Win ows. and Doors—Crackage and Area Btu Infiltration Width Height No. of Lineal ft. Area No. of pan of pan lights of crack sq. ft. Glass % Exp. wall Net exp. wal ®. Coef.1 Btu Infiltration Glass /® Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area kv, �E® Exp. wall Exp. wall Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor Floor l ota113tu. Required s t. E.D.R. or sq. ins. W.A. Leader area M.F Room I Length . Widt Windows Vnd Doors—Crackage and Area Width I Height No. of Lineal ft. Area No. of pane of p/ap/ne lights of crack sq. ft. 1-86 1 I[d & a / ., Yl JCoef.j Btu Infiltration Glass % Exp. wall Net exp. wal ®. Int. wall Ceiling Floor / /® Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / Windows and 'Y MINNEAPOLIS, MIM. Insulation Kind How. Applied om I Length Width Height —Crackage and Area No. oY Lineal ft. Area tight. of crack I sq. ft. II I ICoef.1 Btu Infiltration//xlp Glass % Exp, wall Net exp. wall Coef. Btu Int. wall Ceiling /® Floor Total Btu. i -W Required E.D.R. or sq. ins. W.A. Leader area I a / FlF ,4 A Room I Lenstth //, Width 70 Heigh 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 Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ills. W.A. Leader area F1.1 ZEA Room I Length Width Windows and Doors—Crackage and Area Width Height No. of Lineal Pt. Area No. of pane ot.pane lights o[ crack sq. ft. Infiltration / 9.p Glass Exp. wall Net exp. wad Int. wall CeilingAp Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Btu City of Fridley Application for Plumbing and Comas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures q I 3 1 Future Fixture Opening ................ x $1.50 12 New Fixture Old Opening .............. x $1.50 u o U� <3 C�7°d C�9Sa UN' .O F N WATER HTR. GAS ELEG Base GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... ................... 1 x $2.00 $ 2.00 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ install (1) gas grill! 3.00 1st 2nd 3rd 4th • Future Connec3ion Openings * New Fixture, Old Openings I Connected with Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTLA ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater z $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... ................... 1 x $2.00 $ 2.00 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ install (1) gas grill! 3.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 5 s 00 City of Fridley: 53-84-5915.51 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 correct. Fridley, Minn July 2 1970 19_ Owner J Christppherson Kind of Building frame Used as residence To be completed about July 311, 1970 Estimated Cost, $ 10 ®00 Old New. Building Permit No Permit No. By Business hone No MINNEAPOLIS GAS Co; ROUGH FINAL d2 City of Fridley, Mmm N9 9880 Y BUILDING PERMIT Date: — August 12, 1968 Owner: Fredric H. Christopherson Builder Same Address 5 848 Washington S t . N. E. Address Same LOCATION OF BUILDING No. 5848 Street Washington St. N. E. _ part of Lot Lot 5 Block 2 _ Addition or Sub -Division _____ Lpdale Blders 7th Addn. Corner Lot _ Inside Lot Sewer Elevation Setback —_ Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 241 Depth 22 Height 12' Sq. Ft. 528 Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost 1900 X00 To be Completed In consideration of the issuance to me of a permit to cons ct the building d 'bed above, I agree to do the proposed work in accordance with the description above fo and m ante th ovisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 9.00 , permit is hereby granted to Fredric Christopherson 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 upon violation of any of the provisions of said ordinances. Official Building NOTICE: Thb permit does not cover the construction, 6ntagation for whin®, phmebing, gas heating, sewer or water. Be sire to we the Building inspector for separate permits for thea, items S7,' APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OW-NEFi eS NAME P�ed2 i i4/ L Jim®s/gip .�sa.1 BUILDER ADDRESS ADDRESS LOCATION OF BUILDING NO o STREET LOT .�� BLOCK ADDITION OR SUBDIVISION COFFER LOT I],1'SIDE LOT. SETBACK SIDEYARD SEWER ELEVATIOl`a TOP OF FOOTING Applicant attach to this form Two 0artificates of Survey of Lot and proposed building locationdrawn on then: Certificates. To Be Used As: DESCRIFTION OF BUILDING Front Depth Height ! � Square feet P� Cubic Feet Front Depth Height Square feet Cubic Feet Type of Construction ,�=P Estimated Cost .1✓ 'ow. 00 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 °n this application are true and. correct. DATE SIGNATURE (Schedul of Fee Costs can be fousid on the Reverse Side.) BUILDING PERMIT FEE SCEEDULE SECTION 20 The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing structure or building, 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 mEamer herein provided to -wit: Uniform Build' Code: Type 1, 2, & 4 - $1075 for each one thousand cubic feet, or fraction thereof, in such cubical c.Dntentso Type 3 & 5 - $1050 for each one thousand cubic feet. 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 the 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. For repairs or alterations to an existing structure, the fee shall be at the rate of $3000 per each five hundred dollars ($500000) 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 $5.00. NSSSD Connection Charges based on location - Area 1 or 20 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Job Address ��/1�4 0�//�710eI 7/ /t/4f-_, Furnace Shell & Duct Work $12.00 $ Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 Repairs Alterations 7.00 4.00 $ $ Fridley, Minn. a '1927 & each add. $500.00 Rot 416e�_ STEAM OR HOT WATER SYSTEM: OWNER Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING ®�epg�j each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ 77 TO BE COMPLETED ABOUT `� l��d � OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ OLD - NEW BUILDING PERMIT NO. PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS & REPAIRS $ State Surcharge $ 50 TOTAL FEE $ DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm No. Trade Name Size No. �c16- Capacity —Sq. Ft. EDR/%BTU HP Total Connected Load o� i1, �� / I:ind of Fuel BURNER - Trade Name ML Size No. ROUGH INSP. REINSPECTION FEE Capacity Date ($10.00) FINAL INSP. Remove old cracked furnace and install new forced Date air furnace and central air conditioning APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Sq. Ft. EDR BTU HP r Company wAik Signed By Tel. No. FRANICS HEATING AND AIR COMONIN% INfw 3107 GAbtFQ = STW EW. . L 1I1G6�, STA �JN =;->' SUBJECT P MI City of Fridley o 18836 AT THE TOP OF THE TWINS BUILDING PERMIT r RE T NO. COMMUNITY DEVELOPMENT DIV. �y INSPECTION 2 % 53' r , PROTECTIVE SEC. _? ` 1j CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY •---� L 612-571-3450 910-F15 3/24/87 JOB ADDRESS 5848 Washington Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 2 Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clyde Moravetz same 574-9810 3 CONTRACTOR MAIL ADDRESS ZIP Same PHONE LICENSE NO. 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 O NEW ❑ ADDITION ❑X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re -roof dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS 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 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 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $800.00 $.50 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. $15.00 PLAN CHECK FEE TOTAL FEE $15.50 S1 NATURE OF CONTRAqTOR ORAUTHO ED AGENT (DATE1 WHEN PRO ERLP,' IDATED IS IS YOUR PERMIT TR GNA7URE OF OWN(IF OWNER BUERi (DATE) BLDG WSP DATE NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: / � '�`-`� S �� Legal Description: '2 4Y10 L ��, .PS T/ Owner Name &Address: lr �. cG Tel . # Al Contractor: ®G��.2>>r� Tel. # Address: >�P�� S A&ae- 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: Corner Lot [ ] Inside Lot Ft. Yd. Setback Side Yard Setback �� / ��®�� 61- Estimated Cost: $ Type of Construction: Approx. Completion Date: Aple L - Aox27 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: g—"e2 y- X�;' Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: � Tel . CITY USE ONLY $ /-.00 Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ $.50/$1,000 Valuation $ $ 525 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $S.a 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. SUBJECT City of Fridley 2 6 7 2 AT THE TOP OF THE TWINS NII( `BUILDING RECEIPT NO. COMMUNITY DEVELOPMENT DIV. 116 tr ------- r PROTECTIVE INSPECTION SEC. �! 1 NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/21/98 JOB ADDRESS 5848 Washington St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 L dale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clyde Moravetz 571-3514 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lawrence J. Scott 5545 Knoll Dr., Shoreview MN 55126 651-780-4800 201 1822 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 X3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 22S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIREO 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1834.80 .92 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- STRU ION OR THE PERFORM NCE OF CONSTRUCTION. $59.50 Fire SC $1.83 PLAN CHECK FEE TOTAL FEE LicenseSC 5.00 1167.25 SIGNATURE OF CONTRA TO OR AUTHORIZED AGENT (DATE( HEN PROPERLY (DATED THIS IS YOUR PERM�IwTq, BLDG SP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDNj ] CITY OF FRIDLEY ALTER [VK SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION' ConstructionAddress: Legal Description: --7 m D rqv e - Owner Name & Address:\ �bt� v�q�t9�. )Ef M4r Tel. # �� 3S �< — Contractor: �i it\,\ MN LICENSE # Address -Eg L6 q r, Cc., 6 Vk-y JIQ Lo N . ' [ a.,ro Tel. 4,T (-790 -4 %0'6 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Groutn��d Sq. Ft. OTHER: -'-� �n el Construction Type: do� o` 'S-do&0S-e �eEstimated Cost: $ - 1 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: — DA APPLICANT: Tel. # CITY USE ONLY Permit Fee $% 5� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ i `,L $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $� C $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: 17 $ o"o % A, Ir 1 CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 June 1, 1999 Clyde Moraveti 5848 Washington Street NE Fridley, MN 55432 Re: Final inspection at 5848 Washington Street NE Contractor: A-abc Appliance & Heating Dear Mr. Moravetz: .11 A mechanical permit was issued on June 25, 1998 for the property located at 5848 Washington Street NE for a new air conditioner. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (612) 572-3603. Sincerely, Barry Riesch Building Inspector CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 30.00 $ $10.00 $ $10.00 $ $10.00 $ *Air Conditioning — All Sizggs $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/I nduslrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE 50 QS �50 MINIMUM FEE FOR ANY HEATING/COOUNGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining propgrty owner. Effective On January 1, 1997 JOB ADDRESS 5%)A% -) __IF �&7 Ca nV U 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. BUILDING USED AS ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR . Signed: �! i ►�.Tel No. Approved By Rough—In Date Final Date FILL OUT BACK SIDE F R STACK VERIFICATION ON REPLACEMENT FURNACE M CFMMNEY AND STACK VERIFICATION The undersigned hereby verifies that the -existing chimney or stack: 1. Has been carefully examined Yes O No ( ) 2. Is flee from rust or deterioration Yes O No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No { ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) b Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided. for water heater Yes(.) No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: . List ALTERATIONS Beim Done: one: HEATING CO: Signed By: Date: