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PRE 2010 DOCSCity of Fridley, Minn. BU11DING PERMIT N°5 6 9 9 Date: R Owner: Builder Address _ .______ _ Address--- �` LOCATION,. �yF BUILDING No. „ Street ,cam ,x -Part oft Block ---- --ter _ ..__ Addition or Sub -Division j - Coraer Lot _ _ Inside Lot . _ _ Setback qSideyard Sewer Elevation _ _ ___ Foundation Elevation DESCRIPTION OF BUILDING T-6-64 Used 10 / 0*0 , Front __ Depth ' o Height ' Sq. Ft. Cu. Ft A From _ Depth _ _ Ii ght Sq. Ft. Cu. Ft. Type of ConstructionEsta , _. -`"i'o 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 rdiriances 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 within the city limits and this permit may be revoked at any time upon violator of any of the provisions of said ordinances. l � ,,� r , Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, .plumbing, gas heating, sewer or water. Be sure to no the Building Inspector for separate permits for these items. — _. *- A APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEYj MINNESOTA Owner's Name Builder. Address Address 11144�,J- ko,� J 1 S g( C) LOCATION OF BUILDING No. a Street Part of Lot L In5`t6 Lot Block V Addition or Subdivision7 lw�< ' ®` + f,F' Corner Lot Inside Lot Setback 21-' � SETTER 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 Depth height Sq. Ft. Cu. Ft. FrontDepth Leight Sq. Ft. CU. Ft.— Type tw 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 (Schedule of Fee Costs can be found on the Reverse side). City of Fridley Application for Mmbing 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 $��0 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) ...... x 2.00 $� 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 Description .............................................. $ TOTAL FEE $ � U Dept. of Bldgs. Phone SII 4-7470 ® � City of Fridley: The undersigned hereby .makes application for a permit for the work herel 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 Building Used as To be completed about Estimated Cost, $ ew uilding Permit Nov Permit No. ®� Signe By Business Phone No ROUGH 3 ~ 0 -4 FINAL 5 3 ad 12 n 7Y 3� ou Qp Z OO 4a a c < U 3 �a U°d U 0 ? `aa Uo 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 $��0 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) ...... x 2.00 $� 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 Description .............................................. $ TOTAL FEE $ � U Dept. of Bldgs. Phone SII 4-7470 ® � City of Fridley: The undersigned hereby .makes application for a permit for the work herel 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 Building Used as To be completed about Estimated Cost, $ ew uilding Permit Nov Permit No. ®� Signe By Business Phone No ROUGH 3 ~ 0 -4 FINAL 5 a Application for Power Plants and Heating. Cooling, Ventilation, .Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 3U 4-7470 — o , a _ A // In A �7 GRAVITY WARM AIR: RATE TOTAL. Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations -up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations -up to $500.00 5.00 $ Repairs & Alterations each add. $500.00 ....... :.... 1. 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 ho�r ........................ 5.00 $ over 3 gal. per 1rour-See Fee Schedule - !- GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES:, NO RATE 1st 3 Fixtures ...................... x $1.50 /TOTAL $� Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ s� ALTERATIONS & REPAIRS TOTAL FEE RQUGH FINAL 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, Minn A* 194A - Owner U Kind of Buildings Used as To be completed about Estimated Cost, $ ��� ---- Old -New. Building Permit No. ®�� Permit No. DESCRIPTION OF WORK J HEATING or POWER PLANTS -,Steam, Hot Water, Warm Air -No. - Trade Name a - ��-=�s���e r% Size No 11'e,1V Capacity. Sq. Ft. E.D.R 2 Z2 BTU H.P. Total Connected Load Kind of Fue: BURNER - Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) By ere 2M 7-59 Business Phone No. ii �' D-36 7 9 HEAT LOSS CALCULATIONS 4 f Weatherstrips Windows D Yes= -No e;� ® DEPARTMENT OF BUILDINGS A.S.H.V.E, Construction No. Insul�on Guide Dc (�ors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied ml Length :? i 2 Width Heisht II J FlPp'�V19d Room l Lengths f `6 '`Width 12 s Height'" Windows an oors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack ft. - Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 2-9 16 7k Glass Coef.1 Btu Coef.1 Coef. Btu Infiltration 4S F Glass t ? .' , 13 Glass Ceiling " " Net exp. wall <-Q Exp. wall 3 G 6 0;3 Int. wall 461/0 Net exp. wall, Ceiling FI -I "_ t Room I Length J/ 7 Width / 4; S 2 !� x Int. wall I /zr a I f o 7 f o Floor Ceiling 3 07 f o Floor "t + 7 "Dotal Btu. ,° -• Required sq. . E.D..�R. or sq. ins. W.A. Leader area � ® F1-1 ° "'A uh` -_ afi R.. I 1 PnbFh e� J Wl,4ih v"9 14,.;.ht r7 61 Yb i*nv d Windows anoorsCr—ackage and Area I Coef. Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack ft. - Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 2-9 16 7k Glass Coef.1 Btu Coef.1 I Btu Infiltration 4S F Glass t ? .' 3_0 I Glass; Ceiling " " Net exp. wall <-Q Exp. wall 3 G 6 0;3 Int. wall 461/0 Net exp. wall Ceiling FI -I "_ t Room I Length J/ 7 Width / 4; Height / s" 40 Floor Int. wall I /zr a I f o 7 f o Floor Ceiling 6 Floor, "t Total Btu. 1/00,f 6 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area RoomlLenzthql, Width f i ° Height . Windows and Doors—Crackage and Area I Coef. Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack ft. - Esq. 16 7k Glass Coef.1 Btu Infiltration I 3 4S F Glass t IPF 3_0 G 0 Exp. wall Ceiling " " Net exp. wall Floor 66 � 0 G 6 0;3 Int. wall 461/0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceiling FI -I "_ t Room I Length J/ 7 Width / 4; Height / s" 40 Floor Ceiling I /zr a I f o 7 f Total Btu. 't. F3 69 ria v - Windows and Doors—Crackage and Area Width .Height No. of Lfneal Yt. Area No. of pane of pane lights of crack Area II I I I Coef. Btu Infiltration / 16 7k Glass Coef. Btu Exp. wall Infiltration -?' Net exp. wall Glass t IPF Int. wall 193-n Exp. wall Ceiling " " S' v Floor N f .-s" Total Btu. 461/0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceiling FI -I "_ t Room I Length J/ 7 Width / 4; Height Windows and�Doors—Crackage and Area Width Height No. of Lineal ft. Area No. - of pane of pane lights of crack sq.. ft. z a' p Coef. Btu Infiltration Infiltration -?' 11.7 Glass S— -�? a Glass 193-n Exp. wall L'I 0 Exp. wall Net exp. wall B Int. wall 461/0 C) Ceiling /_v ej �,,l / s" 40 Floor Ceiling I /zr a I f o 7 f Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A 1:7.1 /? " .e. Roam I Length -7 2 Width Height I Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of,..pAaane lights of crack sq. ft. Coef. Btu Infiltration 3 S— -�? a Glass L'I 0 Exp. wall Net exp. wall 461/0 C) Int. wall Ceiling o Floor 4 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area II Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Application for Power Plants and Heating, Cooling, Ventilation, Rehigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 .each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 -sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water ................... 2.50 $ OIL BURNER—to 3 gal, per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH- OUGH FINAL- FINAL Dept. of Bldgs. Phone SII- 4-7470 X41. a��W" 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, 1yi,'nn/lam lg� `L Owner Kind of Building''' Used as To To be completed about G Estimated Cost, $ Old—New. Building Permit No. t Permit No. j�j t0 DESCRIPTION rOF WORK BEATING or POWER PLANTS—Steam, Hot Wa arm —No Trade Nam Size No - Capacity— — — - . o Capacity Sq. Ft. E.D.R el & BTU H.P. Total Connected Load —4, ' z Kind of Fue: BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signe By Business Phone'No- 4z 7M 7�-59 D-56 7 9 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS 6,&AL ,d1 / MINNEAPOLIS, MINN. HV Weatherstrips A-E uiie,E, Construction No. Insulation uide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19—z I L" i F1.1 Room I Length Width Height II / Fl_I snnir,%Roo-Width /` Height Windows and Doors—Crackage and Area ' Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area - No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of Pa;L of pane lights of crack ft. G �d 0 -11&1) aZ/ a Coef.1 Btu Infiltration Btu Coef. Btu Infiltration Btu Infiltration / r� / 9� Glass 41-9 �Q Glass 5-0 Ceiling Exp. wall — Floor �} Exp. wall Net exp. wall /O /7,5-0 Floor' Net exp. wall Int. wall Ceiling 156) /( 16670 Floor Ceiling Q 1 otal titu. / Required sq. ft. E.D.R. or sq. ins.' W.A. Leader area �//,�,; % Fl.1 ,,n Room I Length,/'/ Width /2' Height Windows a ' Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 3 /.Ila Width Height No. of Lineal ft. Area No. of Pa;L of pane lights of crack ft. /sq. / -11&1) aZ/ a Coef.1 Btu Infiltration Btu Infiltrationr Glass Coef. Btu Infiltration / r� Net exp. wall Exp. wall — 41-9 �Q Glass Net exp. wall Ceiling /10 / Floor �} Exp. wall Ceiling /O /7,5-0 Floor' Net exp. wall Int. wall Ceiling Floor Total Btu. VQ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 3 /.Ila `s / . Coef.1 Btu Infiltration Btu Infiltrationr Glass Oro Exp. wall / r� Net exp. wall Exp. wall — 41-9 Int.. wall Net exp. wall Ceiling /10 / Floor Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. `s / . Coef. Btu Infiltrationr / Glass / r� Exp. wall — 41-9 Net exp. wall /10 / Int. wall Ceiling /O /7,5-0 Floor' Total Btu. Required sq. P..E FLI Windows and 1 Width H No. of pane of I.R. or sq. ins. W.A. Leader area Room I Length// -' Width/ ars—Crackage and Area Infiltration 115/ ,// Glass 60 - Exp. % 0Exp. wall Net exp. wall 4TT /C /f/69 Int. wall Ceiling 5- /Q 45V62 Floor /Q 7 Total Btu. J Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l A4W Room I Length ' j Width ' Height ' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. / G /nf« 3 106-1 Coef. Btu Infiltration /o Glass Exp. wall Net exp. wall Int. wall Ceiling /Q Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City ®f Fridley, Minn. N9 9423 BUILDING PERMIT Date: _ August 28 1967 Owner: Lynn Melhus Builder Address 5860 Washington St. N. E. Address Same Same LOCATION OF BUILDING No. 5860 Street ____ Washington St. N. E. part of Lot Lot - 4 _ Block 2 Addition or Sub -Division — Lyadale Blders 7th Addn. Corner Lot ._ Inside Lot Setback __ _ Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Gaxage Front _ 16 '_ Depth 22' Height _ _ 1 Cdq. Ft Cu. Ft. Front Depth Height Sq. Ft Cu. Ft Type of Construction Frame Est. Cost _ $1000.00 _ 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 set forth and in compliance with 21 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 5.00 permit is hereby granted to Lynn Melhus 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 reg 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. CLARENCE BELISLE Building Inspector NOTICE: This pem* does not cover the eomdruetion, butaftflon for whdng, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate parmhs for these Items. A.''j i:C.VY!..rZ3 FOR BUILDING :`°.M..:MIT CIT Oi 1aNN' m.7 '-TA OWNER'S NAME ��.�a Lam, 1i`:;�',I-DER �L ADDRESS a �FL�. .�/ ADDRESS LOCATION OF, BUILA%LiG �7 170. �' G STREET -7A � PART OF LOT LOT ° BLOCK ADDITION OR SUBDwVTSION -_ --- CORNER LOT INSIDE LOT SETBACK ST.DE-YARD SEWER ELEVATION FOUNDATION ELEVATION 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 Ad: t� Front G Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of ConstructionEstimated Cost To Be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representati stated in this application are true and correct. DATE SIGNATURE,��1�� c (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PERMIT -NO •_.,. '" 13008 r LL ______ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. "1 CITY HALL FRIDLEY 55432 612-560-3450 RECO �f NUMBER 910-F15 REV. DATE -9-75 PAGE OF APPROVED BY JOB ADDRESS 5860 WASHINGTON STREET N.E. FRIDLEY MINNESOTA 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 LY D B SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP 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 RE -ROOF 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ .ALTERATION EX REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK RE -ROOF 9 CHANGE QF USE FROM 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 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 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 THEDERFORMANCE OF CONSTRUCTION. $5.00 PLAN CHECK FEE TOTAL FEE 5.50 SIGNATURE OF CCTR4CTOR OR AUTHORIZED AGENT (DATE) WHEN PROPER VALID TE THIS IS YOUR PERMIT JUNE 9. 1975 BLDG INSP DATE •• SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL$ ALTERATION, OR ADDITION.BUILDLNG PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : 9- L L. -S BUILDER: % L P d �.1 • `✓ d /�� �o ✓ ADDRESS: -,5 �`U ^ � SNo` �j r d,J ST- � ADDRESS: 2, J 3 cc .v s a� C- �IrOG /i0 b' NO:. S -V L STREET: WA S 14 LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:. Applicant attach this.form Tsvo..G.ertificates of $urve .of -Lot and..proposed building location drawn on these Certificates: To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic.Feet• Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: L' -12o " T Estimated Cost: $ rO 0 To Be Completed: F -6 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance.with the City of Fridley Ordinances and rulings of the Department of -Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: - - % , SIGNATURE • W< Z -a✓� (See Reverse Side For Additional Information.) 6-3-8Li -416051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE m RATE TOTAL N:zber Fixtures p $ cat,.=e F: xture Opening x $2.00 v New Fixture, Old Opening k d Catch Basin Water .; o c� a _ 0,000 B.J to 199,000 BTU x $10.00 w c•+ H q N Ground Ran Old Building x $5.00 R a 01 $ Iieater a+ -1 n t" Additional Fixtures F+ -4 ro $4 x $T0.00 N ro - First $100.00 $5.00 $ •.a ., ,: State Surcharge C t7 TOTAL FSE X :J 0 41 4 C '-IJ d. ti W f�7 c c 3U m+ $ x a s+ 0 C .+ (0n oro ro ro +' O as lec 1== I ra ge re 1a em 6t ) F oma 4 —t = c`�:ture Connection Opening Connected with Sewer L(R) (') = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMS- ING FIXTURE RATES: NO. RATE TOTAL N:zber Fixtures x $3.00 $ cat,.=e F: xture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ :later Heater - to 99,000 BTU x $5.00 $ _ 0,000 B.J to 199,000 BTU x $10.00 $ water softener x $7.00 $ N Ground Ran Old Building x $5.00 $ electric Water Heater x $5.00 $ G.,S FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $T0.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100:00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FSE $ 8,00 REINSPECTION FEE ($10.00) Job Address 5860 NE Washington Street Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for t.%e 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 roprosentations stated in this application are true and correct Fridley, Mn. 1-26-81 19 OWNER NELHUS KIND OF BUILDING frame USED AS res. TO BE COI•'iPLETED ABOUT 2-2-81 ESTIMATED COST 50.00 OLD - NEW BUILDING PERN.IT NO. PERMIT NO. C� zo Company 6401, 'Qr4'6r7%o Signed By [uINNWA290 Tel. No. ROUGH INSP. Date FINAL INSP. /0 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PURI21T IS $7.50 PLUS $.50 STAs,Z SURM:ApZE SUBJECT City ®f Fridley 26699 AT THE TOP OF THE TWINS BUILDING ` IPT NO. •COMMUNITY DEVELOPMENT DIV. L --------PROTECTIVE INSPECTION SEC. 1lJ 112013 f� �� NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 17/16/98 JOB ADDRESS 5860 Washington St NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 2 Lyndale Builders 7th Addition SHEET 2 PROPERTYOWNER MAIL ADORES$ ZIP PHONE Carol Weber 571-7582 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Exteriors Co 9060 Zachary Ln.N #108- 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 2595 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION l] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 $3.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,000 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 $6.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $112.25 PLAN CHECK FEE TOTALFEE License SC $5.0 $126.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ZY WHEN PROPERLX 1,11ALIDATED THIS IS YOUR BL G ]NSP 4a TE S.GNATURE OF OWNER OF OWNER BUILDER] IDATEI NEW � � Effective l/1/97 ADDN [ J CITY OF FRIDLEY ALTER [ J SINGLEFAMILY AND DUPLEXES R-1 AND R-2 �� BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Tel. #-571-1 Contractor: 11A) C I TV X iMN LICENSE #��� . Address:170(z) ;?AeHy42Y Tel. # 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: Construction Type:_ )q�:55 Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x* $ _ $ DATE: — - APPLICANT: Tel. # 5547,37 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CI'T'Y USE ONLY A0Z $ Fee Schedule on Reverse Side, $ . OD .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation 91e $ $950 per SAC Unit -�Z" $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ •$450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] a5' 01 SUBJECT - PERMI Q---� City of Fridley 28266 AT THE TOP OF THE TWINS BUILDING P E R BVI I T r DEVELOPMENT DIV. .......COMMUNITY j PROTECTIVE INSPECTION SEC. NUMBED REV DATE PAGE OF APPROVED BY I CITY HALL FRIDLEY 55432 612-571-3450 910415 10/15/98 JOB ADDRESS 5860 Washington Street NE I LEGAL LOT NO. BLOCKTRACT -- OR ADDITION SEE ATTACHED DESCR. 4 2 Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Carol Weber 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ideal Roofing 1680 McAndrews Burnsville 55337 435-3061 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 a REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (23 Sq) Tear -off 9 CHANGEOFUSEFROM 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 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 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 13E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1971 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHA GE PROVISI NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT N OR THE ERFORMANCE OF CONSTRUCTION 62.2 41 PLAN CHECK FEE TOTA F E iGNATU OF CON' A TOR OR AUTHOp4ED AGENT (DATE. N p IS IS YOUR PERMIT /� i • SIGNATURE OF OW NERiif OWNER BWLDER, iOATEi BLD -NSP QAtE 01 NEW [ ] ADDN [ ] ALTER [ l ConstructionAddress: Legal Description: Effective 1/1/98 CITY OF FRIDLEY SCD SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Owner Name & Address: C r U e - e r Tel. # 5; 17-/" 7 Contractor: @ MN LICENSE # Address:�; c=� — [�! /�� ItJ T� Tel. # 6, 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: I -LA u Pl .? --,, ) Construction Type: rEstimated Cost: $�q4&K-' 111,71 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ ` = $ DATE: -JS-V APPLICANT: C ��4 -562�( Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge (License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: 20 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] F'; M Zffettiva Jabuary 1, 2003 CITY QF 1714IDL0 I N$PECtION DlVi�ION 6431 University Ave NE Frill.+, MN 55432 APKIcknoN FOO Of WtR KANt$ AN6 Hlalrii, �?OLI{VI�, V�fdTI�.pATlblV, (763) 572-3604 RORIORA ION 11ND Alit 6ON61TIONIING SYStltMS MID 16EVit= )P'AX (763) 571.12$7 Residantlal Furnace Shell and duct Work, Burner - Also Replacement Furnace (Side Vent • Fill Out Back) Gas Piping (Nesded with new furnace, but not replacernent) Gas Range 0 �-- Gas Oryer 'Air tondltionin4 • All Sizes All Otl0ers' /Repairs & Alterationt (LIST ON BAdk) 1% of Value of Appliance or Work ?w Cgmrn�rclAlllrAsedell 1.250 of Value of Appliance at Work r u State Surcharge TOTAL I:EE Vl�N1I1�11M 1F�E FOR ANY 14ATING/dq_O �,/jjEN-11LAT'I'ON I T. 1E S9110-0, 50 A S R M 1�INSPECTION FEE $47.00/Hr *Air Conditioperl; can riot be placed in a sine yard without ® vritteh permission from adjoining property owner. $ The undersigned hereby makes application fl r a 0erniit for the work Itdreiri specified agreeing to do all work Iq strict acdordailce with the City Codes an SO rulings of tha Buileiing Divisi6n, and hereby declares that all the facts and repres0tatidrs stated in thit application are true and correct. / DATE HEATING CO Slgne�- � 9 d FUS Rough-ln Date final tato JOB ADDRE$S SK 1�fl�p+. ark OV�I L •���/rr TTS Rate $ 30.60 TOTAL $.7P/ BUILDING USED A r ESTIMATED CO5t K --o PERMIT IVt• a � $ 10.0 ESOIgDP1`� N IDF �� A ly ABB �DEIa No. of Heating 4 is / Circle One (Steam) (Hot Water (liVarm Ai $ 10.010 $ Trade me JQ. �Ji l Size,14o. Fuel _ r iA C Total Connected Load �® 136rner trade Name Site M6 BTU HF, _ Ol State Surcharge TOTAL I:EE Vl�N1I1�11M 1F�E FOR ANY 14ATING/dq_O �,/jjEN-11LAT'I'ON I T. 1E S9110-0, 50 A S R M 1�INSPECTION FEE $47.00/Hr *Air Conditioperl; can riot be placed in a sine yard without ® vritteh permission from adjoining property owner. $ The undersigned hereby makes application fl r a 0erniit for the work Itdreiri specified agreeing to do all work Iq strict acdordailce with the City Codes an SO rulings of tha Buileiing Divisi6n, and hereby declares that all the facts and repres0tatidrs stated in thit application are true and correct. / DATE HEATING CO Slgne�- � 9 d FUS Rough-ln Date final tato FROM :City of Fridley FAX NO. :7635711287 Dec. 07 2005 12:13PM P2 Building BUILDING permit No.: O — inspections . 1ESI,DENTIAL APPLICATION Received By: 763-572-3604, t , CITY,OF FRIDLEY Date Recd: 1� PATE a YO -Mall, ADDRE58 $ /, {.0005) times the total job valuation , Minlinum $,SO SITS ADDRESSo ,001 x Permit Valuation (I /I no) decree 3tuchurge THIS APPLICANT IS: 0 OWNS NTIiACTOR $ $1430 per SAC Unit (Plans to MWCC for determination) PROPERTY OWNER/ N S ft + 6 it = it x $20 = S. ;rasion Control TENANT AI►DREMS: = TTY STA7I PHONE: ® 'otni_ Due , CONTRACTOR NAME: 2 " SUBMIT A MPY OF STATE SIr N . FJtP PAVE `FOUR STATETE LICEhISIi ADDRESS' CITY STAT' ,k% �/� WITH AP?1JC:A'n0X PHONE FAX PROPERTY TYP9 0 SINGLE FAMILY/NSW CONSTRUCTION SIZE Q DKUAMILYNEWCONSTRUC'T'ION sIi)RIE5 PERMIT TYPE d ADDITION 0 GARAGEISHED 0 WINDOWS 0 BASEMENT FINISH ROOF 0 DRAIN TILE C7 pGC IC SIDING 0 OTHER 0 SWIMMINO t. TYPE OF WORK: O NEW ❑ ADDITION TENANCEIREPAIR to REMODELTNO DESCRIBE WORK BEING DONE: SIZE•OF WROVEMENT LENGTH WIDTH HEIGHT sq. Ft. ROOEMSi '' �� 0 HOU34 ONLY NUMBER OF SQUARES XHOUSE & GARAGE BASEhOff—REMODELINGA tIS BMfTt GARA PROPOSED SIZE: O ATTACHED GARAOC 1. 0 DETACHED GARAGE 2. Existing Floor Plan Proposed floor plan PROPOSED HEIGHT: 3- List oromaturat mambas to be used SIDES FOR NEW CONSTRUCTION INCLUDING DECIV. O Vinyl l7So[GI AD_ M0NS._&.PORCHES SUB= O Aluminum L O Trild - 1, Site P1art/Surveyalrowiag the texts ng stnrctwol 17 Other Q 1 ascla and prop"M project. "q -N 2. Two sets ofoomftatlen piens Int EXISTM OPENINGS OYrs DNo LOCATION OF WINDOws 3- 4mg' Cadoulati s OR FOR NEW OPENIN(13-DF.3CMF, SM OF _ - - OPENING CRANOBS & -^ rYP8 OF WINDOW TO DE INSTALLEI? NUMBER OF WINDOWS D^OMP Urs V1LL VA'A-AVlry ArVULUDING TME COST OF LABOR AND MATERIALS: (USING THE 1997 U.%C FEE SCHEDULE) TOTAL JOB VALUATIONS 3ef -,>7/07> OCCUPANCY TYPE Permit l+ee Back Page for Fec Schedule Plan Review $ _ _ --®-- 65% of Building Permit Fee surcharge $ /, {.0005) times the total job valuation , Minlinum $,SO %ire Surcharge ,001 x Permit Valuation (I /I no) decree 3tuchurge $ $5.00 (State Licensed Residential Contractors) )AC Charge $ $1430 per SAC Unit (Plans to MWCC for determination) curb Cut Escrow S ft + 6 it = it x $20 = S. ;rasion Control _ S 5430 Conservation Plan Review lark Fee g T� Fee Determined by Engineering ;ewer Main Charge $ Agreement neoessary ( ) Non Necessary ( ) 'otni_ Due , -s Make cheeks payable to: Ciiv or Pridtev Attach THIS IS AN APPLICATION FOR A Pr--RMIT•NOT VALID UNTIL PROCESSED hereby apply for a building permit and I acknowledge Wal the information above is complete and accurate; that the Work will be in Dnibrrnance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a anan i» the case ase oit but an applicatl for a permit and work is not to start without n permit; that the work will Ger ln' accordance with the approved f gIl rk h h require e • i and a rovat ufplans. GNATUSp, OF APPLICA r ►� a uc ,, . ,., 0�