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PRE 2010 DOCSCity of Fridley, 1V nm BURDING PERMIT Date: MAY 10, 1966 N4 8819 Owner: FAY COLBERG Builder EMPIRE SALES, INC. Address 5390 - 7th St. N. E. Address 2213 Johnson St. N. E. Fridley, Minnesota 55421 Minneapolis, Minnesota LOCATION OF BUILDING No. 6041 street WOODY LANE N.E. Part of Lot Lot 1 _Block 1 Addition or Sub Division MOORS LAKE HILLS, 2ND ADDITION Corner Lot __ X Inside Lot,/ Setback 35 Sideyard 10 and 19 Sewer Elevation -& I q, Elevation 899.25 TOP OF FOOTING2T- \;j DESCRIPTION OF BUILDING !� To be Used as: DWELLING Front 51 Depth 25 Height 12 St • Sq. Ft. 1,,295 Cu, Ft 25,900 GARAGE Front 26 Depth 22 Height 10 Sq. Ft. 572 Cu. Ft 5,7 0 Type of Construction Frame Est Cost _19L 000 To be Completed SEWER LOCATION 742' South of Manhole WATER LOCATION 632' South of Manhole In consideration of the issuance to me of a permit to construct the the proposed work in accordance with the description abov�/met forth a ordinances of the city of Fridley. / with I agree to In consideration of the payment of a fee of a 32.00 , permit is hereby granted EMPIRE SALES, INC • to construct the building or addition as described above. This permit is granted upon the express condition that the peon to whom it is granted and his agents, employees and workmen, is all work. done in, around and upon said building, or any part Thereof, shall conform in all respects to the ordir►ances of Fridley, AZinnesota g location, construction, alteration, maintenance, repair and moving of buildiuga within the city limitsn�ii d�tl�is permit may be revoked at any time upon violation of say of the provisions of said ordinances. ALLEN G. JENSEN Building Inspector NOTICE: Ibb pentt does not cover the comtwatioe, hutagdion for wmhw phmbing, gn heathig, nwa or water. Be sero to we the MUM kq* for for sopanrte pwmhs for these Nana. x APPLICATION FOR BUILDING PERMIT CITY OF FRIMEY, MINNESOTA OWNER'S NAME ADDRESS '2-3 , '?-2P ADDRESS_,22/.3-,1bo�6y LOCATION OF BUILDING N0. b STREET / ` PART -OF LOT LOT_ _�­ BLOCK ADDITION OR SUBDIVISION Dom/ CORNER LOT)e INSIDE LOT SETBACK , SIDE -YARD Ir 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 as: Front Depth �`� Height Sq. Ft. 42f j-' Cu. Ft. Front Depths Height Sq. Ft. °7') Cu. Ft.��_� Type of Construction _ Estimated Coate 2w.VV 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 in this application are true and correct. DATE` 9� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE _ Dept. of Bags. Phone SU ``4.7470 GRAVITY WARM AIR: RATE _TI Furnace Shell & Duct Work ........................... 8.00 ;`'" Replacement of Furnace ............................. 5.00 I Repairs* Alterations—up to $500.00 .................. 5.00 C Repairs & Alterations each add. $500.00 ............... 2.50 MECH. WARM AIR 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 .............. 8.00 $ — 2.00 $ 5.00 $ 5.00 $ 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 FINAL 'D - uzm- pz/ Location (¢ Q Cwt 4 ' 4M 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 A%>' d and representations stated in this application are true and correct. Fridley, pnn. Q ✓ Is 19 g Owner Kind of Building s Used as To be completed about Estimated Cost, $ 0' Old ew. Building Permit No. — Z/// Permit No. '__ DESCRIPTION OF WORK HEATING or POWE4 PLANTS --Steam, Hot Water, lWarm Air, -No. Trade Name ' �Q S� Size No- Capacity Sq. Ft. E.D.R BTU H.P Total Connected Load 10 Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P Signed-- w. l! D 114", By .OF.W,;J-42 Business P, 1001 Xenia Av. S (REMARKS—OVER) Minneapolis 16, Minn. U. 54611 D•S6 a � X(IjL HEAT LOSS TIONS� EPARTMENT OF INSPECTION Weatherstrips A.S.uideH. e.E. Construction No. G W' do I Doors Reference Out. Wall Int. Wall Ceiling I Roof Floor Kind How Applied e Yes—No 19_ Room I Length j41 Width / Height Fl. Room Length Width Height Windows and Doors—Crackage and Area Width Helght No. of Lineal ft. Area No. of pane of pane lights of crack so. ft. MINNEAPOLIS. MINN. Insulation Coef. Btu Infiltration Glass d ®® Exp. wall Net exp. wall 9 A/ Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.I . Room I Length 1A Width Height Win ows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane Ilghte of crack sq. Yt. Coef. Infiltration Glass' d Exp, wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ` Fl. Room I Length Width Windows and Doors—Crackage and Area Width Helght No. of Lineal ft. Area No. of pane of Dane lights of crack e.. St. Coef. °l- Btu Infiltration er Glass O 6 Exp. wall 314- VL Net exp. wall �2 Int. wall Ceiling Floor `a Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Height No. of Lineal ft. Area of pane lights of crack sq. ft. Coef. Btu Infiltration $9 Glass 49 40 Exp. wall a Infiltration Net exp. wall / lv Int. wall Exp. wall Ceiling Net exp. wall Int. wall Floor ® %'L -a.. Total Btu. ' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room (Length Width Windows Ad Doors—Crackage and Area Width Helght No. of Lineal ft. Area No. of pane oY pane 1lgbte of crack eq. ft. Infiltration Glass Ale Exp. wall Net exp. wall Int. wall Ceiling Floor ,t/ ® °Z Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area rA Fl.l0,' Room I Length / %_ Width % 7 Height Winlows and Doors—Crackage and Area Width No. of pane Height No. of Lineal ft. Area of pane lights of crack sq. ft. Coef.1 Btu Infiltration Glass c Exp. wall Net exp. wall Int. wall Ceiling Iz— Floor f7-- Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FA D•J6 z a HEAT LOSS ALCULA'0 S� DEPARTMENT OF INSPECTION MINNEAPOLIS MINK. Weatherstrips A.S.H.V.E. Construction No. Insulation , adows I Guide ors Reference Out. Wall Int. Wall Ceiling I Roof Floor Kind How Applied s No No 19._ Fl.� �,���� oo Length / Width 1-4Heisthti? II Fl.l Room I Lenath 1I Width / Heistht I Windows nd Doors—Crackage and Area -___y___ '01, Width Height No. of pane of pane No. of Lineal f . Area lights of crack sq. ft. VA I 17 1 7- Z 17 7� � Coef. Btu Coef. Btu Infiltration Net exp. wall Coef. Btu Infiltration Glass Exp. wall Btu Infiltration Glass Net exp, wall Int. wall 6 9 Exp. wall Exp. wall Ceiling `s_ q . Net exp. wall Int. wall Floor ®� - Ceiling k Floor Floor Net exp. wall Int. wall Floor I otal Btu. T • 1 t- .". w n • .v. • . Y MI .. -___v ___ _._____ Windows and Doors—Crackage and Area ---•o- and Area -___y___ '01, 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. VA I 17 1 IV (-TO Z 17 7� � Coef. Btu Coef. Btu Infiltration Net exp. wall 391 ® 4, Glass Exp. wall Btu Infiltration 10 Net exp, wall Int. wall Exp. wall Ceiling `s_ ® . jf. Floor ®� Exp. wall 13 Y I otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 3 rl 1 X41, rIf _ _.t_ a s ton J.L I A rr -r_t -I Windows anDoors—Crackage ---•o- and Area ® ..6.. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of pane of pane � D IV (-TO Z 17 7� � Coef. Btu Infiltration Glass Exp. wall Btu Infiltration Net exp. wall Infiltration Int. wall Btu Infiltration Ceiling Floor Y_ 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows as?Doors—Crackage and Area Width Height No. of Lineal ft. No. of pane of pane lights of crack Area sq. ft. Width Height No. of pane of pane No. of Lineal ft. Area tights of crack sq. ft. IV (-TO Z 17 7� � D � Coef. Btu Infiltration Coef. Btu Infiltration Coef. Btu Infiltration 1 Exp. wall Glass Net exp. wall Int. wall Net exp. wall Int. wall ®� Exp. wall 13 Y Ceiling Floor Net exp. wall Int. wall Floor z D Ceiling ® Z132- 9 Floor Total Btu. 1 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1Room I Length 5? Width J1 Heistht I? Windows and Doors—Crackage and Area Width Height No. of Lineal ft. No. of pane of pane lights of crack Area sq. ft. ® 3 Coef. Btu Infiltration Coef. Btu Infiltration Glass Glass 1 Exp. wall Net exp. wall Int. wall Net exp. wall Int. wall - Ceiling Ceiling Floor Floor Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. O Coef. Btu Infiltration Glass 1 Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. 7i Required sq. ft. E.D.R. or sq. ins. W.A. Leader area jqvlegu A n -m .-4,w e ms® HEAD' LOSS CALCULATIONS � DEPARTMENT OF INSPECTION Weatherstrips A.S. V.E. Construction No. Guide owsI ors Reference Out. Wall Int. Wall Ceiling Roof Floor No es No 19____ F1.1 z4eZL& Room j Length Ie Width J Z Height V II l2 F1.I Windows an4f Doors—Crackage and Area Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. Aza 7 Coef. Btu Infiltration. Coef. ,Btu Infiltration Infiltration Exp. wall Glass Glass Int. wall �Lo 19 Exp. wall Exp. wall y 37—_ Net exp. waif Int. wall Net exp. wall Ceiling Floor % °�– 1 otal btu. 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 N. of pane of pane 1lghts of crack sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp, wall Int. wall Ceiling Floor Total Btu. 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 Dane of Dane lights of crack sq. ft. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area MINNEAPOLIS, MINN. Insulation Find How Applied Room I Length Al Width � Heiaht 9' Windows and Doors—Crackage and Area Total Width Height No. of offt. Area No. of Dane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pan. lights of crack sq. ft. 7 Coef. Btu Infiltration. Coef. Btu Infiltration Exp. wall Net exp. wall Glass Int. wall Ceiling Exp. wall y 37—_ Net exp. wall c Int. wall Ceiling Floor Z 32– Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of offt. Area No. of Dane 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. 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. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor -d otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FORO7181-4 0 U.S C� U `- t�{h `�' --V cr O/A f r 14-� 14 ° J ✓ ® Gd e t �i -e / , Al a /� i�' ,� a ACCO// 7,. n_ c f r 3-'», el / City of Fridley, Minn. N9 9515' BUILDING PERMIT Date: Oct. 19, 3.967 Owner: F. Colber_g_ Builder ____ cAig ©r- Nra.. e Address 6041 Woody Lane Address 106 East Lake St LOCATION OF BUILDING No. 6041 Street _.__ Woody Lane — Part of Lot Lot _ Block Addition or Sub -Division Corner Lot Inside Lot _ _ Setback _ Sewer Elevation Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Chine ry Alterations Front _ _ Depth Height —_ Sq. Ft. Cu. Ft. Front Depth Height — Sq. Ft. Cu. Ft. Type of Construction Install _Class A Est. Cost _ $105.00 To be Completed Chimney(gas incinerator) 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 of it 5 .00 ., permit is hereby granted to—Siegler-Minnesota 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 dty 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 permit does not corer the construction, installation for wiring, plumbing, gas heating, mover or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLE'Y, MINNESOTA 0WI1ER ° S NAME �C�'i -elr—A 0 BUILDER i c M ADDRESS DDRESS L �4 f� ^ �7�. LOCATION OF BUILDING NO. U L/ I STREET L;L. PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK —SIDE -YARD SEWER F,LEr VAT-iON 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 BP Used AA: f G Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construetion'�57?­-Slaezl C� Estimated Cost ZO <. "a ��121/I//i/�YL J.�zCalury74ii�C17 To Be Completed (j 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 .. (Schedule of Fee Costs can be found on the Reverse Side). " 52-84-5915.51 City of Fridley Application for Plumbing and Cs Fitting Pernit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK 6o4i Woody Lane N E Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... .............. 3 $ � yr� �F x $1.50 $ uxy 6 r ? 3 O .aZ_[ 8a Z O � s d3 wyt vl (w'1 C9d 0Sa u� Z (90 $ N WATER HTR. GAS ELEG Base $ Electric Water Heater s $2.00 $ GAS FITTING FEES: Irmtai as In in ra or Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 ist Gas Incinerator 5.00 2nd 3rd 4th • Future Connection 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 BTU) ...... x $3.00 $ New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Incinerator 5.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 5.00 City of Fridley: 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. 10-26®67 Fridley, Winn- 19_ Owner ray Cuiberg Kind of Building frame Used as res To be completed about 10-31-67 Estimated Cost, $ 10.00 Old—New. Building Permit No Permi No. By a) � Business Phone No ROUGH FINAL 0 Y Y M. CRY OF FRIDLEY INSPECTION DN. 6431 University Ave NE Fridley, MN 55432 $72-3604 RATE SCHEDULE Effective On August 1, 1995 2 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, I � REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES �v Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent -Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning -All Sizes a,640n All Olhers/Repalm & Alterations (LIST ON BACK) 1% of Value of Appliance or Work CommerciaUl ndustrial 1.25% of Value of Appliance or Work The undersigned hereby makes (application for a permit for the work herein Rate TOTAL 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 $ 30.00 $ '6,b® representations stated In this application are true and correct. • �a �,� ,1995 $10.00 S OWNER B l2e-5 '7 $10.00 $ BUILDING USED AS $10.08 $ ESTIMATED COST ®�� PERMIT NO. S26.00 $ 5'6'0 DESCRIPTION 01= FURNACE AND OR BURNER State Surcharge TOTAL FEE $ .50 MINIMUM FEE FOR ANY HEATING/COOLINGtVENTILATION REFRIGERATIONfAIR CONDITIONING PERMIT IS $ZS.QQ PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr No. of Heating U s ! Circle One (Steam) (Hot W ter) (Warm Air Trade Nam Size No. -® BTU 160. ,ano HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR a k HEATING COMPANY ) 5910 WIENTWORTH AVE. SO. Signed B ,& ®0/&AW619OLIS. Approved By Rough -In Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE 881-9000 Final Date 7 NOTE: #1 through #8 required when, using a side vent furnace. The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (K) No ( } 2. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes (AC) No ( ) 4. Is securely supported Yes ( No ( ) 5. Fleets all current Code requirements for size and total BTU's connected Yes fQ No ( } 6 Has total heating BTU's of All other BTU's �d voo TOTAL BTU's J �d� ©O d 7. Has a liner been provided for water heater Yes () No (�) 8. Has combustion air been provided for water heater Yes No ( ) Remarks: HEATING CO: Signed By: Date: ( t� `� HEATING & AIR CONDITIONING CO. 8910 WENTWORTH AVE. SO. SEDGWICK HEATING & AIR CONDITIONING CO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (612) 881-9000 ADDRESS � O 4 / We o,4,- OCCUPANT I #Ve e O SOLD BY V6 7 �/I ^� l CITY nunuGa �' INSTALLED BY HEATING JOB NO ��•%�7 , TEST RECORD MAKE a e n >n cr �o MODEL Coa 3 0 3 SERIAL NO. .s $ gut c Y O INPUT / Q QO ® 4 THERMOSTAT r *80 k%• VALVE LIMIT ipN'1 O LIMIT SETTING `L O O FAN SETTING T t"" '5-6 PILOT TYPE ff— l p c-4 d• C w IGNITION MODEL FC C P/I Y1c? -+0 PILOT TIMING �• �P M c A rr PRESSURE 3 • } % PERCENT CO, INPUT CFH ! D PERCENT OZ G 7c y STACK TEMP. 42 D PERCENT CO FORM 235 (REV. 11189) VENT SIZE 4 `r TYPE OF LINER LINER SIZE m �� FILTERS: SIZE O S V. NUMBER WIRING r -Q 2 TEST TAG 0-11 LIGHTING INST. DATE TESTED Q' - '? 9 � S COMPANY TESTINGS -e- 54C CI- l C /C NAME OF TESTER C +'al* l ` FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY Aa. A°C.. SEP -05-1996 14=31 P7 C!1 CITY OF FRIDLEY Q c a CA y�y Y � m -. � � Q a �` qqpp CU �zr C � t '*�,_�� 3 1 � ® a 1J W Z fTt m roo Cc, CD CAocC E +z 'rt m tomgt, T p UL (U3 Z a Big-• C!1 CITY OF FRIDLEY Him FL C o c a CA y�y Y � m -. � � Q a �` qqpp CU �zr O .� m m : '*�,_�� 5 Q 1 • R C R K W�� W Z b m roo 3 CD E +z 'rt m ny m UL Z Big-• • • x ,two S. im , 60 e; �► w u- 46 % fs+ erA sn 49 l► Him FL C 03/12/15 04:34 612 571 1287 P,01i01 CA y�y Y A m a �` qqpp CU O m : 5 Q • Vd C R 0 m 3V m � W m roo � CD 03/12/15 04:34 612 571 1287 P,01i01 TOTAL P.01 TX/RX N0.1217 P.001 A m • K Big-• • • x ,two S. im , TOTAL P.01 TX/RX N0.1217 P.001 A m TOTAL P.01 TX/RX N0.1217 P.001 + Z_ SUBJECT P - City of Fridley 3 2 7 9 AT THE TOP OF THE TWINS BUILDING PERMIT 16RECEIPTNO. T • COMMUNITY DEVELOPMENT DIV. � V y _ e __ r PROTECTIVE INSPECTION SEC 1 � NUMBER REV DATE PAGE OF APPROVED BY 9 t CITY HALL FRIDLEY 55432 = ' 612-571-3450 910-F15 7/16/02 JOB ADDRESS 6041 Woody Lane NE T LEGAL LOT NO. BLOCKTRACT OR ADDITION SEE ATTACHED DEscR. 1 1 Moore Lake Hills, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ;IP PHONE Tim Neeb, 6041 Woody Lane, fridley, MN 55432 763-572-2631 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sela Roofing & Remodeling, 4100 Excelsior Blvd, St Louis Park, MN 55416 0001050 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 612-823-8046 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION O ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Re-roof (tear-off) H & G - 32 squares 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REOUIRED 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. 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 3,430.00 $1.72 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• $97.2 $3.43 Fire SC STRUCTI E PERFORMANCE OF CONSTRUC ON / PLAN CHECK FEE $5.00 se TOTAL FEE $10,7.40 SIGNAT E OF CONTRACTOR OR AUTHORIZED AGENT (DATE" EN=OPER IDATED T IS YOURPERMIT BL "NSP FlATE S.GNATURE OF OWNEROF OWNER BUILDERI IDATEI + Z_ NEW [] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: bo Legal Description: Effective 1/1/2001 (763) 572-3604 Bldg Insp Owner Name & Address:L Lfp-14 Tel. Contractor: MN LICENSE # Q Address: 4100 EXCELSIOR Rr.vnTel. # ST. LOUIS PARK, Mint 65416 A001MOW 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: ay- 04 A Ik ® W-" A 1""r1 -'C> '* P J n, 'n - a Construction Type: Estimated Cost: $ /31 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: �-� �O� APPLICANT: 5 V- S Tel. # CITY USE ONLY - Call (76633) 572-3604 for Permit Fees if mailing in application f, Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 3 .001 of Permit Valuation (1/10th%) State Surcharge $ /,7.2 $.50/$1,000 Valuation SAC Charge $ $1150 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 [ J Not Necessary [ J TOTAL $ 167, STIPULATIONS: NMBER.OF SQUARES gAI AGES PROPOSED sVR-,, FROPMED HEIGHTRIM : CI vinyl El Alumfilum Q offier WMRM ING ppIR'IINGS Yt� 1 No nu Gnu NRw 0PANIN D CR1B8 SIZE OF OPENING CHANGES & . - — / ,v, L u aavvvu vw++ d HOUSE & GARA(M 13 ATTACHED GARAGE E3 DETACHED GARAGE ❑Sot'fit ' G Trim ❑ Fastin LOCATION OF WINWWS 1, Existing FI r Ptah Z. Proposed 11 Plan 3. List of strua ai manbom to be used FOR NEW CONMul2I ON INCLUDING DWKS, 1. Sita I'l Mf ey showing Ute costing stmotmes and ,raticet 2 Two sots c6ian PIa+�B 3. P..v eatia ONME VALVA ON, IANCLUDING THE COST OF LAIROR AND rdATEf ALU FEES ARE BASED (USING THE 1997 U.B.0 >FXE SCHEDULE) TOTAL JOB VALUA'1ION S M d '�'� OCCUPANCY TYPE Permit Fed $ See Eack Page for Fee Schedule Flan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total Job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 I.icafte Surcharge $ $5•iI0 (State Licensed Residential Contractors) SAC Charge 31675 per SAC Unit (Plans to M'WCC for detennil Curb Cut Escrow $ ft + 6 ft - _ ft x $21 - $ Erosion Control $ $450 Conservation flan Review Park Fee $ Fee Determined by Engineering Sewer main CI irge $ Agreement necessary ( ) Non Necessary ( ) -TOW-D-09- $ Make checks payable to: 01 of Fridi THIS IS AN APPLICATION FOR A PERMIT NOT VALID Ubml, PROCB SEU I hereby apply for a building permit and I acknowledge that the iafarmaeon above is complete and accu rpnformance with the ordinances and codes of the City of Fridley and with the Mitmesota Construotion Cpdel-1 permit bttt only an application for a permit and work is not to start withOud a permit; that the work will be in plari in the case of all work which requires reyie,,, end approval of plans. SIGNATURE OF APPLICANT Aftach lto; that the work will be in tbat I understand this is not a wcotdance with the approved YJ/moi J.4- r- -V/-` Td i4c O:t•O LOOZ ZO 'int LBETTLSE9L: "ON XUA FialpTaj .to Fid19: W0u BULLl)IN�.�'r Fertni , - Na.: Building inspections RESIDENTIAL APPLICATION )t.t�i end s 763-572-3604 CITY OF FI IDDLEY �' � 'J 9 YOUR E-MAIL ADDRESS _ - L5 »• -^— DATE -fl _ ....l sITE ADDREss n g�— _ i'H[S APPLICANT IS: C OWNER %CONTRACTOR TA 1 T1 ism" lY pj0- f"l'rjXT Y OWNEW SAME:C(„ t_'ITY _ TENANT ADDRESS: PHONE: ig GdaNTRAC7'OR NAME: STATE 1,1C:ENSE d Z EXT° DATE ~ A COPY U!' SUBMIT���� ADDRESS: — CITY i `ATE ZIP — 11 YOUR STATE LICENSE NVIT 14 APPLICATION PHONB - l 3 b FA to FS 0 pROPIERTY TYPE o SJNOLE r YINEW CONS UCTltyld v Two FAMILY/tMM CONSTRUCTION STORI lCli"lu tW"lNIZLwowsITEil14II'B'T ON ARAGB/ d BASFM&'Nf KNISH d ROOF AIN ME 13 DECK 13 SIDING 0 OTHER 0 SWUMVIING IK�OL TYPE OF WORK; D ITION ©MAINTENANCEffiRPAIR OREMOVELINC E3 DESCRIBE WORK (BEING DONE: _ '7 1' ! 67 1' n! 1.0 SIZE OF iMPROVERIIENT LENGTH WIDTH HEIGKr Ft. NMBER.OF SQUARES gAI AGES PROPOSED sVR-,, FROPMED HEIGHTRIM : CI vinyl El Alumfilum Q offier WMRM ING ppIR'IINGS Yt� 1 No nu Gnu NRw 0PANIN D CR1B8 SIZE OF OPENING CHANGES & . - — / ,v, L u aavvvu vw++ d HOUSE & GARA(M 13 ATTACHED GARAGE E3 DETACHED GARAGE ❑Sot'fit ' G Trim ❑ Fastin LOCATION OF WINWWS 1, Existing FI r Ptah Z. Proposed 11 Plan 3. List of strua ai manbom to be used FOR NEW CONMul2I ON INCLUDING DWKS, 1. Sita I'l Mf ey showing Ute costing stmotmes and ,raticet 2 Two sots c6ian PIa+�B 3. P..v eatia ONME VALVA ON, IANCLUDING THE COST OF LAIROR AND rdATEf ALU FEES ARE BASED (USING THE 1997 U.B.0 >FXE SCHEDULE) TOTAL JOB VALUA'1ION S M d '�'� OCCUPANCY TYPE Permit Fed $ See Eack Page for Fee Schedule Flan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total Job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 I.icafte Surcharge $ $5•iI0 (State Licensed Residential Contractors) SAC Charge 31675 per SAC Unit (Plans to M'WCC for detennil Curb Cut Escrow $ ft + 6 ft - _ ft x $21 - $ Erosion Control $ $450 Conservation flan Review Park Fee $ Fee Determined by Engineering Sewer main CI irge $ Agreement necessary ( ) Non Necessary ( ) -TOW-D-09- $ Make checks payable to: 01 of Fridi THIS IS AN APPLICATION FOR A PERMIT NOT VALID Ubml, PROCB SEU I hereby apply for a building permit and I acknowledge that the iafarmaeon above is complete and accu rpnformance with the ordinances and codes of the City of Fridley and with the Mitmesota Construotion Cpdel-1 permit bttt only an application for a permit and work is not to start withOud a permit; that the work will be in plari in the case of all work which requires reyie,,, end approval of plans. SIGNATURE OF APPLICANT Aftach lto; that the work will be in tbat I understand this is not a wcotdance with the approved YJ/moi J.4- r- -V/-` Td i4c O:t•O LOOZ ZO 'int LBETTLSE9L: "ON XUA FialpTaj .to Fid19: W0u