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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT Date: Aug 13, 1969 Owners Elvin Hargreaves Builder Address 5 924 2nd St. N. E. Address Lumber King 5145 Oliver Ave. South on LOCATION OF BUILDING No. 5924 Street 2nd St. N. E.(facing alley) Part of Lot Lot __9_ & 10 __ Block 9 Addition or Sub.Division ._..Hyde Parr. Addn. Corner Lot — Inside Lot Setback Sideyard Sewer Elevation T — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 24' Depth 24' Height 101 Sq, Ft, 576 Cin. Ft 5760 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _,_,$,� 2 L_000.00 To be Completed O.k'ed by theCity Eng. 8113169 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 compliaj with a�l�provisio ordinances of the city of Fridley. 'A _ // In consideration of the payment of a fee of $ 9 •° , permit is hereby granted to Lumber King 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 andmoving 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. larence Bel e NOTICE: This permit does not cover the construction, hutaUation for wiring, plumbing, gas heating, sewer or water. Be sue to we the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY of FRIDLEY, MINNESOTA OWNER 'S NAME 10/ t� a % r C'" - v�°S BUILDERy -be ADDRESS ��� ! �` � 7 ADDRESS � /Y� S/�S LOCATION -OF BUILDING STREET LOT '74/0 BLOCK ADDITION OR SUBDIVISION # Q e Totif" CORNER LOT INSIDE LOT SETBACK SIDEAR�D' 4 . SEWER ELEVATION TOP OF FOOTING 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: j A r a) -t, Front � Depth 'Height Square feet L�' Cubic Feet Front Depth Height Square feet Cubic Feet Type of Construction Fr -&-V4 'e__ Estimated Cost �% p To Be Completed 0' 6 7 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. n DATE K-13 SIGNATURE (Schedule of Fee Costs can be found on/the /.everse Side.) A SUBJECT P City of Fridley WRECKING 5 AT THE TOP OF THE TWINS P E R M I T RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. ______ r z: PROTECTIVE INSPECTION SEC I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BV 612-571-3450 910415 8/21/95 JOB ADDRESS 5924 2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9110 9 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE City of Fridley Housing & Redevelopment Authority 572-3591 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Herbst & Sons Construction Co 2299 Co Rd H, New Brighton MN 55112 784-8510 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 ❑ REPAIR ❑ MOVE 7 REMOVE 8 DESCRIBE WORK Remove 38' x 20' Dwelling and a 24' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Clean site of all demolition debris. HRA: No final bill ordered on water - Owe $197.88 plus final bill. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 N/A DOES NOT PR ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVIS NS F NY OTHER STATE OR LOCAL LAW REGULATING CON- STRU ION R THE P NCE OF CONSTRUCTION NO Fee PLAN CHECK FEE TOTALFEE No Fee SIGNATURE OF CONTR OR ORA 0RIZED AGOT IDATEI EN R I BLDG INSP E Y ALIDATED THIS IS YOUR PERMIT MATE SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI CITY OF FRIDLEY 6431 University Ave NE Fridley MN 55432 572-4604 Effective 8/1/95 MOVING[ OR WRECKING[ IPERMIT APPLICATION Job Address: - Legal Description: Owner & Address:0-jrV Contractor:- Address.: ;Z2 P9 .4f!;" DC- 5V15W Tel. # State License I &�IZ4 HOUSE: Length Width GARAGE: Length 2q Width 2/ OTHER: Length Width Estimated Cost $ -5 UTILITIES City Water/Sewer NOTIFIED: 571-3450 Water Bill Paid: Yes [ ] or Moving.Route: P I DN OF BUILDING Height /6 Sq. Ft. 7(P0 Cu. Ft. Z40002 Height Sq. Ft. 157(0 Cu. Ft. ,7400 Height Sq. Ft Cu. Ft. Approx. Completion Date minnegasco N S P U S West 372-4720 r,� 566-9120[f--� 663-6000 Collect ($ Signatu The undersigned hereby make r,,A to do all work in strict accor(h Code which requires any wate hereby declares that all facts ai 6-0 Date' U3 U-JVI^ Moving: Principle Building int - Accessory Building in $42.00 Through or within the -City ....... $20.00 Move a building out of City ...... $80.00 Wrecking: For each 1,000 cubic feet or fraction $ 1.25 For structures which would be impractical to cube the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. PERMIT FEE: STIPULATIONS: C�Axj.�) e building descri od &)Nt the Building Di O- (—q5 ate, licensed water well driller, and are true and correct. Minimum Fee: $20.00 Minimum Fee: $15.00 Y acTFjuoa aftWE'TUDIAL T&JWr FM" PAGE 1 Sit+ Addnaa STAWM yob Contracts r OwierIJGi �i/r�J __ 7V!-2 (4>O9b. !til, peon. d 07 ate • Z S•' Building Type (check one) L� 0" and Two Family Dwelling At• vbly (Describe L•,. Other s type 7ror Tabla 2 1 x 4reaF(A) i1 -Malty Y A ala 1 Pa d Sk 1 h s Type ejaA g' r scriksl ti Other 1desrw1iu1 iit►#tMA ?i�p. *t,►� • O Z rrttnrryt wIw .r0151 Area I , S .v F1 c Ball v F nd 10 Will V rad elY I Foundation WindWS Tyne (descr'ibel Wer (describe) 0 her describe Totals f S Avera a U -Value UxA A from Line + rtytyr 6 Required U -Value from text It Lino 2 is greater than Line 3, or Line 5 greater than Linc 6. F 1 ori n e i a iv U -Ya u for al xterior enveela lets the 7 Area (Liffe 1) • Area (Line t). d 0 UX -4 (Line 1) . UM(Line +). . *ntitirrt Awa (Lino 1) x-Yalw . (Line 2) x .* 10 Arca (Line d)" Y Y-Yalw(L1aa 6) —..... x it "Budget-. Line 9 + Lino 10 12 Alternative U-Yalut. Liw 11/Liar 7 +err*�rtar i.iaa 8 is grater than Line 11, AlrOr "50611es as required so Liae a • Po e: not exceed Line 11. - . i[i�:i.�r,:►r�•-sem 'R7"11t7��'i1�'"l�It;J1x'a"ti:T•! _ wry ."-Am MM7%1 ---mss. r'.� : C•11 R'7r �.r-v � �"'•'Lt !-�� =lii raw. 3-WARM.Q3I"V--,txr• .p L"- 71n 1 r os� Prrw rmr3r r.... I CZlOL-klc�:a•nr�-YE r f� X111 x7 : C•n r-114 '' , x lC ! 1 ]�■ �Iir�■ MJF 1. :Arlo �r+-,,, ci''.�•f, iii � �/ : l / �-T�i_� 1�-� � e-3.�XAL �• ���•nP'yrli:�l�r-Z7i�1��'L� V-);♦ m�o Mm SUBJECT - PE City of Fridley 23952 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV PROTECTIVE INSPECTION SEC. / r 1 � 1 ; � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/12/96 JOB ADDRESS 5924 2 STREET NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 91 10 9 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Oliver Tam 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tam's Inc 1160 Fireside Drive NE784-4402 9338 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 ❑ REPAIR ❑ MOVE ❑ REMOVE R B DESCRIBE WORK Construct a 42' x 22.3' Dwellin • and a 20' x ' Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide City with copy of verifying survey before capping. Provide a hard surface driveway. Provide sod in the front and side yards. See City Engineering Dept for water and sewer locations. WARNIN& Before digging call for grPARATE PERMITS all utility locations WING, �-lE $a�°°�, QU QED PDR 454-0002 i LSE AND SIGNS REQUIRED BY LAVH TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $86$60 $43.28 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 $$r,0 00 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $806.00 Fire SC $86.56 STRUCTION OR ,UiF—PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE License SC $5.00 $1,790.84 SIGNATURE OF AUTHORIZED AGEN .. IDATEI WHEN PROPEOMY VALIDATED THIS IS YOUR PERMIT ®el SIGNATURE OF OWNERIF OWNER BUILDER) iDATEi BL G iNSP nAr—�-- Mm NEW [ ] ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application l ,tructionAddress: Legal Description: �'s a4 S1 - I ?f Effective 8/l/95 Owner Name &Address: D1, � _aw-\_ f Tel. # Contractor: S=L_ MN LICENSE # 8 Address: o Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. SW DE&CRIPTION OF ROVE [ENT � �� LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Sq. Ft. k23, i//Yep Sq. Ft. 27 Sq. Ft. Comer Lot [ } Inside Lot Ft. Yd Setback Side Yard Setbacks Tyne of Construction: ��,.QQ <� Fated Cost: $ A, ix. Completion Date: (Cost on Back) Driveway Curb Gbit Width Needed: t_� Ft. + 6 Ft = Ft x $ _ $ DATE: — S APPLICANT: D L,^v e-ff- Tel. # 2 k4 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge. Driveway Escrow Erosion Control Park Fee CITY USE ONLY $ ,(�� , Fee Schedule on Reverse Side $ 001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $D g $850 per SAC Unit $_i $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ )TAL STIPULATIONS: Agreement Necessary [ } Not Necessary NEW [ ] Effective 3/1/96 ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 'a37/ ConstructionAddress: Legal Description: Owner Name &Address: Tel. # -7 F± — 4 � �- Contractor:d„�� S , , t t L� e,(t_ 1 t� , MN LICENSE # Address: 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: Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ 1 � (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = 9:a Ft x $ �� _ $ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: reD c =CJ -10 cpori i r i FROM : Panasonic PPF ��1 — old �t C'ekifioeie. of Survey, 'S-Su,'L7 For: Tam Inc. � a`a"'g1° b't+s Denotes nropoaed e1OV4tion. $moo Denotes existing elevation. --o- .Denotes direction of drainage. • 8 'Denotes 11 foot offset. Top of block= 040,+ Garage floor= �&o,v Basement floor= q0j z.. (S'ars) rf W' v pIt- Iz9.a2. -48L.v 7 I 3;v q*� 3. t Oil 1290 Lots 9&10, Block 9,'HYDE PARI:, Anoka County,Mn. SCALE -4 Inch sweet 1 o Denotes Iron I Bearings shown are on an assumed datum. Job P1 mjwSL Book Pao_ We hereby certify that this is o trw and correct representation of a curvy► of the REH 3EIN CO�M NIES }dories of the above described lan4 laid of the tacation of ail buildings, if any,8 6 5 ' i Naples St.., t. , N. E. ion, end all visible encroachawts, it any,. from or on said land. Oared this -aday of 81aira Mn. 55449-e724 a-aa►•9G �v►,K. by Mitt", Met.. NO.A&Z-12 TE' 1, 784-0657. . # S92f � can+'_t. , 12/J ��yy I� - 3 (01 ICA_ b -48L.v 7 I 3;v q*� 3. t Oil 1290 Lots 9&10, Block 9,'HYDE PARI:, Anoka County,Mn. SCALE -4 Inch sweet 1 o Denotes Iron I Bearings shown are on an assumed datum. Job P1 mjwSL Book Pao_ We hereby certify that this is o trw and correct representation of a curvy► of the REH 3EIN CO�M NIES }dories of the above described lan4 laid of the tacation of ail buildings, if any,8 6 5 ' i Naples St.., t. , N. E. ion, end all visible encroachawts, it any,. from or on said land. Oared this -aday of 81aira Mn. 55449-e724 a-aa►•9G �v►,K. by Mitt", Met.. NO.A&Z-12 TE' 1, 784-0657. . # S92f Certificate ®f rv. For: Tarn Inc. � Denotes proposed elevation. g4v Denotes existing elevation. -q.- .Denotes direction of drainage. n .'Qenotes 11 foot offset. „ B� a d Top of block= 9&0,4' Garage floor- 3G0•0 Basement floor= g�y7- (5crs) xgL,v Lots 9&10, Block 9, FYDE PARK, Anoka County,"Iln. SCALE:i Inch =�Fde2 o genotes iron Bearings shown aro on an assumed datum. Job N�. Book_ .. Po4+}--- 's hereby o4rtify that Ibis le a true and correct representation of a survey of the :PEH6EIN COMPANIES • oundaries of the above 4as411bed land end of the location of all buildings, If any. 6651 Naples St..N.E. thereon, and all visible encro4001e06, if any, from or on sold land. Blaine Mn. 55449-6724 Oated this .a_day of lea 19by _ mini. Reg. No. Tel. 7$4-0657 ® • I CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On March 1, 1996 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 61w Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader T $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** � $10.00 ®® Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance 00 State Surcharge $ .50 TOTAL FEE $1 O® 5-0 JOB ADDRESS 3'q 2- 4 2Aal-57 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. , 1996 Owner Building Used As Estimated Cost PERMIT NO. �Il PLUMBING COMPANY�gl�% SIGNED BY '' _ / TEL N0. 12— qVV ,, 2 Approved By %Rough—In Date d ) Final Date -'o PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEE12 LE 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 .Rate. $ 30.00 ,t $10.00• $10.00 $10.00 $25.06 - All 25.00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State -Surcharge TOTAL FEE JOB ADDRESS �7 The undersigned hereby makes application for a permit for the work herein 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 $ U, representations stated in this application are true and correct. $ D' OWNER— OWNER 799 -S e BUILDING USED AS 6!�,4 ESTIMATED COST 000 PERMIT NO. 1-3 DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units ` Circle One (Steam) (Hot Water) (Warm Air Tmde_Name_,,,WR G Size No. BTU HP EDR Fuel7' Total Connected Load $.50 Burner Trade Name Size No. `BTU HP EDR MINIMUM FEE FOR ANY HEATING/COOLINGtVENTILATION 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 property owner. HEAPING COMPANY a Signed• Bye _ .r., Tel No. 41Y 4e"S_4 Approved By Rough -In Date Final Date _�� FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE EY AND STACK VERIFICATI The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () 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 ( } 6 Has total heating BTU's of Allother. 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: HEATING CO: Signed By: Date: FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 November 25, 1996 Tam's Inc 1160 Fireside Dr NE Fridley, MN 55432 Re: Final Inspection at 5924 2 Street NE, Fridley Dear Sirs: A final inspection was conducted on November 22, 1996 of the above address and the construction was approved as constructed. The structure is approved for occupancy. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, BARRY REISCH Building Inspector BR/mh G _. ISPECTiON REPORT(lD19 :)F FRIDLEY MINNESOTAj Building Job Report (612) 572-3604 I ADDRESS INSPECTION REPORT OWNER , BUILDER ��� (_ C �L `C C r C . Ca DATE PERMIT NO. ' DESCRIPTION INSPECTION RECORD DATE REPORT esti, are listed above, approval is hereby given to procef You will be in 411 dinance if you do not call for the proper inspections make correc- tor. REPORT �''s r _ /V s'%,xY� ��'� ` i f �•'�rr' N +�, K xf ; cr* *�,ix+* ,,��W^ ' ay x /�� G l !'/ i "1..� ,' a� k dde>"`i 01 OWNER — REP INSPECTOI esti, are listed above, approval is hereby given to procef You will be in 411 dinance if you do not call for the proper inspections make correc- tor. I Building Job Report Ss 1w J�T liU� i INSPECTION RECORD REPORT %GrK Topp O)F C--aA 4, � zaAi*t-S Building Job Report ADDRESS OWNER BUILDER , / -t) / �� / S 12 t.'/ DATE PERMIT NO. 1 DESCRIPTION �T>> n, 613 -_11 )11Cey INSPECTION RECORD DATE REPORT INSPECTOR s {s�} `�SiwLN}��`a� Ar t ` Building Job Report 1 ADDRESS OWNER BUILDER DATE (p -�< _ 96 PERMIT NO. DESCRIPTION �/}1 (' 0� 1 i �/ l J S INSPECTION RECORD DATE �� REPORT Building Job Report )REBS i 4 s—?? Fes! yER _DER _ /C f E - �' �j� PERMIT NO. (, ;CRIPTION ftl INSPECTION RECORD REPORT 40AZI Building Job Report C T- ! ADDRESS OWNER BUILDER 1 t17� 1 S DATE PERMIT NO. DESCRIPTION %) !" rr 1f7 t .° 1) A 1/1 ; f j j f , -t INSPECTION RECORD DATE REPORT t a INSPECTOR J t' -Y re's Y n t z' r 1,,.� 4 . _+� r yrrnt \ `' n L� Via•, pV`i�x •r�r �'-.:'�" 3. ij dt-._ Y�jy,� - `•,a'' ' NQ 1196. Building Job Report ADDRESS OWNER BUILDER DATE PERMIT NO. a -- �Z g7� DESCRIPTION INSPECTION RECORD DATE REPORT : �r�f; �'�., L {. .fi� , A� }} y, 3- Up HYG iY �% i�s r i Y � �" Yy Yj .•{ in' ^*.y 4 9 1 `t t� l 1 ♦�. 'riT i ��2'Ir �{�.���N�' '77 � d � fi'aA .+� .� Y i if.'3,?x 3 � d4+.'�S8 '}fi 1 :vT 6 5 3 i U LYt j} } 4 �kfib f \ ,''r^p77 � s r OWNER = REP INSPECTOR' -6%4 ---- 1 Building Job Report :)DRESS S 7.;2 WNER PERMIT NO. H-SCRIPTION INSPECTION RECORD ,TE REPORT V. NQ \1180 7 Building Job Report ADDRESS S 92 y OWNER 5 - BUILDER /OV6 DATE PERMIT NO. _a!$gW- 1pj_-2 DESCRIPTION -7 INSPECTION RECORD DATE REPORT s4'sx S73 IER - REP INSPECTOR, - OWNER - REP . INSPECTOR 2 01 Building Job Report DRESS 4NER ALDER +TE 2 -A PERMIT NO. 3'�C/j :SCRIPTION INSPECTION RECORD TE REPORT 2151 Building Job Repo rf`--------f_--) .ADDRESS -BUILDER ( (' C j'l 1/ �Z /J] - DATE PERMIT NO. DESCRIPTION j -c(_, dy-(J� INSPECTION RECORD DATE REPORT I 0 Building Job Report ADDRESS y OWNER _BUILDER / .S DATE ��' �{� PERMIT NO. DESCRIPTION INSPECTION RECORD DATE REPORT v • a 1 q 4g1�C�oi N2 i Building Job Report ADDRESS y OWNER _BUILDER / .S DATE ��' �{� PERMIT NO. DESCRIPTION INSPECTION RECORD DATE REPORT 0 v • a Pof ,k INSPECTOR OWNER — REP 0 INER ILDER TE j — r9 —ell PERMIT NO. SCRIPTION htJ_e.C.•�' �' t r�s2;!� _ __ INSPECTION RECORD TE REPORT OWNER BUILDER yf mss DATE Iq-gZ PERMIT NO. INSPECTION RECORD DATE REPORT N2 .1 1 82�O ) Building Job Report ADDRESS 5-9,7--X/ N DWNER 3UILDERt- DATE ! PERMIT NO. DESCRIPTION INSPECTION RECORD )ATE REPORT ��vggu ijn /�un"77 k- WNER - REP INSPECTOR NQ ` 1 1 7681; Building Job Report ADDRESS OWNER ��/ VEZ BUILDER F ' DATE g - -L/ - PERMIT NO. 1,5-' DESCRIPTION INSPECTION RECORD DATE REPORT A,�f 1-z-y,?7Au - rjz�j -41z- OWNER-RFP INSPECTO N4 117177 Building Job Report DDRESS =� -I--0 OWNER UILDER ATE - " _ PERMIT NO. ESCRIPTION Q� INSPECTION RECORD ATE REPORT n, fr. c "zq- Ike e l WNER - REP INSPECTOR Ns ,1174 Building Job Report ADDRESS „j - �-/ -'2 -)-h e I - OWNER BUILDER /:�f)`� 411�, DATE PERMIT NO. DESCRIPTION 17 ,� .r^i I, INSPECTION RECORD DATE REPORT L.'J i drl^�L✓•✓ lig. �.%� t ✓,•;• '7�i:✓ r OWNER - REP INSPECTOF 0 SUBJECT of Fridley PPEcity 5513 AT THE TOP OF THE TWINS BUILDING PERM11C - rr� COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/16/97 1013 ADDRESS 5924 2 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 10 9 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Cindy Rundle 5924 2 Street NE 571-3050 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 10' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNIINGho Before digging call for all utility locations 454-0002 REQUIRED By I AW L -m SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1,500 $.54 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEEA T FEE Z11 4 $39.12 IGNNA�sT�U R�EOF CONTRACTOR OR AUTHORIZED AGENT IDATEI 91-16 D VALI T D THIS IS Y UR PERMIT y/� SIGNATURE OF WNER � iF OWNER BUILDERI IDATEI ,&A BLD INSP f) TE ]- NEW [ ] Effective 1/1/97 ADDN [Vr ' CITY OF FRIDLLY ALTER [ ; SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Jr�/ BUILDING PERMIT APPLICATION 110 ConstructionAddress: Legal Description: Owner Name & Address: ki cbi L4 r) c( / e Tel. #qm � CV tv h v1 C Cr e h 6 rto LICENSE # Address: a ecV �11'. 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 ) a Width Hgt/Ground .7 Sq. Ft.QW, OTHER: License Surcharge- $ $5.00 (State Licensed Residential Contractors) Driveway Escrow Construction Type: V -e re of e Erosion Control Estimated Cost: $ IS (D Park Fee $ Fee Determined by Engineering (Fee Schedule on Back) Driveway Curb Cut .Width Needed: Ft. + b Ft = Ft x $ _ $ DATE: APPLICANT: C ( / t✓t. c� Tel. 7'HPULATIONS: CITY USE ONLY Permit Fee $ % Fee Schedule on Reverse Side .Fire Surcharge $ Q .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge- $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 7'HPULATIONS: I Certificate of Survev, As -BUIL? For. Tam. Inc. gba Denotes Proposed elevation. $moo Denotes existing elevation. —+- Denotes direction of drainage. 0 --'Denotes 11 foot offset. Top of block= 0(#e,4• Garage floor= 8&-a Basement floor= /z9.02. G - h' c ., ... M0 g+8 I itq�ba Lots 9&10, Block 9, HYDE: PARI:, Anoka County,Mln. ALE:i Inch 3.2-10Feet a Denotes Iron I Bearings shown aro on on assumed date 'fie hereby certify that this Is a true and oorrect raprasentation of a survey of the _14ories of the above described idnd and of thf 1040194 of oil buildings, If any, .eon, and all v{slbis shcroachments, If any, from or on said fond. 'ated this . /a day a-aa.a6 nk.IC. ben' - Minn. Rol. No. 1�2 Y1, Job t o .Ua�L IBook Page_ :REH 3EIN COMPANIES 665. Naples St..N.E. Blair a Mn. 55449-6724 . TE 784-0657 � 5924 Design #: 63564 ® 9/2/1997 * * * Take this sheet to the Building Materials desk to purchase your materials. You have selected a 10' x 12' deck 7' off the ground. Green Treated Framing Material Horizontal Decking 2" x 6" Green Treated Deck Boards 36" Spindle Railing / 2" x 2" x 42" Green Treated Spindles, Beveled 1 End t P 4" x 4" x 48" Green Treated Utop Notched Railing Posts Poured Footings 8" Tube 4' deep— Galvanized Square Head Screws = '' 2" x 8" Joists f_ 2" x 8" Beams -w --,/C 40 PS F deck load -- ,, Illustration may OFICT o P tions not inclu _ 111i- I r"• J, v k'—� a\tevi For Building Material's use only Selection Code: 12014408401040406030000040"0300000001 Today's cost for materials estimated in this design with options: $904*36 *The base price may include: 40 PSF deck load, horizontal decking, 2x6 green treated deck boards, green treated framing material, no stairs, 36" 2x4 railing, green treated railing posts, and galvanized box nails. * ( BASE price): $46L83 j � I May 17, 1999 Cindy Rundle 59242 nd St. NE Fridley, MN 55432 Re: Final inspection at 5924 2"d St. NE Contractor: River City Sheet Metal Dear Ms. Rundle: A mechanical permit was issued on April 24, 1998 for the property located at 5924 2nd St. 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, 4 /;/, & Barry Riesch Building Inspector CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 University Ave NE Fridley, MN 55432. APPLICATION FOR POWER PLANTS, AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES PV6 /l I JOB ADDRESS Sqr-I LI n °(�_ r) RATE SCHEDULE 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 Rate TOTAL $ 30.00 $ $10.00 $ $10.00 $10.00 *Air Conditioning -All Sizes 1�rYs4_e"- $ 25.00 C'-qoay '�-VCA 13se�- All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge 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. p9w / elf OCP 0 BUILDING USED AS Ouu eA � i ric ESTIMATED COST PERMIT N0. O� $ .50 TOTAL FEE $ Z 5 d MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 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 property owner. 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 Size No. HP EDR . HEATING COMPANUPe- l a`J�la5A &el&eLz t-laSigned By-J��z —- Tel No. 7Jry %7 Approved ByRough-In Date Final Date Z� FILLOUT BACK SIDE � R STACK VEPIFICATION ON REPLACEMENT FURNACE I CEnAE4EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes O No ( ) 2. Is free from rust .or deterioration, Yes O No { ) 3. Has no foreign objects lodged within Yes O No ( ) 4. Is securely supported Yes O No { ) 5. Meets all current Code requirements for size . and total BTU's connected Yes O No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7.. Has a liner been provided.for water heater Yes O No 8. Has combustion air beenprovided for water heater Yes { No s� Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: /f " V SUBJECT ITIN . r City of Fridley f322486 AT THE TOP OF THE TWINS BuILD1NG PER1 -,ITIpT NO. r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED Br CITY HALL FRIDLEY 55432 612-571-3450 910-F15 3/29/02 JOB ADDRESS 5924 '2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9,10 9 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan & Cindy Singer 5924 2 Street NE 763-574-1865 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Ck ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Finish basement family room 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS REQUIRE® FOR: WIRPLUM'NG HEATING Nd SIGNS S TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $700 $.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- $29.60 Fire $.70 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION sC PLAN CHECK FEE TOTAL FEE $30.80 SIGNATURE OF CON'RACTOR OR AUTMORIZ AGENT IDATEI W HEN PROPERLY VALIDATED THIS IS YOUR PERMIT ' , � e to� � SIGNATURE OwNE II;0 ER BUI ERI IDA EI ' OG -NSP rIATE /f " V NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 4 Construction Address: � a 4 2 8f AJF- Legal Description: Owner Name & A ss rIA-�6-41L9 Tel. # 70 - 5-74- l UG Contractor. MN LICENSE # Address: 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: LengthWidth=T� Height Sq. Ft. 3-_ GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length width Hgt(Ground Sq. Ft. OTHER: Construction Type - LIS - 9u 9Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $b6-1 _ $ DATE: APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $—J;-,9–,60. $ .76) $ - .S Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] STIPULATIONS: CITY OF FRIDLEY PERMIT NO.: 200400081 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 01/22/2004 572-3604 FAX: (763)571-1287 ADDRESS : 5924 2ND ST NE PIN : 233024220074 LEGAL DESC : HYDE PARK : LOT 9 BLOCK 9 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL XCEL ENERGY SAVERS SWITCH # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORP 2300 TERRITORIAL RD ST PAUL, MN 55114-1614 (651) 646-2911 OWNER AUSTINSON, TONY 5924 2ND ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worts will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp STATE SURCHARGE, ELEC FLAT 0.50 ELEC PERMIT FEE - MIN (RESI) 20.00 TOTAL 20.50 PAID WITH CHECK # 113375 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 00 _ f i / IEffective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $10.00 Old Opening, New Fixture $10.00 3C-� Beer Dispenser $10.00 Blow Off Basin $10.00 Catch Basin $10.00 Rain Water Leader $10.00 Sump/Receiving Tank $10.00 Water Treating Appliance $35.00 Water Heater -Electric $35.00 Water Heater - Gas** $35.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance 30- 64> JOB ADDRESS 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. DATE: - AS OWNER BUILDING USED ESTIMATED COST PLUMBING SIGNED PERMIT 20 a y TEL Approved By A Rough -In Date Final Date State Surcharge $ • 50 3b SU MINIMUM FEE F ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE $ OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE i FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the BTU Input Fan Assisted or Nat venting has been examined and is free from rust, deterioration, obstructions, BTU Input Fan Assisted or Nat and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer Total Btu Input specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) T�e existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's', specifications. This does include AGA-GAMA Category I Central Fumice Venting Tables for fan assisted and natural draft appliances. Yes () No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date: �05 0®� �3 NEW' [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address:�- Legal Description: Owner Name & Address: Lo� Z Wit Tel. # -76 3 71- /113 Contractor:/"IAtAttAA-) C0AJS7tzQc-7-,oA/ ANG MN LICENSE# Address: l cSl® P3 I IZ - e4 ;'7 � 5u 1 T� 43, 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 HgtIGround Sq. Ft OTHER: Construction Type: `Ic��G� yn Fol'51'\ Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: S� / fU5'- APPLICANT.�-- Tel. # ;// Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 6. �dJ�/1�//�� � $ / . 2 , 3 G J $ 5.00 $ 0 $ 6,00 $ $ jq�,06 CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] STIPULATIONS: MACALLAN CONSTRUCTION, INC. 1810 Birch Street, Suite 3, White Bear Lake, MN 55110 Phone: (651) 261-8648 a (612) 227-0415 • Fax: (651)340-7429 • License #20457303 Email: adam«macallanconstruction.com �`J9J•�•n�s+t+-1Cn I,n..J ;�,k. ;le+ 6q- Sk-rNt'toN' C=AvSTr 'F W/MDr-&4, TILS Flc?o(,�, W. �. U ,ic) gkpwg� r REVIEWED F_t,ar� CO DE IDE ANCI LrrEni i a� s BLD nspect( f l� �(V6\b It' JJA MEI T1 -eV - ii: c & V�Aj r e;LGo ^d Tit -6 croo(K CLCgc- Gc„As-, i ro MACALLAN CONSTRUCTION.,I C® 1810 Birch Street, Suite 3, White Bear Lake, MN 55110 Phone: (651) 261-8648 ® (612) 227-0415 ® Fax: (651)340-7429 • License #20457303 Email: adam©macallanconstruction.com t i lot a1W -G t,c+...96R- r-1"1<w'A%*T1 /mr-&/- �.. C -doll l' GMo 'FUN (I v Tl�-£ Ftave2 ,3n11 .. ` CtBh@ Tc&.tatr \ oft w1Up- -' Tt Lr- ShowEz R CON5ALZIG`TIO0 fxdl6rS CIJ A M'C- t -rtzv- T I LQ-- S vk a. V'p A/ TIE -6 FIa'k CL6 k2 6t,vs� r R CON5ALZIG`TIO0 fxdl6rS CIJ A M'C- t -rtzv- T I LQ-- S vk a. V'p A/ TIE -6 FIa'k CL6 k2 6t,vs� Building AND MATERIALS: BUILDING Permit No.: Moq Inspections $ RESIDENTIAL APPLICATION Received By 763-572-3604 65% of Building Permit Fee CITY OF FRIDLEY $ Datatfttf 763-502-4977 FAX $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) EFFECTIVE 1-1-09 $ $2000 per SAC Unit (Plans to MWCC for determination) DATE 10 .4R 0 __ D ! YOUR E-MAIL ADDRESS M V 5C Cnk'C i- - r Q (2 h o I • CCS` �^9 SITE ADDRESS 5A A f g11,54- s e u YY-)" $ THIS APPLICANT IS: ❑ OWNER ONTRACTOR $ PROPERTY OWNER/ NAME: $ ADDRESS:,517att c�^—`i .St Al _CITY F=C�J Cq TATEPINDZIP 65q < TENANT a mao Make checks payable to: City of Fridley Attach PHONE: 7'in 3 - -90 -i - c;Z(o8A CONTRACTOR NAME: rniaujesfa S .? STATE LICENSE # � �_;k `VN S"® EXP DATE 3//o SUBMIT A COPY OF YOUR STATE LICENSE // ADDRESS: U 8 � CITY`�� �L/I BATE W IP 910 AND CERTIFICATE OF INSURANCE ,�� _ .S+ PHONE 2`i 9 39% FAX 16 AISINGLE FAMILY/NEW CONSTRUCTION SIZE . "/83 3 9'7 PROPERTY TYPE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE PXECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: x2NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: 1 CAC LI4 SIZE OF IMPROVEMENT yy LENGTH WIDTH C HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. &PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum 11 Trim and proposed project. ❑ Other 11 Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ (USING THE 1997 U�CEIS�CH �,, OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ °� .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ a mao Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not start without a permit on site; that the work will be in accordance with the approved plan in the case of all work„eques rev" anpproval of plans. n SIGNATURE OF APPLICANT PLEASE NOTE: SEPARATE PERMIT ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK y nU W w -N) V Y T T �I OLn C+ 'p^ 1 LA V ro D Q 3 r0 O LA r+ Ln rD g C+ 3 S O (-7 P C+ rD Q 3A rD rD ;;u Q co p Q tj rD n X - Ci tj ,v co Y 0 I a 1 sO C= U) LA D Q 5 � 3 Q lid Q c Q Lf) Q (-+ C+ Q Q 7 Q VI tj Co Certificate of Survey' . For: Tam In.c. gl Denotes Proposed elevation. Denotes existing elevation. —+► Denotes direction of drainage. M .•'Denotes 11 foot offset. Top of block= SGd'F Carage floor= 45&o•p Basement floor= gS7.2- (Scrs) AS-BUIL7 a - as • 9io a4$ I Lots 9&10, Bl:)ck 9, HYDE: PARK, Anoka County,Mn. S. .. G f :ALE -i Inch =Feet o Denotes Iron I Bearings shown aro on an assumed datum. Job t 01ccs Book Page Ale hereby certify that this is a true and Correct representation of a survey of the REH 3EIN COMPANIES +4aries of the above described tarrd and of the l000tioa of afi buildings, If ony, , i8 6 5 Naples $ t .. N. E . .eon, and all visible eAcroachments, if any, troin or on said land. t3Iair a Mn. 55449-6724 wted this ._ay bf__2:L--e= fa.Y�. .�'�a •9 G M.K. by AAlnn, ttep. No. �� . TE 1, 7$4-0657 . , 0 . Midwest Vinyl Systems IRC w/ state amendments Standard Codes Practices 1) All piers 42" deep (concrete) 2) All handrails min. 36" tall 3) No gaps in excess of 3 7/8" 4) Rise/run on stairs 7 1/z" X 10 1/2" Typ. Joist con g. 2kx 10 @ 16" o/c (AC0) 6) All fasteners certified 7) Double 2x 10" southern yellow pine fascia/beam NOTE: Unless otherwise specified 8) No span between post/gusset arm over 8'0" 9) Stair handrail with 2" grippable surface 10) Lag bolts (ledge to house) 1/2" X 5 1/2" @ 16" o/c 11) All joists with joist hangers on both ends 12) All decking 5/4 X 6 or IRC compliant synthetic From: unknown e q C a. u c Page: 1/1 Date: 11/4/2009 4:01:25 PM rz U Li ci M 1, d rz U Li ci M 1,