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PRE 2010 DOCS4-jY:�b City of Fridley, Minn. X9 9754 BURDING PERMIT Date: May 21, 1968 Owner: Twin City Blders . Builder Same Address 5406 Florida Ave. North Address Sams LOCATION OF BUILDING No. — 45 71 Street _ _ 2a S t . N. E. Y Part of Lot Lot XXX 14.__ Block 1 Addition or Sub -Division Rearrangement of Plymouth Addn. Corner Lot _ Inside Lot — X Setback 35' _ _ Sideyard _ _10' & 16' Sewer Elevation __ _ 824.93 _ 827.93 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front _ 44' Depth 24' Height 12 Sq. Ft, 1056 cu, rt. 21,120 Front Depth Height . _ Sq. Ft. Cu. Ft. Type of Construction _.._..FrgMe Fast. Cost _ S112. - __ To be Completed duly 15, 1968 SEWER LOCATION -140' South of Manhole (15" Stub) WATER LOCATION - 129' South of Manhole Grade of the house to be 18" above the catch basin. In consideration of the issuance to me of a permit to conslt= ' ding described above I agree to the proposed work in accordance with the description above set rth in compliance witia�l provisions ordinances of the city of Fridley. � c_—� fr��" In consideration of the payment of a fee of $----.1-2 - 00 ., permit is hereby granted to Twin City Blders . 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, M3zmesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. 6��uildl= motor CLARENCE BELISLE NOTICE: This perp* does not cover the construction, hwallaHon for wiring, plumbing, gas he®ttng, sewer or water. Be sure to no the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME) lam% ADDRESS ADDRESS LOCATION OF BUILDrdG..p NO. STREET 15.7 KP A -P24 Ais e- 3M LOT yBL06K _ADDITION OR SUBDIVISION I®c ./3 /: w COR1ZR LOT XNSIDE .LOT X SETBACKS SIDEYARD SEWER ELEVATI N TOP• •4F. FOOTING Applicant atta h t s Two Certificates of Siurvey'-of Lot and.proposed building loc i r wn these Certificates: SCRIPT ION OF BUILDING 'To Be Us d As:, Frbnt_,_Degt Height Square feet /a A Cubic Feet Front Depth Height: Square feet Cubic Feet Type of Construction Estimated Goat To Be Completeda.c/ 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). Y r _�1 1 C f .. > 4-'i PARTIAL RATE SCHEDULE PLUMBING FIX RATES: NO. RATE TOTAL Number Fixtures ...... .. .. ...... x $2.00 $90. v v Future Fixture Opening .... .... ..... x $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin .. ..... I ... ....... x $3.25 $ Water heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. x $3.25 $ Electric Water Beater $ $2.00 $ GAS P7TTING NO. RATE TOTAL lot 3 Fixtures .......................... x $2.00 $ _ Additional Fixtures . .......... :....... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ �nMENEMIN PARTIAL RATE SCHEDULE PLUMBING FIX RATES: NO. RATE TOTAL Number Fixtures ...... .. .. ...... x $2.00 $90. v v Future Fixture Opening .... .... ..... x $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin .. ..... I ... ....... x $3.25 $ Water heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. x $3.25 $ Electric Water Beater $ $2.00 $ GAS P7TTING NO. RATE TOTAL lot 3 Fixtures .......................... x $2.00 $ _ Additional Fixtures . .......... :....... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAM 9a ALTERATIONS—Refer to Code Description ..............................................$ TOTAL FFA $ �� 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 fac9 and representations stated in this application are true and correct. Fridley, Mina ,19— Owner Kind of Building Used as A To be completed about y/ Estimated Cost, $� Old ewuilding Permit No. �i �o Peewit X®. Signe Business Phone 0— 27* e • C I T Y O F F R I D L E Y i 6431 University Ave. N. E. i Fridley, Minnesota 55421 June 6, 1969 Conroy Electric Co. Route #5 Anoka, Minnesota RE: PEAIT SHORTAGE` F 4571 V, Street N E Gentlemen: Your permit for the above captioned address was short the following: Service $ 6.00 Dishwasher 3.00 30/40 Outets 9.00" TOTAL $29.00 10/20 Sockets 4.00 Paid 16.00 Furnace 4.,00 DUE $13.00 Disposal 3.00 We would appreciate it if you would kindly give this matter your preferred attention. When sending in the above amount, kindly place it on a regular Minnesota State Affidavit so that we may properly process this permit. Thank you. , Yours very truly, L ONARD EICHMILLER Electrical Inspector {/ City of Fridley LE :bks Cady of Fridley, Nffiw . BUILDING PERMIT Date: Oct. 14, 1968 owner: Camp Const. Corp Builder Address 6280 University Ave. N. E. Address Same Same -�,V6as/ 9982 LOCATION OF BUILDING No. 45 71 Street V2- St. N. E. ____„ Part of Lot Lot -- 14 -- Block 1 Addition or Sub.Division Rearrangement of B .1St 14,15 Plymouth Corner Lot Inside Lot — x Setback 35' —_ Sideyard .__ 10'6" Sewer Elevation 82493FARHcx 827.93 Top of Footing To be Used as: Dwelling Front Garage Front Type of Constructiozframe DESCRIPTION OF BUILDING 49' Depth 42' Height 20' Sq. Ft, 1092 Ca Ft. 21840 23'611 Depth 23' Height ._....10' Sq. Ft. 540 Cu. Ft. 5400 Est. Cost $22, 000 __ To be Completed SEWER LOCATION 140' South of Manhole (15" Stub) WATER LOCATION -129' South of Manhole In consideration of the issuance to me of a permit Ico the buil ' escribe above, I a to do the proposed work in accordance with the description above t o tit an an of ordinances of the city of Fridley. a (paid with parmit wn_ 97541 5100.00 Sewer Connection Charae In consideration of the payment of a fee of *permi�is hereby granted to Camp Const Co. to emstruct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. arence Belisle NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas healing, sewer or water. Be sure to ase the Building Inspector for separate permits for than heap. V APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNEE 4S NAMECatw to ®Y . BUIER S � ADDRESS x a 10 LOCATION OF BUILDING NO. •S '0;1/ STREET S T N P tr 07. p LOT ZfZ BLOCK ADDITION OR SUBDIVISION COR_Im LOT INSIDE LOT SETBACK SEWER ELEVATION TOP OF TOOTING Applicant attach to this form Wo Certificates of Survey of Lot and proposed buildi.rZ location draw on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Y Front Depth Y!�j Height 40 gquare feet Cubic Feet -j Front �— Depth t d Square feet <!2 C) Cubic Feet Type of Construction Estimated Cost ®d® To Be Completed o� // -` 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 axe true and correct. DATE— A. it SIG�VATORE �JJ � (Schedule of Fee Costs can be found on the Reverse Side.) a s r o CERTIFICATE OF SURVEY JAMES 'L. KURTH LAND SURVEYOR. 4201 N. E. 5TH STREET COLUMBIA HEIGHTS 55421 188-50011 I HERESY CERTIFY THAT THIS SURVEY. PLAN, 9R REPORT W;I.S PREPARED BY ME OR UNDER MY DIRECT sUPERVISIOr-4 AND THAT I AM A OULY REGISTERED LAND SURVEYOR UNDER Ti-iE LAWS OF THE STATE OF MINNESOTA D A T E C �• Ii} SCALE I MINNE�3�-A� REGISTRATION NO. 'Vc 7 0 =IRON MONUMENT fIL keye I oG6w 'Die Lj J - Rol 4 tv TZ76TY BUILDERS 5406 FLORIDA AVE. NO. -MINNEAPOLIS, AANN. 5542 '�157t, TEL. 533 - 2709 9- SOIL ENGINEERING SERVICES INC. L 0 G O F T E S T B O R I N G S -- ------------------- PROJECT: 68-94 LOCATION: 11457$ 2; Street" ( Fridlev. Minnesota VERTICAL SCALE: 1" _ �' r ST-lA !DEPTH Surface Elevation* = 97.0 0 Fill, Loam, slightly plastic, black with lenses of Fine to Medium Sand, brown, moist PF 11 4' Fine to Medium Sand with a 12 little Finp Gravel, light brown, moist (loose to medium) 5 1 5 1 7 7 E:= 20' Water not encountered in probing boring to 10 -foot depth - boring caved -in at that level. DEPTH 0' 2' 4.5' 5', a 15' ST -2A PF Surface Elevation = 95.1 Fill, Loam, slightly plastic, black; moist ` Fill, Clay Loam, lensed with 1 Medium to Coarse Sand, brown, moist Clay, re moist trace of Fine to Medium Sand, with a trace of Fine Gravel, light brown, moist (loose) 7 Medium to Coarse Sand, Frith 8 a little Fine Gravel (loose) 6 9 Water not encountered in probing boring to 9 -foot depth - boring caved -in at that level, * See attached sketch for desc iption of assumed benc� mark. ** organic) o AppleaAm for Power WR i. Ventilcaton. R t n md Air ConMoning Systems -and Devien PARTIAL RATE SCHEDULE ' GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .........:.................$10.00 $ Replacement of Furnace 6.00 ; Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ CH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace .. ...................I....... 6.00 $ Repairs & Alterations—up to $500.00 ............. ... 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Eines—to 400 sq. ft. EDR Steam ... .$10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ............... :...... 3.00 ' Each. add. 320 sq. ft. EDR Hot Water . . . ............ 3.00 $ OIL BURNER—to 3 gal. per hour ....... ... ... .. ... 6.00 $ over 3 gal. per hour—See Fee Schedule ®f GAS BURNER (up to 199,000 BTL) ....................... 8.00 over 199,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE TO 1st 3 Fixtures x$ 2.00 $ Additional Fixtures x .76 $ Gas Range to 199,000 s$ S.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH See'Fee Schedule TOTAL FEE Dept. of Bldgs. Phone 880-3490 LoceBon � ;?/ - �* . City of Fridley: The undersigned hereby makes application for a permit for the work hereic 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 facts and representations stated in this application are true and correct. Fridley. Minn is — v Kind of Building Used as To be completed about Estimated Cost, $ 6,6 r) �J Old—New. Building Permit No. Permit No. / DESCRIPTION OF WORK H M' ,TING or POWER PI.ANTS—Steam, Hot Water, Warm Air—N Trade Name Size No Capacity Sq. Ft. E.DR BTU H.P. Total Connected Load Kind of FueL BURNER — Trade Name Size No Capacity Sq. Ft. E.DR BTU H.P: FIcNAL (REMARKS -OYER) . Application for Power Plants and Healing, Cooling, Ventilation Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—ta 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line -to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal, per hour 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $T over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL �a " $ See Fee Schedule $ o TOTAL FEE $ Dept. of Bldgs. Phone efrigeration and. 5 -3450 Location 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, 7 Owner Kind of Building Used as To be completed about Estimated Cost, $�'e Q © 'J Old ew Building Permit No. Permit No. BEATING or PO PLANTS—:E/ Hot Water, arm —No - Trade Nam LO Size No Capacity B ,[ Sq. Ft. E.D.R BTU ��� H.P. Total Connected Load "d '09/1 Kind of Fuel BURNER — Trade Name Size No Capacity. Sq. Ft. E.D.R BTU H.P. Signe az Business Phone No NA -01 INC' pEOE- TION HEA71Na 3-5281(REMARKS-OVER) 2936 FOURTH ANfL 5O $. s •M114t*$0TA MINNEN)O`IS HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION �� b MINNEAPOLIS. MIRN. Weatherstrips A.S.H. Construction No. Insulation Guide Windows I Doors Reference Out. Wall nt. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19_ ®^ R i L th WiAtL A H ' ht Fl Le th Wath H ' ht Floor Total Btu. rl i.,44Koom I Length " Width /0 Height jr Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No�.j of pane of pane Ilghte of�gcrack sq. tt. Coef. Btu Infiltration vo 0 Glass 134 �$-� Exp. wall/o p Net exp. wall Int. wall Ceiling Floor Total Btu. rt. /d" >Koom ILength ` `" Width &7 Height Winos and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Gane of pane Ilghte of crack eq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. .1 oom I ng L L, oom eng sig Windows and Doors—Crackage and Area eig Windows Doors—Crackage and Area Coef. Btu Infiltration Width No. of pane Height of pane No. of ' Lineal ft. lights of crack Area sq. ft. No. of patio Fo Glass O .6 6.0 0 e% Floor ® a Ceiling Floor Coef. Btu Infiltration 046 _4 -Vo 0 Glass ®��-�-® Exp. wally fX 37 Net exp. wall /0 Int. wall+ /® > Ceiling Floor Total Btu. rl i.,44Koom I Length " Width /0 Height jr Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No�.j of pane of pane Ilghte of�gcrack sq. tt. Coef. Btu Infiltration vo 0 Glass 134 �$-� Exp. wall/o p Net exp. wall Int. wall Ceiling Floor Total Btu. rt. /d" >Koom ILength ` `" Width &7 Height Winos and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Gane of pane Ilghte of crack eq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. .1 oom I ng L L, Glass sig Windows and Doors—Crackage and Area D, Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Windows and Doors—Crackage and Area Glass Coef. Btu Infiltration No. of patio Fo Glass 49 .6 6.0 0 Exp. wall /Z Floor Net exp. wall Int. vmll Ceiling Floor Total Btu. _ 0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Fl_I --7--Y . Rnnm I Lenath 10 Width 7 Heitrht Windows and Doors—Crackage and Area Glass Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Requi D, Net exp. wall Coef. Btu Infiltration Windows and Doors—Crackage and Area Glass Height No. of Lineal ft. Exp. wall No. of patio Net exp. wall eQ. ft. Int. wall Ceiling >� Floor Total Btu. Glass Requi D, Net exp. wall Room I Length Z7, 0 Width 9 Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of patio of pane lights of crack eQ. ft. 17' S� -6r'Zy Glass Exp. wall 15 ot4 I Net exp. wall Int. wall 3- Ceiling Floor Total Btu. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 0 > 7 7A Original PERMIT for Power P ants and eating. Cool - 0 in, Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of l �fHeating Plants `` to b instal�--altered—repaired Make Size I Oil fired ; Coal fired ; Gas fired �L ; Gas Authorization No. Remarks Approved by Final Inspection D ' , 19_ Inspector Permit N° 4 3 9 6 Fee $ /'n . &o Office of the Inspector of Buildings City of Fridley City of Fridley, Minn., s--? -- Q I , 19 Owner46p ® C&gg �� Location :t,/� 7l /a X Kind of Buildings ��� How Occupied e Work to be Commenced ,19_ To be Completed ,19_ Estimated Cost, $ t5_53_0 • &.-, Old -New, Building Permit No. Permission is hereby granted toeto install—erect—use the material and devices described in the above statement. This permit is granted upon t express condition hatthe person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifiggtions set forth in the approved application for this permit on file in the office of the Inspector of Buildings. ° /] •� � �� � ,Inspector of Buildings R I I Original Permit r PLUMBING AND GA% FITTING lv 3 6/ Permit N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for tI,, e $ ,' 2L inspection shall be phoned in to the plumbing Inspector, 5603450 giving number of this permit., DESCRIPTIO14 OF WORE II Number, Rind and Location of Fixtures Stories pj W to a 0 3 u < OC 5 4 7 m r Z 6 m Cl E m x tp a K 3 r Y Z ¢ O o IL W S C Z O a K u o y z F m a d u m 3 z¢ Q O a J X E a tll q a d n¢ W M 2 a¢ o rc WATER HTR. GAS ELEC. Basement / 1st I_ _ t 2nd 3rd 4th Connected with Gas Piping 13 1 Permission is hereby granted I (1.— 2, /ami � z'? , `--LO 1 to do the plumbing and gas fitting in the building described in the statement hergio attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date nspector. Final Inspection City of Fridley ' 4 ,19-k5 Owner Location Find of Building Used as i To be Completed ® '19-6-52 .Estimated Cost $ d e -e --e ° e-'-) Old -New. Building Permit No. 9'9e1--" Dale Inspector. Inspector of Buildings. 421DA ss -v Original � PERMIT for Power Plants and Heating. Cool- ing, ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants to be installed--altered--repaired Make Oil fired—,- Coal fired ; Gas fired ; Gas Authorization Remarks Approved Final Inspection 19_ --. Inspector Permit N° 4721 Fee $ 00 - Office of the inspector of Buildings City of Fridley City of Fridley, Minn. Q- 1 , 19.26 Owner -� ® — Location V, 7 / - 2- Y Kind of Building �NYL-Q How Occupied Work to be Commenced—, 19— To be Completed ,19_ Estimated Cost, $ 6115-06 Old -New, Building Permit No. Permission is hereby granted to (' (-�' - to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set f th in the approved application for this permit on file in the office j'ice o f the Inspector of Buildings. °� ���- Inspector of Buildings 42 2M11 -67V SUBJECT PE R M1,T_N_O-.--__. City of Fridley 23867 AT THE TOP OF THE TWINS BUILDING PERMIT 'r ' �• RECEIPT NO. ' ______ � COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. I r PROTECTIVE �i r NUMBER _JT DATE PAGE of APP veD By 1 - CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/7/95 JOB ADDRESS 4571 2 1/2 Street NE T LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 1 Rearrangement of Plymouth Blocks 13,14 '"ET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bill Camp 4571 2 1/2 Street NE 572-1582 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Exterior By Wndell 403 Andall St Lino Lakes MN 5501571-7212 20025849 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 N REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (30 S) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing canbe the 2nd layer but not the 3rd. 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 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 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 $1,800 @ $ 90 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- $56.75 Fire SC $1.80 STRUCTION THE PERFORMANCEPF, CONSTRUCTION PLAN CHECK FEE TOTAL FEE 0/ License SC $5.00 $64.45 fWHEN PROPERLY LI,D.°ATED THIS IS YOUR PERMIT ✓ NATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) BLO INSP MATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW ( ) Effective 8/l/95 ADDN (J CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Y/ - Legal Description: Owner Name & Address: Tel. # S % U? - / S" Contractor: z-, k re -Cc. Z, Z y 0, = , JtO e L _ MN LICENSE # Address: v 3 4-ZQX�4 Tel. # 7 < 7J, 2 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: f4 /t- C7 r l� v ,:_.� ,� G i r - c ,-A�- Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: C' u J Estimated Cost: Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x�° $ = $ DATE: % / r % - % 5_ APPLICANT: �,%��`I Tel. # S" 7 ?? s '� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ 7S' Fee Schedule on Reverse Side $ /, co) 0 .001 of Permit Valuation (1/10th%) $ 96 $.50/$1,000 Valuation $ $850 per SAC Unit $ c,Ca $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 [ ] CITY OF FRIDLEY 7071UNIVERSITY AVENUE NE FRIDLEY, MN55432- // ISSUED:08072008 (763)572-3604FAX: (763)502-4977 Permit #2008-01200 4571 2 1/2 ST NE ADDRESS: PIN:263024330099 LEGAL DESC:REAR BL 13,14 & 15 PLYMOUTH :LOT 14 BLOCK 1 PERMIT TYPE:ELECTRICAL PROPERTY TYPE:RESIDENTIAL CONSTRUCTION TYPE:ELEC CIRCUITS NOTE: CALL ROBERT CLAUSON AT 651-777-7885 WEEKDAYS FROM 7-8:30 AM FOR REQUIRED INSPECTIONS. WIRE/RECONNECT FURNACE AND AIR CONDITIONER. ELECTRICAL PERMIT FEE35.00 APPLICANT STATE SURCHARGE, ELEC FLAT0.50 CENTERPOINT ENERGY TOTAL 35.50 9320 EVERGREEN BLVD Payment(s) SUITE B CHECK1074035.50 COON RAPIDS, MN 55433 (763) 757-6202 Minnesota State License #: CA01796 OWNER THOMAS MICAH JOHN 4571 2 1/2 ST NE FRIDLEY, MN 55421- AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 180 days or if construction or work is suspended or abandoned for a period of 180 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 work 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____________________________Date ________ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 7071UNIVERSITY AVENUE NE ISSUED:08/07/2008 FRIDLEY, MN55432- (763)572-3604FAX: (763)502-4977 Permit #2008-01200 4571 2 1/2 ST NE : ADDRESSPERMIT APPLICANT: PIN:263024330099CENTERPOINT ENERGY LEGAL DESC:REAR BL 13,14 & 15 PLYMOUTH9320 EVERGREEN BLVD :LOT 14 BLOCK 1COON RAPIDS, MN 55433 PERMIT TYPE:ELECTRICAL PROPERTY TYPE:RESIDENTIAL(763) 757-6202 CONSTRUCTION TYPE:ELEC CIRCUITS BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 4:30 PM INSPECTION TYPEDATEINSPECTORCOMMENTS ELECTRICAL FINAL EXPIRED. NO FINAL INSPECTION SCHEDULED. EXPIRED PERMIT08/07/09BOBC INSPECTION COMMENTS: IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE. CITY OF FRIDLEY 7071UNIVERSITY AVENUE NE FRIDLEY, MN55432- // ISSUED:08072008 (763)572-3604FAX: (763)502-4977 Permit #2008-01201 4571 2 1/2 ST NE ADDRESS: PIN:263024330099 LEGAL DESC:REAR BL 13,14 & 15 PLYMOUTH :LOT 14 BLOCK 1 PERMIT TYPE:HEATING - FIXTURE BASED PROPERTY TYPE:RESIDENTIAL CONSTRUCTION TYPE:FURNACE - AIR CONDITIONING NOTE: INSTALL/REPLACE FURNACE AND A/C AIR CONDITIONING FEE25.00 APPLICANT FURNACE FEE35.00 CENTERPOINT ENERGY STATE SURCHARGE, MECH FLAT0.50 9320 EVERGREEN BLVD SUITE B TOTAL 60.50 COON RAPIDS, MN 55433- Payment(s) (763) 757-6202 CHECK1074060.50 OWNER THOMAS MICAH JOHN 4571 2 1/2 ST NE FRIDLEY, MN 55421- AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 180 days or if construction or work is suspended or abandoned for a period of 180 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 work 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________ 8/7/08 Bldg Insp____________________________Date ________ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 7071UNIVERSITY AVENUE NE ISSUED:08/07/2008 FRIDLEY, MN55432- (763)572-3604FAX: (763)502-4977 Permit #2008-01201 4571 2 1/2 ST NE : ADDRESSPERMIT APPLICANT: PIN:263024330099CENTERPOINT ENERGY LEGAL DESC:REAR BL 13,14 & 15 PLYMOUTH9320 EVERGREEN BLVD SUITE B :LOT 14 BLOCK 1COON RAPIDS, MN 55433- PERMIT TYPE:HEATING - FIXTURE BASED PROPERTY TYPE:RESIDENTIAL(763) 757-6202 CONSTRUCTION TYPE:FURNACE - AIR CONDITIONING BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 4:30 PM INSPECTION TYPEDATEINSPECTORCOMMENTS AIR CONDITIONING FINAL09/15/08PDAVE TEST RECORD OK. COMBUSTION AIR ,VENTING OK. FURNACE FINAL09/15/08PDAVE INSPECTION COMMENTS: IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE. 0.1L 10-1(4 0 Building MECHANICAL Permit No. " 1-01-0 Inspections RESIDENTIAL APPLICATION Received By; 763-572-3604 CITY OF FR.IDLEY 4Me DATE V� J + a OO YOUR E-MAIL ADDRESS SITE ADDRESS qS� e&` Z �;,� 1�� THIS APPLICANT IS: ❑ OWNER ]CONTRACTOR PROPERTY NAME:'—NNnqry�gl�n\ ADDRESS: -i4S�l L oZ �� S T 1v CITYSTATE Y NZIpg a TENANT PHONE: � �n�- S®� • C�'Z'1 S CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY CONTACT PERSON: JOANN Z INKEN SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE EITY "COON' -'RAPIDS sTATEMN zIP55433 APPLICATION PHONE 763 - 757 -- 6202 FAX 763-757-6701 PERMIT TYPE GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW XIEPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK 'r ®� -� C�►.r� C PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) ;� Equipment Installed MFG: MODEL: KA.Ae(L.\--O� SIZE/BTU \-00 80�0*" MFG: w MODEL: l.n 1� V�1 �—b�� SIZEBTU MFG: MODEL: SIZE/BTU $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 _A/C TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 _CHIMNEY _DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 PERMIT FEE PROJECTS FOR UNDER $500 - -"` PERMIT FEE FOR PROJECTSOVER $500: Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ aS,00 Number of fixtures @ $35.00 �_ x $35.00 = $ 35-00 State Surcharge = $ .50 Total = $ (.o®, SO 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 to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. O SIGNATURE OF APPLICANT �v Q NAME ROGER HOFFHEIN DATE S �o PLEASE NOTE: ` SEPARATE PERMITS'ARE RE UMED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS (EXISTING HOME 0 MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.