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PRE 2010 DOCSCity ®f Fridley, Minn. BUILDING PERMIT N®6039 ' Date:""' "• """" Owner: Builder Address Address f� T OFBUILDING NO. �� : Street --� -- Part of Lot ._ lock Addition or. SubDivisiQn..r ' Corner Lot _ Inside Lot Setback -- Si d Sewer Mevation __________ _ Foundation Elevation DESCRIPTION OF BUILDING <� Front Depth a? Height ; Sq. Ft. • 4 Cu. Ft. DepthTeight S4. Ft. Cu. Ft. Type of Construction`; r Est. -o be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in „compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $, permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, .maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. -.-°l NOTICE: This pem* does not cover the eondruedon, haft lafien for wMheg � pHumbing,' gas beating, sewer or wafer. Be sure to tee the eeiidhm hupeefor for separaN permbs for there Manor. Date: 4de, 2240 Ap Owner: — Builder Address 9.917 (#0; Address LOCATION OF BUILDING Street o�.L '.�' - . , A " Parl &t NO. et I40t --Block Addition or Sub -Division Comer Lot _J Inside Lot Setback S d Sewer Elevation Foundation Elevation Wo 6177 DESCRIPTION OF BUILDING Us" Sq. . ont n Cu. 4., Depth Height rolu Depth Rel -101t Sq. Ft Cu. rt Type Of Construction Est. Cost A_ZA�o be Completed In consideration of the Issuance to me of a permit to construct the building described above, I agree to do the proposed work In accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of permit is hereby granted to— to construct the building or addition as described above. This permit Is granted upon the express condition that thele 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, alterations 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. 1.)" 1 17 0 IFA NOTICE: This peredt does not cover the coodracdoo, Imft"on for whiM phnnUlne, See henlle& sorer or water. Be sure to see the Bufldb* hMwftr for soperaft poredft for these fteam APPLICATIO14 FOR BUILDING PERMIT CITY OF FRIDLEY,M • Owner s NameL Builder LOCATION OF BUILDING No. '572 Street, _,_ Partof Lot Loty Block L7 Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION F0UNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed_, The undersigned hereby makes -application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE / �� v� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). R� City of Fridley Appfication for Ph nrbing and Gas Fitting Permit , DESCRIPTION OF WORK Number, Kind and Location of Fixtures I y 6 Ox � C9 NU' Z � F • N WATER HTR. GAS ELEG O Base 1st ; 2nd _ 3rd 4th • Future Connection Openings Connected with Sewer El New Fixture. Old Openings I JJ Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ....................... / x 3.25 Water Heater (Up to 200,000 BTU) ...... x 2.00 New Ground Run Old Bldg. ............ x 3.25 GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ........I.................—x $1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Dept. of Bldgs. Phone SU 4-7470 ! Location —5— / 7 q/ 04- City of Fridley: The undersigned hereby makes application for a permit for the work here! specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn 19_ Owner L) Kind of Building Used as To be completed about T Estimated Cost, $ - -- Old—New. Building Permit No J ROUGH '7 FINAL Description ................................................$ TOTAL FE $ 42 2M Business Phone xmit No. oL Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace .............................. 5:00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 80,000 BTU ....................... 2.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water o1 A 8.00 $ 97 Q Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ r 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) ......................ax 5.00 $/6,66 _. GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ 3,00 Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEMo $ ALTERATIONS & REPAIRS TOTAL FEE $ �° o ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 Location J-77 91 —,=2 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn S� ®"r' Owner �-js e- —7.1 !� Kind of Building Z / % +e Used as 42" foo Ap x To be completed about , ea a e? / ! 9 !i 'S o �2 Estimated Cost, $ .� Old—New. Building Permit No. Permit No. z z-7— OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No W—n Trade Name 144Te A -.o �—Aj .t'J. Size No_ r-,- -.7 3 Capacity Sq. Ft. E.D.R AA Q 0 t) BTU H.P. Total Connected Load .3 / 3 Kind of Fuel ga- a 3 BURNER — Trade Capacity. (REMARKS—OVER) az 2M Size No Sq. Ft. E.D.R BTU H.P. Signe By ADVANCED 4709 it. E. MAIN ST. Business Phone No 788.6578 .- p ADVANCED 9, Ve HEATING & AIR CONDITONIN!,5 ,,, z D46 ' 4709 &v. E. MAIN ST, J � — O� •�r. /v ^ . HEAT LOSS CALCULA'RWuS, MINN. 55421 DEPARTMENT OF, BUILDINGS MINNEAPOLIS. MILAN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19____ Fl.10 .:..",P Room 1 Length e d Width > — Height V II FI -1 _ _t Room I Length i m_ Width j A Height .0 Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. d O V 3 29 Z Coef. Btu Infiltration Coef. lIrl Glass ,�" J S Exp. wall 2 Glass�-� Net exp. wall r.31/ S -el Int. wall Exp. wall Net exp. wall Ceiling Floor 171 21 Floor CP Total Btu. 91 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / , Room I Length s o Width 9' Height e Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area Naomie of pane of panne lights of crack sq. ft. Width Height No. of Lineal ft. Area No. ofpane of pane lights of crack sq. ft. e 2- Coef. Btu Coef. Btu Infiltration �, �®' 0 Glass�-� /zp Int. wall S -el O Exp. wall Net exp. wall 41 il Floor 171 Z Net exp. wall Ceiling Int. wall ® Gd Floor Ceiling q90 JA Floor / 0 Total Btu. j� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room I Length ®,._ Width a Height P Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area Naomie of pane of panne lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. e 2- Coef. Btu Infiltration ® Glass s y 1 Exp. wall Exp. wall Net exp. wall Net exp. wall1/01 / 0 /zp Int. wall S -el Ceiling Ceiling Net exp. wall Floor Floor 171 Z 4IS-0 Total Btu. ft. E.D.R. or so. ins. W.A. Leader area f7 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area Naomie of pane of panne lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Btu vr 1, 3 S p Exp. wall 96 Net exp. wall / 0 Int. wall Exp. wall S -el Ceiling Net exp. wall Floor J, 60 Z Total Btu. ..S-, 6 O b Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 oom I Length / y Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Infiltration 0-9 Glass Exp. wall1/911 Net exp. wall 42 IV Int. wall Ceiling Floor Q Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i F1.1 J may/ Room I Length Y A Width 7 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. Btu Infiltration Glass ys' S"® 0 Exp. wall S -el Net exp. wall Y7 I lo V 70 Int. wall Ceiling ® ® Gd Floor q90 Total Btu. ft. E.D.R. or sq. ins. W.A. Leader area Ddb v HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I—No Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No Yes 19— F1.1 Room I Length Width Heiaht II FI.I Room I Lenirth Width Height Windows and Doors—Crackage and Area yM�Ja r y Width Height No. of Lineal f . Area No. or pane of pane lights of crack sq. ft. Coef. Btu Infiltration ,790 Glass p Exp. wall Net exp. wall S" Int. wall Ceiling Floor .r, S/ 0 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 yM�Ja r y Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration ,790 Glass p Exp. wall Net exp, wall S" Int. wall Ceiling Floor .r, S/ 0 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 yM�Ja r y Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Infiltration ,790 Glass p Exp. wall Net exp. wall S" Int. wall Ceiling Floor .r, S/ 0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area yM�Ja r y Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration ,790 Glass p Exp. wall Net exp. wall S" Int. wall Ceiling Floor .r, S/ 0 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. 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 Wtdth Height No. of Lineal ft. Area No. of cane Hf pane llahts of crack sq. ft. 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 Btu " D•16 ' s HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MILAN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows Doors Reference Out. Wall I Int. Wall I Ceiling Roof I Floor Kind How. Applied Yes—No I Yes—No 19— / Room l Lensith ac—Width ®7_ Heieht 0 II / R.1 2 -- J- Room I Lenzth s c/ Width e- Height 7 Windows aA Doors—Crackage and Area Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. 0 7 :3 Coef. Coef.1 Coef. Btu Infiltration ® (o S GlassQ- Exp. wall Glass .S'O Exp. wall `S Exp. wall Net exp. wall Int. wall 7 - Net Net exp. wall Ceiling 5 /0 / Int. wall / 0 '7 2-,? 74 Ceiling qJ0 7 ® /A Floor G 12 401 Total Btu. 42, 7 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 Room I Length / el Width 9 Height � Windows and Doors—Crackage and Area Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lige is of crack sq. ft. Z—® (v' d D a 2- Coef. Coef.1 Btu Infiltration ® S' S GlassQ- Exp. wall Glass .S'O Exp. wall Net exp. wall 9 94 Exp. wall Net exp. wall Int. wall O Net exp. wall Ceiling 5 /0 Ceiling Int. wall / 0 '7 2-,? 74 Ceiling qJ0 7 ® ,0 n Floor G � 0 Total Btu. D Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / Room I Length o/A Width e/ Height jl Windows an Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. d D a 2- Coef. Coef.1 Btu Infiltration L S' Poo GlassQ- Exp. wall S .S'O Exp. wall Net exp. wall m Net exp. wall Int. wall O Int. wall Ceiling 0 /0 Ceiling Floor / 0 '7 2-,? 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. L Coef. Btu Infiltration Infiltration L & Glass 91 S .S'O Exp. wall 0 Exp. wall Net exp. wall 3 O Int. wall 17-010 Ceiling ® / 0 740 Floor 74 % qJ0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area M 1 J7_ 0 R-- t t n..th s tj W lrlth B A 14piaht of Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration L s Glass / .5.5 Exp. wall Net exp. wall 17-010 6 Int. wall Ceiling ® ® ,0 n Floor Total Btu. Required sq. fL 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. Btu Infiltration 2, 0 Glass -- Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. 7 _� RequireA sq. ft. E.D.R. or sq. ins. W.A. Leader area SUBJECT City of Fridley 2 � 7 s o AT THE TOP OF THE TWINS BUILDING PERMIT P COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r I � ` CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 2/3/98 JOB ADDRESS 5791 2 1/2 Street NE 1 LEGAL BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1LOTNO* Pt 9'10 27 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kieth Rocek 5791 2 1/2 Street NE 639-0714 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Westphal Roofing 686 141 Lane NW, Andover, MN 55304 786-7000 3937 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 j7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install aluminum soffit & fascia & window trim wrap 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 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 $1.40 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,800 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS Y OTHER STATE OR LOCAL LAW REGULATING CON - Fir SC, $2.80 J. STRTI E PERFO RUCTION. $74.75 _ — PLAN CHECK FEE TOT L EE Lice S $ $83.95 SIGNATURE OFC NTRACTOR OR AUTHORIZED AGENT IDATEI N HI$ IS YOUR PER T VOAPALIDA ` BLD IN 447 f1ATE SIGNATURE Of OWNER iIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY '-0 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 'V't ConstructionAddress: ? 1? / C� 6 T- Legal Description: Owner Name & Address: Contractor: UJ e Address: � k C Cl- L259 V r s 't—j CA- 6-4 0 Tel.#7,`Y MN LICENSE t— Tel. # %6 ®C� 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. OTHER: CGS 74 �Wvlj' CA- 1vr Estimated Cost: $ Construction Type: r G a �/'("� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: a " APPLICANT: Tel. # �S 3 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] sueiEtr PENIifi City of Fridley��� 2 8 71 8 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � `COMMUNITY DEVELOPMENT DIV. v ------ PROTECTIVE INSPECTION SEC Ey �� r uj NUMQER REV DATE PAGE OF APPROVED Br �---•A ��'�'f,.� CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8 12/7198 JOB ADDRESS 5791 2 1/2 Street NE 1 LEGAL LOT NO. I BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. t. 9, 10 27 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vi Rocek 597 10th Ave SW New Brighton 639-0514 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO D L Builders 1166 14th Ave 9E Mpls 55414 378-0950 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 ❑ ALTERATION fik REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (30 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $2571 $1.29 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• STRUCTION DEL PERFORMANCE OF CONSTRUCTION $74.75 Fire SC 2.5 7 PLAN CHECK FEE TOTAL FEE —7 p 17— / - G jjvPnsp. 9C 1$83,61 SIG ATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPS VALIDATED THIS IISSSV UR FE.RRMMIIyJpT11//I B OG INSF' PATE EU1 SIGNATURE OF OWNER..F OWNER BUILOERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ J CITY OF FRIDLEY ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 574?/ 2-112.. 3 Legal Description: Owner Name & Address: c Uc f ue r- 51 IV .& Tel. # DSII Contractor: h -L. -Ru; MN LICENSE #�� Address: d c o I& Ase MO/L W/0 S5�1 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVENIENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: <� - () Construction Type:Estimated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 12-7-29 APPLICANT: ��c .-e a Tel. #8 7 —022D STIPULATIONS: CITY USE ONLY Permit Fee $� Fee Schedule on Reverse Side Fire Surcharge $ S? .001 of Permit Valuation (1/10th%) State Surcharge $ /, 9 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ dO $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: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 763) 572-3604 FAX: (763) 571-1287 PRINTED WITHOUT ISSUING 1/14/2004 ADDRESS 57912 1/2 ST NE PIN 233024230121 LEGAL DESC HYDE PARK LOT 9 BLOCK 27 PERMIT TYPE BUILDING PROPERTY TYPE : DUPLEXES CONSTRUCTION TYPE : WINDOW/DOOR REPL VALUATION : $ 8,000.00 PERMIT(NO.: 2004-00043 DATE ISSUED: -0-t / 1ro��y' NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER SECTION 310.9.1.2 OF THE 1997 UNIFORM BUILDING CODE WHEN ADDITIONS, ALTERATIONS OR REPAIRS IN EXCESS OF $1,000 ARE MADE TO RESIDENTIAL DWELLINGS REPLACE 13 WINDOWS WITHIN EXISTING OPENINGS IS APPLICANT A CONTRACTOR? 0 APPLICANT MINNESOTA RUSCO INC (2173) 5558 SMETANA DR MINNETONKA, MN 55343-9003 (952)935-9669 OWNER ROCEK VIOLET E 597 10TH AVE SW NEW BRIGHTON, MN 55112 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 wort 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 consAruction or the performance of construction. r� Bldg Insp� BUILDING PERMIT FEE 153.25 FIRE SURCHARGE 8.00 STATE SURCHARGE, VALUE 4.00 LICENSE SURCHARGE 5.00 TOTAL 170.25 PAID WITH CHECK # 28524 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 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 J Construction Address: 5 7q % % 11 Legal Description: , 76 -II Z Owner Name &vlAddres^s�:�, ��� fL® 51 -5 W /0- eWTel. # 1051- (P39' ®S/ y Contractor: MN LICENSE # Address: 5558 5s3 Y3 Tel. # f5Z • % 35` ai(p1� 9 Attach to this application, a Certificate of Survey of t hb� �5Z • q3�5' • 9sL/�/ lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Width Hggt/Ground � Sq. Ft. L OTHER: �- "i7 I3 , L! wOUL,LS 1 ' �./ ►ru 11- Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x q5z •1(PUJ DATE: I Z ®9 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. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Fee Schedule on Reverse Side �1 .001 of Permit Valuation (1/10th%) $:50/$1,1700 Valuation $1275 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 [ $ CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 1FAX: (763) 571-1287 ADDRESS 57912 1/2 ST NE PIN 233024230121 LEGAL DESC HYDE PARK LOT 9 BLOCK 27 PERMIT TYPE HEATING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERM I NO.: 2004-00991 DATE ISSUED: 06/24/2004 VALUATION : $ 6,430.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL AN AIR CONDITIONER. # A/C UNITS 1 VALUE OF APPL OR WORK 0 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 APPLICANT STANDARD HEATING & AIR COND CO 410 WEST LAKE ST MINNEAPOLIS, MN 55408-2998 (612) 824-2656 OWNER ROCEK VIOLET E 597 10TH AVE SW NEW BRIGHTON, MN 55112 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 worl 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 re g construction or the performance of construction. Applicant ,. Date Bldg HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 25.50 PAID WITH CHECK # 10736 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-5711287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, insert) Gas Range Gas Dryer *Air Conditioning -All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater e* 54? J 0 Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND BEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES r JOB ADDRESS Y Fee Total Owner $35.00 $ Building Used As 1 CSL/ $10.00 $ ESTIMATED COST PERMIT NO G., a $10.00 $25.00 $S�0 $ Commercial/Industrial/Institutiona I 1.25% of Value of Appliance or Work (List on Back) $ Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge so TOTAL FEE $ 2 J 'J O REINSPECTION FEE $50.00/HOUR *Alr Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE DESCRIPTION OF FURNACE AND BURNER # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR 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 7� �- Approved by Rough -in DateFinal Date42a/4- 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 venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and tirestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer 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( ) The 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 installIflg 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 Furnace 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: -,n Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 571-36U4 f'AX: (763) 571-1237 ADDRESS : 57912 1/2 ST NE PIN : 233024230121 LEGAL DESC : HYDE PARK : LOT 9 BLOCK 27 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-01015 DATE ISSUED: 06/29/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. WIRE TWO MINI SPLITS. # INSPECTIONS 1 APPLICANT SPARK ELECTRIC 2114 WASHINGTON ST NE MINNEAPOLIS, MN 55418- $wR 9_' ROCEK VIOLET E 597 10TH AVE SW NEW BRIGHTON, MN 55112 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 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 ELEC PERMIT FEE - MIN (REST) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 39986 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. PLUMBING RESIDENTIAL APPLICATION City of Fridley ®�-- i) i) Permit Number Received By Date Received NOTE: IF PROPERTY IS NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. DATE 1-0.1-05 YOUR E-MAIL ADDRESS �— SITE ADDRESS jE9j,01ek THE APPLICANT IS: (CIRCLE ONE) OWNE CONTRACTOR NAME 70- e PROPERTY OWNER/ ADDRESS S79l Atj 67-,1/ TENANT CITY P-RlolegkSTATE M PI ZIP 5 5 3 PHONE # _761 67e-6113 16001 NAME LICENSE # ADDRESS ,P CONTRACTOR CITY C (v(- LP1d's STATE ZIP PHONE # (01 �1. FAX# PERMIT TYPE SINGLE FAMILY TWO FAMILY TOWNHOUSE TYPE OF WORK ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK c L -e FEES ARE BASED ON $10.00 PER FDCTURE, EXCEPT WHERE NOTED FDCTURES: (INDICATE TOTAL NUMBER OF EACH) BATH SINKILAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (Need City License) SWIMMING POOL WATER SOFTENER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15) DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION WATER METER OTHER d Permit Fee $ �� MINIMUM: $15.00 or 5% of cost of the improvement -whichever is Plan Review $ greater on work less than $300 Surcharge $ .50 TOTAL DUE $ Make checks payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT - NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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. a NAME OF APPLICANT /0 DATE C C/ ^® lease e or print typ SIGNATURE OF APPLICANT �" �tx�w ��-��'�F �ii t'r"'3; �F��i' ryn� M��� �'o\.�©©":'�� f� ��I1e� Sy y�h4,;..':v t � f ��`y ''S fi,. a""''., �, ��°`# �+"�5 � ���';� ['3re r'f�9 r. 1y",G��� �' •�}�"» ��',9`".,'�'.. CITY OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTMENT 6431 UNIVESITY AVENUE NE, FRIDLEY, MN 55432 (763) 572-3604 W Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By:. _ 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE (6714- YOUR E-MAIL ADDRESS SITE ADDRESS _T 7Q c1 A Al E THIS APPLICANT IS: 0 OWNER OCONTRACTOR PROPERTY NAME: 7e- F P &2e7 F+ 2 OWNER/ TENANT ADDRESS: 5 p:l, °g /�� 5? iY� CITY FQ ; d /e A sTATFt n ZIP ® --`-g � PHONE: 76i 67124111 CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WITH PHONE FAX APPLICATION PERAM TYPE O SINGLE FAMILY %TWO FAMILY O TOWNHOUSE TYPE OF WORK: O NES'`' 39 REPLACEMENT DETAILED DESCRIPTION OF WORK 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) _ BATH SINK/LAV _FLOOR DRAINS _SHOWERA WATER PIPING —BATHTUB —GAS PIPING ovEED crnumhrz) _ SWIMMING POOL _ WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK —WATER CLOSET _BACKFLOW PREV. ($15) DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER Permit Fee . $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge 50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ _mss -au State Surcharge = $ .50 Total = $ 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. SIGNATURE OF APPLICANT PRINT NAME DATE (p ���_ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 LMBC1001 City of Fridley tAzE zz. 9/23/08 Special Notes Address Misc. Information Inquiry 15:21:02 Location ID/Subdivision Pin Number. . . . . . Old Account Number . . . . Location address . . . . . Primary related party . . Type options, press Enter. 5=View detail Opt Description SELF READ CARD MISCELLANEOUS UT NOTES MISCELLANEOUS UT NOTES MISCELLANEOUS UT NOTES MISCELLANEOUS UT NOTES MISCELLANEOUS UT NOTES MISCELLANEOUS UT NOTES MISCELLANEOUS UT NOTES 445350 HYDE PARK 23-30-24-23-0121 5791 2 1/2 SOUTH ST NE HAMER, JEFF Notes Free -form information S S 2 UNITS WITH 2 METERS (BOTH ARE 5791 - S USE NORTH & SOUTH) S SOMEONE FR COLDWELL BNKR CI TO CHG BLLNG S NAME & ADDR. FAXED THEM COPY OF CHGS FOR S BOTH UNITS TO 763-559-1258 S ALSO REMOVED SRC & DUP BILL TO OCCUP. S SRC RETN,RESENT TO NEW NAME/ADDR ON ACCT F2=Address F3=Exit F5=All Misc Info F9=Parcel Notes F10=Subd Notes F12=Cancel F16=Related pty data LMBC1001 City of Fridley 9/23/08 Special Notes Address Misc. Information Inquiry 15:20:55 LocationID/Subdivision 445340 HYDE PARK Pin Number . . . . . . 23-30-24-23-0121 Old Account Number . . . . Location address . . . . . 5791 2 1/2 NORTH ST NE Primary related party . . HAMER, JEFF Type options, press Enter. 5 View detail Opt Description Notes Free-form information SELF READ CARD S N _ MISCELLANEOUS UT NOTES S 2 UNIT WITH 2 METERS _ MISCELLANEOUS UT NOTES S *AMR INSTALLD 6/7/07, WILL USE RDG MARKD _ MISCELLANEOUS UT NOTES S ON 3XEST LST & WL CHG IN SYS AFTER BILLG _ MISCELLANEOUS UT NOTES S ***NUIS ABATEMENT AGAINST PROP FOR _ MISCELLANEOUS UT NOTES S $245.63**** _ MISCELLANEOUS UT NOTES S SOMEONE CALLED FOR KIM HENDERSON TO CHG _ MISCELLANEOUS UT NOTES S BILLG NAME/ADDR.ALSO FAXED COPY OF CHGS _ MISCELLANEOUS UT NOTES S FOR BOTH UNITS/ACCTS.ALSO FAXED COPY + F2=Address F3=Exit F5=All Misc Info F9=Parcel Notes F10=Subd Notes F12=Cancel F16=Related pty data