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PRE 2010 DOCSVillage of Fridley, Minn. BUILDING PFJLU T 1 Office of INSPEOTOR OF BUILDINGS Owner Architect Builder, J 6 a ? Fridley, Minn., 6�� `� 19 a LOCATION OF BUILDING No "� street, `Y`« Part of Lot Lot �I' Block Addition or Sub -Division DESCRIPTION OF BUILDING Front.'- Depth--,'-- Height Stories Manner of Construction To be used as r ' y`'a To be completed_,'' 9Estimated Cost Permit is hereby granted to ,off �b the building 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 in,around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, 1�24nn., regarding the 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. inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. III Subscribed and sworn to before me at Fridley, Minnesota, this . h .a., day of ; A.D. 19.-s - CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES'rO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes Type NO. RATE TOTAL JOB ADDRESS S �S `-4 19- 1I Q- �ST Py ( ) No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance , �Do State Surcharge .50 TOTAL FEE $ 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. — ,1991 Owner Building Used As Estimated CostSo ERMIT NO. Ina ia PLUMBING COMPANYd SIGNED BY ^, - Attn: Judy ffAiNk, , �& Avenue Approved ByDWAL4. i-rg Final Date LLcf- MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE suedEcr City of Fridley &PEZR � 5 4 AT THE TOP OF THE TWINS � I `� BUILDINGPERMIT BUI`®II r v ® COMMUNITY DEVELOPMENT DIV. ------ 116 � PROTECTIVE INSPECTION SEC. r �� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 9t0 -F15 11/19/91 JOB ADDRESS 5847 ^ 21-2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 28 22. Hyde 'ark SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lillian Selnes 5847 _ 22 Street NE 464'6879 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Contractor Not Licensed IN FRIDLEY 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 j7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16'1 x 20' Addition_; a 141 x 12r Deck; Interior Alterations 9 CHANGEOFUSEFROM TO STIPULATIONS Beenotations on ,plan. WARNMG Before digging call for SEPARATE PERMITS REQUIRED FOR all utility locations WIRING, HEATINGb PL,� g: ONG AND SIGN& 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $37,250 $18.63 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $336.50 Fire SC $37.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $,0392 38 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 1 TEI .. ' WHEN . ROPERLY E S IS YOUR PERMIT DG MATE _r SIGNATURE OF OWNER OF OWNER BUILDER) TEI y •= NEW [ ] Effective 1/1/91 ADDN Pj CITY OF FRIDLEY ALTER O SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: ✓� f % 7 -2 /11� A/ - 4 - Legal Description: 2 -?.Q 4-vt - - - Owner Name & Address�o � - �s / 11'117",4_- Tel # Contractor: q /� Tel. # Y351 - C 7 3�F Address: �.� i �✓�r� f Attach to this application, a Certificate of Survey of the IM with the proposed construction drawn on it to scale. DESCRIPTION OF D"ROVEhfENT b LIVING AREA: Length Width _ GARAd AREA: Length Width DECK AREA: Length / Width _ OTHER: a_ Corner Lot [ ] Inside Lot Vj Ft. Yd Setback _ Type of Construction: Approx. Completion Da- Driveway Curb Cut Width Needed: Ft. + 6 Ft = 1300 CAM Z -D_ Height Sq. Ft. Height Sq. Ft. _ Hgt/Ground Sq. Ft. r / "- Side Yard Setbacks /d Estimated Cost: $ 3 zow //4'. tit . 3'), -3 V) Ft x $ MWaauk) DATE: APPLICANT: Tel. #_ /-/6 e/— Permit Fee $ ?%,,.,5o Fire Surcharge $ 32 State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL 3, r�. t y O 5 STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] -Not Necessary [ ] 3)e4sv . GNOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 September 9, 1991 Lillian and David Sellness 151 Maple Road Wyoming, MN 55092 RE: Home Addition at 5847 - 2 1/2 Street N.E. Dear Mr. and Mrs. Sellness: This is to verify the standards for the addition for the home located at 5847 - 2 1/2 Street N.E. The property is zoned S-1, Hyde Park District. Section 205.21.04.C.3 provides as follows: "Existing one family dwellings that do not conform to the conditions of this Chapter will be allowed to continue as a permitted use. In the event that the main structure is either damaged or destroyed, the existing use will be allowed to build'to the setbacks of the existing building or to the allowed setbacks of the district. Alterations and additions will be allowed when they improve the structure; provided they meet the required setbacks as stated in this Chapter." It is my understanding that the existing structure at the above referenced address is 4 feet from the lot line. If the home were located in a R-1, Single Family District, it would be considered nonconforming. However, because of the.language contained in the S-1 district, the structure as it now *stands is considered to be conforming. Further, your proposed addition meets the required 10 foot setbacks for living area. There is no need for a variance to the S-1 district. Should you have any questions or need further information, please feel free to contact me. Sincerely, Barbara Dacy Community Development Director BD:ls C-91-293 CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NI IMRFR OF FIXTURES TO RE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: Water Closet Urinal Bath Tub Shower Sink Wash Drink. Floor Catch Auto. Gas Gas Mise. Tray Fount. Drain Basin Washer Appl. Range Fixt. Water Heater Stories Gas Elec Basemen $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin Floor 1 Rain Water Leader $ 7.00 s $ 7.00 Floor 2 Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Floor 3 $10.00 Building Used As Gas Range $10.00 Estimated Cost PERMIT NO. Gas Dryer Floor 4 .�� r Back Flow Preventer Required ( )Yes () No Type $5.00 PLUMBING COMPANY— PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS___s V :z a �61- New Fixtures $ 7.00 D The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture: $ 4.00 25j-00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Water Heater - Gas $10.00 Building Used As Gas Range $10.00 Estimated Cost PERMIT NO. Gas Dryer $10.00 .�� r Back Flow Preventer Required ( )Yes () No Type $5.00 PLUMBING COMPANY— Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance _ State Surcharge 50 SIGNED BY Approved By Rough- n Date _ y_,y-9 L TEL N0. �q6 `i - � 071 Final Date M1141MUM FEE FOR ANY PLUFABING/GAS PERMIT IS $15.00 TOTAL FEE $ `3- Sb PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR //ATrE7 PLUMBING FIXTURE NO. RATE TO AL JOB New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 117 i2t 00 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. ,1991 Owner Building Used As rzl 4;1� Estimated Cost PERMIT NO. 16222 a PLUMBING COMPANY Reinspection Fee $30.00 SIGNED BY TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance _ Approved By Rough --n Date Final Date l State Surcharge .50 MINIMUM FEE FOR ANY PLUPABING/GAS PERMIT IS $15.00 TOTAL FEE $ �� PLUS THE $.50 STATE SURCHARGE Water Closet Urinal Bath Tub Shower Wash Sink Tray Drink. Floor Fount. Drain Catch Basin Auto. Gas Gas Misc. Washer Appl. Range Fixt. Water Heater Stories Gas Elec Basemen Floor 1 Floor 2 Floor 3 Floor 4 //ATrE7 PLUMBING FIXTURE NO. RATE TO AL JOB New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 117 i2t 00 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. ,1991 Owner Building Used As rzl 4;1� Estimated Cost PERMIT NO. 16222 a PLUMBING COMPANY Reinspection Fee $30.00 SIGNED BY TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance _ Approved By Rough --n Date Final Date l State Surcharge .50 MINIMUM FEE FOR ANY PLUPABING/GAS PERMIT IS $15.00 TOTAL FEE $ �� PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 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 SCHEDULE Residential Furnace Shell and Duct Work, Burner - Aiso Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 20.00 $_ $10.00 $ $ 10.00 $ $10.00 $ *Air Conditioning - All Sizes $10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed In a side yard without written permission from adjoining property owner. JOB ADDRESS V % 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. U - / (n - 92 'VW OWN BUILDING USED AS 144 - ESTIMATED COST PERMIT NO. Soy_ �° -DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units__L_ Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Signed By �. ®�' - --=� Tel No. - Approved By L Rough -in Date Final Date 2 - FILL FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION 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 All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date