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PRE 2010 DOCSi Village ®f Fridley, Minn. WELDING PE1911M N? 2 1 4 Office of WSPECTOR OF BUMDINGS Fridley, Minn LOIIT ON OF BUILDING Street _Part of Lot Lot Block Addition or Sub -Division DESCRIPTION OF BUILDING `Front ---- Depth Height Stories manner of Construction- To=be used as To be completed Estimated Cost ,aa0 -A 4 Permit Is hereby granted to to____ the building- described in the above statement. This permit is granted upon the express c�ndltlon that t')pGejson to wh* It is granted, and his agents, employees and workmen, in all the work done in, 'around and upon'gaid building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings .;4ithin the city limas, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. V Inspector of Buildings. t " ,: AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above perms , I hereby agree to do the proposed work in accordance with the description above set forth 3.nd according to the provisions of the ordinances of Fridley,, and., being first duly sworn, I hereby istate and say that the facts stated by me and contained in the above permit are true as therein fated. Subscribed and sworn to before me at Fridley, Minnesota, this A.D. 19!" day of W BUILDING PERMIT' N° 2457 Villa a ®f Fridle , Minn„' Y s”` Date •I• } ................... ..... . Builder ...... ...... ........ ........ Owner Address .......... ....... Address ......... .. . LOCATION OF BUILDING ' No. "�. Street r °. .� y ..................... Parti of Lot ....... .......... .. Lot ..... .... i. Block ......... Addition or Sufi -Division ... .............. ... Corner Lot .......1.... - Inside Lot ............ Setback ,............ Sideyard .......................... . DESCRIPTION OF BUILDING be aeL' �s . , . . , . Front .... . Depth ...... Height ... Sq. Ft. ........ Cu. Ft........ . i .. .... . .......... .. Front ........ Depth . . Height Sq. Ft Cu. Ft, ........ .. . .. .... . . Type of Constructio ..:.....:..... Est Cost .............. To be'Completed, :..... '' ........... In consideration f, of the issuance to me of a permit to construct the building described above, I agree to do the proposed work ' ordinances of the vngage accordance with the description above set forth and in compliance with all provisions of of Fridley. ...............:.. ...... In consideration �f the payment of a fee of .. Pym $,.. > permit is hereby granted to , ...................... ........ . • , • . to construct the building or addition as described above., This permit Is granted upon the express condition ' ' n that -the person to wham it is granted and his agents,employees and workmen, in all work done my around and pon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota r aiding location, construction, alteration, maintenance, repair land moving of buildings with- in the village limits d this permit may be revoked at any time upon violati of ' any of the provisions of said ordinances. i, .. ..... Building Inspector NOTICE: This permit d s not cover the construction, installation or. alteration, for wiping, plumbing, gas heating, sewer or water. B sure to see the Building Inspector for separate 'permits for these Items. �I W City ®f Fridley, A inn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 Date: January 23, 1978 Owner: Orvil Bakke Builder Max -Son Construction Address --.M-49--=-V5- Street N.E. Address 5219 Wayzata R-„ 1 -yard LOCATION OF BUILDING No. 5849___ Street _ _ V2- Street N.E. Part of Lot Lot —_2.9_.. Block _.___22._.._ —_...__ Addition or Sub -Division —_Jiyde park Corner Lot ___._ _ _ Inside Lot _ _ _ _ Setback Sideyard Sewer Elevation Foundation Elevation _..._... DESCRIPTION OF BUILDING To be Used as: F i e R A pa i r Garage-, Front . Depth Height Sq. Ft.. CM Ft. Type of Construction Front Depth Height Sq. Ft. Cu. Ft. Est. Cost 500_.00 To be Completed Mareb, 1973 Stipulation: Disconnect stove in garage until chimney approved by heating inspector. =TIEPERMITS REQUIRED FOR WIRING, , PLMBING AND SOLS® 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 ail vislons of ordinances of the city of Fridley.' .50 State Surcharge In consideration of the payment of a fee of $__5 - 00 , permit is hereby granted toMar-Sqn Construction the re to construct the building or addition as described above. This permit is granted upon expss 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 df ancese. city limits and this permit may be revoked at�timee uponyiol�tion of any of the provisions of said Building . Inspector NOTICE: Y Thisapermit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or "rater. Be sure to M thb Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIA.D, ALTERATION# OR ADDITION BUILDING PERMIT CITY OF FRIDLEYe MINNRSQTA 00 ow= ' S NmIV r W04. ,ES' ' 2 sTR= :a % - T • J $LOCK t 22 I ION 3 � 21 � CORMM LOT: UGIM LOT; �SEMCK; SIDEYARD: Aff1tvAMt attach to ChU f Certificates of Survu of Lot and proposed %"JAUX lacati,on drams spa " CertificateS, o Be use4 As DESCRIPTION OF BUILDING Square Feet; Cubic Ftetz Front; Depth* Height; square deet; Cubic Feet:. Tyf a of Constructions ���'� �� Estimated Cost: $ ee ee e c To "1064; y wwew s� w ■, 2 e3� fte Undargigned hereby as a licaavu for, a permit for the, work herein 4ppealfW., agreeing to do all work in, stftct accordance with the City of M4 Ow0*auaes =4 Tutftp of 00 Departmenit of Buildings, avA hereby deojazeq dWx all, the facts and representations stated la this appI cation gto true sp4 correct„ DATA'S Rararae Side For AddWanal Information.) SUBJECT ERMIT N,O..�d� City of Fridley . �•� 15.71 AT THE TOP OF THE TWINS P E R ` ______ COMMUNITY DEVELOPMENT DIV. L BUILDING EI v / r - PROTECTIVE INSPECTION SEC. , "1 CITY HALL FRIDLEY 55432 DATE PAGE OF APPRO D 612-560-3450 INUMBERREV. 910-F15 5/2/79 JOB ADDRESS 5849 - 2:� Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29 22 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ray Bakke 5849 - 2h Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sunset Remodeling 5220 Columbus South 823-7057 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 X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ElREMOVE 6 DESCRIBE WORK Construct a 2®' x 12' Addition to rear of dwelling. 9 CHANGE QF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRM, HEATING, PLUMBING AND SIGNS, 1NAMING Before digging call 10cai utilities TELEP14ONE - ELECTRIC - GAS Etc - REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 264 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 $8,000 $4.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT) R THE PERF RMANCE TRUCTION. a 111AK 4 - PLAN CHECK FEE TOTALFEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WWHE�Ny, PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG. INSP O� - DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS,' OR REPAIRS) OWNER: BUILDER: 4 "kN Address.., �� e ° Address: '� ` � .,�"� �,�� �'�� . Tel. No.: v No.: Street:—��� LOT: ®1 B7AGY.: �� ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicaht attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Ysed ' ront: Depth: f height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: 16r Estimated Cost: To Be Completed: o� p Alt. A Alt. B Prdposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for it'onal 'nformat'on. DATE: SIGNATURE: i Stipulations: 3d • q .)( U6 ttD �oto • F 00 i:NERGY CONSERVATION SUPPLEMENT TO BUILD114G PERMIT APPLICATION PLANNING AND INSPECTION DEPAi2TMENT CITY OF FRIDLEY, MINNESOTA This supplement is provi.ded'to assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "U'rI'ACTOR INFORMATION. This information is required so the BUILDING OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. JOB LOCATION: - &l 171W- - OWNER/CON ADDRESS: A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 2. Total door area 3. Total sliding glass door area 4. Total fireplace wall area 5. Total wall framing area (average .10%) 6. Total net wall area above floor(average 90%) 7. Total rim joist area Subtotal: Total exposed wall area above floor 8. Total foundation window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA PHONE: B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area ev C� 11. Total roof/ceiling framing area (10%)- 12. 10%)12. Total net insulated roof/ceiling area GRAND TOTAL EXPOSED ROOF/CEILING AREA D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 = Item I Item 11 B. Determine the "U" value of each segment- (1-9) and multiply by the area as follows: 1. x flute e= 2 • x flute _ c 3 x ifUtt 4. x ,tu#s 5. x #suit 6 x Stull _ 7. x #su" _ 8. x Stuff - 9. x flute _ ADD 1-9 FOR TOTAL WALL SEGMENTS = ITEM III F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: - - 10. x flute 11. x flute = 12. x flute = ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV G. If Item III is the same as, or less than Item I, you have met the intent of State Building Code 6006 (c) 2. , H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I + Item II = J. Add Item III + Item IV K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit application. By: DATE: a .......... t ToT 0 izz�l st � • +} CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL M $3.00 $ /Z. 10 >, N o fd $2.00 o x % ai x Water 61 e m $ x $7,00 -1i H r. e . � x u w w � $ Heater •.tlitl $ tl $10.00 C N H tl R •� Ro 0 tl 0 0 4J o3 T'1 .mC tn yU N m $4 a m $4 al .a .a roU 22 8 c 0 as lec 2nd 3rd 4 th (R) = Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL x $3.00 $ /Z. 10 x $2.00 $ x $2.00 $ x $5.00 $ x $5.00 $ x $10.00 $ x $7,00 $ X $5.00 $ x $5.00 $ x $3,00 $ x $1.00 $ x $10.00 $ $5.00 $ $2.00 $ State Surcharge $ y,50 TOTAL FEE $ /G . ✓-O REINSPECTION FEE ($10.00) Job Address 5-8 Y17 S N Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and roprosentations stated in this application are true and correct Fridley, Mn. ,-L. 197q OWNER _ Q 1, KIND OF BUILDING i a rn USED AS' TO BE COMPLETED ABOUT _ UG" ! ESTIMATED COST 11 ,% OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. `96 - ? G/ Date APPROVAL FOR PERMIT e�� MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $-50 STATE SURCHARGE SUBJECT PERMIT NO. City of Fridley �® AT THE TOP OF THE TWINS BUILDING PERMIT Ir?RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. ______ r 1 PROTECTIVE INSPECTION SEC NUMBER REV DATE OF APPROVED 8Y CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/9/96 FPAGE JOB ADDRESS 5849 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 29 22 Hyde Park I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daryl Kiefer 5849 2 1/2 Street NE 572-0563 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 ❑ NEW ❑ ADDITION ❑ ALTERATION JJ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS 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 1 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 $1,000 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $34.75 Fire SC $1.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $36.25 OF CVRAC RORAUTHORIZEDAGENT (DATE) WHEN PROPERL ALIDATED THIS IS YOUR PERMIT SLIGATU 7-7- �� ��j.�� SiGNAT REO OWNE )iFOWNER BUILDER) (DATE) BLD )NSP GATE NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: sk 2 X S'/ Itl Legal Description: Owner Name &Address: (Al°e S9_ ' � 21 S'/-- - X Tel. #--S'? 2 - OSS 3 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: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: LengthWidth �-- HgtlGround Sq. Ft. OTHER: e S I T „l n Comer Lot [ ] Inside Lot [ .] Type of Construction: Approx. Completion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ %(�. pp (Cost on Back) Driveway Curb Cut Width Needed: Ft + 6 Ft — F x $ _ $ DATE: 7-=1- (1'6 APPLICANT: Tel. #o112 - 72 CITY USE ONLY Permit Fee $ �� �� Fee Schedule on Reverse Side Fire Surcharge $ 1, Ce) .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 $ ,7 STIPULATIONS: II SUBJE&ERMIT City of Fridley 31 1 AT THE TOP OF THE TWINS U I L D I� i G PERMI BUILDING REC IPT NO. COMMUNITY DEVELOPMENT DIV. _ i - r � PROTECTIVE INSPECTION SEC4/0 10 E 1 NUMBER REv DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/27/00 JOB ADDRESS 5849 22 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29 22 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ryan G. Winger 5849 22 St. NE 572-7978 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ryan Winger 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 C ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK 10 x 10 neck 9 CHANGEOFUSEFROM TO STIPULATIONS For stipulations, see attached plans. WARNING More digging call f®ir all utility locations 454-0002 REQUI EV MY LAW 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 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 $840.00 .50 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $4 .19 SIGNATURE OF CON'RACTOROR AUTHORIZED AGENT IDAtEI HEN PROPERLY LIDATE THIS IS YOUR PERMIT/! 0, -,6 S-NA U E 0F'0VvFjEFI,F 01001iRTUBUT1 DERI IDATEI IN D - OATE II NEW I l Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 5724604 Bldg Ins�j ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 5 c/ a 1�al 51 r e 2: � 4 f'r,V.-y Legal Description: Owner Name & Address: •e r- Tel. # — °%ctq Contractor: P401MN LICENSE # Address: g y 9 a 1/2 f p Df Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length /0 Width 1 O Hgt/Ground Sq. Ft /©d OTHER: 116® Construction Type: b r$ cr, r eeq l e,) Estimated Cost: $ p� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Ur APPLICANT: !� Hyl L,v,�/-e4°� Tel. # -5 7j ^ 7/1 70) CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ . SC7 $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $_$1 100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ D / Agreement Necessary [ ] Not Necessary [ ] Veal zi/.ec- Design #: 86662 6/14/2000 * Take this sheet to the Building Materials desk to purchase your materials. You have selected a 10 x 10 deck 2 off the ground. Green Treated Framing Material Vertical Decking 2" x 6" Green Treated Deck Boards 36 o Post Spindle Railing 2" x 2" x 42" Green Treated Spindles, Beveled 1 En 2" x 6" Green Treated Hand Rail Concrete and a Post Footings Galvanized Phillips Head Screws 2" x 8" Joists 2" x 8" Beams Below is a section of the railing style and options -you have selected for your deck. d r 4(/ ea/ /Y Illustration may dep ict o tions not included The posts shown in this picture are n :.: :.:.: :.... <::' p.:... . e ostless railingtype you selected! For Building Material's use only : - Selection Code:12012002402040906000500020000200000001 Today's cost for. materials. aYstimated in this design �►ith options: 1 S 'The base price may include: 40 PSF deck d, horizontal decking, 2x6 green treated deck boards, green treated framing material, no stairs, 3r 2x4 railing, preen treated railing posts, and galvanized box nails. *(BASE price): $377.2 r 0 —_ ..�_ 'd MEMO • • • ��C� ■cr,vl U� v Q M,/I c Qtr y ` C� xi TO"d 8464 ZLS ZT9 2139NIM WV LS:OT 000Z-TZ-Nnr Post antesign#:86661 Beam -Dimension Sheet o -- �d/� 1917 8912 you CYl / Please bring these plans to r 2� r 6' 2 the cashier to purchase. FLASH OVER ALL EXPOSED EXTERIOR OPENING""s I L-0 It C) ctl-op Illustration may depict options not included. I A Beam Uout for Your Deck The aaie is 1/2" :1' b£d�/tR% DM G{EdM� -Fodw ;Z:�'DOA;O'Ly S Mark length Description A 10' 2-2x8 Green Treated li lnlustration may depict optioais -not included. A lC Joist La out for Your Deck The Scale is 1/2" :1' Mark Length Description Usage A 919" 2x8 Green Treated Joist A 9" 91 2x8 Green Treated Rim joist B 10' 2x8 Green Treated Rim joist Joists to be on 24" centers. Joists to be hung from the ledger with joist hangers. Joists to be toe -nailed to beams with 2-1/2" (8d) galvanized nails. Rim joists to be face -nailed to joists & ledgers with 3-1/2" (16d) galvanized nails. Blocking and bridging is not shown, but may be required by your local code. STIlustrition may depict optiops not included. Cq � L Ol Cr. C3, CO -O -Q DL - 9.1 O O 40 r :Z cr W � m cD D co W O O -O N O C W o y m o rW m m � W � W .0; er c s - 0 OD � c o s L Q •. V Q W m co L _ 0 m W L O ` -10 � O C O m W W go m V %s.- m 3— S~ 3 OGo v, L W- 0 C W m W -g„ ad 4w 4:0 W E sv� o — ow o �4tr. ' 3 -O C y c m W s 3� W } W � m X W CITY OF FRIDLEY PE NO.: 2004-01058 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 07/07/2004 572-36U4 YAX: (763) 571-1281 ADDRESS : 5849 2 1/2 ST NE PIN : 233024230073 LEGAL DESC : HYDE PARK : LOT 29 BLOCK 22 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL AN IRRIGATION BACK FLOW PREVENTER. # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES # WATER TRMT APPLIANCES APPLICANT MARIO NEVAREZ &, MARIA GUERRERO 5849 2 1/2 ST NE FRIDLEY, MN 55432 OWNER MARIO NEVAREZ &, MARIA GUERRERO 5849 2 1/2 ST NE FRIDLEY, MN 55432 0 # GAS WATER HEATERS 0 0 # GAS RANGES 0 0 VALUE (FOR MINIMUM CALC) 0 0 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 regg co struction or the performance of construction. App 'pan Date PLBG PERMIT MINIMUM FEE 15.00 PLBG FIXTURES (NEW OPENINGS) 0.00 PLBG FIXTURES (EXIST OPENINGS) 0.00 WATER TREATMENT APPLIANCE 0.00 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 PLBG REPAIR/ALTERATIONS 0.00 STATE SURCHARGE, PLBG FLAT 0.50 TOTAL 15.50 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 Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT l MARK NUMBER OF FIXTURES TO 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 () No Type $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 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. DATE: ,� Q� ®L% , 20 00 OWNER BUILDING USED AS r)(/L'7J-f ESTIMATED COST $15.00 PLUMBING COMPANY PERMIT NO. ! �� Reinspection Fee $50.00/Hr SIGNED BY TEL N0. 6 c "' �_?• / 4,I; ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge$ . 50 �r MINIMUM FEE F01 ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE $ ✓J •�v 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 '0 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 venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped 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 terminatidn. 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 ( ) VVhen 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 Fumoce Vinting 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 : City of Fridley Building Inspections Dept. 6431 University Ave NE Fridley MN 55432 Mechanical Ph: 763-572-3604 FAX: 763-571-1287 Residential Application City of Fridley See Back Side For Required Information ;011171VT.� Date O? 0f_ Site Address: o? Vv A&VIR The applicant is: (cirlce one)ner � Contra or Property Owner: Address: City: 7 r leu State: Zip: S5�W Phone: - Cell: Fax: Contractor Information Company Name: Contact Person: Address: City: State: Zip: Phone: Cell: Fax: Email: MN Bond# & Exp Date Type of Work (circle one): New Replacement Alteration/Remodel e , Detailed Description of work: air Equipment Installed: MFG: Model: Size/BTU: MFG: Model: Size/BTU: MFG: Model: Size/BTU: Please check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 _A/C $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _Air to Air exchanger $15.00 _Furnace $35.00 _Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 _Ventilator $15.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 Gas�lRange/Oven $10.00 Permit Fee $ 2900 (Total from above -Minimum fee $35.00) Surcharge 5050 Total Due $ �� J 6 Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical 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 case of all work which requires review and approval of plans. Signature of Applicant: >� Date: cl Approval Inspector Signature: Date: Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ 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