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PRE 2010 DOCS1 SUBJECT .r_City of Fridley, ;E�"O 17 4 4 AT THE TOP OF THE TWINS BUILDING PERMIT - COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. O y 1 � f CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 1/31/84 JOB ADDRESS 5948 - Vi Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3,4 10 Ilyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Morrow 5948 - 2' Street N.E. 574-1058 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Alteration in Basement Crake down walls & put up galls) 9 CHANGE OF USE FROM TO STIPULATIONS 1. Provide fire alarm in basement. 2. Use treated bottom plates. 3. Cover all a rigid insulation with 1/21' sheetzock, SEPERATE PERMITS REQUIRED FOW WIR1NC. HFAT1Nr, PLUMISING ANN SIG;NS- 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 .,OA 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 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.40 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE $15.50 GNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERAY VALID TED THIS IS OUR PERMIT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG WSP 01T E 1 CITY OF fItIDLCY Effective Aug. 1, 1981 ' APPLICATION FOR RESIDENTIAL BUILDING KNMITS (New, Alterations. Additions, or Repairs) OWNER: L• /%lodlDul 'BUILDER: ADDRESS: S'799 Z/z S7, ADDRESS: TEL NO: -,I;-7q-jos-9 TEL 110: Construction Location STRMT NO: STREET: LOT: L BLOCK: ® ADDITION: Corner Lot: Inside Lot: _ Setback: Sideyards: Applicant attach to this form Wo Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOR OF CONSTRUCTION /{i -( Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: • o0 Type of Construction: t.Jod-i') Estimated Cost: _S Jn f 'lb Be mr.pleted: ( fid' Alt. A Al t. B Proposed Driveway 'Width If New Opening Is Desired: S $ SEE PZVF PZ'-; SIDE OF SHEET The undersigned hereby makes applicaticn for a permit fer the work herein specified, agreeing to do.all work in strict accordance with the City of rridley Ordinances and rulings of the Dejxirtmait of Buildings. and hereby declares that all the facts and representations stated in this application are true and correct. VA72: 3 t TSN SV SIGNATur.: Stipulations: (D A of* 'Alm M �,Aoq A -La a Mv. CITY OF FRIDLEY Effective Date January 1, 1991 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE %W0TflffA:,flTff T Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) RATE TOTAL $ 20__00 $ '00 $ 10.00 $txs $ 10.00 $ $ 10.00 $ All Others/Repairs and Alterations 19 of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 14 of Value of Appliance or Work REINSPECTION FEE $30.00. Rough Insp. Final Insp. $ 10.00 $ State Surcharge TOTAL FEE Approval for Permit Job Address Building Inspection Div. 6431 University Ave NE Fridley MN 55432 Tel. No. 572-3604 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 representations stated in this application are true and correct. n — 19 OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT y ESTIMATED COST oSD�• ® % OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, rm Air- No. Trade Name �{ Size No. if /_ Capacity Sq. Ft. EDR BTU Total Connected Load Kind of Fuel ✓ ( U`r BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT Company IS $15.00 PLUS THE $.50 STATE SURCHARGE 0+/C. )NCS / 1;0Signed Bpi CRY��+ -'22 Tel. No. *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces CHIM14EY 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 connected Yes) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s fil�I �C pin*n HrA'n1004 P4 Aic, 140, Company 835_blil Signed y Date SUBJECT P City of Fridley 27526 AT THE TOP OF THE TWINS BUILDING PERMIT f o L COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i IT, NUMBER 17719/2/98 DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-Fl S JOB ADDRESS 5948 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3, 4 10 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rick Anderson 574-2392 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO PaulKothrade Const. 1541 Xerxes Ave N Golden Vly MN 55411 522-2118 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE RK 8 DESCRIBE WORK Reroof house and garage 18 S Tear-off 9 CHANGE OF USE FROM 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 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 ISTALLS GARAGES AND KNOW THE SAM 1;0 BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES aO ERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER OECj`FIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1542 $.77 PERMIT FEE SAC CHARGE DOES NOT PFItSUM, TGIV AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO •'OF ANY THESTATE OR LOCAL LAW REGULATING CON- STRUC NR H PE MANCE OF CSTRUCTION. 51.25 Fire SC 1.54 le PLAN CHECK FEE TOTAL FE +` License 5.00 58. 6 URE OF CONTRACTOR OR AUTHORIZED AGENT (DATE ENP PERL V $DATED TH IS R P RMI 1 BLDG SP DATE S,GNATURE OF O(NNERIIF OWNER BUILDER$ IIATEI NEW_ ,[ l Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION _ ;1 ConstructionAddress:�L, d�` Legal Description: Owner Name LAddress: /� p� �✓' S �lv Tel. # Contractor: �/ L �/� �.s� JJ MN LICENSE Address:) % /?C„j1/ j, CoC�� U/s4G� Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: l c' S - Construction Type: 4 -o-11 Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: C 1 �. �i Tel. ff�gJ- CITY USE ONLY Permit Fee $�- Fee Schedule on Reverse Side Fire Surcharge $ /- YY .001 of Permit Valuation (1/10th%) State Surcharge $ ?`% $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: 01 Building MECHANICAL Permit No.:q1M4U Z 110 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Da d "UJN 0 00 763-502-4977 FAX r nvvn ,.rn,1.— DATE _ SITE ADDRESS THIS APPLICANT IS: OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION YOUR E-MAIL ADDRESS CQS? Z� 2S t ❑ OWNER CQONTRACTOR NAME: t ADDRESS:!aQ wig Z pt CITY PHONE: �lG 3- � -7 -C` - 2 COMPANY NAME: �rrl ge­ti 1-7mrtl 0 �a `5 CONTACT PERSON:Z _yf .il®°1�� , a, - STATE LICENSE # `✓ EXP DATE �r ADDRES$rr CITY PHONE 7,21' FAX PERMIT TYPE Vim I GLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE . TYPE OF WORK' 0 NEW REPLACEMENT OALTERATION/REMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, CEPT WIHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH Equipment installed MFG: eg_#­) MODEL: SIZE/BTU MMD MFG: MODEL: MFG: MODEL: A/C$25.00 _FIREPLACE (GAS) $15.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 BOJLER$35.00URNACE $35.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 _DUCT WORK $10.00 IAS PIPING $10.00 SIZE/BTU SIZE/BTU GAS RANGE/OVEN $10.00 NEW GAS GRILL $10.00 _GAS UNITHTR$10.00 _POOL HEATER $35.00 VENTILATOR $15.0D 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 of Fridley and with the Minnesota, Construction Codes; that I understand this is not a permit but only an applic 'on for a pe and rk is not to start without a permit; that the work will be in accordance with the approved plan in the case of 1 w rk wh' quires rev ew and approval of Plans. SIGNATURE OF APPLICANT ✓ PRINT NA �� l4_aATEe. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977