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PRE 2010 DOCS0 • 0 tyof Fridley, Minn. y� BUILDING PERMIT • Date: e p Owner: a Builder — Address a4�'�� N® '7335 O TION OF BUILDING No. Street I :A'" — Pt y 2�e' Lot ________ Block Addition or Sub -Division _ Corner Lot _ Inside Lot Setbacks _ _ _ _ Sideyard Sewer Elevation T 12— - ' D ._ _ Voun&#= Elevation RP- rvd in, �EneamlAl-,P� Rv�� TOP Poo-rl mo DESCRIPTION OF BUILDING T Used � r Front � Depth Height 2z Sq. Ft. 'k& Cu. Ftlf -4 e Front Depth Height Sq. Ft. Cu. Ft. a Type of Construction _ Est. Cost zo(6 'moo 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. L.� In consideration of the payment of a fee of Z— , 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 paw thereof, shall conform in all respects to the ordinances of Frldley, 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 .� 41 I NOTICE: Ibis permk does not corer the construction, hnh bd n for wbins plumbing, Bas heating, sewer or water. Be sun to see the auibung invader for Separate permih for these items.. i . APPLICATION FOR BUILDING PE"IMT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ADDRESS.S 5`['A/[e��,�s� f ✓ F' ADDRESS 519/n LOCATION OF BUILDING �/_No. Street Part of Lot �f Lot Block % Addition or Subdivision Corner Lot Inside Lot Setback Side'Yd( SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form.T06 Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. To be used as: DESCRIPTION OF BUILDING 44 g Front t 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. (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley, Minn. BUILDING PERMIT Date: _ August 19. 1970 Owner: , Johan A. Kaminski Builder Same _ Address 4578 -3rd Street N.E. Address Same LOCATION OF BUILDING No. 4578 Street 3rd Street N.E. — Part of Lot Lot –3 &_4 Block 15 Addition or Sub -Division Plymouth Addition Corner Lot _ Inside Lot — X Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 24' Depth 28' Height 10' Sq. Ft, 672' Cu. Ft. 6720' Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost $1,200.00 _ To be Completed July 1971 Provide Hardsurfaced Driveway 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 setand in co fiance with aft provisions of ordinances of the city of Fridley. ��nn . Mn , OL rqV% In consideration of the payment of a fee of $__1-3. 00 permit is hereby granted to John Kaminski to constmet the building & 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 be4evoked at any time upon violation of any of the provisions of said ordinances. Inspector NOTICE. a is permb dos not Cover the Cond=006, fiW1 Hee for � Wmng, phmnhing, gas heating, sower or water. Be sun to see the Building hupeotor for soparab permits for these hong. 0 APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : _ �14 M N , VRM02gl BUILDER: 'DN V &&F ADDRESS:- 04 579 5 2.D S-� AJ E ADDRESS: NO:. /V1 78 STREET: S�- lV E LOT: MT) BLOCK: ADDITION: osx So lO/io-1/. CORNER LOT: INSIDE LOT: VSETBACK: SIDEYARD: 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 o , Front • Depth • a& Height: Square Feet:_ ( oZ Cubic Feet: (9-2 v;k O Front: Depth: Height: Square Fee ; Cubic Feet: Type of Construction: \'�� Estimated Cost: $ 1 oZOO �® To Be Completed: - The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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. t DATE:* 1® " © SIGNATURE: (See Reverse Side For Additional Information.) 7 SUBJECT City of Fridley15 /i;- 5.51 AT THE TOP OF THE TWINS BUILDING PERMIT rp ECEIPT . 1 • COMMUNITY DEVELOPMENT DIV. �e r PROTECTIVE INSPECTION SEC. �� I NUMBER REV. DATE PAGE OF APPROVED BY i ----I CITY HALL FRIDLEY 55432 �.---ll•, "'j 612-571-3450 910-F15 11/6/79 JOB ADDRESS 4578 - 3rd Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $rpt. 4 15 I Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Kaminski 4578 - 3rd Street N.E. 560-2481 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 ❑ El NEW ❑ ADDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 6 DESCRIBE WORK Install free stqnding fireplace 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRINC4 HEATING, PLUMBING AND SIGNS. 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 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 $900 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. $7.50 PLAN CHECK FEE TOTAL FEE $8.00 SIGNAT RE OF CONTRACTOR OR AUTHORIZE AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR JPERMIT i r BLDG INSP qA E SiGIIIAJURE OF OWNER IIF OWNER BUILDER) (DATE) 7 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: J ®"H CTl r K;s+� i ADDRESS: fel E TEL NO: BUILDER: ADDRESS: TEL NO: Construction Location STREET NO: ` 5 Zg STREET: 3 9 LOT.: BLOCK: ADDITION:til�-, Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and Qq'A-wo__�Stl proposedbuilding location drawn oncertificates to scale. 3(0--_"�J�m CRIPTION OF CONSTRUCTION Front: Depth: Height Square Feet: Cubic Feet: Front: Square - Feet: Type of Construction: Depth: Height: Cubic Feet: Estimated Cost: $ (?(5 c To Be Oompleted: Alt. A Alt. B Proposed 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. DATE: ` ( ' (0 --?q SIGNATURE: Stipulations: CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Air Conditioning - All Sizes ; �"" L" ^0'4-D, -K Effective 4,11/2004 RECD AUG - 8 2007 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Fee Total V l �9A�i l szf Owner $35.00 $ $10.00 $� $10.00 $ $10.00 $ �( J) $25.00 $2 ,-_All Other Repairs or Alterati ist on Back) 1% of Vaue oT p nce or Work $ Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) $ Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR *Air 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 Building Used As ESTIMATED COST PERMIT NO 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 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 state'4QftW%& t1tAS Jffi LIGect. UBA: GOLDEN VALLEY HEATING & AIR HEATING CO 5182 WEST BROADWAY f;P AL' MN 55426'V. HEATING & AIR INC. Sign -*o 763.535.2000 51AR#WEST BROADWAY CRYSTAL, MN 55429 FAX # Date 763-535-2000 XApproved by _ Rough -in Date Final Date 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 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 existinq 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 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 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 in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : Building PLUMBING Permit No.: 200 Inspections RESIDENTIAL APPLICATION Recey: 763-572-3604 CITY OF FRIDLEY Date Recd: DATE YOUR E-MAIL ADDRESS SITE ADDRESS sunt aes CD�r.e,✓ JO11T1 Kaminski THIS APPLICANT IS: 0 OWNER *NTRACTOR 4578 3rd Street PROPERTY NAME: Fridley, MN 55421 OWNER/ 7635721566 TENANT ADDRESS: IP PHONE: CONTRACTOR NAME: STATE LICENSE a C) EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS• 2 WS-�i-re�ti�� CrrY A, of O1,'Y STATE,&eALIP �Sr%� LICENSE WITH , PHONE 7- MIOS3 FAX 2 APPLICATION PERMIT TYPE SINGLE FAMILY ❑ TWO FAMI'L'Y ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW /XREPLACEMENT 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 = >,FO"ROJECTS WHERE LABOR EXCEEDSSV500.TEES ARE BASED ON $10.00 PER FIX rURE,-EXCEPT VJ:I-ffiREWaTED :FIXTUM,,. TNDIQATE TOTAL NUMBER OF EACH BELOW) BATH SINIULAV _FLOOR DRAINS _ SHOWER _ WATER PIPING —BATHTUB _ GAS PIPING rsFz)cmumst) _ SWIMMING POOL _ WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) _DISHWASHER =LAUNDRY TRAY TWATER 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 __I_ x $35.00 = $ 36'.0a TOTAL DUE $ State Surcharge = $ .50 Total = $ O 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 applic ' n 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 1 o w r uires review and approval of plans. [[ jj 115/09 SIGNATURE OF APPLICANT PRINT NAME Je_ /VOI'O1001 _DATE � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432. 763-572-3604 FAX: 763-502-4977 I'