The URL can be used to link to this page

PRE 2010 DOCSVillage of Fridley, Minn. BUIELDING PEBX[T N? 827 Office of INSPECTOR OF BUILDINGS Owned{ Architect Builder Fridley, Minn., ., ., 18 .. LOCATION OF BUILDING No. ' street Part of Lot Lot h Block—_—:2 Addition or sub -Division 4' DESCRIPTION OF BUILDING Front ` Depth '° Height Stories, Manner of Construption To be used as i To be completed ' " 'F Estimated Cost Permit is hereby granted to rtz:-- to the buildingdescribed 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, Minn., 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. '+ X -LLe 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. Subscribed and sworn to before me at Fridley, Minnesota this'll ' day of..yc.ex� A.D. 19.' ?�:,� y,�.0 ,�,: x.� City of Fridley, Minn. BUILDING PERMIT N° 4 5 9i�) Date: .,:O .......... Owner: Builder Address 4Z Address ••`--T' --- f LO TIOW OF BUILDING ._ Street _._ . ,_..._. , _._....._............._......_..... Part of Lot ....._.......__.._...___.._.._..__._.. _._...._. = I :. _ Lot . ... .......... Block ...............;� ........ .............. _ Addition or Su Dion J- Corner Lot ..... _.............. ..... -........ Inside Lot .-----._-*!!!!n .......... Setback �� : d ..._:.......................................... .._.. Sewer Elevation .._._...._...__............ __----- __........ ............ _...___.._--.._..__ Foundation Elevation _..... .._........ _...... ....... DESCRIPTION OF BUILDING To be;LVsed alas: {� �,�rr �� W___60 -:: :�[..ar�.............._ Front _ 6.. Depth .-.�`. Height,F":..=.".-......--_.. Sq. Ft. � tJ!Cu. Ft. ........... ......... _............. ........ ............... Fro ............... .... ... Depth ....._...... Height .....U.C�...... Sq. Ft. ..... .................. Cu. Ft. Type of Construction ::� r ........,�. .....-...._....._... Est. Cb�t.:....._...a�. ............ �........ To be Completed ....._.................. CAUTION THIS PERMIT DOES NOT AUTHORIZE VIOLAT- ION OF ANY PRIVATE AND COVENANTS AND BUILDING RESTRICTIONS. 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 $.:,,.;i' ._... _...., 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 tune upogn violation any of the provisions of said ordinances. wilding Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name �t a �°�z; r �" Builder Address �� Address LOCATION OF BUILDING No. 4,Vzlq' Street_- / Part of Lot - Lot __.Plock otLot.Block 0-1 Addition or Sub.Div. -�- Corner Lot Inside Lot _Set Back Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Fronto) Depth `_� ight Sq. Ft. 11� Cu. Ft. Front _Depth Height Sq. Ft. Cu. Ft. Type of Construction r --� Estimated Cost To be completed '_Ilf 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 representa- tions stated in this application are true and correct. DATE _� — / SIGNATURE `-�-� `'✓ ��•��`�'° ``�-��/ (A Schedule of Fee costs can be found on the Reverse Side.) ;, '� w .. ., MINNEGASCO .53-84-s-915.51 N0. of Bldcz. Phone S,AM-3450 DESCRIPTION O? W01I7, 4844 N. E. 3rd. Street Nui ber. Kind and Locr24en of Fixtures �� , f ii Z � � ,, � z i •� zyil1t nture Fixture Opening ............ x 51.50 v� gzIU= ,�, •� 0 � U U X yi O O wAT[a HTI. GAS ILM Ease $ Electric Watar Hsatar. .............. s $2.00 $ 1 NO. RATE TOTAL Ist3Fixtures •••• xS2.00 $ . Additional Fixtures. .............. x $ .75 $ Gas Ranse to 159.000 BTU ........... x $5.00 $ 1n In is 1 as Gr 11 _ 3rd 4:h • Futuz• Con :oct'.:•a Opoclnrs e Xaw Fl=turs, Old Oponinrs PARTIAL RATE SCHEDULE $DC7SZ Cc=pool PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. -----x$3.00 $ nture Fixture Opening ............ x 51.50 $ _. New Fixture Old Opening.....:.... x $1.50 Catch Basin. . ........... o x $3.25 $ Water Beater 'Up to 99,000 BTU) - • • • x 53.00 5 New Ground Run Old Bldg. x $3.25 $ Electric Watar Hsatar. .............. s $2.00 $ ;AS FITTI`IG FEES: NO. RATE TOTAL Ist3Fixtures •••• xS2.00 $ . Additional Fixtures. .............. x $ .75 $ Gas Ranse to 159.000 BTU ........... x $5.00 $ City of Fridley: f The undersigned hereby rra.kes appl cation for a permit for the work here! specified, a;;reetng to do all N crk in strict accordar.ce with the Cit, C:dir.:nee and ruling of the Department cf Buildings, and hereby declares t1hat all the face and representations stated in ;his appL'cation are true and correct Fridley, YJan 8-26-75 19_ Owner William Woseiak Kind of Building Frame Used as Res. To be completed about 9-2-75 Estimated Cost, S 10.®0 Old --VM Building Permit No. Per=itNo. Signed oL . MINNEGASCO By Business Phone X- ROUGH FINAL, 9- S % 42 P.EPAIRS a ALTERATIONS—Rains !o Code .50 State Surcharge Install Gas Grill ��00 Descri?tion ....................:......._.......... mr1.l 5.50 Class -AD' ;Sffr_cl arab Z(W . CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Job RESIDENTIAL RATE TOTAL Address Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tei. #571-3450 (piping needed with new furnace) Gas Range $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the O© facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) $ 10.00 Slo Fridley, Minn. y - 30 1941.c) All Others/Repairs and Alterations OWNER a4 It of Value of Appliance or Work $ ^� ` KIND OF BUILDING COMMERCIAL/INDUSTRIAL USED AS li of Value of Appliance or Work $ TO BE COMPLETED ABOUT -� ESTIMATED COST 1,�1 no . State Surcharge S 50 j OLD - NEW BUILDING PERMIT NO. PERMIT NO. TOTAL FEE $s5 Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough insp. Date HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Final Insp. Trade Name size No. Date Capacity Sq. Ft. EDR BTU`a4^p�� HP Approval for Permit Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 Company m C PLUS $.50 STATE SUIIC1iARGE Signe 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 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has .been. carefully examined Yes (, ) 2. Is free from.rust or deterioration Yes ( ) 3. Has no foreign objects lodged within Yes ( ) 4. Is securely supported Yes ( ) 5. Meets all current Code requirements for size and total BTU connected 6. Has Total heating BTU's of All other BTU's . TOTAL Rema rk s Company _ Signed By Da to No ( ) No No ( ) No ( ) Yes ( ) No ( ) SUBJECT PERMIT NO. City of Fridley ' AT THE TOP OF THE TWINS BUILDING PERMIT 22574 i RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �•'•' �'' 612-571-3450 910-F15 5/31/94 JOB ADDRESS 4844 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7,8 2 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Mary Wojciak 4844 3 Street NE 572-8890 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Viking Home Improvement 4832 2 1/2 Street NE 572-1820 4772 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 Raise roof on 12' x 32' Area; add 16' x 10' Living Area 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. Every sleeping room sfiall Have at least one window �,av'th ., All `r:i �N of not more than Before digging call for 'i,:- 44" Oov,; t':;. rid shall provide not all utility locations less than ; .7 sq. ii vi opanable area with 454.0002 a min, height of 24" and a min. width of 20': REQUIRED 13Y LAW SEPARATE PERMITS REQ(jIRE0 WIRING, HEATING, FOR PLUMBING AND SI bNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 I 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 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION, PLAN CHECK FEE TOTAL FEE License C WH 1'7ERLYjALID6,7D THIS IS YOUR PERMIT SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT MATE) AW LDG INSP GATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW ADDN ALTER Construction Address r CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective I / 1 /94 4t��Oql Legal Description: _ Owner Name & ddress: Wo Tc- IA K Tel. #`; %Z � yr 77 0 Contractor: MN LICENSE # % % Z— Address: S T Tel. # SS7 Z — 1-"`2-0 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Approx. Completion Date: DESCRIPTION OF IMPROVEMENT (Cost on Back) LIVING AREA: Length Width Height Sq. Ft. l U GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 94I s e ko,j 6 W v AX h $ 0. Corner Lot [ ] Inside Lot [) Ft. Yd Setback Side Yard Setbacks 6 Type of Construction: License Surcharge$ Estimated Cost: $ 3 IV - M 9 , -, Approx. Completion Date: STIPULATIONS: R 1 40 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # S-7 2 - Z Ci CITY USE ONLY Permit Fee $ 3 V. Std Fee Schedule on Reverse Side Fire Surcharge $ qo .O® .001 of Permit Valuation (1/10th%) State Surcharge $ 0. $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge$ -� ( $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: R 1 40 Fi ,-CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE ` Fridley, MN $5432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS �i /e'� RADE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares tha all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are true and ,Mt re t. (Side Vent — Fill Out Back) J 994 Gas Piping (Needed with new furnace) $ 10.00 $ OWNER _ e Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ ESTIMATED COST PERMIT NO. *Air Conditioning - All Sizes $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $..50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ /S SZ' HEATING COMPANY e1 C 0 7V rV 4' MINIMUM FEE FOR ANY HEATING/COOLING VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed � �. Tel No.7-W -A J PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 roved B Date nal Date50001 (/ ' J App y ® ..tRough—In *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. �" �,J�(/ FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE c>�� 1\4P 7,1�5 V NOTE: #1 through #8 required when using a side vent furnace. CHIMNEY ANIS STACK VERIFICATION The- undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (p4lNo ( ) 2. Is free from rust or deterioration Yes (kf No ( ) 3. Has no foreign objects lodged within Yes (4 No { } 4. Is securely supported Yes (pl No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (K No 6 Has total heating BTU's of A%-agev All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: Ust ALTERATIONS Being Done: �. CO:HEATING CO „r Signed By: �- lb N° Building Job Report ADDRESS _ OWNER 1 BUILDER Y (� f DATE PERMIT NO. DESCRIPTION(, : l� INSPECTION RECORD DATE REPORT OWNER - REP R 6 -rhe INSPECTOR U I r Ur rhlULtr Irvart%..I1UN Uiv. 6431 University Ave NE Fridley, MN 55432 572-3604 tnecuve un uanuary i, i YY3 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures$ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 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 19s 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 / Gas Dryer $10.00 Estimated Cost d ° a PERMIT NO. / Back Flow Preventer Required ()Yes () No Type $5.00 PLUMBING COMPANY 7 0 0 �' C d Reinspection Fee $30.00 SIGNED BY C— � TEL N0./ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance Approved B4, Rough—In Date Final Date State Surcharge $ .50 A MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. Effective On Jan 1, 2000 6431 University Ave NE a6� Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR WtiiE?Gas ........... Wash Floor Auto Ga r Heater Stories Urinal ................... ..................... Shower Tray ...... Washer Wil J: .... . .... .... Range Gas Elec ........... ..... . . . . . . . . . . . . ......... .. ..... ........ I IXX Basement . . . . . . . . . . . X I.XXX Floor 1 ...... .......... ...... Floor 2 . ......... Floor 3 . . . . ... .................. . . . . . . . . . . . . . . . . . ........ .. .. ......... .... ....... . . ........... . .......... .... .. . ..... ....... ...... Floor 4 NO. RATE TOTAL JOB 4%Z14 3 -WL 6T, JAL PLUMBING FIXTURE RATES: ADDRESS New Fixtures $7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $4.00 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 20 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 Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required )Yes No f Type $15.00 D. 4.0 PLUMBING COMPAWn f=L-- Reinspection Fee $47.00/Hr SIGNEDBY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance 7 Approved By Rough -in Date Final Date State Surcharge $ .50 MINIMUM FEE F R ANY PLUMBINGIGAS PERMIT IS S20.00 TOTAL FEE $1ZOL t�v PLUS THE $.SO STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 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 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 HEATING CO: Signed By: Date :