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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PEI MY17 N® 3076 Date: ... �...[. / j / -5'9 ................ •,. Address .. ®..`� ? �. v .. / Y Address .. J off. O.®.. i� ./1�4r..���✓rC ..�ir0 LOCATION OF BUILDING No. o. ".. Street . .......... Part of Lot .. {� ........ ......... . Lot ... / � .... Block .. ....... Addition or Sub -Division OMAV, ?% Corner Lot ............ Inside Lot .. !:�..... Setback .�A S .... Sideyard .19 + j....... . DESCRIPTION OF BUILDING To be Used as: 'Front :. Height Sq. FtA /.. Cu. Ft. ........ ...1%. �_ Fran P.... Depth��/ � . q� ... ......... ont Q"..7. ... Depth % . Height ........ Sq. Ft. �'� . Cu. Ft. .. .. . Type of Construction ....... Est. Cos a ✓�•®® .. To be Completed ... ... . 3� fc 31, - In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth d jlneompll�ance with all provisions of ordinances of the city of Fridley. � In consideration of the payment of a fee of $. 0 1- !-P--,permit 0 .. 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _ Building Inspector NOTICE; This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. A Y � 53=°t,-91"051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE,SCHEDULE q PLUMBING FIXTURE RATES: NO. N e Ir%L--'-er Fixtures ro $3.00 e Future Fixture Opening x d $ Water x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x O $ 100;000 BTU to 199,000 BTU x $10.00 $ Water Softener Heater $7.00 AJ .4 x m $ E [ ro w $ e ro$4 d W t w $3.00 1� ,. a :J •J7 ro C Jr c •.i m 1C 1. x yJ C, C v 3 �o e c •tl! s N O yVj 4JJ N N 0 J: A., � u � m Cn S a w (n 0 as lec Iwo c� lst on Q.CLt raiad H2 -id 4 th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE,SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Ir%L--'-er Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100;000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater - x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ Aiditional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction State Surcharge TOTAL FEE REINSPECTION FEE f S10. 00) $5.00 $2.00 S $ $ .50 s 8.00 Job Address 5057 3 STREET_ NE_ s 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 representations stated in this application are true and correc Fridley, Mn. 11-15-76 , 19 OWNER EDWARD 0TR MBA KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 1 -22-76 ESTIMATED COST 10.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By MINNEGASCO Tel. No. ROUGH INSP. Date �% FINAL INSP. 1' - 7 u , Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 FA SUBIECT City of Fridley hil 15 4 32 r AT THE TOP OF THE TWINS BUILDING PERMIT r R IPT N0. • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE ;,, CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 9 9/5/79 JOB ADDRESS 5057 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 4 Carlson's Summit Manor South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Edward Otremba 5057 - 3rd Street N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Giertsen Co. 5147 Winnetka Avenue North 535-3212 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 9 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Fire Repair 9 CHANGE OF USE FROM TO STIPULATIONS SF„PERATE PERMITS REQUIRED Fea HEATING, PLUMISING AND SIGNSF_ 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 ISTALLS I 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 $14,940 $7.47 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- $90.00 STRU TION OR THE PERFO OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $97.47 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI y WHEN PROPERLY VALIDATED THIS IS YOUR PECCMIT d BLDG INSP IDAT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI f FA CITY OF FRIDLE Y APPLICATION FOR RESIDENTIAL BUILDING PERMITS • (New, Alterations, Additions, or Repairs) OWNER: ADDRESS: TEL NO: — BUILDER: ADDRESS: TEL NO: Construction Location -STREET NO: STREET: �AeL LOT: BLOCK: "y ADDITION: j�?,fJ,@.L,$QA VS �3C-�/17/Me% ^4iJOi- zo t -Al d Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square.Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: V Type of Construction: lQ��'�� �l` Estimated Cost: $ ' gqo, 9b Be Completed: C(p 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 correct. _ e DATE: S SIGNATURE:. Stipulations: 9o. co SUBJECT PERMIT NO. City of Fridley - 29953' AT THE TOP OF THE TWINS BUILDING PER M IT i COMMUNITY DEVELOPMENT DIV.�� ♦V ��� _ PROTECTIVE INSPECTION SEC. 1 � � NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 -__.�;"'t;•� L 612-571-3450 910-F15 7/28/99 JOB ADDRESS 5057 3RD STREET NE 1 LEGAL LOT NO. BLOCKTRACT OR ADDITION SEE ATTACHED DESCR. 15 4 Carlson's Summit Manor So. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ed 0tremba 5567 E. Danube Rd. 571-7565 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Northern Crest, Inc. 8245 Polk St. NE Spring - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION X(M REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 30 S Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 80 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 SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WQRK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2622 $1.31 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 83.25 Fire SC $2.62 PLAN CHECK FEE TO L FEE Lice S 5 92.18 rIGi qE OQACTIJOA OR OR GENT iDATEi MEN PRWVALID71! THI YOUR MIT r � F S-GNATURE OF OWNER.IF OWNER BUILDER, iDATE, 6L G INSP NEW[ Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 5057 - 3rd St. NE Legal Description: 61p, Owner Name & Address: Otremba 5567 E. Danube Rd Tel. # 571-7565 Contractor: Northern Crest, Inc. MN LICENSE # 20098415 Address: 8245 Polk St. NE Spring Lake Park, MN 55432 Tel. # 792-9364 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: Construction Type: Tear off and re -shingle house and garage - 30 square Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: 7-28-99 APPLICANT: Bill Olson Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 00 $-- 9.2. a - Estimated Cost: $� Ft x $ CITY USE ONLY Tel. # 792-9364 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Building 1f5rV'- BUILDING �7,0(,Permit N .. ' Inspections $ RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd&/,�47 763-502-4977 FAX EFFECTIVE 1-1-08 — - �� ,, YOUR E-MAIL WA,pOO C ® C2 + GO47 DATE SITE ADDRESS SO-is' ADDRESS , .– � ~ st r IVF THIS APPLICANT IS: ❑ OWNER 'CONTRACTOR PROPERTY OWNER/ NAME: — " TENANT �/ _r p� ADDRESS::- SS6 1 �- `�; fIQ UaG NCITY $Y STATFWN ZIP PHONE: NAME: MKTkeyw t� ^r� ADDRESS: l'S5-3 ^ `c91 S`F- AVe, f4' ✓ CITY I Q STATE_AWziP CONTRACTOR SUBMIT A COPY OF PHONE /J&_� R �— R` FAX :5"e YOUR STATE LICENSE STATE LICENSE # a o01 g if EXP DATE ' 30— d OO 1 qr PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAM TILE ❑ DECK ❑ SIDING C�6THER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR AEMODELING _ k INS a SGI DESCRIBE WORK BEING DONE: 74 kA M SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE I. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia 2. and proposed project Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES TOTAL JOB VALUATION 9 Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: {(USING THE 1997 UBC FEE SCHEDULE) OO oma' OCCUPANCY TYPE $ 1f5rV'- $ $ $ A See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6 ft= ft $21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach 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 Minn ogstruc ion Cod ; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in a or with lan in the case of all work which requires review and proval of plans. SIGNATURE OF APPLICA IPRINT NAME (I Q SO DATE S -4-0S S APPROVED BY From: unknown Page: 2/3 Date: 11/12/2009 9:07:54 AM Building MECHANICAL Permit No.. � Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date 1 :' 763-502-4977 FAX EFFECTrvE2-I9-M DATE 11/122009 YOUR E-MAIL ADDRESS dave@daveshoolrkpndalr.com SITE ADDRESS 5087 3RD ST NE THIS APPLICANT IS: O OWNER DCONTRACTOR PROPERTY NAME: ED OTREMBA ADDRESS: 5587 E DANUBE ROAD CITY FRIDLEY STATE MSP 85432 OWNER/ TENANT PHONE: 783-571-7585 CONTRACTOR COMPANY NAME: DAVES HEATING, AIR 8 ELECTRIC SUBMIT A COPY OF CONTACT PERSON: AMY MADVIG YOUR STATE STATE LICENSE 4 EXP BATE LICENSE WITH ADDRESS: 1801 37TH AVE NE Crry COLUMBIA HEIGHTS STATE MN ZIP 55421 APPLICATION PHONE 783.7814901 FAX 783-789-8805 PERMIT TYPE DGLE FAMILY O TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 17 NEW ZPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK REMACE EXISMNG FURNACES AND clavTrM alas WITH 2 AREFLO FURNACES AND z AIRMD CEWRAL AIRS. FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 NEWGASORILL$10.00 rRT101AIREXCHANOSERSIS PLACE(WOOD) $35.00 LER $35.00 ACE $35.00 _GAS UNIT HTR$10.00 MNEY LINER$10.00 AS DRYER$10.00 POOL HEATER $35.00 CT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Number of fixtures ® $10.00 x $10.00 = $ Number offixtures @ $1.5.00 x $15.00 - $ Number of fixWMS @ $25.00 2 X $25,00 = $ 50.00 Number of fixtures ®$35.00 2 x $35.00 - $ 70-00 state surcharge = $_ 50 MINIMUM FLEE s35.50 Total= $ 120.50 THIS IS AN APPLICATION FORA PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a bid permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the din ces and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only 0 appli ion for a permit and work is not to stere without a permit; that the work will be in accordance with the approved plan in the eAre o a1 rk whic u' s eview and approval of p s. a DATEi SIGNATURE OF APPLIC NT PRINT N PLEASE NOTE: SE ARATE P ARE UI ED FOR. BUILDING EI,ECTRtCAL MECHANICAL WORK *Oty of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977