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PRE 2010 DOCSCity of Fridley suelEcr ERMIT NO. ® A51 AT THE TOP OF'THETWINS BUILDING PERMIT RECEIPT NO. ►v ______ COMMUNITY DEVELOPMENT DIV. JP r PROTECTIVE INSPECTION SEC. 1 Al � 1 �"'t CITY HALL FRIDLEY 55432 �•"' �.J NUMBER REV. DATE PAGE PPROVED BY 612-560-3450 910-1715 12/5/77 JOB ADDRESS 5121-5123 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Carlson's Summit Manor Second Addn. SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE B-E Enterprises 85 - 3rd Avenue SE., New Brighton 636-4164 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESSBelefe digging call 1001 W&S I PHONE LICENSE NO. TELEPHONE - ELECTRIC - GAS Etc. 6 USE OF BUILDING REQUIREDLAW BY LAW Residential 7� �lJ 1 iJ i 7 CLASS OF WORK ] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 42' x 26' Double Bungalow and a 301 x 24' Garage SEPERATE PERMITS REQUIRED FOR WIRING 9 CHANGEOFUSEFROM HEATING, PLUMBING ANb SIGNS. STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. Provide 6" insulation between floors and sound channels. Provide louvered door to furnace room. Provide section through drawing of floors showing sound channels, insulation, etc. by December 15, 1977. Services could be extended from 3rd Street which would involve patch work. Lots 1 through 6, Block 1, Carlson's Summit Manor Annex 2nd Addition have been provided with. 2" water (21' N. of Manhole) and a 6" CIP (11' N. of Manhole). Both have been extended beyond the back of curb. It is recommended that these laterals be used to serve the 6 lots. THE. CITY OF FRIDLEY DOES NOT GUARANTEE THE ACCURACY OF UTILITY LOCATIONS AND ELEVATION& THIS DATA IS FOR INFORMATION PURPOSES ONLY AND PERSONS USING ITSHOULD VERIFY THE INFORA%ATION ON THE SITF SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. Wood Frame OCCUPANCY GROUP OCCUPANCY LOAD 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 1137 + 785 30, 590 Total 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 2 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 $ 42, 240 $21.12 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- $122,36 $750.00 STRUCTION OR THE PERFORMANCE OF C NSTRUCTION. PLAN CHECK FEE TOTAL FEE 30.59 $924.07 SIGNATURE OF CONTRA T ROR AUTHORIZED AGENT (DATE) - WHEN PRO ERLY VALIDATED THIS IS YOUR PERMIT v� BLDG INSP PATE SIGNATURE OF OWNER(IF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: s� - � � ` BUILDER: Address: f j- �'�`�� ,�, Address: Tel. No.: - No.o. No.: 4�7l ), / 1-�J,739treet : I LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: X SETBACK: SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and.proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front:.- Depth: Square Feet: z a Cubic Feet: OAl (4 Front: Depth: Z Square Feet: .1r,86 Cubic Feet: Type of Construction: C) n rl-Aa)�- ._ To Be Completed: Proposed Driveway Width If New Opening Is Desire Height: M ZZ 12 V40 Height: l� !l, 0 Estimated Cost: $11 22 o2fl0 .To ------ 1) Alt. A Alt. B d��P $ $ (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 a 'tional information. DATE: 16P -2 7 SIGNATURE: �! ." Stipulations: y 3 •19 o2/, / Z 9�g!d7 719 Xle37- 11"CLd604 mac' %O X 13 j � II ��' ✓�9Gr '. d 0;,eaim I i c, �l CR j 9107 yep i I i I I � i 3' LI�fa�f1'.c�F+?ja�7lu.f�� a� / �/e Y°• R r�Y� � v �>✓i 7 ° <h g ��4 r s..-GITFhtt),Y t ,, MIf)>E'f�lr!r {�Lr J• f~V 3 t i2q 6 ;I4 I `J l3"pro`"vide �1 c a��pl iea'nt in ce►m�uti il� EXTEWOft EUVELOPE AA ,.�#t i k11'Qklf<l1TI[�N This :: t tl f ot'atzi t io n is r c qu i r ed so tf 161DILDING', riCIA.tt;tt(eteittun+�',thaiL �d�b�ttf;tt�d ptt l�._,carirf2y ,with tlle, E;TTt.,`l �COr4ERSTF+TIQN lr 1 3C't Y A of ti�e,:'STATE BUILDINd CODE (Sec tion 6000) Ti. is tha"IOP ICAUVS itI 604wii�.i 11 to, accurat«zI aotrtpate.,tf data rcf lect the proper D S1121 CRITERIA �: the ,ply; 'submit pto:iuCt 's)K:cifI&6tionsr if needed to support the, a* and "U" f ctar5 used grid to assure'. construction is per approved plans..- a TA(ATION: z , .1 OwE$ercoMTACTOR AODRES$ s V: �, PHONE: j " T% ` k C r' • .P DeteztaiM the Total. Exposed Wall Area as follows: i R . � 1 • Total wall window. area 220 door area �o f .. 3. Total'slidinq glass door arga Qn d 4. Total fireplace . wall area - } S• Total wall framing area(average 10%) 6. Total' aet wall area -above €loor(average 90%) E 7. Total rim joist area r Subtotal,. Total, exposed wall area above floor _�4! f3. Total foundation window area 9. Total net foundation area above'grade a r ..Subtotal: + 'Ibtal exposed foundation area` ;Cf "D TOTAL EXPOSED- WALL AREA 4'J Tt ! !g: ` Mull*ply 'the GRAND TOTAL EXPOSED WALL AREA X. _17 = Item 6 I r`DetetMine. the Total Exposed Roof/Ceiling Area as follows: " al, Akyllglit , area Z '+ i., • Total roof/eeftling, framing area (10%) 12., Total net insulated roof/ceilinq area c GRAND TOTAL EXI?OSD ROGF/CEILING AREA `? multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA R .05 Item II 1 • + F3 ' � " ..PF �tt 1rmd, slo um"r" 1'i Y� r y, ^, y t' ;f +C ro �4 i.k'i,",2,nd. 9 .� ') e s' iii., 1• •yp y + 1� i p{^,r 4n�t p` �•/'� ,!'>d�f' 0 �U .{, �rl _ `' Fa '. 1 3;h r r'r; +`ny { .' '¢ f{. 1 PAN t�.�• �+` Ii:f r 3r- �'---• 1` QYp V. p�p, •S� "� t' F s �� .� +�� k (►, �., � ':I! 1 ',; ., -. a �7 i•..r .d. y� ,rlwr t i• �{'rF� syr i N� ��G a' K pU. p' 1i 771. •7 V c+,a r Gc ,`•.' �� k :4 1.`„ a -/ n pUp '•yY., S� .� uw- •'r too:^ + ,�a w''>71 r�4- Cm is .0 � • Pi - — _ ` YA w AAD 1-3 FOR TOTAL i;TALh SEGMENTS _ ITEM f" F, : 'Determine the . "U" value of each segment (10-12) and multiply by the 'area as ;follows: isl /1. C�i aX. .Pull o t f.V •'�G r ��r�� ' nun 12. /c+��•� X 'lull ADD 10-12 FOR TOTAL ROOF%CEILING SEGMENTS ! i ITEM IV. +`r. G if Item IZI'',.is 'the .same as, or less than Item I, you have met the intent ; ° Qf•• State' Buildfnq. Code 6006 W 2. 1. '?'V is the . Eame a:,, or less than Item II, . you. have met the intent rH, oi' State •Building Code 6006 (c) 1. Add Item I �. + Item II .Sb• f�S = b 9. 7 S ` ILS F -V4 ; i �'�� S. Add Item III Item IV ,if the_sum of Items III and IV are.less .than Items I and II, you have met the hF' intent' of 'the Code for total envelope system. fthe;rnndersigned, as applicant f6r a building permit, :hereby affirms the above •� �3 j Information has' been i,)rep gyred and submitted by himself or under his direction, {heir by. acknowledges th.e inforri.tion to be correct and accurate; and hereby $.� Py resents the' with reciuired plans in support of the building permit r' application.. vz }•a1 k K�• <.1 V.' DATE: I 5. •4 � q ' r ti�� F � � • _ - __� - .. pJit ai- + i"' --. �e:.i. i ..t,�` et a °f' 9 ct';• +2� { r� - ,, _ tj t .. k Mf'� s � ice' , c+d ,�_ _ ,,�1 �a µy _ °• ? dye 1,ii'4'4 104„S EOUAL AREAS ►a °! 0°tee` 3 A iaCISSHuN! ff AOWN it �t.'PLICE 3237 5 - 6 �-4-4 to 29'011 4560 12 4-5 to WWI N O T E 4037 to 29 1011 4043 to 30'4" ONLY ONE TOP CHORD J SPLICE ALLOWED IN EACH CHORD T CyPLICE 1 - 2-4 2,43 ' 1x4 CONT. LATERAL RitACIAK. RGQ11). ON SPATS ' UV'it 26' -U" l'Olt 20 %' - AND 27'-0" FOR 2x4 WESE. ,I 2,td 4 Ev N ° BLOCK . r - -- -- �.ifs.iq.;r"i+wrr��rrrr�irrrrrirwrr�rart.r.► I#MC IS ttT' OU 30' 11" 2b' 21' 0" 2b' b" i6. X51. 661 2$�'Na 10' u" ibFi`Y, 22' 4" 29! u" bDP f'�' @" 2S' 0" ,y aj - Elam- ri�i�ii1M•1EIGriPr�,ilrwwy•wrr• - ...— r 4 r--�1 - 19'0" 20'8u 22''0". 24'Off. 250" 27'4" 28'4" ¢. 30'4" iriit fA 1.rfll 60600411106 os- yu c 8��. t0A 301 vrl dM y� Y" ua. -` 30' 14 0" 21' So 'bts �9EL• ltiPt�`. A0 2.9 as 301- u! ,..28 0 30' 1A asoi so, 30' 28' g" 300 0a a`•�0.: 241 p" . 2b' A" � urtaairrarrMrrrrrrrrrrrrrrrwrl.rrirrrr x ii'ii 1•iA"� , R -1 r L IQ C M wirAtllltrr�r,�r rYlllirrrr.Lrrwwrr.r �i `3 t, as, 7.Mc-1b r•rwrrrrw 30' 1A !` . 30' 4" ` -.4t WO 29' 00 .30 • e" .Qa.ST'-p 1.ZiN E. me- It 29" u " 3n• u" ?10,44ih -mtrt5 .. '20 4 30' v" 27' d" 30' 41' kr".,lL�.�A, bQT •Pv•- 2 tiSE OR Y. 24' 9" 300' d" 9,J 7► 25, s., ti�.ii..rlttrrri�iiiiJrYfi,ri[frr�r.rrrr�rwrrrrrrrw E 4. P Ip . EOUAL AREAS ►a °! 0°tee` 3 A iaCISSHuN! ff AOWN it �t.'PLICE 3237 5 - 6 �-4-4 to 29'011 4560 12 4-5 to WWI N O T E 4037 to 29 1011 4043 to 30'4" ONLY ONE TOP CHORD J SPLICE ALLOWED IN EACH CHORD T CyPLICE 1 - 2-4 2,43 ' 1x4 CONT. LATERAL RitACIAK. RGQ11). ON SPATS ' UV'it 26' -U" l'Olt 20 %' - AND 27'-0" FOR 2x4 WESE. ,I 2,td 4 Ev N ° BLOCK . r - -- -- �.ifs.iq.;r"i+wrr��rrrr�irrrrrirwrr�rart.r.► I#MC IS ttT' OU 30' 11" 2b' 21' 0" 2b' b" i6. X51. 661 2$�'Na 10' u" ibFi`Y, 22' 4" 29! u" bDP f'�' @" 2S' 0" "� I 2.5-(i 2.5-7 2.5-9 2.5-9 - ...— r 4 r--�1 - 19'0" 20'8u 22''0". 24'Off. 250" 27'4" 28'4" ¢. 30'4" �. 15-3— t 5-s f., 0630 g. i fo o'. e. 114 of pones �}��) 02 i zs2 1o'tA,B"—_-------.•� a sa,, jo f'khI.CHD. SP.2 I•J O . t --- �'` a MA Arow r1rwrr�rr�r wr•swrrr wrrrrwrrr 2.5-10 rel •,u DU NOT/A� E - B'M. CND SP 1 aW� 4 z�m E '� 13 E A ®• 7467 20'•:,'f 23'0t' g 2 II;Rl'S9. IF NECESSARY'475. 22,•u _ 25,4.n, .A,` TWU "PPE M BE USED. MON MWEH•_ 211.x32 25'0" 27'8" • STM. CND4EI� �Ia' Edvo� UM tltT EOR 2497 '27'.0".30'0•'2497 24173004"4675 9 - - --- -- - --- --- -------�- 0 5PAN .qr5►[ri- NN ES A01 MADB 10;0, is A 20 OAUDI DAAD1•A IAS1M A'A•-/21'AIIAE•MntD,Rktr_, fV T7p'CI1Q'd..L IV@ LOOd 4U, psf TYPE �jPIATI't SNAtI; iI AVVLIID to SOIN'SACM Of IAV$% At IA�H 1900 WMlRE' D•M[NSIONSs ARE "Of h' � 4/4 --. www rtAc FiN,04 itowlfr,tALLY jjOVt• IOINt -OA AS {NDICAtID At <1Arfls 101 w"I111 NO SNIAINIW Top' Chor.4;`Deod Loud 7..,ps( �_...,._ L;M'Di►1C1t;i,Tt1*fQ.*CHOIb1, 1 V..SHASL 41 BIAW0 Al fNtfOVALA NGI I'CM ING 19.e rMlA1 NO Ptrca SPAN �9aaclNo J�J lMjNO f1 APItkt�b DNJECTI• t0 $OrIOM CHO6b1,1NJtl, $HALL Ie sMACEu At ,N0ft-IAtS'N011 CIE Btrn Chord, lire Lood p�psf rtx,L, AA4t}rl;G IN Ie. AI( .4uzr KjasTAlllb as %A 1 o[ i1i.1 'NMAI+E HI .IIIUCIf,AI - Blfh,, C►wtd-Deud !ood t0 oif - TgU9WAL 4.b ` 90'4" .24 , #sti +r,T<€ eeANs 40 of �i�,lf,�llLtfta tul.t+fl EAtUfo void 0 W911s totclimu fAussls P '' ; EAW4� T CNECILE j� ----- AAbjNO IMfQIIA!'1'1Ai{�}fQN 9RAC ryr�_ tyN if) ,! Af WAf , p T O AI. 5% #}9l 1--RO N`A r A11owobte Unit Shead lALA 13.30-15 r,ihor4:t�rtEi bo1lfrLq A. bD y �1' OU C • ..+✓•C^^'„�lRa �.'-..'_.•_ CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE S_AR/91 GRAVITY WARM AIR: RATE TOTAL Job Address 01?3 Furnace Shell & Duct Work $12.00 $ Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARDS AIR: Furnace Shell & Duct Work to 100,000 BTU �_ $12.00 $ / b C5 each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 each addn. 50,000 BTU 4.00 Boiler only up to 100,000 BTU 7.00 each addn. 50,000 BTU 6.00 OIL BURNER- to 3.gal. per hour ,510:00 each add. 3 gal. per hour 10.00 GAS BURNER- from 100,000 BTU to 199,999 BTU Al S10.00 (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS & REPAIRS State Surcharge TOTAL FEE ROUGH INSP. Date FINAL INSP. d 1-31 ,7 0 Date ,,% APPROVAL FOR PERMIT 7� REINSPECTION FEE ($10.00) S MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 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. �y f3Fridley, Minn. _r 19 76 OWNER -e jF— KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PER14IT 110. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name � �°� � Size No. S 0 F Capacity Sq. Ft. EDR BTU 6-�� HP Total Connected Load Kind of Fuel BURNER - Trade Name' Size No. Capacity Sq. Ft. EDR BTU HP Company tiitjL. Signed By Tel. No. 4a—, 5"3 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit f6r the work 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 c �^Fridley, Mn. J , 197op OWNER KIND OF BUILDING 14) USED AS TO BE COMPLETED ABOUT f.* / r/7k PARTIAL RATE SCHEDULE `y [ 4i PLUMBING FIXTURE RATES: Water RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. Number Fixtures a x $3.00 $ m w oo', w � Heater $2.00 $ Company New Fixture, Old Opening x 3 N •C � � U Signed By Catch Basin m m $5.00 ro C A •w o g -4 A x $5.00 $ /0.6o 49 FA .0- u M m x V1 3 Q w .oa to w t� mea 3 x $7.00 ii o as lec New Ground Run Old Building x $5.00 $ I Electric Water Heater 1 x $5.00 $ Date � GAS FITTING FEES: FINAL INSP. 3- 1st 1st 3 fixtures / '$3.00 l ' Date Additional Fixtures x $1.00 $ Gas Range to 199,000 BTO 2nd x $x:0.00 $ APPROVAL FOR PERMIT REPAIRS & ALTERATIONS First $100.00 3rd $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.SO STATE SORCHAROE State Surcharge $ .50 4th TOTAL FEE (R) = Future Connection Opening Connected with Sewer (•) = New Fixture, Old Opening Water Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit f6r the work 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 c �^Fridley, Mn. J , 197op OWNER KIND OF BUILDING 14) USED AS TO BE COMPLETED ABOUT f.* / r/7k PARTIAL RATE SCHEDULE `y ESTIMATED COST�T71 PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. Number Fixtures i) x $3.00 $ CDU Future Fixture Opening x $2.00 $ Company New Fixture, Old Opening x $2.00 $ Signed By Catch Basin x $5.00 $ Water Heater - to 99,000 BTU of x $5.00 $ /0.6o Tel. No. 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ ROUGH INSP. Electric Water Heater x $5.00 $ Date � GAS FITTING FEES: FINAL INSP. 3- 1st 3 fixtures x '$3.00 $-UO ' Date Additional Fixtures x $1.00 $ Gas Range to 199,000 BTO x $x:0.00 $ APPROVAL FOR PERMIT REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.SO STATE SORCHAROE State Surcharge $ .50 TOTAL FEE REINSPECTION FEE ($10.00) 97-8l.(-879001 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERUT PARTIAL RATE SCHEDULE PLUbIBING FIXTURE RATES: NO. RATE q tt =ber Fixtures x $3.00 v Future Fixture Opening L d $ Water u +� • $ Catch Basin x $5.00 E a e a $ 100,000 BTU to 199,000 BTU W u' $ Water Softener Heater $7.00 $ .ea x $5.00 $ Electric Water Heater •.[i u $5.00 $ y r�J s. u 1st 3 fixtures w '$3.00 $ Additional Fixtures x $1.00 •w Gas Range to 199,000 BTU a $10.00 $ C wo 3 x g •a mro 0 .c V)m m d +� m ..o+ U 5 w to S o w tow U M" 4 3 0 � `ug a O as lec Pan 1st d e 2nd 3rd 4th, (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUbIBING FIXTURE RATES: NO. RATE TOTAL tt =ber 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 Pun Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8.00 REIp;S'E^1"�it1 YEE Job Address 5123 NE 3 Street 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 correct Fridley, Mn. 6-26-78 19 OWNER WMLOCH KIND OF BUILDING frame USED AS r-" TO BE COMPLETED ABOUT 7-3-78 ESTIMATED COST 2000 OLD - NEW BUILDING PERMIT NO. PERMIT NO. �p Company Signed By MINNEGASCO Tel. No. ROUGH INSP. Date i FINAL INSP. IO.�S 7 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT 13 $7.50 PLUS $.50 STATS SUS SUBJECT P City of Fridley 214 8 2 AT THE TOP OF THE TWINS BUILDING PERMIT RE COMMUNITY DEVELOPMENT DIV. _ ____ r PROTECTIVE INSPECTION SEC. J CITY HALL FRIDLEY 55432 NUMBER REV GATE/6/92 PAGE OF APPROVED BY ,�� 612-571-3450 910-F15 8 JOB ADDRESS 5121 ^ 3rd Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Carlson's. Summit Manor 2nd Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenny Billet 5121 3rd Street NE 571-8019 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 Construct a 26' x 14' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on flan. WARNING Before digging call for alt utility locations 454-0002 REQUITED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $2,796 $1.40 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. $117.00 Fire SC $2.80, PLAN CHECK FEE TOTAL FEE 121.20 NATURE OF CONTRACTOR OR AUTHORIZ AGENT IOATEI T ENP QP LY A 1)4 THIS IS YOUR PERMIT ZIG ell*,— 92- DG INSP DATE SiG TUREOFOWE IIF WNE BUILDERI IDATEI NEW [ ] Effective 3/1/92 ADDN [) CITY OF FRIDLEY ALTER[) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction * Address: Legal Description: a Owner Name & Address: Tel. # Contractor: b r t MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length 5.(_t_ Width —� `' -- Hgt/Ground O�_ Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback _ Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + b Ft = _ Side Yard Setbacks Estimated Cost: 2J7�6 =- (cost on Back) Ft x $ = $ DATE: APPLICANT: Tel. # 71 ['�Uka CITY USE ONLY Permit Fee $ ZZZ i9d Fee Schedule on Reverse Side Fire Surcharge $ 2-00 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ —� $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alta "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ — Agreement Necessary [ ) Not Necessary [ TOTAL STIPULATIONS: $ /?-/.20 Vt •� �� • t Y T+ ?y a •' { 'ttT �'tl r, hl�fit!(T. �i�1Vi:/4 ,� ' /t i., i� ♦ :.J t jr. t r , K c �G.t�k��.. li �.`t ^� ;T t. ? arc LfaT, •*'.. d�t.� :d .��) � �' f `t A't p :• �$i .t }, :21 tts'`1 �'•f �t 1� MVi t�'r••� )/•t• v. .' �. t i' � �t 't' �,i'^' .•U�t Z � � h� � �+ k. HERRl : AT. NTER &: AS f•:•` f f; 11EG�ST�R�Q..�RQFFSS/ONAL'O LAND'SURVE'.ORS : ,VILLAGE-NQA.I H PROFIir1$4 IPNA� , B LM ;4; T420 UNITY AVENUE 4661' s• s 6141001(l VN PARK: t 96.0TTs-4 �- .�ti t,} -R .� }- � .. •� r ...®��w ••�� U :r� il�t1t<+t' ih•7+�r4�1'(.�,;., { �• l.• .. a - t. p r.F;pt . . '• [ Vii. .� M ' i �, N PROPERTY 0� 8 and E .rnLe,rprisc�b �t11;ot , Block 1 r CARLSON'S al.-vt�+1''T NIANOR ANNEX r . .095cribed as lows._ O T : ON E1n_c!�__ SiLYt�. i rtrr/ r.rt4 i n:T to. the plat 'of. t .'�uL•d theieof. ,� Jub ec io easument .of record.' ......... -.- .. � - �f •. L.i • t Z f V .�: ��- i r":;\% it .7t 0 e F WARNING T(HE.. CITY OF FRIDLLY DO S' )-tiOT GUARANTEE THE ',� Before digging call local utilities C, (CURACY -OF .. UTIL f • I t:' •. • w' �' / T c'r.s PP;D �LcvATion s. TELEPOONE -ELECTRIC ; GAS Etc.. . I :iv DATA 1S FOR INK, :: ri I:)•. ?J: -POSES ONLY AND i'-ASONS USING IT SHOLLv b'E:.IFY- THE INFORMATION REQUIRED BY LAW CA41HE SITE. --•••- shut 1Ria•%W+My• pw/' :r -.port .os .prepooad by me or 'a s••• fHl Q40111914d Lund Sitrwpr • indreuteS 11108 latar~l S61 .:IFF ill CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. �11i>t81 - JOB ADDRESS f New Fixtures Wash The undersigned hereby makes application for a permit for the work herein Floor;a#ch Auto. Gas Misc. Wat®r Heater Stones Clo�ei v Urinal `{' ..Showert�k Blow Off Basin ,. Tray D. Drain In : Washer " R Range . _ .: `Gas Elec Basement $ 7.00 Sump/Receiving Tank $ 7.00 \ Water Treating Appliance $10.00 Owner v\ \. Floor 1 = Building Used As Gas Range** Gas Dryer** $10.00 $10.00 r Back Flow Preventer Required ( )Yes () No Floor 2 $15.00 PLUMBING COMPANY Reinspection Fee $42.00/Hr LL SIGNED BY � TEL N0. 1t�� Floor 3 1.5% of Value of Fixture or Appliance ?' = _ Floor 4 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS f 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 Sump/Receiving Tank $ 7.00 \ Water Treating Appliance $10.00 Owner v\ \. Water Heater -Electric Water Heater - Gas** $ 7.00 $10:00 Building Used As Gas Range** Gas Dryer** $10.00 $10.00 B Estimated Cost ��0 0 o_ PERMIT NO. `153 0 Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY Reinspection Fee $42.00/Hr LL SIGNED BY � TEL N0. 1t�� ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance `�- o' 4 Approved By Rough -In Date Final Date State Surcharge .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. PIP SUBJECT PER City of Fridley 2 8 91 1 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 r NUMBER REV DATE PAGE OF APP VED BY i ' I CITY HALL FRIDLEY 55432 IL �'j .... Jl.� 612-571-3450 910-F15 2/10/99 JOB ADDRESS 5121 3 Street NE i LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Carlson's Summit Manor Annex Second SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Crandall 5121 3 Street NE 571-2511 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lake State Remodelers Inc 6000 Bass Lake Rd 4111, Crystal, MN 55428 533-1544 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 1965529 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Q ADDITION ❑ ALTERATION) REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (28 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 OWLG. 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 QE COMPLIED $2,399 $1.20 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 TOTA Ef: Lice $5.0 $83.35 SIGNATURE OFCONTRACTOR OpAUTHORIZE OAGENT IDATE, ENM�2z LIpAT IS ISI-----�� 00, //� SIGNATURE OfOW NEA IiF OWNER GUILDER, IDATEI 9l INSP BATE PIP NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ,,542 / - Legal Description: Effective 1/1/98 Owner Name & Address: M14 CoAd�� -� r� �T /ULr Tel. Contractor: _Z64 S4 &AndJeJ� _ fi— C a MN LICENSE # Address:%% / 7V 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: �2t-S _1�9 ) / - s l c U Old Construction Type: �� C Estimated Cost: $ ' ' ,Z_-3 W (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft 6 Ft = Ft x $ _ $ /X/(? DATE: APPLICANT: QY�/Il� Tel. CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ o7oL/D .001 of Permit Valuation (1/10th%) State Surcharge $ 1, 02® $.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 y� Erosion Control $ $450.00 Conservation Plan Review G Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ D 3 5 STIPULATIONS: