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PRE 2010 DOCSr1 L_J • _�36 .- z _Z_ City of Fridley, Minn. N° 8442 BUR DING PERMIT Date: September 13, 1965 Owner: Builder Lyndale Builders Address 5130 - 3rd Street N.E. Address 7437 Lyndale Avenue South LOCATION OF BUILDING No. 5130 Street 3rd Street N.E. Part of Lot Lot 4 _ Block 2 Addition or Sub -Division Ca.rlson's Summit Manor Annex, 2nd Add. Corner Lot , Inside Lot Setback _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dwelling46' 24' Height 20' Sq. Ft. 1.156 Cul. Ft, 23,120 '+ x 13''"`pF85tcrlon Att, Gar, Front 12T' Depth 24' Height 10' Sq. Ft. 288 CtL Ft. 2,880 Type of Construction Fra_ Fat. cost $16,500-00 To 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 ;J1 provisions of ordinances of the city of Fridley. 1� P Inconsideration of the payment of a fee of $-26,.00-, permiit is hereby granted to Lyndale Builders 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 time upon violation of any of the provisions of said ordinances. ALLEN G. JENSEN Building Xnspector NOTICE: This permit don not corer the cendrucHon, hntalbi ien for wtrim phtmbing, on boding, sewer or wrier. Bo sure to sn the Bulidieg Inspector for separate perndb for 6m items. d - • APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ADDRESS ADDREss . -7) Ig 3 2 L r" 4 © LOCATION OF BUILDING No, STREET PART OF LOT LOTBLOCK ADDITION OR SUBDIVISION e CORNER LOT INSIDE LOT SETBACK SIDE YARD � c L 040 S n SEWER ELEVATION FOUNDATION ELEVATION 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; f . P -e Front Depth)L q Height 7 ! Sq. Ft. 1, Ogg l Cu. Ft. r k k- CA Front j Depth_a Height ® L, Sq. Ft. Cu. Ft. .` Type of Construction F z 4 Estimated Cost e4l3 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, DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and G"n Fi ing Permit 53-84-x915.51 Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Location 5130 NE 3 S t Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 yy y� k $ Catch Basin ............................ x $3.25 $ Water heater (Up to 99,000 BTU) ...... x $3.00 0 �F O New Ground Run Old Bldg . ............ N WATER HTR. GAS MEC Base GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... ................... 2 x $2.00 $ 2.00 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ install (2) gas lites 6.00 REPAIRS & ALTERATIONS—Refer to Code 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Conceded with Suver � Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.26 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... ................... 2 x $2.00 $ 2.00 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ install (2) gas lites 6.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 8.00 City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn,July21. 1970 , 19_ Owner Flnri an Novak Kind of Building frame Used as residence To be completed about July 24, 1970 Estimated Cost, $ 00 Old?—CNew. Building Permit No Pe it No. o i Business ]Fikil o ROUGH FINAL --!2' � % U 42 SUBJECT�afy N0. City of Fridley 13519 AT THE TOP OF THE TWINS BUILDING PERMIT r R CEIPT NO. 161 ------- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. / I"'1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L""'k', �.J 612-560-3450 910-F15 5/12/76 JOB ADDRESS 5130 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 2 Carlson Summit Manor Annex Second AddnSHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Florian Novak 5130 - 3rd Street N.E. 3 CONTRACTOR MAILADDRESS 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 ' x 32' Addition tp dwelling 9 CHANGE OF USE FROM TO STIPULATIONS provide truss design. Cover styrofoam insulation with sheetrock. Insulate ceiling with R-30. Provide triple pane sliding glass door. SEPERATE PERMITS REQUIRED FOR WIMN9,1 HEATING, PLUMBING AND SIGNS. 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 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 SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 4.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9,000 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. $35.28 PLAN CHECK FEE TOTALFEE $39.78 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PR PERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE SIGNA IIF F ZNER IIF OWN BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME: kL ! o /1.4 J l�ra � ._ )e BUILDER: � �✓r7 t= ADDRESS : tj %�D S /t7 ADDRESS: NO: STREET: &j Z,ZD - /d- L LOT: BLOCK: ADDITION: y-1 PAI SOdeid ];&"J) a /�f>a' ��. �d 6,/ CORNER LOT: INSIDE LOT: SETBACK: SIMARD: Applicant attach to this form Two Certificates of Su_ rvey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: a h) Front: ZDepth • �1 2 Height • Z d • Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: �A)�i�� ,(off Estimated Cost: $ 5woo, do To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict 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 applicationd are true ancorrect. DATE: '1/17L, SIGNATURE:' (See Reverse Side For Additional Information.) p X000 orJ. pQo J#Pe *KszCoe rage i or s • EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER: E� c� �� -- /L r DATE SITE ADDRESS: PHONE: CONTRACTOR: Determine working square footage of each / 1. Total exposed wall area...... 63o_ sq. ft. x .17 = 2. Toal roof/ceiling area ...... sq. ft. x .05 = Total_exposed wall area above floor = a. Totalw w area.. ............................ b. Total door .............. ................. Q�°A G c. Total sli ing glass door area ......................... d. Total fireplace wall area ............................. e. Total wall framing area (average 10%)............I..... f. Total rim foist area .................................. g. wall area above floor .......................... h. wall area above floor .......................... i. wall area above floor .......................... j. wall area above floor .......................... Q Total exposed foundation area = k. Total foundation window area ........................... 1. Total net foundation area above grade ................. Determine "U" value of each wall segment (e.g. window, door, each separate wall section) a. !!� I— X I'Ug' b. /00 X nun _ . Z C. X "U" _ d. �� X ..U.. • P L = e. X "U" f. ji! X fluff EM X h. 46 . X i. -3/0 X j• "U" full • / i = Stull ; 0 7 = X "U" _ k. X "U" _ 1 X "U" 3 . ............................. Total V f item #3 is the same as, r less than item #1, you have met the intent of SBC 6006 (c) 2. ~ . Exterior Envelope Average "U" Computation Total exposed roof/ceiling area = m. Total skylight area ............................ n. Total roof/ceiling framing area (average 10%)... o. Total net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment M. X "U" _ n. X "U" o. X "U" _ Page 2 of 4 4 ........................... Total = If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. _ 3. + 4. _ • WALL SECTIONS NOTE: Use 10% of opaque wall area for • frame construction FJG. #3 o Page 3 of 4 Construction R -Value 1. Interior air film 0.68 2. 3. 4, 5. 6. Exterior air film 0.17 Total 1. Interior air film 0.68 2. 3. 4. 5. 6. Exterior air film 0.17 Total 1. Interior air film 0.68 2. 3. 4. 5. 6. Exterior air film 0.17 Total 1. Interior air film 0.68 2. 3. 4. f•. S. 6. Exterior air film 0.17 Total e r v r 10 FIG: #4 lit Op to x X lir NOTE: Indicate type, "R"'value, depth and Placement of insulation. A ROOF/CEILING Vented heat flow up FIG. #5 'M�.1�1 T��•�! ��C� �'�;i.� �:�.:L1y�'r e't`_C`n'f �-.l•'n, t -L. yTi C.f 1 .. Page 4 of 4 Construction R -Value 1. •Interior air film 0.61 2. 3. 4. Exterior air film (still) 0.61 Total 1. Interior air film 0.61 2. 3. 4. Exterior air film (still) 0.61 Total }:eat floe up • ;vented ,FIG. #6".. 1. Inside air film 0.61 2. _ � ' z• 3.4. 5. Outside air film 0.17 • Hent flow up - PXG. 07 ' Total Note: Use additional sheets if more space is needed for details and calculations CITY OF KEY a APPLICATION FOR PWMBING AND GAS FITTING PERMIT �� `8! ► i6651 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL ati:.ser Fixtures x $3.00 Future Fixture Opening • _ 3i $2.00 $ water Hear x ' S Catch Basin x $5.00 $ i_ water Heater - to 99,000 BTU x $5.00 $ _ 100;000 BTU to 199,000 BTU x $10.00 $ _•„_ water Softener x $7.90 $ _ o p $5.00 $ Electric water Heater x $5.00 $ 0 1st 2nd 3rd 4th4th' (R) - Future Connection Opening Connected with Sewer (•) - Ifew Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL ati:.ser Fixtures x $3.00 Future Fixture Opening • _ 3i $2.00 $ Now Fixture, Old Opening x $2.00 S Catch Basin x $5.00 $ i_ water Heater - to 99,000 BTU x $5.00 $ _ 100;000 BTU to 199,000 BTU x $10.00 $ _•„_ water Softener x $7.90 $ _ New Grourd Run 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 6 ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ . • 8.00 REINSPECTION FEE 030-00) Job Address 5130 3 Street NF � Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work here specified agreeing -to do all work in strict accordance with the City Code and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and cos Fridley, Mn. 1-27-77 , 19 OWNER 10rin Novak KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 2-3-77 ' ESTIMATED COST 10.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By MINNEGASCO Tel. No. ROUGH INSP. Date FINAL INSP. F- /(. e ?,r Date r APPROVAL FOR PERMIT fLG MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 53-%-879001 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures Water m $ Old Opening, New Fixture aapp $ u d' $ 4.00 p, W $ 5.00 Heater Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ aU $ 7.00 $ Hot Water Heater Aw° w $ Gas Range $ 10.00 O Gas Dryer lec Eq $ D ALTERATIONS o� U)3 1% of Value of Fixture or Appliance t`�a�a�3 $ c� s Reinspection Fee $ ($15.00) TOTAL FEE $ 10 0 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures S 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ ($15.00) TOTAL FEE $ 10 0 zrreCL1Ve Aug. 1, 1`!H1 x/,30 — 2,,Zj AJ Job Address 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. 10-12-81 19 OWNER C/' A Q RIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 10-19-81 ESTIMATED COST 50.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. / B - 3 - *,3 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY Effective Date January 1, 1991 APPLICATION FOR POWER PUNTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE AESIDEATL#L 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 $ S 10.00 S S 10.00 S S 10.00 $ $ 10.00 10 All Others/Repairs and Alterations It of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 10 of Value of Appliance or Work State Surcharge TOTAL TEE REINSPECTION FEE $30.00. Rough Insp. Date Final Insp. ®� Date Approval for Permit S V s 30 $ .50 $ C, L-). o S MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address � V � t" `b A 0 ° - Building Inspection Div. 6431 University Ave HE 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 a • and correct. d � 19e OWNER ( ` �! v' `% J KIND OF BUILDING USED AS TO BE COMPLETED ABOUT � / -2— ESTIMATED COST 1 �- T�� rNAOLD - NEW BUILDING PERMIT NO. PERMIT NO. 1 O DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Stead, Hot Water, Warm Air- NO. Trade Name � t -L' Size No. Capacity /Sq. rFt. EDR BTU HP Total Connected Load T 1 i� Kind of Fuel ' BURNER - Trade Name Capacity Sq. Ft Size No. EDR BTU HP Company ROYAL HEATING f+ C(;C��iNC� signed By ESB n PaTk, M1' d�443 424.8 Tel. No. 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 No ( ) 2. Is free from rust or deterioration Yes ( ( ) 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 s� 62" Rema rk s �`� d! j S t° S Company oMALTON HEATING COOLING 4120.85th Avenue N Signed By Brooklyn Park, MN 5544,:, i—v Da to SUBJECT P .� City of Fridley 218 4 0 AT THE TOP OF THE TWINS BUILDING PERMIT i? RECEIPT NO. COMMUNITY DEVELOPMENT DIV.gyQ PROTECTIVE INSPECTION SEC. I SV I r I i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/11/93 JOB ADDRESS 5130 3rd Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Carlsones Summit Manor Annex 2nd Addn, SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Florian Novak 5130 - 3rd Street NE 572-9532 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 X 8 DESCRIBE WORK Reroof House & Garage (39 Squaresj. Tearoff 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment mustGQmply 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I 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 $2 106. $1, �5 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- $54.00 Fire SC $2.11 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $57.16 SIGNATURE OF CONTRACTOR OR UTHORIZED AGENT IDATEI WH N P PERLV VA DATED THIS IS YOUR PERMIT BLDG INSI' MATE S N URE OFADVVNER OF OWNER BUIL RI IDATEI NEW [ ] Effective 1/1/93 ADDN [ ] CITY OF FRIDLEY. : t S01 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address:C�7/A� Legal Description: Owner Name & Address: / Tel. Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. T Length Width HgdGround Sq. Ft. Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DAT ::�� APPLICANT: 2Z24& �W'I—Tel. �� CITY USE ONLY Permit Fee $ , 00, Fee Schedule on Reverse Side Fire Surcharge $ o? • // .001 of Permit Valuation (1/10th%) State Surcharge $ AOS— $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Nary [ ] TOTAL STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Effective On January 1, 1997 All Others epairs & Alterations (LIST ON BACK) Of Valu of Appliance or Work CommercialAndustrial ` 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLIN REFRIGERATION AIR CONDITIONIN RI PLUS THE $.50 STATE SURCHARG REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without • written permission from adjoining property owner. 50 DESCRIPTION OF FURNACE AND OR BURNER No, 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 HEATING COMPANY HP Size No. EDR . Signed By Tel No. Approved By Rough—in Date Final Date I " FILL OUT BACK SIDE FO STACK VERIFICATION ON 6ak REPLACEMENT FURNAC JOB ADDRESS. �� e SLA r RATE 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 that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent = Fill Out Back) T- -4 1997 Gas Piping (Needed with new furnace) $10.00 $ n-tu j, OWNER. Gas Range $10.00 $ BUILDING USED AS__��c Gas Dryer $10.00 $ _ ESTIMATED COST PERMIT NO. *Air Conditioning — All Sizes $ 25.00 $ All Others epairs & Alterations (LIST ON BACK) Of Valu of Appliance or Work CommercialAndustrial ` 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLIN REFRIGERATION AIR CONDITIONIN RI PLUS THE $.50 STATE SURCHARG REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without • written permission from adjoining property owner. 50 DESCRIPTION OF FURNACE AND OR BURNER No, 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 HEATING COMPANY HP Size No. EDR . Signed By Tel No. Approved By Rough—in Date Final Date I " FILL OUT BACK SIDE FO STACK VERIFICATION ON 6ak REPLACEMENT FURNAC 6 Has total heating BTU's of 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:. List ALTERATIONS Being Donee HEATING CO:—�-�� Signed By: Date: ) 71q . CFDNMY AND STACK VERIFICATION The undersigned hereby verifies that the. existing chimney or stack.- tack1. 1. Has been carefully examined Yes O 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's connected Yes ( ) No ( ) 6 Has total heating BTU's of 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:. List ALTERATIONS Being Donee HEATING CO:—�-�� Signed By: Date: ) 71q . SUBJECT N City of Fridley 2 5 � 7 7 AT THE TOP OF THE TWINS UILDING PERMIT BUILDING' ' , NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 0/10 , NUMBER REV DATE 4/28/98 PAGE OF f_I APPROVED BY CITY HALL FRIOLEY 55432 612-571-3450 910-F15 JOB ADDRESS 5130 3rd Street I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 lCarlson's Summit Manor Annex 2nd Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Florian Novak, 5130 3rd St., Fridley 55421 572-9532 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Rusco, Inc., 9901 Smetara Dr., Minnetonka 55343 935-9669 2173 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 0 NEW D ADDITION O ALTERATION XO REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replacement windows 9 CHANGE OF USE FROM TO STIPULATIONS Egress requirements at time of original construction. Smoke Detectors in all sleeping rooms and one each level of the dwelling. 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 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED VAflATJQN_ 578.00 , 00ffffi $1.79 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- $87.25 Fire SC $3.58 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE OTAL FEE Licens 5.0 $97.62 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN R Y VA BL INS OU PERM TED THI:4,:3 / , MATE SIGNATURE OF OWNER OF OWNER BUILDER$ IDATEI p. J '"EFS 19-1996 1vi�w L i ADDN [ ] ALTER 14 ConstructionAddress: Legal Description. _ Owner Name & Addr, Contractor: M11 n VA d Address: 14:23 CT TY OF FR I DLE'r CITY OF FRIrDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 612 571 1237 P. 01/021 Effective 3/1/96 MN LICENSE # —Tel. # __Q3d -q11) � Attacks to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVENIENT LIVING AREA: Length Width � Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: 3- -my-Z a J1 7L ,,vvxz -/9n" ®/tom, cc ,x Sq. Ft.1 Sq. Ft. _ Sq. Ft. Ui�Poi/t'`�Glie q6ir�5 �omer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks ryle of Construction: _ t'R �/� dce ' Estimated Cost: $ 4 3 5 i LkpProx. Cdiupletion Date: (Cost on Back) )riveway Curb Cut Width Needed: t. + 6 F x $ $ )ATE: APPLICANT: Tei. # CITY USE ONLY leimit Fee $ 7. a5 Fee Schedule on Reverse Side 'ire Surcharge .001 of Permit Valuation (1/10th%) tate Surcharge $ $.501$1,000 Valuation U t AC Charge $ $900 per SAC Unit icense Surcharge $ d $5.00 (State Licensed Residential Contractors) ,riveway Escrow $ Alt. "A" or Alt. "B" Above �� 2 -y --f9 rosion Control $ $450.00 Conservation Plan Review ark Fee $ Fee Determined by Engineering !wer Main Charge $ Agreement Necessary [ j Not Necessary [ TOTAL 'TTLATIONS: