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PRE 2010 DOCSSUBJECT ERMIT City of Fridley wREcxnvc ' 15784 AT THE TOP OF THE TWINS BWG p E R M _ r RECEIPT NO >V _____ COMMUNITY DEVELOPMENT DIV. y® r i PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 16/16/80 JOB ADDRESS 5832 University Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 24 21 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE City of Fridley 6431 University Avenue N.E. 571-3450 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Herbst & Sons 2299 Co. Rd. H. 784-8510 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO, 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE REMOVE 8 DESCRIBE WORK Wreck Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Site to be cleaned of all debris. Inspection needed for sewer/water disconnect. 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 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 BE COMPLIED $1,000 $NONE WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT LIME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PRO% SOF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $10.00 S RUCT N R THE PERFOR N OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $10.00 IGN URE &CON A OR OR AUTHORIZED AGENT IDATEI " WHEN PROPERLY LIDAATE�D�TfHIS IS YOUR PERMIT11 ©� SXJC� C� 'C� ` &, BLDG )NSP GATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) City ofQFridley au�d¢°T Permit No. r., WRECKING PERMIT APPLICATION Receipt No. j r'L"-----COMMVNITY DCVELG9NEP4T DIV, I PAOTZCTIVQ VI CT"IOi; UIT, CITY HALL FRIDLCY 004M 4.J @!3-DD0-3-no NLWM RSV. DATE PAGE CF AF?ROV D BY Job ,address Legal Lot No. Block No. Tract or Add' on Desc. I Q41 0i ' Address Phone Property Owner&� Contractor Address Descripti n Front De t Height Sq. Ft Cu Ft. of Bldg. ®� No. of Dwelling Units Taxes Paid T eceipt No. Estimated Cost of Wrecking To Be Completed �J Utilities Notified: State whether notified and date r Minneapolis Gas Company' Engineering Department --T 372-4850 Northern States Power Company yll Customer Business Office 330-5540 Northwestern Bell Telephone Co. Business Office 332-4112 Approved By Water & Sewer Department: All Bills Are Paid Services Are Disconnected The undersigned hereby makes application for a permit to wreck the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby declares that 'all facts and representations stated in this application are true and correct. 9, - Jw Ae-e I — ontractor I Da a City of Fridley suB�Ecr P 7 7611 AT THE TOP OF THE TWINS BUILDING PERMIT ' ' R COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE F-;�P7AGE OF APPROVED BY 612-571-3450 910-F15 4/6/81 / JOB ADDRESS 5831 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23,24 21 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fridley Housing and Redevelopment Authority 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Bullick Inc. 9133 Van Buren Street N.E. 780-3400 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR REMOVE 8 DESCRIBE WORK Before digging call local utilifies Construct a 36' x 24' Dwelling (NO GARAGE) 9 CHANGE QF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. SEWER LOCATION: CApprox. 9' Deep In Street) 26' N. of M.H. CInv. 836.89( Wye Elevation: 836.97 Top of Footing: 840.97 Minimum WATER LOCATION: 40.9.' N.E. of M.H., 95.6' S. of Stop Box At 5840 Univ, A' DRIVEWAY DEPRESSION COST: N/A Use Existing Curb Cut.\0� P\aa �MAq\O SSNpFo �� 10S-�p0E V�E 10 GP IAfi PERMITS 'REQUIRED FOR A(RINF��Nv opNN BEATING, PLUMBING AND SIGNS. CPF�� �Or N�ov� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TY C CCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONI SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ®O 864 71,280 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 $34,700 $17.35 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- $69•12 CREDIT STRUCTION O HEP RFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE IIS' 4 41?tj $17.28 $103.7* GNAT EOF ONTRAC O OR UTHORIZEDAGENT 1 ATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT t?. SiGOATURE OF OWNER)IF OWNER BUILDERI (DATE I BLDG iNSP TE CITY OF FRIDLEY APPLICATION FO[{ RESIDbITIAL BUILDING PER4ITS (New, Alterations, Additions, or Repairs) 01114ER: ADDRESS: TEL NO: BUILDER: ka,.�r ADDRESS: TEL NO: 7�D 3YD'U Construction Location STREET NO: S`�— STREET: 3 S% fli C. LOT: . Scc S'Uy(i6 y BLOCK: ADAITION: Corner Lot: Inside Lot: /\ Setback: 3 Sideyards: Applicant attach to this form two Certificates of Survey of lot and • proposed building location drawn on certificates to scale. DESCRIPTIOld OF Front: 3 Square. Feet.- . Front: 1 Square- Feet: COtiSTRU CT IOPJ Depth: Z N Height: Cubic Feet: 1 1 epth= _ Height: Cubic Feet: of Type of Construction: `i/pa� �yz� Estimated Cost: $ f��f To Be Cbrapleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Mie undersigned hereby makes application for a : permit for the �.,ork' 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 s1re true and correct. DATE: 77/ � 8'/ SIGNATURE Stipulations:: P� e',i:a )e SAW. 'r0#0 -.nn Office 571 GO% ^u 16875 Mghwry ho 65 N E UBURnAN, �r-7QNOIN@ERI/da i � •.Lnrvatw6t,Mn+n:.u1455472 �V1 --INC • j 1 ^ �'i✓J a - 1ft 890 6510 '01C.'j 1uJ i Nuunpa/ FwRwrnInt tSw! TestingaGonJ Sunrynl t 1nnJ Planting Buntw.t1r. Wnnena S57]7 � t�y5tt-�L1 Certificate of S�xrvey for �c�t-t~Y Ar4P �EnEv�l.vQr�t�r-'r�' j\VT"t79%T`i' 1 : Y C't BIDLEY DOZES NOT GUARAN11'.i I �!%. :4:A�:'� OF IiTiLITY LOCAICNS AND ELEVAT1O;N.* . DATA IS FOR INFORMATIjgN PURPOSES ONLY AND Z.�;, SOPiS USING IT SHO VERIFI( jH� INFORMATION J� _ yi8 a1- ►� ",�.I THE SITE. (� _ 1 W a z v r W O p• t�\\ r 1 sp _EL NC.c rte- I hereby certify that this is a true and correct representation of survey of the boundaries of the above described land, and of the location of all Ituildinys, thereon, and a visible encro/a�chmentst If any; from or on sold land. At surveyed by me this'Ir+P day of ��'r'£ 1D?: SUnUC�JGIiJ- ZRING, IP9C. Qcspjn far / % Surveyors 'lot Pubbihcd: A11 Rights Rclerved FO 0 7-W �af 93;; J p3G, 97 vs� CITY OF FRIDLEY APPLICATION FOR PWiNBING AND GAS FITTING PER41T PARTIAL RATE SCHEDULE m RATE Number Fixtures 4 > m x $2.00 New Fixture, Old Opening x $2.00 o x $5.00 .4 v 100,000 BTU to 199,000 BTU Water r m x $7.00 New Ground Run Old Building x $5.00 Electric Water Heater ►b+ e a t °u m a 41e4 w � Heater I + C) c N x ay i k o 0 m a ►+ N s: o t -1 - e c 3 . 0 •i x 6 d g Az V D t u1 y A w° vxi o as lee is_ 2._d 3r3 4 (�) Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures 4 x $3.00 Future Fixture Opening —� x $2.00 New Fixture, Old Opening x $2.00 Catch Basin x $5.00 etater Heater - to 99,000 BTU ( x $5.00 100,000 BTU to 199,000 BTU x $10.00 hater softener x $7.00 New Ground Run Old Building x $5.00 Electric Water Heater x $5.00 GAS FITTING FEES: 1st 3 fixtures i x $3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $10.00 REPAIRS $ ALTERATIONS Job Address 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 correct n F ley. Mn. -7 a.7 19� KIND OF BUILDING V USED AS TO BE COMPLETED ABOUT ESTIMATED COST TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. $ dt .acs $ Compan $ Signed �rn�/ d $ � Tel. No. $ $ ROUGH INSP. $ Date FINAL INSP. y - —�'/ of $ .Ud Date S $ APPROVAL FOR PERMIT First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 'iCSV REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCBARGE CITY OF FRIDLEY APPLICA'rim FOR RESIDENTIAL BUILDING PEP44ITS (New, Alterations, Additions, or Repairs) OWNER: ZU.LL ADDRESS. / 11,4 Itf ; TEL NO: BUILDER: . ADDRESS: TEL 1-10: Construction Location '44 STREET NO: STREET: '_3�C® L'AS_,c r /LAL, LOT: J,r JtZ BLOCK: oZ/ ADDITION: Corner Lot: Inside Lot: Setback.: Sideyards: APIlicant 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: Type of Construction: Estimated Cost: $ To Be Oorapleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: /fS � $ '02.1d OCA $ SEE W3VER£SE SIDE OF SHEET . %lie undersigned hereby makes application for a permit for the %:nrk• 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 : �� % � % S I GNATU RB : Stipulations: CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work $12.00 $ ' Replacement of Furnace 7.00 7.00 $ $ Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432 Repairs & Alterations -up to $500.00 4.00 $ C:.ty of Fridley Repairs & Alterations each add. $500.00 Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a Permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ �� spedified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the *Replacement of Furnace - to 100,000 BTU 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ Fridley, Minn. STEAM OR HOT WATER SYSTB): Boiler &'Lines up to 100,000 BTU $12.00 $ RIND OF BUILDING x/,17 each addn. 50,000 BTU 4.00 $ `— Boiler only up to 100,000 BTU 7.00 $ USED AS 11-c each addn. 50,000 BTU 6.00 $ . TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ SY` each add. 3 gal. per hour 10.00 $ ESTIMATED COST GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $-/L,) - 00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTIXG FEES: lst 3 Fixtures x $ 3.00 $ DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. AIR CONDITIONING $ Trade Name -/��i�%� Size No. 61f0�(1�,�� / FAN HEATING SYSTE,X1S See Fee Schedule VENTILATING SYSTEMS $ a 1 $ Capacity Sq. Ft. EDR BTU 0(j = HP ALTERATIONS $ REPAIRS $ +7- T— State Surcharge $ .50 Total Connected Load Kind of Fuel /I/t TOTAL FEE $ oiS S� BURNER - Trade Name Size No. ROUGH IMP. REINSPECTION FEE Capacity Sq. Ft. IDR BTU HP Date ($10.00) � /� -/�^ �l ' Company �l� FINAL INSP. Data Signed By APPROVAL FOR PERMIT • �� Tel. No. raNIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS -•$.50 STATE SURCHARGE *Attached stack verification form CITY OF FRIDLEY APPLICATION FOR PUJMBING AND IFAS FITTING PERMIT PARTIAL RATE SCHEDULE m PLUMBING FIXTURE RATES: NO. RATE H Nu. -der Fixtures x $3.00 v Future Fixture Opening K m $ Water x $2.00 $ Catch Basin x $5.00 $ nater Heater - to 89,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener Heater $7.00 N v New Ground Run Old Building x c e H ro $5.00 $ o e U 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ D. REPAIRS $ ALTERATIONS First $100.00 d $ each add. $100.00 or.fraetion u a M W S w $ u a T U o lec cr o to wro as 2zd 3r3 I (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Nu. -der Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ nater Heater - to 89,000 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 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ D. REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or.fraetion $2.00 $ --T State Surcharge $ .50 TOTAL FEE $ ®/ ", — REINSPECTION FEE ($10.00) Job Address 513 ( r e 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 OWNER Pii:�,T USED AS TO BE COMPLETED ABOUT ESTIMATED COST 1 ROUGH INSP. Date FINAL INSP. J} /0 - Q Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE SUBJECT City of Fridley 20931 AT THE TOP OF THE TWINS BUILDING PERMIT(i5-q r ' , COMMUNITY DEVELOPMENT DIV. / r PROTECTIVE INSPECTION SEC. 1 NUMBER REV. GATE PAGE OF APPROVED BY ,., CITY HALL FRIDLEY 55432 L J` 612-571-3450 910-F15 7/9/91 JOB ADDRESS 5831 - 3rd Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23,24 21 Hyde Park. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Orlin Peterson 5831 - 3rd Street NE 571-2518 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 [A ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 261-x 26k Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. 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 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 $10$464 $5.23 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- $126.00 Fire SC $10.46 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $141.69 SIGNATURE OF CONTRACTOR ORAUS RIZED AGENT (DATE) WHEN PROPERLY 1 ATED T IS IS YOUR PERM T -16 'UILDPR iu9 g SiGNATVREOF OWNE F ! IOATEI 0 DOE NEW - j, ADEN [ ] ALTER [ ] construction Address: MM« -u a•� R-1 AND R-2 Building Permit Application Effective 1,/1/91 t V — _ / Owner Name & Address: Ta CCntractor: / % Tel. Address: / 3 p Attach to this application, a Ciertificate of Survey of the lot, with the proposed o=wtn=tion drawn ori it to scale. .7 �vnn AREA: length Width Height Sq. Ft. Oc6mm Length a (, Width Height Sq. Ft. D®C'dt AREA: Length Width Hgt/Gram-d Sq. Ft. ate: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Wbop srftAM*_,, Estimated Cost: $ Approx. CcMletion Date: '� rnos� Proposed Driveway Width If New Opening Is Desired: DNO'-Ft. $ Width + 6' See Back Page DATE: -0,1U-91— APPLIC ANr: Tel. # Permit Fee '06 Fire Surcharge State Surcharge SAC aku ge $ Driveway Escrow $ Park Fee $ Seer Main Qkarge $ l Carr BBB MY Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by mei ree 3 *+g Agreement Necessary [ ] Not Necessary [ ] HAKANSON 4 NDERSON ASSOCIATESP Ince �!J professional engineers and surveyors Anoka, Minnesota 55303 6121427-5860 CERTIFICATE OF SURVEY Survey for: Bullick, Inc. Survey of: In -Place foundation location. DESCRIPTION: Lots 23 and 24, Block 21, Hyde Park, Anoka County, Minnesota. Subject to easements of record,*if any. Li Li 19 01 (0 583/ 45.4 0-1 , , 0 0 U 0 4 .J 0. (L z 'z 0 0 45.4 l..7 1% "% ____1 9n 24.0 cr I 12B.97 Scale: I" - ZO' Bk. 2% , Pg. '10 -2 ap ST-. ui z LLJ a. 0 IS d >u; CO _J i Id. Sec. 2S , T. *30 , R. RA o Denotes iron monument I hereby certify that this survey, plan or report was -prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under. the laws of the State of Minnesota. I/ I -e 11� 1224;3 , 01& llql 262.1a Reg. JN9. Date Job No. V SUBJECT 1_ - RMIT NO. City of Fridley 26457 AT THE TOP OF THE TWINS � I I L D I N %� BUILDING D E Q AA I T �J Dv �„J 1 11x1 1 RECEIPTNO. COMMUNITY DEVELOPMENT DIV. _ r PROTECTIVE INSPECTION SEC. 9/ NUMBERREV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 7/6198 JOB ADDRESS 5831 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23, 24 21 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Orlin Peterson 5831 3 Street NE 571-2518 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION jJ REPAIR 0 MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (20 Sq) 2nd Layer; Repair Siding West Side of House & Gara 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd. Install building wrap and call for inspection before covering. REFUNDED $15.98 OVERPAYMENT TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 BE COMPLIED $1,753 $.88 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 FEE .O1 SGNAT RE OFCONTRAC AUTHORIZED AGENT IDATEI &WREN ROP ALIDA E IS IS YOUR PERMIT SIGNATURE OF O R ac OWNER BUILDERI IDATEI G INS BATE V NEW [ ] Effective 1 / 1 /98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:` L -- 3 S /UL Legal Description: Owner Name & Address: Contractor: Address: Tel. # MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Tel. # 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: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ &DO DATE: (v APPLICANT: Tel. #41 CITY USE ONLY Permit Fee Fee Schedule on Reverse Side Fire Surcharge �. %S $ .001 of Permit Valuation (1/10th%) ,tate Surcharge $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit -1cense 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 [ J Not Necessary [ J n J —z9#;P-& &'20 TOTAL $ STIPULATIONS: SUBJECT PER -City of Fridley 18 9 5 AT THE TOP OF THE TWINS BUILDING PERMIT r? RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. _ INSPECTION SEC. 572-3604 r � � PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV DATEPAGE OF APPROVED BY 612-571-3450 9104115 6/12/01 JOB ADDRESS 5821 3 Street NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21,22 21 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Del Price 5821 3 Street NE 763-574-9331 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Home Pride Remodelers 790 W Wentworth Ave, Mendota Heights MN 56118 651-246-7729 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20013090 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION j] REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace windows within existing openings 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. 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 12Q 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 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 $2.68 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,360 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 - Fire $5.36 TION OR THE PERFORMANCE OF CONSTRUCTION TION X PLAN CHECK FEE TOTAL E o/ Licen $5.0 $1,6.29 SIGNATURE OF COOVRACTOR OR AUTHORIZED AGENT IDATEI EN ROP VALIDATED IS IS UR PERMIT SIGNATURE OF OWNER iIi OWNER BUILOERI IDAiEI BL G INS PATE NEW [ j Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Tel. # 3- 5-7Y- 9,3/ Contractor. f �e PSI IOW- (2r�6�1 a Qwest. 5 MN LICENSE # c " 2" i-'° Address: "1g0 L✓ 4t1gF- Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT &fl -2y,(, -77z % 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: AK-,4f7ec-6- r Estimated Cost: $ $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �//Z 10( APPLICANT: Tel. #. 4Wz-7/a-'/fyb CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $_ $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge _ $ 6) $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: CITY OF FRIDLEY BUILDING INSPECTION ��" �d Effective 4/1/2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 763-572-3604 FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 53y— S -0'4-&'r 1' RATE SCHEDULE Fee Total Residential Owner Furnace Shell and Duct Work, Burner & Ito also Replacement Furnace $35.00 $,2� Building Used As Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED CpST��I��� PERMIT NO Gas Range $10.00 $ Gas Dryer $10.00 $ *Air Conditioning - All Sizes $25.00 $ All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater on work less than $500.00 Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) $ Minimum Fee $35.00 for Commercial/IndustriaVInstitutional State Surcharge $ .50 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 DESCRIPTION OF FURNACE AND BURNER # of Heating Units_ Circle One (Steam) (Hot Water) 09 m Air Trade Name Size No.7.5-= BTU %�,\"� HP ED Fuel fV4+UYV Total Connected Load �� Burner Trade Name J_/� Size NJIA�S� s BTU S. = HP 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 representaxions stated in this application are true and correct. HEATING C( Tel #00��/�bS/ Approved 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 existina 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 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 ventina 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. YesV No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input.7S-f 000 Fan Assisted or Nat Appliance #2 Type BTU Input 4W 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 V ft Length __g__ft Diameter in Type Appliance #2 Vent Connector Height ft Length _LL_ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS:_ (Describe) HEATING CO Signed By: r . _ = Date t-