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PRE 2010 DOCSSUBJECT PERMIT NO: of Fridley 2 2 9 0 3 AT THE TOP OF THE TWINS BUILDING PERMIT Ir?City _ COMMUNITY DEVELOPMENT DIV. ~ r PROTECTIVE INSPECTION SEC NUMBER REV DATE PAGE OF APPROVED BY ' CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/14/94 JOB ADDRESS 5420, 5422, 5424, 5426 4 STREET NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 6-13 12 Hamilton's Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE _ 57 Charles Westling 125 76 Way, Fridley, MN 55432 572-0823 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 4 Unit Townhouse 7 CLASS OF WORK 1] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 60' x 35' 4-Plex 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Paid $750.00 Park Fee. 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 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 4 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX Fire SC AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $263,048 $131.52 $263.05 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC�O OR THE PERFORMA E OF ONSTR_UCTION $1,213.50 i�3,200 (4) PLAN CHECK FEE TOTAL FEE C�'J,� $ 788.78 $5,596.85 + PF SIGNATURE OF CONTRACTOR OR AUTHORIZED AGEN IDATEI WHEN PRROOPPERLY Ig,ATED THIS IS YOUR PERMIT 01 BLD INSP qTE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI Prepaid Plan Check $ Estimated Cost $ Receipt # y"Iytop,i1r� R-3, COMMERCIAL. & IlV snUAL Effective 1/1/94 Construction Address 5-4- L 0- 27- - 7- - Z `�' S 7, IOa 'Tract : -1-; `�' a - 12, Hamilton is ' _ �T`►� ' �fdp,14 a Tel # S72 -oSd �3 6, 7, $� 9. 10, ounty, Minnesotddition to Mechanics12 v• and 13 he east a, exce elle Block Tel.# 4 7 Unive right o f -Way 1 pne that part lyin Anoka Rgq� # -r rsitY Avenue N.E. of State Trunk westerly of L �/I 41 Engi neer & ghway No. Reg. # 2 2 " TYPE OF WORK [e New [ ] Addition [ ] Alteration-Describe- V, lteration'i be Applicant SignatureG' Tel. #Date e 3 e �pLIr L-7 B[IIIDING DII�Q� .� " Length to a Width �� Height 1 3 Sq. Ft. 2 1 0 O # of Stories OFC. AREA: Length P '*"- Width WHSE AREA: Length 0 Width -ARM AREA: &0404c ( c5„Jl'l6 Ft. 200 x $ Jt, Cost/Sq. Ft. 9—��— x $ Oost/Sq. Length G6 z� I Width Sq - Sq Height Sq, Ft. Height Sq. Ft. Height Sq. Ft. d o VATIRMC K Ft. = Valuation Ft. = Valuation Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TML VALUE Building use Construction Type -Zlyl Occupancy Group Air Con#tioniing MIres [ ]No Fire Protection Provided [ ]Yes [q o Performance Bond Amount -$ See Reverse for Schedule Received [ ]Yes [ ]No Permit Fee $ /. See Fee Schedule on Reverse Side Plan Check $ Ve®W- In Excess of Prepaid Amount - See Reverse Side Fire Surcharge $ Q43 &� .001 x Permit Valuation (1/10th %) State Surcharge $ sa 3/ $.50/$1,000 Valuation (See Sched..for > % Million) SAC Charge $ - $800 per SAC Unit (Plans to KOC for determination) &wion Control $ $450.00 Conservation Plan Review Park Fee $ 2M• C y Fee Determined By Engineering Spec- Assessmmts $ Agreement Necessary [] Not Necessary i' Driveway Escrow $ feet x $13.50/foot 70321L $ &, 3AI& - 69 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range NO. RATE 36 2 Gas Dryer _ Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 TOTAL JOB ADDRESS5420,422 24 426 - 4th STREET NE. 252.00 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $10.00 20.00 $10.00 $10.00 $5.00 Owner WESTLING CONSTRUCTION Building Used As 4 -FLEX Estimated Cost SEPTEMBER 30 , 1994 PERMIT NO. // "� 0?() PLUMBING COMPANY GALAXY MECHANICAL CONTRACTOR, INC. Reinspection Fee $30.00 SIGNED BY786-3555 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS a'��'��EL N0. 1 % of Value of Fixture or Appliance Approved By ;44inal Rough -In Date Date State Surcharge $ .50 X7 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ 272.50 PLUS THE $.50 STATE SURCHARGE 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 Residential Furnace Shell and Duct Work, Sumer — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) f Gas Range Gas Dryer *Air Conditioning — All Sizes Effective On January 1, 1991 The undersigned hereby makes application for a permit for the work herein Rate TOTAL 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 $ 20.00 representations stated in this application are true and co $10.00 OWNER LeZ JA,�&-- $ 10.00 $ o $10.00 $ #) $10.00 $_2L 90 All Others)Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/industrial 1% of Value of Appliance or Work State Surcharge TOTAL FEE BUILDING USED AS j ESTIMATED COST PERMIT NO. $ No. of HeatingUnits Circle One (Steam) (Hot Wa �(WA!r) Trade Name _ Size No. STU 11P EDR $ FuelTotal Connected Load 11615, S� REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Sumer Trade Name Size No. BTU HP EDR HEATING COMPANY Signed By A-po Tel No.gG'��, Approved By' Rough—in Date Final Date J" FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE NOTE: #1 through #8 required when using a side vent furnace. The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from hist 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 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater HEATING CO: Signed By: Date: Yes ONoO Yes () No ( ) Yes No FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 February 21, 1995 Mr. Charles Westling 125 76 Way NE Fridley, MN 55432 Re: Final Inspection at 5420, 5422, 5424, 5426 4 Street NE, Fridley Dear Mr. Westling: A final inspection was conducted on February 21, 1995 of the above address and the following items were noted which must be completed before the structure can be finaled: 1. Complete outside grading and landscaping by June 15, 1995. 2. Obtain Fire Marshal approval before occupancy. 3. Obtain City Rental License from Fire Department before occupancy. We will expect these items to be completed by the scheduled dates and a reinspection called for. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, JP CIO C4hie Official JP/mh r [j Temporary [l Final CERTIFICATE OF OCCUPANCY CHECKLISt Date Februa 6�9g 5 Building Piermit N+.o. 22903 Name/Address own w Charles Westling - 125 76 Way NE, Fridley 10 55432 TENANT;, 4 Mex ` prof 1 5420.-22' 24-26 4 Sheet NEZoning legal Descripti of Property :,Lots 6-13, Block 42 flamilt§u's poCup C1a55 1 �. Ad$n to Mechanicsvl e k I� DAM DATE r ST1PJi,ATIONS; DUE OCLEI' D - Sdjfl ' J r �. YI JwY'�16+ 4,^.•/S: SIG�iva�i/ FAAMMIt 2. °2 '� , Police Det 3. Al Plu*dM Inspector 4.�., a Heat�i�ng Inspector 5.N 3 Ypi Electrical irr s. • Z%7 • u Planning Associate = 7. �- - i Chief `Bldg. Official, 8. - Asst. Pub. Works Dir. 9.' " 00 0009, /d��.-�-• .I Public Works Director •' 10 « p �tY Health ::� it CITY OF FRIDLEY PERMIT NO.: 2004-00079 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 01/22/2004 572-3604 tAX: (763) 571-1287 ADDRESS : 5422 4TH ST NE PIN : 233024340092 LEGAL DESC : HAMILTONS ADD TO MECHANICS : LOT 6 BLOCK 12 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : MULTI DWELL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL XCEL ENERGY SAVERS SWITCH # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORP 2300 TERRITORIAL RD ST PAUL, MN 55114-1614 (651)646-2911 OWNER WESTLING CHARLES V & CATHY M 5422 4TH ST NE FRIDLEY, MN 55421 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 113375 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date. SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Building BUILDING SING THE 1997 U.B.0 FEE SCHEDULE) Permit No. d- 16, z 1Gi ' Inspections `""' OCCUPANCY TYPE RESIDENTIAL APPLICATION Received By: fTW 763-572-3604 Plan Review CITY OF FRIDLEY 65% of Building Permit Fee Da'c fi 2010 763-502-4977 FAX 1;i X/_ .001 times the total job valuation Surcharge $ 1 1 0 .0005 x Permit Valuation Minimum $.50 License Surcharge EFFECTIVE 1-1-2010 $5.00 (State Licensed Residential Contractors) SAC Charge DATE D Z I ® YOUR E-MAIL ADDRESS Curb Cut Escrow SITE ADDRESS S U S L13 Erosion Control THIS APPLICANT IS: ❑ OWNER CONTRACTOR Park Fee PROPERTY OWNER/ NAME: UJ l `e Sewer Main Charge ADDRESS: � � c i1's S CITY S cih M/\r-1'S C.GSTATE�ZIP (3q ( 1-7 / TENANT $ i1 C PHONE:41S--5%a__1O_ -d CONTRACTOR NAME:—V-1 G , i//Lt.- CiY+� �• �� Q STATE LICENSE #(,, S 13 EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF " ,I CITY ( (e1 TE /I'IUZIP ss�i h ADDRESS: INSURANCE PHONE % — FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH )&ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION 0 MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: 'Z0' ® C– r SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING Q HOUSE ONLY S BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING 13 Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT• ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures 13 Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS – PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: Lf SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ `""' OCCUPANCY TYPE Permit Fee $j See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 1;i X/_ .001 times the total job valuation Surcharge $ 1 1 0 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ m 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 Minnesota Construction Codes; 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 accordance with the approved plan in the case of all work which requires review and approval of plans. / / / o i SIGNATURE OF APPLICANT, 0� �� PRINT NAME % Uf/�/� / "� t bl' DATE 1 D