PRE 2010 DOCS��vr.. .a�x�.r � ,F-,-,.: ....-- ,.�..t.-.-.-•.e.- -. -�-r�.-.+ ,.rx.,-P. ___-ate._,—.___ -__ - .. � �-r.��T-*�.x-�+�-.,y. ^-"—•.-.--
City of Fridley, Minn. ;
BUILDING PERMIT O
Date:
R + e
owner: . ........._ . Builder
Address Address -------
No... yL$_ Street _ �' BUILDING
GO
WT.
.. F ..,�. --_±�............_..._.._..._ Part o Lot ----
Lo h_-'' f�t`"54) Block.....,��.... --•--------................... Addition or Suit-
deyard ..........--•--------...--•--•-------_....
.......... Setback' . . ..---. g.:' .... - ' ... r_..
Corner Lot ........................... ........ Inside Lot ..-----�''..'_. �•
Sewer Elevation _ .......... _--.---.----.---.-------------------------- _---- _......................... Foundation Elevation
DESCRIPTION OF BUILDING
To e used as
..Vl�... ..-! -�--_ Front -....._.. Depth 014 Height ...10...._.. Sq. Ft.. Vii%. i! Ca Ft. WW
_.............. _... ......._......._.............. Front ...................... Depth ..... _............. eight .................. Sq. Ft. ...... .............. _ Cu. Ft. ..... ...... ..........
Type of Construction ....:..'--- Est. Costi-��tp,,aa�� �..'�.. To be Completed ............... ..................................
CAUTiON
THIS PERMIT DO
�N._0•� VIOLAT.
AUTHORIZE
ION OF ANY Pi�1VgTE LANA
BUILDING RESTRICTIONS, DOVENAJVTS AND
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 all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $. •, permit is hereby, granted to. ............... _.._,:.............................. _
__....._..._.___._._._._.._ to construct the building or,addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any tipq upon-violatios� any of the provisions of said
ordinances. '- ) A r : j
��' Mlri 1;; ,.
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
0 .41MI04 10
i
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name Builder
Address Address
LOCATION OF`B�UILDING
AA If
No. Street -6 ,5- ?- Pert of Lot
Lot - J30 Block_.__LL Addition or -Sub -.Div.
Corner Lott Lot t""" Set Back .3'�'le �`' Side -Yard .3 (
SEWER ELEVATION `--� FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To b used as:
i
Front Depth Height
Sq. Ft. to/* SCu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft. f
Type of Construction _,�� Estimated Cost„ O
a
To be
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representa-
tions stated
in this application are true and correct.
DATE � rt�L_ Co SIGNATURE ��
(A Schedule of Fee costs can be found on the Reverse Side.)
City of Fridley, Minn.
BUR DING PERMIT
"
Date:
Owner: Builder
Address Address
WCATION- OF BUILDING
NO. street Part of Tot
I& 6L Block Addition or Sub.Division
Comer Lot - Inside Lot Setback Sideyard
Sewer Mevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
N? (: 7702
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu- Ft
Type of C0n9tn1Cti0n, Est. Cost To be Completed
In consideration of the issuance to me of a permit to construct the building described above 11 a= to do
the work in accordance with the description above set forth and in compliance with ;'ll provisions Of
ordinances the city of Fridley.
I
In consideration of the payment of a fee of $ T' permit, is hereby granted to r R ov
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
tclarl thereof, shall conform in all respects to the ordinances of
Wrin on. moving of b,41 -44 --
Fridley, 7 ota regarding location, construction, alteration, maintenance, repair and vin
within the city Emits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Building Inspector
NOTICE
lhb permit does not cffw the candruction, WWWen for vikb& phunhing, gn heating, amw or waftr. Be sora to ae
ths Building hapefty for sapwde pwrolft for thaw hem
-)2� . 77 7C'
APPLICATION FOR BUILDING PERMIT
CITE' OF FRIDLEY, MINNESOTA
OWNER'S NAME `'�' BUILDER
ADDRESSL--/Q ADDRESS
LOCATION OF BUILDING
•
No. Street�T/ Part of Lots
LOT BLOCK / ADDITION OR SUBDIVISION
Corner Lot Inside LOT Setback Side -Yard
SEWLR ELEVATION FOUNDATION ELEVATION .
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as:
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height .
Sq. Ft. -Cu. Ft.
Type of Couatruction Estimated Cost
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.
�sCDATES SIGNATURE r�
(Schedule o Fee Costs can be found on the Reverse Side):
•
APPLICATION FOR SIGN PERMIT
FRIDLEY INSPECTOR OF BUILDINGS:
•
Permit No.
z 5W
X r1l .L=.V p rLuau. j J — i i , - -
The undersigned hereby makes application for a permit for the work herein speci-
fied, agreeing to do all work in strict accordance with the City Ordinances and rul-
ings of the Department of Buildings, and hereby declares that all the facts and re-
presentations stated in this application are true and correct.
C'��'7 A
Kind of
Used as
'Work to be completed about _ J, 19— ,.-
Estimated Cost
How Installed: Flatwise on Extended out from Wall Roof
�im gth �
e„
Distance from Sidewalk
Height /p '' , Thickness tC
Roof
Constructed of: Iron, Wood,_ Iron and Wood
Illuminated X
Wiring Application No.
MIP
UV
LIN -
IJ
C�Tl_ FA -1 Wrlt-s
i� Pr
'T L
j 0
T,
WS I
A
'� b APPLICATIONT
FOR SIGN Pkia
4 1-o
Yr
LOCATION:
LEGAL DESCRIPTION
STREET ADDRESS:
FRIDLEY INSPECTOR OF BUILDINGS:
The undersigned hereby makes application for a permit for the work hereiA-/)
specified, agreeing to do all work in strict accordance with the City Ordinances e_j
and rulings of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
LA
ZONING CLASSIFICATION OF PROPERTY:_
OWNER OF PROPERTY:
TYPE OF SIGN:—
Tz° a
—2 through 8)
(From 56.0
HOW INSTALLED: ON PYLON ROO' F TWISE 01; BLDG. EXTENDED FROM
WALL
INSTALLATION TO BEGIN ON BE Cn_�JPKLETED ON
ESTIMATED COST OF SIGN
DESCRIPTIOR OF ST(Tvlq
49
wl
D11V =-SIONS: LEX( DTH
.t4 TiaLck-uss
LETTERS: NUMBER -SIZE LETTERING AREA LV 0
DISTANCE FROM: PROPERTY LTW,(s)ROOF GRouND(If rylon)
CONSTRUCTED OF: IRON WOOD Ir'01q & WOOD
-OTHER <_
ILLUMINATED: FLASHING:
PROPERTY OW hTR'S SIG.U21PRE: <1
(IF DIFFERENT) APPLICANT'S SIGNATURE: D
FIRM 3 5 1
BY:
OWNER AGREES TO COMPLY WITH ORDINANCE V10. 31PARTTCtWjj' W-L--ql ANWJAj FEE DUE
ON MY 1, 1967, AS PER SECTION 56.03, F&R.2, & SECTION 56.04, PAR, 9-A & B
APPROVED BY: PLANNIENG rCn, SS ION I (DATES)
CITY CC'J'MCTL '# / ' A
a nr HANAZER 24fv�-16 4'�
Cirf ENG71TERR
E1=7RICAL & BLDG. INSPECTORS
r
Ji
SUBJECT
P NO.
City of Fridley
1708 6
AT THE TOP OF THE TWINS
PERMIT
_
r
RECEIPT NO.
______ COMMUNITY DEVELOPMENT DIV.
v
INSPECTION SEC.
/Q
r , PROTECTIVE
/""1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
j 612-571-3450
910-F15
8/11/83
JOB ADDRESS 5455 - 4th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
28
11
Hami lton' S Addn. to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Mike O'Bannon 5298 Fillmore Street N.E. 571-8865
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
Garage
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE Ej REMOVE
8 DESCRIBE WORK
Wreck Old Garage (24' x 261)
9 CHANGE OF USE FROM TO
STIPULATIONS
Clean site of all debris.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
NONE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISJQNS OF NY OTHER STAT R LOCAL LAW REGULATING CON-
STRUCTI OR T E PERFORMAN CONSTRUCTION.
1$`15.00
PLAN CHECK FEE
TOTALFEE
(f odc,"V&-i
$15.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPER VALIDATED THIS IS YOUR PERMIT
BLDG INSP D TE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
Effective Aug. 1, 1981
City of Fridley
summer
Permit No.
AT TIE TW Of TIM THINE
r
WRECKING PERMIT APPLICATION
Receipt No.
S rL"----- COMIWMITV OMLO/MENT W.
I I MOT[CTWE 1kmftCTM WT.
I` �... CATV NAIL FWW-gV ice:
L..w�il t� �•OOD•3NO
Na1N01
- .
V.
r n
DAT[
1 2/1517-4
E Of
1
AMROv 0 9Y
ROO
Job Address / r E-
egal
Lot No.
Block No.Trac
or Addition
Property Owne AddressA -7�� � one
Contractor Address Phone
Description
Front
Depth
Height
Sq. Ft.
Cu. Ft.
of Bldg.
I LJ
No. of Dwelling Units
Taxes Paid
Tax Receipt No.
Estimated Cost of Wrecking
To Be Completed
utilities to be Notified and date Services Disconnected
Np]B. Gas Co. N.S.P. Northwestern Hell Tel. Co.
Engr. Dept. Cust. Bus. Ofc. -- Bus. Of c. ---
372-4850 330-5540 332-4112
Date Date Date
Wrecking Fees: $1.25 for each 1000 cubic feet or fraction
For structures which would be impractical to cube, the fee
shall be based on the total cost of wrecking such structure
at the rate of $6.00 for each $500.00 or fraction.
HININU14 FEE: $15.00 No State surcharge on Wrecking Permits.
Approved By Water & Sewer Department:
All Bills Are Paid Services Are Disconnected
�j
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
Ball facts and representations stated in this application are true and correct.
ontractor
�S .0UB
USUMMAN
NOINKaRINO -514,2
1 . � Vin w' f ., r..,.r..n, • ..d PO
TwuK • f.cna r.•i. ani • leave r.an.,t,t,rM.
e •. ti s„
da
Certificate of Survey for.. STAR 140MES
I
65.10 — --�
o�
I0®o N0 Z'boo
- 50
1
M
o D enofec
9
t,
00"
t
/30.00
iron monumenf
3,7 99 e
�t 1e3ih W e
Lofs 28, 29 anc✓30 Block l/ 14mll ioN's finnlrloN To C j y
MECNANI C S V1 LL E acCordih lo` f he reeorded p/o/ fhere of
ExcEP,; /ha/ parf talker r h1 h way ,,pourposes. �uhj ed
lo easemenh reeoriaed or unrecorded
I hereby certify that this is a true and correct representation of a survey of the boundaries of the above
described lend, and of the locationof 11 /1�f
buildings, thereon, and all visible encroachments; if any, froth or on
said land. As surveyed by me thisday of_WCW A.D. 19".
SUBURBAN ENGINEERING, INC.
I Enyineen Sf^yo 4
by_�"/ lam%
Not Pubi,shea All R-ghts ResetY
$ {ji
City of Fridley
SUBJECT
- NO.
� �.6
5
AT THE TOP OF THE TWINS
BUILDING PERMIT
_171
f
E EIPT O.
• COMMUNITY DEVELOPMENT DIV.
r i � PROTECTIVE INSPECTION SEC.
01I
"" 11� CITY HALL FRIDLEY 55432
L
NUMBER
REV.
DATE
PAGE OF
APPROV D BY
612-571-3450
910-F15
5/25/83
JOB ADDRESS 5455, 57, 59,61 4th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
28,29,30
11
Hamilton's Addition to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Star Homes 7691 Central Avenue N.E. 780-5500
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
Planning & Design 1611 Highway #10 780-1920
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
4 Unit Building
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK two
Construct an 88' x 24' Building and j(/28' x 20 Garages
9 CHANGE OF USE FROM TO
STIPULATIONS
No construction above grade until drainage plan approved by the
City. Outside development bond of $3,000 to be submitted. Petition to
combine lots 28,29,30 into one tax parcel.
Variances approved May 16, 1983.
ut► ales
call loca,
aiggit►B Etc.
gg�or ElECIR�C -GAS
VV
gY I.A SEPERATE PERMITS REQUIRED FOR WIRNG.
�`REp
]FATING. PLUMBING AND SIGNS.
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
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
4
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
$156,300
$78.15
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT P SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SACCHARGE
PROVISI O ANY OTHERS E OR LOCAL LAW REGULATING CON-
$1,360.00
ESTRU ION THPERFOR AN E OF CONSTRUCTION.
$583.00
e.
PLAN CHECK FEE
TOTAL FEE
$378.95
$2,400.10
SIG NATUREO ONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATE THIS IS YOUR PERMIT
BLDG 4NSP nA
4TURE OF OWNER IIF OWNER BUILDER) (DATE)
3 CITY OF FRIDLEY Effective Aug. 1, 1981
Commercial and Industrial
Building Permit Application
Building Address: S�ksS ! 4T* ST% &1.0
....v.. JV 1.V.
PW.6n11 Lt. 1: PLS W or, AUUKtbb' ZIP: PHONE • LICENSE N .
�^"1^zL^• AWKU»: ZIP: PHUNE:-410ENSE-N-�—
OR OF BUILDING: i . A. E ./1 CHANGE USE FROM: .
3LEASE CHECK, IF REQUIRED:--
1ARIANCE SUBDIVISION ACCESSORY BUILDINGS: CUBIC
AL USE VACATIONS LENGTH WIDTH SQ. FT.
IEZONING EASEMENTSNEIGHT CUBIC
SOFT. wi "Lli'� X OST/SQ. FT. ■ VALUATION �%� 17 4,6y TOTAL VALuaTION $Oa
OTHER X •i,COST/SQ. FT: ■ VALUATION %/ . �S�_2s
,O -A ^ w.., .. of I ru
YPE OF BUILDING CONSTRUCTION OCCUPANCY GROUP CLASSIFICATION
S:
. PERMIT: COMMERCIAL, INDUSTRIAL OR )
• ALTERATIONS/ADDITIONS/REPAIRS: l See Fee Schedule on Reverse Side. 09 _14=v.
• SEWER AVAILABILITY CHARGE (SAC) ■ q-4tA 1 ,� = ock 1c SAO
k'J - (
. PLAN CHECK (65% OF PERMIT FEE) ■
. STATE SURCHARGE ($.50/;1.000.00 VALUATION) ■ -$ ■-C�—
TOTAL FEE $ 00.
CIAL ASSESSMENTS: 1. IF LATERAL ASSESSMENTS HAVE NOT BEEN PLACED ON THIS PROPERTY, AN AGREEMENT MUST BE SIGNED. AGRLEING TO
ASSUME SUCH LATERAL ASSESSME NTS BEFORE A PERMIT WILL BE ISSUED.
T. PARK (LOX RESIDENTIAL. 3% INDUSTRIAL) (REAL PROPERTY OR CASH)
3. PERFORMANCE GUARANTY (FILED ■ NO YES LOCATION
)
AMOUNT
AGREEMENT NECESSARY AGREEMENT NOT NECESSARY
'IAL ASSESSMENTS: DATE
N l
ITE INSPECTION: SIGNATURE DATE REGISTERED ENGINEERING STAMP DATE
.UMBING EXTERIOR DEVELOPMENT CHECK
.V.A.C. LEGAL DESCRIPTION CHECK
.ECTRICAL PERFORMANCE BOND CHECK
IRE DEPT. EASEMENT. ROW. SP. AGREEMENTS
INAL APPROVAL
JILDING INSP. PUBLIC WORKS DIRECTOR CITY MANAGER
:RTIFICATE OF OCCUPANCY ISSUED DATE
rIPUL 10N .
(VA2i &Ax.* Ga#AAAA
•
CITY Of FRIDLEY Effective Aug. 1, 1981
APPLICATION FOR RESIDENTIAL BUILDIUG PERMITS
(New. Alterations. Additions. or Repairs)
OWNER: -5'�42 S
TEL NO:
BUILDER:
ADDRESS:
TEL NO: — % 4KO
Construction Location
. STR= NO: STREET:
LOT: 2 V- -- % - .3 ® sLooc s � j ADDITION: /ilii% //o -O .'A
YVIFe/! v;L��
Corner Lot: Insiae lots �_ Setbacks Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
'-��- y-
Front:
Depth: Height:
Square Feet:
Ouble Feet:
Front:
Depth: Z® Neight:
/®
Square Feet:
cubic Peet:
Type of construction: N�� (.»off®,vsi, Estimated Cost: :
av
Tb Be Oor.-pleted:
e59G� / n-3
Alt. A
Alt. 8
Proposed Driveway
Width If New Opening
Is Desired: j '
i
SEE REVERSE SIDE
OF SHEET
The undersigned here Mates application for a
3 by PP pencil for the :josk herein specified, .
agreeing to do ,all work is, strict accordance with the City of Fridley Ordinances and
rulings of the Deivirtment of Buildings, and hereby declares that all the facts and
cepresantGtiens stated in this application ikzo true and carr-ott.
Ov1TYs SIGNATUME s
Stipulations: �
54 55 cam°'- 5q-,
Core UAJ-te.
_46500 (.OW
�. LCL
v�PP L-.
�'oA24afL.
3c, , G72.11 x I
z L Y% � . Cal = 5' 44 33.6 5 � 8 n3. 4?
2 ZX z see ly ir 33. ( 9 It 170", 3%
vs(wl-LB9.SG &-,.- 15(.4100. ov
cam, �� 833
CITY OF BUILDING DEPA RTMENT
E1TERIOR GB "U" COMPUTATION
(To be submitted with building perwit application)
One or t+ro family dwelling
All other (i -um -r) X
Contractor d -o( CD,INS7
z�
Owner
Site address
Date
LINEAL FT. OF
EXPOSED WALL tEzi U% ft. above grade • q 5.zeQD
TOTAL EXPOSED WALLQ. 7T.
OPAQUE WALL CONSTRUCTION: "U" value x area (U�(�
"U" x sq. ft.
"U" x seq. ft, (U) D
"U" ,d x sq. ft. (UW
Detail reference "U" x sq. ft._ 6q (U)(A
attached sheets sq. ft. • (U)(A
"U"x s;. • (U)(A
"U" x sq. ft. • (U)(A
"U" x sq. ft. _ (U)(A
"U" x sq. ft. �(U)(A
WINDOWS: "U" value x area
Make & type "U" x sq. ft. • (U)(A
w w "U" x sq. ft. - (U) (A
"U"-- 2 �x sq. ft. i1.3% (U)(A
w " "U" x sq. ft. (U)(A
" w
nunx sq. ft. ' (U)(A
w w "Up x sq. ft. • (U) (A
DOORS: "U" value x area
Make & type "U" x sq. f t . ( U)(A
w wEvaul "U" �x 3q. ft. �_ ®� s 2. O A
" "U" N x sq. ft. - (U)(A
"U" x sq. ft. • (U)(A
TOTAL (U) (A) VALUES
TOTALS 2,C6 Sq. ft. d3 S (U)
O•
DIVIDED BY TOTAL WALL AREA _ •J61 A JG .
95z,66
AVERAGE "U" ,185 or less for 1 A 2 family dwellings
,23.02 or less for all other buildings
ROOF/CEILING :
TOTAL AREA: 528
sq, ft.
Detail reference
"U"
�"U"
x sq.
ft._
(U) (A
from
x sq.
ft. �13. z
(U)(A
attached sheets.
"U"
x sq.
ft.
(U)(A
Describe openings
"U"
x sq.
ft. v
(U)(A
in roof .
"U"
x sq.
ft. v
(U) (A
TOTAL (U) (A) VALUES
�3s 2 e
TAA VG77UW „-9 ---S q' f t. (3_?_
(U)
DIVIDED BY TOTAL ROOF/
...�
S2 9
.02 S
CEILING AREA
AVERAGE "U" ,0+;1W for ventilated roofs
,a� for all other constr rctio'xi
WALL sEcT ION
'Dqu-mvlob 'lull VALUE -s AT TooFj
VINLLI Nm I AND CONG.. BLK.
Rood I GE IL►NU .
(R) VALUE
IQ
ItyTEVUo A1fL FILM
O.&I
O
Sie UY P. 13D,
.54
►NSuL,aTIoN
3S,6D
O
EXTERIo(L AUR FILM
.611
(STILL)
/9 =,U_�Zg ToTAL (R)
WALL
(1c) VAL=
®
'I1ATEF-10V- NiZ. 'FILM
O,�a
GYP, ZD. • -
5
10StJLATIoN
13.06
O
S•. ;L
TAINIT�
�0�
to
j` SIDING
It
EXTEizlolZ AIR FILM
.11
_ , d4ToTAL (R) 87
TSI M
(R) VALUE--
ALUE0.68
0.68
t3
5INSULATUoN
19,00
FItL RUM ,�oisT
1.8s
15
•
01�
1,
O
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CITY OF FRIDLEY INSPECTION DIV.
•" , 6431 University Ave NE
• Fridley, MN 55432
572-3604
i - 9 -//-o (-)
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On March 1, 199¢6
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater —Electric
$ 7.00
Water Heater — Gas**
$10.00
Gas Range**
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes () No
Type
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $�
BUTGUSAIM, V
5459 4TH STREET NORTHEAST
JOB ADDRESS_ FRIDLEY, MN 55421
(612)571-9305
The undersigned ; 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.
trig %Z' -8W
Owner
Building Used As
Estimated Cost
���
PERMIT NO.
PLUMBING
SIGNED B)
ra—'
9
Approved By Rough—In Date Final Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00
PLUS THE $.50 STATE SURCHARGE
"COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1.287
September 18, 2000
- Douglas+-ige— Azs' Z� &
11697 London Street NE
Blaine, MN 55449
Re: Final Inspection at 5459 4 Street NE (4 unit)
Contractor: Norblom Plumbing Co.
Dear Mf:-Fige:
A plumbing permit was issued on June 29, 1999, for the above noted address,
to install a gas water heater. According to section 4715.2800 of the State
Plumbing Code, a final inspection shall be conducted on the plumbing authorized
by this permit. As of this date no inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do
not hear from you, we will expire the permit and any inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
DAVENSEN
Build' Inspector
f
CIiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287
September 20, 2000
Ms. Violet Butgusaim
5459 4 Street NE
Fridley, MN 55421
Re: Final Reinspection at 5459 4 Street NE
Contractor: Norblom Plumbing Co
Dear Ms. Butgusaim:
A plumbing permit was issued on June 29, 1999 to install a gas water heater at your address.
According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted
on the plumbing authorized by this permit. As of this date, no inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from
you, we will expire the permit and any further inspection on this installation will require a new
permit.
Any questions can be addressed to me at (763) 572-3603.
i
CITY OF FRIDLEY PERMIT NO.: 2004-02066
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 11/16/2004
572-3604 tAX: (763) 571-1287
ADDRESS :
54614 ST NE
0.00
0.00
NORTHWOODS MECHANICAL
BOX 1085
PIN :
233024340088
FOREST LAKE, MN 55025-
WATER TREATMENT APPLIANCE
0.00
LEGAL DESC :
UNAVAILABLE
35.00
WATER HEATER - GAS
0.00
LOT BLOCK
GAS RANGE FEE
GAS DRYER FEE
PLBG REPAIR/ALTERATIONS
0.00
0.00
0.00
OWNER
PERMIT TYPE
PLUMBING
11697 LONDON ST NE
PROPERTY TYPE
RESIDENTIAL
BLAINE, MN 55449
TOTAL
35.50
CONSTRUCTION TYPE :
ADDITION/ALTERATION
VALUATION :
$ 0.00
NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A
# ELEC WATER HEATERS
1
VALUE OF FIXTURE/APPLIANCE
0
# NEW FIXTURES (EXIST OPENINGS)
0
# GAS WATER HEATERS
0
# GAS DRYERS
0
# GAS RANGES
0
# OF NEW FIXTURES
0
VALUE (FOR MINIMUM CALC)
300
# WATER TRMT APPLIANCES
0
APPLICANT
PLBG PERMIT MINIMUM FEE
PLBG FIXTURES (NEW OPENINGS)
0.00
0.00
NORTHWOODS MECHANICAL
BOX 1085
PLBG FIXTURES (EXIST OPENINGS)
0.00
FOREST LAKE, MN 55025-
WATER TREATMENT APPLIANCE
0.00
(651) 257-4951
WATER HEATER - ELEC
35.00
WATER HEATER - GAS
0.00
GAS RANGE FEE
GAS DRYER FEE
PLBG REPAIR/ALTERATIONS
0.00
0.00
0.00
OWNER
FIEGE DOUGLAS G & KAY M
11697 LONDON ST NE
STATE SURCHARGE, PLBG FLAT
0.50
BLAINE, MN 55449
TOTAL
35.50
PAID WITH CHECK # 6290
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 worts
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
regaiat�cons tr�ction or the performance of construction.
Annlicant f I Date I
Bldg Insp� W `IN -'JW V \ Date
v
/1TTTTA TTT AXT T T7.0/•TTTD T'T AD/1�7L'
0 1x1T111 o 1\ %'e VLL\L 1'VX\TT VlvlV111L1\1aasu•✓aJvvauaaa.✓a>vv.u.
:ITY OF FRIDLEY INSPECTION DIV.
431 University Ave NE
ridleyt, MIN 55432
%3) 572-3604. FAX (763) 571-1287
I
Effective April 1, 2004
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
'LUMBING FIXTURE RATES:
NO. RATE TOTAL
levo Fixtures
$10.00
W Opening. New Fixture
$10.00
rear Dispenser
$10.00
Am Off Basin
$10.00
:atch Basin $10.00
} lain Water Leader
$10.00
W
rumplReceift Tank
$10.00
E2 VWw Treating App a
$35.00
LL Vater Heater 43ectrtc
LL
$35.00
} Vater Heater - Gas-
$3.5-00
Sas Range'"
$10.00
1as Dryer—
$10.00
lack Flow Preventer Required( )Yes ( ) No
Type $15.00
i ? teinspeciion Fee $50.OD/Hr
%LL OTHERS ANWOR REPAIRS AND ALTERATIONS 3 0o1.25% of Value of Fixture or Appliance
JOB ADDRESS 54L I ,4�l
The undersigned hereby makes application far a permit for the work herein
specifced agreeing to do all work in strict accordance with the city odes
and rugs of to Building Division, and hereby declares that ali the facts
and representations Mated in this application are true and correct
OWNER
BUILDING USED A
ESTIMATED COST
PLUMBI COIF!
SIGNED BY IF
Approved BY 14 y
'9 State Surcharge $ .50
M11MMUM FEE FO
TOTAL FEE $ OF THE IMPROVENI
A
n
.'OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE S-A
DATE: 10-7 .20
PERMIT NO.
Alec ka-
TEL N0.
Rough- Dale Final Date _--
"PROVIDE COMMON VENT INFO ON BACK SIDE
1
'-E�-21-2604 13 59 CITY OF FRIDLEY p,03/03
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT: VENT CONNECTOR AND COMBU3`noN AIR VERiDUM
When reolacing an existing 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 odes and manufacturer
specificatlons Including sizing, length, number of elbows and terminatidn. Yes (} No( )
The undersigned also verifies that the replacement unit Is a listed assembly
and meats the current codes and manufacturer's specifications. This does
Include AGA -LAMA 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 specificatlons.
Yes {) No ( )
When required to Insall a new combustion alr,_it will be sized and installed
to meet the current nodes and manufacturer's specificatlons.
Yes () No( }
When Installing a new venting system, the undersigned hereby verities that
it is a listed assembly and meets the current codes and manufacturer's;
specifications. This does Include AGA-GAMA Category I Central Fumilce
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.
Yes () No( )
Aanliance Tvoe and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input _ Fan Assisted or Nat
Appliance ##2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Hight _ Diameter
inches
Appliance #1 Vent Connector Height ft length ft Diameter _In
in Type
Appliance #2 Vent Connector Height ft Length ft Diameter
Type
Appliance #3 Vent Connector Height ft Length ft Diameter
in Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date :
IOTA- F. 03
P.O. � 5 f
Building BUILDING PermitNo.: - --
Inspections COMMERCIALANDUSTRIAL Received B:
'�'
763-572-3604 CITY' OF FRIDLEY Date Recd: �✓ '
YOUR E-MAIL ADDRESS j_�` `Q' v� �,h. • ..........
DATE
SITE ADDRESS 5 y 5-7 ._.,1- _
TENANT - _ _• • ,,._ _-Suite No.
PROPER'T'Y OWNER
NAME:
Lf ram �
ADDRESS:• _ _ ...—CITY .__.,STATE ZlP
ECLS '
PHONE:
ARCHITECT
NAME:
ADDRESS: CITY S'TATE._ 7iP
CONTRACTOR
NAME:�jM(Ll•�i3�S
ADDRESS: Q°11'12 ltW,`j.. CITY-L(/--f.4STATEvK�ZIP,55 3 3�
PHONE:'`/G3- 33-23'78 Fes.... �b3�633- 2760
*NOTE: CITY LICENSE REQUIRED FOR MULTI FAMILY/COMMERCIAL/INT.)USTRIAL JOBS
PROPERTY TYPE
13 TOWNHOUSE Cl COMMERCIAVINDUSTRIAL ❑ INSTITUTIONAL
t3 MULTI -FAMILY
PERMIT TYPE
d ADDITION 171 NEW CONSTRUCTION OTHER
❑ SWIMMING POOL
13 REMODEL ROOF
PLEASE SUBMTT:
1.4 SETS OF DRAWINGS 5. CONTRACTORS LICENSE; OR 6. SPECIAL INSPECTION
2. SURVEY/SITE PLAN LICENSE APPLICATION SCHEDULE
3. LANDSCAPE PLANS 7. PERFORMANCE BOND
4. ENERGY CALCS AMOUNT $
BUILDING TO 13E USED AS: OFFICE__ _ _ sa W HS sr OTHER sv
TOTAL SIZE: _ _„ STORIES_ _FIRE PROTECTION (Y/N) _ AC(Y/N)
DE'T'AILED DESCRI}''1'H3N OF WORK _, . �.• -
TIIIS IS AN APPLICATION FOR A PP..RMrt=NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and 1 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
but only an application for a permit and work is not to start without a permit; that the work will be In accordance with the approved
permit
plan in the case of al I work which requi re viewand approval of plans.
SIGNATURE OF APPLICANT �PRINTNAME MA -Q -k PlE7"!fIL DA'I'S__••
1 AL I, FEES ARE BASED ON VALUATION
C s b J Sq.lt. (JC3 C� x $ Cost/sq. ft. = Valuation $
Sq. ft. x $ cost/sq. ft. = Valuation $___ ..,�
Sq. ft. x $_ Cost/sq. -ft. - Valuation $
TOTAL JOB VALUATION: $ USE—, OCCUPANCY • TYPE _
Permit Fee
Plan Review
Fire Surcharge
Surcharge
SAC Charge
Erosion Control
Park Fee
Special Assessments
Curb Cut Escrow
ToW Due
39-30Y See Back Page for Fee Schedule
$ 650/9 of Building Permit Fee
$ t .001 times the total job valuation
$ .0005 x Permit Valuation Minimum $.50
$ $1550 per SAC Unit (Plans to MWCC for determination)
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necossary ( )
$ _Ttl+6ft= ,„ itx$21=5
a Mnke checks navnble t0 City of Fridley Attat
bd Wd8ti:JT 90OZ TE 'Field 'ON Xtid FiaiP?aj do Fid?0: WONJ
CITY OF FRIDLEY PERMIT NO.: 2006-01067
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 06/14/2006
571-36U4 YAX: (763) 571-1287
ADDRESS : 5457 4 ST NE
PIN
233024340090
LEGAL DESC
UNAVAILABLE
LOT BLOCK
PERMIT TYPE
BUILDING
PROPERTY TYPE
COMMERCIAL
CONSTRUCTION TYPE
ROOFING
NOTE: INSTALL PER MANUFACTURERS SPECIFICATIONS.
CONSTRUCTION IN THE CITY IS UNLAWFUL EXCEPT BETWEEN THE HOURS OF 7:00 AM AND 9:00 PM, MONDAY THROUGH
FRIDAY AND BETWEEN THE HOURS OF 9:00 AM AND 9:00 PM ON SATURDAYS. NO WORK IS ALLOWED ON SUNDAYS OR ANY
LEGAL HOLIDAY UNLESS AN ALTERNATE WORK HOUR PERMIT HAS FIRST BEEN ISSUED.
ORIGINAL PERMIT WAS SHORT $9.55, SO IT WAS PLACED AS A FEE SHORTAGE. THIS PERMIT IS COVERING THE DIFFERENCE TO
ZERO OUT THE BUILDING PERMIT FEE SHORTAGE ACCT.
ENTER FEE AMOUNT 10
APPLICANT
AMERICA'S BEST ROOFING & SIDING
9942 H W Y 10
STE 104
ELK RIVER, MN 55330
(763) 633-2378
OWNER
HOBSON DEBORAH K
5457 4TH ST NE
FRIDLEY, MN 55421
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 wort
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
BUILDING PERMIT FEE SHORTAGE
TOTAL
PAID WITH CHECK # CC
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
9.55
9.55