The URL can be used to link to this page

PRE 2010 DOCSN° Village of Mtlley, Minn. BUHNING PERNM Office of INSPECTOR OF BUILDMOS Owner, Architect Fridley, Minn., [ `F" —,+'� 19 Builder LOCATION OF BUILDING No. W ilr street Part of Lot Lot �2 1 f' 2Z !I' Block Addition or, sub -Division DESCRIPTION OF BUILDING Front Depth- Height stories Manner of Constructioa To be used as M' t - Tp be completed Estimated Cost I Permit is hereby granted to to �. the building ;I described in the above statement. This permit is granted upon the express c'oadition that the person to whom it is granted, and his agents, employees and workmen, in an the work donearound and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of FridiI�i Minn., regarding the 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, h inspector of Buildings. I AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated, Subscribed d sworn to beforeme e at Fridley, Minnesota, this day of II � I,i �� Village of Fridley, Atimm. BUILDING PEBhIIT NO 9 72 Office of INSPECTOR OF BUILDINGS Owner a I sS Architect J Fridley, Minn., ' 19 Builder LOCATION OF BUILDING No. Street Part of Lot j , Lot Block Addition or Sub -Division DESCRIPTION OF BUILDING l Front z Depth Height stories Manner of Construction,_ To be used as ' --.To be completed Estimated Cost above set forth and according to the provisions of the ordinances or Fridley, and, oemg nrsL auty sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, Minnesota,. this day of A.D. 19 i I Permit is hereby granted to—,, the building upon the express condition r described in the above statement. This permit is granted that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, within the city limits, 11Zinn., regarding the construction, alteration, maintenance, repair and moving of buildings and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Inspector of Buildings. �I j AGREEMENT AND SWORN STATEMENT In considertion the above perm of the issue and delivery to me by the Inspector of Buildings of Fridley of , I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances or Fridley, and, oemg nrsL auty sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, Minnesota,. this day of A.D. 19 11 City of Fridley AT THE TOP OF THE TWIN$ r'1.-------- COMMUNITY DEVELOPMENT DIV, 1 PROTECTIVE wsItCY*R DEPT. CITY HALL FIUOLRY 9002 53 -8h -s-915.51 SUDIVIEGT s 5615 N. E lith Street PLUMBING PERMIT APPLICATION 1 Herman G Seratzki Jr. Aaaress Phone Contractor MINNIE:GASCO 9,3? fdlARQUE• TF- qns Phone omp 'lddv '781N •saa, •MNlva m y� SNISVS !04 1Z sNwaa ;O O 13 c aoo,d i .w d �� u I saaMOHgI Z.3 O b .unodl d yla >tNlao I W� 9AYalI (� H81IM SHNISI HLVG invN,an ing Frame to 6-5-7h wO se Res. 10.00 Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures •r se Res. Gas Fitting Fees: 1st 3 Fixtures x $2.00 Additional Fixtures x $ .75 I Gas Range -199,000 BTU x $5.00 Repairs & Alterations See J Description: Install G -,s GrillCode 5.00 I State Surcharge Class "A" Surcharge .500, .50 TOTAL FEE $ 5.50 !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 Tulin of the Department of Buildings, and hereby declare that all'the facts and representations stated in this application are true and correct. 'Signatures aA Date a 10.00 Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 Catch Bastn x $3.25 Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x $3.25= Elec. Water Heater x $2.00 Gas Fitting Fees: 1st 3 Fixtures x $2.00 Additional Fixtures x $ .75 I Gas Range -199,000 BTU x $5.00 Repairs & Alterations See J Description: Install G -,s GrillCode 5.00 I State Surcharge Class "A" Surcharge .500, .50 TOTAL FEE $ 5.50 !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 Tulin of the Department of Buildings, and hereby declare that all'the facts and representations stated in this application are true and correct. 'Signatures aA Date a City of Fridley UOJEcT Permit No. 01 c r AT THE TOP OP TIAF TgIHL+ 1 �' 6 T �. PLUMIAN � PERMIT APPLICATION I _ d L--- ---- COMMMITY DEVELOPMENT DIV. 1! PAOTECTIVQ Gt CT1Op 1`ZPT, CITY HALL RRIDL4Y 6002 PAGE OF AF ROVE0 By 73 1 1 800 Job Address f Address Phone /e,/7 Contrac.r, Address �� 6 Kind of Buildin / �T Use ��",/, ,Z Com etion Date cc [ Estimated Cost Plumbing Fixture Rates: NO. RATE TOTAL TIMI I I I I I F - ` —! Number Fixtures S x $2.00 I Future Fixturescc x $1.50 3�Se�l I •� i E l U_ New Fixture -Old open. x $1.50 p "tddvl I O Catch Basin x $3.25 I 6v'J I Water Heater -99,000 BTU x $3.00 •°stall i i I � i Ground Run Old Bldg. x $3.25 sa°,l i MNIVU I I I I Elec. Water Heater x $2.00 SNI v ! w >< HO1v:)0 (o w I I I Gas Fitting Fees: SNlva°I II o 1,100113'a� 1st 3 Fixtures x $2.00 .Z a i sa3nnoHgl I I I I t!t Additional Fixtures X $ .75Old C3 _ 1Nf10dl aNla° ( III Gas Range -199,000 BTU x $5.00 'U,q a SAvall .: HSVM 09 Re airs &Alterations See �, BNNIBI I I I Description: Code ti State_ Surcharge .50 sent •�+ TOTAL FEE $ /D ..5� I H1VBl I �I I I The undersigned hereby makes application for a permit s►vNlanl I I I I` for the work herein specified, agreeing to do all work 8133°10 -- in strict accordance with the City Ordinances and ruling) a31vMl I'�l I• I I of the Department of Buildings, and hereby declare that ! all the facts and representations stated in this applicatioa true and correct. 'N;a-4 -Signature Date AppRcafio 1 for Power Pkmft and H CooRM V4ndkebo. RahNo wilm . and Air Coe -* a Sydan md Doffs v PARTIAL RATE SCHEDULE GRAVFff WARN AIB: IIATZ TOTAL Foram Shell & Duct Work ... ................ .. $1000 $ Replacement of Furnace ......... ...... 6.00 Repairs & Alterations—up to $500.00 6.00 Repairs & Alterations each add. $500.00 3.00 NECH. WAM AM Furnace Shell & Duct Work to 12+0,000 BTO ......... .. $10.00 S est add 60.000 BTO .................... .. 3.W 6 - Replacement of Furnace . ..6.00� v Repairs & Alterations ---up to "W.W &W t Repairs & Alterations each add. $5 .00 ....... ..... R00 = ST"M or HOT WATER STSTElt Furnace Shell & Lines --to 4W sq. ft. IDR Steam $10.00 a Furnace Shell & Line—to 640 sq. ft. IDR Hot Water 10.00 6 Each add. 200 sq. ft. EDR Steam &00 0-- _ Eadt add. 320 sq. ft. IDR Hot Water 3.00 $ OIL BURNER—to 3 gaL per hour over 3 gal. per houI Fee Schedule GAS BURNER (up to 196;000 BTU) ... `lam am 196.000 VIM See Fe. scbedab GAS FITTING FEES: NO RATE TONAL 1st 3 Fixtures . . .. . ...... X$ Zoo : s/ Additional Fixtures x .76 i Gas Range to 196.000 Z$ &0e = AIR CONDTtJ;0N1>9G ��_ FAN HEATING STSIM See Fee Selsadala v MI.ATI>!tG STSTEN t ALTERATIONS & F"AIM TOTAL FEB s ROUGH FtIALa�_ is(SURCHARGE $_,50) Dept. of Bldgs. Phe 960.3460 City of Fridley: The undersigned hereby makes application for a permit for the work :herein specified, agreeing to do all work in strict accordance with the City Ordiltaam and ruling of the Department of Buildings, and hereby declares that an the facts and representations stated in this application are true and COI Fridley, M =LLnagM&_A Kind of Building% Used as To be completed aboouutr�/�- Estimated Cost, Building Permit No. Permit N; 1' �sl : • :71 17LN2 �lfl_ BURNER — Trade N Sin No. Capacity Sq. Ft. E.D.R BM lsp (t>su►sss—ovrq C:LAXBNCE HELISEIIE SUBJECT P E R City of Fridley 12418 AT THE TOP OF THE TWINS BUILDING PERMIT t � R COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. /- p 1 � ` CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 812-580-3450 910-F15 32Z27/7t JOB ADDRESS 5615 x 4th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21-22 3 amilton's Addition to Mechanlcsvilf((gEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE F.H.A. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. F llese Electric 62 '2® L-01h.t. Q -a /j®- 2-94:iaz 4 ARCHITECT OR DESIGNER MAIL ADDRESS I ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION I[R ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK V 9 CHANGE OF USE FROM TO STIPULATIONS S PERATE PERMITS REQUIRED FOR WIRING, PLUMBING AND StGh& 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,250 1.13 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 PRO ONS ANY OTHER STATE OR LOCAL LAW REGULATIN CON- 15.00 ST CION OR HE P RFOR NC F CONSTRUCTION. � ,/J PLAN CHECK FEE TOTAL FEE ,4 1 /� I 16.13 SIGNA URE OF cdkA&fth ORAUT ORIZEDAGENT (DATE) PROPERL V ATED®THIS IS YOUR PERMIT BLDG )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) C:LAXBNCE HELISEIIE APPLICATION FOR RLSIDENTIAL, ALTERATD-DN, OR ADDITION BUILDING PERMIT CITY OF I -M DLLY , MI NNLSOTA OWNER'S NAME:BUILDER: --tom ' ADDRESS: ADDRESS -s 2, 0 9 ^ n NO:. STREET: LOT: 1—,?2— BLOCK:_ CORNER LOT: INSIDE LOT: %/ SETBACK: SIDEYARD; Applicant attach to this form Two Certificates of Survey of Lot and proposed buildisig location drawn on these Certificates. .DESCRIPTION OF BUILDING To a Used As: 60b�E�Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: To Be Completed: /, i 3 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that ill the facts and representations stated in this application are true and c orr,-c t . �J1". /111 � A " g DATE: �� / S I(;NATU (See Reverse Side For Additional Information.) City of Fridley SUBJECT P® 1494°7 AT THE TOP OF THE TWINS BUILDING P E R M i ____��COMMUNITY DEVELOPMENT DIV. I ri � PROTECTIVE INSPECTION SEC. - CITY HALL FRIDLEY 55432 NUMBER REV. DATE P GE OF APPROVED BY 612-580-3450 910-F15 10/4/78 JOB ADDRESS 5615 - 4th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21,22 3 Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Cheryl Johnson 5615 - 4th Street N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Sussel Campany 1850 Como Avenue St. Paul 645-0331 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 201 x 22' Garacre 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. WARNING Before digging call local utilitiPc - ELECTRIC - GAS �!�:. SEPERATE PERMITS REQUIRED FOR WIRING.TELEPHONE �Y ��`� HEATING, PLUMBING AND SIGNS. REQUIRED 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 440. 4400 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, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,185 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. 817-60 PLAN CHECK FEE TOTALFEE &/A-pstA�— —$19.19 SIGNATURE OF CONTRACTOPIOR AUTHORIZED AGENT (DATE) HENPRO ETHIS IS PERMIT i IBLDG INSP jjRLY AAVALIDATED YOUR ( 108 / - ATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: 4L0 L- "50 �l / Address: ,3(o No. Street: BUILDER: Address: les 0 Cev'3"Lo /9w9 z�4 R--� Tel. No.: �4��''y J LOT: BLACK: ADDITION: CORNER LOT: INSIDE LAT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: O Front: ��— Depth: �� T�h Height: Square Feet: Cubic Feet: 'Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: f' Estimated Cost: $ 3/ ifs' 00 _ To Be Completed: 90 4:yS Alt. A Alt. B, Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE; r 5TGNATuRE: to • r l 5 Stipulations: ()UpRn 6VO YEAR SUSSEI 6p'NAS $USSf I IC OMPaN♦ INf Permit by Legal Description Blk Add'n Value ` Type Const 'Z-"Y►'t- C� S AB: Uk SUSSEL ❑ By Owner Approx. ❑ In 2 -STARTING POINTS ONLY S.P.L. I Alley S.S.P.L. - House R.P.L. F. Street Other Square WithG' r SC C; Rods Mesh 4 -god -Rem. - By— ❑ 5 -Bag Mix Bag Mix DTamping o Tamping A.B.U- MM Grade Point onduit By Sussel ❑ Maintain 8' Total W ght on op of Blocks Bloc ) ❑ 8" ❑ 4" Wall an 8'— ❑ F It full wall height ❑s required for rance AO.H. Dr Offset OS.D. Location / ❑ Att Gar Roof Tie-in Drawn on attached pictures Existing garage: No ❑ Detached ❑ Attached Yes ❑ Size of existing:_x Existing garage will be: ❑ Left as is ❑ Converted to L.S. - By owner ❑ Removed By: Owner ❑ Sussel ❑ Junk Must Be Removed By Owner ❑ Specify removals by Sussel or Owner - trees, bushes, etc. Souse how approx. dist. garage to and all prop. lines Stakes visible - ❑ Yes No Survey available - ❑ Yes o ❑ Special instructions from owner: P3 WORK ORDER HOME PHONE%S_,/' . /'G NAME O'�i'%7 `.�' j BUS. PH0NE? JOB ADDRESS___ BLDG CODE AREA 6"5-701 1—::'�l SALESMAAI{� / i7 �"�[`cL- CONTRACT DATE � '� SIZE Z Z FOR OFFICE USE ONLY CONTRACTOR JOB# J IOale�J!>r PURCHASER'S !NITIALS a P 9 M 15 6.. 0 YEAR A OIVI SION OF THE SUSSEL COMPANY INC 1" x 8" Ridgeboard . ROOF: GABL REVERSE GABLE HIP EAVE OVERHANG: '9 RAKE OVERHANG: 240# SEAL DOWN SHINGLES WITH PLYWOOD ROOF SHEATHING AND 15# FELT Plywood Sheathing 240# Seal Down Shingles 2" x 6" 3/8" Plywood Cross Ties Gussets - 1 " ussets1" x 6" W -Bracing 2" x 4" Double when applicable Top Plate per Minn. State Code NOTE: 1) Trusses set 48" O.C. (Gusset - 3/8" Plywood). 2) Intermediate rafters are 2" x 6" 's braced with 2" x 6" collar ties. 3) ci�gaP�g� , WrbracgarrdlaL 4) Roof approved by Minn. State Building Dept. as meeting Minn. State Code Requirements of 30# snow load. Refer to State Building Code Letter Number 35. 5)xrafters, 2" x 6" cross ties 48" O.C., x- nd-no-plywood-gussets-are.LLsedd. RAFTERS: 2" x 6" 16" O.C. 24" O.C. STUDS: 2" x 16" O.C. 24" O.C. WALL SHEATHING: SIDING: �- OVERHEAD DOOR HEADER: Double 2" x 12" wit without s el plate. Slab on grade construction approved per Minnesota State Code. Refer to State Building Code Letter Number 11. SLAB: 4" WITH MESH 6" x 6" # 10 Gauge 45° 4„ I' Trim Fascia 1" x 4" Sub Fascia Soffit 3/4" Cove 2" x 4" Studs Siding '/2" x 7" Anchor Bolt per U.B.C. 2" x 4" Treated Bottom Plate Grade Line %/////// SUBJECT City of Fridley 16230 AT THE TOP OF THE TWINS BUILDING P E R M I T r RECEIPT NO • ____ COMMUNITY DEVELOPMENT DIV. i Vy ll r � � PROTECTIVE INSPECTION SEC. o�� I i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J\ 612-571-3450 910-F15 6/8/81 JOB ADDRESS 5615 - 4th Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21►22 3 Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Messier 5615 - 4th -Street N.E. 571-9636 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Home Place B,uilder's 11312 Fairfield Road 544-8141 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install wood stov e & chimney, 9 CHANGE OF USE FROM TO STIPULATIONS 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT OR THE PERFORMANCE O ONSTRUCTION. $7.50 PLAN CHECK FEE TOTALFEE 9 $ 8. 00 SIGNATURE OF CONTRACTOROR AUTHORIZED rT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT � w'_6 BLDG iNSP OATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)-- CITY OF FRIDLEY APPLICATION Foft RESIDENTIAL BUILDING Pf: mTS (New, Alterations, Additions, or Repairs) OWNER: /�2��i2S Lies s; eGUILDER. ADDRESS: _ �j ��' ��`i S-14 ADDRESS: TEL NO: 2/- 0(2��TEL 110: syr •�/�� Construction Location ' STRM-- T NO: STREET: LOT: �� , BLOCK: ADDITION.�(� Corner Lot: Inside Lot: Setback.: Sideyards �1�J ' Applicant attach to this form two Certificates of Survey of lot and • proposed building location drawn on certificates to scale. DESCRIPTIO14 OF CONSTRUCTION Front: Square. Peet: Front: Square Feet: Type of Construction: ��(� S-kjL,•e Depth: Height: Cubic Feet: Depth: Height: Cubic Feet: fo 9.b Be Oompleted: �je- L S) week, Proposed.Driveway width If New Opening Is Desired: ae Estimated Cost: $ �— Alt. A Alt. B SEE REVERSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the work herein specified, agreeing to do,all work in strict accordance with the City of rridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are truq-all"A correct. MM3: j0- a " to 11 SIGNATURE- Stipulations: IGNATURE- Stipulations: SUBJECT NO. City of Fridley 0 51 7-!H AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT COMMUNITY DEVELOPMENT DIV. i tV ..��.� r � � PROTECTIVE INSPECTION SEC. // ,o /f j� ql & 1 . � REV DATE PAGE OF APPROVED BY i w n" CITY HALL FRIDLEY 55432 ,o .--• i A 612-571-3450 [NUMBER 910-F15 9/5/91 JOB ADDRESS 5615 - 4th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21, Pt. 22 4 Hamilton*s Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gayle Brooks 5615 - 4th.Street NE 571-0162 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK - Reroof Dwelling (10 Squares) 2nd 7.a y.er 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 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 $5520 $.50 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- $17.00 Fire SC $.52 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE $18.02 I NAT RE OF CONTIFACTORORAUTHO Z DAGE T (DATE) HEN P lop, IDA E THIS IS YOUR PERMIT BLDG iNSP DATE SIGNATURE OF OWNEROF OWNER BUILDER) MATEI MW [ ] Effective 1/1/91 ADDN [ ] R-1 AND I-2 AM E R [ ] Buhildin3 Permit Application Clonstructicn Address: JAL^/.�-_ /A 'a Legal DesQipticn: ( O i s �) j 6 ownerNa®e - ess: 16,3 t3r c, r,k_ s Tel # 7/ e) I G am dctor• C) Y2 x j' Tel. Address: 5 �,, I " - f 6y1! Attach to this application, a Certificate of Survey of the lot, with the proposed oartruction drawn on it to scale. LNIIM AM: Length Width height Sq. Ft. iN1M1iGE xM: Length Width Height Sq. Ft. IBM AM: Length Width Hot/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Dost: Approc. Completion Date: Proposed Driveway Width If New opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: _ - / APPLICANT': c '07 rC Tel. L 7 QTY DBE CHLY Permit Fee $ ' 7, Fire Surcharge $ State Surcharge $ JZ) SAC Clharge $ Driveway Zscrow $ Park Fee $ Sewer Main Ctharge $ srTx�rATlars: 9. Fee Schedule cn Favetme Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" our Alt. "B" Above Pl®e Determined red by lei rmeri rxj Agreement NAY [ ] Not Necessary [ ] SUBJECT . .P ___"_. City of Fridley 32517_1 AT THE TOP OF THE TWINS BUILDING PERMIT i? WT COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE NUMBER pEv DATE vAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 4/22/02 JOB ADDRESS 5615 4 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21, pt 22 4 1 Hamilton's Addn to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gayle Brooks 5615 4 Street NE 763 571-0162 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 j] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Garage (storm damage) 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REOUIRED 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 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 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 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $613 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- $29.60 Fire SC $.61 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECKFEE TOTAL F E $3 .71 SIGNATURE OF TRACTOR OR AUTHORIZED AGENT iDATEi VALIDATED I$ I$ YO PERMIT MEOP /Lj`� S, RF BUILDER, IDATEI 84G INGATE NEW [ ] CITY OF FRIDLEY Effective 1/12002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: .s / S /�i�4 7/e 5�� Legal Description: Owner Name & Address: /�v _l'Fe"Oks Contractor. Tel. # 613 5'Z 0/ iC 2 MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Z= Width 2 v Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: ep La-e� 51 orm bamb S EstimatL2 Cost: $ Driveway Curb Cut Width Needed: F 6 Ft = Ft x $ _ $ DATE: Z d I APPLICANT: Tel. #/'%! ; 57 3 5719 Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. TOTAL $ 0 • / STIPULATIONS: CITY USE ONLY - Permit Fee $ �g ( ® Fee Schedule on Reverse Side Fire Surcharge $ / .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1200 per SAC Unit License 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 [ ] Not Necessary [ ] TOTAL $ 0 • / STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - Ali Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective January 1, 2003 JOB ADDRESS 61t I Z4 OWNER Gt�Lg__ TOTAL of) USED AS $. ESTIMATED COST PERMIT NO. IS 2 DESCRIPTION OF FURNACE AND OR BURNER;` $ a No. of Heating Units Circle One (Steam) (Hot Water) Q Lrm Air) $ Trade NamenVh�i/u Size No. BTU 00 HP EDR $_ati _00 Fuel W,477 CM -r Total Connected Load Burner Trade Name Size No. $ BTU 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are trues and correct. DATE HEATING Signed FAX # 0 Approved By Rough -In Date TEL # 763 E71 016 20 Final Date q -10-c)3 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN VENIREPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNEt _oM nN VFNT ' " . . _ d When naplaal venting has bi and is securel ' ' ` f n �p 7`. 1 No ( ) The venting s; O specifications f ��.s �� er 1 �� -rx,, 7L k No ( ) a The undersigr and meets the &-�,c 1r &r� 4/,f, /,ft e v include AGA4 assisted and i " /V I C e do" V -P7 AL )0 No( ) The axisilk2gi p � i6 No and manufaci _ ( ) When require to most the ct No( ) When la-ctalff it is a listed as spedfications Venting Table S` 3 -41 "19' S-Je- No( ) Is the commc /v an appliance separately as 7 W No( ) aticm Appliance #1 W rlfr Appliance #2 Appliance #3 Total App Common Ver rhes Appliance #1 Appliance #2 vent t;onnector rteignt IL LC1 1yu Ljia� � %j%o, Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By. Date: �' / 7,--%,03 0e Building Permit Fee BUILDING See Back Page for Fee Schedule Permit No.:-?4;PkJ Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 1N9J 763-572-3604 Surcharge $jam .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) CITY OF FRIDLEY $ Date Rec'd: (A 7 — Q 763-502-4977 FAX $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review EFFECTIVE 1-1-2010 $ Fee Determined by Engineering DATE G - 7 v N CD YOUR E-MAIL ADDRESS \N \N ,Y\J p `,S Ar- 1'1 (:' r4 �%C� c, 1 O \'may (- I SITE ADDRESS _ _ - C i R- L TT' 7 t --- $ '� 00 THIS THIS APPLICANT IS: ❑ OWNER >CONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: S'-6- 1 S L.'I '7E CITYSTATEb&pJ_ZIP sS PHONEi�^4 t — 6.aC—, CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # e EXP DATE - AND CERTIFICATE OF ADDRESS: S� CITY STATE _ZIP I INSURANCE PHONE J FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH-4TROOF ❑ DRAIN TILE ❑ DECK 4YSIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE:_ )R N 0 F �'i 1, (� 9c, SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT OR OFINGj�-� -f HOUSE ONLY � BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES to ❑ 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: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINAOWS 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ r -'F01, OCCUPANCY TYPE Permit Fee $ e,2 See Back Page for Fee Schedule Plan Review $ / 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $jam .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 $ '� 00 Make checks Davable to: Citv of Fridlev Attach Stiuulations 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 o mork-wl 'ch re c uir s review and approval of plans. SIGNATURE OF APPLICA PRINT NAME �� p i ��N�GI�DATE -I