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PRE 2010 DOCSDate: Owner: Address •Cit3' oFridley, f FidlMinn. 0 BUILDING PERMIT N® 446'7 Builder........................ C� J -......_.._........_.._...._.�._... Address_....---------- ---- --------- - ..._.......- ....._......._.....__.._... ��ff TION OF BUILDING No. v� 1. Street • .... - f - ._..... _...._....... __ . ,�+ Y......._ ........................._.............. Part of Lot ....._..........----------------- Lot....._../../.............._........ Block ..... ...... Addition or Sub -Division �� V a � -•• o Corner Lot .................................... Inside Lot ... ............... Setback ,��..I,i.............-...... Sideyard .. - ..._......-......_. SewerElevation .................................................. _..................................................... Foundation Elevation ................................... _........................................... DESCRIPTION OF BUILDING To be Used i 44.._ .... ........... Front ...7..®....... Depth Height .... ....... Sq. Ft./224...Z-.p®�... Cu. Ft. lf,, fb..ld'4 _..... .... -.a....-...._... Front .,�.. ...... Depth -- - ,� Height --%... .- ..... Sq. Ft. �1.. .A..... Cu. Ft.,?A6y...6 Type o Construction Est. Cost.71i Mv._.................. To be Completed ..... .............. _ ............. _................ . CAUTION THIS PERMIT DOES NOT AUTHORIZE VIOLAT- ION OF ANY I?:11VIATE'LAND COVENANTS AND BUILDING RESTRIC-1 IONS. In consideration of the issuance to me of a permit to ;constru the building described above, I agree to do the proposed work in accordance with the description abovset orth ancompliance with all mrovisions of ordinances of the city of Fridley. AtAlz�Q In consideration of the payment of a fee of $," permit is hereby granted . ....................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. /1 AA _1 i Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, Sas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 6 Application for Power Plants and.. Healing, Cooling, Ventilation, .Rehigeraand Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 ` q Q r each add. 60,000 BTU .... . .................. 2.00 $ _ Replacement of Furnace ............................. §.00 $ Repairs & Alterations—up to $500.00 .... ............ 5.00 $ Repairs & Alterations each add. $500.00 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTL) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone SII 4-7470 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true andhorrect. iy a i Fridley, Minn Owner Kind of Used as To be completed about Estimated Cost, $ ®� Old—New. Building Permit No.Permit No.� OF WORK HEATING or POWE PLANTS team, Hot Water, Warm Air—No !/ Trade Name Size No-��7 b 8S7 Capacity6-5- Sq. Ft. EDR BTU H.P. To01 Moe teliT oaO 7/ % Kind of Fuel BURNER — Trade Name Size No Capacity Sq. It. E.DR BTU H.P. (REMARKS—OVER) L ei 1 t/f�.iv/O 2M 7-59 Business Phone No - J OIL BURNER—to 3 gal, per hour ........................ 5.00 $ Application for Power Plants and' Healing. Cooling. VentiWon, .Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE i Dept. of Bldgs. Phone SU, 4-7470 hy�� 5.00 GRAVITY WARM AIR: RATE TOTAL,Location NO RATE 1. Furnace Shell & Duct Work .......................... 8.00 $ x $1.50 $ Replacement of Furnace ............................. 5.00 $ City of Fridley: $ Repairs & Alterations—up to $500.00 .................. 5.00 $ The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances Repairs & Alterations each add. $500.00 2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts ............... AIR CONDITIONING and representations stated in this application are true and correct. $ MECH. WARM AIR FAN HEATING SYSTEM See Fee Schedule 1 �f o Fridley, Minn 7 p` � 19ka- Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ ° , y each add. 60,000 BTU ........................ 2.00 $ Owner - � o � ���� L6 9 Replacement of Furnace ............................. .P.00 $ Kind of Building )'y Repairs & Alterations—up to $500.00 ... ............ 5.00 $ P��z Repairs &Alterations each add. $500.00 .......... .... 2.50 $ Used as —� To be completed about STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam, ...... 8.00 $ Estimated Cost, $1-190 0 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ L Old—New. Building Permit No. � Permit No. Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ DESCRIPTION OF WORK OIL BURNER—to 3 gal, per hour ........................ 5.00 $ over 3 gal, per hour—See Fee Schedule i GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule 1 VENTILATING SYSTEM $ 9 ALTERATIONS & REPAIRS TOTAL FEE $ 1 ROUGH FINAL HEATING or POWER PLANTS- Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name . Size No Capacity Sq. Ft. EM.R BTU H.P. (REMARKS -OVER) Sign AL By s 4z 7M 7-59 Business Phone No 0;. — © l✓ • Minn ec'e'2 )�� sV City of Fridley, BUILDINGI t 7119 Owner: Builder Addressj:Z Address r LO I NOF UILDING No. Street lyz — Part of Lot Lot _ . _ _ __ Block Addition or Sub -Division Corner Lot Inside Lot �® Setback Sideyard _If d Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Usedz4iron t Depth Height _ Sq. Ft. Cu. FtAW epth Height Sq. Ft. Cu. Ft. Type of Construction Est. 4 To be Completed In consideration of the issuance to me of a permit to construct the building the proposed work in accordance with the description above set forth and in cc ordinances of the city of Fridley. . O A) 6� In consideration of the payment of a fee of $ ,permit is hereby granted to I agree to do provisions of 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 pari thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construct on, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon vlola?eo any of the provisions of said NOTICE: Sic porn& doe not cover the construcdon, tnstaMon for whtng, plumbing, gas hoeting, ewer or water. Be an to soo the Bu[Ming htspoctor for separate permits for these it na. • Date: June 23, 1965 City of Fridley, Minn. BUILDING PERMIT oma: Mr. J. D. P'reekett ode. William Kranz, Inc. Adder 5821 Mia Street N. E. Adm 4038 Lake Road LOCATION OF BUILDING N° 8010 No 5821 Street lith Street N. E. Part of Lot Lot 11 Block 5 Addition or Sub.Diviai0AB=e'tjPa3per¢ Add. Corner Lot._ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est Cost 2,500.00 __To be Completed • Storm da*age repair • In moderation of the issuance to we 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 ail provisions of ordinances o the city of Fridley. - ;) 12 /Z In consideration of the payment of a fee of $10.00 , permit is hereby granted to Wh• Kranz, Inc. to construct the building or addition as described above. This t 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 this permilocation, may lie revokedalat any time upon violation off any of t provand moving isions oo said ordiinnaanctes. city limits and NOTICE, We pemb den net carer go cew, w dw, leshlldlon for wkht& PlumbbiB. an 6udea, sewer w wstsr. Be sun to ne 16 Beildloa bwedor for sspnate permits for thm <t"M 7 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAMEr .�er. peke tt B=DER William Kranz Ino. ADDRESS_ 21 4th St. ADDRESS_ 4038 Lake Road LOCATION OF BUILDING No. Street Part of Lot LOT���BLOCK ADDITION OR SUBDIVISION S c Corner Lot Inside LOT Setback Side -Yard SEWER 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 TrHeight, Sq. Ft. Cu. Ft. Type of Construction Storm Repair Estimated Cost $2500.00 To be completed July 15 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 6/23/65 SIGNATURE - \ (Schedule of Fee Costs can be found on the Reverse Side). • Date: • • City of Fridley, Minn.. BUILDING PERMIT 6 March 1967 Owner: _ John D. Preekett Builder Address ___ (560-3833) Address Same ��'d s.7 N9 9148 LOCATION OF BUILDING No. _:582k__ Street .— 4th Street NE ____. Part of Lot Lot — 1_._._..__ Block 5 Addition or Sub -Division Bennett Palmer Addition Corner Lot _______ Inside Lot —. X Setback __ - Sideyard _ Sewer Elevation ____ Foundation Elevation DESCRIPTION OF BUILDING To be Used as(Storm Damage) Remodeling Front _ _ Depth Height — Sq. Ft. Cu. Ft. Front Depth Height _ Sq. Ft. Cu. Ft. Type of Construction Frame Fst. Cost To be Completed $5,000 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. % h,. 9n /_ / %&—A In consideration of the payment of a fee of $ 5 .00 . permit is hereby granted to John D. Preekett to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. " wl a Dig t 'I _ -r-777 mv NOTICE: This permit does not cover the construction, hatelition for wiring, plumbing, gas hosting, sewer or water. Be sure to see the Building Inspector for separate permits for these Nona. a s APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, Mn MSOTA OWNER'S NAME ! " A BUILDER .. ADDRESS ADDRESS LOCATION OF BUILDING NO. ✓� STREET„PART OF LOT LOTS % BLOCK �— ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT %� SETBACK SIDE -YARD ._..X SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING Be Used Ad: .V Fr t Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. / Cu. Ft Type of Construction Estimated Estimated Cost ®a el To Be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNATURE (Schedule o Fee Cos/is can be found on the Reverse Side). i CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer • Air Conditioning (all sizes) All Others/Repairs and Alterations li of Value of Appliance or Work COMMERCIAL/INDUSTRIAL l% of Value of Appliance or Work RATE TOTAL 00/ $ 20.00 Sb $ 10.00 $ $ 10.00 $ State Surcharge Reinspection Fee ($15.00) Rough Insp. / Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SU901ARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. $ .50 s 30 s S Job Address 5% a,\ - IQ E Department of Buildings 6431 University Ave. N.E., Fridley, NN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. 1® , 19�� owNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT VG `'>-% tt�� 1 ESTIMATED COST LCC J OLD - NEW BUILDING PERMIT NO. PERMIT NO. ! 6_3 DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name 0�( ciq_ Size No. Jbo%c' Capacity a ��(� Sq. Ft. EDR STU 1DW HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP ro'k� 1 • �5 Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has .been. carefully examined Yes (,) -No ( ) 2. Is free from -rust or deterioration Yes ( ) 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 connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s a Company Signed By Date SUBJECT T NO. City of Fridley 22024 AT THE TOP OF THE TWINS BUILDING PERMIT ' , O 11. COMMUNITY DEVELOPMENT DIV. �: ------ PROTECTIVE INSPECTION SEC. Jr? c��i r � � 1 i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE Of APPROVED BY 612-571-3450 910-F15 t I 8/10/g3 10B ADDRESS 5821 4th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ll 5 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Delores Preekett 5821 4th.Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Mon -Ray Inc. 8224 Olson Memorial Hwy, Golden Vally MN 55427 546-8625 5111 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PH NE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION �D REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 3 windows in dining area 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors_ as per UBC 121a adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 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 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 $2r 315 $1.16 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 54.OQ. Fire SC $2.32 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5,0.0 $6248 SGNATUREOF ONTRACTORORAUTMO,RIZ D GENT IDATEI WHEN P PE VALIDATED THIS IS YOUR PER IT L G I nAT iG TU EOF OWNER OF OWNER BUILDE I IDATEI NEW [ ] Effective 5/26/93 ADDN j ] CITY OF FRIDLEY =n�aG3-7 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: �--7 J �- Legal Description: -_-- Owner Name & Address: •KE %%SAN Address: Tel.3-?, MN LICENSE # Attach to this application, a Certi ote of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF HAPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: -- Corner Lot [ I Inside Lar [ I Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANTS Tel. —# -J� CITY USE ,QM Y. Permit Fee $. 00 Fee Schedule on Reverse Side Fire Surcharge $ �. 3oZ .001 of Permit Valuation (1/10th`) State Surcharge $ /146- $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ I Not Necessary [ ] TOTAL $ ���° STIPULATIONS: SUBJECT RMIT City of Fridley 7�z�& AT THE TOP OF THE TWINS BUILDING P E R M I T f IPT NO. � • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/7/96 / / JOB ADDRESS 5821 4 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 5 1 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Delores Preekett 5821 4 Street NE 571-3383 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Mon -Ray Inc 8224 Olson Memorial Hwy, Gol. Val. 55427 546-8625 5111 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 Replacement Windows 9 CHANGE OF USE FROM TO STIPULATIONS Any sleeping area windows that are being replaced must be in conformance to the State Egress Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 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 $.94 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,884 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 TOTAL FEE License SC $5.00 1 $67.32 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERL ALIDATED THIS IS YOUR PERMIT � gip I SP v - BATE - SIGNATURE OF OWNER0F OWNER BUILDER) IDATEI NEW I I Effective 8/l/95 ADD„I i I CITY OF FRIDLEY ALTER (I SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application REMODEL (X) 4';�M Construction Address: 5821 4th Street NF Legal Description: Owner Name & Address: DELORES PREEKETT 5821 4th St NE Fr; r11 ey Tel. # SZ -33&1 Contractor: MON-RAY, INC. _ MN LICENSE # 0005111 Address: 8224 OL'SON MEMORIAL HWY GOLDEN VALLEY, Mn 55427 Tel. # 546-8625 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 Width Height Sq. Ft. DECK AREA: Length--\ Width Hgt/Ground Sq. Ft. OTHER:P Corner Lot [ ] Inside Lot [ I Ft. Yd Setback Side Yard Setbacks Type of Construction: RESIDENTIAL Estimated Cost: $ 1884.00 _ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft_ + 6F = Ft x $ _ $ DATE: APPLICANT: Tel. # 546-8625 CITY USE ONLY Permit Fee $ 59.50 Fee Schedule on Reverse Side Fire Surcharge $ 1.88 .001 of Permit Valuation (1/10th%) State Surcharge $ .94 $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ 5.00 $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 $ 67.32 STIPULATIONS: sueJEcr IT NO. City of Fridley 27114----' AT THE TOP OF THE TWINS BUILDING PERMIT r ' , *tctT NO. ___ _ COMMUNITY DEVELOPMENT DIV. V � PROTECTIVE INSPECTION SEC. 6-0- Ge6 r � r � I NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 �j 612-571-3450 910415 8/11/98 JOB ADDRESS 5821 4 St NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 1 5 1 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Delores'K Preekett 571-3383 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Clarence Randle -3438 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20090009 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Rk REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house (20 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING MOT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 50 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. N0. 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 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- TRUCTION OH ERFORMA CONSTRUCTION.re SC $1.66 PLAN CHECK FEE TO AL FEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI 01 61.49 E P 0 Y VAL A THIS I UR P IT VDG INSP � s DATE S-GNATURE OF OWNER OF OWNER BUILDER$ IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 4 �1 ConstructionAddress: Legal Description: Owner Name & Address: Ql re_5 � �� Tel. # 577/ Contractor: L-laf? dO?a 446 C �5�� MN LICENSE #.X03 eoo Address: Ifo 4 Lees, M/y S �;-?u g Tel. # d/8 ;�7 3��g 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 Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: ja jajy„a Gwv'S-e -go " fes- d2' Construction Type: Estimated Cost: $ oU — / ( (0d (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: // APPLICANT: �� ---- Tel. #,-2/6 ajlS= 3/3 Ir TOTAL STIPULATIONS: CITY USE ONLY D� Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 60 $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 Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Permit # �S--D,239,3 Residential Application City of Fridley See Back Side For Required Information Date bQ-13-0& Site Address:�_� 1✓ °, The applicant is: (cirlce one) Owner Lonac Property Owner:- r Address: �L s & City: State: / zip: 615,y � Phone: Cell: Fax: Contractor Information Company Name: Contact Person: Address: ' City: State: fwrz Zip: ,3dY Phone:2�24.Z�z7--/o,2,12 Cell: Fax: Email: MN Bond# & Exp Date Type of Work (circle one): New Replacement Alteration/Remodel Detailed Description of work: / Equipment Installed: MFG: Model: Size/BTU: MFG: Model: Size/BTU: MFG: Model: Size/BTU: Please check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 _A/C $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _Air to Air exchanger $15.00 _Furnace $35.00 _Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 _Ventilator $15.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ ��� (Total from above -Minimum fee $35.00) Surcharge $ 0.50 Total Due $ ?K�) • � Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical 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; that the work will be in accordance with the approved plan in case of all work which requires review and approval of plans. Signature of Applicant: Date: Approval Inspector Sign Date: Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) - a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. - Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Building PLUMBING Permit No. 9 _60:0, Inspections RESIDENTIAL APPLICATION Received By: ��6 763-572-3604 CITY OF FRIDLEY 06'200�_ 763-502-4977 FAX EFFECTIVE 2-19-09 DATE ✓ ��j_ U (.a !7 % YOUR E-MAIL ADDRESS c SITE ADDRESS 196? 21 ki' Tf/ THIS APPLICANT IS: AOWNER ❑CONTRACTOR PROPERTY NAME: S f'AX-1/,9 ac, OWNER/ ADDRESS: h' Z� �fi`• 3 %� dl/F CITY /—✓� %�� �✓�- STATF/lF_�ZIP�? TENANT `zd PHONE: CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PERMIT TYPE it SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW WaEPLACEMENT DETAILED DESCRIPTION OF WORK f/�r�i i 12-, 10 FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTEI?. FIXTURES: (INDICATE TOTAL NUMBER: OF EACH BE ). MINIMUM FEE $35.50. _ BATH SINK/LAV _FLOOR DRAINS SHOWER ATER PIPING _ —BATHTUB _ GAS PIPING (NEED CITY LIC) _SWIMMING POOL WATER SOFTNER ($ _ _ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET BACKFLOW PREV. $1✓✓ _ _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER - " ,( } �' �i F i" 'r ��+ ��lS �,. i5��' ���... _ V �. +� H a Y, .f `4trR ^` i t�°S � �S�y �✓ �? h g.� 4 AF THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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. SIGNATURE OF APPLICANT�A,A�QC) L3PAZ PRINT NAM &, kli )DATE 0c( 1 { r City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977