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PRE 2010 DOCSCity of Fridley, Minn. BUR DING PERMIT Nm 3573 Date:...::..: Al:............. . Owner ....................................... Builder . G. .! .. ................... Address ...................................... Address ............................................. 40CATION OF BUILDING No. �..!.. Street ............ ...... a (........... Part of Lot ............... ............... Lot ...... Block .....� .......... Addition or Sub -Division 464-1v n .. .... . Corner Lot ............ Inside Lot .X......... Setback -3p Sideyard /a..... DESCRIPTION OF BUILDING To be Used as• .. Front �a : /.'.d Depth G' Height a' Depth Ft1'KV. �� Cu. Ft. ZR A . % r .................... Front ........ Depth .... ... Height ........ Sq. Ft. ........ Cm Ft. ... . .... Type of Construction ................... Bst. C l Q.1 �. d .. To be Completed ............ In consideration of the issuance to me of a permit to construct the bu the proposed work in accordance with the description above set f9fth ani ordinances of the city of Fridley. d� In consideration of the payment of a fee of permit desribed above, I agree to do mp],iance With all provisions of hereby granted to ................... ......................... to construct the building or addition as described above. This permit is granted upon w j 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ...'/ . Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items Application for Power Plants and Heating. Coaling, Ventilation. Refrigeration and 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 $ each add. 00,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $— Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Linea ---to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 040 sq. ft. IDR Hot Water ... 8.00 $ Each add. 200 sq. ft. IDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR 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 BTU) ....................... 5.00 GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $ (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ l Dept. of Bldgs. Phone SII 4-7470 Location 5--717 City of Fridley: 4A Ir t 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 and correct. ,/ Fridley Minn_ , 195— Owner A'�7 195— Kind of Building 195— Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. DESCRIPTION OF WORK 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. E.D.R BTU H.P. �„ - . �Ll-/ �%moi✓ %i�.L aQD*llPosr1M-8-58 Business Phone No Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE DepL of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: RATETOTAL Location J �17' % �!z �. Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace$ City of Fridley. ............................. 5.00 Repairs &Alterations—u to 500.00 5.00 The undersigned hereby makes application for a permit for the work herein P $ $ 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 and representations stated in this application are true and correct. MECH. WARM AIR Zg� C= $ d Fridley, M;*+*+- 1953—r" Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 Owner (Z4 0–v 195— each add. 60,000 BTU ....................... 2.00 $ ��- Replacement of Furnace ............................. 5.00 $ Kind of Building A 4"a 195_ Repairs & Alterations—up to $500.00 ................. 5.00 $ � ✓� Repairs & Alterations each add. $500.00 .............. 2.50 $ Used asor STEAM or HOT WATER SYSTEM To be completed about % Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Estimated Cast, $®� Furnace Shell & Line—to 840 sq. ft. EDR Hot Water ... 8.00 $ X3- �� Old Building Permit No. Each add. 200 sq. ft. IDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR Hot Water .................. 2.50 $ DESCRIPTION OF WORK OIL BURNER to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTI) ....................... 5.00 $ GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $ (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS: See Fee Schedule $ TOTAL FEEOC- HEATING or POWER PLANTS—Steam, Hot Water! .°;i No Trade Name �� Size No �� Capacity Sq. Ft. E.D.R y BTU H.P. Total Connected Load—� (50 d Kind of Fuel BURNER — Trade Name a�—��Size No Capacity Sq. Ft. E.D.R. BTU H.P. Siga By og� 11 POST 1M-8-58 Business Phone City of Fridley, Minn. BUILDING PERMIT N? /1588 Date: 0 �z lezl' wner: Builder . .. . ...... Address Address TION OF BUILDING NO Put Of Lot Street Lot ........... ................. Block _-- ---- --- --_-----------------_---- Addition or Sub -Division ....._......------._......------• Comer Lot ..... .................... . . Inside Lot -_---------- Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING T 0 To I �a.._.. d Cu. Ft. Front Depth,fiHeight Sq. Ft. ei ht ............... ................... ....(................ .......... Front ....._............._.. Depth cos.��R Sq. Ft......_............._.. Cu. Ft......- ................. Type of Construction Est. ................ . ........ To be Completed .............. ................................... F. 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 time= ups ,etiolation oi)any of therovIsions of said ordinances.A // I Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas hosting, sewer or water. Be sure to see the Building Inspector for separate permits for these, items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY$ MINNESOTA Owners NameL -,, /c/ S Builder Address ��/ 7 f Address LOCATION OF BUILDING e' No. � Street -q 6 � 5 C /V/7� Part of Lot Lot Block Addition or Sub%Div. i Corner Lot Inside LotSet Backw / ®J Side -Yard SEWER ELEVATION FOUNDATION ELEVATION„__,. Applicant attach.to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front Depth Height l� Sq.. F 4 Cu. Ft, C� Front Depth Height Sq. Ft. Cu. Ft, +_ r Type of Construction rl ;h "I 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 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 corrept. DATE— SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) o /4 -�� City of Fridley, Minn.. N° 7750 BUILDING PERMIT • Date: June 7, 1965 Pi • oar: Ronald Mar -ben Builder Carlson LaVie . I=. Address 59174th- Street N. E. Address LOCATION OF BUILDING Na 5917 Street 4th Street N. E. Part of Lot Lot 13 _ Block 2 Addition or Sub.Division Bermett, Palmer Add. Corner Lot _ Inside Lot Sewer Elevation To be Used as: Type of Construction Setback Sideyard -- Foundation Elevation DESCRIPTION OF BUILDING Front Depth height Front Depth freight Storm. Damage repair Fast Sq. Ft. Cu. Ft Sq. Ft. Cu. Ft To be Completed 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 a'll provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of1$ 0.00 , permit is hereby granted to CarUon IaVine. TIIC. 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= thereof, shall conform in all respects to the ordinances of Fridley, �nesota 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. AUen Jensen Building mor NOTICE 1bh Pam* den no emw the condme im, kahMtllon for vArbt& plumbing, on heafte, sewer or water. M sun to as the BWMh* lespnler for apm to pem ift for thea hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME �iI /'� e� ��1%+ L„ /� BUILDER i� 2 hC c o n CQ . ADDRESS_-jz / z - 15 •trh, s r, ADDRESS,? ?,.S -'/.e- -f'eL .,tea & rf, �i ,-q y� LOCATION OF BUILDING No., Street- Part of Lot LOT '/ BLOCK '� ADDITION OR. SUBDIVISION Corner'Lot Inside LOT Setback Side -Yard SEWER ELEVATION ­70UNDATION ELEVATION 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; Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq, Ft. Cu. Ft. Type of Construction,& .`,` �r,�A.,_, Estimated Cost l®oe-�, 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. s o % DATE-SIGNATORE��. (Schedule A Fee Costs can be found on the Reverse Side). �L) of J •. SUBJECT IT NO. P® City of Fridley 148 AT THE TOP OF THE TWINS PERMIT r BUILDING i. CEIPT L'_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � `1 i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By --•-�/"',,� L 612-660-3450 910-F15 9/5/78 JOB ADDRESS 5917 4th St. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Bennett -Palmer SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Joseph Calistio Same 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Lloyds Home Improvement Inc. 4911 4th St. NE 560-4857 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Home 7 CLASS OF WORK REMOVE ❑ NEW ❑ ADDITION ❑ ALTERATION IN REPAIR ❑ MOVE ❑ 8 DESCRIBE WORK Misc. inside repairs; new door; insulation 9 CHANGE QF 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 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 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, $860 0.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 7.50 PLAN CHECK FEE TOTAL FE$8. 00 T (DATE) SI N TURE OF CONTRACTOR OR AUTHORIZE v'r WHPR PERLY VALIDATED THIS IS YOUR P R TT BLDG. INSP 15ATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) • CITY OF FRIDLEY , APPLICATION FOR RESIll[=NTIAL BUILDING PE(1(4ITS (NEW, ALTERATIms, ADDITIONS, OR REPAIRS) OWNER: � �� ,.� [L��.� - --- i3UILUER: Address: �. %� Address : C ✓� Tel. No. Z' / c,, -- No.: —No.: Street: LOT: BLOCK.: ADDITION: CORNER LOT: INSIDE IAT: 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: Front: Depth: Height: _ Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction,:^ �� timated Cost: $ To Be Completed: er ���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: SIGNATURE: 7 Stipulations: �- _ _•.�= .lam CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 591 4 RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 representations stated. in this application are true and correct. (Side Vent — Fill Out Back) _.,rte_ Gas Piping (Needed with new furnace) $10.00 $ OWNER Gas Range $10.00 $ BUILDING USED AS ,Pes /aleft C Gas Dryer $ 10.00 $ ESTIMATED COST 1� SQ �� PERMIT NO. *Air Conditioning — All Sizes $10.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units l Circle One (Steam) (Hot Water�f arm Air Trade Name— &e-2111 Size No.. 5-6 7 S-- —Commercial/industrial Commercial/industrial BTU 0 HP EDR 1 % of Value of Appliance or Work $ Fuel Total Connected Load---/ State Surcharge $ .60 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ Xu MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION Y -a REFRIGERATION AIR CONDITIONING PERMIT IS,15.00 PLUS THE $.50 STATE SURCHARGE I.n� n j(/ REINSPECTION FEE $30.00 ` *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. G HEATING COMPANY, �O -L4/Zla�'wlC2 C Signed By Tel No. Approved By4j Rough—in Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT. FURNACE NOTE: #1 through #8 required when using a side vent furnace. CHIMNEY AND STACK YEWFICATION The undersigned hereby verifies that the existing chimney or stack: I . Has been carefully examined Yes 04) No ( ) 2. Is free from rust or deterioration Yes (b� No ( ) 3. Has no foreign objects lodged within Yes (X) No ( } 4. Is securely supported Yes V) No ( ) 5. Meets all current Code requirements for size and total BTU's connected O Yes ()bl No ( } 06 6 Has total heating BTU's of All other BTU's 5^00 O TOTAL BTU's / 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: 111�411*14.1,741W#Ikl 11,12.1040M-0309 HEATING CO: Signed By: Date: VI I 1 yr rnIULCI IIVOrC%JINAN UIV. 6431 University Ave NE Fridley, MN 55432 572-3604 tnecuve un uanuary i, i yivj APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric NO Water Heater — Gas Q( Gas Range —'"� Gas Dryer Back Flow Preventer Required ( )Yes () No Type RATE. $ 7.00 $ 4.00 $ 5.00 '$7.00 $ 7.00 $.7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL JOB ADDRESS The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work In strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations statedin tthhiisl appp'lication are true and correct. Owner Building Used As 106o iz •Ae Estimated Cosh O PERMIT NO. �! PLUMBING COMPANY ( JAZ TL, ��, ��, ;�v SIGNED B �� TEL N0. Approved Byj Rough—In Date Final Date 6 $ .50 MINIMUM FEE '�OR ANY PLUMBING/GAS PERMIT IS $15.00 $� PLUS THE $.50 STATE SURCHARGE •..� S ower ..�. TraY Floor r Dra n ••�;:•: .A uto Was Gas Water Heater Stories es I c Basement:._...', a e e s m nt -.*,:.. Floor 1 Floor I 2 Floor 3 F oor 4 I PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric NO Water Heater — Gas Q( Gas Range —'"� Gas Dryer Back Flow Preventer Required ( )Yes () No Type RATE. $ 7.00 $ 4.00 $ 5.00 '$7.00 $ 7.00 $.7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL JOB ADDRESS The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work In strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations statedin tthhiisl appp'lication are true and correct. Owner Building Used As 106o iz •Ae Estimated Cosh O PERMIT NO. �! PLUMBING COMPANY ( JAZ TL, ��, ��, ;�v SIGNED B �� TEL N0. Approved Byj Rough—In Date Final Date 6 $ .50 MINIMUM FEE '�OR ANY PLUMBING/GAS PERMIT IS $15.00 $� PLUS THE $.50 STATE SURCHARGE suedEcr PERmff -W)-� City of Fridley (f 23054 AT THE TOP OF THE TWINS BUILDING PERMIT -O. Ir? RECEIPT N � •______ COMMUNITY DEVELOPMENT DIV. v r ' PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED B• CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/31/94 JOB ADDRESS 5917 4 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 1 Bennett Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Cermak 5917 4 Street NE 574-9610 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. J & J TOtal Construction 6870 164 In NW Ramsey 753-6558 9227 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 Repair siding; replace windows 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement. Replacement bedroom windows must meet the State egress code. SEPARATE PERMITS RE0 1YRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING 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 $12,000 $6.00 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- $135.00 Fire SC $12.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $158.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI V-ALLIIIDATED THIS IS YOUR PERMIT WHEN PROPERVALIDATED o f ° IN -4y 64INSP GATE S,GNATURE OF OWNERUF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ✓�� `l"`"' ConstructionAddress: � ? 17 fb 5�*ee 71 Legal Description: Owner Name & Address: Tel. # S 7 %- ch-/ Z' Contractor:g-� 1-07741 MN LICENSE # %.0 7 Address: &s' 7 o /6 q 4 1,,y. s- y 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 Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. • OTHER: S (IjI •iq +-t/r'�/®/� w� i.tid R e�.o.�� Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ /a a o 0 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = —Ft x�$— - $ DATE:. Lo- 3/ -Ili APPLICANT: Tel. # 75 k 0 Permit Fee $ 13 S ,,)o Fee Schedule on Reverse Side Fire Surcharge $ A,2- 0 6 .001 of Permit Valuation (1/10th%) State Surcharge $ DG $.501$1,000 Valuation SAC Charge $ $8W 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 $�� STIPULATIONS: NO. 0 SUBJECT City of Fridley TP AT THE TOP OF THE TWINS I BUILDING I I D I� I G p E Q AA I T COMMUNITY DEVELOPMENT DIV. D L ' v 1 "1 r 1 1 RET o �s _ 7" b PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 6/9/98 JOB ADDRESS 5917 4 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Bennett Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rich Cernak 5917 4 Street NE 574-9610 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Siding& Roofing18979 Gladstone Blvd Maple Grove MN 55311 416-4804 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Q REPAIR X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (25 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,085 $1.04 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 S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC $2.08 RUCTI OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTA E Licen $5.0 $82.87 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN djg�OP Y LIDAT B G INSP D HIS IS YCWR PRIT DATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE I NO. 0 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATIONt� ConstructionAddress: 7 `- Legal Description: Owner Name &�Address: Az: �I CC- Velg k Tel. # -5_7 y '16 / 0 Contractor: M►(/'/c5 k k 40 � 'i 6 MN LICENSE # o_ 0y/O d 77 Address: /2979 keX 8414, /Llama /r Grroe_,, AW,4-," 53'3// Tel. # c/% 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: /fiv3c d- 6,v--at7, Construction Type: Estimated Cost: $ ©r 'cru (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: b - r" -� 9 APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: e= �/C Tel. # Vld ' CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ITY OF FRIDLEY INSPECTION DIVISION 431 University Ave NE Q1 ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, a: 72-3504 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE esidential =urnace Shell and Duct Work, Burner - 41so Replacement Furnace (Side Vent - Fill Out Back) 3as Piping (Needed with new furnace, o but not replacement) 3as Range. 3as Dryer Air Conditioning - All Sizes } w Oil OtherslRepalrs & Alteratlons (LIST ORI SACK) a 1% of Value of Appliance or Work LL o ommerclaffindustrial 1.25% of Value of Appliance or Work U ' E 0 Rate TOTAL $ 30.00 $ $10.00 $10.00 $ $10.00 $25.00 $_. 1 State Surcharge TOTAL FEE $ .50 a 11NIMUM FEE FOR ANY HEATING/COOLINGIVENTILATION EFRIGERATIONjAIR CONDITIONING PERMIT IS $25.00 Cn cn WS THE $.50 STATE SURCHARGE Ck I EINSPECTION FEE$42,00/Hr a Q Effective On January 1, 1999 ,JOB ADDRESS j rl L -l" !E;- t1 The undersigned hereby mattes application for a permfi for the work herein specified agreeing to do all work In strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated In this application are true and oorr v-")( OWNER, BUILDING USED AS ESTIMATED COST PERMIT NO,_ / 32 DESCRIPTION OF FURNACE AND QR BURNER No. of Heating Units Circle One (Steamy (Hot Water) (Warm Air) Trade NarneL __._ Size No. BTU HP EOR Fuel� Total Connected Load Burner Trade Name Size No. BTU HP EDR ATING COMPANY Zigned By—r1)—C'='2LTel No. �x�,It0) Approved By -66Rough-In Date Final Date Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE rritten permission from adjoining property owner. -7 - OJ- Q5(�7 Building PLUMBING Permit No' Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: DATE :4/A/0-7 YOUR E-MAIL ADDRESS SITE ADDRESS 9/ 7 q"24 S 7 Al f - THIS APPLICANT IS: ❑ OWNER IPCONTRACTOR PROPERTY NAME: 91 C-14 C E 2 /h A e - k OWNE ADDRESS: 59J 7 H S r .y 6- CITY OCRs b L 6 y STATE1*'-) ZIP J 5- y y;t TENANT PHONE: -7 1.3 - S -/ - g e u NAME: Terry Overacker Plbg Inc CONTRACTOR SUBMIT A COPY OF STATE LICENSE # 51 H K P M EXP E 1628 County Hwy 10 YOUR STATE ADDRESS: Spring Lake Park, MN 55432 LICENSE WITH PHONE FAX (763) 572-8880 APPLICATION ❑ SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE PERMIT TYPE TYPE OF WORK: ❑ NEW �' ❑ REPLACEMENT -' DETAILED DESCRIPTION OF WO c PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or-. replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor.) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE FEES ARE BASED ON $1a. PER-F1XXTURE, EXCEPT WHERE NOTED. FIXTURES:: (INIDICKFEMTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS SHOWER _ WATER PIPING _ _FLOOR _ GAS PIPING (NEED arrucENst) SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) _ _ —DISHWASHER _ LAUNDRY TRAY HEATER ($35) FOR IRRIGATION _WATER WATER METER OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surchar a .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 —L x$35.00=$ 31 • y d TOTAL DUE $ State Surcharge = $ 50 Total = $i9 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; 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 PRINT NAME JA C. IC, E /C lZ. c? ,tI E DATE _ R 0 �i k City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977