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PRE 2010 DOCSDate: Ad 0 City of Fridley, Minn. BUILDING PERMIT N° 5953 Address '+r LO 10 OF BUILDING No.—�+,�eei05treetF -4_ .__ kart of t Lot Block.- Addition or Sub -Division . Corner Lot ._ Inside Lot __ _' — Setback 1 � — Sideyard _Coll Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To Use ,rte Front * Depth Height Sq. Ft. Cu. Ft Front Depth Height - Sq. Ft. Cu. Ft. Type of Construction ,W a F..s1 o 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 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, AflnnesotA regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any upon viola ' of any of the provisions of said ordinances. S w w _ Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to an the Building inspector for separate permits for these hems. 0 0 1.. Application for Power Plants and Healing. Cooling. Ventilation. ReMgon*iion 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 ............... L50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 each add. 60,060 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 NOT 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. IDR 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 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 , S� FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE S� ROUGH FINAL DepL of Bldgs. Phone SU 4-7470 City of Fridley: F 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_ 3 , 19 Owner Kind of Building Used as To be completed abouty U011 i u lows. ®o Estimated Cost, $ im�- uilding Permit No. � ..$- Permit No. DESCRIPTION OF WORK HEATING e7? -P9 , Warm Air—No 7. Trade NameSize N—/d Capacity gOs E D H4BTU H.P. d v' 1B•�1.dri Total Connected LoaKind of FueLejW4-0 BURNER — Trade Name Size Nos Capacity Sq. Ft. EM.R/MAV' ' BTU H.P. GEO. SED ICK HTG. & AIR-COND. CO 1001 Xenia Av. S. Minneapolis 16, Minn. Sign By. <2 2M Business Pho a No (REMARKS—OVER) 1. $uB.,ECT PER City of Fridley 2800 AT THE TOP OF THE TWINS BUILDING PERMIT r REC COMMUNITY DEVELOPMENT DIV. ►V -«--_ . f � PROTECTIVE INSPECTION SECb)vo 1 � � / NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450910415i' 19/28/98 10B ADDRESS 5932-34 4th Street NE . I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DIE 2 1 Holl Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Gates Roofing 4640 Ximines Ln Plymouth MN 55442 550-0043 6793 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 B DESCRIBE WORK Reroof house and garage (25 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2142 $1.07 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 $74.75 Fire SC $2.14 PLAN CHECK FEE TOTAL F Licen SC $5.00 $82. 6 �41GNA�IURIOICONT;�.�, O 1 UTMOR4EO AGENTiDATEi N P PER LIGATED H I R I BLDG SP - iAtE S,GNATURE Of OVVNERi1F OWNER BUILDER, tOATE. NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2�� BUILDING PERMIT APPLICATION ConstructionAddress: .aV: - Legal Description: T�4.4- Owner Name & Address: 5e13 2 ' 3 `� `� "' s �E' • .N. c Tel. # Contractor: MN LICENSE # Address: LIG40 4 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: Construction Type:Tr.4 2-S, Estimated Cost: $_� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: Tel. # 5Sg 4 - W c-(3 ell CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ S^ Fee Schedule on Reverse Side $ e /y .001 of Permit Valuation (1/10th%) $ 1, U $.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 Sewer Main Charge $. TOTAL STIPULATIONS: $ S� 9 Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 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 - All 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 On January 1, 2000 JOB ADDRESS_ OW TOTAL BUI ESTIMATED COST $ PERMIT N0. /413W I DESCRIPTION OF FURNACE AND OR BURNER No. of HeatingAnits Circle One (Steam) (Hot Water)Warm $ Trade Name �[ �1 ® Size No.—U 11 (L BTU i4O0Oa HP EDR %iia $ Fuel �1 n 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 r1_0 representations stated in this application are true and correct. DATE HEATING CO SigneTEL # Approved ByZ6 Rough -In Date Final Date -0o COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the BTU Input venting has been examined and is free from rust, deterioration, obstructions, Appliance #2 Type and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer BTU Input specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does Vent Height include AGA-GAMA Category I Central Furnace Venting Tables for fan Appliance #1 Vent Connector Height assisted and natural draft appliances. Yes (} No ( ) The existing combustion air is sized and installed to meet the current codes ft Length and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air. it will be sized and installed ft Diameter in Type To meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type 111011e— 4:�' Iw HEATING CO: Signed By: nates _,. •� 2 �7 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: (763) 571-1237 PERMIT NO.: 2004-01288 R ) DATE ISSUED: 08/09/2004 I `' ADDRESS 5932 4 ST NE PIN 233024210084 LEGAL DESC HOLLY TERRACE LOT 2 BLOCK 1 PERMIT TYPE ELECTRICAL PROPERTY TYPE DUPLEXES CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. # INSPECTIONS 1 # 0-100 AMP CIRCUITS # 101+ AMP CIRCUITS 0 APPLICANT R & D ELECTRIC 18477 KRYPTON ST NW ANOKA, MN 55303 OWNER VIDAL ANTONIO V & VAZQUEZ S L 5932 4TH ST NE FRIDLEY, MN 55432 ELEC PERMIT FEE - MIN (RESI) ELEC CIRCUIT FEE (0-100 AMPS) ELEC CIRCUIT FEE (101+ AMPS) STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 3872 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp. Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 20.00 0.00 0.00 0.50 20.50 CITY OF FRIDLEY PERMIT O.: 2004-01947 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 10/22/2004 572-36U4 kAX: (763) 571-1287 ADDRESS : 5932 4 ST NE PIN : 233024210084 LEGAL DESC : HOLLY TERRACE GAS DRYER FEE : LOT 2 BLOCK 1 PERMIT TYPE : HEATING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL AN AIR CONDITIONER # A/C UNITS 1 VALUE OF APPL OR WORK 0 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALL) 1700 APPLICANT SUPERIOR CONTRACTORS INC 612142 AVE N CRYSTAL, MN 55422 OWNER VIDAL ANTONIO V & VAZQUEZ S L 5932 4TH ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Bldg Insp Dat 6 At 16 HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 25.50 PAID WITH CHECK # 16898 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range R dei e Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 5`13-1 1/ Fee Total Owner N t-otii O (/l 0,4 L $35.00 $ Building Used As $10.00 $ ESTIMATED COST PERMIT NO $10.00 $. DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. *Air Conditioning - AllSizes $25.00 $ BTU HP EDR Fuel Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Burner Trade Name Size No. Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever is greater The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct. State Surcharge $ HEATING C0 S L2.4,e,2 (&t- C��S TOTAL FEE Signed Tel #'63- S-32-t'Yy;1 REINSPECTION FEE $50.00/HOUR FAX # Date 10—.10 "d *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE SUPERIOR CONTRACTORS INC 6121 42ND AVENUE NO. YSTAL, MN 55422 Approved by Rough -in Date Final Date :ITY OF FRIDLEY INSPECTION DIV. 431 University Ave NE rid M, MN 55432 y X63) 572-3604. FAX (763) 571-1287 i Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR 'LUMBING FIXTURE RATES NO. RATE TOTAL lew Fixtures $10.00 ltd Opening, New Fixture $10.00 ceer Dispenser $10.00 low Off Basin $10.00 :atch Basin $10.00 r ;sin Water Leader $10.00 :umpiReceiving Tank $10.00 CI Y Vater Treating Appliance $35.00 l Vater Heater -Electric $35-00 Vater Heater - Gas" �_ $35.00 Sas Range" $10.00 3as Dryer" $10.00 tack Flaw Prevertter Required ( )Yes () No Type $15.00 i� teinspection Fee $50.00tHr %LL OTHERS AND/OR REPAIRS AND ALTERATIONS 125% of Value of Fbcture or Annflance JOB ADDRESS yZ3,P - L/ �k ke The undersigned hereby mattes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are tnae and correct. DATE: BUILDING USED AS AQ)jC..Q.. ESTIMATED COST _22 }— PERNT N0. Approved By RcugFNn Dote Final Date -- 9 State Surcharge $ .50 MKOMU11I04 FEE FOR ANY PLUMBINGIGAS PERMIT IS $15.00 or 5°!e OF COST TOTAL FEE $ , �j OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN$= n :OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SDE