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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT V < L47 3 0 Date: Owner: Address _. yy ` ` x.., ! 4 �,�L�r Address LO ATI OF BUILDING No.. '„►' Street -.,y_...J.....--------_...._.._.._..... Part of Lot ...__.._._._ . _. _ ..._.._/_. ......... _ Lot .. _ .................. Block ---- _------ ..., ::: ---... Addition or Sub -Division -.4 ... 5..re... Corner Lot .............. _.......... _........ Inside Lot .............. _........ Setback ................. Sideyard-----.i!'f . Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To U asV t j ,/� �{ . :_.. Front • , __.. Depth .--.. Height .-•�---. Sq. Ft. -!_..�.`._/Cu. Ft. �51�..� ................... .--- ...:.... Front ...._......._� Est. C stpth�..-.....,....H�ht�..,.�..ry..._....... Sq. Ft ...__............._.. Cu. F't......_..........__.. Type ' of Construction ...........3 ...... t.."r f �r .......... 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 all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $....z..._..., 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 upon violation of any of the provisions of said ordinances. ,a Y Building Inspector sk r NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sower or water. Be sure to see the Building Inspector for separate permits for these items. ab 1 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name N : Builder Address.'` r7"1' fw�r'"' Address ',.. LOCATION OF BUILDING No. Street I �� m Part of Lot Lot BlockAddition _or'Sub.Div._a Corner Lot Inside Lot_lef�—Set Back j Side -Yard SEWER ELEVATION FOUNDATION ELEVATION . Applidant attach to this form Certificate of Survey of Lot and proposed.building location. DESCRIPTION OF BUILDING s yq/ To be used as: Front Depth•.;- Z jieight .fie Sq. Ft.//.d'� Cu. Ft._ Front Depth Height Sq. Ft. Cu. Ft. Type of .ConstructionEstimated :Cos 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.Aepartment of Buildings, and hereby,.declares that all the facts and representa- tions stated in this application are -true and: correct. � DATE �' SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) City of Fridley, Minn. PERMIT o N4:8 3 JO Date: Owner: Address ........... Address Address ........_......._........... _...___..._..._.._._._____._..... _.._._..._._..._._...___..._ 4d LOCATION OF BUILDING No.�i� .... Street _.._. _ Part. _Q Lot .... _..._._...._.. ___ _..... ::_.:...... ...... _..... Lot ....._......... Block _ ..... _ ...:. Addition or Sub-Divisio Corner Lot ........... .......................... Inside Lot _..:-$ ' ..----....... Setback . . i .._...... _- Sideyard .... _.. ........_......._...._........ --------- _ Sewer Elevation To be Used as: Front Front Type of Construction Foundation Elevation DESCRIPTION OF BUILDING Depth .:.-._.:...-.:.:..._. Height ..... ....... Sq. Ft. Depth ....................... Height ...................... Sq. Ft. Est. Cost................... ............................... ........ To be Completed Cu. Ft. Cu. Ft. DwIVAG Np OV In consideration of the issuance to me of a permit to construct It 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. G 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 m 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 violationof y of the provisions of said ordinances. Building Inspector NOTICE: This permit does net cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building inspector for separate permits for these items. — 0 4 APPLICATION FOR MOVING PERMIT No Fridley, Minn.,'�A� / '�F 19 Inspector of Buildings, v 6431 Univ. Ave. N.E. The undersigned hereby makes application for permit to move building as herein specified, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby de- clares that all the facts and representations stated in this application are true and correct. Lot Block Addition Present Location: To be moved to: Routing: Z/rVZ���A� ��f� �� A Distance movers ft.To be completed Taxes paid? Estimated cost $ Z"e2 Foundation and alteration permit numbers Certification as to cost: I hereby certify that the above designated building is worth at least sixty (60) per cent of the cost of a simi- lar new building. Signe Owner or Agint Approved by: f C_X'_'W_;Per'_& Sewer Department r City Engineer Utilities Notified: Minneapolis Gas Co. (Title) (Title) ,10 - (date) orthern States Power Co. (date) F- / f ` . �censed Mover (See reverse side for instructions) In the event that the moving permit is to be applied for by the owner or by any other person than the licensed Mover, the following letter must be completed and signed by said mover: Inspector of Buildings, 6431 University Ave. N.E. Fridley, Minnesota Please issue the bearer of this application, Mr. a permit to move building from: to: Date 19— which I hereby authorize him'to sign my name. Signed Licensed Mover GENERAL INSTRUCTIONS The following must be secured before moving permit will be issued: 1. A building permit for new location of building to be moved. To obtain this building permit, the following is required: (a) The building to be moved must be inspected for structural soundness by the building' inspector.- Phone this office for inspection. SUnset 4-7470. (b) A survey of lot to which building is to be moved. This survey must be made by a licensed surveyor. (c) The building and moving permit must be obtained at the same time. 2. Tax receipt showing that all real estate taxes due have been paid. Duplicate receipts may be obtained at Anoka County Auditor. 3: Approval from the Fridley Water and Sewer Department showing that bills chargeable against the property to be moved have been paid and water connections have been discontinued at the curb line or at the main. (See reverse side of form.) 4. Approval from Fridley Director of Public Works office approving routing. 5. Notification to, and signature of utility companies. (See reverse side of form.) (a) Minneapolis Gas Co., 739 Marquette Ave., Engineering Department, Fourth Floor. (b) Northern States Power Co., 15 South 5th Street, Application and Extension Department. (c) Northwestern Bell Telephone Co., 224 South 5th Street, Business Office, First Floor. 11 250-6-58 0 0 City of Fridley Application for Plumbing and Gas Fitting Porneit Dept. of Bldgs. Phone SII 4-7479 DESCRIPTION OF WORK Location - Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE T��OTAiL/'� Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ — Z x 3.25 $ 3 --2 S 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 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL- OTAL FEE City of Fridley: The undersigned hereby makes application for a permit for t e work herein specified, agreeing to do all work in strict accordance with the C, Ordinances . and ruling of the Department of Buildings, and her by declares that all the -facts and representations stated in this application are Vue ani, correct. 19-4-0 Owner Kind of Building s Used as To be completed about Estimated Cost, $ ROUGH FINAL 42 2M 7-59 yy 0 a • • WATER HTR. o 8 0 S �U' -j � 4a O F N GAS ELEG Base 1st 2nd _ 3rd 4th • Future Connection Openings Connected with I Sewer � New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE T��OTAiL/'� Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ — Z x 3.25 $ 3 --2 S 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 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL- OTAL FEE City of Fridley: The undersigned hereby makes application for a permit for t e work herein specified, agreeing to do all work in strict accordance with the C, Ordinances . and ruling of the Department of Buildings, and her by declares that all the -facts and representations stated in this application are Vue ani, correct. 19-4-0 Owner Kind of Building s Used as To be completed about Estimated Cost, $ ROUGH FINAL 42 2M 7-59 Application for Rawer Plants and Heating Cooling, Ventilation, .Refrigeration and f Air Conditioning Systenns and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU .... . ................. . Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .... ............ Repairs & Alterations each add. $500.00 ............... STEAM or HOT WATER SYSTEM RATE TOTAL, 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 2.00 $ _ 5.00 $ 5.00 $' 2.50 $ 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 BTU) ....................... 5.00 $� GAS FITTING FEES: NO RATE TOT4& 1st 3 Fixtures ..... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS 9 ROU?H FINAL, See Fee Schedule TOTAL FFE Dept. of Bldgs. Phone �� SU. 4-747``0,,'' �yJ Location J� 'T T 'R, �L 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 and correct. Fridley, IM inn f �12 A 19 0--ffi —_A + . e Owner Kind of Buildingi� Used as To be completed about — '/Z' Estimated Cost, $ '/-6-'7,j v Old—New. Building Permit No. 7 3 0 Permit No. /rte, DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Wate<arm No�� Trade Name ,��Zl��'��f��QSize No- Capacity o Capacity - Sq. Ft. 1+}.D.R 'd BTU H.P. Total Connected Load —7-j 9-93— IS Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. 6 e� (REMARKS—OVER) ll1' /� 1}36 7 9//��� �. HEAT LbSS CALCULATIONS DEPARTMENT OF BUILDINGS . MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide ws I rs Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied th 'G"' W'dth Z'.* H ' ht P'' Fl.1 Room 1 Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. CM to ® / � ♦ /SP e.s—n so /Z /O.�.J d�i_ Infiltration ,/'` 8 lex Glass Gsrj Exp. wall Net exp. wall Int. wall Ceiling /708' Floor Total Btu. G / p 8' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / Fl. ' _Room I Lenath 9'9" Width //' Heiaht P' Windows a oors—Crackage and Area Btu Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack sq. ft. Width eight No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. / AD =U /6. /.S Glass Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 9so Exp. wall Coef. Coef. Btu Infiltration o? s �� rj` Glass p d /6-0 J // FO Exp. wall �p • 9 " /4 5.9 Net exp. wall �"e? D /v / Int. wall OC20 ed Ceiling ea70 Ceiling 4/4 /O IO /O 90 Floor Total Btu. Require q. . . or sq. ins. W.A. Leader area A Room ILenath �� Width "• Heiaht P" Window and Doors—Crackage and Area i Btu Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack sq. ft. I O / AD =U /6. /.S Glass Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 9so Exp. wall Coef. Btu Infiltration �/ Btu s / 74r Glass SaT_?r- p -Sb /6-0 J Exp. wall /S� Exp. wall ?', s O 5.9 Net exp. wall �"e? D 4,36L Int. wall Int. wall OC20 ed Ceiling ea70 Ceiling 4/4 Floor — Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room Leng P i Btu sig Windows and Doors—Crackage and Area // zo Glass Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 9so Exp. wall 7� Infiltration Net exp. wall Coef. Btu Infiltration 3-;b SaT_?r- Glass a/D Floor Exp. wall ?', s L/ 5.9 Net exp. wall �"e? D 4,36L Int. wall OG OC20 ed Ceiling ea70 d 4/4 Floor — Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width /,' Height AF, Windows andDoors—Crackage and Area Width Height No. of Line at ft. Area No. of pane of pane lights of crack eq._ ft Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 Room I Length A Width Height,?�O Windows and Doors—Crackage and Area Coef. Btu Infiltration saki/ // zo Glass 9so Exp. wall 7� Infiltration Net exp. wall S'7' Oa'7D Int. wall 3-;b Ceiling a/ /Q a/D Floor Net exp. wall Total Btu. 5.9 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 Room I Length A Width Height,?�O Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area NO. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass 3-;b 3v Exp. wall Net exp. wall Int. wall Ceiling OG OC20 ed Floor ea70 d o?O d Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area DJ6 QBk. 7v 40 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No Yes—No 19— I F1.1 _12 Length ,e4l Width /a— Height p-1 II min , em I Length P.? Width /p ' Height ef 1 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights ', of crack sq. ft. Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. �r C?/ AK s o JCoef.j Btu Infiltration 1g.P Coef. Btu Infiltration .3 Net exp. wall 3 Int. wall Glass Ceiling ` Af Floor .{/ /` e Exp. wall 14,eO Net exp. wall �O / Net exp. wall Int. wall 903 /O 9so Int. wall Ceiling Ceiling Floor /SIC /O 4,24690 Floor Total Btu. I Required sq - A. E.D.R. or sq. ins. W.A. Leader area FIA _ Room I Length /d 'Width 4!' Height ,&V, Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights ', of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane Ilghte of crack sq. ft. �r C?/ AK s o JCoef.j Btu Infiltration 1g.P Glass Btu Exp. wall .3 Net exp. wall 3 Int. wall Glass Ceiling ` p Floor .{/ /` e Total Btu. s�08 Require . R. or sq. ins. W.A. Leader area F1.1 a Room ILength .7e 1 Width U' Height Windows and Doors—Crackage and Area Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane Ilghte of crack sq. ft. �r C?/ AK s o Coef. Btu Infiltration 1g.P Coef. Btu Infiltration .3 Net exp. wall 3 STD Glass Exp. wall L >X y / 3 awoe Exp. wall 4.o Net exp. wall �O / f 7d Int. wall p O Int. wall Ceiling Ceiling Floor -� Floor Total Btu. �►/,�� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors-Crackage and Area Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration 1g.P Coef. Btu Infiltration Net exp. wall 3 j Glass Ceiling / a -m awoe Exp. wall 4.o �O Net exp. wall p O Int. wall Ceiling -� Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Fl.l Rnom I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. fL Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City ®f Fridley, Mian.. BUILDING PERMIT • Date: May 250 1965 Owner: Brace Baker Builder Giertsen Const. Co. N° 7537 Address_ 5941 lath St. N. E. Address 3501 St. Loge Park (Zenwood Ave. ) LOCATION OF BUILDING No. 5941 Street 4th. St. No E. Part of Lot Lot - 16 Block 2 Addition or Sub -Division Bennett 20.]mer Add* Corner Lot _ Inside Lot _ Setback — Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Front Depth height Sq. Ft. Front Depth Height Sq. Ft. Type of Construction Fist. Cost ELL s 50N 00 __ To be Completed • Storm Damage Repair • Cu. Ft. Cu. Ft. 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 $-10--00—, permit is hereby granted tAGiOda= Const. Co. to construct the building or addition as described above. This permit is granted upon The express ition that the person to whom it is granted and his agents, employees and workmen, in all work L, igpdandFridletawithinmiordina NOTICE: Uh permit dos rot erer the enstruetiee, hmftM ion for vArlm plumbing, ga heating, sewer or water. Be ams to no the Buihileg hopetor for separde pormft for than hens, APPLICATION FOR BU ING PERMIT. CITY OF FRIDLEYO NNESOTA WN �j .j I - NAME Va &L, BU`31DkR D ' ��. r LOCATION OF BING No, Stt•eet Part of Lot . Lot Block �I. _ Additioar or Subd1vibioU9> -A_ �� Corner. Lot Inside Lot_.. setb'ack Side -Yard SEWER ELEVATION FOUNDATION ELkVATION Applicant attach to thin form, Two Certificates of. Survey of Lot and proposed build— ing location drAwn oil these Cattificates. DESCRIPTION OF BtMDING To be used as: -pront Depth Height Sq. Ft. Cu. Ft. —Front Depth Height Sq. Ft. Cu. Ft. Type of Construction timated Cos � --TA)--be -C The undersigned hereby makes application for a permit for thework herein specified, agreeing to do all work it! 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. tSchedule of Fee Costs can be found on the Reverse Side). rr SUBJECT O. City of Fridley 18573 AT THE TOP OF THE TWINS BUILDING PERMIT R Ir 1616V • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910415 7/31/86 JOB ADDRESS 5941 - 4th Str 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Holly Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Carraher 5941 - 4th Street N.E. 571-6656 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS Roof canbe 2nd layer but not 3rd. Install ridged galvanized valleys. Provide more roof vents if necessary. 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 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 $1,350 $•68 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. $23.50 LAN CHECK FEE TOTAL FEE 24.18 SIGNATUREFCONTR�ACTOROR HORI2EDAGENT IDATEI WHEN PROPERLY V (DATED THIS IS YOUR PERMIT ... i. oBLD6 W$P DA GNA URE OF OWNER OF FUR BUILDERi IDATEI rr NEW ADDN. [ [ ] City of Fridley Effective 4/1/86 ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Ze Legal Description: Lo 4 1 ILLL i Tel. f Owner Name & Address,�1 Contractor:Tel . # Address: 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 - t.OTHER:2 OTHER: 2 Corner Lot [ ] Inside Lot[ / Type of Construction: / ] Ft. Yd. Setback 'o O - Estimated Side Yard Setback _— Cost: Approx. Completion Date: _/ ' Z- - Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation M DATE: ✓' - APPLICANT:- Tel.�� 6 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: 2 Q61, CITY IISE ONLY $ Fee Schedule on Reverse Side ..vim $ 25$ of Building Permit Fee $ $.50/$1,000 Valuation $ $475 per SAC Unit $ Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] $ �r 11"10%A -W A47eoV" 4 t 3-071 ` —la -07 P013) CITY OF FRIDLEY INSPECTION DIV. 3431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURFS TO RF INRTAI I Fn nN FAM4 FI nnR Effective On Jan 1, 2000 o® n rL4 ® �A' • • ME ® 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 Water Heater - Gas" NO. RATE Gas Range" _ Gas Dryer*` _ Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE 5�y/ I/ Yr TOTAL JOB ADDRESS_ 3$NIF is dWOIE' 12— 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 stated in this application are true and correct CARRAHER, JOHN 5941 4TH STREET NORTHEAST 7131 20!2,3 FRIDLEY, MN 55432 (763)571-6656 Owner Building Used As�ra1VCN cz 00 Estimated Cost PERMIT NO. I �3BY2 PLUMBING COMPANY UIZ=M FL00aAJ4 C,8_ SIGNED BY l TEL N0. Z" - O Approved By_ _ Rough -In Date Final Date .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 $20-50 PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existinsa furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting .system is plastic/PVC and meets all current codes and manufacturer 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 include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturers specifications. Yes () No ( ) When installinsa a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers 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 asper 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 ALTERATIONS: (Describe) HEATING CO. Signed By: Date CITY OF FRIDLEY PERMIT NO.: 2004-00279 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 02/27/2004 7631572-3604 FAX: (763)571-1287 ADDRESS : 5941 4TH ST NE PIN : 233024210010 LEGAL DESC : BENNETT-PALMER ADD : LOT 16 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING VALUATION : $ 4,600.00 NOTE: 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 OR TAKE PICTURES. IS APPLICANT A CONTRACTOR? 1 APPLICANT CHUBA COMPANY 19276 VERNON ST NW ELK RIVER, MN 55330 OWNER CARRAHER JOHN R 5941 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 regul construction or the performance of construction. Applicant Date Bldg Insp Dated BUILDING PERMIT FEE 111.25 FIRE SURCHARGE 4.60 STATE SURCHARGE, VALUE 2.30 LICENSE SURCHARGE 5.00 TOTAL 123.15 PAID WITH CHECK # 18593 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CHUSA CO 763441569 02/20104 12:11pm P. 002 NEW [ j CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R -Z BUILDING PERMIT APPLICATION „ ®® �� Construction Address: 6q+1 "►' �� Ld'"' T Legal Description: Owner Name &Address: �UkWI. L.V'r1�pnPil�'' Tel. # �b3' 0/— PvGSL Contractor. MN LICENSt^ # 15T4 Address: (R2-� 1fPNy10n bt iVW�Sui 1G i�0, t✓'►Ir. i?frw r �� yea 33� Tei.* =7io3—1 -4-"b LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: -jZZS ,6tt -j' 61 kOM6 Estimated Cost $ 4140 Ili Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ = 5 DATE: ` Tel. # -bb-4l - 44 a� APPLICANT: Fu 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. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ eo Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 FAX: (763) 571-1237 ADDRESS 5941 4TH ST NE PIN 233024210010 LEGAL DESC BENNETT-PALMER ADD LOT 16 BLOCK 2 PERMIT TYPE ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-00376 DATE ISSUED: 03/23/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. 100 AMP SERVICE UPGRADE APPLICANT SUPER ELECTRIC INC 16976 EIDELWEISS ST ANDOVER, MN 55304 OWNER CARRAHER JOHN R 5941 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 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 STATE SURCHARGE, ELEC FLAT 0.50 ELEC AMP SERVICE FEE 30.00 TOTAL 30.50 PAID WITH CHECK # 32304 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN 1JESLA113M) ABU V h.