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PRE 2010 DOCS• City of Fridley, Mi BUILDING PERMIT N? 6601 Date: 7-16 Owner: Builder Address Address _ LO A N OF BUILDING No. Street_Part of T-_ Lot —�r- __ Block 4Addition or Sub -Division . Corner Lot ._ Inside Lot -_._ Setback . Si Si yard '4_ Sewer Elevation — — Foundation Elevation DESCRIPTION OF BUILDING To Used as � Front Depth ':;V Height ZA Sq. Ft. ',kircu. Ft./,&W t Depthheight ___ _Sq. Ft. cu. Ft. Type of Construction Est.. - 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 $� , 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 of withiFridley, 'the limits and location, maconstruction, be revoked t any maintenance,alteration, u ceol Arof any of the and provisio provisions o said ordinances. / ➢ f Building Inspector NOTICE: " permb don not cover the conshuedon, indaWon for wiring, phambing, on hating, sewer or wafer. Be arre to we tiro Buiidine hupecter for separate pmmbs for these Hems. ADDRESS APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA NAME BUILDER L �✓,t� �ell z 9 des ADDRESS �� _ �:����- �` rte` " LOCATION OF BUILDING i. No. �/ C® Street $� Part of Lot Lot Block � Addition or Subdivision Corner Lot Inside Lot_ Setback a 7 c59 Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front Depth Height Sq. Ft. ��/ Cu. Ft. Front Depth __Height Sq. F Cu. Ft. Type of Construction 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 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 of Fee Costs can be found on the Reverse Side). B. K BRADLEY CIVIL ENGINEER AND SURVEYOR 8628 -?ATH AVENUE SOUTH MOM M1PO1 ^ MINNMWrA MM saa�/a rvey 1`c;r. e/&c` �u � Uli k/z. _ .. d�k'rc`f�ti' �:I"hy 1hyl�` T:' 1 —5 / 7 C�� ��' �!' i 'Y City of Fridley AppOcaftion for Plumbing and Cv= Fitting Pent DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 $ 2126 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE_ /T�O�T�ALL 1st 3 Fixtures .......................... _ x $1.50 $—u " Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE $ �'0 DepL of Bldgs. Phone SII 4-7470 Location 0 0 — 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, Minn ;7"/,- 1 Owner Kind of Building Used as �W S -/-I- To be completed about Z Estimated Cost, $ /0'"e Old --(Jew uilding Permit No/0 ' O Permit No. Signe ` By''�� Business Phone No ROUGH FINAL as 2M 7-59 z • • WATER HTR. 3� �� w 3� O� TSG S� <3 (�h •d (�9 Sa 0o F N GAS ELEC. W Base ,at 2nd _ 3rd _ 4th • Future Connection Openings Connected with I Sewer New Fixture, Old Openings Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 $ 2126 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE_ /T�O�T�ALL 1st 3 Fixtures .......................... _ x $1.50 $—u " Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE $ �'0 DepL of Bldgs. Phone SII 4-7470 Location 0 0 — 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, Minn ;7"/,- 1 Owner Kind of Building Used as �W S -/-I- To be completed about Z Estimated Cost, $ /0'"e Old --(Jew uilding Permit No/0 ' O Permit No. Signe ` By''�� Business Phone No ROUGH FINAL as 2M 7-59 Application for Power Plants and-. Hearing. Cooling. VentUtion..Refrigerarion 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. 60,000 BTU .... . .................. 2.00 $ _ Replacement of Furnace ............................. §.00 $ Repairs & Alterations—up to $500.00 ...._ ............ 5.00 $ Repairs & Alterations each add. $500.00 ........ I ..... 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 it II Each add. 200 sq. ft. EDR Steam ...................... i 2.50 $ • Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ P OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ..................... 1. 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 $ s� ALTERATIONS & REPAIRS TOTAL FEE $_/y. ROUGH FINAL Dept. of Bldgs. Phone SU 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 tru and correct - 0 Fridley, Minn 19� Owner Kind of Building Used as All /L•-��j % To be completed about Estimated Cost, $ �0© Permit No. ro(a Q Permit No. 0C %a?. / DESCRIPTION OF WORK / HEATING or POWER PLANTS -Ste of Wa , Warm Air—No Trade Nam e�� ✓ Size No Capacity Sq. Ft. E.D.R / BTU 712 H.P. Total Connected Load �7 �3 v Kind of Fuel " BURNER —Trade Name Avti a - Size No ir2 S70 Capacityo� Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signe �¢ 4z zM 7.59 Business Phone No -P4RR I)+-14 A® ffE HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS ROSEVILLE, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide WindowsI Doors Reference Out. WaU Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19_ FI.I 1 I %7—Room I Length Width Height II F1.1 fA a Room I Length Width Height Windows and Doors—Crackage and Area f. 0 Width HeightNo. of Lineal ft. Area No. or pane of pane lights or crack sq. rt. width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 17 Z 20 41i� 1 Z® Z 10 ®. Infiltration Coef. p O Infi tration L Ceiling p 11-7 C 0 to Glass Net exp. wallz Eck x Lo Int. wall Exp. wall Ceiling 7d Int. wall Net exp. wall b (la Int, will ®® Floor Ceiling Floor 2YA Lb do Total Btu. i Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l V 14— Room I Lenzthl 1 M Width Height Windows and Doors---Crackage and Area f. 0 Width HeightNo. of Lineal ft. Area No. or pane of pane lights or crack sq. rt. i 17 Z 20 41i� 1 Infiltration Glass L O Exp. wall Infiltration Net exp. wall o Int. wall L Ceiling p 11-7 C Floor Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / Fl.l � .-I I Room I Lenath Width Height Windows and Doors—Crackage and Area Width Height I No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Width Height No. of Lineal fl. Area No. of pane of Dane lights of crack sq. ft. 2 Coef. Btu Coef. Btu Infiltration Glass /V 5O 9 0v Glass L Net exp. wall Exp. wall Int. waU Ceiling Net exp. wallz Eck x Lo Int. wall Net exp. wall Ceiling 7d Int. wall Floor Total Btu Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I@ Windows and Doors—Crackage and Area Width Height No. or Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal fl. Area No. of pane of Dane lights of crack sq. ft. 2 Coef. Btu Infiltration o O Glass /V 5O 9 0v Exp, wall 1 V4 O Net exp. wall Int. waU Ceiling Exp. waU Floor Total Btu. Required sq. ft. E.D.R. or sa. ins: W.A. Leader area J M I #2 _ ® -� Rnrtm I Lenath Width Height 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 fl. Area No. of pane of Dane lights of crack sq. ft. 2 Co f. Btu ef. Btu Infiltration & O Glass Floor 26A Exp. waU 2. Net exp. wall 7d Int. wall Ceiling (la ®® Floor Total Btu. Required sq. ft. E.D.R. or sq. his. W.A. Leader area M I A ArrIJ R.,%tn 11.enath Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Co f. Btu Infiltration Glass IVA nL _ Exp. wall Net exp. wall Int. wall C7 Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I IRR ++i ip ... q ' Al 6 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS ROSEVILLE, MINN. Weatherstrips A.S.H.V. . Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19_ Room I Length Width Height Fl. I Room I Length Width Height Windows and Doors—Crackage and Area tVidth Height No. of Lineal ft. Area No. of pane of Dane Ilghte of crack eq. tt. 1. �40 M. • Floor d 2. L%t Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lenath Width Heis;ht . Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wait Int. wall Ceiling Floor Total Btu. Required sq. ft - 1-14. or sq. ins der area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal It. Area No. of Dane of Dane 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. WA. Leader area Windows and Doors--Crackage and Area Width Height No. of Lineal it. Ares No. of Dane of Dane lights of creak aq. tt. Coef. Btu Infiltration Glass Exp. wall Net cap. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area M I Rnn.n I Lanath Width Height Windows and Doors---Crackage and Area Width Height No. of Lineal ft. I Area No. of pane of Dans lights of crack sq. it. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area ml Rnnm I I.enath Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. 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. WA. Leader area City of Fridley Application for Plumbing and Comas Fbting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK _ Number, Kind and Location of Fixtures Location , PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL P� 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn Owner Kind of Building'' s`: Used as To be completed about° �� 7 Estimated Cost, $ Old—New. Building Permit No ® Permit No. 1 By a Business Ph a No ROUGH FARR PLUMBING & HEAVING CO. 7217 - 77th AVE. NO. FINAL MINNEAPOLIS, MINN. 55428 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE$ ��►� '✓�� 42 as► 3 Iss 12 � (W9 Z • WATER HTR. Base 1st 2nd 3rd 4th • Future Conaection Openings New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL P� 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn Owner Kind of Building'' s`: Used as To be completed about° �� 7 Estimated Cost, $ Old—New. Building Permit No ® Permit No. 1 By a Business Ph a No ROUGH FARR PLUMBING & HEAVING CO. 7217 - 77th AVE. NO. FINAL MINNEAPOLIS, MINN. 55428 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE$ ��►� '✓�� 42 as► n U City of Fridley, Minn. BUILDING PERMIT Date: June 1, 1965 Owner: John Benz Address §960 4th Street N. E. Bird Bros. Builder N° '7608 ,,t,- a g,,, /-/ 95 Address 5245 Unigersitg Ave. N. E. 5960LOCATION OF BUILDING No. Street 4th Street N. E. Part of Lot Lot 7 & N' of Mock - 13 Addition or Sub -Division gy a Park Add. Corner Lot _ Inside Lot Setback Sewer Elevation To be Used as: Front Front Sideyard Foundation Elevation DESCRIPTION OF BUILDING Depth Height Sq. Ft. Cu.. Ft. Depth Height Sq. Ft. Cu. Ft. Type of Construction Fast. C Xt$1.,1Q0.•_OA_ __ To be Completed Storm Damage Repair 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 abov� set--€prth and in compliance with aft provisions of ordinances of the city of Fridley. ) 10, In consideration of the payment of a fee of $10.00 , permit is hereby granted to H@= Bird 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, 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 avid ordinanc e& NOTICE: M permit den not emm the cemtruedw, heron for whin& phmbma, an hea&& sewer w water. Be sere to see the BWhftng hmpemr for separate pwndb for thea Items. 19100.00�J� APPLICATION FOR BUILDING PERMIT CITY, OF FRIDLEYftNNESOTA OWNER'S NAMEJehn Benz BUILDER Bird%21res. ADDRESS 5960 -4th Street ADDRESS 5245.Universi_V $ E. .LOCATION OF BUILDING No: ® Streets... Part of Lo LOT BLOCK / ADDITION OR SUBDIVISION` o ,Corner Lot Inside L �Setback Side . and SEWER ELEVATION FOLTNUATION ELEVATION Applicant attach'to this form Two Certificates of Survey of Lot and proposed- location roposedlocation drawn on these Certificates. DESCRIPTION..bF BUILDING To be -Used as Front Depth _ geight Sq. Ft. Cu. Ft. Front Depth- 'Height Sq.� Ft. Type of Construction Estimated Cost�CSl To be ''compl'eted - - The undersigned hereby maked,applicatiori'for�a'pdrmit °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'r'epiesentations stated in this`Applicdtion are true and correct.' DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side).] S 7 v City of Fridley, Minn. N. 10738 BUILDING PERMIT Date: _ Ju1y,7, 1970 Owner: Prank Wagamon guilder Same Address _____5960 - 4th St- $.ya Address Same LOCATION OF BUILDING No. 5960 Street 4th Street _ Part of Lot Lot 7&N2 of 8 Block 13 Addition or Sub -Division .ode Park Corner Lot — Inside Lot — % Setback —_ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Gage Front 1.._ Depth 401 Height 101 Sq. Ft. 640_ Cu. Ft. 6400 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Block Est. cost $1600. _ _ To be completed Oct. 1, 1970 Provide a hard surfaced driveway. 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 21 provisions of ordinances oP the city of Fridley. I/ r - In consideration of the payment of a fee of $.13_..M , permit is hereby granted to Frank Wagamo_ to construct the building or addition as described above. This permit is granted upon the express cendition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within � city limits and this permit may be revoked at any time upon violation ofany of the provisions of said Building Inspector NOTICE M permit does not cover the construction, installation for wiring, plumbing, pas heating, awn or water. Be core to see the Building Inspector for separate permNs for thea b ms. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER: ADDRESS: st . d/, ADDRESS: NO • . S96 D STREET LOT: % 1111, Yaof BLOCK: l,3 ADDITION: fi Pay v Rai - k CORNER LOT: INSIDE LOT: SETBACK: J4 Ir SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: 0,-O,re Front: 16 01 Depth • Height Square Feet:_ 6y �4 0 Cubic Feet: � Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Roo Estimated Cost:__,$ /(0 6:9-0+T To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE:' SIGNATURE • (See Reverse Side For Additional nformation.) 57� 04 SAAIPLWY Vex City of Fridley Application for Plumbing and C•ras Putting Permit 879.01 Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Location X960 NE 4 St. Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... ...... ....... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. Y o Z 8� a Z 5 S1W� <3 O�' $ w �yS �O Z P N WATER HTR. GAS ELEG Base $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....................... .. x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. 1 x $5.Oo $3.00 1st repl1 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... ...... ....... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....................... .. x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. 1 x $5.Oo $3.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................ $ TOTAL FEE $ 3-00 City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to, do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn 6 Nov 67 19_ At , Kind of Building f' Used as res To be completed about 10 N Estimated Cost, $ Old—Xffv. Building Permit No Pe9it o. Signe S GAS Co. ROUGH FINAL Business Phone No Date: Address City of Fridley, Minn. BUILDING PERMIT October 28, 1970 Frank Wagamon 5960 -4th Street N.E. Builder Address Johnson Building Mart 4803 Nicollet Avenue LOCATION OF BUILDING No. 5960 street 4th Street N.E. part of Lot Lot 7,N13 8 __Block 13 ,.,— Addition or Sub.Division __ Hyde Park Corner Lot Inside Lot —X Setback T_ Sideyard Sewer Elevation To be Used as: Alter & Reside Type of Construction Foundation Elevation DESCRIPTION OF BUILDING N 10874 Front Depth Height — Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Fst. Cost _ $1, 285 . oo _— To be Completed 2 weeks 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 setfo and in com lienee with ah provisions of ordinances of the city of Fridley. r n �j7 ,r,—, 1-- In consideration of the payment of a fee of $----L- 00 , permit is hereby granted t, Johnson Building Mart. 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 andmoving 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. inspector MARENBE BELL NOTICE: This permit does not cover the constrocdon, hatellstion for whine, plumbing, gas hosting, Bawer or wrier. Be sure to we the Building Inspector for separate permits for these Nana. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : q BUILDER: 4� el ADDRESS:, -5 d S% ADDRESS : �d 3 /V / Old), e• NO:. r ( 0 STREET: 7 �� LOT: !enOOCK: 13 ADDITION e CORNER LOT: INSIDE LOT:SETBACK SIDEYARD: 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: 2� R -0 9-j dl Front • Depth • Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Type of Construction: To Be Completed: Feet: Estimated Cost: FS The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: �O ' a SIGNATURE: (See Reverse Side For Additional Information.) SUBJECT P City of Fridley 15252. AT THE TOP OF THE TWINS BUILDING PERMIT rp REC O. • COMMUNITY DEVELOPMENT •DIV. : ------. r � PROTECTIVE INSPECTION SEC. 91`6p,90 � 10 1 I � 1 /---1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6-11-79 JOB ADDRESS 5960 4th St. N. E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7&8 13 1 Hyde Park SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Hultman Jr. 5960 4th St. N.E. 55432 5714718 —George 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK d 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood 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 R-1 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 $1,000 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.50 PLAN CHECK FEE TOTAL FEE $8.00 GNATURE OF CONI A 'HORIZEDAGENT DATE I , WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT CT% �BLDG iNSP DATE SIGNATURE AITRE I F OWNER BUILDERI IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: (( 'n ADDRESS: TEL NO: STREET NO: 50/ (10 BUILDER: O ij Y) -e 'C' ADDRESS: TEL NO: Constr ction Location STREET: s, T LOT: / BLOCK: ADDITION: ` l � Corner Lot: Inside Lot: V Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION aj6-r 1 0 01 L! O - )t -Front: z Depth: Height: Square Feet: Cubic Feet: Front: Depth: Square Feet: Cubic Feet: Type of Construction: (A17a® D To Be Completed: Proposed Driveway Width If New Opening Is Desired: Height: Estimated Cost: $ Alt. A Alt. B SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the work herein specified, agreeing to cap all work in strict accordance with the City of Fridley Ordinances and rulings ofthe Department of Buildings, and hereby declares that all the facts and representati ns stated in this application re true and corre DATE:.i 6n, 7 / SIMATURE Stipulations: SUBJECT PE City of Fridley AT THE TOP OF THE TWINS BUILDING PERM IT r � RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By 612-571-3450 910-F15 9/5/79 JOB ADDRESS 5960 - 4th Street N. E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 & Nil 8 13 1 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Hultman 5960 - 4th Street N.E. 571-4718 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gary Homstade 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 D REPAIR ❑ MOVE ❑ REMOVE % X 8 DESCRIBE WORK re it and alter k3.tchen —Garage 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 SMM $4.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9,000 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $54.00 NONE PLAN CHECK FEE TOTAL FEE $58.50 SIGNATURE OF CONTRACTOR OF AUT ORIZED AGENT/(DATE) + WHEN PROPERLY^VALIDATED THIS IS YOUR PERMIT HcIi )NSP U TE S NATURED WNER IIF WNER BUILDERI (DATE) IBLDG CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER:V G PL l�'►N1q ADDRESS: TEL NO: 5 7 BUILDER: c5Y�2S�� ADDRESS: TEL NO: • Construction Location STREET NO: �� ® STREET: ` LOT: �"e BLOCK: ADDITION: ADDITION: l 'Pat P a el� Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIO14 OF CONSTRUCTION Front: Depth: Height: Square.Feet: Cubic Feet: Front: Square-Feet: Type of Construction: Zb Be ODmpleted: Depth: Height: Cubic Feet: Estimated Cost: 1 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 tated in this application are true and correct. DATE: g -2 SIGNATURE: /y Stipulations: add 1 SUBJECT R City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT("'" r o COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 NUMBERREV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 6/11/98 JOB ADDRESS 5960 4 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7, Pt $ 13 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Terry Brooks 5960 4 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Giertsen Company 860 Decatur Ave N, Golden Valley, MN 55427 546-1300 1796 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION IE7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House; Reroof House (20 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Install building wrap and call for inspection of same. 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 $3 868 $1.93 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- $87.25 Fire SC $3.86 STRUCTION ORT E P ORMANCE�OFCONSTRUCTION. / �� PLAN CHECK FEE TOTAL FEE License SC $5.00 $98.04 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PPROPE Y VALIDATED THIS IS YO R PERMIT �V BLOG INSP - f p SATE _ SIGNATURE OF OWNER IF OWNER BUILDERI IDATEI 1 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 5Q U I y�V �� 1<104 Legal Description: Owner Name & Address: ` � & 0 S Tel. # Contractor: MN LICENSE # Address: Tel. #G%��� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 4�Uwe G To Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �� �� APPLICANT: _9 Tel. # TOTAL $ 9 8 ' O L . STIPULATIONS: CITY USE ONLY Permit Fee $ c�S� Fee Schedule on Reverse Side Fire Surcharge $ 3_ J �i .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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 $ 9 8 ' O L . STIPULATIONS: SUBJECT ERM City of Fraley 3 4.0 6 0 AT THE TOP OF THE TWINS BUILDING PERMIT r O y- -_____ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � C6 NUMBER REV DATE E OF APPROVED BY CITY HALL fRIDLEY 55432 763-571-3450 910- F 15 _] 12/19/03F_;G / JOB ADDRESS 5960 4 ST NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 17, NJ g I 13 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Laurie Brooks 5960 4 Street NE 763-571-0276 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Custom Remodelers Inc 474 Apollo Drive Lino Lakes MN 55014 651-784-2646 1748 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential Replace 8 windows within existing openings 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 8 windows within exis i 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5,653 $2.83 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- $125.25 FSC. $5.65 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK F T A FEE Lice e C $138.73 SIGNATURE OF CON7R4CTOQ OR AUTMORI2EDAGENT IDATEi HE PR VALI THIS IS YOUR RMIT S-GN4TU QE OF OW NEp.IF OWNER BUILDERi IDATEI B G INSP '& NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Tel. 0 2-1 to Contractor: ty41 MN LICENSE # 1-7 Lf�;- Address: *7gL+ Tel. # b'(- % T Lf - 4 � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF 11"ROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: kjAj!AtA2!k�Ld4*V1A*Estimated Cost: $ 6 b ��. 0 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft'x $ _ $ DATE: `0 APPLICANT: Tel. # Permit Fee $ a is - Fire Surcharge $ State Surcharge $ o SAC Charge $ License Surcharge $ Jam. b d Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL . S— (. 3 . TiI3 STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $ . 5 0/ $1, 000 'Valuation $1050 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 [ ] CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 F63) 572-3604 FAX: (763) 571-1287 ADDRESS : 5960 4 ST NE PIN : 233024210119 LEGAL DESC : HYDE PARK : LOT 7 BLOCK 13 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK PERMITO.: 2004-01184 DATE ISSUED: 07/28/2004 VALUATION : $ 879.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 14'X 5' FRONT DECK/STEP STATE LICENSED CONTRACTOR 1 APPLICANT RUDNITSKI NEIL CONST (20157764) 8265 SPRING LAKE RD MOUNDS VIEW, MN 55112 OWNER BROOKS LAURIE B 5960 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 t give authority to violate or cancel the sions of an tate or local law regulating constructs or the perf an e7af kpnstructioni., Applicant Date 1 Bldg BUILDING PERMIT FEE 35.70 PLAN CHECK FEE 23.21 FIRE SURCHARGE 0.88 STATE SURCHARGE, VALUE 0.50 LICENSE SURCHARGE 5.00 TOTAL 65.29 PAID WITH CHECK # 4660 (I SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW I) CITY OF FRIDLE ADDN (] 6431 University Ave NE, Fridley, MN 55432 ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: o S 1 Y�- J 'I L Legal Description: Owner Name & Address: L Z- ro Contractor. YV C L_ )-N P ` ArlrlrPss- �� sP��^") e-9 Ky AA Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax r \ 14 a Tel. # S `— � " ed / MN LICENSE# �-�� 5`t7 ► f 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 AREI Length Width Height Sq. Ft. GARAGE AREA: Length Width Height /11 Sq. Ft. 7-6 DECK AREA: Length Width S Hgt/Ground Sq. Ft OTHER: 7,0a0 -1.4Z - - Construction Type: Lvaop �'�'�^�- - Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x � DATE: APPLICANT: Tel. Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ 3.L • 7 y $ r- 00 $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] TOTAL $ STIPULATIONS: HE H gal 6s; (I 14 ~ ln1� SVS &A LVA-wi , toa gCY1�i.�/S ©wtjr-& L.a4jt)& ercok-s -" 60 4-6 ST ME FILIbLty) WA) TO LM zx11 aox LAMD S.D LA e. a AN .D &� sa 7v NouS� Fau1V0 /4VaN P.,+rh s qvC /101, SONMO cpiVGRT. IslLIE7-0 D-tPm - J-0Is&, 16 R.G. T-�o �CHOOA. PT P,rvEC�tyt,, TOX b �� �"c r 67-4AIas, A/411,&4 6PX6 pr -� L LB .>r+. NoTGMtb 7E0 S -z.xu f z..x -& CSD41L lop f:ye kers N,4i L,&,9 TO M s/* Xt , pr -P�" s nAit 1"ezAbs , S uC' D 'ice &-r.4oL :3'4e-ks .Pi b I 14 Loma 0 41 izi A/ F"m vt S"/ MR -A Building PLUMBING Permit N • 5 InspectionsRESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRYDLEY Date Rec'd: DATE ) 3 /,> YOUR E-MAIL. ADDRESS SITE ADDRESS S D/ IDD q — s 7— THIS APPLICANT 1S: ❑ OWNED CONTRACTOR THIS PROPERTY NAME: OWNER/ ADDRESS: 5946 GiCITY AA.A-C. , STA SS�3a— TENANT PHONE —r763 5-71 ,, 7 (o NAME: Terry Overacker Plbg Inc CONTRAc. rOR SUBMIT A COPY OF STATE LICENSE a .5I q U P #L E: 1628 County Hwy 10 YOUR STATE ADDRESS: Spring Lake Park, MN 55432 LICENSE WITH PHONE FAX (763) 572-8880 ION If SINGLE FAMILY E3 TWO FAMILY 0 TOWNHOUSE PERMIT TYPE TYPE OF WORK: O NEW REPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $900.00, 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 LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINKILAV DRAINS SHOWER _ WATER PIPING _ —FLOOR _ BATHTUB GAS PIPING &am cmucE�) _ SWD84ING POOL WATER SOFTNER (S35) —_ ~_ _ CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY WATER HEATER WS) FOR IRRIGATION —WATER MEM —OTHER Gq'i,.ts.4ti. ".' _ �4'Sr',. "Sev i' CS=' '.,' r ,t �st'bc.9� �{. :T-'=J .Y _ '3?, 4:rF,'�R. .r,.,W1�• : Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $� TOTAL DUE $ $� _°� State Surcharge = $--- .50 Total = $ 333- 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. LJ 9/036-) SIGNATURE OF APPLICAN I PRINT NAME -�I � C �C.! i k R- d /-� R DATE ,& . . `P : ,ISC�T��s. _ . ;��5• , Rv. fi�L1;3 �:�% ,��RtCAL t�1�7 ��.�'ORI�r City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, -MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.:WoftA Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date 10D Jff 763-502-4977 FAX EFFECTIVE 1-1-08 DATE YOUR E-MAIL ADDRESS si5..^ y7 1"IAA�� �4 �► 1 n1 • .�i �i1 Ne SITE ADDRESS 0 0 THIS APPLICANT IS: O OWNER CONTRACTOR PROPERTY OWNER/ NAME: I e— MAL 51 e 'STATE-mo,s"X ADDRESS: CITY TENANT _ 07, PHONE: CONTRACTOR COMPANY NAME: NOTE: SEPARATE CITY CONTACT PERSON: LICENSES ARE REQUIRED FOR GASRESS STATE LICENSE # EXP DATE � 4 C , I!CITY STATF��ZO AND HVAC. D U r lh : ps—� SUBMIT COPY OF BOND PHONE =12-M FAX ANDINSURANCE PERMIT TYPE *NGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE 0 NEW O*PLACEMENT 0 ALTERATION/REMODEL TYPE OF WORK: DETAILED DESCRIPTION OF WORK L 1 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 ) OR Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEIBTU MFG: MODEL: SIZE/BTU A/C $25.00 (GAS) $15.00 _GAS RANGE/OVEN $10.00 _FIREPLACE AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 UNIT HTR $10.00 BOILER $35.00 _FURNACE $35.00 _GAS LINER $10.00 DRYER $10.00 POOL HEATER $35.00 _CHIMNEY _GAS WORK $10.00 PIPING $10.00 _VENTILATOR $15.00 _DUCT _GAS MOW PROJECTS FOR UNDER ` 5Q0 '<'' PERMIT F1 CTS, OVER X500 Number of fixtures @ $10.00 x $10.00 = $ Permit Fee $ Surcharge S Number of fixtures @ $15.00 x $15.00 = $ r.50 TOTAL DUE $ 3S OR Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 MINIMUM $15.50 MINIMUM $15.50 Total = $ 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 ordance =applan e case ofall work which requires revierw anted approval ofplans. SIGNATURE OF APPLICANTPRINT NAME � MA : tU DATE APPROVED BY DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977