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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT 04 8 4 s e Date: Owner: .....'...... ..... _------ Builder __--_ _. .t_... Address Address _..... _ OCA Of BUILDING No. qtr'...-;,s� ��,�.._ Street Part f Lot _..._........__.. _..._. .......... Lot A-40 ........... Block _..._...------................. Addition or Sub-Divi�o36,%�4 .... < �..?..'_.�_-� Corner Lot .......................... -........ Inside Lot .- - r'"�.._...--... Setback ...a +t_� .......---.._........ Sideyard ....... ......:_............ .............. - SewerElevation _..._---------------._ ........ ....... _--- _............_.------_---------------- ------ Foundation Elevation ....._---..._.................... DESCRIPTION OF BUILDING. T Used as: ✓ _.. :_....... ... _ Front - Depth._.. Height ..�-�-�- ---.. Sq. Ft. L_ Cu. Ft.0 _..................................... Front ....._............... Depth ............ Height .......... ...._.....� Sq. Ft. ...................... Cu. Ft. ........ .......... ... t Type of Construction . .......... Est. Cost...... ... _ """'"�o be Completed ......... .... -.._....... ...................... CAUT1®N THIS PERMIT DOES NOT AUTHORIZE VIOLAT- ION OF ANY P:., vA i c LA. iD COVENANTS AND BUILDING RLL FRICTIONS. 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 $.452/- , 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. , -,7a7 !,;+'Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, Bas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. Nq W - APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Builder, Address LOCATION OF BUILDING No. 9 -In 3 Street L/ M1 Part of Lot Lot ti Block— --I= Addition or Sub.Div. Corner LotInside Lot 1 Set Back .73 J Side -Yard I - / 4 SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as:, 0 Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. 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 Ordinances and rulingof the Department of Buildings, and hereby declares that all the facts and representa- tions stated in this application are true and correct. e DATE- -- - �i' ti i,' SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side. Application for Power Plants and Heading, Cooling, Ventilation, .Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $_ -1 ,y each add. 60,000 BTU .... . .................. 2.00 $ _ Replacement of Furnace ............................. §.00 Repairs & Alterations—up to $500.00 ................ 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ..... .................. 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $— GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $— Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE Dept. of Bldgs. Phone SU, 4-7470 Location 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. '!rl ® Fridley, �� 19 Owner Kind of Building 7=74- 'Z"�'`� Used as To be completed about AW Estimated Cost, $ Old—New. Building Permit No. 'r Permit No. DESCRIPTION OF WORK HEATING or PONUM PZ.ANTS—Steam, Hot Water, Warm Air—No/ Trade Name Size No -S/!!!/ 00 Capacity Sq. Ft. E.D.R- Ze® 9�90® BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name . Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) y Sigmn . 2M 7 o D•56 v -:5' 9 / � - i /AZ's. '��• _ I HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDING• Weatherstrips A.S.H. .E. Construction No. Insulation Guide n ows IDOWS Reference Out. Wall JInt.Wall I Ceiling I Roof Floor Kind How. Applied Yes _Afb I e W 19— F1.1 Z.. Room I Lenath-.y-.v"WWidth /P r Height s I I / Fl.l �� L Room I Length f> Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lightsof crack sq. ft. c e7 4. ./ 9.,?. ® B. ` ® "'tel -6, 16-,? �® zj IF a Coef. -;7/,o Coef. Btu Infiltration ej 117:e �� 45R Glass --? 9 Glass Exp. wall /_T-/ Isv I // ®--w Exp. wall aO Netexp. wall Exp. wall 45- /® Net exp. wall Int. wall rL1 Net exp. wall �® Int. wall 61 v I6'S® 6 /D Int. wall Ceiling %7 — f �p /D O Ceiling I .— ® t�lflp Floor / -;;,,d Total Btu. 916. 1 /—/,, ®� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 0/,n.,h rRoom I Length 9 "%" Width //' Height J",P' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. ofpaneof pane lighta of sq. ft. crack 3 —7o Z .1 Coef. Coef. Btu Infiltration 3 / ej 117:e ffyi 45R Glass I -o e00 Exp. wall /_T-/ Isv I // ®--w Exp. wall aO Netexp. wall 45- /® Net exp. wall Int. wall rL1 /0 �® Int. wall 61 Ad 6 /D Floor Ceiling %7 — f �p /D O Floor I .— Total Total Btu. Required got. E A. or sq. ins. W.A. Leader area ,/ Fl.l fti I1 Room I Lenath Width //' Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. ofpaneofpane lighta of crack eqp. ft. J . 3 —7o Z .1 Coef. Btu Infiltration �/ 3 / ej 117:e Glass / I -o e00 Exp. wall /_T-/ - 411/ Netexp. wall 45- /® "lee D Int. wall rL1 Ceiling 61 Ad 6 /D Floor %7 — 0 4.0 Total Btu. 1 -�4,pa7e Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of panne lighta of cracker sq. ft. J . Coef. Btu Infiltration / 3 / ej '6m, Glass / mS'® Arc Exp. wall '! " - 411/ Net exp. wall 45- /D /-1-%/O Int. wall Ceiling 61 Ad 6 /D Floor %7 — 0 4.0 Total Btu. ® % Required sq. ft. E.D.R. or sq. ins. W.A. Leader area D FII Rnnm I Lenath//' Width //' Height f l Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq ft. •Ge. �®i �o �7. Coef. Btu Infiltration 3 / ej // -/ Glass / mS'® Arc Exp. wall - Net exp. wall 45- /D /-1-%/O Int. wall Ceiling /0 %/a Floor %7 /O 0 4.0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area O Fi_I 6' Rmm I Lenath/--i P Width /.� 4Height _: 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 3 / ej // -/ Glass / mS'® Arc Exp. wall - Net exp. wall Int. wall Ceiling Floor O G /O 0 4.0 Total Btu. I age j? Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ddb Ojabw 7D HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall CeilingRoof Floor Kind How. Applied Yes—No Yes—No 19— RLC-1.7.P...,/Room I Length //>> Width fes' 55 Heig- I Lengt---> --:, `Width Ae /Height oFs 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 panae� of pane lights of crack sq. ft. z /5-u /Cv Gs 1D- /O• (e s A. Coef. Btu Infiltration �-- Glass Coef. Btu Infiltration Net exp. wall �-- Int. wall LM I //Z Glass Floor /9 -® S® Exp. wall Net exp. wall / f/ /Q Net exp. wall Int. wall Int. wall Floor Ceiling S Floor Total Btu.,/ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.I k.C.0 Room I Length Width -4& Height r 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 Dane of pane Iights of crack sq. ft. z /5-u /Cv Gs 1D- /O• (e s A. Coef. Btu Infiltration �-- Glass Btu Exp. wall Net exp. wall �-- Int. wall Glass Ceiling /® Floor Total Btu. L Z4 Required s t. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Len>tth.2B ° Width Height .P° 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 Dane of pane Iights of crack sq. ft. z /5-u /Cv Gs 1D- /O• (e s A. ,' % :7�e Coef. Btu Infiltration Net exp. wall Int. wall Glass Ceiling / p Exp. wall S21 Exp. wall 0 Net exp. wall f/ /Q Net exp. wall Int. wall Ceiling Floor Ceiling S �7 •��--® Total Btu. -Se� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 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 panne lights of crack sq. ft. z /5-u /Cv Gs 1D- /O• (e s A. ,' % :7�e Glass Coef.1 Btu Infiltration Net exp. wall Int. wall Ceiling Glass Floor S21 Exp. wall 0 Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room 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. 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 FII RMm 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. 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 of Fridley Application for Plumbing and C m Fitting Permit Dept. of Bldgs. Phone SII 4.7470 DESCRIPTION OF WORK ��- '9 Number, Kind and Location of Fixtures I'o�tiO" Gi Z4a y z0 gQ� Z 5 7jW� W Z t R t N WATER HTR. GAS ELEC. 3 m m N 3 f O LL (yp V mt�90 Base 1st 2nd 3rd 4th • Future Connection Openings Connected with Sewer El New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ �NO. RATE TOTAL x $1.50 $ C6 x 1.20 $ x 1.00 $ x 3.25 $ Water Heater (Up to 200,000 BTI) ......T x 2.00 $ 22- Q New Ground Run Old Bldg. x 3.25 $ 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 ................................................$ c� TOTAL FEE City of Fridley: C The undersigned hereby .makes application for a permit for the work herein 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 faci and representations stated in this application are true and correct. /? Fridley, Minn, 'O'--- '2_ '194, Owner Kind of Building Used as ' To be completed about %� Estimated Cost, $ Ol New uilding Permit No\ Permit No. Signe Byl Business Phone No ROUGH `/ FINAL 4z 2M • City of Fridley, Minn.. BUILDING PERMIT Date: June 1, 1965 Carl Afar Owner: 5973 4th. street N. E. Address 5973 4th. Street N. E. N? '7618 Builder Metro Builders, Inc. Address 2909 Nicollet Ave. So. LOCATION OF BUILDING No. 5973 Street 4th. Street N. E. ____, Part of Lot Lot 20 _ Block 2 Addition or Sub -Division Bennett Palmer Addition Corner Lot _ Inside Lot __ Setback — Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost,QMsS _ To be Completed • Storm Damage Repair • In consideration of the issuance to me of a permit to construct uilding described above I agree to do the proposed work in accordance with the description above set fo and pliance with 21 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 1C- OO , permit is hereby granted to Xe ro Md t s - TZC. to construct the building or addition as described above. This permit is granted upon the eupress condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, ara�md and upon said building, or any part thereof, shall conform in all respects to the ordinances of RtyI=tdleyMinta imies. Allen Jensen Building Inspector NOTICE M psrmb clow net eewr the eondrodiee, WWWon for wMb& phm►bine, ew heedae, ewer or water. Be are to ae Ow Bu[Mh* lnqmftr for apmft pwft for thea bmw I .' APPLICATION FOR BUILDING PEMIET CITY OF FRIDLEY,.NINNESOTA OWNER'S MM BUILDER ADDRESS.97,5F -73 ADDRESS LOCATION OF BUILDING No. 15' _'5;7 3- Street L/ Fart of Lot Lot Block Addition 'or Subdivision - �.� V_ Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Tito Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates, DESCRIPTION OF BUILDING To be used as: Front Height Sq. Ft. Cu. Ft. Front Depth I Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed The undersigned 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. DATES -77 SIGNATURE. (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT PERMIT NO. City of Fridley 15 8 6 7 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. 1 ' COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 i S 1 S CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/7/80 JOB ADDRESS 5973 -4th St. N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 2 Bennett - Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary G. Webb 5973 -4th St N.E. Fridley 55432571-8875 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW Il ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' X 20' deck and adda patio door. 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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 R-1 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 $1,000.00 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.00 NATURE OF CONTR ,TORqRAUTHOIRRAIZEAGNT aTE"�A WHEN PROPERLY LIDA ED THIS IS YOUR PERMIT �x/� v BLDG INSP DATE S ATURE ER F OWNER B ILDERI D T I CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: (9V(J BUILDER: ADDRESS: C�Q�� " `7 � ?VJi X �a ADDRESS: ' A__ TEL NO: S5 7 l r � $ % -5 TEL NO: a • Construction Location STREET NO: .5L?[ ry STREET: LOT: BLOCK: ADDITION: AI 0/p, Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and roposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Squane. Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: W®® Estimated Cost: $ 4.b Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE.SIDE OF.SHEET The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all.work in.strict accordance with the City of Fridley .Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application ane true and c ec UL DATE: L-7 SIGNATURE: Stipulations: v Rau, mann CLEANERS IN THE PARK 4815 MTKA BLVD MPLS-�i M 55411 1�0 . Nj o r ` t � 1 0% 1 • y P6 N J 0 � J 1 C,\) Ub 0% 1 • y NOTICE (01 LML_Ti'CENSING „I� F_R� Ae_�— DBS -2722 (9-85) PZ -02722-02 1'l - g7 STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD (( ST. PAUL. MINNESOTA 85101 Date City of Fridley Zoning Authority 6431 University AVe. N.E. Street Address Fridley, MN 55432 City State Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject: Nate of Day Care Home Applicant Street Address City State Zip Code Type of License: Family Day Care Group Family Day Care Licensed Capacity l ” -15-- Phone No. 5-7 1 - 8 This is to inform you that we are in receipt licensure under Minnesota Rules, parts 9502.0300 Rule 2), Family Day Care and Group Family Day Care this license is subject to compliance with the Statutes, Sections 245.781 to 245.812 and 252.28, the Public Welfare Licensing Act and the rules of Services. of an application for to 9502.0445 (formerly Standards. Issuance of provisions of Minnesota subdivision 2, known as the Department of Human You should note that under Minnesota Statutes, Section 3, a licensed day care facility serving 12 or fewer considered a permitted single family residential use of purposes of zoning. Subdivision 4 of the same section licensed day care facility serving from 13 through 16 considered a permitted multi -family residential use purposes of zoning. If we do not hear from you within will consider the above-mentioned your local zoning code. Sincerely, Licensing Work Street Address 245.812, Subvision persons shall be property for the indicates that a persons shall be of property for 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL SERVICES DEPARTMENT COUNTY OF ANOKA COURTHOUSE, FOURTH FLOOR Name of "Agency/Organization City State Zip Code AN EQUAL OPPORTUNITY EMPLOYER SUBJECT P . City of Fridley 20504 AT THE TOP OF THE TWINS BUILDING PERMIT � ECEIPT NO _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. sn� "1 CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY A', , 1'j 612-571-3450 910-F15 8/6/9,0 JOB ADDRESS 5973 - 4th. Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 2 Bennett Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeanne Webb 5973 - 4th Street N.E. 571-8875 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central Avenue N.E. 784-7543 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 Ek REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (16 Squares) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $800 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $21.00 STRUCTHE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE nOTRESL ��s�, 21,50 N fUREOFCONTRACTOR ORAUTHORIZEDAGENT (DATE) EN PRO R LI TED THIS IS YOUR PERMIT DG iNSP DATE SIGNATURE OF OWNER i IF OWNER BUILDERi iDATEi NEW [ ] Effective 1/1/90 ADDN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DE.SCRZPTION OF LIM G AREA: Length Width Height Sq. Ft. GARAM AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. an=: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 4 -!/ilk ®m,G a Estimated Cost: $ qOO Approx. Cmipletion Date:& sf�Awes Proposed Driveway width if Newcpenincj is Desired: DATE: ' laws �L �rL //I LL - See Page Permit Fee $ '5P, ® L State Surcharge $ ISD SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ $ C;� /--fix STIPUTATICNNS: CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Susie& P City of Fridley 29241 AT THE TOP OF THE TWINS BUILDING PERM REC `y ____�_ COMMUNITY DEVELOPMENT DIV. r - PROTECTIVE INSPECTION SEC. eGJI 1 � NUMBER REV DATE PAGE OF APPROVED BY i 1 "'1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/19/99 JOB ADDRESS 5973 4 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DIE 20 2 Bennett Palmer SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Chuck Wagner 5973 4 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO B & B Roofing 6760 Madison St NE, Fridley, MN 55432 571-0248 9042 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 jJ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (17 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REQUIRED 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 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 1 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 $1,456 $.73 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES,,*PT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR IS NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $48.SO Fir SC $1.46 IONOR 7CONSTRUCTION PLAN CHECK FEE TOT L EE gSIGNARE Lic s SC $ .00 $55.69 O� CON'RACTOR OR AUTHORIZED AGENT IOAiEI HE P V LID IS IS Y PE u S-GNATURE OF OWNERoF OWNER BUILDERI IDATEI DG .NSP tE NEW [ CITY OF FRIDLEY ADDN [ ] ALT [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 . r l - F <<.. BUILDING PERMIT APPLICATION ConsttuctionAddress: Legal Description: Owner Name & Address: Contractor: -6 s I-- I/ MN LICENSE Address: � /��/%/,�7JYI Tel. # • � '' `' OA Attachtothis, application, a Certificate of Survey of the lot, with'the proposed construction drawn on it to scale. Effective 1/1/99 LIVING Length Width d a 'i Widtlf ° GARAGE AREA Length :.,,_ �< DECK" AREA: Length Width _ ..rC r, O : 0 �, .4 . . Construction Type:/7'. 7'. Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft: Estimated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: _Ft. + 6 Ft = Ft x DATE: %/7 -1' 7 APPLICANT:-12 Tel. # -� 7l Dam CITY USE ONLY Permit Fee $ U --3-6 Fee Schedule on Reverse Side Fire Surcharge $ /. 7(0 .001 of Permit Valuation (1/10th%) State Surcharge $ % $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 5 6 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: SUBJECT NO. City of Fridley 2991 0 AT THE TOP OF THE TWINS BUILDING PERMIT r , RECEIPT NO. 1 COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIOLEV 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 7/20/99 JOB ADDRESS 5973 4th Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2Q 2 Bennett SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charles Wapmer 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION X2 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house and Raraze 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REQUIRED 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 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 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 2000 $1.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $69.25 lFire $2.00 PLAN CHECK FEE TOTAL E N ju EOF COFi RACTOR OR4 TiHOp4ED AyG�ENt� % iDATE� V1 1r" V _ V f poy XS:-GNA N ROPE ALIDAT HIS I UR ERMIT ✓ RE OF OWNEA F OWNER BWIDER� i0 Ei � IN- GATE NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 6973 s—F /\Lt (� Legal Description: tom -'F Owner Name & Address: �" RAQ LS P " SAY)e - Tel. # S�-�j��5 Contractor: 01ji /,)-e MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # 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: Pe-Os/be 1-100SE .Estimated Cost: $ a Cwv Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 7 a v ei APPLICANT: Tel. # S-'�-6-00 F TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ S— Fee Schedule on Reverse Side Fire Surcharge $ 00 .001 of Permit Valuation (1/10th%) State Surcharge $ /.66 $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 01 s 6431 University Ave NE )�9 Fridley, MN 55432 ,J 1'��APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On March 1, 1996 7U PLUMBING FIXTURE RATES: NO. RATE 'TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** _� $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $10.5 JOB ADDRESS 1�._/E 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. CJ/ / '1996 Owner KARPE CHRIS 5973 4TH STREET NORTHEAST FRIDLEY , FTN 554?2 Sr7� —62 Building Used As H 571-2740 IV Estimated Cost _ PERMIT NO. PLUMBING COMPANY-AJb 1-SUD94 pj_utM I jIM6 SIGNED BY TEL NO.Z %'T633 Approved By Rough—In Date Final Date �JJ xg /�v MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.0 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: (763) 571-IL87 ADDRESS : 5973 4TH ST NE PIN : 233024210014 LEGAL DESC : BENNETT-PALMER ADD : LOT 20 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PERMIT:2004-00812 DATE ISSUED: 06/02/2004 VALUATION : $ 4,954.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE ONE PATIO DOOR; ONE ENTRY DOOR AND ONE STORM DOOR WITHIN EXISTING OPENINGS. STATE LICENSED CONTRACTOR 1 APPLICANT MINNESOTA RUSCO INC (2173) 5558 SMETANA DR MINNETONKA, MN 55343-9003 (952)935-9669 r '5 GAVIC ALBERT & WAGNER CHARLES 5973 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 colmuction or the performance of cons ction. AtwheanL Date 1 BUILDING PERMIT FEE 111.25 FIRE SURCHARGE 4.95 STATE SURCHARGE, VALUE 2.48 LICENSE SURCHARGE 5.00 TOTAL 123.68 PAID WITH CHECK # 29367 Permit Inspection Cards Will Be 11da11ed 1'o Homeowner To Post SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ew se)) NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address:, /Y� 7M Y�h, Legal Description: 0f Owner Name & Address: Contractor: -ii I LUbnI (ACU ; �—WW • MN LICENSE # ori iJ Address: 5558 5ML�VL &Ale, 553 �3 Tel. # gsZ g35 -'?&6" 9 Attach to this application, a Certificate of Survey of t hlb� 9�z • 93,x' • 9s�� 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 WidthQ o ,,JJ Hgt/Grounfl i.� d Sq. Ft. ��/ OTHER: nP n o 67UC/) Daho CIOUL, au 6 ) , Q '�l G� 0a, GUYJ M N -5�'w U'Y'l 5F, All opw uuv V 06 Construction Type: Estimated Cost: $ _/ ` V n truction yp Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ 9 g DATE: 5lo-1710# APPLICANT: p"1 iJ Tel. #&?51 G✓ 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 $ � Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $i $.5b/$1,000 Valuation SAC Charge $ $1275 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut 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 $ ,STIP( I1 ATIONS'