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PRE 2010 DOCSVillage of Fridley, Mum. BUILDING PERMIT N� 31 Office of INSPECTOR OF BUILDINGS Owner'" Architec� Fridley, Minn.,_! Builder, LOCATION OF BUILDING No, Street r ° Part of Lot Block Addition or Sub -Division OF BUILDING Front "^ Depth ,L � Height Stories / Manner of Construction`" ► k Tb e used To be completed ems°—'Estimated Cost ��1^+'ti.l`'"ti""�`� « ..:�� �°"` PJ!., �-�"�e.�i��!�r�.f'6 . e'1nr'«�.. �"+�i�' ,1""s`� ►'✓�`s,,_. Permit is hereby ranted to the building_�1 described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the 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. —Inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit„ I hereby agree to do the proposed work in accordance with the description above set -forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. l�pp r F Subscribed and sworn to before me at Fridley, MinneEota, tis day -A.D. 19,f -L. a Is 1111 l'Ito a,1 1112 PIN oil®� a wartw two PARTIAL RATE SCHEDULE PLUMMMG rMUM BAYM N06 RATE T"" Numbeir 1l beft ................ ...m...... New FIXIMM ori Opntift .......... : SM a— BRA* ..... ........ :...... haler Realer Rlp to aim RM.... New Gremd Run lM oft ........ •zwdv* Rater .............. a a Gw rftTwG nm&- to waw TaTjiL SAi Matum .................. s am ............... z s .76 ' an Rev to me* arm ........... -ano a state surcLaxge $ Std FAWAM it ir 4 Coio Owe ...... R.ep�.:W&.e..................... 3.00 wraLi t 3.00 Surcharge .50$ City of The undersigned herqby makes uppUmUaa for a mit few tw wwh hem specified, agreeing to do 0 voortt In strict acewdaum with the Oly v and rWinz of the Deportm=9 of BuddlvAK and hereby dedww that sA to faW and representations stated In lbb appHeatim we true and eorreet Fridley. ,hn 6-29-73 -1$—. __ W. Dietrich Q Kind of Rundwe Frames Used as Res. - To W canted abort 7-6-73 y SUBJECT City of Fridley AiA AT THE TOP OF THE TWINS BUILDING PERMIT ;. '® IPT v ----__ COMMUNITY DEVELOPMENT DIV. "- r PROTECTIVE INSPECTION SEC. ® 1 � � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 `---- • •�� 612-560-3450 910-F15 �® JOB ADDRESS 5315 5th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18,19 15 Hamilton"s Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roslyn Park Wesleyan church 5300 6th Street MN N.E. 560-5616 3 CONTRACTOR MAILADDRESS 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 Residence 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C2 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re-roof 9 CHANGE OF USE FROM TO STIPULATIONS 1. Owner agrees that orriginal roofing will be removed. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK 1S 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 $ 600.00 $-50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.50 PLAN CHECK FEE TOTAL FEE *8.00 E OF CONTRACTOR OR AUTHORIZE T (DATE) WHEN ER VALID ED THIS IS YOUR ERMIT SIGNATURE OF OWNER IIF OWNE UILDERI BLOG. INSP nAllt CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: t-,eC ,WAID Address: s�d ® ��� /Pj Addjes Tel . No.: Street: 5,-rA c IVB LOT: �/ ��� BLOCK: /S ADDITION: CORNER LOT: INSIDE LOT: /1 SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As- ✓��,,,,,�� � Front:: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ C115 To 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 are true and correct. See reverse side for additional information. DATE: Stipulations: SIGNATURE: CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION•AND each add. 50,000 BTU AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE Repairs & Alterations -up to $500.00 GRAVITY WARM AIR: RATE TOTALJob Add ress Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 7.00 $ $ Department of Buildings Repairs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 each addn. 50,000 BTU 6.00 Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ ISOF& each add. 50,000 BTU 4.00 7.00• $ $ Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ t � _ '6 - GAS BURNER- from ]�&r000 BTU to 199,999 BTU 'S1*'ee' S - e - ` (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS & REPAIRS $ • State Surcharge $ .50 TOTAL FEE $ �a ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. r .� C'"�` d 19 OWNER H .® v_. OzLeLV ` ZA KIND OF BUILDING �!° G ��� USED AS CSC? TO BE COMPLETED ABOUT= e� `:���� ES�TIMAATED COST TOLD NEW BUILDING PERMIT NO. PERMIT NO. 'via_ ' DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. L& uF �� c :C ' Capacity Sq. Ft. EDR BTU �� HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU $P w' r Company +o 6 (fL2 C< f: Signed By ✓ d� Tel. No. CtB_ SUBJECT PER City of Fridley 21-632 AT THE TOP OF THE TWINS BUILDING PERMIT -RECEIPT-140 i COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �14 /"'S CITY HALL FRIDLEY 55432 NUMBER REV, PAGE OF APPROVED BV '�'� �'� 612-571-3450 910-F15 [DATE 11/3/92 10B ADDRESS 5315 5th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 19 15 Hamilton's Addn To Mechanicsville SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Roslyn Park Weslya.n Church 572-8094 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW j] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 201• x W Addition to Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 S0. 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1,280 $,64 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 31..00 Fire SC $1.28 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $32.92 SIOXATURENIFCONTRACTORORAU IZEDAGENT IDATEI WHEN E Y VALIDATED THIS IS YOUR PERMIT Si NATO OWNERIIFPNE BUILDER) I I QATF1 OG IN P FATE NEW [ J Effective 3/1192 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: -6-7t, &4- f Legal Description: Owner Name & Address: ! Tel. # :77 Z - c/ Contractor: MN LICENSE # Address: Az, Tel. # <'-7/ - 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/G ound Sq. Ft. OTHER: c� O C� Comer Lot [ ] Inside Lot 04 Ft., Yd Setback Q Side Yard Sqbacks Type of Construction: Estimated Cost: $� Approx. Completion " (Cost on Back) Driveway Curb Cut Width Needed: Ft.�6- -- Ft x $ _ $ DATE: 3 PLICANT: 20. -VuL Tel. # S 7/ - F 9�'V, Permit Fee $31.— Fire 31• Fire Surcharge $ A a State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL $ 30� 'tel Z CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: 6 SUBJECT I AvrRMIT N—O City of Fridley 2 7 6 9 8 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV DATE 9/10/98 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 5315 5th St NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 18,19 15 Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roslyn Park Church 572-8094 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gary Brewster Pastor 401 53rd Ave XE Fridley 55421 571-8845 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 Q REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & garage (28SQ) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $ 2,399.00 $1.20 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- $7475 Fe SC $2.40 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOT L EE $78.35 SIGH E OF CONTRA C OR AUTHORIZED AGENT IDATEI H~PRALIDHIS IS R PERMIT 1/ IGNATURE OWNER IIFOWNER BUILDERI IDATEI ,,M ! DATE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 3 h5 5A �-L Al i Legal Description: Owner Name & Address: f�-®s / vvt %�aYK C l� Ulr c,LL Tel. # %,2 - c5'6 Contractor: ( N a v i A 1)),- 7-e&- 1-o 57`6-L.. MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length 3 6 Width a ® Height Length Width Height Length Width Hgt/Ground _ S 0 aka veS Ta -Ye v Tel. # ,.5`11— ffe)S Sq. Ft. 0G Sq. Ft. Sq. Ft. Construction Type: TO of �%A 1, V, Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: �'I' l' l 8 APPLICANT: 7�Y < CA u YG �- Tel. # 577,,:2 ( ,q V y CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge fll 4410 STIPULATIONS: $ 28.3 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ]