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PRE 2010 DOCSFr i the bug - deseribe� in the above statement. This permit is granted upon the expressFd that a peon to whom it is granted, and his agents, ;employees and workmen, In all the work done inand n add building, or any part thereof, shall conform in all respects to the ordi- , maces of Fridleregarding the construction, alteration, malntenance, repair and moving of buildings within the city lithi6 permit may be revoked at any time:upn viola4on of any of the provisions of said ordinances. C t' f t 1 A JE �4K;n!�Spector of Buildings. 1, AGRE T AND SWORN STATEMENT In considera on of the issue and delivery to me by the In..^pector of Buildings of Fridley of the above p ma I hereby agree to do the proposed work in accordance with the description above set forth $:according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby to and say that the facts stated by me and containedin the above permit are true as therein st Ira Subseri and swora to before me at Fridley, 1Vliuxie. day - i. Application for Power Plants and Heating. Coding, 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 $ r each add. 80,000 BTU .... . .................. 2.00 $ Replacement of Furnace ............................. .§.00 $ Repairs & Alterations—up to $500.00 ....e ............ 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam....... 8.00 $ Furnace Shell & Line—to 640 gq. 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 -44 C, GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $7 U Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ \ I ALTERATIONS & REPAIRS TOTAL F!W ROUGH FINAL Dept. of Bldgs. Phone SII. 4-7470 Locaifon •.T•3 3 / - -5-El 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, T inns` , 19 2 Owner Kind of Building�^� �- Used as ldl_"�e'e s> To be completed about / © / -)- 5� /6• -z- Estimated Cost, $ e? 5_10 Ol�--New. Building Permit No. Permit No. 2 DESCRIPTION OF WORK HEATING or POWER. PLANTS -Steam, Biot Water, Warm Air—No Trade Name Size Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Nam ;P2a—te ? `'�"`R-3� Size No i/ If S' Capacity S Sq. Ft. E.D.R BTU H.P. Signed By B�.4 E 2M 7_59 Business Phone No k` ? S (REMARKS—OVER) 0 City of Fridley, Minn.. BUILDING PERMIT N® 6801 .2 -5z1-e5 Date: ,40 f7r-y Owner: ABuilder Address Address jL PIVV-1'111�z ' TION F BUILDING No. Street _ Part o Lots —A Block— Addition or Subr1l on _ Corner Lot _ Inside Lot �� Setback —_ _ Sideyard — Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING ToV@Cd as: Front Depth Height Sq. Ft. — Cu. Ft c?A Fro t Depth Height Sq. Ft. Cu. Ft. Type of Construction -4- 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 $-7--, permit is hereby granted to— to construct the building or addition as described above. This permit is granted upon theress condition that the person to whom it is granted and his agents, employees and workmen, in all work doround and upon said building, or any part thereof, shall conform in all respects to the ordinances of LdI�Y4 irmessota regaglncitylimitsaisan Building Inspector NOTICE: 'h b permh does not cover the construction, hutellstion for whdng, plumbing, gas hewing, sewer or water. Be sire to sae dw Building hopector for separate permits for these hems. D P APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Ervin Layland Builder MILES CONSTRUCTION COMPANY Address 5331 5th St. N.E Fridley 4500 Lyndale Ave. No. Mpls. LOCATION OF BUILDING No. 5331 Street 5th St. N:E. Part of Lot Lots 24 & 25 Block 15 Addition or Subdivision Hamiltons Addition to Mechanicsville Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION 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: Garage Front 14 Depth 22 Height Sq. Ft, Cu. Ft. FrontDepth Height Sq. Ft. Cu. Ft. Type of Construction Frame Estimated Cost $550.00 To be Completed As. soon as possible. 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 October 15, 1963 SIGNATURE (Schedule of Fee Costs can be found on Reve a Side SUBJECT PE,RMTT N City of Fridley ®12863 AT THE TOP OF THE TWINS BUILDING PERMIT RECEI • ______ COMMUNITY DEVELOPMENT DIV. INSPECTION r 1-v PROTECTIVE SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 2/20/75 JOB ADDRESS 5330 - 5th Street N.E. 1 LEGAL LOT NO. BLOCK TRA CT OR ADDITION SEE ATTACHED DESCR, 24,25 15 Hamilton's Addition to Mech'ville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leonard T. Garin 5331 - 5th Street N.E. 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 Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION EX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK li,¢j(IbX;f Repair fire damage to garage 9 CHANGE OF USE FROM TO STIPULATIONS PERMITS P"C"k­ -71 PLUMBING ANL) 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 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. $500.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .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- $5.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $5.50 SIGNATURE OF CONTRACTOR OR AUTHORIZE A ENT ` (DATE) HEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER tlF OWNER BUILDER) (DATE) I APPLICATION FOR RESIDENTIAL, ALTERATION; OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : l- C ®N A IZ 0-t (%` �J/ UILDER : ADDRESS: � 3 - 5 '77:t 5 Til ADDRESS NO:. STREET: LOT: L)445 BLOCK: 15- ADDITION: - 9jd,.L oau: 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: Ry)44 t, Front:y.� Depth: a75 �� 7 ` Height: CAa* F,- ft (j�� �Vb�-� Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: FQi3'VtIIV- Estimated Cost: oe 0� To Be Completed: % /V1okrig4s, 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: � a SIGNATURE: (See Reverse Side For Additional Information.) PS9 PARTIAL RATE SCHEDULE G1tAVITT WARM AM: Furnace Shell & Duet Work Rep'3r_srmrnt of rurnare Rrpairs & Alterations—up to $500.00 Repairs & Alterations each add. $500.00 HEML WARN AM Furnace Shell & Duct Work to 120,000 BTU eta add. 60.000 BTT Replacement of Furnace Repairs & Alterations ---up to $x00.00 Repairs & Alterations each add. $500.00 STEAM ax HOT WATER SYSTEM ItATl6 TOTAL 810.00 S 6.00 S 600 S 30U $ .81000 $ 3.W ; 6.00 f 6.00 S 3.00 S Furr:ace Shell & Lines—to 400 sq. ft F.DR Steam 510.7) $ Furnace Shell & Line --to 640 sq ft. EDR Hot Water 1000 $. Each add 200 sq. ft. EDR Steam 3 on $ Each add. 320 sq. ft EDR Hot Water 3.00 $ OIL BUFNER—to 3 gaL per hour 6.00 S over 3 gal. per hour—See Fee Schedule g�� GAS BU;l NER Cup to M.OM BTU) &00 $ 6� `� over 199.000 BTU Sam Foe Schodule GAS FITTING FEES: NO RATE TOTAL 1st 3 fixtures x$ 200 S Y e (� Additional Fixtures x .76 S-__ -- Gas Range to U9.000 a$ &CO S RCOOK lam- � State Surcharge .50 is" rep acbedule TOTAL F= Its� V S�� o C) c.) Dept. Of B1d�a City of PYidley: The undersigned hereby makes application for a permit for the work herxir specified agreeing to do all work in strict accordance with the City Ordinar:ee`° and ruling of the Depa: tment of Buildings, and hereby declares that all the fac" and repr�srntaduns stated in this application are true and correct. Owner Kind of Used as To be completed about Estimated Cost, S / Old New. Building Permit No. -----Permit No. ` ;.> mss,«< , .. _� . •�- ,: �-, HEATING or POWER PLANTS•—Steven, Hot Water. Warne Air—No Trade Name size pI® Capacity_. __. ^ Sq. FL E.D.R BTU`— Total TU Total Connected Load ,— Kind of Ftte1 BURNER — Trade Name Size ppp Capacity Sq. FL E.D.R B7V EWI-, CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures g 3.50 $ Old Opening, New Fixture $ 1.50 $ Bear Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Watgr Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 $ ALL OTHQS AND/OR REPAIRS AND ALTERATIONS `l Is of Value of Fixture or Appliance $ V Rainspection Poe $ State Surcharge $ .50 ($15.00) TOTAL FEE $Q Effective Date May 1. 1988 Job Address, 45-�3 -:� / 7 l� /V Department of Buildings City of Fridley Tel. 9571-3450 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, Mn. l9az OWNER KIND OF BUILDING L—A—h 4 j� USED AS ✓ ui e I ( •. n y TO BE COLLETED ABOUT // V PP� / U / ESTIMATED COST 40,0 - OLD - NEW BUILDING PERMIT NO. PERMIT NO. ko '� company Signed H Tel. No. ROUGH INSP. Date FINAL INSP. ® 14 ;to Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE m UWater 4 us m a c 4 as IR pu W w top Neater O vii u a o� u�i w a w u 3 t� s lec 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (�) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures g 3.50 $ Old Opening, New Fixture $ 1.50 $ Bear Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Watgr Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 $ ALL OTHQS AND/OR REPAIRS AND ALTERATIONS `l Is of Value of Fixture or Appliance $ V Rainspection Poe $ State Surcharge $ .50 ($15.00) TOTAL FEE $Q Effective Date May 1. 1988 Job Address, 45-�3 -:� / 7 l� /V Department of Buildings City of Fridley Tel. 9571-3450 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, Mn. l9az OWNER KIND OF BUILDING L—A—h 4 j� USED AS ✓ ui e I ( •. n y TO BE COLLETED ABOUT // V PP� / U / ESTIMATED COST 40,0 - OLD - NEW BUILDING PERMIT NO. PERMIT NO. ko '� company Signed H Tel. No. ROUGH INSP. Date FINAL INSP. ® 14 ;to Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS -'S- -3 RATE SCHEDULE The ,undersigned hereby makes application for a permit for the work Residential Ride TOTAL here!n specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - a city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $20.)0 $ °� ®` that all the facts and representations stated in this ap kation are J true and correct. .1991 Gas Piping (Ntteded with new furnace) $10.00 -8 OWNER Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ ESTIMATED COST �®'�� PERMIT NO. *Air Conditioning - All Sizes $10.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) I % of Value of Appliance or Work $ No. of Heatinq�its Circle One (Steam) (Hot Water) (Warm Air) Trade Name ..� - Size No. Commercial/Industrial BTU ®® HP EDR I % of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. 2�5 ®�do I - BTU :. HP EDR HEATING COMPANY V,: /A "JC , Signed _ Tel No. -2 >Z Approved By _Ad Rough -In Date Final Date ! l FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks , List Alterations Being Done: HEATING COMPANY Signed By Date Building MECHANICAL Permit No4VIN, Inspections RESIDENTIAL APPLICATION Received B 763-572-3604 Date CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 2-19-09 �� I I� Q G� L% li GU CJ �V/ I s l DATE YOLUR E-MAIL ADDRESS 11 U 1 l SITE ADDRESS ;R.S 1 THIS APPLICANT IS: C3 OWNER XONTRACTOR PROPERTY NAME:� S- ��j�� ADDRESS: �i �� ` � �(F' _CITYD�� STATE V� [P OWNER/ TENANT PHONE] CONTRACTOR COMPANY NAME: CONTACT PERSON: l I�l� cS a / c A �/ SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH p ADDRESS: 126-71 � kh'am �� N CITY STATI��Y IP J APPLICATION PHONE-1103 - L4D- I - J^I—I FAX `lto3 -L4a-A - ®l a PERMIT TYPE ' ( NGLE FAMILY ❑TWO FAMILY ❑TOWNHOUSE TYPE OF WORK: ❑ NEW 6d REPLACEMENT 13ALTERATION/REMODEL \TY DETAILED DESCRIPTION OF WORK' rn FEES ARE BASED ON $10.00 PER FIXTUREXXCEPT WHERE NOTED. FDffURES: ICATE TOTAL NUMBER OF EACH BELO Equipment Installed MFG:Q—(JI/Yti 1 ilj MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGEIOVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.1X1 BOILER $35.00 aFURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 __POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENT LATOR $15.00 Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $25.00 __. x $25.00 = $__— Number of fixtures @ $35.00 x $35.00 = $ 315. LD State Surcharge = $3 .50 1fMiTM FEE $55.50 Total = $ 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 work w 'ch re (lir s rev' and approval of plans SIGNATURE OF APPLICANT41 PRINT NAME DATE 1010'2-12-D 0� PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 IN e. on