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PRE 2010 DOCSE City of Fridley, Minn. 0 BUILDING PERMIT N® 6694 Date: Owner: Builder_ --•—.— Address _ _ Address I .UILDING No. �! `� StreetI:Yz. x _ P t Lot° Block Addition or S Corner Lot — Inside Lot eetback 'Side, _ r� Sewer Elevation — ]' dation Elevation DESCRIPTION OF BUILDING T - '� Front Depth Height _ _ Sq. Ft Ft n Depth Height ___ �_ Sq. Ft _ __ Cu. Ft Type of Construction� PA— 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/p and in comp ce with all provisions of ordinances of the city of Fridley. % n , �,�, 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 Bone 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 erepmr and moving of buildings within the city limits and this permit may be revoked at anytime upon v� on of of the provisions of said ordinances. /T NOTICE: 1h@ permit does not cover the construction, Installation for wirlog, ph rAbing, gas hotting, at/,, or water. Be sure to we the Building Inspector for separate permits for these Items. City of Fridley, Minn. BUILDING PERMIT • Date: _ Sept. 3, 1969 • • Owner: Rpbert L, Olson Builder Same Address _ 5614 5th ,Street N. E. Address Same LOCATION OF BUILDING No. 5614 Stmt _ 5th St. N. E. Part of Lot Lot 7 & 8 --Block 2 Addition or Sub -Division . Hamil ton n s Addn . Corner Lot _ — Inside Lot x Setback --_ Sideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Addn . Living Arehont _ 12' 6 "Dep h 261 Type of Construction Front Depth Wood Frame Est cost N° 10389 to Mechanicsville Height 20i Sq, Ft. 325 Cu. Ft. 50 Height Sq. Ft. Cu. Ft. $3,290 _ 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 $ 10.00 permit is hereby granted to Robert L. Olson 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, Mizmesota regarding location, construction, alteration, maintenance, repair and. moving of buildings within the dty limits and this permit may be revoked at any time upon violation of any of the P�� of said ordinances. Building Inspector rlar Be! fale NOTICE: This porndt does not cover tits construction, installation for wldng, plumbing, gas heating, sewer or water. Be suns to see the Building laspeetor for separate permits for these Nems. APPLICATION FOR BUILDING PERMIT CITY OF o OWNER i /" -� ��.0 _ BUILDER ADDRESS LOCATION OF BUILDING NO. I'y STREET LOT -4 BLOCK o2 ADDITION OR SUBDIVISION CORNER. LOT INSIDE LOT 1,-' SETBACK SIDEYARD � SEWER ELEVATION TOP OF FOOTING 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: ont /,71 Depth Heighta,-& a Square feet 326- Cubic Feet Front Depth Height Square feet Cubic Feet Type of Construction VevZ4 >� Estimated Cost 39fe) 0�0 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. ^ _ - n , DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side.) 9 E • Y 0 V y SUBJECT Ci_t_ y of Fridley 1 29P7T AT THE TOP OF THE TWINS BUILDING PERMIT r RECEI N2O. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. o NUMBER REv DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 %j612-571-3450 910415 6/21/99 JOB ADDRESS 5614 5th Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7� 8 3 Hamilton's Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Karen Trimble Mark Velandra572-8509 3 CONTRACTOR MAIL ADDRESS 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 Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 19X REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (28 Sq) Tear -off; Soffit and fascia 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 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 $27(17 0 $1.37 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $87.37 nET SIGNATURE F(CONN)TRA/aCCTORORR1THORiZEOAG T iE� WHEN PROPERL ALIDATED THIS IS YOUR PERMIT BLO �NS� gatE SIGNATURE OF N R,1F0 N RBUILDER, IOAT r . NEW[ ] ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: _-64 7` ,s 7— Legal Description: Owner Name & Address: —9 /D L sly M x) Tel. # _!� 7P '9� SQ Contractor: Yylw5£ L F ' MN LICENSE # Address: 56r S /V E �G�/•� £� /%f/v- 57S'9f,3 2 Tel. # S7;2 -- LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Length -= Width eight _Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. ZED®:8-17We Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: IX W _b, (/ G J Tel. CITY USE ONLY d Permit Fee $ CS 3,4_ Fee Schedule on Reverse Side Fire Surcharge $ �� � .001 of Permit Valuation (1/10th%) State Surcharge $ 1,3f $.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: S 8%..3% CITY OF FRIDLEY PERMIT NO.: 2004-02146 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 11/19/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 5614 5 ST NE PIN : 233024310034 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 1 # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 # WATER TRMT APPLIANCES 0 APPLICANT PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) 0.00 0.00 TRIMBLE KAREN M 5614 5TH ST NE WATER TREATMENT APPLIANCE 0.00 FRIDLEY, MN 55432 WATER HEATER - ELEC 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT WATER HEATER - GAS 0.00 0.50 15.00 OWNER TRIMBLE KAREN M 5614 5TH ST NE TOTAL 15.50 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 work 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 provisi/nf any other state or local law regulating construction or thformance of construction. Applicant Date Bldg Insp / D/ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT J (763) 572-3604, FAX (763) 571-1287 s MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $10.00 Old Opening, New Fixture $10.00 Beer Dispenser $10.00 Blow Off Basin $10.00 Catch Basin $10.00 Rain Water Leader $10.00 Sump/Receiving Tank $10.00 Water Treating Appliance $35.00 Water Heater -Electric $35.00 Water Heater - Gas** Gas Range** Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS /sem 1.25% of Value of Fixture or Appliance State Surcharge $ .50 JOB ADDRESS 5&// 5-) 4 A( r 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. DATE: 0/ I q OWNER J�f-yl -7-Te em � BUILDING USED AS 'e ESTIMATED COST 0O PERMIT NO. PLUMBING COMPANY 20 O L/ SIGNED BY _�] ?Az— Lh TEL N0.7 (3 - 5-72 -SSU % Approved By Rough -In Date Final Date TOTAL FEE ter. s6 OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE i FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT,' VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the BTU Input venting has been examined and is free from rust, deterioration, obstructions, Appliance #2 Type and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer BTU Input specifications including sizing, length, number of elbows and terminatidn. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does Vent Height include AGA-GAMA Category I Central Furnace Venting Tables for fan Appliance #1 Vent Connector Height assisted and natural draft appliances. Yes () No ( ) T�e existing combustion air is sized and installed to meet the current codes ft Length and manufacturer's specifications. Yes ( ) No( ) When required to install a new combustion air, it will be sized and inotalled ft Diameter in Type to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's; specifications. This does include AGA-GAMA Category I Central Fumice Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date :