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PRE 2010 DOCSCity of Fridley, Mim. BUILDING PERMIT N°5 2 9 6 Date: Owner: '� Builder Address Address — -- _ .00A NOF BUILDING 0. No. Street ..w��.. � � _.._... Part of Lot Lot _ T__ Block _ _ , -- Addition or Sub -Divi gn Comer Lot -- 'ter Inside Lot _ Setback rs�_ Sideyard — "w Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To U 7 Front Depth !' r Height Sq. Ft W Cu. Ft: Fran Depth Hight Sq. Ft. _ _ Cu. Ft. Type of Constructio Ld--� Est. Cost ' _""io 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 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 uponof any of the provisions of said ordinances. - ,,. viola. Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these Mems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Builder Address Address LOCATION OF BUILDING No. ,� Street S Part of Lot p i �ck�lrr.�--► Lot _� ocic . b Addition or Sub.Div.�&=,� Corner Lot�ide Lot Set Back 3 S ` Side -Yard !� SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING 3 0 Front ° /) Del Sq. Ft./6 /,Cu. Ft. �2=-Z 6) Front Depth height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost I�IZZ 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 ruling of the Department of Buildings.. and hereby declares that all the facts and representa- tions stated in this application are true and correct. DATE - ,!°; %V - Co / -SIGNATURE b ""a� - (A Schedule of Fee costs can be found on the Reverse Side.) • � w City of Fridley Appi'iaation for Plumbing and Cv= Fitting Permit Dept. of Bldgs. Phone SU 4.7470 DESCRIPTION OF WORK Number. Kind and Location of Fixtures ffi I_> NO. RATE TOTAL x $1.50 $—!-1. " Number Fixtures ........................ F Zz y z O 1n aaz ooj5 •d w o �U' Z z �U' F + N WATER HTR. GAS ELEC. $ 3 x 3.25 �� a 3� e� x $1.50 $—/, —So U <S� (�9 Gas Range to 200,000 BTU .............. O $ REPAIRS & ALTERATIONS—Refer to Code Base Description .............................. .................$ TOTAL FEE 1st 2nd _ 3rd _ 4th • Future Connection Openings Connected with Sewer New .Fixture, Old Openings cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL x $1.50 $—!-1. " Number Fixtures ........................ 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 1st 3 Fixtures .......................... x $1.50 $—/, —So Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .............................. .................$ TOTAL FEE 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. ie r rai."_ Minn_ _ J-9" 19 / Owner Kind of Building Used as + To be completed about Estimated Cost, $ Old—(q Building Permit ROUGH !0 s o2 P— b FINAL 42 2M 7-49 Application for Power Puts and Heating, 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 $ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ .each add. 60,000 BTU ....................... 2.00 $ _ Replacement of Furnace 5.00 Repairs & Alterations—up to $500.00 5.00 $ Repairs & Alterations each add. $500.00 ....... :...... 2.50 $ STEAM or HOT WATER SYSTEM NO RATE TOTAL 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 $/Ic 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 ALTERATIONS & REPAIRS TOTAL 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 true and correct. // `` Fridley, Minn_ �— �� , 19 L Owner Kind of Building Used as To be completed about Estimated Cost, $ S� Old—New. Building Permit No. ` permit No. '(-4 DESCRIPTION OF WORK HEATING or POWER PLANTS Steam, Hot ater, 6;�No Trade Name Size No Capacity Sq. Ft. E.D.R `0O D©O BTU H.P. Total Connected Load Kind of Fuel 6:r'0 BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) By Z;�4Z zM 7-59 Business Phone No �� s—e�� Ddb r v HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS ,moi Weatherstrips A.S.H.V.E. Construction No.. Guide In owso rs Reference Out. Wall JInt.WalI I Ceiling I Roof I Floor Kind Ye I Ye19— v; -,,e'" 10 ,,/0 Room I Length,- / Width .ice' Height Windows and Doors—Cr Width Height No No. of pane of pane 119 Windows and Doors—Crackage and Area Width Height No. of Lineal Total Btu. I /1< 0 Required �. ? ft. E.D.R. or sq. ins,W.A. Leader area F1.1 P. 1� Room I Length //;- Width /.;P - Height / Windows and Doors—Crackage and Area JCoef.j Btu ft. Area No. of pane of pane lighta of crack eq. ft. C Z Ro Glass s Exp: wall P 5P Coef.1 Btu Infiltration Int. wall Btu Infiltration Ceiling Glass Glass /J'ol Total Btu.�� Required. sq. ft Exp. wall _ ' �_� ^ Net exp. wally Net exp. wall Int. wall F �® TO Int. wall Ceiling Floor Ceiling �`� �` ��° Wv �e� ��✓I m'� Floor�k 1✓ ' 6 Total Btu. I /1< 0 Required �. ? ft. E.D.R. or sq. ins,W.A. Leader area F1.1 P. 1� Room I Length //;- Width /.;P - Height / Windows and Doors—Crackage and Area JCoef.j Btu Width Height No. of 'Lineal ft. Area No. of pane of pane lights of crack sq.ft. C Z /1 11-4 Glass s Exp: wall Glass Coef.1 Btu Infiltration®' Int. wall Btu Infiltration Ceiling Glass Glass /J'ol Total Btu.�� Required. sq. ft Exp. wall ✓ ' �_� ^ Net exp. wally Net exp. wall Int. wall ® �® TO Int. wall Ceiling Floor Ceiling �`� �` ��° Wv c,:;,,r• jo Floor 1✓ ' 6 Total Btu. Required, sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. �1, t r ` ,,` ` Room I Length,.° '2 Width Windows and Doors—Crackage and Area Wldth Helght No. of Lineal Yt. Area No. of pane of pane light/a of crack sq, ft. Infiltration Glass Exp. wall, Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or . MINN. Insulation How. Applied 1 ' L Width/'- ' Height ,,,e and Area :meal ft. I Area of crack sq. ft. rl.� tri. )t•„ JCoef.j Btu Infiltration e/ J2 /1 11-4 Glass s Exp: wall Glass Net exp. wall �`'` /✓� �Pff Int. wall Btu Infiltration Ceiling Floor` Glass /J'ol Total Btu.�� Required. sq. ft .D.R. or sq. ins. W.A. Leader area Net exp. wally rl.� tri. )t•„ �- �pp>n � a.t:ngut .. p .....�, Coef.1 .,wa.. Windows and Doors—Crackage and Area Infiltration Width Height No. of Lineal ft. Area No. of pane of pane lights of crack e . ft. Glass Coef. Btu Infiltration Net exp. wall Glass /J'ol 19 Exp. wall Net exp. wally Int. wall Ceiling Floor �`� �` ��° Wv Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /F1.1 6oV Room I Length 7'.-f Width Windows and Doors—Crackage and Area Width I Height No. of Lineal ft Area No. of pane ot.pane light. of crack Q. ft. JCoef.j Btu Coef.1 Btu Infiltration Glass Exp. wall �y Net exp. wall /J'ol Int. wall Ceiling' Floor -�/ Total Btu. F= W.A. Leader area Required sq. ft. E.D.R. or sq. ins. WA. Leader arra C� • n U City ®f Fridley, Minn. BUILDING PERMIT Date: June 9,_1965 N° '7817 owner: D. Larson Builder I Inter City, Gare Bld'rs. Address 5800 5th Street N. E. Address 35 Hbr, 10 NP -18 -,t 33 LOCATION OF BUILDING No. 5$00 street 5th Street N. E. Part of Lot Lot 8 _ Block 5 Addition or Sub -Division .BfflMett Palmers Add. Corner Lot _ Inside Lot Setback ____ Sideyard Sewer Elevation To be Used as: Type of Construction Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height Sq. Ft Cu. Ft Front Depth Height Sq. Ft Cu. Ft Storm damage repair FF&t. Cost 03 m 7 To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and cpmpliance with ail provisions of ordinances of the city of Fridley. A In consideration of the payment of a fee of1$ 0.0 , permit is hereby granted to Inter City GerBg4 Bl d t.rs • 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 location, construction, alteration, maintenance, repair and moving of buildings � city limits � permit may be revoked at any time upon violation of any of the provisions of said Allen Jensen Building Inspector NOTICE 'lids peredt dos Be eowr the ceestreco", huta@tlloB ter vrkhm phmibieg, on hafte, awu or water. Be airs to sa time Boihiieg r for sepwat• permit for thea liens. ri C9 OWNER'S U100 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING No. S5 Street �� Part of Lots LOT BLOCK ADDITION OR SUBDIVISION .a L/ 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: /"� Front Depth Height Sq. Ft, Cu. Ft. Front Depth Height, .Sq. Ft. Cu. Ft. Type of Oonetruction^;-yp Estimated Cost 7 9 A To be completed ,H / The undersigned hereby makes*•applicatipn 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 o4 s / (Schedule of Fee Costs can be found on %he ifeverse Side). City of Fridley, Minn.. - S'/S a �6- 14 BUILDING PERMIT Date: April 28, 1970 owner: DeWayne X. Larson guilder Same Address 5800, - 5th Street N.E. Address Same LOCATION OF BUILDING No. 5800 Street 5th Street Part of Lot Lot 8 _ Block _______5_ Addition or Sub -Division . Bennett Palmer Corner Lot — % Inside Lot — Setback _ - Sideyard Sewer Elevation -- Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 241— Depth 24' Height 12' Sq. Ft. 576 CtL Ft, 6912 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction _..a1IIe Est, Cost _q_,000 To be Completed October 1970 r 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 complianceth all provisions of ordinances of the city of Fridley. R. J In consideration of the payment of a fee of $_13• 00 , permit is hereby granted to DeWayne H. L rs n 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 tune upon violation of any of the provisions of said ordinances. NOTICE This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to an the Building Inspector for separate permits for these items. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S . NAM: rel L /�a��%��lii BUILDER s.�{owrr ADDRESS :_, Sa oo — SSj; /i�= ADDRESS:- NO:. DDRESS• NO:. ✓5-300' STREET: 57" - LOT; j BLOCK: -5— ADDITION:��/yiy',C`� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building Xocation drawn on these Certificates. J DESCRIPTION OF BUILDING To Be Used As: Front : Depth : Haight Square Feet: 5 -AC Cubic Feet: 6(7/Z Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: $ ,E C'X)P, 's 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: 67 (See a4rse Side For Additional Information.) CITY OF FRIDLEY 'Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 Gas Piping $ 10.00 (piping needed with new furnace) Gas Range $ 10.00 Gas Dryer $ 10.00 * Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 18 of Value of Appliance, or Work COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work TOTAL $ $ A9/ $ $ State Surcharge $ .50 TOTAL FEE Reinspection Fee ($15.00) $_ Rough Insp. ate Final Insp. -1` -13� Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address 100 11,95 le—,& , Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 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. Fri3kley, Minn. 19� IWNER 9/. ESTIMATED COST � / �� ® 6 OLD - NEW BUILDING PERMIT NO. PERMIT NO. -T DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity _ Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No. 7,�,,�s� Fill out back side for stack verification on replacement furnaces CHIMNEY 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 connected Yes ( ) No 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s 1 Com pa ny Signed By Da to suB.IEcr PER City of Fridley - -� 2 4 8 4 AT THE TOP OF THE TWINS BU I L D I N G PERMIT r RECEIPT NO. • _____ COMMUNITY DEVELOPMENT DIV. I PROTECTIVE INSPECTION SEC. / r�V I � NUMBER REV DATEPAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 1/27/97 JOB ADDRESS 5800 5 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 5 1 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stanley Gozel 5800 5 Street NE 572-9042 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO First Choice Exteriors 2405 Annapolis Ln N Plymouth 55441553-1918 4266 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 Reside House (Vinyl with T ek 9 CHANGE OF USE FROM TO STIPULATIONS Building wrap being provided. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,200 $2.10 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS O ANY OTH STATE OR LOCAL LAW REGULATING CON- STRUCTION THE ER ANCE OF CONSTRUCTION $99.75 Fire SC $4.20 PLAN CHECK FEE TOTAL FEE License SC $5.0 111.05 SIGNATURE OF CONTR OR OR AUTHORIZED AGENT IDATEI WHEN PAOPER)eYjVALIDATED THIS IS YOUR PERMIT BIAG INSPr Zo •SIA TI, SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: CtD 577' J/'9 Legal Description: Owner Name & Address: Tel. # �� 7 a ".70 9 a contractor:�; rg 7� e o Px' o e MN LICENSE # d Co Address: a q o ynG,�G L, /V- A -00/-t A4 `y .5,,: /qq) 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 AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: or ®2S of o ->'i Construction Type: VluaL WA v -0 )L Estimated Cost: $ /i a o (Fee Schedule on Back) Driveway Curb Cut Width Needed:: . Ft..-.+ 6 Ft - —Ft x y DATE: % –'d 1^ APPLICANT: Tel. # .6;�3 CITY USE ONLY STIPULATIONS: Permit Fee $ ' �� Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ . ! 0 $.50/$1,000 Valuation SAC Charge $ $950 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: SUBJECT AytRMIT NO. City of Fridley 271 3 AT THE TOP OF THE TWINS BUILDING PERMIT r ` OPT NO. COMMUNITY DEVELOPMENT DIV. �I r PROTECTIVE INSPECTION SEC. �� 1 . � NUMBER TREV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/13/98 JOB ADDRESS 5800 5th St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 5 BennettPalme�r_Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stanle 'Gozel 571-9042 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Town & Country Roofing 9403 Minnesota Ln N MaRle Grove 55349 545-4233 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20091287 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION KK REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (27 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 2251 $1.12 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE R LO A L R UL CON- 'STRUC TIOATING ORT E PERFORMANCE OF C RU TION. 74.75 Fire SC 2.25 PLAN CHECK FEE TOTAL FEE lAd License SC 5.00 83.12 IGNATU (FKKRACU ORA TM F D NT iDATEi WHEN PROPERL;/VA1.IDATED THIS IS YOUR PERMIT Vaml ---0'_1_LTG SP IF 13 nAiE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI AUG -13-1998 08:42 FROM CITY OF FRIDLEY TO 8589320 P.01/02 L j =LMUVC I/&/V6 ADDN I ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMELY BUILDING PERMIT APPL,IECATIONAND R-2 � 7( -7-� ConsauetionAddress: Legal Description: Owner Name & Address:, 1-4" LUZ eA s�1 `>� �t,. Tel. # i'lZ Cl Ma. di a e Contractor: E1 r--- ' Pry - inn MN LICENSE #2 g I -L90 Address. LTel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IDRPROVEMENT LIVING AREA: Length I Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. _ OTHER: Construction Type:--- i Irw Estimated Cost: $ CIO (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft a Ft x $ n . =$ Permit Fee $ �� �� `�� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1 J 10th %) State Surcharge $ / a $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S: oo $5.00 (State Licensed Rcsidcntial 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 $ 8 c - STIPULATIONS: CITY OF FRIDLEY PERMIT NO. 2004-00783 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 05/27/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 5800 5TH ST NE PIN : 233024240031 LEGAL DESC : BENNETT-PALMER ADD : LOT 8 BLOCK 5 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 11,185.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A FURNACE (ICP, WARM AIR, 50,000 BTU) # A/C UNITS 1 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 APPLICANT HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK 0.00 35.00 HOME ENERGY CENTER 15200 25 AVE N # 128 GAS RANGE FEE 0.00 PLYMOUTH, MN.55447 GAS DRYER FEE 0.00 (763) 476-1990 AIR CONDITIONING FEE 25.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL PAID WITH CHECK # 54576 60.50 OWNER GOZEL STANLEY JR 5800 5TH 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 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 provisions of jny other state or local law regulating constructi n or the pe rmanc f construction. Applicant Date Bldg SEPARATE PERMITS REQUIRED IFOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 6451 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 763-572-3604 FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 5$0 n S" Srt n E. RATE SCHEDULE Fee Total Residential Owner C—IOZ6 Furnace Shell and Duct Work, Burner & also Replacement Furnace $35.00 $ 35. OC' Building Used As % Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST I U SS • 00 PERMIT NO�" Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units 1 Circle One (Steam) (Hot Water) rm Trade Name 10.1? qM-PV'�:o Size No. *Air Conditioning - All Sizes $25.00 $ 2S 00 BTU 50000 HP EDR Fuel Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Burner Trade Name Size No. Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever is greater The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct. State Surcharge $ . 5o HEATING CO Home Energy Center TOTAL FEE $60,50 Signe - Tel #763-476-1990 REINSPECTION FEE $50.00/HOUR FAX # 763-476-1143 Date S'2.\• CA *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 4 4L�_A Approved by Rough -in Date Final Date 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 venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. 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 include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed 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 Furnace 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 : CITY OF FRIDLEY PERMIT NO.: 2004-00844 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 06/04/2004 ADDRESS : 5800 5TH ST NE PIN : 233024240031 LEGAL DESC : BENNETT-PALMER ADD : LOT 8 BLOCK 5 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. REPLACE FURNACE AND AIR CONDITIONER. # INSPECTIONS 1 APPLICANT HARRISON ELECTRIC INC 3440 KILMER LANE N PLYMOUTH, MN 55441 - OWNER GOZEL STANLEY JR 5800 5TH ST NE FRIDLEY, MN 55432 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 027605 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 to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp. Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.