PRE 2010 DOCSCity of Fridley, Minn..
BUILDING PERMIT 3 3`)
Date:
y.. r Builder
Owner:
Address Builder
Addre� _ ... .�
a LOCATION OF BUILDING
..._............._......._..... Part,(Lot _ _... _.
Lot ._.......".....:.::...... Block ............. ..... ....... _................. Addition or Sub-Divirt•.-._....... r
Corner Lot .................................... Inside Lot .........: .......... Setback ... ,ei,�......... _............. Sideyard ....... :....................................
_.._.._.
Sewer Elevation....._............._............._.._........._......._..................._......._...._.._.... Foundation Elevation
.DESCRIPTION OF BUILDING
To � Used
- Front r ._.. Depth p�:..� .%�( 'Height e7 ...: . cu. Ft. & A4—..0
....
_._............... ............. _..... ..... Front ....._....---......_.. Depth _............,..� Height ........._......�...,..�.. Sq. Ft......_.....__...._.. Cu. Ft. _..............
Type of Construction.....'�. Est. cf ..0-:.,.y........._.... To be Completed ..... _....... _...................
..... -........
C,f�� �°TI(:)N
THIS PERMIT COE.'; FICT AUTHORIZE V1'OLA`fi
ICN OF A -NY Imo.;;; f E LA;v[) COVENANTS .AND
BUJL.Di°i''•�c� +ES d RIC TIONS.
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 upon violationf any of the provisions of said
ordinances. 1' /"" — S'
Building Inspector
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these Items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name � . 01� Builder
Address' Address
LOCATION OFF.BUILDING
Street S Sjr d I� Part of Lot
Pal��
Lot Block (.0 Addition or Sub.Div. LLL
Corner, Lot Inside LotSet Back 3 Side -Yard ' k l0
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:,
r Front Depth Je-) Height s
Sq. Ft. ZZCu. Ft.�t
Front Depth Height
S%*'pt. Cu. Ft: J
Type of ConstructionEstimated Cost
To be completed
Thd,'undersigned hereby makes application fora 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 7 -9.1 G `) SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Side.)
Application for Power Plants aide Heating, Coding, Ventilation..Reh igeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRA TY 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 $
each add. 60,000 BTU .... . .................. 2.00 $ _
Replacement of Furnace ............................. .C.00 $
Repairs & Alterations—up to $500.00 ... ............ 5.00 $
Repairs & Alterations each add. $500.00 ....... I...... 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. IDR 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
i I
ROUGH
"FINAL
See Fee Schedule
TOTAL FEE
Dept. of Bldgs. Phone SII. 4-7470
Location I J `5 S? • t
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 corrept.
0
Owner / / e
Kind of ,Building 1� V 01 AL 4e
Used as f\ C's
To be completed about — % 5'—" 0
Estimated Cost, $ �® C) 422
Old—New. Building Permit No. Permit No. ZZZ
DESCRIPTION OF WORK
1940
HEATING or PO PLANTS --Steam, Hot Water, No
Trade Name Size No � �/
Capacity Sq. Ft. E.D.R 400 BTU H.P.
Total Connected Load Kind of Fuel
BURNER — Trade Name Size No
Capacity.
(REMARKS -OVER)
c 42 2M 7.s�i
Sq. Ft.
BTU H.P.
Business Phone No. 4 (O a� &'
fts
HEAT LOSS CALCULATIONS . ) DEPARTMENT OF BUILDINGS
W-eathersttips A.S.H.V. ". Construction No.
Guide
n ws oo s Reference Out. Wall Int. Wall Ceiling Roof FI
e Ye 19—
R.. I
9—R..I I.enoth--1 J Z Width fell HPIOht 1-71 It I Fl
Windows a
oors—Crackage .and Area
Glass
Required
Fl.tf
2f
WidtHelght No. of Lineal ft. Area
No. of pa of pane lig is of crack sq. ft.
�r®.G7.
oZ Q aT C. ®.CJ
d DoorWrackage
and Area
43
width Helght
No.
o of pane of pane
No. of Lineal ft. Area
lights of crack aq. ft.
Coef.
Btu
Infiltration
,�'
Required s
t. D. or . ins. W.A. Leader area
Fl.
L-
Glass
width
No. of pane
Helght No. oL Lineal Lt. Area
of pane lights of crack sq. ft.
/ 1 3
old ,7,4. f7 4 /.,,g
_ F.xp. wall
Net exp. wall
Floor
ff/
7
Net exp. wall
Total Btu.
1®/
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Int. wall
/If'/(0
Al
/And
Floor
Ceiling
%
.fid
fC,
Jd 7o
Floor
112.7
Total Btu.
Glass
Required
Fl.tf
2f
.D.R. o
sq. ins. W.A. Leader area
Length 17 Width /. / Height
Windows
d DoorWrackage
and Area
43
width Helght
No.
o of pane of pane
No. of Lineal ft. Area
lights of crack aq. ft.
Floor
�f
Coef.l Btu
Infiltration
Glass
./7 .
Exp. wall
—
Net exp. wall
-10
10
Int. wall
43
Ceiling
Q
Floor
�f
Total Btu.
,�'
Required s
t. D. or . ins. W.A. Leader area
Fl.
oom I Length Width
Windows and Doom-Crackage and Area
width
No. of pane
Helght No. oL Lineal Lt. Area
of pane lights of crack sq. ft.
/ 1 3
old ,7,4. f7 4 /.,,g
11POM1057
ML�-M-W-10-
Insulation U
Kind How Applieff
D_-- 11 __—L ii% _ W:.I.L AA _4 U—;.L.
Windows and Doors—Crackage and Area
Coef.1
Btu
:Infiltration I
Af
'An
z O
Glass
43
Sol
ezz
Exp. wall'79
�f
,�'
Net exp. wall
�o
/4
gg 6
Int. wall
.S V
Exp. wall C 6
Ceiling
Net exp. wall
Floor
ff/
7
3
Total Btu.
1®/
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
11POM1057
ML�-M-W-10-
Insulation U
Kind How Applieff
D_-- 11 __—L ii% _ W:.I.L AA _4 U—;.L.
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of Dane of Dane lights of crack sq. ft.
f
Coef.
Btu
Infiltration
�f
,�'
// 7
Glass
%9
.S V
Exp. wall C 6
q'Q�
Net exp. wall
ff/
/Q
/Q
Int. wall
Ceiling
/If'/(0
Al
/And
Floor
%
a
Total Bt I I0 yl
Required sq ft. 591
. or sq. ins. W.A. Leader area
Ell' A e ... 11 ... tL J/d Q/;.t+6%®I-i.:sl,t .1t/
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
of pane of pane lights of crack eq. ft.
No.o
f
Coef.
Btu
Infiltration
.�
g,��►(�
/ 7
Glass
%9
.S V
Exp. wall
q'Q�
Net exp. wall
ff/
/Q
/Q
Int. wall
Ceiling
AW,
Al
Floor
/J'
�(
Total Btu. 1 G .SU'6
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I >FLI o Reom I Lenath ✓ Width F- Heistht .F/
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane tights of crack sq. ft.
Coef.
Btu
Infiltration
g,��►(�
Glass
Exp. wall 7;2
Net exp. wall
•�f
�®
Int. wall
Ceiling
Floor
ur�
Total Btu.
IRequired sq. ft. E.D.R. or sq. ins. W.A. Leader area
A ok
City of Fridley
' A ication for Pimnbin anti Gas Fittin Permit
PP< 9 9
Dept. of Bldgs. Phone SU 4-747
DESCRIPTION OF WORE
Number, Sind and Location of Fixtures -
W
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
$ 12,0
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
� Z
8�
$
Catch Basin ............................
x 3.25
m
Z
1 x 2.00
®
N
WATER HTR.
GAS
ELEG
3
NO. RATE TOTAL
��
x $1.50
tZ'n
3�
cGu
$
R'c
t�3
$
V'd�c
UO
Base
1st
2nd
3rd
4th
• Future Connection Openings
Connected with
New Fixture, Old Openings
I
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
$ 12,0
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) ......
1 x 2.00
$ '� O
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 ................................................$
� 8
TOTAL FEE $ / ST
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.
Kind of Building
Used as Ze
To be completed about
Estimated Cost, $
Old—New. Building Permit No
11 POST 1M-12-58
Sign
s
By
Business Phone No42
19-IL-o-
19-
19—
•
City of Fridley, Minn.
BUILDING PERMIT
Date: June 10, 1965
N° '7831
per: Jim, Olson guilder Artie Milson and Asso., Inc.
Address 58u 5th Street N. E. Adm 3101 93rd Ave. N,
LOCATION OF BUILDING
No. 5$3.1 street 5th Street N. Be Part of Lot
Lot 10 _ Block 6 Addition or Sub -Division .Bennett Palmer Add.
Corner Lot Inside Lot
Sewer Elevation
To be Used as:
Setback Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est. Cost 3900*00_ _ To be Completed
• Storm damage repair
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 ZI provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 10-0n , permit is hereby granted to Artie Wilson &
Inc* — — to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it pisargtranted and his agents, employees and workmen, in all work
Fridley, Minnesota Minneso- around ta d upon
locationsaid , building, oconstru on, atlteration, mainshall tenance, repairm in movingamend mov ng ordinances
o dins
within
� city limits and this permit may be revoked at any time upon violation of any of the provisions of said
NOTICE
This pamb don net corer the eontrueHon, testallallon Por wWng, plumbing, on heating, sm w or water. Be sure to m
the Buihling Wgmter for npmfe permds for these hent.
APPLICATION FOR BUILDING PERMIT
61
CITY OF FRIDLEY, MINNESOTA
OWNER + S NAME M S 0 lY BUILDER
sa/
ADDRESS_ �'�/� �r �� ADDRESS
LOCATION OF BUILDING
No. Street Part of Lot
LOT_,e : BLOCR ADDITION OR SUBDIVISION
Corner Lot -Inside LOT Setback Side-Yard-
SEWER
ideYard
SEWER ELEVATION
FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front Depth Height.
Sq. Ft. Cu:. Ft.
Front Depth H eight
Sq. Ft. Cu. Ft.
Type of Canstruction
4, 40-e Estimated Cost���
I
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.
DATE SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
d v
I
s�
City of Fridley, Minn. iq 10696
BUILDING PERMIT
Date: June 11, 1970
Owner: _ Fames C, Olson Builder Same
Address __5811 -5th Street N E Address Same
LOCATION OF BUILDING
r;o. —5.8.x____ Street — 5th Street N.E. _ ____„ Part of Lot
Lot —10Block 6 Addition or Sub -Division . BenneO-t Palmer Addition
Corner Lot , Inside Lot % Setback ____ - Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Garage Front 21-_2_"_ Depth 24' Height 10' Sq, F, 528' Cu.,Ft 5280'
Front Depth Height _ _ Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost __.. $1, 000.00 __ To be Completed 1 year
Provide Hardsurfaced Driveway
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 about forth and In provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to James Olson
te ess to construct the building or addition as described above. This pelt is granted upon
hexprcondition 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 thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota reg gg location, construction, alteration, maintenance, repair and moving of buildings
within the dty limits anthis permit may be revoked at any tune upon violation of any of the provisions of said
ordinances.
■� c,.�i.���rssswjy� ��-.��.. a*r ,
NOTICE:
Me penvdt does not cover the eonstruetion, installation for wiring, plumbing, gas heating, saw" or water. Be aro to we
the Building Inspector for separate permits for them steres.
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S i �v I� �1•
. tL
NO:.
STREET:
LOT: BLOCK:_ 6__ AD��
DD/DITION:
CORNER LOT: INSIDE LOT: �SE, TRACK: 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:
(o jZ z :2 Front Depth • 9L Height • O
/1 �^
Square Feet: 02 Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
, Type of Construction:
To Be Completed:
Estimated Cost:�S
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stiict 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: I
(See Raver/se'si/de For Additional Informat .)
'i rGERAL'b T. Cgywf
. BRUNSWICK AVE. S.
GOLDEN VALLEY. WNN.
NDUSTRIAL - JUDICIAL
COMMERCIAL ' -, TOPOGRAPHICAL
CITY LOTS - PLATTING
JAM G. O SON
LOT SURVEYS COMPANY6917(IDAHO FIE . N.
LAND-SURVEYQM BROOKLYN PARK, MINN.
318413"Wil" tTND= L&WO oil td'lJk'17? OP =M"TA
I+iG "Zb ,BY O1WINAME OF OXY OF IMME"OWS
fiW7 fdaho Ave. N. 533.9922
Abitnemolls, Miumanta $5428
COMBINING MORE THAN 30 YEARS OF
ulbeMo Certif scat$ LAND SURVEYING EXPERIENCE IN THE
METROPOLITAN AREA
Invoice # 2991
F.B. 133-52
io Denotes Iron
Scala 1"-30'
in
0
17
City of Fridley
SUBJECT
PE
o 16 2 3 6
AT THE TOP OF THE TWINS
BUILDING PERMIT
rp
RE
`v ....... COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
3 Y
t i ,
'---� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
16/11/81
PAGE OF
APPROVED BY
612-571-3450
910-F15
10B ADDRESS 5811 - 5t1L Sheet N.E.
1 LEGAL
LOT NO.
BLOCK
TR ACT OR ADDITION SEE ATTACHED
DESCR.
10
6
Sennett -Palmer Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jim Olson 5811 - 5th Street N.E. 571-1604
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Gary Rasmusson Construction 1855 - 134t1i Lane., Ham Lake 757-1166
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
x
8 DESCRIBE WORK
Construct a 221-x 14' Deck and a 22' x 6' Ste
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPE9RATE PERMITS REQUIRED FOR WIRING.
HEATING, PLUMBING AND SIGN&
Cly; AW A= 61N MNS.
Ficial Iriscoons of all tfl�
requitetior to oceupow of ����
Ruildilne. Before digging call local atllities
TELEPHONE - ELECTRIC - GAS Etc.
REQUIRED BY LAW
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
SQ. 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
$3r750
$1.88
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-
$24.00
NONE
STRUCT!&N OR THE PERFORMANCE OF CONSTRUCTION.
1
)(La
PLAN CHECK FEE
1\$ 6.00
TOTAL FEE
1 $31.88
SIGMA l EOFCONTRACTORORAUTHORIZEDAGENT (DATE)WHEN
PROPER VALIDATED THIS IS YOUR PERMIT
BLDG )NSP UAT
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
01
CITY OF FRIDLEY
APPLICATION FOR R;ESIDCNTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
• 0WNER: MR; BUILDER:
ADDRESS: s'?I/ ,T/±.jZ 7Z, F ADDRESS: 1Z����Z L,gN6- L14jee
TEL NO: & ?/- 160 TEL UP: &6
Construction Location
STRUT NO: STREET:
- o
LOT: BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback.: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
• .-�' Front: 0. Depth: 17 Height: i
Square. Feet: Cubic Feet:
• Front: Depth: G Iieight:
Square -Feet: Cubic Feet:
Type of Construction: Estimated Cost: $zn --
To Be Completed: jTvL, 1,:-7;��'
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 jtre true and correct.
WiTE: 6 'Y:Ll SIGNATURE:
Stipulations:
• � ,� Cis �® - � _ •
3° . e
01
SUBJECT
PER
City of Fridley
7t8657
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
CEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
1 . �
L
1'; CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
•---
1 J\� 612-571-3450
810-F15
9/23/86
10B ADDRESS
5811 - 5th. Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
6
Bennett -Palmer
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
James Olson 5811 - 5th.Street N.E.
571-1604
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.
6 USE OF BUILDING
sidenti 1
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 0 MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 20t x 12' Shed behind cl aracf e
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS REQUIRED FOR
WIRING, HEATING,
PLUMBING AND SIGNS)',
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
SQ. 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
Z
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
$800
$.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-
$15.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$15.50
SIGN UREOFCONTRACTO AUTHORIZ AGENT IDATEI
WH IR P
V ATED THIS IS YOUR PERMIT
BLDG INSP
�TE
SiG ATU OF OWNER IIFOWNER BUILDER) IDATEI
01
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ ] �R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address:
�
Legal Description: 1 e �-'. 1' '" _
�]- L
Owner Name & Address:a � e q 67^ � % �� Tel. #
y "
Contractor: Tel. #
Address:
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:
Corner Lot [ ] Inside Lot [vr Ft. Yd. Setback __ Side Yard Setback
Type of Construction: !/I/a 0 A S Estimated Cost: $ o C4L
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE:
oa APPLICANT: Tel.
CITY
USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ i� $.50/$1,000 Valuation
SAC Charge $ $475 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
s Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
STIPULATIONS: Q (�
U— /boo
GERALD T. COVNA RAYMOND °A 'PRAS-CH
300 (+RUNSWICK AVQ. S. LOT -SURVEY$ COMPANY 6917 1DAWO AVE..N.,. . -
GOLI)IN VALLEY. PAINN. LANID SURVEYORS BROOKLYN -PARK, MINN.
1tDOIRT1t1RED mmm l.Aws Ql RTATz OY IQmmooTA
•.NMISTRIAL - JUQICIAL
C006WEACIAt. • TOPOGRAPHICAL
e`'ITY LOT, - PLATTING
JAILS 5. OLSON
ldomm ST ORDIN"02 Cr CITY or 7EI1l88A om
6911 Idaho Ave. N. $339922
3taweapoliu, Minnesota $5428
urbepor CertificateNING ORE THAN 30 YEAgS OF
SURVEYING EXPERT NCEE IN THE
METROPOL.4TAN AREA
6.8
Invoice ##` 2991 JJ
F.B- 133-52 1
• Mmotes Iron 4
Scale 1" - 30'
.17
10
Z6,
136•,5cb
-1 -
u
SUPfbnv3
out Q
a
SUBJECT
PERMIT NO.
City of Fridley
27 1 13
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
PT NO.
COMMUNITY DEVELOPMENT DIV.
�/
_
r PROTECTIVE INSPECTION SEC.
® i
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L 612-571-3450
910-F15
8/11/98
JOB ADDRESS
5 11 5 St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
6
Bennett Palmer Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jim Olson
571-1604
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Roof Design Partners 4026 7 St NE Col. Hts. 55421
789-6566 20004817
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 ❑ ADDITION ❑ ALTERATION XX REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Rproof bniiqp and garage (28 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 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
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
1.16
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
ER -MI T FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTIONAOR THE PERFORMANCE OF ,1 CONSTRUCTION.
r SC 2.33
PLAN CHECK FEE
TOTA EE
l
-1 /- C/2
SIGNA URE OF CONTRACTOR OR AUTHORIZED GE IDATEIEN
OPE V LIDA THIS IS YOUR PERMIT
r
SIGNATURE OF OWNER OF OWNER SUILDERI IDATEI
BLD INSP
ryATE
a
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION q j I
ConstructionAddress: n-1:6
Legal Description:
Owner Name & Address: ll" (7�0 -n Tel. #
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
.i► «__ � 1:x..1_'
•
Attach to this application, a Certificate of Survey of th
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
I.engt4 . Width Hgt/Ground Sq. Ft.
Construction Type: M _n t CLf=E Q1) Cj Y Estimated Cost: $ c5�� c�� S
�)ajSe `+ 04C
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: t. + 6 Ft = Ft x $ = $
DATE: - APPLICANT: Tel. # -
STIPULATIONS: .
CITY USE ONLY
7
Permit Fee
/
$ Z—
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ 6-'i
$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
$ E, 3, c2
STIPULATIONS: .
',ITY OF FRIDLEY INSPECTION DN.
5431 University Ave NE
=ridley, MN 55432
;77_iAna
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
Ettecuve un Jan i, Luuu
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Disperser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gag'"
7F91111ML
Gas Range"
Gas Dryer"
Ba(* Flow Prevent er Required ( )Yes () No
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
TOTAL
Type $15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
JOB ADDRESS 7- A) �—)
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all worse in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the fads
and representations stated in this application are true and corral.
.28
Owner .:J� /YX E
Building Used As & S
Estimated Cost *�v d _ PERMIT NO. 23o C)
PLUMBING COMPANY P • A • A� S o ej
SIGNED B TEL NO. -
Approved By Rough -In Date Final Data
TOTAL FEE $ 02 0 PLUS THE 3.NN} STATE SURCHAME
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A COMMON VENT INFO ON BACK SIDE
CITY OF FRIDLEY PERMIT o.: 2004-01241
6431 UNIVERSITY AVENUE NE
,
FRIDLEY, MN 55432 DATE ISSUED: 08/02/2004
(763) 572-3604 FAX: (763) 571-1287
ADDRESS : 58115 ST NE
PIN : 233024240049
LEGAL DESC : BENNETT-PALMER ADD
: LOT 10 BLOCK 6
PERMIT TYPE : HEATING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION
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 (WARM AIR, JANITROL, 70,000 BTUS) AND AN AIR CONDITIONER.
# A/C UNITS 1 # FURNACES
1
# GAS DRYERS 0 # GAS RANGES
0
VALUE (FOR MINIMUM CALC) 2891
APPLICANT
HEATING PERMIT MINIMUM FEE
FURNACE SHELL/DUCT WORK
0.00
35.00
DEPENDABLE INDOOR AIR QUALITY INC
2619 COON RAPIDS BLVD NW
GAS RANGE FEE
0.00
COON RAPIDS, MN 55433
GAS DRYER FEE
0.00
(763) 757-5040
AIR CONDITIONING FEE
25.00
STATE SURCHARGE, MECH FLAT
0.50
TOTAL
PAID WITH CHECK # 66623
60.50
OWNER
OLSON JAMES G & KATHRYN M
5811 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 pres a to give authority to
violate or cancel the provisions o any other state or local law
regulating constructio or the p orman a of construct' n.
Applicant Date
Bldg Ins
SEPARATE PERMITYREQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
TY -Of FRIDLEY BUILDING INSPECTION
31 University Ave NE
dley, MN 55432
3-572-3604 FAX 763-571-1287
RATE SCHEDULE
a iden ial
mace Shell and Duct Work, Burner &
;o Replacement Furnace
is Piping (New Furnace, Fireplace, Insert)
is Range
is Dryer
& Conditioning - All Sizes
Other Repairs or Alterations (List on Back)
6 of Value of Appliance or Work
inimum Fee $15.00 for Residential or 5% of cost of
iprovement whichever is greater
,ZO229.4 V6�
E� -gL/q J1 Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Fee
I til
$35.00
5ZE—C)p
$10.00
$
$10.00
$
$10.00
$
$25.00
$�`
)mmercial/Industrial/Institutional
25% of Value of Appliance or Work (List on Back)
inimum Fee $35.00 for Commercial/Industrial/Institutional
State Surcharge
TOTAL FEE
INSPECTION FEE $50.00/HOUR
JOB ADDRESS E_3�1 I -, Q4 -y- ' "�
Owner
Building Used As JUD
ESTIMATED COST r9s i . � PERMIT NO
DESCRIPTION OF FURNACE AND BURNER
# of Heating Unci ,5 Circle One (Steam) (Hot Water WarmD
Trade Name lej�a kVt ( Size No. Q
BTU d('® , C�C�Z> HP EDR
Fuel ' Total Connected Load
Burner Trade Name
BTU
Size No.
HP EDR
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.
$ HEATING CO
. Q
$ lC�-� Signed AR Tei # -7kj7_Sr7_S7 `�ZV0
COON RAPIDS. MN 55433
FAX # °fin �--FS I - c_:�'7 Date
air Conditioners can not be placed in side yard without written approval
:)m adjoining property owner - copy to City
ILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Ap
Rough -in Date Final Date � / Y
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 verges 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 odes 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 Q(� 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( )
ADDliance Tvue and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input ?/ Cek) Fan Assisted or Nat
Appliance #2 Type _ BTU Input 41o, v Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances 2 Total Btu Input
Common Vent Type Vent Height c* Diameter inches
Appliance #1 Vent Connector Heights ft Lengt ft iameter -_in Type `(
Appliance #2 Vent Connector Height S�ft Length - Diame er in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING
Signed By:
DEPENDABLE INDOOR AIR QUALITY, INS
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-36U4 VAX: (7(33) 571-1287
r
PERMIT NO.: 2004-01247
DATE ISSUED: 08/03/2004
ADDRESS 58115 ST NE
PIN 233024240049
LEGAL DESC BENNETT-PALMER ADD
LOT 10 BLOCK 6
PERMIT TYPE ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL FURNACE AND AIR
CONDITIONER.
# INSPECTIONS 1
APPLICANT
DEPENDABLE ELECTRIC INC
2619 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
OWNER
OLSON JAMES G & KATHRYN M
5811 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 # 28661
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 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.