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PRE 2010 DOCS*city oFridley, , Minn.. BUILDING PERMIT No 4241 Date:........ . _ .. ._.._.... ._.._.!�.... ............ ........ Owner: ..... -................... _..... ........ .... ................. .............._....-----•-------•--•-_...._..... Builder Address........ ........................... _.__...._......_....__...._.._.._.._..._....._.......---...--.. Address ........ ............ .................... ............... ........ _ _._..._._.._.. -..__ _ OCATION OF BUILDING No..... ��®Street.......L .......... � _. � ........_.............. Part of Lot ...._---...._...._......._. _._._. f__....... ... .... ....._...._... Lot ..... - ...............(,�..._.... Block ..... _....... .... s......................... Addition or Sub -Division .s..�...- - - Corner Lot .................................... Inside Lot ..X ......... _................. Setback-��...._ca. Sideyard..g�1...�Co,,...._.:_e._�_y...._............._ __.. Sewer Elevation ..................Z.... ...... _........................................... _........ Foundation Elevation ........... DESCRIPTION OF BUILDING To be Used as: �+ ------- $?Ok7 0-7 Depth ZF16 Height ./.. .... Sq. Ft... �:.1. .� Cu. Ft./Y.9-4 io Front .. I' � n - <... ............................................................ Fron ........................ Depth ................. ... Height ...................... Sq. Ft. ..... _................. Cu. Ft. ..... _................. Type of Construction ....... Ate'...... .... Est. Co �f ... v _ To be Completed ..... . ............. _ ...................... _........ I In consideration of the issuance to me of a permit to consLr.thaAd-4u__cojnpliance ing described above, I agree to do the proposed work in accordance with the description above sewi allprovisions of ordinances of the city of Fridley. -ok........_...._._..__.._ In consideration of thea �-© p yment 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 violation of any of the provisions of said ordinances. 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. 4 3 yl `a Owners Name Address APPLICATION FOR -BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 4 Builder LOCATION OF, BUILDING No.Street Part of Lot LotBlock -_Addition or Sub.Div. Corner Lot Inside Loth Set Back S Side -Yard SEWER ELEVATION- ® ! FOUNDATION ELEVATION fY`�i LS Applicant attach`tb this form,(. L icate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used. as. -. _Front L� Depth ­a �'' Height r Sq. Ft. % Cu. Ft. Front Depth Height Sq. Ft. icu. Ft:- 4�L 7 Type of Construction': ��� .estimated Cost &- c-) To be 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 represents - tions: atated. in this applioa.tion are true and c recce_ DATE %�_a SIGNATURE G (A Schedule of Fee costs can be found on the Reverse Side.) v� Application for Power Plants and.".Heating. Coding, Ventilation, .Refrigeration and Air Conditioning Systems and Devices n PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOXAL , 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 170,000 BTU ............ 8.00 $ /each add. 60,000 BTU ..... .................. 2.00 $ Replacement of Furnace ............................. P.00 $ Repairs & Alterations—up to $500.00 ... ` ............ 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 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 See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL Dept. of Bldgs. Phone SII. 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 applicationtrue and correct. (— Fridley, Minn_-, . ;-0.�� Owner ad&" &.4 Z&& -AD Kind of Building r Used as To be completed about 4, Z94Z ' Estimated Cost, $ -� ` 0 6 Old—New. Building Permit No. Permit'No. 5 DESCRIPTION OF WORK HEATING or PO PLANTS—Steam, Hot Water,�_No Trade Name Sizey �— Capacity -t Sq. Ft. yE�.D.R BTU H.P. Total c� Load o 7 ( "IJP' �'Sind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Signe ` �— B 4 z ZM 7.59 Business Phone No77 (REMARKS—OVER) Application for Power Plants and' Heating, Coding, Ventilation, .Reh igeraand 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 $ ,y each add. 60,000 BTU ...... .................. 2.00 $ Replacement of Furnace .P.00 $ Repairs & Alterations—up to $500.00 ... ............ 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ STEAM or HOT WATER SYSTEM 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 $_,f, _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 See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ _5-6 0 ROUGH FINAL Dept. of Bldgs. Phone SII, 4-747700 Leentietn All (� e Q✓_ �2i �4� 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. Owner Fridley, inn - / ? 19 V Kind of Building�+� Used as To be completed about O� A Estimated Cost, $1,0,67 �y Old—New. Building Permit No. Permit No. r DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Sind of Fuel BURNER — Trade Name . Size No Capacity Sq. It. E.D.R BTU H.P. (REMARKS—OVER) 42 TM r -s9 City of Fridley Application for Plumbing and Gas F'itti'ng Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 8� = Z New Fixture Old Opening .............. a 3W Z , R ® N WATER HTR. GAS ELEG i x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 t�90 Additional Fixtures .................... x .50 $ Base Gas Range to 200,000 BTU .............. x 2.00 $ l 1st ° 2nd 3rd _ 4th • Future Connection Openings Connected with New Fixture, Old Openings I Sewer Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 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) ...... i x 2.00 $ 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................................................$ TOTAL FEE $ r•$ 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, 19— Owner J.r /�rl'i 19— Kind of Buildings 19— _, W Used as :t To be completed about Estimated Cost, $ Old New. ` uilding Permit No Sign �✓ '�r�--J 1--� ` 11 POST 1M-12-58 Business Phone U� f� 'cation for Power Plants and H Coolin Ventilation Ash !go and APPh 9• g• . , gerahon 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 e Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 each add. 60,000 BTU ........................ 2.00 $ _ Replacement of Furnace ............................. §.00 $ Repairs & Alterations—up to $500.00 ................. 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 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 BTL) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL ist 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 FEE $ ROUGH FINAL— Dept. of Bldgs. Phone SII. 4-7470 -rk r-- V - Location 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 true and correct. Fridley, to 18 • , L1FL1111111-6 Kind of Used as To be completed about " / 45r Estimated Cost, $ Old—New. Building Permit No. Permit No. r DESCRIPTION OF WORK HEATING or PO PLANTS—,Steam, Hot Water, eze —No Trade Name t= c _� 0� Capacity Sq. Ft. EPR BTU �' H.P. Total C eata� 7/ `S Kind of Fu". a BURNER — Trade Name . Size No Capacity Sq. Ft. EM.R BTU H.P. (REMARKS—OVER) Q. '� <z ZM 7-59 City of Fridley, Minn. N° 7830 BUILDING PERMIT • Date: _ June 10, 1965 owner: LIgnn En-Relstad Builder Artie Wilson and Associates, Inc. Address ....5= nth Stet N. E Address 3101 93rd Ave. No. 560=3= LOCATION OF BUILDING No. -5820 Street 5th Street N. E. Part of Lot Lot 6 _ Block 5 Addition or sub -Division Bemett Palmer Add, Corner Lot Inside Lot Setback — Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost 9..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 a'll provisions of ordinances of the city of Fridley. a In consideration of the payment of a fee of a l� , permit is hereby granted to Artie Wilson & Asso. j Inc. 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 R dley, Mihin inaaoss. A3.3 -en Jensen Building Inspector NOTICE Tbb permh does net cava dw aondmedon, hataUntion for Wig, phtmbing, gas hearing, www or water. Be sora to sae the Buiidiog ftwedsr for separate pnmHs for tease hens. APPLICATION FOR BUILDING PERMIT ,= CITY OF FRIDLEY, MINNESOTA OWNER'S NAME $UILDER`` ADDREADDRE Ss k.Y LOCATION OF BUILDING No., : Street Part of Lot LOT. BLOCK �_ ADDITION OR SUBDIVISION---��� Corner Lot..,-,,. -Inside LOTm_ 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 Cer,•tificgtes. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft.. Type of. Construct ion �. .� Estimated .Cos To be. completed" The undersigned hereby makes application for a permit for the work herein specified, agreeing.tg do all workAn 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). 0. s � � SUBJECT PER . City of Fridley 154 69 AT THE TOP OF THE TWINS BUILDING PERMIT `y ------ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. -1 I �® R► r PROTECTIVE U1l I i = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/19/79 JOB ADDRESS 5820 - 5th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 5 Bennett-Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alfred Englestad 5820 - 5th Street N.E. 571-3388 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Briar Homes, Inc. 7691 Old Central Avenue N.E. 786-1218 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 x B DESCRIBE WORK Construct a 20' x 20' Addition to back of detached garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Agreement signed by neighbor for building without survey. WARMN6 before digglho iX11116#91 if�:�l68 1hart ( SEPERATE PERMITS REQUIRED FOR WIRIJL% TELEPHONt2ft TOMr- OL- HEATING, PLUMBING AND SIGNS. R90* MUD W LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 400 4000 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 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 $1.67 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,348 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- $16.00 STRUCTI OR HEP FORM NCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE Y9 / / $17.67 SI N TUREOFCO i CTORORAUTHORIZEDAGENT I TEI WHEN PROPERLY V IDATED THIS IS YOUR PERMIT BLDG WSP 0A SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: A lf44 � ADDRESS: 5 - TEL NO: � 7I - I:5V,S BUILDER: rI'kvr' ¢��°_ '� • ADDRESS: %q/ 014) TEL NO: .% 66-- 12- / 9 Construction Location STREET NO: STREET: �T IV' E (� LOT: BLOCK: S ADDITION: F7g-h✓l� �� ^ �� " "—'�� Corner Lot: Inside Lot: /tSetback: Sideyards: 3 0" +>'� Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION yFront: r Depth: e2Q r Height: Squane. Feet: dC�, Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet:. WOO& Type of Construction: Zb Be Completed: q8 . Estimated Cost: $ Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are X,rue and cgXrect. DATE: SIGNATURE: Stipulations: V V oK L�. � ��,q . .0 #-I AGREEMENT owner of the property located at have no objection to the City allowing the construction of a ,,�d/®-''n Ty %��� �Yr� Pio be V located at _Sr�r� :59 �� without the required certificate of survey that the City ordinarily requires for all new construction. U. 4 ess f UINWER. i W -A WIFISM, f,"ignature MW Address Date at the raze u -L v Wi :GRV ­— , thereof in the cost of all -proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. N I 0' N i c133:t 9 N3 213 0 N L UV _� •aNV 1 Olvs N0 -40 Mai : AM J1 `S1N3NHNOWN3 3191SIA 11V aNV `NO3213111 "km •j1 `SOM101ing -11V 30 N01iV,301 3410 ONV 0391?1X3a 3A09N ONtlI 341.j0 SgIIN43Nno9 3H.L 30 �k3A-dOS *d JO NO1.W_LN�3/S/nd38 Jn3'dbO:) ONV,3n?Jl. V S1 C.1ml 111H1 1.31}1'UX3 /AQ3)ldgHi 3M r � t,�¢. � f�I 'r/-' ri ��N�,r-�f , 1 �_-1• --^ �i f t ,.....� f�_ ' � ,� w•� CJ�� ' / "1� (�I l -40- - - •. Q O g i 35, 0 1 e • - 1 +- 1 o � ` Q) 2(0.0 1 ' i zmr . `o♦ Y �3 N �' to -40- - - AIL Ok V 40 41 IL 0111 L£JS -L 3M -tmw`a S110dTaNNIVI 'tj 3ON3nV N19S-91'09 ONINNV'IG aNr/1. l9NIn3HN10h13 'Wd171NnY4 'R 11M7 fllVll£3l' C•�los - oN11.�ne�nc aNv-1 gdok3Abns ,. GNV Sb*33N 1 JNA -40- - - SUBJECT PERNfiT NO City of Fridley 5 7-6`5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r R EIPT N • L_____ COMMUNITY DEVELOPMENT DIV. I V INSPECTION ^ (09� r PROTECTIVE SEC. I i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/6/80 JOB ADDRESS 5820 - 5th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 5 Bennett Palmer SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Engelstadt 5820 - 5th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Potvin Sales Co. 7341 Commerce Lane N.E. 571-3201 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 Cover overhang with aluminum 9 CHANGE OF USE FROM TO STIPULATIONS Provide adequate area of soffit ventilation. 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 1 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 $1,484 $.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $9.00 PLAN CHECK FEE TOTAL FEE V sL.i -vt? 75 SIGNATURE FCONi RACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPER Y 1 T D IS YOUR PERMIT Q I jr G INSP DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI CITY OF FRIDLEY � . APPLICATION FOR RESIDENTIAL BUILDING PERMITS (Neer, Alterations, Additions, or Repairs) 6WHER: P a ADDRESS: TEL NO: 2r2 `�4 (7 f3UI LDER �c ADDRESS: TEL NO: S-7 —3 6 0' Construction Location STRIMT NO: // STREET: LOT: b BLOCK: ADDITION: � ����^'/ -Q ' �9 'U"'/ Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form ivio Certificates of Survey proposed building location drawn on certificates to.scale. of lot and ' DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Squaue. Feet:-- Cubic Feet: Front: Depth: Height: Square -Feet: �z GZiL �� �i (,�-ti�� Type of Construction : i Cubic Feet: w �L t`'•z/ Estimated Cost: $ To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . %lie 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 statedin this applicationaretru Corr ct. DATE: tip( `� C7 �-,{ SIGNATUIC.\ / —tom A Sti latio s 7)e e);50 e �� SUBJECT City of Fraley 2601 1 AT THE TOP OF THE TWINS BUILDING PERMIT 1 , NO. COMMUNITY DEVELOPMENT DIV. iy� ______ PROTECTIVE INSPECTION SEC. r 1 / ~ C'?l� 1 � 1 NUMBER REV GATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/2//98 JOB ADDRESS 5820 5 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 5 Bennett Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alfred Engelstad 5820 5 Street NE 571-3388 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. B & B Roofing 6760 Madison St NE, Fridley, MN 55432 571-0248 9042 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 [j REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 2nd Layer Roofing on Garage 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $.47 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $939 DOET PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P VISI NS OFANY OTHE STATE OR LOCAL LAW REGULATING CON- Fire SC $.94 S RUC ION OR THE PERF MANCE of CO TRUCTION. $34.75 PLAN CHECK FEE TOT FEE Lic SC 5 0 $41.16 SIGNATU EOFC NTRACTORORAUTHORIZEDAGENT IDATEI PROY SP AGI VALID TE THIS IS YOUR P RMSIGNATURE f)ATE OF OWNER IIF OWNER BUILDER$ IDATEI NEW ADDN ALTER ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION YC5;o : Effective 1/1/98 Legal Description: Tf yl 4r4 / z' Owner Name & Address: AllL/ z-4 Z. S /(J Tel. # Contractor: h MN LICENSE # Address: ��� /�%/�7G 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: AIL - 0AF Construction Type: / Y Estimated Cost: $ V 9�9 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: / /s� Y�W /I// Permit Fee 37/9 $ Fire Surcharge q7 $ State Surcharge 4/? $ , SAC Charge $ License Surcharge $ J • O Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ y STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side Tel. # J —/l -O�0 .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT MIT NO. , City of Fridley 26373 AT THE TOP OF THE TWINS BUILDING PERMIT i � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ tr PROTECTIVE INSPECTION SEC. 31416 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE Of APPROVED "B♦ ".j 612-571-3450 910-F15 6/29/98 JOB ADDRESS 5820 5th 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 5 Bennett PalmerSHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. B B Roofin1;71_n24R 9042 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 16 S Reroof, 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING MOT. 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 OR NCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,334.00 $.66 WITH HET ER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DO NOT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P VISIO OF ANY OTHERST E OR LOCA AW LATING COW45.75 $ Fire SC $1.33 S RUCTI OR THE PERFOR CE OF ONS UCTI PLAN CHECK FEE TOTAL FEE C07 License $5. $52.74 SIG NATURE OF ONT RORAUTHORIZEDAGENT IDATEI EN RO VALIDAT D THIS IS YOUR PERMIT BLQ6 INS1 GG�� gATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: u �S Effective 1/1/98 Legal Description: " , -5-111Y1,1 71 ` - Owner Name & Address: t79(sL--Z5 1, ® Tel. # -5 Contractor: ZA// /1C .Si' S MN LICENSE # Address:.. `A%19L1' W / �� �y Tel. # -5 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: 1. Construction Type -/4 56) 0/6�47 Estimated Cost: $ ` 33V (Fee Schedule on Back) Driveway Curb Cut Width Needed: 6 Ft = Ft x $ = $ DATE: q <ICw Fd APPLICANT: Tel. # TOTAL $2- 7 STIPULATIONS: CITY USE ONLY Permit Fee $� S� Fee Schedule on Reverse Side Fire Surcharge $ J .001 of Permit Valuation (1/10th%) State Surcharge $_ $.50/$1,000 Valuation SAC Charge $ $1000 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 $2- 7 STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 PERMIT N.: 2004-01186 \� + DATE ISSUED: 07/28/2004 ADDRESS : 5820 5 ST NE PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) 0.00 0.00 PIN : 233024240029 7319 166 AVE NW PLBG FIXTURES (EXIST OPENINGS) LEGAL DESC : BENNETT-PALMER ADD RAMSEY, MN 55303- WATER TREATMENT APPLIANCE : LOT 6 BLOCK 5 (763) 753-9244 WATER HEATER - ELEC PERMIT TYPE : PLUMBING WATER HEATER - GAS PROPERTY TYPE RESIDENTIAL GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS CONSTRUCTION TYPE ADDITION/ALTERATION OWNER ELI ANDERSON VALUATION $ 200.00 STATE SURCHARGE, PLBG FLAT 0.50 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A TOTAL # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 0 # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 VALUE (FOR MINIMUM CALC) 300 # WATER TRMT APPLIANCES 1 APPLICANT PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) 0.00 0.00 SHILOAH WATER CO 7319 166 AVE NW PLBG FIXTURES (EXIST OPENINGS) 0.00 RAMSEY, MN 55303- WATER TREATMENT APPLIANCE 35.00 (763) 753-9244 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 0.00 GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS 0.00 0.00 0.00 OWNER ELI ANDERSON 5820 5TH ST NE STATE SURCHARGE, PLBG FLAT 0.50 FRIDLEY, MN 55432 TOTAL 35.50 PAID WITH CHECK # 9979 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 regulat'cons ction or the performance of construction. ApplicanDate__L_L Bldg Insp. SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIV. 64*31 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 A0(0," - Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT . _ - _i MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS�- 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** $35.00 Gas Range" $10.00 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 1.25% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE 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: 7-a? - , 20 0 �- OWNER C� BUILDING USED AS zfs t'coenY -_ - ESTIMATED COST� PERMITNO. PLUMBING COMPANY 6V (&WA 4d l a SIGNED BY Approved By Rough -In Date Final Date 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 replacina an existina 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 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 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( ) 15 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 _ Appliance #2 Type _ Appliance #3 Type _ Total Appliances _ BTU Input _ BTU Input _ BTU Input Total Btu Input Common Vent Type Vent Height Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat 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 : Building Inspections 763-572-3604 MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE_ c/ SITE ADDRESS THIS APPLICANT IS: 0 PROPERTY NAME: OWNER/ ADDRESS: TENANT CONTRACTOR I COMPANY SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION Permit No.. Received By: Date Rec'd: CONTACT PERSC )CWl ; 1.£.. 410 WE LAKF EMU MINN STATE LICENSE # $R. MN 55408 2'i124' STATE ZIP ADDRESS: PHONE FAX PERAU T TYPE,SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: O NEW REPLACEMENT 17 ALTERATIONIREMODEL DETAILED DESCRIPTION OF WORK`` f PER MS 16B.665 the u permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00,.w cheve : greater, for the should reflect only Ile cost of labor) improvement, installation or replacement of a residential fixture, excluding fhe.u�dues...(Th's�. Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cos of labor X.05 - FOR .05FOR PROJECTS WHERE LABOR EXCEEDS 5500, EES ARE RASED ON $10.00 PER FDMMF,.EXCEPT WHERE NOTED. FWMM.:S�(INDICATE TOTAL NUMBER OF EACH BELOW) SIZEIBTU EgWpmentlnsWIed MFG: MODEL: MODEL: SITU MFG: MODEL: SIMBTU CE (GAS) $15.00 GAS RANGFJOVEN $ 0.00 �•A/C $25.00 AIR TO AIR EXCHANGEER $15 CE (WOOD) $35.00 DER' GAS IYTR M $ $10.00 OILER $35.00 %FURNACE $35.00 GAS UNIT H $10.00 B BOOL HEATER 535.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 DUCT WORK $10.00 BAS PIPING $10.00 VENTIIATOR $15.00 Permit Fee $ Number of fixtim @ $10.00 x 10.00 = Surcharge $ .SO Number of fxftm @ $15.00 x $15.00= $ TOTAL DUE $ Number of fixtures @ $25.00Zx $25.00 = $�.d� Number of fixtures @ $35.00_/ x $35.00 =S `DC7 StSurcharge = $ •5 Total = THIS LS AN APPLICATION FOR APEROT- JOT VALID UNTIL. PROCESS® that the information above is complete and accurate, that the work will be it q Fridley and with the HIMOsota Cmistmction Codes, that T understand this i; rk is not to start wmout a permit that the work will be in accq dance with the I It I hereby apply for a building permit and I aekaov conformance with the or, d codes of the not a permit but only an app ' 'o approved plan in the case o A SIGNATURE OF APPLICANT —`� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 M REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTINQHQMU, 1. Combustion Air (See note belo'i�) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Nat u -al Gas or Propaue/IFGC Chapter 3 with MN Amendment: 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design PerIMC 1346.0603:2 -- a. ACCANimmal D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations