PRE 2010 DOCS9 •
City of Fridley, Minn.
BUR DING PERMIT N® 3716
Date: .......... ......... ............
Owner ....................................... Builder ...........::...............................
Address ...................................... Address .............................................
LOCATION OF BUILDING
No. rJ.. rJ.. !. Street .... ....:......... Part oLot ....... .. ................. .
Lot .../ ..... Block ..... .......... Addition or Sub -Division O ��
..... y. ti...... .......
Corner Lot ............ Inside Lot .. X........ Setback .. :'�%.� Sideyard ... !�
...... ..................
DESCRIPTION OF BUILDING
To Used as: ,
... ... Front .. Depth�.�. Height /!.p :'. ® Sq. F't®.(O. Cu
.................... Front ........ Depth ... ... Height ........ Sq. Ft. ........ Cu. Ft. ......
Type of Construction ................... Wt
.? ..:�.... To be Completed ...................
In consideration of the issuance to me of a permit to constructthe b g desribe abo Y to do
the proposed work in accordance with the description above set fo an co H all ovisions of
ordinances of the city of Fridley.
. ....... ... ..... . .........
et—
V
In consideration of the payment of a fee of $.07a.., permit is hereby WXted to ....... .
......................... to construct the building or addition as described above. This permit granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in . all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any ' time upon violation of any of the provisions of said
ordinances.---------
f.,JA7VA .....,,l1 Building Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY.. MINNESOTA
Owners Name_' -!�' Builder
Address Address _.
OCATION OF BUILDING
No. l ?Street _ Part of Lot
Y� Addition or Sub. Div.
Lot, � Block. '
�__._�._ _
Corner Lot Inside Lot ___ Set Back
Ail4c&nt.attach to this form Certificate of Survey of Lot and proposed
buildin location.
DESCRIPTION OF BUILDING
To be us s
C ® Depth HeigYit$
,/ ,� � Front ---
Sq. Ft. L.4 .'— Gu. Ft.
Front — Depth ____.___ Neight
Sq; ' Cu. Ft.
Type of Constructions Estimated Cost
To be completed' CIA:da
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 co rect.
Date Signature
(A' Schedule of'Fee Costs can be found on the Reverse Side)
0
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13 P/ �
Y
APPLICATION FOR BUILDING PARMIT
CITY OF`FRIDLEY' MINNESOTk
�: ,. Builder
Owners Name
LessAddress _]
LOCATION OF BUILDING
No. -U Street s .S Part. of rot
�,//���� ,
Lot � Black . � •Addition or .sub.
Inside Lot Set Back
Corner Lot �::,�. ,
Applicant attach to this form,'-Certificate..of Survey of Let and proposed`
building location.
DESCRIPTION OF BunbiNG
To be used.
e Height
Frent Depth ght
Depth Height
Sq. Ft. Cu. Ft......,
Type of Construction r..-' ' Estimated Cost _:,......-.-..
To be. eted.�
The undersigned, hereby 'makes. app lication for a permit for the work,
herein specified, agreeing td:do all'•;work in strict accordance with the.,.,...
Citi Ordinances and ruling of-Ahe Dep�rtment of Btildings, and hereby-
declares'that all the facts and representation's'stated in this application
are.true and correct.
Date ? Signature 4� ,
(A Schedule of Fee Costsacan'be found on the
V
City of Fridley, Minn.
BUILDING PERMIT N° s2?5
Date: `"'2.
0147 1119 J4
Owner: Builder
Address Address —
CATION OF BUILDING
No. Street Lot _
Lot ._ _.'ez $lock Addition or Sub- vial
Corner Lot _ Inside Lot #Pback Sideyard
Sewer Elevation _ . — Foghdation Elevation
DESCRIPTION OF BUILDING
To U
Front —/iL Depth _ ".rte Height ZAQ Sq. Ft. -jjAVCtL Ft.
Front Depth Height Sq. Ft. Cu. Ft.
'!�r
Type of Constructio Est. _ To be Completed
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the Proposed work in accordance with the description above. set forth and in compliance with 21 provisions of
ordinances of the city of Fridley.
ly—
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 reg 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. �k w w —
Building Inspector
NOTICE
M ponvh don not cover the condructloe, hutalltlion for vrhbo, phm"g, gn he@&& ower or water. Be sun to see
the Bu[Ming Inspeeter for separate permhs for thea Items.
OWNER'S
ADDRESS
APPLICATION FOR BUILDING PERMIT
CITY.OF•FRIDLEY, MINNESOTA
LOCATION OF BUILDING
No. " C;t /` —�X Street Part of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot—>(—Setback �-Side-Yard ,�
SEWER ELEVATION FOUNDATION ELEVATION
Applicant. -attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as✓�`���
Fropt ® Depth Height
Type of Construction
To be Completed
Sq. ft. Cu. Ft.
Front Depth Height
Sq..Ft . —Cu. Ft.
Estimated Cost
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`_ / E _rv� SIGNATI1RE
(Schedule of Fee Costs can be found on the Reverse Side).
City of Fridley, Minn. N° 8069
BUILDING PERMIT � 7 '142
•
Date: Jvne 29, 1965
Owner: Robert DeLaNartre Builder H. J. Blomstrand & Sons, Inc.
Address 5821 5th Street N. E. Fridley Address 1220 Arcade St. St. Paul, Minn.
LOCATION OF BUILDING
No 5821 street 5th Street N. E. Part of Lot
Lot U Block 6 Addition or Sub -Division Bennett Palmer
Corner Lot Inside Lot Setback Sideyard
Sewer Elevation — Foundation Elevation
To be Used as:
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est. cost $1a50-0*9-4__ ___ 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 21 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $10 0 , permit is hereby granted to H • J. Blomstrand & '50ns .
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, Minneota location, construction, alteration, maintenance, repair and moving of buildings
wig city limits � permit may be revoked at any time upon violation of any of the provisions of said
Allen Jensen Building Dupector
NOTICE:
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•
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City of Fridley, Minn.
BUILDING PERMIT
Date: duly 26, x.965
ROBERT De La Martre
Builder
pet 10 --:�L—
No 8269
Harlan Lee Construction
Address .5821 — 5th St. N.E. Address 4300 Nicollet Ave. So.
Fridley, Minnesota Minneapolis, Minnesota
LOCATION OF BUILDING
No. 5821 Street STH STREET N. E. Part of Lot _
Lot Block Addition or Sub -Division
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 Freight Sq. Ft. Cu. Ft.
Type of Construction Est. Cost X00.0 _ To be Completed
Repairs
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 adl provisions of
M
of the city of Fridley.
In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to ROBERT De La MARTRE
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 g location, construction, alteration, maintenance, repair and moving of buildings
within the city limits saris permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
ar:r:F:NC. JENSEN Building Inspectm
NOTICE
Ub permit den not aewr the eaalr edw, huteWen for wMR& plumbing, gn heating, mww or wafer. Be arra to an
dw Building fir far separate parmib for than "gum
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY,.MINNESOTA
OWNER.' S NAME BUILDER
J
ADDRESS\,�r-,?_2_/- _ADDRESS
LOCATION OF BUILDING
NO, STREET PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION
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.
To be used as;
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft.
Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
G`
Type of Construction Estimated Cost C470G
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.
(SchedtWe of Fee Costs can be found on the Reverse Side).
49-
City of Fridley, Minn. 205
6431 University Ave. N. -E., Minneapolis, Minn. 55432
BUILDING PERMIT
ate; March 6. 1973
p; Robert DeLaimartre Builder Bauer the Builder
,Address 5821 - 5th Street N.E. Address 302 South Cedar Lake Road
LOCATION OF BUILDING
No 5821 Street 5th Street N.E. part of Lot
Lot 11 Block 6 Addition or Sub -Division Bennett -Palmer Addition
Corner Lot inside Lot - X Setback Sideyard
Sewer Zlevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Finish BasementFront Depth Height _ _ . Sq. Ft. __ Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Wood Frame Est, Cost _$2, 000.00 To be Completed ,1 month
WMTE PERMITS REQUIRED FOR MIRING,
STM, PLUMBING AND SIGNS.
In consideration of the issuance to me of a permit to constrI the buildin escribed above, I agree to do
'the proposed work in accordance with the description above set th and om lian th all provisions of
ordinances of the city of Fridley. / ��. n �%7
1.00 M State SurchaKg6 '—
In consideration of the payment of a fee of $ 12.00 , permit is hereby granted to Bauer the Builder
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
thin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
Building Inspector
DARRFT T ARK
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sun to sea
the Building Inspector for separate permits for these hems.
I-
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINKSOTA
LOT;. $LOCK a 4 ADDITION
CSR LOT: IDE LOT; SMUCK; SIDEYARD:.
Anticumt attach to Wa fom-Wo Certificates of Suxvex of Lot and proposed
,Ida% location dry 4= these Certificates,
To Be u se4 AS:
DESCRIPTION OF BUILDING
vx4m" -Depth-. Avight-
Square Feet; Cubic Feet;
Front: Depth; Height:
Square Feet; Cubic Feet:
e
Tyfa of Construgtions attiimated Cost: $.&Aa ,0-0
•-
To so�+gted;
The undarlpigned hereby makes applicathm for, a permit for the work herein
8pealfi.ed,, agreed to do all work in sttict accordance with the My of
,tdli' orAmaaces and imtftp of the Department pf Bui l4tuss, aW 'hereby
alarep dla all the facts 4m4 representations a ted is this application
axe me correct, _-n
DATA; G.?' d z3
(04m Reverse Stdo For Add:Lt4onal Infozwtion..)
i,00
13. d
WIT OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION'j REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY StiAPI.1 AIR: RATE TOTAL
i-rrace Shell & Duct Work $12.00 $
'FeFlace.: nt of Furnace 7.00 $
Ropair3 S Alterations -up to $500.00 7.00 $
Repairs & Alterations each add. $500.00 4.00 $
142CHA:TICAL WARM AIR:
Job Address 770'
Department of Buildings
City of Fridley
Tel. #571-3450
OIL BURNER- to 3 gal. per hour $10.00 $
each add. 3 gal, per hour 10.00 $
GAS 'BURNER- from _100,000 ETU to 199,999 BTU $10.00 $
(over 199,993 BTU see Fee Schedule) $
GAS FITTING PEES:
1st.3 Fixtures [� x $ 3.00 $ 3.--
n�3it_ :,al Fixtures x $ 1.00 $
Gas Rance to 199,000 BTU X. $10.00 $
AIR CONDITIOtiI,NG
FAS HEATING SYSTLiMS
VENTILATING SYSTE:;S
ALTLRATIONS £, I(EI;AIRS�
P,OUI-9 ZINSP.
Date
FINAL I27SP. I - 7- 7 -�
Date
APPROVAL FOR PEP.' -',TT ,
See Fee Schedule $
State Surcharge
TOTAL FEE
RE114SPECTION FEE
($10.00)
=NZ1",UX FEE FOR A24Y HEATING PERMIT IS $7.50 PL1lS $.50 STATE SURCHARGE
*Attached stack verification fora
��.-�.: mss✓-�-,�,�.,r.� ,>a.Y.-<.,P,,.�„�.�®-...,_
.wan.
TO BE COMPLETED ABOUT .fir S1i9
ESTIMATED COST
OLD NEW BUILDING PERMIT NO. PER52IT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name Size No.e;*;- , wais
?Ttjf S7� ry ,Pv7
Capacity,s,2, f,o® Sq. Ft. EDR BTU $gP -e% HP
Total Connected Load Kind of Fuel
BUP,VER - Trade Name Size No. �8o do
Capacity Sq. Ft. EDR BTU HP
Company��,t/ F0,�7LQT
Signed By
Tei. No. S=6 0�
The undersigned hereby
makes application
for a permit for the work herein
Furnace Shell &_ Duct Work to 100,000 BTU
$12.00
$ /�. �
specified agreeing to do
all work in strict
accordance with the City Codes -
each add. 50,OCO BTU
*-Rc-lacrrent
4.00
7.00
$
and rulings of the Department of Buildings,
and hereby declares that all the
of Furnace
F�:airs & Alterations -up to $500.00
7.00
$
$
facts and representations
stated in this application are true and correct.
?.epairs & Alterations each add. $500.00
4.00
$
Fridley, Minn.
/� - •e,L , 19�®
STZ;M OR HOT WATER SYSTE 4:
OWNER �,� �,�Q /yam
_�,
fQ
Boiler & Lines LIP to 100,C00 BTU
$12.00
$
KIND OF BUILDING
each adds. 50,000 BTU
4.00
$
Boil -=r only +.,_ to 100,000 BTU
7.00
$
USED AS %AWL
each adan. 50,000 BTU
6.00
$
OIL BURNER- to 3 gal. per hour $10.00 $
each add. 3 gal, per hour 10.00 $
GAS 'BURNER- from _100,000 ETU to 199,999 BTU $10.00 $
(over 199,993 BTU see Fee Schedule) $
GAS FITTING PEES:
1st.3 Fixtures [� x $ 3.00 $ 3.--
n�3it_ :,al Fixtures x $ 1.00 $
Gas Rance to 199,000 BTU X. $10.00 $
AIR CONDITIOtiI,NG
FAS HEATING SYSTLiMS
VENTILATING SYSTE:;S
ALTLRATIONS £, I(EI;AIRS�
P,OUI-9 ZINSP.
Date
FINAL I27SP. I - 7- 7 -�
Date
APPROVAL FOR PEP.' -',TT ,
See Fee Schedule $
State Surcharge
TOTAL FEE
RE114SPECTION FEE
($10.00)
=NZ1",UX FEE FOR A24Y HEATING PERMIT IS $7.50 PL1lS $.50 STATE SURCHARGE
*Attached stack verification fora
��.-�.: mss✓-�-,�,�.,r.� ,>a.Y.-<.,P,,.�„�.�®-...,_
.wan.
TO BE COMPLETED ABOUT .fir S1i9
ESTIMATED COST
OLD NEW BUILDING PERMIT NO. PER52IT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name Size No.e;*;- , wais
?Ttjf S7� ry ,Pv7
Capacity,s,2, f,o® Sq. Ft. EDR BTU $gP -e% HP
Total Connected Load Kind of Fuel
BUP,VER - Trade Name Size No. �8o do
Capacity Sq. Ft. EDR BTU HP
Company��,t/ F0,�7LQT
Signed By
Tei. No. S=6 0�
CITY OF, FRIDLEY
APPLICATION FOR HEATING REPLACEMENT
1
CHIMNEY AND STACK VERIFICATION
THIS FORM MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM.
LOCATION 5-204/ — .S �"'�`�'�a •l�•zr DATE
OWNER�• 17E.L,� /%,ram ADDRESS •��,f—.5—r_��7 ,.(J �—�
The undersigned hereby verifies that the existing chimney or stack:
I.
Has been carefully examined
2.
Is free from rust or deterioration
3.
flo foreign objects are lodged within
\
4.
That it is securely supported
r/
S.
That it meets all current Code requirements
for
size and total BTU connected
6.
Total Heating BTU
All Other 'BTU
REMARKS
HEATING PERMIT #
TOTAL Ste,
__SIGNED --SIGNED�.r� /�.� �
Licensee
by
Address'0,80 ®'.c,®�s�� m�v�-, .S' • �s���
Telephone ✓rlS_�,�o®
Fridley City License
D -X7
1�l
width Height No. of Lineal fL
No. of Pane of Pane lights of crack
Area
so• fL
.c• s s
' Room I Length , Width Hei
Windows and Doors-Crackage and Area
HEAT LOSS CALa ATIONS
DEPARTMENT OF iNSPECTIOk-'�,4/ppy,0_
A 7.C-hUNNTAPOUS, M,
_
Weatherstrips
A'S'H' Guide e.
y
Construction No.
Coef. Btu
Insulation ,
WindowsI
Doors
Rcference
Out. Wall
Int. Wall Ceiling Roof Floor
Kind
How Applied
Ye- a-I�o
Yes -No
19-
X S�eZ
49!� I I 1
is `
i��•c�l'
ml Rnarn Lrnath .sLJ, Width-"- Height A II
FI.I
Room I Length Width Height
Windows and Doors--Crackage and Area
1�l
width Height No. of Lineal fL
No. of Pane of Pane lights of crack
Area
so• fL
.c• s s
' Room I Length , Width Hei
Windows and Doors-Crackage and Area
' WIdtII
No of Pane
Helgbt No. of Lineal ft Area
o! pane litho of eraek eo. !L
Infiltration awO
Glass
O O
y
/B
Coef. Btu
Infiltration
Int. wall
Net exp. wall
R
Glass
him—
6 S'/p
Ceiling 41 1 X `
Exp. wall
X S�eZ
Floor 41A X if,
74
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
1�l
Required sq. ft.
D.R. ors . ins. WA. Leader area
F1,I
' Room I Length , Width Hei
Windows and Doors-Crackage and Area
' WIdtII
No of Pane
Helgbt No. of Lineal ft Area
o! pane litho of eraek eo. !L
1-3
3 d CoeE Btu
Infiltration
Glass
Exp. wall
Net cxp. wall
Int. wall -
Ceiling
Floor
Total Btu.
Required sq*Lf- .R. or ins. W A. Leader area
cl t Ra„r, 1 .noth • Width Heixht'
Windows and Doors--Crackage and Area
1�l
Widtb Height No. of Lineal tL Area
No. of pane of pane lights of crack sq.tL
Coef. BW
Coef. Btu
Infiltration awO
Glass
O O
Glace
O O
Exp. wall
Int. wall
Net exp. wall
R
O /
him—
6 S'/p
Ceiling 41 1 X `
X S�eZ
Floor 41A X if,
74
Total Btu. 474 " y
Required sq. ft. E.D.R. or sq. ins. WA Leader area - S 3 2L
Windows and Doors---Crackage and Area
Width weight No. of Lineal fl- Area
No. of Dane of Paso lights of crack p. !L
Coef. BW
Infiltration
Glass
Exp. wall
Net exp. wall '
Int. wall
Ceiling
Floor
Total Btu.
Required sq. h. E.DR or sq. ins. WA Leader area
Fl.1 Room I Length Width Hewd
Windows and Doors -trackage and Area
Width Height. No. of Lineal fl.Area
No. of pane of pane lights of crack sq. iL
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. ED.F, or sq. ins. WA Leader area
• p11 Rnnm 1 L&nath Width Heittht
Windows and Doors --trackage and Area
Width Height No. of Uncal tL Area
No. of pane of pane lights of crack sq. tL
CoeE Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA Leader area
E
SUBJECT-
City of Fridley
AT THE TOP OF THE TWINS
BU IL DING PERMIT
R EC E TT-N40-
COMMUNITY DEVELOPMENT DIV.���
r � � PROTECTIVE INSPECTION SEC.
1 � �
CITY HALL FRIDLEY 55432
NUMBER
TREv
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
4/25/84
JOB ADDRESS 5821 - 5th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
11
6
Bennett Palmer SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bob Delamartre 5821 - 5th Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
B & L Home Improvement Inc. 1161 - 79th Avenue N.E. 780-4533
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
--i-CLASS OF WORK
❑ NEW Ej ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 221 x 71 Garage Addition
8 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway
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
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
$1,726
$.86
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
P OVISIONS OF AN OTHE,W STATE _qR LO L LAW REGULATING CON-
$29.50
S R T�ORPERECR F C STRUCTION.
PLAN CHECK FEE
TOTAL FEE
$30.36
SI ATUREOFCON RACTORORAUTHORIZEDAGENT (DA71E)
WHEN PROPER V, LIDATED THIS IS YOUR PERMIT
QQ
• BLDG INSP DA
SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE)
E
NEW
L
] City of Fridley Effective 4/1/84
ADDN.
[
] �R-1 AND R-2
ALTER.
[
] Building Permit Application
Construction Address:
Legal Description.
Loo % /
8(o a e-
(C P4 /me''-
Property mer d rests: h S�
Contractor: ,Q b L j-�vr✓�� - mora ve �'� e'�'�
Address: (g%1 fo, �v�Aj-
' 1�ett+mPrf+re Tel. #
ern Tel. # Z� ' 'IS22
ii►q �k f{ Alm .
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 [�I Ft. Yd. Setback /'Side Yard Setback
Type of Construction: Estimated Cost: $
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE:
of �y APPLICANT: P Tel. # ZX
ITY USE ONLY
Permit Fee $ e� /• d Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ -Nal $.50/$1,000 Valuation
SAC Charge $ $425 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ O
STIPULATIONS:
11
SUBJECT
PERM
City of Fridley
o 18912
AT THE TOP OF THE TWINS
BUILDING PERMIT
_
r
RE
COMMUNITY DEVELOPMENT DIV.
INSPECTION
(r�_
a4
r PROTECTIVE SEC.
l0�
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE®jjj8�
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
4/29/8C7v
10B ADDRESS 5821 - 5th. Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
11
6
Bennett Palmer
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Audrey Delamatle 5821 -- 5th Street N,E.
571-1185
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Patio Enclosures Inc, 6219. Cambridge Street, St. Louis Park, MN 55416 920.1575
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 1 ADDITION ❑ ALTERATION ❑
REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 12t x 14t Three Season Porch -Addition
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations on plan.
W ARNIN
Before digging call local U ili
TELEPHONE - ELECTRIC -
REQUIRED BY LA
SEPARATE PERMITS REQUIRED FOR
WIRING, HEATING, PLUMBING AND SIGNS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST,
OCCUPANCY GROUP
OCCUPANCYLOAD
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
1 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
$3500
$1.75
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY O VIO ATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIO 0 O W REGULATING CON-
$44.50
STRU OR THE PERF RMANCE C CTION.
PLAN CHECK FEE
TOTAL FEE
/(y�jl/
$11,13
$57.38
SI NATURE OF CON RACTORORAUTMORIZEDAGENT IoarEl
- EN PR A IDA THIS IS YOUR PERMIT
BLDG INSP
SATE
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
11
NEW X1 City of Fridley
ADDN. [ ] R-1 AND R-2
ALTER. [ ] Building Permit Application
.a
Construction Addr
Legal Description
Effective 4/1/86
Owner Name & Address:
Tel. # _4f'7/ 1-M3
Contractor:, �i Tel. # .��® 2177e
Address:_ zy
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
GARAGL' AREA: Length
AREA: Length
OTHER: d �C
)(eft ?.�'�• �'�
Corner Lot [ ] Inside Lot ]
Width Height' Sq. Ft.
Width Height Sq. Ft.
Width G Hgt/Ground o12f Sq. Ft.
/
Ft. Yd. Setback SO
Type of Construction: x//sQ'a�-.���rl� .�5
Approx. Completion Date: �� �o �d'T
Proposed Driveway Width If New Opening Is Desired:
Side Yard Setback ly
.eAv--
Estimated Cost: $""
Alt. A Alt B
See Back Page for Explanation_
DATE: / APPLICANT: Tel. # /,f y�
CITY USE ONLY
Permit Fee
$ <<�"
Fee Schedule on Reverse Side
Plan Check
$ d1.13
25$ of Building Permit Fee
State Surcharge
$ 147-r -
$•50/$1,000 Valuation
SAC Charge
$ wl'
$ 525 per SAC Unit
Park Fee
$ 111b
cv-
Fee Determined by Engineering
Sewer Main Charge
$
TOTAL
$
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS•
Sa Q
.�Q
I i I
i I
1
�
m
loo
i
IIID,
j
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i�r
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Pr
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■
63
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sm
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:-■■
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Am
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I
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1
1
I
I
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i
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4Lkjj
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I
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i
CITY OF FRIDLEY INSPECTION DIV.
Effective On January 1,199.5-
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND
AIR CONDITIONING
SYSTEMS AND DEVICES
�6'
JOB ADDRESS -JW a`,
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner —
rufings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 20.00
bG
representations stated in this application are true and correct.
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace) $10.00
$
�p$g:,d %C�A�s.��•�€
OWNER 7
Gas Range $10.00
$
BUILDING USED AS Y
Gas Dryer $ 10.00
$
ESTIMATED COST G 1.5- PERMIT NO. %
*Air Conditioning — All Sizes $10.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
Value Appliance Work
$
No. Heating Units__.Circle One (Steam) (Hot Water) arm Air
1% of of or
of
Trade Name d v» (T &e, Size No. e9evK o
Commercial/Industrial
-70f���a
BTU M ' HP EDR
1 % of Value of Appliance or Work
$
,��-
Fuel Total Connected Load .4Z
State Surcharge
$.50
Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE_
HOME ENERGY CENTER
15200 25TH AVE. N. #128
HEATING COMPANY PLYMOUTH, MN 55447
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Signed
Approved By
Tel No. - /9 9T d
Rough—In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
NOTE: #1 through #8 required when using a side vent furnace.
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined yes( 4No ( )
2. Is free from rust or deterioration
3. Has no foreign objects lodged within
4. Is securely supported
5. Meets all current Code requirements for size
and total BTU's connected
6 Has total heating BTU's of 124L
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Yes ( )-"No ( )
Yes(/)' No ( }
Yes (,-f No ( )
Yes(/) No ( }
Yes (4No ( )
Yes (,f No ( )
Remarks: _
�iJN /AGE � 5 �✓/��C'9 '�Bi7t"� � �riT.3/�J� �/ 7H �yC��� -C.IOS�yJ
�y3 7'ef
HEATING CO:
Signed By:
Date:
HOME ENERGY CENTER
15207 25TH AVS. N. #128
PLYMOUTH, MN 55447
/Co 254C -d7 v�uA�gI27/2�
HEAT TRANSFER CALCULATIONS
,, x ,zG /,s>ocx
HEAT LOSS: + 75 *INSIDE + 75° INSIDE
o
— 20 OUTSIDE HEAT GAIN: + 950 OUTSIDE
SQ. FT. COEF. BTU's SQ. FT. COEF. BTU's
1. GLASS Iq 90 //4/0 1. GLASS
N
25
E/W
75
S
40
2.
DOORS
4000/ea. 00,00
2.
DOORS
300/ea.
3.
CEILING
3.
CEILING
12"
3
12"
1
9
L 9/6.
4
9
2
6
5
6
3
3
8
3
4
4.
WALLS
4.
WALLS
3"
l0 ge
767 /L
3"
3
11/2"
10
11/2"
4
5.
BSMT
5.
PEOPLE
600
Below grade
/,P 2L
5 zr-4G0
Walkout
10
6.
APPLIANCES
2500
6.
Subtotal
7.
Subtotal
7.
TOTAL
DS
8.
TOTAL
8.
FURNACE SIZE
s-
9.
A/C SIZE
9.
FURNACE MODEL
4a A& o
10.
A/C MODEL
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
Residential
APPLICATION FOR POWER PLANTS AND -HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
I% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Effective On January 1, 1997
JOB ADDRESS��
The undersigned hereby makes application for a permit for the work herein
Rate TOTAL 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
$ 30.00 $ representations stated in this application are true and correlct[.
--[ " 11997
$10.00 $
OWNER �i uwi Wq M't % f' - 'ITS
$10.00 $
BUILDING USED AS
$10.00 $ '
ESTIMATED COST ,(D PERMIT NO.
$ 25.00 $ _
DESCRIPTION OF"FURNACE AND OR BURNER
k V\,Q -�D - 0 (cam -t—
$ r GD. No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
$ Fuel Total Connected Load
h
State Surcharge $ 50 Burner Trade Name
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COO LIN GNENTI LATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
BTU
HP
Size No.
EDR
HEATING COMPANY S4' a)n 6e Qk t6 flA-QM-7�c
Signed By. Tel No.
Approved By Rough -In Date Final Date
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE R STACK VERIFICATION ON
written permission from adjoining property owner. REPLACEMENT FURNACE 41,11-
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CREWNEY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing chimney or
stack:
1.
Has been carefully examined
Yes ()
No
(
)
2.
Is free from rust or deterioration
Yes ()
No
(
)
3.
Has no foreign objects lodged within
Yes ()
No
(
)
4.
Is securely supported
Yes ()
No
(
)
5.
Meets all current Code requirements for size
and total BTU's connected
Yes (
)
No
(
)
6
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes ()
No
(
)
8.
Has combustion airbeen provided for water heater
Yes ()
No
(
)
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
j- /
SUBJECT
P
City of Fridley
6 g g
AT THE TOP OF THE TWINS
BUILDING
PERMIT
fr ------- COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED By
l w ;•� CITY HALL FRIDLEY 56132
•---
l „ 612-571-3450
910-FIS
7/29/98
JOB ADDRESS 5821 5th St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
11
6
1 Bennett Palmer
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Audrey DeLaMartre
571-1185
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Four Seasons Roofing & Remod. 7930 Univ sit A
-
1 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 23 S 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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
191$
$.96
DOES NOTP SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS F ANY TE OR LOCAL LAW REGULATING CON-
STRUCTIO R TH FOR CE OF CONSTRUCTION.
$62.25
Fire SC $1.92
PLAN CHECK FEE
TOTAL FEE
® 62,q_9�
Li s SC
5.0
:13
SIGNATURE OF CONTRA OR OR AUTHORIZED AGENT MATEI
EN)PROPWI,,OALIDATE
troINSP
T S IS YOUR PER IT
rIATE
SIGNATURE OF OWNERIIF OWNER BUILDERI MATEI
j- /
NEW[ ] Effective 1/1/98
ADDN [ ] CI1�Y,OF FRIDLEY
ALTER [ ] + SINGLE FAMILX,, AND DUPLEXES R-1 AND R-1
S�JiLDINQ IPERMIT APPLICAITION pp pp
,.3
\4 w • t s',;111F/_/lU
ConstructionAddress:�
Legal Description:
Owner Name & Address: De Ia,ruo.;r+r-c_ Tel.. x 57/-11 F5-"
Contractor: ;50 (1 r S e• Ls 0 Y� A0 �a c� Rem? �_ e ,% na 1.�' .MN LICENSE #
�
Address: /N36 U h l U eX� :hd ill JUL Fr d Tel. #
Attach to this'°applicationu: 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.
DECD AREA: Length ; ` Width Hgt/Ground Sq. Ft.
OTHER: v dm4t)e. cCk
Construction Type:wf_M Ue d�l�,e�lacae,�oo�r" Estimated Cost: $ 1918
Y ,..
(Fee Schedule, on Back):'
Driveway Curb Cut Width Needed: Ft.-: +'6 Ft = Ft x $ _ $
DATE: Y�-o'Z `�-�l'APPLICANT: Tel: #
USE
ONLY
,,, r
• e i. -�.:,: .. w t La �. �3 6✓�f �� :':1. 4••�^. >kt �'J,eia•iJ'
Permit Fee ;'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 $ $5.00 (State Licensed. Resideaatil Contac���
Driveway Escrow $ • bj `AlC`MA"'or"Alt:- "B"• Above
..
Erosion Control $ �,�rf $45( .40 Conerv4tion Plp,.R�e�v�iew.
Park Fee $ Fee Determined by Engineering
Sewer Main Charge's $ .'y° ° +f 'v Agreement :Necessary [. ] -Not. Necessaryi [ Mal
IWO
TOTAL...
STIPULATIONS
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