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PRE 2010 DOCS0 0 City oFridley, FY, Minn idle BUILDING PERMIT N° 4116 Date: ....._...fJ_..___ -a- _ _----------------• Owner: ....... Builder ....._ _..._ _ .._ .. . Address ..... . ............. _. ....... ... -............. Address ION OF BUILDING Street __._.. .:....._ .... _..._ ............ i ............ .............. Part of Lot ................................ ................... ...._...... ._: La Lot � : Block ._..................._....... Addition or Sub -Division _-... __......_.... Corner Lot .................................... Inside Lot ..X .................. ...... ... Setback ...._ .... ........ SideyardCom.......... Sewer Elevation ..................G.........I....�........._............ ... ............. Foyndation Elevation .........a�_. To be Used as: OF BUI Front ..----®'- Depth _`.. Height If -: 0 Sq. Ft. ,1..0.Y— P Cu. Ft. l�--� .� Type of Consfruction../....:....-._..._.---_....................... Est. Cost......_ _...... .................. To be Completed I1 41.91i dW In consideration of the issuance to me of a permit to construc he buildin bed above, I a ee to do the proposed work in accordance with the description above set f and in comp ce with a pr sions of ordinances of the city of Fridley. ......_........_....... -- _._._._... __.._._.._..._._...._..._....._........ _... In consideration of the payment of a fee of $.Q+�...., 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. -lop - - / . ®� 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. �Jr Application for Power Pants and Hearing, Cling, Venti cWon, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOT1t' C) U 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 120,600 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM 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 BTI) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.5o $ 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 $ _•� Dept. of Bldgs. Phone SII 4-7470 Location 3 0--' 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 applicationand correct. Fridley, ' / 195 Owner 195— Kind of Building��'//wy� 195— Used as " I ` To be completed about Estimated Cost, $�,.J�y j Old—New. Building Permit No. 7' �Z DESCRIPTION OF WORK ABATING or POWER PLANTS—Steam, Hot Water Warm Air No c� Q Trade Name Size No '3.-� 0 ( v D Capacity Sq. Ft. E.D.R_ BTU H.P. 71 otal onnected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. REMARKS: 11 POST IM -12-58 0 Date: City of Fridley, Minn. BUILDING PERMIT June 12, 1967 X9 9309 owner: _. Otto Westerfield Sr Builder Same Address 5830 5th St. N E Address - LOCATION OF BUILDING No. _ 5830 Street 5th S t . ..—_ Part of Lot Lot 5 Block 5 Addition or Sub.Division . Bennett Palmer Addn. Corner Lot —_ Inside Lot — Setback --_ Sideyard __._ Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 22 _ Depth 22' Height 10' Sq. Ft. 484 Cu. Ft Type of Construction Front Depth . _ Height .— Sq. Ft. Cu. Ft Frame Est Cost _ $800 _ To be Completed Sept. 1, 1967 0 Garage located on survey- Permit No. 4116 (8/59) L] In consideration of the issuance to me of a permit to construct the building described above, I agree to do the propo�d work in accordance with the description above set forth and in compliance wlth®all provisions of ordinances of the city of Fridley. ,, I , --, In consideration of the payment of a fee of $ 7.00 , permit is hereby granted to OTTO Westenfield Sr. 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 ana workmen, in all work done in, around and upon said building, or any par' 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. CLARENCE BELISLE Building Inspector NOTICE: Ibis permit does not cover the construction, InstalHllon for wiring, plumbing, gas heating, sewer or water. Be sure to no the Building Inspector for separate permits for them hems. 0 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, Mn MSOTA OWNER'S NAME �� 9�=/ kxE; 4 OBU'iLDER� ADDRESS M-30 5 ' � �` %�_� ADDRESS LOCATION OF BUILDING NO. STREET PART OF LOT LOT �' BLOCK �� ADDITION OR SUBDIVISION '& A bdf 11 �. A /M eX--- CORNER LOT INSIDE LOT.�SETBAC5 SIDE -YARD I SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF.BUILDING To Be Used Ad: A iCi C' Front Depth Height - -12L Sq. Ft. i U % Cu. Ft. V 0 / o Front Depth Height Sq. Ft. Cu. Ft. Type of Construction ll,-Alr)(!-- Estimated Cost 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 (Schedule of Fee Costs can be found on the Reverse Side). (/ CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 Gas Piping $ 10.00 (piping needed with new furnace) Gas Range $ 10.00 Gas Dryer $ 10.00 * Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. TOTAL $ aO-100 $ .50 $ Job Address 6� [) 5 PC— Department C Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applicatio are true and correct. Fridley, Minn. 1 OWNER �W KIND OF BILDING J- 1 11 A R y' USED AS i TO BE COMPLETED ABOUT ESTIMATED COST �— OLD - NEW BUILDING PERMIT NO. PERMIT NO. /0 ! S DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, arm Ai No. y� Trade Name �� Size No. n( 1,rJ�( /� Capacity Sq. Ft. EDR BTU HP Total Connected Load /p �/� Kind of Fuel BURNER - Trade Name l l�//�� ,� V A 1, til, Size No. Capacity Sq. Ft. EDR Company Signed E Tel. No. Fill out back side for stack verification on replacement furnaces CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes No ( ) 2. Is free from rust or deterioration Yes (� No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes (�) No ( ) 5. Meets all current Code requirements for size and total BTU connected A 6. Has Total heating BTU's of All other BTU's TOTAL Yes (' No ( ) SUBJECT PERMIT NO. City of Fridley 20505 AT THE TOP OF THE TWINS BUILDING PERMIT r IV �• _ COMMUNITY DEVELOPMENT DIV. �>3 r PROTECTIVE INSPECTION SEC. i CITY HALL FRIDLEY 55432 NUMBER DATE PAGE OF APPROVED BY ''j 612-571-3450 910-F15 7 8/6/90 JOB ADDRESS 5830 - 5th Street N.E. I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 5 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Heath 5830 - 5th Street N.E. 571-4267 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central Avenue N.E. 784-7543 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 Q REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof (15 Squares.) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Rood 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. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS I GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $750 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $21.00 STRUCTIC O THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 'a.50 ROPERL V ED IS YOUR PERMIT SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIWHEN INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/90 ADEN [ ] R-1 AND R-2 AMER [ ] Q' Building Permit Application Construction Address: �6-5-3® Ji' A�� Legal Description: Owner Name & Address: � � Tel. # S7/— 7z67 Contractor: oqa> we -In �/�U'�JUPi✓7� Tel. # Af--I%4�3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF 324MVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DBCR AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: -S�1/1 Met- -�imated Cost: Approx. Completion Date: Proposed Driveway Width If New Is Desired: Ft. $ $ W'dth + 6' See Back Page DATE: �ls APPLICANT: �� Tel. # Permit Fee $ C>� / D O State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main amarge $ &—b STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT City of Fridley 29045 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � `COMMUNITY DEVELOPMENT DIV. ^ r PROTECTIVE INSPECTION SEC 1�3 ��1( I � t I �'"1 CITY HALL FRIDLEY 55432 ti'""A" NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 3 /22/99 JOB ADDRESS 5830 5 Street NE 1 LEGAL LOT N BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 I 5 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Heath 5830 5 Street NE 571-4267 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same a 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 C2 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (25 Sq) Tear-off 8 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1.07 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,142 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL F E $ 6 RACT R OR (OATEi EN O Y AL ATE IS Y R PERMIT &GT gGNAT.-E Y_�4' &0F1CV.YNE'P/0F OVVNER B R FRi i TEi BLD ��NSP pAtE NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress : Legal Description: Owner Name & Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/99 Tel. # 5-'7/ - 9 aICp Contractor: -54A, — MN LICENSE # Address: 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: too Construction Type: Estimated Cost: $ (Fee Schedule on Ba Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: a APPLICANT: Tel. # CITY USE ONLY Permit Fee $ 2!. 7J, Fee Schedule on Reverse Side Fire Surcharge $ . / .001 of Permit Valuation (1/10th%) State Surcharge $ /,. D' $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: Susitel P City of Fridley 313 4 2 AT THE TOP OF THE TWINS BUILDING PERMIT RE a: -------COMMUNITY DEVELOPMENT DIV. f I PROTECTIVE INSPECTION SEC. 1 "'1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF AOPPOV60 BY 612-571-3450 910415 8/25/00 JOB ADDRESS 5830 5 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 5 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Heath 5830 5 Street NE 763-571-4267 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 Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install soffit/fascia & window trim 9 CHANGE OF USE FROM TO STIPULATIONS Install soffit ventilation to meet the State Building Code. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,500 $.75 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- $54.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION Fire SC $1.50 PLAN CHECK FEE TOTAL FEE . / $A .25 SIGN ruREO CON7R CTO u R ED AGE IDATEi ENP OP BLDG S . L D THIS IS O�tF GNn TUBE OF OW NEA qF OWN U4DERi DATE, NEW [ ] ADDN (] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 5-9-30 Legal Description: Owner Name & Address: Effective 1/1/2000 (763) 572-3604 Bldg Insp Tel. # *Z3 Yi l- Y-26 Contractor: MN LICENSE # Address: 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. e OTHER: * F $ T Construction Type: YP Estimated Cost: $ 1,5-0 � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ g L74/� 4;�2 °2 o ® DATE: APPLICANT: Tel. # �A6 7 CITY USE ONLY - Call (763) 5722-3604 for Permit Fees if mailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ /, D .001 of Permit Valuation (1/10th%) State Surcharge $ �% $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: N SUBJECT i City of Fridley 3374 1 1 AT THE TOP OF THE TWINS BUILDING PERMIT r R NO. ►� COMMUNITY DEVELOPMENT DIV. j PROTECTIVE INSPECTION SEC.! >' v NUMBER REV GATE PAGE OF APPROVED BY• CITY HALL FRIDLEY 55432 763-571-3450 910415 7/28/03 JOB ADDRESS 5830 5th ST NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 5 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Heath, 5830 5th St NE, Fridley, MN 55432 763-571-4267 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO One Way Remodeling, 2125 Brookdale Drive, Brooklyn Park, MN 55444 612-991-0689 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20141923 S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct screen porch using existing slab 8 CHANGE OF USE FROM TO STIPULATIONS See notations on plans. SEPARATE PERMITS REQUIRED FORS� PLUMG HIAIN BINd AN SIOLS 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 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 $8,000.00 $4 .00 WITH WHETHER SPECIFIE0 HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT U E IVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVIS S OF O MER STATE OR LOCAL LAW REG U TING N. $153.25 ire SC $8.00 STRU ION O E P RFORMANCE OF CONSTRUCTION PLAN CHECK FEE AL FEE $5.00 ens 170.25 GNAruRE OF CON'RACTOR OR AurNORi2E0 AGEN i0 rE E FOR Y V 1 D THIS IS�yR ERMIT -OOK SAG -NS 4A S-GNATURE OF OWNER .,F OWNER BUILDERS tOArE, N NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: 3 o 5 0 S � VV` Legal Description: ' Owner Name & Address: d Tel. Contractor: MN LICENSE # 1;20/ Address- ° L� 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 l4? Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: 'S(- Ge -L– Estimated Cost: $�� `r Driveway Curb Cut Width Needed: —,,Ft. + Ft = Ft x $ _ $ DATE:7/7 APPLICAN Tel. #6Z2�1�' Call (763) 572-3604 for Permit Fees ifailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ s.S�. g2.S®Fee Schedule on Reverse Side Fire Surcharge $ - C�O .001 of Permit Valuation (1/10th%) State Surcharge $ -00 $.50/$1,000 Valuation SAC Charge $ $1275 per SAC Unit License Surcharge $ - ® $5.00 (State Licensed Residential Contractors) Curb Cut Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ TOTAL $ STIPULATIONS- I I I I --------------..---------------------i CD Y Q1 t Q1 T� � I I I I I � I t ----------� I I c_p I I I � I � I CA CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Effective On Jan 1, 2003 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR and rulings of the Building Division, and hereby declares that all the facts :::.. ::::::>: Urinal �::.::.::. � ::.::-':::>':: Shower = . • �:`�:�.:.:.::: ...-��..I�..:::.: Wash Tray :ice < :i Floor ..: :I Drain )`��i�<> ..... Dr s:=» :Auto..... i �iit ..... her Was Gas Ran .:: > a .......::. MiSG<<-<> Water Heater • Stones < Gas E ec >> ...... Basement t Building Used As Sump/Receiving Tank j Estimated Cost PERMIT NO. / Water Treating Appliance "PLUMBING Water Heater -Electric COMPANY Water Heater - Gas" Floor Gas Range" .` Gas Dryer"" Back Flow Preventer Required ( )Yes () No Type Floor 2 F loor 3 Floor 4 PLUMBING FIXTURE RATES: NO. $ 5.00 and rulings of the Building Division, and hereby declares that all the facts New Fixtures and representations stated in this application are true and correct. Old Opening, New Fixture ` 2- G a , 20.g3 Beer Dispenser Blow Off Basin Owner Catch Basin Q Rain Water Leader Building Used As Sump/Receiving Tank j Estimated Cost PERMIT NO. / Water Treating Appliance "PLUMBING Water Heater -Electric COMPANY Water Heater - Gas" Gas Range" Gas Dryer"" Back Flow Preventer Required ( )Yes () No Type RATE TOTAL JOB ADDRESS �. )�W7 / $ 7.00 e8 - �® The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work in strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 $ 7.00 ` 2- G a , 20.g3 $ 7.00 $10.00 Owner $ 7.00 Q $10.00 Building Used As $10.00 $10.00 j Estimated Cost PERMIT NO. / "PLUMBING $15.00 COMPANY Reinspection Fee $47.00/1 -Ir SIGNED BY / TEL N0. - 5Y 7 nc/9 1 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date L1,7 State Surcharge $ .50 MINIMUM FEE R ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ 3&0 PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED (`OIL mnm VFNTr F1YT CONNFCTOR ANn COMBISTION AIR VERIFICATION When raplacina an existing furanra, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes( ) No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The axisttnn enmN ,soon air is sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When required to install a now _nm6 ,stinn air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When Installinen a new ventin0iys m, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date: SuB.IECi City of Fridley 33901 AT THE TOP OF THE TWINS BUILDING PERMIT I ? RECEIPT NO. DEVELOPMENT DIV. V -------COMMUNITY Q r PROTECTIVE INSPECTION SEC. f�J 1 � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910.F15 9/22/03 10B ADDRESS 5830 5 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 5 5 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike & Jean Heath 5830 5 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO One Way Remodeling 2125 Brookdale Dr, Brooklyn Park, MN 55444 612-991-0689 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20141923 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION Cj ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Kitchen & Bath Remodeling and install an egress window 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES ANO 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 $10,000 $5.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- $181.25 Fire STR CTIO O THE P RFO,MAN E OF CONSTRUCTION SC $10.00 PLAN CHK FEE TOTAL FEE q Lice' a SC $5.00 $201.25 —1-- OF 1—WArAdWAUTHORIZED AGENT (DATE. W EN PROPERLY VALIDATED THIS IS YOL4R PERMIT %c),Q) SIGNATURE OF OWNER,1F OWNER BUILDERi (DATE, I FIAlk NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor. 4 Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 5714287 Fax Tel. # MN LICENSE # QZ11/1 �a 3 L_Tel. # ( 1 _J%-- 9F/-0rV_y7 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 C Width Hgt/Ground Sq. Ft. OTHER: to 14� Construction Type: e: Estimated Cost:�� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: , Aq APPLICANT- ` JeL" Tel. Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ , �'5 Fee Schedule on Reverse Side $ (;l , 06 .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1275 per SAC Unit $ cN$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 [ ] $ Q01. 'D� 0 Install New Wii .-2149 hea6er BUILDING OFFICIAL REVIEW AND N ;','GR ZATION REQUIRED PRIOR TO I -'10C OR ALTERATIO Exsiting windows �i1 ope,�,r.�s in During v4a.11 shall 0e fi'rumed with double headers of r ode' size. THIS J0D COPY SHALL OBBE AVA SIT FOR THE FRAMING AND FINAL INSPECTIONS Contractor: One Way Remodeling 2125 Brookdale Drive Brooklyn Park,MN 55444 612-991-0689 Home Owner: Mike & Jean Heath Address: 5830 5th Street N Fridley, MN 55432 Elec �)l vvA _M&CA Fp( &-wN e. SEc�3to.�.A )L UK Bath i �O � m �JlC1C �mp£� CIN OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS L 5 A 6 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 — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back) a' Gas Piping (Needed with new furnace) $ 10.00 $ E j OWNER c .,--Gas Range $ 10.00 $ .BUILDING USED AS Gas Dryer $ 10.Q0 $ JSf ESTIMATED COST PERMIT NO. *Air Conditioning —All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work Commercial/Industrial �. 1.25% of Value of Appliance or Work ° State Surcharge TOTAL FEE $ No. of Heating Units _ Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR $ Fuel, Total Connected Load .50 $ .b MINIMUM FEE FOR' ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name. Size No. BTU HP EDR HEATING CO Signed By. Approved By FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE It>3 HIMNEY AND STACK VERIFICATI 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 O 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 air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS B . ng Done: HEATING CO: Signed By: Date: ,t. V Building $ :� BUILDING See Back Page for Fee Schedule Permit No.: �< Inspections RESIDENTIAL APPLICATION Surcharge Received By: 763-572-3604 oe CITY OF FRIDLEY $ Date Rec'd: DATE o'7 J--®� YOUR O,�E�-MAIL ADDRESS License Surcharge SITE ADDRESS 30 -V? """�` A"( ` $5.00 (State Licensed Residential Contractors) THIS APPLICANT IS: ❑ OWNER p@CONTRACTOR PROPERTY OWNER/ NAME: " y' $ TENANT ADDRESS: 2;&5O SCITY STAT>r=KLIP=�L-✓-� ,30+ - $ PHONE: $450 Conservation Plan Review CONTRACTOR® NAME STATE LICENSE # EXP DATE Sewer Main Charge SUBMIT A COPY OFA YOUR STATE LICENSE ADDRESS: ^� CITY /Lt % STAV&IP��✓' WITH APPLICATION PHONE /g� 90'0622 FAX 1-1 Make checks payable to: City of Fridley Attach Stipulations PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED DOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANC PAIK 01;0--TA22LL0G DESCRIBE WORK BEING DONE:_rl`c7 klayL — SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S q. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: PROPOSED HEIGHT: ❑ DETACHED GARAGE f I ' �� List of structural members to be used SIDING ❑ Vinyl d1 ❑Soffit / PPP ]FORW' Cot UCTION INCLUDING DECKS, N RCHES SUBMIT: ❑ Aluminum ❑ Other �L�1, ❑ Trim ( Y •. ❑ Fasciay� 1. / Survey showing the existing structures and proposed project 1" IVr 2. Two sets of construction plans R INDOWS XI IN EXISTING OPENINGS ❑Yes ❑No LOCATNN F WS L/1 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF1/7 �� OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S & &Q &!a` OCCUPANCY TYPE 'A, Permit Fee $ :� - =�S See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ ?3 e cg® (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ 6,00 .001 x Permit Valuation (1/10%) License Surcharge $ '5-'(90 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ d D �/' Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances codes f the, ity of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicatio or a pe w rk is not to start without a permit; that the work will be in accordance,,Kith thapproved plan in the case of all wor which re fres to and approval of plans. SIGNATURE OF APPLIC .�/ PRINT NAME5I" '% e. -sem -1 DATE