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• • i City of Fridley, Minn. BUILDING PERMIT N® 3 713 Date: ...... . /...:.... ........ Owner ....................................... Builder ............................................. Address ...................................... Address ............................................. ON OjF° AVILDING No. Street Street ......:.......... ......... Part o Lot ..... ... .. ............... Lot ... . T .... Block .... 4........... Addition or Sub -Division ..... ` mle4 ......... Corner Lot ............ Inside Lot ..X ........ Setback .�. .� Sideyard .0 ®: f� . DESCRIPTION OF BUILDING To i Pl:�f° % J . Front 7. Depth . ® Height k .1.�� Sq. Ft. &. !. Cu. n ..............:. Front ........ Depth ........ Height ........ Sq. Ft......... Cu. Ft......... Type of Construction ................... Rst. Cost. 6'�A ... To be Completed .......... In consideration of the issuance to me o; a permit to construct a4bufldjftdesribe abo e I e to do the proposed work in accordance with the deacription above set o mp ce all visions of ordinances of the city of Fridley. X............ ................. .... In consideration of the payment of a fee of $.W......, permit Is hereby plinted to ......... ......................... to construct the building or addition as described above.. This permit isted upon the express condition that the person to whom it is granted and his agents, employees and workmen, all work done in, around and upon said building, or any part thereof, shall conform in all respects to the o ces 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 zany time upon violation of any of the provisions of said ordinances. G1 .� ... / ........... 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 6Owners Name Builder Address �� "1° `'� _ _ _. Address LOCATION OF BUILDING No, treet Part of Lot w Lot 1 Block Addition or Sub. Div. Corner -Lot ____ Inside Lot Set Back Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be use s r Front Depth Height Sq Ft Cu. Ft. Front Depth. .H eight Sq. Ft. Cu. Ft. Type of Construction 6� Estimated Cost—.L....L,.= To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances And -ruling -of the Department of Buildings, and hereby declares that all the facts and representations stated in this a plicat are true d correct. DateSignature —4- (A Schedule of Fee Costs can be found on the e /Side ) f3 PJ °i NUNDEnENGDuE G c0'w'qllqcw ENGINEERS AND SURVEYORS WAND euRVEY1No SOIL0 TESTING CIVIL du INIVNIGIPAt fNO1N@HRIN3 LAND PLA.NNINO 6418-SG''w AVENUE N. MINNEAPOLIS 2?, MINN- KE 7- 3637 �//!T/ /1 ri� •f Jnr P r �y �1� V / 7 0 Fs ` WE NER1;®Y CERTtr-Y TIM THIS 15 A TRUE AND CORRECT kEPR,ESENTAT10N OF A SURVEY OF THE BOUNDPAIES OF THE LAND ABOVE DESCRIBED AND or -THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, Wo ALL VISIBLE ENCROACHMENTS, IF ANY, fQ0WI OR ON SND LAND. MmDER EN6IwwzIt4G Co., INC. pATEC THIS- OI►Y9F @Nell ►dEp- as ANO y'SUR symstZAL! J f C 7 by J a • • r1 L_J City of Fridley, Minn. BUILDING PERMIT Date: AUGUST 16, 1965 N? 8366 Owner: GEORGE JACOBSON Builder METRO BUILDERS INC. Address 5851 - 5th St. N. E. Adm 2909 Nicollet avenue Fridley 21, Minnesota Minneapolis. Minnesota LOCATION OF BUILDING No. 5 851 Street 5th S t _ N. E- Part of Lot Lot 14 _ Block � _ Addition or Sub -Division — Bennett raper Addie ies Corner Lot Inside Lot _ Setback Sideyard Sewer Elevation _____ Foundation Elevation To be Used as: Type of Construction Front DESCRIPTION OF BUILDING Depth Height Sq. Ft. Front Depth Height Sq. Ft. Est. Cost __ $1.5 4.Q. 00 To be Completed STORM DAMAGE REPAIRS Cu. Ft. Cu. Ft. In consideration of the issuance to me of a permit j�o construct the building described above I agree to do the proposed work in accordance with the description akve set forth and in compliance with ih provisions of ordinances of the city of Fridley.`�ti In consideration of the payment of a fee of $ 10.00 permYi is hereby granted to W -TRO RirrWERS, INCORPORATED 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 dome in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesotas�gg location, construction, alteration, maintenance, repair and moving of buildings within the city limitshis permit may be revoked at any time upon violation of any of the provisions of said ordinances. ALLEN G. JENSEN NOTICE "b permit don not sever the eonstruedw, Mdagntbn for wkb& phmbiee, Bn hentb& sewer w wafer. Be wre ft sn the Buildh* fa wmr for sgwafe pets for these Nems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA V OWNLR ' S' NAMB �5e?:'ro,!77 B'UII,DER ADDRESS��� ADDREss-,f,��{?�.,C -- LOCATION OF BUILDING No. street Part of Lot LOT BLOCK ADDITION OR SUBDIVISION G Corner Lot Inside LOT Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates 'of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: 1. Front Depth - Height Sq. Ft.' Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft". Type of Construction '-,�!' ���e�1_r Estimated Cost To be completed 9 ,' 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 9"7 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). g Ilk- ol i i i 1 - so .i 001, YQ K h / x IA, T. 1 f -44 of � / I $Ili City of Fridley, Minn. • BUILDING PERMIT Date: JUNE 6, 1966 11 GEORGE L. JACOBSON Builder SAS--- — Adm 5851 - 5th Street N. E Address Fridley, Minnesota 55421 LOCATION OF BUILDING ,e"I�, -!? 3 yj� X? 8870 No. 5 851 Street 5th t_x - y- Part of Lot Lot 14 Block 6 Addition or Sub -Division . R7+.ATMTT PAT MFR ADDITION Corner Lot Inside Lot —. X Setback — Sideyard Sewer Elevation _ ___ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: DETACHED GARAGE Front 24 Depth 22 Height 10 Sq. Ft. 528 Cu. Ft. 5,280 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost_ $1,000 _ 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 with aft provisions of ordinancce of the city of Fridley. 1�c/'J In consideration of the payment of a fee of 5.00 permit is hereby granted to GEORGE L. JACOBSON 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, Mianesota g location, construction, alteration, maintenance, repair and moving of buildings within the dty limitsn amend =this permit may be revoked at any tiaae upon violation of aay of the Provisions of said ordinances. WMLTAM H. SANDIN NOTICE: This psrmh don not asrer the anstraWon, hatagaMm far whdag, piombing, an heating, sewer or water. Be son to as tie Bsiidhng Wgmwer for Separate permits for thea <team APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, NINNESOTA OWNER' S NAME�� —L et �sd ( r' BUILDER ADDRESS 59 � I 6-L4 S4 . 'N/ • I ADDRESS �a LOCATION OF BUILDING NO. STREET PART OF LOT LOT j� BLOCK ADDITION OR SUBDIVISION_ ©�i®Cv CORNER LOT INSIDE LOT N SETBACK SIDE YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING and proposed Front Depth QZ Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost �a 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. r DAT')'n- E Ca ( SIGNATURE , 4 ( 6 �dl r (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT MIT City of Fridley o 187 4 AT THE TOP OF THE TWINS BUILDING PERMIT r REC • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. � �� r PROTECTIVE 1 I NUMBER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 1/6/87 JOB ADDRESS 5851 - 5th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 6 Bennett Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duntley 5851 - 5th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Contr. 6331 Riverview Terrace N.E., Fridley 574-9966 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 L� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Aluminum trim 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 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 $1,500 $.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 SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $25.00 A8 % PLAN CHECK FEE TOTALFEE $2.5.75 SIGNATURE OF CONTRACTOR OP#UTHORIZED AGENT (DATE) -. WHEN PROPER L ALIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG )NSP fiaT NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R -2I ALTER. [ ] Building Permit Application Construction Address: .5851 5--t`11 S_f, Legal Description: Owner Name & Address: '0/ Tel. # Contractor: 11� '% C-4 A t2 0 4A e f c Nr- S Tel. # Address • 6 33 / y i E U Tl' 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 [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: -AL ei m • _r161 n Estimated Cost: $ l So o , OQ Approx. Completion Date: SI/11's Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: G APPLICANT: �-.� Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY v C) Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Gas Piping \ $ 10.00 $ a.0, (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 $ 15.00 Space Htr,auxill. COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $X5. 50 Reinspection Fee ($15.00) $ Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $34'1.00 PLUS $.50 STATE SURCHARGE Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address _5.851 NE 5 St _ Liiective Aug, 1, 1981 Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. 3 Feb 89 19 OWNER Susan Duntley #571-1986 KIND OF BUILDING Frame USED AS res TO BE COMPLETED ABOUT 3 Feb 89 ESTIMATED COST $400. OLD - 9MBUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Warm Morning SpHtr size No. VR -35 Capacity 35,000 btu Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel nat. gaS BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP 2 Compa �: ,moi • SUBJECT PERMIT NO. City of Fridley 7 9 AT THE TOP OF THE TWINS BUILDING PERMIT �_ r �• COMMUNITY DEVELOPMENT DIV �' __ PROTECTIVE INSPECTION SEC k73� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF CRO 612-571-3450 910-F15 10/4/95 JOB ADDRESS 5851 5 Street NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 14 6 I Bennett Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sue Duntley 5851 5 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Contr 6331 Riverview Terrace NE Fridley MN 5 432 574-9966 0 1 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 D NEW D ADDITION O ALTERATION REPAIR O MOVE O REMOVE x❑ 8 DESCRIBE WORK Reroof House (14 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 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 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 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 $840 $.42 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $32.00 Fire SC $.84 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $38.26 SIGNATURE OF CONTRACTOR OR AOHORIZED AGENT I ATEI WHEN PROPER 81.01NSP VALIDATED THIS IS PERMIT ATE SIGNATURE OF OWNER IF OWNER BUILDERI IDATEI NEW [ ] ADDN (] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address : Legal Description: e5/ T?x st- Effective 8/1/95 Owner Name & Address: Sur p u, f L E Tel. # Contractor: -e ; c 4-A 2 p 7/ <v 6 S _ MN LICENSE # �/ o 5 / Address: 3 31 2, u p tL-�t , Tel. # S 5/' 7729 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: /-,/ S5'. 1 � .e/'y / Q !& Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: ZE Roo F Estimated Cost: $ 'Ma-e�s— Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: to �S APPLICANT: r /&� Tel. # S7 �- P b� 6IV Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ 3a Vii Fee Schedule on Reverse Side $ , <gH .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $850 per SAC Unit $ �e-, n $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 [ ] $ 3 City of Fridley: I, Susan Duntley, of 5851 5th Street NE, give Richard and Judy Larson, of 5861 5th Street NE, permission to extend there concrete driveway to there South side lot line adjoining my North side lot line. Signature: Date: SUBJECT —PfiRM IT NO.. City of Fridley 2 8 0 9 7 AT THE TOP OF THE TWINS BUILDING PERMIT to ('0 �� . t • COMMUNITY DEVELOPMENT DIV. i fr -.---_ , SEC r � � PROTECTIVE INSPECTION o , NUMBER pEv DATE PAGE OF APPROVED BY ICITY HALL FRIDLEY 55432 L 612-571-3450 910415 10/5/98 JOB ADDRESS 5851 5th Street I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 6 lBennett SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sue Duntle 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastin s- 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 8 DESCRIBE WORK Reroof garage (7 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. ' SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 599 .50 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 23.75 Fire 9C .60 PLAN CHECK FEETOT FEE /b A;Licen $5.0 29.85 SIGNATURE OF CONTRACTOR OR AU ORiZED AGENT ,GATE, EN PR Y VALI D THIS IS YOUR PERMI / SIGNATURE OF OWNER,IF OWNER BUILDER, ,DATE' ' BLOt ,NS qA E NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 0� ConstructionAddress: � Co Legal Description: Owner Name & Address: Yg-ig- Du Altl-e l Tel. # Contractor: S MN LICENSE # fp SI Address: 6 311 R` os! P u i c-4,1 Tel. # S> 5( - t96 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: 7 S� Construction Type: 72'-,4 P, a Ft` a- ?--F lZ oo F Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: /o APPLICANT: Tel. # STIPULATIONS: CITY USE ONLY 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 d C) d $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 $ .29 j,3 STIPULATIONS: 01 SUBJECT PERMIT City of Fridley 67 0 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC 1 . � NUMBER RE!V DATE PAGE OF APPROVED By i A CITY HALL FRIDLEY 55432 ��"'f,'� _--• 1 J` 612-571-3450 910-F15 2/22/00 JOB ADDRESS 5851 5 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 14 6 Bennett Palmer I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Susan Duntley 5851 5 Street NE 3 CONTRACTOR B rkley MAIL ADDRESS Construction ZIP PHONE LICENSE NO BRUMWayne 21240 Gypsy Valley Rd, Anoka, MN 55303 753-6409 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 4043 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering (builtrite). TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIREO 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 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 $7,600 $3.80 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 - Fire SC $7.60 TA TRU TION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK F E OTAL FEE Lic a SC 0 $169.65 SIGNATUfE OF CONTRACTOR OR AUTHOr AGENT IDATEI HE P O.PL,Y A ATED I R� MIT s r S-GNATURE OF OWNER,IF OWNER SUILDERI IDATEI auft -NS gATt 01 NEW I j Effective 1/1/2000 ADDN [ j CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: S, , :�'a ,a pel I r 5� �i Tel. # Contractor: v klie MN LICENSE # Address: �C/ �D cofOs�������� Tel. #/Z75 3-4 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 DECK AREA: Length Width Hgt/Ground OTHER: Sq. Ft Sq. Ft �/��".� e8 Construction Type: E, �i�, Estimated Cost: $ ` /- d Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ —ZL&DATE: ' Z Z " U b APPLICANT:0)4we-Tel. # e,112 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ ®�o?S Fee Schedule on Reverse Side Fire Surcharge $ ~% / O .001 of Permit Valuation (1/10th%) State Surcharge $_ q,,80 $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ �-D�$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 $ /(09, STIPULATIONS: Buila.ing I PIL-JUNOENG Permit No.: Inspections RESIDE TLA APPLICATION Received By: 763-572-3604 CITvi OF FRMLEY Dat 1)dJ 763-502-4977 FAX E"Ecl=f 1-1-08 DATE (ILQlOq YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER. CONTRACTOR PROPERTY OWNER/ NAME: Z STATE ZIP ADDRESS: CITY TENANT PHONE: —?Vs— CONTRACTOR NAME: fjow Eli STATE LICENSE # EXP DATE - SUBMIT A COPY OF YOUR STATE" LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS:B2-a`j% VVIQIt s% AIS tZiR CITY STATE_I_ZIPS INSURANCE PHONE' %5� ZI �9 FAX PERMIT TYPE ,SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE WORK: EJ NEW REPLACEMENT TYPE OF " DETAILED DESCRIPTION OF WORK # Pt yr, WAALu' PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.00, whichever is greater, for the improvement,, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = plus SO surcharge OR FOR PROTECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $] 0.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. WATERPIPING SINK/LAV FLOORDRAINS _SHOWER — _BATH _ BATHTUB _ GAS PIPING (NEED CITY LIC) ,_ SWIMMING POOL —WATER SOFTNER ($35) SINK WATER CLOSET BACKFLOW PREY. ($15) CLOTHES WASHER—KITCHEN _ _, — DISHWASHER —LAUNDRYTRAY WATER HEATER ($35) FOR IRRIGATION WATER MET�ER_O�THER i�•�qf. _ .. __.. t '.:d. d __ �.N!��'�{.:.i 4:..i7. l6ii�ilYT Permit Fee $ Number of fixtures @ $10.00 x $10.00 $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ OR Number of fixtures @ $35.00 = x $35.00 = $ 35 . TOTAL DUE $ State Surcharge = $ .50 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the.worlc will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes: that I understand this is �Inot a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance the approved plan in the case of all work which requires review and approval of plans. IIwith SIGNATURE OF % APPLIC.1 T t / Z' PRINT NAM&. /, 44� C'f-;PW- DATE 6 q ,APPROVED BY -)ATT: PLE-kSE'iJOTE: 5E ` RATE:PERIVIITSARE REOliIRED FORB.UTLDING. iJ1,13-CrMCaL A—N1 D ytECHA'NlCAL.'YORK. tY !)p 74ridlev 3uildin; nspe�•�ioais eua l�n>c �4 -1 Jniversin• avenue :\IE. Fridley. ?\Al\f : f,, ;63-5 7-360d - E7 Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Ie 763-5`02-14\977 FAX EFFECTIVE 2-19-09 DATE f I " y ` YOUR E-MAIL ADDRESS SITE ADDRESS 5DA Tt- 1 L� THIS APPLICANT IS: ❑ OWNER XICONTRACTOR PROPERTY NAME: ADDRESS: e -° - * � CITY lcL 1 a STATEMnZIP��� OWNED TENANT Cta' PHONE:I - � CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY SUBMIT A COPY OF CONTACT PERSON: JOANN ZINKEN BOND 22013346 08119/2009~ YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS:9320 EVERGREEN BLVD NW SUITE B cITYC00N RAPIDS STATE MN ZIP 55433 APPLICATION PHONE 763-757-6202 FAX 763-757-6701 PERMIT TYPE .SINGLE FAMILY 0 TWO FAMILY 13 TOWNHOUSE TYPE OF WORK: 13 NEW PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: ( DICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG:MODEL: SIZEBTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 $35.00 LFURNACE $35.00 GAS UNIT HTR $10.00 _BOILER LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 tFt3. 'n'u °mak >Jv'f` %i'kvn� - �`k.,' (µj 4;� '°'�4 ,..., °cY �..:'� '�' �'�S�Rt S, ., �, { v ,"s r. �� C Ar i,�„��•x °a''�s Y Ya. �r 5�.�: S i � hA* "YM,Y� .ln'� � �3+ � � 1�`"SY•ykY,°� �F "3 U `Q "4:�-RS*v .. >� Offi 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 and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case all work whih rt uire view and approval of plans. SIGNATURE OF AP ffi"!�FRINTNAME ROGER HOFFHEIN DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC 0 NEW HOMES/ADDITIONS ZEXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 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 Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.