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PRE 2010 DOCS0 City of Fridley, Minn. MELDING PERMIT Date: .. ! . \...... 0 No 3719 11-'�. � s Owner ....................................... Builder ...... .. ...... ... .................... Address ...................................... Address ............................................. ATIONi WILDING No. ....�/.. Street ..... 1..%/.... !...... Part of Lot ...................... . Lot .... /.V.... Block ...... 0.......... Addition or Sub -Division 464V2- r+.�i.G1............. Corner Lot ... ...... Inside Lot ............ Setback ���.... Sideyard��..��....'............... . DESCRIPTION OF BUILDING To Us � e Y ... .... Front.�: Depth �.� ..� Height ��'�. Sq. Ft. �1.f1. !.. Cu. Ft.�1.. % ..................... Front ........ Depth .. J� ..,.�/ ,H�eightt° ........ Sq. F't. ........ Cu, Ft. ........ Type of Construction ................... Nit. J. / 1.1 �J �S * . � . To be Completed ................... In consideration of the issuance to me of a permit to construct thZ'd din esribed bov , I a e to do the proposed work in accordance with the description above set fo in pli wi ions of ordinances of the city of Fridley. .. .... ............__, ... ................ ....... �.! grlu, v In consideration of the payment of a fee of $. � ......, permit is hereby ted 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. i s :� • .... 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 sel►prate permits for these Items. I, APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name & A Vim: Builder Address 67 a,& `" Address — LOCATION OF BUILDING No. �� Street �`�� Part of Lot Lot 16'Bloak . Addition or Sub.. Div. Corner Lot. side Lot Set Back_ Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To beuse I rL�_ Front . Depth Height Sq. Ft. Z Cu. Ft. Front ....Depth flight = Sq. Ft. Cu. Ft. Type of •Construction _f 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 Ordinances and ruling of the Department of Buildingso and hereby declares that all the. -facts and representations sta are true and cor ect. Date Signature (A Schedule of Fee Costs can be found on tion w MINDEAENGINE. G co'e-9 INC o ENGINEERS AND SURVEYORS LANO SURVEYING SOILS TESTING CIVIL d. MUNICIPAL ENGINEERING LANA PUM4MINO 6418-S6T" AVENUE N. MINNEAPOLIS 2T, M1NN. KE 7- 5637 S S1 j ` Ii r�r]Vr °F ly 1 y t i a 1 �S, 1 L �} n�'`' I� M � y 1 WE HEREBY CERTIFY TWO THIS 15 A TRUE AND CORRECT REP1tESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATIOW Of: ALL BUILDINGS, IF AMY, 714ERFON , AMD All VISIBLE °ENCROACHMENTS, IF ANY, FROM DR. ON SAID LAND. MINDER - ENGINEERING, CO., INC. e r OnED fNiS my OF 6P. N !; T to AtS 4t EH1dtIJEER B AND SumvLYdRS by i _ .1!, 4 �w *City oFridley, Fidl, Minn. BUILDING PERMITS? 4368 Date: 1 �a -3 0 `� _...._............._......-----.._...._" - ...._....._-_....._....- Owner: ......................................_.................................----...._............._.................... Builder Address.......................... ........................ -.............. __... _............ _...._........... ..... Address ...................................... _..................................... _....... ........ - ....... -....... - ... _........... LOCATION OF BUILDING No. ...f . Street ............ ..._......................------------- Part of Lot . .................................... .... ........... -.................. _ _ Lot ....... .` .............. Block .......... 6...................................... Addition or Sub-Division�?!!�� - Corner Lot ------------------------------------ Inside Lot ...... ............ ............. -...... Setback .... ........................ ................ Sideyard Sewer Elevation ......................... .......................... ............................ ----................. Foundation Elevation .................. DESCRIPTION OF BUILDING To be Used as: .......... nt ....._ ............._..I Depth .................... _.. Height ........................ Sq. Ft. ...................... Cu. Ft ............................................................Front .-G._r...f�. ® Depth Height AO...7)0 Sq. Ft. `?... Cu. F't. YR Type of Construction .... ...................... _..................._.......... Est. Cost...../ 77.4 ...'-..'-'Tobe 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 compH with all provisions of ordinances of the city of Fridley. h // �/ In consideration of the payment of a fee of $....(d....r 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. _1___1 Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 A APPLICATION FOR BUILDING. PEIRIM CITY:OF FRIDLEY,•MINNESOTA , Ownei-e Nam Build, 17 Address .. -i f-7/-� /�-�--.' �. Address ' LOCATION OF ILDING Street i7 Part of Lot Lot ,/ W/ Block ! Addition. or Sub.Di.. -_ •Corner.:Lot r/ InsIde Lot Set Back. Side -Yard :Si ELEVATION' FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. .DESCRIPTION OF BUILDING To -be used as: X Front %0 Doth Height• Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Gu. Ft.` Type`o£ Constructions=/!� Estimated Cost To be completed The undersigned hereby makes applica.ti.on fora permit for: the work h6rein specified, agreeing to do all work in,strict..accordance with the City Ordinances and ruling of the Department of Buildings, and. hereby' declares that all the facts and representa- tions stated in this application are true and correct. (A Schedule of Fee costs can be found on the Reverse Side.) �n%a� _^ n. a r�; ", � • 1 ugt/0 �r�,��Q � �' � !� fyFi BLOCK AM � %% �' . rtI , �'� VALUATION /� t ADD. TYP.E.����� .--- ...... ............ ...................... U Z A 03 FA fin Itb M Fit h Ebusa Front ............................. ........ I. Prgpert Lane ;1 h APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � OWNER'S NAME O /I/✓ I% JE4)4 0-5 BUILDER ADDRESS 5-Y % % - S_ f� 5f; A).,, ADDRESS LOCATION OF BUILDING 5,,-- k -F Ole No. / -:5 :�-f; Street part of Lot LOT __J.6_BLOCK `_ADDITION OR SUBDIVISIONrA ,�T„-T - 24) 2 al Eta Corner Lot X 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 Dept Height, Sq. Ft. Cu. Ft. /aka �l.a C, p"-Ae, Type of Construction 0c A? I)?- �? Ai 11,F Estimated Cost 50606—" To be completed App,e D X 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 0/ - y'- % S SIGNATURE�Y- L � . (Schedule of Fee Costs can be found on th&-eeverse Side)." 0 10 • • City of Fridley, Mian. N° . 8 614 BUILDING PERMIT Date: NOVEMBER 23, 1965 Owner: JOHN JEMaNS Builder SUSSEL COMPANY Address 5 871 a 5th S t . N. E. Address 1850 Como Avenue Fridley, Minnesota SIM 55421 St. Paul, Minnesota, LOCATION OF BUILDING No. 5 871 Street 5th St . N. E. Part of Lot Lot 16 _ Block 6 Addition or Sub -Division , Bennett Palmer Addition Corner Lot _ Inside Lot ` Setback Sideyard Sewer Elevation ____ _. Foundation Elevation DESCRIPTION OF BUILDING To be Used as: FMSH BASEMENT Front — Depth Height Sq. Ft. Front Depth Height Sq. Ft. Type of Construction Est. Cost — $1,400 __ To be Completed Cu. Ft. Cu. Ft. 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 wi provisions of ordiaancos of the city of Fridley. In consideration of the payment of a fee of $9.00 , permit is hereby granted to SUSSEL COMPANY to construct the building or addition as described above. This permit i8 granted upon the express cendition that :jSbu@ to whom it is oraaddi and his agents, employees and workmen, in a work .done in, around and uponFridley,Minnesota regardwithin the dty limitssad t may be revoked at any time upon violation of any of the Provisions of said ordinances. ALLEN G. JENSEN Building Inspector NOTICE V& pomdt don no serer the aotalr wflm, imtahladm for wMhW p1 mbbe, an hafts, .ewer w wabr. Be an to ae the BuUdhm Mqm for hr aparate permNa for thea Num. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OW1�:R' S NAME �E&AaS BViLDER ./ --► '&f 166 f 4=70 - ADDRESS .� S; % ADDRESS f� �® 15X LOCATION OF BUILDING Part of Lot LOT K ADDITION OR SUBDIVISION Corner Lot Inside L , Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATIOk Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To a used as; � 6 Front Depth Height Sq. Ft. Cu. Ft. Front Depth _Height Sq. Ft. Cu. Ft. Type of Construction F—R,qME Estimated Cost %4cros av To be completed_ Uo!�G :P®, l 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..-•. v-- U. && YG LVull4 VA Gale Reverse b3me). SUBJECT 0• City of Fridley 2 �. 2 3 0 17212 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ r PROTECTIVE INSPECTION SEC. i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/13/92 JOB ADDRESS 5871 5th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 6 Bennett. Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Margaret Gruba 5871 - Sth.Street NE 571•-5035 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Main City Storm Sash Co Inc 10825 Greenbrier Rd, Mtka MN 55343 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 [j REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace sashes 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $3,783 $1,89 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- $63.00 Fire . SC $3.78 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE Lice e SC $5 $73.67 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEPRO E L T THIS_IYOU PERMIT jg' SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI G INSP nATE 74 -6� - NEW I � ). 9--3 � % 3 -&7o(( -,l ADDN ] (� Z, v U CITY OF FRIDLEY ALTER (] -3_ 7s SINGLE FAMILY AND DUPLEXES R-1 AND R-2 cyl Building Permit Application S-50 Construction Address: .69 `7 / _,tr� Legal Description: Le- i" / Owner Name & Address: `iiia re, a re_f =.. �: K_M Effective 1/1/91 _ Tel. f %1 wO S Tel. #� ��4 - S ) 6 0 r nnus UI r Y s 1 URM SASH CO., INC. Address: 12M nREMBRIER-ROAD , WWYW&fiio Certificate of Survey of the lot, - with the proposed construction drawn on it to scale. DESCRIMON OF WROVEMENT 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 I ) - Inside Lot I ] Ft. Yd Setback Side Yard Setbacks Type of Construction: % (e'51 urn e n oc S h &3 Estimated Cost: $ % - Approx. Completion Date: Driveway Cub Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: - / - APPLICANT: QTc i _o_'LA ® Tel. 1I J `7 - S A00 Permit Fee $ t CO Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ i 99 $.50/51,000 Valuation SAC Charge $ $650 per SAC Unit Driveway Escrow $ Alt. 'A' or Alta 'B' Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not NecessaryCO A_n1ZAe7W1, RE I ] TOTAL STIPULATIONS: s �1, Gi �l� 01 SUBJECT PE City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 22444 1 ? RECEIP V------ COMMUNITY DEVELOPMENT DIV. i PROTECTIVE INSPECTION SEC. r I � I r NUMBER REV DATE PAGE OF APPROVED BY I ! I---1 '- CITY HALL FRIDLEY 55432 ti----Jl•� 612-571-3450 910-F15 4/25/94 JOB ADDRESS 5871 5 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 6 Bennett Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mar aret Gruba 5871 5 Street NE 971-S019 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Larry Gudmunsen Co - 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 X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House 14 Squares) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 $1,050 $.53 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO G E AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OT STATE OR LOCAL LAW REGULATING CON- $27.00 Fire SC $1.05 STRUCT N OR THE PE RMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE v� '117-51%54 License SC $5.00 $33.58 SIGN URE OF NTRACTOR OR AUTHORIZED AGENT IDATEI RL VALIDAT THIS IS YOUR PERMIT T 7&vellt�A- 17 4- BLDG iN DATE SIGNATURE OF OWNER [IF OWNER BUILDERI IDATEI 01 NEW ( ( Effective 1/ 1/94 ADDN ' CITY OF FRIDLEY ALTER (j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: — Jam_% ---- -_- �5-- h �- F,-, Legal Description: Owner Name & Address: 0 6 o . Tei. # S7 1 50 3 5/ Q Contractor: 6UN,y" ! -j c )aC I'vT V yj MN LICENSE # 3 Z Address:�l0 5 ��� �- �-a �� I/� _ _ �`r �� h �� Tel. # _� 3G -- S46ef V 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: g.0-- 14 Sr° i2 S Corner Lot [ ) Inside Lot [) Ft. Yd Setback Side Yard Setbacks Type of Construction: W c l 5;:- tZ- vy�,- Estimated Cost: $moo Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. Ft = DATE: ellZ 3 APPLIC Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 3-3, C x $ =$ Tel. #1,3C. CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 per SAC Unit $5.00. (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ) Not Necessary ( ] SUBJECT City of Fridley 2684 7 AT THE TOP OF THE TWINS BUILDING PERMIT � � RECEIPT NO. I 1 Y___-_ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1-1639 r NUMBER REV DATE PAGE OF APPROVED BY E / CITY HALL FRIDLEv 55432 � r %'J 612-571-3450 910415 7/28/98 JOB ADDRESS 5871 5th St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 6 Bennett Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Troy Young 571-6907 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Quality Contracting 11380 W. River Rd 427-7733 7035 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 E REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (25 S) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 $2085 $1.04 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 ANY THER STA E OR LOCAL LAW REGULATING CON. $74.75 Fire SC $2.08 STRUCTION TH RFORM E OF CONST UCTION. PLAN CHECK FEE TOT EE 7 License $5.00 $ .87 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE] P OPE A .XO DAT D IS I�UH PERMIT - P 0.9 OaiE SIGNATURE OF OWNER OF OWNER BUILDER] IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] -,CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION .r ConstructionAddress: 7 / :-t-- a Legal Description: Owner Name & Address: / �+ Tel. # V7 % G Contractor: ��, `1� c D� �c,�f g� MN LICENSE # Address: /l n � �.�c� � Tel.# Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGEAREA: DECK AREA: DESCRIPTION OF EMPROVEMENT Width Length Width Length Width _ Height Sq. Ft. _ Height Sq. Ft. _ HWGround Sq. Ft. c� Pq4e -Oct Cojjtructio Typed e L>g�`F- Estimated Cost: $� oC�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 2- APPLICANT: Tel. # 7 - 7 7 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ J � CITY OF FRIDLEY INSPECTION DIVISION 49- 6431 University Ave NE Effective On January 1, 2000 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES gel ,11.1 RATE SCHEDULE % 1 - OWNE Residential Rate TOTAL k v Furnace Shell and Duct Work, Burner . BUILDING USED AS Also Replacement Furnace (Side Vent - Fill Out Back) $ 30.00 $ b0 QZ) ESTIMATED COST41 it • PERMIT N0. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. *Air Conditioning -All Sizes $ 25.00 $ Jr' =0b BTU HP EDR Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/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 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING Signed DATE �/l • !3 �a 4--1 a- _0 _0� Approved By Rough -In Date Final Date V� COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category 1 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 Type and Size/Common Vent and Vent Connector Information 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 ALTERATIONS: (Describe) HEATING CO: Signed By: Date : C17YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 11,2002 Troy Young 58715" Street NE Fridley, MN 55432 Re: Final Inspection at 5871 5`h Street NE Contractor: Action Heating & Air Conditioning Inc. Dear Mr. Young: A mechanical permit was issued on June 19, 2000, to install an air conditioner at your address. According to the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/ls ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 5T1 -36U4 YAX: (763) Z071-1257 58715 ST NE 233024240055 : BENNETT-PALMER ADD : LOT 16 BLOCK 6 : BUILDING : RESIDENTIAL CONSTRUCTION TYPE : RESIDING PERMITO.: 2004-01042 DATE ISSUED: 07/06/2004 VALUATION : $ 11,700.00 NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. RESIDE HOUSE. ENTER FEE AMOUNT 209 APPLICANT NORTHWEST EXTERIORS 6500 WALKER STREET ST LOUIS PARK, MN 55426- (612) 926-8663 OWNER ROBERT BECKOR 5871 5TH ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of ponsp uction. BUILDING PERMIT FEE FEE SHORTAGE AMOUNT FIRE SURCHARGE STATE SURCHARGE, VALUE TOTAL ` � a RF.PARATF. PF.RMITR RFOTTIRFD FnR WORK OTHER THAN DFNCRiRED ABOVE 209.25 209.25 11.70 5.85 436.05 07/01/2004 14:56 9529265960 NORTHWEST EXTERIORS PAGE 01 FEB -04-20M 10.'25 FROM CITY OF FRIDLEY TO 9529265960 P.01,102 36, 7f - NEW I< CITY OF FRIDLEY Effacive '11112002ADON I l 6431 Univoffidy AVS NE, Fddlay, MN 3S432 (763) 872-304 Bldg InsP ALTER I 1 SINGLE FAMILY AND DUPLEXES R4 AND f-2 i /.%" r r, qA, BUILDING PERMIT APPLICATION �,F t t ^ U/1 Cormhvction Address Legal Description: Owner Name 8 Address~ Ro R F` •.f a &Rra.Dd o r Tel. #��_. Comactor. MN LICENSE # Z L r° q 6 ar-0 Address: 261xialao-C, Tel. it I SZ - 43 Attach of Survey of the lot, with tine proposed construction drawn on It to sole. 8500 Walker St. DESCRIPTION OF IMPROVEMENT Mpls, MN" 56428 LIVING AREA: Length Width_ Height_ Sq. Ft GARAGE AREA: Length Width Height Sq. FL DECK AREA: Length Width HgtGrourd Sq. Ft OTHER: Construction Type: f- S i D F Estirmted Cost 3 &0 Driveway Curb Cut Width Needed: Ft + 8 Ft = Ft x S_,- -N$ DA'T'E: APPLICANT: Cgll (763) 6T 4ftll for Permit Fees if maling In appileaVon or Fax to 763-871-112137 If using credit card and we will can you for card number.— � P1Y USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Esam Erosion Control Park Fee Sewer Main Charge TOTAL $ S Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th% 5 $.50/$1,000 Valuation $ $1200 per SAC Unit $ $5.00 (Sb to Licensed Residential Contractors) $ Alt "A" or AIL "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ /� (AAggreement Necessary ( I Not Necessary[ j 5 3 (O , v`' ST1P_UL 70014 _ Building BUILDING (USING THE 1997 UBC FEE SCHEDULE) 'OTAL JOB VALUATION $ Permit No:QQY Inspections Permit Fee RESIDENTIAL APPLICATION . See Back Page for Fee Schedule Received By:4 763-572-3604 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge CITY OF FRIDLEY -57, ex) $5.00 (State Licensed Residential Contractors) SAC Charge DateR REM '4- 2 763-502-4977 FAX Curb Curt Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review EFFECTIVE 1-1-08 $ Fee Determined by Engineering Sewer Main Charge DATE 6 6 /e? aVf dd E-MAIL ADDRESS /�C L✓`�' �O C�ITo� *C/f GPII /e. am, Total Due �Y/OUR A ® Make checks payable to: City of Fridley Attach SITE ADDRESS 3211 j . THIS APPLICANT IS: ❑ OWNER ZONTRACTOR PROPERTY OWNER/ NAME: ADDRESS: 5271, CITY ' 0 � STATF,ZIP TENANT PHONE: � a�j " 'J9'ykz'i NAME: ADDRESS: AM e CFry _STATElft ZIPff CONTRACTOR SUBMIT A COPY OF PHONE - - FAX YOUR STATE LICENSE ry/J STATE LICENSE #VS/�0a� EXP DATE PROPERTY TYPE SINGLE FA LyCONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF P DRAIN TILE ❑ DECK ❑ SIDING OKOTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: >< Ad - SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT UM ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural member; to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS_ & PORCHES SUBMIT: ❑ Vbryl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑Trim and proposed project ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF 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 UBC FEE SCHEDULE) 'OTAL JOB VALUATION $ _0�0 OCCUPANCY TYPE Permit Fee $ . See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ -57, ex) $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Curt Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ ® Make checks payable to: City of Fridley Attach 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 witlkthe 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 on site; that the work vhl1 in=approved plan in the case of all work which requires iew and a ovaal of ans. SIGNATURE OF APPLIC Nof PRINT NAMEil� /!�' i.� DATE�V APPROVED BY NOTE: SEPARAT9 PE"HTS ARE REOUIRED FOR PLUMBING. ELECTRICAL Basement 26' r 13' F..ft R- 9' --3 3' -- psi ? 2 10' Yom F-3' 2' 2008-01-15-1513 00, ­V90,01114*16E -- 1QP1cV@lS" easement 2/12/2008 Page: I Main Level 2008-01-1 4' S,4,r " s- /,V r. exg�cc t /tn� htir�ts� ,;70vr�ctN � ME w�l ivf� ra J Main Level 2/12/2008 Page:2 From: 6517779499 Page: 1/4 Date: 5/2/2008 2:11:28 PM Prom: Myr of frkfty To: 851-M-9499 Page: 2/2 Date: 7t2512Q08 9:48:29 AM Builchng PLUM WG PermitNo.• Inspections RESIDENIfIAL APPLICATION Re"""d uy: 763-572-3604 CITY OF FRIDLEY ,utas M Y 006 RATS �sjy -ti -- YOUR E-MAIL ADDRESS 4V1 :9%: a�_ AOI"0 SITE ADDRESS-- TFilB APPi 1CANT IS: a OWNER *ONfRACTOR iiOPERTY NAM: ADDRM: S i�5"I S4 -r --OV- CITY \c. STATEIt' AZIP WANT Pmoxz, CONTRACTOR NAME: SUBMIT A COPY OF STATR LICBN®E M YOUR STATS AJJ RSSS: 1Z . ;+ V�Ca/ ti . 4►,V.e. ;� Cr1Y . i STATBf x Z[PS-9'0„-9 S LICENSE WITa PHONE (,SI- FAx APPLICATION - PERMT TYPE *08INGLE FAMILY 0 TWO FAMILY © TOWNHOU88 TM OP WORD: � NEw Q�REPI.ACLII4d1OIT DETAMD DESi'RIPTICIN OF iW0RK 2A$f� ctk% PER MS 16B.665 the permit fee is rr mlalorelm of 515.09 or $% of the total cast UPI* 5600.00, Wwahever is greeter. for the haprovernent inaellation or replacement of a residential fuchn, excluding the fixtures. (This should reflect only the cost of labor ) Labor coot u War $300 - $15.00. Labor oast beween $300 to $500 =cost of labor X.05 = FOR PROJECTS WIFSRE LABOREXCEEDS $500. FM ARS BASED ON $10.00 PER FIXTUA2, =MPT WMS NOTED. FIXTURES: (INDICATE TOTAL rIR"l OF EACH BLOW) / SHOWER / WATER PIPING BATH SINK LAV FLOOR DRAINS DATIi'1'I18 SWAQANG POOL _ WATB. SOFTNSR 0135) CLOTMIS WASIM 1 wCoN SINK ,,,�, WATTR CLOSET BACKFLOW PREY. ($1S) j,•• DISHWABEItIR I LAUNDRY TRAY _4_WATWt HSATEIt ($35) FOR IRRIGATION WATER 1 MTM OTMR Permit Poo $ Number of lirdures # $10.00 A!J„ x 510.00 = 1 O Surdme .50 Number of fhturce # $15.00 x $15.00 . $ TOTAL DUB $ �, Number of fudures (a) $35.00 x $35.00 - $, 3 5 -.---- Stats Surdbarge - $ Tota! - $.103 Mo 'GEIS I9 AN AppUCATION FOR A PERMIT -NOT VALID UNTIL PROCESSW I hereby apply for a building permit and I acknowledge tbat 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 Condruotion Codec; that I understand this is not a pmmit but only an application for a permit sod work is not to start without a permit; that the work will be m a000rdence with the approved plan in dw case of/all Jwork hich bras "vi and approval of plans. SIGNATURE OF APPLICANT 1 p l PRINT AfAME_ V.O►neC4. �, . 51.E4��1 OATH tiI ' 1�i'.. p� ,.,_ Building MECHANICAL Permit No.: -'®' Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd 763-502-4977 FAX EFFECTIVE 1-1-08 5/1 09 DATE (It YOUR E-MAIL ADDRESS SITE ADDRESS S8 7 j 0-WE THIS APPLICANT IS: ❑ OWNER PCONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: CITY TATEZIPTENANT TENANT –STATE—ZIP— PHONE: CONTRACTOR ',9�, ' COMPANY NAME: l trTlA& 000AA& NOTE: SEPARATE CITY L CONTACT PERSON: 8j e2_, 4-0- STATE LICENSE # EXP DATE LICENSES ARE REQUIRED �� / ADDRESS: aZW&I alb iN T � STATE6`IZIP�j AND SUBMIT COPY OF BOND aO —CITY/,�,r PHONE �r'Q Wq1Pf�?J FAX '70 W AND INSURANCE PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: KW 0 REPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK E c0 rt.4A04CV, W® lWk(A,2 PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU A/C $25.00 FIREPLACE (GAS) $15.00 AGAS RANGE/OVEN $10.00 NEW XAIR TO AIR EXCHANGEER $15FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 $35.00 FURNACE $35.00 UNIT HTR $10.00 _BOILER CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 UCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $_ 50 MINIMUM $15.50 MINIMUM $1550 Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a mechanical 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 C ; 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 jAae9rdance with e aWfovo plan in the case of all work which requires review wid approval of plans. P SIGNATURE OF APPLICA PRINT NAMES I C L` DATE a%74 APPROVED BY DA Z) PLEASE NOTE: SEPARATE PERMITS RE UIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977