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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3300 Date: P -1-V /S-11' Owner....................................... Address ...................................... Builder 4..J..... Address ............................................. LOCATION OF BUILDING _ No. � � Street . �. ..•........................ Part of Lot .......... .............. .. � Lot .. �/..�..... B ... �.......... Addition or Sub- ion be .. ..... . Corner Lot ....... Inside Lot " ,i .. ......... Setback ... . �.... Sideyard ./. ,7Y..•....... DESCRIPTION OF BUILDING TA Used as: . ...��...... Front .4 t.. Depth Height 4'... Sq. Ft. �e �-- Cu. Ft. .................... Front ........ Depth ....... H Ight ........ Sq. Ft...... Cu. Ft......... Type of Construction' ... Bst. Cost. T .p,��. ....... To be Completed Z .��.t'C ..,....... . In consideration of the issuance to me of a permit to construct the buildin bove, I agree to do the proposed work in accordance with the description above set forth and i;' compliance th all provisions of ordinances of the city of Fridley. �s In consideration of the payment of a fee of $.......`...:., permit hereby granted to .41K'mss . Zig ......................... 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. .........&A,. ,Building Inspector NOTICE: This permit does not' cover the construction, Installation or alteration for wiring, p mbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. City of Fridley, Minn.. BUILDING PERMIT Date: Owner: ....5--&.- ::yz 'y -` "� Builder °r .f_ Address ..... elarc - _._�,_._..�.._�:.� ' "I Address CATI OUILDING reet-� / ,,c. Part of Lot .__ No. St _ dCj �q� Lot .._._. f. ._.......... Block ................. - .-•-•----........ Addition or Sub-DiZAK�.14. nr Corner Lot -----....... Inside Lot ....._..------..._........ ----- iBtback ...Sideyard ..-- /.e'er_...- — -----....._.......... -- SewerElevation ................................ __..._...._......----------•-•--•--••-........_..._... Fo dation Elevation ._.... .................... _..... _.........__............_......_...._.......__. ...... DESCRIPTION OF BUILDING To s as: .. ....� ..._.... Front ... ..__ Depth ........ Height_'.._. Sq. Ft. _ .-_-.. Cu. Ft . __..... Front ........... Depth �:_.. eight Sq. Ft....�.... Cu. Type of Construction ..... 1 Est....Cos . .. t ............. To be Completed ..... ......... _.._.._......................... In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ . ....... _....... _...... , permit is hereby granted to. ....... ... _.... ....... _.................. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen,, in all work done in, around and upon said building, or any part thereof, shall conform in, all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance; • repair and moving of buildings within the city limits and this permit maybe revoked at any time upon violationof any of the provisions of said ordinances Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas hosting, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA jot Owner's Name Builder Address .0 Y- PP -�.101LIX-f "tel LOCATION OF BUILDING No. Street Part of Lot,_ Lot �� Block , Addition or Subdivision ��✓�� Corner Lot of Lot Aetback Side-lardzz SEWER ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. OF BUILDING To b us as: Front—zLDepth Height—z-!2. �) Sq. Ft. Cu. Ft. d. Sq. Ft. - Cu. Ft.^ .� Type of Construction 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 Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. n .1-n �— (A Schedule of Fee Costs can be found on the Reverse Side.) E City of Fridley, Minn.. BUILDING PERMIT Date: July 8/b5 as�a� N� 8154 90wner: L. G. Hoffman Builder Richard. MMer Homes Address 5900 5th Street N. E. Address 8256 Monroe St. LOCATION OF BUILDING No. 5900 Street 5th Street N. E. Part of Lot Lot 10 _ Block 2 Addition or Sub -Division . Bennett Palmer Add tn., Corner Lot Inside Lot Setback Sideyard Sewer Elevation _ _ _ _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Rebuild Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Fast. cost $15.0m.00- -- To be completed • Storm damage • 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 abov�set forth and in�mp��e� th af1 p ons of ordinances of the city of Fridley. l I / d / L In consideration of the payment of a fee of $ 10a00 , permit is hereby granted to Richard K l_l_er Homes 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, Minnesota regarding location, construction, alteration, maintenance, repair and moving of build�e within the city limits and permit may be revoked at any time upon violation of any of the provisions of said ordinances. Allen Jensen Building Inspedor NOTICE: 1bb peradt den no corer the comerudi m, hutalbtion for wirbe, phwhine, en hodhie, smer or water. Be aura to see tie BOA* hnpeetor for nparaw pwnft for thea Nemo. a � .r APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY., MINNESOTA OWNER'S NAME _ BUILDER ADDRESS ADDRESS LOCATION OF BUILDING N0. �2 STREET. PART OF LOT LOT d BLOCK ADDITION OR SUBDIVISION�� ® � CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Costf� 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_ 7 v _5 . (Schedule of Fee Costs can be found on the Reverse Side). Ones • for Power Rants and Heating. PERMIT g, Cool- ing, Ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Pleating Plants to be installed--altered—repaired Make ,Size ; Oil fired ; Coal fired ; Gas fired . ; Gas Authorization Remarks Approved by Final Inspection Date , 19_ Inspector Peru N® 4462 Fee $ Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. , 19-6-1 Ownerf Kind of Building'- How Occupied- 2-1 ccupied Work to be Commenced �- ,19-5 To be Completed �Y-- / ,19— Estimated Cost, $- ? —O - a--� Old -New, Building Permit Permission is hereby granted to Aid-a-� de" - 6' - to install—erect—use the material and devices described in the above statement. This permit is granted upon the express coridition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specificatio set forth in the approved application for this permit on file in the office of the Inspector of Buildings. Inspector of Buildings .01�42 2M11 -UV r� 1 SUBJECT PER City of Fridley ®130'74 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. r ; -----, COMMUNITY DEVELOPMENT DIV. 1 INSPECTION a ` 9 { --j PROTECTIVE SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-560-3450 910-F15 7/7175 JOB ADDRESS 5900 N.E. 5th Street 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 Bennett Palmer SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Leonard G. Hoffmann 5900 N.E. 5th Street 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK New Siding 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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. $1,000.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .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- $6.00 STRUCT N OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $6.50 SIGNATURE OF CONTRA TOR THORIZED AGENT IDATy�EI HEN P E ALIDATE HIS IS YOUR PERMIT Gl 7y / ' �✓ BLDG INIF DATE SIGNATUREOFOWNER IF (f R RI IDATEI r� 1 •APPLICATION FOR RESI'DE'NTIAL., ALTERATION, OR ADDITION - BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NMIE: BUILDER:-. ADDRESS: �,f�-D'/lam S ADDRESS • S�� 4 , -s ✓�L'� NO:. STREET: LOT: BLOCK: ,ADDITION : CORNER LOT: -INSIDE LOT: SETBACK: r SIDE YARD: Applicant attach to this form Two Certificates .if Suryey.of Lot and -proposed building location :raven on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic.Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: F --` Estimated Cost:_$ To Be Completed: ---` The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: / — % 5— SIGNATURE: .(See reverse Side For Additional Information.)' SUBJECT MI City of Fridley_ 190 3 6 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r i PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 ti.__.Jl.' '•� NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/25/87 JOB ADDRESS 5900 - 5th Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 10 2 pennett Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leonard Hoffmann 5900 - 5th Street N.E. 574--1004 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Smae 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 9' Deck 9 CHANGE OF USE FROM TO STIPULATIONS �1'ARNIN BeiOie digging cat#-'"utilitr*?s TELEPHONE. EG#� OqS Etc. REQUIRE 3�#, _. by ,LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 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 $� 250 $.63 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- $22 00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. a PLAN MOCK FEE TOTAL FEE $ 5.50 $28.13 SIGNA EOFCONTRACTORORAUTHO ZED ENT (DATEIy. WHEN PROPERLY LIDATED THIS IS YOUR PERMIT BLDG INSP qAT SIGrATUEOF OWNERIIF OWN BUIL IDATEI I NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address Legal Description Owner Name & Address Contractor V Address: - 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 GARAGE AREA: Length DECK AREA: Length Tel. # Tel. # - Width __ Height Sq. Ft. Width -77THeight Sq. Ft. Width Hgt/Ground42LE/ Sq. Ft. (� d OTHER: iaa7.q(j Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Corner Lot [ ] Type of Construction: J ^ Estimated Cost: $ Approx. Completion Dater Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: r d, Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Tel.��^�� APPLICANT: CITY USE ONLY $ 22100Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 5'zi rr— Lea �� •''U lam, j M11NDEa FNGlNEmr4qG C0-wq1Ncv ENGINEERS AND SURVEYORS LANo OURVEYINO SOIL'S TESTING CIVIL Its, MUNICIPAL ENOINEE611NO LAND PLANNING C418-SGTN AVENUE N. MINNEAPOLIS 2?. MINN. KE 7-'SG37 .- ora -- d 1 i pl 6:� I v v • � 0 3 Z_ O T O C V A,'E T ?=P41 :t9F fr i WE HEREBY CERTIFY THAT T1415 ISA TRUE AND COS2RECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE nI SCRIBED AND OFT95 LOCATION OF ALL BUILDINGS, IF PNY, THEREON , AND 0..L VISIBLE ENCROACHMENTS, MINDER ENGINEERING CO., INC. -' 4 EN61U@EQ.S LIQ., SURv�YOQS VIS / /. pOJ C-1 elm 'kb T ,Cc 0 g � pOJ C-1 elm 'kb T ,Cc 0 n \ � 6&6,1J,JL SUBJECT P City of Fridley 19370 AT THE TOP OF THE TWINS BUILDING PERMIT r RE T 16 • COMMUNITY DEVELOPMENT DIV. ♦V ......, f PROTECTIVE INSPECTION SEC. D'��OV �'�'1 • CITY MALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910415 4/1/88 JOB ADDRESS 5900 - 5th Street N.E 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DES CR. 10 2 Bennett -Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Leonard/Kathleen Hoffmann 5900 - 5th Street N.E. 574-1004 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 Remove existing deck and build a TEXYR x 11'8" Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS Sheetrock inside wall of existing garage adjacent to new porch. I 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3 $1.63 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT X250 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- $44.50 STRUCTIQN OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $11.13 $57.26 S11 TUREOFCONT RACTOROR u N A ED AGENT (DATE, y WHEN PROPERLY V (DATED TH S IS YOUR PERMIT l 0.0NATURE OF OWN E OF OWNER 8LT1LMfV DATE, BLDG ,NSF' fiAT NEW [ ] City of Fridley ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: 'nxe"� -s— Legal Legal Description: Owner Name & Address: Contractor Address: r Attach to this application, a Certificate of Survey of the lot., with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Effective 4/1/86 Tel. # 1C: %5� /o o IV LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. 7 J �� DECK AREA: Length Z a Width / -VQ Hgt/Ground Sq. Ft. „�s G OTHER: �ea� Corner Lot [,-]' Inside Lot [ ] Ft. Yd. Setback Type of Construction: Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Side Yard Setback Estimated Cost: $ Alt. A Alt B See Back Page for Explanation DATE: / �—�� APPLICANT: Tel . # �S % !- I a d� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge CITY USE ONLY $ (4 J" Fee Schedule on Reverse Side $ L 25% of Building Permit Fee $ LG $.50/$1,000 Valuation $ $ 550 per SAC Unit $ Fee Determined by Engineering TOTAL n4� Agreement Necessary [ ] Not Necessary [ ] STIPULAT ONS: aDy-�� -4+ n � IL��y S� IF 649n, IM ERI4R ��! a e IV T4. � 14U _ 0 d %X1 9L 4$, V, ,a s 9w° -s')o 0 w d-- 41 r Cy c, c; ol •a. F SUBJECT- City of Fridley 20808 AT THE TOP OF THE TWINS BUILDING PERMIT i COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 5/7/91 JOB ADDRESS 5900 - 5th. Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leonard/Kathleen Hoffmann 5900 - 5th Street NE 574-1004 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. J.P. Minnesota Enterprise TCT 2700 -- 79th. Ave N, Brooklyn Pk, MN 55444 560-2000 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 Da ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Frame roof over present three season porch e- install skylight 9 CHANGE OF USE FROM TO STIPULATIONS See notations on 13an . TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $2,400 $1.20 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESTO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 Fire SC $2.40 TRUCT RFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ko. 7 /� //�� $57 a6V SIGNATURE OF O CTOR OR AUTHORIZED AGENT IDATEI • �WHENOPER Y y THIS IS YOUR PERMIT OG IN TE SIGNATURE OF OWNERIIF OWNER BUILDER) IDA TEI F NEW [ ] ADrK [ ] ALTER •.;f-1.1.77_�;.. tw- legal Description: Effective 1/1/91 R-1 AND R-2 Building Permit Application owner Name & Address: �0 � I LFf� Tel. #.2751-100 V umtractor: �: c!? i,�rJF.soTA �J?Y.�CP�isE `7; E'. Tel. #5r6o-ZooO Attach to this application, a Certificate of Szvey of the lot, with the proposed ocza xucticn drawn cn it to scale. DES(3tIP1'IC�T of II�IiOIVH�ir LIVIM AREA: Length Width Height Sq. Ft. G RMZ AREA: length Width Height Sq. Ft. DBCR AREA: length Width Hgt/Gmund . Sq. Ft. OTHER: fAmf- 444 O)Lc l aS or ;545&§S&j ��CCH - sic c. S'.C'ya0#111 C q $I x l l 8 i Is& )c S• 1�;- r VLWY j,%& Corner Int [ ] Inside Iat [ �] Ft. Yd Setback Side Yard Setbacks Type of Constxuctioaz: 35Z9 �D*AEstimated Cost: $ Approx. Ccupletion Date: Z�b Prcposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page HATE: � AP�ic�,rrr: Tel . # �� - 2Oo U �- 6v� Z QTY DBE MY Permit Fee $% 04 Fire Svrrbarge $ Z • L?o State Surcharge Z, V SAC akuge $ Driveway Esscrdw $ Park Fee $ Sewer main Qkaxge $ TOTAL $ c O CoyC 3� UTATICNS: el;6 (po Fee Schedule cn Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "8" Above Fee Determined by Eng; rwerjng Agreement Necessary [ ] Not Necessary [ ] 2-?. *71 3 (/w4• 046 ofict, Z400 7.0c,t— hc� �— �Y J.P. MINNESOTA ENTERPRISE. COMMERCIAL —RESIDENTIAL 14 it _ S7oo- : ,,1; Nj fe#,O E � e I CZ , 'l So FF►T V E 1.rs R OGS VE,Jr W; tjoow .'1 1 v` J�. XV i 0?`2 ? R! 06r - F ---57X y L;G�- 1+T X 0 C EOAo 4 vtU zV 0C. Twin Cities, Inc. • 2700 79th Avenue North • Brooklyn Park, MN 55444 (612) 560-2000 13 < CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Aiso Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 20.00 $ -a0, 2 $ 10.00 $_-M - _0 0 $ 10.00 $ $ 10.00 $ *Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50_ TOTAL FEE $ -3 (), SU MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS SiO0 " '5_ &- _ All e • 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 1199JL OWNERy_�_� BUILDING USED ASS ESTIMATED COST 2(,'' PERMIT N0. // DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ I Circle One (Steam) (Hot Water)arm Air) Trade Name Size No. 3,1 BTU �`, �c a HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU NDPRD EDR HFND AT111%AAIR CD'dDRiOP AAte_ 410 WEST UXE PEED' I IMEAPOUS, KA ama 288 HEATING COMPANY PHO{VE 9 ___ Signed By (1� Tel No. Approved By� �- Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE a CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( j 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date ala � LOAD CALCULATION WORKSHEET SQ. FEET HTM BTU'S WINDOWS & DOORS ( 5 5 . S� —_ x 1.2 X W = INFILTRATION X GROSS EXPOSED WALL IDLY RUNNING FEET 1 ZS WALL HEIGHT g GROSS WALL! O 16 q NET EXPOSED WALLg>l,'{, S' X � �- _ 9 8 9 Y _ WINDOWS DOORS EXPOSED CEILING `I �� X 9 -Ir EXPOSED FLOOR _ 99 X s' = i --- - ----- - - _I ---- S f TOTAL BTU = g 9 Z FLOORS • CEILING WINDOWS SINGLE =go NORMAL - 50 WALLS CEILINGS FLOORS TRIPLE = 40 0-1" - 19 O -J" = 18 BELOW GRADE - 5 2-3" = 12 4-7" 10 CRAWL SPACE - 0 INFILTRATION 4-5" = 9 0-10"= 0 OVER GARAGE = 10 LOOSE - 00 0-7" = 7 12-14* = 4 TIGHT - 20 3 w I is '7 � l 9 A +0 w w L`' w w %-0 L%o 6•-7 I B $ S L-01 $ CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS -- /aO--L- Q _5 New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yesy)o Type (( $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. a , 19!? HOFFMAM LEWAR D Owner S900 STH STREET NOR T HEST FRIDLEY � 55432 l , 670 Building Used As H 3? A - 1 W Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance / Uv State Surcharge .50 TOTAL FEE $15-1 —5V Estimated Cost SOD PERMITN // / PLUMBING COMPANY 2M GARFIELD AVENUE SCW'Tt n V1L50 U A SIGNED BY C �� LV O- 11"iI A Approved By Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE UrinalShower ,.:.....::::. ...>....:.<.:...:..:,:.:,::Wash Tray ...:..........'.....:.:.. Drain ':. A uto. Washer asoor Range Water Heater :..:..:...:.:... Gas ElecStories Base e m n Floor 1 :::'•r::'•:::'•::: 2 :F0or :: or 34or rFI PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS -- /aO--L- Q _5 New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yesy)o Type (( $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. a , 19!? HOFFMAM LEWAR D Owner S900 STH STREET NOR T HEST FRIDLEY � 55432 l , 670 Building Used As H 3? A - 1 W Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance / Uv State Surcharge .50 TOTAL FEE $15-1 —5V Estimated Cost SOD PERMITN // / PLUMBING COMPANY 2M GARFIELD AVENUE SCW'Tt n V1L50 U A SIGNED BY C �� LV O- 11"iI A Approved By Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT City of Fridley 26300 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY i A/'�',,� CITY HALL FRIDLEY 55432 ••-. l „ 612-571-3450 910-F15 6/22/98 JOB ADDRESS 5900 5 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leonard Hoffman 5900 5 Street NE 574-1004 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Exteriors Inc 8600 Jefferson Hwy, PO Box 266, Osseo, MN 55369 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 391-5514 2877 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 Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and call for inspection of same. 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 50. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9,455 $4.73 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 $9.45 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $162.25 PLAN CHECK FEE T011 FEE Lic $ 0 181.43 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN jrwrgr VALID E IS IS YOUR PERMIT BLQ6 INSP DATE SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI NEW f 1 ADDN [ ] CITY OF FRIDLEY ALTER j ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress:�vU L �� Legal Description: Effective 3/1/96 Owner Name & Address:�2/✓G��°��'� Tel. # Y:� Contractor:`M MN LICENSE # 6 `> JJ % 7 Address: 0/0 — Ag��a 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 GARAGE AREA: Length DECK AREA: Length OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Side Yard Setbacks Estimated Cost: $ (Cost on Back) Driveway C t Width Needed: Ft. + 6 = Ft x $ _ $ DATE: �% g�Y APPLICANT: Tel. #� �.SS Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL $ Y s STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $900 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 P City of Fridley 27213 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. �• COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. r NUMBER REV118/17/978 ATEPAGE OF APPROVED BY CITY HALL FRIDLEY 55432 1 J` 612-571-3450 910-F15 JOB ADDRESS 5900 5th Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 10 2 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hoffmann 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO MCR Roofing 829 20th Ave NE Minnea olis MN 55418 788-5749 20063096 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 Rx REPAIR 0 MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 22 SO Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State R 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 1 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 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 PERFOR ANCE OF CONSTRUCTION. 59.50 Fire SC $1.83 PLAN CHECK FEE TOTAL FEE License 5.0 .25 SiALPREITINTRACTORORAUTN7ED A&INT (DATEI EN ROP BL INSP VALI AT THIS IS PERMIT 1 r�ATE SIGNATURE OF OWNER I IF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 9 3 BUILDING PERMIT APPLICATION �� ConstructionAddress: f M�� , (��%� / e Legal Description: Owner Name & Address: 1:16 9 i3; ,4 5 7ZV 5+ff S} , N, -5� , Tel. # Contractor: C, k, MN LICENSE # Address: &:' Lo 1 )4 A\f )Q .41 J 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 n Width Hgt/Ground Sq. Ft. OTHER: be �U S . 777,4- Construction Type: C I Cjc- Estimated Cost: $ , (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ -7J�-� DATE: % APPLICANT: Tel. # CITY USE ONLY Permit Fee $ % S� Fee Schedule on Reverse Side Fire Surcharge $ % c`�� .001 of Permit Valuation (1/10th%) State Surcharge $ 0.2- $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ E7 Gf) $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: SUBJECT PE ..y City of Fridley3 3 4 4 6 AT THE TOP OF THE TWINS BUILDING PERMIT f E , COMMUNITY DEVELOPMENT DIV. SEC. RE E PT NO. CCC,�� /�' / r PROTECTIVE INSPECTION NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 763-571-3450 910-F15 4/17/03 JOB ADDRESS 5900 5 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leonard Hoffman 5900 5 Street NE 763-574-1004 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO MN Exterior Inc 8600 Jefferson Hwy PO Box 266, Osseo, MN 55369 763-391-5514 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 2877 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ O NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE O REMOVE X B DESCRIBE WORK Reside House (warranty work) 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building 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 wr before covering or take pictures. Caulk and flash all exterior openingser° it Inspection Cards Will Be Mailed 16 o eowner To Post 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 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 $7,000 $3.50 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 $139.25 Fire SC $7.00 PLAN CHECKfFEE TOTAL FEE cens' SC $5.00 1 $154.75 SIGNATURE OF CONrRAC TOP OR AUTHORIZED AGENT (DATES -#HAN PROfERLY VALIDATED THIS S Y UR PER IT Bl0 NSP pAtE S,GNATURE OF OWNEA,iF OWNER BURDERI iDATEI NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (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: �� 5 Tel. # Contractor. �1 ) MN LICENSE #!, -A-77 Address:7y-,Q�� 4g 1, >nA. SL::6S Tel. #7" -391-SSI 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: Construction Type: e ' ( ��//,L')PjEstimated Cost: $ ' Driveway C rb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # Call (763) 672-3604 for Permit Fees If mailing in application or Fax to 763-5714287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ % Fee Schedule on Reverse Side $ - .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1200 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 [ ] $ ��7 ° Y7 STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004 1431 University Ave NE -ridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 763) 572-3604, FAX (763) 571-1287 MARK NUMBER OF FIXTt1RFS Tn RF WRTAII i Fn nm r -or_ 4 m nnR W- �_111 IFE a mmmor-"'"Mm JOB ADDRESS Jew Fixtures $10.00 lffl�a )Id Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes Seer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the fads flow Off Basin $10.00 and representations stated in this application are true and correct. ;atch Basin $10.00 fain Water Leader $10.00 HOFFMANN, KATHLEEN I 5900 5TH STREET NORTHEAST 13 , 20 D (� Jump/Receiving Tank $10.00 FRIDLEY, MN 55432 Vater Treating Appliance $35.00 OWNER _ (763) 574-1004 Vater Heater -Electric $35.00 Vater Heater - Gas** $35.00 3s m ,/ BUILDING USED AS x.¢,51 d e e►c-e_ Sas Range** $10.00 z1as Dryer** $10.00 ESTIMATED COST �t PERMIT NO. 3ack Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY 1_ `_ O C Y0� YA WVvI IOT ILUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS Jew Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein )Id Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes Seer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the fads flow Off Basin $10.00 and representations stated in this application are true and correct. ;atch Basin $10.00 fain Water Leader $10.00 HOFFMANN, KATHLEEN I 5900 5TH STREET NORTHEAST 13 , 20 D (� Jump/Receiving Tank $10.00 FRIDLEY, MN 55432 Vater Treating Appliance $35.00 OWNER _ (763) 574-1004 Vater Heater -Electric $35.00 Vater Heater - Gas** $35.00 3s m ,/ BUILDING USED AS x.¢,51 d e e►c-e_ Sas Range** $10.00 z1as Dryer** $10.00 ESTIMATED COST �t PERMIT NO. 3ack Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY 1_ `_ O C Y0� YA WVvI IOT teinspection Fee $50.00/Hr SIGNED BY �� TEL N0. t f012-) SZ7-5/033 kLL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ _6b TOTAL FEE MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST $ -3b OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. %POMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and 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 existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When Installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) 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 Building MECHANICAL Permit No.: ';W(n Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DataG& 4 763-502-4977 FAX EFFECTIVE 1-1-08 DATE YOUR E-MAIL ADDRESSA eM[C ealbCNCAA a if SITE ADDRESS THIS APPLICANT IS: ❑ OWNER M60NTRACTOR PROPERTYcm NAME: OWNER/ ADDRESS:OctM LOIN tk %-N-e CITY STATE „r_VIP TENANT PHONE:_IQ` zh ® Ck- CONTRACTOR COMPANY NAME: �c NOTE: SEPARATE CITY CONTACT PERSON: STATE LICENSE # EXP DATE � � STA ms, LICENSES ARE REQUIRED FOR GAS AND HVAC. ADDRESS CITY SUBMIT COPY OF BOND PHONE FAX AND INSURANCE PERMIT TYPE VSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW 4;10 LACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK (NCA--O=Y1 kt PER MS 16B.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. FI S: (INDICATE TOTAL NUMBER OF EACH BELOW) lam.®��\ Equipment Installed MFG:��m, MODEL: S TU Ou MFG:'; jrV MODEL: SIZE/BTU MFG: MODEL: SIZEIBTU ✓A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 AIR TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _FIREPLACE $35.00 ,FURNACE $35.00 GAS UNIT HTR $10.00 _BOILER LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _GAS _DUCT 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 $15.50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a mechanical dge 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 itta Cons on Codes; that I understand this is not a permit but only an application for a permit and work is not to Athe start without a permit; that the work illce a r ved plan in a caseof all work which wires review proval of plans. SIGNATURE OF APPLICA NT NAME��J4 0 , TE APPROVED BY 0 DATE PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED 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 U7 Building MECHANICAL Pernvt No.: Ll U4-�o!(07 Inspections RESIDENTIAL APPLICATION0;j__g_M j�';e 763-572-3604 CITY OF FRIDLEY Rec'dF1 DATE E-MAIL AD RESS SITE ADDRESS THIS APPLICANT IS: O OWNER CONTRACTOR PROPERTY NAME: JZ %I if OWNER/ ADDRESS: c r STA IP TENANT � CONTRACTOR COMPANY NAME; CONTACT PERSC : � ; Lill . �7�t 410 WEST W E T LA��iSF �T SUBMIT A COPY OF MN 55408 YOUR STATE STATE LICENSE # �i 8, 2- 24 - LICENSE WITH ADDRESS: APPLICATION PHONE FAX—_ SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE PERMIT TYPE O NEW XEPLACEhffiNT ❑ ON/REMODEL TYPE OF WORK: \ DETAILED DESCRIPTION OF WORK CL PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500-00. cheveiis greater, for the improvement, installation or replacement of a residential fixture, exclucling be Vis.., .Cll&.should reflect only.the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = costoflabor X .OS ASEMODEL: E, 'WHERE NOTED. � .—: -K—A-T— E TOTAL FOR PROJECTS WHERE LABOR EXCEEDS $500, AREBN $10.00 PER FIXTl .EKCEPT NUMBER OF EACH BELOW) SZF/BT� EquipmentlsWied MFG MFGMODEL sI TI MFG:: MODE: SZF/B A/C , $25.00 FIREPLACE (GAS) $15.00 GAS RANGFJOVEN $10.00 NIR TO AIR EXCILANGEIBt $15 FIRETI ACE (WOOD) $35.00 NEW GAS GRILL 510.00 _BURNACE $35.00 GAS UNEP HTR $10.00 OILER $35.00 F CI•IIMNEY LMNER $10.00 PAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR;15.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = 5 Surcharge $ .50 Number of fixtures @ $15.00 x $15.00= $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 -f- x $35.00 = $� State Surcharge = Total = $ -,I,—stL-. THIS IS AN APPLICATION FOR APERMIT-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 beit conformance with tate ordinances and codes of of Fridley and with the Minnesota Construction Codes; that i understand this i not a permit but only an for a work is not to sst tt without a permit; that the work will be in accordance with thi approved plan III th e e whic view and approval of L�w �l ATB SIGNATURE OF PLI Pte. lY City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS?,XISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXIS.TINN Q S ::U:, 1. Combustion Air (See note bel,o)? a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropanoUGC 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 Bneagy Code 7670 or 7672 6. Duct Design Per!MC 1-346.0603:2 a. ACCA Manud D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations