PRE 2010 DOCS0
City of Fridley, Minn.
BUILDING PERMIT
Date: . .... �..........�........... .
0
N® 3569
owner ....................................... Builder e. ..........................................
Address ...................................... Address .............................................
LOCATION OF BUILDING
�
p �t4 ..._
K l�
No. �.r ./.. (/ . Street ... �.: ...:...": ....... Part of Lot . ................
Lot ....Z'....... Block ..... l............ Addition or Sub -Division .... .....c..
...........
Corner Lot ... Inside Lot .2( ......... Setback .. ... Sideyard ®' ..................
DESCRIPTION OF BUILDING
To be Used as: //q
.... Front 7.Q.:/4 Depth SP . Height ��: �� Sq. Ft. l.� 6. �C Cu. Ft. Q � / e�
0'
.................... Front ........Depth .... ... Height ........ Sq. Ft. ........ Cu. Ft ........
Type of Construction ......... •• C � ®Oil . .... ... To be Completed ....................
In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do
the proposed work in accordance with the description above set fo and complian " with provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ �f. �......., permit is hereby ed 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. J -
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.
City of Fridley, Minn..
BUR DING PERMIT - N?5 s
Date: - ... z
Owner: _-.'fit r� r®J_ Builder Ae451—IS A
Address Address ---
LOCWIQN OF BUILDING
No.Street — ��; ,a / —Part of t
Lot Block Addition or Sub -Division
Comer Lot - !�""!n_._ Inside Lot - _ Setback. . Sideyard !i
Sewer Elevation _ __ _ Foundation Elevation
DESCRIPTION OF BUILDING
�� Fron T_ ___ Depth Height Sq. Ft. Cu. Ft. +99;" 49
&..�o
Depth Height Sq. Ft. Cu. Ft.
Type of Construction_ Est. I � To be Completed —
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
h the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
I: 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 to city limits and this permit may be revoked at any time upon violation of any of the provisions of said
Building Inspector
NOTICE:
This permit does not cover the construction, Installation for whing, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these Moms.
4
U
•
City of Fridley, Munn. N° 8694
BUILDING PERMIT
Date: March 2, 1966
i
Owner: Ronald S. Gehring Builder Same
Address _010 Twentieth Ave. So. ,Mgls * Address Same
LOCATION OF BUILDING
No. 5901 Street Fifth Street Northeast part of Lot Middle
Lot —4 __ Block 1 Addition or Sub -Division Bennettnft m r Add I n
Corner Lot _ x Inside Lot Setback — Sideyard
Sewer Mevation -- Foundation Mevation
DESCRIPTION OF BUILDING
To be Used as:
House Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost _ $8, 000 _ To be Completed
Rebuild from storm damage
In consideration of the issuance to me of a permit to construct the bi
the proposed work in accordance with the description above set forth and
ordinances of the city of Fridley. /) ,
Ito do
provisions of
A
In consideration of the payment of a fee of 2 10x00 ., permit is hereby granted to Ronald Sm.
Gehring to construct the building or addition as described above. This permit is granted upon
the express conditithat the to whom it is granted and his agents, employees and workmen, is all work
done inund atYWjmeso� upon building, or aay part thereof, shall coffiorm in aII respects to the ordinances of
Fridletaarcing location, construction, alteration, maiatenaace, repair aad moving of buildings
withffi tyIimisandordiaaa
AT -LENT G. JENSEN Building Inspector
NOTIC h
rob pormB dos no caro the aonshostim, Inas atba for wMh& pWmbino, Ba heaths, satyr or wafer. Be aro to as
the Bol1din9 humor for sgwm porous for dwn Bans.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NANO,- � / % .1 ( �' n � BUILDER
ADDRESS ADDRESS
LOCATION OF BUILDING
NO. STREET /1 / / PART OF LOT &,' � i -/' I,_
LOT BLOCK ADDITION OR SUBDIVISION
CORNER 'LOT � INSIDE LOT SETBACK SIDE -YARD
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as : I ' .� / i . r )� -'� /tiI P 7 � -
//-/( G S 't' Front Depth Height
Sq. Ft. Cu. Ft.
Front . Depth Height
Sq. Ft Cu. Ft.
Type of Construction 4,1,- 4 N) � Estimated Cost -/"�
To be completed
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE `C - 2
--(SIGNATURE
(Schedule
(Schedule of Fee Costs
can be found on the Reverse Side).
l �t
a^
Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU .......................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .................
Repairs & Alterations each add. $500.00 ..............
J -
STEAM as HOT WATER SYSTEM
` Furnace Shell & Lines—to 400 sq. ft. EDR Steam .....
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water . .
Each add. 200 sq. ft. EDR Steam ......................
Each add. 320 sq. ft. EDR Hot Water .............. .... .
8.00 $_
2.00 $
5.00 $
5.00 $
2.50 $
8.00
$
8.00
$
2.50
$
2.50
$
OIL BURNER—to 3 gal. per hour ........................ 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
x $1.50
$ /-5-0
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$ /YL Y -j,2
ROUGH
FINAL
Dept. of Bldgs. Phone SU 4-7470
Location ��� � ��e J>t
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and cArrect.
Fridley, Minnf- 19'
Owner
r
Kind of Building
Used as
To be completed about /' a ® ® V/ 1rz
o t'
Estimated Cost, $ ju
New. Building Permit No. Permit No. � 13
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Ho<; Wate<Warm Air—No ` �Lt
Trade Nam Size No �`% /Z'
Capacity Sq. Ft. E.D.R tBTU— H.P.
Total Connected Load Rind of Fuel -`�-
BURNER — Trade Name Size No
-
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
Signe c ��9Csi e ,
By
W4E 2V1 Business Phone No- ;7fl
r'UG'_.3L-`4z=/ ,r` ✓.t�,�..,,_ c�iL" / Z7
D•S6 2 8
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN.
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yes—No Yes—No 19—
) FM _ Al cr -i.' Room I Length / F Width U Height G, II 1 FI_I 9., _E Rnnm I Length i i -4� Width
Windows and Doors—Crackage and Area
Width Height No. of Lineal f . Area
No. ofpane of pane Ilghts of cracksq. ft..
-Aa
Coef.1
Coef.
Btu
Infiltration,
Infiltration
/
3S
&,,
Glass
g'
171
l/
/S 0
Exp. wall
is/J5
e)
Exp. wall
3-
Net exp. wall
-1/,s
1
Net exp. wall
Int. wall
D
/
t 0
Ceiling J
Y2 7
Floor
Ceiling '/.
_
1 otal Btu. 1 7717
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Y F1.1 Z > t Room I Length -) Width i Height i/'
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
-Aa
Coef.1
Btu
Coef.
Btu
Infiltration
/
Glass
/
3 L
g'
Glass
X
411
is/J5
e)
Exp. wall
3-
Int. wall
-1/,s
1
Net exp. wall
E
D
/
t 0
Int. wall
Y2 7
Ceiling '/.
j
U
Q
Floor p Z/-✓_
k "_
G/'
�L
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
1 F1.1 A,, Room I Length s/ Width M, Height V
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.1
Btu
Infiltration
1
y 9r
/
Glass
/
3 L
g'
Exp. wall
X
Net exp. wall
e)
Exp. wall p
Int. wall
(a
Ceiling
E
Floor 7
1-3
Z
Y2 7
Yotal Btu.
Required3q. ft. E.D.R. or sq. ins. W.A. Leader area
Height ,S'
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of Dane of pane lights of crack sq. ft.
Coef.
Btu
Coef.
Btu
Infiltration
/
Glass
3 L
M,31
Glass
X C
D
e)
Exp. wall p
Int. wall
(a
Net exp. wall
73,
/v
1-3
Int. wall
Ceiling
U
Q
Floor J D J
G/'
G
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI.I sde I Room I Length ,0 ! Width /
Windows and Doors—Crackage and Area
Width Height No. o! Lineal ft. Area
No. of Dane of pane lights of cracksq.sq. ft.
a - , n �, - 3-., --? /,K`
Infiltration m2 Ids
Glass .1 Uj ,� e
Exp. wall C� .
Lf llp—
Net exp. wall f _`.
Int. wall
Ceiling f O1 142
Floor / /'� �� y
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I 1~7.1 A. Rmm I Length /04 Width in Height iv
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.
Btu
Infiltration,
/
Glass
Exp. wall
X C
Net exp. wall
1.3/U
Int. wall
Ceiling / D `
73,
Floor /p
x /2 .2
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
City of Fridley, Minn.
BUILDING PERMIT
Date: September 16. 1970
Owner: John W. Stephens Builder Same
Address ____59 1 -5th Street N -E, Address i +*gyp
LOCATION OF BUILDING
No. 5901St ___. 5th Street N.E. _ part of Lot
4'.3 �d
N;9 10832
Lot —4 --- Block - 1 Addition or Sub.Division _—Bennett p a l mPr A A d i r i nn
Corner Lot _ Inside Lot
Sewer Elevation
To be Used as:
Setback ____ Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
Temp._ Storacre Shed Front ___ I Depth 121 Height _Z 1 Sq. Ft. cu. Ft
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction _ Frame Est. Cost _ $1.7.Q.-.0 To be Completed 1 month—
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.
G!l
In consideration of the payment of a fee of $ 5 00 , permit is hereby granted to Mrs John St phens
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 dart thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regardix_ g location, construction, alteration, maintenance, repair and moving of buildings
within the dty limits and this permit may be revoked at any tune upon violation of any of the provisions of said
ordinances. /
-41
sl -Ld
y � Building Inspector
HANK WHIC
NOTICE:
This permh does not corer the construction, installation for wiring, phmnblog, gas hosting, sewer or water. Be sure to no
the Building inprodor for separate permits for thus iteum
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME : % h CfJ Jle Q 4.`7 S BUILDER: al
ADDRESS :_ J_,O/ ADDRESS:
NO: .�9e/ STREET:_
LOT: BLOCK:
ADDITION:
CORNER LOT: ✓ INSIDE LOT: SETBACK: SIDEYARD:
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:- /a Depth • Z!::�' Height
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: ,_a..,?9 e 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: /4,' /,972/S IGNATURE : leo_
(See Reverse Side For Additional Information.)
ENGINEERS AND SURVEYORS
LANG SURVEYING
CIVIL 6. MUNICIPAL ENGINSOILS TESTINGE 'RIN4 LA -No PLANNING
.6418 -SGS" AVENVE N.
MINNEAPOLIS 27, MINN.
KE 7- BG37
- 1C +� � ii � is ��e� 1�,�e d� I� 9a 1� t���'!� � � � •
es
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KE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE
-AND h50'VE DESCRIBED AND OF THE LOCATION OF ALL BUILUINGS, IF PMY, THEREON , AND AL1 VISIBLE ENCROACHMENTS,
F MiV _'Fcxr,..� oR oN SATO LAND. .
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suBlEcr
PER,
City of Fridley
13502
AT THE TOP OF THE TWINS
PERMIT
BUILDING
R CEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
by
1 PROTECTIVE INSPECTION SEC.
���^
1 I ,
1---1 CITY HALL FRIDLEY 55432
NUMBER
PAGE OF
APPROVED BY
612-560-3450910-F155/6/76
7REVDATE
JOB ADDRESS 5901 5th Street N.E.
e
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
4
1
r
Bennett-Palmer Addition �eSHEET
2 PROPERTY OWNER MAIL ADDRESS (��
ZIP PHONE
John W. Stephens 5901 - 5th Street N.E.
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
x❑
8 DESCRIBE WORK
Construct a 301 x 221 Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway
SEPERATE PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
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
R-1
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
1 HEREBY CERTIFY THAT 1 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
$4,884
2.44
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$12.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$14.94
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATEDTHIS IS YOUR
z&A-5-
BLDG INSP
!PERMIT
t
� --
DATE
I NAER IF WNER BUILDER) ID T
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APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME: J 0 t X ////. 6ZE /A4 SV S BUILDER : ;�2:-)=-
ADDRESS •_ 6fv ` JrT A% L'. ADDRESS
NO:. �'I STREET:
LOT: 4 BLOCK: % ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
�A-
DESCRIPTION OF BUILDING
—Front:— 3a Depth : Z- z Height:
Square Feet: Cubic Feet:
Front: Depth:
Square Feet; Cubic Feet:
Height:
Type of Construction:
.0166
Type L Estimated Cost:_ $
To Be Completed: &)3 / /
The undersigned hereby makes application for a permit for the work herein'
specified, agreeing to do all work in stxict 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:_' ��� SIGNATURE:
(See Reverse Side For Additional Information.)
IN
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ENGINEERS AND SURVEYORS
LAND SURVEYING
CIVIL &to MUNICIPAL ENOINFAZING S011-5 TESTING
LANG PLANWlt-40
6418-56"m AVENUE N.
MINNEAPOLIS 2Z, MINN.
KE 7- BG37
fir] 410 01; 1 IR V Q'N
A 01
3L9
a,
i 4N
E REPLEbY CERTIFY THAT THIS IS A TP.UE ANO CORRECT REPRESENTKTIOM OF N SURVEY OF THE BOUNDNIIES OF: THE
'-t4D NBOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF AMY, THEREON AND ALL VISIBLE ENCROACHMENTS,
..0"k Ott
I
City of Fridley
SUBJECT
® IT NO.
14407
4 07
AT THE TOP OF THE TWINS
PERMIT
r
BUILDING
R IPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 i � CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
10/7/77
JOB ADDRESS 5901 - 5th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
1
Bennett Palmer SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
John W. Stephens 5901 - 5th Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Stene
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
8 DESCRIBE WORK
Convert existing garage to living area
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBING AND SIGNS,
Vj o e. 7-4Z'f-? SP r-1-0 ®JAL lay -A -j4-- .5 d
.3.
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
1
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
1.50
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$3,000
xxxxxxURIS
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-
$1$.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$19.50
SSIIIG_JNAT_URE OF CONTRACTOR OR AUTHO ZEDAGENT
WH OP LY VALIDATED THIS IS YOUR PERMIT
J(DATE) �y
VWNERIIF
BLDG INSP DATE
SIGNATURE OWNER B ILDE (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS,. ADDITIONS, OR.REPAIRS)
OWNER: Z n �,� �,�� BUILDER:
Address : &pa/ Address
Tel. No.:
No.:_ -4-7el Street: A4e
LOT: y BLOCK:
ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
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:
Square Feet:
Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction:
Estimated Cost: $
To Be Completed: /y �
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
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. See reverse side for additional information.
DATE: /o _ _ 7 i SIGNATURE-. /
Stipulations:
G �JO
19 ��
IL
SUBJECT
P NO.
City of Fridley
2 3
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
EIPT NO.
i _ COMMUNITY DEVELOPMENT DIV.���
v PROTECTIVE INSPECTION SEC.
NUMBER
REV
ATE
DATE
PAGE OF
APPROVED BY
I CITY HALL FRIDLEY 55432
A. "'j 612-571-3450
910-F15
4/98
JOB ADDRESS
5901 5th Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
1
1 Bennett Palmer
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert Radoush
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
MCR Roofing 829 2298-5749
20063009
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 Jac REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and eTear-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.
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
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
$1.08
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2168
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-
F SC $2.16
STRUCTION OR THE MFO2 NCE OF ONSTRUCTION.
$74.75
e
PLAN CHECK FEE
L FEE
` 9J
Licen S $5,0/ r2.99
SIGN OF CONTRACTOR CIR AUTHORkEDddEN7
EN RO
BL INSR
Y VALI A D THIS IS UURE
i
MATE
SIGNATURE OF OWNER OF OWNER SUILDERI IDATEI
NEW" [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY /
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:,_5j �
b
Legal Description: p u s
Owner Name & Address: �n be -y- / KaTel. #
Contractor: N . 0 - ,p2 . MN LICENSE # ^ /
Address: , — Tel. # 791 S 1.4
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF BWROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
-2-168
Construction Type: A'�a Estimated Cost: $
Driveway Curb Cut Width Needed:
(Fee Schedule on Back)
Ft. + 6 Ft = Ft x $
MW
DATE: 8 ' � � q FAPPLICANT: Tel. #-a rS 7
C USE ONLY
TOTAL
STIPULATIONS:
S
Permit Fee
$ Ll ` %��
Fee Schedule on Reverse Side
Fire Surcharge
$ o�. / So
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ 5--
$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:
S
31TY OF ERIDLEY INSPECTION DIVISION Effective January 1, 2003
5451 University Ave NE L4 �oQg
=ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
;763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
FAX (763) 571-1287
JOB ADDRESS Sq C�
RATE SCHEDULE
3esidential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
commercial/Industrial
1.25% of Value of. Appliance or Work
Rate
TOTAL
$ 30.00
$ 10.00
$
$ 10.00
$
$ 10.00
$
$ 25.00
State Surcharge
TOTAL FEE
VIINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
3LUS 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.
OWNER_
BUILDING USED AS
ESTIMATED COST i3 00. 0 PERMIT N0. 1 5 f
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units ----!—Circle One (Steam)H=Water)(Warm Air)
Trade Name 0 ,r : �,� Size No.sK-ir.-n u
BTU '80, 0 ocD HP EDR
Fuel Total Connected Load
Burner Trade Name Size No._
BTU HP ED
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.
DATE 'I - ( C)
CenterPoint Energy Minnegasco
HEATING C013562 Central Ave NE, Anoka, MN 55304
Signed, �• 763--757=6202
FAX # 763-757-6701
Approved By Rough -In Date' Final Date 9`3i -o3
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
rn "alone VE-/
NTENT CnNNFr'T R AND CO""a� icT�nni nIR VFRIFICAT10fll
When mnlaMna an eYrsfin_n furance, the undersigned .hereby verities that the
venting has been examined and is free from rust, deterioration, obstructions, Yes 11) No ( )
and is securely supported and firestopped where required.
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number -of elbows and termination. Yes (x) No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and
manufacturer's
ace cTaor fanoes
l Central Furnace Ventingbl s
include AGA-GAMA Category Yes (x) No ( )
assisted and natural draft appliances.
The ng r-nmhi `tinnair is sized and installed to meet the current codes
Yes No
and manufacturer's specifications.
�) ( )
When required to in-c-d"rr a new combustion air_ it will be sized and installed Yes No( )
to meet the current codes and manufacturer's specifications.
When 1nQftlljl3gjLEM yantine cvs em, 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 Yes �) No ( )
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized. and installed correctly after
an appliance has been removed from the common vent and vented Yes (A) No ( )
separately as per current codes.
Tyne and -g07P1 `nmmnn Vent and Vent C
Appuawr—
Appliance #1 Type u r ��C � BTU Input `6 ®► 5C— n Assisted Nat
Appliance #2 Type BTU Input Fan ssis ed or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height VJ Diameter _ inches
r i
Appliance #1 Vent Connector Height,_.-- ft LengthS �.ft Diameter n Type _�l
Appliance #2 Vent Connector Height _ft Length ft Diameter in Type N
Appliance #3 Vent Connector Height _ft Length _ft Diameter _..in Type
HEATING CO: CenterPoint Energy l�iisui®gasee 13562 Central Ave NE, Anoka, MN 55304
Signed By: \ Date:
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
763-572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Effective On January 1, 2001
JOB ADDRESS S 901 cS'� 1 's; / ,
OWNER (kS%1
Rate TOTAL -�-�
BUILDING USED AS�,�
$ 30.00 $ �L
ESTIMATED COST i PERMIT NO.
$ 10.00 $
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00 $
No. of Heating Units ircle One (Steam) (Hot Water) arm r)
$ 10.00 $ Trade Name S' Size No�
BTU 3Z4��V HP E D R
$ 25.00 $ Fuel iQ, 6, Total Connected Load
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
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE
HEATING CO
Signed TEL #�-c���
Approved By Rough -In Date Final DaAte9�/"o /
BACK SIDE MUST/13E FILLED IN ON VENT SIZE, VENT CONNECTORS
AND COMBUSTIO AIR VERIFICATION
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacina 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 existina 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 installina 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
$ 1 I ,
BUILDING
$
Permit No.: ` . ( -(�a
7Inspections
;ttrcharge
RESIDENTIAL APPLICATION
`.icense Surcharge
Received B
7763-572-3604
$
CITY OF FRIDLEY
$
Dat " . `' d ,' O V
,'DATE 1-7 I t s
YOUR E-MAIL ADDRESS—
$
SITE ADDRESS X401
t-9 N
"--
*:'HIS APPLICANT IS:
❑ OWNER VONTRACTOR
.PROPERTY OWNER/
N, 0
TENANT
ADDRESS: CITY
PHONE: 1(03) S11— f45-)
STATE ZIP
CONTRACTOR
NAME: C W`�i
SUBMIT A COPY OF
STATE LICENSE #7,O�ky c b13 EXP DATE 01/17 --
3I1ZYOURSTATELICENSE
'YOUR STATE LICENSE
ADDRESS: 51, (SSW L(e�I N CITYj�1Qwl}op-e STATEMMNLIPSSyZ&
WITH APPLICATION
PHONE 's j—JOS 4
PROPERTY TYPE
13 SINGLE FAMILY/NEW CONSTRUCTION SIZE
17 TWO F Y/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SWINDOWS
❑ BASEMENT FINISH ❑ ROOF 17 DRAIN TILE
❑ DECK 0 SIDING 0 OTHER
❑ SWIMMING POOL
TYPE OF WORK:
0 NEW ❑ ADDITION
MAINTENANCE/REPAM O REMODELING
)ESCRIBE WORK BEING DONE:__ �au�. t l w r ti cLd �vl l i K r-C�� o- �,,
•
4'
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
t00— F L
❑ HOUSE ONLY
NUMBER OF SQUARES
13 HOUSE & GARAGE BASEMENT
REN40DELING SUBMIT:
, iARAGES
0 A 1.
ATTACHED GARAGE
Existing Floor Plan
g
>ROPOSED SIZE:
❑ DETACHED GARAGE 2•
Proposed floor plan
'ROPOSED HEIGHT:
3.
List of structural members to be used
,.
Vinyl
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS,
] Aluminum
Other
13 Trim 1.
O Fascia
& PORCHES SUBMIT•
Site Plan/Survey showing the existing structures
and proposed project.
,VINAOW62.
"J EEMSTING OPENINGS 6Yes C1No 3.
Two sets of construction plans
Energy Calculations
LOCATION OF WINDOWS
IR FOR NEW OPENINGS -DESCRIBE SIZE OF [;�{g r l�:ktl,Qvi , Cw,.h Rdo,- p, peh
OPENING CHANGES & Alt I L `
:YPE OF WINDOW TO E INSTALLED
, NUMBER OF WINDOWS 11
t Ar.T. VVVC ADW ttseVr.
r%W 1?A ri. MMV ,wV
JOB V,
-AI T A'XAJ%J m a av11, 1 my #.iJ,l- UY LABOX AND MATERIALS:
_- (USING THE 1997 U.B.0 FEE SCHEDULE)
'ermit Fee
$ 1 I ,
Flan Review
$
)ire Surcharge
$ [�
;ttrcharge
$ el6
`.icense Surcharge
$
:;AC Charge
$
'urb Cut Escrow
$
'Tosion Control
$
;ark Fee
$
mower Main Charge
$
rotal Due
$ P�
TYPE
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1675 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
'hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
,nformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
-rmit but only an application or a permit and work is not to start without a permit; that the work will be in accordance with the approved
'Ian in the case of all work w h requ' s review and approval of plans. / ;�
GNATURE OF APPLICANT PRINT NAME � Cokt' IItQXjtlri DA7E (L! Li DC7