PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N® 3285
Date: .. g%/ ....................
!�
Owner Builder ....... .......
Address ....................................... Address .............................................
LOCATION OF BUILDING
jj c ,�r
No. .. .l �5... Street .�/�..�.c............................. Part of t ........... ......t............
Lot ....� .... Block ..`/............... addition or Sub-Divisi .. .......... ... ...........
Corner Lot Inside Lot (/ Setback ..—�$. .. Side
............ ............ yard ...�.C) ...................
DESCRIPTION OF BUILDING
Tzus.as:
. .. ........ Frost..r7.�.�?. Depth °� ..� Height .....�
........ From . /0i:!: Depth Height ....
e of nsfruction ..... lift. Cost.. �..... .
Sq. Ft. .�vi., Cu.
Sq. Ft. ........ ()tL Ft. ........�
To be Completed ..... ....... T
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 forth and in compliance with all provisions of
ordinances of the city of Fridley.
V
....................................................
In consideration of the payment of a fee of $A....., permit is hereby granted
......................... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. �
_ ... ....... /ding Inspector
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, plumb, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Item&
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Date: fty u'' 1965
Was:
City of Fridley, NUnn.
BUILDING PERMIT
gsso. Home Imp, Co.
Owner: Builder
Address ____5965 M. St. N. E. Address 43.01 Russell Ave. No.
LOCATION OF BUILDING
No. 5965 Street 5th. St. N. E. Part of Lot
Lot�__ Block Addition or Sub -Division Acid.
Corner Lot — Inside Lot _ _ Setback __ Sideyard
Sewer Elevation
Foundation Elevation
N� 7509
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth _ _ Height Sq. Ft. Cu. Ft.
Type of Construction 31mgalow Fast. Cost _S5, 000• 00 _ To be Completed
Storm Repair:: Gutters, roofing, Shakes, Carpenter work, Painting, Glass windows,
Sheetrocking. Will be put in same condition as before Storm.
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the proposed work in accordance with the description above set and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of1$ 0.00 , permit is hereby granted to As$ociatAd Hama
TWM.—Go, 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 ofbuildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
NOTICE:
fhb permh don not eewr the eomitruetion, hnta0stlon for wiring, plumbing, ger heating, sewer or water. Be sura to ase
the Bolbiing Insimaor for soparate pwmft for these ham
'j, .
A!-, '2X26®
APPLICATIOWFOR BUILDING PERMIT
OITY OF FRIDLEY, MINNESOTA
�w - �
OWNER'S' NAME'
,�`��.5 " r�� �.:�ld, BUILDER
ADDRESS. ADDRESS-'st 4e
LOCATION OF BUILDING
No. Street Part 'of Lot
LOT,BLOCK ADDITION OR SUBDIVISION_ 6 A( IV (�,
Corner Lot Inside .LOT: Setback`Side-Yard �
SEWER ELEVATION FOUMDATtON LLEVAnOX
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 Dept h Height
Sq.'Ft. Cu. Ft,
Front Dept�Height
Sq. Ft. Cut'. Ft'..
Type of Construction �,, Estimated Cost
u-�
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 to Department of Buildings, and hereby' declares that all --the facts
and representations stated in'this application are true°and correct.
DATE a
i
(Schedule of Fee Costs can be found on the Reverse Side).
sueJECT
MICity
of Fridley
�PER
19127
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
INSPECTION
r � � PROTECTIVE SEC.
V�
1 �
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
i
1 0 CITY HALL FRIDLEY 55432
I.J
612-571-3450
910-F15
8/21/87
JOB ADDRESS 5965 - 5th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14
4
Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
John Casserly 5965 - 5th Street N.E.
571-3743
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central Avenue N.E.,
Mpls 55418 781-9548
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
proof Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
lmof can be the 2nd layer but not the 3rd.
Install ridged galvanized
valleys.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,000
$1.95
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.
$32.50
PLAN CHECK FEE
TOTAL FEE
\O
$3 4.45
OMATE)
SIG ATUREOFCONTRACTRAUTHORIZEDAGENT I ATE)
'WHEN PROPERLY
BLDG INSP
VALIDATED THIS IS YOUR PERMIT
DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ ) R-1 AND R-2
ALTER. [ ) Building Permit Application
Construction Address:. -5- 74 s- ' ��e -Z,'F
Legal Description:
Owner Name &Address: ✓
Contractor:/4,r` Lq , _ A P�7_e/ -,o 9'e,eJ r,?
Address:
--?s-/-3
Tel. # 1 ._3 /77
Tel. #
Attach t -o this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: �� /(_®d
Approx. Completion Date:��
Proposed Driveway Width If New Opening Is Desired:
Estimated Cost: $
Alt. A Alt B
See Back Page for Explanation
DATE: �� rel APPLICANT: Z�sG Tel . # 0s �__7
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Plan Check $ 25$ of Building Permit Fee
State Surcharge $ $•50/$1,000 Valuation
SAC Charge $ $475 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
TOTAL $
q 5 Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS•
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
Effective On March 1, 1996
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS�� �
Residential
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace
(Side Yent — Fill Out Back)
Gas Piping(Needed with new furnace)
b
Gas Range
Gas Dryer
*Air Conditioning — All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
I% of Value of Appliance or Work
Com mercial%Industrial
1.25% of Value of Appliance or Work
a
The undersigned hereby makes application for a permit for the work herein
Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and
�7 rulings of the Building Division, and hereby declares that all the facts and
$ 30.00 $31representations stated in this application are true and correct. _
$ 10.00 $ C6LSS6_r
OWNER 11996
$ 10.00 $ 1
,
BUILDING USED AS..
$10.00 $ �1 , /
ESTIMATED COST PERMIT NO. `16
$ 25.00 $
IZESCRIPTION OF FURNACE AND OR BURNER
State Surcharge
TOTAL FEE
$ No. of Heating Units Circle One (Steam) (Hot Water) arm Air
Trade Name KP Size No.
BTU HP EDR
$ Fuel f'� a. f.�, Q Total Connected Load
$ .50 Burner Trade Name&A A ANX�l 0 Size No.
ao BTU 0 S HP EDR
a
HEATING COMPANY it ,(Qry\. hr `ice
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
rp.,.......0-- Gs—//Tel No,
Approved By-
Rough—In Date
FILL OUT BACK SIDE R STACK VERIFICATION ON
REPLACEMENT FURNACE
Final Date
l
ti
CEMMY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been careMy examined
Yes ()
No
( )
2.
Is free om rust or deterioration
Yes
No
( )
3.
d
Has *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 (x)
No
( )
6 Has total heating BTU's of
All other BTU's � % y(1
TOTAl BTU's
7. Has a liner been provided for water heater Yes () NoC,l
8. Has combustion air been provided for water heater Yes—No ( )
Remarks:
HEATING CO:
Signed By:
Date:
SUBJECT
City of Fridley
61
AT THE TOP OF THE TWINS
BUILDING
PERMIT
Ir? �?
REC
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC
�ar
NUMBER
REV
DATE
PAGE OF
APPROVED 8r
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
6/11/97
JOB ADDRESS 5965 5 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
14
4
Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
John Casserly 5965 5 Street NE
571-4068
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Viking Home Improvement Co 4832 2 1/2 St NE, Mpls., MN 55421 571-4068
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
4772
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION CX REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK
Reroof House & Garage (18 Sq) 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.
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
$1,485
$ • 74
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-
$48.50
Fire sc $1.48
STRUCTION R THE PE FORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
w4wx
License SC
$5.00
$55.72
SIGNATU E OF CONTRACTOR OR AUTHORIZEDAGENT IDATEI
WHEN PROPER ALID TED THIS IS YQUR PERMIT
:BL G INSP
qa TE
SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI
NEW ( ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 475, 6 � 6—?!!� J 1— A/
Legal Description:
Owner Name & Address:�0' f�� Cr�.sS e-12-1
Contractor: V l I< I'A13 ftp „,,
Address: Ltq 3 2_
/ -0 NT -`i 0 Y
1 '
�Z- � M n Is -ter,✓-
Effective 1 / 1 /97
Tel. # S71 -t/06?
MN LICENSE # 4 7 7
Tel. # 57/
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:
dI-(L -o
t e laud U,S
C,�. �
f� s` U�11. •e..
n� db
Construction Type: �Ptt'Y ` -0 �-�z - ZU Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: t0' l , l r APPLICANT: '-�// � " J#// foTel. #� �Z� �7� ^ ` r z-0
CITY USE ONLY
Permit Fee
$ , S C
Fee Schedule on Reverse Side
Fire Surcharge
$ C
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$950 per SAC Unit
License Surcharge
$ S-,
$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:
Building
b MECHANICAL
Permit Ivo.: 7-0 v&G
Inspections
RESIDENTIAL APPLICATION
Received By:
K_
763-572-36047
CITY OF FRIDLEY
Date Rec' -.
DATE Z -O 1 YOUR E-MAIL ADDRESS
SITE ADDRESS 'S"1 (0S 5 — ISN
THIS APPLICANT IS: ❑ OWNER J]CONTRACTOR
PROPERTY
NAME: ?6 "X r- SS -e
OWNER/
t
ADDRESS: 9 �o — A NNE CITY r 1 d I e A 1 STATE PVZIP SSCP3:Z
TENANT
PHONE: --i6 -?, - 5 —I ` - 4oO .T
CONTRACTOR
COMPANY NAME: CENTERPOINT ENERGY
CONTACT PERSON: JOANN 7INREN
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS: 9320 EVERGREEN BLVD STE Wry ''COON"RAPIDS sTATEMN zIP55433
APPLICATION
PHONE 763 — 757 -- 6202 FAX 763--757--6701
PERMIT TYPE
INGLE FAMILY ❑ TWO FAMILY [I TOWNHOUSE
TYPE OF WORK:
❑ NEW AMEPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK
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)
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: Ci MODEL: a 4 AC A 4 -a aid SIZE/BTU
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU
I A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00
NEW
_AIR TO AIR EXCHANGEER $15 _FIREPLACE (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
—DUCTWORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50
Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $
Number of fixtures @ $25.00 1 x$25.00=$ AIS -O0
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $ S. Sd
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT eA• DINT NAME ROGER HOFFHEIN DATE Co 2 O
'��Ia � ���fl'�E��t��$.c9E�•"1�'A `a4'�i � r ''.�,', `,';, v .sr�. ' ",-r" '�',�T�.Y'r ���'A�a.. ;.w�E ,,. F �?'',t' ��0, �"'�`���"�;
City of Fridley
Building Inspections' Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
City of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MADE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
6. Duct Design Per IMC 1346.0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculations.