Loading...
PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3291 Date: .... .... n1.... : .................... . Owner ....................................... Builder............................4............. Address ...................................... Address ............................................. LOCATION OF BUILDING No.41.7 1.. Street ...................... Part of Lot ... ........ Lot ...... .... Block ... .a........... Addition or Sub-Divion fl ;iz.C.Y� . .. .. , yG Corner Lot ... Inside Lot .....`.� ... Setback ...... . �. Sideyard . �... � . ......... ........... DESCRIPTION OF BUILDING To be Used as: , / Q J`'471A / ....... Front ..`.7: t.. Depth ........ Height .... V... Sq. Ft. A . :�C Ft. �. .................... pnt ........ Depth ........ Height ........ Sq. Ft. ...... Cu. Ft. ........ of Construction Type �..... >ilst. Cost.14. � �.� ....... To be Completedzie 1. In consideration of the issuance to me of a permit to construct the building de above, I agree to do the proposed work in accordance with the description above set forth and in plian with all provisions of ordinances of the city of Fridley. r In consideration of the payment of a fee of $A .. ' ., permit is hereby granted to ��:� &AI-^ ......................... 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. s ... ...... .. .. Buildin ctor 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. BUILDING PERMIT Date: Owner: .. ... _....._. _.._ Builder f � to � Address. , .�-� Address N4 17 LO TIO F BUILDING Street ... ___... ......... - Part of Lot No. J...-... � _. . • °`� �.......:' Lot .. --- ------------------- I............ Block .................................... -... ......... Addition or Sub -Division ..... _............. _..... . Corner Lot ..... . ................... _........ Inside Lot Sewer Elevation Setback ....._ ............._......._...._........ Sideyard _...__- Foundation Elevation ....... ......... DESCRIPTION OF BUILDING be Used _.. _...... . Ie .. f ..... Front Depth ........ Height /r....... Sq. Ft. - . _ cu. Ft.3L5-.. _.............. ... ........ ........................ Fro ................... Depth .............. Height .................. ISq. Ft. ............. ..... ... Cu. Ft.......---............... Type of Construction Est. Cost..f...j�......'�°1 "' To be Completed ..... _......... ._._..................... _........ THIS (JCRMIT WES- -NOT ,GUT. ]ORIZE VIOLAT� ION OF F-R!V;;TL- LAND COVENANTS AND, EUILDIP\IG R—TRICTION-'5. 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. f In consideration of the payment of a fee of $..7-.!!=._.._...... permit is hereby granted to. ... ............. _....................... ............. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all. respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any "Oi dation=of a y of the provisions of said ordinances. � , ,� }� Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Hems. Owners N Address No. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATIONS O/F BUILDING v� '_� Street It N- � Part of Lot Lot Block Addition or Sub.Div. Corner Lot Inside Lot --.,X Set Back Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front Depth 0 Height /� Sq. Z Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction �� 7u C Estimated Cosh \ .,- .� To be completed ✓� m @ �� 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 representa- tions stated in this application are true and corre t. DATE / D SIGNATURE tl Cu (A Schedule of Fee costs can be found on the Reverse Side.) 1W , .. - 9 0 City City of Fridley, Mian.. N° 8209 • BUILDING PERMIT Date: July 15, 1965 0 • Owner: MUM DEENIEAG Builder ANDREW P. GAWEL Address 5972 - ,5th STREET N.E. Address 2107 WASHINGTON ST.N.E. Fridley, Minnesota Fridley, Minnesota LOCATION OF BUILDING No. 5972 Street 5th STREET N.E. Part of Lot Lot 1 _ Block 2.. Addition or Sub -Division Bennett Palmer Addition Corner Lot Inside Lot Sewer Elevation To be Used as: Setback — Sideyard Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost 000 00 To be Completed REPPJRS DUE TO STS DA14AGE In consideration of the issuance to me of a permit to constru the building described above I agree to do the proposed work in accordance with the description above set rth asci in comp with provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to PHILIP DEFNMG 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 lactation, construction, alteration, maintenance, repair and moving of buildings within city limits permit may be revoked at any time upon violation of any of the provisions of said ordinan ALLEN G. JENSEN NOTICE Uh pamb don sof emu the candrua m, hr M[Won for wkim plumbing, on he d m sewer or water. Be sun to sn da BOA* hupKtor for "pan to pwmHs for dna Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME - BUILDER ADDRESS ��-�/� dr-_ ADDRESS LOCATION OF BUILDING NO. STREET PART OF LOT 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. P ,,�� _s DESCRIPTION OF BUILD2 To be used as; Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu: Ft. Type of Construction Estimated Cost ay d 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 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). w . y 52-84-s915.51 City of Fridley App9catban for gybing and Cas Ring Peru Dept. of Bldge. Phone 580-3480 DESCRIPTION OF WORE Number. Kind and Location of Fixtures 5972 N E Stn St � $ ��qgpQ $ x $1.50 $ Y 118 .� yy 55 $ (3 $ • • WATER HTR. GAS EIEC. Base if ] 2nd Sad — – 4th _ ° Future Connection Openings Connected with Now Fixture, Old Openings ❑ I sewercesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..... Future Fixture Opening ... ... .... New Fixture Old Opening Catch Basin . . Water Heater (Up to 99,000 BTU) New Ground Run Old Bldg. . Electric Water Heater GAS FITTING FEES: x $2.00 $ x $1.50 $ x $1.50 $ x $3.25 $ x $3.00 $ x $3.25 $ _ $2.00 $ NO. RATE TOTAL 1st 3 Fixtures ...... ...... ........... x $100 $ Additional Fixtures . .......... ....... x $ .75 $ Gas Range to 199,000 BTU .............. 1 x $5.00 $ 3.00 REPAIRS & ALTERATIONS—Refer to Code Description $ TOTAL FEE ,$ 3.00 City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn_ 10-28-69 Owner P lli.erling Kind of Building frame Used as --- To be completed about _ 13-2-69 Estimated Cost, Old—New. Building Permit No. Pe NO. By IVt"I POLIS GAS co, Business Phone No ROUGH FINAL SUBJECT P IT City of Fridley ;694 4 AT THE TOP OF THE TWINS BUILDING PERMIT, r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. O CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY "-" "`j 612-571-3450 910-F15 5/1/80 JOB ADDRESS 5972 - 5th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 t Bennett-Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Philip Dierling 5972 - 5th Street N.E. 571-3084 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Viking Home Im rovement Co. 4832 - 24 Street N_E_ 560=1794 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 Alum. triM, soffit & Fascia, alum- siding nn nnrt--'h and snuth cfabl as 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 $1.23 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- $15.0.0 STRUCTION OR THE PE ORMANCEOF NSTRUCTION. PLAN CHECK FEE TOTAL FEE _ ytr 0 .�/_ 'Q S1�cczGNAT1YE1F$16.23 SGNATU EOFCON7RA TOR ORAUTHORIZED AGENT (DATE) WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT �s/ � SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) + BLDG INSP DATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: d �u/P i/ A' ADDRESS: 7 2r _ .S S � L-. TEL NO: S % 3 Q 7 � B U I L D E R ADDRESS: W2 2 T TEL NO: _�_60' 37�i Construction Location STREET NO: J �/ Z STREET: / LOT: 1 BLOCK: `� ADDITION: � �iJ� — �� 1,41 _e !2 Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Square. Feet: Front: Depth: Height: Cubic Feet: Depth: Height: Square - Feet: Cubic Feet: a /� o a v Type of Construction: hly'01d� Estimated Cost: $ � f11 0V0'J-rt( C7/4btrS To Be Oompleted: 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 applica DATE: �L / ✓ CFC SIGNATURE: Stipulations: J SUBJECT City of Fridley 174. 3 AT THE TOP OF THE TWINS BUILDING PERMIT r REC O. COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1,2-07 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/3/84 JOB ADDRESS 5972 - 5th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Viking Home Improvement Co. 4832 - 2h Street N.E., Mpls 55421 572-1820 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 Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage 8 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys where necessary. 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 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 $1,250 $.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. PLAN CHECK FEE TOTALFEE $22.63 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERL VALIDATED THIS IS YOUR PERMIT T X L� �1� BLDG INSP ATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEi J NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: �_c7 % 2 " f;' S7_/ --e Legal Description: Property Owner/Address: 1r9i 2 / J - S ` ST RJ L- Tel. # 15 - 3 0P/ Contractor: it ) kllji n A,e_tN # S7Z-/�za Address: ��3 Z" ��— sT/ii� '::!2 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [X] Yd. Setback Side Yard Setback Type of Construction: /�ia� `Ft. I�'�US��� Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: . Z d APPLICANT: Tel. # S�,Z If -20 CITY USE ONLY Permit Fee $ z2•00 Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ 'e 43 $•50/$1,000 Valuation SAC Charge $ `^� $425 per SAC Unit Park Fee $ �� Fee Determined by Engineering Sewer Main Charge $ s� �.� Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: CITY OF FRIDLEY Effective May 1, 1990 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE U. SIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping ed with new furnace) Gas Range Gas Dryer • Air Conditioning (all sizes) RATE TOTAL $ 20.00 $ $ 10.00 S $ 10.00 S $ 14.00 $�_ $ 10.00 $ All Others/Repairs and Alterations 1% of Value of Appliance or Work $ COMMERCIAL/INDUSTRIAL It of Value of Appliance or Work S State Surcharge S .50 TOTAL PTE S Reinspection Fee ($15.00) S Sb Rough Insp. Date Ath �usy Minnegasco - 700 #342.5326 Final Insp. W. Linden Avenue Date P. 0. Box 1165 Approval for Permit _ 1 ) Minneapolis, MN 5544)-1165 / _ s MIF'.,meQ--As-_® MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neLg1tbor. Job Address -!� 1 -a S7 K)z Department of Buildings, 6431 University Ave. N.E., Fridley, HN 55432 City of Fridley Tel. 0571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fr dley, Minn. OWNER KIND OF BUILDING CT"--( a CT""- USED AS a-c�`L —.2 TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. 1 c e DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Capacity Sq. Ft.. EDR Total Connected load Size No. BTU HP Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No. Fill out back side for stack verification on replacement furnaces 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 connected Yes ( ) No 6. Has Total heating BTUs of All other BTU's TOTAL Rema rk s Company _ Signed By Date SUBJECT - City of Fridley 7464416 AT THE TOP OF THE TWINS BUILDING PERMIT r T , REC O. 1 1.__ _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. -) V" r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 7/1/98 JOB ADDRESS 5972 5 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 1 Bennett Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Philip'Dierling 5972 5 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D L Builders 1166 14 Ave SE, Minneapolis, MN 55414 378-0950 20096711 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION _❑ REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE WORK Reroof House & Garage (20 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,668 $.83 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. - $54.00 Fire SC $1.67 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEETO FEE • � R' License $5.0 $61.50 SIGNAT EO CONTRACTOR OR AUTHORIZED AGENT IDATEI N ROP VALID IS YOUR PERMIT 44 e_.. IN:6 O /Tt'IIS W � PATE SIGNATURE OF OW NERIIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 I BUILDING PERMIT APPLICATION ConstructionAddress: S7 AG Legal Description: Owner Name & Address: �%�,��� , p4 `I VN ( Tel. # Contractor: � L 7� ,Ue�rs MN LICENSE # 1, °71 Address:,. J�Uk p V -G_\ -Pry SSE Tel. # Z7?-09Sb LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. b 00 Construction Type: 2A,, DW Ire DEstimated Cost: $ (Fee Schedule. on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. #Z - TOTAL $ 6 • 7 C� STIPULATIONS: CITY USE ONLY Permit Fee $ s��/, DO Fee Schedule on Reverse Side Fire Surcharge $ 1, 7 .001 of Permit Valuation (1/10th%) State Surcharge $ 3 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ .r,, v o $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 $ 6 • 7 C� STIPULATIONS: SUBJECT City of Fridley 2 6 7 DO AT THE TOP OF THE TWINS BUILDING PERMIT r RE F1 'PT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 413 7z/ i NUMBER REV GATE PAGE OF APPROVED BY I 1 CITY HALL FRIDLEV 5$432 612-571-3450 910415 17/16/98 10B ADDRESS 597Z 5th St NE tLEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 1 2 Bennet-Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Phillip bierlin 572-0351 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Exteriors Co 9060 Zachary Ln 1425-4737 2595 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO, 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION l7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Storm Damage Repair 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500 $.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- ire SC $.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $21.00 PLAN CHECK FEE TOTAL FEE License SC $5.00 A $27.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY V ATED THIS IS YOUR PERMIT e w pro.- BLDG &SP GATE _ SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NE -NV [ ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: t5q % — � Legal Description: Owner Name & Address: Contract Address: Effective 1/1/97 Tel. # ENSE # Tel.# #A5�:e1737 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:_!TpM At Estimated Cost: $ 4foan (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x' $ _ $ DATE: APPLICANT: ^ TeI. # STIPULATIONS: CITY USE ONLY Permit Fee $ �. Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $i $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge �`-- $ $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: ITY OF FKIULEY lNbk'tC:IJUN UIV. r31 University Ave NE idiey, MN 55432 _ 63) 572-3804, FAX (763) 571-1287 Floor 1 Floor 2 Floor 3 Floor 4 WIYVNf V / \I.I/.. •/ r.... . APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 3� NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR �- `D1,:n .li.__L.M— _ cj= WifflirSERMAufn IRED_. . Gas water Heater`` .UMBING FIXTURE RATES: NO. RATE TOTAL .w Fixtures d Opening, New Fixture ;er Dispenser ow Off Basin #ch Basin lin Water Leader imp/Receiving Tank ater Treating Appliance War Heater -Electric titer Heater - Gas'* as Range*" as Dryer's ick Flow Preventer Required ( )Yes () No Type $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 :inspection Fee $50.00/Hr -L OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge $__10 TOTAL FEE $ L5.50 JOB ADDRESS G j a - 5- -k r 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. DATE: 1 20U OWNER BUILDING USED AS � p0 ESTIMATED COST CPERMIT NO. PLUMBING COMPANY , 1� SIGNED BYE os_ TEL NO. � T �� "� lJ�� Approved By Rough -in Date Final Date MINIMUM FOR ANY PLUMSINGIGAS PERMIT IS $15.00 or 5% OF COST OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 5t?4(A) AND TABLE 6 -A. -PROVIDE COMMON VENT INFO ON BACK SIDE Building C CAL Permit No.: �, c Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF LEY D , R.ec'd= 763-502-4977 FAX EFFECTIVE-I-2010 DATE 9- 4-7- ill YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: 0 OWNER ACONTRACTOR -PROPERTY NAME: PC, 5 0.. ", S" 4-ot 1a e-- OWNETENANT .5 2 -7 � S r `1 S•- �F CITY Ft2 I of STATE hr' ZIP .tis Ila �L ADDRESS: PHONE: x/ 63 - S Q1 V t 3 3 b CONTRACTOR COMPANY NAME: 12 0v t✓ SUBMIT A COPY OF CONTACT PERSON: C In ar J pp YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: rd-10 H 0� ti C CITY rw_ "Ol STATEJ! ZIP S S �Q L APPLICATION PHONE 7b3 1 SY FAX PERAUT TYPE SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK. Equipment Installed MFG: dL v v 0 MODEL: 124V-107 l: r A 9SIZEMTU :�f 6�1C! CU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEIBTU A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGEIOVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 ,FURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 _DUCT WORK $10.00 PIPING $10.00 _VENTILATOR $15.00 _GAS •Y+� .xr°' '�C i� ' - fir_{'i '� � �t• �, � N LW- f �. 4`U'( ..:i �. :< -'� 'A1 AF �v. ,x3b'S:p 5' f"Z �#c %} 3�„ �`zg� {.,�`� r 4��'� S� �Y. .;' Li S� 3 s li' '� �ut�� �e..t•?r ''il x ' ,..�4f1F S' 9''' ;' � q'h`r�'�r �:',.����. �3 y',�,� 1�{ ,��G�r•�"�. r4i�.K°��£,.. YET;7k�'��'�L7=''`trAT'�, �s�l{za9?f Y.9Y .� +�3 ,9V%f.. 1! .�% ''tiiC� tde*�^��A G�'*'4;�2^•.:u ���'�3$. S;k +! �:�� .�}`r Y��ti i. � p"ji„{tnL b ,�: k �},.., .t ��, ?. �",�".. J"5 g;, i`.rv,. �'.�r" :t3?. �., sSy:"r •,�.. T. - -'� 0 .ci:.�i' �SC C� ' ';[" ��f �.. v2. '`�i$ lX� 'yj.�A 5.4n `fps `i Vr'T"''k'4 aa^P..ijl ilk %''e}, ii G.: `c.V rr�c+r1.<n. .M1t� K e ..,{�^�1'.y ; +A j..,.,yx•'i :fix 51 N.R. T" me h§ M' �."y'1 '�5't,'�'': .:::i Y -�.. ppWa .� i43 -:.$ �-Y..x3 < ."N .;:R t �,,�Y „� A'3V+A !� }`R�.fy2lL'li �3 4:. �}j ,) �V.• 'f_4 � �y i.., r1 q��'# Y£ *h`.� ✓x h I ;f'S''�r' t�'.i:� 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. ✓') C (n r a Q pDATE SIGNATURE OF APPLICANT 1 p- PRINT NAME r' a,PPROVAL INSPECTORS SIGNATURE DATE �. . � "I�I,EASENO'' SEP:�kR.AT;w: P :S ARE''RE. � UIRED•F{?R Ei71ZDINis, ELECTRIC. AI�ii3 I�IECI:C�L t�ORI�. ' `— City of Fridley Building Inspections Department 6431 University Avenue Nr, Fridley, NiN 55432 763-572-3604 FAX: 763-502-4977