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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT x® 4472 Date: ....� _.... ....... ..... `�_.... ..._._...-•-----. _.. Owner: _... ..... --•..................... Builder .------......----.......... ........ ................................................... _................. _. _ Address _.... ....._...... _...!Address ...... -................... -......... .. L CTI NOF ILDING No...I/........ Street ...- .............. Part of Lot ................................. -........... ........ ................... _ Lot....... ......... Block ............. ............ ................. Addition or Sub -Division ............ ........ ........... ........................---•---•--•----------------- -- - - - - ��jj � CornerLot ..... . ............................. Inside Lot ......----------------------- Setback ................... ... ... Sideyard....-, .-Q---......_...-......-------------------------- Sewer Elevation ....._----a :J-`. .--�-� - ./.----.._ .............................................................. Foundation Elevation .........,��°...�.�......� DESCRIPTION OF BUILDING 4bbesed:.. _..Front -�J.. Depth ....p�Height ...... Sq. Ft..71� Cu. Ft.1.7�.... JW... ........`.........._.. ront -.... Depth Height .._�� /._ Sq. Ft. ' _. Cu: Ft. Construction Est. Cost........._......... �_...._.__...... To be Completed ....................-- -...- �ONIO`�ERMIT p ��'l® 6'UJLDIN R� n� J,1- T�f�i `'AU N RIZE A`! VIOLA nJ�; jOJv J bD COVENANTND 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 an in compliance wi all provisions of ordinances of the city of Fridley. I In consideration of the payment of a fee of $.a6:/. ..... _ ............. permit is hereby .._...... ____......................................... ... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. — A n it l Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF YRIDLEY, XWfZSOTA Owners Name Builder_ Address - Address LOCAT ON OF BUILDING No. Street a�� / Part of Lot Lot ,,Block ,, Addition or Sub.Div. Corner Lot Inside Lot——Set Backs .--® Side -Yard SEWER ELEVATION �� FOUNDATION nVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be us as: VX Front Depth height Sq. Ft.. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type, of Construction Estimated Cost To ;be completed The undersigned hereby makes . application .for a perr4t! for the wor•.k.. herein specified,, -agreeing to do all work in -.strict accordance with the City Ordinances and ruling of the •Departzhent of Buildings, and hereby de pares that all the facts an&repreeenta- tions stated P thi.e application are true and corrAet,_-__" DATE 7,, r' SIGNATURE.✓ e (A Schedule of'Fee costs can be found on the Reverse Side.) MINDER ENGINEERING CO., INC. ENGINEERS AND SURVEYORS LAND SLIRIVENIINO SOILS TESTING CIVIL & MUNICIPAL ENGINEERING LAI`40 PLANNING 6418—SG'rw AVENUE N. MINNEAPOLIS 27, MINN. KE 7- 3637 4D IF Is to irmw 41? �' FOR To m L.'V 15 Li r Iff 4'n L E IJ . q�z Lo WE HEREBY CERTIFY THAT THIS 1$ A TRUE AND CORRECT REPRESENTATION OF K SURVEY OF THE BOUNDARIES OF TME LAND ABOVE DESCRIBED AND Or -THE LOCATION OF ALL BUILDINGS, IF NMY, THEREON , AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SA -ID LAND. j DATED THISDIY OF _ MINDER ENGINEERING CO., INC. EWGIV,IvsR�' AND. st), vp' 03 P- s City of Fridley Application for Plumbing and Gas Fiat ng Permit Dept. of Bldgs. Phone SD 4-7470 DESCRIPTION OF WORK � Number, Kind and Location of Fixtures Location 9� 12 ESQ Q N 8� 5 �qd w �Z 2 �n • F • N WATER HTR. GAS ELM sp S Base a.. 1st / 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings I Sewer Cesspool PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 Future Fixture Opening ................ x 1.20 $SLS New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... — x 2.00 $ D New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 •`� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code 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 correct. Fridley, Blinn •e` 19 Owner'!�z T�z �� 19— Kind of Building/t-r�-rz �� y, 19— Used as � `e To be completed about Estimated Cost, $ Old—New. Building Permit No Sign_ By Description................................................$ TOTAL FEE $ ,� 11 POST 1M-12-58 Business Phone No Application for Power Plants and Heating, Coding, 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 ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ....................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 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) ......... I ............. 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 i $ 1 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 $ Dept. of Bldgs. Phone SII 4-7470 Location 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 re and correct. eY,inn19 Owner q, 195— Kind of Buil195— Used as_, To be completed about Estimated Cost, Old—New. Building Permit No. �V2--� DESCRIPTION OF WORK HEATING or POWER PLANTS—_-�Syeam, Hot Water, Warm Air—No Trade Name�� a 7 °a Size No. Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Nam- Size No Capacity Sq. Ft. E.D.R BTU H.P. REMARKS: 11 POST 1M-12-58 HEAT LOSS CALCULATIONS DEPABTM NT -O$ BUILDINGS A.S. N. . Weatherstrips Construction No. Guide c_ DT � 5 ,�t�itIDLEY* ,MINN. --� Insulation It W'ndows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor (` in How Applied J. es No — es No 19 ` f�— F1.1 Lly U Room Length ) Width I-2 .� Height ` F1.Room Len th & Width u HeightiLL Windows and Doors--Crackage and Area Width freight No of Lineal ft. Area No. of pane of pane I,ghte of crack ea ft Z —z--4 L 3L —z2, 12 48 4.8 1 is 19 '9 1 2- Coef. Btu Infiltration _ C 4-C; tid b 0 Glass 6 0 X S C% 19 I ic) S9 Net exp. wall J9 1 to 1`-j 10 Int. wall Ceiling Z.Z (CU ZZ 5 v Floor LL`i; 1 � ^ (- Total Btu. I— .9 ' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl -1 Ir. h t .I Room I Length 1,k _ Width I I ° Heiaht f� Windows and Doors— ka+ge and Area It Btu WId h Height N of Lineal ft. Ares No. of pane of Dane lights of crack sq. ft. Z® z. o 14- 2 z* 3c> L 3 16 Glass L ® (of 1�,qj 19 1 le> Coef. Btu Infiltration s t ce Int. wall 5C 0 O Glass 3 a. Floor 7- 5® 41 r o 343.3 Exp. wall (� Net exp. wall 1 c) SC` _ Int. wall UG Int. wall Ceiling 12 I 10 1-4 t C) Ceiling 12-1 30 Floor 14 j i o 0 1 Total Btu. r �, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Jp,b Room ILength Ll 'E- Width I I ® Height L'''5 Windows and Doors--Crackage and Area Idth Helght No. of Lineal It. Area Na. of pan• of pane lights of crack sq. ft. 1 z 4 �4 I C 1 t and Doors—Crackage and Area Coef. Btu t Infiltrtenu�W�a 16 0 r.`�_ P `o Glass SG ,5 Exp. wall 2- 4 1 Z 8 O Net exp. wall -LZ- s t ce Int. wall Int. wall Coef. Ceiling Infiltration — 3 a. Floor C ' �) Total Btu. 343.3 and Doors—Crackage and Area I► l) It _Windows No. W Idth or pane Height No. of Lineal ft. Ares of pane lights of crack eq. ft. — - z� 2-4 2- -7Z Z 2- _Coef. Infiltration 2- 4 1 Z 8 O Glass -LZ- s t ce F.xp. wall Int. wall Coef. Btu Infiltration — 3 a. O 12- Fo Glass -- y z co Exp. wall (� Net exp. wall 1 c) -j 4- b _ Int. wall Ceiling 12 I 10 1-4 t C) Floor 12-1 Total Btu. 1 5 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 Fl.l E t1 Room I l enath 1 l l- Width '3c-- Height '8. e Windows and Doors—Crackage and Area I► Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq4 ft- -z-4 jL Z L"L Coefj Btu Btu _Coef. Infiltration 2- 4 1 Z 8 O Glass -LZ- s t ce F.xp. wall Int. wall Net exp. wall O 1 Int. wall Ceiling Floor (� Total Btu. 5; 19 ce Required sq. ft. E.D.R. or sq. itis. W.A. Leader area F1.1 Room I Length Width S Heittht Windows and Doors,Crackage and Area Widtk Height No. of Lineal ft. Area No. of pane of pane Ilghta of crack eq. it. 0 l c, L14 Coefj Btu _ Infiltrvtst-n 4 Glass 4 cin _Exp. wall Net exp. wall Ly Int. wall Ceiling O Floor 6 -1 otal Btu. Q i 1a 08 R.• r Ft. E.D.R. or sq. ins. W.A. Leader arda __ i� Required sq. ft. ED.R. or sq. ins. W.A. Leader area • • 0 City of Fridley, Minn. N° 7736 BUILDING PERMIT V- 9 - Date: June 4. 1965 Owner: Henry Koester Builder Thomas S• Silvis Address 6141 5th Street N. E. Address 6020 Wynnwood Rd. LOCATION OF BUILDING No. 6Va Street 5th Street N. Be Part of Lot Lot s _ Block 2 Addition or Sub -Division Bondy Add. Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation ____ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Fit. Cost 85t730-0 To be Completed Storm Damage Repair In consideration of the issuance to me of a permit to construct building described above I agree to do the proposed work in accordance with the description above set fo and in compliance with ail provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of S 10.00 , permit is hereby granted to 7h0j B fi S, Silvis to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it pisargtranted and his agents, employees an workmen, in all work FFridley, taround ea d upon said locaatti� i onsr an truuctles of on, alteer�ation, maishall ntenance, pair and moving orm in all respects to the ordiumc o dings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. LUen Jensen Building motor NOTICE: "k peed* don net emn tbs emdmelton, hatapation for whing, phmbtag, an boadag, sewer or wtlsr. Be sure to me the Bal AM hwemr for sepwaft psrmhs for dwn hems,. OWNER `S7///"'F//- 1_ ADDRESS APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY,ni o ADDRESS ,�//d `' e / LOCATION OF '#U DINO No. G Street Part of Lot`` �— LOT,•BLOCK '2, ADDITION OR SUBDIVISION, Corner Lot Inside j= Setback Side -Yard SEWER ELEVATI 'FOUNDATION' ELEVATION Applicant attach;to this:form Two Certificates of Survey,o£ Lot and proposed building location.drawn.on these Certificates. DESCRIPTION OF HUILDING� To be used as: Front Dept h Height Sq. Ft. Cu. Ft. Front Depth' -Height' Sq. Ft. Cu. Ft. Type of Construction Estimated Cos:t_rU,,0 ' To bei ; completed The.undersigned hereby makes Application for a permit for th"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 ore true and correct:'' "I./ - I TOPS FORM 3450 low w LITHO IN Y. S. A. Proposal Proposal No. FROM Thomas S. Silvis Sheet No. 6020 Wynnvood Road Date May 24, 1965 Mple., Minn. 55422 5"-3919 Proposal Submitted To Work To Be Performed At Name Henry-joest.er -_ ---- Street—_ Same ---.-- -- Street 6141 5th St,. N. E. _-_- — City --_ __ State—_ — — City_ _ Fridley _ _ lans__ _- ___-------- - Date of Plans— State A"inn. — - -- - -. -- — Architect--- - - ---- - — -- - - — .- Telephone Number ------- -- ---- We hereby propose to furnish all the materials and perform all the labor necessary for the completion of Remove roofing, repair sheathing and rafters, reFlace roofin; Replace front combination door. Replace front entry door. _Replace living room awning _ Replace roof flashing - nstallation _ Repair eldctrical service and check wiring installation.---- Replace 7 combination unfits.— Replace Replace overhead-Earage door. service door to garage including frame _Replace_ iteplace sheetrock ; living room ceiling, kitchen coiling, hall of_1_iyi ll room, ceiling bathfront wall of bath-.-- athContinued -in Continuedon reverpG �. All is to be as specified, and the above work to be performed In accordance wrt the drawings material guaranteed and specifications submitted for above work and completed in a substantiat workmanlike manner for the sum of Dollars ($ 5,734.E 1• Five thousand seven hundred thirty four and no/100 - - - - - - - - - with payments to be mode as follows: Total amount due on -completion, _ - --- Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by Contractor Respectfully submitted Per Note — This proposal may be withdrawn by us if not accepted within ten days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Accepted __ -_.----Signature — Date _ _ -----_-- -- --- --- -- Signature_ .� -• • 1 - TOPS FORM 3450 low w LITHO IN Y. S. A. Renail all sheetrock that is not replaced. Retape entire house. Spray ceilings Decorate walls Replace tile wainsoote in bath. Replace picture window complete Replace bathroom window frame. Replace all broken window glass. , Replace kitchen sink. Sand and 'refinish all hard wood floors. Clean furnace Replace rear wall of garage on foundation and re -anchor. Replace linoleum on kitchen floor Replace linoleum on bath floor Install two reinforced concrete pillasters in basement. Repaint cracla in foundation wall. Remove siding Repair sheathing Replace siding Remove and replace all cornice work. Replace one 12 foot traverse rod. Replace th*ee window shades Remove wet insulation and replace with new material. Clean basement,' repaint basement walls. Clean yard andremove debris from property. Paint entire exterior. Total cost $59734.00 Five thousand _peven hundred thirty four and no/100 0 � '' --- 0 v Z-7 qL City of Fridley, Mims1 114 6 6431 University Ave. N.E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: August 18, 1971 owm: _ Henry Koester Jr. Builder Same Address 6141 -5th Street N.E. Address Same 2% 6141 Street LOCATION OF BUILDING 5th Street N.E. Part of Lot Lot 24 Block ? Addition or Sub -Division .Mand 2nd Addition Corner Lot Inside Lot — K Setback Sewer Elevation Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Addition to Garage Front 8 :Depth 24' Height — 10' Sq. Ft. 192' Cu. Ft. 1920' Front Depth Height Sq. Ft. , _ Cu. Ft. Type of Construction l i-ame Est, Cost $10 200, 00 To be Completed _ 3_ _ye r C841,00) Variance granted by the Council August 10, 1971 In consideration of the issuance to me of a permit to construct the building the proposed work in accordance with the description above sets�i�ih and cc Ordinances of the city of Fridley. ; ,,� I agree to do provisions of In consideration of the payment of a fee of - c; -00 , permit is hereby granted to Henry Koester Jr. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings n� city limits and this permit may be revoked at any time upon violation of any of the provisions of Said ordin CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, Baa heating, sewer or water. Be sure to sae the Building inspector for separate permits for these items. 4• t APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: a Ems- d,, BUILDER: � ,rw IV -e e- ADDRE$S: &yz S�: /� �, ADDRESS NO:. STREET: / LOT: oZ BLOCK: 2 ADDITION:- CORNER DDITION:-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 a%c�eUs d / '/:/V /V As: e Front: Depth: A Height: f] Square Feet: %% Cubic Feet: Z) Fronts Depth: Height: Square Feet; Cubic Feet: Type of Construction: e.4'# -4:2g all;Estimated Cost: ')Oo, 00 p r� 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 st, ed in this application are true and correct. , (See Reverse Side For Additional Info--*"7idn.5 From the desk of JF -147 NASIM QURESM M E M O RA N D U M CITY MANAGER'S OFFICE DATE: SEPT MER 2, 1982 TO ACMAk INFO SUBJECT: cOMPE AW OF TMCKS CN 5TH bmT BY HERB MOM, 6141 57H STREET MUCWH couNCILmm BM BA dW= Mr. Rester complained to Bob Barnette about trucks on this street especially those involved in the construction of thea ai clinic. His concern was that if the road breaks up, who is going to pay for it. I advised Mr. Barnette that the road is good enough for commercial traffic, but we would still talk to the contractor to encourage them to use Mississippi Street and the University Service Road to 61st for truck traffic. Please do whatever is necessary to m"ze this problem. Thank you for your assistance. xWms September 3, 1982 We will coordinate with the general contractor of the Medical Clinic plus the new office building to utilize Mississippi Street for access to the building sites. The City streets in this area are of 7 ton design. During the summer periods, loading is not normally a problem as the soil is dry and not frozen. The trucks essentially cause an increase in traffic (number of passes) rather than destruction of the surface. JGF/mh CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE � � � � / � RESIDENTIAL RATE TOTAL Job Address Furnace Shell and Duct Work,, (Also replacement furnace) $ 20.00 00 $ �� Department of Buildin 6431 University Ave. N.E., Fridley, MN 55432 P 9s. Y Y ..Burner, . City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) $ 10.00 $ wl) Fridley, Minn. �� (` �� 7-�n All Others/Repairs and Alterations OWNER l /�- 18 of Value of Appliance or Work $ �� L KIND OF BUILDING /C S ! COMMERCIAL/IMDUSTRIAL USED AS 1% of Value of Appliance or Work $ Ta BE COMPLETED ABOUT ESTIMATED COST , �Ll7O. i State Surcharge $ .50 QLD - NEW BUILDING PERMIT NO. PERMIT NO. TOTAL FEE $ ®l� Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. Date Final Insp. Date Approval for Permi MINIMUM FEE FOR ANY BEATING PERMIT IS $15.00, 92 �r5p� T'��i ". 99 RC GFd a; 1 2a I IS LV - r -11 ,i` -11 4-TA`Pf, ri?.F1ZCHARt;K *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. �/ yy Trade Name /Vee/ Size No. A&-&& &-()X Capacity &4),00 Sq.. Ft. EDR BTU ^ HyP- s1 Total Connected load IJ'/4/1 Kind of Fuel / vj7 / /► 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 CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes U 2. Is free from rust or deterioration Yes ( ) 3. Has no foreign objects lodged within Yes ( ) 4. Is securely supported Yes ( ) 5 M t 11 t C df No ( ) No ( ) No ( ) No ( ) ee s a Curren o e requirements or size and total BTU connected Yes O No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company S Iew 1y&'L1k%hL,0Jl el; L Signed By y Da to - J'' CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT w s m m .oma u '° W D ro o0 y ro S M o w y 4 w edCd u ov ro ao 3 °� t7 a 00 gee c7 14 +� 0 Water Heater %,7'05 CIARIEEIRD AVENUE 77)(2177-1 lec Basift- 4.00 $ Tel. No. - Slow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader 1st 5.00 $ ROUGH INSP. Hydraulic'Valve $ 5.00 $ Date Sump or Receiving Tank $ 5.00 $ 2nd Water Treating Appliance $ 7.00 $ FINAL INSP. Hot Water Heater _L $ 5.00 $ .7 C.J Date Gas Range 3rd 10.00 $ Gas Dryer $ 10.00 $ APPROVAL FOR PERMIT Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 4thi $ 1 FT I I I (R) d Future Connection Opening (*) - New Fixture, Old Opening Connected with Sewer Water Effective Date May 1, 1988 Job Address Le It -1 1 0 'z' Department of Buildings City of Fridley Tel. 5571-3450 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 Fridley, Mn. , 19 OWNER KOE-STER, ELAINE KIND OF BUILDING 6141 9TH STFEET NORTFEAST C-F'ICILEY, M'4 5511:: USED AS H 971-B63-1 W TO BE COMPLETED ABOUT RATE SCHEDULE ESTIMATED COST �jw PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Company Old Opening, New Fixture $ 1.50 $ Signed By %,7'05 CIARIEEIRD AVENUE 77)(2177-1 Beer Dispenser S 4.00 $ Tel. No. - Slow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ ROUGH INSP. Hydraulic'Valve $ 5.00 $ Date Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ FINAL INSP. Hot Water Heater _L $ 5.00 $ .7 C.J Date Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ APPROVAL FOR PERMIT Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 $ ALL OTHI:•'.S AND/OR REPAIRS AND ALTERATIONS 18 of Value of Fixture or Appliance $J•". 00 Reinspection Fee $ State Surcharge $ .50 3� ($15.00) TOTAL FEE MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT PER City of Fridley 27937 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. v______ COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. I -"'I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By I.j 612-571-3450 910415 9/23/98 JOB ADDRESS 6141 5th St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 24 2 Upland, 2nd Addition SHEET 2 PROPERTY. OWNER MAIL ADDRESS ZIP PHONE Henry& Elaine Koester 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Homes "R" Us 7398 Concerto Curve NE Fridley 55432 786-6836 20030327 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 O a REPAIR 0 NEW 0 ADDITION ALTERATION O MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house & garage (19SQ) Tear -off 8 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIREO 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 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 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 $1,628.00 $.81 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. $5(+.00 Fire SC $1.63 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTA EE �d �� y'� License $5.00 $61.44 •IGNATURE OF CONTRACTOR OR AUTHORIZEO AGENT tOATEi N P OP ALIOA THIS IS R P RM T S,GNATURE OF OWNEROF OWNER BUILDERI BL ,NSP BATE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description:,:S,, 4> s Owner Name & Address: ¢�,n,�,�T�,/ ,��, �s f�� Tel. # Contractor: MN LICENSE #_o®,3D3 Z 7 Address: 7��g Cp��o� �t 9C� 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 Width Hgt/Ground Sq. Ft. _ OTHER: PLO eDn f 9UA us.P ,j /',&A.,z p 7-6 Construction Type—��;'�� G..--� °� Estimated Cost: $ Z(D'::128 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 3 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 5.00 $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: su6�EtT City of Fridley 3194 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. V —� COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC 572-3604 �� E 3 1 = , E "'1 CITY HALL FRIDLEY 55432 , NUMBER REV OAT E PAGE OF APPROVED BY 612-571-3450 910-F15 6/28/01 10B ADDRESS 6141 5 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEsca. 24 2 Upland 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Henry/Elaine Koester 6141 5 Street NE 763-571-8631 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Star Home Improvements 12322 Business Park Blvd, Champlin, MN 55316 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 763-712-8881 20228319 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Permit Inspection Cards Will d® Failed. TO Homeowner To Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OFCONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $7,835 $3.92 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 $153.25 Fire SC $7.84 PLAN CHECK FEE TOTAL FEE nse qr $5.00 $170.01 SIGNATURE OFCON'RACTORORAUTHORIZED AGENT IOATE, HE PROPERLY VALIDATED THIS IS YOUI PERMIT a a B ,NSA qA E S-GNATURE OF OWNERIIF OWNER13UILOERI IDATEI JUN -04-2001 13:34 FROM CITY OF FRIDLEY TO 7128883 P.02iO3 NEW [)1. Effective 1/1/2001 ADON [ i CITY OF'FRIDLEY (763) 572-3604 Bldg Insp ALTER [ l SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: V41 � � 5 � Legal Description: Owner Name & Address: —11e.1 r - /roes —Tel. #- '76'3 -T7/ -.s6-3/ _ Contractor: MN INCENSE #®a a 319 Address:l�3��. 1��SreSS (Js, k 9 ju� CI��.�,.. l� /��u s r3i_L- Tel.# -7G3`70-Pa's'/ 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 T Ype:p lCC9- Wn Lw5 k..io Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: G -O ( APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 5 3 Fee Schedule on Reverse Side Fire Surcharge $ '70 .001 of Permit Valuation (1/10th%) State Surcharge $__ 3?�. $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ 1 �23- _$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 $ I ?0 STIPULATIONS: