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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: •.. ..'"'"' Owner- Builder Address Address N9 6:7:7:) 14 CAT OF BUILDING No. ! Street __W _ _ _ _ Part of Lot Lot __ Block , _ __ Addition or Sub-Division— Corner Lot _ Inside Lot Setback.— Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To ,Used � Front Depth Height Sq. Ft. O cu. V� ftoe Front _. Depthght Sq. Ft. Cu. Ft. Type of Construction ,Est. To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. o AO 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 alone 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 timey v,/i�olationA y of the Provisions of said ordinances. � l 6' i NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sun to an the Building Inspector for separate permits for these items. 0 OW04 0 APPLICATION FOR BUILDING PZRW CITY OF FRIDLEY, MINNESOTA Owners Name Address Address/e-�'�- LOCATION OF BUILDING No.!,_Street Part of Lot it ,• � Lot12 Block. Addition or Sub -Div. - Corner Lot„_„ Inside Lot�Set Back S' S Side-Yard,®�,�,_,_ SEM 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 Z` d �� Height Sq. Ft. Cu. Ft. vo- Front Depth Height Sq. Ft. Cu. Ft. Type of ConstructionEstimated Cost To be completed. -- The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all -,the facts and representa- tions stated in th's application are true and cotta - /C DATE _—! ©✓'Gc� SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) LL d U) M11NDERFjNGDiiEFjzlNG CO-o'qlNco ENGINEERS AND SURVEYORS LAND 9URVEVINS SOILS TESTING CIVIL a& MUNICIPAL ENSINEERING LANG PLANNING re418-5reTM AVENUE N. MINNEAPOLIS 2T, MINN. KE 7- SG37 S U Rei Ear= FOR Tom 5,e i v I ts N f� I 00 I PC Imo---- - - -- - /39.4 -- — SCALL_ 'I'= 30' Lc -F30 H LL"K. Al 'J PL AND 2 LAID •ADC) "Il . WE HEREBY CERTIFY THAT THIS iS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON , AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAIDN ND. DATED THIS MY OF MINDER ENGINEERING CO., INC. A•O•175`� ENGIN R,g� AMID SpURVE /R� Application for Power Plants and Heating, 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 ............... t STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR 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 $ 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 $ 6 GAS FITTING FEES: NO RATE 8.00 $� 2.00 $ _ §.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 $ 6 GAS FITTING FEES: NO RATE r _TOTAL 1st 3 Fixtures x $1.50 $ '� Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $_ t `l AIR CONDITIONING $ � FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FFE $ ^ ROUGH FINAL Dept. of Bldgs. Phone SII, 4-7470 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, 1y[;nnSV1LBl1Q e.A S 19 p Kind of Building t;, M Used as Rip -0M To be completed about Estimated Cost, $ Old-1g<Building Permit No. �d Permit No. DESCRIPTION OF WORK HEATING orr�PO��WER PLANTS—Steam, Hot Water, =No Trade Name -I �' 1 �� :D G A Size No -1001 goo C) Capacity Sq. Ft. EM.R BTU 1 0 Q Qt i H.P. Total Connected Load ��� Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signed By. .f 42 1M 7_59 Business Phone No T r% 46 HEAT LOSS CALCULATIONS DEPARTMtNT OBUILDINGS FRIDLEY, MINN. Weathirtstrips, :j Construcv.,, NO. Insulation 'A indows t Doer 5 Relrence ()w Wall .11 g _!4A f sk)"I Kind How Applied Int- Wall 0, 4- t 2,4es)— 0 f1ij R,K,m I Ix ngrh Width Height t:,,, Rrx)m! I ength Width I J'�) Height 6 Windows and U),.),trs----Crafkagr -v.d Area 'J;;ndow,, and Dnor&---k'ra(kagc and Area It Kh I f, 1—,,WaTit Area "a "I N". f -k 7 4t 3 4 + oef., Btu I' Coef. Btu Infiltration Glass Gat.- it 7-1 P Net exp. wall Net #,xp waP Int. wall Int. WIN Ceiling P loor L Total Btu. 1 -Ural Btu Required sq. ft. E.D.R. or sq. Ins. W.A. Leader area Required sq. ft. F.D.R. or :�q. in.,. W.A. Leader area Roo I ength � Widti, He 'tg!,t Room! Ixngt,ts I( Width ? Height A Windows and Doors --- Crackage and Area and Doors,--c!arkage and Area ,.;,71-, A l.w'.: ft, I ea Ares No of pane or parrs sq f. rr or I ft. xi. it— ----- - - 4-- Coef. Btu Infiltration Z. c, Net cxp. wall T - Ne! wall Int. wall iFA uvail Ceiling t tf A dool )42-, Total Btu. TotaI l Bt I u to 4 Required sq. ft. E.D R. or sq. ins. W.A. LeaIe: area Reiured w, ft, ElYR. ora.j. Ins. W.A. Leader area _ FLI Room 1L.ength Width T"!Ig.ht I 1 0 en t'�7iidth �7 Heigh! Windows and Doors­-Crackage and Area N%Fni—th No of Linea) ft. .4 —a of pane of ane f 118his of —ark c: !t. " 4 Windows and Doom-Ciackage and Area :,eb 1 ft paten. no ---a, 2 it Area ft. Colelf. Btu Infiltration 4 CJa3$ I 11P coef., 4,_ Btu Fxp. wall Exp. wall ii Net exp wall Net exp. wall Int. wall 7 CA -1 ov r _W_z --I — Jll Windows and Doom-Ciackage and Area :,eb 1 ft paten. no ---a, 2 it Area ft. Colelf. Btu 4v G 46 Exp. wall ii Net exp wall Jll City of Fridley, Minn. BUILDING PERMIT N° 6029 Date: Owner: & _ S + A Buildge Address Address LOCATION OF BUILDING No. �� Street Part Of Lot — Lot _ Block Addition or bUo-L on Corner Lot _ Inside Lot — aback deyard. Sewer Elevation Fo tion Elevation In consideration of the issuance to me of a permit to constrict the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with ell provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ permit is hereby granted to -- - the to construct the building or addition as described above. This t is granted upon express condition that the person to whom it is granted and his agents, employees an workmen, in all work Bone in, around and upon said building, or any part thereof shall cenform in aII respects to the ordinances oP Fridley, Minnesota r+egardiYg lactation, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances NOTICE: IMs perm@ does not eowr the coaskoctioa, hutallatioa for v rht& phnshla0, gas hen&& satyr or wafer. So sun to see the fieildhng hopeetor for separate permits for thea Naas. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name uilder-S74r/W Address 6 2,C� 1 ®5 r. iy.a% Address LOCATION OF BUILDING No. g� '2--& Street IV Part of Lot . S,F C,0 AX Lot 30 Block _ Addition n UPILAIV Corner Lot Inside Lot Setback Side -Yard SMIER ELEVATION FOUNDATION ELEVATION / LL, Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be usg s 611 A/Z/+-ce FrontDepth 6 Height , / 0 sq. Ft. 5" 7 Z —cu. Ft. I a 2- 0 FrontDepth Height Sq. Ft. Cu. Ft. Type of Construction Ff-bM Estimated Cost ZA,60 0 To be Completed _5.0-w A$ 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 ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE G SIGNATURE 1,�� , (Schedule of Fee Costs can be found on the Reverse Side). 1 SUBJECT P ®- City of Fridley 6 2 8 6 9 6 AT THE TOP OF THE TWINS BUILDING PERMIT -.ins.^.; •, �®360 R O. __ COMMUNITY DEVELOPMENT DIV. `_ - _ INSPECTION SEC. p® �� r - PROTECTIVE I � = 1 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 9t0-Ft5 12298 JOB ADDRESS 6201 5th Street NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 30 2 1 Uplands, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sylvester Kirschling 651-25n-2762 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Johnny on the Sot Const511-3540 90138R11 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential T CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION qx REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house 14 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 119 0 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- STRU�TION R THE P RFORMANCE OF CONSTRUCTION 4 F S PLAN CHECK FEE TO A FEE V SIGNATURE OF ONTRACTOR OR AUTHORIZED AGENT IDATEIEN PROP VALI T THIS IS YOU PERMIT _ �� -3- S,GNATURE OF OWNERIIF OWNER SUILDERI IDATEI SLOt IN$P IF DATE 1 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 4�gt Legal Description: te_ X;"nI I�j Owner Name & Address: ' Y* �� r',ne/ Tel. # Contractor: o ��rWI40a1 tz -rlv- cmc +"ek-, MN LICENSE #. .201.; 95.33 Address: 4�xog Vjit (A/— o Tel. # ----:573 3,Sg® 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 Ft. OTHER: ?� �- 01- Luse_._ rt -r -b w+ � -& ��Sq. /A ,S'l Construction Type: reo,�- Lj -4eru Estimated Cost: $ // C?2 04=1 k4 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ d DATE: 1oq-,)—PC APPLICANT: �� 9Tel. # TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ 7 6, a?.l Fee Schedule on Reverse Side Fire Surcharge $ /, a d .001 of Permit Valuation (1 / 10th %) State Surcharge $ lob $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ ` 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: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS : 6201 5 ST NE PIN : 143024340080 LEGAL DESC : UPLAND 2ND ADD : LOT 30 BLOCK 2 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT.:2004-01132 DATE ISSUED: 07/19/2004 VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL DRYER WITH 1/2 INCH COPPER, DRIP TEE, FLEX CONNECTOR AND SHUT-OFF VALVE. # A/C UNITS 0 VALUE OF APPL OR WORK 342 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 342 APPLICANT CENTERPOINT ENERGY/1VIINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- SHIRLEY REDDITT 6201 5TH ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating copstruction or the performance of construction. Bldg HEATING PERMIT MINIMUM FEE 15.00 FURNACE SHELL/DUCT WORK 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 15.50 PAID WITH CHECK # 1013296 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. e CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Q, Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS l�'��/ , Fee Total Owner/ $35.00 $ Building Used As��,�1� Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ Gas Range Gas Dryer I; *6ir Conditioning -All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater $10.00 $ $10.00 $25.00 Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR ESTIMATED COST aj 10 PERMIT NO DESCRIPTION OF FURNACE AND BURNER $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. $ BTU HP EDR Fuel Total Connected Load $ 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 $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ HEATING CO P� $15.50 *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Tel # A3- 76% kd6b1 FAX #_ Date 7 Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date :