PRE 2010 DOCSCity of Fridley, Minn.
BU I DING PERMIT N° 5385
0�s. , • , 1.. -, .xs/aiYl - ��� . -tZZ.=
1z Z Address
�2�0 , T OFlop BUILDING
No. V:5=Street '� -Part of Lot
Lot __ Block Addition or Sub -Division
Corner Lot _._ Inside Lot ___ - Setback ,_ Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING.
To as: Front Depth Height Sq. Ft Cu. Ft
Fron Depth Height Sq. Ft. Cu. Ft.
Type of Construction _: EstCoCG'--- ___ 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.
IV
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, m 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
w� � city limits and this permit may be revoked at any time lationk y of the provisions of said
Inspector
NOTICE:
TM9 penult 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.
— __
APPLICATION FOR BUILDING PR MIT
CITY OF FRIDIEY, MINNESOTA
Owner's Name Builder
v
Address
�� �, 2 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 Certificate of Survey of Lot and proposed building
location.
To be jused as:
Sq. Ft.
DESCRIPTION OF BUILDING
21
Cu. Ft.
Front` epth Height
Sq. Ft. Cu. Ft.
Type of Constructions 2���2i Estimated Cost
-
To be Completed
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts andr�ntations
�j
stated in this application are true and correct.
(A Schedule of Fee Costs can be found on the Reverse Side.)
A. I - , 10 0
• " • PARTIAL RATE ,SCHEDULE
PLUMBING FIXTURE RATES: NO,
RATE
1Ai=_jkx rixtuxes ••
x
`.bpi
Future tIttura oponing
U
$2.00
Kcv Fixture, OLQ Oponing
c�
$2,00
Hato r
-�+
$5,00
Aa
'h••
w
$5•,00
q
F
a c
..4i a
M
a
n
q W
r4
kF.
x
$5.00
Eloet.rlc Niter Heater -
Ile4ter
55,00
P`
`r
a
8�bC
v'
D
a
'.��
A a
1A
w
o
3av
4.1ac
c�
t"n
ti
ug
1st
,
•
i•a
ge.
7nd
)re
..
�t'h
_ [R) - Fu cure Connectlon Opening
Connactad with Suuor
1•) - Ilaw Futuro, Old Opening
WAtur
• " • PARTIAL RATE ,SCHEDULE
PLUMBING FIXTURE RATES: NO,
RATE
1Ai=_jkx rixtuxes ••
x
$3,00
Future tIttura oponing
$2.00
Kcv Fixture, OLQ Oponing
x
$2,00
C.stch Bio in •
x
$5,00
" ►•w3tor Hoaher - t4 99,000 BTU, •`'
x
$5•,00
100;C00 11TU to 199,000 BTU
x
$10,00
Nater Saftaner
' Vvw Ground-fUn Old Building
x
$5.00
Eloet.rlc Niter Heater -
x
55,00
CAS FITTING FEES: '
x 1],00
x 51.00
lst ) fixtures •
;Jditicaal ruturee
:Gss Rings to 199,000 BTU
REPAIRS 4 ALTERATIONS
rirst 1100.00
each acd. $100.00 or fraction
State Surcharge
TOTAL FEE
TOTAL
S
55,00 $
5 .50
1,10. 50
Job Addrda7e 8l=16051•
Department of UuLldinge
City of Fridley I
Tal, N571-3450 N
The undersigned horoby makes application fora permit for the w
opauifled agruaing•to do all work in strict accordance with the C
and rulings o! the Department of Buildings, and hereby declares t
the faots and rdprgountationi stated in this application ars true
• Fridley, M.'1,
2-6-78
OWNER THOMAS GOINGS
KIND OF BUILDING frame
USED AS res.
TO DE C014PLETED ABOUT 2-13-78 '
ESTIMATED COST 0,00
OLD - III:W uUILDIIIG PERMIT No, ....�._.PErjM1T 110.
Company
Signed By INNEGASCO
' '
Tole No,
g0UG1l INSP, '
Dnte ,
FINhL TNSP, / / - i -7
Dato '
APPROVAL rOR PERMIT
MINIMUM VE4 FOR ANY PLUMBING PERMIT 19 17.50
in
SUBJECT_�
MIL -NO.
City of Fridley
_�_
15506
AT THE TOP OF THE TWINS
BUILDING
PER M
'
r
COMMUNITY DEVELOPMENT DIV.
I ~
RE O D
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
GATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEY 55432
612-571-3450
910415
9/15/97
JOB ADDRESS
5372 6 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
3,4
15
I
Hamilton's Addn to Mechanicsville SHEET
I
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert/Frances Gideo 5372 6 Street NE
571-4819
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION ❑g REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House (14 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUTAED 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
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
$1,168
$.58
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-
$40.25
Fire SC $1.17
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$42.00
GN/TUqkOF CONTRACTOR O AU ORIZD GENT MATEi
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG INSP
GATE
Si A TPWE 0 P OW i; -ER _,-1F_00 E RTUI LDER)
in
NEW ( ]
ADDN ( J CITY OF FRIDLEY
ALTER ( ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: .
Legal Description:
Effective 1/l/97
Owner Name & Address: (L*h,-)t -) E yk \& j �� Q } Tel. # 571- 44 9 (q
Contractor: naE MN LICENSE #
Address:
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
Leng h Width Height
Length Width Height
Length Width Hgt/Ground
I
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: f CLQ Qa—//
> Estimated Cost: $ �1013
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: - - 97 APPLICANT:(9Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge $
Driveway Escrow $
rosion Control $
Park Fee $
Sewer Main Charge $
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$950 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by . Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
�TfPULATIOiNS: -�
CITY OF FRIDLEY INSPECTION DIViS10N q, �� -�1 _/ Effective On May 10, 1999
6431 lJniversity Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent . Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
17o of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
MINIMUM FEE' FOR ANY HEATING/COOLING/VENTILATIQN
REFRIGERATION/AIR CONDITIONING PERMIT IS $95.00
PLUS THE S.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
JOB ADDRESS _J" fpjE: _
OWNERrAn i
TOTAL
BUILDING USED AS
ESTIMATED COST �� PERMIT NO. 3C';�
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heatin Units Circle One (Steam) (Hot Water) arm Air)
$ Trade Name , aXJC Size No.
BTU (,gt),Ci"� HP EDR
$�iS� 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 an
$ .5Q rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are'true and correct.
• . _ r, [_ t► - i 1
Ili
i / ��� ��I : 1 •
//
• `/ 7C9 % q
CHIMNEY AND STACK_VERMCATYON
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 (l) No ( }
3. Has no foreign objects lodged within Yes i�j No ( )
4. Is securely supported Yes k-1 No ( }
S. Meets all current Code requirements for size
and total BTU's connected Yes (/S No ( )
6 Has total heating BTU's of COD I Lt�
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes () No ( )
.8. Has combustion air been provided for water heater Yes (} No ( )
Remarks:
List ALTERATIONS Being Done•
HEATING CO:
Signed By:
Date: