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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT 60 (156J7 Date: ------ Owner: -- Owner: .._..... . _..... ............ Builder - ... .. Address _� �! ._""_[ . -.' ___ _ Address /� L TION OF BUILDING No. 37' Street _...�!?' �.. x .._........._............._......._..._ Part of Lot .... _........ ...... _..._.._._.__......_....___.__ _ . Lot-------------- I ........ ...- .... Block .... __........................................ -Addition or Sub -Division ......-....... .......:_...... ._................ _............................ _........... _ CornerLot ....._..-- ............. ........ Inside Lot .....- ................................ Setback ..... _....................... ........... Sideyard Sewer Elevation ............. _............. _.__....... ......... ..... ............. — ........... ... _... Foundation Elevation .................. DESCRIPTION OF BUILDING To he Used as: F` Front .-_:. Depth _:_�,�* Height .40-7Sq. Ft. Cu. Ft.'_ ...._ ..............-............._......._......._..... Fro .................. Depth ....._......._.. AV Height ...................... Sq. Ft. ...................... Cu. Ft. ..................... Type of Construction -•-_ - -- Est. �' 4 ........ Cos ... ...... ........ 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. a In consideration of the payment of a,fee of $4-0117--, 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 time upon viglati of any of a provisions of said ordinances. n ,' 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 46 • City ®f Fridley, Minn. BUILDING PERMIT Date: NOVEMBER 17, 1965 Owner: JOHN P. BRAZIL IMifr-M. SUSSEL COMPANY Address 5529 - 6th St. N. E. Address 1850 Como Avenue Fridley, Minnesota 55421 St. Paul, Minnesota 3 i y6� X? 8609 LOCATION OF BUILDING No. 5529 Street 6th St. N. E. part of Lot Lot 27 _ Block 8 Addition or Sub -Division . Hamiltons Addn. to Mechanicsville Corner Lot --- Inside Lot $ Setback —_ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: DET. GARAGE Front 22 Depth 24 Height 10 Sq. Ft. 528 Cm Ft. 5,280 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Fast. Cost _$1,450 __ 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 a'll provisions of ordinances of the city of Fridley. q _ n In consideration of the payment of a fee of $-5 - 00 , permit is hereby granted to SUSSEL COMPANY to construct the building or addition as described above. This permit is granted upon the express condition that the peon to whom it is granted and his agents, employees an 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, may construction, a1a a alteration, maintenance, upnviolationofany of the provisions and moving of of said within the city ]units and this ordinance. ALLEN G. JENSEN Building Inspector NOTICE Thb permit don not cow the comtructlon, imtabdon for whing, plumbing, ga honing, awer or water. Be aura to no the BWMkg hapater for separate pormMa for these Beim. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNERS NAME d O BUILDER SS'cD S a ADDRESS_S�� ajr-,/ Nk® ADDRESS /� ��� c��. /-e LOCATION OF BUILDING -� Street,part of Lot LOT K 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. To be used as: DESCRIPTION OF BUILDING Front I=-) Depth, Height Sq. Ft. � _°�Cu. Ft., d Front Depth _Height Sq. Ft. Cu. Ft. Type of Construction 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 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 _&411- L2-6 6 & SIGNATURE - & - & e' (Schedule of Fee Costs can be found on the Reverse Side). d • LOT NAME SIZE 2.765 Z4 � BLOCK ADDRESS VALUE ADD'N. AREA TYPE 'ZZ J1 mash Q©uov VT B os.TS Q 5mo&.V-E W ,-rm Nou-se z 10E- G&.MA.0 m txJ,zK R of WousE as Goo"u1i at-, Ec.te007, Vg-ff,� y QD M ms.K e o &uov l r u M SUBJECrRM City of Fridley ® 144'7 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 I 11/16/77 I JOB ADDRESS 5529 - 6th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26,27 8 Hamilton's Addn. to Mech. SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE LaVerne Brazil 5529 - 6th Street N.E. 574-9528 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 Same 7 CLASS OF WORK ❑ NEW El ADDITION ADDITION ALTERATION ❑ REPAIR Q. ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house 9 CHANGE QF USE FROM TO STIPULATIONS Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt Shingles 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 ANYTIME 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 $600 $.50 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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG IN! 11-16-21 ry DATE � SIGNATUREOFOWNERIIFO R UILDERI IDATEI M CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNBUILDER: Addresses g -�,.t� -�J Address: Tel. No. - c,3- No.: Street: LOT • : BLOCK:ADDITION:. �-�.,� 2 �— ADDITION: ,i��zZ CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: 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: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: C°� ,�; �[:�- � n _� Estimated Cost: a To Be Completed: 2 Ili 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 application are true and correct. See reverse side for additional information. DATE: /� -/�, - % SIGNATURE: , t Stipulations: IAIJ -ILL &ivy fJ -�.bu Lvj SUBJECT PE •--`o City of Fridley 2 612 5 AT THE TOP OF THE TWINS BUILDING PERMIT r o COMMUNITY DEVELOPMENT DIV. _ v PROTECTIVE INSPECTION SEC. r 1 . i NUMBER REV DATEPAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/2/98 JOB ADDRESS 5529 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26,27 8 Hamilton's Addn to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shelly/Bob Werstlein 5529 6 Street NE 571-3352 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK -❑ ❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE O REMOVE x 8 DESCRIBE WORK Reroof House & Garage (25 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 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 $2,085 $1.04 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $74.75 Fire SC $2.08 PLAN CHECK FEE TOTAL FEE $77.87 SIG I URE NTRACTDR RAUTNO AGENT iDaTEi WHEN PROPER VALIDATED THIS IS YOUR PERMIT �-a �, OG iNSP c G�L—fid narE SIGNATUREOFOWNERp NERBu4DER. iOATEi Lvj NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMII.Y A1VD DUPLEXES R-1 AND R-2 a -h BUILDING PERMIT APPLICATION ConstructionAddress : Legal Description: C9 Owner Name & Address Contractor:_ Address: 55aq l Q�--ria I -t -,41-) �no Q ro , I`y1s ►� `� YYIP c cin �� �� �� MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BOROVEM ENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length how' Width Hgt/Ground Sq. Ft. OTHER: f e V' O n -p Y low' a-VIo4 a C.1r <2t!2je Construction TypeA?-cA 0--P Estimated Cost: $ C/ 11 6S (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: ('a" C/ g APPLICANT--QTel. ## CITY USE ONLY STIPULATIONS: Permit Fee $ S� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUI MARK NUMBER OF FIXTURES TA R;: FITTING PERMIT BCH FLOOR I - Effective On January 1, 1997 PLUMBING FIXTURE RATES: NO. RATE TOTAL Urinal 7H 7 - ltl,,5' Oi� Shower Wash Tray The unci Auto. Washer 9 Gas Range :MQ2&' water Heater Stories IR Gas Elec Basement Blow Off Basin $7.00 and rept d In this application are true and correct. Catch Basin rA Rain Water Leader $7.00z 1998 Sump/Receiving Tank .$7.00 Water Treating Appliance $10.00 OwnerK? N1, V Z,0 Water Heater -Electric Floor 1 Water Heater - Gas** $10.00 Building Gas Range" $10.00 4.2 Gas Dryer** $10.00 Estimat PERMIT NO. Back Flow Preventer Required )Yes O No MR. ROOTER OF ANOKA COUNTY' Type $15.00 PLUMBI ANY A-2-6-0- Ind-uStry UP N 4114 Floor 2 Ramsey, MN 55303 Reinspection Fee $42-00/Hr SIGNED TEL NO. 442i—jt171,9n ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 421 -6198 -FAX Floor 3 -,�6 . . . . . . . . . . . . . . .•. . ugh -In Date Final Date State Surcharge $ .50 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDS 7H 7 - ltl,,5' New Fixtures $7.00 The unci .-e.by makes application for a permit for the work herein Old Opening. New Fixture $4.00 specifi. o do all work In strict accordance with the city codes Beer Dispenser $5.00 and ruM Building Division, and hereby declares that all the facts Blow Off Basin $7.00 and rept d In this application are true and correct. Catch Basin $7.00 Rain Water Leader $7.00z 1998 Sump/Receiving Tank .$7.00 Water Treating Appliance $10.00 OwnerK? N1, V Z,0 Water Heater -Electric $7.00 Water Heater - Gas** $10.00 Building Gas Range" $10.00 4.2 Gas Dryer** $10.00 Estimat PERMIT NO. Back Flow Preventer Required )Yes O No MR. ROOTER OF ANOKA COUNTY' Type $15.00 PLUMBI ANY A-2-6-0- Ind-uStry UP N 4114 Ramsey, MN 55303 Reinspection Fee $42-00/Hr SIGNED TEL NO. 442i—jt171,9n ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 421 -6198 -FAX 1.5% of Value of Fixture or Appliance -,�6 Approv ugh -In Date Final Date State Surcharge $ .50 TOTAL FEE $ r0e,.�-,, "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) r' MINIMUM SIZE 9 SQ INCHES. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range" NO. RATE TOTAL JOB ADDR Gas Dryer** Back Flow Preventer Required ( )Yes () No Type � lof'' N E $10.00 The undersigned hereby makes application for a permit for the work herein $10.00 specified agreeing to do all work in strict accordance with the city codes $10.00 and rulings of the Building Division, and hereby declares that all the facts $10.00 and representations stated in this application are true and correct. $10.00 I r �/ °� 3 $10.00 DATE: / , 20 $10.00 $35.00 OWNER 5jKlQh-- $35.00 $35.00 3,5 e�j /� BUILDING USED AS (e,�S' (.11 nC�c.� $10.00 ' o $10.00 ESTIMATED COSTQ PERMIT NO. $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge TOTAL FEE PLUMBING COMPANY I IZPi�/VOr�S SIGNED BY Approved By Rough -in Date TEL N0. (51 _U5 - 13 LI D Final Date W aW-W - V,V VI $ OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing 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 O 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 :