PRE 2010 DOCSCity of Fridley
SUBJECT
MIT' 1503.3
AT THE TOP OF THE TWINS
BU ILD I N G PERMIT
RECEIP7 NO
COMMUNITY DEVELOPMENT DIV.
Q�p
PROTECTIVE INSPECTION SEC.
1
/ 3
= �
1 "1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612.560-3450
810-F15
11/21/78
JOB ADDRESS 5549 - 6th Street N.E.
1 LEGAL
DESCR.
LOT NO.
28,29
BLOCK
8
TRACT OR ADDITION SEE ATTACHED
Hamilton's Addition to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Charles Westling 2523 Woodcrest Drive 786-4445
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 NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR 0 npfloovi
1f k'
8 DESCRIBE WORK Before digging call local
�g titiey
Construct a 38' x 261 Dwelling and a 201 x 23' Garage g ut
Etc.
8 CHANGE OF USE FROM TO
STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards.
Provide a verifying survey before capping.
SEWER LOCATION: CApprox. 8Y Deep In Street) 50' S. of M.K. (_Inv. 849.52)
WYE ELEV: 850.52 TOP OF FOOTING: 854.02 Minimum
WATER LOCATION: 91 S. of Sewer Service
I DOES NOT GUAP,,.NTE] 1, 16.
� .E CITY OF ;.IDLEY
LOCATIONS AND
F,CCURACY OF UTILITY •
OSESE ONLYI AND,
IOERr
CFY THE INFORMATION
P RSONS , USING ITSHOULD
ON THE SITE. SEPERATE PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBING, AND SIGNS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Frame
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
460 f 1048
36,184 Total
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
$ 34, 750
$17.38
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-
$144.74
$400.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
-A
.78
$598.90
ATURE OF CONTRACT OR AUTHORIZED GENT / (DATE)
166,440
4
�11H PRO ERL .VA D TED HIS IS YOUR PERMIT
SIGNATURE OF OVER IIF OWNER BUILDERI IDAT 1
DG. INSP DATE
M
r
• - CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
MEW, ALTLRATIms, ADDITIONS, OR REPAIRS)
OWNER: �' 40 L W E S i
Address: 2S2 3 W e�co'p��z��� Jz .
BUILDER:
Address:
2.S23
i cz
Tel. No.:
7S6-
LL
`--
No. : Street: L — S -z-
LOT:
LOT: BLOCK: ADDITION: p 5 Ao 0 4g,A '+ o �C tH 4q #J CM
CORNER LOT: INSIDE LOT: %� SETBACK: 3 S SIDEYARDS: (O / t, 37-.S
Applicant attach*to this form Two Certificates of Survey of Lot and proposed
building location dram on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
G A A A GE: Front: Z Depth: z 3 -Height: i o
Square Feet: D Cubic Feet: (3
}-�o s Front: 3 5 Depth: Z Height:
Sauare Feet: /6-%Q Cubic Feet: _J4a
Type of Construction: IF-e-Arh_IE Estimated Cost:
2 G
To Be Completed: 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 fog additional information.
DATE: I (�� /% S' SIGNATURE:
Stipulations:
P -C 3C.S*
?V l �• 3
JAI / �Q�• �� ' .
�30
�, tal
ra—, aL
Sasrveyor's Certificate
COMSTOCK & DAVIS, INC. Consulting Engineers and Land Surveyors
1446 County Road J, Mpls., Minn. 55432, 784-9346
SURVEY OF:
Part of Block 8,
Hamiltons Add. to
Mechanicsville,
Anoka Co., Minn. ��; "''�'
C�+���,�
.'....•._�
.tet
�''I', ¢'<. .
tl
.see-) ��.9y
b\yP.
X '
30
L. . -r :'•s C)
130.20' Plot
° zf
N
d 0CD
N �''�ql.. is ' f • i.'
N p xs•s
r�
130.1;3' Mlmas
3o' 130. 2d: Plat
SURVEY FOR:
Chuck Westling
2523 Woodcrest Dr.
New Brighton, M.N. 55112
�i
IT
��saoep A°� i
DESCRIPTION:
Lots 28 and 29, Block 8, Hamiltons Addition to Mechanicsville,Anoka
County, Ifinnesota. Subject to easements of record, if any.
_IiCll OF FRIDLEY DOES NOT GUArriANTE� ?ifE
,y; t�IRACY OF UTILITY LOCATIONS AND ELEVATIG,
"-;i5 DATA IS FOR INFOT,,MATION PUppOSES ONLY A, -
t�ERSONS USING IT SHOULD VERIFY THE. INF0&1%kP,Ti(-
N TH, CITE.
SCALE: 1 inch = 40 feet
Denotes iron monument set
Before digging cal! lac:31 U;;11i".
TELEPHONE - ELECTRiC - Gki Liar
REQUIRED BY LAV,
I hereby certify that this survey, plan or report was prepared by me or under my direct
supervision and that I am a duly Registered Land Surveyor under the laws of the State
of Minnesota.
_ 10832 Sept. 26, 1978-1 4015
Reg. No. Date Job No.
'02� ze�!e/eoi �/;- � V/ c �- I E —
a
S
MoD
Aix� �3 -S 7-
%
A%/ i;O7'7y' - 7L l ��
l� '! 5 7-,r-�6e" /9 F7- �9-e
3 ................................. .Total
If item 1#3 is the same as, or less than item 1, you have tet the intent
Of SDC 6006(c)2.
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER CNA S UJ 5 i t,J G -
SITE
ADDRESS
CONTRACTOR ,C_ DATE II i 7 PHONE %eF
E.
Determine working square footage of each.
I. Total exposed wall area ......� Sf' sq. ft. x .17
2. Total
roof/ceiling area ..... d sq. ft. x .05 =
r Z
Total.exposed wall area above floor = e'S-4el.G
a.
b.
Total wall window area .............. ....... �.Z
Total door :.
c.
area ............. .............. 3�
Total sliding glass door area
d.
...................
Total fireplace wall area o
e.
....................
Total wall framing area (averagef-
f.
g.
Total net wall area above floor .............
Total rim joist area
................. .
Total' exposed' foundation area-=
h.
Total foundation window area......_.
.... ........ o
i.
Toal'net foundation area above grade ............ Z
Determine "U" value of each wall segment.
a. - to z X Ilull S 3
C. 4/-0 X llull > kc' 2 2 214
d. o X 11u1l °
X1 Dull 3
9. - Z X Ifull
h. e� X IIUII
3 ................................. .Total
If item 1#3 is the same as, or less than item 1, you have tet the intent
Of SDC 6006(c)2.
is
Total exposed roof/ceiling area
Total gross roof/ceiling area
-J. Total skylight irea
k. Total roof/ceiling framin....."'
1. g area
Total net-insulatedr0of/ceiling area.
Determine 'full, value for each r . dof/ceiling segment
j. .
X
k. X Uull
X flu" ol 0
4 ................ I .....................
Total
If.totalOf T&M is the same as, or les
SBC C006 .* (c) T. s than #2, You have rnat the intent o -
TO utilized the total envelopesystemMethod-
Sum of items #3 and f4 shall the valpes established by tj
not b& greater than the sunt Of items r 1 and
+ 2.
3. + 4. SL. ii
-----------
-2
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• CITY OF FRIllLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEw, ALTERATIONS, ADDITIONS,' OR REPAIRS)
OWNER: aZ L Q BUILDER: ��•� lr��s TL !�0 G
Address: ��2�j \jl)o�,pc,2�tST �� Address:ZS
Tel. No.: -19L r 'F `� ��
No.: i _ Street: n
IAT: �'/ BLOCK: �_ ADDITION: ! V�A� J, 7"
CORNER LOT: INSIDE IAT: SETBACK: SIDEYARDS:
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: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: Estimated Cost: $
To Be Completed:
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: U
5ti ulations :
CITY OF FRIDLEY
APPLICATION FOR
POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
$
.AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
$
Boiler only up to 100,000 BTU
GRAVITY WARM AIR:
RATE
TOTAL
Job Address
Furnace Shell & Duct Work
$12.00
$
BURNER- to 3.gal. per hour
Replacement of Furnace
7.00
7.00
$
$
Department of Buildings
Repairs & Alterations -up to $500.00
4.G0
$
City of Fridley
Repairs & Alterations each add. $500.00
$_
Tel. 0571-3450
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU $12.00 $
each add. 50,000 BTU 4.00 $
Replacement of Furnace 7.00 $
Repairs & Alterations -up to $500.00 7.00 $
Repairs & Alterations each add. $500.00 4.00 $
ROUGH INSP. REINSPECTION FEE
Date ($10.00)
FINAL I1NSP. 6- - ! - % 51
Date
APPROVAL FOR PERMIT /P
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
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.
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - W BUILDING ERMIT N0. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
BEATING or POWER LANTS, Steam, Bot Water, Warm Air- No. o{
Trade Name- Size No. �d —
Capacity Sq. Ft. EDR BTU HP
Total Connected Loader C5_Ff 40 Kind of Fuel C
0
BURNER - Trade Name
Size No.
Capacity Sq. Ft. EDR 0(-,,PHPQj(� Co -
Company
Signed By
Tel. No.
Boiler & Lines up to 100,000 BTU
$12.00
$
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
each addn. 50,000 BTU
6.00
$
OIL
BURNER- to 3.gal. per hour
$10.00
$
each add. 3 gal. per hour
10.00
$
GAS
BURNER- from 100,000 BTU to 199,999 BTU
$10.00
$_
(over 199,999 BTU see Fee Schedule)
$
GAS
FITTING FEES:
o
1st 3 Fixtures x
$ 3.00
$
Additional Fixtures x
$ 1.00
$
Gas Range to 199,000 BTU x
$10.00•
$
AIR
CONDITIONING
$
FAN
HEATING SYSTEMS See Fee Schedule
$
VENTILATING SYSTEMS
$
ALTERATIONS & REPAIRS
$
State Surcharge
$ .50
TOTAL FEE
$AS'x� /0
ROUGH INSP. REINSPECTION FEE
Date ($10.00)
FINAL I1NSP. 6- - ! - % 51
Date
APPROVAL FOR PERMIT /P
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
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.
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - W BUILDING ERMIT N0. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
BEATING or POWER LANTS, Steam, Bot Water, Warm Air- No. o{
Trade Name- Size No. �d —
Capacity Sq. Ft. EDR BTU HP
Total Connected Loader C5_Ff 40 Kind of Fuel C
0
BURNER - Trade Name
Size No.
Capacity Sq. Ft. EDR 0(-,,PHPQj(� Co -
Company
Signed By
Tel. No.
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING Perim
PARTIAL.RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
7
!lumber Fixtures
x
$3.00
Future Fixture Opening
x
Ai
0
x
Water
a
,�
Catch Basin
x
$5.00
water Heater - to 99,000 BTU
c M
a
�'
q
o w
a
w
tp
flew Ground Iain Old Building
Heater
$5.00
Ld ei
b
$5.00
qq
c
a�
44lec
U
2
o o
W
e
o
u
m
ai
11
14
►
P
I
lst
C
2nd
3rd
4 th
(R) m Future Connection Opening
Connected with Sewer
(�) a New Fixture, Old Opening
Water
PARTIAL.RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
7
!lumber Fixtures
x
$3.00
Future Fixture Opening
x
$2.00
New Fixture, Old Opening
x
$2.00
Catch Basin
x
$5.00
water Heater - to 99,000 BTU
�_ x
$5.00
100,000 BTU to 199,000 BTU
x
$10.00
Water Softener •
x
$7.00
flew Ground Iain Old Building
x
$5.00
Electric Water Seater
x
$5.00
GAS FITTING FEES:
TOTAL
1st 3 fixtures - t x • $3.00
Additional Fixtures x $1.00 $
Gas Range to 199,000 BTU x •$10.00 $
REPAIRS & ALTERATIONS
.First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 $
State Surcharge $ .50
_ TOTAL FEE $ W S V
REINSPECTION FEE
($10.00)
Job Address
Department of Buildings
City of Fridley
Tel. #571-3450
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. 47t / / , 19
OWNER
KIND OF BUILDING
USED AS s�
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD NEW UILDING PERMIT NO. PERMIT NO.
Company
J
Signed By
Tel. Nqy ` 1,7
ROUGH INSP.
Date
FINAL INSP.
J. Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PZRMIT IS $7.50 BI.US $.bo STATE BUR ZUM
a
SUBJECT
• ^-.,�
City of Fridley
27339
AT THE TOP OF THE TWINS
BUILDING
PERMIT
I `
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
►v
____�_
f PROTECTIVE INSPECTION SEC.
1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
1
18/21/98
JOB ADDRESS
5549 6th Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
28 29
1 8
lHatilton'sAddn
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Anthonv J. Piekarcz k
-
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Solomon & Sons 12211 Olive St NW Coon Rapids—
754-5875 20059664
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 )a REPAIR ❑ MOVE O REMOVE
B DESCRIBE WORK
Reroof house and garage 24 S Tear-off
9 CHANGE OF USE FROM TO
±STIPULATIONS
Underlayment must comply with the State Building Code.
r
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
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
$2001
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 $2.00
PLAN CHECK FEE
TOE
Licen
5.001$8X75
SIGATUR�OF CON RAC R R UTHORIZED AG NT iD TEi%
P PE LIDAT
HIS IS OUR PERMI
_V\\
SIGNATURE OF
BUILDERi DATEI
BLDG NSP
MATE
a
NEW [ ]
ADDN [ ]
ALTER [ ]
ConstructionAddress:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/98
Owner Name & Address: G Tel. # 612- s ? 1- 9 n ?
Contractor: �� L o ei, MN LICENSE #
Address: t3 L 1 y 5 , Lj 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:
$
$1000 per SAC Unit
GU's
7E�
$5.00 (State Licensed Residential Contractors)
Construction Type:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
DATE: a' 5 � APPLICANTC,/
Estimated Cost: $ '� o d
(Fee Schedule on Back)
Ft x $ = $_
Permit Fee
$
%S
Fee Schedule on Reverse Side
Fire Surcharge
$
D d
.001 of Permit Valuation (1/10th%)
State Surcharge
$
/ UCS
$.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
$ 02 ZS
. STIPULATIONS:
# 6/2- 5-71.10'9