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PRE 2010 DOCSN? 74 0 .9 Village of Fridley, Minn. BUILDING PERM" Office of INSPECTOR OF BUMDINGS 0..' c r '!P, Fridley, Minn.- C"I - 49 -�l ,lg LOCATION OF BUILDING street_ Part of Lot Block, — Addition or Sub -Division it DESCRIPTION OF BUILDING Front _ -L_ Depth -ZL�— Height Stories Manner of Construction X Y t S (I d Cc To be used as To be complet i� f 7 �stimate Permit is hereby -- to--L�-'; 4._ ?>Y -e. .1! ./--- the building ii - described in the above statement. This permit Is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, In all the work done In, Around and upon said building, or any part thereof, shall conform In all respects to the ordi- nances of Fridley,ji!� Minn., regarding the 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. I] In consider the above pert above set forty sworn, I hereb, true as therein� Subscribed day of Buildings. AGREEMENT AND SWORN STATEMENT ,tion of the issue and delivery to me by the Inspector of Buildings of Fridley of at, I hereby agree to do the proposed work in accordance with the description and according to the provisions of the ordinances of Fridley, and, being first duty state and say that the fads stated by me and contained in the above permit are stated. id sworn to before me at Fridley, Minnesota, thiq A.D. 1V— e--. Q Village of Fridley, Minn. BUILDING PERMIT Date: ' ..... 1. i. (cam......... Owner.'�'?.....�/ . Address .....F�T...`e'"� N° 1833 Builder ....... .......................... Address............................................. LOCATIO F BUILDING No. Street ..... ... ................. Part of Lot ... .... ..... . �. 40 Lot ...... ;7 P(A Block ......2.r......... Addition or Sub -Division ...� i Corner Lot ........... Inside Lot ..... Setback ........... Sideyard ............................. DESCRIPTION OF BUILDING To b ed s: �/�_ . �..... Fr ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ ..................... Front ........ Depth ...... Height ........ Sq. Ft. ........ Cu. Ft. ........ e;r®o-:-' Type of Construction .................. Est. Cost . /� .............. To be Completed ��. •� . • . -e � %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 village of Fridley. In consideration of the payment of a fee of $ .: ., permit is hereby granted to :4?t-r. ......................... 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 with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .. , ..�Building Inspector NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. 00 7 City of Fridley, Minn. BUILDING PERMIT N° 4489 5� f Owner: .. - - _...... Builder ...................... Address s�' / { .._._ t......_......._.......---•----._... LO T14/N OFF BUILDING No. � .. Street ..�� - ..fd�Ix.........._. .`............................. Part of Lot .................................... ................... ... --------- ----_ Lot....................................... Block ..... _....... ....................................... Addition or Sub -Division ........__. ........ .............................. _.......... _............................ _............. _..... CornerLot .................................... Inside Lot ....._..........--- .--------- ....... Setback ..... _...................................... Sideyard ...._.........- ..---_----------..--- ------------------------------ --- SewerElevation .................................................. _..................................... .-----------_ Foundation Elevation ............... .................................. ............................. -........... __.. To be Used as: DESCRIPTION OF BUILDING Front ---- ........... . Depth .. .. Height ...........__...... Sq. Ft... . ................. ... Cu. Ft. Front ........................ Depth Height ...... ...... Sq. Ft. ... ... ......... ..... Cu. Ft. Type of Construction..................................................... Est. Cost ...... _..... . __........... To be Completed' , W�Iffli �' Ti;; l �P, f z� 77 Vf OL,AT 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 cpliance with all provisions of ordinances of the city of Fridley. V , ^ X..........f..✓......._.......a4..-..._......_......._...._......._...._..._......... 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 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 violati, f any of the provisions of said ordinances. /) , 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. .OW4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name i i m Fi-r� u s x n Builder k, in Address A, 9 /daAo Aus—z IJ. Address 11 /C/,a 4 0 LOCATION OF BUILDING No. Street �'�� ��. _ gm Part of Lot Lot Block Addition or Sub.Div. Corner LotInside Lot t Back Side -Yard SEWER 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 Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Pl(--m a Jet I Estimated Cost' 0 G 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 this application are true and correct. DATEL4a SIGNATURE a� (A Schedule of Fee costs can be found on the Reverse Side.) IW �i } Y ..x'x IW City of Fridley, Minn. BUILDING PERMIT N0 6252 Date: A^1�" `� too C,j" /k Owner: ' Builder _ Address Address LO - �OfN OF BUILDING No. �`�?.,� Q� Street Lot---�--_ Block Addition or Sub -Di on .pv y Corner Lot _ Inside Lot s 99back Sideyard Sewer Elevation — Fo datlon Elevation DESCRIPTION OF BUILDING To U as: �, ! • Front Depth � Height Sq. Ft.5- Cu. Ft. Front __� t Depth Height �— Sq. Ft. Cu. Ft. Type of Construction �� Est. Cost To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do thh proposed work in accordance with the description above set forth and in compliance with a& provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ , permit is hereby granted to thto construct the building or addition as described above. This permit is granted upon e express condition that the peon 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 reg location, construction, alteration, maintenance, repair and moving of buildings wi dty limits and permit may be revoked at any viola of any of the provisions of said Building Inspector NOTICE: Thb peeah don not cover " construction, hw&Mon for whin& pbnobino, gas htding, nww or waMr. Be sure to aw the BWMhm hupeatar for apwab pwm% for thea items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S IM4E 9 BUILDER ` ADDRESS�j ��� �'' aD ` _ � ADDRESS LOCATION OF BUILDING No. 7 /' Street v5 Part of Lot Lot Z- �j Block 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 build- ing location.drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: J� Front_ Depth 22 ° Height /0 Sq. Ft. S-, 7. Cu. Ft. ;L� Front Depth Height Sq. Ft. Cu. Ft. Type of Construction % r Estimated Cost ���.Z7V To be Completed .,/ a - 6 Z 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 _ / L Z .2 0 — -- S ICNATIT" (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley SUBJECTP T NO. ® I14192 AT THE TOP OF THE TWINS PER r ` BUILDING E IPT NO. 1 L'__�___ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 ; � CITY HALL FRIDLEY 55432 %.J NUMBER REV. DATE PAGE OF APPROVED By 612-560-3450 910-F15 7/1/77 JOB ADDRESS 5626 - 6th Street N.E. 1 LEGAL DESCR. LOT NO. 7� BLOCK 2 TRACTOR ADDITION SEE ATTACHED Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dean E. Johnson 5626 - 6th Street N.E. 574-9478 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 DA ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remove existing back section of dwelling and add on a 28' x 22' Addition 9 CHANGE OF USE FROM TO STIPULATIONS provide triple 2" x 10." girder. Provide "escape type" windows in bedroom. Provide smoke detector in hallway. WUMNO Before •digglag call local utilities SEPERATE PERMITS REQUIRED Fit WIRING. TELEPHONE • ELECTRIC - GAS Etc. HEATING, PLUMBING AND SIGNS. REQUIRED BY LAW 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 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT -1 616 6160 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $13,921.60 $6.96 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. $24.64 NONE PLAN CHECK FEE TOTAL FEE 6.16 $37.76 SI NATUREOF CONTRACTOR OEI AUTIJORIZEDAGENT (DATE) HEN PROPyjfRLY VALIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNER IIF OWNkU,-1LER1 IDATEI BLDG INSP r)ATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: 16 � y �-0' A) BUILDER: Address: 5 -5/' IV. �� Address: 5,4 jn Tel. No.: 5Zy_ 91-/79 No.: s6a� Street: b 7� LOT: 7 9 BLOCK: P- ADDITION: Ch1 / l7 aN - q d Jo i Ow *6 neo - h vi lle CORNER LOT: INSIDE LOT: L._ 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 BeUsed As: � d d I /+ % d,/ t6 lOGS e_ Front: ,/ Depth: — �o� Height: Square Feet: -"&--Cubic Feet: �► �C� Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Vu 00 J —with 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: b ^ SIGNATURE: Stipulations: 1, Teduwc MAAr oUea C910- 0 E)L pefe WOWoOwt •A) /10 *k4- uj 4 0. 41. t Main Office 571 6066 UBURB4N 6875 Highway No. 65 N.E. NBINEERINO Minneapolis, Minnesota 55432 INC._ . South Office 890-6510 0 (7rd & Municipal P'nymeernnq e Sad Tcetntp a Land .Su-, ving • Land Plannsng 1101 Chff Ruad - �© Burnsville, Minnesota 55337 Certificate of Survey for DEAN J014A/60N North hhe ole' Lof 7, Block 2, f rami /ion's 4ddifro0 to Mechankvville 10' -K' 57Ucco 0156 28 35.3 + 130.02 16Z I o Denofes 1'ron mon um eo f Q e a JUNE, 1977 W c� v.I LOTS 7 c 9,1 SLOrtl 2 NAM ILT005 ADDITION TO MEcNANICsvIL LE AN041,4 COUNTY I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location pf W building ; thereon, and all v!Mencroachments, if any, from or on sold land. As surveyed by me this �P day of_ A - L— A. 0. 19!. . SUBUPBAN ENGINEERING, INC. S'co/L l i' '=30�� ` Engineer 4� SurvAyoars y, e 0 *R ll by. el ars_ NOt l Ub115hed: All Rights Reserved ---Ince x META[ a , 20.6._.. 22• to �'• v � STORA0E WED .1 GAQAGE 22.1 J t sroR ' M 17.9 FRANtf fo N o► r� o����� o o 8 �w 5C26 k a . M 4O 3 clear -� 3004 130-04- 24.0 il 24.0 1970aY uGARAGE 61156%6-20 S-oulh line ofn Lot 8 8%k 2, Hami l fon s Addi ion to Mechanics vii/e o Denofes 1'ron mon um eo f Q e a JUNE, 1977 W c� v.I LOTS 7 c 9,1 SLOrtl 2 NAM ILT005 ADDITION TO MEcNANICsvIL LE AN041,4 COUNTY I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location pf W building ; thereon, and all v!Mencroachments, if any, from or on sold land. As surveyed by me this �P day of_ A - L— A. 0. 19!. . SUBUPBAN ENGINEERING, INC. S'co/L l i' '=30�� ` Engineer 4� SurvAyoars y, e 0 *R ll by. el ars_ NOt l Ub115hed: All Rights Reserved ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION PLANNING AND INSPECTION 1*111RTMI:NT CITY OF FRIDLEY, f4IN[IESOTA This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "U" FACTOR INFORtIATION. This information is required so the BUILDING OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and [t�o/assure construction is per approved plans. ® JOB LOCATION: J f� ell 1 , ,, Fel-dlf OWNER/CONTRACTOR: E- ADDRESS: 6"�( d` 6 0 %yPHONE: 7 q — ?q 7 A. Determine the Total Exposed Wall Area as follows: 1." Total wall window area j 2. Total door area 3. Total sliding glass door area 4. Total fireplace wall area 5. Total wall framing area(average 10%) 6. Total net wall area above floor(average 90%) 7. Total rim joist area Subtotal: Total exposed wall area above floor 8. Total foundation window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA 1'q3 Loo T—r B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area 11. Total roof/ceiling framing area (10%) 12. Total net insulated roof/ceiling area GRAND TOTAL EXPOSED ROOF/CEILING AREA �7,0.15� Item I s�7 y Item II D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 = E. Determine the "U" value of each segment (1-9) and multiply by the area as f 0 lower : ' ♦ 4 2. Z X ,��,. .� _ / 2 ., X19 3. X "u" _ 4. X "U" _ S. 5% X Ifull 6. 5-4 X flull 7. x .. U., = 2 10 �f`8 8. X "U" _ 9. X flu„ • �� _ ry ADD 1-9 FOR TOTAL WALL SEGMENTS = ITEM III Z 70 .. F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. X "U" _ 11. X "U" _ .� 12. X "U" ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS G. If Item III is the same as, or less than I of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than It of State Building Code 6006 (c) 1. I. Add Item I + Item II J. Add Item III + Item IV &d- ITEM IV you have met the intent , you have met the intent K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a buil959ort ereby affirms the above information has been prepared and submitor under his direction, hereby acknowledges the information to b urat6; and hereby presents the information with required of the. -building permit application. By: DATE: 7 ..J NOTE: Use 10% ofuopaque wall area for frame construction v E� '1G. #3 FRAME VA" 4 13 .(- . ' - % 1- L.. " a � 06. Construction I. Interior air film R -Value 0.68- 2. 2. .- 3- 3. 4. � o 4. 6. Exterior air film 0.17 Total iu 1. Interior air film 0.68 2. 3. 4. S. 6. Exterior air film 0.17 1. Interior air film Total 0.68 2. 3. 4. 5. 6. Exterior air film 0.17 1. Interior air film Total 0.68 2. 3. 4. 5. 6. Exterior air film 0.17 Total iii (..—� .. � • � 6 , 1 � FIG. 04- IN '" pt ICt (lC _ X X NOW,: Indicate tyre, "rvalue, depth and placement of insulation. ROOF/CEILING 4r • Vented OL Leat flow up FIG. n5 , '}A♦yj�s�r `t.Jy. 1.C'1 �•r�i i�a:.•'.i:� `�P.�� ��'r..<f•.�%'r 4,.[. �7S Ca 1 �Ji `'� Hent flow up ;•vented _ ,FIG. #6'.. rT ., - Mort --M,4 .. , Heat £low up ' MG. 67 Page 4 of 4 Construction R -Value 1. Interior air film 0.61 211�9.�w� 3. 4. Exterior air film (still) 0.61 Total 1. Interior air film 0.61 2. 3. 4. Exterior air film (still) 0.61 Total 1. Inside air film 0.61 2. 3. 4. 5. Outside air film 0.17 Total Note: Use additional sheets if more space is needed for details and calculations 0 10 SUBJECT PERMIT NO. City of Fridley 4599 AT THE TOP OF THE TWINS BUILDING PERMIT R EIPT NO. • COMMUNITY DEVELOPMENT DIV.U. r PROTECTIVE INSPECTION SEC.90 y 1 . i NUMBER REV. DATE PAGE OF APPROVED BY (l"h CITY HALL FRIDLEY 55432 612-560-3450 910-F15 3/22/78 JOB ADDRESS 5626 - 6th Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7, 8 2 Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dean Johnson 5626 - 6th Street N.E. 574-9478 3 CONTRACTOR MAILADDRESS 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 [j ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install wood burning stove and chimney 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. 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 SQ. 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. $300 $.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 TOTALFEE $8.00 NATURE OF CONTRACTOR OR HO 1 ED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP �- OAT SIGNATURE OF OWNE40FW BU DERI IDATEI . 10 CITY OF FRIDLEY APPLICATION FOR RESI))ENTIAL BUILDING PEII14ITS (NEE, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: &114f--� ' Address: No. LOT: CORNER LOT: Street: BUILDER: -�/�iyC�� Address: Tel. No.:%/�'_ �� 7 BLOCK: ADDITION: 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: Estimated Cost: $ 'tS To Be Completed: L /7 7 Alt. A Alt. B Proposed Driveway Wid- 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. MATE: � '%Z-dSIGNATURE: Stipulations: 6431 UNIVERSITY AVENUE N.E.. FRIDLEY, MINNESOTA 55432 TELEPHONE ( 812)571-3450 178 inson treet N.E. Fridley, MN 55421 Re: Final on Addition to Dwelling Dear Mr. Johnson: A final inspection was made on March 22, 1978 of the above noted addition. The only item noted which must be completed is to provide preformed valleys (28 gauge minimum) in roof by June 30, 1978. We will expect this to be completed by the scheduled date when a reinspection will be conducted to determine compliance. If you have any questions, please contact me at 571-3450. Sincerely, RON HOLD$N Building Inspector SUBJECT - PERM O. City of Fridley 142 17969 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 164-5-5- r PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 5/13/85 JOB ADDRESS 5626 - nth Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. *7,8 - Hamilton's Addn. to Mech. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dean Johnson 5626 -- 5th. Street N.E. 574-9478 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 ❑ REPAIR ❑ MOVE ❑ . REMOVE 8 DESCRIBE WORK Construct a garage addition making a total garage of 1000 sq. ft. 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface &x driveway. WARP-wMil Before digging call local utilities SEPARATE PERMITS REQUIRED FOR TELEPHONE - ELECTRIC - GAS Etc. WIRING, HEATING, PLUMBING AND SIGNS. REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED 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 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 $7,900 $3.95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $68.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE $72.45 OF CONTRACTOR OR AUTHORIZED AGENT IDATEI j. WHEN PROPERL )DATED THIS IS YOUR PERMIT XGNATURE il Cuo-V T. f'.5~ qtr BLDG )NSP BATE SIGNATURE OF OWN ER(OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ l Building Permit Application Construction Address: Legal Description: LO ff q HA Owner Name a Address: 'U Tel. # S% �/ 9 97Y Contractor: 9't/f Tel. # 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 IKPROVEMENT Length Width Length Length th �� lx Height Height Hgt/GroMnd Sq. Ft. Sq. Ft. SFt. P ?A r%,Ii V Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: W 0 o ! "I Estimated Cost: $ C)' �06 Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE. • S^ 3w�s APPLICANT: ( Tel. CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer blain Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side 25% of Building Permit Fee $•50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ s • " cca4dce vz2 = 3S2 1 I Ma•n 011 xe 5T1-6066 NUtiUMMAN 6875 Mg1uM°v w 65 N E "° �NOINHEIEINO - _ __-_ _—._ _—_ _ _--�---_-- ------ M•mieaoom M•nneow 55137 - ---- – - Mc 1. 1,.,.�P 890 65 10 1101 CIM Hum F n[su.•%w11 bu Tnrdw • Lind Swr.•uY a T.aad Pronwy (I "S mwile, M,4Kwi& 55337 �^ Certificate of Survey for DEAN AWNSON u Nof-lh hhe onLof 1, Block 2, Hamilton's Addiflon fb Mechanicsville - s I STOW .7 w 1 UCCO J156 28 35.3 ± -11 - ih2 130.02— MEM .30.02 ME STORAGgV1 D LU ,1 ; GARAGE m LLl g V T , Z � S � Cx I � Q FRAME piQQ a Z ; nee a� V :i 403 re, oC1 t 0 130-0424-39 ` C Y4.17 i S70RY I �o GARAGE sAl 5616-20 e • Spulh fine of Lot 8 Block 2, 11 4ami /ton s Ado/i lion 16 Mechanics vii/e o Denotes iron monument JUNE, 1977 t r f8BLOC'kl 2LOTS 7, l-4AM 1LTON S ADDITION TO MECNANICSVILLF ANdk'4 COUN7Y I 1 hereby certify that this is a true and correct representation of a surrey of the boundaries of the above ° described land, and of the location Sf .j„ baildert0 ,thereon, and all vit1�L� encroachments, it any, from or an said land. As surveyed by me this 11, et •,' c A. 0. 19 L = SUBURBAN ENGINEERING, INC. J- SCOT%2 I- -30} by , Not Published A11 Rights ReserveO SUBJECT PERMIT NO. City of Fridley 32296 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 6 / f E PROTECTIVE 7 6/v NUMBER REV DATE PAGE OF APPROVED BY i ,.� CITY HALL FRIDLEY 55432 ----� L 612-571-3450 910-Fl 11/2/01 JOB ADDRESS 5626 6TH St I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7,8 2 Hamilton's Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE M K McFarland, 5626 6th St, Fridley, MN 55432 763-574-9478 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO M K McFarland (same address as above) d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Dwelling 7 CLASS OF WORK OX NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Re-roof (tear-off) house (18 sq) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REQUIRED 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 SQ. 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 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 $.96 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,929.00 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 PLAN CHECK FEE TOTAL FEE $72.14 St uR 0 CLft ACTORO UTHORi 0 GENT rE, WH PROPERLY OG 'NSR VALIDATED THIS IS YOUR PERMIT RATE S,GNATURE Of OWNER o6 OWNER BWLOERI 40ATE. NEW [ ] Effective 1/1/2001 ADDN [ J CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 2(o Cp+�E ST N Legal Description: Owner Name & Address: �5pr(VA Tel. # 57 Lt ') Lf-7!� Contractor: SL MN LICENSE # Address: Tel. # 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 Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length I Width Hgt/Ground Sq. Ft. :2 rcy-&o w ky L&sC 13 S TF <;/L0F�F- Construction Type: Estimated Cost: $ /zoC7 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ C DATE: < < b i /"I APPLICANT: ' Tel. # '�­N SL/ 7 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 69 o?S Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1150 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 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 RATE SCHEDULE Residential DIViSION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 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) 1% 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/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.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. Effective On January 1, 2002 NJ TOTAL 4 BUILDING USED AS F ESTIMATED COS PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of HeatinSX'1i_')PNAn its Circle One (Steam) (Hot Water) arm Air $ Trade. Name Size No.. co BTUI Sipp HP EDR $ 'o Fuel. k4v4(;-A_ Total Connected Load Burner Trade Nam Size No.��i_ $ 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 $ .50 rulings of the Building Division, and hereby declares that all -the facts and SP representations stated in this application are true and correct. DATE H FAX # # e)&_7—_)V Uzi l�' Approved By Rough -in Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When replacing an _A-stinif uran . _, 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 r 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ` A No( ) The Pxisting comhustion air is sized and installed to meet the current codes and manufacturers specifications. Yes( ) No 99 When required to install a new comhustion air.it will be sized and installed to meet the current codes and manufacturer's specifications. Yes -(o No ( ) When installing a n w v _nting cya Pm, 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 (x) 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 �q No ( ) Appliance TypLa 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 nZ46 6 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 Signed By: Date :qz � CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 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) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work JOB ADD OWNER Rate TOTAL $ 30.00 $ 3b• $ 10.00 $ $ 10.00 $ $10.00 $ $ 25.00 $ State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.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. .50 $ ;S® BUILDING USED 91 Effective On January 1, 2002 ESTIMATED COST PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units i Circle One (Steam) (Hot Water (Warm Air Trade Name Size No. re70' _0 3 BTU 70 4#0 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 an rulings of the Building Division, and hereby declares that all- 1the facts and representations stated in this application are true and correct. DATE 14) HEA I N G CO at FAX # Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VFNTVENT r.QNNFCTQR ANn CCMR1IRTIM AIR VFRIFICATIM When rela _ing an existingf� ranne, 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 t No( ) The venting system is plastic/PVC and meets all current codes and manufacturer / specifications including sizing, length, number of elbows and tem?ination. Yes () No fA The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes) No( ) The existing� _omb ,c ion air is sized and installed to meet the current codes and manufacturers specifications. Yes( ) No f) When required to install a now _nmh ,stion airy it will be sized and installed to meet the current codes and manufacturers specifications. Yes No ( ) When installing a new ventingyystLmm, 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. Yee-g4AO ( ) 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. nlian a and Ci7A1Cnmmnn Vent and Vent Connector Ye", No ( ) Information Appliance #1 Typeli6aBTU Input °� Fan Assisted or Nat Appliance #2 Type Z BTU Inp 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 q ft Length _Lft Diameter i in Type -,6 Appliance #2 Vent Connector Height ft Length ,eft Diameter 3sr in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type