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PRE 2010 DOCSs •r City of Fridley, Minn. BUR DING PERMT N® 3568 Date: ../�.... . - ......... Owner....................................... Builder .. ................... Address ...................................... Address ............................................. LOCATION OF BUILDING No. . Street ... 7�.'...... . ; f............. Part of Lot ............................... Lot ........ Block ..... / .......... Addition or Sub -Division .. A�� .......... Corner Lot ............ Inside Lota %� ......... Setback �.�.• �.... Sideyard ..l* - .................. . DESCRIPTION OF BUILDING o Q .... ... Front ,l.Q. !.� Depth. Y . Height � �. Sq. Ft.�o.�. `.� Cu. Ft.Z? () 1'7?- .................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction ................... Wt Cost. �. ®�% .. .. To be Completed ................... y In consideration of the issuance to me of a permit to construct t1# building desribed above, I agree to do the proposed work in accordance with the description above set d compli ce all revisions of ordinances of the city of Fridley. x..... .E......... ............. .......... In consideration of the payment of a fee of $............. permit is hereby qLed 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 with- in the city 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. City of Fridley, Minn. BUR DING PERMIT N°5 6 5 3 Date:` ,..ee �!, . Owner: tgBuilder — Address Address LOC OF BUILDING No. , Street _ Part t Lot — Block —Addition or SubeAg nCorner Lot — Inside Lot abackideyard Sewer Elevation ___ ___ _^ Fo dation IIevation DESCRIPTION OF BUILDING T as: Front ' Depth ; La -1 --Height Sq. Ft. 4�C Ft o t Depthht 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. ok In consideration of the payment of a fee of Sgl permit is hereby granted to to construct the building or addition as described above. This permit is grantedupon 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; anytime. upon violation of any of the provisions of said ordinances. _#�% -40% 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 penults for these items. APPLICATION FOR BUILDING PERMIT CITY OF FR.IDLEY, KDWSOTA Owner's Name �fP �`I-lWi- Address Address LOCATION OF BUILDING No.�'o - Street T Part of Lot Lot ' Block / Addition or Subdivision_%f Corner Lot __Inside Lot Setback_J'Q F T Side -Yard /S 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: !�L F -i> Front_Depth Height / L� Sq. Ft. �� Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction/�J-�"I� Estimated Cost ? ®®' 0 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 representations stated in this application are true and correct. DATE n G% 3 o , 19'41 / SIGNATURE "�, (A Schedule of Fee Costs can be found on the Reverse Side.) City of delay. Application fes- Plumb ne and Gas F" Piit Dsp-t. of Bid -.Z. Phone S-=450 wesc T109 OF WOPA Lo=Lloa. i jute%", Kind and Loes$ioar Of FirsStaer�i I~ &;O. RATE TOTAL x S2G0 WATtIt "TR. Z I .. ` I- °'A U 0 �< z 7z o N w,s Er.ec �i i3S M,i�•o�ta�:4el.i v� 33iu u..�u�i New Fixture Old Opening......'.... --- x 51.30 S� --- x $3.25 S Catch Basin.................... _.-- 'Ca to lieatcr 'UP to 99.000 BTU) .. • • --'x S3•CA $ • ;tel+ Ground Run 013 Bldg. x S -3...n 5 S - =*c riz i'la;aa F."ta ........ z R; -TE TOTAL GAS MI -114C FUSSx0. I313Fixtuses .......... *2.00 ---x32.00 . .Additioaal x $ .75 3 Fixtures. .............. G:s R:: ye to BLU ........... x $5.00 5------- 3:d t 4:�, I .., -- --_ Gonai®csca sras$ • i.rs-r co::"*—' -a a 3{.•w a �:.•:ti:ro, O:d O�a:r.,ru Cstapoal PARTIAL. RATE SCHEDULE ZPLt1'MBING r1=0 RATES" &;O. RATE TOTAL x S2G0 S Number F:xlures . • • . • • ...... • • • • ---- ' Future FIxtu.-e Opening • • • . • • • • . New Fixture Old Opening......'.... --- x 51.30 S� --- x $3.25 S Catch Basin.................... _.-- 'Ca to lieatcr 'UP to 99.000 BTU) .. • • --'x S3•CA $ • ;tel+ Ground Run 013 Bldg. x S -3...n 5 S - =*c riz i'la;aa F."ta ........ z R; -TE TOTAL GAS MI -114C FUSSx0. I313Fixtuses .......... *2.00 ---x32.00 . .Additioaal x $ .75 3 Fixtures. .............. G:s R:: ye to BLU ........... x $5.00 5------- The undersigned hereby ma'�ces application for a perTnit for L`�e sosl< he." specified, a;;reeing to do all «crk is s:ric; accc Farce kl:h the C:b Cl. -L-2--, and ruling of the Department of and hereby declares Lh.-t all L*.e fa • and representations statod Ln :: is apr:ica:iofl :re true s:.d co-ect .Fridley, viner ' Vj I O Kind of Building Used as . _-e•-••-�-- To be completed about 2 Yo Estimavd Cost, S p.rait &d.New. Building Permit No.— Nd. signed • By Businc= P:.une No ROUG • .50 state •Surcharge �jt1EpA37R4 tc �L'?Si�d1?I®I�f-•14f®a.�o Coe9g� , . . .3�eetta��'1i0A . • . • .:..............,.... •.....e..rv..........� . CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE N NO. RATE TOTAL m .�� x � /J� $ ��" U x X v New Fixture, Old Opening Water $2.00 $ 5 0 L ( Catch Basin x $5.00 $ � Z I m a 100,000 BTU to 199,000 BTU 4i p, w Water Softener x Heater d N y m $5.00 o Electric Water Heater E•+ —I (d $q GAS FITTING FEES: 1st 3 fixtures � $3.00 $ •.i 7•t N dN 0 C. $ C •rl N x .0 X 4J G C U 3 N O U ••I .0 First $100.00 U $5.OQ N each add. $100.00 or fraction O O .,j+� State Surcharge N C N •�-I O O lJ N N REINSPECTION FEE ($10.00) v 3 Q w m w U ria 3 O as lec r 1st 37 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening I Water PARTIAL RATE SCHEDULE PLUDIBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures .�� x $3.00 /J� $ ��" Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ 5 0 L ( Catch Basin x $5.00 $ Water Heater - to 99,000 B:'U x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.OQ $ each add. $100.00 or fraction $2.00 $ + State Surcharge $ .50 TOTAL FEE REINSPECTION FEE ($10.00) Job Address Department of Buildings City of Fridley Tela #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 OWNER KIND 0 USED A TO BE COMPLETED ABOUT 01 ESTIMATED COSTy�®G! �Q OLD - NEW BUILDING PERMIT N0. PERMIT NO. ��CS[(J ROUGH INSP. Date CompanyiC P%45& Signed By R Tel. No .� •� ` �� FINAL INSP. /S - L - i / Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 SUBJECT City of Fridley 15.3.17 AT THE TOP OF THE TWINS BUILDING PERMIT :r r ',, ECEIPT NO. COMMUNITY DEVELOPMENT DIV. SEC. r PROTECTIVE INSPECTION ' ----I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY -_•_� L 612-571-3450 910-F15 7/6/79 JOB ADDRESS 5900 - 6th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 l Bennett -Palmer SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Al Rosseler 5900 - 6th Street N.E., Fridley, MN 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 Cj ALTERATION ❑. REPAIR ❑ MOVE ❑ 'REMOVE 8 DESCRIBE WORK Alteration: Partitions for basement bathroom 9 CHANGE OF USE FROM TO STIPULATIONS If. no windows are provided, a power vent must be installed. Use treated bottom plate. SEPERATE PERMITS REQUIRED rOR WIRM HEATING, PWMBING 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 $1,000 $.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 c Q. - �' % IthSI ATUREO ONTRACTORORAUTHORIZEDAGENT (DATE) WHEN ROPER Y V CI AT D IS IS YOUR PERMIT BLDG INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER:P/)�4 BUILDER: 0 ADDRESS: ���D _ ��' ADDRESS: >c�C TEL NO: TEL NO: rp Construction Location STREET NO: STREET: LOT: - BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square Feet: Front: Cubic Feet: Depth: Height: Square Feet: Cubic Feet: ��� jy �T Estimated Cost: � Type of Construction: To Be Completed: '7^ "1J - fes" 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. DATE: � — 2 2 ✓ SIGNATURE: Stipulations: 06 4 (20 1 . SO 71 �66 h 1 4 ' SUBJECT IT NO. City of Fridley 26581 AT THE TOP OF THE TWINS BUILDING PERMIT r `WECIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ry� ql®J/ r 1 . � NUMBER REV DATE PAGE OF APPROVED BY ,'j CITY HALL FRIDLEY 55432 L J` 612-571-3450 910-F15 7-13-98 JOB ADDRESS 5900 6th St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Weber 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Seasons Roofing & Remodeling, 7930 University Ave NE, Fridley, 55432,795-9410 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20138780 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW , ❑ ADDITION ❑ ALTERATION 37 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remove & Replace (26 Sq) of shingles 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 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 WITH WHETHER S IFIED HE NOT. THE GRANTING OF A PERMIT $2,168 $1.08 1 • 08 DOES NOT PRE E TO E A THO ITV TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS O NY 0TH ST TE R LOCAL LAW REGUL ING N- STRUCTI O HE PERF RM OF CONSTRUCTION. $74.75 Fire SC. $2.16 -PLAN CHECK FEE TOTA EE 7 r Lice se $5./0 $82.99 SIG ATURE OF CONTRACTOR R AUTHORIZED AGENT IDATEI _ W . ;PPPE A BLD SP DAT His IS YOUR PERMIT l((((t//��/f�i gArE S,GNATURE OF OWNER OF OWNER BUILDER] fDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY,.OF FRIDLEY , ALTER [ ] j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �q BUILDING (PERMIT APPLICATION 5r d ConstructionAddress:. la6-L /L 6 Legal Description: Owner Name & Address: '45 -"e_ Tel. t Contractor: Fou f S-ea s® vis Peyi crn d Re nn od _6 64 LLC 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 Length. Length Width Height Width Height Width Hgt/Ground Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Construction Typert VCmo d- Estimated Cost: $ ,/r( ` (Fee Schedule, on Back).. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:. —G% APPLICANT: Tel. It CITY USE ONLY Permit Fee $- , �f Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ U c -a $.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 $ Clvt STIPULATIONS: City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical -Permit Residential Application City of Fridley See Back Side For Required Information Date 'l Site Address: �V The applicant is: (cirlce one) Owner ntra Property Owner: Address: City: State: /W zip: 552y,3a- Phone: Cell: Fax: Contractor Information Company Name: Contact Person: / - Address: City: Anaal State: Zip: Phone: J 1 o Cell: Fax: Email: MN Bond# & Exp Date Type of Work (circle one): New Replacement Alteration/Remodel Detailed Description of work: ' Equipment Installed: MFG: Model: Size/BTU: MFG: Model: Size/BTU: MFG: Model: Size/BTU: Please check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 A/C $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _Air to Air exchanger $15.00 _Furnace $35.00 _Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 _Ventilator $15.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ (Total from above -Minimum fee $35.00) Surcharge 1 0.50 Total Due $ Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in case of all work which requires review and approval of plans. Signature of Applicant: Date: Approval Inspector Signature: Date: Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas 1MC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations