PRE 2010 DOCS0
BUILDING PERMIT
Village of Fridley, Minn.
.�� ..�y
Date ...........
�. ...............
Owner _ , �....
Address .:`. . ,�
O ...
N° 2955
Builder..................
pr
Address,. .................!...` r
LOCATION OF BUILDING
No. ,.�6 ... Street ................................... Part of Lot ........ .. .. .
Lot .... ....... Block .. ........... Addition or Sub -Division ..
Corner Lot ............ Inside Lot ...... Setback 1%1 ..... Sideyard
DESCRIPTION OF BUILDING
To be Used as:
Ate -.� ... . 'r/-1 / �. ........
Front Depth Height ; Sq. Ft. Cu. Ft.
14 ont ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft�� 2
Type of Constructio Est. Cost .. /. ' 116?........ To be Completed .. �.d .4....... .
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 fo h d in c mpliance with all provisions of
ordinances of the village of Fridley.
.., .
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 with-
in the village limits and this permit may be revoked at any time upon violationofy of the provisions of said
ordinances. „ ,,11
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, plumb[ as heating,
sewer or water. Be sure to see the Building Insp�.�ar•fov separate permits for these Item .
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City of Fridley, Minn.
BUILDING PERMIT
Date: June 4, 1965
N°
Owner: _Wayne Nelson Builder American Buil dens, Inc.
Address 5949 6th Street N. E. Address 515 West Broad ay
LOCATION OF BUILDING
No. 59.49 Street 5949 6th Street N. E. Part of Lot
Lot 1$ Block —rL Addition or Sub -Division Bonny Add.
Corner Lot _ Inside Lot
Sewer Elevation
To be Used as:
Type of Construction
Setback Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft Cu. Ft
Front Depth Height Sq. Ft Cu. Ft
Est Cost _ 82 9 500, 00 To be Completed
Storm Damage Repair
a9.7
7701
In consideration of the issuance to me of a permit to construct the buildingjda.4bed above I agree to do
theproposed work in accordance with the description above set fsq and ce, th 21 provisions of
ordinances of the city of Fridley. e
In consideration of the payment of a fee of $10000 , permit is hereby granted to American Bld trs. r
Inc* 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, Mhumota location, construction, alteration, maintenance, repair and moving of buildings
withinor� city limits and permit may be revoked at any time upon violation of any of the provisions of said
Allen Jensen Building Inspector
NOTICE:
rab psntdt don not emu the eonstrudloe, hataflaM a for wtetag, ph mbiug, gn 6setbg, sewer or wdw. Be sales to see
tiro Building hupeftr for zopm to perndb for d ne items.
APPLICATION:FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA.
OWNER'S NAML BUILDER¢
ADDRESS' ADDRESS
LOCATION OF BUILDING
No`. Street, Part of Lo t
LOTS $LOCK® ADDITION OR SUBDIVISION
Corner Lot,—_Inside L� S etback Side Yard
SEWER ELEVATION FOUNDATION ELEVATIO
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
-,•a. DESCRIPTION OF BUILDING
To be' used as;
Front Depth Height
Sq. Ft. Cu. Ft.
k * Front . Depth Height
Sq. Ft.. j :,Cu;`rt.
Type of Construction Est��4t�d Ce�gt
To be cleted
The undersigned hereby makgs application for a permit for the work herein specified,
agreeing to do'alliwork in strict accordance with the City of Fridley Ordinances
and rulings of the Department of Buildings, and hereby declares that all the facts
and.representatiohs�.atated in this application are true and c6#ect.
DATE SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
0
•
0
•
City of Fridley, Minn.
BUILDING PERMIT
Dates MAY 13, 1966
3 '?�� %6
N'° 8826
Owner: WAYNE NELSON Builder AMERICAN 15MMERS,
Address 5949 - 6th St. N. E. Address 515 West jroay
Fridley, Minnesota 55421 Minneapolis, Minnesota
LOCATION OF BUILDING
No. 5949 Street 6th Street N. E. ____ part of Lot
Lot 18 Block 5 Addition or Sub.Division B onny Addition
Corner Lot _ Inside Lot X Setback -- Sideyard
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
ATTACHED GARAGE Front 20 Depth 22 Height 10 Sq. Ft. 440 Cu. Ft. 4,400
Front Depth Height Sq. Ft. Cw. Ft.
Frame 1, 875.00 _ To be Completed
Type of Construction Est. Cost _.
In consideration of the issuance to me of a permit to construct building des above I agree to do
the proposed work in accordance with the description above set fo and in wi ail provisions of
ordinances of the city of Fridley. c
In consideration of the payment of a fee of S 5. 00 , permit is hereby granted to AMERICAN BUILDERS
to construct the building or addition as described above. This permit is granted upon
L
s condition thatround sadinnesota city Iimits end this time
ALLEN G. JENSEN
NOTICE
tea pe mb don not aowr the aoeatreadioe, b oaBatien for wbtng, plumbing, gas boding, aawer or water. Be sera to no
the anllding inapaadsr for apartle rMniM for thea hams.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER
ADDRESS S ► 4 — �, o ADDRESS Sr !r -
LOCATION
-
LOCATION OF BUILDING
NO, STREET
LOT BLOCK ADDITION OR SUBDIVISION
PART OF LOT
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.
DESCRIPTION OF BUILDING
To be used s; f
FrontDepth,Height��(
Sq. Ft._ �� Cu. Ft.
Front Depth Height
Sq. Ft.
Cu. Ft.
Type of Construction _�c� .�..� 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 SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
SUBJECT
P 0.
City of Fridley/11�(
T® 13986
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 . �
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
IL
L --"j&%' r %.J 612-560-3450
910-F15
4/7/77
JOB ADDRESS 5949 - 6th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
18
5
Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Keith A. Stokka 5949 - 6th Street N.E.
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 18' x 20' deck addition
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS
REQUIRED
FOR WOM
HEATING, PLUMBING
AND S�
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
wood
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 SAMETO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$550.00
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.
$7.50
PLAN CHECK FEE
TOTAL FEE
$8.00
51 TUREOFCONTRACT OR AUT RIIEDA IDA Et
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
"_/
BLDG 11SP
DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: eC e A kka BUILDER: s0. 'M P --
Address: y - Address: �o v 4-
�
No.: a`F 1 Street:
Tel. No. 5 "1 1 -
�41" S+.
LOT: BLOCK: , ADDITION: Eo�nk-j aa-cUrk' ot,—
CORNER LOT: INSIDE IAT: V 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:
cue Front: I X Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square �Ikr
FeetCubic Feet:
Type of Construction:
Estimated Cost: $ 550 • 0 C)
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 informatio
DATE: � -7 ? � SIGNATURE: ej"'/'�^-
Stipulations:
MV
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W
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�Ol'��"� Qr� �.yC �,� ., Nu.v��'( o w —'u 15� l�1Csv%c" r.s
cam.
ple ax 8�S,�_�,•S.
ro � ,
. ��., ;�_
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HOUSE- HEATING TEST RECORD
ADDRESS a'''l,9 "&; T"* APT. FLOOR
CITY `D� SUBURB
OCCUPANT ? edA7tr9 z7 ti
OWNER
HEAT LOSS !' r'L DATE HTG.,IVST.-,9,
.$ _
SOLD BY�L? ,:.c,: : N .� ! / ( =,c_, T --,<--,,INSTALLED BYU� %r ✓ 7,7Z 745 -i -
Electrical Werk By z, -L4,< = ti ��-= c= Gas Line B r
TYPE OF HEAT GA FA HW
STEAM SPACE HTR. UNIT HTR. OTHER
GAS,�ESIGN
CONVERSION
MAKE � d r� � o Z?
MAKE OF BURNER
Model Z.4.)
Model
Soria I -,!KLA .'ve--*42' .12-A 43 _ - ✓
_ Max. BTU Rating
INPUT 72S---
MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Plug
Vent Size
Valve 41,111-11
KIND OF LIN7,&)45
SIZE 3 NONE
Limit .11a14
Draft Hood /� �-
Regularor
Limit Setting D �,-
Filters � Nuybgr Z
Fan Setting -95- /C9 J
Chimney Location Inside
✓ Outside
Pilot Type ��v7 oJ�/ �/�Gf3
Chimney Construction cr<
e -7 ,
Pilot Make
Pilot Model
Smoke Bomb—Wiring
Pilot Timing 7
Draft
Test Tag v
L.W. Cut Off
Dow Pressure ✓�
Lighting Inst.
Pressure 3y� Percent CO Date Tested s Jl_-.�-
Input CFH �7� ' �� Percent 02 Company Testing ':
Stack Temp. Percent CO
12 Name of Tester
Form 235
- - - - .
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
Effective On January 1. 199.6,
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace $ 20.00 $ Ap • f=
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace) $10.00 $
Gas Range $10.00 $
Gas Dryer $ 10.00 $
*Air Conditioning — All Sizes $10.00 $
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work $
Commercial/industrial
1% of Value of Appliance or Work $
State Surcharge $ 50
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIG��TIQN/AiRCONDITIONING PERMIT IS $15.00
CONDITIONING PERMIT IS $15�
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed In a side yard without
written permission from adjoining property owner.
JOB ADDRESS T9 �= �`��7• �✓
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 Building Division, and hereby declares that all the facts and
representations stated In this application are true and correct.
OWNER /%,2 ,e 7
BUILDING USED AS Dw L e-� .
Y� ^i'� //&
ESTIMATED COST 7�m®,= PERMIT NO.
s
; _;
No. of Heating UnitsPL ircle One (Steam) (Hot Water)arm Air
Trade NameZZ,2� /- Size No.er-a,,< A�-its
BTU HP EDR
Fuel _Total Connected Load _3��, 876
G: �.G y�L�s7�.✓ T '�V Iry �CL�
Burner Trade Name Size No.
BTU HP EDR
�Z Xa,;4vv0 1urG•Q� ,:y `tvnvcTs % of
HOME &MQY CENTER
HEATING COMPANY 'W jGTH AVE. IW /128
M U�_5n' MW W4"-
Signed By Tel No.��/r zqp?oo
Approved By Rough—In Date Final Date_4
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
NOTE: #1 through #8 required when using a side vent furnace.
CHIMNEY AND STACK VERIFICATION
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 {)
No
( )
3.
Has no foreign objects lodged within
Yes ()
No
( )
4.
Is securely supported
Yes ()
No
( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes ()
No
( }
6 Has total heating BTU's of
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:
HOME ENERGY CENTER W.r
15200 26TH AVE. N. #128`
PLYMOUTH. MN 65447
HEATING CO:
Signed By:
Date:Y E
HEAT TRANSFER
CALCULATIONS
HEAT LOSS: + 75 o INSIDE
— 20 OUTSIDE
+ 75* INSIDE
HEAT GAIN: + 95 ° OUTSIDE
SQ. FT. COEF. BTU's
SQ. FT. COEF.
BTU's
1.
GLASS
/fD 90 Zz on
1.
GLASS
N
25
E/W
11�4 75
S
14 40
2.
DOORS
A_ 4000/ea. 8000.
2.
DOORS
_k 300/ea.
1.66
3.
CEILING
3.
CEILING
12"
3
12"
1
9
4
9
2
6
5 ,?r,80
6
104-4 3
3 6 B
3
8
3
4
4.
WALLS
4.
WALLS
3v
o9 7 2?, /4
30
/oe 3
3
11/z"
10
11/2"
4
5.
BSMT
5.
PEOPLE
600
��®a
Below grade
soS! 5
Walkout
10
6.
APPLIANCES
2500
6.
Subtotal
7.
Subtotal
7.
TOTAL
8.
TOTAL
8.
FURNACE SIZE
9.
A/C SIZE
of- "I'll
9.
FURNACE MODEL
10.
A/C MODEL
Tv7E.CL.� a ,CmTi v r15
T.✓zC-,G C i r y .eOn.>c'2'S
Building
$
BUILDING
$
3 ,
Permit No.: ZVi
Inspections
Surcharge
RESIDENTIAL APPLICATION
License Surcharge
Received By)Q6
763-572-3604
$
CITY OF FRIDLEY
$
Date R UP 10 2
763-502-4977 FAX
Park Fee
$
Sewer Main Charge
$
Total Due
EFFECTIVE 1-1-09
- LIU_ /
�°j N
%1JL�� �, �' �"
DATE
YO E --MAIL ADD_R1FSS
SITE ADDRESS
C17Z G
THIS APPLICANT IS:
❑ OWNER CONTRACTOR
PROPERTY OWNER/
NAME: II,L 7hN 19 . �-
ADDRESS: 7531 �Oljy Lido CITY �tfWO TATEIMO ZIPy3
TENANT
PHONE: —/e -g ' o " titb
CONTRACTOR
NAME: N ;N
SUBMIT A COPY OF
STATE LICENSE # r+ C- EXP DATE
3-c�I -lam
YOUR STATE LICENSE
AND CERTIFICATE OF
ADDRESS: 0"L CITY
TATE ZIP 6SVqL
INSURANCE
PHONE - /BSI FAX
PROPERTY TYPE
AMILY/NEW CONSTRUCTION SIZE
JSINGL
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ROOF ❑ DRAIN TILE
❑ DECK SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
�MAINTENANCEMEPAIR Q REMODELING
DESCRIBE WORK BEING DONE: qe_RG -
SIZE OF IMPROVEMENT
If LENGTH WIDTH HEIGHT S FT
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES 0_ �IIOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
GARAGES
K ATTACHED GARAGE
2.
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
13 Aluminum
❑ Trim
1.
Site Plan/Survey showing the existing strictures
❑ Other
❑Fascia
Z.
c
and proposed project
Two sets of construction plans
WINDOWS
3.
Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE
SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
JOB VALUATION S OCCUPANCY TYPE
Permit Fee
$
Plan Review
$
Fire Surcharge
$ �► 1„+
Surcharge
$
License Surcharge
$
SAC Charge
$
Curb Cut Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge
$
Total Due
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$2000 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks Davable to: Citv of Fridlev Attac
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building 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 on site; that the work will be in accordance with the
approved plan in the case of all work hich�uires review and approval of plans. I ,� _\
SIGNATURE OF APPLICANT /` `�Y`` / PRINT NAME � - L 7_DATE
I PLEASE NOTE: SEPARATE PERMITS ARE REOUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK I