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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT Date: _ __ ; a Owner: Address Builder Address N°5011 �O �TIN ,SOP BUILDING No. Street 1G' 1 .�r�r— — Part o Lot' Lot Block 46 Addition or Sub-DlAdgn Corner Lot Inside Lot __.. *0000W Setback SS.,_ _ _ Sideyard -/-a— Sewer Elevation _.__ _ Foundation Elevation DESCRIPTION OF BUILDING Tope Used • ' Front Depth Height Z-dQ Sq. Ft. Cu. Ft. c2 DepthHei t Sq. Ft.. _ Cu. Ft. .'yas6 Type of Construction Est �o be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the promised work in accordance with the description above set forth and in compliance with afl provisions of prdinances of the city of Fridley. y s, . d 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 e 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 dty limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. A A NOTICE: This persalt does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspactot for separate parmlis for these Items. - -- - 4 - 0 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Builder, Address LOCATION OF BUILDING jr No. Street AJ Part of Lot Z' Lot � ,34BlV 14ock . �l. Addition or Sub.Div. Corner Lot, Inside Lot 1,�Set Back, - Side -Yard Z1 �' � SEWS ELEVATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING. To be used as: S �'^^�`-�'' wy it— Front Front i' 3 Depth.,_,- Height Sq, Ft. Cu. Ft. � /, Front Depth height Sq. Ft. Cu. Ft's Type of Constructio Estimated Cost 46�2- 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. DATE- /0- SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) W.... 9 0 _..- City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE 6,K City of Fridley: 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. Kind of Building n . d? o / Used as PLUMBING FIXTURE RATES: N/O�. RATE Number Fixtures ...................... x $1.50 N W Future Fixture Opening................ ZZ, V{ N N �� $ a. �Ug W �� z �O • F ` N WATER HTR. GAS ELEc m GAS FITTING FEES: NO. RATE TO�T�AL�_ d 1st 3 Fixtures ........... ............... —� x $1.50 $— ,%— 3� o° $ 'e x 2.00 <3 Bas! 1st 2nd _ 3rd — 4th • Future Connection Openings I Connected with Sewer • New Fixture, Old Openings Cesspool Cess P ❑ PARTIAL RATE SCHEDULE 6,K City of Fridley: 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. Kind of Building n . d? o / Used as PLUMBING FIXTURE RATES: N/O�. RATE Number Fixtures ...................... x $1.50 �TOT�,ALd $ Future Fixture Opening................ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... 7,e x 2.00 $ - o U New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TO�T�AL�_ d 1st 3 Fixtures ........... ............... —� x $1.50 $— ,%— Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ...................$ TOTAL FEE $� To be completed about Estimated Cost, Old—New. Building Permit ROUGH / 2 FINAL -90042 2M 7-59 Application for Power Plants andHeating. Cooling. Ventilation, .Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & .Duct Work to 120,000 BTU ............ each add. 60,000 BTU ... . ............. ... . Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ... ............ Repairs & Alterations each add. $500.00 ............... STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam...... . Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... Each add. 200 sq. ft. EDR Steam ...................... a Each add. 320 sq. ft. EDR Hot Water .................. OIL BURNER—to 3 gal. per hour ..... .................. over 3 gal. per hour—See Fee Schedule 8.00 $_X 2.00 $ _ P.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 2.50 $ 2.50 $ 5.00 $ Dept. of Bldgs. Phone SII 4-7470 City of Fridley: 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. Owner Kind of Building Used as Fridley, Minn- �a 190-0 To be completed about SO Estimated Cost, $ Old—New. Building Permit No. �® �� Permit No. DESCRIPTION OF WORK HEATING or POVJ70R PLANTS— Steam, Hot.,Water, 6 Trade GAS BURNER (up to 400,000 BTU) ....................... 5.00 $.�s GAS FITTING FEES: 1st 3 Fixtures ..................... Additional Fixtures ................ Gas Range to 200,000 BTU .......... AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL NO RATE TOTAL _ x $1.50 $ �c _ x .50 $ _ x 2.00 $ $ See Fee Schedule TOTAL Capacity. Total Connected Size No- 4W /.047 C Sq. Ft. E.D.R- /12W Ot-0 BTU H.P. Kind of Fuel BURNER — Trade Name Size No Capacity Sq. It. E.D.R. BTU H.P. Signe By / 42 2M 7-59 Business Phone No - M (REMARKS -OVER) 1 F HEAT LOSS CALCULATIONS �,�.�� DEPARTMENT OF BUILDINGSMINNEAPO Weatherstrips A.S.H.V.E. Construction No. Insulation Guide dows I D rs Reference f0ut.Wafllnt.Wall Ceiling Roof Floor Kind How. Applied es �® /Fl. � ,�', ,, oom Length /.? Width ,®° Height Fl.�t'_1't` = Room Length �"= Width Height s Windows an oors—Crackage and Area Windows and Doors—Crackage and Area width eight No, of Lineal f . Area Width Height No. of Lineal ft. Area No. oP pane of pane lights of crack eq. ft. No. of Wane of Wane lights of crack eq. ft. ems: •,�* � a.7?" �a� rs', 6A' ps+' Btu Infiltration Coef. Btu Infiltration A �� &/ Glass .6 f syr -p Exp. wall 4" Ceiling 9g?1 Net exp. wall Floor Exp. wall Net exp. wall Int. wall / , Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceiling / F1.1 F ,a tP I Lenath 9° Width /_a Heiaht .91' Ceiling Floor 0 Floor Total Btu. Ceiling 83 ® ,/ Required sq. k E.D.R. or sq. ins. W.A. Leader area Floor Fl.J�W WindowsOAd Width No. of pane m Length jWidth 1,0.4 D rackage and Area Height No. of L1neal it. Area of pane lights of crack eq. ft. Height / Windows and Doors—Crackage and Area Coef.1 Btu Infiltration Glass Exp. wall Btu Infiltration Net exp. wall Int. wall Z6—, 4" Ceiling 9g?1 C -POA® Floor Exp. wall Net exp. wall Total Btu. / , Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 F ,a tP I Lenath 9° Width /_a Heiaht .91' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef.1 Btu Infiltration Infiltration Glass Z6—, 4" 46` Exp. wall 1179 1 Exp. wall Net exp. wall / Int. wall Ceiling �� 0 Floor Ceiling 83 Total Btu. sq. ft. E.D.R. or sq. ins. W.A. Leader area Coef.1 Btu Infiltration .5,S I // 7,r I Glass Exp. wall Net exp. wall Int. wall Ceiling Floor ,/° *,tet -*.- Total Btu. %0PS Required ft. .D.R. or sq. ins. W.A. Leader area FI.I P Room I Length Ooj idth 1 =Height Windows and Doors—Crackage and Area Width Height No. of Lineal [t. Area No. of pane of pane lights of crack eq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling 16r Floor / Z Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area ® F1.1 �'i �, '. Room I Lenath -7-2 Width R-9 Heistht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of.pane llghts of crack sq.ft. Coef. Btu Infiltration 1& 8 Z6—, Glass ,/ Exp. wall Net exp. wall Int. wall Ceiling 7, Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area SUBJECT E City of Fridley o 17900 AT THE TOP OF THE TWINS BUILDING PERMIT Ir � EIPT NO. COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 4/11/85 JOB ADDRESS 5380 - 7th Street N.E. 1 LEGAL LOT NO, BLOCK Pt. 2&4, ] 3, BLOC TRACT OR ADDITION SEE ATTACHED 16, Hamilton's Addn. to Mechanicsville SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Hoiby 5380 - 7th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hogness Construction Inc. 7728 Lakeview Lane, Spring Lake Park, MN 55432 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 786-7212 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW IR ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 131 Addition and a 17'6" x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS REQUIRED FOR B,forE WIRING, HEATING, PLUNTING AND SIGNSK c�11 Kcal v�lllt.� T ELErriCl;` c - CELECTI^IC - CAS ci:�. D'E!r, L%" SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. Wood Frame 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 2O8 & 21O 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 $ lO, 5OO $5.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME X GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO V IONS OF NY OTHER STATE OR LOCAL LAW REGULATING CON- STR ION OR E ERFORMANCE OF CONSTRUCTION. $86.50 None / KLAN CHECK FEE TOTAL FEE L i/ %1 4 "$21.63 1 $113.38 SIGNATUA161F CONT CTOR OR AUTHORIZED AGENT (DATE) yWHEN PROPERLY ALIDATED THIS IS YOUR PERMIT BLDG )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI c� S,c • '�? . �. land JV Mw/ssrwSt AT lanekfwy, y Af,17,>V/V1,S z� Balls lesfm9 ENGINEERING, INC. - A67,v ola Owl 6- Akewpal SUmel 4-6066 Enyineers Surveyors certificate of suaveT ; NEW [ ] City of Fridley Effective 4/1/84 ADDN. R-1 AND R-2 ALTER./["] Building Permit Application Construction Address: Legal Description • I _ t%li i ; i' jIl'fi�LLG/'� i Attach to this application, a Certificate of Survey of the lot, With the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT p� LIVING AREA: Length Width /5 Height Sq. Ft. b GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length /% — Width l Hgt/Ground Sq. Ft. OTHER: II\"'ns) e 1o, 4;1,) Corner Lot [ ] Inside Lot ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: Approx. Completion Date: -V/�c S(°� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $off Fee Schedule on Reverse Side Plan Check $ 25i of Building Permit Fee State Surcharge $ 2 $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sever Hain Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �. DC) c e"JS �, CheWVJ o✓vSTIPOLATIONS: 6X) __- f— 15Pd 4x}J -wmg aP*&-j 107, '-)Stl -4>.7, •�'�� fix/ Rt6fi-T SSE Vf&LA-" BSAKT- PL+w A,,. r=cr ►e, *�r 2x�oJwars—�x��p�s _ k a •'1x4 'b" .C. n KIM Y. 6x2o Pry B' Eux- -ttrS J(�f� a 4 too JC✓� (o ung oist�. - ITS • �7c$ �ArSC/!a p �� gMl,�- U�D�DtZ RR1Gt• ia S1a1Kle• Q v Vf&LA-" BSAKT- PL+w A,,. r=cr ►e, *�r 2x�oJwars—�x��p�s _ k a •'1x4 'b" .C. n KIM Y. 6x2o Pry B' Eux- 2Yi asc- 24o*A,s Fe a* P4uMpp . X I �l Ai fo b�pyggr ' ' Qr� 4x4 Qow- �TtzEl 044, vw6Y.� \t" -Y / @gST�K4+ jj i j :MNLA71'S rcJUSTtV b WA.t,1.. lyto iL Q fie Azims lb�m it zx& L�eicJa6�'3 I6"O.C, 044, 0 to b �m M m SUBJECT PERM City of Fridley 0 17911 AT THE TOP OF THE TWINS BUILDING PERMIT • _ COMMUNITY DEVELOPMENT DIV. ; -'--- r � � PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 4/16/85 / / JOB ADDRESS 5380 - 7th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2,3,4 16 Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Hoiby 5380 - 7th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hogness Construction Inc. 7728 Lakeview Lane, Spring Lake Park, MN 55432 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 786-7212 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 Chane proposed deck (Bldg. Per. 17900 issued 4/11/85) into Three Season Porch This permit only xuJz reflects the difference in the.fee over and above the deck 9 CHANE@V%tjSg FB@Nt, TO STIPULATIONS Addn: $3,952.20 minus Deck value of $1,316.70 = $2,635.50 or $2,650.00 for computing the cost of this permit. WARNNG SEPARATE PERMITS REQUIRE® FOR Mon digging nii zycvn� cai' j� tijv� WIRING, HEATING, PLUMBING AND SIGNS. °REPHo►vEEUWTTft,ryAS tt 'RZ 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 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 WITH WHETHERSPECIFIED HE NOR NOT. THE GRANTING OF A PERMIT $2,650 $1.33 DOES NO PRESUME TO GIV AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVIS N OF ANY T E STATE OR LOCAL LAW REGU ATING CON- STR 10 OR THE P F MANCE OF CONSTRUCTION. $38,50. None LAN CHECK FEE TOTALFEE 9.63 $49.46 SIGNATURE OFC3NTfAcfbRORAU ORIZEDAGENT t15ATb WHEN PROPERALIDATE THIS IS YOUR PERMIT ��Al INS ATE SfGNATURE OF OWNER IIF OWNER BUILDERI IDATEI'BLDG '*rw.v% 1-6 COAML ft4ftC& OC40 11 J� j NgW [ ] City of Fridley Effec ive 4/1/84 ADDN. R-1 AND R-2 ALTER. Building Permit Application Construction Address: 45390�_� Legal Description: Owner Name Contractor a Ad -dress: 0Aj Tel. # : �a 222 21 92 1A1 Tel. #5M Address: 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 DECK AREA: Length OTHER: CMAX MS art was 210)(&Z'7 t 13 MIA Corner Lot [ ] Inside Lot [ ] Width Height Sq. Ft. th _ Hgt/Ground Sq. Ft. Ft~ Yd. Setback „ Side Yard Setback Type of Construction: Estimated Cost: $ Approx. Completion Date: 2 ` Do Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Hain Charge TOTAL STIPULATIONS: Tel. # CITY USE ONLY •7d Fee Schedule on Reverse Side $ 01+6 25% of Building Permit Fee $ $•50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering $ Q Agreement Necessary [ ] Not Necessary [ ] $ -1 f SUBJECT PE717 City of Fridley o961 ? AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT TWO. � COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 5/8/85 JOB ADDRESS 5380 - 7th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2, 3, 4 16 Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Hoiby 53380 - 7th Stmt N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hogness Construction 7728 Lakeview Lane, Spring Lake Park 786-7212 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 f] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 13' x 10' Deck 9 CHANGE OF USE FROM TO STIPULATIONS 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS PE OF WORK WILL BE COMPLIED $.50 WITH WHETHER SPECIFIED HEREIN O NOT. THE GRANTING OF A PERMIT $815 DOES NO P ESUME TO GIVE AUT ORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI NS OF ANY OTHE ST T OR LOCAL LAW REGULATING CON- RUC N R THE PERF A E OF CONSTRUCTION. $16.00 P AN CHECK FEE TOTALFEE �, $16.50 SIGNATURE OF CONTI CTO ORAUTHORI DAGENT IDATEI WHEN PROPERLY V DATED THIS IS YOUR PERMIT BLDG I P ` C -� Com' DAT J SIGNATURE OF OWNER I IF OWNER BUILDER) IDATEI NEW City of Fridley ADDN. ] 1R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: "'02 S � Legal Description: I Nit Owner Name Contractor: o ' Address: 2 122 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT R -Qs 'A& /b6aI Effective 4/1/84 /- / Tel. # !rel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: DECK AREA: Length Length / �_ Width Width Height Hgt/Ground Sq. Sq. Ft. Ft._^-n��G� OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard ,Setback Type of Construction: Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation • •��S CANT: Tel. #�U r�� DATE. I APPLICANT CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main 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 [ ] Land " 50,I3 Tr ;y Gal b A&AgWl Engineers ENGINEERING, INC. surveyors — S71�M�ssss�p,St NE . Afvmrsolo SUnef C-GOi+a certificate of survey", builders Ir r F•�rTof Lol Q- I�ir, �liorr o, �'r°e S+r, LLr '0 01'.1 ��,E Sou+i. 14:0 J 2 4r:'i��or,�� MU' tics-. 4e �► rlr+ Iftew rot fthm e • b lr a►d a,rTrj �+p�sa►fotan e` o ssr -Ty Ox Av-n vr%es qr& a6o,r J6C1i d lo1d, and �� e�av,�,eJt •4lm y. fwn W-W7sour/avid. As swve d cyan As - dwj SU8UR8AN ENGINEERING, INC. t'jS 'E' S�jrr yprs /' STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD ST. PAUL. MINNESOTA 55101 Date Zptiing uthority tre et Address A) . S "i 7-_ ity tate Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject: Name of Day Care Home Aolicant 3 9 ® -7 Street Address City State Zip Code 'Its DHS -2722 (9-85) PZ -02722-02 Type of License: Family Day Care Group Family Day Care Licensed Capacity /o —ice Phone No. r-, This is to inform you that we are in receipt of an application for licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 2, known as the Public Welfare Licensing Act and the rules of the Department of Human Services. You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi -family residential use of property for purposes of zoning. If we do not hear from you within will consider the above-mentioned your local zoning code. Sincerely, Licensing�Wor Street Address 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL GICRVICES DEPARTMENT QOWNTY OF ANOKA **WWMOW9F_ POURTH FLOOR ANOff.A. MINNESOTA assns Name of Agency Organization City State Zip Code AN EQUAL OPPORTUNITY EMPLOYER L SUBJECTIT NO. City of Fridley 29461 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. v ______ COMMUNITY DEVELOPMENT DIV. SEC r PROTECTIVE INSPECTION 0? � ICITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 4/13/99 JOB ADDRESS 5380 7 Street NE 1 LEGAL LOT N0. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2,3,4 16 Hamilton's Addn to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ronald Hoiby 5380 7 Street NE 572-9169 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 CX REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House (26 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 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 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 2, 225 1.11 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 CH E PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $53.25 Fir C $2.23 PLAN CHECK FEE TOTYLfXE 6.59 SIGNATURE C N• ACT RAUT O iZEO�G iOATE� EN ROP LID HI IS Y UR PERMIT BLD iNSo E S. NATURE OF OWNEROF OWNER BWLDERi IUATEI L NEW[ ] Effective 5/10/99 41 ADDN [ ] CITY OF FREMEY j ALTER [ ] SINGLE FAMELY AND DUPLEXES R-1 AND R-2 o�R `� (Or BUILDING PERMIT APPLICATION Construction Address: 3 <�—® `7 7 Legal Description: Owner Name & Address: y , o Tel. # S7oC ^ 1 l 07 Contractor: /U 6 K) MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Tel. # DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height' Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: r�h Width Hgt/Ground Sq. Ft. OTHER: �P r� Jc9 a .e r-" . Construction Type: P& ��0 Estimated Cost: $_�� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: s- l 3 "22 APPLICANT: 0 0 J 4,C Tel. #-% ori CITY USE ONLY Permit Fee $ O -3 S Fee Schedule on Reverse Side Fire Surcharge $ 723 .001 of Permit Valuation (1/10th%) State Surcharge $ / l/ $.50/$1,000 Valuation SAC Charge $ $1050 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: 3 OF FRI�3EY rNSPECTION DIViS10 rr��Effective On Janua 1 2002 6431 University Ave NE 6�1 ry Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 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 OWNER r)( -Ir )CO-JU 77U I LN Rate TOTAL BUILDING USED AS �fA $ 30.00 $. ESTIMATED COST � PERMIT NO. -- $10.00 0.$10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ e00 Fuel Total Connected Load State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS CONDITIONING PERMIT IS$25 0000 PLUS THE $.5Q STATE SURCHARGE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. 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 the facts and representations stated in this application are true and correct. DATE k7 -ILO -03 Approved By JLT Rough -In Date Final Date ft THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED nommoN VFNT- VFNT GnNNFCTnR AND nomiugnm AIR RIFT _A-n0N . When re la .inrj an Axosfing furance, 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The exic ink rnmhustann air is sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When required to install a new enm6ui_stinn air, it will be sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When installing a new venting qw tom, the undersigned hereby verifies that it 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( ) 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( )No( ) 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 i TA Signed By: ---AAAA-- -- Building PLUMBING Permit No.• Inspections RESIDENTIAL APPLICATION Received B : 763-572-3604 Dat�"�� ,�.f CITY OF FRIDLEY DATE /0 L.?1A z YOUR E-MAIL ADDRESS SITE ADDRESS Sawa ar.S �wr►t�✓' THIS APPLICANT IS: ❑ OWNER �kUNTRACTOR Ronald Hoiby PROPERTY .N,,,fvffi: 5380 7th Street Northeast OWNER/ ADDRESS: Fridley, MN 55421 rE ZIP TENANT PHONE: 7635729169 CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # SGSlo EXP DATE YOUR STATE ADDRESS i' I CITY �' Is STATE d"LP s LICENSE Wrl-H . PHONE — Moil FAX 7 — APPLICATION - PERiYIIT TYPE SINGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00; whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This.should.reflect only.the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = =•FORXROJECTS WHERE LABOR EXCEEDSS500,7FEES ARE BASED ON $10.00 PER FDnIM,'EXCEPTW.HERE NUEED .FrXT.-U-RES:..(INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINKA AV _FLOOR DRAINS _ SHOWER _ WATER PIPING _ _ GAS PIPING (maw cmuCEmt) _ SWINVANG POOL _ WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER _ KITCHEN SINK_ WATER CLOSET _ BACKFLOW PREV. (SIS) _ _LAUNDRY TRAY LWATER HEATER ($35) FOR IRRIGATION _DISHWASHER WAi ER METER OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15,00 = $ TOTAL DUE $ Number of fixtures @ $35.00 �_ x $35.00 = $ 35'.Oo State Surcharge = $ .50 Total = $ 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 appli 'on for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of rk which re es review and approval of plans. / / Jam' A110.4/OH I 40 1,7 SIGNATURE OF APPLIC PRINT NAME DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977