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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT No 4 7 s Date: Owner: ........... _....................... _...__.._..... ............ ...... _......... .................. Builder Address..... ........ ........ .... __...... ...... _..._.._ __ ____... Address ,�. LO TSN OF BUILDING No. +........J t.+.._✓ .. Street _:.._ . Par, obi of ._.. I . Block .-----....---... ...........---•----. Addition or Sub -Division Lot ...._ ........................... Corner Lot ........... I .............. ..... Inside Lot ....._ ............._......._........ Setback .. ..._...................... .Sideyard .. �„�... ...........G.:' Sewer Elevation ..... .............. _............._............._......................_...._.___...._........ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: E " :: .. Front .... ? .. Depth .... Height �'"' ^` Sq. Ft./ ` .. �.:_.. Cu. Ft. 4?.;./ _.. ... f .................... _........... I.......................... .... Sq. Ft. ................. Cu. F't....._............... .. Fron Depth ......... , r He�h�td _r,., Type of Construction �R . ^ Z....... Est. oG` s +"� . �F ' ... To be Completed , _ X1_5 70 THIS PEM,W D:..lE3 NOT AUTHORIZE VIOLAT- ION OE .f'�;`;',' ,., : Aa"t: LAI�I� COVENANTS AND BUILDING RESTRICTIONS. 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. In consideration of the payment of a fee of permit is hereby granted 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 v1djA on of. any of the provisions of said ordinances. Z11 r► 4 I Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or wafer. Be sure to see the Building Inspector for separate permits for these items. 4 0 ., APPLICATION FOR BUILDING PERMIT CITY OF "MLEY, MINNESOTA Owners Name Builder L`iwd A•ttF Address Address _ LOCATION OF BUILDING No. 5390 Street `Z Jr. jus • Part of Lot Lot / Block Addition or Sub.Div. 4% Meclt•til�/4 (c.esw,4%) (�y Corner Lot,�side Lot t Back 19' Side -Yard f S SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To used a Ali Front ,....� Depth....�� Height,--- . Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. _C-) Type of Construction�®ti� 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa- tions stated in this application are trine and correct. Z DATE,_„_' �'' �' SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) • 'cation for Power Plants and Hoofing. Colin Ventilation ReFri a17on and APPS 9. g. 9m' I Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $----,,X-- 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 ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS I,-.- ,REMARKS: w I $ See Fee Schedule TOTAL 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. �,,'7 Q .Fridley, Minn C? '-' `.5 , 19 Cs % ..TT—�l���� Kind of Building 195— I Used as To be completed about ` /S-- Estimated SEstimated Cost, $ -�-0-0 Old—New. Building Permit No.� DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, -Hot Water, Warns Air No 0 t-� Trade Name Size No-<:9��I-/ ®®C Capacity Sq. Ft. E.D.R-AQ0 000 BTU H.P. Total Connected Load Kind of Fuel/ BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Signe ` By I 11 POST IM -12-58 Business Phone No At .K/ f CJ /.0 /7 Coef. Btu 0 E Btu Infiltration -- �S/ /9-T- Infiltration / /-1- Glass-1� 6HEAT'LOSS �NS 3 9c) r �I e _ Exp. wall ca,47 DEPARIMIM F BUUMS ,���.�, Village of Weatherstrips A.SJLV.E, ;?/,r le Coa,traction No. In,dation Exp. wall 9 % Guide ference Ceiling Int. wall ee 2 /® �Q (1 Out. wan Int. Wall Ceiling Roof Floor Kiqd How Applied o zwl 1,16Q 19- 9Room Requu .D. or sq. ins. W.A. Leader area Ceiling -RoomI Length d, '/ Width /4" Height Fl. Length /.yl— Width ®E. Windows a re—Crackage and Area ckage and Area No of Lineal ft. Ares .1ights of crack sq. M L Window, and Doors—Gacitage a" Area wldth 6fo. of psae eight No. of Lineal t . Ares 1 pane 11g is of crack sq. ft. Coef. Width Height No. of Lineal ft. At" Na of pane of pans lights of crack sq. M Q d J.�1 1.6f ®. / �0 /,=I; At .K/ f CJ /.0 /7 Coef. Btu 0 E Btu Infiltration -- �S/ /9-T- Infiltration / /-1- Glass-1� / Width Height No. of Lineal ft. Area No. of pane of pane lights of orsok sq. M d?i _ Exp. wall ca,47 IP713 Net exp. wall Infiltration ;?/,r le Glace Int. wall Exp. wall 9 % Net exp. wall 4,9 Ceiling Int. wall ee 2 /® �Q FloorQ Floor 91 F./ 74 i 7 Total Btu. zwl 1,16Q Int. wall Requu .D. or sq. ins. W.A. Leader area Ceiling Fl. .ti /6' m I Length 17? Width/, Height W&Jows Width No. ' of Pane nd Height of pane 4 ckage and Area No of Lineal ft. Ares .1ights of crack sq. M L Coef. Stn Infiltration 1.6f Glass Exp. wall oa Net exp. wall Int. wall Ceiling Floor Total Btu. /® s/s Required .R. or sq. ins. W.A. Leader area F1.1 MUr9kV Room I Length 62 _ Width v �. ® MaInht Windows and Doors—Craekage and Area / Width Height No. of Lineal ft. Area No. of pane of pane lights of orsok sq. M d?i Exp. wall IP713 Coef. Btu Infiltration % Glace /9 Q Exp. wall 9 % Net exp. wall 4,9 a Int. wall f Ceiling 11,9 /Ly Floor 91 F./ 74 falai L u. Rft. E.D.R. or aq. ins. W.A. Leader area 0.9. g1 A Glace / Width Height No. of Lineal ft. Area No. of pane of lights of crack d?i Exp. wall IP713 Net exp. wall % 0 /9 Q Int. wall Can Ceiling f O® / �7 Floor F./ 74 i 7 /,-? o;CS' Total Btu. Required!q. ft.90,& or sq. in,. W.A. Leader area FLI Mr MhqRflam I Leaath /,/-g Width O Heiaht 777 Wmdows amt Doors-4nAlige and Area Width Height No. of Lineal ft. Area No. of pane of lights of crack Coef. Btu [,filtration Can Exp. wall l Net exp. wall zwl 1,16Q Int. wall Ceiling /6' ./Q Floor Total Ben. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FLI 6aZA&Room I Length % � Width Windows and Doors—Crackm and Area Glass Exp. wall Not exp.. I Int. wall Btu f , ' City of Fridley A lication for Plumbing and Gas Fling Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK _ Number, Kind and Location of Fixtures Locatiom—l—�e PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 10 O Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 00 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ S a Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE $—Z2 e S 6 City of Fridley: Ute"' 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. �Fxic ey, ,- Owner Kind of Building Used as — :Idk"L To be completed about Estimated Cost, $ Old—New. Building Permit 11 POST IM -12-58 19—Ap 19- 19— 12 > Z~z `a� p� Z 1�3Z UN' R N WATER HTR. GAS ELEC. Base r l 1st 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings I SBW@P Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 10 O Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 00 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ S a Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE $—Z2 e S 6 City of Fridley: Ute"' 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. �Fxic ey, ,- Owner Kind of Building Used as — :Idk"L To be completed about Estimated Cost, $ Old—New. Building Permit 11 POST IM -12-58 19—Ap 19- 19— otrl� City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK �' °� [�40 — 7 Number, Kind and Location of Fixtures Location f •�c�'. NO. RATE TOTAL— k/$1.50 f�n/1 Z N Future Fixture Opening iii $ w Z • • WATER HTR. $ Water Heater (Up to 200,000 BTU) ...... 3F3 $ New Ground Run Old Bldg. ............ x 3.25 3� o� NO. RATE TOTAL �' o c�3 $ c�°d Uma (70 Gas Range to 200,000 BTU .............. x 2.00 GAS EIEC. rn .�� uZ—i Base / / 1st 2nd _ 3rd— 4th • Future Connection Openings Connected withI Sewer � New Fixture. Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL— k/$1.50 Number Fixtures ...................... Future Fixture Opening x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 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 $� City of Fridley:° The undersigned hereby makes application for a permit for the work herein specified, agreeing to do ell 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. --,�Fridlev. A?inn- �V do A-6 0 , 19— Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit o Pe e Signe By Business Phone No --- ROUGH FINAL 4z 2M 7-59 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL m a. m $ Future Fixtures U $ old opening, New Fixture m $ Water m $ Slow off Basin $ 5.00 $ Catch Basin $ 5.00 $ �3 Mp C 1.00 Hydraulic Valve $ 5.00 $ Sump or Receiving Tank Heater M p $ 7.00 $ 0] $ 5.00 $ a Q o M Gas Dryer $ 10.00 U al ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance 1Bo� $ State Surcharge o� a"�i Mw m w 9A1 $ v O lec lat 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer (*) s New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures _ $ 5.00 $ Future Fixtures $ 3.50 $ old opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Slow off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater _ $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ ($15.00) TOTAL FEE $ Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to da all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn.. ® SL / , 19 OWNER .�/ .aC-s RIND OF BUILDING USED AS TO BE COMPLETED ABOUT Ileo ;;5- I ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. � L8 ROUGH IN". Date FINAL INSP. Date APPROVAL FOR PERMIT c MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE sueJEcr MIT NO. City of Fridley 210 5 AT THE TOP OF THE TWINS BUILDING PERMIT i � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/6/91 JOB ADDRESS 5390 - 7th_ Street NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1, Pt 2 16 Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian Sandberg 5390 .. 7th Street NE 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 12k x 161 Deck. 9 CHANGE OF USE FROM TO STIPULATIONS Maintain a minimum of 10 feet clearance under electric service wires. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,450 $.73 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $35.00 Fire SC $1.45. PLAN CHECK FEE TOTALFEE 37.18 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WH PROPE LLI AE THIS IS YOUR PERMIT -� / SIGNATURE OF OWNER IIF OWNER UILDERI� IN DAT IM [ ] ADCNR-1 AMID R-2 ALTER] Building Permit Application Construction Address: 53ctv `4 `f- •lig -C Effective 1,/1,/91 Owner Name it Address: N" IS/VQ 0 I 1 (V-& CoiltractU 11e1. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn an it to scale. LivXNG AM: Length Width Height sq. Ft. ARS: Length Width Height sq. Ft. n= AREM Leshgth 'L® Width Hgt/Grotn d Sq. Ft. Its ate• �i L)e 7. 6 vis Corryer Lot Inside Lot [ j Ft. Yd Setback Side Yard Setbacks Type of C 'cn: ► • Estimated Cost: $ Approx. Ompletion Date: Proposed Driveway Width If New opening Is Desired: Ft. $ $, Width + 6' See Back Page DATE: APPISCANT: Tel. # Permit Fee $ C) Fire Surcharge $ State Smid=Ve SAC C arge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ 5 30). /i� s-rzpviAzza�: �N-"AMI;1: • it Fee Schedule an Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by;,,�,-; r Necessary[ ] Not Necessary [ ] �nJWMWA� 0a #71Z C L. rL*V E IL lov I- I� 3 ov J a - - 1-2 13. 97 Meq s. allOo l/ l91 Mpi tA 2r S 3 n. In Ljj c, y-� S- V*l +rko,��J- ploc*, )(S /hereby /S cerfily- fbai *6 1 a Mae and corred representation 00 survey 40ke bwndor;es j("Ac 4how disa4hed land, and oj'� lor4lion. of a// bmildtny5, thereon , and o// Yisih& o7awachmeals , t!'mi q, fmn or a7sed /and. AS surveyed by Me flus-- *-q SUBURBAN ENGINEERING, INC. Surrvor5- i