PRE 2010 DOCSCity of Fridley, Minn. N° 10236
BUILDING PERMIT Rec . #47212-11
•
Date: T/fay 1 1gtiq
owner: Smith & Anderson Builder Same
Address 919-4otb AvPnile N E. Address Same --
LOCATION OF BUILDING
No. ,57 1 Street _nth Street, Part of Lot
He stered Land Survey1
Lot Tract_ �__ Bock A tin or Sub -Division
Corner Lot --X-- Inside Lot -- Setback — Sideyard
Sewer Elevation _ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
T)WAl lei ng Front 26' Depth _1j 421 Height 2n I Sq. Ft. _1.092 Co. Ft 21$40
Front Depth _ _ Height ____ Sq. Ft. Cu. Ft
Type of Construction __ _ Est. Cost _ ._„3000 To be completed Aug. 169
• SEWER
No service will have to saddle
WATER
No service will have to be tapped.
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.
:y ;: 1111_ 1jPYffl1.:jj: 5:11111109 Am 101 MIN
In consideration of the payment of a fee of $x.00 _ __, permit is hereby granted to— R oxi l d Smith
th
the
to construct the building or addition as described above. This permit is granted upon
express condition that the pera�n 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.
• NOTICE:
Me peenN dose not cover the construction, instailetion for whb& plumbing, gas heating, sewer, or water. Be sun to see
the BOOM Inspector for separate permit for these hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER Is NMF �' sa `'� %� iv �� s . �� BUILDER
ADDRESS 2 �/G ,��/ ,r .�/1 ADDRESS
LOCATION OF BUILDING
NO. �' % . STREET S 7 _
LOTADDITION OR SUBDIVISION
CORNER LOT r �TNSIDE LOT SETBACK7,1— SIDEYARD 3 %
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form Two Certificates of Survey of Lot and
proposed building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front, l Depth �/ Height a
Square feet ,moi Cubic Feet
Front Depth Height
Square feet Cubic Feet
Type of Construction 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 accordanoe 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.
Appletfon for Power Pi mft and H eb% Cooling, melon, Refterafta and
Air ConMoning Systems and Devises
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE TOTAL
Furnace Shell & Duct Work ...........................$10.00
$
Replacement of Furnace .............................
6.00 $
Repairs & Alterations—up to $300.00 .................
6.00 $
Repairs & Alterations each add. $300.00 ............
. .. 3.00 $
MECH. WARM AIR $ ��
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00
each add. 80,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ...... ...... .. 6.00 $
Repairs & Alterations each add. $300.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & lines—to 400 sq. ft. EDR Steam
$10.00 $
Furnace Shell & Line—to 640 sq. ft. IDR Hot Water
.. 10.00 $
Each add. 200 sq. ft EDR Steam .... .................
3.00 ' $
Each add. 320 sq. ft. EDR Hot Water . . . ........
.. 3.00 $
OIL BURNER—to 3 gal. per hour ... . ' ... ... .. .....
6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199.000 BTU) .......:...... '.......'
.. 8.00
over 199,000 BTU See Fee Schedule
GAS FITTING FEES:
NO RATE OTA
1st 3 Fixtures ..... ................
x$ 200 $
Additional Fixtures .................
x .75 $
Gas Range to 199,000 ..........
3i$' BOO $
MR CONDITIONIIIG
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
$
See Fee Schedule
TOTAL FEE
Dept. of Bldgs. Phone 880.3480
City of Fridley:
The undersigned hereby makes application for a permit for the work hereic
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.
v Fridley,
Owner
Kind of Building s ���' /
Used as
To be completed about
W
Estimated Cost, $Z«e
Old wilding Permit No. 1C� 3 Permit No.
DESCRIPTION OF WORN
HEATING or POP/CANTS--Steam, Hot Water, arm Air No
le, ell
Trade Name ���� Size No
Capacity Sq. Ft. E.D.R.0_152E� BTU H.P.
Total Connected Load. Rind of Fue ;
BURNER — Trade Name ,��9 -� . Size NO—
Capacity— Sq. FL E.D.R�� ` 2 BTU H.F.
(REMARK VER) `
S&Y N. WELTER HEATING C0
4637 CHICAGD AVE.
z
B5
Business Phone No.�`
Original
PERMIT for Power P ants and Heating. Cool-
ing. Ventilation. Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of Heating Plants to benstalle ltered—repaired
Make � ,Size
Oil fired ; Coal fired—, Gas fired -? ; Gas Authorization No.
Remarks jAza V.-
_ s
Approved
Final Inspection Date , 19_
Inspector
A#4177,P.5'
Permit 4527
Fee $ ` &
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. 2 , 19
Owner 344i�
Location
Kind of Building
How Occupied
Work to be Commenced , I9°
To be Completed 4292t'� ,19,0
Estimated Cost, $ .S'6 0 ' °`a'
Old -New, Building Permit No. 1 1 .2-36
Permission is hereby granted to 77 (? -6 ' to install—erect—use the material and devices described in the
above statement. This permit is granted upon t express condition that the pe7fon to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this
permit on file in the office of the Inspector of Buildings.
9G / I
nspector of Buildings
az ZM 11-67 V
Original Permit for LAMBING AND GAS ORTING
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for
inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit..
Number, Sand and Location of F=tures
Stories
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WATER HTR.
OAS
ELEC.
Basement
f
lot
2nd
3rd
4th
Connected with Sewer -Cesspool Gas Piping for Openings
Permission is hereby granted_ to do the plumbing and
gas fitting in the building described in the statemen hereto attached, upon the express condition that
the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspection Date
Inspector.
Final Inspection Date
Inspector.
wz 1M -6.69-V
N° 5011
Permit
Fes $. �0
City of Fridley -/ ,19-0
Owner
Location .57 t *f -t- `
Kind of Building
Used as
To be Completed , 19_.
Estimated Cost $
Old -New. Building Permit No I OI J 3 (-
Date
Inspector of Buildings.
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures ion 3 ��
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures
Future Fixture Opening
New Fixture Old Opening
Catch Basin
Water Heater (Up to 99,000 BTU)
New Ground Run Old Bldg.
Electric Water Heater
GAS FITTING FEES:
1st 3 Fixtures ..... .... ...... .
NO. RATE
TOTAL
a
s F
47, "
0
0
°�
3..
o
a
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" i
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v�
53 Z
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3
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N
WATER HTR.
GAS
ELEG
x $3.25
$
x $2.00
$.
NO. RATE
TOTAL
I x $200
t-9.
0
2nd
3rd
4th _
° future Connection Openings Connected with — —
e New Fixture, Old OpeningsSewer
I Cesspool ❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures
Future Fixture Opening
New Fixture Old Opening
Catch Basin
Water Heater (Up to 99,000 BTU)
New Ground Run Old Bldg.
Electric Water Heater
GAS FITTING FEES:
1st 3 Fixtures ..... .... ...... .
NO. RATE
TOTAL
6.
47, "
x $2.00
$
f x $1.50
$
S, 00
x $1.50
$
x $3.25
$
x $300
$
'9 0
x $3.25
$
x $2.00
$.
NO. RATE
TOTAL
I x $200
t-9.
0
Additional Fixtures ..... x $ .75 $
Gas Range to 198,000 BTU .... . ......... x $5.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description........S
..................
...........
TOTAL FLE ®6
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Minn-
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old-(!!7./building :-Vi mit No._._>. _ _permit No.
Signed
By—�
- ^
Business Phone No
ROUGH
FINAL (ice
City of Fridley, Minn.
6431 University Ave. N.E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: September 22, 1971
Owner: Edgar Thayer Builder
Address _ _ 5731 7th St. N.E. Address
LOCATION OF BUILDING
Own & Sussell
No. _5731 Street 7th St. N.E. Part of Lot
Lot ---TK–e Block _ _ _.._.._.__ Addition or Sub -Division #14
Corner Lot ...__...._x._.___ Inside Lot _ Setback .: Sideyard
Sewer Elevation
To be Used as:
Garage
Foundation Elevation _....
DESCRIPTION OF BUILDING
Front X24 t Depth 24'
Height 10' Sq. Ft. 576 CU. FL 5760
Front — Depth Height Sq. Ft. Cu. Ft.
Type of. Construction Frame Est. Cost $2500. _ To be Completed 1 year
Hard Surface Driveway 1 ���.� t � ` "`% `� el .
9 -
In
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. ,..P
In consideration of the payment of a fee of $--1-0' 5 0 , permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and ye=t
in all Work
done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
n� city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordin
&"_ Claren_ s - a Building �
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we
the Building inspector for separate permits for these items.
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER I S NAM: jL-� 0 t2, I ff Ay El's BUILDER: 0 w F_ /0 5 E �(
ADDRESS: 5 ? 31- '7 -T!-'4 '�-T ADDRESS:
Sr
NO :. S '7 3 A STREET: S I
ur
LOT L BLOCK: ADDITION: # 14—
CORNER LOT x INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates. /
DESCRIPTION OF BUILDING /
To Be Used As:
(;1412g ;'r' —Front: 4 Depth: D_ 4- Height : /L
Square Feet: Cubic Feet:
Fronts Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: F 2 A )Li F_ Estimated Cost: '$ 9 6ra-42-
To Be Completed: I C-1 -7 I
The undersigned hereby makes application for apermit for the work herein
specified, agreeing to do all work in sttict accordance with the Clay 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. �/ / /7 ( SIGNATURE. a
(See Reverse Side For Additional Information.5
I o o
m
GERALD T. COYNE RAYMOND A PRASCH
AVE L00"'T SURVEYS COMPANY 691 7 IbA,i0 AVE N
f Y. 1.'I'4N LAND SURVEYORS BROOKI YN PARK, MINN
RFGISTERr,D UNDER LAWS or STATE or MINNESOTA
LICENSED BY ORDINANCE or CITY Or MINNEAPOLIS
6917 Idaho Asti. N. 533-9922
Minneapolis. Nlimics,,ia 55.128
•NE",-STRIAL jUGICIA',fiCate :,_1',*PINI11G P.ICRE TW4 .30 YEARS OF
T0P0GP.AP1j!r:AI_ tAND �11_'PWYING E\PERIFNCF IN THF
CITY Lr -)TI, - PLATTING`burbepore; QE'. e r t i ?,jE1ROPC-i.ITA14 AREA
SMITH & ANDERSON INC.
I
N
:Z invoice e 2452
53 0 Denotes Iron
Scale 1" - 20'
T
--------- 01
L
L
Lot 9-exathe he South 10 feet thereof, all of Lot 10, South
lU feet of -Lot'- 1.1 neapoils
"tl /Va,
-ry e/
We hefvrty .:artily that th�s is . true ind correct represenfek-
fion of A survey of the boundaries of fK, above described Signed
and And rhe -ocAt,on of all bui!d;ngs and v;s;ble encroach- _4T SURVEYS C031P3-";Y
—.0s, ;f any. from or on said find
S"'ypd lt as ems 2U1k'ji day of -.11, u 196+8
4
kid
Lot 9-exathe he South 10 feet thereof, all of Lot 10, South
lU feet of -Lot'- 1.1 neapoils
"tl /Va,
-ry e/
We hefvrty .:artily that th�s is . true ind correct represenfek-
fion of A survey of the boundaries of fK, above described Signed
and And rhe -ocAt,on of all bui!d;ngs and v;s;ble encroach- _4T SURVEYS C031P3-";Y
—.0s, ;f any. from or on said find
S"'ypd lt as ems 2U1k'ji day of -.11, u 196+8
53 -8L -S-915.51
City of Fridley
4T THE TOP 0' THE TWINY
r•.-------- COUNVNITY DEVELOPMENT DIV. PLUMBING PERMIT APPLICATION
1 i PROTECTIYR NMfICT*M KK,
CITY MALL FINOLRY $002
....��� .J 03-600-3"0 INUMM IREW- MATO MAne .
Job Address U 12115/73 1 1 1 1 800
5731 N. E. 7th. Street
owner Edgar T. Thayer Address Phone
Thayer
Contractor Address Phone
MINNEG.ASCO 733 Ak Ut `T
Kind of Building Use
Frame AkPA, MIN N.
Completion Date5-10-74 Estimated cost
tu"
R1am"3 I I I
apiYM
i 111
1"�/ //_ It - ;7 /</-
M
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• lo.00
Plumbing Fixture Rates: NO. RATE TOTAL
t�! Number Fixtures x $2.00 $
1`
Future Fixtures x $1.50
New Fixture -Old Open. x $1.50
Catch Basin x $3.25
I
Water Heater -99,000 BTU x $3.00
Ground Run Old Bldg. x $3.25
Elec. Water Heater x $2.00
t Gas Fitting Fees:
1st 3 Fixtures x $2.00
j r
Additional Fixtures x $ .75
I
Gas Range -199,000 BTU x $5.00
Repairs & Alterations
See
Description: Install Gas Grill Code 5.00
State Surcharge .50
Class 'A' Surcharge .50,r
TOTAL FEE $ 5.50
!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 declare that
all'the facts and representations stated in this
application
atrue and�coJr1r t.syg
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'Signature Date
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Plumbing Fixture Rates: NO. RATE TOTAL
t�! Number Fixtures x $2.00 $
1`
Future Fixtures x $1.50
New Fixture -Old Open. x $1.50
Catch Basin x $3.25
I
Water Heater -99,000 BTU x $3.00
Ground Run Old Bldg. x $3.25
Elec. Water Heater x $2.00
t Gas Fitting Fees:
1st 3 Fixtures x $2.00
j r
Additional Fixtures x $ .75
I
Gas Range -199,000 BTU x $5.00
Repairs & Alterations
See
Description: Install Gas Grill Code 5.00
State Surcharge .50
Class 'A' Surcharge .50,r
TOTAL FEE $ 5.50
!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 declare that
all'the facts and representations stated in this
application
atrue and�coJr1r t.syg
.. • ^1,' �.. -�.c� dx!41%,+�.c
'Signature Date
P
CITY OF FRIDLEY INSPECTION DIV.
.6431 University Ave NE
Fridley, MN 55432
572-3604
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
Gas Range**
Gas Dryer**
Back Flow Preventer Required ( )Yes () Nc
Type
r oJr&/oo
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
NO. RATE
1 0
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
Effective On Jan 1, 2000
TOTAL JOB ADDRESS 575/
7 5 t \)<L
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
Owner ` VIJ
Building Used As Z�s (L6\jC1e-
CO
Estimated Cost PERMIT NO.
r
PLUMBING COMPANY
SIGNED BY TEL N0. �_�✓V
Approved By Rough -In Date Final Date .0.2
S .50
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00
$ PLUS THE $.50 STATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing 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 existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. Yes () No
When installing a new venting system, 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 () 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 Type 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
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
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date :
CIiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (763) 571-3450 • FAX (763) 571-1287
February 11, 2Q02
Becky Zurn
57317"' Street NE
Fridley, MN 55432
Re: Final Inspection at 5731 7`h Street NE
Contractor: Shiloah Water Co. Inc.
Dear Ms. Zurn:
A plumbing permit was issued on October 16, 2000, to install a water softener at your address.
According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be
conducted on the plumbing authorized by this permit. As of this date, no inspection has been
called for.
The permit fee that was paid covers the inspections to make sure the work was completed
according to the Code. We will keep your permit open for another 30 days and if we do not hear
from you within this time to set up the inspection, we will mark the permit "no permit called
for" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
SUBJECT
RMIT NO.
City of Fridley
32412
AT THE TOP OF THE TWINS
?
BUILDING
PERMIT
r
"RE CEIPT NO
COMMUNITY DEVELOPMENT DIV.
•�
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
1 612-571-3450
910415
11/29/02
JOB ADDRESS 5731 7th St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
Tract E Reg. Land Survey 414 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Ray & Becky Zurn, 5731 7th St NE, Fridley,
MN 55432 763-572-2120
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Added Value Exteriors, Inc, 1607 University Ave, St. Paul, MN 55104 651-647-6777
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
BC 20098419
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Dwelling
7 CLASS OF WORK
Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Window replacement
9 CHANGEOFUSEFROM
TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of the 1997
Uniform Building Code.
Caulking and flashing for all exterior openings.
Permit Inspection Cards
' Will Be Mailed
To Homeowner To Post
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
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
$4.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$9,000.00
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.
$1,67.25
$9."00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOVY FEE
$5.00 nse�4
A45.75
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
OP VALID TE HIS IS YOUR PERMIT
gggFEN
BLO N F OA1E
S.CNATURE OF OWNER,IF OWNER BUILDERI 10ATEI
71.3-S"21 /k17
NEW [ ]
ADDN (]
ALTER [ ]
Construction Address:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/2001
(763) $723604 Bldg Insp
Legal Description:
Owner Name & Address: wz.n- Tel.
Contractor:t3a E)ffERIORS' MN Tel. LICENSE
Address: 1607 University Ave
� # ��lof
St. Paul. MN 55104-I--�7 �� ��
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 _ Heightp Sq. FL
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width HgtlGround Sq. Ft
OTHER:
. d0
Astimated Cost: $_�� o 0 4
Construction Type:W.
Driveway Curb Cut Width Needed: FL + 6 Ft = 'Ft x $ = $
/ % _,/` ,aim✓ Tel. #c��°�r-�'
DATE: 02. b �. APPLICANT:
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
Call (763) 572-3604 for Permit Fees if mailing in application
$- 1, A a Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$',57/$1,000 Valuation
$ $1150 per SAC Unit
$5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$__.$450.00 Conservation Plan Review
$ Fee Determined by Engineering .
$ Agreement Necessary [) Not Necessary [
$ I ys•
SuBjECT
PERMI
City of Fridley(13743
AT THE TOP OF THE TWINS
BUILDING
PERMI T
r
R E
RE-MPT-Nd—
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
PROTECTIVE
r F PROTECTIVE
NUMBER
REV
DATE
PAGE OF
APPROVED BY
l ��"',•� CITY HALL FRIDLEY 55432
__--�
L 763-571-3450
9�aF15
7/29/03
JOB ADDRESS
5731 7th St NE
1 LEGAL
LOT NO. BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1anatSurve '#14
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Ray Zurn 5731 7th St NE Fridley, MN 55432
763-572-2120
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Northstar Home Improvement Inc 4972 Lincoln Dr M is
MN 952-929-1888 5336
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
CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code requires that a weather-
resistive barrier be placed over exterior sheathing to
protect the interior
wall covering. Exceptions to this provision.would be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl siding is not a weatherproof covering unless the
manufacturer states this in the application guidelines.
Call for inspection of wrap before covering.
SEPARATE PERMITS ARE REOUIREO 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
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
$8 90000
$4.45WITH
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-
$
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
$5. I License
$185.60
SIGNATURE OF CON 'RAf.TOR OR AUiHORi1E0 AGENT (DATE,
IEN PROPERLY VALIDATED THIS IS YOU PERM Vr
S-GNATURE OF OWNEA,IF OWNER BUILDER. iDATEi
4
T BLDG NSP
TiAtF
2
NEW [ j CITY OF FRIDLEY Effective 1/1/2003
ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: �r? ? 31
Legal Description:
Owner Name & Address: d"<A�--�� Tel. #
Contractor 1v4hstr Hope improvement Inc. MN LICENSE # 5336
Address: `Sk" the BeSF Tel. #
4972 Uncoln unvS
NWAi lication, a Certificate of Survey of the
10(96P)MR, sed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: E�S10t' Estimated Cost: $ l 610
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x S =$
DATE: -7Z�� 6'2 APPLICANT:t:2Tel. # T5 ".7,1-9/soy
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
$ Fee Schedule on Reverse Side
$ a _ .001 of Permit Valuation (1/10th%)
$ 5 $.50/$1,000 Valuation
$ $1275 per SAC Unit
$ . OU $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan R,.:. -view
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ / STIPULATION2.;.