Loading...
PRE 2010 DOCSf Fri nn- City o dley, MiN? 10164 BUILDING PERMIT • Date: April 1, 1969 • owner: Smith & Anderson 8under —, Same Address 912 40th Ave. N E Address Same LOCATION OF BUILDING No. 5 741 Street _ 7th St . K. E. Part of Lot L. 11 except the S 10 all of 12, S 26 of Lot 13 , Lot _ `__ Block ` 3 Addition or Sub -Division _— .Adm Addn. Corner Lot Inside Lot —.x _ Setback 35 —_ Sideyard 10 32' Sewer Elevation _ __ _ r - Top of Footing DESCRIITION ` F BUILDING To be Used as: fi {r Dwelling Fco 24129' Dm 40�"` Height "20� �`� Sq, Ft, 1060 �, p, 21,200 Garage rte „ JU 24'Deptii 22 HeigY t ",1-d' Sq. Ft. 528 CU, Ft, 5280 Type of Construction _ _ Fr me Est.. W 1. 000r� To be Completed f SEWER LOCATION WATER LOCATION Jr r� r, In consideration of the issuance to me -sof a,,permlt to construct the building described above, I agree to do the proposed work in accordance with th e� des ption above set forth and in compliance with all provisions of ordinances of the city of Fridley. rr $100.00 Sewer Connection Charge In consideration of the payment of a fee of $ 40.00 , permit is hereby granted to SMith & Anderson 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 violation of any of the provisions of said ordinances. Official Henry F. Muhich NOTICE: M pent does not cover the construction, hutaWen for whdng, plumbing, gas heating, sewer or wrier. Be sore to as the Building hapeder for aparafa permit for thea Nene. City of Fridley, NHnn. N9 10191 BUILDING PERMIT Date: April 17, 1969 Owner: Smith And Anderson Bider Same Address 912 40th Ave N E Address Ramp SOU 5741 LOCATION OF BUILDING No. Street .__. 7th St. N. E. Part of Lot LotTrack C _ Block 3 Addition or Sub -Division . Arlamc et eddn. Corner Lot — Inside Lot — X Setback 35' Sideyard 12' 10' Sewer Elevation ___ _IMMUMPUMTOM Top ofFooting DESCRIPTION OF BUILDING To be Used as: Dwelling Front 24' Depth 40' Height 20' Sq, Ft. 1082 cu, rt 21.640 Garage Front _4 Depth 2' _ Height __10'_ _ Sq. Ft. _ _52$_ Cu. Ft. _S280 Type of Construction — Frame Est. Cost — ...._$18, 000_._..__ To be Completed • SEWER LOCATION No service will have to saddle WATER LOCATION- No service, will have to tap. • 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 and in compliance with all provisions of ordinances of the city of Fridley. e r'C• d $100.00 Sewer onnection Charge In consideration of the payment of a fee of $ 41.00 , permit is hereby granted to_.._ Smith & Anders on 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 violation of any of the provisions of said ordinance. Clarence Belisle NOTICE: 'fids permit does not cover the construction, but Eldon for whine, plumbing, gas heating, sewer or water. Be sura to see the Bulhiing Inspeder for separate permits for these Nemm r r APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER IS NAME � ' Z� BUILDER S .� ADDRESS t10 ,g �/�,,t^ ADDRESS 1c�_ 7 y LOCATION OF BUILDING N0. STREET LOT7 BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT C-----­SETBACK:?,,�—'SIDEYARD_d /6> SEWER ELEVATION TOP OF FOOTING 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; Front Depth 4t a Height Square feet > Q 1,,2 Cubic Feet Front 01 9" Depth �2 Height i Square feet <"tZ Cubic Feet 2 g O Type of Construction �,,5 Estimated Cost l ® Q 0 To Be Completed, The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City 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 T 12—_ SIGNATURE �c .(Schedule of Fee Costs can be found on the Reverse Side.) 3 (✓ �P zev 0 9 r HOUSE/ jHEATING TEST RECORD ADDRESS APT. LOOR CITY SUBUR OCCUPANT OWNER 91 HEAT LOSS DATE HTG. INST. GAS CO. METER BAD # SOLD BY INSTALLED BY 00, Electrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER G DE CONVERSION MAKE MAKE OF BURNER Model C_ C Model Serial �� �! Max. BTU Rating INPUT -0ed 5:: l MAKE OF FURNACE Model CONTROLS sE THERMOSTAJ.Heart PI Vent Size Valve KIND OF LINER EA< ' NONE Limit erm TL a Draft Hood Regularor Limit Setting �@t9 Filters Size Number Fan Setting /-�® ���✓-t Chimney Location Inside Outside Pilot Type 4 Chimney Construction Pilot Make�- Pilot Model Smoke Bomb Wiring Timing °!E'e✓ - �y Draft Kf: GPsPilot Test Tog L.W. Cut Off Pressure— Lighting Inst. 6Dlor Pressurea Pe. C r Date Tested �� 'ompany Input CFH Pd►ee'�' Testing Stack Temp. Percent CO Name of Tester Form 235 63 • • 7th STREET &I --AL. 66 N. E. ,West line of Block 3 ?80.00-- Chw I ILL C CD �U) r 0 30194-.0d00 76.0 u? (D 940 n (n C`-• tl O _ � idJ 0 0 Fri -- z 0 0 � VJ N A C � -° N � Q. o O S �� . _ ::- 'U �•� !.: — 0 0 O N ~' O C) r tD m 3 O c cn f La cn 3 CO roo 80.0 76.0 Z Cl) 94.0 0 A L L E Y c ALLEY N Z CD O N 1 1. • 0.0 .0 �O } O N I c -w M 0T0 0 7 nz o o CD ;S OD � O 4 A MCD = �, o CD o Iro, 80.0 76.0 20.0 940 N -- --280.00-- N000'44'W East line of Block 3, Adams Street Addition to Minneapolis STREET "N.E. FnWASHINGTON 30 I �r DC to o I ILL C CD �U) r 0 (D n (n C`-• tl O _ � idJ 0 0 Fri -- CD 0 0 VJ N A C � -° N � Q. O M M 0 M 'a Z M O n C Z z 3 C z z < M N M o D z 0 I L.1 �60�1 1 ! h r• • 3 i� i I'••1 i i•• I 11►I1 11 j r\ i ��� 1 1�• I�= I HEREBY CERTIFY THAT IN ACCORDANCE WITH THE FROVISIONS OF CHAPTER 508, MINNESOTA STATUTES OF ISi9, AS /-,WIVLD, I RAGS SURVEYED THL FOLLCI I G DESCRII:ED TRfiCT OF LANA IIS THE COUNTY OF' ANCKA AND .S: ATE 0? ITINNESO'I' d+ TO WIT i LOTS 2, 3. 5, 6, 7. 8, g, 10, 11, 12, 11: AND 15, :3LOCK 3, ADAMS STREET ADDITION TO MINTISAFOLIS. LOT 4 EXCEPT THE NORTH 20 INET OF' Ti+E SOUTH 26 IEET THEREOF AND LOT 13 EXCEPT THE NORTY. 20 FEET Or THE SOUTH 26 FEED THEREOF, BLOCK 3, AMS STREET AllDITION TO MINNtAPOLIS ACCORDING TO TFE FLAT THERLCF' ON FILL AND OF RLCORD IN THE OFw'ICG OF THL RMSTER OF DhiM IN AND FOR SAID COUNTY A1'D STATE. TEIS IS A COkF:ECT D11INTEfiTION Cc SAID SURVEY. DATED THIS DAY OF A.D. I969. SURVEYOR — MINI, CjCTA REGISTRATION NO. 67113 THIS REGISTLRED LAND SURVEY WAS APPRO`.ED AND ACCEPTED BY THE CITY OF F:RIDLEY, MINNEE50TA, AT A REGULAR =— INJ ThEREOF HBI; ) THIS DAY OF' A.D. 196g. CITY COUNCIL, OF ::IT? ('F FRIDLEY, YINNESCTA By MIYOR BY' CLERK �q y do City of FWdley APPRCaI' m for MwWbbg md G= Femdt of Bldgs. Phone 880-3490 C DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TO Imo® Number Fixtures ...... .. x $2.00 $ Future Fixture Opening .... ........... x $1.50 $ New Fixture Old Opening ......... .. x $1.50 $ Catch Basin ... ......... ....... x $3.25 $ Water heater (Up to 98.000 BTU) ...... x $3.00 $ WATER HTR. GAS ELEC. Base lot Eleatric Water, heater : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL �- tat 3 Fixtures .......................... x $2.00 $ Additional Fixtures . .................. x $ .75 ;- Gas Range to 199.000 BTU .............. x $5.00 $ 2nd 3rd 4th _ ° Future Connection Openings f New Fixtuse, ON OpeningsSewes I connected with ❑ Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TO Imo® Number Fixtures ...... .. x $2.00 $ Future Fixture Opening .... ........... x $1.50 $ New Fixture Old Opening ......... .. x $1.50 $ Catch Basin ... ......... ....... x $3.25 $ Water heater (Up to 98.000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. . ..... .... x $3,26 $ Eleatric Water, heater : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL tat 3 Fixtures .......................... x $2.00 $ Additional Fixtures . .................. x $ .75 ;- Gas Range to 199.000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ - - TOTAL FEE The undersigned hereby makes application for a permit for the work herei agreeing to do all work in strict accordance with the City Ordinance and ru>Bng of the Departrnent of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct, a Owner Sind of Building Used as To be completed about O ew. uiidmg Permit No. i� S��_Permii fl�®. �`�� Signed By Business Phone No a No. Make original PERMIT for Power P ants and Heating. Cool- ing, Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK Plants `22p�) to be installs ltered—repaired Size L L/ / D –51 ; Oil fired , Coal fired ; Gas fcred__25._; Gas Authorization Remarks Approved by Final Inspection Date , 19_ Inspector 1-1716 Pmt N° 4487 Fee Ofrce of the Inspector of Buildings City of Fridley City of Fridley, Minn. r SL 19_-T 0 . . In el Owner V_h1 Location �6 7-// / Kind of Building r How Occupied Work to be Commenced 15- — 19_29 To be Completed �� ,19_4�E Estimated Cost, $ �5 70 • 0-7) Old -New, Building Permit No. 40, 19 f` Permission is hereby granted to vi - — • to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the P61son 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, aHyl to the specificatio set rth in the approved application for this permit on file in the office of the Inspector of Buildings. ��!/� - Inspector of Buildings 4z 2M 11-67 V N° 4938 Original Permit for IrLUMBING AND GAS FITTING q 7 l f 7 N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for I permit inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee 0-7) DESCRIPTION OF WORK Number. Kind and Location of Fixtures Stories a p J 3 U Z F m Q 2 10 Q M Z N = m a s 3 F Y~ z C O O LL w O S N C 0 O a J K I, p S M t�- m Q Q U m z tim Q a C J K E IL m a Q d U' Q W m Z Q Q U¢ WATER HTR. GAS ELEC. Basement / tat 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for 1 Openings Permission is hereby granted S 68 Ce to do the plumbing and gas fitting in the building described in the statement hlWeto 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. Roughing in Inspection Date By Order Of The Inspector Of Buildings nspector. Final Inspection Daie Inspector. 42 9M -6-"-d City of Fridley /,C ,19—al– Owner Location %S�1 >7 Kind of Building Used as To be Completed '19— Estimated 19_ Estimated Cost $ Old -New. Building Permit No., Date Inspector of Buildings. Application fDr Power PkM and Hecrthk% Cooling. Ventilation. It Ps and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $— each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 Repairs & Alterations—up to $500.00 .............. .. 6.00 $ Repairs & Alterations each add. $500.00 .............. 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 .. I0.00 $ Each add. 200 sq. ft. EDR Steam 3.00.' $ Each add. 320 sq. ft. IDR 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 $ ower 199,000 BTU See, Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ x$ 200 $ Additional Fixtures ................. x .78 $ Gas Range to 199A* ........... z$ 8.00 $— — AIR CONDPiiONIIlG FAN HEATING SYSTEM See Fee Sekedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone SW -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 Ordinance: and ruling of the Department of Buildings, and hereby declares that an the Pacts and representations stated in this application are true app correct. Fridley. Owner 4e, ->2;7Z 44 -L f -L Y a Kind of Building 8 Used as��� J To be completed aboutIle Estimated Cost, $ Old -j eB►...rsuilding Permit No. Permit No. DESCRIPTION OF WORK team, Hot Water, Warm Air -No Trade Nam Size No- Capacity. �_,�f�,r�1� BTU H.P• Total Connected Load Kind of Fuel . BURNER Trade Name Size No Capacity Sq. Ft. E.D.R BTU 8P. (REMARKS-OYER) RAY N. WELTER .HEATING C® Signer 4632 CHICAC21IAVIL ByMiNNEAPOLI8, 7. MINNEBO� TA Bum Phone N ���® No. Make Original • • PERMIT for Power Plants and Heating. Cool- ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK Plants to be installed—altered—repaired Size T- 9-2 1 Oil fired—, Coal fired—, Gas fired ; Gas Authorization No. Remarks, Approved Final Inspection Date , 19_ , Inspector �7a�� Permit N° 4495 Fee $ f 0 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn., / . 19 Owner �— p Location 7 ;tA � Kind of Building e How Occupied Work to be Commenced—_25--'o I ,191,1 To be Completed Q,19_�J_ Estimated Cost, Old -New, Building Permit No. Permission is hereby granted to to install—erect--use the material and devices described in the above statement. This permit is granted upon th express condition that the person 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 fto the specifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings. /4,/ � o , Inspector of Buildings 42 2M11 -67V Appffcwkn for Pourer Phuft and Resting. Cooling, Yentitd %n, ReNgerefte wd Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ CH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ 4996'r HOT WATER SYSTEM Furnace Shell & Eines—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 .... .................. 3.001$ 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) ..... ................... 600 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ x$ 100 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 .......... x$ SAO $ AIR CONDi1TONINCI FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See'Fee Schedule TOTAL FEE $ Dept. of Bldgs. Phone 880.3480 City of Fridley: mot, , 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 an4 correct. Fridley, Owner dx/ Kind of Building Used as To be completed about _—����J� ® Estimated Cost, $ Old Building Permit No. le" I Q 11 Permit Pio. DESCRIPTION OF WORK HEATING or PO �PLANTS—Steam, Hot Water. Perm_ No ��oLd e Trade Name ���1'� � Size No Capacity Sq. Ft. E.D.R_d� 472 BTU H.P. Total Connected Loaft Kind of Fue S BURNER —Trade Name Size Capacity Sq. Ft. ILD -R- Rib., I= S Y N. WELTER HEATING CO. 4637 CHICAGO AVE. B) 13118 Business Phone N sueaEcr PERMIT NO. City of Fridley � 12 8 AT THE TOP OF THE TWINS BUILDING PERMIT � R NO. 1 �` COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/23/91 JOB ADDRESS 5741 - 7th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Tract C 3 1 Adams. Street Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Louis Kedrowski 5741 - 7th.Street NE 571-0013 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central Avenue NE Fridley 55432 784-7543 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 (R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (l9 Squares) 2nd layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. OWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION l 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 .988 $� 50 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 PROVISIO S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $25.00 Fire SC $.99 STRUCT lJ OR THE PERF RMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE zm_,e�— $26.49 SI ATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHE PR ER A ED THIS IS YOUR PE IT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI SP pATE NEW [ ) Effective 1/1/91 ADDN [) CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: j -7ql 7y" S -T- ,V6, Legal Description: Owner Name & Address: Z o v S i�ie Ql/IycT r'& Tel. # Contractor: Tel. # %gam 7s� Address: 7q®1 C4ekA'kf(_ 40t-,A),we '_ --- Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF II"ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction:®� e Estimated Cost: $ °v Approx. Completion Date: AkV . /S4 q!v (CM m� Driveway Curb Cut Width Needed: Ft. +° 6 Ft = Ft x $ = $ DATE: Z� APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Main Charge $ TOTAL STIPULATIONS: M_M � Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ) Not Necessary [ ] SUBJECT IT NO. City of Fridley �73 AT THE TOP OF THE TWINS BUILDING PERMIT 1 ? RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 2/10/93 JOB ADDRESS 5741 7th- Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Tract C 3 Adams Street SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Louis Kedrowski 5741 7th Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Exteriors 90.60 Zachary In N, Maple Grove 55369 425-4737 2535 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 8 DESCRIBE WORK Reside house & Garage. 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 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 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 $7 5OO $3.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $99.00 Fire SC $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE a /�-913 License SC $5.00 $115.25 SIGNATURE OF CONTRAC OROR HORIZE NT (DATEi HEN PR RL V �I TED THIS IS YOUR PERMIT BLDG It, r)ATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/93 ADDN [ ] CITY OF FRIDLEY1/ ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address:,� % %/ 7 s Legal Description: Y C, C 3 l V Vm s -51-N467- Owner Name & Address: A o �i_5 Tel. # Contractor: 7—wlAl C1Ty E K7ZA/®rZS MN LICENSE # v?5-3 S` Address: 947 6 © ZlkwIfiz y. 4^1 ven- E Tel. # 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 Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 9 47 - Comer. Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 97Ee 4. Estimated Cost: $, 17�7- Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + b Ft = (Cost on.Back) Ft x $ = $ DATE: 11'/O - `7 3 APPLICANT: ���� - Tel. # y,? 5`- r/ -> 3,;> CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ ? . �r,0 .001 of Permit Valuation (1 / 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ No $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: If CITY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (763) 572-3604, FAX (763) 571-1287 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR 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" NO. RATE TOTAL Gas Dryer** Back Flow Preventer Required ( )Yes () No Type _ $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge JOB ADDRESS �SI41 14b 5f • t -t F 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. DATE: OWNER -36)n 1 C&010S�CA BUILDING USED ESTIMATED COST e,!�tdc _ PERMIT N PLUMBINGCOMPANY SIGNED BY Ln® TEL N0. �IAQ 60 Approved By Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE $ �.SO OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC: SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACKSIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT; VENT CONNECTOR AND COMBUSiION,AIR VERIFICATION When replacing an existing Wrnace, 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 O No( ) The venting system isplastic/PVC and meets all current codes and manufacturer Appliance #2 Type specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly BTU Input and meets the current codes and manufacturer's specifications. This does Total Appliances 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 Appliance #1 Vent Connector Height and manufacturer's specifications. Yes ( ) No( ) When required to install a new combustion air, it will be sized and installed ft Length to meet the current codes and manufacturers 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 s e ifications. p g This does include AGA-GAMA Category I. Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes O 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) 19 HEATING CO: Signed By: Date