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PRE 2010 DOCSCity of Fridley, Minn.. • BUILDING PERMIT Date: Feb 13, 1969 Owner: Smith & Anderson Builder Address 912 40th Ave. N. E. Address Same Same N9 10099 LOCATION OF BUILDING No. 575 7th St. E. Part of Lot Block 3 Addition or Sub -Division . _ Adams St. Addn . Corner Lot _ Inside Lot x Setback 35' Sideyard 15' - 15' Sewer Elevation 849.58 Y 85 2.5 8 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 44' Depth 26' Height 20' Sq. Ft. 1144 ay Ft 22,880 .Gazagp Front Depth 22' Height 10' Sq. Ft. 440 Cu, Ft. 4400 Type of Construction - Frame Fast. Cost --W17, 000 To be Completed • Sewer Location "Y" �04' North of Manhole at 57th Place Water Location - stoi box is 114' North of Manhole In consideration of the Issuano to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above sg forth and in compliance with all provisions of ordinances of the city of Fridley. $100.00 S er Connection Charge In consideration of the payment of a fee of $___4l .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 reg location, construction, alteration, maintenance, repair and moving of buildings within the city limits and ths permit may be revoked at any time upon violation of any of the provisions of said ordinances. Official BuildingXNVUSM NOTICE This pennit dam not corer the construction, hutldistion for wiring, plumbing, ges boding, sewer or water. Be sura to we the Buihiing hspecior for separate permits for these Name. r, APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OYNEEi'S NAME BUILDS; Z--�� ADDRESS LOCATION OF BUILDING NO. STREW LOT iy i,� BLOCK ADDITION OR SUBDIVISION CORD LOT INSIDE LOT : SETBACK s— SIDEYARD l pL /S� 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: 1-4'2341 7Q,40� Front Depth ,-2- G Height G' Square feet // y q Cubic Feet 2 5r e::; ® _Front 2-0 Depth Height /o Square feet Cubic Feet C� Type of Construction Estimated Cost �� a 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 i,::Aesentations stated in this application are true and correct. DATW SIGTTATURE/�-�� (Schedule of Fee Costs can be found on the Reverse Side.) Pleo�e7 Se LA) e ;7L C-� - N° 4848 original Permit ®B' B' U BBVG AND GAS FIMNG `�G �� b N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit a� inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee DESCRIPTION OF WORK Number, Kind and Location of Fixtures City of Fridley sge=� 7 ,19 .2 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 statement reto 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 Inspector. F inal Inspection Date Inspector. I EM M K 0 _� .location 7--cA- JZZ - �V . Kind of Building Used as &Cs To be Comple_19-4-7 Estimated Cost $ Old -New. Building Permit No. /0 . 099 Date Inspector of Buildings. G Y F yEj y' G = G D WATER HTR. Stories F O '< J z a H m Q 7 IO Q Y Z q 4 Q K Z O C O O I O a .� K 1-- tl1 Q Q Z Y Q O m K 'a W a Q 6 0 Z Q Q GAS ELEG. 3 U 0 m r m m 3 P G a y c. o U m M J f o a O K Basement i est r �� 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 statement reto 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 Inspector. F inal Inspection Date Inspector. I EM M K 0 _� .location 7--cA- JZZ - �V . Kind of Building Used as &Cs To be Comple_19-4-7 Estimated Cost $ Old -New. Building Permit No. /0 . 099 Date Inspector of Buildings. Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration 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 d 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. EDR 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) ...................... over 199,000 BTU See Fee Schedule GAS FITTING FEES: N 1st 3 Fixtures ...................... Additional Fixtures ................ Gas Range to 199,000 ........... AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH � FINAL--L4 �4` 5.00 $ g O RATE TOTAL OTT7 x$ 2.00 $� x .75 $ X$ 5.00 $_ See Fee Schedule $ TOTAL FEE rrm5g %f Dept. of Bldga. Phone SM -3480 �f City of Fridley: The undersigned hereby makes application for a permit for the work hereir. 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. �y Frid_1ok, Minn— Kind inn Kind of Building Used as To be completed about R Estimated Cost, $_ OWew Building Permit No. LO ; o q q Permit No.R- DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name— Size Capacity Sq. Ft. E.D.R- 10 &C-) BTU �y � H.P. Total Connected Loa d6� �/z ��Kiind of Fuel1l1ct-o C/'�(!F-4r_5. BURNER — Trade Name &—L& ize No. Capacity Sq. Ft. E.D.R 147 3 COO BTU H.P. (REMARKS—OVER) AY N. WELTER HEATING CO By MINNEAPOLIS 7. MINNESOTA ax Business Phone No- ,F� 411ZOII 0 Original • • PERMIT for Power ants and Heating. Cool- ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of o Heating Plants `Atw-,'J to b installed tered—repaired Make Size �g,,�.�, ��2��"��,c.�� , Size L L/ I ; Oil fired ; Coal fired—, Gas fired_!:: ; Gas Authorization Remarks Approved Final Inspection Date , 19_ Inspector Permit N° 4412 Fee $ 07 ? . Office of the Inspector of Buildings City of Fridley City of Fridley, Minn.,22?:4� Owner anL,s— Location '5'7 S/ 7-� Kind of BuildinJg/` �✓�J How Occupied Work to be Commenced !L -a- ,19-- R To be Completed ��- ,19 4_9 Estimated Cost, $ /ag•o . Old -New, Building Permit No._ / po a 'I I Permission is hereby granted to � • to install—erect—use the material and devices described in the above statement. This permit is granted upon he express condition tha 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 to the specifications set forth in the approved application for this permit on file in the office o f the Inspector of Buildings. Inspector of Buildings 042 2M11 -67V 0 01 SUBJECT P City of Fridley 20307 AT THE TOP OF THE TWINS BUILDING PERMIT r _ COMMUNITY DEVELOPMENT DIV. v q.iy�r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ,j 612-571-3450 910-F15 4/19/90 10B ADDRESS 5751 - 7th. Street N.E. I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. A Registered LB Survey 14 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Saastan 5751 - 7th.Street N.E. 571--6285 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Remodelers 525 E. Villaume Avenue, St. Paul, MN 55015 451-2221 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 6 DESCRIBE WORK Construct a 20 x 1V Deck Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION Z 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 $2,800 $1.40 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- $54.00 STRUCTION OR THE, PERFORMANCE OF CONSTRUC ON. PLAN CHECK FEE TOTAL FEE $55,40 SIG [ C�1 ,RA OR OR AUTHORIZED AGENT IDATEI HEN PROPERLY VAL TED THIS IS YOUR PERMIT 9/J/� G INSP DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI 0 01 NEW [ ] Effective l/1/90 ADDN R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: Legal Description: Z69 Owner Nme & Address: .�� y Tel. Contractor:Tel. Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPPION OF neRovEmm UMM AREA: Length Width Height Sq. Ft. GARAGE AREA: length Width Height Sq. Ft. DECK AREA: Length Width /� ° Hgt/Grmmd 2 % Sq. Ft. OTHER: a-yi r `� Corner Lot [ ] Inside lot [X] Ft. Yd Setback Side Yard Setbacks Type of Construction: 7�-v�tinated Cost: $ Approx. Cmpletion Date: 110-i�40 9 Q Proposed Driveway Width If New Opening Is Desired: Ft. DATE:®/9d Width + 6' APPLICAI?f:- �•CG y � �ym�i•✓�J Permit Fee $ Sq, j)() State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main charge $ CITY USE ONLY See Back Page Tel. # Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by ming Agreement Necessary [ ] Not Necessary [ ] zgao S�, 0J •r .Uj ► L 1 + �� t.�, ars r... .0 l3 •e�eegt—.he+!_zi a7.1 of Lots 14 Block 3, Adams Street Addition to Minneapolis. We hereby certify the+ this is a hue and 'correct represen+a• tion of a survey of the boundaries of the above described land and the location of all buildings and visible encroach- ments, tf any, from or on said land 2l 1 1 Signed .'//—T UTIVEYS C0NIPANY i _J 150 . � •'',` GERALD T. COYNE 'A A% ,gyp°¢ S U RV YS C O MWA N Y y RArIwONO A PAA4CN �f'��'AVS iC0 I+RLN`.tiVIi k AVL ' Ib nrr ''frill C:CjJj"41'At. .Y MINN •' ) I•A�I1 `l li\'1'.1111{ti REOIdT'ERED UNDER LAWS Or STATE Or MINNESOTA LICENSED BY ORDINANCE Or CITY or MI1111INEArO1,IR br►li Idaho Asr. 1. Ltlrry; �. �Irnmvrp„li., �1uun•,�I,� '�.�II3t -NDUSfItiAL - wmCIA: 14+4if P(71 A[ 10POGRAPHICAL .• �•,i,,• �burbeporga•,i; Certificate , �,�•,., ,.:i .I n.I r .-, •n Al,a Clio l.GiS - PLATTING SMITH do ANDM30M INC. Invoice # 2452 o Denotes Seale 1” — Iron 20' _ 2 o, 7- _ •r .Uj ► L 1 + �� t.�, ars r... .0 l3 •e�eegt—.he+!_zi a7.1 of Lots 14 Block 3, Adams Street Addition to Minneapolis. We hereby certify the+ this is a hue and 'correct represen+a• tion of a survey of the boundaries of the above described land and the location of all buildings and visible encroach- ments, tf any, from or on said land 2l 1 1 Signed .'//—T UTIVEYS C0NIPANY i _J 150 4M 2 E V1u.AvKIE k\OE, PACE I of Posr s Ye,.\ uo [, c w o �-• Z- K I Z UAIK. o Aul 14 14 I J w I ' CA 10 N N Gt Ex, I ST.. �-oo� a s FP- I�CoIBs- at at MILWES- PEMoDL��S u t 4M 2 E V1u.AvKIE k\OE, PACE I of M WRAF ALL RA .JOIST IN CFDAR/ DC,UPSLE 2`x t"BEAM — � X4 Yl'RzA�'E� o� • - C EDA.PZ P057- £ Pl-q I u u U- u u 11 u - u U i! U u-- L1 u u. L. i"x 1$' TRE:ATEp Jo15Y I6" O.C. HEADE2 JolsT. gol-TED To Ext5T HousE, F'LASREE ij • �v�TH , ao�sYH,��1GI�'�Z� I;X 15T. FovNbArloN GRADEOL- �Iw. .So�s'r✓ �� SPAO z -2x10 Spew Z - 2h 12- 'ri .. 4 • TYP, DECK SECTION SAAs .b S-? s I -?)7-H ST- 4 EL PAG E OF 3 0 cncnmTO mz Om�-�= o �<mm m 0=D{m' Z-Mm'Dtn �D�o(MT mn ��m� 3117DD Z7 2 c) CO o.M 0_< n � m D w r m D n 0 m D cnm �r �m O Z O wZ 0 O � �D u r v m D r SUBJECT City of Fridley 22027 2 2 0 2 7 AT THE TOP OF THE TWINS BUILDING PERMIT f RECE COMMUNITY DEVELOPMENT DIV. _ r PROTECTIVE INSPECTION SEC. /® NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 8/10./93 JOB ADDRESS 5751 7th Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 13 , 14 & 15 Block Adams Street Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Saastad 5751 7th. Street NE 571-6285 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroo£ House & Garage C29- Squares) Tear -off; Replace. picture window with ba window (20" extension) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Provide adequate attic ventilation. Provide smoke detectors =xw1* as per UBC 1210 adjacent to all sleeping areas and in basement. Windwash.protection and insulation of floor and roof of bay window. 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 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 $3,500 $1.75 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- $63.00 Fire SC $3.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $68.25 ` SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WH P VALIDATED THIS IS YOR PERMIT Z 10MATE i' SIGNATURE OF OWNER OF OWNER BUILDERI tDAT NEW t] ADDN t] CffY OF FRIDLEY ALTER [)' SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application Construction Address: S 151 -Ta�- Y- R t5'-�_ FP Effective 5126193 (�v n ss -y3 - Legal Description: Owner Name & Address: Mir k Tel. # 5-7 MN LICENSE # Address: 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 �1 Hgt/Ground Sq. /F�t. OTHER: /� e f-oo� O ✓�e S arm C P QCl''iarl.-e e_cc.Y'cs-_( I� tR ' C 6 C -f C' CA' -X e Uj 4 o�J uUl ba \ bi k VJ O� 0- -c,4. 3 0 Corner Lot [ j Inside, Lot Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: <—K-10 APPLICA Tel. # ST -2 /- 6aef— Permit Fee $ 6,3,00 Fee Schedule on Reverse Side k"kAA Fire Surcharge $ - D .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contrac Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main. Charge $ Agreement Necessary [ j Not Necessary [ ] TOTAL $ ��'' STIPULATIONS: j SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMITf�� r R_EC COMMUNITY DEVELOPMENT DIV 1 L PROTECTIVE INSPECTION SEC yy// r 7 CITU HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 9/11/9 10B ADDRESS 5751 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13,14,15 3 Adams tree Addition- SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Saastad 5751 7 Street NE 5 1-6285 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO J M Bruggeman Co - 5144 5359 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 O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a basement egress w 9 CHANGE OF USE FROM TO STIPULATIONS Window must meet the State Egress Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 I 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2 PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ON-ST CTION OR THE PERFORMANCE OF CONSTRUCTION. STICTION PLAN CHECK FEE TOTALFEE SIGNATURE OF CO RACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY LIDATED THIS IS YOUR PERMIT /2 9� o BLD6 INSP DATE _ SIGNATURE OF OWNER OF OWNER BUILDER, IDATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER N SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: Owner Name & Address: /14 ar k � acti T''Zd Tel. # -S"7 � - C. 02 Contractor: Al A ev►� A v� (� ®. MN LICENSE # S' 3� Address: 3 � Q 0 tet 6 p 1-,e JQo� ,, U a�V'0" 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: AA rew* v,+ 1� rtss w t'k h w Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: r ess w rQ e w Estimated Cost: $ °� ��, OD Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # % CITY USE ONLY P:rmit Fee $ �`� �%� Fee Schedule on Reverse Side Fire Surcharge $ /Q� .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,00' 0 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ 5,66 $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: '��e SUBJECT �•- City of Fridley ? AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir • ______ COMMUNITY DEVELOPMENT DIV. v e, I_®�S '7� r PROTECTIVE INSPECTION SEC rl CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 71 7/9/97 JOB ADDRESS 5751 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 13,14,1 3 1 Adams St Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Saastad 5751 7 Street NE 571-6285 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Renewal By Andersen 350 73 Avenue NE F571-7916 20040630 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Replace 7 windows with complete windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Replacement sleeping room windows must meet the State Egress Code. Install smoke detectors to meet the State Building Code. 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 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 WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,555 $2.78 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- $112.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. F e SC $5.56 PLAN CHECK FEEAL T FEE License $5. $125.59 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI HEN ROP VALID THIS IS YOUR PERMIT 86ZG INSP /0 rjATE SIGNATURE OF OWNER IIF OWNER BUILOERI IDATEI ITY OF FRIDLEY NEW [ ] ADT)N [ ] ALTER' TEL: 612-571-1287 Mar 20.96 9:48 No.001'.i'.0102 Effective 3/1/96-: CITY OF FRiDIXY 2,- .. MNGLE FAMILY. AM DUMUES R-1 AND R-2 Building. Permit Application ConscructionAddress: 5-7 51 -1 ST •N D EMd r R 1'D LE`( I\A t J Legal Description: '(Z,'P I_PrC.EMErQT 0 �-- W U -I D owS A P4 'D Owner Name & Address: IkPA9,K SAPrSZ'f D 1z5-1 at •-IEL S -T. N. ' ,Tel. g lDIQ•S1 I • Coa$S Contractor. _�GN eu s A -L- Rr K MN LICENSE # aoo y o L -P 3o Address:_ 33� • -73R: Pry E Nom/ i D LE\1 , MN _SS� 's a. Tel. # (o1 Si • 5-71. IS, --1 LQ Attach. to this application, a Certificate of Survey of the a lot, with the proposed construction drawn on it to scale. DESCR11MON OF IlVIPROVEMENT LIMG AREA: Length — Width Height Sq. FL GA tAGF, AREA: Length Width Height Sq. FL DECK ARF -A: Length Width _ Hgt/Ground Sq. Ft. OTHIPA: E "C tt W \N bov-.4s \TtttN r=1k\S7tP,� NINCSS Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: _ Estimated Cost: Approx. Completion Date: 09 oa , 9 (cost:. on. Back) Driveway Curb Cut Width Needed: Ft. +.6 Ft = Ft x' $ _ $ DATE: 2.��-l• APPLICANT: Tel ioaa• $ 355Lj Permit Fee Fire Surcharge State Surcharge SAC Charge Ucense Surcharge Driveway Escrow Erosion Control Park Tee '. - Sewer Main Charge TOTAL STWULATIONS: CITY USE. ONLY $ Fce- Schedule on Reverse' Side $ — :001 of Permit Valuation (1/10th%) . - �6&Pn .� $.50/$1,000 Valuation � 'G3 Cc7d $ . $900 per SAC Unit A c `sem S,% $5.00 (StaleLicensed Residential .Contractors) • /� `' $� Alt.."A" or Alt.* 'BO.Above $ $450.00 - Conservation Plan Rcvicw $ Fee Vetermined by Engineering. $ Agreement Necessary [ i Not Ndoessary [ ] Ole - SUBJECT - P City of Fridley 32655 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. DIV. fr -� COMMUNITY DEVELOPMENINSPECTION INSPECTION SEC. r I PROTECTIVE ®�® NUMBER REV DATE PAGE 0: AvvRovEo BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-FIS 6/3/02 JOB ADDRESS 5751 7 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 13, 14,15 3 Adams Street Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Mark Saastad 5751 7 Street NE 763-571-6285 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 Ck REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Roof House & Garage (28 Sq) 2nd Layer 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. TYPE OFCONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIREO 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 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 WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,254 $1.13 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- Fire SC $2.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 PLAN CHECK FEE TOTAVFE $8 SIG/N% RE OF N' ,TOA AUUTHORIIjL GENT iDATE, EN PROP Y,MALIDATED,,PAIS IS YOUR PER IIIT S,GNA URE OF OWNEA,iF OWNER BUWLDERiibATE, BOG iNSP - TiATE r y V 1 NEW [ j CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 5 S I f �- Legal Description: Owner Name & Address: Chi` 5 CL--, +OA Tel. # Contractor e` -t- MN LICENSE#5-1-:5�-s��-o�/-7�/( Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Length Width I Aci �1 c Height Sq. Ft. Hgt/Ground Sq. Ft _ Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: (V 1-1 - O 7- APPLICANT: Tel. # -Z S'7 lPZ� Call (763) 572-3604 for Permit Fees if mailing in application or 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 Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ J STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 F63) 572-3604 FAX: (763) 571-1287 ADDRESS 5751 7 ST NE PIN 233024130118 LEGAL DESC REG LAND SURVEY NO 014 LOT BLOCK A PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-02344 DATE ISSUED: 12/30/2004 'RA1711 VALUATION : $ 10,000.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. APPLICANT SAASTAD MARK A & BAMBI J 5751 7TH ST NE FRIDLEY, MN 55432 OWNER SAASTAD MARK A & BAMBI J 5751 7TH ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating'co ction or the performance of constr #on. Annlic T Date Bldg Insp. BUILDING PERMIT FEE 181.25 PLAN CHECK FEE 117.81 FIRE SURCHARGE 10.00 STATE SURCHARGE, VALUE 5.00 TOTAL 314.06 PAID WITH CHECK # VISA 1 SEPARATE PERMITS REQ$IRIiD FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ J CITY OF FRIDLEY tuective 4/11LUU4 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: 5-'S � ` 7-�k '24 V� P -- Legal Description: Owner Name & Address: CkYke— Tel. # "-7<4'� --3-7t-(k,7-9'37- Contractor. MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT ` Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: �� v evJ �0', Clo -0115 Estimated Cost: $ 10 I 0 0 a Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ N = $ ZE�� DATE: [ s - ZDL-0 APPLICANT:L Tel. #--7 fo7 `� 2 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. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] TOTAL $ �, V STIPULATIONS: 0 LO N O Lq N G O N M 0 CDLu off, NQS ✓ CN N O LO N U.j U Q z LL LU V) 0 A u • CITY OF FRIDLEY PERMIT NO.: 2005-00023 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 01/06/2005 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 57517 ST NE PIN : 233024130118 LEGAL DESC : REG LAND SURVEY NO 014 : LOT BLOCK A PERMIT TYPE : PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-APH:763497-9733 # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 0 # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 2 # WATER TRMT APPLIANCES 0 APPLICANT PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) 20.00 0.00 VETSCH PLUMBING SERVICES INC 116 CENTRAL AVE EAST WATER TREATMENT APPLIANCE 0.00 ST MICHAEL, MN 55376 WATER HEATER - ELEC 0.00 (763) 497-9733 WATER HEATER - GAS 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT 0.00 0.00 0.50 OWNER SAASTAD MARK A & BAMBI J 5751 7TH ST NE TOTAL 20.50 FRIDLEY, MN 55432 PAID WITH CHECK # 5056 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions ofany othe tate or local law regulating construction or the perf anc of construction. ApplicantDate Bldg Insp r D�p� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 4 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: NO. RATE TOTAL New Fixtures R $10.00 Old Opening, New Fixture $10.00 Beer Dispenser $10.00 Blow Off Basin $10.00 Catch Basin $10.00 Rain Water Leader $10.00 Sump/Receiving Tank $10.00 Water Treating Appliance $35.00 Water Heater -Electric $35.00 Water Heater - Gas** $35.00 Gas Range" $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 JOB ADDRESS ';._! S l f Z/ 5( - 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: 20'6_5 OWNER BUILDING USED AS &V eA f G, ESTIMATED COST 1' errz) PERMIT NO. PLUMBING COMPANY Reinspection Fee $50.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS jl.LL0 1.25% of Value of Fixture or Appliance Approved By Rough -In Date C_ ,,el c C�-s TEL N0. 71 e— 2 �7- G ? 33 Final Date State Surcharge $ .50 MINIMUM FEE F R ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE $iO OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE i FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 terminatidn. Yes ( ) No( ) The undersigned also verifies that the replacement unit 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 ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) i 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 Fum4ce Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Id 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 : CITY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT C (763) 572-3604, FAX (763) 571-1287 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 5 S � -� 4k e-)+ P E New Fixtures �— $10.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and representations stated in this application are true and correct. Catch Basin $10.00 — — Rain Water Leader $10.00 DATE: , 20 Sump/Receiving Tank $10.00 , 1 a(� � �S Water Treating Appliance $35.00 OWNER Y TQC — Water Heater -Electric $35.00 II'' go Water Heater - Gas** $35.00 BUILDING USED AS vn, e Gas Range $10.00 Gas Dryer" $10.00 ESTIMATED COST PERMIT NO. Back Flow Preventer Required ( )Yes () No c Type $15.00 PLUMBING COMPANY J Reinspection Fee $50.00/Hr SIGNS ! TEL N0. -7 <63' ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ .50 MINIMUM FEE OR NY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE� � o OF THE IMPRO NT WHICHEVER IS GREATER ON WORK LESS THAN $300 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE k FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 terminatidn. Yes () No( ) The undersigned also verifies that the replacement unit 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 ( ) 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 verifles that it is a listed assembly and meets the current codes and manufacturer's: specifications. This does include AGA-GAMA Category I Central Fumice 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 CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Fireplace insert Gas Range Gas Dryer Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee Total $35.00 a $10.00 $ $15.00 $ $10.00 $ $10.00 $. *Air Conditioning - AllSizes $25.00 $ All Other Repairs or Alterations (List on Back) l� 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater on work less than $500.00 Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional JOB ADDRESS �5 S 1 4 n '54- N Owner V Y \ Q�-L -05 C>- q'S 6J Building Used As 0 0 vvv 1 ESTIMATED COST ( O 0'3 '06 PERMIT NO DESCRIPTION OF FURNACE AND BURNER # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. 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 $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. State Surcharge $ 0.50 (if permit fee is over $1,000 multiply by .0005) TOTAL FEE l/ *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE HEATING CO FAX # Date Tel # 7(05-5'7 Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 manufacturer's 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 Tctal Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Appliance #2 Vent Connector Height ft Appliance #3 Vent Connector Height ft 5v HEATINGco. Length ft Diameter in Type Length ft Diameter in Type Length ft_ I Diameter in Type a �' i�y'CY\� ®� Building $ BUILDING See Back Page for Fee Schedule PermitNo.: C7- Lo3 Enspections RESIDENTIAL APPLICATION �urcharge Received By - 763 -572-3604 (.0005) times the total job valuation — Minimum $.50 CITY OF FRIDLEY $ Date �0 )ATE 4 A3 0 YOUR E-MAIL ADDRESS A o [! t 6 op�, � dt P 10A Q 5. ( 0 %T) ITE ADDRESS Z 1 +11 r1 � f r AC Charge ,-HIS APPLICANT IS: 13 OWNER ®eQIgTRACTOR $1450 per SAC Unit (Plans to MWCC for determination) 'ROPERTY OWNER/ NAME:fnapk S o TENANT ADDRESS: 6 -7 S l -1 r" StOf CITY r t/ STATI�ZIP ssY3 a PHONE: �I L:9 f 6.7 1- L e a_ ark Fee CONTRACTOR NAME:_ The Home Depot A.H.S. Inc. 15 l d i r bye S SUBMIT A COPY OF STATE LIC 3200 Cobb Galleria Pkwy. AS9 3 k S- Lo 4 YOUR STATE LICENSE ADDRESS: Atlanta, GA 30339 CITY STATE ZIP WITH APPLICATION PHONE 763-542-8826 13 SINGLE License #20268257 Make checks Pavable to: Citv of Fridlev Attach Stipulations PROPERTY TYPE ❑ Tw0 A .ORIES PERMIT TYPE aADDITION ❑ GARAGE/SHED W_wll twws ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW Ftpp (a u ❑ ADDITION G].MAINTENANCE/REPAIR ❑ REMODELING -)ESCRIBE WORK BEING DONE: 4 X (M 0 A / -IZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft .00FIING ❑ HOUSE ONLY aJMBER OF SQUARES O HOUSE & GARAGE BASEMENT REMODELING SUBMIT: ;ARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 'ROPOSED SIZE: ❑ DETACHED GARAGE 2• 3. Proposed floor plan List of structure! members to be used ,ROPOSED HEIGHT: :IDiNG FOR NEW CONSTRUCTION INCLUDING DECKS, 3 vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: 3 Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures 7 Other ❑ Fascia and proposed project VmowS 2. Two sets of construction plans 14 EXISTING OPENINGS GYes ❑No LOCATION OF WINDOWS b Q S1 ovg 3. Energy Calculations )R FOR NEW OPENINGS -DESCRIBE SIZE OF )PENING CHANGES & t� YPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS 1 ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S 1932 OCCUPANCY TYPE ' ermit Fee $ (Q 9, S See Back Page for Fee Schedule 'Ian Review $ 65% of Building Permit Fee �urcharge $ , 5 7 (.0005) times the total job valuation — Minimum $.50 'ire Surcharge $ I. q3 .001 x Permit Valuation (1/10%) ,icense Surcharge $ 5,00 $5.00 (State Licensed Residential Contractors) AC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) ;urb Cut Escrow $ ft + 6 ft = ft x $20 = $ .rosion Control $ $450 Conservation Plan Review ark Fee $ Fee Determined by Engineering ewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Iotal Due $ -7 -7-19 Make checks Pavable to: Citv of Fridlev Attach Stipulations THIS IS AN APPLICATION FOR A PERMFr-NOT VALID UNTIL PROCESSED hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in onformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a ermit but only an application for a perm% and work is not to start without a permit; that the work will be in accordance with the approved Ian in the case of all work which requires ew and_ approval of plans. f NATURE OF APPLICANT sem' PRINT NAME 1 l rn 5 c y a k DATE q bi 3 /07 Building BUILDING Permit No.- _ -7 InspectionsRESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY I Datd: DATE2V004 0 8 YOUR E-MAIL ADDRESS 1A,�150.'tldd S!? 61%2 _D C • C.aw, SITE ADDRESS 15-+S — � IKD' THIS APPLICANT IS: ❑ OWNER 9CON,T,RACTOR PROPERTY OWNER/ NAME: (y 1•. `'c4 TENANT ADDRESS:I— "I CITY STATE_ZIP PHONE: to 3 6 Qb5_ NAME: Renewal By Andersen CONTRACTOR SUBMIT A COPY OF STATE LICENSE it_ 1920 County Road "C" West YOUR STATE LICENSE ADDRESS: Roseville, NfN 55113 { STATE ZIP WITH APPLICATION PHONE 13 SINGLE FAMILY/NEI License #20130983 651-264-4777 PROPERTY TYPE ❑ TWO FAMILY/NEW C _ PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK 0 SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING 1 DESCRIBE WORK BEING DONE�Zp p� O�(- QCT LAA -2JX i .Sly U Yl i rQ- - SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structure ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USIW THE 1297U.B.0 FEE SCHEDULE) TOTAL JOB VALUATIONS .0CC31PANr_V TVPR Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridlev Attac THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be i conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not permit but only an applica ' for a permit and work is not to start without a permit; that the work will be in accordance with the approve plan in the case of all work hich require7t-4&��INTNAMEAQtrI, and approval of plans. '40 SIGNATURE OF APPLICANT,� VXSn lf-�.') DATE [:1 $ a.g3 $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridlev Attac THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be i conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not permit but only an applica ' for a permit and work is not to start without a permit; that the work will be in accordance with the approve plan in the case of all work hich require7t-4&��INTNAMEAQtrI, and approval of plans. '40 SIGNATURE OF APPLICANT,� VXSn lf-�.') DATE [:1 From: 7634971851 PageL 3 , Date: 6/2/2009 12:55:00 PM .` Building PLUMBING f PermitNo.X70% Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Ree'd 763-502-4977 FAX 0-FF'CTIVE2.19.09 DATE_&,` Q_ ' O-5 _ YOUR E-MAIL ADDRESS . l A uvn w ip cli a nr- 4 e SITE ADDRESS _ _ THIS APPLICANT IS. U OWNER )(CONT'RACT'OR PROPERTY _NAMI: Wl Q Q c _0nAC -4 _ 74* S:jf-jf- Crry Ar I. d C V STATEmN ZIP�w NEER/ ADDRESS 575 TO _•1 CONTRACTOR NAME _ iwki MCI SUBMIT A COPY OI' YOUR STATE S T A rr: LICENSE: # (� d� '7 . %2/� _ _.. EXP DATE e LICENSE, BONI) ANIS S 1_A'IT.. HOND # .�� , H %q 3 J� EXP DATE d31101 CERT)FICATEOF /I(Q A0DRf3tis .1�ClJ ( c� ^--_-- •-___C'IIY 1 a_aSTATE i►,I ZIP5S37 INSURANCE PHONE 3 '�l 97- 9 % 3 _ _ .. _ FAx 2 fe 3 - 1117 I /�j V PERMIT TYPE 98 SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ New REPLACEMENT DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $ IO Ill PER I`IKI URF., EXC•:PT WIifiRE NO ED FIXTURES (fNDICATE TO -IAL NUMBER OF EACH BELOW), MINIMUM FEE S155171 BATH SINKILAV —WATER PIPING _FL GAS PIPING (NEED CI1'Y LIC) ^ SWIMMINO POOL WATER SOFTNER ($35) — BATHTUB (;AS !BACKFLOW CLOTHES WASHER KITCHENSINK — WA'IIFR (a.OSF r PREV. ($15) —CLOTHES IKAY WA I'11- FOR IRRIGATION —LAUNDRY — WATER ME'T'ER _OTHER Number of fixtures (a) $10.00 —T x $10,00 – $ _ Number of fixtures C), $15.00. x$15.00 $ Number of fixtures r`a7, $35.00 x $35.00 State Surcharge $,35 .50 INIMUM $35,50 Total _ $ 1 -III$ IS AN APPLICATION WK A PLKMu I -NO T VALID UNTIL PROCESSED I hereby apply I'or a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in thej, e ofall work which requires review and approval of plans. SIGNATURE OFAPPI.ICAN'I' - PRINTNAME �a��r'uQ►T-ye�srYl DATE (17'a-�� PLEASE NO'1'F.: SEPARATE PERMITS ARE RE UIRI D FOR BUILDING ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977