PRE 2010 DOCSOwner: JV
City of Fridley, Minn.
BUILDING PERMIT
Builder__._
Address
LO ION OF BUILDING
No. Street ---Part of Lot _
15
Lot __ Block ._____ Addition or Sub -Dien .ffi
Corner Lot _ Inside Lot '"� Setback Sideyard —..
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To Used"
Front Depth Height Sq. Ft Cu. Ft. Vajo
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction ." " *¢ _ Est. Cost 52 & To be Completed
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
ordinance: of the city of Fridley.
In consideration of the payment of a fee of $4'_d.�'""� , 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 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.
C2045.0 A.0a,&
uilding Inspector
NOTICE:
This permit dose not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to as
the Building laspector for separate permits for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name Builder,
Address
LOCjA�1TION OF BUILDING
b
No. r Street Part of Lot
Lot JI Block Addition or Sub.Div.
Corner Lot Inside Lot
"t Back jLi Side -Yard /k `�^'
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as: -* -jt r3 V q
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
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 accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representa-
tions stated in this application are true and correct.
--MA 3 -
DAM 7 ' V y' � � SIGNATURE --MA ,,.
(A Schedule of Fee costs can be found on the Reverse Side.)
City of Fridley
Application for Plumbing and Gas Fitting Pent
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
�j
O<
NO.
RATE TOTAL 0
12
x
Z
��
Future Fixture Opening ................
x
Q N
H
"
rj
x
w
?
Catch Basin ............................
x
WATER HTR.
GAS
ELEG
x
jC
$
Iss �
x
1n
3
z p
O LL
GAS FITTING FEES:
.,�
LL O
RATE TOTAL
G 3
(9 1
Ci
U' O
Additional Fixtures ....................
x
.50
$
Cn
x
2.00
$
Base
®F
1st
2nd
_
3rd
4th
• Future Coaaec3ion Openings
Connected with
Sewer E]
New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL 0
Number Fixtures ....... .......
x
$1.50
$
Future Fixture Opening ................
x
1.20
$
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ............................
x
3.25
$
Water Heater (Up to 200,000 BTU) ......
x
2.06
$
New Ground Run Old Bldg . ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
x
$1.50
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
REPAIRS 8c ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $����
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the feel
and representations stated in this applicationareare true and correct.
Fridley, 1VE �✓ ��- 19 ��
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $ �-� •� ��
Ol New uilding Permit No / Permit No.
Signe ~
By
Business Phone No
ROUGH
FINAL
42 2M
_ V _
Application for Power Plants and Hewing, Coding. Ventilation, .Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470
GRAVITY WARM AIR: RATE TOTAL,
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECIL WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU .... . .......... . ...... .
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ...._............ .
Repairs & Alterations" each add. $500.00 ....... :......
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. IDR Steam ......
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ...
Each add. 200 sq. A. EDR Steam ......................
Each add. 320 sq. it. FDR Hot Water ..................
8.00 8 gp°
2.00 $
5.00 $
5.00 $
2.50 $
8.00
$
8.00
$
2.50
$
2.50
$
OIL BURNER—to 3 gal . -per hour ........................ 5.00
l: $
over 3 gaper hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ A
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
x $1.50
$_ UL
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
FAN DATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$
��
ALTERATIONS & REPAIRS
TOTAL FEE
S fid•
ROUGH
FINAL
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn e ® 19 4V
Owner /Rada J
Kind of Building Z ---> �
Used as
To be completed about
Estimated Cost, $
QKew. Building Permit No. �� Permit No. �7
DESCRIPTION OF WORK
EATING or POWER PLANTS --Steam, Hot Water,
arm
Nro
Trade Name A_4.'2 ��i J ='4Size No- /�
Capacity Sq. Ft. E.D.R.�® BTU H.P.
Total Connected Load A_ J Kind of Fuel
BURNER —Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
Signe � -
By
4 z 2M 7-59 Business Phone No- a ��
17= 1104, L-2191) n 1?/ O I Coef. I Btu
t Infiltration
s,
�Aff
Glass
Ddb ..... .42
Heights
Exp. wal
#1 Doors--Crackage and Area
HEAT LOSS CALCULATIONS
Net exp. wall
DEPARTMENT OF
BUILDINGS FRIDLEY, MINN.
Weatherstrips
A.S.H.V.E,
Floor
Ceiling
Construction No.
Insulation
_
Guide
77
Total Btu./j/ 7 !jf
Glass
/ ?Ap
ows
( rs
Reference
Out. Wall
jlnt.Wall I Ceiling I Roof I Floor Kind How Applied
Yes No
kes,4No
19_
Q
/
Int. wall
Fl.1 Room ( Length
Width
Height
/D
Fl. Room I Length �-= Width He'
Windows and Doors—Crackage and Area
Floor
Windows and Doors--Crackalfe and Area
Width Height No. of L1nea1 tt.
No. of pan Off�pane Ilghts of crack
Area
sq. ft.
Height No. of Lineal it Area
No. ne of pane lights of crack sq. -ft .
j1dth
17= 1104, L-2191) n 1?/ O I Coef. I Btu
t Infiltration
s,
�Aff
Glass
�3 —057)
Heights
Exp. wal
#1 Doors--Crackage and Area
Net exp. wall '5-3 /O
Net exp. wall
Width f Height No. o! Lineal MArea
Nos of pane of pane ligh//ts of crack sq. ft.
17
Int. wall
L.
Floor
Ceiling
o
Btu
Floor/
77
Total Btu./j/ 7 !jf
Glass
/ ?Ap
Require sq. ft'E.D.R. or sq. ins. W.A. Leader area
Btu
Fl. 4 y
Room (Length �' °Width
/'
Heights
Windows a
#1 Doors--Crackage and Area
Net exp. wall '5-3 /O
5-3
Width f Height No. o! Lineal MArea
Nos of pane of pane ligh//ts of crack sq. ft.
17
Ceiling
L.
Floor
/
Coef.
Btu
Infiltration
77
Heilrht
Glass
S
zo�e el
Exp. wall
61 "16"9
f Net exp. wall
Q
/
Int. wall
%
Ceiling
/D
Floor
T_•_1 Q...
//
Require s . ft. D.R. or sq. ins. W.A. Leader area
PIP
Fl. Room Length L Width /` Heigh l
Windows and Doors—Crackage and Area
Width Height No. of Lineal t. Ares
No. of pan of pane lights of cr k no. ft.
Infiltration
_MM
l •� = 4
t et esp. wau a 1 110 XOO 0
Int. wall
Ceiling
Floor
Tbtal Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
Coef.
Btu
Infiltration /
Glass
Exp. wall `• /
Coef.1 Btu
Net exp. wall '5-3 /O
5-3
Int. wall
Ceiling
�J
Floor
/
Total Btu.
�7
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.l -/ Room I Lenuth.//' Width //'
Heilrht
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack aq. tt.
Coef.1 Btu
Infiltration
Coef. Btu
Infiltration
Exp. wall —31
Glass
/
Int. wall
7
Exp. wall
,s
Net exp. wall
S
/
Int. wall
Ceiling
/
Floor
%
Total Btu.
Required sq. ft. E.D.R. or sq. iris. W.A. Leader area
/ Rnem I t.�n th/_9 5VWidth/�? HeiahtV
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.1 Btu
Infiltration
/
Glass j
Exp. wall —31
Net exp. wall
/
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
r
W16 42
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A.S.H. Construction No.
Guide
WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor
Yes—No Yes—No 19—
Fl.(. Room I Length Width '— Height ° F1.I
Windows and Doors—Crackage and Area
width Height No. of Lineal f . Area
No. of pane of pane lights of crack eq. ft.
Coef.
Btu
Infiltration
Width Height No. of Lineal it. Area
No. of pa a of ane lights of cra sq. it.
Glass
r7
a Exp. wall
Coef. Btu
Net exp. wall
Btu
Int. wall
Btu
CeilingA
Glass
Floor
&V
Total Btu.
/�'
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Net exp. wall /
R......, I f ...1. / / / RI:.I.L
ue:..l..
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane llghts of crack Q. ft.
Width Height No. of Lineal it. Area
No. of pa a of ane lights of cra sq. it.
.5, 3Z
,�pr
Coef. Btu
Infiltration
Btu
Glass
Btu
Exp. wall
Glass
Net exp. wall
&V
Int. wall
Glass
Ceiling
Net exp. wall /
Floor
/
1 otal Btu.
Required w E. Itor sq. ins. WA. Leader area
Fl.� , .� Room I Length Width Height
Win ws and Doors—Crackage and Area
Width Height No. of Lineal ft. I Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal it. Area
No. of pa a of ane lights of cra sq. it.
.5, 3Z
,�pr
r
Coef.
Btu
Infiltration
Btu
9
Glass
Net exp. wall
&V
Exp. wall
Glass
Ceiling
Net exp. wall /
/�
//;137—
3
Int.
Int. wall
Ceiling
Net exp. wall
Floor
,5
1300
Tbtal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FRIDLEY, MINN.
Insulation
Kind How Applied
Room I Length , %' Width/0" Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. I Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pa a lights of crack sq. ft.
.5, 3Z
,�pr
r
IS, Z
47
Coef.
Btu
Infiltration
Net exp. wall
&V
Rale
Glass
Ceiling
Floor
O
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
77 Q
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.l Room I Length Width Height
Windows and Doors--Crackage and Area
Width Height No. of Lineal ft. I Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
Ft.) Renm I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq, ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
SUBJECT
PERMIT NO
City of Fridley
®13025
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
.�
PROTECTIVE INSPECTION
7J:
r SEC.
1 �
=
1 o --n CITY HALL FRIDLEY 55432
,'J
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L---- 612-560-3450
910-F15
16/17/75
/
JOB ADDRESS 5813 7th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
11
2
Lyndale Builders 7th SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Ray Br towski 5813 7th Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central Avenue North
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
re-roof
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.
shingle
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT. -
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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.
50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$800.
.
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-
$6.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$mnax
6.50
SIGNATURE OFC RACTORORAUTHORIZEDAGENT(DATE)
PROPERLY VALIDATED THIS IS YO R ERM
BLDG iNSP DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION.BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: P44 &-q7oo; / BUILDER : 1' i-. T v'j ^ u %t )'V S ''-�
ADDRESS: Sy J ? "`1 jr •V E ADDRESS: � J -r � � ,� ? 2 � v A
NO • . S y 13 STREET • % _ S7.
/ L�
LOT:BLOCK: ADDITION:
CORNER LOT: INSIDE LOT:
SETBACK: SIDEYARD•
Applicant attach to this form Two Certificate. -.of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front:
Depth' Height:
Square Feet: Cubic Feet:
Front:
Depth: Height:
Square Feet; Cubic Feet:
CU
Type of Construction: -(fid T Estimated Cost: $ kc -0
To Be Completed: /% - 7
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: / % - 7 J SIGNATURE •
(See Reverse Side For Additional Information.)
G S�
7,a -
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Se /3
'RESIDENTIAL
RATE
TOTAL
Job Address
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $
20.00
t
$ .
Department of Buildings 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Gas Piping $
10.00
$/�'
Tel. #571-3450
(piping needed with new furnace)
Gas Range $
10.00
$
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
Gas Dryer $
10.00
$
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
• Air Conditioning (all sizes) $
10.00
$�
Fridley, Minn. . 19_
All Others/Repairs and Alterations
OWNER
1W of Value of Appliance or Work
$
'
�-
KIND OF BUILDING �Sl®Gac°r7l4
COMMERCIAL/INDUSTRIAL
USED AS
—!
19 of Value of Appliance or Work
$
TO BE COMPLETED ABOUT
ESTIMATED COST _ 3 QUO -
State Surcharge
$ .50
OLD NEW BUILDING PERMIT NO. PERMIT NO. O �t�
TOTAL PEE
$
$ -416,
Reinspection Fee ($15.00)
DESCRIPTION OF FURNACE/BURNER
Rough Insp.
/
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Date
j�
Trade Name Size No. tZL6rc-'A�
Final Insp.
Date
Capacity (W,L Sq. Ft. EDR BTU HP
^
Approval for Permit LF`�
Total Connected Load Kind of Fuel �/T
BURNER - Trade Name '--- Size No.
Capacity Sq. Ft. EDR BTU HP
MINIMUM FEE FOR ANY HEATING PERMIT IS
$15.00,
Company 09:4/1 R o / Co
PLUS $.50 STATE SURCHARGE
Signed By
Tel. No. Z�!
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Fill out back side for stack verification on replacement furnaces
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1.
Has been carefully examined
Yes
(X)
No ( )
2.
Is free from rust or deterioration
Yes
No ( )
3.
Has no foreign objects lodged within
Yes)
No ( )
4.
Is securely supported
Yes
J
No ( )
5. Meets all current Code requirements for size and
total BTU connected Yes (k) No ( )
6. Has Total heating BTU's of ,&og
All other BTU's
TOTAL
Remarks
Company .G�
Signed By
Da to--
SUBJECT
PER N -
City of Fridley
G 9
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
r
REC
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1 �
i CITY HALL FRIDLEY 55432
i
%,J
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
.---�
L 612-571-3450
910-F15
5/31/89
/ f
JOB ADDRESS 5813 - 7th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
11
2
Lyndale Builders 7th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Ray Brytowski 5813 - 7th Street N.E.
571-7539
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Quarve Exteriors 8317 Monroe Street N.E., Spring Lake Pk, 55432 785-1472
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 1j REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reside Dwelling; install soffit/facia
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$6,300
$3.15
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$93.15
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT
+r
BLDG IN'9I
rjpT
SIGNATURE OF OWNER I IF OWNER BUILDER) IDATEI
NEW [ J
ADDN [ ] R-1 AND R-2
ALTER [ J Building Permit Application
Construction Address: S"� r 3 % " sr
Legal Description: (,6 r //
Effective 5/1/88
0
owner Name & Address: P% for- vv0 I� i lil-�' st►�$ �A Tel. # �% j -'2j-3-1
Contractor: N_ Tel.
Address: �5 ; 12 n
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMM
LIVniG AREA: Length Width Height Sq. Ft.
GARAGE AREA: Iexxfth Width Height Sq. Ft.
DECK AREA:Width Hgt/Ground Sq. Ft.
Off: tCjGIt _ ",�c,r/lrrsn,d
Corner Lot [ ] Inside Lot ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: c��1J Estimated Cost: $ Cgs
Approx. Completion Date: �, / /3/x'9
Proposed Driveway -Width If New Opening Is Desired: Ft. $ $.
;--- 36Width + 6' See ck Page
DATE: APPLICANT: P0>—h3 Tel. # age- 2
Permit Fee $ D ,
State Surcharge
SAC Charge $
Driveway Escrow $
Park Fee - $
Sewer Main Charge $
TOTAL $ /S
�S
STIPULATIONS:
cm OSE COY
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$575 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
C17YOF
FRIDLEY
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
June 30, 1989
Quarve Exteriors
8317 Monroe Street N.E.
Spring Lake Park, MN 55432
Re: Final Inspection on Siding at 5813 - 7th Street N.E., Fridley
Dear Sirs:
A final inspection was conducted on June 28, 1989 of the residing
at the above address. It was noted that the shingles on top of the
hip rafter near the front door need to be repaired before the job
can be finaled.
We will expect this to be completed by July 14, 1989 and a
reinspection called for to determine compliance.
If you have any questions on this matter, please feel free to
contact me at 572-3604.
Sincerely,
(Z �m-�
DARREL G. CLARK
Chief Building Official
DGC/mh
CC: Mr. Ray Brytowski
CITY OF FRIDLEY INSPECTION DIV.
Effective On March 1, 1996
6431 University Ave NE
Fridley, MN 55432
I
APPLICATION FOR POWER
572-3604
PLANTS
AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND
AIR CONDITIONING
SYSTEMS AND DEVICES Iola
JOB ADDRESS�/C— ,
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate
TOTAL
specified agreeing to do all work In strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner —
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00
$
representations stated in this application are true and correct.
(Side Vent — Fill Out Back)
,&®i 2a
Gas Piping (Needed with new furnace) $ 10.00
$
1996
OWNERS
Gas Range $ 10.00
$
BUILDING USED AS,��
Gas Dryer $ 10.00
$
_
ESTIMATED COST ,�2VOO!
PERMIT N0.
*Air Conditioning — All Sizes $ 25.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/ Repairs &Alterations (LIST ONBACK)
0 of Val of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Commercial/IAdustrial
Trade Name Size No.
BTU
�✓� ��
HP EDR
1.25% of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge
.50
Burner Trade Name Size No.
TOTAL FEE
r�,!
BTU HP EDR
MINIMUM FEE FOR ANY HEATING[COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
mAlr Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
HEATING COMPANY AecrZi9
Signed By ~ Tel No.
Approved By Rough—In Date Final
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes ( ) No ( )
2. Is free from rust or deterioration Yes () No ( )
3. Has no foreign objects lodged within Yes () No ( )
4. Is securely supported Yes () No ( )
5. Meeh <61
and t b �k S �` A 6 Yes () No ( )
6 Has tc lJ`^.���"`�'� � \fo
All oth, 3'�'%�-;} # 2
I
TOTAL _ �oo-F D ? �3
7. Has a lin water heater Yes () No ( )
8. Has combustion air been provided for water heater Yes () No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
su6JEcr
NO. �
City of Fridley
-
24996
AT THE TOP OF THE TWINS
?
BUILDING
PERMIT
RECEIPT NO.
Ir
_ COMMUNITY DEVELOPMENT DIV.
1 PROTECTIVE INSPECTION SEC
r
NUMBER
REV
DATEPAGE
OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
4/24/97
JOB ADDRESS 5813 7 Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
11
2
Lyndale Builders 7th Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Ray Brytowski 5813 7 Street NE
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
D & B Home Improvements 4901 105 Ln NE, Circle Pines, MN
55014 784-0922 7773
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 p ALTERATION fj REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (25 Sq) Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with 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
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$2,062
$1.03
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 LOCA LAW REGULATING CON.
$74.75
Fire SC $2.06
STRUCTION OR THE PERFORMAN OF N RUCTION
Iti _!qj
PLAN CHECK FEE
Licens C
$/.00
AL FEE
$82.84
SIGNATURE OF CONTRACT OR UTHORIZED AGENT (DA TEI
pR0
Y VAL
ED THIS IS YO PERM(
r
RfD INSP
r
�� TE
_
SIGNATURE OF OWNER OF OWNER BUILDERI (DATEI
NEW [ ] Effective 1/1/97
ADDN [ ] CITY OF FRIDLEY
ALTER f 1 SINGLE FAMILY AND DUPLEXES R-1 AND R-2��J��
BUILDING PERMIT APPLICATION
ConstructionAddress: 5-31S 3 �h S�
Legal Description:
Owner N
Contract
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
MN LICENSE # "777-?
Tel. # -25� Ll
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
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
v X67
Construction Type:
Te (i ® Cr Estimated Cost: $ �y6
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _
TE: APPLICANT: V Tel # (�®1P
DA �
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ `a.
Fee Schedule on Reverse Side
Fire Surcharge
$ 02y�o
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$950 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$ I
STIPULATIONS:
7
SUBJECT
City of Fridley
15830
AT THE TOP OF THE TWINS
BUILDING PERMIf<
�
RECEI T NO.
COMMUNITY DEVELOPMENT DIV.
r 1 PROTECTIVE INSPECTION SEC.
,•� CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L J` 612-571-3450
910-F15
3/5/98
JOB ADDRESS 5813 7 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
11
2
Lyndale Builders 7th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ray Brytowski 5813 7 Street NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Murphy Bros Bldg & Remod 1613 93 Ln NE, Blaine MN 55449 780-3262 3416
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Basement bath remodel; upstairs bath remodel
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
SEPARATE PERMITS REQUIRED FOR
WIRING, HEATING, PLUM.WNG AND SIGN&
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
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 JiEREIN OR NOT. THE GRANTING OF A PERMIT
$6,000
$3.00
DOES NOT PRESUME TO E AUT RITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS ANY R STA OR LOCAL LAW REGULATING CON-
Fire SC $6.00
STRUCTI O THE MA OF CONSTRUCTION.
$112.25
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$126.25
IGNATUREOF CO RA TOR AUTHORIZED AGENT IDATEI
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BL G INSP RATE
SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI
7
NEW [
ADDN ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Effective 1/1/98
Legal Description:
Owner Name & Address: Y-1 l `�4�a t 1 Tel. #
Contractor: Iv�� °� MN LICENSE # I
Address: ���� a z� -�� 1J e 1� Tel. #D S�
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:.17� Tt
�. T ' 1 � ��
I rJ � ��(yi t�
05W ODE
Construction Type: �'( Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $
DATE: APPLICANT: Tel. # 7Sc) - Sz6 L.
ITY U O
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
. STIPULATIONS:
$ t' . 2)'—
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 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 [ ]
Brytowski
GS , -s -1�
GFI ,fan light and new switchs
Install owners light
walls are in good shape , skim coat
and re paint
7
Over coat sxsisting wood work
Tile walls up 4 feet
remove tile and run row file up / 3
past old tile line
New Tub
°b
i
Vin floor
Doors stay' YI
Cultured
vainity
MURPHY BROS-
BuNrIg & RanoUft Co.
1613 - 93rd Lane NE
MINNEAPOUS► MN 55449
(612) 780-3262
Y wi
E)
Handl cap 91
rock tape smooth waft and
Y/4 0
�1
Handi cap
move stool rough in
4'6
Check and advise on insular iq
and vertalation when installing
bath fan
Make end install 3 face frames on
lower stair case openings
FtA
At L&��S/ m:CL-Or
jec"2hi?S.
CITY OF FRIDLEY INSPECTION DIV. p
8431 University Ave NE 3 ' C,
Fridley, MN 55432APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On January 1, 1997
,fl,6 (el �
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
NO. RATE
Water Heater – Gas**
Gas Range**
Gas Dryer**
Back Flow Preventer Required ( )Yes () No
Type
$ 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 $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.50 of Value of Fixture or Appliance
S �• � L
TOTAL JOB ADDRESS
State Surcharge $ .50
TOTAL FEE $-Z1 "
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.
3 — :�' -- .1998
Owner � � S%% – % 5-17
Building Used As
Estimated Cost
PERMIT NO.
PLUMBING COMPANY i9 G
SIGNED BY
�s TEL NO. efrY'
Approved By Rough–In Date Final Date
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6–A. MINIMUM SIZE 9 SQ INCHES.
SUBJECTIT
NO.
City of Fridley
C26321
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
`
RECEIPT NO.
______ COMMUNITY DEVELOPMENT DIV.
I v PROTECTIVE INSPECTION SEC.
r
35-76
NUMBER
REV
DATE
PAGE OF
APPROVED BY
1 CITY HALL FRIDLEY 55432
�'j
612-571-3450
910-F15
6/23/98
JOB ADDRESS 5813 7 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
11
2
Lyndale Builders 7th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ray Brytowski 5813 7 Street NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
D & B Home Improvements 4901 105 Ln NE, Circle Pines, MN 55014 784-0922 7773
.,
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 Ej REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Repair Roof - WEST SIDE ONLY, STORM DAMAGE
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, 'PLUMBING. HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
@
$-50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$500
DOES NOT PRESUME TO GIVE AUTHORITY TO V!PktqE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE 0 C L REGULATING CON-
$21.00
Fire SC $.50
STRUCTI N � T KORMANC C T CTION.
/
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$27.00
(GNAT RE OFCONTRAC O HO IZED GENT IDATEI
WHEN PROPER �A IDATED THIS IS�OU4as
! G`��Qe
B DG INSP BATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address:
Contractor: �
Address:, Lf 0/0 f
Effective 1/1/98
J
Tel. #
MN LICENSE #77-7
Tel.
%%-
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
GARAGE AREA: Length Width Height
DECK AREA: Length Width � Hgt/Ground
OTHER:
Sq. Ft.
Sq. Ft.
Sq. Ft.
,– — — . / 104
Construction Type: P,,ep ac,
y No Estimated Cost:
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 6 �� APPLICANT: Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
$
Sewer Main Charge $
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 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 [ ]
r
A , n .
SUBJECT
P
City of Fridley
(.
27188
AT THE TOP OF THE TWINS
BUILDING P E R
M I T
n `
RECEIPT NO.
• _ COMMUNITY DEVELOPMENT DIV.
fr PROTECTIVE INSPECTION SEC.
®®
r s
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
�'""'� 612-571-3450
910-F15
8/14/98
JOB ADDRESS 5813 7 St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
11
2
1 Lyndale Builders 7th Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Ray Bry towski
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
uarve Contracting 8427 Center Dr NE Spring Lake Park
785-1472 6016
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 1[] REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Window replacement; siding
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
Install smoke detectors to meet state building code
- in each sleeping
room and on each level of home.
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
Q
$4.50
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Fire SC $9
PLAN CHECK FEETOTAL
F
.00
z
$ 8.25
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
PR PE IDATE IS IS YW PER IT
BLDG ASP
y
!of/ PATE
SIGNATURE OF OWNER OF OWNER BUILDERI IOATEI
NEW [ ] Effective 1./l/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2'
BUILDING PERMIT APPLICATION
ConstructionAddress: aa13 "74-k IV lG�P�
Legal Description:
Owner Name & Address: RAW Ak,,(A7 ®()5 0 —Tel. #
Contractor: Quar 0_p4rarfi PyA ric MN LICENSE #
Address: guar U nAn., D ,Sah r16 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:
Construction Type:1 D O Estimated Cost: $ =. 0(i
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
Tel. #
CITY USE ONLY
STIPULATIONS:'1'Q,e, /oc/
$ [ 4 9 -'K
Fee Schedule on Reverse Side
$ q. 0
.001 of Permit Valuation (1/10th%)
$ 14.5)
$.50/$1,000 Valuation
$
$1000 per SAC Unit
$ 6.00
$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 [ ]
STIPULATIONS:'1'Q,e, /oc/
CITY OF FRIDLEY INSPECTION DIV. 11
6431 University Ave NE 3-31-0 , 3 1 "0
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
Effective On January 1, 1997
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater -Electric
$ 7.00
Water Heater - Gas**
$10.00
Gas Range**
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes () No
Type
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliancep,�
State Surcharge .50
TOTAL FEE $_90"S70
JOB ADDRESS S -S13 7 `�� � s✓,
Water Heater
Gas I Elec
The undersigned hereby makes application for a perm it 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.
Owner
d aisk—/ '
Building Used As Sl w, -Z
Estimated Cost S^'�,S.�V PERMIT NO.
PLUMBING COMPANY .C�/i✓�G� a ..l U"/".
SIGNED BY �G�� TEL NO.
Approved By Rough -In Date Final Date
MINIMUM FEE FOP ANY PLUMBING/GAS P
PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.
C17YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
February 11, 2002
Ray Brytowski
5813 7`h Street NE
Fridley, MN 55432
Re: Final Inspection at 5813 Th Street NE
Contractor: Lindman Plumbing
Dear Mr. Brytowski:
A plumbing permit was issued on March 31, 2000, to install a water heater 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.
DJ/ls
` / .
SUBJECT
RMIT NO.
City of Fridley
31656
AT THE TOP OF THE TWINS
BUILDING PERMIT
O
_ COMMUNITY DEVELOPMENT DIV.
� INSPECTION SEC.
`7
r � PROTECTIVE
I
REV
DATE
PAGE OF
APPROVED BY
1 CITY HALL FRIOLEY 35132NUMBER
612-571-3450
910-F15
2/27/01
JOB ADDRESS 5813 7 Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
11
2
1 Lyndale Builders 7th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ray/Betty Brytowski 5813 7 Street NE 571-7539
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Quarve Contracting Inc 8427 center Dr NE, Spring Lake Park, MN 55432
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
785-1472 6016
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW 0 ADDITION 0 ALTERATION Cj REPAIR 0 MOVE 0 REMOVE
8 DESCRIBE WORK
Replace 9 windows within existing openings
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.
Permit Inspection Cards
Will Be Mailed
Toas
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 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$7'000
$3.50
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-
$139.25
Fire SC $7.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOT L FEE
Licens C $5.0
154.75
SIGNATURE OF CON'RACTOROA AUTHORIZED AGENT IDATEI
PROP VALIDATE THIS I$ YOUR ERMIT
1,,,�HE
INSF' OAtE
SIGNATURE OF OWNER Off OWNER SUILDERI IDATEI
` / .
NEW [ ] Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY 612-572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 53l 3 r7� L I
Legal Description:
Owner Name & Address:
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
MN LICENSE #
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: _WiIAd id Estimated Cost: $ /, 000' 00
9q Obl4Z. l��ny Sl1'dfr-S
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: � APPLICANT: YTel.#
CITY USE ONLY - Call (612) 5�7�2-/3604 for Permit Fees if mailing in application
Permit Fee $ ���dJ Fee Schedule on Reverse Side
Fire Surcharge $ `�►iy .001 of Permit Valuation (1/10th%)
State Surcharge $.50/$1,000 Valuation
SAC Charge $ $1100 per SAC Unit
License Surcharge $----3100 $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 [ ]
L/
TOTAL $ 15q,'7 J
STIPULATIONS:
���•
Nov -30-00 02:33 AM QUA_RVEcowTRACTINGINC
,
6127856954 P.01