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PRE 2010 DOCSCity of Fridley, Ajinn. BUILDING PERMIT N?5 5 0 0 Date: Owner: y Builder Address Address — LO TI BUILDING No. i Street _i� _ _ __' Part o t Lot __ _ Block Addition or Sub -Division �` -� Comer Lot --- Inside Lot _ _ _ _ __ Setback 131 --- ideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To Use Ifat �f� Front Depth Height Sq. Ft. ` A3Cu. Ft. a�W6 Fro t Depth H Ight Sq. Ft. Cu. Ft. Type of Construction AEst. Cost To be Completed - In consideration of the issuance to me of a permit to construct the building described above, Io to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of aj,/ , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon Poe express condition that the person to whom it is granted and his agents, employees and workmen, in all work done around and upon said building, or any dart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regardin; location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said Ordinances. s"% , � Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 0,$004 0 APPLICATION FOR BUILDING PERMIT CITY OF FRIDIZY, MINNESOTA Owner's Name Builder Address Address 10 LOCATION OF BUILDING No. 403`? Street 7 �� �"�� " Part of Lot Lot % 3 Block 1Li Addition or SubdivisionL,*� 6a&- 7?' Corner Lot Inside Lot V Setback IS Side -Yard /6 `F= SEM ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Gu. 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 representations stated in this application are true and correct. DATE SIGNAT. (A Schedule of Fee Costs can be found on the Reverse Side.) Application for Power Plants and Heading, Cooling, Ventilation, .Reirigendion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE 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 $ MECH. WARM AIR Furnace S1.hell & Duct Work to 124,000 BTU ............ 8.00 •0 each add 60,000 BTU .... . .................. 2.00 ; Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 ....e ............ 5.00 $ Repairs & Alterations each add. $500.00 ....... :...... 2.50 $ S71FAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ 0 Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $SS 0 `' GAS FITTING FEES: NO RATE 70TAL� 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ' ROUGH FINAL Dept. of Blldgg& Phone S°II%. 4-7470 Lecafiten _v O�j_& l,ZZ City of Fridley: a 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. Owner Kind of Building Used as To be completed about Fridley, nn /�(' / , 19 i Estimated Cost, $ a�New. Building Permit No.—yT a 0 Permit No. DESCRIPTION OF WORK HEATING or P07,ER PLANTS—Steam, Hot Wate+�Warm�No me Trade Na�� � Size No ZG 421 _,Fd Al / Capacity Sq. Ft. E.D.R-- BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signe&�'! 22 By 42 2M 7.s9 Business Phone -No �� S3? • 9 1 DPVJ 105 VILLAGE OF 2/60 PUBLIC WORKS DEPARTi�-ENT PROTECTIVE INSEE CTION DIVISION PATE APPLICATION FOR HEATING & VENTILATING PERMIT OWNER ADDRESS KIND Or—BUIL0#113 HOW OCCUPIED WORK TO BE COMMENCED / p / y ®O �_/' TO BE COMPLETED // 4 ESTIMATED COST ,:1:29 DESCRIPTION OF WORK Is GRAVITY WARM AIR HEATING PLANTS - FURNACES. MAKE SIZE N0. CONNECTED LOAD CAPACITY KIND FUEL GAS AUTHORIZATION No ALTERATION OR REPAIRS ESTIMATED COST 2, MECHANICAL WARM AIR HEATING PLANTS — FURNACES �/� /DSO G /7 SIZE N0. MAKE-��t_-_��i�� +_ ., CONNECTED LOAD fp CAPACITY KIND FUEL_ GAS AUTHORIZATION NO. ALTERATION OR REPAIRS ESTIMATED COST 3s HEATING OR POWER PLANT STEAM HOT WATER OTHERS TRADE NAME SIZE No MANUFACTURER ADDRESS CAPACITY SQ. FTo E.D.R. B.T.U. H.P. TOTAL CONNECTED LOAD KIND OF FUEL ALTERATIONS OR REPAIRS ESTIMATED COST 4e AIR CONDITIONING SYSTEM- SUMMER WINTER ALL YEAR MAKE CAPACITY C. F. M. ALTERATIONS OR REPAIRS ESTIMATED COST 5a VENTILATING SYSTEM MAKE CAPACITY C. F• M. ALTERATIONS OR REPAIRS ESTIMATED COST 6o OTHER DEVICES DEVICE SIZE N0. CAPACITY USED FOR FEE �h�• 9✓ PENALTY TOTAL FEE / CHIEF INSPECTOR% THE UNDERSIGNED HEREBY MAKES APPLICATION FOR A PERMIT FOR THE INSTALLATION, ALTERATION, REPAIR OR OPERATION OF A HEATING OR POWER PLANT* DEVICE OR BOILER, AS HEREIN SPECIFIED, AGREEING TO DO ALL SUCH WORK OR TO OP- ERATE SUCH PLANT OR BOILERS IN STRIRT ACCORDANCE WITH THE VILLAGE ORDINANCES AND RULINGS OF THE DEPARTMENT OF PUBLIC WORKS AND THE SPECIFICATIONS SET FORTH IN THIS APPLICATION AS APPROVED AND FILED IN THE DEPARTMENT 4: PUBLIC WORKS',AND HEREBY DECLARES THAT ALL THE FACTS AND REPRESENTATIONS STATED IN THIS APPLICATION ARE TRUE AND CORRECTO SI GN ED BY �, �y ADDRESS Zee -4L_ t 1'FS6 ' v HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS _. Weatherstrips A•S.H.V.E, Construction No. Guide Bows Doprs Reference Out. Wan Int. Wall Ceiling Roof FloorKind s No I(Y No 19_ �a '46, Room I LengHeighta Fl.1 v' l%?c✓ Room 1 Windows a oors—Crackage and Area Windows and Doors—Cr Width Height No. of Lineal ft. Area Width Height No o. of pane of pane lights of crack sq. ft. No. of pane I of pane I lig Total Btu. Required s . Q.D.R. or sq. ins. W.A. Leader area ' ® F'1_I did ,.2n:.re' R. i i p..thr -'/ W Athd.f) f 14.;nht Win ows and Doo;;:, rackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of ape lights of crack sq. ft. N _ 0 Gi Infiltration Coef. Btu Coef. EJtu Coef. Btu Infiltration Ceiling Floor v Glass Glass Exp. wall Net exp. wall o 325 0 Exp. wall 3 wall Net exp. wall Net exp. wall Int. wall Int. wall „� Ceiling✓ Ceiling a Floor a . Total Btu. Required s . Q.D.R. or sq. ins. W.A. Leader area ' ® F'1_I did ,.2n:.re' R. i i p..thr -'/ W Athd.f) f 14.;nht Win ows and Doo;;:, rackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of ape lights of crack sq. ft. 77 77,717TIr _ Coef. Btu Infiltration Coef. Btu Coef. EJtu Infiltration Net exp. wall Int. wall T 7 �r Ceiling Floor v Glass Net exp. wall o 325 0 Exp. wall 3 wall A " Net exp. wall Floorc" Int. wall „� Ceiling Floor a . Total Btu. Required s . 64DA. or sq. ins. W.A. Leader area /' Fl.� Length Width ° Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of p. ne of pane lights of crack sq. ft. 77 77,717TIr Coef. Btu Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall ?� Ceiling Net exp. wall Int. wall Glass Ceiling Floor v Exp. wall Net exp. wall / ` c!'Int. wall H71 Ceiling Floorc" „� I Total Btu. IRequired sq. ft. E.D.R. or sq. ins. W.A. Leader area U .1v-; 6 ;:� 9 NIINNEAPOLIS. MINN. Insulation How. Applied Igth/ = Width/ / Height cage and Area Lineal ft. I Area of crack ea. ft. II I I Coef. Btu Infiltration Glass –" Exp. wall ,'Ir = ' Net exp. wall ✓ Int. wall Ceiling 9- Floor Total Btu. -+ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI -1 P, Room I Lenztth //, Width / d/ Height,11e'1 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 2 s Coef. Btu Coef. Btu Infiltration Exp. wall q" Glass f r Exp. wall ?� Ceiling Net exp. wall Int. wall Floor Ceiling Floor v Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / M-1 R....m I L.e..th -ted °.q Width .F , Heurht. Windows and Doors—Crackag and Area Width Height No. of Lineal ft. I Area No. of pane of pane lights of crack eq. ft. s Coef. Btu Infiltration Glass -� Exp. wall q" Net exp. wall Int. wall i9 Ceiling 421 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and G= Fitting Penniit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK T� ee-j Number, Kind and Location of Fixtures Location �` PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL �' U Number Fixtures ...................... x $1.50 $ P 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) F (� F IW/! New Ground Run Old Bldg . ............ = Z vi1 y Z 6' �Q QZj uZ/ 0 ut J QZ U' Z qn R N WATER HTR. GAS ELEC. (� O Base 1st 2nd 3rd 4th • Future Connection Openings Connected with I sewer New Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL �' U Number Fixtures ...................... x $1.50 $ P 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) ...... Z x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Z x $1.50 $ / •� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $� City of Fridley: The undersigned hereby .makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application arq f true and correct. Owner- Kind of Building-� Used as To be completed about Estimated Cost, $ Old—New. Building Permit No 61 Permit o. Sign By Business Phone No " 4y •% ROUGH 57' — l % — & / FINAL -41�42 1M City of Fridley, Mian.. �t a�177 BUILDING PERMIT N° 7028 Date: ' owner: Builder � Address Address LOCATION OF BUILDING No. Street -- Part of Lot Lot —__ Block Addition or Sub -Di on Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation — r Foulition Elevation DESCRIPTION OF BUILDING T Front e Depth Height �V Sq. Ft. ✓ Cu. Ft..��� t Depth eight �a Sq. Ft. Cu. Ft. Type of Construction Est. Z __ '�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 allons of ordinances of the city of Fridley. QPM �✓ In consideration of the payment of a fee of $ , 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 reg ink location, construction, alteration, maintenance, repair and moving of buildings within the city limits an this permit may be revoked at any time upon viola�cana of any of the provisions of said ordinances. _ / i' Building Inspector • NOTICE. This penntt doss not corer the cond. .ion, fnstalWon for Wi& phnabing, gas heating, sewer or water. Be euro to see the Building hxpector for separate permih for these hoax. APPLICATION FOR BUILDING PERMIT r, CITY OF FRIDLEY,,MINNESOTA ,. OWNERS NAIL 1g, J'ale4 BUILDER u ADMSS­'."Ia�% �' ! / ADDRESS 4li, LOCATION OF BUILDING ; No. Street. fart of.Lot• Lot. Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant: attach -to this form Two.Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: cFroat Depth �/ Leight . . V Sq. F:t. Cu. Ft. Front Depth Height /-' Sq. Ft , Cu Ft. Type of Construction �` � +� Estimated Cost /1($'0 To be Completed The undersigned hereby makes application fora 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, andhereby.declares that all the facts and representations stated in this application are true and -correct'. jScbedule of Fee Costs can be found on the Reverse Side). w M D 9 - 780 - Fr 70,2 LOT NAME C /: t -h E,,) AF r/- SIZE as x a BLOCK ADDRESS VALUE' AG 1-41,6-10 ADD'N. AREA TYPE Fes. �Ap L. -P%/ ©finer l3C'Tnre Sxaix y �e c� owner Tor �x��t /o eve.)/1,9207 . C c,o'e ver c dr el /� /17es�S � C o nc�u.'f owner Please advise the customer before starting the Job of the aPProxfmate amount of extra fill and extre concrete and get the OK to go ahead. When theJob la completed, netlfy the owner and also Ma►Ilee of the exact M ns used. amount ,0 % r/ E .7/ .ee4s Q A cn Na 0 W rf 16.0 M.5 30" SUBJECT NO. City, of Fridley 1810 2 CR AT THE TOP OF THE TWINS BUILDING PERMIT PT NO. `L _____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. "—.1 CITY CITY HALL FRIDLEY 55432 , NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 7/9/85 JOB ADDRESS 5837 - 7th Street N.E. 1LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clayton Saleck 5837 - 7th Street N.E. 571-7334 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Blue Rooster Roofing Co. 3319 Portland Avenue South 822-5787 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 p ❑ NEW ❑ ADDITION XI ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroo£ Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Use two layers of 15 lb felt, mapped up to 2 feet inside outside wall or 36' inches. of 50 or 90 'lb starter roll. 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 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 $1 r 650 $.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DS NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR VI NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $28.00 TR TION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ^ $28.83 SIGN R OFCONTRACTORO U o EDAGEN (A E) WHEN PROPERLY V ATED THIS IS YOUR PERMIT cks SiGNATURE OF OWNER IIF OWNER BUILDERI (DATE) BLDG INSP n E NEW [ ] ADDN. [ ] ALTER. Co truet4on Address City of Fridley �R-1 AND R-2 Building Permit Application 5- S3 i 7IrL s,- /0, Effective 4/1/84 ns Legal Description: Lo'f /3 a/G c -k 2 - Owner Owner Name & Add- ess: Clcl-yt6Sc����l< Tel. #?1- 733L� Contractor: ��f'&. go � c`- Ir Kbo� i �c C Tel. as _ s?� 7 Address • 3 31 ct r -,c, o'— ►„ d civ 5 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback � n(� a Type of Construction: If-av- 2✓'od'r Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation ATE: APPLICANT: ` Tel. CITY USE ONLY Permit Fee $ ozoi Plan Check $ State Surcharge $ �3 SAC Charge $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: VSE. `h�U Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 01� SUBJECT P City of Fridley 0-'19607 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 10/5/88 JOB ADDRESS 5837 ,-. 7th. Street N.E, 1 LEGAL LOT NO. 13 BLOCK 2 TRACT OR ADDITION SEE ATTACHED Lyndale Builders 7th Addition DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP HONE34 7tTi Street N,E. //l1 3 Saleck. 5837 � SP 3 CONTRACTOR MAIL ADDRESS ZIP PHONSE NO. X784_+! D & D IiOme Improvement 7401 Central Avenue N.E., Fridley 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 ❑X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK install aluminum trim on house & garage 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 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 Z 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 $1175O $,88 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. $41,00 PLAN CHECK FEE TOTAL FEE $41,88 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT MATE) - .. WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT LDG INSP 11 rTE SIGNATURE OF OWNER 0F OWNER BUILDERI (DATE) 01� NEW I ] City of Fridley Effective 5/1/88 ADDN [ ] R-1 AMID R-2 ALTER Building Permit Application Construction Address:_ �� 11� Legal Description: Owner Name & Address: Tel.# f / Contr actor : t co u \ Q- Tel. # �LL Z> Address: � -i�t��1 rive' 9E Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sg. Ft. DECK AREA: Length Width Hgt/Ground Sg. Ft. Mlak Corner Lot [ I Inside Lot M Ft. Yd Setback Side Yard Setbacks Type of Construction: A jqm, rt"I`;/Y\ - LN0 5e A -cm, tg e Estimated Cost: 5 % �-% 4570 .CC1- Approx. Completion Date: ,1 �-/ --451 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: 5 $ Width + 6' See Back Page DUE: *'/0 —� c APPLIaM : �/ r C � C� l � � Tel. # -7 941® 7 � CITY USE MY Permit Flee / Cao Free Schedule on Reverse Side State Surcharge 5.50/510,000 Valuation SAC Charge 5 $550 per SAC Unit Driveway Escrow 5 Alt. "A" or Alt. "B" Above Park Free 5 Flee Determined by Engineering Sewer Main Charge 5 Agreement Necessary I I Not Necessary [ ] TOTAL 5 Sl'IPO MIONS: 1. . CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser S 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic'Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 $ ALL OTH1:'S AND/OR REPAIRS AND ALTERATIONS 19 of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ 5,,CC:b Effective Date May 1, 1988 Job Address -'-� �,nJ^. ! fU 7 '21 6 Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. )S ��% , 19 OWNER --,I!? RIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST R,U U o OLD - NEW BUILDING PERMIT NO. PERMIT NO. 163 -2 - Company 6/ - ROUGH INSP. Date Company ✓ ��/2 u/DL� u✓j Signed By moi' Tel. No . O -2 7- $"31'1 FINAL INSP. 1-2 -✓ �J Date APPROVAL FOR PERMIT 0 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE 0 Water .c[i 4 m a e V u 04 w Heater M omi m .0 C G 3 w •C . x 'u m R U D w m S o w w w U q� a 3 U t c, s lec F3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser S 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic'Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 $ ALL OTH1:'S AND/OR REPAIRS AND ALTERATIONS 19 of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ 5,,CC:b Effective Date May 1, 1988 Job Address -'-� �,nJ^. ! fU 7 '21 6 Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. )S ��% , 19 OWNER --,I!? RIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST R,U U o OLD - NEW BUILDING PERMIT NO. PERMIT NO. 163 -2 - Company 6/ - ROUGH INSP. Date Company ✓ ��/2 u/DL� u✓j Signed By moi' Tel. No . O -2 7- $"31'1 FINAL INSP. 1-2 -✓ �J Date APPROVAL FOR PERMIT 0 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS -59-37 RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - I city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20:00 $10, 0 that all the facts and representations stated in this application are true and correct. ,1991 Gas Piping (Needed with new furnace) $ 10.00 OWNER Ut4_� Gas Range $10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ tq000i 00 11,223 ESTIMATED COST PERMIT NO. *Air Conditioning - All Sizes $10.00 $ o® All Others/Repairs & Alterations (LIST ON BACK) 1 % of Va ue of Appliance or Work Commercialli ndustrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ q 7, 5-0 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) arm Air Trade Name L6440( Pw ISE Size No. ! - 3 BTU 6010ou HP EDR Fuel Nk-W*c Total Connected Load Burner Trade Name Size No. BTU H P , EDR HEATING COMPANY/;90S// Mom iI(6 A Ave �- Signed By Tel No. 5,36-0&6-7 Approved By �ZF Rough -In Date Final Date ?1101 FILL OUT BACK SIDE FOR STACK VERIFICATION ON/ REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (X) No ( ) 2. Is free from rust or deterioration Yes ()() No ( ) 3. Has no foreign objects lodged within Yes ()o No ( ) 4. Is securely supported Yes (k) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (K) No ( ) 6. Has total heating BTU's of 7�: ®,0- All other BTU's TOTAL BTU's List Alterations Being Done: � w —"2 -2$.o - HEATING COMPANY RANI %%Cv►�-y Signed By Date E City of Fridley SUBJECT 2 6 4 8_ AT THE TOP OF THE TWINS BUILDING PERMIT _4 r ` RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. �® NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7 /7/98 JOB ADDRESS 5837 7 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clayton Saleck 5837 7 Street NE 571-7334 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 O NEW ❑ ADDITION ❑ ALTERATION J] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (23 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 $1,441 $.72 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 TOTAL EE -117 1 $ .66 SIGNAT RE OF ON. OR AUTH ZEDAGENT IDATEP NWOP�YVALIDAT IS YOUR P ML 7:1 NATURED WNER OFO NE BU1LDERi iDATE1 BLD N FATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddre; Legal Description: Owner Name & Ad Contractor: e MN LICENSE # Address:. Tel. # _ Effective 1/1/98 a�qj� 3 q-10 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: Driveway Curb Cut Width Needed: DATE: 7—?—?F I?F Ft. + 6 Ft = Estimated Cost: $ 10-11 l (Fee Schedule on Back) Ft x $ = $ i APPLICANT Tel. # CITY USE ONLY Permit Fee Fee Schedule on Reverse Side Fire Surcharge77$ .001 of Permit Valuation (1/10th%) State Surcharge qp_$ $.50/$1,000 Valuation SAC Charge $ $1000 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 U, �$ STIPULATIONS: SUBJECT VIERMIT NO. City of Fridley 2 714 1 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. r 1 � 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 8 / 12 / 98 JOB ADDRESS 5837 7 St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Lvndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joan & Clayton Saleck 571-7334 3 CONTRACTOR MAIL ADDRE�S�S �� ZIP PHONE LICENSE NO. Wellington Window & Do 3-630 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 Ak REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet State Building Code - in each sleeping room and on each level of home. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 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 $9640 $4.82 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. $162.25 Fre SC $9.64 PLAN CHECK FEE L FEE T.-Ireng4w"112 15-0/ 7181.71 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN RO V LID T THIS IS R P§w1T r SIGNATURE OF OWNERIIF OWNER BUILDERI IOATEI , BLD INSP Of GATE NEW [ ) ADDN [ J CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name,&,!Address: Yye� Contractor: k Address: Effective 1 / 1 /97 Tel. # 5-7/-- X34 MN, (LICENSE # 014 MN TPl it 933-- (Dc310 Attach to this application, a Certificate of Survey of We 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: Estimated Cost: $ 9�p (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft,x $ _ $ DATE: 914- I 6 APPLICANT: Tel. #923-0360 CITY USE ONLY Permit Fee $ / 2. 2-5 Fee Schedule on Reverse Side Fire Surcharge $ �. %� .001 of Permit Valuation (1/10th%) State Surcharge $ �.gZ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ s.00 $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 $ STIP1JLA"1'IONS: J�V4eig � �c� � �.�/ /BGG p/•� CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 " APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer 4 *Air Conditioning - All Sizes All Others/Repairs.& Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr Effective On January 1, 2002 JOB ADDRESS % OWNER Ire le -C k TOTAL / / D BUILDING USED ASYS.`d ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units _ C=-,—y-gi-ze e (Steam) (Hot Water) (Warm Air) $ Trade Name r—�� ford No. 4:Q�'a-RV BTU HP EDR $ Fuel ✓vim Total Connected Load Burner Trade Name Size No. $ BTU HP 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. �c r �t.S• �" � C py-n G r HEATING CO Signed DATE f./�;- ®a- TEL # A; "/ FAX # Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Die® 1'r?y 152<361i ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-12117 5837 7TH ST NE 233024130110 : LYNDALE BUILDERS 7TH ADD : LOT 13 BLOCK 2 : BUILDING RESIDENTIAL WINDOW/DOOR REPL PE N0.:2004-00445 DATE ISSUED: 04/06/2004 VALUATION : $ 2,389.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE WINDOWS AND PATIO DOOR APPLICANT WELLINGTON WINDOW & DOOR CO 3938 MEADOWBROOK RD ST LOUIS PARK, MN 55426 (952)933-6300 SALECK CLAYTON J & JOAN M 5837 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 wort 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 construction or the performance of construction. Bldg Insp Date Tt�.C/ 0 BUILDING PERMIT FEE 83.25 FIRE SURCHARGE 2.39 STATE SURCHARGE, VALUE 1.20 TOTAL 86.84 PAID WITH CHECK # 73043 Permit Inspection Darn Will ® Mailed To H® eQWn®r To n - SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW (] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 001 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Ai ;'-Vo zI - coq' Effective 1/1/2002 (763) 5723604 Bldg Insp e1, -7-7y Tel. # %6 7 - 2�j- W4( 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: 196zr C2 61 Construction Type: /L �a�/�e�� Estimated Cost: $ ;)Wqa Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ DATE: APPLICANT: _,. Tel. # Call (763) 572-3604 for Permit Fees if mailingapplication or to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ �3 � Fee Schedule on Reverse Side Fire Surcharge $ 'a. 767 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1200 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 [ ] g�� 0 TOTAL $ STIPULATIONS: