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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N?4 5 8 Date: Owner: '" Builder _ ZZ Address Address LOWN OF BUILDING No. Street _ _ Part ofAr--I Lot _ Block Addition or Sub-Diviat� Corner Lot Inside Lot T Setback —16�,7— S1 yard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING T -Used ' � , �' Front Depth Height Sq. Ft. 4 Cu. r✓' o it Depth ghq. Ft. Cu. Ft. ZiL Type of Construction ' % Est. Cost 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 ordinances of the city of Fridley. 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 meson 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 vioof any of the provisions of said ordinances. on ,rt Building Inspector NOTICE: Thi► penult dales 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 hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builder Address Address ge V � l LOCATION OF BUILDING No. Street I �� Part of Lot Lot Blocky Addition or Subdivision Corner Lot Inside Lot If Setback__ Side -Yard %O' d- IJ ' SEWER. 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. FrontDepth 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 representations stated in this application are true and correct. -' - (o I SIGNATURE Y14 (A Schedule of Fee Costs can be found on the Reverse Side.) Land Planning m75-H0,ray *`6S AlE. Land Surveyiny Minra?apalrs 2/, SoilsTestiny ENGINEERING, INC. Mjnneso/a Civil & munwpal st*0144066 En97rreerin9 Engineers Survecors c estifscate o� ssse1�*e H a DEVELOPMENT ,c. T LOT /. L YIVP4LE 9Z PP,5. 1'LOee 2 / ffvv y ceA y Nw Ihis is a fiw avid awmd reprtesentotran of a surveqC#m b wndories qC#x eba&- &w,-1 ed /and, and 4W lawhan afaU buildings , #zivw, , mel all risible mamchmmis , If &a , fran Or' w said land. As surveyed by me t/ns - de[f Fe 6 u s r u A.D. r9lo.l . SUB URBAN ENGINEERING, INC. SCALE l "- 30 Efla;nears Fr Sur rv0rs f � I /3 4.9 ,7 I `r0df♦ 0 � � i I 1� I \9 C17 LOT /. L YIVP4LE 9Z PP,5. 1'LOee 2 / ffvv y ceA y Nw Ihis is a fiw avid awmd reprtesentotran of a surveqC#m b wndories qC#x eba&- &w,-1 ed /and, and 4W lawhan afaU buildings , #zivw, , mel all risible mamchmmis , If &a , fran Or' w said land. As surveyed by me t/ns - de[f Fe 6 u s r u A.D. r9lo.l . SUB URBAN ENGINEERING, INC. SCALE l "- 30 Efla;nears Fr Sur rv0rs f � Application for Power Plants and Heating, Coding, Ventilation, .Refrigeration 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 $ NECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ........................ 2.00 $ Replacement of Furnace .............................. €.00 $ Repairs & Alterations—up to $500.00 ................. ............ 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM 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 $ 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 $""�' Q GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 A $ /e 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 $%,e�d�/ ROUGH FINAL Dept. of Bldgs. Phone SII. 4-7470 City of Fridley: , Woe 14, � " o^j 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, inn 19 Owner Kind of Building n Used as To be completed about Estimated Cost, $ .pld—New. Building Permit No. Permit No.—� DESCRIPTION OF WORK HEATING or POPfERlZ.ANTS—Steam, Hot Water, WarmAir-4No Trade Name -- ��.� - -� Size No �� �® ac b Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load � '� y Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. pru � ll M=k-0m_i_ 42 ZM 7-59 Business Phone No DPW 105 VILLAGE OF 2/60 PUBLIC WORKS DEPARTW6 PROTECTIVE INSFE CTION DIVISION DATE APPLICATION FOR HEATING & VENTILATING PERMIT OWNER ADDRESS KIND OF BUILD G HOW OCCUPIED WORK TO BE COMMENCED TO BE COMPLETED ZgZZ ESTIMATED COST 1j D0. DESCRIPTION OF WORK 1, 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 h MAKE S, ,eZ C//SIZE NO. CONNECTED LOADu�' �e� CAPACITY KIND FUEL �/��.,/ GAS AUTHORIZATION N0. ALTERATION OR REPAIRS ESTIMATED COST S4te mtw— 3, HEATING OR POWER PLANT STEAM HOT WATER OTHERS TRADE NAME SIZE N0. MANUFACTURER ADDRESS CAPACITY SQ, FT* E.D.R. B.T.U. H.P. TOTAL CONNECTED LOAD KIND OF FUEL ALTERATIONS OR REPAIRS ESTIMATED COST 4* AIR CONDITIONING SYSTEM SUMMER (WINTER ALL YEAR MAKE CAPACITY Ce F. M. ALTERATIONS OR REPAIRS ESTIMATED COST 5* VENTILATING SYSTEM MAKE CAPACITY C. F. M. ALTERATIONS OR REPAIRS ESTIMATED COST 6* OTHER DEVICES DEVICE SIZE NO. CAPACITY USED FOR FEE PENALTY TOTAL FEE CHIEF INSPECTOR% THE UNDERSIGNED HEREBY MAKES APPLICATION FOR A PERMIT FOR THE INSTALLATION,, ALTERATIONS REPAIR OR OPERATION Olt A HEATING OR POWER PLANTS DEVICE OR BOILERS AS HEREIN SPECIFIED, AGREEING TO DO ALL SUCH WORK OR TO OP- ERATE SUCH PLANT OR B41LERjj IN STRIPT 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 '4P PUBLIC WORKSq.AND HEREBY DECLARES THAT ALL THE FACTS AND REPRESENTATIONS STATED IN THIS APPLICATION ARE TRUE AND CORRECTo S I GV ED BY ZK1: /� c 0 ADDRESS 1 li'i6�7 D HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS p. � M MEAPOLIS. MILAN. WeatherstripsA.S.H.V.E. Construction No. Insulation Guide W ' Bows rs Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied e No I Ygs No 19_ "" �' Room I Lengthq,�,, Width "" Heightg' F19W". Room Length ® Width Heig Windows a Doors—Crackage and Area Win owand s Doors—Crackage and Area Width Height No. of Lineal f . Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. No. of pane of pane lights of crack sq. ft. M A� ./.-f � v4 Coef. Btu Coef. Btu Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Requir D.R. or sq. ins. W.A. Leader area Fl. Room ( Length Width A° Height Windows and Doors—Crackage 6d Area Width Height No. of Lineal ft. Area No. of pw ofpaMp 11 is of crack sq. ft. s 171l A / Coef.F Btu Infiltration �° ►�"' Glass Exp. wall Net exp. wall Int. wall Ceiling Coef. Btu Floor Total Btu. T Required s D.R. or sq. ins. W.A. Leader area F1. Room I Length 91,7, Width ;o' Windows and Doors—Crackage and Area Width No. of cane Helght No. of Lineal ft. Area of pane limhte of crack sc. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Btu. Glass Exp. wall c Net exp. wall Int. wall Floor Total Btu. Required s ft. E.D. . or sq. ins. W.A. Leader area FI.I Room ( Length ' Width Heigh Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights, of crack sq. ft. evz ffCoef.Btu Infiltration Glass Exp. wall Net exp. wall Int. wall me 4ft Ceiling 45 9v Floor IVU Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 qgOil= Room I Length '—Width Heightr Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of.pane lights of c;gck s . ft. Coef. Btu Infiltration Glass Exp. wall ° Net exp. wall Int. wall Ceiling Floor Total Utu. e I --x Required sq. ft. E.D.R.: or sq. ins. WA. Leader area City of Fridley Application for Plumbing and CGca F*Nng Permit DepL of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK -'-0 �3 7 C� Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE City of Fridley: The undersigned hereby makes application for a permit for the work hereii 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 ar true and correct. 1:5dley, 1V1inn 19� i9 e n Kind of Building C i Used as PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. G x $1.50 $-9, 0 4r Future Fixture Opening ................ x 1.20 $ p in $ Catch Basin ...... ..................... w Z • F • N WATER HTR. GAS ELEc $ 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 $ *0 Base 1st 2nd 3rd 4th • Future Coaneetfwn Openings Connected with I Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE City of Fridley: The undersigned hereby makes application for a permit for the work hereii 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 ar true and correct. 1:5dley, 1V1inn 19� i9 e n Kind of Building C i Used as PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. G x $1.50 $-9, 0 4r 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 2.00 $ -S' - Gy 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 & ALTERATIONS—Refer to Code Description ........... $ TOTAL FEE $ To be completed about Estimated Cost, $ Old—New. Building Permit No �1 -� Permait N Sign - - By Business Phone No Y ROUGH 7 - FINAL d2 2M U n �J Date: Nov. 18, 1968 City of Fridley, Minn. BUILDING PERMIT owRogerAnderson Builder Sussel Co. Address 5873 7th St. N. E. Address 185Q Coma Ame. St. Paul, Minnesota Rec . 45 043 N° 10023 LOCATION OF BUILDING No. 5873 Street _ 7th St. N. E. part of Lot Lot 16 _ Block 2 Addition or Sub -Division .._._ L dale Blders 7th Addn. Corner Lot _ Inside Lot --Setback Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage 24' 22' 10' 528 5280 Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Fst. Cost _ $22 000 __ 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 ordinances of the city of Fridley. In consideration of the payment of a fee of $—§- —00 , permit is hereby granted to— Sussel Co. 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 andmoving 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. Building Inspector ence BELISLE ,ate, o's NOTICE: This permit does not cover the construction, Installation for whine, plumbing, ga heating, sewer or water. Be sura to we the Building Inspector for separate permits for these hon». APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA MM'S NAME�,eQ i-/ �h�® �� BUILDER o'��3 s� do ADDRESS JT//3 - 7t / /Pr ADDRESS �O s� X16 ��e ^ �� 1151� LOCATION OF BUILDING NO. STREET LOT BLOCK ADDITION OR SUBDIVISION COMM LOT INSIDE LOT SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRI.PTION OF BUILDING To Be Used As: p,- 40 f i .-) _Front a- Depth. Height Square feet ,:4K Cubic Feet Front Depth Height Square feet Cubic Feet Type of Construction �s-e-I-Ave 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 of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and i�.;resertations stated in this application are true and correct. DATE /®v 6 SIGNATURE 7�r�-�.� (Schedule of Fee Costs can be found on the Reverse Side.) �4 4560- 9 0 i I A� d,—J;k *% acteeftens, _ —7 -7 —7 -J—P LOT NAME SIZE - BLOCK ADDRESS VALUE TYPE ADD'N. AREA sTEM i I Gly 2 t�t'Z,C, ►�. i_.. a C. a`4 (+� � �T � � i►T i I MIF --.&t4 7 ems 'e !� f�tZo til rz t.l�F— fir.!/ M E.S�-► . �.X 1 S'r► ems► rte. E%I -%-rI C -- "-4r -rq=)® P 3�_ � t a� o�= � arZ b• ��- _ -rc� s-res:z.— +�.._ � ►� � t�, s sir o�.t ��. f4 Sys- a/r�' �elmd 0 0 PERMIT for Power Plants and Heating, Cool. ing, Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. o.I N_eating Plants to be installed—altered—repaired /�'�y Make L Bsn � A Oil fired—, Coal fired—,- Gas fired ; Gas Authorization • - „ , . �(i����i sal Approved Final Inspection Date , 19_ Inspector S��ro Pest N° 4746 Fee OfFce of the Inspector of Buildings City of Fridley City of Fridley, Minn-, Qt,• + :)- �/ , 192 Owner Pl a rea Jl,,45A_a Location V 2 Kind of Building How Occupied .AiL�4 Work to be Commenced—, 19— To be Completed J ,192P8 Estimated Cost, d 6 Old- ew, Building Permit Permission is hereby granted to C- to install—erect—use the material and devices described in the above statement. This permit is grantedupoh t express condition that the perso to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in Yhe operation of the devices herei 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 s t fo h in the approved application for this permit on file in the office of the Inspector of Buildings. Inspector of Buildings 42 2M 11-67 V 53-84-s-915.51 City of Fridley for Pkmbbg and Gas 9 Famb Dept. ed BAdw ,hens VESCaMMON or WORK 5873 NE 7 St. 11 e:, to ad =4 Locaflea Of des n 1140 1 E 3 mtlC(j �q{ Is p HwiTHM �. lea Y (: 5i ® M 6A� PLHC. PARTIAL RATE SCHEDULE PLUMMUQa FUKTUM RATM 110► "Tz Tar" NWAW FIX"" ............... • � rubam 1 @m .... ® ...... New am oppnift.......... Caw% Barbs .............:...... Rater Reader 'Up to WAW BM • • • ® it MM & New Croaad ltun Old MOW ......... r $225 $ clectdawataru ebw ............. ®a no i LE i rzatarea ..... • .. 2 a an *_L00 ..............._2655 Qat Hates to mom wm ........... a State Surcharge $ .SO 1»I►� t il.ZF7taTta/1641@0w Is DWW numygn Light and Grill �� 6,00 IOUL VM S 8.50 Crtr of Frith": The underzWed herd makes application for a permt for the v3wh hen weified. apwelas to do aII wok in sUkt wc=danm with the My Mftamw� and nAinS of the Departrwft of BuMMA and herdW de6ares that aM the fad.- WW ast:and aePresentations stated In this applbmdow are true and correct ter. :Lim 7/17/73 »� . fAsw Roger V. Anderson Kind of BuBding Frame Used as . Res. To be eotwleted :boat 7/22/73 Estimated Cop, a 20.00 OMXa mP. BuMing P0. of Ma -M ftned = ' 4-/ e Pbww CMW Surcharge .500 101 SUBJECT PERMIT;01. City of Fridley o 12 AT THE TOP OF THE TWINS PERMIT i BUILDING RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r 1 � PROTECTIVE INSPECTION SEC.Y�4�4 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY ---- ,�J 612-560-3450 910-F15 JOB ADDRESS 5873 - 7TH STREET N. E. FRIDLEY MINNESOTA 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16 2 LYNDALE BUILDERS 7TH ADDITION SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE ROGER V. ANDERSON 5873 - 7TH ST. N.E. FRIDLEY 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. ANIS 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION CA REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS WARNING SEPERATE PERMITS REQUIRED FOR WIRD, Before digging call local utilities HEATING. PLUMO NO $IIGNSY TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW 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 I I 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 $600 $0.50 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. $5.00. CK FEE TOTAL FEE 5.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT I`DATEI WHEN PROPERLY THIS IS YOUR PERMIT y /AL/IDAT/ED �/ z/ - -- TE) SIG TURE OF OWNER IIF OWNER BUILDER) ID TEI BLDG INSP DATE 101 APPLICATION FOR RESIDENTIAL., ALTERATION, OR ADDITION BUILDING PERMIT CITY OF*FRIDLEY, MINNESOTA OWNER ° S A N� PcSk-Sz N BUILDER: ADDRESS: %ati, '1�a Si . �e ADDRESS: %E \_ V- NO;. STREET: LOT: N b BLOCK:— . ADDITION: �.\A CORNER LOT: INSIDE LOT: v-�" SETBACK: SIDEYARD: Applicant attach to this form Two Certificates rf Survey of Lotand.propose' building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Square Feet: Cubic.Feet: Height: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: $`'1a��•�d To Be Completed:y The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stzict 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: SIGNATURE:- (See Reverse Side For Additional Information.)' 0U � City 4f Pi•idl®y Applicaflan for Plying cnd G= Fibej Permit Dept. of B1dp. Phone SBO -3450 DESCRIPTION OF W0111t Loeai— S-2- 7 3 •� Number, Kind and Loce34on of Fixtures • Futuro Connection Oponings t New Fixture, Old Openings City of Fridley: In The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the Cit' Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, btinn % 19761-1 Owner v Kind of Building 171� -- Wuuvwa,w wa.0 saver C upo H Used as P� PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $r�. Future Fixture Opening ........... x $1.50 $ -• New Fixture Old Opening.....:.... x $1.50 $ _ .118MMMM x $3.25 $ Water Heater `.Up to 99,000 BTU► - • x $3.00 $ New Ground Run Old Bldg......... x $.4.25 $ Electric Watar Heater, ....:..... s $2.00 $ SAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............. • • • • • x $2.00 $ . Additional Fixtures ................ x $ .75 $ Gas Range to 199.000 BTU ........... x $5.00 $ • KVAAW�►+�I�'NOW3=:` Asp"ML�! • Futuro Connection Oponings t New Fixture, Old Openings City of Fridley: In The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the Cit' Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, btinn % 19761-1 Owner v Kind of Building 171� -- Wuuvwa,w wa.0 saver C upo H Used as P� PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $r�. Future Fixture Opening ........... x $1.50 $ -• New Fixture Old Opening.....:.... x $1.50 $ _ Catch Basin .................... x $3.25 $ Water Heater `.Up to 99,000 BTU► - • x $3.00 $ New Ground Run Old Bldg......... x $.4.25 $ Electric Watar Heater, ....:..... s $2.00 $ SAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............. • • • • • x $2.00 $ . Additional Fixtures ................ x $ .75 $ Gas Range to 199.000 BTU ........... x $5.00 $ To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No._, Signed a By a►.®r� Business Phune No ROUGH FINAL, Z - /Y - %,5 REPAIRS & ALTERATIONS—Refer to Code .50 State Surcharge Description ..........................................$ TOTAL FEE v: - SUBJECT PERMIT City of FridleyK("*",624,1 AT THE TOP OF THE TWINS I III D I� I %� D[ D� A I T BUILDING r Dv L IVv rLR'v' ECEIPT NO. � I •LIU COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. Z % I � = CITY HALL FRIDLEY 55432 NUMBERDATE REV. PAGE OF APPROVED BY L 612-571-3450 910-F15 6/17/81 JOB ADDRESS 5873 - 7th_ Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 2 Lyndale Builders 7th. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Dee Anderson 5873 - 7th Street N.E. 571-0058 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Potvin Construction Co. 2006 - 54th Avenue North. 560-0011 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 1� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof structure 9 CHANGE OF USE FROM TO STIPULATIONS Roof can he 2nd but not 3rd roof. Install ridged galvanized valleys. 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 VALUATIQN SURTAX$• AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ,S J 600 g0 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- $12.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $12.80 SIGEOF ONTRACTORORAUTHORIZEDAGENT (DATE) .. WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT G @d!� BLDG IDAT SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATIOJ FOR; RESIDi-iNTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: eg?'P GUILDER: i✓�N ��z•s ADDRESS: 549-23 7�"'�;irG�-�,- �lr, ADDRESS: e!E.-€ �® TEL h0: 1571— e Cos g TEL UP: Construction Location STMMT NO. r13 STREET: _ % � � � Al �. LOT: BLOCK: Z ADDITION: � y`rO/�GF' %►,QS ��"4 Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION r*-ront: Depth: Height: Square. Feet: 11v2 ® Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: - Estimated Cost: $ /e""Da. e To $e Completed: - Z,5, -C'-/ Proposed.Driveway Width If New Opening Is Desired: Alt. A Alt. B SEE FEVERSE SIDE OF SHEET 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 represenLiti.ons stated in this application are true and correct. DATE: L� ^�� �� SIGNATURE: Stipulations: SUBJECT E R M I T N0. City of Fridley 24192 AT THE TOP OF THE TWINS BUILDING PERMIT Ir RECEIPT NO.^® COMMUNITY DEVELOPMENT DIV. � L � PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/20/96 JOB ADDRESS 5873 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 2 Lyndale Builders 7 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Susan Rapola 5873 7 Street NE 572-9382 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Renewal by Anderson 1700 Buerkle, White Bear Lake MN 55110 430-7255 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 [j ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows (7) 9 CHANGE OF USE FROM TO r STIPULATIONS Windows in sleeping rooms must meet the State Egress Code. Provide smoke detectors in all sleeping rooms and on all levels of dwelling. 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 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 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS I 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 $5,485 $2 • 74 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$112.25 OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE License SC $5.00 $125.48 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROP THIS IS YOUR PERMIT ?%Y 4 . B DG IN9P sVALIDATED ((�'� ll„ !� D ATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI APCITY OF FRIDLEY TEL: 612-571-1287 Mar 20,96 9:48 No.001 P.'01/02 NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER j ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 n Building. Permit Application CorLstructionAddress: x-1"3 N .e -1 � Sfi Legal Description. Owner Name &Address: Sy S&,l VG4POL6, Tel: # S1 I - US? Contractor: ��cNt�r►l.��.. `3-j 4NQe(ZnrJ • MN LICE NSE # ZOO 4©634 Address: VI C0 I3U E(Z41-1F yet �4►Te e>EaL. 11a,IC =- . I4inl SS 11 Tel. # I30 . 1 ZS'T Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCR31MON OF MfPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. _ DECK AREA,: Length Width _ Hgt/Ground Sq. Ft. OTHF.R: (U••`OLpCA r4(3- 6% rr i f00of S }F -c �W m C- AZ114 AuGE7 W kr4aws tzt`o t -A &I r4c.,- I k4 i t IXW W j r N- A u m ejLTe Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: _ Estimated Cost: Approx. Completion Date: �(a •►5 -q6 . (Cost. on, Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft=. Ft x $ DATE: ► 5 •)( • APPLICANT: ?'I Nn _ SC1�--xv✓_ Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge I:icense Surcharge Driveway Escrow .F.rosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE. ONLY Fcx: Schedule on Reverse Side :001 of Pennit Valuation (1/10th%) /- $.50/$1,000 Valuation $900 per SAC Unit $5.00 (State Licensed Residential .Contractors) Alt. "A" or Alt. "Bu ,Above $450.00 Conservation Plan Review �� i �",/ Fee Determined by Engineering's y` , Agreement Necessary [ 1 Not Ncccsaary SUBJECT P City of Fridley 26162 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � tV COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEV 55432 612-571-3450 910-F15 6/ 5/98 JOB ADDRESS 5873 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 2 1 Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Kapala 5873 7 Street NE 572-9382 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Wright Home Improvement 4735 Norwood Ln Plymouth, MN 55442 559-4250 20035829 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 Q REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof House & Garage (25 S) Tear-off 9 CHANGE OF USE FROM 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 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 $2,085 $1.04 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 O LOCAL LAW REGULATING CON- $74.75 Fire. SC $2.08 STRUCT R TH ERFO ANCE O O STRUCTION. PLAN CHECK FEE T TAL FEE Licens C $5.p/$82.87 SIGNATURE OF CONTRACTORORAUTHO IZEDAGENT IDATEI HEN PROP VALID ED THIS IS:eYUR PERbW NSP BATE SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEIBt0 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: j Legal Description: Owner Name & Address: Tel. # Contractor: MN LICENSE # .2D® 3 �?),q Address: '�77f Aon ar/o®v� �/U �l y/^� o J�`� !7� v� 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; ---91 >?Ornm JI Z) Construction C�� Construction Type: �'���'''�`�`� 6 Estimated Cost: $ .,o (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ oZ. .001 of Permit Valuation (1/10th%) State Surcharge $ ..0 $.50/$1,000 Valuation SAC Charge. $ �' $1000 per SAC Unit License Surcharge $ c!57,00 $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 $ "7 STIPULATIONS: • SUBJECT P City of Fridley 3 i 99 AT THETOP OF THE TWINS N G PERMIT '?-BUILDI CEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. r v PROTECTIVE INSPECTION SEC. 57® 3604 I NUMBER NEV DATE PAGE O: APPROVED BY ----,CITY HALL FRIDLEY 55432 i ----� L 612-571-3450 910-F15 7/13/01 JOB ADDRESS 5873 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 16 2 Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Susan Kapala 5873 7 Street NE 763-572-9382 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Bill & Tony's Home Helpers 5033 Lyndale Ave S, Bloomington, MN 55420 20262484 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 612-723-2735 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 20' Deck; Remove existing 12' x 20' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS WARNING REQUIRED FOR. Before digging call for WIRING HEAnNG all utility locations PLUMBIQ AND Sift 4540002 REQUIRE® BY LAW 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 ORDINANC GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.32 WITH WHE R S ECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT $2,640 DOES T PRES ME TO GIV AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO SIONS O ANY OTHE STAT OR LOCAL LAW REGULATING CON- ST UCTION THE PERF CE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Licen S $5.00 $92.21 SIGNATUAE 0 ON'RACTOA OR AUTHORIZED AGENT IDATEI _ MEN PROP L VALIDATE THIS IS YOUR PERMIT - / gLO19 INS' MATE S-GNATURE OF OWNEROF OWNER BUILDERI IDATEI JUN -26-2661 1400 FROM CITY OF FR I DLEY TO 7634262273 P.04/05 NEW Effective 1/1/2001 ADDN CITY OF FRIDLEY (763) 5723804 Bldg hmp ALTER I) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 5ffZ3 Ale 77-?! _ Legal Description: ' Aloe, 2, -7 M Po- T� 466eju, Owner Name & Address: Tet. # No 3 -.57z -173,r2— Contractor- 938ZContractor. orr ` 'Aa Ir MN LICENSE # a!- fie-( 2-W'30 Addrew.-_= f 33 .� ,?S. AIAM f� �r , Tet. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT OECY—) LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: L width =ie _ Hgt/Ground 2"/Sq, Ft 44CO OTHER: CSCR- /P',l` n '&I -1Z Construction Type: o%? V Estimated Cost: Driveway Curb Cut Width Needed: Ft Ft x $ 1l/ _ $ DATE: 4� APPLICA TeL # gif'"���p� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing In application Permit Fee $ 8?-- . se Schedule on Reverse Side Fire Surcharge $_ .001 of Permit Valuation (1/10(h%) State Surcharge $ , $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $_ ��°r $5.00 (State Licensed Residential Contractors) Driveway Escrow $ AIt. "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 [ ] ll TOTAL $�L9C_�1 STIPULATIONS: x- 4-:;Xore) 6 12 -_3 ZY72.E JUN -28-2001 13:59 FROM CITY OF FR I DLEY TO 7634282273 P-01/05 Lord Plortnrng WS -NooVy *CS M.E. land Sun�ty,� Minn�o�o%s 2/, soils r4o�t9 ENGINEERING, I N G. Cwl !r Al #Wpol If SU„ td 4.6066 Engineers E� Surveyors -- cestificato Of 1 UzVr*7 M f '`1 DEVELOPMENT C-10. f /: w o -. I , -;o IV. / . Y� o L{� V Z, I � ^ t zoT !&rvI y 4a qy fw *0 a ° 6w ad mrmd rVpmjwfotiw ,ofo surrey 4rhk daurm6ries grAr 4&)r dewvbed /and,mad of'1Yas larol�ri ql'a/! d iddr�s, /l�rean ,andel/ rrs�ide at�oorhmenls , r�'any, �tsn or a7said !arid As wi'rryed �y 1W11As °by Fc orue ru A D /9i1. S4/8Ue8AN E46/NEE/W46 . INC. Northridge Exterior Design 23684 Birch Rk— (612) Rogers, MN 553 (763) 428-509 328-7239 m-iP lW� i 7-01 5. 1 �-o MV/ EYl 0 Z-® e _0 • w 4 to 6 nerJc bcm rig CITY OF FRIDLEY INSPECTION DIV 6431 University Ave NE Fridley, MN 55432 763-572-3604 a: A APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK N11MAPP rm: FIXrI IRGc Tel CIC MCrel r cn ^ILi I=A^LJ el nes Effective On Jan 1, 2001 �,.Wash RATE > . .�:,',_ -:: FloorAuto_ •:::�G <_=_� as ;- Water Heater %,..t Stories.. Own. Y'; Urinals- , Shower �-� %i�;=�'�: grain ';�fjt��.: Tra �.� i�= Washer _.::.: ..=v :.�,:�;�"Ran a s;:: �Gas Elec �'.�y-.'Basement and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. :atch Basin :�. � -> } Rain Water Leader $ 7.00 T l/� . 2ao •..Floor 1 ...yl: ... "" ... Y .?•YLY":,15[•o;1ty ki•�i+.YXfs •� c�'4i[:,%lit.}y Ownerd n k6a 'J{bitY��-'�_• .. Floor 2 *-_ _:.,��: nY::- o Nater Heater - Gas" � $10.00 Building Used As Floor 3 YggY-ggg Y-1=tx t. ' ;ltl.•ll( i ...... , Yf Yi�� J:. .�ID'i$.4lRalYY5�1Z. %ipA'j0F I4:d. yI,L•... $10.00 r,, ... ... . _qLi ��Y}j,_.Y .�. AI,Iw. }lyjy'-S,.•J•l.�fY}: tY :Wlfy4;... } 'i[ ..1..•-'itiY'•SiC -l[:Y�Y•rlfiCflir- �Ot .. � ;.t.... .... ��! Z... Floor 4 -Y�L<:%f.LY:�R.^j�y=.lriro> } 'y�Y y Kd 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS o New Fixtures $ 7.00 ZLQ9- The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. :atch Basin $ 7.00 } Rain Water Leader $ 7.00 T l/� . 2ao LLI 3ump/Receiving Tank $ 7.00 Nater Treating Appliance $10.00 Ownerd n k6a u- Nater Heater -Electric $ 7.00 o Nater Heater - Gas" � $10.00 Building Used As las Range" las Dryer" $10.00 lack Flow Preventer Required ( )Yes (} No $10.00 Estimated Cost PERMIT NO. U- Type $15.00 �.t�l� PLUMBING COMPANY I rJxY^ P1&U-% LA4 Gil LAW C 1�C I M teinspection Fee $47.00/Hr S1GNE Y �,,� TEL N0. .LL OTHERS ANDtOR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved ByRough-In Date Final Date State Surcharge $ -.50 CL tai p W TOTAL FEE $� TALMMAIM Ln OMBUSTION AIR SHALL BE PROVIDED PER LLMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE In d�-1s1;-) (10 'k'03TY OF FRIDLEY BUILDING INSPECTION v D 3431 University Ave NE 9 ?ridley, MN 55432 L 9 D n J a Y 763-5723604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) �oS - D3139 Effective 4/1,/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS S`6 -7 3 S� - N� ee Tota Owner Yl $35.00 $ 15 Building Used As 2n C 'e $10.00 $ ESTIMATED COST 5L Q_()• UQ PERMIT NO Gas Range $10.00 $, Gas Dryer $10.00 $ *Air Conditioning -All Sizes { $25.00 $ S �U COL r r i V_' V- -3 � 1 K i -t' O;R LA oZ -T c-, V-\ All Other Repairs or Alterations (List on Back) 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 $300.00 5 Commercialrindustrialjinstitutional } 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for commercial/Industrial/institutional YState Surcharge TOTAL FEE v REINSPECTION FEE $50.00/HOUR DESCRIPTION OF FURNACE AND BURNER # of Heating Units Circle One (Steam) (Hot Water (Warm Air) Trade Name 0.r i ey" S t Vn Tf t 6(oc) Size No. BTU LA U, 0 on HP EDR Fuel -'ca'Cods 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 .50 M *Air Conditioners cannot be placed inside yard without written approval ry from adjoining property owner - copy to City N EL FILL OUT BACKSIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE and representations stated in this application are true and correct. CENTERPOINT ENERGY HEATING CO 13562 CENTRAL AVE NE BLAINE, MN 55304 Signed Tel # 763-757-6202 FAX # 763-757-6701 Date Approved by Rough4n 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 Yes No( ) specifications including sizing, length, number of elbows and termination. (y) 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 existin combustion air is sized and installed to meet the currenfi 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 Yes No( ) Venting Tables for fan assisted and natural draft appliances. 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 6ovcv-> Fan Assisted or Nat r-rr `9� Appliance #2 Type BTU Input A o, mop Fan Assisted or Nat ae.-r Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances � Total Btu Input -log®aD Common Vent Type Cf - Vent Height 5gtq Diameter inches Appliance #1 Vent Connector Height 2-P ft Length `ft Diameter- q „ in Type Cf - Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance 93 Vent Connector Height ft Length ft Diameter in Type i CENTERPOINT ENERGY HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304 - Signed By: Qa a — Date _ f.Z�--/Z-(-6)-r 70/pA ' A T VV.gJ,gz, 01 A37Q 1 dd d0 A110 W0N4 gZ : T T VOOF-LZ-Ndd - Building BUILDING Permit No.: — %r Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY Date Rec'd: —1 "(95 763-502-44977977 FAX .0005 x Permit Valuation Minimum $.50 $ S–, ®' EFFECTIVE 8-19-09 $ DATE `i — �It UR E-MAIL ADDRESS —ft +6 ft= ftx$22=$ $ `Y 4, $ SITE ADDRESS �3 Agreement necessary ( ) Non Necessary ( ) THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: U a ADDRESS: 58'?3 *;7 CITY f-f7�1� STA ZIP TENANT PHONE: 79/-?N*I CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE #oZb3 "I9i1 EXP DATE S-31-316(0 YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: N CITY C6±1±pj C-1 STATE ZIP SST/L INSURANCE PHONE%LjA—�4—t4i-tr. FAX -763� PROPERTY TYPE ❑ SINGL FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED .- NDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ ❑ DECK -- S: S NG ❑ RAIN TILE OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTE�N+ANCE/REPAIR -fiYREMODELING DESCRIBE WORK BEING DONE: — Sl W' SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, 13DIN Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ m ❑Trim I . Site Plan/Survey showing the existing structures Other 13 Fascia and proposed project. _� 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS es ON. LOCATION F W�9 WS FOR WINDOWS —PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF�idV W I� MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due (z: , (cam OCCUPANCY TYPE $ r �� , See Back Page for Fee Schedule $ 65% of Building Permit Fee $ 7, _ .001 times the total job valuation $ 7,30 .0005 x Permit Valuation Minimum $.50 $ S–, ®' $5.00 (State Licensed Residential Contractors) $ $2000 per SAC Unit (Plans to MWCC for determination) $ —ft +6 ft= ftx$22=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ �, _— Make checks payable to: City of Fridley Attach THISIS 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 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 applicatir a p rmt and rk is not to start without a permit on site; that the work will be in accordance with the approved plan in the case o all rk wh' eyui review and approval of pla S. SIGNATURE OF APPLICANT PRINT NAME