PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N°• 3148
Date: .. "../T- : ...................
owner .... .a �nnIL��/.dy.� Builder . ' ..................
Address &/00:n-7 ......i�' O /. � Address ..........45 ..:..................
,P '�%%,p,p ��ww�� LOCATION OF BUILDING
No.0.�.`� O... Street /. Lo6� . %' 1. ..................... Part of Lot............. ............
Lot .... 4...... Block .. �........... Addition or Sub -Division ............ 1 ..... .
Corner Lot ............ Inside Lot ...... Setback ......... Sideyard
DESCRIPTION OF BUILDING
To a Used as:
...... Front 7rs Depth `i�. Height ...7 .. Sq. Ft. . C 7 P Cu. Ft3 P
.................... Fr t Depth Height W0 . * Sq. Ft. ........ Cu Ft .........
Type of Construction .... Est. Cost./X.0:12 s......... To be Completed ...................
In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do
the proposed work in accordance with the description above set forth and in comp ' cep all provisions of
ordinances of the city of Fridley.
v. .. ....................
®0 eIn c tion of the payment of a fee of $.. . 7=., permit is hereby granted to.... . .
to construct the building or addition as described above. This permit is gr ted 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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
y �
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
01
SUBJECT
City of Fridley
(77477RO8
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
• _ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
CITY HALL FRIDLEY 55432
NUMBER
_T
REV
GATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/22/9
JOB ADDRESS 5940 7 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
5
Bonn Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Harry Larson 5940 7 Street NE
571-5711
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
,•Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Q_ REPAIR O MOVE ❑ REMOVE
R
8 DESCRIBE WORK
Replace 8 windows
9 CHANGE OF USE FROM TO
STIPULATIONS
Replacement bedroom windows must meet the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$4,200
$2.10
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
$99.75
Fire SC $4.20
PLAN CHECK FEE
TOTAL FEE
$106.05
SJA4ATURE OF CONTRA RORA TH R(ZED AGENT iDATEi
VALIDATED THIS IS YOUR PERMIT
ZWHENROPER
BL NSP
MATE
SIGNATURE OF OWNER of OWNER BUILDERI IOATEI
01
NEW [ ] Effective 3/1/96
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress:
Legal Description: `
Owner Name & Address: Tel. #
Contractor: MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMIPROVEMENT
LIVING AREA: Length
Width
: Height
Sq. Ft.
GARAGE AREA: • Length
Width
'Height
Sq. Ft.
DECK AREA: _ Length
Width
Hgt/Ground
Sq. Ft.
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction:
Estimated Cost: $ ��
Approx. Completion Date:
s,
(Cosh on Back)
Driveway Curb Cut Width Needed
Ft. + 6 Ft = Ft $ _ $
DATE: 0 9l APPLICANT:
f244v, Tel. # rJ i 5-2
C]PI`Y USE ONLY
Permit Fee $�
Fee Schedule on Reverse Side
Fire Surcharge $
.001 of Permit Valuation (1/10th%)
State Surcharge $
$.50/$1,000 Valuation
SAC Charge $
$900 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 $ %
STIPULATIONS:
SUBJECT
City of Fridley
2 7 6 4 5
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
r
COMMUNITY DEVELOPMENT DIV.
rr _ PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
9/9/98
PAGE OF
APPROVED BY
CITY HALL FRIOLEV $$432
612-571-3450
910-F15
JOB ADDRESS 5940 7th St
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
5
Bonny
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Harry Larson 5940 7th St 55432 571-5711
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Owner Same
a 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
O NEW O ADDITION O ALTERATION C1 REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house & garage (20SQ) 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
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
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
$1 714.00
$.86
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 F
$59.32
SIGNATURE OF CON' CT R UTI+ORIZED AGENT IDATEI
HEN
IS IS,"WR PERMI10
MPVALIDAT15
IGNATUREO OWNERiIF OWN RBUILD RI IDATEI
B G INS
MATE
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description: i
Effective 1/1/98
Owner Name & Address: Tel. # S71
Contractor: �L�� �� MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
Driveway Curb Cut Width Needed:
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Estimated Cost: $ (/91
(Fee Schedule on Back)
Ft. + 6 Ft = Ft x $ _ $
DATE: "7,7,D APPLICANT: Tel. #
STIPULATIONS:
be
CITY USE ONLY
/
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ 1.171
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.501$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
$ J 9
STIPULATIONS:
be
vq�o
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
FAX (763) 571-1287
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
*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
TOTAL
$ 30.00
$-
$10.00
$10.00
$$10.00
$
$ 10.00
$-
$25.00
$25.00
$021D -
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
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
0
$ -50-
$
50
$ as,5d
Effective January 1, 2003
JOB ADDRESS Sqq `14 * V6
OWNER nbrI5 LaorS6,-)
BUILDING USED AS V176P.
ESTIMATED COST �23W-C'72 PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size N
BTU HP EDR
`u, -M8 u;t/ �),Az
bud /HC-
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
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE �w3
CenterPoint Energy Minnegasco
HEATING C013562 Central Ave NE, Anoka, MN 55304
Signed
A
-757=6202
FAX # 763-757-6701
r�
Approved By Rough In Date Final Date/®i0
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
When ran!stsL^_g "nsak -any
e, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions, xi No
and is securely supported and firestopped where required. Yes ( ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes (x) No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
Yes (x) No ( )
assisted and natural draft appliances.
air is sized and installed to meet the current codes
The gavlatirae cnrnb�¢tinn
and manufacturers specifications.
Yes f) No( )
When required to in--L4"II a nes'' cnmhiietinn air__it will be sized and installed
Yes) No ( )
to meet the current codes and manufacturers specifications.
When 11nstal1iap a n= yanfin0 sy-g m, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Furnace
Yes {r) 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
Yes (R) No ( )
separately as per current codes.
Sime-/Gnmmnn went and Vent CnnnPrA
er Infnrmatno
pnnl�anre hoe and
Appliance #1 Type BTU Input Fan Assisted or Nat
BTU Input Fan Assisted or Nat
Appliance #2 Type
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter
inches
Appliance #1 Vent Connector Height ft Length ft Diameter
Appliance #2 Vent Connector Height ft Length _ft Diameter
in Type
in Type
Appliance #3 Vent Connector Height ft Length ft Diameter
in Type N
HEATING CO: CenterPoint Energy M;�asee 13562 Central Ave
Signed By: Date:
NE, Anoka, MN 55304