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PRE 2010 DOCSSUBJECT PE City of Fridley 12568 AT THE TOP OF THE TWINS BUILDING PERMIT RE . • COMMUNITY DEVELOPMENT DIV. LV ��•••�, PROTECTIVE INSPECTION r � � SEC. 1 � I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L••'•� � ,`J 812-580-3450 910-F15 5/30/74 JOB ADDRESS 1 LEGAL LOT NO. 1 BLOCK 7TRACT OR ADDITION SEE ATTACHED DESCR. I -q 9; Bonny AdAition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ray Johnson 5948 - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sussel Cmpany 1A50 Coma Amenue, St:- Paul 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 C$ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Finishing basement family room and sewing room 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,000 1.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO R THE PERFORMANCE/PF CONSTRU ION. $12.00 PLAN CHECK FEE TOTAL FEE ' s-30-7� /N $13.00 a HEN PRO E IDA D THIS IS YOUR PERMIT SI£NATUREOFCONTRACTOR O AUTHORIZE AGENT (DATE) LlG )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: BUILDER: ADDRESS: a v ` ADDRESS:zi/ No: STREET: [� LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: � 8 vont: Depth: Height: &Squ are Feet: Cubic Feet. Front: Depth: .Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: $�, © o e 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 representations stated in this application are true and correct. DATE: SIGNATURE: s (See Reverse Side For Additional Information.) a U4 , FCC /a, oa rA vU ��,` ' 3, O C) V �f SUBJECT City of Fridley ri 74 5 8 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T CEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. y SEC. �D r PROTECTIVE INSPECTION NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 4/16/84 JOB ADDRESS 5948 - 7th Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 5 Bonny Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE 5948 - 7th Street N.E. 571-7592 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be K= the 2nd layer but not the 3rd. Install ridged galvanized valleys where necessary. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Fiberglass 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 $850 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $1.6.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL JFK. 50 ATURE OF CDNTRACTORpRA HOR ED AGENT (DATE) WHEN PROPERL ALIDATED THIS IS YOUR PERMIT //�y1J� BLDG INS- ATE SIGNATU E OF OWNER IIF OWNER BU LDERI ID EI NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address: Legal Description:_, Property '�0wner_lAd76&4 Contractor: City of Fridley �R-1 AND R-2 Building Permit Application fLl_ S V Address: Attach to this application, a Certificate of Survey.of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Effective 4/1/84 Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Le h Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ Approx. Completion Date: !!�/z 9 /f, 7 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: APPLICA �l! Tel. CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ / cf' l $ 60 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 [ ] 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 REFRIGERATIOA AND AIR CONDITIONING SYSTEMS AND DEVICES ACES �� � S�_ �)�/ JOB ADDRESS 4-S RATE SCHEDULE Residential Furnace Shell -and Duct -Work, Burner - 'Also Replacement Furnace Gas Piping (Ngeded with new furnace) Gas Range Gas Dryer Rate TOTAL $ 20.)0 $ $ 10.00 $ $ 10.00 $ *Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) I % of Value of Appliance or Work $ Commeraial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS CONDITIONING PERMIT IS$15.00 PLUS THE $.50 STATE SURCHARGE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. The indersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 1 OWNER Rck,tI 1 j BUILDING USED AS Z2� ESTIMATED COSTI �ERMIT NO._ DESCRIPTION OF FURNACE AND OR BURNER --_ No. of Heating Units Circle One (Steam) (Hot Water) , Units, Air) Trade Name Size No.Z-C� (� BTU_ 'Z7, , FT -71--) HP EDR Fuel T` c -!� Total Connected oL ad Burner Trade Name Size No. BTU HP EDR_ n,n Sons Elec., Inc. dba. HEATING COMPANY ,1dcn 1 alley Mg. & Air Cd. 07 Crystal, MN 55429 Signed By_7j�� Phone 53MQQo, 12 Appro d By , h r Rough -In Date Final Date 3 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CRIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes�) No ( ) t 2. Is free from rust or deterioration Yes/-,(�) No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes No ( ) 6. Has total heating BTU's of _ Q All other BTU's �- TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY 7 5182 West Broadway Signed By crystal; MN 55429 one 000 Date T OT. Sh W o*my (6-13-%3 '" t t Minnesota Weiland Boring WELL OR BORING LOCATIONU MINN SOTA DEPARTMENT OF HEALTH Sealing No. H 29773 County Name WELL AND BORING SEALING RECORD Minnesota unique No. ANOKA Minnesota Statutes, Chapter 1031 or W -series No. known) (Leave blank d not known) Township Name Township No. Range No. Section No. Fraction (sm. , Ig.))[ Date Sealed Approximate Date Well FRIDLEY 030 2$ 23 t14NE14 N74 05/26/93 o Boring Constructed � Numerical Street Address or Fire Number and City of Well or Boring Location 5948 7THSTREET ME Depth Before Sealing ft. C riginal Depth Show exact location of well or boring Sketch map of well or boring S atic Water Level Accurate in section grid with "X-. locoation, showing property lines. N roads. and builerigs. ElApproximate W l S E&ingle Aquifer ❑ Multiaquifer ft, below above land surface CASING TYPE GALVANIZED T&C L7k5teel ❑Plastic ❑Tile ' Other sme,•Lfl'-4 f ` S N --smile- N Screen from to ft. Open Hole from to ft. � i i i � OBSTRUCTIOWDEBRISJFILL ❑ Obstruction ❑ Debris ❑Fill DRIITN SCREEN WELL... Type of debristobstruction Obstruction/Debris/Fill removed? ❑ Yes ❑ No Rpg�, pyy,��p Pel1Jtl�rfVi�t s"'WIAYNOND OR MARY Mailing Address if different than property address indicated above. JOHNSON, RAYMOND OR MARY 5948 7TH STREET NE FRIT}LEY, MN 55432 PUMP SHALLOW WELL JET PMP E&emoved ❑ Not Present ❑ Other CASING Diameter -Depth :Set in oversize hole? Annular space initially grouted? in. from to ft. ❑ Yes X No ❑ Yes ❑ No ❑ Unknown In. from to ft. 0 Yes ❑ No ❑ Yes ❑ No ❑ Unknown in. from to ft. '❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown GEOLOGICAL MATERIAL COLOR HARDNESS OF FORMATION FROM TO If not known, indicate estimated formation log from nearby well or boring. METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE: Mo Annular Space Exists Annular space grouted with tremis pipe ❑ Casing Perforation/Removal in. from to ft. ❑ Perforated ❑ Removed in. from to ft. ❑Perforated 11 Removed Type of perforator ❑ Other GROUTING MATERIAL NEAT CAST D 18 Grouting material from to ft. yards bags from to ft, yards bags from to ft. yards bags from to ft. yards bags REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING LOCATED IN PIT ON SOUTH END OF BASEMENT P • r MEASURED FRO14 TOP OF (CASINO 6' BELOW GRADE LEVEL, r � ,r FIDS23-030-24-21 U i UNSEALED WELLS AND BORINGS Other unsealed well or boring on property? ❑ Yes No LICENSED OR REGISTERED CONTRACTOR CERTIFICATION This well or boring was sealed in accordance with Minnesota Rules, Chapter 4725. The information contained in this report is true to the best of my knowledge. -RALENKE WATER SERVICES *27600 Contractor Business Name t `' Lj@ense or Registration No. (Myron Nalent�.e,�`��� �' , �il'� � ,l'r �-� 05/26/9 Authorized Representative Signature Date JESSE; NALENKE � SHAUN JUNKER LOCAL COPY H 29773 Name of Person Sealing Well or Boring HE -01434-01 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 5948 7th St NE 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 - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 $ that all the facts and representations stated in this application are true and correct. 3-14-95 ,1991 Gas Piping (Needed with new furnace) $10.00 $ OWNER JEROME BUTLER Gas Range $ 10.00 $ DWELLING BUILDING USED AS Gas Dryer $10.00 $ $ 1400.00 I ESTIMATED COST PERMIT NO. Air Conditioning - All Sizes $ 10.00 $_L0 - 00 f Bryant 563AJX024 2 Ton DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1 % of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50— TOTAL FEE $ 15.50 Of 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. Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Blaine Heating, Air Conditioning & ELec 1ai 2 Central Avenue N.E. Anoka MN 55304 Signed Byyn a Tel No. 757-62on Approved Byl111AM Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE qI CHIMMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date CITY- OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 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 ! Sf-- NE RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL- specified agreeing to do all work in. strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent - Fill Out Back) 1997 Gas Piping (Needed with new furnace) $ 10.00 $ OWNER � �2( �r� `7 / - Vs - Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ *Air Conditioni - All Sizes $ 25.00 All Others/ epairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE ESTIMATED COST $ UTA 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 $ .50 Burner Trade Name Size No. BTU HP EDR MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY �gv�,S J���-��,_,,, Signed By_ Tel No,_79 9 t -6 9o) Approved By 4 Rough -In Date Final Date FILL OUT BACKSIDE F R STACK VERIFICATION ON REPLACEMENT FURNACE ' CH 4NEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefidly examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes {) No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1997 PLUMBING FIXTURE RATES; NO. RATE TOTAL New Fixtures _ Old Opening, New Fixture Beer Dispenser _ Blow Off Basin _ Catch Basin _ Rain Water Leader _ Sump/Receiving Tank Water Treating Appliance Water Heater —Electric _ Water Heater — Gas** _ Gas Range** _ Gas Dryer** _ Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ lz-' ef JOB ADDRESS S -1q?/ -7 �� S r The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this: application are true and correct. c� T4 a / ,1997 Owner �i ✓ ��/ S % 1' — 3�5 S► Building Used As dr Estimated Cost PERMIT NO. 116 9a PLUMBING COMPANY SIGNED BY TEL N0. S gO - E/ 7I Approved By Rough—In Date Final Date 3 • g 7 MINIMUM FEE /FOR ANY PLUMBING/GAS PERMIT IS $20.00 **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. City of Fridley SUBJECT .PERM. , AT THE TOP OF THE TWINS BUILDING PERMIT r - RECEIPT NO. COMMUNITY DEVELOPMENT DIV 1r r PROTECTIVE INSPECTION SEC NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/3/97 JOB ADDRESS 5948 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 5 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerome/Judith Butler 5948 7 Street NE 571-4599 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Northstar Home Improvement Inc 6121 Excelsior Blvd #207, St Louis Park, MN 5541 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 929-1888 5336 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING R Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows; Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Replacement bedroom windows must meet the State Egress Code. Install building wrap and have inspection of same unless manufacturer's specifications state it is not required. Install smoke detectors to meet the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $11$ l0, 000 $5 00 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- @ 162.25 W Fire SC $10.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE ALF E d -3i ens SC $5 00 182.25 SIGNATURE OF CONTRAVOR OR AUTHORIZED AGENT IDATEI HE PR VAL TED THIS. IS YOUR PERMIT L B DG INSP � -27 DA E _ SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2^� b°� BUILDING PERMIT APPLICATION il')4 J ConstructionAddress: Legal Description: Owner Name & Address: `�� ` WV�i1�J. # `77) - tiS?oI Contractor: N 6 uy'�r� MN LICENSE # S S' (o Address:�- Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF .IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft.. OTHER: Construction Type: � j! p 9tPI At -6 Vj I %Qc)ws Estimated Cost: $ 10,D-0-6 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ _ $ DATE: 1 APPLICANT: Tel. # 94- - /S-s7v CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ /0-00 .001 of Permit Valuation (1/10th%) State Surcharge $ `7 ® $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ . 0 D $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 $ 122, 21 STIPULATIONS: SUBJECT City of Fridley x_26 2 8 7 , AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. 1 L PROTECTIVE INSPECTION SEC. r 1 � 1 NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 L 612-571-3450 910415 6/19/98 JOB ADDRESS 5948 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 5 1 Bonny Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Jerome Butler 5948 7 Street NE 571-4599 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK [I NEW ❑ ADDITION ❑ ALTERATION j] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (18 Sq) 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 S0. 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 $.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,501 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- $51.25 Fire SC $1.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTA Vt E $ .50 SIATUREOFCO TR T R ht•EDAGENT (DATE) N P OP M BLD INSP ALIDAT D IS IS YC$)R PERMIT 4 TE GNATURE OF OW ,IF OWNER BUILDER) iDATEt NEW ADDN ALTER ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Tel. # DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width / i th Hgt/Gro—u-nd Sq. Ft.. OTHER: he' rev �),nc/e ) O -Sx � r -- l p Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ ISD (Fee Schedule on Back) Ft x $ = $ DATE: APPLICANT: :1jrOMe C,WiA,�l2% Tel. STIPULATIONS: CITY USE ONLY Permit Fee $ o?S� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ ,i $.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 $ STIPULATIONS: 01 SUBJECT P City of Fridley 18275 AT THE TOP OF THE TWINS BUILDING PERMIT r E , R L------ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC, Z xn �V r I � 1 i NUMBER REV GATE PAGE OF F/ APPROVED By t CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/15/98 JOB ADDRESS 5948 7th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Bonny SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Butler 571-4599 3 CONTRACTOR MAIL ADDRESS 929-1888 ZIP PHONE LICENSE NO Northstar Home Improv. Inc. 6121 E 36 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 O NEW ❑ ADDITION O ALTERATION Rx REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reside house and garage 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. 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 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 $3350 $1.67 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 $87.25 Fire SC $3.35 PLAN CHECK FEE TOTAL FE Licens $5.00 97 7 S-GNATURE Of CONTRACTOR OR AUTMORZED AGENT (DATE. EN OPE LIDATE S IS YOUR PERMIT SLOt iNSP wGJ /�� DATE _ S,GNATURE Of OWNER,1F OWNER BUILDER1 iDATEi 01 NEW [ -] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (,431 BUILDING PERMIT APPLICATION SSS- q 3 2 ConstructionAddress: S9y g IV e °7� SCASE7" Legal Description: Owner Name & Address: 5—gy 6- AIE 7)t- S-rTel. # S-71 - 4'S Contractor: Wt,9271'iS M4 lle 4141E MN LICENSE # S.3 36 Address: ! fa / (: � k C E /s /'o /,?— 19/41,6 - S r. Zoyrs P6,r4 Tel. # 9R `7 1RkC5' 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: I.e !!�.Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ 296'-a- ° `, (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: A11411 9 K APPLICANT: Tel. # qa ? - JF gg- TOTAL STIPULATIONS: $ q�. a "2 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 313 . 001 of Permit Valuation (1 / 10th %) State Surcharge $ l - `) $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 6el $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 [ J Not Necessary [ ] TOTAL STIPULATIONS: $ q�. a "2 From: 2 Page: 2/2 Date: 1/5/2010 5:10:04 PM Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date ec�d tr- to 112011 763-502-4977 FAX EFFECTIv� 1-1-2(110 DA OUR E-MAIL ADD S ass SITE ADDRESS THIS APPLICANT IS: 0 OWNER ONTRACTOR PROPERTY NAME: ADDRESS: CITY T 1t.1.Y STA 1 AFP 5-15/4 OWNER/ TENANT I ` v Z._ PHONE: CONTRACTOR COMPANY NAME: CONTACT PERSON: SUBMIT A COPY OF YOUR STATE LICENSE WrM STATE LICENSE 00 -� 1 /� n _ EXP RATE �� l �lMl � f 1 STATJWbbS;,, 3 ADDRESS:1�� J I , l 1 V CITY APPLICATION PHONE PERMIT TYPE SINGLE FAMILY Q TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: O NEW XREPLACEMENT ❑ ALTERATION/REMODEL � f p� ' DETAILED DESCRIPTION OF WORK DF �JE„V VI �N 1 wC.. ' FEES ARE BASED ON $10.00 PER FIXTIJIM EXCEPT WHERE NOTED. FDCft3=: (PWICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUANDBOOIL TU EquipmMInstalled MFG:N=111 MODEL: �s►WV'Job(oa MFG: MODEL: StMTU MFCi MODEL: SIZEIBTU A/C $25.00 FIREPLACE (GAS) $15.00 —GAS RANGE/OVEN $10.00 AIR TO AIR EXCRANGEER $15 ___,FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 BOILER $35,00 FURNACE $35.00 GAS UNIT HTR $10.00 CHIMNEY LII x $10.00 DRYER $10.00 POOL HEATER $35.00 ,GAS DUCT WORK $I b.00 G $10.00 VENTILATOR $15.00 Ntlmberbf iixttm @ $10.00 x $10.00 = $ Number of iultutis @ $15:00 � x $15.00 = $ Number of fixttires @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ Ste” Surcharge = $. .50 I E UVONOWN FF9 SW F . Total. _S , THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is n for a permit and work is not to start without a permit; that the work will. be in accordance with the not a permit but only an a7aHwalk approved plea in the rase which requires review anapproval of plans. ]� ��_DA 1.l i SIGNATURE OF APPLICANT PRINT AME I E /i APPROVAL INSPECTORS SIGNDATE PLEASE 1 01'Lt SFIYARA'1`E PE1tMI`t'S Rl?:. 1?QEt BUII.bINC3 EL9CfR1 AlwiD iviE R+ORtE City of Fridley B ilding Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 r1 -9J 1 12