PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
11T° `` 6221
Date: r..•
Owner:
BuilderOrr
Address Address
LOCAJION BU LD NG
No. � Sheet Partof Lot
Lot __ Block Addition or Sub-Divido
Corner Lot — Inside Lot h"� Setback _ _ _ Sideyard
Sewer Elevation , Foundation Elevation
DESCRIPTION OF BUILDING
ToW--e A-
24 4
z�%p
Front Depth Height. F't Cu. Ft,
Depth eight Sq. Ft. Cu. Ft. OT -0
Type of ction Est. cost �"�"�i o be Completed
In consideration of the issuance to me of a permit to construct the building described aboveI agree to do
the proposed work in accordance with the description above set forth and in compliance with a'll 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 person to whom it is granted and his agents,_ employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at arty timupon violation of any of the provisions of said
ordinances. .r°'"e. -4 ..--') do
IM&WM�r. MZ M.7 is. t�
NOTICE:
fhb permit don not emr the condmWoe, iatiallafion for WMWB, plumbino, on heaft lower or wabr. Be aura to M
the avlMllee legaerer for soparats pw mft for thus Nano.
or ~ ,y +4
Owner's Name
Address
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLE'Y, MINNESOTA
LOCATION OF BUILDING
cDAlSt
ce
We-
TL4�
7,1 DS, l"►
0
NoStreet Partof Lot.
0
Lot Block Addition or Subdivisionq
Cornet Lot Inside Lot Setback �� Side =Yard 7 '
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn these Certificates.
DESCRIPTION OF BUILDING
To be used as:
.4 ,
Front-
Depth--7L----Height
Sq. Ft, Cu. Ft.
iC— Front Depth height
Sq. �Ft. Cu. Ft.
Type of Construction 2j L``'""`")
i
Estimated Cost 9
Tobe 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. A A �
DATE /D / 1 ,5 /4
(Schedule of Fee Costs can be found on the Reverse Side).
M � v
Application for Pourer Plants and Healing, Cooling, 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 $
MECIL WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU .................... — 2.00 $
Replacement of Furnace 5.00 $
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
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
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$ v d
ROUGH
FINAL
Dept. of Bldgs. Phone SU 4-7470
Locatloa
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
�
Fridley, Minn »� Z y lg ei
Owner %� X14? (d
Kind of Building O ��
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No. - .2� Permit No. /
DESCRIPTION OF WORK
HEATING or POWER PLANTS --.Steam, of Water arm Air—No
Trade Nam el�l / /�13� Size No
Capacity Sq. FL E.D.R BTU H.P.
Total Connected Load Kind of Fuel
BURNER — Trade
Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
Signe
By—
.<44.
y t -C
,�.m i 1
.<44 <2 2M Business Phone No a �Z'
City of Fridley
Application for Plumbing and Cas Fithtting Permit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:. 2 NORATE TOTAL
Number Fixturesx $1.50 $1"d� )
Future Fixture Opening ................. x 1.20 $�=2j
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x
Water Heater (Up to 200,000 BTU) ...... x
New Ground Run Old Bldg . ............ x
3.25 $
2.00 $ c • Q b
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
Dept. of Bldgs. Phone SII 4-7470
r_.w.ANn" -5—�2 S— /
City of Fridley:
The undersigned hereby .makes application for a permit for the work herei
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 are true and correct.
Fridley Minn / -o � 19
Cel 7
Kind of Building
Used as
To be completed about
Estimated Cost, $
old—New. Building Permit No / Permit No. oZ—
Signed—
By
Business Phone
ROUGH 16 - '2 F- 6 Z
FINAL
42 2M
R
N
WATER HTR.
GAS
ELEC
�p
v1
Base
1st
2nd
3rd
4th
• Future Connection Openings
Connected with
New Fixture, Old Openings I
Sewer E]
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:. 2 NORATE TOTAL
Number Fixturesx $1.50 $1"d� )
Future Fixture Opening ................. x 1.20 $�=2j
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x
Water Heater (Up to 200,000 BTU) ...... x
New Ground Run Old Bldg . ............ x
3.25 $
2.00 $ c • Q b
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
Dept. of Bldgs. Phone SII 4-7470
r_.w.ANn" -5—�2 S— /
City of Fridley:
The undersigned hereby .makes application for a permit for the work herei
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 are true and correct.
Fridley Minn / -o � 19
Cel 7
Kind of Building
Used as
To be completed about
Estimated Cost, $
old—New. Building Permit No / Permit No. oZ—
Signed—
By
Business Phone
ROUGH 16 - '2 F- 6 Z
FINAL
42 2M
SUBJECT
P MI -
City of Fridley
16770 -
AT THE TOP OF THE TWINS
BUILDING PERMIT
REC
• COMMUNITY DEVELOPMENT DIV.
r 1 PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
Y17/82
JOB ADDRESS 5251 Lincoln Street N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
]
3
Marion Hills SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Roger Merkles 5251 Lincoln Street N.E. 571-1163
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Dav Ko Home Improvement 1325 - 42nd Avenue N.E. 788-5850
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION 11 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install aluminum soffit & facia
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
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
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
$1,450
$.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
ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$25.00
RF
RU TION OR THE P ORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$25.72
SIGNATURE FCONi ACTOR ORAUTHO ED AGENT IDATEI
WHEN PROPEWY VALIDATED THIS IS YOUR PERMIT
�
Ix
BLOG f rJj TE
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
OWNER:
ADDRESS
TEL 110:
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATIM F014 RESIDENTIAL BUILDING PEPJ41TS
(New. Alterations. Additions, or Repairs)
BUILDER:
ADDRESS:
TEL 110: _7 = S�
Construction Location
• STPJ= NO: STREET:
LOT: f BLOCK: ADDITION: jl4,2! D AJ_ 17! C S
Corner Lot: Inside Lots 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
Front: Depth: Height:
Square Feets Cabic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Constructions �yL Estimated Cost: $ 17�- lam'
f
'lb Be Cbrapleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired:
SEE MVERSE SIDE OF SHEET
Mie undersigned hereby makes application for a permit for the work herein specified,
agreeing to dry.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: / A X SIGNATUME :
Stipulations:
L��
01
SUBJECT
PERMI
City of Fridley
032 0
AT THE TOP OF THE TWINS
BUILDING PERMIT
�
ECEIPT
� `L COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
Jy�
r � ,
CITY HALL FRIDLEY 55432
NUMBER
REV
GATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
14/26/90
10B ADDRESS 5251 Lincoln Street N, E,
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1
3
Marion Hills SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Roger Merkl 5251 Lincoln Street N.K. 571-1163
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
D & D Home Improvement 7401 Central Avenue N.E. 784-7543
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 O ADDITION ❑ ALTERATION XCJ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof C22 Squaresl
9 CHANGE OF USE FROM TO
STIPULATIONS Roof can he 2nd layer but not 3rd, Install ridged galvanized valleys.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS I GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1 1QO
$.55
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONkQF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$27.00
STRUCTIO O THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
4621'
N11
$27.55
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEIWHEN
PROPERLY LIDATED HIS IS YOUR PERMIT
81.G INSP 0AT
SIGNATURE OF OWNER) IF OWNER BUILDER) IDATEI
01
NEW [ ] CITY OF FRIDLEY Effective 1/1/90
ADDN [ ] R-1 AND R-2
At= [ ] lBuilding Permit Application
Construction Address: //Iolw � A�
Legal Description:
Owner Name & Address: �f 9th Tel.
Tei. r el—
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
TPTION OF IIU'
UVIM AREA: Length -- e Width Height Sq. Ft.
GRMM AREA: Length Width Height Sq. Ft.
DE7CR AREA: Length Width H9t/Gr=11d Sq. Ft.
OIMM:
Corner Lot ( ] Inside lot ( Ft. Yd Setback Side Yard Setbacks
Type of Construction: e S AIjoer /-Z*xEstimated Cost:
Approx. Cmpletion Date:
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
Width + 6' See Back Page
DATE: APPLICANT: 1DTel. #
Permit Fee
State Surcharge $S�"
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
STIPUUMONS:
CITY USE ONLY
Fee Schedule on Reverse Side
$.50/$1,000'Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement N [ ] Not Necessary [ ]
CITY OF FRIDLEY PERMIT o.: 2004-01687
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 09/28/2004
571-36U4 VAN: ( 763) 571-1257
ADDRESS
: 5251 LINCOLN ST NE
PIN
: 253024210059
LEGAL DESC
: MARIAN HILLS
: LOT 1 BLOCK 3
PERMIT TYPE
: BUILDING
PROPERTY TYPE
: RESIDENTIAL
CONSTRUCTION TYPE
: ROOFING
VALUATION
: $ 2,862.00
NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE & GARAGE (24 SQ) TEAR -OFF.
STATE LICENSED CONTRACTOR 1
APPLICANT
TABOR & SONS INC (20014248)
10547 TERRACE RD
BLAINE, MN 55434
OWNER
HOSCH MICHAEL J & JANE M
5251 LINCOLN ST NE
FRIDLEY, MN 55421
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
regulatmi co truction,pr the performance of construction.
Bldg Insp.
SEPARATE PERMITS
BUILDING PERMIT FEE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
LICENSE SURCHARGE
TOTAL
PAID WITH CHECK # 12193
FOR WORK OTHER THAN DESCRIBED ABOVE.
83.25
2.86
1.43
5.00
92.54
NEW [) CITY OF FRIDLEY Effective 4/1/2004
ADDN (] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address:
1st fi.5i�/
Legal Description:
Owner Name & Address:
ContractorMN LICENSE #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground _ Sq. Ft.
Construction Type: Estimated Cost: $ G o= SQ
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $,
DATE: S-OY APPLICANT: "07 Tel. 7 j cz'z 20j,
-
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ J _o Fee Schedule on Reverse Side
$ 65% of Permit Fee
$ .001 of Permit Valuation (1/1-Oth%)
$ / , k-11$.50/$1,000 Valuation
$ $1350 per SAC Unit
$5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ J
$ S STIPULATIONS:
L. s