PRE 2010 DOCSV
City of Fridley, Minn. N9 9550
BUILDING PERMIT - -#- 410 i � i
Date: Nov. 9. 1967
Owner: Howard Bishop_ Builder Clemron, ac.
Address Address 701 Columbia Blvd
LOCATION OF BUILDING
No. _ 5260 Street___ Lincoln St. ---- Part Part of Lot
Lot 2__ Block 2 Addition or Sub -Division __—_ Ho izgn Heights
Corner Lot Inside Lot __.. X Setback ___ 35 ' —_ Sideyard —_
Sewer Elevation 1005 -- Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
D-w11ing Front --A3-! Depth 25' Height 20' Sq. Ft. _ 1.0..7.,E Cu. Ft _21,500
Garage Front 20' Depth 23' Height 10' Sq. Ft. Cu. Ft.
Type of Construction Frame Est Cost _$18, 000 __ To be Completed
In consideration of the issuance to me of a permit to cons the buildin escelbed a, I agree to do
the proposed work m accordance with the description above and mp�i ce all provisions of
ordinances of the city of Fridley. ' /� Q
100.00 Sewer Co on Charge
In consideration of the payment of a fee of $ 39.00 , permit is hereby granted to Clemron, Inc.
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 any time upon_glatipn of a W of the provisions of said
ordinances fes' jNy/l I
Offical
BuildingWOOMW
NOTICE:
Ws per n t does not cover the construction, Inds Mon for wiring, phrmbing, gas heaft, sower or water. Be sun to see
the Building Inspector for separate permhs for these Nems.
4
APPLICATION FOR BUILDING PEM1IT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME
ADDRESS ADDRESS
LOCATION OF BUILDING
No
of Lot
Lot ,,;� Block 52 Addition or Subdivision f
Corner Lot Inside Lot !/� Setback',S _ h Side Yard S
SEWER ELEVATION 1005- FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as:
Front Dapth ,j Height
Sq. Ft. �/�% �.� Cu. Ft.
/50D
Froat ,�� Depth,,�,3 _Height rJ
Sq. Ft. Cu. Ft.(060
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 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,/ i1
DATE S
(Schedule of Fee Costs can be found on the )Reverse` Side).
Application for Power Plants and Heating, Cooling. Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ........................... $10.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 .................. 6.00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
MECH. WARM AIR j
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam ...................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water ............. .... 3.00 $
OIL BURNER—to 3 gal. per hour ........................
6.00
$
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) .................
I ..... 5.00
$
over 199,000 BTU See Fee Schedule
GAS FITTING FEES:
NO RATE
TOTAL
1st 3 Fixtures ......................
x$ 2.00
$
Additional Fixtures ....... , ........
x .75
$
Gas Range to 199,000 ..:\,. .......
x$ 5.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
$$-���
ALTERATIONS &REPAIRS
TOTAL FEE
ROUGH
Dept. of Bldgs. Phone 560-3460
Location
City of Fridley:
The undersigned hereby makes application for a permit for the work hereir.
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 a and correct.
Fridley, Minn—C�G��IfJLy�
s �
Owner i� 04�1�
Kind of Building
Used as
To be cc
/f
Estimated Cost, $
i
Old ew uilding Permit No. Permit No. .4/O A 0
DESCRIPTION OF WORK
HEATING or PO PLAN15--Steam, Hot Wa arm No
Trade Name- 4�e Size
Capacity Sq.
Ft. E.D.R BTU H.P.
Total Connected Load - � / 4Kind of Fue f
BURNER — Trade Name 4 Le Size No���®�
Capacity. Sq. Ft. E.D.R.BTU H.P.
FINAL-
(REMARKS-4%10
INAL(REMARKS-`L 0
RAY N. WELTER HEATING CO.
Signed 4637 101-11GA B O AV&
By &IMIN APoue 7o MJNNE60T%A
<e Business Phone No. �✓ " �`/ C�'
City of Fridley
Application for Plumbing and Gas Ruing Permit /.
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK 4/ L, :, ,.t ��
Number, Kind and Location of Fixtures Lowhon L �y fy
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
3
TOTAL
��
x $2.00
.n
u
S� o
Future Fixture Opening ................
p Z
O�
g
iu
<3
�U' •�
w
a
�O
•
R
•
N
WATER HTR.
GAS
ELEC.
Base
Water Heater (Up to 99,000 BTU) ......
$3.00
$
New Ground Run Old Bldg. ............
x $3.25
$
Electric Water Heater
a $2.00
$
GAS FITTING FEES:x
RATE
Ist
lst 3 Fixtures ......
2.00
> e
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
2nd
_
3rd
4th
• Future Connection Openings
* Now Fixture, Old Openings I
Connected with
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures ......................
x $2.00
$
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) ......
$3.00
$
New Ground Run Old Bldg. ............
x $3.25
$
Electric Water Heater
a $2.00
$
GAS FITTING FEES:x
RATE
TOTAL
lst 3 Fixtures ......
2.00
> e
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description .................................... ...........$
TOTAL FEE 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 7 196
Owner
Kind of Building
t
Used as
To be completed about
Estimated Cost, $ Cf ,5LT
Old—New. Building Permit No Permit N
ROUGH
FINAL
By
In
No
7
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK Location '�%y %l� `� / ,
Number, Kind and Location of Fixtures
e�
v7
eC gQ
-i
Future Fixture Opening ................
x $1.50
$
?d
Y
$
CyZ
x $3.25
iii
Water Heater (Up to 99,000 BTU) ......
�1w
Z
0
•
P
•
N
WATER HTR.
GAS
ELEG
Base
GAS FITTING FEES:
NO. RATE TOTAL
1st
2nd
3rd
4th
• Future Connection Openings
New Fixture, Old Openings I
Connected with
Sewer ❑
Cesspool. ❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ......................
x $2.00
$
Future Fixture Opening ................
x $1.50
$
New Fixture Old Opening ..............
x $1.60
$
Catch Basin ... ........................
x $3.25
$
Water Heater (Up to 99,000 BTU) ......
x $3.00
$
New Ground Run Old Bldg . ............
x $3.25
$
Electric Water Heater
z $2,00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures .......................... x $2.00 $
Additional Fixtures .................... x $ .75 $
Gas Range to 199,000 BTU .............. x $5.00 $
REPAIRS & ALTERATIONS—Refer to Code
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
Owner
Kind of Building
Used as 7� � 2-L
To be completed about
Estimated Cost, $
Old—New. Building Permit No Permit No.
Signed
By
Business Phone No 7d -c/— c/j --2
ROUGH
FINAL
r
Description ..............................................
TOTAL FEE 4 2
City of Fridley
Application for Plumbing and Gas Ming Permit 879.01
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK 5260 NE Lincoln
Number. Kind and Location of Fixtures Location —
.eq
$
X $1.50
$
x $1.50
$
`
Z
x $3.00
<Z
= Z W
F
$
m
Z
z
t90
•
F
.
N
WATER HTR.
GAS
ELEG
Base
$� ✓�
1st
C
n
2nd
3rd
4th
• Future Connection Openings
New Fixture. Old Openings
I
Connected with
Sewer El*
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ......................
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ............................
Water Heater (Up to 99,000 BTU) ......
New Ground Run Old Bldg . ............
Electric Water Heater
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ...................
Gas Range to 199,000 BTU ..............
REPAIRS & ALTERATIONS—Refer to Code
x $2.00
$
X $1.50
$
x $1.50
$
x $325
$
x $3.00
$
x $3.25
$
a $2.00
$
NO. RATE TOTAL
x $2.00
$
x$.75
$
1 x $500
$� ✓�
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 22 Fab 68 19_
Owner Clem -Ron Bldrs
Kind of Building f r
Used as res
To be completed about 27 .Feb
Estimated Cost, $ 5.00
=—New. Building Permit No Pe No. oe
Si e
By POLIS GAS CO.
Business Phone No
ROUGH
FINAL
Description ................................................$
TOTAL FEE , 42
l�
W apt [i�3 t3 ®�. W,3tliti �hfL� b It'd � Y'�P1f�iitl"1%':BJ®BJr�%�. m6'�6- bY��{{�fa® y�y,` VL'�i
Air kg svV e $ - A Be
GRAVITY WARM AM:
1ATC TOTAL
fiamce Shell & Duct Worn
.;10.00 $
Replacement of Furnace
6.00 $
Repair-, & Alterations—up to $5oo.o0
6,00 $
Repairs & Alterations each add. 9500.00
3 till $
Hz(*$. WAS AM
Furnace Shell & Duct Work to 1250,000 BTU
emb add. 60,000 BTM .
Replacement of Furnace
Repairs & Alterations --up to $500.00
Repairs & Alterations each add. $300.00
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. FMR Steam
Furnace Shell & Line ---to 640 sq. ft. EDR Hot Water
Each add 200 sq. ft. EDR Steam
Each add. 320 sq. ft. EDR Hot Water
OIL BURNER—to 3 gal per hour
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to M,000 BTU)
Mer 199,000 RM See Fee Schedule
City of )Fridley:
The undersigned hereby makes application for a permit for the work hereW.
specified. agreeing to do all work in strict accordance with the City Ordinancer-
and ruling of the Department of Buildings, and hereby declares that all the fact r
and representations stated in this application are true and correct.
Fridley. MJnn i4
� •--
Aie
3.tttD 3 Owner
6.00 Kind of BuildlnS
6.00 $
3.00 Used as
To be completed about.
$10.00 $ Estimated Cost; $ �::Zoo 0--)
10.00 $.
3.(1(1 .
No
Permit ��� 4-1
6;oew. Building Permit No. _—_ P"T
;
3.00
DESCRUMON or WOI
6.00 $. s .
HEATING or POW= 1t�iN7Z—+Stearn. Hot Water, Warm Air—No
6 8 Trade Name Size No
GRS FITTING FzER:
NO RATE TOTAL
1st 3 Fixtures
x$ 200
i
Additional Fixtures
x .78
GasRangeRange to 10,0W
s3 6.W
8
AIH CONDMOMMO
tate
v Od
FAN E=T= IITZT
Fom
�G Sly
TEN
ALTERATIORS3 lk 1RERAI>s
TOTAL FM
It S
a r:��sa ti
I,, Aa
Capacity—_--- Sq. Fit. E.D.R BTU NP _
Total Connected Load irl"d of i
BURNER — Tmde No Size PIo
Capacity Sq. FL Z.D-R Dru
(MAM—ovta)
6'L—V d k
SUBJECT
PERMIT
City of Fridley
1309 6
AT THE TOP OF THE TWINS
BUILDING PERMIT
.
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
L PROTECTIVE INSPECTION
r SEC.
�l /•••1 CITY HALL FRIDLEY 55432
NUMBER
REV.
PATE
PAGE OF
APPROVED BY
L•'•' ,�� 612-560-3450
910-F15
JOB ADDRESS 5260 Lincoln Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
2
2
Horizon Heights SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Merton Bishop 5260 Lincoln Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE _ LICENSE NO.
North Central Builders 7401 42nd Avenue North
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 j] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Repair siding and roof for storm damage
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 60 DAYS, OR IF CONSTRUCTION
ORWORKIS 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
$1,300.00
.65
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 O THE PERFORMANCE OF CONSTRUCTION.
9.00
PLAN CHECK FEE
TOTALFEE
d /Y_ 7�
e
9.65
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
HEN PR P LY V L ATED THIS IS�YOUR PERMIT
IY— /
LDG iNSP 1 DATE
SIGNATURE OF OWNER I IF OWNER BUILDER) IDATEI
• 'Ak'PLICATION FOR RI:SI'DL'NTIAL., ALTERATION,
OR ADDITION.BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NMIE :. _4.er %wU BUILDER : /Vo r% b C,e�,;)/
ADDRESS:
ADDRESS •
STREET:
LOT: BLOCK: 2 ADDITTON :
CORNER LOT: INSIDE LOT: SETBACK: SIDE -YARD:
Applicant attach to this form Tvao Certificates- -iSurvey
-of Surve . of Lot and .proposed
building location drawn on these Certificates. i
DESCRIPTION OF BUILDING
W/O -�
To Be Used As: T�
Front: Depth: -
Square Feet: Cubic.Feet:
Front:' Depth:. Height:
Square Feet; Cubic Feet:
Type of•Construction: Estimated Cost: $136c
T6 - Be Completed: ,¢,,y./
The undersigned hereby makes application fora permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are 'true and correct.
• DATE: '/ - 7 SIGNATURE:
See Reverse Side For Additional Information.)*
53-84-9915051 CRY Of r7ialay
Applicci-Hon for -Ig C7'0' Gas F) Ala Pe mg,
•p t Do . of Blap. Phone S. -W-3450
r Moon
......._..
DESCRIPTION O? WOPT:LOCA L'on 5260 L3.ricoin Street NE -
NumSsr. XL:�d Lnd Locraon of Fixtsres .
`` City of Mdlcy;
K 2 O O WAM MYK.
L r.=t i ° jz!1 s $ i� " 7 < 7 ► ►+ GA= tuG Tt1e undersigned hereby :r:akes applcation for a permit for
the- work he
; i1 N �s • = e �� 3 # ° ° ` to specified, a� acing to do all work la strict scco.Ca^.ce with the Cit,7 O:d:ra
and ruling of the Department of Buil'.'aZr, and hereby declares that a:l Lha
Es:r • , and representations stated 1a .':is app:lcat:on are true and eorre%-V ,
I .c ct ra a-- r ridley, Mina 6-30-76 1 s
2. ; "'" Merton 6isho
Owner
_d
• Kind of B:ulding rame
cc: st-c'. d with
• FL.•:..•o Cca=e:s:ea C?;.claT• 5caor ❑ Used as res
Fl::tur•e. Old Crrs:1r.Cs Cc::.peol 0
— To be completed about 7-7-76
PARTIAL RATE SCHEDULE
L f8I1tC FIXT X RATES:
NO. RATE TOTAL
�2Q7S --
Number fixtures .
_
Future Fixture Opening .. • • • • • • • • • ----
x $1.50 $.r—
•
few Fixture Old Opening • • • • • • •--------
New
x $1.50 i--.:--.—
x $3.25 $
Catch Basin .................. •.
«'alar Heater 'up, to 99.000 BTU, • . • •-------
x $.00 S -
•
New Ground Run Old Bldg. ...:....
-- x ::1.25 $ -
i:•ctrCe YJa.as Haatas... • .:..... .. -�_
s $2•0 S
NO. AA TOTAL
2.S FITTING FEES:
S -
• 1st3Fixtures ••••••••••••••••••----'--x32.Cn3
Addltlanal Fixtures ............... ------
x -
Gas R.i :+e to 199.000 BTU
10.00
Estimated Cost. $
pato:t tio. �.
Old--lv=Mnuilding Permit No.
SiZr:CXc
By MINNEGASCO
Business Phare NO .
ROUGH
FINAL 1 Z " z
50 State Surchz5e
AL:
3
SUBJECT
P: RMI
City of Fridley
1tJ615
AT THE TOP OF THE TWINS
PERMIT
BUILDING
RbQEIPT NO.
L ______ COMMUNITY DEVELOPMENT DIV.���
1 PROTECTIVE INSPECTION SEC.
1 . i
1
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
6/28/76
JOB ADDRESS 5260 Lincoln Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
2
Horizon Heights
SHEET
2 PROPERTY OWNER MAILADDRESS ZIP
PHONE
Betty Bishop 5260 Lincoln Street N.E.
3 CONTRACTOR MAIL ADDRESS, ZIP
PHONE LICENSE NO.
Creative Home Exteriors 4517 minntonka Boulevar-
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 Q ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside House
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.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
]
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
$2,200
1.10
WS WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOE NOT PRESUME TO GIV AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROW IONS OF ANY O HE STATE OR LOCAL LAW REGULATING CON-
$15.00
STRUC N OR THE PE O ANCE OF CONSTRUCTION.
rhPLAN
z
CHECK FEE
TOTAL FEE
$16.10
` SIGNATURE OF CONTRACTOR OR AUT NT DATE)
WHEN PROPERLY�VAppLIID�DATED
BLDG INSP
THIS IS YOUR PERMIT
DATE
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
3
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
ADDRESS:16�jo / �'4 V JUr-112 gt&
NO:. s 2 (on STREET:
LOT: aZ BLOCK: vZ ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: 67 SIDEYAR
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:
r c _
-.fit ja' Front :
Depth:
Square Feet: Cubic Feet:
Front:
Height:
Depth: -Height:
Square Feet; Cubic Feet:
Type of Construction: C X_Lkj/ 4j"t :a2L.� Estimated Cost: c�90 0
To Be Completed: (hJ-s-4 1,
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stxict accordance with the City of
Fridley Ordinances and rulings of the De artment of Buildings, and hereby
declares that all the facts and representa ions stated inhis application
are true and correct. I
I
DATE:
�b SIGNATURE:
(See Reverse Side For Additional Information.)
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 March 1, 1996
/)5t
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
TOTAL FEE
$ .50
r
JOB ADDRESS_ Sam,,_ a'c" t�.j UVO
The undersigned hereby makes application for a perm it 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.
Owner BISHOP
5260 LINCOLN STREET N. E
FRIDLEY , 55432
Building W H 571-8582 W
Estimated Cost
PERMIT NO
C0116 / -I u , 1996
BETTY
PLUMBING COMPANY 4�� blbm I IUJIM�1 �
SIGNED BY TEL NO.
J�
Approved By A Rough—In Date Final Date
Ulk]IU111U GCC !1Q AKIV of 11►an�w��i�wc+ o�ou�T �o e.,., ....
PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
sueJEcr
PERMIT
City of Fridley
�N-� 1.-�
--� �
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432 -
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
7/18/97
10B ADDRESS 5260 Lincoln Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
2
Horizon Heights
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Bill Famnon 5260 Lincoln Street NE
788-3168
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Moes Construction 5215 53 Ave N, Crystal MN 55429
533-7734 8969
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
8 DESCRIBE WORK
Reroof House (20 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
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1 668
$.83
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
TOTALFEE
Yt-•
License SC $5.00
$61.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI
WHEN PROPERLY A DATED THIS IS YOUR PERMIT
BLDG .INSP
O
TATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ )
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: !a�
�
Effective 1/1/97
Legal Description:
Owner Name & Address: Tel. # �Pg8
Contractor: IY16-09 MN LICENSE # 9 y 4
Address: 59 l5 �^ 3 � -� "Ovi `'
O'L, I �h k) Tel. # _ � � .3 ^ 3
Attach to this application, S Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF 1WROVEMENT
LIVING AREA:
Length
Width Height Sq. Ft.
GARAGE AREA:
Length
Width Height Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type:
Estimated Cost: $ '300 0
(..Fee Schedule on. Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = —Ft.,x $ _ $
DATE: % " /&�" –g 7 APPLICANT:
Tel. #
CITY USE ONLY
Permit Fee
Fee Schedule on Reverse S
de
Fire Surcharge
$ ,
.001 of Permit Valuation (
/10th%)
State Surcharge
$ , 3
$.50/$1,000 Valuation
SAC Charge
$
$950 per SAC Unit
License Surcharge
$ c -Ca
$5.00 (State Licensed Resid
ntial Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$ -$450.00
Conservation Plan
eview
Park Fee
$
Fee Determined by Enginee
ing
Sewer Main Charge
$
Agreement Necessary Not
Necessary [ )
TOTAL
$
STIPULATIONS:
SUBJEtT
IFERMIT NO.
City of Fridley
30731
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
RECEIPT NO.
` COMMUNITY DEVELOPMENT DIV.
L------
INSPECTION SEC.
r PROTECTIVE
/6!V`J�
CITY HALL FRIDLEY 55432
NUMBER �J-REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910 -Fl
3/16/00
JOB ADDRESS 5260 Lincoln Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
2
1 Horizon Heights
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
William Fannon 5260 Lincoln Street NE
502-0667
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Homepride Remodelers Inc 7200 Hudson Blvd STE 180, Oakdale,
MN 55128
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
702-4025 20013090
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Replace windows and patio door
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations on plan.
Provide smoke detectors in all sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of the 1997 Uniform Building
Code.
SEPARATE PERMITS ARE REOUIRED 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 90 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
$ 13,000
$6.50
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
PROVISIO F ANY OTHER STATE O C LAW REGULATING CON•
$223.25
Fire SC $13.00
STRUCTI THE PERF R RUCTION
PLAN CHECK FEE
TOY FEE
Licens $5.00
247.75
NATURE OF--TRACTORO TNORiZED AGENT iDATEi
NE�quiP VALIDA THIS IS YDVA P RMIT I
SIGNATURE OF OWNEROF OWNER BUILDERI IDATE�
BL G
DATE
MAR -08-2000 15:06
NEW It I
ADDN
ALTER
Construction Address.
Legal Description:
HOMEPRIDE USA 612 688 7708 P.01/04 \
CITY OF FRIDLEY Effective 1/1/2000
SINGLE FAMILY AND DUPLEXES R-1 AND R.2 (763) 572'3604 Bldg Insp
BUILDING PERMIT APPLICATION
Owner Name & Address:
Contractor,- �I. # / p� �6 7' -jjjg
MN LICENSE #
Address: pLA
Sid I `e�'Ca Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Construction Type:_ '
L4 „' Estimated Cost: $ 00
Driveway Curb Cut Width Needed: _Ft, + 6 Ft = _,Ft x $
_$
DATE; - OO APPLICANT;
Tel.
CITY USE ONLY -
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length
�'-
Width
GARAGE AREA: Length
^--�---- Height �_ Sq. Ft
----•--
DECK AREA; Len th
Width —^--.— Height_`_ Sq. Ft
OTHER: '—
Width Hgt/Gmund Sq. Ft
$
Construction Type:_ '
L4 „' Estimated Cost: $ 00
Driveway Curb Cut Width Needed: _Ft, + 6 Ft = _,Ft x $
_$
DATE; - OO APPLICANT;
Tel.
CITY USE ONLY -
Call (763) $72-3604 for Pennit Fees If mailing in application
Permit Fee
$
�43'?s-
Fee Schedule on Reverse Side
Fire Surcharge
State Surcharge
$
$�–
/ 3, GSC .001 of Permit Valuation (1110th°!o)
SAC Charge
$
$•50$1,000 Valuation
License Surcharge
$
CC')
$1100 per SAC Unit
Driveway Escrow
$
$5.00 (State Licensed Residential Contractors )
Erosion Control
k-------$450-00
Alt. "A" or Alt. "B', Above
Park Fee
$
Conservation Plan Review
Sewer Main Charge
$
Fee Determined by Engineering
.
Agreement Necessary [.] Not Necessary j ]
TOTAL.
$
� '��`�, �� .
STIPULATIONS: •� !�i�'
EC�70
� //vim r-.clLr�