PRE 2010 DOCS0 0
Village of Fridley, Minn.
$UILDING PE Xff
N° 767 Office Of INSPECTOR OF BUII.DINGS
-a.
Own
1
Architect '; Fridley, Minn.,'"
Builder
LOCATION OF BUILDING
No. Street _— Part of Lot
Lot Block Addition or Sub -Division
DESCRIPTION OF BUILDING
Front ` Depth Height
"' Stories # Manner of Constructions
To be used asalk _ d eCls++rf . �•s-F n, � a
a �
'� To be completed "'� r ` " 'Estimated Cost �r,
tyq�, s +" . �_ �.t= -�.s� » � �t',=- ,.= w, f ��. n .y :af 5�:.=e>a, y,=: �:gr�c e��s•> a_� `" x�� �,�
Permit is hereby granted to 4* AgtL-, ' Cx
the building described in the above statement. This permit is granted
upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all
the work done in, around and upon sald;'building, or any part thereof, shall conform in all respects to the ordi-
nances of Fridley, Minn., regarding the construction, alteration., maintenance, repair and moving 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.
inspector of Buildings.
AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that .'the facts stated by me and contained in the above permit are
true as therein stated.
Subscribed and sworn to before me at Fridley,
day of �'�y :, �; A.D.,, 11_
Minne§ota, this "
3ief i 7
City ®f Fridley, Mian.. No 8552
BUILDING PERMIT
Date: H. RENNETS BISSELL
Owner: OCTOBER 20, 1965 Builder SAME
Address 5825 Main St. N. E# Address
Fridley 21, Minnesota
LOCATION OF BUILDING
No. 5 825 Street Main S t . N. E. Part of Lot
Lot ____ _ Block Addition or Sub -Division
Corner Lot _ Inside Lot _ _ Setback
Sideyard
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
D. Garage Front 26 Depth 26 Height 10 Sq. Ft, 676 CjL Ft. 6,760
Front Depth freight Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost --2 _5 00.00 _.. 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 a�11 ons of
ordinances of the city of Fridley.
In consideration of the payment of a fee of 7.00 , permit is hereby granted to H. KEITH
U5SELL , 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 t � revoked cit any time uponllationof any of the prroovisionbs of said
calor an� city limits and this
ALLEN G. JENSEN Building Inspector
NOTIM
This permh don not wwr the eendrus&m, hntaMen for whino, pbmbino, on hading, ower er wabr. Be sure to as
the Beihllno b apnbr hr aparab pwmBa for thea hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME �� ,� S ; �'// MDER
ADDRESSaj , .�'ADDRESS
LOCATION OF BUILDIM
SJ- '0�' -e
N0.g-5' STREET
� � � � �' � PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDE YARD
SEWER ELEVATION FOUNDATION ELEVATION
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; At
dai' a elFrontDepth f Height d
Sq. Ft. 676 6 Cu. Ft. l& 12
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction L4'1 h9 c 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.
(Schedule of Fee Costs can be found on the Reverse Side).
���-7- a .6
s
City of Fridley, Minn. 1 3:
5
6431 University Ave. N. E., Minneapolis., Minn. 55432
BUILDING PERMIT
Date: december 11 1972
Owner: ..... R. Kenneth Ri s s e l l Builder Same
Address 5825 Main Street N.E. Address Sam
LOCATION OF BUILDING
5825 _Main Street N.E.
No. ___.___....__.ti_ street _ Part of Lot
20 21 S2 of 2T 24 Hyde Park
Lot —_> > Block �__ _ Addition or Sub -Division 9
Corner Lot ___......__. _ Inside Lot Setback — Sideyard
Sewer Elevation
To be Used as:
Foundation Elevation
DESCRIPTION OF BUILDING
Repairs —__ Front _ _
Depth Height
Sq. Ft.
Cu. Ft
--- Front
Depth Height
Sq. Ft.
Cu. Ft.
Type of Construction wood frame
Est. Cost $2, 000.
To be Completed
6 months
In consideration of the issuance to me of a permit to construct the building described above I agree tq do
the proposed work in accordance with the description above set forth and in compliance with a& providons of
ordinances of the city of Fridley. Vq�
In consideration of the payment of a fee of $__12. 00 , permit is hereby granted to Kenneth Rissell
to construct the buildingor addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
vpithin the city limits and this permit may be revoked at any time pon violation of any of the provisions of Said
ordinances.
Building Inspector
DARREL CLARK
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to me
the Building inspector for separate permits for these items.
APPLICATION FOR RESIDENTIAL, ALTERATION#
OR ADDITION BUILDING PERMIT
CITY 4F FRIDLEY, MINNWTA
4InM' D + ►`t++e i P. J 7 ` X/1 'O ,4 ii� i. / � 17V iLYL'+i� : - ��1�. C...rge
ADDRESS: z/ S4 sv- TTT
ADDRESS
ADDITION i
N$R LOT: INSIDE LOT:T SETBACK: SIMARD:
. i%m" attach " th" to= rgo Certificates of SuxvgX of Lot and proposed
%djAing location dram on hese Certificates,
vo Be Dsed As
DESCRIPTION OF BUILDING
Height
Square Feet;- Cubic Feet;
_Front.. —Depth; Height
Square Feet; Cubic Feet:
Type of Constructions �� Estimated Cost: $ �t��✓
TM underrpigned hereby makes application for, a permit for the work herein
speaiePi*41, agreeing to do all work in stti.ct accordance with the City of
FiWey OrO*ances rnd %tom ipf the Department of BuWtnas, OPA hereby
4mlareo t'bAt all the facts and, representations stated in this application
axe true =4 correct,
]b+V3+U4TI. 14&1_01 94:12-W4 Q esu 'i
Reverve We For Additional Inforwation.)
10
0 /'�. e'_j)
Ke
City of Fridley
SUBJECT
R
NO 16 9_
AT THE TOP OF THE TWINS
BUILDING P E R M I T
_ ,42
r
�
-------- COMMUNITY DEVELOPMENT DIV.
1
r PROTECTIVE INSPECTION SEC.
��"1 CITY HALL FRIDLEY 55432
612-571-3450
CEIPT
NUMBER
910-F15
REV.
DATE
3/15 83
PAGE OF
APPROVED BY
JOB ADDRESS 5825 Main Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
20-22
24
Hyde Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
nneth Rissell 5825 Main Street N.E. 571-3942
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Erv's Construction 10931 Kumquat 755-2494
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 Ck ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Structure and Interior Alterations
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR WONL,
HEATING, PLUMBING AND SIGMA.
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
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$5,600
SURTAX
$2.80
OES NOT PRUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SAC CHARGE
P O ISIONS OESF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STYJCTION OR THE PERFORMAN E OF CONSTRUCTION.
$56.50
4 L �
PLAN CHECK FEE
TOTAL FEE
$59.30
SIGNATURE OF CONTRACTOR OR AUTHORIZ DAGENT (DATE)
WHENPROPER VALIDATED THIS IS YOUR PERMIT
�4
z
BLDG INSP E
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
Effective Aug. 1, 1981
APPLICATION FOR RESIDENTIAL BUILD111G PE194ITS
(New. Alterations. Additions. or Repairs)
w
OWNER:
ADDRESS: -1Y(
TEL NO:
BUILDER: Z4e?—
ADDRESS:
CT
TEL NO: �r — �- E.1
Construction Location
. STR= N0:
LOT: �-(j�• L J /�LODC: ADDITION s
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 MNSTRUCTION
Front: Depth: Height:
Square Feet: Qibic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
'type of Construction: Estimated Cost: Srj
Rb 8e Cbrnpleted:
Alt, A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ ' $
SEE REVEMM SIDE. OF SHEET
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do ,all Work iss strict accordance with the City of Fridley Ordinances and
rulings of the Derartment of Buildings, and hereby declares that all the facts and
representations stated in this application Are true and correct.
DENTE: -G,5 V l :- � �5 SIGNATUME:
Stipulations:
Lill Ur rKi1JLLY
_— APPLICATION FOR PLUMBING AND GAS FITTING PERUr.
RATE SCHED'U'LE -
PLUMBING FIXTURE RATES: NO. RATE
New Fixtures $ 5.00
Future Fixtures S 3.50
Old Opening, New Fixture 5 1.50
Beer Dispenser _- S 4.00
Blow Off Basin $ 5.00
Catch Basin - $ 5.00
Rain Wetar Leader S 5.00
Hydraulic Valve S 5.00
Sump or Receiving Tank $ 5.00
Mater Treating Appliance $ 7.00
Hot Mater Rester $ 5.00
Gas Range S 10.00
Gas Dryer S 10.00
ALL OTHERS ANO/OR REPAIRS AND ALTERE.TIONS
TOTAL
S
It of Value of Fixture or Appliance _- —S/5/ov
Reinspection tea $
State Surcharge S .50
-
1515.00) TOTAL FEE _ $ 1 'q'O
Job Address -�; S :L / 1 S T / V C
Department of Buildings
City of Fridley
Tel. 1571-3450
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 Department of Buildings, and hereby declares that all
the facts and representations stated in this -application are true and correct
.p Fridley, Mn. %+ Q , 194MIE�—
OWNER / Q
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTI!Lk ED COST
OLD - N w BUILDING PEFL41T NO. PE".1T NO. hi
a ^tom
Company
Signed By /►
Tel. No. 'Y
14LU"H I NSP.
Date
FINAL INSP.
Date
APPROVAL FOR PEkMIT
MIN11104 FEE FOR ANY PLUMBING PERMIT IS $10.00
PLUS THE S.50 STATE SURCHARGE
N
x
u
Water
A
O
P L
L
_.-
•.a_-
-�
Heater
L
w
c
••�
L
C C
)
�� O t
U
y
.y
8U
U.
m'
p
d5
1 eC
�fl
U
O
10
_
4U.0
IA
91
lJ i
L!
O
-let
_
t
iol
-
I
t
2nd
-
--
3rd
4th
(R) - Future Connection Opening
Connected with Sewer
(�) - New Fixture, Old Opening
Mater
RATE SCHED'U'LE -
PLUMBING FIXTURE RATES: NO. RATE
New Fixtures $ 5.00
Future Fixtures S 3.50
Old Opening, New Fixture 5 1.50
Beer Dispenser _- S 4.00
Blow Off Basin $ 5.00
Catch Basin - $ 5.00
Rain Wetar Leader S 5.00
Hydraulic Valve S 5.00
Sump or Receiving Tank $ 5.00
Mater Treating Appliance $ 7.00
Hot Mater Rester $ 5.00
Gas Range S 10.00
Gas Dryer S 10.00
ALL OTHERS ANO/OR REPAIRS AND ALTERE.TIONS
TOTAL
S
It of Value of Fixture or Appliance _- —S/5/ov
Reinspection tea $
State Surcharge S .50
-
1515.00) TOTAL FEE _ $ 1 'q'O
Job Address -�; S :L / 1 S T / V C
Department of Buildings
City of Fridley
Tel. 1571-3450
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 Department of Buildings, and hereby declares that all
the facts and representations stated in this -application are true and correct
.p Fridley, Mn. %+ Q , 194MIE�—
OWNER / Q
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTI!Lk ED COST
OLD - N w BUILDING PEFL41T NO. PE".1T NO. hi
a ^tom
Company
Signed By /►
Tel. No. 'Y
14LU"H I NSP.
Date
FINAL INSP.
Date
APPROVAL FOR PEkMIT
MIN11104 FEE FOR ANY PLUMBING PERMIT IS $10.00
PLUS THE S.50 STATE SURCHARGE
1
SUBJECT
MIT NO.
City of Fridley
24910
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
Ir?
L
• -------COMMUNITY DEVELOPMENT DIV.
r 1 PROTECTIVE INSPECTION SEC.
1
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
3/20/9 / /
JOB ADDRESS 5825 Main Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
20-22
24
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Charles Peterson 5825 Main Street NE
571-9433
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Sunrise Remodelers 6609 18 Ave S, Richfield 55418
866-6650 20051518
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 O ALTERATION Cj REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Garage
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
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
$6,570
$3.28
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-
$124.75
Flixe SC $6.57
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEEOTAL
FEE
Licen SC
.00
;$139.60
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEIN
PRO
r
Y VA ID D THIS IS YOUR PERMIT
SIGNATURE OF OWNER OF OWNER BUILDERI - IDATEI
BLD INS
MATE
1
MRR-18-1997 09:11 CITr' OF FRIDLEY
�W [ ] CiPY OF FRMLEY
4DDN
[ �
kDDNt E ] SINGLE FAMMY AND DUPLMM P- 1 A" R-2
BUff-DING PERMIT APPLICATION
Con stEuctionAddress:
Legal Description:
Owner Name
Contractor:
'R
1-0
612 571 1287 P.01r02
Effective 111197
—
MN LICENSk? # D l
Tel. #
Attach -0 .this application, a ..Cerdficate of Survey of 'klte
lot, with iZte proposed, coUmction dream tan it tO scale.
DESCRW'.i'ION OF n&MOVEMNT
-LIVING AREA; Length _ Width Height _ Sq. Ft.
GARAGE AREA: Length � Width � Height---� $�. Ft. -
DECJK AREA: Length: Width � Hgd(kound � Sq- Ft.
OTUER:
Conshuction 'Type: �.—.�
Costo
(Pee Schedule on -Back)
Driveway. G'urb Cqt; ri,1th'.NtWed:::i tf. 6 Ft x
I1A'TEc �' ... APPLICANT. '.
Permit Fee
Fire Surcharge
State Surge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Cl'I" Y USE ONL -
Fee Schedule on Reverse Side
:oil. of Permit Valuadon'(1/10th%)
$.50/$1.,000 Valuation
$950 per SAC Unit
$5.00 (state Licensed Residential •Contractors)
Alt. "A'" or Alt. "E" Above,
$450.00 Comervation Flan Review
Pee Determined by. EnOxmiAg
Agreement Necessary [ ] • Not NcCessul. E
SUBJECT-IN
City of Fridley
2 5 7 3 3
AT THE TOP OF THE TWINS
BUILDING
PERMIT
�
RECEIPT NO.
v �_____ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
��
r
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-FIS
12/16/97
/ /
JOB ADDRESS 5825 Main Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
20, 21, 22
24
1 Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Charles Peterson 5825 Main Street NE
571-9433
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Seal Guard Systems 11464 Robinson Dr NW, M ls., MN 55433
757-0097 20093688
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 fZ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
REroof Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
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 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
$1,900
.95
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.
$59.50
Are SC $1.90
PLAN CHECK F
OTAL FEE
L e C
0
$67.35
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
E YP
Y VALI
ED THIS IS YOUR PEER/MIT
OG )NSP
ryATE
SIGNATURE OF OWNERUF OWNER BUILDER) IDATEII'B
NEW ( 1
ADDN ( ]
ALTER,, [�]
RLu-\
ConstructionAddress:
Legal Description:
Owner Name & Address:
Contractor:
Address:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
0
Effective 1/ 1/97
Tel. #
MN LICENSE # oZ ®(��
55 'Tel. # _-75J::i2Q Cl 7
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:- Estimated Cost: $ DbDO
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
STIPULATIONS:
� 5 I- 00q%
1
DATE: I�,
APPLICANT:
L el. #
CITY USE ONLY
Permit Fee
$ 5
Fee Schedule Qn Reverse Side
Fire Surcharge
$ 1, Of
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$950 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:
� 5 I- 00q%
SUBJECT
ERMIT O.
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
2 7 910
r
• _____ COMMUNITY DEVELOPMENT DIV.
- INSPECTION SEC.
f � PROTECTIVE
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/21/98
JOB ADDRESS
5825 Main St NE '
1 LEGAL
LOT NO.
I
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
20, 21 S 2
1
H de Park
SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP
PHONE
Chal.es Peterson
571-9433
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Custom Remodelers Inc 474 Apollo Dr TAno Lakes 55014
784-2646 1748
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
❑ NEW ❑ ADDITION ❑ ALTERATION Ek REPAIR
O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house I (23SQ) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State 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 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
$1,971.00
$.98
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-
$62.25
Fir SC $1.97
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PTOTA
az -� -q
PLAN CHECK FEE
Licen C $5.
E
$70.20
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGE IOATEI
NZPOHIS
BLD INSP
ISRMIT T
•r ` V
nArE
S,GNATURE Of OWNEROF OWNER BUILDER, IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �b
BUILDING PERMIT APPLICATION
ConstructionAddress: S $ ;, s -
Legal Description:
Owner Name & Address: r x7 Tel. #s"�/-
Contractor: e,n Ze,�� k``��te eA_f <CMN LICENSE # �
Address: V f) � e9,)/p DrZ,, /.;,.Jv 04,hk9-f Tel. # 2 ff yoZ.lv'7'r�
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: J?. no
d GG,S e—
$.50/$1,000 Valuation
oZ 3 .5_29-
°�-- A) Ci
Construction Type: PZ, e__ R6 d -P Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: `� —off APPLICANT: Tel. # "
TOTAL
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ 1 7
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ 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
STIPULATIONS:
11
SUBJECT
0.
City of Fridley
30758
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
E
v______ COMMUNITY DEVELOPMENT DIV.
i PROTECTIVE INSPECTION SEC.
,
l ; "' �'� CITY HALL FRIDLEY 55432
NUMBEn
pEv
OATE
PAGE OF
AOPROVEO BY
-_-•
L 612-571-3450
910-F153/23/00
JOB ADDRESS 5825 Main Street NE
I LEGAL
LOT NO.BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
21,22 20
24
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Charles Peterson 5825 Main Street NE
571-9433
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Trico Exteriors Inc 268 S Commerce Circle NE, Fridley, MN 55432 574-9261
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
201147770
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace 7 windows
9 CHANGE OF USE FROM TO
STIPULATIONS
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 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
1
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES VE ING THIS TYPE OF WORK WILL BE COMPLIED
$6,860
$3'43
WITH WHETHER IF DH O OT. THE GRANTING OF A PERMIT
DOES NOT P S O U _ RITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROWjo O T OR LOCAL LAW REGULATING CON-
$139.25
Fire SC $6.86
STRUCTI N OF CONSTRUCTION
PLAN CHECK FEE
TOTAL EE
—o?3'OO
Lice $5.00
$ 54.54
S A UAE OF CONTRACTOR OR AUTHORIZEO AGENT IDATEI
EN ROPE Ff ALIDAT IS I$ YOUR PERMIT
BL INS
I
,,ACE
SIGNATURE OF OW NER iiF OWNER BUILDE RI MATE,
11
NEW [ ] Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,Q
BUILDING PERMIT APPLICATION 4
Construction Address:. �J Ia l r/1 T / , — q9 Na
Legal Description:
Owner Name &Address: JA e-,A� r �2� l� ) pi✓4, e Mp v\ Tel. # (-Q - ,� :Z
Contractor. Ac 1 c x--� c ��(-� -P— c, C) C5' C,, MN LICENSE #_
Address: oR & :5 C=L wt W E C- P C 1r -C- l Pt/�T-ej. #
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: 2 Gtr
Yp � l
Construction T e:_ C'_ Ct_C� Q -� ,l� mated Cost: $ �n Lo 01
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$
DATE: L� -� ?jam APPLICANT: S /- r, ' Tel. #l� S Z/ G —2 274
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge $_ 3 $.50/$1,000 Valuation
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
STIPULATIONS:
R
$1100 per SAC Unit
$
-S--00 $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
8
Agreement Necessary [ ] Not Necessary [ ]
Building
MECHANICAL
Permit No.:,,�Q�)7 . Q2.N
Inspections
k RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rec'd:
DATE 3 - 15 - 0-1 YOUR E-MAIL ADDRESS
SITE ADDRESS 56 a S' 1V 6G -i r -X S'F t\%
THIS APPLICANT IS: ❑ OWNER f CONTRACTOR
PROPERTY
NAME: r !s 4 ,e r 5 O r►
OWNER/
ADDRESS: saas rno-, r si Ne CITY STATE PZIPS, 5U3;Z�
TENANT
-3
PHONE: -"I Co - 5 1 15( - 9 3 73
CONTRACTOR
COMPANY NAME: CENTERPOINT ENERGY
CONTACT PERSON: JOANN 'Zs INKEN
SUBMIT A COPY OF
/�'� A�
STATE LICENSE # �fA CEJ'-%C)L.O EXP DATE
YOUR STATE
LICENSE WITH
ADDS: 9320 EVERGREEN BLVD STE BrrY ' 'COON "°RAP.IDS STATEMN zIP55433
APPLICATION
PHONE 763 - 757 -- 6202 FAX 763--'757--6701
ll
PERMIT TYPE
,u""LE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW 0-16PLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK
PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW) ;� 1
Equipment Installed MFG: 1 V tsL+ MODEL: Ltd, P �-C)S SIZE/BTU -50,000
MFG: , - MODEL: 1.- f\ V,) u -d1 6 SIZE/BTU 1 yaa ±g x
MFG: MODEL: SIZEBTU
wAIC $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00
TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 GAS GRILL $10.00
_AIR _NEW
_BOILER $35.00 _✓FURNACE $35.00 _GAS UNIT HTR $10.00
_CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
p��t' F'E•F- 1'R(Qr `I�$�,0`I�,`iJND� �$SflU �`, .
° M� ���:�t� sit ; � � �i .���, � ; ��, � a �r �' .'� � �' ;'k"QR �� �`�S`i R $�(�Q£
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50
Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $
Number of fixtures @ $25.00 1 x$25.00=$ 2s,Cb
Number of fixtures @ $35.00 t x $35.00 = $ 35. cO
State Surcharge = $ .50
Total = $ (o .�(]
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
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT° vT NAME ROGER HOFFHE IN DATE I S O
PLAS Nfl� S1�E, AItA= ' ry s T r.9 RE F Q1lZ r'CSr EL IIC '' P ASID MEQCA W'
City of Fridley
Building Inspections' Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604,
FAX: 763-502-4977