PRE 2010 DOCS0 City oFridley, f Minn.
BUILDING PERMIT No 4137
Date: _..._____._ ___....1.L.....___...... ._........ .... ............. _
Owner:..... ............... _.---- ------------------------ Builder
Address.................. .... ... _._......_...._..._..__.._......_._.__ _ __._.._.--_---.. Address
P��j /
LOCATIONCO BUILDING
No. n:U _%... Street ....._. ... .......fes.... .. .............. Partlieyard
..... -............. . -.... .. _. .. _ _—
Lot .7�.. _ .. Block....._...�.?................._............. Addition or Sub -Division ...... -. c � ...........---_._....._....
Corner Lot .......................... _........ Inside Lot...X........... ........ _........ Setback .....®........ /0. ................_..............._ _..
Sewer Elevation....._............._............._......_...._......._...._............................_.......w Foundation Elevation
DESCRIPTION OF BUILDING
Zo be U as:
. _...... ........ . . . KJ Front .7_....1.... -_..Depth �,�'..'�.. b Height ��" � Sq. Ft. ....-.............__ Cu. Ft......_......._...._..
.................... _...................................... Front .................... Depth .......... Height ....................... Sq. Ft. ..................... . Cu. Ft. ........... ........ _..
Type of Construction .................... _..... ... Est. Cost.. /go ... .................. To be Completed ..................................................
Our attention has been called to the fact that you have
requests for building inspections as is required by thi
begin to c6mply with the request of this office, future
not been complying with
i office, and unless you
permits will be denied.
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 arid.in corpliance with all` provisions of
ordinances of the city of Fridley.
X��pp
..... ........
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 any time upon violation of any of the provisions of said
ordinances.
�.._..... Building Inspector
NOTICE: �I --
This permit does not cover the construction, installation for wiring, plumbing, gals' sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
4
e
� -City of Fridley
Apphcatian for Plumbing, and Gas Ming Permit '
Dept. of Bldgs. Phone SU 4- 470 _
DESCRIPTION OF WORK 5-C? 7 /
Number, Kind and Location of Fixtures Location
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
mruZ
z
x $1.50 do
Future Fixture Opening ................
12=h
New Fixture Old Opening ..............
Y�
Catch Basin ............................
p�Z
1U1
cc
Q=
New Ground Run Old Bldg . ............
W
Z
g
1st 3 Fixtures ..........................
WATER HTR.
Additional Fixtures ....................
x .50 $
3fj
=
��
?
3�
c0
oa
aSZ
Q3
�'d
�U4a
(�90
R
N
GAS
El
W
Base
1st
2nd
3rd
4th
Future Connection Openings
Connected with
New Fixture, Old Openings
Sewer
a
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $1.50 do
Future Fixture Opening ................
x 1.20 $
New Fixture Old Opening ..............
x 1.00 $
Catch Basin ............................
x 3.25 $
Water Heater (Up to 200,000 BTI) ......
x 2.00 $ �• QD
New Ground Run Old Bldg . ............
x 3.25 $
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
_ x $1.50 $
Additional Fixtures ....................
x .50 $
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.
Sind of
Used as
1!
19-
9
19—
19—
To
To be completed about f I — i ,� 7
Estimated Cost, $ t Y" a O
Old --(g Building Permit
Connection Permit No. ....... ....... /.... `.............
-Water
SEP 11 1959ROU�I M sewer
Meter Deposit
Gas Range to 200,000 BTU .............. x 2.00 O /, N
./
REPAIRS &ALTERATIONS—Refer to Code
Description ................................................$ r
TOTAL FEE $ Z L�® 11 1 M-8-58
City of Fridley, Minn.
BUDDING PERMIT N?'(:q :9P:4
Date: IZ--If 4,
Owner:' Builder Wee Vi4
Address Address
IPCAT#t!,! ,ING ,A _. �Wt--=
No 'Street ,so _4 Pat
Lot ae4E r#eQ_ Block Addition or Sub
lffl—PAW:n d
Comer Lot __ Inside Lot ,,back. deyard
rotion
Sewer Elevation on Elevation
DESCRIPTION OF BUILDING
TO 'as:
77WV/1CU- Ft,
Ic W194 Front Depth Height Sq. Ft.
Depth Height Sq. Ft. Cu. Ft.
Type Of Fst.To
be Completed
- In consideration of the issuance to description
o, construct the building described above I agree to do
the proposed work in accordance with t�� of above set forth and in compliance with 21 provisions of
eilislanoss 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 hereof, shall conform in all re to the ordinances of
art t s=
FAdley,,Mnnesota regarding location, conson, alteration, maintenance, repair moving Of b.41A4__
within the city 11-i and this permit may be revoked at ik,w on of any of the provisions of said
ordinances. 7*
11, 1 �u
NOTICE
Thb permit don not corer the condmedon, hwhMdlos for vim, phmblng, pa hu=war or water. Bo wn to aw
#6 BuIldin bqmftr for "PMft permits for 6" item.
APPLICATION FOR BUILDING PERMIT.
CITY OF FRIDLEY, MINNESOTA
ADDRESSOWNER'S NAIC LIV BUILDER
/ADDRES
S
LOCATION OF BUILDING
No.Street �� Part of Lot
Lot Block �! -Addition or Subdivision
Corner Lot Inside
SEWER ELEVATION
Lot ,r/ °fatback Side -Yard �
OUNDATION 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 us d as: `
Front Depth jr Height /
Sq. Ft'. ` _ Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construct io Estimated Cost nll
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 / STONATME
(schedule of Fee Costs can be found on the Reverse Side).
Y
F ,
Ago
SU
12 NES' STREET S t _ MINNBAPOLi , MI��NESQ
y..
CERTIFICATE OF SURVEY
For IMII LLI MAN BROs. INC.
AN
4o
ti o:
2 3.9V
:-1 rf
23, 7r
OesaRIPYIONa-
LOTs 27 ANO Me BLOCK 9a HVOt PARK.
SCALES 10 • 201
BUILDING LOCATED SV U8 TN18 29TH OAV OF SEPTEMGER 1959.
We hereby certify that this is a true and correct representation of a survey of
_ the boundaries of the land above described and of the l ocat.i on of Irl i bti i l dl ng4
if any, thereon, and'ail visible encroachments, if any, from or on said land.
Dated this 27T►I a$y of M, 159. EGAN, FfEL�T-,b NO
eyoire ?.
JFV12 No 569 Book Nc 1463 • 24 oy*
1 l
City of Fridley S3-84-879.01
Application for Plumbing and Gas Ming Permit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK 5973 NE, Main St.
Number, Kind and Location of Fixtures Location
qY
$
— x $1.60
$
— x $1.50
$
— x $3.25
z
— x $3.00
Z
8�
N
2<� ?
o
_ a $2.00
W
o
0
Z
z
� O
•
0
`
N
WATER HTR.
GAS
EIEC
Base
1st
2nd
3rd
4th
• Future Connection Openings
New Fixture, Old Openings I
Connected with
Suver �
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 BTL) .....
New Ground Run Old Bldg. ...........
Electric Water Heater
GAS FITTING FEES:
1st 3 Fixtures ........................
Additional Fixtures ....................
Gas Range to 199,000 BTU .............
— x $2.00
$
— x $1.60
$
— x $1.50
$
— x $3.25
$
— x $3.00
$
— x $3.25
$
_ a $2.00
$
NO. RATE TOTAL
x $2.00 $—
x $ .75
x$.75 $
x $5.00 $
REPAIRS & ALTERATIONS --Refer to Code
Description .Replace (jk) gas range ..................$ 3.00
TOTAL FEE $ 3.00
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_ Nov. 3s 1970 , 19—
Owner John Chura
Kind of Building —frame
Used as residence
To be completed about Nov. 6s 1970
Estimated Cost, $ 10e0
Old New. Building Permit No Permit N
Si
By—
IN
y OLIS GAS CO
Business Phone o ,
ROUGH
FINAL Co `- % /
42
SUBJECT
City of Fridley
plo�§6
AT THE TOP OF THE TWINS
BUILDING PERM I'K
i
�
i `L ______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
7/18/80
/
JOB ADDRESS 5973 Main Street N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
27,28
9
1 Hyde Park SHEET
2 PROPERTY OWNER MAILADORESS ZIP PHONE
John M. Chura 5973 Main Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION CA ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Construct a 12:6" x 14' Patio (Deck)
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
4 2
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
$450
$.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
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CON-STRUCTION
OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$8.00
SIGNATU OF CONTRACTOR ORAUTHORI AGENT (DATE)
WHEN PROPERL ALIDATED THIS IS YOUR PERMIT
F�
IGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
BLDG INSP f1A E
CITY OF FRIDLEY
APPLICATION FOR RESIDCNTIAL BUILDING PERMITS
(Neer, Alterations, Additions, or Repairs)
OWNER: BUILDER:
ADDRESS: ADDRESS:
TEL NO: �' 7 / TEL NO: '
Construction Location
STREET NO: STREET: /V S
LOT: BLOCK: ADDITION:
Corner Lot: Ins isle. Lot : Setback: S ideyards :
Applicant attach to this form tvio Certificates of Survey of lot and
proposed building location drawn on certificates to.scale.
DESCRIPTION OF CONSTRUCTION
Front: Depth: Height:
Squane.Feet_ Cubic Feet:
Y7// d Front: / a-�r� Depth: c _ Height:
Square - Feet: Cubic Feet:
' p o
Type of Construction: Estimated Cost: $ L,�,s O
To Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
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 t e and correct.
DATE: r% '-1 d''N L' SIGNATUM:
Stipulations:
17
r J
8.00
i
SUBJECT
City of Fridley
2 7171
AT THE TOP OF THE TWINS
BUILDING PERM l '
r
RECEIPT NO.
i fr �_____ COMMUNITY DEVELOPMENT DIV.-77
PROTECTIVE INSPECTION SEC.
�/
r
NUMBERREV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/13/98
JOB ADDRESS
5973 Main St NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
27-28
9
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Marjorie Chura
571-4619
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Walker Roofing 2701 36 Ave S M is 55406
729-2325 4229
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 ❑ ALTERATION XX REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof du lex- Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with 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 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
5816
$2.91
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.
$112.25
Fire SC $5.82
PLAN CHECK FEE
TOTAL FEE
Li nse SC 5.
125.98
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi
WHEN PROPKeTHIS IS YOUR PERMIT
/VJALL�IIDD/FyTED
� � �'' `� —[J ATE
BL INSP OATE
SIGNATURE OF OWNER OF OWNER BUILDERI (DATEI
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: "
Legal Description:
Owner Name & Address:
Contractor:
Address: rq7 n i
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
0
Effective 1/1/98
�-
Tel.
MN LICENSE #_ _
Tel. #
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.
Estimated Cost:
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:�/APPLICANT:Q'YUTel. #
CITY USE ONLY
Permit Fee -"` $ r o� Fee Schedule on Reverse Side
Fire Surcharge $ Z .001 of Permit Valuation (1/10th%)
State Surcharge $ e $.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 $ 9 -59S
STIPULATIONS: