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PRE 2010 DOCSk Builder Address ,LOCATIO F BUILDING No. Street _ ____ Part of Lot Lot . _ . __ Block V Addition or Sub -Di n Corner Lot _ Inside Lot _ �_ °hack Sideyard W . Sewer Elevation N Fo dation Elevation DESCRIPTION OF BUILDING 02 <(',q '3>1 N® 7047 TO Depth Height Z!Q Sq. FL CU. Ft 11W of e AZSw—i1..P-- Es' '� i . be CompletedW— In consideration of the issuance to me of a permit to const?��q huilding descri above, I agree to do the proposed work in accordance with the description above set in, compli witty all provisions of ordinances of the city of Fridley. ij // In consideration of the payment of a fee of hermit 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 uponviol. orp of any of the provisions of said ordinances. �� A % �� NOTICE: This permh deet not cover the construction, Installation for wbin , phmn6ing, on heating, sewer or water. Be su to we the Building hupsater for separate permhs for these items. City ®f Fridley, Minn. N° 7786 BUHDING T Date: June 9a 1965 Owner: James Squrek Builder R, L. Scherer Address 5695 Quincy Street E. Address 6525 2nd Street N. E. LOCATION OF BUILDING No. 5695 street Q&j= Street 11T. E. part of Lot Lot 1s Block 6 Addition or Sub -Division Donnay t s Lakeview Manor Corner Lot , Inside Lot setback __._ Sideyard Sewer Elevation _ __ Foundation Elevation To be Used as: DESCRIPTION OF BUILDING Front Depth height Sq. Ft. Cu. Ft Front Depth Leight Sq. Ft. Cu. Ft. Type of Construction Est. Cost W5,00 _ To be Completed Storm damage repair In consideration of the issuance to me of a permit to coktrucrt a builVescrfwabovW agree to do work in accordance with the description above oth inpliaith provisions of ordinances of the city of Fridley. A In consideration of the payment of a fee of s 5.00 , permit is hereby granted to D. L. Scherer 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. Allen Jensen Building inspector NOTICE: Ub permb does cot sorer the construction, hutaflation for whU& piambYeg, gas heating, sewer or wafer. Be sura to ae the &Mdhig bupastor for aparafe ponnils for these Name. OWNER'S C APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA V ADDRESS ADDRESS t .r LOCATION OF BUILDING No. % Street Part of Lot LOT BLOCK ADDITION OR SUBDI 0� 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. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost i To be completed The undersigned hereby makes application for a permit for the work herein specified, agreging 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. k DATE SIGNATURE i (Schedule of Fee Costs can be found on the Reverse Side). r fi SUBJECT PERMI of Fridley 1252 PCity AT THE TOP OF THE TWINS PERMIT BUILDING . 'RECEIPT NO. Ir , � • ___ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/3/74 JOB ADDRESS 5695 Quincy Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 6 Donnay's Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Richard F. Young 5695 Quincy 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] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel Basement 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRE® FOR WIRINC1 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 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 R-1 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 $SOO.00 -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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $5.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $5.50 NAT OFCONTR ORO9XAUTHORIZED AGENT (DATE) WH N PROPERLTn1T THIS IS YOUR PERMIT TV G INSP DATE SIGNATURE OF OWNER IIF OW DERI IDA EI APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:. J Cc 9 / C% ILDER: ADDRESS : zr �� ADDRESS: NO • .�� �1� STREET'— - wAjd 4o LOT: � BLOCK: ADDITION:�s CORNER LOT: INSIDE LOT: SETBACK: SIDE -YARD: 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: N Front: Depth: Height: Square Feet: Cubic, Feet: Front: Depth: —Height: Square Feet; Cubic Feet: Type of Construction: _ �=tt e^q Estimated Cost: Liss 'T -5J *AJ ®C� 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. r DATE: ZIZSIGNATURE: / (See Reverse Side For Additional Information.) 'St00 Pr' -M1,,1 M ME r City of Fridley SUBJECT i?T3 93 AT THE TOP OF THE TWINS PERMIT BUILDING COMMUNITY DEVELOPMENT DIV. M;tNO.� PROTECTIVE INSPECTION SEC. 1 � = 1 1""1 CITY HALL FRIDLEY 55432 AltI.J NUMBER REV. DATE PAGE OF APPROVED BY "" 612-560-3450 910-F15 5/4/76 JOB ADDRESS 5695 Quincy Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 6 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard F. Young 5695 Quincy Street N.E. 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 13ALTERATION ❑ REPAIR ElMOVE ❑ REMOVE X 8 DESCRIBE WORK Construct an 18' x 24' Addition onto back of dwelling 9 CHANGE OF USE FROM TO STIPULATIONS provide city with copy of truss design. Provide center beam with two supports under floor. SIPE.RATE PERMITS REQUIRED FOR WIR-fNG. : -G, 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 60 DAYS, OR IF CONSTRUCTION 432 8640 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 TRIS 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. $6,000 3.00 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- $25.99 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $28.99 S ATU SF CONT OR QR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �( gEPLDK�F-�-4%IAT111Z'. BLDG INSP DATE It SIGNATURE 0F OWNER IIF APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADllITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: r a— JJ BUILDER: -e- ADDRESS: ac' , "ADDRESS: NO:. S STREET: V- )'IV C- ✓ S r LOT: 1 BLOCK: ADDITION : MW— /L 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®�BeUsed As: 6TGK./�,"&,'o /L/: Front: Depth: _Height: l� Square Feet: .3<�- Cubic Feet: N (0 �-y Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: , `Yt� `�?-Estimated Cost: To Be Completed: TG'- Al l % 7Z 7 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: i' SIGNATURE: s (See Reverse Side For Additional Information.) 3 _zxg`s by, g8 C�2 �, 99 3,00 M60#06 a &V w� riM �.`�' ��� U i.0� CES irE�. ,dE4,r�► Tom- G�iT� Z scLApo'i0y`s �w . No 40452 13uildsng Job Report :AD:DRESS� ��� OWNER BUILDER DATE ?� —PERMIT NO. DESCRI TION e INSPECTION RECORD REPORT DATE v INSPECTOR OWNER - REP. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT ` PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE .%-= be-- Fixtures � x $3.00 future Fixture Opening �_ x $2.00 New Fixture, Old opening x $2.00 Catch B's'n x $5.00 Water Heater - to 99,G00 BTU x $5.00 Water x $10.00 water Softener x $7.00 a X. $5.00 Electric water Heater u C e $- Q, w tp Heater v C V H :J �S h: 54 •.� J +: of O roe' U U yro 'N p x M a M u rd 41 o :as lee v� JJ= 1st 2nd ti 3rd i ' A- 4 th (P) = Future Connection Opening Connected with Sewer 1 (*) = :7ew Fixture, Old Opening Water ` PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE .%-= be-- Fixtures � x $3.00 future Fixture Opening �_ x $2.00 New Fixture, Old opening x $2.00 Catch B's'n x $5.00 Water Heater - to 99,G00 BTU x $5.00 100,000 BTU to 199,000 BTU x $10.00 water Softener x $7.00 New Ground P -n Old Building X. $5.00 Electric water Heater x $5.00 GAS FITTING FEES: lst 3 fixtures x $3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $10.00 REPAIRS i, ALTERATION'S First $100.00 $5.00 each add. $100.00 or fraction $$2.00 State Surcharge TOTAL FEE Job Address Department of Buildings T City of Fridley Tel. #571-3450 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 correc Fridley, Mn. UCi ,� � 19 OWNER KIND OF BUILDING r yU�- Yom ® USED AS /@ AIC - TO BE COMPLETED ABOUT ESTI.MATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. % o Company �i46 0/ �-1` Signed By / Tel. No. � 7! —170 2 9. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PErMIT 1 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 REINSPECTION FEE • ($30.00) CITY OF FRIDLEY 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 $12.00 $ Replac-cement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR; Furnace Shell & Duct Work to 100,000 BTU each add. 50,GOO BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STE,k.". OR HOT WATER SYSTLM : Boiler & Lines up to 100,000 BTU each accn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,995 BTU see Fee Schedule) GAS FITTING FEES: lst 3 Fixtures _ Additional Fixtures Gas Range to 199,000 BTU AIR CONDITIONING �' FAX HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS $12.00 $ 4.00 5 7.00 $ 7.00 $ 4.00 $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $ S x $ 3.00 $ :3 x $ 1.00 $ x $10.00 $ State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date (.$10.00) FINAL INSP. Date APPROVAL FOR PER -MIT MI',T-%IUM FEE FOR ANY HEATING PERMIT IS $7.50 S Job Address �. G d✓ �`4E, Department of Buildings City of Fridley Tel. #571-3450 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. Fridley, Minn. �l -,7-- • 19�Z4c OWNER I jy✓ KIND OF BbILDING r—) -a- KZ B— USED AS X11 '0 5 de C' TO BE COMPLETED ABOUT ESTIMATED COST NEW BUILDING PERMIT NO. , PERMIT NO. (t'A DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. 1 O 49 /e Capacity Total Connected Load Sq. Ft. EDR BTU p HP Kind of Fuel /V BURNER - Trade Name / Size. No. Capacity Sq. Ft. EDR BTU HP _ c Company / 'Z. Y Signed By . Tel. No. J 71 —S � c% 9 is May 26, 1978 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. Richard Young >'n 5695 Quincy Street N.E. Fridley, MN 55421 Re: Final on Addition at 5695 Quincy Street N.E. Dear Mr. Young: TELEPHONE ( 612)571-3450 A final inspection was made on May 25, 1978 of the addition constructed at your address and the following item was noted which must be completed before the structure can be finaled out; Install the permanent step to the exterior by July 15, 1978. We will reinspect on the scheduled date to note compliance with this letter. If you have any questions on this matter, please contact me at 571-3450.. Sincerely, RON HOLDEN Building Inspector RH/mh SUBJECT PERi4`N5IT- City of Fridley _ 9 5 9 7 8 AT THE TOP OF THE TWINS BUILDING PERMIT rp RECEIPT NO. �y _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. t � = CITY HALL FRIDLEY 55432 NUMBERREV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/17/80 JOB ADDRESS 695 Qui cy St. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 6 1 Donna t s Lakeview Manor SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Richard/Dawn Young, 6 ui c St. N.E. 571-8098 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. e 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION IR ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK XXX XXXXX Install Bay window 9 CHANGE QF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. f rame 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 700.00 • 50 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. 7.50 PLAN CHECK FEE TOTAL FEE p $8.00 SI TUREOF ,ONTRACT R AUT.LLORIZED AGENT (DATE) W EN PR PE AL AT THIS IS YOUR PERMIT BLDG )NSP )ATE iGNATURE OF OWNER IIF OWNER BU A CITY OF FRIDLEY APPLICATION FOR RFSIOUNTIAL BUILDING PER14ITS (New, Alterations, Additions, or Repairs) 04JIIER: ` y4LE'- ye) ADDRESS: ���,�.-4VUI'66i� ;i All TEL N0: Z� BUILDER: ADDRESS: TEL NO: Construction Location STRMT NO: STMET: LOT: � j BLOCK:(>r ADDITION: ,l�tU�1L��S Corner Lot: Inside Lot: Setback: Sideyards: Aplalicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION 1��&Z_Lo �. Front: �7- a" Depth: 0 r Height: Square. Feet: Cubic Feet: _. Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: f� -e Ln �-- Estimated Cost: $ 900 To .%se (brapleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE p.VERSE 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 rridley 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: 0 SIGNIOCURE: e Stipulations: � / :. no 01 SUBJECT P of Fridley r-EIRCity 639 5 AT THE TOP OF THE TWINS BUILDING PERMIT RE iy_______, COMMUNITY DEVELOPMENT DIV. 1 INSPECTION SEC. r 1 � PROTECTIVE 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ,.j 612-571-3450 910-F15 9/16/81 JOB ADDRESS 5695 Quincy Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. KI 18 9 6 Donnay's Lakeview Manor SHEET 2 RO ERTY OWNE MAIL ADDRESS ZIP PHONE f��chard ands Dawn Young 5695 Quincy Street N.E. 571-8098 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 7 CLASS OF WORK ❑ REMOVE ❑ NEW EX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE 8 DESCRIBE WORK install "0" clearance fireplace 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 725.00 .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 155.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TOT PLAN ECKFEE ALFEE 15.50 1 TUREONTRACT R R ED EN (DATE) WHE WPROPLY V D HIS IS OUR//aa PERMIT r ID ''NSP DATE SIGNATUREOF OWNERUF OWNER no 01 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) 01114ER: ;r(r� ket Z -),e i4,sf a fie' BUILDER: ADDRESS: /G'fJ ADDRESS: TEL NO: TEL NO: STRI,T NO: _ STREET: LOT: BLOCK: Construction Location >4A"'G-V iz� ;'/% r ADDITION 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 CONSTRUCTION Front: Depth: Square.Feet: Cubic Feet: Front: H eight : Depth: Height: Square - Feet: Cubic Feet: _ 17A-1 tzLl/ 'CJ Type of Construction: /=i're r r+G e- 'Al -v- ae Zb Be Completed: Proposed Driveway Width If New Opening Is Desired: Estimated Cost: $ �:`~ Alt. A Alt. B 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 true and correct. DATE: � � S SIGNATUFZ: Stipulations: L) 01 SUBJECT PER City of Fridley - 16 45 4 AT THE TOP OF THE TWINS BUILDING PERMIT _ r � R `L ------- COMMUNITY DEVELOPMENT DIV. INSPECTION ���� r PROTECTIVE SEC. L ;,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/2/81 JOB ADDRESS 5695 Quincy Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 6 Donmy's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Young 5695 Quincy Street N.E. 571-8098 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 Ej ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 50" x 103" Front Entry 9 CHANGE OF USE FROM TO STIPULATIONS Before digging call local utilities TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW p�p� �r QUID �Vp slov'ss 1`01, t 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 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 $500 $.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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $15.00 PLAN CHECK FEE TOTAL FEE $15.50 ,NATO CON ACTO R,0,UTHORIZEDAGENT lD WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP - rlA E SIGNATURE, OWNER IIF OW ILDERI ID T 1 01 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIOJ FOR RESIDENTIAL BUILDING PER14ITS (New, Alterations, Additions, or Repairs) OWNER:j"clarZZa�WAI BUILDER: _,LOQ Y ADDRESS:�� ��®`���a °ADDRESS: TEL NO: 9 TEL NO: Construction Location STREET NO: 5 STREET: /I Al, LOT: r BLOCK:, ADDITION: '^/�e�'6 / 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. r,("0-1 DESCRIPTION OF CONSTRUCTION 6-/i Front: el Depth: Square.Feet: Cubic Feet: Height: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: Estimated Cost: $ -5"042o �®�— Zb Be Obr.�pleted: 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 ulork-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 ar true and correct. DATE: SIGNATURE: . Stipulations: ®K, 4( hC 0 N 0 UNOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 June 28, 1984 Mr. Richard Young 5695 Quincy Street N.E. Fridley, MN 55421 Re: Swimming Pool Construction at 5695 Quincy Street N.E. Dear Mr. Young: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, one (1) inlet of approved design for fresh and/or repurified water will be provided. 3. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6 - 8 hours. 4. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 5. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. Mr. Richard Young June 28, 1984 Re: 5695 Quincy Street N.E. Page 2 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 8. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface, and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 9. The pool fill spout must be protected by a vacuum breaker or air -gapped. 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1-1/2 times the pool diameter and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval of the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, r ST E J. OL 0 , . S. Environmental Officer SJO/mh 390 << # U* JOHN RYAN CO. t. 6CAL & 1 INt'J+ r - 1000 &may wvIkuff. ST. 0AYL 881044 , ` :° `T tIMON�a 940.6880 . PLAT X .F . y ` �F SURVEY-+ .- OF PROPERTY OF04 1 • LDCA < , � \ v. �DCDMD D AS 0012 amt-� !. L'•.. � ..4 ,: • 1 - ... ', t •y� .��-. r. t: `S• r 4 � ` 1• - 16 LK 40 7 f, d • 4.� 1, t ,71 Y ^e 1. 4 r-, .. Y •.• jos __ � �, '� r. - � , z `•5 • .... '\ ✓'+t w.�'i r - -t -3a y✓ a d '^ Y+rI`��-r .+Lr i•rE. 1.�' r .L yr f�� , aL, v` r ` Y r'4 a of l r 4 .r' "•. Yir b ♦ _ rt Y : ,+ Ftis�•LL�+_.� y F •� +w't * .. r = _. >}., r. !- . ,tidy• �•]�,'% �.'L �24M.A. `! j r r.r �. A. 9?` �. �' t F t-� } `. o a br i f-�...-`'j.�,t,"=L. �:• -�>• . �;` u♦'sA fi •LY 1 'r �'' 1 ♦ '' a' a . a •i"L .r ` S"i Grt % r y s Kl e '. �., !'a' "fib C �' t i � � a - ..r. t" • .� a '-: �L•'.. i/ -.{� .: f . �' .y'i• �G ,.. .ip 'i- -. .. �•.l. ---t� •y_t r, -;i 3 44'VC �'{r���.:.: ryn_.. i+-i.h. f2:. i _ `'+•I.�. _; . `, ray'`. ti _� , ; 4'. - - ! ML �'/Q� ' C+r<++�+++P=TB 01P a.a.t,4iaVl� O' B�ti CER ; t,'as. !y • �•j._p�r/� y!" y• . A Y•.. 9. -ate.` y, Mi. y;P i`tL Y'lV� v� 3 R '{ 1 A, "t ` . moi '*�Q➢ ter- _ '! ... •--!f-.Y• _ ir,. i.,.r. 4�r. 3 made i of the loeatton .6! the •� j ea st y mrft `� - ' 4 �i ve de ;ri p tbeS is eonwtJY sh"m 9e � .� : ' laaive�i the property described above and t6 the abot9 pint A . "JW a eortect rNwesentstim of said L ►" RNN J. RYAN. RBGIST6S RM URVEYOR. 1No:4480 , r - z AUL +1:',CRANita RE ISTE 4 Rao SURVEYOR. No. fi ., s • ;?; p�,` floes0k tp m > omft'•Nabs=`• < 3 • ., ? ' � r�luiCl� G2 1 sf= I sf 1- l - G 04// oaGk 0 ;IX R"41d and Z)a&W sT/" 5695 Quincy Street N. E. Win, trw._5.5431 r--,/ tic d y • Yd f//�ipGduGV4t$' GiY G- SUBJECT City ®f Fridley 7 5 8 8 r-i AT THE TOP OF THE TWINS BUILDING PERMIT r � ` R • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. ` r PROTECTIVE ' NUMBER REV DATE PAGE OF APPROVED BY ----I CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/29/84 JOB ADDRESS 5695 Quincy Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 6 1 Donnay's Lakeview Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard and Dawn Young 5695 Quincy Street N.E. 571-8098 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. same 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 r,7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE nn 8 DESCRIBE WORK above ground swimming pool. 37' x 25' 9 CHANGE QF USE FROM TO STIPULATIONS See stipulations on Letter date4 June 29, 1984 from City Environmental Office?' 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 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 3,600 1 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .8O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 44.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 46.30 pyo GNAT OFCO O O AUTHORIZEDAGENT (DATE) OPERL LI DATED THIS IS YOUR PERMIT SIGNATURE OF OWNE NER BUILD (DATE) BLDG INSP GATE G- NEW ADDN. L ] ALTER. L ] Construction Address: Legal Description:t Owner Name & Address: Contractor Address City of Fridley �R-1 AND R-2 Building Permit Application !1 iC- M Effective 4/1/84 S kotI et ' 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: DECK AREA: OTHER: Length Length lfi%�%I�%%ye Width Width O� /✓�' Height Sq. Ft. Hgt/ round Sq..Ft. rOGE✓LA ��bv tjlO' e - Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: ® F)naMe- VC-Cklqr�'jA-?ZEstimated Cost: $ Approx. Completion Date: 3- ew 4, - Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation -01 DATE.C/,Z APPLICANT Tel. CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: /V, 01 k-'rf- 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 [ ] SUBJECT PER . City of Fridley 19607 AT THE TOP OF THE TWINS BUILDING PERMIT i � � t COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 49 i V6/ `1 � � /"'1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY --•-� •� L 612-571-3450 910-F15 7/25/88 10B ADDRESS 5695 Quincy Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 18 6 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard/Dawn Young 5695 Quincy Street N.E. 571-8098 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 ❑ NEW7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an 18' x 13'7" Three Season Porch Addition 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan WILD jt� 10cal utdltleS SEPARATE PERMITS REQUIRED FOR Before digging call Ete' WIRING, HEATING= PLUMBING AND SIGNS. ELEPHONE-ELECTRIC-GAS REQUIRED BY LAW 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. T. 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 $5000 $2.550 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 ANY OTHER STATE OR LOCAL LAW EGULATING CON- ON- $72.00 STRUCT ON ORFTHE PERFORMANCE OF CONSTRUCTION. STRUCTION PLAN CHECK FEE TOTAL FEE $74.50 PAT CONT CONTRAi R'4 U HORIZED AGENT (DATE) WHEN PROPERLY VALI ED THIS IS YOUR PERMIT I . BLDG INSP ATE SIGNATURE OF OWNE IIF 0W DERI ATE) Ndd [ ] City of Fridley t Effective 5/1/88 A DN I ] R-1 AND R-2 ALTER I ] Construction Address Legal Descripticn:_ Building Permit Apgalication r Owner Name & Address : l t •tea- r4Z%%112/ j� Le j /-V �- Tel.. Contractor: ��e- Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. EESCRIPPION OF IJOROVM1'P , Length 7a - ngth � Width 1 ' � � - 75 Sq. Ft. MAGE AREA: Length Width Height Stl. Ft. DEM AREA: Length Width Hgt/Ground Sg. Ft. DMEL. �) 4 - " -Z5;� Cbrner Lot I ] Inside , l �. Yd Setb Type of Cbnstructicn: -ry�t- l)q I --- Approx. Completion Date: _,Tet>✓ Side Yard Setbacks Estimated Cost: S • Alt. A Alt. B Proposed Driveway Width If New opening Is Desired: $ $ Width + 6' See Back Page o DATE: ADPL I(�Nr Tel. ` Pe-/ P` OSE Y PIennit Flee J00 Free Scheele on Reverse Side State Surcharge $.50/$1,000 valuation SAC Charge S $550 per SAC Unit Driveway Escrow $ Alt. RAw or Alt. "B" Above Park P1ee S Poe Determined by Engineering Sewer Dain Charge $ yy Agreement Necessary I ] Not Necessary I ] TOTAL STIPULATIONS: ` atm g9icd T SuB,,ECT PE City ®f Fridley (4,5398 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. ��® / NUMBER REVGATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �""A ,�j 612-571-3450 910-F15 8/20/97 JOB ADDRESS 5695 Quincy Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 18 6 DonnayTs Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard/Dawn Young 5695 Quincy Street NE 571-8098 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 O NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof House (19 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 1 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 $19584 $.79 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 TOT FEE .62 NATOFCC,T�R�fi AUTHORIZED AG IDATEt C. N P PE ALIDA THIS IS DUR PERMIT Ltc c riDJFINSP GATE SIGNATURE OF OWNE RBUILDERI IDATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ewl as�c7d� BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address:-f-1�^ g� �_��0 ��.,� Tel. #� Contractor: Y�Afe., a,- ItA� MN LICENSE # Address: ,r� 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:P�y� d 9�olsd�. : ��' -� Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. ' + 6 Ft Ft x $ DATE: APPLICANT: 1�-i' Tel. # CITY USE ONLY Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ /, .� �' .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: r SUBJECT City ®f Fridley 1rAT THE TOP OF THE TWINS UIL®INC PERMIT(]7!27322 COMMUNITY DEVELOPMENT DIV. I _ PROTECTIVE INSPECTION SEC. 5,36 r e e NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 - 910-F15 18/20/98 10 e JOB ADDRESS 5695 Quinc Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 18 6 Donna T s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard F. Young 5 432 571-8098 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 Jk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof garage 8 S 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 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 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 $667.20 .50 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. $26.50 Fire SC .67 PLAN CHECK FEE TOTALFEE NATO FCON CTO/�R"r'(D`RAUTHORIZED AGENT IDATEI WHEN4P,fROPER ALIDATED THIS IS YOUR PERMIT /A ',}��!" 1, RLOG INSP IOAT SIGNATURE OF OWNER OF ILDERi e 1 ATEI NEW Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � BUILDING PERMIT APPLICATION (�� ConstructionAddress: e N Legal Description: Owner Name & Address: �' �' Y .� Tel. # Contractor:�® ® �` MN LICENSE # Address: gAC?.� `t �`RX.�� 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: 9 Construction Type: 2�cq 2Ag��t Estimated Cost: $� C zG (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ loop DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ • S�dFee Schedule on Reverse Side Fire Surcharge $ , 6 % .001 of Permit Valuation (1/10th%) State Surcharge $ Sip $.501$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: � SUBJECT P E City of Fridley 2 2 6 AT THE TOP OF THE TWINS BUILDING PERMIT 16 RE EIPT NO. i COMMUNITY DEVELOPMENT DIV. - f PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY i %� CITY HALL FRIDLEY 55432 ---- a"I" L J\ 612-571-3450 910413 10/30/01 JOB ADDRESS 5695 Quincy Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 6 DonnayTs Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADORE" ZIP PHONE Richard/Dawn Young 5695 Quincy Street NE 763-571-8098 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 O NEW O ADDITION O ALTERATION REPAIR O MOVE O REMOVE B DESCRIBE WORK Replace 8 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. Caulk and flash all exterior openings. 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 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 $2,000 $1.00 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT FEE .25 SIGN EZOFRACTD RAU RIZ DaGENT �OATE� HEN ROP Bl G N "VALID T -' HIS IS YOUR PERMIT r nAtE S-GNATURE OF OWNDAT low-- 4 NEW ADDN [ ) CITY OF FRIDLEY ALTER K SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Effective 1/1/2001 (763) 572-3604 Bldg Insp Owner Name & Address: /t o'�'40-Y9 (J&rAe, aq Te l. #, /-&,,? ---7 `— 1P®�� Contractor: &Me,DL1,Ve-Y MN LICENSE# Address: Tel. # 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 Hgt/Ground Construction Type: Estimated Cost: Sq. Ft Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ 2 q DATE: �® ! APPLICANT. Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ s Fee Schedule on Reverse Side Fire Surcharge $ , CID .001 of Permit Valuation (1/10th%) State Surcharge $ 0 - (10 $.50/$1,000 Valuation SAC Charge $ $1150 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 [ J TOTAL STIPULATIONS: - — A to IV NEW [ ] CITYOF FRIDLEY 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: -5lS 57- _. Legal Description: Owner Name & Address: y6L&1� a Tel. #�-:�&7 9W ' Contractor:® e-0 AVA1'e--, V-' MN LICENSE # AIA Address: AZ& Tel. # /11 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. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hat/Ground Sq. Ft. Sq. Ft. Sa. Ft. Construction Type: Estimated Cost: $-3%ei:5�` 4' OZ7- Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: APPLICANT: J Tel. # �✓� �,����� Call (763) 572-3604 for Permit Fees if mailing in application<ax to763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - 4 � y (4::5rAlt;-if 'Allct -�� 5, aw- Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] STIPULATIONS: c/t/ q,2-, e-- d,, Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received B 763-572-3604c CITY OF FRIDLEY DATE YOUR E-MAIL ADDRESS SITE ADDRESS - uhr-,/THIS APPLICANT IS: 0 OWNER CONTRA OR PROPERTY NAM[E; ADDRESS:TtY Ii�C� �' V STATErYWZ1P��%� TENANT PHONE: 3 " r CONTRACTOR NAME: Lz ei ` A STATE LICENSE # 49c)Y/0 M EXP DATE 1.3t-73/ D SUBMIT A COPY OF YOUR STATE Q \/C 1AL CITY r"eo STATo��SS3 ADDRESS: ` i -QT_ LICENSE WITH PHONE 7161 ".7 71 -OL r `I FAX 42 5- 7 APPLICATION PnINM TYPE SINGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: O NEW 5 RE LACEMENT DETAILED DESCRIPTION OF WORK L' °i' PER MS 16B.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) _ BATH SINIVLAV FLOOR DRAINS —SHOWER _ WATER PIPING —BATHTUB —. GAS PIPING (,vin orrvaxww) _ SWIMMING POOL —WATER SOFTNER ($35) CLOTHES WASHER _ KITCHEN SINK — WATER CLOSET _ BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER _ OTHER PERMrr FEE PROJEC3 3 FOR UNDER $500 "PERMIT FEE FOR PRdWCTS OVER $504 Permit Fee $ fib Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = S Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ ___aE,_2 State Surcharge = $ .50 Total = $ 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 whic ' es vies and approval of plans. qu kA, SIGNATURE OF APPLICANT �� PRINT NAME a �a — 9 PLEASE NQM. SEPARATE PEPWRTS ARF RE URUP FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977