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-+
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pint A . "JW a eortect rNwesentstim of said L
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;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