PRE 2010 DOCSCity ®f Fridley, Minn. N? 10498
BUILDING PERMIT
Date: November 12 1969
per: Anthony C, Gnerre guilder Gerald Glenn Builders
Address 1202 Hathaway Lane Address 1202 Hathaway Lane
LOCATION OF BUILDING
No. 5516 Street Regis Drive NSE. ___ part of Lot
Lot _ _ 9 – Block 4_r Addition or Sub -Division . Paxky' gw Oaks First Addition
Corner Lot _ Inside Lot _ _ X Setback — Sideyard
Sewer Elevation
To be Used as:
Foundation Elevation
DESCRIPTION OF BUILDING
lD w e l ling Front _ 40' _ Depth 2 8 1 Height .22'...._. Sq. Ft. 1080' Cu. Ft. 21,600'
Garage AttacheAront 22' Depth 22' Height 10 Sq, Ft. 484' Cu, Ft. 40 840
Type of Construction Fr_aine Est. Cost $20,000 -Tobe Completed April 1, 197n
STIPULATIONS:
1. Varifacation of location of basement on Lot before continuing construction
above basement level.
2. Minimum drainage from walkout to be k inch per running foot.
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley. 17 a i, //
In consideration of the payment of a fee of 40.00 , permit is hereby granted to Gerald Glenn Bldrs .
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. -k-w- i A�
dL Building Inspector
HANK MUNICH -Building Official
NOTICE:
This permit don not cover the construatlen, huitallation for wi&g, phnnbing, gas hentlag, wirer or water. Be sure to we
the Buiidhig Mqm tar for separate permhs for then items.
/C"-71
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• a+ � iia;
ADDRESS
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
LOCATION OF BUILDING
NO. 5�r STREET
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT &--- SETBACK SIDEYARD
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form Two Certificates of Survey of Lot and
proposed building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
� r
1 Front - G ` Depth Height
Square feet c) Cubic Feet 2-1 G O o
e Frontes Depth 0,? Height 16
Square feet Cubic Feet
Type of Construction Y ?-4 )P Estimated Costa
To Be Completed /2�- --�4 j %o
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 )6-y / % SIGNATURE
.(Schedule of Fee Costs can be found on the Reverse Side.)
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OL
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City ®f Fridley, Minn. 1128�
6431 University Ave. N.E., Minneapolis, Minn. 55432
BUIMING PERMIT
Date: D,ecamhPr is 1971__
owner Edward Fuerstenberg Builder Same
Address _1319__C1 r Terrace Address Same
I �C•IT��T•7�•T�� J ��l �71`�,C�3
No. _._.55.1..6 Street _._.Regis Drive N.E. Part of Lot
Lot ___.AL___ Block._ 9 Addition or Sub -Division ,Parkview Oaks 1st Addition
Corner Lot ..._._......... ____ Inside Lot _ _ X Setback 31 Sideyard 51
Sewer Elevation
Foundation Elevation
To be Used as:
Dwell. over exist. Basqront 40' Depth 28' Height 12' Sq. Ft. 1183' Cu. Ft 14,196'
Attached Garage Front — 22 Depth - 221 Height ^10' Sq. Ft. 484' Cu. Ft. 4, 840
Type of Construction _. FramP Est. Cost —.$19,085,00 To be Completed May, 30, 1972
Variance of front yard setback from 36' to 31' approved by council 12/6/71.
Stipulations: Provide frost protection to all footings . Inconclusive soil test
so the City of Fridley shall be held blameless for future settlement. Provide a
hard surface drive.
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the proposed work in accordance with the description above set forth and in compliance with a'll provisions of
ordinances of the city of Fridley.
Inconsideration of the payment of a fee of $ permit is hereby granted to F.dw. Fuer berg
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 hi all respects -to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
w. ithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. t
Inspector
CLARENCE BEILSLE
(NOTICE:
'ibis permit does not cover the construction, installation for wising, plumbing, gas heating, sewer or water. Be sure to
the Building Inspector for separate permits for these items.
1*
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PhRMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S BUILDER:
ADDRESS: ADDRESS:
NO:.,�3—/� STREET:
LOT: BLOCK: ADDITION: FAX ,f 0A /y- 5
CORNER LOT: INSIDE LOT: ETBACK:-3/ SIDEYARD:-111--�
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
(11he1AA)C-E- OF Fje0A31 y,6(eA �7-e46kr FRom 3(0' 7-0
fiAAJ204J6b 61 e0a-iUo-'c' 1-1161'71,
DESCRIPTION OF BUILDING
To Be Used As.
V -e'f)
4)
Front: -W Depth: Height:
Square Feet: Cubic Feet:
Dep'th: Height:
Square Feet;' Cubic Feet:
Type of Construction: Estimated Cost: $ 0 ed
77
To Be Completed ?10
The undersigned hereby makes application for a permit for the work herein
specified, Igreeing to do all work in sttict accordance with the City of
Fridley 1d ces and rulings of the Department of Buildings, and hereby
declares that 11 the facts and representations stated in this application
are true and c rrect.
DATE: 7 SIGNATURE:
s�
(See Reverse S de For Additional Information.) V
7-
/--,7f I r1
A,,A
CERTIFICATE OF SURVEY
JAMES L. KURTH
LAND SURVEYOR
4201 N.E. STH STREET
COLUMBIA HEIGHTS SS421 788-5004
1 HEREBY CERTIFY THAT THIS SURVEY, PLAN. OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION
AND THAT 1 AM A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA.
i DATE
SCALE 1"= gip'
MINNESQ,TA REGISTRATION NO. 5332 0= IRON MONUMENT
I S 32
H
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00
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�O-c 7 ,�LOC1e `•-t.` Fl+a2KV%6AK5 i \2ST , �No<'x C- -
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If 04D-360 r
T'WIN CITY TESTING AN® ENGINEERI G LABORATORY. INC.
ENGINEERS AND CHEMISTS se,�ect�o
662 Cromwell Avenue - St. Paul, Minn. 55114 s
REPORT OF: EXCAVATION INSPECTION A ,�
d� �F PROPOSED RESIDENCE a $$
PROJECT; 5516 REGIS DRIVE DATE: November 23, 1971
FRIDLEY, MINNESOTA
REPORTED TO: Mr. Ed Fuerstenberg FURNISHED BY:
1319 Circle Terrace COPIES TO:
Columbia Heights, MN 55421
LABORATORY No. 9-3583
INTRODUCTION
This report concerns the recent inspection we performed of the existing construction and the
underlying soil conditions at the above,referenced site. The site is located in Fridley,
Minnesota , near the west limits of relatively high, rolling terrain. To the west of the
site the grade drops quite rapidly, approximately 40' to an extensive level area.
As we. understand it, construction at the site commenced approximately two years ago. At this
time, the interior and exterior strip footings and 3 1/2' high foundation walls were constructed.
The structure was originally planned as a one-story rambler residence with a walkout basement
on the west side. The foundation plan was 25' by 43' in addition to a 20' by 22' garage on
the north end. Portions of the exterior backfill material were placed, but not completed as
construction was discontinued.
Recently a proposal has been made to construct a house structure on the existing footings and
foundation walls. We were requested to evaluate the.site and existing construction with re-
spect to suitability for the proposed construction.
INVESTIGATION
On November 12, 1971, we performed a visual examination of the construction. In addition, we
put down several shallow hand auger borings in the underlying soils.
Along the south and north foundation walls of the house and along the north garage foundation
wall we observed a.t.umber of step cracks., Tho. house foundation walls were constructed of 12"
masonry blocks placed in a running bond pattern, while the garage walls were constructed of
8" masonry blocks placed in a similar pattern. The step cracking ranged in size from hair-
line to 3/8" in width. We_also inspected the footings in the areas where the backfill material
was either missing or quite shallow. We observed only minor cracking of the perimeter and
interior footings. Insufficient exterior backfill material was noted on the south side of
the house and the northwest portion of the garage.
In the garage foundation walls we observed anchor bolts embedded at regular intervals. How-
ever, we did not observe any anchor bolts protruding from the house foundation walls.
Our shallow hand auger borings revealed the soils underlying the footings in the east portion
of the structure consisted generally of brown, fine-grained sands. On the other hand, the
soils underlying the footings in the west portion of the site varied from brown, clayey sand
near the south end to.at least 3 1/2' of miscellaneous fill in the center por'tion:. This fill
material consisted generally of brown and black silty and sandy clay with a trace of organic
material.
AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AND AUTHOR-
IZATION FOR PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL.
a4o-3601
TWIN CITY TESTING AN ENOINE1E ING LAB TORY, INC.
aa�,.w,FH ENGINEERS AND CHEMISTS yP
662 Cromwell Avenue - St. Paul, Minn. 55114 no
REPORT OF: EXCAVATION INSPECTION Est
s
DATE: November 23, 1971
LABORATORY No. 9-3583 PAGE: 2
CONCLUSIONS AND RECONMENDATIONS
The observed cracks in the existing construction are the result of frost heaving of the soilo
underlying the footings. If the depth of exterior backfill is increased to a minimum of
3 1/2' above the top of footing elevation and the structure is enclosed we do not anticipate
future frost heaving problems.
Based on our inspection, it is our opinion that the existing footings are structurally sound
to transfer the structural loads to the underlying soils. In addition, it is our opinion
that the existing foundation walls will be structurally adequate if the step cracks are pro-
perly tuck pointed and anchor bolts are installed in the house foundation malls. Prior to
installation of the floor slab, we recommend'any random areas of soft, wet interior fill be
removed and:be replaced witha granular fill.
We are not aware of the manner in which the soil fill materials at the site were placed, nor
are we aware of any previous verification of the adequacy of the underlying soil conditions.
Therefore, we cannot warrant the condition of the fill material.._in_the west portion of the
site, nor can we warrant the soil conditions in the east portions of the site below the depths
of our shallow hand auger borings.
TWIN CITY TESTING AND
ENGINEERING LABORATORY, INC.
Wayne Kilkqt
Civil Engineer
r
B an R. Dobie, P.E.
Supervisor, Soils & Inspection Dept.
WK:BRD:rw
ASAUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AND AUTHOR-
IZATIO FOR PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS 15 RESERVED PENDING. OUR WRITTEN APPROVAL.
09 , « 043-3601
TWIN CITY TESTING mD— ENGINEERING LABORATORY. INC*
ENGINEERS AND CHEMISTS
662 Cromwell Avenue - St. Paul, Minn. 55114
REPORT OF: EXCAVATION INSPECTION
PROPOSED RESIDENCE
PROJECT: 5516 REGIS DRIVE DATE:
FRIDLEY, MINNESOTA
REPORTED TO: Mr. Ed Fuerstenberg FURNISHED
1319 Circle Terrace COPIES TO:
Columbia Heights, MN 55421
LABORATORY No. 9-3583
INTRODUCTION
November 23, 1971
BY:
T
This report concerns the recent inspection we performed of the existing construction and the
underlying soil conditions at the above referenced site. The site is located in Fridley,
Minnesota , near the west limits of relatively high, rolling terrain. To the west of the
site the grade drops quite rapidly, approximately 40' to an extensive level area.
As we.understand it, construction at the site commenced approximately two years ago. At this
time, the interior and exterior strip footings and 3 1/2' high foundation walls were constructed.
The structure was originally planned as a one-story rambler residence with a walkout basement
on the west side. The foundation plan was 25' by 43' in addition to a 20' by 22' garage on
the north end. Portions of the exterior backfill material were placed, but not completed as
construction was discontinued.
Recently a proposal has been made to construct a house structure on the existing footings and
foundation walls. We were requested to evaluate the site and existing construction with re-
spect to suitability for the proposed construction.
INVESTIGATION
On November 12, 1971, we performed a visual examination of the construction. In addition, we
put down several shallow hand auger borings in the underlying soils.
Along the south and north foundation walls of the house and along the north garage foundation
wall we observed a.number of step cracks., Tho house foundation walls were constructed of 12"
masonry blocks placed in a running bond pattern, while the garage walls were constructed of
8" masonry blocks placed in a similar pattern. The step cracking ranged.in size from hair-
line to 3/8" in width. We,also inspected the footings in the areas where the backfill material
was either missing or quite shallow. We observed only minor cracking of the perimeter and
interior footings. Insufficient exterior backfill material was noted on the south side of
the house and the northwest portion of the garage.
In the garage foundation walls we observed anchor bolts embedded at regular intervals. How-
ever, we did not observe any anchor bolts protruding from the house foundation walls.
Our shallow hand auger borings revealed the soils underlying the footings in the east portion
of the structure consisted generally of brown, fine-grained. sands. On the other hand, the
soils underlying the footings in the west portion of the site varied from brown, clayey sand
near the south end to.at least 3 1/2' of miscellaneous fill in the center portion: This fill
material consisted generally of brown and black silty and sandy clay with a trace of organic
material.
AS A MUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES. ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AND AUTHOR-
IZATION FOR PUBLICATION OF STATEMENTS. CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL.
., , A , . 91 04o-3601
TWIN CITY. TESTIN '' AND ENGINEORI G LABORATORY, INC.
a.r��wnrN ENGINEERS AND CHEMISTS yP =tea
662 Cromwell Avenue - St. Paul, Minn. 55114 ? s
REPORT OF: EXCAVATION INSPECTION t�St6
DATE: November 23, 1971
LABORATORY No. 9-3583
CONCLUSIONS AND RECONMENDATIONS
PAGE: 2
The observed cracks in the existing construction are the result of frost heaving of the soil2
underlying the footings. If the depth of exterior backfill is increased.to a minimum of
3 1/2' above the top of footing elevation and the structure is enclosed we do not anticipate
future frost heaving problems.
Based on our inspection, it is our opinion that the existing footings are structurally sound
to transfer the structural loads to.the underlying soils. In addition, it is our opinion
that the existing foundation walls will be structurally adequate if the step cracks are pro-
perly tuck pointed and anchor bolts are installed in the house foundation malls, Prior to
installation of the floor slab, we recommend any random areas of soft, wet interior fill be
removed and be replaced with a granular fill.
We are not aware of the manner in which the soil fill materials at the site were placed, nor
are we aware of any previous verification of the adequacy of the underlying soil conditions.
Therefore, we cannot warrant the condition of the fill material.in.the west portion of the
site, nor can we warrant the soil conditions in the east portions of the site below the depths
of our shallow hand auger borings.
TWIN CITY TESTING AND
ENGINEERING LABORATORY, INC.
Wayne Kilk
Civil Engineer
B3Kan R. Dobie, P.E'.
Supervisor, Soils & Inspection Dept.
WK:BRD:rw
M
s
AS A�WUTUAL PROTECTION TO CLIENTS, THE PUBLIC AND OURSELVES, ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AND AUTHOR-
IZATION FOR PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING. OUR WRITTEN APPROVAL.
City of Fridley
Appkaflm for Pkmbkg wd Sm R ham
Dept. of Bldge. Phone 580-3430
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
d
Ft`9
�<y `
�¢¢¢j( <q
` S yS, �gJ
Sy
v1 �u e e
g -� q
WATER HTR.
GAS
ELEG
�
F
_
New Fixture Old Opening ..........
x $1.50
;
Catch Basin ....................
V
$
Base
!
$ -
New Ground Run Old Bldg.........
x $3.25
1
Electric Water Heater ..............
a $2.00
X
1st
1
%
TOTAL
1st 3 Fixtures .. • ............
x $2.00
;
Additional Fl$tures ..................
x $ .75
;-
2nd
x $5.00
$
3rd
4th
• Future Connecom Openings
Connected with
* New Fixture, Old Op®
Sewer
CaasP0Q ❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures ................
x $2.00
$
Future Fixture Opening ...........
x $1.50
$
_
New Fixture Old Opening ..........
x $1.50
;
Catch Basin ....................
x $3.25
$
Water Heater (Up to 99,000 BTU) ....
x $3.00
$ -
New Ground Run Old Bldg.........
x $3.25
$
Electric Water Heater ..............
a $2.00
$
GAS FITTING FEES{:
NO. RATE
TOTAL
1st 3 Fixtures .. • ............
x $2.00
;
Additional Fl$tures ..................
x $ .75
;-
Gas Range to 190,000 BTU ...... , .... , ....
x $5.00
$
REPAIRS & ALTERATIONS—Refer to Code • ��
Description ..............................................
TOTAL FEE S
City of Fridley:
The .undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that alk the fact
and representations stated in this application are true 04 correct
Fridley, Minn
Owner
Kind of Building
Used as��y�'
To be completed about
Estimated Cost, $ 'q oa
Old—New. Building Permit No. Permit No. 15VR3
Signe
By -
Business Phone No
7g"/ aJ36
ROUGH
g°INAL
t�
Application for Power Plants and Heating. Cooling, Ventilation Refrigeration and
PP 9. 9• 9
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ...........................$10.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 .................. 6.00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $�
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam ...................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $
OIL BURNER—to 3 gal. per hour ........................ 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) ....................... 5.00 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTA, I -
1st 3 Fixtures ...................... x$ 2.00 $�
Additional Fixtures ................. x .75 $
Gas Range to 199,000 ........... x$ 5.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
$
See Fee Schedule.
TOTAL FEE $
Su�ml-v•'
1 .6
Dept. of Bldga. PPhonnee SM-3450
.ocation ' .I �a ®� �' /. %/;"�
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Owner
Kind of Building
Used as "Z !��' j d
To be completed about '
Estimated Cost, $_/�`
Old Ne. Building✓Permit No. Permit No.�
DESCRIPTION OF WORK
HEATING or P R team, Hot Water, arm No
Trade Name -'�' Size No
Capacity Sq. Ft. E.D.R XV BTU H.P.
Total Connected Loa S Kind of Fue
BURNER — Trade Name Size No-
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
Y N. WELTER HEATING CO
Signed _ CHICAGO .
gy MINNEA,P DL18 7. MINNESOTA
C411110.42 Business Phone No. ���
SUBJECT
PERMIT
City of Fridley
741
AT THE TOP OF THE TWINS
BUILDING PERMIT
-RECIPT NO.
COMMUNITY DEVELOPMENT DIV.
r I v PROTECTIVE INSPECTION SEC.
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
17/20/98
JOB ADDRESS 5516 Regi Drive
I LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
9
4
Parkview Oaks First Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Georg a and Barbara Emerson
521-4717
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Toolbox Inc 2500 39th Ave NE Suite 216, Minneapolis MN 55421 782-3836 20061690
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Y7 REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (32 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
2668
$1.33
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.
$74.75
$2.66 Fire SC
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
83.74
SIGNATURE OF Cot!7 iY R OR AUTHORIZED AGENT IDATEI
WHEtj VALIDATED THIS IS YOUR PERMIT
PROPS
'�v'6
BLA5G $NSP
�`�+
�� ` _91L
A
TATE
SIGNATURE OF OWNER IIF OWNER BUILDER$ IDATEI
TOOLBOX INC.
allow )
ADDN [
ALTER [ 7
Fax : 612-782-8581 Jul 21 '98 16:42
CITY OF FRiDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
13UELDING PERMdT APPLICATION
ConstructionAddress: 1
Legal Description:
P. 01/03
Effective 1/]/98
Owner Name & Address: Tel. # Z
Contractor: MN LICENSE #-
Address: Z c> ��r
z%
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
Length
Width
Height Sq. Ft.
GARAGE 'AREA:
Length
Width
�®
Height Sq. Ft.
DECK AREA:
Length
Width
Hgt/Ground Sq. Ft.
OT H R:
/'I /�, 7"i T
�1
^ /-
C�~� . ) " . 1.- L
---44-1 4 Ac /
Construction Type: CZz 2 e Estimated Cost: $
Gr
'(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: 4 A APPLICANT: Tel. Tel. # '1 L 2 8 Z`
STIPULATIONS:
P
= USE ONLY
Permit Fee
$ 4 9S
Fee Schedule on Reverse Side
Fire Surcharge
$ . (�
.001 of Permit Valuation (1/10th%)
State Surcharge
$ 3
$.50/$1,000 Valuation
SAC Charge
$�.
$1000 per SAC Lint
License Surcharge
$�� L
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "E" Above
Erosion Control
$
$450.00 Conservation Plass Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ j Not Necessary [ 1
TOTAL
�o
STIPULATIONS:
P
SUBJECT
City of Fridley
33152
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r � PROTECTIVE INSPECTION SEC.
�
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i A �r"',•� CITY HALL FRIDLEY 55432
--_-
L •, ` 763-571-3450
910415
10 / 9 102
JOB ADDRESS 5516 Regis Drive NE
I LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
9
4
Parkview Oaks First Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
George Emerson 5516 Regis Drive NE
763-571-4559
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Pella Windows & Doors 15300 25 Ave N STE
100, Plymouth, MN 55447 763-745-1400
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20165884
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Ij REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace 1 window within existing opening
9 CHANGE OF USE FROM
TO
STIPULATIONS
Permit Inspect-on dards
Will 80 Mailed
To Homeowner To Post
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$921
.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-
$38.75
Fire SC $
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
.92
PLAN CHECK FEE
L FEE
Licen C 0
745.17
SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEI
E FIR CY VALIDAT THIS IS YOUR RMIT
JV
L/
SIGNATURE OF OWNER,IF OWNER BUILDER, 40ATEI
91 ,NSP qA E
NEW[ l Effective 5/10/99
ADDN [ ] CITY OF FRWLEY
ALTER [ ] SINGLE FAMILY AND DUPI + +S R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 55 l Lo
Legal Description:
Owner Name & Address: (=, j bo C\. Tel. # 123. �` (• 4 S�`1
Contractor:; PELLA WINDOWS & DOORS MN LICENSE #
Address: 15300 -25TH AVE. N. STE. #100
PLYMOUTH, MN 55447 Tel. #
Attac 763-745-1400 ye . 6f the
LICENSE #20165884
lot, v _ _ _ _.... .. to scale.
DESCRIR.—n— QF I w- y4w- MLNT . .
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: `®.cam. lkrr1A®cc-.) lAAAAm-e" -A-ri -oao ; Na* .
Construction Type: Estimated Cost: $ �I l . ® C�)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = _ Ft k $ _ $
DATE: 1.(3Q -6Q APPLICANTA- Qpm�Tel. # 9Sa.34'5- too
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.501$1,000 Valuation
$1050 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 [ ]