PRE 2010 DOCSCity of Fridley, Minn.. N9 9443
BUILDING PERMIT
Date: Sept. 111 1967
Owner: Garald Glom Corp Builder Same
Address 1202 Hathaway Lane Address Same
LOCATION OF BUILDING
No. 5691 Street Regis Drive Part of Lot
Lot 19 _ Block 2 Addition or Sub -Division Parkview Oaks
Corner Lot — Inside Lot _ _ Setback — Sideyard
Sewer Elevation 919.53 99JUIRG MR&W 92,2.53
Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
Dwelling Front 40' Depth 26' Height 20' Sq, Ft. 1040 Cu. Ft 20,800
Garage_ Front 28' Depth 22'_Height 10' Sq. Ft. 616 Cu. n 6160
Type of Construction Frame Est. Coat __ $18, 000 _ To be Completed
SEVER LOCATION - 7' South of Manhole
NWATER LOCATION - 18.6' South of Mmhole
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 compliancp with a'll provisions of
ordinances of the city of Fridley.
$100.00 Sewer Connection Charge
In consideration of the payment of a fee of $ 4:fL 00 , permit is hereby granted to Gerald Glenn Corp.
to construct the building or addition as described above. This permit is granted upon
the eFress condition that the person to whom it is granted and his agents, employees anworkmen, in all work.
doneFridl, Minnesota location, construction, alteration, maintenance, repair and moving of buildings
Vthe dty ]imits��a�adths permit may be revoked at any time upon violation of aay of the provisions of said
ordinances.
NOTICE:
This permit does not cover the construction, Installation for whing, plumbing, gas heating, wwor or water. Be aura to see
the Building inspector for separate permits for these hems.
, . 4
AP? u1C.1 .rX1 FOR BUILDING
LDING
CITYOF 1'i{J-IJ:21, Ml NNZSCTA
k'j 1-1 r6 V- "-t
OWNER'S NAME fi-a...DLR
ADDRESS ADDRESS
LOCATION OF BUILDI.�G
%i0, STREET PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION 4-Y- 8
CORNER LOT INSIDE LOT SETBACK SIDE-YAP.D
SEWER BLE ATIONFOUNDATION ELEVATION
Applicant attach to this l
ormTwo Certificates of Survey of Lot and proposed
buil ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used Ad:
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 declar that all the facts
and representations stated in this application are true aped c rrect.
DATE "' , SIGNATURE II A
(Schedule of Fee Costs can be found on the Reverse Side).
( r _
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C_ 6N60g6-
Front
Depth "
Height
Sq. Ft.
d_-- _ Cu.
Ft.
t f''
Front
Depth',
'2, Height_____
Sq. Ft.>
Cu.
4.
Ft.,
Type of Construction
�Ji r� 2�
Estimated Cost
` l c o o
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 declar that all the facts
and representations stated in this application are true aped c rrect.
DATE "' , SIGNATURE II A
(Schedule of Fee Costs can be found on the Reverse Side).
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City of Fridley
Application for Plumbing and Gas Fitting Permit
DESCRIPTION OF WORK
Number. Kind and Location of Fixtures
PLUMBING FIXTURE RATES:
'_
R
RATE
Z
N
aqy
3F-
zip
OLL
u_i
8�
LLG
q'�
V m
57
G3
�a
Ci °d
7z
I9 a4
Z
a
UO
e
R
6
N
WATER HTR.
GAS
ELEC
Base
UW
$
-6-0
%
x
3.25
$
2.
7f,,000
Water Beater (Up to .2®•$,$86 BTID ......
X
04&
$
3-6,
New Ground Run Old Bldg. ............
x
1st
$
Z41 a&v 14get"
14-100,
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
x
2nd
Additional Fixtures ....................
x
*a-
Gas Range to 286-,996�BTU..............
x
*08
$
6', 0 a
3rd
4th
Future Connectica Openings
New Fixture, Old Openings
I
_
Connected with
Sewer
Cesspool
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures ......................
X
#=
$ ®f
o�>d
Future Fixture Opening
x
U0
$
New Fixture Old Opening ..............
x
UW
$
-6-0
Catch Basin .... .......................
x
3.25
$
7f,,000
Water Beater (Up to .2®•$,$86 BTID ......
X
04&
$
3-6,
New Ground Run Old Bldg. ............
x
3.25
$
Z41 a&v 14get"
14-100,
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
x
Additional Fixtures ....................
x
*a-
Gas Range to 286-,996�BTU..............
x
*08
$
6', 0 a
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $ V,
Dept. of Bldgs. Phone SII 4-7470
.sem i, PE° a A9 e %
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Minn-
Owner
inn Owner Ajdj4e AM-1-�
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old e . uilding Permit No � g Permit No.
Signe
By
Business Phone No
ROUGH
FINAL
rrA
CIlYOF
FRIDLEY
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
April 13, 1988
Mr. Jack Menkveld
J. A. Menkveld & Associates
P. 4 Box 34004
Blaine, MN 55434
Re: Deck Pboting Failure at 5692 Aegis Trail N. E. , Fridley
Dear Mr. Menkveld:
Jon Thompson and I inspected the hone and premises at 5692 Regis Trail N. E.
Fridley this morning. there are some very serious problems with the front
walk and rear decks as well as the problem of erosion down onto the
neighbor's property to the west.
The erosion has been a problem from the very beginning and has been brought
to your attention on several occasions. If you have questions on this
matter, please contact Mark Burch in the City Engineering Department.
It is very apparent that all your post footings have failed; it appears that
they have settled, causing the two decks on the rear of the house to be
unsafe. The decks can not be occupied or used until a proper repair is
made. The front boardwalk post footing is also settling causing the front
deck to pull away from the house.
All of these items require your immediate attention. We will reinspect the
property on May 2, 1988 at which time all of the corrections must be
completed.
If you have any questions about the footing failures, please feel free to
call me at 571-3450.
Sincerely,
G. CLARK
Chief Building Official
DGChmh
CC: Mr. Mark Burch
Mr. Richard Cary
suejEcr
PE
City of Fridley
6
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
R
' '
COMMUNITY DEVELOPMENT DIV.
y PROTECTIVE INSPECTION SEC.
r
1 � r
1
NUMBER
REV
DATE
PAGE OF
APPROVED By
1 CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/10/96
JOB ADDRESS 5691 Regis Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
19
2
Parkview Oaks First
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
John/Michele Ward 5691 Regis Drive NE
574-9612
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 j ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 12' x 12' Three Season Porch
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
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
1
I HEREBY CERTIFY THAT 1 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
$3,718
$1.86
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-
$87.25
Fire SC $3.72
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
$92.83
SJQNATURE OF CONTRACTOR ORAUTH IZE AGENT IDATEI
P�'ROPERL VALIDATED THIS IS YOUR PERMIT
WHEN//�
7X
z
ff NA U E OWNERIIF0 NER D I IDATEI
gl. INNSSP
ATE
NEW [ ]
ADDN [ l
ALTER [ ]
ConstructionAddre,
Legal Description:
Effective 3/1/96
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Owner Name &Address: Tel. #he6 _
Contractor: to, MN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Width
Length Width
Length Width
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback
Type of Construction: R )zd Fl"!l ,t'YI02
Approx. Completion Date:
Driveway QjrP Cut Width Needed:
DATE: APPLICANT:
Tel. #
Height Sq. Ft.
Height Sq. Ft.
Hgt/Ground Sq. Ft.
og
Side Yard Setbacks lAr"Ov I y�
Estimated Cost: $ 3 r%� - O
(Cost on Back)
+6Ft= Ft
Tel. #y�%�Z' —!&2' t
CITY USE ONLY
Permit Fee $� Fee Schedule on Reverse Side (16LId
tFire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge $ A 96 $.50/$1,000 Valuation
SAC Charge $ $900 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "Ak' 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 $ 0-1') a cq
STIPULATIONS:
v I wow. rmorwd,�
C. E.COULTER & ASSOCIATES, INC.•
INDUSTRIALJOHN A. PETERSON FRANK R.,LENZ*., JR.
BUSINESS LAND SURVEYORS iAom SURVEYS,
CITY LOTS REGISTERED UNDER LAWS OF STATE OF MINNESOTA LAKESHORE
TOPOGRAPHIC MAPPING LICENSED BY ORDINANCES OF CITY OF MINNEAPOLIS J . UtIdlAL
3300 LYNDALE AVE. SO. MINNEAPOLIS. MINN. 55408
824-0370
*urbepor'o Cerfiftate
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EP
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17 -9. . 17
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GERALD GLENN CORP.
BUILDERS
1202 HATHAWAY LANC
.-1&11161 ItNA01
CITY OF FRIDLEY INSPECT iON DIV. Effective On Jan 1, 2001
6831 University Ave NE D �) PL)
Fridley, MN 55432 p i��I� APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
C
763-572-3604
MARK NUMBER
OF
FIXTURES TO
BE INSTALLED
ON EACH FLOOR
The undersigned hereby makes application for a permit for the work herein
Old Opening, New Fixture
Wash
"•:•.t •.•:•i::::;•:::i:
D :Floor
t:;:{>
:: Auto. Gas < Water Heater
ii::::r:.
Stories :}.:Urinal >::,}fi? Shower
Sto
5 t N<.;;
Tray
f tt ;`<:°`>
Drain B IpI:,::,. Washer';;' ``::W. Range �'t ::>r:< <::: Gas Elec
Catch Basin
$ 7.00
:?vS6ii?::fi¢
Rain Water Leader
::i 4Y4:•
Ca Z. -A 9/6 .20
Sump/Recenring Tank
$ 7.00
Water Treating Appliance
$10.00
Owner2-
Basement rY.::...:.:,?:..?:<.:
$ 7.00
: �::
Water Heater- Gas"
:::;:tr
Building Used As—
Gas Range"
$10.00
/
Cost.�PERMIT NO.
Gas Dryer"
$10.00
Estimated
Floor1 <:.:�n:<:>;::>::»:;::.
1
() No
.:..
Type
$15.00
PLUMBING COMPANY —
::::::::.::?::......
::..:>?.:.}:.::>:�:::
:.::.:..>.••-?...:
�:rk
...
ofl
Floor 2
>...
Floor 3
<<
Floor 4
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
JOB ADDRESS %� �� 5 A)
New Factures
$ 7.00
The undersigned hereby makes application for a permit for the work herein
Old Opening, New Fixture
$ 4.00
specified agreeing to do all work in strict accordance with the city codes
Beer Dispenser
$ 5.00
and rulings of the Building Division, and hereby declares that all the facts
Blow Off Basin
$ 7.00
and representations stated in this application are true and correct.
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Ca Z. -A 9/6 .20
Sump/Recenring Tank
$ 7.00
Water Treating Appliance
$10.00
Owner2-
Water Heater -Electric
$ 7.00
_
Water Heater- Gas"
— $10.00 �_
Building Used As—
Gas Range"
$10.00
/
Cost.�PERMIT NO.
Gas Dryer"
$10.00
Estimated
Back Flow Preventer Required ( )Yes
() No
�I --T� b A
Type
$15.00
PLUMBING COMPANY —
Reinspection Fee $47.00/Hr SIGNED BTEL N0. 36
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance �°
Approved B Rough -In Date Final Date I
' r-0
State Surcharge $ .50 1�
MINIMUM .010=00FIx ANY PLUMBINGIGAS PERMIT IS S
TOTAL FEE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacina an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required.
Yes ( ) No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications Including sizing, length, number of elbows and termination.
Yes ( ) No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances.
Yes ( ) No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturers specifications.
Yes ( ) No ( )
When required to Install a new combustion air, it will be sized and installed
to meet the current codes and manufacturers specifications.
Yes ( ) No ( )
When Installina a new ventina system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances.
Yes ( ) No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
Yes( ) No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or
Nat
Appliance #2 Type BTU Input Fan Assisted or
Nat
Appliance #3 Type BTU Input Fan Assisted or
Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height _ Diameter
inches
Appliance #1 Vent Connector Height ft Length ft Diameter in
Type
Appliance #2 Vent Connector Height ft Length ft Diameter in
Type
Appliance #3 Vent Connector Height ft Length ft Diameter in
Type _ .
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date:
G7YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
February 21, 2003
Mr. John Ward
5691 Regis Drive NE
Fridley, MN 55432
Re: Final Inspection at 5691 Regis Drive NE
Contractor: R A Johnson & Son
Dear Mr. Ward:
A plumbing permit was issued on October 30, 2001 to install a water heater at your
address. According to Section 4715.2800 of the State Plumbing Code, a final inspection
shall be conducted on the work authorized by this permit. As of this date the inspection has
not been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your permit open for another 30 days and if we do
not hear from you within this time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh