PRE 2010 DOCSDate:
JUNE 5, 1967
N9 9286
Owner: NIKE CORBETT Builder FERNDALE BUILDERS
Address Address 1323 SKYWOOD LANE N. E.
FRIDLEY, MINNESOTA 55421
LOCATION OF BUILDING
No. 5591 Street REGIS TRAIL --- Part of Lot
Lot _..- 7 ---Block 2 --__ Addition or Sub.Division .__ PARKVIEW OAKS, FIRST ADDITION
Corner Lot —_ Inside Lot .-._ K Setback 35' � . Sideyard __1_Q!_and
Sewer Elevation T 857.69 MR29M Elevation 860.69
TOP OF FOOTING
DESCRIPTION OF BUILDING
To be Used as:
DWELLING Front 47 Depth 28 Height 20 Sq. Ft. 1,176 Cu. Ft. 2.3.,5 .20
TUCK UNDER GARAGEF ont Depth Height . _ Sq. Ft. T Cu. Ft.
Type of Construction FRAME Fast. Cost — 16 000 __ To be Completed
SEWER LOCATION - ; 14' South of Manhole
WATER LOCATION - 10' South of Sewer
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. , / Xi"
-- - - ----- -- --
$100.00 NSSSD Charge
In consideration of the payment of a fee of $_L4. 00 ' permit is hereby granted to FERNDALE
BUILDERS to construct the building or addition as described above. =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.
CLARENCE BELISLE
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas beating, sewer or water. Be sure to we
the Building Inspector for separate permits for these hems.
5
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME / //1rf- BUILDER ej,ti e� /� �a ��f9ei -
ADDRESS ADDRESS
C, ATION OF BUILDING
NO. /� STREE 05"ART OF LOT _
LOT 7 BLOCK ADDITION OR SUBDIVISION ®,hc
CORNER LOT INSIDE LOT SETBACK �' SIDE -YARD
SEWER ELEVATION e� 7° 4/TOP OF FOOTING
Applicant attach to this form two certificates of survey of lot and proposed
building location drawn on these two certificates.
' -DESCRIPTION OF BUILDING
To be Used as: �Q �, �� / ?ram,
Front 7 Depth Height
Sq. Ft. // 7'L Cu. Ft.
1 ej Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction %_,_CL P.v.. e— Estimated Cost %G, ®0 0,
To Be Completed E'e 4.0 -
The
.0
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 ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
DATE SIGXNTU
(Schedule of Fee Costs can be found on the Reverse Side).
<
m
City of Fridley
Application for Plumbing and Cas Fitting Permit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
Gel
g
y
rz�
8K Z
G Nii
w
?
O
•
F
•
W
WATER HTR.
GAS
ELEC.
Base`
1
l
1st
1
/
2nd
3rd
4th
• Future Connection Openings
e New Fixture, Old Openings J
New
Connected with
Sewer
Cesspool �
F]
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
rz 00
Number Fixtures ......... ............ x $2.00 $ °
Future Fixture Opening ................ x $1.50 $
New Fixture Old Opening ..............
Catch Basin ............................
Water Heater (Up to 99,000 BTU) ......
New Ground Run Old Bldg . ............
Electric Water Heater
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ....................
Gas Range to 199,000 BTU ..............
REPAIRS & ALTERATIONS—Refer to Code
— x $1.50 $
— x $3.25 $
— x $3.00 $ -00
— x $3.25 $
a $2.00 $
NO. RATE TOTAL
— x $2.00 $
—x$.75 $
— x $5.00 $
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley,
• • ,
Kind of Building T r k,',A A,
a� o
Used as
To be completed about
Estimated Cost, $
Old- Te Building Permit No ��Permit No.
Signe 7 -1 .
By
Business Phone No
ROUGH '� / - (` 7
FINAL
Description ................................................$
TOTAL FEE $ 4 2
194(7
L '
Application for Power Plants and Heating, Cooling. Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations -up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR 9 d
Furnace Shell & Duct Work to 120,000 BTU ............ lgr_ $�
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
OIL BURNER—to 3 gal. per hour
..... 5.00
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x q $
Additional Fixtures x C40 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $
ROUGH—
FINAL-
Location 5591 Regis Trail
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.
Fridley, Minn 19 —
Owner Ferndale Builders
Kind of Building
Used as Res
To be completed about 8/30 67
Estimated Cost, $ 540 • 00 2
Old— fevy. Building Permit No. 9,�� Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam Hot Water Warm Air—No
Trade Name Peerless Size L'115WWO
Capacity '460 Sq. Ft. E.D.R BTU_] 16 H.P.
Total Connected Load 6 (M Kind of rueL Gas
BURNER —Trade Name Size No
Capacity. Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
sem, Lerson Mac 09,4
B
uz.—,
42 B' ess Phone No
i
SUBJECT
IT NO.
City of Fridley
2 2 91
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
�~ _ _____
r , PROTECTIVE INSPECTION SEC
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
9/26/94
JOB ADDRESS 5591 Regis Trail NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7
2
Parkview Oaks First Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Corbett 5591 Regis Trail NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Gates Roofing 4640 Ximines Lane N Plymouth MN 55442550-0043 6793
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 ❑X REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (16 Squares) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
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
880
.50
DOES NOT P SUME TO GIV AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PFI( O ANY OTH R TATE OR LOCAL LAW REGULATING CON-
S JCTI O THE PERF NC OF CO STRUCTION
$23.00
Fire SC .88
PLAN CHECK FEE
TOTAL FEE
License SC
$5.00
29.38
SiGNA-?UfjfCONTRACTOR OR AUTHORIZED AGENT MATEI
WHEN PROPS �[ALI ATED THIS IS YOUR PERMIT
SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI
8 G INSP
DATE
i
NEW [ ] Effective 1/l/94
ADDN [ ] CITY OF FRIDLEY
ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress:���--
Legal Description:
Owner Name & Address: n-5 L-&7u3c- c Tel. #
Contractor: 4 -re S MN LICENSE # 7 q -
Address:
Lie' ® �` zi S �� 11(, �� �2aTel. # SM) -Q ®`/
Attach to this application, a - Certificate of Survey of the-
lot,
helot, 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 gt/Ground Sq. Ft.
OTHER: 16
Corner Lot [ ) Inside Lot [ )
Type of Construction:
Approx. Completion Date:
Ft. Yd Setback
Side Yazd Setbacks
Estimated Cost: $
(Cost on Back)
Driveway Curb t Width Needed: Ft. Ft =Ft $ - $
DATE: v 5- APPLICANT: Tel. # � _ a o `(3
CITY USE ONLY
Permit Fee $ 06 Fee Schedule on Reverse Side
Fire Surcharge $ ..001 of Permit Valuation ( 1 / 10th %)
State Surcharge $ _ $.50/$1,000 Valuation
SAC Charge $ $$00 per SAC Unit
License Surcharge $ d 6,'6 $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: