PRE 2010 DOCSVillage of Fridley, Minn.
1102 NG
BUILDIPFI X"
N°
Office of INSrECWR OF BUMDINGS
Owner, 'd
Architect "
Builder
Y ✓' ES r .
Fridley, Minn., 18
Permit is hereby ',granted to to -
the building described in the above statement. This permit is granted
upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all
the work done In; around acid upon said building, or any part thereof, shall conform in all respects to the ordi-
nances of Fridley, Minn., regarding the 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. '
"p L, 3 ~'nspector of Buildings.
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
Subscribed a�'d sworn to before we at Fridley, Minnesota, this
day o% . A .D, 19 -
LOCATION OF BUILDING
No.
Street
��� " 6, Part of Lot
'r r
x
Lot
Block
Addition or Sub -Division
DESCRIPTION OF BUILDING
Front Depth
" � '
Height , L',%: Stories Manner of Construction
_
To be used as 4e �
� � �
To be completed 4'f. °' �--� � Estimated Cost
Permit is hereby ',granted to to -
the building described in the above statement. This permit is granted
upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all
the work done In; around acid upon said building, or any part thereof, shall conform in all respects to the ordi-
nances of Fridley, Minn., regarding the 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. '
"p L, 3 ~'nspector of Buildings.
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
Subscribed a�'d sworn to before we at Fridley, Minnesota, this
day o% . A .D, 19 -
BUILDING PERMIT
,consideration of the4payment of a fee of $.. .. , permit is hereby granted to `: :..... .
... ... to construct the building or addition as described above. This permit is granted upon
the express conditio t that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon ,said building, or any partthereof, shall conform in all''respects .to, . the ordinances of
Fridley, Minnesota i egarding location, construction, alteration, maintenance, repaid and moving of buildings with-
in the; village limits, this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. I y
.1
. Building Inspector
NOTICE:
This permit oes not oover,Ehe construction, installation or alteration for wiring, plumbing, gas heating,
sewer' or water. a sure to see`'the Building `'Inspector for separate .,permits for these items.
Ay
0
N? 2445
Village of Fridley, Minn.
Date .... :'.° ...
.
Builder ........ .... .............. ..
Owner`6:P..#?
..........
Address.
�. f...... Address .. ... .....................
LOCATION OF BUILDING
No.
`
Street .: .... ...... Part of Lot .. ................. .
Lot ...1.
Block .. .. .... Addition or Sub -Division ....................
Corner Lot ........
Inside Lot .......... Setback ............ Sideyard ..........................
DESCRIPTION OF BUILDING
To be Used as:
*
,►F:� .
Front Depth ........Height .... Sq. Ft. ...... Cu. Ft...... , . .
....................
i. Front , Depth ..... Height Sq. Ft. ....... Cu. Ft... ... .
Type of Constructio
4 %t Mr s .� f•
.......... Est. Cost 6 .... ........ To be Completed .. .......
F
In consideratior
the proposed work
of the issuance to me of a permit to construct the building (described above, I. agree to do
accordance with the description above set forth and in. compliance with all provisions of
ordinances of the v$
age of Fridley. �-7 • '0q
,consideration of the4payment of a fee of $.. .. , permit is hereby granted to `: :..... .
... ... to construct the building or addition as described above. This permit is granted upon
the express conditio t 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 partthereof, shall conform in all''respects .to, . the ordinances of
Fridley, Minnesota i egarding location, construction, alteration, maintenance, repaid and moving of buildings with-
in the; village limits, this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. I y
.1
. Building Inspector
NOTICE:
This permit oes not oover,Ehe construction, installation or alteration for wiring, plumbing, gas heating,
sewer' or water. a sure to see`'the Building `'Inspector for separate .,permits for these items.
Ay
0
APPLICATION FOR BUILDING PERMIT
CITY OF •
OWNER IS NAMEce.?BUILDER
-,2 rZ,,f -,j 14��
LOCATION OF BUILDING
NO �X STREET ,
LOT �fBLOCK ADDITION OR SUI
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 A
Front • Depth.
Square feet Cubic Feet
Height
Front Depth Height
>W
Square feet Cubic Feet
r
Type of Construction imated Cost -15` �0-10v.- �
To Be Completed
I /%- e-; >®
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 _ / — �® SIGNATURE 4 ���- ,��
.(Schedule of Fee Costs can be found on the Reverse Side.)
NOTE: A Certified Survey of the lot, showing the location of the foundation,
once it has been constructed, will be required before proceeding with the
framing.
SUBJECT
PERM)12545
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RE
e COMMUNITY DEVELOPMENT DIV;
INSPECTION
r 1 PROTECTIVE SEC.
1 �
= CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
�•"' ,�, 612-560-3450
910-F15
5/21/74
JOB ADDRESS 5932 - 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR;
7, 8
9
Hyde Park Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Michael Hlavinka 5932 - 2nd Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Robyn Lamanski
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
Construct a 24' x 16' Addition
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBING, ASU SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Tame
VENTILATING OR AIR CONDITIONING.
ood
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
R-1
384
7680
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
$7,000
3.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$28.10
PLAN CHECK FEE
TOTALFEE
$31.60
SIGNATUF,,g OFC RT ACTOR OR AUTHORIZED AGENT (DA E) f
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
2)�AAti, LOA ,7 021- Y
BLDG. INSP DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAM: /C� �iBUILDER: Gu' ��',� �J•�'% 7C� �/
ADDRESS: ��y�i`/�J ADDRESS:
STREET: dv
LOT: BLOCK:_ ADDITION:
CORNER LOT: INSIDE LOT: I/ 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 Be Used As:
z 6/ Front ,�-' / Depth: Height:
Square Feet: �74 Cubic Feet:��
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction; �G�c��'---�/r��.z� Estimated Cost:
To Be Completed;®C ►ajo ()rf�, (�f f�� (-j
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: SIGNATURE:
(See Reverse Side For Additional Information.)
0000y,,0 d0d1: X2,00 S,T� O/Ia00
6
t
Is ICIC R
L MG OL-
, owner of the property located
at —����`G�
Si
have no objection to the City
allowing the
construction of
a ��_�-t�-�S�+„o
be located at
without.the required certificate of
survey that the City ordinarily requires for all new construction.
rS igned
%a',Address
Date
Witness
G°
Al
AIF CMIMADNIN9 Sygem aW Dwdeez
GRAVITY WADI
RATZ
TOTAL .
lice Shell & Duct Work .. ...
.$10.00
Replacement of Furnace
6.00
Rvpairs. & Alterations ---up to $500.00
6,00
$
Repairs &.Alterations each add. $500.00
300
=CI -3. WARN P
Furnace Shell as Duct Worst to 130,004 BTU
$10 04T
$
each zdd. 60,000 DW . .. .....
Replacement of Furnace
6.11
$
Rx -pairs &c Alterations --up to $540.0-
6.00
Repairs & Alteratious each add. $500.00
3.ti1D
$
STEAM or HOT WA'i EER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. FJ)R Steam $10.40 $
Furnace Shell. & Line,—to 640 sq. ft. EDR Hot Water 10.00
Each add. 200 sq. ft. EDR. Steam :3.S41i $.
Each add. 320 sq. ft. EDR riot Water 3.00 $�_ �-
OIL BURNER—to 3 gal. per hour
over 3 gal. per hour—See Fee Schedule
GAS DUR=R (up to m0'm BTU) &00 $
r 199,0Wi BTU Soca Fee schadujo
GAZ FITTING 1 TES: No RATE TOTAL
1st 3 ;fixtures$ ZOO $
Additional P'iirtures _ $ .75 --
Gas Range tb 190,000 5.W $
Jun =MM09ma
i +.e7,-*n&Yro.+CYE'.'✓ & lfilddkY" is
-«'t%7 .1
State Surcharge .50
sm Pts sch '
TOTAL 1m $
City of dley:
The undersigned hereby makes application for a permit for the vrorh hermir
specified, agreeing to do all wont in strict accordance with the City Chluaumcle-v
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, 19
�.-..� -
nwncr !✓ - /Cr/'Q
Bind of Building
Used as . CPSE'C�t�'074D /
To be completed about, r;n 0
Estimated Cost, $ 4100 _
®:1d7 -New. Building Permit No. _�� Permit Pio. '_L _
HMATINO or P® tem, Not Water, Waal- Air—No__
Trade Narne Sim NO
Capacity— — — SSI. Ft &D.R BTU
Total Connected L=d of rml
BURNM -- Trmde Name Sim N®
Ca p2city Sq. FL Z.D.
SITU_
ga'Lgjgs ; rm
53 -8b -S-915.51
Ciiy of Fridley
Applic edIfta q Pemb
Dept. of Bldam. Phone 560-3450
DESCRIPTION OF 'CORK 5932 N. E. 2nd. Street
Number, Kind and Location of Fixtures
• Futuro Cossneeiioa Openings I �� wxra
Sewer
# New Fixture. Old Openings spool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................. x $2.00 $
Future Fixture Opening ............. x $1.50 $--
New
_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........... x $2.00
SAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures x $2.00 $ _
Additional Fixtures ................. x $ .75 $
Gas Range to 199,000 BTU.. . 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, Minn 6-21-7b ls_
Owner Michael Thomas
Kind of Building Frame
Res.
Used as
To be completed about 6-28-74
Estimated Cost, $ 10.00
Old-JNM Building Permit No. Permit 140.
Signed
By
Business Phune No
ROUGH
REPAIRS it ALTERATIONS --Rotor to Code .50 State Surcharge
Install Gas Grill 5.00
.Description ....... ..... ,....... ..................$
TOTAL FEE $ _ KO
Class 1�'Frm Surcharge .50r,
N
N
WATER MTR.
GAS ELM
Base
Ist
In
to
1 las Grill
2nd
3rd
4th .�t
• Futuro Cossneeiioa Openings I �� wxra
Sewer
# New Fixture. Old Openings spool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................. x $2.00 $
Future Fixture Opening ............. x $1.50 $--
New
_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........... x $2.00
SAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures x $2.00 $ _
Additional Fixtures ................. x $ .75 $
Gas Range to 199,000 BTU.. . 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, Minn 6-21-7b ls_
Owner Michael Thomas
Kind of Building Frame
Res.
Used as
To be completed about 6-28-74
Estimated Cost, $ 10.00
Old-JNM Building Permit No. Permit 140.
Signed
By
Business Phune No
ROUGH
REPAIRS it ALTERATIONS --Rotor to Code .50 State Surcharge
Install Gas Grill 5.00
.Description ....... ..... ,....... ..................$
TOTAL FEE $ _ KO
Class 1�'Frm Surcharge .50r,
SUBJECT
P -
City of Fridley
®134'7 8.
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
CEIPT NO.
COMMUNITY DEVELOPMENT DIV.
1 ti.
r , PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
4/27/761
JOB ADDRESS 5932 - 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7, $
g
Hyde Park SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Michael Hlavinka 5932 - 2nd 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 ElADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
x❑
6 DESCRIBE WORK
Construct a 24' x 26' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway. Minimum 6 foot rear yard setback and
minimum 6 foot side yard.
PERMITS REQUIRED FOR \NIRII1(-,
SEPERATE
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
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
R-1
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.
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$4,617
2.30
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.
$12.00
PLAN CHECK FEE
TOTAL FEE
$14.30
CONTRACTOR O„R_AUTHORIZED AGENT (DATE)
WHEN PROPERLY THIS IS YOUR PERMIT i
-y
`{6NATUREOF
; '
�VALIDATED
_ t L 4 'cam% -
BLDG INSP DATE
SIGNATURE OF O ER IIF OWNER BUILDERI IDA 1
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME • / ;Z&Z!LJ— i 4'�/�ILDER :
ADDRESS : a ` & oZ - ADDRESS:
NO:. STREET: p/ %
LOT: BLOCK: g ADDITION:
CORNER LOT: INSIDE LOT:_SETBACK: SIDEYARD:
Applicant attach to this form T%,o Certificates of Survey of Lot and prcpo sd
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
I
r J
Front: � X/ Depth: Height:
Square Feet: Cubic Feet:
Front: Depth:
Square Feet; Cubic Feet:
Height:
Type of Construction: �� ',�:4�ir��/ Estimated Cost: $
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stxict 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.
9
DATE :/,�0/�� SIGNATURE •/
(See Reverse Side For Additional Information.)
53-9b-991505. CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE•SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$
Future Fixture Opening
x
$2.00
$
water
x
$2.00
$
Q
x
$5.00
$4
c -I
M
a
$
ii
i
rJ u
a
w
G
'�9
Water Softener
Heater
U
$
New Ground Run Old Building
x
U)
C
$
F
•.i ro
x aJ
W
0
k
0
A c
v
a
.4N
1st 3 fixtures
x
$3.00
$
Additional Fixtures
•,i
Sr
N 0
O M
ro
c
l
•�
xa
.L
C C
3
O
U •a
O x
U
$
d)
O
0
••�
JJ
N
C
+1
N
ro
•11 7
u O
0
0
.+
•u N
ro .1
11 N
a ro
N
ro
N
•.1
N
ro
.0
•u
lec
cn
v
ro
m
ci
v)
3
Q u.
in
w
U cC
Q 3
t
U
O
as
1st
Lri
e
tad
3rd
4 r—h
�
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE•SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU,
x
$5.00
$
1001000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater -
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
x
$3.00
$
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
$ 8.00
REINSPECTION FEE
($30.00)
Job Address 5'932 2 Street NE
T 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 correc
Fridley, mn. 12-7-76 , 19
OWNER MICHAEL HLAV'-NKA
KIND OF BUILDING frame
USED AS res
TO BE COMPLETED ABOUT 12-1)1-70
ESTIMATED COST 10.00
OLD - NEW BUILDING PERMIT NO. PERMIT NO. 6,9172
Company s 4
Signed By
Tel. No.
ROUGH INSP.
Date
FINAL INSP. //- � - 77
Date
APPROVAL FOR PERMIT�O
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50
01
SUBJECT
City of Fridley
7 3 5 8
Ki7
AT THE TOP OF THE TWINS
B U I L D I N G P E R M I T
r
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV,
( '6 L ------;
r PROTECTIVE INSPECTION SEC.
f p
i I �
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
----�-�>;
,j
L 612-571-3450
910-F15
11/4/84
JOB ADDRESS 5932 - 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7,8
9
Hyde Park SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Mike Holavinka 5932 - 2nd Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Homan Construction Route Box 476, Waverly, MN 55390 658-4527
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 j] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
S DESCRIBE WORK
Reside Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Steel
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
$4,100
$2.05
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-
$50.50
NTRt,JCTION OR TH PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
�FO�1111
$52. 55
SI 4 OR ALWHORIZEDAGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
a'4
SIGNATURE OF OWNER IF OWNER BUILDER) (DATE)
BIL I D
01
CITY OF FItIDLCY Effective Aug. 1, 1981
'
APPLICATIM FOR USIDERTIAL BUILDING PLEM41TS
( levi, Alterations. Additions, or Repairs)
0WHER:
ADDRESS: �-a3 � �—�✓ ��
TEL 010:
BUI LDER :
ADDRESS: W 7
TEL 110:
r Construction Location
STRI=T NO: 6 q STREET: - VC
LOT: t7r, BLOCK: ADDITION:
Corner Lot:
Inside Lots _
Setback:
Sideyards:
Applicant
attach to this form ft -o
Certificates of Survey of lot and
proposed
building location drawn on certificates
to scale.
DESCRIPTIOR OF
M,.1STRUCTION
Front:
Depth:
Height:
Square Feet:
Mbic Feet:
Front:
Depth:
Height:
Square Feet:
Cubic Feet:
•
e'er
Type of Construction: �
Estimated
Cost: $ 1-1)66
7b Be Cbr. pleted:
3 1
Alt. A Alt. B
Proposed Driveway
Width If New Opening Is
Desired:
SEE pivF.R;L' SIDE OF SHEET
She undersigned hereby mates arplicatien for a permit fcr the work herein specified,
agreeing to do,all work it, strict accordance with the City of rridley Ordinances and
ruli»gs of the De1xirunait of Buildings, and hereby declares that all the facts and
reorescntatiens stated in this application are true and correct.
DAM: / — -- JD ' 1 SIGNATUTE :
Stipulations:
t
SUBJEtT
P O.
City of Fridley
29728
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
pT NO.
•
COMMUNITY DEVELOPMENT DIV.
r � PROTECTIVE INSPECTION SEC.
3A.21
�
1 � �
NUMBER
11Ev
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
"'' 612-571-3450
910-F15
6/21/99
108 ADDRESS 5932 2nd Street
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.1
7-8
9
1 Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Mick Hlavinkar,71-6529
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
L&M Roofing 593 B
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 1X REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (25 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
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
p
$2185
$1.09
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-
K CTION OR THE PERFORMANCE OF CONSTRUCTION
$83.25
Fire SC 2.19
PLAN CHECK FEE
TOTAL FEE
�—
License SC $5.00
1$91.53
51 PURE OF CON'RACTOR OR AUTHORIZED AGENT !DATE!
WHEN PROPERLY WIDATED THIS IS YOVR PERMIT
8L0 IN
1 TE
S-GNATURE OF OWNEROF OWNER BUILOERI !DATE!
NEW [ ] - Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FANMY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION (,\ L'�-
v
Construction Address: S' 7C4- e -e.
Legal Description:
Owner Name & Address: ,MI,,. 4 H /L rte,,, kg Tel. C S�
Contractor: Ak % MN LICENSE
Address:4e� PeTeI.#r
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: Le gth Width Hgt/Ground Sic .. Ft.
OTHER: , F V,C
V � �
Construction Type: �c ���„ R timated Cost: $%% �C3�
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $
DATE: It q APPLICANT: � %p /�e l 5�ro� Tel. # !l S% c��r `�- ?,(29"
Permit Fee
Fire Surcharge
$ ?,. (1
State Surcharge
$ /1 0
SAC Charge
$
License Surcharge
$ S-,06
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%)
$.50/$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 [ ]
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
5 7L -36U4 YAX: ( 763) 571-IZ57
PERMIT NO.: 2004-01750 q 1
DATE ISSUED: 10/05/2004
ADDRESS : 5932 2 ST NE
PIN : 233024220073
LEGAL DESC : UNAVAILABLE
: LOT BLOCK
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A SAVERS SWITCH.
# INSPECTIONS 1
APPLICANT
HUNT ELECTRIC CORPORATION
2300 TERRITORIAL RD
ST PAUL, MN 55114 -
OWNER
HLAVINKA MICHAEL J & B A
5932 2ND ST NE
FRIDLEY, MN 55432
STATE SURCHARGE, ELEC FLAT 0.50
ELEC PERMIT FEE - MIN (RESI) 20.00
TOTAL 20.50
PAID WITH CHECK # 118132
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp
Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Building
$
BUILDING
Plan Review
Permit No.: _
Inspections
Surcharge
RESIDENTIAL APPLICATION
(.0005) times the total job valuation — Minimum $.50
Received By:
763-572-3604
001 x Permit Valuation (1/10%)
CITY OF FRIDLEY
$ _ ,`®
Date Rec'd:
DATE__J 0 111 N `i
YOUR E-MAIL ADDRESS
$1450 per SAC Unit (Plans to MWCC for determination)
SITE ADDRESS d5l z5T7
Zw9p-r- t -14= -
ft + 6 ft = ft x $20 = $
THIS APPLICANT IS:
❑ OWNER )SCONTRACTOR
$450 Conservation Plan Review
PROPERTY OWNER/
NAME: ?sr,.fa,,
Fee Determined by Engineering
ADDRESS:_X115- 2 -Mw CITY 4=�&O&EEr
STATE ZIP
TENANT
Total Due
PHONE: 6'71 - q -3C1 Le
Make checks payable to: City of Fridley Attach Stipulations
CONTRACTOR
NAME: 46a„v L",,+(,= t tarda A1[o
STATE LICENSE # ZO._-O �qb99 EXP DATE 0-. '0 co
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: 30 VN 6z t1— LAI ME CITY
STATE IP SSWs��(
WITH APPLICATION
PHONE ? - FAX
PROPERTY TYPE
q5 SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
p�r
❑ DECK GSIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
V NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: Nk,,, r
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1.
Existing Floor Plan
PROPOSED SIZE:
❑ DETACHED GARAGE
2.
3.
Proposed floor plan
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
91 -Vinyl
®Soffit
ADDITIONS. & PORCHES SUBMPf:
❑ Aluminum
40 Trim
1.
Site Plan/Survey showing the existing structures
❑ Other
MFascia
and proposed project.
WINDOWS
2.
Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Surcharge
$
(.0005) times the total job valuation — Minimum $.50
Fire Surcharge
$
001 x Permit Valuation (1/10%)
License Surcharge
$ _ ,`®
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1450 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $20 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
Make checks payable to: City of Fridley Attach Stipulations
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 fora nermit 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 a u' a and approval of plans.
SIGNATURE OF APPLICANT i PRINT NAME 6,e_4//
� DATE 10 «l�—