PRE 2010 DOCSCity of Fridley, 31 nne
BUILDING PERMIT No (406'
Date: ..,.�
Owner: "tZZ�74--ILW—. Builder
Address _W._ Address --
yy'' Dgi
F_ UILDING
No.i�ireet_L. r '--- Pakt of Lo
°Lot Block Addition or Sub- v.Won
Corner Lot Inside. Lot duck � Sideyard .
Sewer Elevation.. -T -- - _ F dation Elevation
DESCRIPTION OF BUILDING
To Us.
f
Front .. Depth - P _ Height Sq. Ft. `t • Cu. Ft.
rFront Depth t Sq. Ft. — Cu. Ft. _
Type of Constractio°' �e Est, ""'"`"�jTo be Completed
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.
In consideration of the payment 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 ndition 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 violatio any of the provisions of said
ordinances. .r-•.. .� ,
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
4
APPLICATION FOR BUILDING PST
CITY OF FRID%EY, MINNESOTA
Owner Is Naa%� �Builder
Af-dressI� .rAddress
LOCATION OF BUILDING
No. Street Part of Lot
Lot Block Addition or Subdivision
Corner Lot ;_Inside Lot Setback Side -'Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUIIDING
Front,Depth Height
Sq. Ft.
Cu. Ft.
IrontD epth Dight
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost
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 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. / D
(A Schedule of Fee Costs can be found on the Reverse Side.)
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BIDCK .Avg RESS,��, S:� VALUATICK).a
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SUBJECT
PEflTiIlY NO���
City of Fridley
�7-1_ 251
AT THE TOP OF THE TWINS
BUILDING P E R M I T
r
_
• _ COMMUNITY DEVELOPMENT DIV.
INSPECTION
r PROTECTIVE SEC.
1 �
`
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATEPAGE
OF
APPROVED BY
612-571-3450
910-F15
10/23/87
JOB ADDRESS 5852 - 23. Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1
23
Hyde Park SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Joseph Cherveny 5852 - A Street N,E. 574-9516
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 r ADDITION �E] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Move bathroom into adjacent room
9 CHANGE OF USE FROM TO
STIPULATIONS
Srp,��
T pr
GP-
"IGNS.
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. 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
$400
$� cJ�
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 CO
$15.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
*'N CHECK FEE
TOTAL FEE
$15.50
SIG 4A OFCON-R CTORORAUTHORIZEDAGENT IDATEI ���
HEN PROPERLY
THIS IS YOUR PERMITY
C�A2 -
(LIPTD
e,
cs'
WSP D E
�G URE OF OW ER OF WNER BUILDE I ATEIBLDG
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ R-1 AND R-2
ALTER. 7 Building Permit Application
Construction Address:
Legal Description: /-07
1 ,t�LaG 1� �3 l��/,�C�•�rP�
Owner Name & Address : ���� � �&44 Z�✓�I�l%Ei&7NXT_ - Tel. # 574 -
Contractor:
74'Contractor: � e Tel. #
Address:
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:
Corner Lot
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction:
Approx. Completion Date: �irna�wl�dS
Estimated Cost: $ G .&D
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: / APPLICANT: Tel. #f7,11g5—
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$525 per SAC Unit
Fee Determined by Engineering
nt Necessary [ ] Not Necessary [ ]
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SUBJECTIT
NO.
City of Fridley
28943AT
THE TOP OF THE TWINS
BUILDING
PERMIT
1
RECEIPT
fr ------COMMUNITY DEVELOPMENT DIV.
f PROTECTIVE INSPECTION SEC.
Y7�
1 �
`
1 "'S CITY HALL FRIDLEY 55432
NUMBER
REv
DATE
PAGE OF
APPROVED BY
612-571-3450
siaF�s
2/25/99
/ /
JOB ADDRESS 5852 2 1/2 Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
j
23
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Matt Lenssen 5852 2 1/2 Street
NE
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
New Haven Construction 4208 83 Avenue N,
Brooklyn Park, MN
55443 566-5225
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO
20077950
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House (14 Sq) 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 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
$1,199
$.60
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES N PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISI OF ANY OTHER STATE R LO AL LAW REGULATING CON-
$40.25
Fire SC $1.20
STRUCTIO R THE PERFORMANC F C ST CTION
PLAN CHECK FEE
TOTAL FEE
fZEDAGENT
LicenkelC $5.0V
$47.05
S, URE O ONTPACTgf O AUTHO ,OATE,
N ROP VALI
c BLD9f IN -
D THIS IS YOUR PERMIT
pA It
S-GNATURE OF OWNERof OWNER BUILDER, (DATE,
Feb 25 99 09:59a
NEW [ ]
ADDN [ ]
ALTER [ ]
ConstructionAddress:
Legal Description:
Kerri
566-7183
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Owner Name & Address: 1W.7—
Address:
loqd>
p.3
Effective 1/1/99
Tel. #
MN LICENSE
Tel. #
Attach to this application, a Certificate of Survey of the ,
lot, with the proposed construction drawn on it to scale. �`��7
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:
Construction Type: '��9 G�"�' �o Estimated Cost: $ i SSC.,
i
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: - -- 5 APPLICANT:
Tel. # S- 2
CITY USE ONLY
Permit Fee
$ ��
Fee Schedule on Reverse Side
Fire Surcharge
$1--/1J6-
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ (fid
$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:
CITY OF FRIDLEY BUILDING INSPECTION
6431 University Ave NE
Fridley, MN 554.32
763-572-3604 FAX 763-571-1287
RATE SCHEDULE
Relidential
Furnace Shelf and Duct Work, Burner &
also Replacement Furnace
Gas Piping (New Furnace, Fireplace, Insert)
Gas Range
ooa;-- 01)119
Effective 4/9,12004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Fee Tot
$ 35.00 $
$10.00 $
$10.00 $
Gas Dryer $10.00 $-
-Air Conditioning-AllSizes $25.00 $ /IPIP/ U0
All Other Repairs or Alterations (List on Back)
196 of Value of Appliance or Work $
Minimum Fee $15.00 for Residential or 5% of cost of
Improvement whichever is greater on work less than $500.00
gamrnercia(/ Industria Vlnstitutional
1.25% ofYalue of Appliance or Work (List on Back)
Minimum -Foe $35.00 for Coma--rclaVIndustrieVinstitutional
State Surcharge
TOTAL FEE
REINSPECTION FEE $50.00/HOUR
JOB ADDRESS 5� ' '2' i
Owner E44 11-A (A�6n.aVLSk-1
Building Used As
ESTIMATED COST L 1 1, PERMIT NO
D-FSCRIPTION OF FURNACE AND BURNER
0 of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name
BTU
Size No.
HP EDR
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 Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
$--459 HEATING 00 r'
$ IX'Ii0signed Tel#
*Air Conditioners can not be placed in side yard without written approval
from adjoining property owner - copy to City
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Folder City Sheet Metal Inc. Date-4&%�L-
82 0 Main St. N.E., Suite 39
Fridley, MN 55432
(763) 754-2199 Fax (763) 754-2908
Approved by Rough -in Date Final Date