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PRE 2010 DOCSU n U City of Fridley, Minn. BUILDING PERMITN® .7409/ Date: - 1 Owner: Buil _ Address Address LO TI OF BUILDING No. SILO Street Part of Lot Lot - 5� __ Block Addition or Sub -Division, Corner Lot Inside Lot Setback -i:%�2— /— Sideyard -14 Sewer Mevation — Foundation Elevation DESCRIPTION OF BUILDING TU fl Front Depth , Height Sq. Ft. /a�� cu. rt'm C) Front Depth Height ___ Sq. Ft. Cu. Ft. Type of Construction ��1._ Est. _ __ To 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 ;rLmidn co pliance with all provisions 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 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 reg location, construction, alteration, maintenance, repair and moving of buildings withianthe city limits and permit may be revoked at any time upon viola�on of any of the provisionsordinof said Building Inspector NOTICE: This psemh does not corer the construction, hatallatton for whing, phunbin0, gas huflaA, aver or water. Be an to no the Building Inspector for separate permit for these Items. .. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME s'J ; ®� l 9��' ., . "�/ I.r� 'N b'l"BUILDER ADDRESS '' �� ; . ��; . a''6 ?- R ' ADDRESS LOCATION OF BUILDING No. . 1 Street Part of Lot 777 71� Lot _. _Block Addition or Subdivision Corner Lot Inside Lot Setback A _ Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form.Two Certificates of Survey of Lot and proposed build- ing location drawn4on these Certificates. DESCRIPTION OF BUILDING To be used as: "Front ` �� Depth ' Height ,G Sq.,Ft. Front Depth Height Sq: Ft. Cu. Ft. Type of Construction. J^j ?!r Estimated Coat To be Completed VC, .' 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` (Schedule of Fee Costs can be found on the Reverse Side). 0 "-41477 City of Fridley, Minn. N° 8623 • BUILDING PERMIT • • Owner: Master i ., Builder 0--da—= P t M LOCATION OF BUILDING No. _ 5.L.QL_.._ Street 3rd Stl edt Naze Part of Lot Lot — 5 _ Block 2 Addition or Sub -Division Gori son I a Sung t Nanny Snnw:e 2nd Corner Lot _ Inside Lot % Setback _.__ Sideyard Sewer Fdevation ___. _ _ _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Det- Qazagld_ Front 22 Depth 24Height 3.i$_ _ Sq. Ft. --528— Cu. Ft. -5 Front Depth Height _ . Sq. Ft. — Cu. Ft. Type of Construction From Est. Cost 11 5 -Q -Q---..__ To be Completed — _ In consideration of the issuance to me e a permit to cons�the building l described_�I agree nt do the proposed work in accordance with the description above o and ffi ce provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 9..00 , permit is hereby granted to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it to 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 n� city limits nd this permit may be revoked at any time upon violation of any of the provisions of said NOTIC& fhb permb dna not emu the aondruWan, Indallatlon for Wbb& phrmbino, Sao haHag, atter ar Watar. M aura to see the BQildino InspWor for apmfe permlM for thea hams APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA. OWNER'S NAME BUILDER ADDRESS_ d _Jleld ADDRESS/ LOCATION OF BUILDING No. �'f /� ; Street Part of Loth_ LOT BLOCK ADDITION OR SUBDIVISION Corner Lot`Inside LOT Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Cartifieates.of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be 'used as: CA -e4 Zjt3gLg Front Q R Depth_ �..y Height T q Sq. Ft. S_. Cu. Ft. Front Depth Height. Sq. Ft. Cu. Ft. Type of Constructions 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 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_ L J%- SIGNATURE �. (Schedule of Fee Costs can be found on the Reverse Side). 1 0 d tHe:5?'EPR MAC -IAC ->Zi .K r A, too.74� vA6 LSOtotS SUMMIT I�AN0R 1hereby certify th tf ILq Ita•v y, Cala n. or report e was prepared by r c ()r un%I�r=rn.5f lirect super* n PINEX 'SEC 1)No A on I T 1 ON, vision find that I im fo duly etc fiistered. Land ANOKA COUNTYP VINNESATA' Surv(!Vor under ti vs ('9 f ` 'S„tteofMinn. clot a. . r�► 44-Z % N.C. HolUM AND �-5-�' , "510b Hom-4ow Dawe , A Ik7 INC, ze.4 LAND cJUF',�J�Ygti - SUBJECT PERM City of Fridley 18481 AT THE TOP OF THE TWINS BUILDING PERMIT r IRE . • `...... COMMUNITY DEVELOPMENT DIV. U. I✓ � � PROTECTIVE INSPECTION SEC. o - 1 � L! � CITY HALL FRIDLEY 55432 �.j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/9/86 JOB ADDRESS 5110 = 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 Carlson's Summit Manor Annex, Second Add SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Chester Bezak same 572-1891 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 ❑ ADDITION [X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside dwelling 9 CHANGE OF USE FROM TO STIPULATIONS i SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood 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 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 $1,500 $,75 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- $25.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE // �`�.� ��Y $25,75 SIGNATURE OF CONTRACT6WOR AUTHORIZED AGENT IDATEI WHE PROPER 11Y V I A E HIS IS YOUR PERMIT 5 ��� % GNATURE OF OWNERIIF OW NER LDERI (DATE) I SP �aTE NEW [ ] ADDN. [ ] ALTER. Construction Address: Legal Description Owner Name & Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: City of Fridley �R-1 AND R-2 I Building Permit Application D Effective 4/1/86 1"�O1IC5 Tel. # 1'72-l�`�0 .� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length ®� Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ Ft. Yd. Setback Side Yard Setback Type of Construction: &-DEstimated Cost: $ l� Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: 1�- $ $ See Back Page for Explanation DATE: �r �� APPLICANT: 0 Tel.el S%� CITY USE ONLY Permit Fee $ cy'jI Fee Schedule on Reverse Side Plan Check $ C--— 25% of Building Permit Fee State Surcharge $ /►� $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: Isoo �a 1cam May 13, 1988 City of Fridley Attention: Bill Sandin Heating and Plumbing Inspector 6431 University Avenue N.E. Fridley, MN 55432 Dear Bill Sandin, In compliance with the City of Fridley ordinance, we have received signed approval from Florian and Glynnis Novak to place a central air conditioning unit on our property. There are no disapprovals from 5130 3rd Street N.E., that the unit will come within ten feet of the property line on the north side of 5110 3rd Street N.E. Sincerely, Chester Brozak copies to: City of Fridley Chester and Phyllis Brozak Florian and Glynnis Novak Required Signatures 11<— Florian Novak and Glynnis Novak ester Brozak 6fid Phyllis BrWak t CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS .SAft A6 I3atou3 New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas / Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge .50 TOTAL FEE $_L6___:50 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. .19912— BROZRK CHESTER Owner 5110 31311 STREET t10BTiT FR I DLEY M 0 Building Used As, H 572-1891 N Estimated Cost -PERMIT NO. PLUMBING COMPANY "Vi; L rr UMOR& SIGNED BY Approved By Rough-ln Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT P City of Fridley - 21735 AT THE TOP OF THE TWINS BUILDING PERMIT 0 COMMUNITY DEVELOPMENT DIV. _ L PROTECTIVE INSPECTION SEC. �`J� NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 2/11/93 JOB ADDRESS 5110 3rd Street NE 1 LEGAL LOT NO. BLOCK OR ADDITION SEE ATTACHED DESCR. 5 2 TTRAaCT rlson`s Summit Manor Annex 2nd Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Chester Brozak 5110 3rd Street NE 572-1891 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Builders & Remodelers 3517 Hennepin Ave S, Mpls., MN 55408 827-5481 1100 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 0 MOVE ❑ REMOVE O B DESCRIBE WORK Soffit & Fascia 9 CHANGE OF USE FROM TO STIPULATIONS 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $7,662 $3.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $99,00 Fire SC $7.66 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License Sc $5.00 $115.49 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI HE P PPE (DATED THIS IS YOUR PERMIT /L�/1�aV BLDG IN P + DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDA TEI NEW [ J ADDN ( ] ALTER [ ] Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPUXES R -I AND R-2 13uilding Permit Application Legal Description: Owner Name & Address: Contractor: Address: 5110 -3rd St NE Chester Brozak Builders & Remodelers, Inc. 3517 Hennepin Ave S Mpls MN 55408 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: v Aei`1trve 9i tl'tz -*3 S>1 Tel. # 572-1891 MN LICENSE #0001100 Tel. # 827-5481 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Soffit & Fascia Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: 2/12/93 Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ 7662.00 Driveway Curb Cut Width Needed: DATE: 2/3/93 (Cost on Back) R. + 6 Ft = Ft x $ _ $. APPLICANT: Tel. # 827-5481 Permit Fee $ C. tO Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1 / 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ 5.00 $5.W (State Licehsed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee - $ Fee Determined by Engineering Sewer Main Charge $ Agreement Neces§lry [ ] Not Necessary [ ) TOTAL STIPULATIONS: $ //-5-, 4 ? su6JEcr PERMIT NO. City of Fridley (�_2895_8__� AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. sn��r C7.P�i I = �'•'1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY %j 612-571-3450 910-F15 3/l/99 JOB ADDRESS 5110 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 Carlson's Summit Manor Annex 2nd Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Phyllis Brozak 5110 3 Street NE 572-1891 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lake State Remodelers Inc 6000 Bass Lake Rd, STE 111, Crystal, MN 55428 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20047291 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION IR REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof House & Garage (26 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 OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN BO 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 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 @ 11 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,228 $1 • DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OT STATE OR LOCAL LAW REGULATING CON- Fir-/12C $2.23 STRUCT OR THE PE ANCE OF CONSTRUCTION $74.75 PLAN CHECK FEE F TOTAL/FEL Lice a $5va�0 3.09 SIGNATURE OF CO TRACTOR OR AUTHORIZED AGENT IDATEI EN RO ALIDA r IS YOUR PERM4 X! BL A'NSP 0 4W op 6� HATE .,F OWNER BUILDER, IDATEI SIGNATURE OF OWNER NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: / Owner Name & ddress: S Tel. # Contractor: MN LIC NSE # Address: SL(f Tel. # 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: Length Width Hgt/Ground Sq. Ft. OTHER: --% . —. YP/c.� 1�lZ�iQ, C��!' Construction Type: Estimated Cost: $�� �13- (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ v DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ S Fee Schedule on Reverse Side Fire Surcharge $� .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S < Uy $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: