PRE 2010 DOCSBUILDING PERMIT
Village of
/r�
Date ':��.`� .....d..L.�. .......
Owner 4.., .......... .
Address :5305..
Fridley, Minn. N? 2 R 7 2
Builder.. .:.........................
Address.... .... , .. ...-r�i�.... .
,,pp �/LOCATION OF BUILDING
No. . ��P) ... Street ...... I. ........................... Part of
Lot ................ Block J.1 ......... Addition or Sub -Division ...............
Corner Lot ............ Inside Lot ... Setback®.... O
..�.� . Sideyard .... J .Q........ .
DESCRIPTION OF BUILDING
To be Used as:
r
Front Depth. ? . .. height ../:2-t— Sq. Cu. Ft. ........
.................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft.......
Type of Construction i}.4i".� . Est. Cost �, ........... To be Completed .. ,/... .
In consideration of the issuance to we of a permit to construct the building describer &ove, 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 village of Fridley.
-anco deration of the payment of a fee of $.�m� .. . , 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 regarding location, construction, alteration intenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at a time u n violatioon f any of the provisions of said
ordinances. I
NOTICE: `v_ — IF -
This permit does not cover the construction, Installation or alteration for wiring, plumbing,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
-443),23�
City of Fridley, Minn. N° 8579
•
BUILDING PERMIT
:7
LOCATION OF BUILDING
No. — Stmt )tth Si:r c -+t AT.R. Part of Lot Tnf 17. AYRAnt R? and all of
Lot —18 ___ Block _ _I h _ Addition or Sub -Division .Xa u i 1
Corner Lot — Inside Lot Setback of honsA Sideyard _ 31
Sewer Elevation _ _ _ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
net. Garage Front 16 Dept, 22 Height 10 sq. Ft, 352 m Ft. 3,.5.20
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction FrM Est. Cost —Ma -05-0. Q0 _ To be Completed 3 weeks
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 ail provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of 0-4-m--, permit is hereby granted to nal A_ -Tent 21 at
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 allrespects to the ordinances of
Fridley, Minnesota regardinglocation, construction, alteration, maintenance, repair and moving of buildingm
within the city limits and t>permit may be revoked at any dme upon violation of any of the provisions of safd
ordinanam
NOTICE
'fhb pomit don not coup ft comttudlon, hm0fts }or YrWo pWinbina, Ya hennas awn a wahr. Be an to as
the sundbo impactor for apavta PWOM hr thea Nam.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWASR' S NAME
ADDRESS �� �- -,�� �;// ADDRESS
LOCATION OF BUILDING
Street Pa f t
LOT'k`% OR SUBDIVTSIO �.-
Corner Lot Inside LOT Setback - ,, Side -Yard
SEWER .ELEVATION FOUNDATION ELEVATION.`
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:
Itz,x/ Depth, Height
Sq. Ft. 3 5 Cu. Ft.
Front Depth _Height
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 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).
MA,
SUBJECT
P®
Cit of Fridley
City y
1326
AT THE TOP OF THE TWINS
BUILDING PERMIT
T NO.
COMMUNITY DEVELOPMENT DIV.
1 PROTECTIVE INSPECTION
r 1 � SEC.
1 = �
1 "1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
1Q-16-75
JOB ADDRESS 5305 4th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
� of 17 an
18 14
Hamilton SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ray Johnson 5305 4th Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Golden Cont. 952 89th Avenue N.E.
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
X
8 DESCRIBE WORK
House addition -dining room 12 x 16 on lst floor
9 CHANGE OF USE FROM TO
STIPULATIONS
construction without a verificatio
1. Return agreement from neighbor to allow
survey.
SEPERATE PERMITS REQUIRED FOR FIRING,
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
wood fram
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
2,304
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
192
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
TYPE OF WORK WILL BE O
AND ORDINANCES GOVERNING MPLIED
IOR
$4,350
IXX 2.17
WITH WHETHER SPECIFIED HEREIN NOT. THE GRANTING OF AS PERMIT
DOES OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROV ONS OF ANY OT STATE OR LOCAL LAW REGULATING CON-
$15.18
STR ION OR THE PER O MANCE OF NSTRUCTION.
a /
PLAN CHECK FEE
TOTAL FEE.
O 3
�/�
$17.35
SIGNAT EOF ONTRACTORORAUTHORIZEDAGENT (DATE)
EN PROPER ATED THIS IS YOUR PERMIT
WBLDG )NSP DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
MA,
-APPLICATION FOR RESI'DE'NTIAL., ALTE'FtATION,
OR ADDITION.BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NA1�1E : v .
BUILDER:
ADDRESS : 0 _ ADDRESS : ���
NO• ET:
LOT S/1 L •b I Y BLOCK: I ! ADDITION: ' .144VAI eorui�
CORNER LOT: INSIDE LOT: 1C SETBACK: SIDEYARD:
Applicant attach to this 'f orm lVo Certificates. ?f Survey .of Lot and.proposed
building location di3wn on these Certificates.
DESCRIPTION'OF BUILDING
ToZeU ds:
--
Front: epth : ® Height:__j
. Square Feet: %>2 . Cubic . Feet :
• Front:Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: •�,r►,e.�P Estimated Cost: $.l
SW
T6 -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: SIGNATU
.(See Reverse Side For Additional
,rm tion. )"
435 /v
J
AGREEMENT
owner of the property located
at �� D , �, �,t �` ,gyp have no objection to the Cit allowing
g
the construction of a�_l
®ril U SLI • to be located at �3 O,j
without the -required certificate of survey that the
City ordinarily requires for all new construction.
Signature
Address
Date
Witness
"igyf►1"�oye"3^h n^^ -mei �r*m! n F� �.4 r.'by f�9.rl ��¢� mit+- e4 �p�,p)
:� .r'diva t, rJ 3'vJ F� h✓ci� v ... l.wz:,3 �w�oamw �� `v�s�..y _ irt. cw.. ra�acaQ EL "drevr:l 3 st..r3
L'✓�:. Gf"�'.o"J
PARTIAL RATE SCHEDULE
WAM114 FM: MAIM TOTIL
Furnace Shell & Duct Work ... ... . ..... .. �lO.Qa
Replacement of TLrnacie 6.00 Ik
P.epairc & Alterations—up to :,500.00 6,00
'Repairs & Alterations each add. 5500.00 300 $
=CIL WA1.B.:4 P. m
Furnace Shell & Duct Work to 120,000 BTU .. .: ..$1000
each add.. 60.000 BTU . ......... 1W $
Replace -t of Furnace 6.00 3
,Rrpaira & Alterations --up to $500.00 6.00 $
Repairs & Alterations each add. $300.00 3,00 $
STEAM or HOT WATER SYSTE"IM
:rr.ace Shell & Lilies—to 400 sq. ft.* y.DR Steam $10.00 $
Furnace Shall & Line- -to 640 sq. ft. EDR Hot Water 10.00 y,
Each add 200 sq. ft. EDR Steam ann $
Each add. 320 sq. It. EDR Hot Water 3.00 S
OIL BURNMR—to 3 gal. per hour 6.00 S
over 3 gal, per hour --See Fee Schedule
GAS BUMXZR (up to Y✓?,00O BTU)
5.00
$
ovrrr 199,0"30 BTU Sae rea Schodule
GPZ FITTING FZES:
No
R.iXE TOTAL
1st 3 F1rtures
x3
200
S
Additional FIztures
x
.96
S --
Gas Range to 19.%=
b t3A
$
AIR CC':<DMC2:12:G
rA
State Surcharge .50
30-3 FCC SCN
To—m: yzzS
D pt. of Biap. nw,= mo -Y v
//
um
4-4
City of Pridiey:
• The undersigned hereby makes application for a permit for the worts herer•
specified. agreeing to do all work in strict accordance with the City O-di=_cev
and ruling of the Depa: tmc•nt of Buildings, and hereby decl=ez that all the fazer
.and representations stated in this application are true and correct.
Fridley, Minn CeJCIO
1l��
Owner r
Kind of Buildings
Used as
To be completed about..
ca �
Estimated Cost:, $ -
Old—New. Building Permit. No. ___ Pmrmit No.
D 0=MMON OE V702.=
H A 77NG or POWER P1,A S --Steam, Hot Water. Warm Air—No
Trade Name Sire No
-Capacity—_-- fi4, Ft E.D.R' BTU N -p.
Total Connected Lozd g4rA of Fuel
BURNER — made Nasus Size NO
—
Capacity_ 3q. FSB. ED BM
,
on Z condition..
Heating & Refrigeration Inc.
4017 Central Ave. N.E.
Columbia Heights, Minn, 5,54
SUBJECT
P MIT NO.
City of Fridley
11454
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
REIPT NO.
1 Y_ COMMUNITY DEVELOPMENT DIV.
_
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
4/12/84
/
JOB ADDRESS 5305 - 4th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
A 17, 18
14
Hamilton's Addn. to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Chris Donley 5305 - 4th Street N.E. 572-8184
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 Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 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,
VENTILATING OR AIR CONDITIONING.
Vinyl
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
$1,295
$.65
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-
$22.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$22.65
sl A RE IFCONTRACTORO TH0AGENT (DATE)
7
WHEN PROPERL V LIDATED THIS IS YOUR PERMI
n 41 d Y
BLDG INSP 'ATEF
SIGNATURE OF OWNER IIF OWNER BUILDER (DATE)(_
NEW [ ]
City of Fridley Effective 4/1/84
ADDN. [ ] F R-1 AND R-2
ALTER. [ 7 Building Permit Application
Construction Address:
Legal Description:
Propertyer,
Contractor: G
Address:
s-yc?
v s V
Tel. # S 7a - k2 y
Tel. # sae- L � 'T
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: 0 5�z�'Sc ► &)
Corner Lot [ ] Inside Lot [ ]] Ft. Yd. Setback Side Yard Setback
Type of Construction: Estimated Cost: $� o �'
Approx. Completion Date: M 2 ti 3
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See. Back Page for Explanation
Lf
DATE: r - I ;2 - �L/ APPLICANT: Tel. ��� -�l �y
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
y
SuBjEOT
P NO.
City of Fridley
2 8 844
AT THE TOP OF THE TWINS
BUILDING
PERMIT
472.3e UNITY DEVELOPMENT DIV.
RE
��J
i9- T`�'TIVE INSPECTION SEC
1 . �
!
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
1/19/99
JOB ADDRESS 5305 4 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
N 17, 18
14
Hamilton's Addn. to Mechanicsville SHEET
I
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Pam Donnely 5305 4 Street NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Exterior Design Service 6381 Monroe St
NE, Fridley, MN 55432 571-3220
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 Ik REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (25 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 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
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
$2,142
$1.07
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
P OVISI NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
$74.75
Fire$2.14
UCTI NOR THE ERFORMANCE OF CONSTRUCTION
/,$C
PLAN CHECK FEE
TOTA EE
License $5.00
82.96
NATURED CONTRACTORO AuiNORiZEDAGENT 40ATEiEN
OP ALIDAT IS S YOOR PERMIT
�NS� - FIAIE
SIGNATURE OFO NEF1oF OWNER BUILDERi 3-ATE,BLO
y
NEW [ ] Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 LN
BUILDING PERMIT APPLICATION
�- N
ConstructionAddress:�.®� — `� J D` tel/, - , "'%%v
y
Legal Description:
Owner Name & Address: e&'01W Tel. #
Contractor: �� r,� o ,� t4 ,��.. y „ l c e MN LICENSE #
Address: Z�116/6. /t'�i �%. Tel. # ,s'7 / - .3 a ��
Attach to this application, a Certificate bf 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: .
v
Construction Type: Ov ','K Estimated Cost:
(Fee Schedule on Ba (k)
Driveway Curb Cut Width Needed: Ft.n+ E Ft = Ft x $ = $
DATE: - - APPLICANT:
Permit Fee
$ S
Fire Surcharge
$
State Surcharge
$ . D
SAC Charge
$
License Surcharge
$
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ o .
STIPULATIONS:
Tel. # ?/- 3a uv
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 [ ]