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PRE 2010 DOCS0 City of Fridley, Minn. BUILDING PERMIT Date: . .... .. 4 . ............... N® 35'74 Owner....................................... Builder ... .... ........ ..................... Address ...................................... Address ............................................. LOCATION OF BUILDING No.Street ..... .�. �!. .... Part of Lot ... ........... . ........ ..... Lot Block ..... ......... Addition or Sub -Division .. .. ....... Corner Lot ............ Inside Lot X ......... Setback 4i$7:. .. Sideyardd . A4..i�v .............. DESCRIPTION OF BUILDING To be Used < e, �q ,l � O ` P o1 g� r4! ...: .... Front �e: �v Depth G: Height //.:.0. ` Sq. F't. /.4 4.a� Cu. FL �.Q / 7 .................... Front ........ Depth Height ........ Sq. Ft. ........ Cu. FL ........ Type.. Co ,ff ��. � P :.. To be Completed ................... of Construction ................ WL In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forh and complian wi all ovisions of ordinances of the city of Fridley. .X .. ........... .... ........ ....... In consideration of the payment of a fee of $a�.�... ; permit is hereby grLed 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, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. {:. ... Building Inspector NOTICE: 1 This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Itema • E • City of Fridley, Minn. BUILDING PERMIT Date: _April 16, 1968 Owners Elroy Bomgagier Builder Address 5 925 4th St. N. E. Address Sussel Co. 1850 Como Ave. X9 LOCATION OF BUILDING No. 592____ street — 4th St. N. E. _____ Part of Lot Lot 14_ Block 2 Addition or Sub -Division . Bennett -Palmer Addn. Corner Lot —_ Inside Lot—. — Setback .r._ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Det. Garage Front _ l6 Depth 22' Height 10'— Sq. Ft. 352 Cu. Ft 3520 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction _ T?rame Est, Cost _ 1335 To be Completed June 16 In consideration of the issuance to me of a permit to cons ct the b g d cri above I agree to do the proposed work in accordance with the description above set f rth com th ail provisions of ordinanoes of the city of Fridley. JA AW In consideration of the payment of a fee of permit is hereby granted to /Sussel Co. 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, 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. t Ixispect or arence Belisl NOTICE: This porndt does not cover the construction, installation for whine, phanhing, gas heating, sewer or water. Be sun to as the BulMing h"pector for separate pormhi for thea items.. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA :OWNER'S NANE�,� r, (�!' lEzt j $UI .UER,. . �� /ADDRESS _ADDRESS�_SO .LOCATION OF BUILDING 140..2�__.._SarREE�r.,. LOT,_$30CK_ ; ADDITION OR SiTBDIVISION�r--4L�1' CORNER L INSIDE LOT f SETBACK SIDEY SEWER ELEVATION TOP OF FOOTING Applicant attach to..r;his•. form Two Certificates of Sibrvey of" Lot' anti- proposed building location. dra` W ran .these Certificates DESCRIPTION OF BUILDING To Be Used Ass Front Dept Square feet -'Cubic Feet _,FroAt ,. .� c;;; Heptf� Z _Height�6 ^ Z et � Square feet S S Cubic Fe .. ;.rte' ;, .'•.-.: � Type of Construction Estimated Cost To Be Completed e7o..� The undersigned hereby makes applitWtion for a permit for the wori herei% 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 rep4onthe ations stated in this application are true and correct DATE �` 7 _SIGNATURE (Schedule of Fee Costs can be found Reverse Side . may' -7-vrG LOT - - NAME - SIZE A (o BLOCK - ADDRESS VALUE 3 3G- ADD'N. - AREA TYPE �' I)SQUAgE GARAGE WITH HOU58.. 2�510E ®F GAP -AGE -ra ST'Ait-r V r-F-4�M SI0E '�' ►6' PROPER-Z"Y LINE AS SHOWN, 3J P�e�-'-� - 1.1N�. W/2c.,Ne. IMF ulm'J5C- &IS ITG14 EC 1'T CORE- EERY oAR1=FULcy Are SLACw N 6� ME514 k (to NbUIT: ru McSH J. !' y� C®N tau a�- Lu s.�. 1L _ -s'py Ia'•3C3LTS bon IZ C/`booR. rTZ) LINE W -- q q_ -_',A P R.o IN N , e HOUSE MUST BE A E A S'T 5' 0 ti®L►"iq pJ�.F� SUBJECT P PROlf NO. City of Fridley 16 6 2 5 AT THE TOP OF THE TWINS BUILDING PERMIT EIPT NO `COMMUNITY DEVELOPMENT DIV. U_ f PROTECTIVE INSPECTION SEC. 1 CITY HALL FRIDLEY $$432 ,.j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/8/72 JOB ADDRESS 5925 - 4th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 2 Bennett-Palmer Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Leroy Bombardier 5925 - 4th Street N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Ariel Remodeling 5744 West Moore Lake Drive N.E. 571-7619 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 j7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 32' x 10' Deck and add a Sliding Glass Door 9 CHANGE QF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WRING, HEATING, PLUN48INfG AND SIGNS, WAIta"I H. 67 Before digging call I001 U!;1108S TELEPHONE . ELECTRIC e GAS E6c. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, WOO VENTILATING OR AIR CONDITIONING. Treated 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 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 $1,430 $.73 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- $25.00 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE % d 1r4 25 pl.98 SIGNATURE OF CO;fTRACTOR OR UTHORIZED AGENT IDATEI WHkU PROPS Y A T S IS YOUR PERMIT G DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIa.4 FOR RESIDENTIAL BUILDING PEIV41TS (New, Alterations, Additions, or Repairs) OWNER. te r®® 4 6� 6d� A � �° BUILDER: -lee a d� c /•,N ADDRESS: 5-5 S V fk s�. ;ti ADDRESS: 5 y q l,�es A�•r TEL NO: TEL NO: s 1 Construction Location - STRE T NO: S z STREET: LOT: I '1 BLOCK: ADDITION: Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF COHSTRUCTION 41,4 Front: J,2 Depth: /0 Height: ASS /Zsi"4" Square Feet_: Cubic Feet: fs " "Front: Depth: Height: Square. Feet: WC9U aG u�0 S •,SCJ 2 /I -)u D �'� Type of Construction: t a D/ To Be Completed: .e.e' le q Cubic feet• Estimated Cost: $ Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Ti:e undersigned hereby makes application for a permit for the cork*herein specified, agreeing to ao ,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. •- D.3TE: CLv r i SIGNATURE It, Stipulations: 2S.av 6.2 :4-00' 3�� t�3 Af , - -- ,0000 do i WE NEPLE9Y CERTIFY THAT THIS IS A TRICE ANO CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDMIES OF TME FANO ABOVE OE5CRISED AND OFTHE LOCATION OF ALL tWIL01NGS, IF ANY-, THEREON, ANO ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SND LANA. .4udu s MINDER ENGINEERING Mtl) TooS -- Siv MxNDEaF4wGDuEp-iRlNG Coo'ghice .. ENGINEERS AND SURVEYORS L&MD SUI%VlVnl46 "ILS TESTING GVIL i. MNNIGIPAL ENOIN6ERiN0 a LANG PLAHNING 6418-SOTIN AVENUE N. MINNEAPOLIS TLMINN. ' KE T- SG37 rw ey \JA, /3 4? t% - r .Y WE NEPLE9Y CERTIFY THAT THIS IS A TRICE ANO CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDMIES OF TME FANO ABOVE OE5CRISED AND OFTHE LOCATION OF ALL tWIL01NGS, IF ANY-, THEREON, ANO ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SND LANA. .4udu s MINDER ENGINEERING Mtl) TooS -- City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PERM 13404 ►L ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 ` � 1 "1 CITY HALL FRIDLEY 55432 612-560-3450 REC NO. i NUMBER 910-F15 REV. DATE 3/9/76 PAGE OF APPROVED BY JOB ADDRESS 5925 - 4th Street N.E. 1 LEGAL DESCR. LOT NO. 14 BLOCK 2 TRA CT OR ADDITION SEE ATTACHED Bennett-Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elroy Bombardier 5925 - 4th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. North Central Builders, New Hope 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 X3 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Cover gables and trim 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. TYPE OF CONST. Steel/Alum OCCUPANCY GROUP OCCUPANCY LOAD 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 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 $1,290 $ •64 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF AISTATE OR LOCAL LAW REGULATING CON- STRUCTION ORT E PE FORMANCE OF CONSTRUCTION. $9.00 PLAN CHECK FEE TOTALFEE $9.64 �CeL_ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ! d -9 _07�, , BLDG iNSP DATE SIGNATURE OF OWNER(IF OWNER BUILDER) (DATE) • nA.Aa.a�r�a iv.. •nr'I'L1CAT iUN 1 UK K1;J11J1;AN11/\L., , OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA AI��i,� C,�R177�L- Oi414ER' S NAI•fE : BUILbER . . ADDRESS : ��1 �' y ADDRESS: N NO:. STREET • ADDITION: / F,v C7T -- ISA L e►t �,�/ LOT : BLOCK:__ ' COMTER LOT: INSIDE LOT:`S ETBACK: SIDEYARD: j Applicant attach to this form. Two Certificates. �f Survey.of Lot and.proposed building location d-Lawn on these Certificates. i DESCRIPTION*OF BUILDING To Be Used As GoyE��'� /�� s-7p,�►�t Front : Depth: Height: - Square Feet: Cubic.Feet: Front:' Depth: Height: Square Feet; Cubic Feet: • Type of Construction: 57Qri- CsAb'cors Estimated Cost: $$ /2- gC, To Be Completed: MAP-c,4 W7 � The undersigned hereby makes application- fox a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fz•i.dley 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.)' - 9.o lZill SATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD ST. PAUL. MINNESOTA 55101 Date City of Fridley Zoning Authority 6431 University AVe. N.E. Street Address Fridley, HN 55432 City State Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject: �_fiy��,��is) ®Name of Day Care Home Applicant Street Address City State Zip Code DBS -2722 (9-85) PZ -02722-02 Type of License: Family Day Care Group Family Day Car;,e Licensed Capacity Phone No. This is to inform you that we are in receipt licensure under Minnesota Rules, parts 9502.0300 Rule 2), Family Day Care and Group Family Day Care this license is subject to compliance with the Statutes, Sections 245.781 to 245.812 and 252.28, the Public Welfare Licensing Act and the rules of Services. of an application for to 9502.0445 (formerly Standards. Issuance of provisions of Minnesota subdivision 2, known as the Department of Human You should note that under Minnesota Statutes, Section 245.812, 3, a licensed day care facility serving 12 or fewer considered a permitted single family residential use of purposes of zoning. Subdivision 4 of the same section licensed day care facility serving from 13 through 16 considered a permitted multi -family residential use purposes of zoning. If we do not hear from you within will consider the above-mentioned your local zoning code. Sincerely, Licensing Worker f Street Address persons Subvision shall be property for the indicates that a persons shall be of property for 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL SERVICES DEPARTMENT COUNTY OF ANOKA COURTHOUSE, FOURTH FLOOR Name o A ency Organization City State Zip Code w�� tn��w� nDDnDTi1h11TV C��DI nVCD 0`'" , .fes r : Ld • SATE OF MINNESOTA DEPARTMENT Of HUMAN SERVICES 444 LAFAYETTE ROAD 9 -^ d _ 5t to ST. PAUL. MINNESOTA 55101 U Date City of Fridley Zoning Authority 6431 University AVe. N.E. Street Address Fridley, MN 55432 City State Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject: Name of Day Care Home Applicant Street Address S s ;-- City State Zip Code DHS -2722 (9-85) PZ -02722-02 /�"�7'9� Type of License: Family Day Care Group Family Day Care Licensed Capacity ,n-„ Phone No. 5-7 ( --7--L6 This is to inform you that we are in receipt of an application for licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 2, known as the Public Welfare Licensing Act and the rules of the Department of Human Services. You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi -family residential use of property for purposes of zoning. If we do not hear will consider the your local zoning Sincerely, from you within above-mentioned code. Kathy Speggen/pf Licensing Worker Street Address 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL SERVICES DEPARTMENT COUNTY OF ANOKA COURTHOUSE, FOURTH FLOOR ANOKA MINNESOTA ISR -103 Name o A ency Organization City State Zip Code AN EQUAL OPPORTUNITY EMPLOYER City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PER 10 2 7 1 , _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 1'' 612-571-3450 R NUMBER 910-F15 REVD ATE 8/26/91 PAGE OF APPROVED BY JOB ADDRESS 5925 4th Street NE 1 LEGAL DESCR. LOT NO. 14 BLOCK 2 TRACT OR ADDITION SEE ATTACHED Bennett Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elroy/Sharon Bombardier 5925 4th Street NE 571-7269 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ken Bangsund Remodeling 91 Osborne Road NE, Fridley 571-7404 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 Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an 11' x 5' Deck in Front of House 8 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $400 $.50 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- T CTIOyyy OR THE PERFORMANCE Of CONSTRUCTION. -61� u� ^O V1 C/ �; $15.00 Fire SC $ .40 PLAN CHECK FEE TOTAL FEE 5.90 SIGNATURE OF CONTR CTOR OR AUTHORIZED AGENT MATE) WHEN ROPERI VA I TE IS YOUR PERMIT I GATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI N w [ ] AMV [ ] ALITE R [ ] Coratructian Address: R-1 AMID R-2 _Building Permit Applicatian Effective 1,/1/91 legal Descriptian. Owner Name & Address: d Ifo-. 4 a /' 4 e 11e1. # E'7/ - 72 C? Contractor: P e ll 6706t S f " � C/ �e r.L o ��(, y� $ Address: Attach to this applicaticn, a Certificate of Survey of the lot, with the proposed ooc.Lructicn drmgn an it to scale. LT7M AMA: Length Width Height Sq. Ft. GRIMM AM: Length Width Height Sq. Ft. MEKX ARM: Length It Width Hgt/Graund 3 02 Sq. Ft. c/y oar: L am p e .r- "7\ Sen s i 4 t k"'I Ir,", � 0 Corner Lot [ J Inside Lot/' [ J Ft. Yd Setback Side Yard Setbacks Type of arwt fiction: eQ cK {''^ r ,r X g s c Estimated Cost: AMrox. Ompletion Date: 406 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: APPLICANT': '!tial. # Permit Fee $ou Fire Sur large W State Surtik-trge $ITO SAC CA=W $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ Zo►T?,L $ 1 r IL Fee Schedule an Reverse Side .001 x Permit Valuaticn (1/10th $) $.50/$1,000 Valuatian $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee De teen need by Emji*ter *g NAY [ ] Not Necessary [ ] N OZ. i(�Iox 7ZJ- CITY OF FRIDLEY INSPECTION DIV. Effective On January 1;1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 672-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRiGERATiI WAiR CONDITIONING PERMIT IS $15.00 PLUS THE $.SO STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Signed By 1,,4, No. j- Wr 2-2 Approved By V 1\l Rough—In Date Final Date �7 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE JOBADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $� representations stated in this application are true and co ct. ,1993 Gas Piping (Needed with new furnace) $10.00 $ OWNER ,A Gtr!d Gas Range $10.00 $ 1 / " BUILDING USED AS 4,e,� Gas Dryer $10.00 $ i 3 ESTIMATED COST PERMIT NO. *Air Conditioning - All Sizes $10,00 $ fQ • DESCRIPTION OF FURNACE AN12OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units ( Circle One (Steam) (Hot Wate2ii604( Trade Name ale-Af ,2 � Size No. l�U Commercla#/Industrial BTU HP EDR 1% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ ,bo Burner Trade Name Size No. TOTAL FEE s..::. BTU HP EDR HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRiGERATiI WAiR CONDITIONING PERMIT IS $15.00 PLUS THE $.SO STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Signed By 1,,4, No. j- Wr 2-2 Approved By V 1\l Rough—In Date Final Date �7 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing' chimney or stack: I. Has been carefully examined Yes ( ) No 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes (-) No ( ) S. Meets all current Code requirements for size -and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done• HEATING COMPANY Signed By Date w City of Fraley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT ' PERMIT NO. 7 409" r _ COMMUNITY DEVELOPMENT DIV. ~ PROTECTIVE INSPECTION SEC. 1 , CITY HALL FRIDLEY 55432 612-571-3450 RECEI 5.545 NUMBER 910-F15 REV DATE 18/26/98 PAGE OF APPROVED BY JOB ADDRESS 5925 4th Street 1 LEGAL DESCR. LOT NO. 14 BLOCK 2 TRACT OR ADDITION B SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sharon & Larry Bomb573-7969 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ken Ban sund Construction Monticello 55362 868-2411 7408 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP H LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASSOFWORK ❑ NEW ❑ ADDITION ❑ ALTERATION )dR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house; replace window 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED VALUATION SURTAX 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $124.75 Fire SC $6.50 4 PLAN CHECK FEE License 5.00 TOTAL FEE 139 SIGNATURE OF CO)r. RACTOR OR AUTHORIZED AGENT IDATEIP PERL BLD INSP DATED THISPt YOUR PATE SIGNATURE OF OWNEROF OWNER BUILDERI IDATEI NEW - I ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION w jfjgoq ConstructionAddress: Legal Description: Owner Name & Address: �j-��fy Tel. # �'l ZlF Contractor: Cow G h MN LICENSE # �d Address: r r �� < �� N- it/. 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: Construction Type:op Type:Estimated Cost: $ e (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: � (� APPLICANT: ✓ Tel. # TOTAL $ 139.E STIPULATIONS: M-1�1Y// CITY USE ONLY Permit Fee $ - Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge3,, $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ - C1 e) $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 $ 139.E STIPULATIONS: M-1�1Y// SUBJECT PMQIff NO."- City of Fridley 2 7 5 2 8 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 , o COMMUNITY DEVELOPMENT DIV. a. PROTECTIVE INSPECTION SEC. _ 70 1 i i 1 NUMBER REV PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/DATE 2/98 JOB ADDRESS 5925 4th Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 1 2 Bennett Palmer SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elroy Bombardier971-7269 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 3a REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 17 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 $1456 .73 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. $48.50 Fire SC $1.46 PLAN CHECK FEE TOTAL FEE 50. 9 SIGNATURE OFF CONTRACTOR OR AUTHORIZED AGENT IDATEI N PR ERLY ATED IS R PERMIT q S,GNAT OF OWNER,jF OWNER BUILDERi IDATEI SLOG SP ryATE NEW ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 70O ConstructionAddress: � � !L � �' ,�� ,2 ,'' �� S % /l/� Legal Description: x Owner Name & Address: 6-9'1s -11, j� .-zTel. # 6-7/-7.26 �P Contractor: MN LICENSE # Address: 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: lPe ram � �� r 9 r t�- 9 �� 7-0�� GFS Construction. Type: Estimated Cost: $ MS� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Sr APPLICANT: Tel. # J-71-7,9&; S STIPULATIONS: 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 $ $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 $ �b ' STIPULATIONS: ITY OF FKIDLEY lNSYtC: I.IUN LA V. r31 University Ave NE idley. MN 55432 s3) 572-3M PAX 17931571-1287 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT ,iz6 7(0 _UMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 5CQ5 — `L S-�—rE�' n �--- )w Fixtures d Opening, New Fixture ier Dispenser ow Off Basin )tch Basin am Water Leader imp/Receiving Tank ater Treating Appliance titer Heater -Electric later Heater - Gas'* as Range" as Dryer" ick Flow Preventer Required { )Yes () No Type $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 )inspection Fee $50.00/Hr -L OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25°x6 of Value of Fudure or Appliance �C) State Surcharge $--11 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. DATE: C' QL -c 171 �f) , 20�_ OWNER bVOU� C�t) Q9J►liY1 k,MbaVd BUILDING USED AS C tnj l (3-I ESTIMATED COST PERMIT NO• PLUMBING COMPANY ' 1 SIGNED BY ZI;' TEL N0.rl 2-rl -USO Approved By Rough -in Date Final Date TOTAL FEE $a,5. LO OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. ""PROVIDE COMMON VENT INFO ON BACK SIDE Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY Date Recd: Z! DATE - Z -� YOUR E-MAIL ADDRESS SITE ADDRESS ��9 THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: ADDRESS: S 025 - S+ fu l_ CITY r /2 1 iiL $TATE-4WIP OWNER/ TENANT PHONE: • CONTRACTOR NAME: ' - I SUBMIT A COPY OF STATE LICENSE # EXP ATE , j , �Ud v 2 e e e 2 CITY_ r Z TiZ� STATEIMA/ZIP � S- �) YOUR STATE i• -r ADDRESS: ci - LICENSE WITH PHONE "163- `la4- -61,? -1 FAX APPLICATION - S PERMIT TYPE GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW PLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK ?e -6 f ez o --e, &..A/Cif j)Le— .fu MA/d h' PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) WATER PIPING _ BATH SINK/LAV _FLOOR DRAINS _ SHOWER WATER SOFTNER ($35) _ BATHTUB CLOTHES WASHER _ GAS PIPING (� crrrucrost) _ SWIMMING POOL _ FLOW E V. ($15) KITCHEN SINK _ WATER CLOSET — BACKFLOW _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) WATER METER —OTHER 77 10.00 = $ Permit Fee $ _312145- . lob Number of fixtures @ $10.00 Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $_.-W State Surcharge = $ .50 Total = $ 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 applic for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case o 1 wo whichzqquires review and approval of plans. / �j SIGNATURE OF APPLICANT PRINT NAME ®�� I C� �s'oDATE 3 20 EU F o"9 ' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 I