PRE 2010 DOCSC7
•
•
Date:
r
Owner:
Address
City of Fridley, Minn..
BUIIDING PERMIT
N® 6840
Builder — 1
Address -- —
�-� TION OF BUILDING �ry
No. `� Street y`- — P Lot �CO
Lot &...._ – Block � Addition or Su-b�Divisi " �
Corner Lot __ de Lot _ _ �� Setback__ _ideyard
Sewer Elevation _ Elevation 141 ��� `
l "'G jc:�001'turl &
DESCRIPTION OF BUILDING
Thebe 2LUsed _�
Front Depth -,�� Height _�< Sq. Ft. Cu. Ft Y�
Fr
t Depth HeightSq. Ft. cu. Ft.
Type of Construction Fst.� _ . 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 forth and in compliance with all provisions of
%nano 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 pari 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
ordinances. ' 1 tuolpesoof any of the provisions of said
/ 1
NOTICE:
We permit doer not corer the conatruucdon, huWhtion for wiring, plumbing, ga hewing, sewer or water. Be ane to see
the Building hupeaer for separaM permits for these Rena.
///-1- 7/"
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME
ADDRESS ADDRESS
LOCATION OF UILDIIOG
No. j—'10V6 6 Street Part of Lot ,o
�°•�y -yam
Lo lock % ,I Addition or Subdivision �� o'ts ,
Corner Lot Inside Lot Setback Side Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING / �-
To be used as: / 4_") /_
. 7 C 0 -� Front Depth G/ Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft.
Cu. Ft.
Type of Construction Estimated Costf� 000,
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.
(Schedule of Fee Costs can be found on the Reverse Side).
Application for Power Plants and Heating. Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECIL WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
8.00
each add 60,000 BTU .......................
2.00
Replacement of Furnace .............................
5.00
Repairs & Alterations—up to $500.00 .................
5.00
Repairs & Alterations each add. $500.00 ..............
2.50
STEAM or HOT WATER: SYSTEM
Furnace Shell- & bines—to 400 sq. ft. EDR Steam
8.00
Furnace Shell & Lihe-to 640 sq. ft. EDR Hot Water ..
8.00
Each add. 200 sq. ft. EDR Steam ......................
2.50
Each add. 320 sq. ft: EDR Hot Water ..................
2.50
OIL BURNER—to 3 gal. per hour 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS FITTING FEES:
NO $ATE TOTAL
1st 3 Fixtures x $1.50 $ ' 9
Additional Fixtures x .50: $
Gas Range to 200,000 BTU ........... x 2.00 .$
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $
ROUGH
FINAL
Dept. of Bldgs. Phone SU 4-7470
Location ,9�"
City of Fridley:
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.
Fridley, inn. ' 19
Owner
'->
Kind of Building -
Used as
To be completed about
Estimated Cost,
Old—Z!!5uilding Permit No. Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name ,4 c Size No
Capacity Sq. FL E.D.R BTU H.P.
Total Connected Load �J Rind of Fuel Af
BURNER — Trade Name %Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
B � r
Signed/ _f�'�
�T
By V—'
<z 2M Business Phone No-
(REMARKS-OVER)
o
5—ur
NIA NNF-APOLIS, MINN.
E.
7 P�4
lull
c
*§fdows How Applied
!nir-
71
Li
4 n; Le il
L i�, m Ltngth . W Width Height
F]
-1 1 -e- --- - - -_ :,_ - ..�
Windows and' Doors C,-;ALka,,7e and :area
Windows and DO".) r- r a - ka P, and Area
rt l In -1 f: Ar-
-j7—
Wjdtj�
No. 21 pane 1 g� of "rack c I zllall -.,k s(
4
or liar,art ly
a -
co; Btu
C.O. Btu
nfiltration. Lifutyation L
Glass
—Glass
- — ----------------
Exp. wall
Exp. wall
Net exp. wall Net exp. wall Z 12
Int. wall Int- wall
Ceiling
Floor/ -7
r
To f Btu. Toeal Btu. . . ....
Requi,Le�d.sq. ft. E.D.R. or sq. ins. W.A. Leader area
R,quire�sq ft. F41R, or sq. ins. Wader area
1 Length v'width// Height
Room h
Room 1 Le"19t il W, a fie ght
Wjndowq and Doors--(rackagc end Aie,, II Windows and Dooi!Crackage. and Area
"Taa i 'elgt of T 1 I
Ng 41
%
width
flelgLt No. of Lineal fr Area
'
9(Z
No. P vc
of Va lights of cra,,k eq
Int. w
7
E
F57
—01
to
Infiltration
O Btu
Glass
71
Exp. wall
Net exp. wall
Int. w
Ceiling�\
77 --
Floor
lie,
TotaAtu.
Rgqui or sq. ins. W.A. Leader area
RAW 11f )(,,Room 1 Len.th Width// fi-cistht :A
r ws and Doors--Crackag' and. Area
V Z e
"
width
flelgLt No. of Lineal fr Area
'
9(Z
No. P vc
of Va lights of cra,,k eq
Int. w
7
E
F57
—01
O Btu
Infiltration
71
Glass
Exp. wall
Net exp. waif
lie,
Int. wall
Ceiling
>/L^7)7
Al
Floor
TJ Vlul?
TotalAtu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Ira
4
'` -_ ---- - --�-- -- ca U
Infiltration
IL
Exp, w—
all
P,
Net exp. wall
r —
Total lu.
Recit-
PR. cr sq. ins. W.A. Lead er area
Length/' Width
Height
Windowsand Doors--Crackage and Area
O Btu
Wt,iLh_ 'H e I _Kt No. of
N of p of a lights
Infiltration
Lineal'ft. Area
of crack sq ft
Glass
Exp. wall I),
Net exp. wall
_Miff
Int. w
Celllng���_n
Floor T/Z' JT
F57
Kind and
23 Ig
City of Fridley
4Clh-on for Plumbing and Cv= Ming Pam*
.. Dept. of Bldgs. Phone
/SSU 4-747700
K 3
Fixtures Location t7
UN' WATER HTR.
W z
O R N GAS ELEC.
MMMM IFA MWAMMMMMMM�E
MEMMUMMENNINEENE 0
EMEMENIN OEM
I*NS�■■■■ ■■ �.
PARTIAL
PLUMBING FIXTURE RATES:
Number Fixtures ............
Future Fixture Opening ......
New Fixture Old Opening ....
Catch Basin ...... ...........
Water Beater (Up to 200,000 B'
New Ground Run Old Bldg. ..
NO. RATE TOTAL
x $1.50 $ ' �.
x 1.20 $
x 1.00 $
x 3.25 $
�— x 2.00 $ ��
x 3.25 $
GAS FITTING FEES: ;' NO. RATE TOTAL
1st 3 Fixtures ................ x $1.50 $.—
Additional
Additional Fixtures x .5044,
$
x 2.00
Gas Range to 200,000 BTU... ` ` " �� $
;a i> ">.
REPAIRS & ALTERATIONS—Refer to
Description + .. $
TOTAL FEE
City of Fridley:
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.
Fridley, /�� % 19.62
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $ 42-",
Old ew. uilding Permit No. a Permit No .\, ®�
s4crnarl
By
Business Phone
ROUGH 0 % &–(0-3
4 z 2M 7-59
•
•
Date:
JULY 12, 1965
City of Fridley, Minn.
BUILDING PERMIT
Owner: JULIEN JENSEN Builder SAME
Address 5 946 - 4th S t . N. E. Address
Fridley 21, Minnesota
LOCATION OF BUILDING
No. 5 946 Street 4th S t . N. E* part of Lot
Lot _ Block Addition or Sub -Division
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
N° 8167
To be Used as:
Det. Gar. Front 20 Depth 26 Height 10 Sq. Ft. 520 Cu. Ft 5,200
Front Depth height — Sq. Ft. Cu. Ft.
Type of Construction let. Cost 1,560.00 _ 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 fortt}l and in pl with aft provisions of
ordinances of the city of Fridley. / / ff ��
In consideration of the payment of a fee of $--5 —.00 ,permit is hereby granted to
JULIEN JENSEN
to construct the building or addition as described above. This permit is granted upon
W
express condition that theZb
to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon saiing, or any part thereof, shall conform m all respects to the ordinances of
Fridley, Minnesota ntruction, alteration,maintenance rewithin thedtylimitsand t may be revoked at any time upon violation of any of the provi®tona of said
ordinances.
ALLEN G. JENSEN
NOTICE:
This pwmlt dos not cover the condmd don, Indallatba for wbb& phrmbbo, an hoamm sewu w water. Bo son to ae
the Bwmh m homer for sepmft pumas for thea Noon.
OWNER'S NAME ,t',
ADDRESS
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
LOCATION OF BUILDING
S
N0. �''' STREET tl �' V PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK -141-Telt SIDE -YARD
SEWER ELEVATION c 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 ;
Front Depth_2 ,Height
Sq. Ft. Cu. Ft.j
Front Depth Height
Sq. Ft. Cu. Ft.
c�—
Type of Construction Estimated Cost
r
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(he Reverse Side).
W
City of Fridley
SUBJECT
P
16317
AT THE TOP OF THE TWINS
BUILDING PERMIT
_
rp
RECEIP
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
/
SC,
Is
1 { �
1 -'1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
73181
JOB ADDRESS 5946 - 4th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
10,11
13
Hyde Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Julian Jensen 5946 - 4th Street N.E. 571-2743
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.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW Ek ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 201 x 12' Deck and a 42" x 8' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE WARtG10
PERMITSR
H 1i�T1(1G, Pll1�11B1 EVUfREO FOR W�ININ(j Before digging call local utiii:ies
ANQ SlQu TELEPHONE • ELECTRIC - GAS Etc..
REQUIRED BY LAW
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
SQ. 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
$3, 312
$1:66
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-
'
$21.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$22.66
SIGNATURE OF CONT ACTOR OR AUTHORIZED AGENT (DATE)
r
WHEN PROPER VALIDATED THIS IS YOUR PERMIT
�� )
✓ +� 7-3/-f/
�6/�IINAT.RE
1l a� 1 e9FO
ER III OWNER BUILDERI IDATEI
BLDG INSP I 0AIE
1
�y
EGAN, FIELD & NOWAK
SURVEYORS
'
I" WEST LAKE STEW E F MINNEAPOLIS S. MINN.
�
ESTEE. 11)1
N
CERTIFICATE OF SURVEY
B. & M. I NC.
For
'
5950 X 5,0
�
f E1.=►o�.4
0.
c.
__129.05 r
,¢"'
E��8.1{ SEI.=99.1
I
N�
�
p�
� j
`w 35.0---
i�
QO
Cdl O
O
— Q
O
24.0
'
E1- ?.8
1--
L �
y
1 2 9.0 5 ---
EL -101.5
DESCRIPTION: LOT
10 EXCEPT THE NORTH 4 FEET
THEREOF AND ALL OF
LOT 11, 8LOCK 13, HYDE PARK.
�%C•C
SCALE! 1 ■ — 201#
�i942-40 . 6.0 34,6
We hereby certify that this is a true and correct representation of a survey of
the boundaries of the land above described and of the location of all buildings,
if any, thereon, and all visible encroachments, if any, from or on said land.
Dated this STH day of OCT013rR _ 1963 F_GAN_ Pt pi n ,t unwau
CITY OF FRIDLEY
APPLICATIOy FOR RESIDENTIAL BUILDING PER14ITS
(New, Alterations, Additions, or Repairs)
OWNER: ZtGt 4 ,' BUILDER: 2 -aa I �
ADDRESS: S91/ St AVIC ADDRESS:
TEL NO: 6-7� _ t 7q 3 TEL NO:
Construction Location
STREt T NO: �j j � STREET:
LOT: % � � ®® 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 CONSTRUCTION
Front: Depth: ®a Height:
Square. Feet:
Cubic Feet:
Front: Depth: Height:
Square- Feet: Cubic Feet: _
11 <-oo
Type of Construction: bja0-�
Zb Be Cbripleted: ':�- /-�)U `S _
3,304
Estimated Cost: $
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
Mie 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.
D.',TE: 7 -31- S-/ SICNATUM:
Stipulations:
DIRECTORATE
OF
PUBLIC WORKS
MEMO
Y
i1 2, 1982
N. Darrel Clark, Chief Bldg. Official TO
John Flora Public or
orary House Trailer Located at
- 4th Street N.E.
ufacture Home)
h
1
above residence suffered extensive fire damage on March 27, 1982. The
that the family living there must move out until the rep4irs are compl
requeste&!permission to park a trailer in the front yard for a period
e workmen complete the repairs.
City has granted permission for these requests in the past, however sin
is going to set so close to the north property line t 1 foot) , I have t
en Iat the!'site that,the owner should obtain a written statement from
e north (5950 - 4th Street N.E.) stating that they have no objection
orarydent,of the unit for a period of 60 days...
mh
t
�i
I:
ELAN, FIELD & NOWAK
- SURVEYORS
1" WEST LAKE STREET 1E F MINNEAPOLIS K. MINN.
�. EstAE. 117?
• N
CERTIFICATE OF SURVEY
For e . a M. 1 NC.
x:5950
t E1.=100.4
— -129.05-—�.;---
F 1 C `
f . 78.1 � � � Ilts
N
\ C) \.
w t5 T., _
T ,r/ o
I - O C)
24.o
EI' 7.8
129.05— L_.
.
E1 =101.5
DESCRIPTION: LOT 10 EXCEPT THE NORTH 4 FEET
THEREOF AND ALL OF LOT 11, BLOGK 13, HYDE PARK.
SCALES 1" - 204 #X7942-'�f0. 6.c 34.6
hereby Certify that this is a true and correct representation of a survey of
`—ndaries of the land above described and of the location of allbuilding4
-�-� x+11 visible encroachments, if any, from or on said land.
Fl,Aly - JrI P) n 9 NnwAK
FIRE DEPARTMENT MEMO
T0: BUILDING INSPECTION
ASSESSING
SUBJECT: FIRE DAMAGED STRUCTURE
FIRE HAS OCCURRED AT
6-96 Z/1-1 -5
3 k
DATE OF FIRE
FPB -6
DATE: 3 --2 41 - ? a
784-3900 784-5724
DACO
e
GENERAL CONTRACTORS
Complete Construction Service
Commercial & Residential
CLEANING SERVICE
8701 JEFFERSON N.E. • MINNEAPOLIS, MINN. 55434
April 1, 1982
City of Fridley
6431 University Avenue N.E.
Fridley, Minnesota
Attention: Building Inspections Department
Insured: Julian Jensen
5946 - 4th Street
Fridley, Minnesota
Our File #:9-7986
We wish to obtain permission to temporarily park a 12 x 68 mobile
home at the above mentioned location during the repair of fire damage
to the property. This will be for a period of sixty ( 60 ) days.
Frank D'Aigle
SUBJECT
PER
City of Fridley
o - 520
AT THE TOP OF THE TWINS
B U I L D I N G P E R M I T
_
r
REC O.
t • _____ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
�9a
�r--.,CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
4/9/82
/
JOB ADDRESS 5946 - 4th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
10, pt. 11
13 1
I
Hyde Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Julian Jensen 5946 - 4th Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Daco Inc. 8701 Jefferson Street N.E. 784-3900
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 X REPAIR ❑ MOVE ElREMOVE
8 DESCRIBE WORK
Repair Fire Damage to Structure
9 CHANGEOFUSEFROM TO
STIPULATIONS
n
e
SEPERATE PERMIT f-?EQUIRED
FOR IANRIK
#EAS ING, PLUMBING.,
AND SIGNS.
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
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 WHETH4R SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$25,000
$12.50
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-
STRU ION OR THE PERFORMA ONSTRUCTION.
$170.50
NONE
PLAN CHECK FEE
TOTAL FEE
None
$183.00
SIGNATURE OF CON.R CTOR OR AUTHORIZED AGEITT tDATEI
WHEN PRROPERLY%V�LIDAATED THIS IS YOUR PERMIT
��
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
BLDG INSP OATE
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATIal FOR RESIDENTIAL BUILDING PERMITS
(New. Alterations, Additions', or Repairs)
OWNER: Julian Jensen BUILDER: Daco Inc.
ADDRESS: 5946 - 4th Street /ADDRESS: 8701 Jefferson Street N.E.
TEL MO: TEL NO: 784-3900
Construction Location
-STREET NO: 59A6 STREET: 4th Street,_
4-X �l
LOT: z® dol I BIAC7C: ADDITION:
Corner Lot: Insi$e 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 CONSTRUCTION
A c2. Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square -Peet: Cubic feet:
Zype of Construction: Repair Fi rp Dames Estimated Cost: $ 9,;, nnn _ on
To Be Obrapleted: 60 da.Va
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE MVERSE SIDE OF SHEET
Tile undersigned hereby makes application for a permit for the %.vrk 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: April 5, 1982 SIGNATURE: Daco Inc.
Stipulations:
70 S D
/a -sem s
`_ 3t 0 0
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
New Fixtures
—3
$ S.O(y
$ /5.Qo
v
W
m
tr
Old Opening, New Fixture
Water
Beater
$ 1.50
mm
Beer Dispenser
$ 4.00
$
H�
14
$
m
w
W
$
Rain Water Leader
$ 5.00
$
Hydraulic Valve
$ 5.00
S
Sump or Receiving Tank
4j
0
Water Treating Appliance
$ 7.00
$
Hot Water Heater
d
$
Gas Range
$ 10.00
$
Gas Dryer
$ 10.00
$
A
m
om
3
$
m
o3as
$ .50
lec
U
r
TOTAL FEE
vii
3
w°n
w
1st
x
/�
x
2nd
3rd
'
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
New Fixtures
—3
$ S.O(y
$ /5.Qo
Future Fixtures
$ 3.50
$
Old Opening, New Fixture
$ 1.50
$ 4!0
Beer Dispenser
$ 4.00
$
Blow off Basin
$ 5.00
$
Catch Basin
$ 5.00
$
Rain Water Leader
$ 5.00
$
Hydraulic Valve
$ 5.00
S
Sump or Receiving Tank
$ 5.00
$
Water Treating Appliance
$ 7.00
$
Hot Water Heater
$ 5.00
$
Gas Range
$ 10.00
$
Gas Dryer
$ 10.00
$
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
18 of Value of Fixture or
Appliance
$
State Surcharge
$ .50
Reinspection Fee $
($15.00)
TOTAL FEE
_
$ ®O
Effective Aug. 1, 1981
Job Address sr5(c
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 correct
Fridley, Mn.
OWNER /.�iPwz
KIND OF BUILDING
USED AS R
TO BE COMPLETED ABOUT
ESTIMATED COST /-?
0&1"1 NEW BUILDING PERMIT NO. PERMIT NO.
Company . v�
Signed By
Tel. No. %- 20 ,?
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT r / fLZDkl
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00
PLUS THE $.50 STATE SURCHARGE
Effective Aug. 1, 1981
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL
RATE
TOTAL
Job Address
Furnace Shell and Duct Work,'(
$
20.00
co
$ L10,
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
p g y y
Burner VVV"'(/1
City of Fridley
Gas Piping $
10.00
$
Tel. #571-3450
(piping needed with new furnace)
Gas Range $
10.00
$
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
Gas Dryer $
10.00
$
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Air Conditioning (all sizes) $
10.00
$
Fridley, Minn. 19
All Others/Repairs and Alterations
OWNER
18 of Value of Appliance or Work
$
KIND OF BUILDING a
COMMERCIAL/INDUSTRIAL
18 of Value of Appliance or Work
State Surcharge
Reinspection Fee ($15.00)
Rough Insp.
Date
Final Insp. -k
7-
ate
Approval for Permit e
MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00
PLUS $.50 STATE SURCHARGE
$
$ .50
$
Attack stack verification form with. replacement furnace permits
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
BEATING or POWER PLANTS, Steam, Not Water, Warm Air- No.
Trade Name
Capacity
Total Connected Load
BURNER - Trade Name
Size No.
Sq. Ft. EDR BTU HP
Kind of Fuel
Size No.
Capacity Sq. Ft. EDR BTU HP
Company
Signed By o�
Tel. No. "' J
SUBJECT
PER
City of Fridley
16826
AT THE TOP OF THE TWINS
BUILDING PERMIT
R
` ______ COMMUNITY DEVELOPMENT DIV.
v
r 1 PROTECTIVE INSPECTION SEC.
r
i A '��;•j CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
-___
L J� 612-571-3450
910-F15
10/18/8
JOB ADDRESS 5946 - 4th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TR ACT OR ADDITION SEE ATTACHED
DESCR.
10 11
13
Hyde Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Julian Jensen 5946 - 4th 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 ❑ ADDITION ❑g ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Add Bathroom in Basement
9 CHANGE OF USE FROM TO
STIPULATIONS
Use treated bottom plates.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Wood Frame
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
�-
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
$60O
$.50
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.
PLAN CHECK FEE
TOTALFEE
$15.50
S� I ATUR F�CONTRACT (DATEI
yyH�N PROPER VALIDATED THIS IS YOUR PERMIT
�HORIZEDAGENT
BLDG iNSP 01 TE
S ATURE OF OWNER OF OWN (DATE)
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATIM FOR RESIDENTIAL BUILDVIG PEW41TS
(New, Alterations, Additions, or Repairs)
OWNER:
ADDRESS:
TEL NO:
BUILDER:
ADDRESS:
TEL 110:
P / Construction Location
STREST NO: / �`� STREET: zt-I- (-s-e
T
LOT: < e / % BLOCK: 13 ADDITION;
Corner Lot: Insiae 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 CONSTRUCTION
Depth: Height:
square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
'00
Rype of Constructions Estimated Costa $
Yb Be Completed: �
Alt. A Alt. B
Proposed Drivm.;ay Width If New Opening Is Desired: $ $
SEE REVERSE SIDz OF SHEET
Mie undersigned hereby makes application for a permit for the %.'ork herein'specified,
agreeing to do,all Work bi strict accordance with the City of Fridley Ordinances and
rulings of the Dely-trtmcnt of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE: �Z— 2y, -,z, SIGNMIE:
Stipulations:
I S 'cry
/-SAP
0
a
Af It
I
lore 1/1
A4 e c.4 e q
X -7
U
it U
/0"je-
SUBJECT
P
City of Fridley(.__30883
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
O
COMMUNITY DEVELOPMENT DIV.
____
�L- �� PROTECTIVE INSPECTION SEC.
r
a609
I
1
NUMBER
REV
DATE
PAGE 0F
APPROVED BY
S
I �""1 � CITY HALL FRIDLEY 55432
ti""ll•� 612-571-3450
910415
5/1/00
JOB ADDRESS 5946 4 Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10, pt 11
13
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Sharon/Julien Jensen 5946 4 Street
571-2743
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
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION X0 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install egress window in lower level
9 CHANGE OF USE FROM
TO
STIPULATIONS
Window to meet or exceed the State Egress
Code -requirements.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED 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 1 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
$475
$•50
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-
$ff
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
T90fAL FEE
24.48
SICINATURE.COF CONTRACTOR OR AUTHORIZED AGENT iDATE.
I PR
Y VALIDA D THIS IS YOUR PERMIT
Ir
Z
p ,iNSR
rIA TE
$ ATURE O� OWNER iii OWNER B i iDATE,
NEW I) Effective 1/1/2000
ADDN [) CITY OF FRIDLEY (763) 672-3604 Bldg Insp
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 oy�
BUILDING PERMIT APPLICATION J bO\
Construction Address:
Legal Description:
Owner Name & Address:
Contractor:
ii
, .59�y6 -/s7-,v6
Tel.# � ,- �7i--,77�31
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:Y E' SSLQj l/1/dovtl ' Fc, oM t
vsi i�d o T� e �{sT id e •✓� I� o �" N T'f,v TYr
Construction Type: Estimated Cost: $�
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
DATE: �5—� �� APPLICANT: Tel.
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
P
P,
$1100 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 [ ]
$ �, q:6a