PRE 2010 DOCSNOTICE::`
This permit oes not cover the oonstrt;ctlon, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. e'sure to see AlkBuilding Inspector for separate permits fqr a hams.
APPLICATION F02 BUILDnTG PEM4IT
CITY OF FRIDLEY, MIMWESOTA
OWNER'S Nna�EiL='1— ®Pg6r,D�:$ SC�5� � �.
ADDRESS - `f / �� d�r°�� ADDUSS G' C7
Al
LOCATION OF BUILDING CS 97 91
No. Street —Part of Lot��
LOT BLOCKADDITION OR SUBDIVISIONZ��l.ae�'� I 10 ,
Corner Lot +�Insida LCT 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:
Front Depth 2'c Height
Sq. Ft. Cu. Ft.
Front Dept Height
Sq. Ft. Cu. Ft.
Type of Construction_ -�`-Estimated Cost �G
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 fact's
and representations stated in this application are true and correct.
DATE ��' �� SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
cc�-
i
elp.
4'�Zr-
��3
MANUFACTURED BY HOLDEN BUSINESS FORMS COMPANY -ST. PAUL, MINNESOTA H
LOT
NAME
SIZE
BLOCK
ADDRESS
VALUE
ADWN.
AREA {�p
P '✓(.tea
TYPE
��/
/
ZIP
IPM prsc mss7-1v zvac )esz-, r�z-
City of Fridley, Minn.. N° 7919
•
BUILDING PERMIT
Date: June 17, 1965
Owner: Mrs. Harriet Dabbs Builder Swsel Co.
Address —6790-11tb–St- N -Z- Address 1850 Como
St. Paul 8, Minn.
LOCATION OF BUILDING
No. 6750 Street 4th st' H'H' Part of Lot
Lot 3 Block 2 Addition or Sub -Division Rice Cireek Tc rr, plat 3
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation _.._ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Fst. Cost 900e09 To be Completed
• Detached Garage Replace after tornado.
•
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the propoxd work in accordance with the description above forth and in compliance with all provisions of
ordinances of the city of Fridley. ��
In consideration of the payment of a fee of $4•0' , permit is hereby granted to Sussel Co.
to construct the building or addition as described above. This rrmit 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 �gg location, construction, alteration, maintenance, repair and moving of buildings
within city limits ns permit may be revoked at any time upon violation of any of the provisions of said
Allen Jensen Building Inspector
NOTICE
This psrmtt don net corer the construction, testalhoien for wkb& phmrbing, gse hating, sewer or water. Be sun to we
the BuMbo hapeeser for separate perm6s for thea item.
53-84-S915.51
City of Fridley
Application for Plug mid Gay Ming Pemit
Dept. of Bldgs. Phone S®0-3440
DESCRIPTION OF WORK Lee■>!�s 6750 N E 4th St
Number, Kind and Location of Fixtures
..yy jF9� ` Q5 ���<jjj pc tQ�j yS `y yr�jj� WATER MTR.
Base
1st
2nd
3rd
4th
• Futuro Connection Openings connected with
Bawer �
* Now Fixture, Old Openings Cesspool
PARTIAL RATE. SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................ x $200 $
Future Fixture Opening ........... x $1.50 $ _
New Fixture Old Opening .......... x $1.50 $
Catch Basin .................... x $3.25 $
Water Heater ;Up to 89,000 BTU) .... x $3.00 $
New Ground Run Old Bldg......... x $3.25 $
Electric Water Heater .............. x $200 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures ............... x noo ;
Additional Fixtures ................ x $ .75 $
Gas Range to 199,000 BTU ... ,......... 1 x $5.00 ; 3.00
REPAIRS & ALTERATIONS—Refer to Code
Description .......................................... — . $
TOTAL FEE ; 3.00
City of Fridley:
The .undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that aR the fact
and representations stated in this application are true and correct
7-]--23-70
Fridley, Kinn 19,
Owner H Dibbs
Kind of Building fPatme
Used as res
To be completed about 11-29-70
Estimated Cost, $ 10.00 ,/
Old—New. Building Permit No Pe t No. 7
iigied
By tl9E��� S1� It f1� 4-1
Business Phone No
ROUGH
FINAL 3 � – 7 l
City of Fridley
SUBJECT
® 145'78
AT THE TOP OF THE TWINS
BUILDING
PERM T
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
INSPECTION
r PROTECTIVE SEC.
/
NUMBERREV.
DATE
PAGE OF APPROVED BY
CITY HALL FRIDLEY 55432
612-560-3450
910-F15
2/14/78
JOB ADDRESS 6750 4th Street N.E.
1 LEGAL
LOT NO.
3
BLOCK
2
TRACT OR ADDITION
Rice Creek Terrace Plat 3
SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Marvin Hora 6750 4th Street N.E.
574-9879
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
Finish basement
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEIPERATE PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBING AND SIGNS,
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 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
1
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,
$500
$.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
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$7.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$8.00
IA URE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)WHEN
PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG INSP
DATE
SIGN TURE OF OWNER IIF OWNER BUIL DER) (DATE)
ON
• CITY OF FRIDLEY
APPLICATIO14 FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: BUILDER: � M n1V1% �Q
Address: to -756 y-4r-i%S J- Address:
Tel. No.
No.: b75Z,� Street:�-
1 vtiirr\cQ-
LOT: BLOCK: 'D, ADDITION: �u� Cr�� 1v FAA
CORNER LOT: INSIDE LOT: L�— SETBACK: SIDEYARDS:
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:
to y g� gasQrt�Q►�� Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: ' )JOL G(4rMnQ Estimated Cost: $ 500
To Be Completed: 6 n YL-- MMAr
r
C'��p , I L^k, WN Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
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. See reverse side for additional information.
DATE: SIGNATURE:
Stipulations:
&K
S� ,
SUBJECT PERMIT NO.
City of Fridley
4
AT THE TOP OF THE TWINS
.155
BUILDING PERMIT '
r
;.
RECEIPT NO
• COMMUNITY DEVELOPMENT DIV.
r 1 PROTECTIVE INSPECTION SEC.
1 1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF APPROVED BY
,�� 612-571-3450
910-F15
10/30/79
JOB ADDRESS 6750- 4th St. N.3.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
2
Rice Creek SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Marvin E. Hont. 6750 - 5:1 St. N.E. Frid1py 55432 574-987
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW1 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
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
R-1
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
500.00
.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$7.50
PLAN CHECK FEE
TOTAL FEE
$8.00
OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
r WH E P OPERLY THIS IS YOUR PERMIT
tNATURE
. 3 'TURE
BLD INSP f)ATE
OF OW NER IIF OWNER BUILDERI IDATEI
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDJNG PERMITS
(New, Alterations, Additions, or Repairs)
OWNER:
ADDRESS: 6-7 S Q LA S 1-- N �—
TEL NO : yj L4 _q 8 ') q
G-)
STREET NO:
LOT:
BUILDER: - C W r\ e -L"
ADDRESS:
TEL NO:
Construction Location
STREET: H+, `
BLOCK: "�' ADDITION: 1��C� Cr'�� �\
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:
t1-� VoISeWh�//�� Square Feet:
Depth: Height:
Cubic Feet:
Front: Depth:
Square -Feet: Cubic Feet:
Height:
Type of Construction: .\AJOdL jG_0'V'''\--Q_ Estimated Cost: $ Soo
Tb Be Completed: Oc,+ '�> t �t Q SL
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
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: lO-3(^7a SIGNATURE: ffrv�_
Stipulations:
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
b%, tuber Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater - to 99,000 BTU
100,000 BTU to 199,000 BTU
Water Softener
New Ground Run Old Building
Electric Water Heater
GAS FITTING FEES:
lst 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS & ALTERATIONS
First $100.00
each add. $100.00 or fraction
NO.
RATE
TOTAL
x
$3.00
$
x
$2.00
$
x
$2.00
$�®
x
x
0
x
water
°aa
X
$10.00
S
x
$7.00
$
0
$5.00
$
x
°Y
$
wo
$3.00
$
$1.00
$
x
$10.00
c
s
x
0�
NHeater
0
a O
.
°
8$
W
j
m
m
u
-0
ow
m
w
3
asv
kec
1st
2nd
+
3rd
4 th
(R) a Future Connection Opening
Connected with Sewer
(*) a New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
b%, tuber Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater - to 99,000 BTU
100,000 BTU to 199,000 BTU
Water Softener
New Ground Run Old Building
Electric Water Heater
GAS FITTING FEES:
lst 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS & ALTERATIONS
First $100.00
each add. $100.00 or fraction
NO.
RATE
TOTAL
x
$3.00
$
x
$2.00
$
x
$2.00
$�®
x
$5.00
$
x
$5.00
S
X
$10.00
S
x
$7.00
$
x
$5.00
$
x
$5.00
$
x
$3.00
$
x
$1.00
$
x
$10.00
$
.$5.00 $
$2.00 S
State Surcharge $ .50
TOTAL FEE $
REINSPECTION FEE
($10.00)
Job Address 6��� 7 V T• / `�
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 roprosontations stated in this application are true and correct
Fridley, Mn. , 192/
OWNER
�y a
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST /L70,
OLD j2f--,-,ULDnG PERMIT NO. PERMIT NO..
Company G�
Signed By
Tel. No. sly"
ROUGE INSP.
Date
FINAL INSP.
Dat®
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUmB=0 PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
SUBJECT
P I
of Fridley
rT7 p g �
AT THE TOP OF THE TWINS
BUILDING P E R M I T
rpCity
COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
®�
CITY HALL FRIDLEY 55432
i._-•�
NUMBER
REV.
DATE
OF
APPROVED BY
�����,r�
L 612-571-3450
910-F15
8/15/83
FPAGE
�
JOB ADDRESS
6750 - 4th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
2
1 Rice Creek Terrace Plat 3 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Marvin Hora 6750 - 4th.Street N.E. 574-9879
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
Residp-ni-i al
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway.
m.
SEPERATE PERMITS REQUIRED FOR WIRIN04
HEATING, 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
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$8,202
$4.10
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-
$74.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$78.60
UTOR OR AUTHORIZED AGENT I T
WHEN PROPERLY V ATED THIS IS YOUR PERMIT
n*MREOFCONT
r
r` �8 l
C�f
RE OF OW (IF OWNER BUILDERi lD TEI
BLDG INSP ATE
CITY OF FRIDLEY
Effective Aug. 1,,1981
APPLICATIM FOR RESIDENTIRL BUILDING PEFU41TS
(New, Alterations, Additions, or Repairs)
OWNER: NN wJry BUILDER:
ADDRESS: 6150 L i -k '- N ADDRESS:
TEL NO: S l L `q P q TEL NO:
l Construction Location
STRIET NO: �`i 56 KSS l' STREET:
IAT: 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: e-4 Depth: 34 Height: / Cf
Square Feet: Cubic Feet: %so
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: W( --)o Estimated Cost:
Zb Be Dorapleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE FEVERGE SIDE OF SHEET .
Ziie undersigned hereby makes application for a permit for the %:ork herein specified,
agreeing to do .all work in strict accordance with the City "of Fridley Ordinances and
rulings of the Department of Builaings, and hereby declares that all the facts and
representations stated In this applicaa true and correct.
DATE:R ! � tio SIGNATUIE: E
Stimulations:
is � � •� — ' � f— � — ._ ® D
Y � �
{ ; RI
.'Aw
.. _ "� "?-r i i .- i C•.i ,
i , v.
City of Fridley
SUBJECT WRECKING
PER
7094' 094
AT THE TOP OF THE TWINS
BUILDING P E R M I T
rp
• __ COMMUNITY DEVELOPMENT DIV.
[ z
r i PROTECTIVE INSPECTION SEC.
�DSJ® .
1 �
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/15/83
JOB ADDRESS 6750 - 4th Street N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
2
Rice Ow Creek Terrace plat 3 SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Marvin Hora 6750 - 4th Street N.E. 574-9879
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
S me
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 R REMOVE
8 DESCRIBE WORK
Wreck 14' x 20' Garage
9 CHANGEOFUSEFROM TO
STIPULATIONS
Clean site of all debris.
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
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
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-
$15.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$15.00
I ATURE OF CONTRACT R AUTHORIZED AGENT
WHEN PROPER L ALI DATED THIS IS YODUR//PERMIT
BLDG INSP / r)AT
TUREFSPNPAOF OWNER OF OWNER BUIL DERI (DATE)
Effective Aug. 1, 1981
City of Fridley`T
Permit No.
rp AT TIE TW Of THE TwIM{
WRECKING PERMIT APPLICATION
L
Receipt No.
r rL'------- COMMUNITY WVEL~NT DW,
I i MoTECTIVE INSPECTOR WR,
l .l I... CITY HELL /wIDLET ff4E
"Lamm
sin -nn
V.
n
DATE
,,5,7..
ME
r
APPROVED BY
Ran
Job Address 6� �� f
Legal
Lot No.
Block No.
Tic or Add tion
(�
Des c .
,�
F 2 K.
Phone
Property Owner m.. e►" Ck n �uSc(� 610! dress r �� 4,Vk S+N 5,744
e 79
Contractor � �C� Address Phone
Description
Fr' n+t
DTthU
Height �
Sq. Ft.
Cu. Ft.
of Bldg.
No. of Dwelling Units
Taxes Paid
Tax Receipt No.
Estimated Cost of WreckingQy Ow h e
To Be Completed.
utilities to be Notified and date Services Disconnected
Npis. Gas Co. N.S.P. Northwestern Bell Tel. Co.
Bus. Ofc Bus. Ofc.
Cust.
Rngr. Dept.0).
372-4650 14 330-5540 IJ JM- 332-4112 0
Date Da to
Wrecking Fees: $1.25 for each 1000 cubic feet or fraction
For structures which would be impractical to cube, the fee
shall be based on the total cost of wrecking such structure
at the rate of $6.00 for each $500.00 or fraction.
NINIIrIN FEE: $15.00 No State surcharge on Wrecking Permits.
Approved By Water & Sewer Department:
All Bills Are Paid Services Are Disconnected
The undersigned hereby makes application for a permit to wreck the building
described above, agreeing to do all work in strict accordance with the City
Ordinances and rulings of the Department of Buildings, and hereby declares that
fall facts and representations stated in this application are true and correct.
��• 00 Co actor
d-0 Date
w
City of Fridley
SUBJECT
ERC!"i
o7
AT THE TOP OF THE TWINS
BUILDING PERMIT
�
RECEIPT NO.
• ___ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 CITY HALL FRIDLEY 55432
j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/31/84
JOB ADDRESS 6750 - 4th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
2
Rice Creek Terrace Plat 3 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Marvin Hora 6750 - 4th Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Arvid's Carpentry 6711 Quincy Street N.E., Fridley 571-5652
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 101.x 15161" Addition to Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide fire alarms on both levels.
as
law
����
Betara dl's
" E ` ISEPERATE PERMITS
TELEPH��E REQUIRED FOR WIR1
EIE�.��
��
REO ���E� HEATING. 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
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
$7,700
$3,85
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-
$68.50
None
STRUCTION ATHE PERFOR ANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
' l s / — p
$ 17.13
$89.48
SIGNATURE OF N ACTOR AUTHORIZED ENT (DATE)
WHEN PROPJeLERL VALIDATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER )IF OWNER BUILDER) (DATE)
BLDG INSP DA E
1
AGREEMENT
I, ��s(+t� ��ee��, , owner of the property
located at tot 61) 44k S'*� � ��_ `��Ey, have no objection to the
P PP
City allowing the construction of a l®J)( �� V,00 'R O kA_%iI0f\ to be
located at iso B-4\ S+�3 ����1e�r without the required
certificate of survey that the City ordinarily requires for all new
construction.
nature
Address
Date T
.Jrmt�-&-
tness
ars
NEW [ ] City of Fridley Effective 4/1/84
ADDN. [ ] �R-1 AAD R-2
ALTER. [ ] Building Permit Application
Construction Address:
Legal Desoriptio
Owner Name & Address:
Contractor: /'Yr V- a c -
Address: C/5 ?'Ir nr �� ".", � `7 S /- "V/ -
S.4
Tel. #
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 ��C �" Width is a b Height -° Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER
Corner Lot [ ] Inside Lot [f Ft. Yd. Setback Side Yard Setback
fipaW', �� Estimated Cost:
Type of Construction: S �
Approx. Completion Date: ��`� 0(i
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE:
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT:
LLQ �1 � Tel.
CITY USE ONLY
$ (Qr130 Fee Schedule on Reverse Side
$ Ir), 25% of Building Permit Fee
$ $.50/$1,000 Valuation
$ $425 per SAC Unit
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ '_
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SUBJECT
P
City of Fridley
27520
AT THE TOP OF THE TWINS
BUILDING
PERMIT
t
NO.
I ON._ COMMUNITY DEVELOPMENT DIV.
>V
PROTECTIVE INSPECTION SEC.
1 . �
CITY HALL FRIDLEV 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
9298
JOB ADDRESS 6750 4th Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
2
1 Rice Creek Terrace Plat 3
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Marvin'Hora
4-9879
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Knutson Roofing & Siding 0961-4633
2901
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 jj�c REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house and garage 24 S Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Bull4 ing
Underlayment must comply with the State Rx xxg 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 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
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
1842
.92
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 T E PE ORMANCE OF CONSTRUCTION.59,
rjQ
Fire SC $1.84
PLAN CHECK FEE
TOTAL F
Licen a 5.00
67.26
NATURE OF CONTRA OR OR AUTHORIZEDA NT IDATEI
N P PER LIDATED is IS V PERMIT
BLDG SP
�aiE
SIGNATURE OF OWNER,1F OWNER BUILDERI IDATEI
NEW ' F 1 Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 O
BUILDING PERMIT APPLICATION
nstru i dr
C� ct �nA1 ess: � � �) L�
Legal Description: 5 ?*A
Owner Name & Address: V IYA e^ Tel. # 5 -
Contractor:
Contractor: &4As Az,:T`1t , MN LICENSE # 2 5'f
Address: �F30 7 11l1sre A/7 Tel. #
Attach to this application, a Certificate of Survey of the 3 3 6� - o
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
— govi ?�- -0 '-GO 5,9 -P 7L
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
ecaT- - -�Gr Fj-" llo�sf
Construction Type: J t / 0GcCP, Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: ` '✓5� Tel. # 32-3—i2 5,9
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 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 [ ]
CITY OF FRIDLEY INSPECTION DIViSION ID" sU®
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace $ 30.00 $ 30.0U
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace, $ 10.00 $
but not replacement)
Gas Range $ 10.00 $
Gas Dryer $ 10.00 $
*Air Conditioning - All Sizes $ 25.00 $ a5'.00
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work $
Commercial/Industrial
1.25% of Value of Appliance or Work $
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
$ .50
$ SS s'v
Effective On January 1, 2000
JOB ADDRESS_ l0 %SO �/M P,_Oee ' 41 -
OWNER iT�A
BUILDING USED AS l7GUZLL i0&
ESTIMATED COST 5;klo cU PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units 'l� Circle One (Steam) (Hot Water) arm A'
Trade Name _q 4.5 _ Size No. U6-12 A ,,S
BTU HP EDR
Fuel Total Connected Load
D o - a z
Burner Trade Name Size No.
BTU HP EDR
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE l�–�S'' 06
HEATING CO / 1 VIA et 7-41 .S/1-eet Pletr1r .
TEL # �.j�– o2l f
-�b '_�
*Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date ° ®�
written permission from adjoining property owner. /��_
CiiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
February 11, 2002
Marvin Hora
6750 4`h Street NE
Fridley, MN 55432
Re: Final Inspection at 6750 4`h Street NE
Contractor: River City Sheet Metal, Inc.
Dear Mr. Hora:
A mechanical permit was issued on October 30, 2000, to install a furnace and air conditioner at
your address. According to the 1991 Uniform Mechanical Code, a final inspection shall be
conducted on the work authorized by this permit. As of this date, no inspection has been called
for.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Code. We will keep your permit open for another 30 days and if we do not hear
from you within this time to set up the inspection, we will mark the permit "no inspection called
for" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/ls