PRE 2010 DOCS0
City of Fridley, Minn.
BUR DING PERMIT N® 3222
Date: .. .`.�.�f.`.. .....................
Owner ....................................... Builder. .�7 a .:".. ..
Address ...................................... Address �. h.,�.= :...�...:'a:' ..✓ ...l. o
-
�+
Depth �. ��. �. Height .... ... Sq. Ft. Cu b
LOCATION OF BUILDING
Depth ......
Height .... eo. ;61) Sq. Ft.
I
Type of Construction ��:�:" .....
Est. Cost..�.�.
�..:' To be Completed
.... .........
Street
Lot �d:�.-:9.T. Block
...
... Ems:..........
............ Part of Lot........
Addition or Sub-Dfvision.':...:.��...-..:...r��
't.& ,.
/
{
Corner Lot ............
Inside Lot
... ... Setback . t;i..... Sideyard I ....................
"�
DESCRIPTION OF BUILDING
To be Used as:
.. .. .......... Front
�+
Depth �. ��. �. Height .... ... Sq. Ft. Cu b
.................... Front ........
`:��`�:
Depth ......
Height .... eo. ;61) Sq. Ft.
...... Cu. Ft. ........
Type of Construction ��:�:" .....
Est. Cost..�.�.
�..:' To be Completed
.... .........
L)
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 forth and in compliance with all provisions of
ordinances of the city of Fridley.
.....................
In consideration of the payment of a fee of $s ......., permit is hereby granted to",e VL/Li......................... to construct the building or addition as described above. This permit is grante 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.
t Building Inspector
NOTICE:
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 Items.
I
•
City of Fridley, Minn.
BUILDING PERMIT
1�&�"J
Date:2; Jnne , 3,965 Ind
Owner: 5625 5th. Street h. E. Builder Same
Address65 25 5th. Street N. Be Address
7667
LOCATION OF BUILDING
No. 5625 street 5th. St. N. Be Part of Lot
Lot 22,23 _ Block 2 Addition or Sub -Division Am.e Add, to Mec anUs- iUe
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
To be Used as:
Front
Front
DESCRIPTION OF BUILDING
Depth Height Sq. Ft. Cu. Ft.
Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est. Cost _$475.00 _ To be Completed
• Storm Dsnage Repair
•
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 $' , permit is hereby granted to $' Grams
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, Minnesotaung location, construction, alteration, maintenance, repair and moving of buildings
within � city limits � this permit may be revoked at any time upon violation of any of the provisions of said
ordinan
Allen Jenson
Building Inspector
NOTICE:
'ebb Penh don nW emu the eonstmetiae, butalldim for Wkb& plambk& an has&& sewer or WdW. Bs sura to as
Nie &oldies bbpeetor for apvato perm8s for thm hw».
1
OWNER'S NAi4
APPLICATION FOR B�TILDING PERMIT
CITY. OV FRIDLLY, MINNESOTA
ADDRESS —- -
flcAnox BUILDING
No. Street _Part .of Lot_
LOTS BLOCK , ADDITION OR SUBDIVISION
Corner Lot , Ins06 LOT__�,S.etback - Side -Yard
SEWER ELEVATION FO=Atlox ELNVATtCN� ,
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 Height..
Sq. Ft. Cu. Ft.
Front Dept _.__�..,.�Height;
Sq. Ft. Cu..Ft.
Type of Construction Estimated Cost
To be completed'
The undersigned hereby 'makes application fora permit for the work herein'specified,
agreeing to.do all`work it} strictaccordance'with the City of Fridley.Ordinances
and. rulings of" -the: Department of Buildings,'atid-hereby declares that all the facts
and representations stated in this application are true and correct.
DATE – "�7 SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
PARIIc�L ZATZ ZSCH"CSOULE
77MA7M WA= AM: RATE TOTAL
T.Awwce Shen & Dud Work slom $—
Replacement of Ywwee 6.00
Repairs & Afterations-up to $500.00 6.00
Repairs S-, Alterations '-ach S4 --d. &000.0 5.00
wnace $bell & Duct Work to 1201M M=
Mch add. 60'0 VII ............... ....
Replacamed of Furnace
Repairs & Alterations -up to SM.00 6.00
Aqpairs & Alterations each add. SM.00 3.00
'�M or HOT WATER SYSTEM
rurnace Shell & Lines -to 400 sq. ft. EDR Steam $10.00 t
Furnace Shell & Line -to 640 sq. ft. EDR Hot Water 10.00
Each add. NO sq. ft. EDR Steam 3.00
Each add. 320 sq. ft. EDR Hot Water 3.00
OIL Bolt -to 3 gal. per hour
&00
S ---
over 3 gal, per hour --&e Fee Schedule
IVO
GAS DURPIER (up to 10,000 BTU)
&00
$ J
over 19900 YM see Fee ftbadule
CAB FITTING Pl=:
NO RATE T01
1st 3 Fixtures
xS 7.00
,FAL
Additional Fixtures
x .75
Gas Range to 190.000
Its &00
AM C01lDITIOR=0
TAX HMTUIG STSTM a" Fee svho*Ab
VEX LATING STSTM
ALTERATIONS & F"AIMS
TOTAL rM
ROUGH
'S!
Dept. of BUIva Phom EM -M
Dil
li� f- --I <— — -!5- , J"w
City of rrway:
The underslabeed hereby maLes applicatlon fee a permit fes tD%e work 1jerc4r,
specified, agreeing to do all work in strict -aEc-ardance with the Ott CW
Ammem
seed ruling of the Department of Buildings, and hereby decla-ge-a that all the fcclsi
and representations stated in this application are true and ewyacL
zl-�?
Fri gp. Mnn-- ==3 — /(:�, , 1g;�3
I I
Kind of Building
Used as
':t�- / -7
To be completed about
Estimated Cost,
®id. -New. Building Pitt No. Permit
BURNER - Trade N
Capad - - - - - Sq. Ft Z.D.R BTU — Boll.
City of Fridley
SUBJECT
rr3";j
1
AT THE TOP OF THE TWINS
BU IL DING P E R M I T
r
�
R
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 . �
"I CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
18/27/76
JOB ADDRESS 5625 5th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
22,23
2
Hamilton's Addn. to Nechicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert Goranson 5625 - 5th 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 16' x 22' Addition to Dwellincr
8 CHANGE OF USE FROM TO
STIPULATIONS provide a truss design. Provide insulatation in ceiling of R-24 or
better. Obtain separate garage permit for either building new garage or
wrecking present garage.
—IMPORTANT—
NOTIFY THE FRIDLEY ENGR.
FOR �tIR1�.G. DIVISION REGARDING CURD
PERMITS REQUIRED REMOVAL AND REPLACEMENT
SEPERATE AT DRIVEWAY OPENINGS,
SIGNS,
HEATING, PLUMBING AND
WARNING
Before di ging cell local utilities
TELEPHONE • ELECTRIC - GAS Etc.
REQUIRED BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Frame
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
4224
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
352
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
'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
$4,700
$2.35
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-
$31.70
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$34.05
SIrwNATUREOFCONTRACTOR ORAU HORIZEDAGENT DATE)
HEN PRO ERLY VALIDATED THIS IS YOUR PERMIT
BLDG INSP DATE
SIGNATU OF OWNER (I OWN ER BUILDER) IDATEP
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: &08F -k I' V43-0)?f u50A)BUILDER:
ADDRESS: -56Q,5 -5 Sr. k), F , ADDRESS:
NO:. Co 5 STREET
LOT: �'� ` S BLOCK: oZ ADDITION: � P'M I L to Ju t_)71 e e.6 j1 r C S 11 "11'
CORNER LOT: INS IDE -LOT: SETBACK: SIDEYARD:
Applicant attac'-� to this form Tuo Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
1" 42d�&vr,, Front: I ip Depth: Height: �
Square Feet: ,�j J Cubic Feet:
Front: = Depth:_ —Height:
�jsare,Fvee,t; ubic Feet:
/ley
Type of Construction: 0_A/ ., Estimated Cost:
T
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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
pre true and correct.
AN/nA•
TE: ,- rZ6 - -7.6 SIGNATURE._ /[ J&A: � d/. ��Y►/�cr1�►
(See Reverse Side For Additional Information.) �t6a1
s
File No. �� j t Exhibit R f
130 -It
X0
Cr
�?
-m,-t
3Z .fl
'r2 r
ZL
f30.f�'
"The plat above shown indicates correctly the size and location of the buildings on premises herein insured; also the
improvements now located on premises in question are entirely within the lot lines, and the improvements. on adjoining
premises do not encroach on the premises herein insured."
r"T
a
I,
AGREEMENT
owner of the property located
at have no objection to the City allowing
the construction of a to be located at
without the required certificate of survey that the
City ordinarily requires .for all new construction.
Witness
Signature
Address r�
Date i7&
. Page 1 of 4
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER:
&® �j �� V. C,.O R A & 50A) DATE (�
SITE ADDRESS: S 6 9 5 sS C-- % PHONE:
CONTRACTOR:
Determine working square footage of each
�
� _
1. Total exposed wall area.f..... � sq. ft. x .17 =
2. To%l roof/ceiling area ...... _�_ _ sq. ft. x .05
Total exposed wall area above floor =
a. Total wall window area .................................
b. Total door area ..................
l sliding glass door area
fireplace wall area .............................
e. Total wall framing area (average 10%) ..................
f. Total rim joist area ............ V6
g. wall area above floor ..........................
h. wall area above floor........ ...............
i. wall area above floor ..........................
j. wall area above floor... .....................
�i
--- Total exposed foundation area =
k. Total foundation window area ............................ (D }
Total net foundation area above grade .................
Determine "U" value of each wall segment
(e.g. window, door, each separate wall section)
a. X fluff • �,7� = 33. 75
b.
C. X "U" _
d. X "U" _
e. 3<, y X •lUn
f X "U" _
g. X
h. 3 X
i. x
7• 3Po X
k. X
1. X
$lull _
,.U., e o _ Z-2 .67
fluff , �� = a
„II" , �� = le, , -s 4
"U" _
"Ulf _
= D IF. fz
3 . ............................. Total
rci
G
If item #3 is the same as,
or less than item #1, you'
have met the intent of
SBC 6006 (c) 2.
Exterior Envelope Average "U" Computation Page 2 of 4
Total exposed roof/ceiling area =
m. Total skylight area ............................
n. Total roof/ceiling framing area .(average
o. Total net insulated roof/ceiling area...........
Determine "U" value for each roof/ceiling segment
M. X "U" _
X It of
o. X "U"
4 ........................... Total =
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006 (c) 1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum of
items #3 and #4 shall not be greater than the sum of items #1 and #2.
3. �I �!/ + 4. ! /i
0
WALL SECTIONS
NOTE: Use 10% of opaque wall area for
frame construction
FIG. #1
FPJ%kM [BALL
JG. #3
*
• a c
Page 3 of 4.
Construction R -Value
1. Interior air film 0.68
2.
3.
4.
5,
6. Exterior air film 0.17
Total
1. Interior air film 0.68
2.
3.
4.
S.
6. Exterior air film 0.17
Total
1. Interior air film 0.68
of
3.
4.
5.
6. Exterior air film 0.17
Total
1. Interior air film 0.68
i
2.
3.
4.
5.
6. Exterior air film 0.17
Total
a
_ r(;7FIG. #4
tit
�o
llt
fit ` x� X 1C rt/
• /l( � Irt � ter
NOTE: Indicate type, "R"•value, depth and
placement of insulation.
• ROOF/CEILING•
l n(, G i 11 1 iFi�,;DITn- f
Vented Meat fl ow
up
FIG. #5
Page 4 of 4
Construction R -Value
1. Interior air film 0.61
2.
3
. Exterior air film (still) 0.61
Total
1. Interior air film 0.61
2.
3.
4. Exterior air film (still) 0.61
Total
1. Inside air film 0.61
r 2.
�+ V
3.
4.
5. Outside air film 0.17
Total
Note: Use additional sheets if more space is
needed for details and calculations
• rva�-v�.avtxu � , • .
Heat
. ' f low up
PXG. 47
.Neat flofy up •
;•vented
_FIG.
#6'..
I ("
FT
I
Page 4 of 4
Construction R -Value
1. Interior air film 0.61
2.
3
. Exterior air film (still) 0.61
Total
1. Interior air film 0.61
2.
3.
4. Exterior air film (still) 0.61
Total
1. Inside air film 0.61
r 2.
�+ V
3.
4.
5. Outside air film 0.17
Total
Note: Use additional sheets if more space is
needed for details and calculations
• rva�-v�.avtxu � , • .
Heat
. ' f low up
PXG. 47
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
Job Address �� X 6- S � '97 ` �r-'
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. a t-� 11976
OWNER e�Z�t�t /7 `/ d rr Irl s eo✓t
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
PARTIAL RATE SCHEDULE
ESTIMATED COST
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
oLD - NEW BUILDING PERMIT NO. PERMIT NO.
x
d
-— x
Water
$
Future Fixture Opening
x
$2.00
$
Company
New Fixture, Old Opening
x
54
im
$
A
4j
p,
W
$5.00
$
Heater
Water Heater - to 99,000 BTU
x
$5.00
$
Tel. No. �7
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
it
U
�
Date
N
.1 :1O
$5.00
O
1UJ •tll
GAS FITTING FEES:
FINAL INSP. dy
0
a ►i
-r�i
w
ro
N
ro
C
x
W o
x
H
P7
�C 3
U
£
0
O
3as
3lec
to
U
7
L9
Rl
to
3
A W
to
W
U
lst
%
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
Job Address �� X 6- S � '97 ` �r-'
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. a t-� 11976
OWNER e�Z�t�t /7 `/ d rr Irl s eo✓t
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
PARTIAL RATE SCHEDULE
ESTIMATED COST
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
oLD - NEW BUILDING PERMIT NO. PERMIT NO.
Number Fixtures
-— x
$3. QO
$
Future Fixture Opening
x
$2.00
$
Company
New Fixture, Old Opening
x
$2.00
$
Signed By / ( O Err /✓
Catch Basin
x
$5.00
$
—
J
Water Heater - to 99,000 BTU
x
$5.00
$
Tel. No. �7
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
ROUGH INSP.
Date
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
FINAL INSP. dy
Date
1st 3 fixtures
x
$3.00
$
Additional Fixtures
x
$1.00
$
APPROVAL FOR PERMIT
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS $ ALTERATIONS
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50
State Surcharge $ .50
TOTAL FEE $
REINSPECTIQN FEE
($10.00)
FAA
SUBJECT
PE O.
City of Fridley
5156
AT THE TOP OF THE TWINS
BUILDING PERMIT
�
ECEIPT NO
• COMMUNITY DEVELOPMENT DIV.
r � PROTECTIVE INSPECTION SEC.
�
1 �
I
1 I CITY HALL FRIDLEY 55432
%.j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L-'-' 812-580-3450
910-F15
5/1/79
JOB ADDRESS
5625 5th Street N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
2 2
2
I SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
_ 755-6600
Co
4 ARCHITECT DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 30' Detached Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
WARNING
Provide a hard surface driveway.
Before digging call local utilities
TELEPHONE - ELECRIC -GAS Etc.
REQUIRED BY LAW
SEPERATE PERMITS REQUIRED FOR WIRM
MEATING, 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 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
'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,
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$6,026
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 PERFORM CE OF CONSTRUCTION.
$25.80
CHECK FEE
TOTAL FEE
/1PLAN
L /l iV %
$31.51
SIGNATURE OF CONTRACRORJ4UTHORIZEDAGENT PATEI
-
WHEN PROPERL LIDATEP�D�THIIS IS YOUR PERMIT
UlDAm
' /
BLDG INSP I DAFrE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
FAA
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTE=RATIONS, ADDITIONS,• OR REPAIRS)
OWNER: �o/�E•27"y- / / 4xciL ( lox;ws ca; BUILDER: &o
Address: ,S6 %9- S- rit-.5'=- /Y Address: /o C / — / o 9 _ ; vg zyi!:-�
Tel. No.: is -s` — C C a 6
No.: S.0 ;Z-�, Street: Y T H S T. IVF—
LOT: 1 - ;?-.3 BLOCK.: �_ ADDITION: L t6 NVS
CORNER LOT: INSIDE LOT: 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:
C-71 f2 4 6-7 E Front: a Depth: O Height:
Square Feet: b Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: 06 U �/Zi4/L-1 Estimated Cost: $ lr O �—
To Be Completed: j y,N _ 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 i rma ion.
DATE: SIGNATURE:
Stipulations:
X01
File No. 14110 -- l
i "The plat above shown indicates correctly the sire and location of the buildings on premises herein insured; also
` improvements now located on premises in question are e„tirely within the lot lines, and the improvements on adjoi.
premises do not encroach on the premises herein insured."
SUBJECTr_�
City of Fridley
73
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RE T
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
S/� 3J
1 �
� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
•�
L 612-571-3450
910415
1/3/89
10B ADDRESS 5625 - 5th Street N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
22,23
2
Hamilton"s
Addn. to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Shelly Westlein 5625 R 5th Street N.E.
571-1773
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Metro Sunuait Builders 9401 James Avenue
S. #130, Bloomington, 55431 888-8095
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 C:k ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
S DESCRIBE WORK
Install egress window
9 CHANGE OF USE FROM
TO
STIPULATIONS
Install products of combustion dire alarm outside bedroom door.
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
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,9_00
$1.45
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.
$45.00
PLAN CHECK FEE
TOTALFEE
$46.45
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
r
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
`
BLDG )NSP _40 IIA E
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
NEW [ ]
AERN I ]
ALTER [ ]
Construction Address
Tegea Descri-L'-
Owner Name I
Contractor:
Address:
City of Fridley
R-1 AMID R-2
Building Permit Application
,11i+h S� I -.,-
Effective 5/1/88
Attach to this application, a Certif icate of Survey of the
lot, with the proposoed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
Oorner Lot I ] Inside Lot I ] Ft. Yd Setback _.
Type of Construction:
Approx. Completion Date:
sq. Ft.
sq. Ft.
Sg. Ft.
Side Yard Setbacks
Estimated Cost: $
Proposed Driveway Width If New Opening Is Desired:
Width + 6'
LATE•
I q
S
Alt. A Alt. B
See Back Pagel
APPLICAM:,M�l Aml� Tel. * - v /
CITY USE ONLY
Permit Ree kj flee Schedule can Reverse Side
State Surcharge $ o $.50/$1,000 Valuation
SAC Charge $ $550 per SAC Unit
Driveway Escrow $ Alt. 'A" or Alt. "B" Above
Park Ree $ Ree Determined by Engineering
Sewer Dain Charge $ Agreement Necessary I ] Not Necessary [ l
Ct" 17
31'IPCILATICEN.S:
SUBJECT
City of Fridley
2 6 2 9 0
AT THE TOP OF THE TWINS
BUILDING PERMIT
1 ,
R O.
COMMUNITY DEVELOPMENT DIV.
r 1 PROTECTIVE INSPECTION SEC.
1 �
1 i
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEY 55432
L 612-571-3450
910-F15
6/18/98
JOB ADDRESS 5625 5 Street NE
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR.
22,23
2 1 Hamiltons Addn to Mechanicsville
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Jane/John Quenemoen 5625 5 Street NE
571-5643
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Master Remodeling 32 10 Ave S, Hopkins, MN 55343
932-9311 20012916
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
B USE OF BUILDING
Residential
T CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION 3F REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (23 Sq) Tear -off; Replace damaged siding
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code. Install
building wrap and call for inspection of same.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
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
$1,918
$.96
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-
Fire SC $1.92
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$62.25
PLAN CHECK FEE
TOT FEE
Licen C $5. 0
$70.13
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
N RO R OOF VALID T
B G 11NSP
THIS FOUR PERMI
OATS
S)GNATURE OF OWNER 0F OWNER BUILDER) IDATEI
JUN -16-1998 11:39 FROM CITY OF FRIDLEY T0� 9329316 P.01i02
NEW I ] 70.13 Effective 1/1/98
ADDN CM OF FREDLEY
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
D
BUILDING PERMIT APPLICATION
CousauctionAddress: '5 -6 ;z .5 -y � S % /V25—
Legal, Description:
Owner Name & Address: Tel. # 67 yS
Contractor: MN LICENSE #
Address:
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LMNG AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER:
Tel. #
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: �,,a r Estimated Cost: $ 6
iej0%h&_ Oa yed 15:4Kq (Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: / APPLI Tel. #
CTrY USE O QTLY
Permit Fee
$ Cp.2-AS"
Fee Schedule on Reverse Side
Fire Surcharge
$ / 9Y
.001 of Permit Valuation (1/10th%)
State Surcharge
$ .
$.50/$1,000 Valuation
SAC Charge
$ /
$1000 per SAC Unit
Lime Surcharge
$ !g- opa
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [
TOTAL
$
. STIPULATIONS: