PRE 2010 DOCSCity of Fridley, Minn.
BUR DING PERMIT N® 3571
Date:.. �� .°�.... � .......... C
Owner .........:............................. Builder ..................... .......................
Address...................................... Address .............................................
_LOCATION QF BUILDING
..{{s
No. Street ... e.O...'— ..... Part of Lot .....
Lot ....f®....... Block .... / ............ Addition or Sub -Division ........
Corner Lot ............ Inside Lot X.......... Setback .:��...�. Sideyard.��.: `� .� ..............
DESCRIPTION OF BUILDING
To be Used
�% ... Front ®. ' ®De ' ti d S ®� F't. ®.�
... .. pth Height q. Ft. Cu.
.................... 90
Front ........Depth .... .. Height ........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction ..................Bret.®.4 .. To be Completed ...................
.4W'C�
In consideration of the issuance to me of a permit to construct the building desribed ve, I agree to do
the proposed work in accordance with the description above set forth and in plian th pro ions of
ordinances of the city of Fridley.
A... . ......... ............... ..
In consideration of the payment of a fee of $. �.� � ..... permit is hereby granted to ...................
......................... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with -
In the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Al
a . Building Inspector
G .
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
r
,3D,=-2%-3
City of Fridley, Minn. N° 8399
BUILDING PERMIT
Date: AUGUST 24, 1965
Owner: ROGER E. BRENNY Builder ROGER E. _..$.REM
Address 6 011 - 3rd S t . X. E, Address 6011 -' rd _St . N E .
Fridley 21, Minnesota Fridlay 21_, Minn enta
LOCATION OF BUILDING
No. 5917 Street 5th Street J. H. ____ part of Lot
Lot 6 _ Block 1 Addition or Sub -Division .__._R T'� nett Pal'mP
Corner Lot , Inside Lot _ Setback Sideyard
Sewer Elevation Foundation Elevation
To be Used as:
Front
Front
Type of Construction
DESCRIPTION OF BUILDING
Depth Height Sq. Ft. Cu. Ft
Depth freight Sq. Ft. Cu. Ft.
— Est. Cost -W3400100--- To be Completed
! REBUILD HOUSE FROM CAP UP - STORM DAMAGE
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 forth and In 7liance with ;Jl provisions of
ordinance of the city of Fridley.
In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to,ZBRENNY BROTHI
CONSTRUCTION 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, Minnesotalocation, construction, alteration, maintenance, repair and moving of buildings
within the city limits permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
ALLEN G. JENSEN
NOTICE:
Yids pwmN dasu not corer the consbuctien, Installation for wbh* phunbins, gas heating, sower or water. as sure to no
the Building Inspector for separate permits for thus items.
APPLICATION FOR BUILDING PERMIT
CITY OF,FRIDLEY, MINNESOTA
OWNER'S NAME �� o �/ �' .� J- A BUILDER ��''" �w �, A" At �.
ADDRESS �� Je ,%� ADDRESS
LOCATION OF BUILDING
NO, STREET f'' % - PART OF LOT
LOT BLOCK / ADDITION OR SUBDIVISION a
CORNER LOT INSIDE LOT SETBACK SIDE YARD
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as-
—FrontDepth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction p Estimated Coat '
To be completed sL_
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
(Sched a of Fee Costs can be found on the Reverse Side).
City of Fridley
SUBJECT
PE
- 15 7 9 9
AT THE TOP OF THE TWINS
BUILDING PERMIT
_
rp
L
CEIPT NO.
•Lu _____ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F156/25,180
JOB ADDRESS 5917 - 5th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
6
1
Bennett Palmer SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ernest Walters 5917 - 5th Street N.E. 571-0842
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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
x
8 DESCRIBE WORK
Construct a 12' x 27' Addition to House
9 CHANGEOFUSEFROM TO
STIPULATIONS
�SFp'tRA
4r/&6.p4* ��
P�� a 4wil j Call IOL(
trtiliti�
!FQuftz+o�rf•Ettctarc...
GAS
��
Abd S 0 FAR REQUIRED
B
S, rRi�y� Y I.A*
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
324
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-
$ 10,000
$3.00
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-
$60.00
NONE
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$15.00
$78.00
SIGNAT EOFCONTRACTORORAU RI E ENT (DATE)
WHEN PROPERLY ALIDATED THIS IS YOUR PERMITG
/
Ip-�� �Li �
ll 6: Cho
BLDG iNSP SATE
S GNATURE OF OWNER (IF OWN BU)LDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(Near, Alterations, Additions, or Repairs)
OW14EIZ: ,�s����� � � •� � � ���� BUILDER:
ADDRESS: ADDRESS:
TEL NO:Gtr ` TEL NO: .
Construction Location
41—
STRUT NO:, STREET:
IAT: BLOCE:: > ADDITION: L
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.
DESCRIPTIO(] OF CONSTRUCTION
� J
Front: Depth: Height:
Square. Feet Cubic Feet:
Depth: H eight :
Square - Feet: Cubic Feet:
®
Type of Construction: Estimated Cost: $ �
To Be Completed:
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 hexcby declares that all the facts and
representations stated in this application are -true and correc
DATE: ��/ SIGNATURE:
Stipulations:
`jo '
A
ENGINEERS AND SURVEYORS
LAND BURVlYINd SOILS TESTING
CIVIL 6e. MVNICIPAL FNOINEERINO LAND PLANNING
6418-S6Tw AVENUE N.
MINNEAPOLIS 11,M004.
KE 7- SG37
dO
4C �o cel a tD I� 9Iryfl?
a3- 90
! s•ol
1
ed �
� I
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURYEY OF THE BOUNDPAIES OF THE
LAND NBOVE DESCRIBED AND OF THE LOCATION OF ALL bUtLOINGS, IF AMY, THEREON , AWD ALL VISIBLE ENCROACHMENTS,
►6 ANY, FROM Ott ON SAID LAND, MINDER ENGINEERING CO., INC.
DATED TMiS pF-r o •t i 1,p.1SS�
-•'"'•�•�� .,•• •, ''�^. -='�_. 4N31M1EBRa ANO Su6Y0RS -
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SUBJECT
PERMIT NO.
City of Fridley
215 0
AT THE TOP OF THE TWINS
BUILDING PERMIT
i •
NO.
COMMUNITY DEVELOPMENT DIV.
_
tr PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
PAGE OF
APPROVED B
�.__.11.' '•� 612-571-3450
910-F15
JDATE
8/21/92
JOB ADDRESS 5917 - 5th Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
6
1
Bennett Palmer SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Barbara Walters 5917 -- 5th Street NE 571-0842
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Jack Pixley Sweeps Inc. 4179 149th. Ave NW Andover MN 55422-n481 S960
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 � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reline fireplace chimney
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.
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. OWLG. 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
$2 X462
$1.23
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRE ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS 0 ANY OTHE ATE OR LOCAL LAW REGULATING CON-
$54.00
Fire SC $2.46
STRUCTION Of THE PER R NCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
'
License SC $5.00
$62.69
VTjRE -OFCONTRAC OR ORAUTHORI AGENT IDATEI
WHP VA DATED THIS 15 YOUR PERMIT 7
/E%�iL
BLDG INSP GATE
SiGNATURE OF OWNER 0F OWNER BUILDERi IDATEI
I
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: S-7; l .7 - S ` Sf. /� E;
Legal Description: _
Owner Nam�714
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Effective 3/1192
�o�rbav Vya�-feir-s Tel. # S71- OS' +LA
MN LICENSE # 000 S-960
+h /� � �o v t,-Y�7 C ®y- Tel. # V;71 —0 `fIg /
Attach to this application, a Certificate of Survey . of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks _
Type of Construction: �'Ce �� h F o --`e Estimated Cost: $
Approx. Completion Date: ite I2
Driveway Curb Cut Width Needed: _ Ft. + 6 Ft =
DATE: �''`y . �r'3 2 APPLICANT:
Permit Fee $ 7 0 e)
Fire Surcharge $ A16_,
State Surcharge $ /. 3
SAC Charge $
License Surcharge $ Co
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL $ Lc�- 6'!
STIPULATIONS:
(Cost on Back)
Ft x $
Tel. # V'�2--Z ,0 'fIF�-
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJECT
City of Fridley
=;�
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i
RECEIPT NO.
_ COMMUNITY DEVELOPMENT DIV.
L PROTECTIVE INSPECTION SEC.
�f
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
6/9/98
JOB ADDRESS 5917 5 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
1
1 Bennett Palmer
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Barbara Walters 5917 5 Street NE
571-0842
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 X REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reroof House & Garage (30 S Tear-off; Replace windows
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code. Install
smoke detectors to meet the State Building Code. Replacement windows must have
same clear openable area, or larger.
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
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
$2.90
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$5,800
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-
$112.25
Fire SC $5.80
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
,
$1 .95
SIGNA URE OF CONTRALTO OR AUTM ED E T IDATEI
B
PRZPLIDATED
T IS YOUR RM
l0
G
�,
w, 4}w G SP
gaTE
NATURE 01 OWNER iIF OWNER BU4 DERI IDATEI
NEW [ ]
ADDN [ ]
ALTER [ ]
ConstructionAddress:
Legal Description:
Owner Name & Address:
Contractor:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/98
G ��) V-� L: i L—� S Tel. # %/— 0 O' �
MN LICENSE #
Address: —111`7- --5- T� �� IVI Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF PYIPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: LeXcl-
Width Hgt/Ground Sq. Ft.
OTHER: "�-�- o — J-9 C� O Q 0S
/0 C)� F �� 1-C� SGL
Construction Type: Estimated Cost: $
(Fee Schedule on Back) -�
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 6j1r1, 12--' APPLICANT: Tel. #
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
$ � "Y)
.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 [ ]