PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N° 3283
Date: ...
..� ..................
Owner ....................................... Builders..... ..........3 .............
Address ...................................... Address .............................................
���� LOCATION OF BUILDING
No . ............ Street ... ° .. Part of Lot .. .............
Lot .....: !..... Block .... .......... p. //Addition or Sub -Division ......... ........ , .................
Corner Lot ............ Inside Lot ......1/.... Setback ...a /.... Sideyard ..! ® .�.................. .
DESCRIPTION OF BUILDING p�
To be Used as: p / Qt I "00
. ...... Front .. Depth ...... `./ Height ..... .. Sq. Ft. ..... Cu. ..:. fy
gY,I
... ..... ..... Front . t��.. "' Depth .. � � H � (.! . �+... Sq. Ft. ........ Cu. °.... .. � j . �
of Construction ..... lit. cost.. �. ! ...... To be Completed . �?'!-i2..:...... .
1 00
,too
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 $.... ...... 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.
0.
. . A .... `"t�'....... �'i ceding Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, g s heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
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Date:
City of Fridley, Minn.
BUILDING PERMIT
June 28, 1965
David Zoichichva.
Builder
Ben Wolke
N° 8041
Address 5925 5th street N. E. Address 251 Rice Creek Terrace
LOCATION OF BUILDING
No. 5925 street - 5th Street N. E. Part of Lot
Lot 9 _ Block 4 Addition or Sub -Division ._____ Benny Addition
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 Est. cost To be Completed
Storm damage repair: Reipuilding
In consideration of the issuance to me of a permit to construct the building described above agree to do
the proposed work in accordance with the description abov o and in ce wi provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $10• , permit is hereby granted to Ben Wake
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within
nnthe city limits andtthis permit may be revoked at any time upon violation of any of the provisions of said
Allen Jensen Building Inspector
NOTICE:
'lids permit dos not corer the construction, instagdion for whing, phmrbhrg, gas heating, sewer or water. Be sin to me
the Raiding lnspsetsr for apanto pormhs for than items,
OWNER'S NAME
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
c
ADDRESSADDRESS
LOCATION OF BUILDING
4efS treet Part of Lot
LOT BLOCK ADDITION OR SUBDIVISION L14,
Corner Lot Inside LOTSetback 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.
V
DESCRIPTION OF BUILDING jLC
To be used as:
Front Depth THeight.
Sq. Ft. Cu. Ft.
Front Depth _Height,
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost
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.
DATEr ��� ,SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
SUBJECT
P
City of Fridley
19333
AT THE TOP OF THE TWINS
BUILDING PERMIT
_
i
p
REl S
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
'
".-'1,� CITY HALL FRIDLEY 55432
NUMBER
REV,
DATE
PAGE OF
APPROVED BY
•_--�
L 612-571-3450
910-F15
m
3/7/88
JOB ADDRESS 5925 - 5th Street N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
4
Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Don Ashlin 5925 - 5th Street N.E.
571-8838
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Panelcraft - 3118 Snelling Avenue South, Mpls.
721-6628
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 j1 ADDITION ❑ ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 12' x 14' Three Season Porch Addition and a 6' x
22' Deck Addition
9 CHANGE OF USE FROM TO
STIPULATIONS
See plans for stipulations
SEPARATE PERMITS REQUIRED FOR
WING, 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
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
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
$4,400
$2.20
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
ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$50.50
S RUCTION ORTHE PERFORMANCE OF CONSTRUCTION.
PL N FEE
TOTALFEE
CHECK
12.63
$65.33
SIGNATURE OF CO NT CT OR OR AUTHORIZEDAGENT (DATE)
WHEN PROPERLY VA
4TED THIS IS YOUR ERMIT
•
SIGNATURE OF OWNER OF OWNER BUILDERI (DATEI
BLDG INSP
aT
w
NEW L
City of Fridley Effective 4/1/86
ADDN. R-1 AND R-2'
ALTER. I J Building Permit Application
Construction Address:Z� S'r` S7`• tiE`G
Legal Description:
Owner Name & Address:
oN A3HU�/ J3e�ae-c>-_ _ Tel. #
Tel. # Zz/6�zb
Contractor:
Address: 3((s, > 141L `' l
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEHENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width A0 zZ ' Hgt/Grou 19u Sq. Ft. -
Z z .&P -03 '14 444 1_&&403 Z9�4%
0��.`3s�. � I x
Corner Lot [ ] Inside Lot [1X] Ft. Yd. Setback Side Yard Setback
Type of Construction: L"D Estimated Cost: $ '140
Approx. Completion Date: A -2,01 -Aa.
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: 3Alla APPLICANT: Tel. # n(6628
CITY USE ONLY
Permit Fee $ 'S5.so Fee Schedule on Reverse Side
Plan Check $ Q.62) 25% of Building Permit Fee
State Surcharge $ •� $•50/$1,000 Valuation
SAC Charge $ $ 659 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ _
TOTAL $ , 3� Agreement Necessary [ ] Not Necessary [
STIPULATIONS:
i
SUBJECT
PER -_
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
2 2 3 2 3
�• _ COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC.
r
i -.-• A ,.; CITY HALL FRIDLEY 55432
L J` 612-571-3450
RECEIPT NO.
NUMBER
910-F15
REV.
713/11/94
DATE
PAGE OF
APPROVED BY
10B ADDRESS 5925 5 Street NE
1 LEGAL
DESCR.
LOT NO.
9
BLOCK
4
TRACTOR ADDITION SEE ATTACHED
Bonny Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Daniel Ashlin 5925 5 Street NF 571-8838
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 O ALTERATION OX REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof HouTpar-nff
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED 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. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,350
.68
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$33.00
Fire SC $1.35
PLAN CHECK FEE
TOTAL FEE
TUREOF ONTRACTORORAUTHORIZEDAGENT IDATEI
-�,��{�
HEN PROPERL V LIDATED THIS IS YOUR PERMIT
2 3�i�-gy
INSP I)ATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEIBLDG
NEW [ ] Effective 1/1/94
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND' R-2 �7 �3
Building Permit Application
Construction Address: j 9 cD S � 4-n S+
Legal Description:
Owner Name & Address: ��,n i I Sh �, n Sc1aS S _ Tel. # S-71-8&38
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
MN LICENSE #
Tel. #
Attach to this application, a Certificate of Survey of the
lot; with tate proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
j gth Width Hgt/Ground
11 L- i?o exi X10 \.A s� c). n d 0, R e s
lege-0�-f
Sq. Ft.
Sq. Ft.
Sq. Ft.
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction:
(l S P h r) I t
Estimated Cost: $
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed:
+ 6 Ft = Ft x $ _ $
DATE: '3- 1 )- 9 J -i
C\Ft.
APPLICANT:
Tel. # 51)
CITY USE ONLY
Permit Fee
$ 3-3. 00
Fee Schedule on Reverse Side
Fire Surcharge
$ %.
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$800 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$
STIPULATIONS:
SUBJECT
P
City of Fridley
;272 15
AT THE TOP OF THE TWINS
BUILDING PERMIT
`
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
� PROTECTIVE INSPECTION SEC.
r �
1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
�'"""ilk,
612-571-3450
910415
8/17/98
JOB ADDRESS 5925 5th Street NE
T LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
4
Bonn Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Daniel Ashlin
571-8838
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
PEM Millwork of MN Inc. 5671 International Pkwy New
-
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 jk REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Windows
9 CHANGEOFUSEFROM TO
STIPULATIONS
Install smoke detectors to meet the State Building Code - in each
sleeping room and on each level of house.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$700.00
$.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PRO NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON -
R CTIO R THE F ANCE OF CONSTRUCTION.
$26.50
Fire SC tM $.70
PLAN CHECK FEE
TOTAL FEE
nr`
/
Lice— $5.00
2.70
Si NATURE OF CONTRACTOR O AUTHORIZED AGENT (DATEI
HEN ROP VALIDAT
A.
B G )NSP
THIS IS YOUR PERMIT
7
GATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
;J/e
Effective 1/1/98
Legal Description: 1 U
Owner Name & Address: e' -n I J S ! ,n Tel. #
Contractor: F— V 1 %� ;) ®r' % MN LICENSE #
Address: c5(�`]/))��A I� 1,4J/.1 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:
p1 a
Construction Type: b) )'n J0 c) -'s
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
DATE: D l -7-
Estimated Cost: $ 700, 00
(Fee Schedule on Back)
Ft x $ = $
APPLIC �; Tel. #
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
C;?6-YO
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
S
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
_
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$
STIPULATIONS:
SUBJECT
IT NO.
City of Fraley
27 3 6 7
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
NO.
COMMUNITY DEVELOPMENT DIV.
16 >r -------
r PROTECTIVE INSPECTION SEC.
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
010415
8/24/98
JOB ADDRESS
5925 5th STreet NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
4
Bonn Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Dan Ashlin
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Moe-0sum Constr Co 12800 Country View T.n %irnquillp
MW 55317 894-8552
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 Ia. REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Call for building wrap inspection before covering.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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 Y OT ER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR PE F RMANCE OF CONSTRUCTION.
$87.25
PirAl qr s3 -7o
. , �z
PLAN CHECK FEE
TOT FEE
SIGNATURE OF CONTRACTOR OR AUTHAISRIZED AGENT IDATEI
VALIDA D HIS IS UR P R I
5HENoMOPR
SP
0 E
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW - I ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: g !� /TJ` or. A). — C
Legal Description:
Owner Name & Address: _/y j¢S Z Tel. #
Contractor: (fDA9^5 DOA) CQ MN LICENSE #
Address: L Q 6W2 t eY V/eG(/ G,J A/&5 -lam AW �7�33%`f el. #
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:
e�t - i2o0 30 SA. a 5'o 2-
- X200
Construction Type: Si a t r.. $ , Z 00 Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 2- z - APPLICANT: a Tel. #
TOTAL
STIPULATIONS:
$ �-7. To
CITY USE ONLY
Permit Fee
r
$ $22 5
Fee Schedule on Reverse Side
Fire Surcharge
$ '3 .%0
.001 of Permit Valuation (1/10th%)
State Surcharge
$ S
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ . C26
$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:
$ �-7. To
SUBJECT
P
City of Fridley
28045
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
• _ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
&r
� � PROTECTIVE
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L J` 612-571-3450
910-F15
9/30/98
JOB ADDRESS
5925 5th Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
4
Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Dan Ashlin
571-8838
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Wellington Window & Door Co. 3938 Meadow -brook
-
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 a REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Window repla4cement
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling.
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
S0. 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
1 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
2812
$1.40
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
$74.75
Fire SC $2.81
PLAN CHECK FEE
TOTAL FEE
78.96
SIGNATURE OF CONTRACTOR OR AUTHORIZEO AGENT IDATE�
WHEN PROPERLY YAAIOATI-,p THIS IS YOUR PERMIT
SIGNATURE OF OWNER..F OWNER BUILOM DATE,
BLD .NSR
®rf/,
r,AIE
NEW I l
ADDN ` [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: c
Legal Description:
Owner Name & Address:
Contractor: W I r1
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
11::�th
MN LICENSE #
Attach to this application, a Certificate of Survey ofle
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Effective 1/1/97
Tei. #
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: W �N (� �- I L ce ODg R—+—
Estimated. Cost: $ JT (a ,
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
DATE:
APPLICANT:
Permit Fee $ y�S
Fire Surcharge $ 02 ,
State Surcharge
SAC Charge
License Surcharge $
Driveway Escrow
Erosion Control
Park Fee $
Sewer Main Charge $
(Fee Schedule on Back)
Ft :x $ _ $
Tel. #
CITY USE ONLY
Fee Schedule on Reverse. Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$950 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 [ ]
TOTAL%j,q6
STIPM-A-HONS:
SuBjECT-PERMIT
NO.
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
� PROTECTIVE INSPECTION SEC.
r �
1 . �
I="'1 CITY HALL FRIDLEY 55432
It""R,
NUMBER
REV
DATE
PAGE OF
APPROVED BY
%'' 763-571-3450
910415
10/23/03
!OB ADDRESS 5925 5 Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
4
1 Bonny Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Dan & Jean Ashlin 5925 5 Street NE
763-571-8838
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Custom Remodelers Inc 474 Apollo Drive,
Lino Lakes, MN 55014 651-784-2646
e ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
1748
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION J] REPAIR 0 MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace sliding door within existing opening
9 CHANGE OF USE FROM
TO
STIPULATIONS
Provide smoke detectors in all sleeping
rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all
exterior openings.
P CR Inspectiallcare
To eroflr To POE
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
SO. FT
CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ORWORK 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
@
$1.03
WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT
$2,061
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
$83.25
Fire SC $2.06
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
ceps SC $5.00
1 $91.34
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 'DATE-
HEN PROPERLY VALIDATED THIS IS VO 4 R PQRM T
[1q`u
S-GNATURE OF ONER,.F OWNER BUILDER. iDATE�
W
L G I\NASSmoo,\,
r)AAfft
NEW [ l CITY OF FRIDLEY
ADDN ( ]
ALTAR [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 5 q a5 " otoY�
Effective 1/1/99
Legal Description: p�
Owner Name & Address: Tel. # 3 g
MN LICENSE # 17 t S'
Contractor:
Address: r6 Tel.,n h [ 7�'qb Lf 16
4Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length _ Width Height Sq. Ft.
GARAGE AREA: Length Width Height _ Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: ,
Construction Type: �Es . mated Cost: $ 6 MoD
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: ' Ft. + 6 Ft = Ft x
h
DATE: �a (`D� APPLICANT: Tel. #
TOTAL 1-91.3
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
g I!)
Fee Schedule on Reverse Side
Fire Surcharge
$ �,0
.001 of Permit Valuation (1/10th%)
State Surcharge
$
d 0 J__$.50/$1,000'Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$
(5.00
$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 1-91.3
STIPULATIONS:
Engineering
LOAD LIMIT
Department
MODIFICATION APPLICATION
�ag
Permit No.0%:) I0 %6 513
763-572-3551
CITY OF FRIDLEY
Received By:v
763-571-1287 fax
EFFECTIVE 1/1/2010
Dat=:MA
APPLICATION DATE: �_ ' -'� YOUR E-MAIL ADDRESS:
THIS APPLICANT IS: ❑ HAULER $,PROPERTY OWNER
PROPERTY OWNER: C/ / / l pr e2l �is/ -75-5-- 6 677
JOB ADDRESS: _57
MATERIAL TO BE HAULED:
DATES TO BE HAULED (UP TO 3 DAYS): ,7 -3.0
THIS PERMIT IS ISSUED TO ALLOW AN INCREASE OF AXLE WEIGHT FROM FOUR (4) TONS PER
AXEL TO FIVE (5) TONS PER AXEL OVER THE FOLLOWING DESIGNATED ROUTE:
S
NOTICE: This permit is valid only for vehicles enroute to construction address during the hours of 8:00 am to
5:00 pm. See Resolution #01-2004 and State Statute Section 169.87
PERMIT MUST BE IN VEHICLE WHILE HAULING ON ESTABLISHED ROUTE.
NUMBER OF LOADS
$25 per load
PERMIT FEE $ Z5, y
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a load limit modification permit and I acknowledge that the information above is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Fridley. I understand this is not a permit but only an
application for a permit and hauling on rests roads is n t to start without a permit.
SIGNATURE OF APPLICANT PRINT NAME DATE
71
APPROVED BY DATEz /O
COPIES GIVEN TO POLICE ❑ INEERING
City of Fridley
Engineering Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3551
FAX: 763-571-1287
p Ce. ,,Zb - Z c /
E
16