PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
.01 Date: ..........�.'... ........ ....
Owner .......................................
Address ......................................
N® 3292
Builder .. .... Y .. 4AXt,`�,
Address .............................................
LOCATION OF BUILDING
No. !� . Street .. .... r ...................... Part o t ............. .......
. . ... .....
Lot ....... Z.—.. Block ....... „ Addition or Sub -Division ....... .. ..�
Corner Lot ............ Inside Lot ...�..... Setback ...4V... Sideyard A) ..�..f.....
DESCRIPTION OF BUILDING
Toliq Used as:
......
...>�
.......... Front Depth .. � � Height ........ Sq. Ft/Q. Cu. Ft ....... .
.................... nt ..........Depth .......,,. ff Height A ...... Sq. Ft....... Cu. Ft........ .
Type list. cost./T. 21� �... .... To be Completed .%�' :.. ... .
of Construction ... .... ... ..
F
,
A�
r
In consideration of the issuance to me of a permit to construct the building de a ve, I agree to do
the proposed work in accordance with the description above set forth and in comp - ance all provisions of
ordinances of the city of Fridley.
j�
In consideration of the payment of a fee of permit is herebi graded
......................... to construct the building or addition as described above. This permit is granted upon
the express condition that the person �o 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.
........ .. 13 ding Inspector
NOTICE:
I This permit does not cover the construction, Instailatlgn or alteration for wiring, pltubing, gas heating,
sewer or water. Be sure to see the Building Infector- fdr separate permits for these Itema
11
l
City of Fridley, Minn.
BUILDING PERMIT N°4 6 4
Date: _-' .
Owner: Builder --_.—_--
Address _ _ + Address r -----------
LO'r-Alpp 1` BUILDING
No.uw Streets _.. _ Part of Lot
Lot —.__ Block—. Addition or Sub- ' on .
Corner Lot __ _ _ _ Inside Lot _ hack ideyard __ _
Sewer Elevation Fo dation Elevation _
DESCRIPTION OF BUILDING
T
Front Depth, Height S q. Ft. Cu. Ft.
Depth He rht Sq. Ft. Cu. Ft.
Type of Construction .Est. cost -y To be Completed
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the proposed work in accordance with the description above set forth and in compliance with ail. provisions of
ordinances of the city of Fridley.
df
In consideration of the payment of a fee of $��, permit is hereby granted to—
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. '-n - n
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, Bas heating, sewer or water. Be sure to we
the Building Inspector for separate pennhs for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name z�� �= 4 4 Wry Builder
Address
u� �� S f ,. �1l �._ Address �^ �-
LOCATION OF BUILDING
No. Street Sf r - Part of Lot
�3 �n� 7 j�i¢4
Lot e� Block o�, Addition or Subdivision
Corner Lot Inside Lot Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
cj '4 P, Front f7bepth Z Height /�
Sq. Ft. 1$—o2 8 Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction 1—/ra4 "l Estimated Cost ®� �--
To be Completed J T P 7-6,-77 13 0k --
The undersigned hereby makes application"for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representations
stated in this application are true and correct.
DATE / SIGNATME
(A Schedule of Fee Costs can be found on the Reverse Side.)
•
City of Fridley, Minn. N° 8463
BUILDING PERMIT
Date: SEPTEMBER 16, 1965
Owner: ARCHIE LAM Builder VERNON JENSEN
Address 5964 v 5th St. N. E. Address 501 E. 102nd Street
Fridley 21, Minnesota
LOCATION OF BUILDING
No. 5964 Street 5th Street N. E. Part of Lot
Lot _ __ Block -- Addition or Sub -Division ._
Corner Lot _ Inside Lot Setback —_ Sideyard
Sewer Elevation ` — Foundation Elevation
To be Used as:
Type of Construction
DESCRIPTION OF BUILDING
Front Depth Height _ _ Sq. Ft. Cu. Ft
Front Depth Height Sq. Ft. Cu. Ft.
Fst. Cost _ 15 000.00 _– To be Completed
0 STORM REPAIR REBUILD HOME
•
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 t Wirth and in c�npliance with ail provisions of
ordinances of the city of Fridley. / //
In consideration of the payment of a fee of It 10.00 permit is hereby granted to VERNON JENSEN
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 pert thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota rega location, construction, alteration, maintenance, repair and moving of buildtflgs
within the city limitssia permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
ALLEN G. JENSEN
NOTICE:
U& pennh don not corer the condrucHm, IasuWan for wiring, phm6ln8, on hoetwo, www or water. Be are to ne
the Buihihig hup eter for apmft permits for thea items.
APPLICATION FOR BUILDING PERMIT
CITY OF-FRIDLEY, MINNESOTA
OWNER'S
NAME
BUILDER
ADDRESS
��//.
�.
ADDRESS O
LOCATION OF BUILDING
NO, STREET PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDE•YARD
SEWER ELEVATIONFOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCR.
To be used as: �—
Sq. Ft.
ki
Height
Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost O'er
To be completed_
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct,
(Schedule of Fee Costs can be found on the Reverse'gide).
�� l J
SUBJECT
PERMIT
City of Fridley
21874
AT THE TOP OF THE TWINS
BUILDING PERMIT
N
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
I —7 b
r
CITY HALL FRIDLEY 55432
NUMBER
REV
PAGE Of
APPROVED BY
612-571-3450
910-F15
JDATE
5/25/93
JOB ADDRESS 5964 5th Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
2
2
Bennett Palmer SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Archie Lahti 5964 5th Street NE 571-3062
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
8 DESCRIBE WORK
Reroof House & Garage (22 Squares) 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
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 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
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
$1188
$,59
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$29., QQ
Fire SIC $1.19
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION,
PLAN CHECK FEE TOTALFEE
$30.78
SIGNATURE OF CONI RACTOR OR AUTHO ED AGENT MATE
Ems: O RLY V UDA D THIS IS YOUR PERMIT
�.:- �l4TE�.�
s= Z
BLDG VJSP MATE
SIGNATURE OF OW NER IIF OW NER BUILDERI ID
NEW [ ]
ADDN [ ]
ALTER[]
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Effective 1/1/93
Construction Address:l
Construction
Width
Height
Sq. Ft.
Legal Description: 4
Width
%3 ir 4-A XTl
/Of - 4,06,07a-1
Owner Name & Address:
Width
A �y
Tel. #
Contractor: - b
Address:
MN LICENSE #
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.
DECD AREA: Length
Width
Hgt/Ground
Sq. Ft. T
OTHER: /2r. -
Corner Lot [ ] Inside Lot [ ] Ft. Yd
Setback
Side Yard Setbacks
Type of Construction:
Estimated Cost:
! s
$
Approx_ Completion Date:
(Cost
on Back)
Driveway Curb Cut Width Needed: Ft.
+ 6 Ft =
Ft x $
_ $
DATE: v�l�-��! % APPLICANT: ��r�wE-
Tel. # -5- 7 s - d o9-,
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Park Fee
0
Sewer Main Charge $
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
to ,
NMI
Building
MECHANICAL
Permit No..
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rec'd:
763-5022r-4977 FAX
EFFECTIVE 7-1-2010
®
DATE C/ �i % ®T �%� [7 , e%®/T YOUR E-MAIL ADDRESS L Z�G Lt.. rico M
SITE ADDRESS - S 7ti _57— Acs A B
THIS APPLICANT IS: OWNER ❑CONTRACTOR
PROPERTY
NAME: '9�'/G /y / 'C-�j7L 7-/
OWNER/
ADDRESS: -T% G54- " 5 ;3^ 5.7 N JLCITY g l 4/-' � STAT911A/ZIP�
TENANT
-3
PHONE: 117ir 33 6-7 /— a G
CONTRACTOR
COMPANY NAME:
CONTACT PERSON:
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS: CITY STATE ZIP
APPLICATION
PHONE FAX
PERMIT TYPE
)DINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW j(REPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK /eIre L 1jC S -G- fJP O't a u! SVA% G-'�S
4/Yr�
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK �/ a o
rOAAA-4 1/G �l1Fw
Equipment Installed . � MFG: < 4 ?R �� Z MODEL: .S��M o /GSIZEBTU
r
MFG: C 9 R R /dc"? MODE Apia 91 SIZE/BTU OZ O D 0 ;u -r-
e- MFG: ol s /0 MODEL: G 3 B C Vy 710R SIZEBTU 02% nyt7 L -4T'
XA/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00
_AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00
_BOILER $35.00 YFURNACE $35.00 UNIT HTR $10.00
_GAS
CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00
TODUCT WORK $10.00 AS PIPING $10.00 VENTILATOR $15.00
Z9sf ST�
14�.9v'
.i gK4 q4
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n �
l� i, :T;,� 7i 6�-h �a" Y � � �, 4i �,�'$Y� KSS � 4 `f �' �i'� F'r� � Ay. 'E "i° � 3 'u�` r
]►�{i'�
401
�'2
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building 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 and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work which requ'res review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME q %,k G d/ 407/DATE v®w? 9 0
APPROVAL INSPECTORS SIGNATURE DATE
r Y F v
'Ka MS RIM 41
� City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
City of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
0 NEW HOMES/ADDITIONS ❑ EXISTTNG HOME 0 MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments MN Rule 1346 Sec. 501
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
4. Heat loss & cooling load per room
a. MN Rule 1322, Sec. N1104.4.13
5. Ventilation
a. Per MN Rule Chapter 1322. Sec. 1104
6. Duct Design Per IMC 1346.0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculations.
Building
PLUMBING
Permit No:1-Q
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rn
763-502-4977 FAX
EFFECTIVE 7-1-2010
DATE Q4T ! BOO of 9. .2 10 J a YOUR E-MAIL ADDRESS AL of A e.
42� G o M
SITE ADDRESS 9 L y – .6- !2t s;;- ,Nc i t7t„aE y�
THIS APPLICANT IS: )!►OWNER OCONTRACTOR
PROPERTY
NAME: .40q -I 'IF E- Jr' I/It"I.4 r .1' 4 AfVT!
ADDRESS: _'T9Ce '7e— 5 �• Si ME CITY O 2 A- IF Y STATE AIA/ZIP Jr;Y3 a�
OWNER/
TENANT
PHONE: C7G 3 J 6 -7 e- oZ
CONTRACTOR
NAME:
STATE LICENSE #
EXP DATE
SUBMIT A COPY OF
YOUR STATE
LICENSE, BOND AND
STATE BOND #
EXP DATE
CERTIFICATE OF
ADDRESS: CITY
STATE ZIP
INSURANCE
PHONE FAX
PERMIT TYPE
10 SINGLE FAMILY O TWO FAMILY O TOWNHOUSE
TYPE OF WORK:
O NEW Z.REPLACEMENT
DETAILED DESCRIPTION OF WORK nC19A,4 C ff_ A;�X 5is T,enZ-Cr
/46f 7- G&s
l.✓�1 ?'A/! , if �02 Tail•
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE
$35.50.
BATH SINKR AV DRAINS _ SHOWER
_ WATER PIPING
_ _FLOOR
BATHTUB GAS PIPING (NEED CITY LIC) _ SWIMMING POOL
_ WATER SOFTNER ($35)
_ _
WASHER KITCHEN SINK_ WATER CLOSET
BACKFLOW PREY. ($15)
_CLOTHES _
LAUNDRY TRAY ATER HEATER ($35)
_
FOR IRRIGATION
—DISHWASHER _
WATER METER
OTHER
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THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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 and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance
with the approved plan in the fjxl work w 'ch es review and approval of plans.
/e�oZ �O
SIGNATURE OF APPLICANT ��ii�.f : PRINT NAME �} RG h�/�
/9//�%/DATE 9
APPROVAL INSPECTORS SI
N
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977