PRE 2010City of Fridley, Minn.
BUILDING PERMIT N® 3590
Date: .. !..� . / r �..........
owner....................................... Builder ...........................
Address ...................................... Address .............................................
LOCATION OF BUILDING
No. .400P.0.. Street ..... Z ....... Part of Lot ............ .
Lot ... .. . Block ............. Addition or Sub -Division .. .. ... .......
.. .. . ... . .
.. Inside Lot ............ Setback .�.. ti . Sideyard `o a
Corner Lot...... ../ .......................
DESCRIPTION OF BUILDING
To be Used as:
ld
..,. ....... Front ..�..
O Depth .�T. `� �. ti Height [ .lam' rte.. r Sq. Ft. . (a ®.. Cu. Ft. �O
. . Front . / 34' "Depth Heiigcgg�ht <.W :. Sq. Ft. 421. � . Cu, Ft. 07Y.? ()
J
Type of Construction ................... Not. Cost. �j � L . / �.9.. To be Completed ..............:... .
s
In consideration of the issuance to me of a permit to construct building desribed above, I agree to do
the proposed work in accordance with the description above set fo and in comp11 with all pr6visions of
ordinances of the city of Fridley.
.1(.....................................;
In consideration of the payment of a fee of permit is hereby grained 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.
.. ............ 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 Insgecfr,or for separate permits for these Items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name e .,, Builder s L-
Address C� c;o t T.- ov - Address
LOCATION OF BUILDING
No. 6 v c>Street . T ST vim'"c Pert of Lot %. ,%,F p r�►
tot Block. Addition or Sub.Div. ,
Corner Lot side Lot Set Back Sid 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:
z ,. Front
Sq. Ft. ..cu. Ft.2 -=z,
Front Depth Height
Sq. Ft. Cu. Ft,
Type of Construction�; � r:» t 5'r&�O -- Estimated Cost
To be completed 1 : ir'Put,
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 represents -
tions stated in this application are true and correct.
I-4
�� `�-� a SIGNATMM �- -Q ,
NATE l
- e r'
(A Schedule of Fee costs can be found on the Reverse Side.)
•
City of Fridley, Minn.
BUILDING PERMIT
Date: July 20, 1965
Owner: HOWARD BONIN Builder EICHER & WICHTERMAN
Address 6000 - 5th ST. N.E. Address 3801 Hampshire No.
Fridley, Minnesota
LOCATION OF BUILDING
No. 6000 Street 5TH STREET N.E. _ ____ Part of Lot
Lot - Block Addition or Sub -Division ___ _
Corner Lot _ Inside Lot
Sewer Elevation
To be Used as:
Front _._.
Front —.
Type of Construction
Setback Sideyard
____ Foundation Elevation
DESCRIPTION OF BUILDING
N°
Depth Height Sq. Ft. Cu. Ft.
Depth Height Sq. Ft. Cu. Ft.
Est. Cost _ 1.t-000-00 __ To be Completed
REBUILD DUE TO STORM DAMAGE?
8237
RAAUEST PERMISSION TO EXTEND GARAGE 21 AHEAD OF HOUSE MAKING A 331 SETBACK
INSTEAD OF A, 35, SETBACK.
APPROVED BY COUNCIL ON JULY 29, 1965
In consideration of the issuance to me of a permit to constrn the building described above I agree to do
the proposed work in ac eordance with the description above o compliance 11 afl provisions of
ordinaao� of the city of Fridley.
47
In consideration of the payment of a fee of $,-IQ*00 , permit is hereby granted to HOWARD BOPM
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
Edley,nan city limits and this permit may be revoked at any time upon violation of any of the provisions of said
NOTICE:
ihho perm* den not carer the condree0w, la ugWon for Wig, phmb:ng, gn hosting, sower or wdw. Be sure to ne
the BWM[ng lespntar for seperde pww is for thus kens.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA:
OWNER'S NAME ��
ADDRESSD��
�''�
yr / d/
BUILDERC�/
ADDRESSJ (I/
) �,
e�
LOCATION OF BUILDING .. ,
N0. STREET PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION
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
,qt,
To be used as;
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth, Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost �7�
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.
DATELXv
(Schedule of Fee Costs can be found on the Reverse Side).
44 0
U•
Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ........................... $10.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 .................. 6.00 $
Repairs & Alterations each add. $500.00 ..... ......... 3.00 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 ...... I ....... 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam .................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $
OIL BURNER—to 3 gal. per hour ........................ 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) .......................
5.00
$ -�Q®
over 199,000 BTU See Fee Schedule
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
x$ 2.00
$—®�
Additional Fixtures ................
x .75
$
Gas Range to 199,000 ...........
x$ 5.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM See Fee
Schedule
VENTILATING SYSTEM
$
ALTERATIONS &'REPAIRS
TOTAL FEE
$ ®®
ROUGH
FINAL
Dept. of Bldgs. Phone M-3450
City of Fridley:
The undersigned hereby makes application for a permit for the work hereir.
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.
Fridley, Minn_ 19 (o�
Owner�.-,�/
Kind of Building �"'�'`�PS
Used as
To be completed about
Estimated Cost, $ % ��� L r
eg—New. Building Permit No. Permit No. 7
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load-9IL444/ �� Kind of Fuel
BURNER — Trade Name %�d2 %s�2Gt / Size No
Capacity,_ � � Sq. Ft. E.D.R s;M BTU H.P.
(REMARKS—OVER)
Business Phone No-
- >
63_84_879001 CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
Fixtures
Eliture Fixture Opening
New Fixture, Old Opening
CatCh Basin
:rater :eater - to 99,000 BTU
iJJ,000 B -J to 199,000 BTU
Water Softener
New Ground R:sn Old Building
Electric Hater Heater
GAS PITTING FEES:
1st 3 fixtures
Additional Fixtures
Cas Range to 199,000 BTU
REPAIRS & ALTERATIONS
First $100.00
each add. $100.00 or fraction
RATE
x
$3.00
x
v�
X
$2.00
>•
w
x
q
x
o
x
X
d
$5.00
Water
e
a
n
1s
+ro+
a
ro
m
a
.a0i
ro $4
�
w
�
Heater
o
•-i
�+
•,
Q
r.
C
W
E
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U
1�
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8 a
a
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ro n
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i
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I
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i
Ll
(R) m Fixture Connection Opening
- ... ,
Connected with Sewer
(') - New Fixture, Old Openina
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
Fixtures
Eliture Fixture Opening
New Fixture, Old Opening
CatCh Basin
:rater :eater - to 99,000 BTU
iJJ,000 B -J to 199,000 BTU
Water Softener
New Ground R:sn Old Building
Electric Hater Heater
GAS PITTING FEES:
1st 3 fixtures
Additional Fixtures
Cas Range to 199,000 BTU
REPAIRS & ALTERATIONS
First $100.00
each add. $100.00 or fraction
RATE
x
$3.00
x
$2.00
X
$2.00
x
$5.00
x
$5.00
x
$10.00
x
$7.00
x
$5.00
x
$5.00
x $3.00
X $1.00
X $10.00
State Surcharge
TOTAL FEE
REI.tiSPECTIOv FEE
($10.00)
$S.00
$2.00
TOTAL
Job Address 6000 NE 5 Street
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work hers n
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Depart --ant of Buildings, and hereby declares that all
the facts and representations stated in this application are true and ccrrect
Fridley, Mn. 4-13-81 , 19
OWNER HERBERT
KIND OF BUILDING frame
USED AS - res.
TO BE COMPLETED ABOUT 4-20-81
ESTIMATED COST 50.00
OLD - NEW BUILDING PERVIT NO. PERMIT P.O.
Company
MINNIEGASCO
Signed By
Tel. No.
ROUGH INSP.
Date
FINAL INSP. 11 - 7, '1- S' I
Date
APPROVAL FOR PERMIT its
MINIMUM FEE FOR ANY PLUMBING P^EMM IS $7.50 PLUS $.50 STATE SURCirIARGE
63-8b-879001 CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
e
?LUJ S- IXG FIXTURE RATES: ATO.
N
y
5=.!�er Fixtures
u K
ar
$
Water
`^u
$2.00
$
New Fixte.re, Old Opening
x
E
C a 0
A
N
3+ p, w
ro
�
Nater -eater - to 99,000 BTU
Heater
1,.+
.moi
4
1�3, = B_J to 199,000 BTU
r.
C
C7
$
d J0
$4
S C
U .0
\es+ Ground 3-1-:n Old Building
N
$5.00
$
Ziectrie hater Heater
Le !� .�
$5.00
$
••+
JAG
=
e e 3
O
U •� 4
6 .0 U
e
0 Ll C
+i
J
0
c
V.
..7 O
O
L
u N. N N
N
4
N v U
.7
G
C
til
3
14 o f
O i. VI
-4
k.
e h
U Q:
a (do
4 s U .e.
as
lee
tanie
!=nd
(R) = Future Connection Opening
Connected with Sewer
(e) - New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
?LUJ S- IXG FIXTURE RATES: ATO.
RATE
TOTAL
5=.!�er Fixtures
x
$3.00
$
Puture Fixture Cpenirg
x
$2.00
$
New Fixte.re, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Nater -eater - to 99,000 BTU
x
$5.00
$
1�3, = B_J to 199,000 BTU
x
$10.00
$
Water So=terser
x
$7.00
$
\es+ Ground 3-1-:n Old Building
x
$5.00
$
Ziectrie hater Heater
x
$5.00
$
GA FITTIXG FESS:
1st 3 fixtures x $3.00 $
Additional Fixtures x $1.00 $
Gas Range to 199,000 BTU x $10.00 $
t.?a:RS & ALTERATIO\S
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 $
State Surcharge $ .50
TOTAL FEE $ 8.00
REINSPECTION FEE
($10,00)
Job Address 6000 NE 5 Street
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a pe=it for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Depart --ant of Buildings, and hereby declares t, -.at all
the facts and representations stated in this application are true and ccrrocz
Fridley, Mn. 7-8081 , 19
(74NER Herbert
KIND OF BUILDING frame
USED AS res.
TO BE COMPLETED ABOUT 7-15-81
ESTIMATED COST 50.00
OLD - NEW BUILDING PER✓.IT NO. ?ER•MIT NO.
ROUGH INSP.
Date
Coapan)C Re
���
Signed ByBy MlNbir=QA6rh
Tel. No.
FINAL INS?. l -I- ^ 7 - g-3
Date
APPROVAL FOR PERMIT 4,
MINIMUM FEE FOR ANY PLUMBING PZW= IS $7.50 PLUS S.50 STATE SUR=.MRGE
SUBJECT
P IT NO.
City of Fridley0---,7967
_
AT THE TOP OF THE TWINS
BUILDING PERMIT
i �
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
1&&5
r PROTECTIVE
-3
1
I�
/---I CITY HALL FRIDLEY 55432
%j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/13/85
JOB ADDRESS 6000 - 5th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
5
3
Bonny Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Michael Herbert 6000 - 5th Street N.E. 571-3142
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 X] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Enclose Garage OCA-7- 7b %vwlt. 4e,-,q . e' R Mwe_ CAZAG6. &
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEPARATE PERMITS REQUIRED Ma
WIRING, HEATING, PLUMBING AND SIGNS.-
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUJMBING, 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
]
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
$4000
$2.00
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-
$44.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$46.50
SIG I T E OF CONTRACTOR OR AUTHIOFYZED AGENT IDATEI
WHEN PROPERLY (DATED THIS IS YOUR PERMIT
BLDG (NSP nATE
IGNATUREOF NE IIF OWNER UILDERI ID EI
NEW
[
] City of Fridley Effective 4/1/84
ADDN.
[
] R-1 AND R-2
ALTER.
[
] Building Permit Application
Construction Address:D®D- -4h AAE'_
Legal Description: +� 0 S
Owner Name a Address: ��' Tel. # Jam" �.3/ 51Z,
Contractor: ����e� �7�'�i�er Tel. #
Address:
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 __.�3_0 Width 1 , �O " _ Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: /
Corner Lot Cv Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
o-tl
Type of Construction: �nyP. G�Q�'G19P� Estimated Cost: $ �OOCJ
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: - �� APPLICANT: Tel. #
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Hain Charge
TOTAL
STIPULATIONS•
CITY USE ONLY
C�
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
10
A
L
-kN ?
M
�- 7 "BAY w -N d 4
04
O/' x , S-'
b
ID
SUBJECT
PERMLT .
City of Fridley
G 1813 9
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
I�
C
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
F;GE Of
APPROVED BY
612-571-3450
910-F15
8/1/85
/
JOB ADDRESS 6000 - 5th. Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
5
3
Bonny Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Michael J./Sharyl M. Herbert 6000 5th Street N.E. 571-3142
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
11 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE REMOVE
8 DESCRIBE WORK
Construct a 2V x 30' Detached Garage and Remove Existing Detached Garage
9 CHANGE OF USE FROM TO
STIPULATIONS provide a hard surface driveway.
`?Aiil N I�' SEPARATE PE
Before digging:gall local utilities WIRING, yEAT REQUIRE®
TELEPHONE
AGI rs
=r - GAS Etc. , PL F
UMgING
AND R E (f 1 'BY CAW ND 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 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
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
$8776.80
$4.39
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$74.50
PLAN CHECK FEE
TOTAL FEE
$78.89
SIGN ITU E OF CONTRACTOR OR AUTHOR ZED AGENT IDATEI
WHEN PROPERLY LIDATED THIS IS YOUR PERMIT
�yg
51UNATU RE OF NE I IIF W ER BUILDER] IDATEI
BLDG INSP IfjA E
NEW [V] City of Fridley Effective 4/1/84
ADDN. F R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address
Legal Description:
Owner Name & Address: �,�G�O/� �b��f ( Tel. #
Contractor: Tel. # h
Address:
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
2
_ Width 30
Height
Sq. Ft.
DECK AREA:
Length
Width
Hgt/Ground
Sq. Ft.
OTHER:
aYi'101Ie
lr �l�!!� /� )C r� O Q/.1
&/
�f
Corner Lot [�]
Inside Lot [ ]
Ft. Yd. Setback
Side
Yard Setback
Type of Construction: aeu) L� - Estimated Cost: $
Approx. Completion Date: 004-.
Proposed Driveway Width If New Opening Is Desired:
DATE: 'I- g 5-
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Alt. A Alt B
$ $
See Back Page for Explanation
APPLICANT: (.%Y Hp fir' % Tel. # s!O-3/z/4
CITY USE ONLY
'!�jI[�Q
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
Gas Piping-> t t6 C,' �-
(piping needth ne urnace)
Gas Range
Gas Dryer
* Air Conditioning (all sizes)
All Others/Repairs and Alterations
18 of Value of Appliance or Work
RATE
$ 20.00
$ 10.00
$ 10.00
$ 10.00
$ 10.00
TOTAL
$
$ f
COKMERCIAL/ INDUSTRIAL
1% of Value of Appliance or Work $
State Surcharge $ .50
TOTAL FEE $
Reinspection Fee ($15.00)���
Rough Insp.
Date
Final Insp.
Date /
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00
PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Job Address j�- (70 0
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
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.
9 Fridley, Minn. — -:2 , 19 F<.i
OWNER
KIND OF
USED AS
TD BE COMPLETED ABOUT / f S —'X C-'
� ca U
ESTIMATED COST G
OLD NEW BUILDING PERMIT NO. PERMIT N0.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air -No. C' �. �C77
Trade Name io ( ' 6 /JO/C) Zice
Capacity Sq. Ft. EDR& Q&l BT[�/�'-� �>, HP
Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Company _f_1�Ei2�o�iL/t tc-eR-t ,
Signed By
Tel. No. 5-3 7
Fill out back side for stack verification on replacement furnaces
SUBJECT
City of Fridley
2 71 1, 9
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
r
1
i V _ COMMUNITY DEVELOPMENT DIV.
V ����
� PROTECTIVE INSPECTION SEC.
�y�/�
Gj(0,0/
r �
NUMBER
REV
DATE
PAGE OF
APPROVED BV
CITY HALL FRIDLEY 55432
�,�
L 612-571-3450
910415
18/11/98
JOB ADDRESS
6000 5 St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
3
Bonne Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Shar 1 Herbert
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Halek Roofing 6258 Eagle L535-8835
5010
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
B DESCRIBE WORK
Reroof house and garage (35STear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building 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
2919
$1.46
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROV NS F ANY OTHER STATE OR LOCAL LAW REGULATING CON-
ST CTIO O THE PERFOR ANCE OF CONSTRUCTION.
$74.75
Fire SC $2.92
PLAN CHECK FEE
TOT FEE
S
5.
4.13
SIGNATURE OF 100 NTRACTOR OR AUTHORIZED AGENT IOATEI
qAQPj09
VALID T THIS IS YOUR PERMf
04�fEN
BL INSP
4.A
ryATE
SIGNATURE OF OWNERIIF OWNER SUILDERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER SINGLE FAMILY [ ANDD LEXE R 1 AND 2
] UP S - R -
BUILDING PERMIT APPLICATION I q ()
ConstructionAddress:
Legal Description:
Owner Name & Address: S r R V'( -A (- A -eV bt�-y -
Contractor:
Address:
Tel. #
MN LICENSE # 50t 6)
Tel. # 573<T' �� ?`
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 1 Width Hgt/Ground Sq. Ft.
OTHER:
o-�
Construction Type:_ "'w Estimated Cost: $�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: / (^ n/ (APPLICANT,/ Tel. #
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ L�.
Fee Schedule on Reverse Side
Fire Surcharge
$ ,)
.001 of Permit Valuation (1/10th%)
State Surcharge
$ &
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ 60
$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
$ 13
STIPULATIONS:
Building
PLUMBING
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
D '01 _ a
DATE YOUR E-MAIL ADDRESS
SITE ADDRESS Sawn as
THIS APPLICANT IS: ❑ OWNER j*ONTRACTOR
PROPERTY NAME: Tony Herbert
OWNER/ ADDRESS: 6000 5th Street Northeast TATE ZIP
TENANT Fridley, )', MN 55432
7635713142
CONTRACTOR NAME: .
SUBMIT A COPY OF STATE LICENSE #_ CJ EXP DATE
YOUR STATE ADDRESS' iC / CITY, /J /l STATE�6IP ffYO�
LICENSE WITH . PHONE 2— y03 FAX Z
APPLICATION
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
0 NEW /XREPLACEMENT
DETAILED DESCRIPTION OF WORK
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00; whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This.should_reflect only -the cost of labor)
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 =
~•FOR,PROJECTS WHERE LABOR EXCEEDS$500;FEES ARE BASED ON $10.00 PER FDITURE,-EXCEPT-VI RE'MTED.:F-D R.,M x,,41 NDIC-ATE TOTAL
NUMBER OF EACH BELOW)
— BATH SINK/LAV _FLOOR DRAINS _ SHOWER _ WATER PIPING
BATHTUB _ GAS PIPING (xmm crammst) _ SWIMMING POOL _ WATER SOFTNER ($35)
_ CLOTHES WASHER _ KITCHEN SINK_ WATER CLOSET _ BACKFLOW PREV. ($15)
_DISHWASHER -LAUNDRY TRAY ,_(_WATER DATER ($35) FOR IRRIGATION
WATER METER OTHER
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50
Number of fixtures @ $15.00 x $15,00 = $
Number of fixtures @ $35.00 x $35.00 = $ 36'.ao
TOTAL DUE $
State Surcharge = $ .50
Total = $ O
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' applic . n 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 1 o r uires review and approval of plan's.
000A, -1w
%
SIGNATURE OF APPLICANT PRINT NAME J e_Tr /f/,W 4r)o r DATE 0_4
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
Building
MECHANICAL
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received B
763-572-3604
CITY OF FRIDLEY
DIE B 1 09
763-502-4977 FAX
EFFECTIVE 1-1-08
DATE ' -9 -Oct YOUR E-MAIL ADDRESS
SITE ADDRESS oD n Tr ��► �-
THIS APPLICANT IS: 0 OWNER OCONTRACTOR
PROPERTY
NAME: o -kArk, 1z i
ADDRESS: 600,3 S�`"` ST eJ �� CITY -rj- STATE ZIP S5 q42
WNR/
PHONE: -7 63 -.5:71
CONTRACTOR
COMPANY NAME: -A a r
NOTE:
SEPARATE CITY
CONTACT PERSON: Ilk n e.% -e
STATE LICENSE # EXP DATE
LICENSES ARE
REQUIRED FOR GAS
AND HVAC.
ADDRESS: 1'9 X S L` 0- ` S1 - S v A,- `9 CITY
SUBMIT COPY OF BOND
PHONE P-� 17 - "72-4 -t 6 clq FAX 6 t Z -72_ 4 ' Zd t £z_,
AND INSURANCE
PERMIT TYPE
-���
UM GLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK:
0 NEW OX"LACEMENT 0 ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK;) Cy t -n C, i4
PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtimes. (This should reflect only the cost of labor )
OR
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
Equipment Installed MFG: C -- MODEL: t) O h O SIZE/BTU 0
MFG: MODEL: SIZEIBTU
MFG: MODEL: SIZE/BTU
A/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 VF[IRNACE $35.00 UNIT HTR $10.00
_GAS
CHIMNEY LINER $10.00 _GAS DRYER $10.00 HEATER $35.00
_POOL
_DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00
PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500
Permit $ v Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE 35.5o OR Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ 50
$15.50 MINIMUM $15.50 Total = $ X33
THIS IS APPLICA ON FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a mechanical permit and I ac e o ve is complete and accurate; that the work will be m conformance with the ordinances
and codes of the City of Fridley and with the I understand this is not a permit but only an application for a permit and work is not m
5�=
start without a permit; that the work will be in ith v an in the case of all work which review and approval of plans.
requires
SIGNATURE OF AP ANT PRINT NAME DATE Z Ci'0
APPROVED BY DATE
PLEASE NOTE: SEP PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK
City of Fridley
Building Inspections Department
6431 1 Jnivemity Avenue NF._ Fridley NM 55412