PRE 2010 DOCSi
r1
U
'ty of Fridley, Minn..
BUILDING PERMIT
•
N° 6565
z Q -7f
Builder
Address
t 9�2e__
OF BUILDING
No. Street k Part ofT At CL -4
Lot ---Block � Addition or Sub on
Corner Lot . _ Inside Lot _- tback r Sideyard
Sewer Elevation _ — Foundation Elevation
DESCRIPTION OF BUILDING
MCb"6 14&
. J 1, Front-// Depth Height ZO Sq. Ft. Cu. Ft. �
nt Depth_C'o� Hei�t Sq. Ft.Cu. Ft.
Type of Construction Fast. -�_.�---'- _ 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 ;11 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $. 7dY—= , 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 ]units and this permit may be revoked at any tupon vi
ordinances. O'9
f any of the provisions of said
/ �1,� /
Building Inspector
FN01nCE-.rmit does rot corer the coed. cdon, hotalidlon for wbm& plumbing, gas heating, .ower or water. Be sure to no
Inspector for soperate permits for these bens.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
I
Owner's Name Builder
Address_ V —�Address
fes..__.
d LOCATION OF BUILDING
°,�
No._Street S , „.,21 ,Part of Lot
Lot' ock 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:
may,. r �.• �. u�� bat. rt• t
FrontDepth Height
Sq. Ft. Cu. Ft.
Type of Construction_ stimated Cost 7 0o
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 ruling of the.Department of Build-
ings, and hereby declares that all the facts and representations
stated in this application are true and correct.
DATE / _SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
BUILDING PERMIT FEE SCHEDULE
Section 2. The Inspector of Buildings shall, before -issuing any
permit for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alterations
or repairs to any existing building or structure, upon application
therefor, require the payment by the applicant for such permit of
fees to the amount herein below set forth and in the manner herein
provided to -wit:
2.1. For any such permit for the erection of any fire -proof building,
other than a garage, warehouse, factory or grain elevator, or for the
erection of any fire proof addition, for similar occupancy, to any
existing building shall be at the rate of $1.40 for each one thousand
cubic feet, or fraction thereof, in such cubical contents.
2.2. -►For any such permit for the erection of any fire -proof garage, -
warehouse, factory or grain elevator, or for the erection.of any- fire-
proof addition,'for similar occupancy, to any existing building shall
be at the rate of $1.25 for each one thousand cubic feet, classified
as "fireproof" by Section 502 of the Minneapol s Building Code.
HOUSES
2.3. For any such permit for the erection of any non -fireproof build-
ing other than a garage, warehouse, factory or grain elevator, or any
non -fireproof addition, for similar occupancy, to any existing building.
Permit $1.00 for each one thousand cubic feet.
Y
GAGES
2.4. For any such permit for the erection of any non -fireproof
garage, warehouse, factory or grain elevator, or for the erection of
any non -fireproof addition, for similar occupancy, to any existing,
building or for each such building or addition. Ninety Cents for each
one thousand cubic feet or fraction thereof, in the cubical contents
thereof with a minimum of $4.00.
For the purpose of computing fees for building permits the cubical con-
tents of any building or addition to a uniform height throughout by
multiplying the ground area covered from a point six (6) inches below
the floor line. of the basement or cellar to the average height of the
upper surface or to the average height of the roof surface of the main
gable of a pitched roof.
2.5. For repairs or alterations to an existing structure, the fee
shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00)
or fraction thereof in the cost of all proposed work.
2.6. in no case shall the fee charged for any permit as set forth in
Sectiorr 2 -be less thariO4.00. 0
SUBJECT
O.
City of Fridley
? 12459
AT THE TOP OF THE TWINS
BUILDING PERMIT"
r
RECEIPT NO.
`L _ COMMUNITY DEVELOPMENT DIV.
INSPECTION
• _J
r PROTECTIVE .SEC.
1 . �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
`•'-'� � ,�� 612-560-3450
910-F15
3/15/741
w
JOB ADDRESS 6060 - 5th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
S3.23
3
Hyde Park Addition SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
HUD St. Paul, Minn.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Mel's Remodeling 2265 Cape Cod Placeg Minnetonka Minn.
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 EX ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK put on aluminum siding, inlaid floors, bathroom remodeling
9 CHANGE OF USE FROM TO
STIPULATIONS Caulk siding into butt strips.
SEPERATE PERMITS REQUIRED FOR
HEATING, PLUMDING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
R,-1
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
R-1
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
$S OOO.00
2.50
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-
$30.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
,� 3 �� ' %
PLAN CHECK FEE
TOTAL FEE
32.50
SIGNATURE OF CONTRAerOR OR AUTHORIZIM AGENT IDATEI
WHEN PROPERLY VALID EDT IS YOUR PERMIT
BLDG INSP DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
APPLICATION FOR RLSIDENTIAL, ALTERATION,
OR ADDITTON BUILDING PERMIT
CITY OF I-RIDLLY, M NNESOTA
OWNER IS NAME: BUILDER:
ADDRESS: / e ,ir_ MI/JJ Al ADDRESS :OUOle
`,r `►i!� �'� L.�
M IlIIV ��• r1�%� /i'1 I A%A�
STREET: GO e
: ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
buildixig location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As: 4LLkv11 �� ry �;� /oJL+Q i ✓, FLooP-S, 6J?T4R0()n1
)eibo&-L iK
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction:: � ��� Estimated Cost: $ Xry s c a
To Be Completed: j`w'r 7fe
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 ill the facts and representations stated in this application
are true and c orr,•c t .
DATE: J—'/s�'-77 S IC; NATURE:
(See Reverse Side For Additional Information.)
C) 0 / 71c- d' 7� 5 7- ��
J,,p � s�-7,
e
� -
v � S
a
c tl --p �/ ' 7
F IR
Y L
C 6 r -p
�r2-
uG Il L�.�
rl �,
S4Ar ..i 'H;' C', 40 u tc 0v -*.i
.0-00,
CITY OF FRIDLEY
Furnace Shell & Duct Work to 100,000 BTU
each add. 50,000 BTU
*Replaceaent of Furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500,00
STEV.4 OR HOT V.ATER SYSTE,1:
Boiler & Lines up to 100,000 BTU
each addn. 50,000 BTU
Boiler only up to 100,000 BTU
each"addn. 50,000 BTU
OIL BURNER- to 3 gal. per hour
each add. 3 gal. per hour
The undersigned hereby makes application for a permit for the work herein
$12.00 $ specified agreeing to do all work in strict accordance with the City Codes
4.00 $ and rulings of the Department of Buildings, and hereby declares that all the
7.00 pacts and representations stated in this application are true and correct.
7.00 ¢
4.00 ¢ Fridley, Minn. .Iuly . 19Z2-
OWIJER Lloyd's Home Improvement
$12.00
4.00
7. oq
P. QP
$1q-qA
• ;p_pq
GAS BURNER- from 100,000 BTU Po l�q,jjq PTR $,}p.pp
(over 199,999 BTU see Fee Sche4!4;ej
GAS FITTING FEES:
ls= 3 Fixtures 1 x $ 3.pp $ 3.00
Additional Fixtures X $ �,pA
Gas Pange to 199,QOQ ETV
AIR CONDITIONING
FAN HEATING SYSTEMS See Fee Schedule $
VENTILATING SYSTEMS ¢
ALTERATIONS 4 REPAIRS ¢
State Surcharge $ .50
TOTAL FEE
ROUGH INSP.
Date
FINAL INSP.
Y41.0 ,
APPROVAL FOR PERMIT S -,340 -rd
REINSPECTION FEE
($10.00)
MINZ
`:ZM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.SO STATE SURCHARGE
*Atta&.ed stack verification form
PND OF BUILDING Frame
pSEp As Residential
Tp p� FompTgTp popT End of June
F§TT? P.R cpsT $950.00
PSR ' NR P.qT RTNp FTMITT NQ. FERMTT NO. /)(0622
pESORTPTTON OF FURNACE/BURNER
11EAT1NG Ar $OE"T1±R FLAN$, Rfr=.u?, HQt YJatar, Warm Air- No. GUA 080
Trade NameFreidrich, Tempo Size No. __$0,000 BTU
C4P40ity Sq•, Ft. EAR BTU RO rnnn HP
Total Connected Load Kind of Fuel natural gas
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Company Northeast Sheet Metal
Signed By
Tel. No. 791-9776
t APPLICATION FOR
POWER PLANTS
AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
.
AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARIM AIR:
RATE
TOTAL ,lob Address 6060 — 5th St. N.E.
Shell & Duct Work
¢12,00
¢
*Furnace
Replace.:ent of Furnace
7.00
$
Repairs & Alterations -up to $SQ0.00
7.00
$
Department of Bu#•langs
Repairs & Alterations each add. $500.00
4.00
¢
Ctty of Fridley
Tel. #571-3450
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
each add. 50,000 BTU
*Replaceaent of Furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500,00
STEV.4 OR HOT V.ATER SYSTE,1:
Boiler & Lines up to 100,000 BTU
each addn. 50,000 BTU
Boiler only up to 100,000 BTU
each"addn. 50,000 BTU
OIL BURNER- to 3 gal. per hour
each add. 3 gal. per hour
The undersigned hereby makes application for a permit for the work herein
$12.00 $ specified agreeing to do all work in strict accordance with the City Codes
4.00 $ and rulings of the Department of Buildings, and hereby declares that all the
7.00 pacts and representations stated in this application are true and correct.
7.00 ¢
4.00 ¢ Fridley, Minn. .Iuly . 19Z2-
OWIJER Lloyd's Home Improvement
$12.00
4.00
7. oq
P. QP
$1q-qA
• ;p_pq
GAS BURNER- from 100,000 BTU Po l�q,jjq PTR $,}p.pp
(over 199,999 BTU see Fee Sche4!4;ej
GAS FITTING FEES:
ls= 3 Fixtures 1 x $ 3.pp $ 3.00
Additional Fixtures X $ �,pA
Gas Pange to 199,QOQ ETV
AIR CONDITIONING
FAN HEATING SYSTEMS See Fee Schedule $
VENTILATING SYSTEMS ¢
ALTERATIONS 4 REPAIRS ¢
State Surcharge $ .50
TOTAL FEE
ROUGH INSP.
Date
FINAL INSP.
Y41.0 ,
APPROVAL FOR PERMIT S -,340 -rd
REINSPECTION FEE
($10.00)
MINZ
`:ZM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.SO STATE SURCHARGE
*Atta&.ed stack verification form
PND OF BUILDING Frame
pSEp As Residential
Tp p� FompTgTp popT End of June
F§TT? P.R cpsT $950.00
PSR ' NR P.qT RTNp FTMITT NQ. FERMTT NO. /)(0622
pESORTPTTON OF FURNACE/BURNER
11EAT1NG Ar $OE"T1±R FLAN$, Rfr=.u?, HQt YJatar, Warm Air- No. GUA 080
Trade NameFreidrich, Tempo Size No. __$0,000 BTU
C4P40ity Sq•, Ft. EAR BTU RO rnnn HP
Total Connected Load Kind of Fuel natural gas
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Company Northeast Sheet Metal
Signed By
Tel. No. 791-9776
n
CITY OF FRIDLEY
APPLICATION FOR HEATING REPLACEMENT
CHIMNEY AND STACK VERIFICATION
THIS FORM MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM.
LOCATION
6060 - 5th St. N.E.
DATE
July,
1979
OWNER Lloyd's
Home Improvement
ADDRESS
1012 -
422 Ave. N E
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined
2. Is free from rust or deterioration
3. No foreign objects are lodged within
4. That it is securely supported
5. That it meets all current Code requirements
for size and total BTU connected
6. Total Heating BTU
All Other BTU
REMARKS
HEATING PERMIT #
TOTAL
X
X
X
SIGNED
Licensee
by Northeast Sheet Metal
Address 4347 Central Ave_ N.E.
Telephone —_7ft1 _977 F,
Fridley City License #
SUBJECT
PERM,
City of Fridley
19612
AT THE TOP OF THE TWINS
BUILDING PERMIT
_
r
R
' '
I rry_____ _ COMMUNITY DEVELOPMENT DIV.,
INSPECTION SEC.
p
r PROTECTIVE
1 �
= CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
7/27/88
JOB ADDRESS 6060 - 5th. Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3, Sig 2
3
Hyde Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ronald Neil 6060 - 5th Street N.E. 571-8718
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
8 DESCRIBE WORK
Construct a 14' X 12' Shed
9 CHANGEOFUSEFROM TO
STIPULATIONS
Shed to be at least 3 feet from side and back property line or off
any easement. Shed to be anchored by a foundation or tied down with ties.
SUARATE PERMITS REQUIRED FOR
VVIRIUC,, 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 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
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$670
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-
$19.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$19.50
URE OF CONTRACTOR OR AUT ORIZED GENT (DATE)
11
HEN P OP V LI A ED THIS IS YOUR PERMIT
_ a�-
BLDG INSP fiaTE
SIGNATUREOFOWNER(IF NER BUILDERI (DATE(
NEW [ ] City of Fridley Effective 5/1/88
AMN [ l R-1 AMID R-2
ALTER I ]
Construction Addr,
Legal Description
Building Permit Application
Owner Name & Address: _Kr)YYt (A 1 K)P i I 36-01E A 0199 E SS Tel.
Contr actor : Tel.
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposoed construction drawn on it to scale.
# w -v T
LMNG AREA: Length
Width
Height
sq. Ft.
GARAGE AREA: Length
Width
Height
sq. Ft.
DECK AREA: Length
Width
Hgt/Ground
Sq. Ft.
t�
moi. . A -A -F- STIED K1 A 12)
W, q' + == �2 /
Corner Lot I I Inside Lot
[K] Ft. Yd Setback
Side Yard Setbacks
Type of Construction: k)Oo°D
FP-AYr1lp
Estimated Cost:
5 Gid
Approx. Completion Date: 1B£QT S9
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
11 N
Width + 6' See Back Page
DATE : 1761 APPLIaw: � r/aAA � Tel. # S ? I-
�MYI► 1 `i •,,I 1
Permit Flee $ /9 OO Flee Schedule on Reverse Side
State Surcharge $.50/51,000 Valuation
SAC Charge $ $550 per SAC Unit
Driveway Escrow 5 Alt. OA O or Alt. 'B' Above
Park Free 5 Flee Determined by Engineering
Sewer Dain Charge $ Agreement Necessary I ] Not Necessary I ]
TOTAL 5 /G%-
^I IV) F. 40(s, ' M
MINDFAZIENGR4BERINCi COoivlNco J,
ENGINEERS AND SUR4/EYIOQ'.S
t. -.D •.,wvaYlwe
6416 - SC •• AV[NV[ N.
MINNE&POLIS ai.MINN•
KE I- l637
so" nom+.
swap P%A++wM •
129823
W
Y �
. c ,--306
��t10� . lrori
A�su�•e d �er�icol Od►um
Nf "fat '.! •
r q+ t ; a ' M :5 IS A TRVE
moo t OA tt Lr Rt C Ql Sf NT AT IOM W A xlQri Y Oi TME �1JRtpt9�t! S M
L WC "D nt `MC LOCATION)
IF Wy, T14MON, M*D'ktl WflUA IVKNo#4VA4D O
OF "''' ' `��`•
°° `�' s► ; "�
Vi NDER ENGINEERING CO., INC,
�... .. :�•'
�—-_ft,L_
.e •t t tas u .a .ao avaV•Yea•
r..Ss•-ta l
o:.t
i
, .•.F. a.:� : � i
„
:.t. . , •vel".. kr, .
11
t[
00.
- OAF WAWIvzt,pl
4F
1'
. ' e
W
Y �
. c ,--306
��t10� . lrori
A�su�•e d �er�icol Od►um
Nf "fat '.! •
r q+ t ; a ' M :5 IS A TRVE
moo t OA tt Lr Rt C Ql Sf NT AT IOM W A xlQri Y Oi TME �1JRtpt9�t! S M
L WC "D nt `MC LOCATION)
IF Wy, T14MON, M*D'ktl WflUA IVKNo#4VA4D O
OF "''' ' `��`•
°° `�' s► ; "�
Vi NDER ENGINEERING CO., INC,
�... .. :�•'
�—-_ft,L_
.e •t t tas u .a .ao avaV•Yea•
r..Ss•-ta l
o:.t
i
, .•.F. a.:� : � i
„
:.t. . , •vel".. kr, .
NOD
COSS
Voel- VAL
UJ
NOD
COSS
Voel- VAL
sueJEcr
IT NO.
of Fridley
2 9 652
PCity
AT THE TOP Of THE TWINS
BUILDING PERMIT
� rr
`v ------COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
;
1 / ""'1 CITY HALL FRIDLEY 55432
'•j
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F18
6/9/99
JOB ADDRESS 6060 5th Street NE
1 LEGAL
LOT NOS 1/2
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2 - 3
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
& Cheryl Traver
572-1141
3 CONTRACTOR MAIL ADDRESS ZIP
All American Rnnfinn 4112 97th In NE Blaine 56034 6 7
PHONE LICENSE NO
6 Ed
4 ARCHITECT OR DESIGNER MAIL ADDRESS Z
PHONE L I NSE N0.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION X6 REPAIR
❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof house, garage and shed 22 S Tear-off
0 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIREO 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
I 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
$1923
$.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-
$69.25
STRUCTION OR THE PERFO E OF CONSTRUCTION
Fire SC $1.92
PLAN CHECK FEE
TOTAL FEE
�✓�--�- -'q —q 9
License SC $5.00
$77.13
Si NATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERLY IDAT THIS IS YOUR PERK41TT
4
SIGNATURE OF OVVNERIiF OWNER SUILDERi IDATEi
Bl0 IN"
nArE
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION bp
Construction Address: "a:� iv0 S4 h -5`7-IV
Legal Description:
Owner Name & Address: To m f- c� erY L `iraJ e Tel. # S,-,?_- 1 I y I
Contractor: ice- 1%vAe 1rlr-A,aJ R o a-Cto R MN LICENSE # S 1 O
Address: 41('L c i-ra LN N t
Tel. # 7 sr ` - 4 6 -7 G
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: ZZ S T•eaR —OF F tlous<, 4a�ge. SItieSZ
Construction Type: Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: ( rq APPLICANT: �..e c b Com✓ Tel. #
CITY USE ONLY
Permit Fee $ Z Fee Schedule on Reverse Side
Fire Surcharge $ , Of .001 of Permit Valuation (1/10th%)
State Surcharge $ 9(„ $.50/$1,000 Valuation
SAC Charge $ $1050 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:
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
571-36U4 VAX: (763) 571-1L57
: 6060 5TH ST NE
: 233024210092
: HYDE PARK
: LOT 2 BLOCK 3
: ELECTRICAL
: RESIDENTIAL
: ADDITION/ALTERATION
PERMIT NO.: 2004-00760
DATE ISSUED: 05/21/2004
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. WIRE KITCHEN LIGHTING.
# INSPECTIONS 1
APPLICANT
AEM ELECTRIC SERVICES
1600 CO RD 10 NE
SPRING LAKE PARK, MN 55432
OWNER
FANNEMEL
6060 5TH ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
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 provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date.
ELEC PERMIT FEE - MIN (RESI) 20.00
STATE SURCHARGE, ELEC FLAT 0.50
TOTAL 20.50
PAID WITH CHECK # 7178
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
5 /L -36U4 VAX: 17631 5"/1-IL57
PERMIT NO.: 2004-01628 Tll
DATE ISSUED: 09/20/2004
ADDRESS : 6060 5 ST NE
PIN : 233024210092
LEGAL DESC : HYDE PARK
: LOT 2 BLOCK 3
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL THREE CIRCUITS.
# INSPECTIONS 1
APPLICANT
WEEKEND ELECTRIC LLC
15000 HELIUM ST NW
RAMSEY, MN 55303
LIII N �7
FANNEMEL
6060 5TH ST NE
FRIDLEY, MN 55432
ELEC PERMIT FEE - MIN (RESI) 20.00
STATE SURCHARGE, ELEC FLAT 0.50
TOTAL 20.50
PAID WITH CHECK # 1076
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
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 provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp
Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW [ ]
ADDN [J
ALTER
Construction Address:
Legal Description:
Owner Name & Address:
Contractor: Ale'�-j �Xraa,rs
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/2001
(763) 572-3604 Bldg Insp
Tel.#
MN LICENSE#�3�7�
�® 57 Tel. # 3/57. %'2
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:
Construction Type: 7 Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:/fir O APPLICANT: ��`� �'Lo
�� Tel. # ��' 3,, 5—
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing In application
$ iZ/, 2' _ Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ ;7, ;Z" $.50/$1,000 Valuation
$ $1150 per SAC Unit
$ a-lp $5.00 (State Licensed Residential Contractors)
"A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]