PRE 2010 DOCS0
Village of Fridley, Minn.
BUILDING PERMIT 1786
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Date:j .................
IJe et
Owner....................................... Builder . e4.4.....4 �.........
Address ...................................... Address .<'. �}+�
LQQATION OF BUILDING
No. ). ko. Street ..... .. T ................. Part of Lot ............W..
Lot ... AP....... Block .....4.......... Addition or Sub -Division ... lat.o...t'l� ..1 4,-.. � .
Corner Lot ........... Inside Lot ..... K_.. Setback .,2 //.. Sideyard ..... ....................
DESCRIPTION OF BUILDING
To be Used as: �
(//
! e' V.... Front .. Depth . �.. Height .1.4. Sq. Ft. ........ Cu. Ft. ........
..................... Front ........ Depth ........ Height* " * Sq. Ft. ........ Cu. Ft. ........
r
Type of Construction ice-V..Po°... Est. Cost .. .....r®..... 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 all provisions of
ordinances of the village of Fridley.
..........� C'�...
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 village 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 covethe c "struction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to se tBuilding Inspector for separate permits for these items.
•
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City of Fridley, Minn.
BUILDING PERMIT
Date: August 9, 1965
Owner: Ellery Severson
Builder
KERMIT A. HILL
S)l�/'(,•
N® ®331
Address 6061 - 5th Street N. E. Adm 3027 Morgan Avenue North
Fridley, Minnesota Minneapolis, Minnesota
No. 6 061 Street
LOCATION OF BUILDING
5th STREET N. E. part of Lot
Lot 10 _ Block 2 Addition or Sub -Division Bonny kAddition
Corner Lot _ Inside Lot _ Setback
Sewer Elevation
To be Used as:
Type of Construction
Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft. Cu. Ft
Front Depth Height Sq. Ft. Cu. Ft.
Est Cost _... $5,691. 00 To be Completed
Repairs - Due to storm damage
In consideration of the issuance to me of a permit to construct the building described above I agree to do
theproposed work in accordance with the description above set forth and in compliance with -, pr ons of
ordinances of the city of Fridley.
In candderation of the payment of a fee of 10.00 , permit is hereby granted to KERMIT A. HILL
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 an workmen, in all work.
done in, arwmd and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, BRinnesota regardi>z�� location, construction, alteration, maintenance, repair and moving of buildings
wiorthinnc .city limits and this permit may be revoked at any time upon violation of any of the provisions of said
DALLEN G. JENSEN
NOTICE:
Yids pennh don net cover the canslruction, hutailuffm for vdrhm plumbing, on heating, sewer or water. Be sun to we
the BuibWig bupacter for npm to permits for those Nuns.
�,� •� �• � a� � °mss -� � o � 1`'� .
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME d� �'�` `• �° c BUILDER
ADDRESS A21 ADDRESS
OF BUILDING
NO �� �> ��� STREET 5 S L
PART OF L
LOT BLOCK ADDITION OR SUBDIVISION C 1
4
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.
To be used as;
DESCRIPTION OF BUILDING
Front rDepth Height
Sq. Ft. Cu. Ft.
Front Dept ` 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.
DATE SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side). ,L
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME V , v C- - V AFB BUILDER
ADDRESS f� (3TMJ ADDRESS;
LOCATION OF BUILDING
NO. STREET PART OF LOT
LOT 6 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
To be used as:Ilk 3�
�� r
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. ,Ft .
Type of Construction Estimated Cos i�
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.
DATE� ,� SIGNATURE , C
(Schedule of Fee Costs can be found on the Reverse Side).
h
SUBJECTERM
City of Fridley
123°7 9
AT THE TOP OF THE TWINS
PERM I
i
BUILDING
CEIPT NO.
`
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
,'j 812-560-3450
910-F15
10/31/73
JOB ADDRESS 6061 5th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
2
Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Ellery Severson 6061 5th Street N.E.
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Kermit A. Hill Construction 6770 Marilyn Drive Osseo 425-693
ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Add 6'x15' to living room
9 CHANGE QF USE FROM TO
STIPULATIONS
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
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
90
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
$2,000
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 0 THE PERFORMANCE OF CONSTRUCTION.
$8.50
t
PLAN CHECK FEE
TOTAL FEE
'SIGNATURE OF CONTRACTOR ORAUTHORIZED AGENT (DATE)
HE PROPERLY
BLDG )NSP
VALIDA D I IS Y R PERMIT
DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
h
City of Fridley
Permit No.
AT TFTOP 06THE TWINS
BUILDING PERMIT APPLICATION
Receipt No.
r d
�y------, CON0.4UFdIYY DEVELOPMENT DIV.
1 PROTECTIVE INSPECTION D2PT.
CITY HALL PRIDLfiY 513�2
`J Ott -3®0'8450
Ka = ER
REV.
DATE
E OF
JAPPROVED By
910-F14
0
1/15/73171
Job Address•
�'
�
Legal
Lot No.
Block Tr ct or Addit' n See Attached
Sheet
Descr.
`(
/J�/ G
Pro er y,Owner Addre s
Zip Phone
E' V Se v /
ontracto Address
/c,r,
Zip $�3 bi Phone Lense No. '
4a 'X-
s f 7 a M
►,' I r S s
Arcer Address
Zip Phone License No.
Engineer Address
Zip Phone License No.
Use of Building -
�. 1 V i -►� N e -L-
Class of WorkRemove
® ❑Alteration*O
New Addition
Re air
Move
Describe Work
Change of Use
From
To
SPECIAL ASSESSMENTS:
If lateral assessments have not been placed
on this property, an agreement wrist be
signed, agreeing to assume such lateral assessments
before a permit will be issued
Agreement Necessary:
Agreement Unnecessary:
Finance Director
10
bUTSIDE UTILITIES:
z
Sewer Elevation:
Water Elevation:
Stub Location:
Stub Location:
W
L.
BUILDING INSPECTION
Plumbing_ H.V.A.C. Electrical Fire Insp.
Signature &
Date Approved
cc
0
W.
Registered Engn. Stamp.
Legal Description Check
Exterior Devel. Check
Performance Bond Check
Easements, R/W, Special Agreements
Final Approval
Date
L,
'Certificate of Occupancy
Date
DIMENSIONS:
Length:
Width:
Accessory Buildings:
Length:
Width:
VALUATION:
FOR CITY .TSE ONLY
Height:
Sq. Ft.
Height:
Sq. Ft.
Cu. Ft.
Cu. Ft.
Sq. Ft. Xs
Cost =
Valuation
)
Total
Valuation
�— X
Cost =
Valuation
)
r
)
PERMIT FEE: Residential
Total Valuation Fee
$1.00 to $500.00 $5.00
$501.00 to $2,000.00 $5.00 for the first $500.00 plus $1.00 for
each additional $100.00 or fraction thereof,
to and including $2,000.00.
$2,001.00 to $25,000.00 $20.00 for the first $2,000.00 plus $3.00
for each additional thousand or fraction
thereof, to and including $25,000.00.
$25,001.00 to $50,000.00 $89.00 for the first $25,000.00 plus $2.50
for each additional thousand or fraction
thereof, to and including $50,000.00.
$50,001.00 to $100,000.00 $151.50 for the first $50,000.00 plus $1.50
for each additional thousand or fraction
thereof, to and including $100,000.00.
PERMIT FEE: Commercial and Industrial
Total Cu. Ft. X $2.15/1,000 sq. ft. Permit Fee
X
PLAN CHECK:,
Take one half of permit fee =
STATE SURCHARGE:
Valuation X $.50/$1,000.00 = J J e__°")
X $.50/$1,000.00
TOTAL FEE j ��
PERFCTZt,LANCE BOND VALUAIiU;V '
Blacktop 1.50/sc . fid.
Curbing 2.00 lin. ft.
Sod 0.40 sgl_yd.
Fencing 2.00 lin. int.
Bushes and Trees 5.00 - .)0.00 TOTAL BOND VALUE
0
SUBJECT
P NO.
City of Fridley
29927
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC
REv
DATE
PAGE OF
APPROVED Br
CITY HALL FRIDLEY 55432
612-571-3450
rNUER
10-F15
7/23/99
10B ADDRESS
6061 Sth Street
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
2
Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Severson
Gregory H. sommom
S71-2264
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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 WC REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 24 S Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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 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
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
$2098
$1.OS
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
PLAN CHECK FEE
TOTA'V EE
z7 /
I $ .40
SIGNATURE OF CON"IA R AUTHORIZED AGENT IDATEi
N
Y ALIOATE HIS YOUEL YOUPE IT
SGNATUR OF OWN RoF OWNER BUILDER, iDATE'
Bl 'NSP
r,AYE
0
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 0 6 i - S� s ��✓� '
Legal Description:
Owner Name & Address: G''� 9 ° "'y ��' ,5�� �" s" Tel. #
Contractor: MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length
Length
Driveway Curb Cut Width Needed:
DATE: s 1- 9 9
Tel. #
Height Sq. Ft.
Height Sq. Ft.
Hgt/Ground Sq. Ft.
Estimated Cost: $ �
Ft. + 6 Ft = Ft x $
APPLICANT• !" �Tel. #
TOTAL
STIPULATIONS:
$ C--) � O
CITY USE ONLY
Permit Fee
$ (9 3.
Fee Schedule on Reverse Side
Fire Surcharge
$ - /
.001 of Permit Valuation (1/10th%)
State Surcharge
$ l Q
$.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:
$ C--) � O
Effective January 1, 2003
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
FAX (763) 571-1287 / �tJ
JOB ADDRESS �� / �>' � ��•
RATE SCHEDULE
OWNER
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate TOTAL
$ 30.00 $ 30,0V
$ 10.00 $
$ 10.00 $
$ 10.00 $
$ 25.00 $
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
$ .50
$50•DU
BUILDING USED
ESTIMATED COST 3LGO, OD PERMIT N0.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) =Water)(Warm Air)
Trade Name_Size No.
BTU i(-, HP EDR
Fuel kld:i Total Connected Load _130 v�
Burner Trade Name
BTU HP
Size No.
EDR
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 an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
HEATING CO ��l✓>c�
Signed //- ef
FAX # 2t, 3—
Approved
' Approved By Rough -In Date
DATE��-
T E L # Z6, 7- �»%'7?/
Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
When raIn acing an axictin gran _e, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes (i4' No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes (i No () IV A
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. . Yes (�-f No ( )
The eYief nn enmlx,_ctinn air is sized and installed to meet the current codes
and manufacturer's specifications. Yes (�No ( )
When required tot Mall a naw rnmhi isda airs it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes fI'No ( )
When installinn as new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes (✓<No ( }
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes (q 'No ( )
AnnIT i�U ne and Sim _/ .nmmnn Vent and Vent Cnnnecter Whrmatien
Appliance #1 Type BTU Input A!!-�°," Fan Assisted oro5i)-
Appliance #2 Type iAla & BTU Input_ Fan Assisted ora
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height_ Diameter inches
Appliance #1 Vent Connector Height _ft Length ft Diameter min Type 5,nw
Appliance #2 Vent Connector Height,�ft Length �_ft Diameter el n Type �,T -
Appliance #3 Vent Connector Height ft Length ft Diameter in Type y
9
HEATING CO:
Signed By: Date: /d ® /F,-,15� -3