PRE 2010 DOCSMage of Mdley.) Min &
WELDING PERMIT
62it Office of INSPFXWR OF BU"INGS
owner,
ArchitectFridley, Minn., 19II-
Builder,
LOCATION OF BUILDINGj_Y90
No_tStreet -l", -Part of Lot
Lot "ock, Addition or Sub -Division
DESCRIPTION OF BUILDING
Front_Depth_L, HdghtL Stories -, Manner of Construction
To be used AR
To be completed Estimated Cost
Permit is hereby granted to to
the building d described In the above statement. This permit to granted
upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all
the work done W around and upon said building, or any part thereof, shall conform in all respects to the ordi-
nances of Fridley, Minn.,regarding the 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.
jnspector of Buildings.
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, 1 hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
Subscribed and sworn to before me at Fridley, Minnesota, this
day of l A.D. 19—.:__
0
'I
ii
Village of Fridley, Minn.
h
BU MM NG PERMIT
N? 7110 Office of INSPECTOR OF BU LDINGS
Fridley, Minn., a <�ci. a`, 18 - -•.
L09ATION OF BUILDING
No. i, Street Part of Lot
Addition or Sub -Division
DESCRIPTION OF BUILDING
Front–L--:— Dep '' Height Stories .^ -wi-- Manner of Construction
�f
To be used as'`'p"� To be completed C" "` `' " Estimated Cost *� "� '�
IT
93"'
Jll
Permit is hereby grahted to
�'I G�
the building^"` described in the above statement. This permit is granted
upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all
the work done in, atound and upon acid building, or any part thereof, shall conform in all respects to the ordi
nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings
within the city limiter and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Inspector of Buildings.
11 AGREEAffM AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit,, I hereby agree to do the proposed work in accordance with the description
above set forth acid according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
Subscribed and worn to before me at Fridley, Minnesota, this; !:2
day of d` `'` A.D. 19
City of Fridley, Minn.
BUILDING PERMIT
W F rA7- 0 F
i..ir.
N4 5451
Builder
Address —
70Y Nff UILDING
V. Astafte� Street _.�,�G ___ _ PaW Lot
Lot / IL -_ Block Addition or Sub -Division
Corner Lot -- Inside Lot Setback Sideyard
Sewer Elevation _ _ — Foundation Elevation
To be Used as:
DESCRIPTION OF BUILDING
Front _ Depth Height Sq. Ft. Cu. Ft.
Depth Heeig�ht Sq. Ft. Cu. Ft.
Type of Construction Est. Cost ,�'C. -- -_ To be Completed — _
I0
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 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
within the city limits and this permit may be revoked at any time �3y�o olatign of any of the provisions of said
ordinances. e' /T . P
Inspector
NOTICE:
This permit does not corer the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate penn8s for thea items.
0 OW4 0 K
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name4� der
Address Address
No. `1 . '7 ` L/ _Stree
Lot L Block
LOCATION OF BUILDING
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 ed as:
Front Depth Height
Sq. Ft. Cu. Ft.
Type of
Front Depth Height
To be Uompiezea
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 1 the facts and representations
stated in this applicatioo'n� are true and correct.
DATE 5IGNAT[JRE
(A Schedule of Fee Costs can be found on the Reverse Side.)
w + ,
City of Fridley, Mian. 02 -0/ 7,'/
BUILDING PERMIT NA 7457
Date: May 20,1965
Oar: .Dlgh NMggren Builder Same i home ower
Address 5520 6th Sty N.T. Address
LOCATION OF BUILDING
No. — Street _. -- Part of Lot
Lot 1 — 2 Block _ Addition or Sub -Division Hami I i ons
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
Est Cost _ X00 _ To be Completed —
Frame
• Frame & roof.
point on house 31+ ft. wide by 18 ft. long five ft. high
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 aboveysetVforth in comp with all provisions of
the city of Fridley.
In consideration of the payment of a fee of $,S -M , permit is hereby granted toDolph
Kuren
ththto construct the building or addition as described above. This permit is granted upon
e express condition at the person to whom it is granted and his agents, employees and workmen, in aII work
done in, around and upon said building, or any thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regardiig 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.
• NOTICE
ihb permh don not corer the condmedon, heandbfion for wMng, phemblag, gas hearing, ower or water. Be wens to oe
tiro Buihling hmpector for operate perdu for these hens.
APPLICATION FOR iNG PERMIT
CITY OF FRIDLEY, &NNESOTA
OWNER'S NAME U_JBUILDER
ADDRESS �_ '` ADDRESS
LOCATION OF BdWMNG
No, ii Y 10Streat /'0 , Part of Lst�_...r
Lot j- Block Addit.i w or Subdivision- �.,
Corner Lot4gh Inside Lot _ _;_:Set!Awk Side-Yark-- f
SEWER ELEVATION _ _ FOUNDATION ELLM&IM
Applicant attach to this form, Two Certificates of. Survey of Lot and proposed-bu Ow—
ing location drawn of& these Certificates.
DESCRIPTION OF BUILDING
�fa be used as:
�'ronC
S%F
L .. WA rte.
Front Depth height
Eta. Ft. Cu. Ft.
_
Type of Construct ioa z / Estimated Cost �-
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work Id strict accordance with the City of Fridley Ordinances and
rulings if the Depart_ -at 'of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
jSchedUL0,of Fee Costs can be found on the Reverse Side).
0
I
SUBJECT
City of Fridley
?'156'77'
AT THE TOP OF THE TWINS
BUILDING
PERMIT..
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
�'J
"'•� 612-560-3450
910-F15
3/8/79
JOB ADDRES 55 o (9' �5�oc-ry-r
1 LEGAL LOT NO,
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR. 1,2
7 1
Hamilton's Addn. to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
L
00 Co f
C�CO I aPs
hi 1 -S r w
4}
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
11 11
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
SA-i
(.Lr... Y'_ 4 o C
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
(SEil%. P'//��
II1' .
9 CHANGE OF 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 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
$3,000
$1.50
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.
$18.00
PLAN CHECK FEE
TOTALFEE
$19.50
SIGNATURE OF CONT AU ORIZED NT (DATE)
WHEN PROP
BLDG INSP
L V I AT THIS I$ Y UR MIT
DAT
SIGNATURE OF O ER (IF OWNER BUILDER) IDATEI-��
OWNER:,
Address
No.:
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
<BUILDER. SSAm
tY -Address:
0 Tel. No.:
Street:
LOT: BLOCY.: ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Use As:
S( Front: Depth: Height:
R rTPA s-0 Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: XEstimated Cost: $ '3T (jo
To Be Completed: w ' 1i
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
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. See reverse side for additional information.
X DATE: SIGNATURE:
Stipulations:
CITY OF FRIDLEY
APPLICATION FOR
POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
each add. 50,000 BTU
AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
7.00
$
Repairs & Alterations -up to $500.00
GRAVITY WAR..Ni AIR:
RATE
TOTAL
,lob Address S5 %
Furnace Shell & Duct Work
$12.00
$
'Replacement of Furnace
7.00
$
each addn. 50,000 BTU
Repairs &. Alterations -up to $5Q0.00
7.00
$
Department of Buildings
Repairs & Alterations each add. $500.00
4.00
$
City of Fridley
OIL BURNER- to 3 gal. per hour
$lq.gQ
$
Tel. #571-3450
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
$12.00
$
each add. 50,000 BTU
4.00
$
*Replace.nent of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
$
Repairs & Alterations each add. $500,00
4.00
$
STFAM OR HOT )ti ATER SYSTEM:
Boiler & Lines up to 100,000 BTU
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7•QQ
$
each addn. 50,000 BTU
OIL BURNER- to 3 gal. per hour
$lq.gQ
$
each add. 3 gal. per hour
GAS BURNER- from 100,000 BTU to lSjq,99j RTK
$.}Q.qq
$ ��
(over 199,999 BTU see Fee Sche4ulej
GAS FITTING FEES:
o G
1st 3 Fixtures x
$ 3 • QQ
$ 3
Additional Fixtures X
$ �:Qq
Gas Range to 199,QQQ BTU x
$IQ!QQ
AIR CONDITIONING
FAN HEATING SYSTEMS See Fee Schedule
$
VENTILATING SYSTEMMS
$
ALTERATIONS REPAIRS
$
State Surcharge
$ .50
TOTAL FEE
$ k' b
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.
Fridley, Minn. , 19
P
OWNER
IQND PF BUILDING
PPEP AS
TR RF POMPLFTVR 4PgNT
FsTTN=1PR PRsT /. '/00'
„
RSR -NM.RA��R )� J?F.RMIT NQ. PERMIT NO. ✓��C��
RESFRTPTTP1J Pf FURNACE/$URD?ER
B;:AT$NG Pr $OnP, PLANT.
f S�Pe?t!r NR1 Yiai srr WarA} A}#- No.
y� � �P ,,�
Trade Name Size No. % Z 0 e d
Capacity sq. Ft. FDR BTU HP
Total Connected Load
BURNER - Trade Name
ROUGH INSP.REINSPECTION FEE Capacity
Date ($10.00)
FINAL INSP. f4:.Zer9_:2L
Date
APPROVAL FOR PERMIT
MINL'SM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
*Attached stack verification form
Kind of Fuel
Size No.
Sq. Ft. EPR BTU HP
Company 7
Signed By
r
A
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
N
PLUMBING FIXTURE RATES: NO.
�+
TOTAL
Number Fixtures
x
$3.00
U
Future Fixture Opening
k
N
$
Water
x
$2.00
$ 0
Ay
x
$5.00
N
C -.ci
M
a
$
N
W
�,�
a
Water Softener
Heater
0
4J�
New Ground Run Old Building
E
y
$
E
•I ro
N
$
N
rt H
W
1st 3 fixtures _
u
$3.00
•.i
14 G1
ro
$1.00
C.
tl1
x
X 4j
0
34.4'
r
f N
a
•
$5.00
$c ,b D
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
$ 7 O
a
N
S
a w
W
w
W
3
cro7
o
as
lec
caU
a4
1st
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening 1
x
$2.00
$ 0
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures _
x
$3.00
$
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$c ,b D
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
$ 7 O
REINSPECTION FEE
($10.00)
Job Address '5 ` 0 6 S /- /",15,
Department of Buildings
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
/ -Fridley,Mn. 3 , 19-19OWNER /� () ax7 h -t,, FJ4 1.7 per- d
KIND OF BUILDING �� re .! e
USED AS d ( ).) -C L b-)-.91
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company
Uj
Signed By " o ��✓
Tel. No. ya S 90 9 0
ROUGH INSP.
Date
FINAL INSP. .1 -.9? -7 7
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50
Y
"W
SUBJECT
PERMIT N
City of Fridley
141 1
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
R CEIPT NO
`y ______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
/ 7,739
1 i �
1 "1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/6/85
JOB ADDRESS 5590 - 6th Street N.E.
1 LEGAL
LOT NO.
1,2
BLOCK
7
TRACT OR ADDITION SEE ATTACHED
Hamilton's Addition to Mechanicsville
DESCR,
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Dorothy La Houd 5590 - 6th.Street N.E.
574-0249
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 51 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK
Raise home and replace south wall and add two rows of block around foundation
9 CHANGEOFUSEFROM
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 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
1
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
$6,800
$3.40
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$62.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$65.90
SPVATUREOFCONTRACTOROR TNORI A T (DATEI
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
d
-DATEI
')�)a �-
i NA RE OFOWNE OWN B LDERI (j
BLDG INS�p QATE
"W
NEW [ ]
ADDN. [ ]
ALTER. [ ]
Construction Address:
Legal Description
Owner Name a
Contractor
Address:
City of Fridley Effective 4/1/84
fR-1 AND R -2I
Building Permit Application
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel . #
LIVING AREA:
Length
Width
Height
Sq.
Ft.
GARAGE AREA:
Length
Width
Height
Sq.
Ft.
DECK AREA:
ngth
Width
Hgt/Ground
Sq.
Ft.
OTHER:
Corner Lot [ ]
Inside Lot [ ]
Ft. Yd. Setback
Side Yard
Setback
Type of Construction: �� = e„^�_L=X-&-c
L
Estimated
Cost: $
4, ZQ,)
Approx. Completion Date:
Proposed Driveway Width If New Opening Is Desired:
DATE:
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Alt. A Alt B
a �
See Back Page for Explanation
APPLICANT: Tel. # 7 — ft_�q
CITY USE ONLY
$ . S� Fee Schedule on Reverse Side
$ 25$ of Building Permit Fee
$ �•�/O $.50/$1,000 Valuation
$ $425 per SAC Unit
$ Fee Determined by Engineering
$
Agreement Necessary [ ] Not Necessary [ ]
QA@ '_n 7 U _t
(*11
0%ou,,eQ
Effective Aug. 1, 1901
CITY OF FRIDLEY
APPLICATION FOR
POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
��✓
IRATE
TarAL
Job Address
Ct Work,Burnes (Also replacement furnace)
$20.00
$
Department of Buildings 6431 University Ave. N.L., Fridley. NM SS672
City of Fridley
Gas Piping
$
10.00
$
Tel. 9571-3450
(piping needed with now furnace)
Gas Range
$
10.00
$
The undersigned hereby maked application for • permit for the work herein
specified aqreeinq to do all work in strict accordance with the City Codes
Gas Dryer
$
10.00
$
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.'
• Air Conditioning (all sizes) $ 10.00 $
All Others/Repairs and Alterations OMER
It of Value of Appliance or Mork $
KIND
OMIERCIAL IND USED
C-ot value of Appliance or Mork $ TO BE
ESTI
ate Surcharge $ .SO
TOTAL M S
Reinspection Fee (SiS.00) S /0 O
Rough Insp.
Date
Final Insp. 1 -1446
Ulkte
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00
PLUS $.SO STATE SURCRARGE
Attach stack verification fors with replacnaent furnace permits
•Air Conditioners can not IIP placed in %adr yard without
written purmtsston fres adjoining nnuildu►r.
OLA - MEN BUILDING PERMIT NO.
PERMIT No. 916_y
DESCRIPTION OF FURNACE/BURNER
HEATING orPOME U1N7- S Bas, t water, Harm Air- No.
Trade Name Ualso No.
Capacity sq. Ft. EDR BTU RP
Total Connected Load Kind of Fuel
BURNER - Trade Name
Size No.
Capacity Sq. Ft. EDP �B'TUA NP
Company
Signed By
TeI I. Nn. �/ /�
01
SUBJECT
P �•
City of Fridley"'(WC&PT-W0-
21589
AT THE TOP OF THE TWINS
BUILDING P E R M I T
L ------ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
NUMBER
REV
DATE
PAGE OF
APPROVED 8Y
1 CITY HALL FRIDLEY 55432
A', ','1 612-571-3450
910-F15
10/5/92
JOB ADDRESS 5590 - 6th Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1,2
7
Hamilton's Addn. to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Greg Chaput 5590 - 6th Street NE 571-0988
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Dave Regel Construction Inc, 13784 83rd Way N 55369 754-3145 1213
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
QX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 281 x 28k Detached Garage
9 CHANGE OF USE FROM TO
STIPULATIONS provide a hard surface driveway.
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 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
$12 340.
$6.17
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
r
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-
$144,00
$
Fire SC $12.34
STR I OR THE PERF OF C TRUCTION.
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$167.51
SIGNATURE OF CONT RA OR AUT IZEDAGENT (DATE)
EN RORLY AO TED THIS IS YOUR PERMIT
6*H
?SIGNATURE
G INSP DATE
OF OWNER OF OWNER BUILDER) IDA'
01
NEW . j
ADDN [ ]
ALTER [ j
Construction Address:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
%9O —/_-/,L/.-
Effective 3/l/92
Owner Name & Address: �_ � C kAnc,7 Tel. #J-7/- 09F7
Contractor: f,�� �C L '� .v s7- Dov MN LICENSE # ®o o 12-13
Address: 4-- 3C�-9 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:
Corner Lot N Inside Lot [ j Ft. Yd Setback _
Type of Construction: m 6L-90 n
Approx. Completion Date: la 2--
1 11
Driveway Curb Cut Width Needed: Ft. + b Ft =
_ Side Yard Setbacks 2S s- 3
Estimated Cost: $ At�C 2-,:3 �60
(Cost on Back)
Ft x $ = $
DATE: 26 APPLICANT: Tel. # 75
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
$ 00
$
$ 0
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
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79.12 Plat
7 8.76 Meas.---
30
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md� 5590-GTH ST.N,E, ; 3
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- --78.68--- T ----
"— in 12' WIDE ALLEY' TV
J OB N0. 92436 f
City of Fridley
SUBJECT
E -
(7r,2
2 68 6
AT THE TOP OF THE TWINS
BUILDING PERMIT
i ?
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
� �
i 1.1 I
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
7/5/94
JOB ADDRESS 5590 6 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1,2
7
Hamilton's Addn to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Greg Chaput 5590 6 Street NE 571-0988
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
The Cities Home Improvement Co 6148 Olson Hwy, Golden Valley 55422 591-0332
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
Reside House
9 CHANGE OF USE FROM TO
STIPULATIONS
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
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT 1 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
$4,480
$2.24
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRES AAE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STAT OR LO L LAW REGULATING CON-
$7200
Fire $C $4.48
CTION OR T RF MA F C RUCTION.
PLAN CHECK FEE
TOTAL FEE
G
License SC $5.00
$83.72
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
W EN PER LY LIDATED THIS IS YO PERMIT
BDG IN'-DATE
LS-
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW (. I.. Effective 1/ 1 /94
ADDN CITY OF FRIDLEY
ALTER (i SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
cl Construction Address: Vl
-�-�. ------- --- ---- ---- - - - --- -
Legal Description: _ o'
Owner Name & Address: �' }� k> Qj e14 R ". 17 Tel. #�rj -� 6 /
Contractor: _SMN LICENSE #
Address:(01,4 6 " n K) fS I. rwaQ_�,L9 Tel.. # s 272
Attach to this application, a Certificate of S ey of the
lot, with the proposed construction drawn on it to scale.
:... - .. ; :. • . • ... ... , - -..: � I�FSCRLP�ION OF: IMPRQVEII�IENT -. �• • ..:. . ..
LIVING AREA: Length Width 'Height Sq. Ft.
GARAGE AREA: Length Width . Height Sq.. Ft..
)BECK' AREA: Length Wid ' Hgt/Groiind Sq.'. Ft.
OTHER:
Corner Lot [ ] Inside Lot ] Ft. Yd Setback -Side Yard Setbacks
Type of Construction: _ r
Estimated Cost: $
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: - J® 9 ` APPLIC Tel. #
CITY USE ONLY
Permit Fee $ .��� 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 $ . L � C� $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 $ C,
STIPULATIONS:
L
SUBJECT
I o
City of Fridley
33201
AT THE TOP OF THE TWINS
BUILDING
PERMIT
1 1
F
COMMUNITY DEVELOPMENT DIV.
____
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
' 1 CITY HALL FRIDLEY 55432
,�'
763-571-3450
910-F15
10/22/02
JOB ADDRESS 5590 6 Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1,2
7
1 Hamilton's
Addn. to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Greg Chaput 5590 6 Street NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Citywide Home Improvement 1005 W Broadway,
Minneapolis,
M 55411 612-529-2489
A ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
3013
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
Reroof House & Garage (20 Sq) Tear -off
9 CHANGE OF USE FROM
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 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
$2,315
$1.04
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-
$83.25
Fire SC $2.08
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK f
T TAL FEE
Lic .000
se C
5 0
$91.37
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT tDATE,
HE PR
Y VALID TED THIS ISYOUR ERMI
B —. N goo
gale
S,GNATURE OF OVVNEROF OWNER BUILOERI iDATE,
L
NEW [ ] CITY OF FRIDLEY Effective 1/1/2002
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address:
Contractor.
64 t
F -A
Tel. #
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
LMNG AREA: Length Width Height -Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length width Hgt/Ground ' Sq. Ft
r
OTHER:
Construction Type• �� Estimated Cost:
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: �� APPLICANT: Tel. #
La
y will
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if usingcredit car an we _
call you for card number.
CITY USE ONLY -
Permit Fee $ Fee Schedule on Reverse Si.�_�_
Fire Surcharge $ _ .001 of Permit Valuation (1/10th%)
State Surcharge $ l _ $.50/$1,000 Valuation
SAC Charge $ $1200 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 $ "G 1 ' STIPULATIONS:
CITY OF FRIDLEY PERMIT NO'.• �2004-01143
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 07/19/2004
F63) 572-3604 FAX: (763) 571-1287
ADDRESS :
5590 6 ST NE
PIN :
233024310076
LEGAL DESC :
UNAVAILABLE
:
LOT BLOCK
PERMIT TYPE :
PLUMBING
PROPERTY TYPE
RESIDENTIAL
CONSTRUCTION TYPE
ADDITION/ALTERATION
VALUATION
$ 200.00
NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER
HEATER.
TOTAL
# ELEC WATER HEATERS
0 # NEW FIXTURES (EXIST OPENINGS) 0
# GAS WATER HEATERS
1 # GAS DRYERS 0
# GAS RANGES
0 # OF NEW FIXTURES 0
VALUE (FOR MINIMUM CALC) 200
APPLICANT
H P PIPEWORKS
3670 DODD RD STE 100
EAGAN, MN 55123-
(651)365-1340
OWNER
CHAPUT GREGORY D
5590 6TH 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 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 provisions of any other state or local law
regulating construction or the performance of consftTtion.
ADDlicant A Date 1 1
Date
# WATER TRMT APPLIANCES 0
PLBG PERMIT MINIMUM FEE
0.00
PLBG FIXTURES (NEW OPENINGS)
0.00
PLBG FIXTURES (EXIST OPENINGS)
0.00
WATER TREATMENT APPLIANCE
0.00
WATER HEATER - ELEC
0.00
WATER HEATER - GAS
35.00
GAS RANGE FEE
0.00
GAS DRYER FEE
0.00
STATE SURCHARGE, PLBG FLAT
0.50
TOTAL
35.50
PAID WITH CHECK # 9312
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
(763) 572-3604, FAX (763) 571-1287
Stories
Floor 1
Floor 2
Floor 3
Floor 4
Urinal
•
Eff
ective April 1, 2004
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Wash (<= Floor
Shower
_<:>'`=
�.�.��...1.:: Tray Drain
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
match Basin
Rain Water Leader
Sump/Receiving Tank
Nater Treating Appliance
Nater Heater -Electric
Vater Heater - Gas**
Sas Range**
;as Dryer**
!ack Flow Preventer Required ( )Yes O No
Type
$10.00
$10.00
$'P0.00
$10.00
$10.00
$10.00
$10.00
$35.00
$35.00
$35.00
$10.00
$10.00
$15.00
.einspection Fee $50.00/Hr
LL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.25% of Value of Fixture or Appliance
State Surcharge $
TOTAL FEE $2ZI-6b
c .
9
a�
5
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 Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
DATE: _ ! � , 200 S�
OWNER
BUILDING USED AS
ESTIMATED COST
PERMIT NO.
PLUMBING COMPANY
IM [4_
SIGNED BY 6544
TEL N0.151 —1341ff
Approved By Rough -In Date Final Date
MINIMUM FEE FOR ANY PLUMBINGIGAS PERMIT IS $15.00 or 5% OF COST
OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE.
OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
**PROVIDE COMMON VFNT tNI:n nI Qww elnm 'O l