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PRE 2010 DOCS.. 24 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Y . L P OWNER'S NAME BUILDER ADDRESS [ J 'Z ADDRESS LOCATION OF BUILDING—, No. .; d.-= StreeT ,,e Part of Lots 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 grid proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front p Depth Height: Sq. Ft. Cu. Ft. Front Depth _ Height ". Sq. Ft. Cu. Ft. Type' of -Construction Estimated Cost ;To be -•completed -- - The undetsigned hereby -makes application for a permit for the work herein specified, agreeing to do all work in.strict ,accordince.•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 3 SIGNATU'RE (Schedule of Fee Costs can be found on the Reverse Side):.; • 3-P.;2'96 City of Fridley, Minn. N° 8659 BUILDING PERMIT Date: JANUARY 24, 1966 Owner: FARRELL SCROGGINS Builder SAME Address 305 West 27th Street Address Minneapolis, Minnesota LOCATION OF BUILDING No. 5612-14 c St t 6th rStre_et N-• E, Part of Lot . S,. 13' of Lot 10, all of Lots 11 an :bl1 & of Lo Adl _diition or Sub -Division Hilton's Addn. to Mechanicsville Corner I.ot Inside Lot — Setback — Sideyard Sewer Mevation Foundation Mevation DESCRIPTION OF BUILDING To be Used as: REPAIR BUILDING AS TO COUNCIL ORDER - December 13, 1965 Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height _ __ Sq. Ft. Cu. Ft. Type of Construction Est. Cost _ $3, 40 To be completed REPAIR AS TO SPECIFICATIONS ATTACHED. 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 com ce with a'11 provisions of ordinances of the city of Fridley. 01 In consideration of the payment of a fee of OL18.00 , permit is hereby granted to FARRIU SCROGGINS 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 ng location, construction, alteration, maintenance, repair and moving of buildings within � city limits ands uns permit may be revoked at any time upon violation of any of the provisions of d ordinan ALLEN G. JENSEN Building motor NOTICE: M permit does not eowr tbo coWmcd w, instaMion far wding, plumbing, go hating, awor or water. Bo aro to as tin WMing Inspector for separate pennhs for thea home, 879.01 City of Fridley AppOcation for Phmddng and Gas Fitting Perak Dept. of Bldgs. Phone 880.3480 DESCRIPTION OF WORK Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..... x $2.00 $ Future Fixture Opening ... ...... Y $ New Fixture Old Opening x $1.50 Q Catch Basin .. ........... .. x $3.25 $ e • N WATER HTR. GAS ELEC. Base Electric Water Heater x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL lat 3 Fixtures ....... .................. x $2.00 $ Additional Fixtures . .......... ....... x $ .75 $ Gas Range to 199,000 BTU .............. 1 x $5.00 $ 3.00 lot iiwta3i 1 2nd 3rd -- 4th ° ruturo Connection Openings Connect" with e NOW Fixture, ON OpeningsSewer I Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..... x $2.00 $ Future Fixture Opening ... ...... x $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin .. ........... .. x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. x $3.25 $ Electric Water Heater x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL lat 3 Fixtures ....... .................. x $2.00 $ Additional Fixtures . .......... ....... x $ .75 $ Gas Range to 199,000 BTU .............. 1 x $5.00 $ 3.00 REPAIRS & ALTERATIONS—Refer to Code Description . ............................................$ TOTAL FEE I.eeation X12 NE. 6 street City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn_ AUG 2.3 1969 19, Owner T.oi a G33ntafoon Kind of Building Frame Used as Rage —AUGTo be completed about G 2 9 1969 Estimated Cost, $ OldX-New. Building Permit No. Permit �aO. 1503� signedo,, MINNEAPOLIS S CO. t Business Phone N G ROUGH FINAL SUBJECT P® M13O38 Cit of Fridle y y AT THE TOP OF THE TWINS PERMIT BUILDING RECEIP I L I `L _ COMMUNITY DEVELOPMENT DIV. 746 r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 JOB ADDRESS 5612 - 6TH STREET N.E., FRIDLEY MINNESOTA 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10_11_12 2 1 HAMILTONS ADDITION TO MECHANICSVILLE SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE EUGENE L. BAUCK 5612 - 6TH STREET N.E. FRIDLEY MINNESOTA 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RESIDENCE 7 CLASS OF WORK ❑ NEW jj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK CONSTRUCT DETACHED GARAGE 20 x 24 x 10 9 CHANGE OF USE FROM TO STIPULATIONS PROVIDE HARDTOP SURFACED DRIVEWAY SEPERATE PERMITS AQUIREQ AOR MIRING, HEATING, PUIMBING AND Sita! & tom gall Before d��MEIEC�at GAE �ti��PHo�IRE� U aY .W REav TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. F'RANIE 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 4800 4,500 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 $3,552 $1.78 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. $9.00 PLAN CHECK FEE TOTALFEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PRO ERL ALIDATED THIS IS1YOURSPERMIT Err JIM 23.1975 BLDG. INSP ° DATE SIGNATU OF OWNER IIF OWNER BUILDERI (DAT APPLICATION FOR RESIDENTIAL., ALTERATION, OR ADDITION.BUILDING PERMIT 'FRIDLEY, MINNESOTA CITY OF OWNER'S NA`1E :��. BUILDER ADDRESS: ��_ ADDRESS: NO:. 5-6 STREET: LOT: /®._/ BLOCK: a7 ADDITION: &e -ea aen PUP ea 5 CORNER LOT: INSIDE LOT.: °� SETBACK:: SIDEYARD: Applicant attach to this form Tao Certificates f Survey of Lot. and. -propose.'. building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ,Pe 54 1150'Front : v°t ® j Depth: 92Hei g_ t h: Square Feet: 5/86 Cubic . Feet Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: a4doz Estimated Cost: $ 13ca°� To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stxict 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: (See Reverse Side For Additional Informs .} ou 40 AGREEMENT owner of the property located at have no objection to the City allowing the construction of a to be located at without the required certificate of survey that the City ordinarily requires for all new construction. Sn t e Address Date Witness susaEcr PERM IT.-N-a---=-- City of Fridley .._ ? 13039 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . I NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 J 612-560-3450 910-F15 6-23-75 JOB ADDRESS 5614 - 6TH STREET N.E. FRIDLEY MINNESOTA 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 0-11-12 2 1 HAMILTONS ADDITION TO MECHANICSVIT•T•F SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE EUGNE L. BAUCK 5612 — 6TH STREET N.E. FRIDLEY MINNESOTA 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RESIDENCE 7 CLASS OF WORK IX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK CONSTRUCT DETACHED GAPAGE 1 9 CHANGE OF USE FROM TO STIPULATIONS PROVIDE HARD SURFACED DRIVEWAY WAR10146 fi��°ERATE PE#i�- � tall local utilities sefore did ng PLU TRUNK - ELECTRIC - G*Etc. tjEAT{NGt REQUIRED By LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. FRAME 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 288 2,880 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 $2,131.20 $1.11 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. $6.00 PLAN CHECK FEE TOTALFEE $7.11 SIGNATOR OF CONTRACTOR ORAUTHORIZED AGENT (DATE) HEN PROPERLY V 1 D TED THI IS YOUR PERMIT JUNE 23, 1975 BLDG. INSP a DATE ISIGNAJWREO OWNER IIF OWNER BUILDERI (DVE) APPLICATION FOR RESIDL'NTIAL., ALT}:RATION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM- g2 BUILDER � /-92 6 . ADDRESS: ADDRESS: NO: ! e STREET: 6 LOT.: /0 -- /Z BLOCK: -:51 ADDITION: q e�� CORNER LOT: INSIDE LOT:�SETBACK: SIMARD: Applicant attach to this form Tsao Certificates of Survey .of Lot- and:pxopose building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Us dA y Front : /.V. Depth • .7 4✓ Height • Square Feet • Cubic . Feet • 0 Front —Depth: Square Feet; Cubic Feet: Height: Type of Construction: Estimated Cost: $ leer' -2--r To Be Completed: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 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 corrccto DATE: SIGNATURE: (See Reverse Side For Additional -In rmation.)' 7,11 m p A.1 JLJA-j p Boz 1-7,7gOdUY6 _ __ _. _ _ ._ _-_ - I \ �. �y �n�\\\ O SUBJECT of Fridley? 4 9 2 3 AT THE TOP OF THE TWINS BUILDING PERMIT Ir?City RECEIPT NO. `y -------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC 11 ?7 r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/26/97 JOB ADDRESS 5612-5614 6 Street NE 1 LEGAL I LOT NO.BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt 10 %I 2 Hamilton's Addn to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Hafner 10239 Raven St NW, Coon Rapids, MN 55433 754-2335 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Siding Sales & Service 3555 116 In NW, Coon Rapids, MN 55433 422-8850 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20075652 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Double Bungalow 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ij REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside Building (Vinyl 2x5 W/foamcore) 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer's specifications state it is not necessary. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 2 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 $3,500 $1.75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OT R STATE OR LOCAL LAW REGULATING CON. STRUC R THE PER MANCE OF CONSTRUCTION. $87.25 ire SC $3.50 �� PLAN CHECK FEET TAL FEE e 5.0 97.50 SIGNATURE OF CON RACTOR OR AUTHORIZED AGENT IDATEI H P FfIERLY ATED THIS IS Y UR PERMIT r BLDG I SP DATE SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER V] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: SG J - 541 64' St 'ki �E.- Fg Io X132. Legal Description: �o r P+ 10, I t PT (Z ­810oc- 2 Aan iMOlS' r00pi Ty . Owner Name & Address: �eti{a e44, 2A% n Z 3q i AVEP .S+n1 w e Tel. # Contractor: S is1 1 Lsev`� tc MN LICENSE # Address: -3575'5- ICS Lct Co� Y" Tel. # 2--2- Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF HUPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: s Construction Type: V Estimated Cost: $®a (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6.Ft = Ft x $ =. $ DATE: 3 % APPLICANT: TeL # z Z STIPULATIONS: s � r CITY USE ONLY Permit Fee $ cn`t7• Fee Schedule on Reverse Side Fire Surcharge $ S 0 .001 of Permit Valuation .(1/10th%) State Surcharge $ / , `%S $.50/$1,000 Valuation SAC Charge $ $950 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 $ S� STIPULATIONS: s � r Building WATER OR SEWER Permit Noai bg_ Li Inspections PERMIT APPLICATION Received By: 763-572-3604 763-502-4977 fax CITY OF FRIDLEY Date Rec'd: EFFECTIVE 1-I-08 APPLICATION DATE: YOUR E-MAIL ADDRESS: THIS APPLICANT IS: CONTRA❑ OWNER [C OR to JOB ADDRESS: NEW CONSTRUCTION PERMIT # (IF APPLICABLE): H PROPERTY NAME r 11 OWNER/ ADDRESS: CITY: STATE: ZIP: TENANT PHONE: CONTRACTOR NAME: SUBMIT A COPY OF ADDRESS: CITYTAT1ZIP YOUR STATE LICENSE PHONE: CELL PHONE: _ AND BOND STATE LIC: STATE BOND: EXP: PERMIT TYPE ❑ SEWER CONNECTION PERMIT $50 ❑ WATER CONNECTION PERMIT $50 WATER/SEWER LINE REPAIR PERMIT $40 WC) ❑ ADD STATE SURCHARGE $.50 f ❑ SAC CHARGE @ $1825 TOTAL OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST SEE UTILITY BILLING SPECIAL ASSESSMENTS SEE FINANCE WATER TAP SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / WEEKENDS & HOLIDAYS $125 / HOUR-BILLED THIS IS AN APPLICATION FOR A PERNIIT-NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) 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. I understand this is not a permit but only an application for a permit work is not to start without a permit. n �n �A � SIGNATURE OF APP NT: 5. 7/,0MjC/v-. PRINT NAME /U l/�� ATE 1r i5yd r APPROVED BY: DATE l� 3 COPY GIVEN TO: ❑ UTILITY BILLING Ci of Fridley Y Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977