PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date: ... ... / ... ..............
owner.......................................
Address ......................................
N® 3591
Builder ..............................................
Address .............................................
LOCATION OF BUILDING
. � .. � � . street ...
No. ............... ......... Part of Lot ............... ............ .
Lot .... 4�...... Block ................ Addition or Sub -Division J ......... .... ... ......
y
Corner Lot .4 ........ Inside Lot ............ Setback �.J�..:.�... Sideyard .1�.�...................
DESCRIPTION OF BUILDING
To be Used as: r/
� Front o . '�%. Depth W Y: -® . Helght ��- 'Sq. Ft. �. Cu. Ft. 1,r49 i 0
//r,
�!� ..... Front ' % Depth . : a� *Height Z P. �� `+ Sq. Ft. /.. Cu. Ft. RY %V
Type of Construction ................... Wt. Cost.../ Q. To be Completed ...................
In consideration of the issuance to me of a permit to construct the uilding desribed above, I agree to do
the proposed work in accordance with the description above set fo and in comp th allprovisions 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 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 Inspector for separate permits for these item&
Application for Power Plants and Healing. Cooling. Ventilation. Re%igeration and
Air Conditioning Systems and Devices P�
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560-3450
xw-9 i D�
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 .............. 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
D�
GAS BURNER (up to 199,000 BTI) ....................... 5.00 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures o
x$ 200 $
Additional Fixtures x .75 $
Gas Range to 199,000 ........... x$ 5.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
IgOUGH
FINAL
—
$
See Fee Schedule
TOTAL FEE
$$%%
0
City of Fridley:
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 representations stated in this application are true and correct.
Owner
Kind of Building
Used as
�--7J
® Ipbgpe'
To be completed about
Estimated Cost, $!/I`�r
Old—New. Building Permit No. Permit No.
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 Loafi Kind of Fuel
BURNER —Trade Nam , Size No Ay
Capacity. Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
2
SUBJECT
PERMIT NO.
City of Fridley
20773-
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
1 ,
RE NO.
-------COMMUNITY DEVELOPMENT DIV.
1 PROTECTIVE INSPECTION SEC.
37113
e 1 �
1
NUMBER
REV.
GATE
PAGE OF
APPROVED BY
1 0"'1 ! CITY HALL FRIDLEY 55432
I'J 612-571-3450
910-F15
4/22/91
JOB ADDRESS 5831 - 6th Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
6
Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Earl Palmquist 5831 — 6th Street NE
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Richard Hastings Contractor 6331 Riverview Terr NE, Fridley
574-9966
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
Reside Dwelling
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 I HAVE READ AND EXAMINED THIS APPLICATION
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
$4,500
$2.25
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$72,00.
Fire SC $4.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
g / 2� moi/
$78,75
SIGNATURE OF CONTRACTOR OR A6ftHORIZED AGENT (DATE)
WH -PROP
LY
I AT THIS IS YOUR PERMIT
G INSP
OAT
SIGNATURE OF OWNER tIF OWNER BUILDER) IDATEI
NEW [ ]
ADEN [ ]
ALTER [ ]
R-1 AND R-2
Building Pexmit Application
Construction Address: 5,? 3 / 6-7X 41 ,
Effective 1/1/91
legal De ripticn:
Owner Name & dd•mss: FA r2 L PAL 4A Tel. #
Contractor: c C� /4R Q WAEtl rv� S TP1. # 5'71�g6.j�
Address: 6 3-3/ ?,' U F r2 o I' Ey -r E, r2
Attach to this application, a Certificate of Survey of the
lot, with the primed construction drawn on it to scale.
BES(RIP MON OF
LTVIM AREA: length Width Height Sq. Ft.
GARAGE AREA: length Width Height Sq. Ft.
DECK AREA: length Width Hgt/Grotnd Sq. Ft.
aaMM-
Corner lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: AL u nn , S . W, " -f 4E Estimated Cost: $ b
Approx. C.cupletion Date: S r S
Proposed Driveway Width If New opening Is Desired: Ft. $ $
Width + 6' See Back Page
DATE: z z q / APPLICANT: Tel. Fell
Permit Fee
$ `%a. 0 O
Fire Suntarge
State Surcharge
SAC Charge
$
Driveway Esnw
$
Park Fee
$
Sewer Main O=Ve $
Tt7!'AL $ %F- `7' -
STIPULAT'TCNS :
CITY OBEY
Fee Schedule on Reverse Side
.001 x Permit Valuation (1/10th �)
$.50/$1,000 Valuation
$650 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Eng; neer M
Agreement Necessary [ ] Not Necessary [ ]
City of Fridley'
SUBJECT
ISEARMIT
2 7 4 3 0 1
AT THE TOP OF THE TWINS
P
BUILDING
PERMIT
RECEIPT NO.
_ COMMUNITY DEVELOPMENT DIV.
fv�
PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
----n CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/27/98
JOB ADDRESS 5831 6th Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
6
Bonne Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Earl Palm uist
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE
LICENSE NO.
Richard Hastings 6331 Riverview
-
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 Qx REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 20 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the 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 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
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
1668
8
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.
$54.00
CHECK FEE
TO7AnE
ZPLAN
-
Ve
SIGNATURE OF CONT RACTOR OR AU RIZED AGENT IDA EI
P OPE
BLO I SP
ALIDAT
IS IS
i
R PERMIT
i
OA E
SIGNATURE OF OWNER IIF OWNER BUIL DERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 f 36
BUELDING PERMIT APPLICATION �'i �l
ConstructionAddress: 51r3 / (ort
Legal Description:
Owner Name & Address: X54 tZ L ?,A tAA Tel. #
Contractor: _� ; AR a 4A sj-, 146- S MN LICENSE # f
Address: 3 r R, 1' -, rZ 0 L_ ,�j T-c-- R- Tel. # S
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EWPROVEMENT
LIVING AREA:
Length
Width
Height
Sq. Ft.
GARAGE AREA:
Length
Width
Height
Sq. Ft.
DECK AREA:
Length
Width
Hgt/Ground
Sq. Ft.
OTHER:
• zip
SC,
$1000 per SAC Unit
Construction Type: -7�7,a i�-
6 FF
60
Estimated Cost: $
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft =
Ft x $
_ $
DATE: i 7AS APPLICANT:. 4 Tel. #
TOTAL
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
'� 00
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
STIPULATIONS:
SUBJECT
City of Fridley
30536
AT THE TOP OF THE TWINS
BUILDING
PERMIT
`
RECEIPT NO.
L'__ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r � PROTECTIVE
/
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE 11/22/
9 PAGE OFAPPROVED
By
ti.__.11.' '•• 612-571-3450
910-F15
k*0xx
/ /
JOB ADDRESS
5831 6th Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
6
1 Bonney Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Earl Palm uist
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Richard Hastings Contr. 6331 Riverview Ter Fridley 55432
574-9966
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
O NEW O ADDITION O ALTERATION 1c REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Partial replacement of aluminum siding - Storm damage
9 CHANGEOFUSEFROM TO
STIPULATIONS
Call for building wrap inspection before covering.
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
3000
@@
$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
$83.25
Fir SC $3.00
PLAN CHECK FEE
TVIFELinen
S
5
5
SIGNATURE OF CONTRACTOR OR A4kORQEO AGENT IDATEI
EN RO
VALIDA is I$ Y IT
BLD INSP
+R4�
GATE
SIGNATURE OF OWNER„F OWNER BUILDER, IDATEI
w
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION �d I
Construction Address: s T3 I
Legal Description:
Owner Name & Address:A L-ec + 5 Tel. #
Contractor: ?,,'c-4 * Z0 A(Ars ; W6 5 MN LICENSE
Address: ( J3 l PL V F-ez Tel. # S 7 1/
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA:
Length
Width Height
Sq. Ft.
GARAGE AREA:
Length
Width Height
Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground
Sq. Ft.
OTHER:
"J,t� '-aye
Construction Type: Aeci*c, 5 d,'Alc. Estimated Cost: $ J, a c'v
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE: APPLICANT: /e�� Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ 3, a Fee Schedule on Reverse Side
$ .3- <%d .001 of Permit Valuation (1/10th%)
$ /. S4 $.50/$1,000 Valuation
$ $1050 per SAC Unit
$ 5,60 $5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]