PRE 2010 DOCS0
City of Fridley, Minn.
0
WELDING PERMIT NT 3780
Date: ..y..~ ..........
Owner ...�...... Builder .. .. ...............
Address...................................... Address .............................................
/../�! �jTION OF BUILDING
NO.�/.J. �. Street ...... ..:.. .. ............ Part of Lot ................. ..
Lot ........... Block ............. Addition or Sub -Division.. .......... .
Corner Lot ............ Inside Lot Y......... Setback ............ Zeya�7........................
DESCRIPTION OF BUILDING
T be Used as:
4..... .. Front 1. S�..�� Depth, Height .�s� : s Sq. Ft. Cu. Ft. ....
.................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction ................... Fitt. cost.. l� �.'..'.... To be Completed ............... .
In consideration of the issuance to me of a permit to construct the building desribed 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 $j/^ ...... 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. - i
.. c WAr 4er......ON.... Buildjng 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 Irgpector for separate permits for these Items.
y
1. r
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA'
Owners -'Name ,
Address . Address
LOCATION OF BUILDING
No. Street Part of Lot
Lot Block Addition or Sub. Din.
Corner Lot inside Lot — Set Back
Applicant attach to this form Certificate of Survey of Lot and proposed
buildinglocation.
ESCRIPTION OF BUILDING
To bp used as
P
Front Depth_?Height
Sq. Ft. Cu. no
Front ..Depth ____ Height
Sq. Fty Cu. Ft.41
Type of Construction Estimated Cost L^=....
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 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. "
Date Signature
(A Schedule of Fee Costs can be found on the Reverse Side)
City of Fridley, Minn. N°•
BUILDING PERMIT
•
Date: dune 2, 1965
ownw: Alfred S. u„iia Builder U. S. Roofing and Siding Co.
Address 5956 7th. Street N. E. Address 200 W. Sycamore St.
LOCATION OF BUILDING
No. 5956 Street 7th. Street N. E. Part of Lot
Lot - 4 _ Block 5 Addition or Sub -Division Agpny Addition
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est. Cost 63 .35040 _ __ To be Completed
• Stora damage repair
•
el, , " Fy�A, � r
7639
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the propowork in accordance with the description above set forth in compliance with aft ons of
ordinances sed of the city of Fridley.
L
In consideration of the payment of a fee of $ 10. 00 permit is hereby granted to U. S. Roofing
and S joing Co, to construct the building or addition as described above. This permit is grantedupon
the express condition that the person to whom it is granted and his agents, employees and workmen, ffi all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota kicaatlon,
:n alteration, alteration, maintenance, repair and moving of buildings
withinthe
city limitsn and�th s peraait may be revoked at any time upon violation of any of the provisions of said
ordinan
Allen Jensen Building inspector
NOTICE:
Tie perm* don not corer the ceesfrocttoa, hwullattoa for whin& p umblee, an huffm ewer or water. Be wre to ae
the &dmhre Mqm for for "paste permtte for thea lions.
H
___Pi6P64
APPLICATION FOR BUILDING PERMIT
CITY;OF FRIDLEY$ MINNESOTA
OWNER'S NAME
Alfred S,
Kulla
BUILDER Uo S: Roofing. and Siding Co,
ADDRESS
5956 -7th
St. N.E.
ADDRESS -200 W. Sycaffiore St. .
..'LOCATION OF BUILDING
No. 5956 ' Street -7th St, N.E, Part 'of Lot_
LOT lr BLOCK 5 ADDITION OR SUBDIVISION Bonny Addn.
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 Dept h Height,
Sq. Ft.
Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction ` Siding Estimated Cost 1.350.00
To be completed
The undersigned hereby makes application fora 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 May 27, 1965 SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
City of Fridley, Minn.
BUILDING PERMIT
•
Date: Sept. 25, 1968
•
•
Owner: Alfred Kulla Bider __ Sussel Co._
Address 5956 7th St. N. E. Address 1850 Como Ave.
LOCATION OF BUILDING
No. 5 956 get 7th S t . N. E. _._., part of Lot
Lot _ X 4 __ Block 5 _ _ Addition or Sub -Division .__ Bonny_Addn.
Corner Lot ____ Inside Lot _ _ Setback __ Sideyard
Sewer Elevation
To be Used as:
Garage Front 16 t
Type of Construction
Front —
Frame
Foundation Elevation
DESCRIPTION OF BUILDING
44�a�
9948
Depth 20' Height 10� Sq. Ft. 320 Gyy Ft. 3200
Depth . _ Height . _ Sq. Ft. ____ Cu. Ft.
—Est. Cost— $1100.00 .__ To be Completed
In consideration of the issuance to me of a permit to c
the proposed work in accordance with the description above
ordinances of the city of Fridley.
forth
I agree to
In consideration of the payment of a fee of $ 5.00 ., permit is hereby granted ;o_Sussel Co.
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 upon violation of any of the provisions of said
ordinances.
Clarence BeI isf e
NOTICE:
This permit does not cover the construction, installation for whing, plumbing, gas healing, sewer or water. Be sun to see
the Building Inspector for separate permits for these Items.
4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNE5 IS NAME�,/=:p,' /Z,e,,j /BUILDER Z610
ADDRESS j5,4T ADDRESS
LOCATION OF BUILDING
NO. 5 �! 5 (, —STREET T? S t. A2, f
LOT BLOCK
ADDITION OR SUBDIVISION
CORY'ER LOT INSIDE LOT 4-" SETBACK SIDEYARD
SEWER ELEVATION TOP OF FOOTING
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: a,* de P ?,—P
T'fontepth Height
0
Square feet Cubic Feet
Front j Depth Z c1 Height 0
Square feet__!fCubic Feet v2 2 o 6
vo
Type of Construction Estimated Estimated Cost/ D 0
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 andrepresentations stated in
this application are true and correct.
DATE %!�IZ /�� SIGNATUREZ���
(Schedule of Fee Costs can be found on the Reverse Side.)
LOCK
ADD'N.
AR
q / I 1 140; , .
VA
TYPE
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0
3
t� 5Q? 5.144Zti:.. W!-rs% 4S.k►
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8' _ i�2..L0. S� GL11MN�•�
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P,4=> kALT
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1 k 5o
S
SUBJECT
PER -
City of Fridley
o 18695
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
r
RECEIPT N`O�'
COMMUNITY DEVELOPMENT DIV.
---
�Q
r 1 PROTECTIVE INSPECTION SEC.
'P
1 �
=
1 S CITY HALL FRIDLEY 55432
'.j
NUMBER
'REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/14/8
JOB ADDRESS 5956 - 7th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
55
Bonny
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Nazeen Mohamed. same
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
R-1
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Fireplace
9 CHANGEOFUSEFROM TO
STIPULATIONS
1. Maintain 2" clearance between caanbustable
and. masonary.
2. Provide oombusion air to fireplace or -ftxfurnace.
3. Install fire alarm in hall near bedrooans.
4. Footing 12" thick.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
cement
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 1 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
$2,400
$1.20
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.
$38.50
PLAN CHECK FEE
TOTALFEE
$39.70
SIGNA URE OF CONTRACTOR OR AUTHOR17 DAGENT IDATEI
WHEN PROPER Y A I A E HIS IS YOUR
o
G iNSP
BPERMIT
GATE
SIGNATURE 91 OWNER OF OWNER BUILDE 1 IDATEI
NE'l [ ] City of Fridley Effective 4/1/8(
Ant; . [ R-1 AND R-2 j
ALTER. [ ] Building Permit Application
Construction Address:
Legal Description:_
Owner Name i Address:
Contractor:__
Address:
'/ O„ . e �//.�� . --e—V 3 L
Tel. i
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 �_ Wid�h Hgt/Ground Sq. Ft.
OTHER:
Corner Lot ( J Inside Lot [ J Ft.
IYd. Setback _ Side Yard S back
Type of Construction: e / — Estimated Cost:��
Approx. Completion Date: (,(2)
S
Alt. A Alt P
Proposed Driveway Width If New Opening Is Desired: D 0
See Back Page for Explanation
DATE: U � I � '6G APPLICANT: i� Tel. #
Q CITY USE ONLY
Permit Fee O �v Fee Schedule on Reverse Side
Plan Check 25% of Building Permit Fee
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $475 per SAC Unit
Park Fee Fee Determined by Engineering
Sewer Main Charge
ls
Q
�v Agreement Necessary [ ] Not Necessary [ ]
TOTAL / l
STIPULATIONS:
Qi�oo
l�G f
I
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
7
20557
r
CEIPT
L _____ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
"1 CITY HALL FRIDLEY 55432
612-571-3450
7 J /y / �ry
7/
NUMBER
910-F15
REV TATE
9/7/90
PAGE OF
APPROVED BY
10B ADDRESS 5956 - 7th Street N.E.
1 LEGAL
DESCR.
LOT NO.
4
BLOCK
5
TRACT OR ADDITION SEE ATTACHED
Bonny Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Nazeem Mohamed 5956 - 7th Street N.E. 572-9834
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 O ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Construct a 141 x 141 Detached Three Season Porch.
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan,
Before Agghrg call for RT" � --'�'
all utility locations SEPA.rs , r,nrn� rm
. .......� , , .. 13 FOR
454-0092 WIRING, HEATING, PLUMBING AND SIGNS,
QUIRED rBY i AW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. 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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$4,300
$2.15
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-
STRUCTION$72,00 OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
F' a SC $4.30
$78.45
SIGp ATURE OF CONTRACTOR QORAUTHORIZED AGENT IDATEI
�l
WHEN PROPERLY V .RATED THIS IS YOUR PERMIT
2A 9AM"d-
iGNATUFl OF OWNER OF OWNER BUILDERI IDATEI
BLDG INSP AAT54
NEW [ ] Effective 8/16/90
ADDN [ J R-1 AND R-2
ALTER [ ] Building Permit Application
O. ti _i K_ •� :... tom_
Legal Description:
� 7 � -
Owner Name &ddess: IV!!4 e�q- ���--
Contractor: a Nei .�r ��� _ AC
. I
/13/ 5�
Address:
Tel. # S�9-fig g c(
Tel. # 5 7 2 S q
Attach to this application, a Certificate of Survey of the
lot, with the prcposed construction drawn on it to scale.
DESQtIPPI�i OF nTl'
LIMn AREA: length Width Height sq., Ft.
QNRAM AREA: Length idth Height Fq: Ft.
DECK AREA: ® Width Grp
.-".Ft.
jo
Corner Lot [ ] Inside lot [ ] Ft. Yd Setback Side" Yard -'Setbacks
Type of Construction: Estimated Cost:,
Approx. Ccupletion Date:
Proposed Driveway Width If New Is Desired: Ft. $ $
+ 6' See Back Page
DATE: 0 APPLSCANT; - `%�^�e Tel.
CITY USE CMY
Permit Fee$ .:` o 1 ®®
Fire Surcharge • $ C�
State Surcharge
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main amrge
Fee Schedule on Reverse Side
.001 x Permit Valuation (1/10th �)
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Detend ned by Engineering
Agreement Necessary [ ] Not Necessary [ ]
GARAGE --'CAR FURTS ........
YEAR BUILT CLASS
YEAR BUILT CLASS
ATTACHED DET.
L,- BASM'T
FRONT SIDE BACK
FOUNDATION
FLOOR
OPEN - SCREENED GLAZED --------
EXTERIOR
FOUNDATION FLOOR
ROOFEXTERIOR
INTERIOR
ROOF
O.H. DOORS
INTERIOR
ELECTRICITY
BREEZEWAY
YARD IMPROVEMENTS
YEAR BUILT
CLASS
DRIVEWAY
FOUNDATION
FLOOR
EXTERIOR
ROOF
INTERIOR
x xx
DIMENSIONS
x
X
x
X
X
x
x x
x
x 7 X,."
x
x x
S
x
x x
X
x x
19-ZC 19 1911
✓� ,_-
-jr1vejekqs,- IN 117-f
X
LOT/ 3
NAME 1 E
BLOCK
ADD 33 '! VALUE
_ o
15
e TYPE
ADD'N. ARE
9
4" 1 v
0S
Art/ �5e4le
/zL'C�c s;�. �'' /off` ._c7hle
51,61W6 ZAV 7a-7W-My,�?��s cl-wlven5.
/D ,,��s� _ _� ire 01710 I.,,rS
SUBJECT
NO.
City of Fridley
(15ERMIT
23076
AT THE TOP OF THE TWINS
P,RECEIPT
BUILDING
P E R M I T
NO.
Ir '
COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC
�JS
r
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
11/8/94
JOB ADDRESS 5956 7 Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
5
Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Nazeem Mohamed 5956 7 Street NE
572-9034
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Northstar Home Improvement 6121 Excelsior Blvd St Louis Park MN 55416 5336
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
929-1888
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION p REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Soffit/Fascia
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
1
STALLS I 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 HEREI OR NOT. TH RANTING OF A PERMIT
$2,596
1.30
DOES NOT PR UME TO VE THOR TO V LATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIO ANY O H TE OC L LAW REGULATING CON-
STRUCT PE F RM F ON T UCTION
54.00
Fire SCC 2.60
/�
PLAN CHECK FEE
TOTAL FEE
-
v
License SC
5.00
62.90
SIGNATURE OF CO < ACTOR OR AUT RIZE GENT IDATEI
HEN PROPERLY ALIDATED THIS IS YOUR PERMMIIIT�//y/p
,BL SP
oATE
SIGNATURE OF OWNER OF OWNER BUILDERI (DATE)
NEW [ ] Effective l/i/94
ADDN [ ] CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R -Z '
Building Permit Application
ConstructionAddress• .`�~�S�
Legal Description:
Owner Name & Address: A)AWC- N► Hoem M cc- (Q Tel. # s_7
Contractor: 4yv4E ( MP MN LICENSE #
Address: (o < / C-kC EC_S t 6 /_ &_V /J S t LOU Tel. # %z -W- d
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: 5 & PF ka A,
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $ z S1
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. 6 - - $
DATE: �� APPLICANT: Tel. # T*0 -
TOTAL $�
STIPULATIONS:
USE ONLY
Permit Fee
$ �� a
Fee Schedule on Reverse Side
Fire Surcharge
$
..001 of Permit Valuation (1/10th%)
State Surcharge
$ /. y
$.50/$1,000 Valuation
SAC Charge
$
$800 per SAC Unit
License Surcharge
$ < <) y
$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:
CITY OF FRIDLEY INSPECTION DIV,
Effective On March 1, 1996
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS ��� �677—AJ��
RITE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate
Furnace Shell Duct Work,
TOTAL
specified agreeing to do all.work in strict accordance with the City Codes and
and Burner –
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00
$ -2
representations stated in this application are true and correct.
(Side Vent – Fill Out Back)u,�i
---
Gas Piping (Needed with new furnace) $ 10.00
$
�2 � 991 991
/
D
OWNE
Gas Range $10.00
$
�.
BUILDING USED AS
Gas Dryer $10.00
$
ESTIMATED COST �/®0 ® PERMIT N0. X®) /�%
*Air Conditioning –All Sizes $ 25.00
$ �� • 6)0.
_
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
lei
Trade Name le— Size No.
Commercial/Industrial
.21g,
BTU .S®oo� HP EDR
1.25% of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge
.50
Burner Trade Name Size No.
TOTAL FEE
$
BTU HP EDR
hQrp
HEATING4MPIdeating and Air Conditioning
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
entre ve. NE
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
Signed B C urnbia Heights �,,�1 55421
57 2
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
ApprovedRough–inDate Final Date
*Air Conditioners can not be placed in a side yard without
FILL OUT BACK SIDOR STACK VERIFICATION ON
written permission from adjoining property owner.
REPLACEMENT
FUR ACE
CHIlVINEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes ()
No ( )
2. Is free from rust or deterioration Yes ()
No ( )
3. Has no foreign objects lodged within Yes ()
No ( )
4. Is securely supported Yes ()
No ( )
5. Meets all current Code requirements for size
and total BTU's connected Yes () No ( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes () No ( )
8. Has combustion air been provided for water heater Yes () No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
SUBJECT
PE
City of Fridley
2711 0
AT THE TOP OF THE TWINS
P,
BUILDING PERMIT
Ir
T NO.
COMMUNITY DEVELOPMENT DIV.
_
v
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
8/11/98
JOB ADDRESS
5956 7 St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
I 4
5
Bonny
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Lelet Mohamed
572-9834
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Christensen Exteriors Inc 7341 Franklin
Circle Eden Prairie 55346 975-0921
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20130330
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Rpsiaential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION X0 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
garageRproof house and (35 S Tear -off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
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
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
M&2& $2,919.00
$1.46
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.
$74.75
Fire SC $2.92
Iqg4.13
PLAN CHECK FEE
TOTA EE
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ID TEI
N PP ALIDATYDHIS IS UR M
or
SIGNATURE OF OWNER OF OWNE R BUILDER) )DATE)"
BLDG NSP ryATE
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ v]� SINGLE FAMILY AND DUPLEXES R-1 AND R-2P
it
BUILDING PERMIT APPLICATION 6 '/(10
ConstructionAddress: vl �D% � 41A Sf, , N - E
Legal Description: i ii
Owner Name & Address: )-e I e % �06 WAR - Tel. # 5-72--983q—
Contractor:
-Z-983Contractor: MN LICENSE#J—o f,�D33b
Address: -E4 1 F-y6cA [L[ y -L Coir&L 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:
3 ,9vz�
Construction Type: 7-e1T ✓i' Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE: CS ! I °'( APPLICANT: _ 1 _ Tel. # 9 7�-6' Z1
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$� Cr6
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$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 [ ]