Demo'd House Docs0
Village of Fridley, Minn.
BUILDING PERMIT
C
N° 916 Office of INSPEMOR OF BUIMINGS
Owne
lg,_,a,'
Architect Fridley, Minn.,r . e -
Builder
LOCATIO� OF BUILDING
Part of Lot
Lot Block Addition or Sub -Division
DESCRIPTION OF BUILDING
Front Depth :.j:, Height Stories Manner of Construction s
To be used as'�'`""`�' To be completed 0 ` Estimated Coat
7,4
Permit is hereby granted to
the building of °e-< 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, 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.
C` f d'�' , _ -' ° . Z_ - inspector 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; I 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.t J
Subsc bed and sworn to before me at FriTey,
y
da o B� r. , g.� { A.D. 19�
f ,�
r J
ra
Minwata, this -,f°
•
0
Date: June 22, 1965
Owner: Frank Gabrelcik
Address 5923
City of Fridley, Minn.
BUR DING PERMIT
3rd Street N. E. Address
Frank Gabrelcik
5923 3rd St. N. E.
LOCATION OF BUILDING
N° '7982
No. 5923 Street 3rd Street N. E. Part of Lot
Lot 21 _ Block 12 Addition or Sub -Division Hyde Park Addition
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Dett. Garage Front Depth Height Sq. FL Cu. Ft.
Front Depth Height Sq. FL Cu. FL
Type of Construction 'game Est. Cost $1,188.00 To be Completed
Dett. Garage
In consideration of the issuance to me of a permit to ct the building A cribed above I agree to
the proposed work in accordance with the description above forth in ce lth of l visio of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ • 00 , permit is hereby granted to Frank Gabrelcik
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, 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 .gg location, constru alteration, maintenance, repair and moving of buildings
within the city limits us permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Allen Jense n
NOTICE:
This perm* do= sot ecru the enashadhmo dna for whhM phunW8. Ha bomb& nww or wslsr. Be sura to as
tin B90ft kapseter for apMft pmft for than items.
OWNER'S
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
ADDRESSADDRESS
LOCATfON OF BUILDING
Street � --4 ' Part of Lot'
LOT�BLOCK / ADDITION OR SUBDIVIkON,
Corner Lot Inside LOT Setback Side Yard
SEWER ELEVATION FOUNDATION ELEVATIO]k
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be uped as:
),j4 '7� A j
Front Dept Height
Sq. Ft.—,..l a Cu. Ft._.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Cs
�� ��'� � Estimated Cos r�
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.
1-1 4�- t --/-HATE SIGNATURE ���/,�- r
�
(Schedule of Fee Costs can be found on the Reverse Side).
•
. -,u
i
BnTr.nrwr. PEWT F_F _ S .E
SECTIOAT_2. The Inspector of Buildings shall. before issuing any permit for the
erection of any building or structure, or for any addition to any existing build-
ing or structure, or for any alterations or repairs to any existing building or
structure, upon application therefore, require the payment by the applicant for
such permit of fees to the amount herein below set forth and in the.manner herein_.
provided to -wit;
2.1. For any such permit for the erection of any fire -proof building,
other than a garage, warehouse, factory or grain elevator, or for the erection
of any fire -proof addition, for similar occupancy, .to any existing building,
shall be at the rate of $1,40 for each one thousand cubic feet, or fraction
thereof, in such cubical contents.
2.2. For any such permit for the erection of any fire -proof garage,
Warehouse, factory or grain elevator, or for the erection of any fire -proof
addition, for similar occupancy, to any existing building shall be at the rate
of $1.25 for .each one thousand cubic feet, classified as "fireproof" by
Section 502 of the Minneapolis Building Code.
HOUSES
2_ 3. For any such permit for the erection of any non -fireproof building-,
other than a garage, warehouse, factory or grain elevator, or any non -fireproof
addition, for similar occupancy, to any existing building - permit $1.00 for each
one thousand cubic feet.
GARAGES
2.4. For any such permit for the erection of any non -fireproof garage,
ware o e, factory or grain elevator, or for the erection of any non -fireproof
addition, for similar occupancy, to any existing building or for each such
building or addition - ninety cents ($0.90) for each one thousand cubic feet
or fraction thereof, in the cubical contents thereof with the minimum of $4.00.
For the purpose of computing fees for building permits, the cubical contents
of any building or addition to.a uniform height throughout by multiplying the
ground area covered from a point six (6) inches below the floor line of the
basement or cellar to the average height of the upper surface or to the average
height of the''roof surface of the main gable of a pitched roof.
2.5. For repairs or alterations to an existing structure, the fee shall
be a the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction
thereof in the cost of all proposed work.
2.6. In no case shall the fee charged for any permit as set forth in
Section 2 be less than $4.00.
SUBJECT
City of Fridley
%
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
S
T NO.
_ COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC.
r ;
E _ /"'1 CITY HALL FRIDLEY 55432
I.J
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/13/96
JOB ADDRESS 5923 3 Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
21
12
1 Hyde Park Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Linda Meyer 5923 3 Street NE
641-0420
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Authentic Construction 2047 Grand Ave, St Paul, MN
690-3185
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 Cly ALTERATION ❑ REPAIR ❑ MOVE ❑ R6MOVE
8 DESCRIBE WORK
Construct an interior, 1st floor, bathroom
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
SEPARATE PERMITS REQUIRED FOR
WIRING, HEATING, PLUMBING AND: SIGNS.
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 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
$4,000
$2.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRE ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS Y OTHE TgOOR OCAL LAW REGULATI G CON-
$87.25
ire SC $4.00
STRUCTION HE PERF OF ONSTRUCTION.
p�
PLAN CHECK FEE
T TALFEE
c},�7
Licensi S
5.00 $98.25
GNATURE OFC NTR TOR OR AUTHORIZED AGENT ID EI
N P
(pG I P
ERLY V L D THIS IS YOUR PERMIT^�
r)ATE (!�
SIGNATURE OF OWNER OF OWNER BUILDER) (DATEI
MMU
'A
[ ] CITY OF FRIDLEY
ALTER j ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress: �� c�C J ►�'� ��, 1
Legal Description: 46E AIR-,
Owner Name &
Contract
Address
Effective 3/1/96
Tel. # (091 -6Y. -It-)
MN LICENSE #
Tel. #6–�l
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
p 2�U P DESCRIPTION OF IlVIPROVEMENT
f �t
AREA Length Width _ Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER:
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback
Type of Construction: —
Approx. Completion Date:
Sq. Ft. S� S
Sq. Ft.
Sq. Ft.
Side Yard Setbacks
Estimated Cost: $ A
STIPULATIONS:
(Cost on Back)
Driveway Cyrb Cut Width Needed:
Ft. + _ _ $
DATE: $ (
APPLICANT:
Tel. # G9 D ^ 3 1
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
$
$900 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 j ]
TOTAL
$ 96" �S�-
STIPULATIONS:
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE FEES
$1 to $500 $21 (Minimum Fee is $21 plus surcharge)
$501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1;000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $349.75 for fust $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $887.25 for first $100,00 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
i
is
Rw
00,
s✓ LGL
07 ~°- - - -- -
�� A 7 n
d'n.
0 At
--- --
—
- •
t _
4.1
y - I
• i
._ I
—AA
� ___—'{/—�.�N. ,,•mss - �--+— — _____ _ � _---__. _�-
< ! A
� I •
i
is
Rw
00,
s✓ LGL
07 ~°- - - -- -
�� A 7 n
d'n.
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On March 1, 1996
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater —Electric
Water Heater — Gas**
NO. RATE TOTAL
M
Gas Range**
Gas Dryer**
Back Flow Preventer Required ( )Yes () No
Type
$ 7.00 -rZ f, &4
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
JOB ADDRESS g5,:=) Z3 �j �p rl A c
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.
-Ao Lt- 1- '1996
Owner U t0P, bf,YCE.S
Building Used As (Zc-S,
Estimated Costo . PERMIT NO. is' /6
PLUMBING COMPANY ?LJJM AI4L OZ L.&S t14L,
Reinspection Fee $42.00/Hr SIGNED BY WN-kcyP TEL N0.
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance �
Approved By Rough—In Date Final Date
State Surcharge $ .50
MINIMUM FE FOR ANY PLUMBING/GAS PERMIT IS $20.00 `
TOTAL FEE PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES.
Building
PLUMBING
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rec'd:
Z L
DATE — YOUR E-MAIL ADDRES _
SITE ADDRESS R _4
_
THIS APPLICANT IS: 17 OWNER ®CONTRACTOR
PROPERTY
NAME:
ADDRESS: CITY STATE ZIP
OWNER/
TENANT
PHONE:
CONTRACTOR
NAME: �- c s 2r- °f- r 5 e,41 e 1- JA c
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE
ADDRESS: V'0.0 4,0 CITY 'F22,01- S STATE_iJTGIP
LICENSE WITH
PHONE ly i z 7 q`9-> FAX 612-
/2APPLICATION
APPLICATION
PERNUT TYPE
® SINGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
11 NEW 0 REPLACEMENT
DETAILED DESCRIPTION OF WORK a�
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor 3 '., a x.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
BATH SINK/LAV DRAINS _ WATER PIPING
_ _FLOOR —SHOWER
GAS PIPING axm cn7mcEhm) _ SWIMMING POOL _ WATER SOFTNER ($35)
—BATHTUB _
CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15)
_ _
LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
—DISHWASHER _
WATER METER —OTHER
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge 50
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $
State Surcharge = $ .50
Total = $
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building 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 and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME DATE
-.
xrY6 .. FXA.i ✓': .. ' ..,.. .'.... RN
a„ .. .... ` :, .A . .. ......
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
Effective 1/1/04
CITY OF FRIDLEY MOVING [ ] WRECKING, PERMIT APPLICATjj0
6431 University Ave NE �__ _-- '"����eT1
Fridley MN 55432-U�,db
(763)572-3604 FAX (763)571-1287
Job Address:
Legal Description:
Owner & Address:
5�`l a3 3,,� sJ I-10
Contractor: Ve-„4 J-
7\ A A
-Address• 14000 PIu« iZf 1�1�J S53"Sate License #
DESCRIPTION OF BUILDING
HOUSE: Length 3 3 Width Py Height I o Sq.
GARAGE:Length li Width ;23 Height 'i Sq.
Ft.
Ft . y�1
OTHER: Length
Width
Height
Sq. Ft.
Estimated Cost $
q 5 `6 ,00
Approx.
Completion Date
Tel. #.s7,�- 3j -,Il
Tel.
Cu. Ft.
Cu. Ft. 305-9
Cu. Ft.
'7/3- /,,s
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL
UTILITIES FOR DISCONNECTS BEFORE WRECKING/MOVING STRUCTURE.
Water Bill Paid: Yes [ ] or Collect [$ ] Signature
Moving Route:
WE
The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing
to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State
Code which requires any water well on the property to be sealed by a State licensed water well driller, and
hereby declares that all facts and representations stated in this application are true and correct. ALL
Moving Wrecking
Principle building into Fridley .... $300.00 For each 1,000 cubic feet or fraction.. .$1.25
Accessory building into Fridley ... $ 42.00 For structures which would be impractical to
Through or within the City ...... $ 20.00 cube, the fee shall be based on the total cost
Move a building out of City ...... $ 20.00 of wrecking at the rate of $6.00 for each $500.00
or fraction.
PERMIT FEE: a O.0 a MINIMUM $20.00 STIPULATIONS: