Demo'd Bldg DocsVillage of Fridley, Minn.
BUILDING PERM"
N.0
772
Office of INSPECTOR OF BUMDINGS
owner
Architect
Fridley, Minn.,
Builder
LOCATION OF BUIE DING
No." "� ••� street _ -:'y.- Part of Lot
Lot Block Addition or sub -Division
A
DESCRIPTION OF BUILDING
Front- Depth Height storiese°'"{"' Manner of Construction'
�r tea. �. r '22
To be used a T , �' '
�,= - o be complet �'� Estimated Cost
-
Permit is hereby granted t
t_ °c=a.�R
the 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 limit' and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
4", K,
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 aid 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. f
Subscribed and sworn to before me at Fridley, Minnesota thi
day of=,,_� A.D.
Village of Fridley, Minn.
BUILDING PEEOM
N? 907
Office of INSPECTOR OF BUILDINGS
/7
C)wner, 4
-41
"t -
Architect s Fridley Minn
Builder
LOCATION OF BUILDING
No. Lp street, Z-
-Part of Lot
Lot Block Addition or Sub -Division
DESCRIPTION OF BUILDING
Front_ Depth- Height- Stories Manner of Construction
To be used as To be completed
Estimated Cost -
Permit is hereby granted to
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 ina'� 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.
W"ectOr 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.
Subscribed and sworn to before me at Fridley, Minnesota, this
day A.D. 19
0
0
Date: May 18, 1967
Owner:
Address
City of Fridley, Minn.
BUILDING PERMIT
John Pawlieck
5931 3rd St. N.E.
No. 5931 Street --__
Lot _ _ __ Block
Corner Lot ---.____ Inside Lot
Sewer Elevation --
N9 925
Builder Sonny Miller Constr. Co.
Address 4237 W. 25th St.
LOCATION OF BUILDING
3rd Street
Part of Lot _
— Addition or Sub -Division — _ _...—
_ Setback --- Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Siding Front __ Depth _ _ Height _ Sq. Ft. Cu. Ft.
Front Depth _ _ Height Sq. Ft. — Cu. Ft.
Type of Construction _ Est. Cost _$1500.00 .__To be Completed June 1
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 $ 9.00 ., permit is hereby granted to— Sonny Miller
C ons t . C o . 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 BELTSLE Building Inspector
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, gas boating, sewer or water. Be sun to soo
the Building Inspector for separate permits for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAMEBUILDER
ADDRESS ADDRESS y 3 % Cir
NO.
LOT
STREET
BLOCK
LOCATION OF BUILDING
PART OF LOT
ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDE -YARD
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form two certificates of survey of lot and proposed
building location drawn on these two certificates.
DESCRIPTION OF BUILDING
To be Used as:
Front Depth_ Height
Sq. Ft.
Front
Sq. Ft.
Type of Construction
To Be Completed
Depth
Cu. Ft.
Cu. Ft.
Height
Estimated Cost=
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 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
(Schedu a of Fee Costs can be found on the Reverse Side).
Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldga. Phone SM -3450
GRAVITY WARM AIR: RATE TOTAL Location of ?31 " A
Furnace Shell & Duct Work .......................... $10.00 $
Replacement of Furnace ............................. 6.00 $ City of Fridley:
The undersigned hereby makes application for a permit for the work herein.
Repairs & Alterations—up to $500.00 .................. 6.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances
Repairs & Alterations each add. $500.00 3.00 $ and ruling of the Department of Buildings, and^hereby declares that all the facts
p and representations stated in this applicatioXf ar¢ true and correct.
MECH. WARM AIR
Furnace Shell & Duct Work to 170,000 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
GAS BURNER (up to 199,000 BTU) .......................
5.00
��,,pp®®
$�
over 199,000 BTU See Fee Schedule
GAS FITTING FEES:
NO RATE TOTAL
®�
1st 3 Fixtures ......................
x$ 2.00
$
Additional Fixtures .................
x .75
$
Gas Range to 199,000 ...........
x$ 5.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$ ®®
ROUGH
FINAL
19 /PZ
Owner
Kind of Build' g ��
Used as
Lirt;
To be completed about Z
Estimated Cost, $ �/
Old New. Building Permit No.
Permit No. 'W16 -
DESCRIPTION
'/6 -
DESCRIPTION OF WORK
HEATING or P WER PLANTS -Steam, Ho Water, Warm Air—No
Trade Nam Size Nom
Capacity. Sq. Ft. E.D.R BTU H.P.
Total Connected Load �Kind of Fuel eAa"-
BURNER — Trade Name Size No
Capacity.
(REMARKS—OVER)
CIIND042
Sq. Ft. E.D.R BTU A.P.
l
RNA il
SUBJECT
PERMI
City of Fridley
13495
AT THE TOP OF THE TWINS
PERMIT
BUILDING
RECEIPT NO
r 1 tr ______ COMMUNITY DEVELOPMENT DIV.
1 PROTECTIVE INSPECTION SEC.
671
1
NUMBERDATE
PAGE OF
APPROVED BY
-"'Ii CITY HALL FRIDLEY 55432
812-580-3450
910-F15
r�7
5/5/76
JOB ADDRESS 5931 - 3rd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
24
12
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Potvin Sales Company 7341 Commerce
Lane N.E., Fridley
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Pauluk
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 ElMOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reside trim and crutters
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.
n1m1
Aluminum
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
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1 ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE
$1,500.00
WITH WHETHER SPECIFIED HEREIN OR NOTOTHE GRANTING OF AOPERMIDT
.75
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-
$9.00
STRUCTION OR THE PERF NCE OF CONSTRUCTION.
A
PLAN CHECK FEE
TOTAL FEE
$9.75
SIGNATURE OF"CONTRACTOR OR AUTHORIZED AGENT (DATE)
T
�''�(, \WHEN APROPERLY//V��A/JLIDATED//(,THIIS IS YOUR PERMIT
C r i(i �J! �= I V n �Jv _��
BLDG INSP 4-� DATE
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: BUILDER: cam,
ADDRESS: ADDRESS:
NO • . 3 STREET •
LOT: BLOCK: ADDITION :,--Ld/
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: Estimated Cost:
—$
To Be Completed: :2
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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:721�� �" / F"2 �j SIGNATURE •
(See.Reverse Side For Additional Information.)
BUILDING'PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings 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 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:
UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
or the cellar to the average heights of the upper surface or to the averagee
height of the roof surface of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
In no case shall the fee charged for any permit as set forth in Section 2 be
less than $5.00.
VERIFICATION OF FOUNDATION
NOTE: 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 Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the -use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued.
Building
PLUMBING
Permit No.: UJ
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rec'd:
DATE S YOUR E-MAIL ADDRESS
SITE ADDRESS (5-f 3/ 3 'il
THIS APPLICANT IS: ❑ OWNER ACONTRACTOR
PROPERTY
NAME:
ADDRESS: CITY STATE ZIP
OWNER/
TENANT
PHONE:
CONTRACTOR
NAME: le .`-,' Ij i--fc--
-Z
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE
ADDRESS: j®cd 4-ejlA✓l4 &-gCITY STATE IP �
LICENSE WITH
PHONE (,.47 - 7 ��— 6 / �3 FAX i '/>
APPLICATION
PERNIIT TYPE
PSINGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
0 NEW ❑ REPLACEMENT
DETAILED DESCRIPTION OF WORK
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 mss, e-0 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 FLOOR DRAINS _ SHOWER _ WATER PIPING
_
GAS PIPING wo cnyLicmm) _ SWIMMING POOL _ WATER SOFTNER ($35)
—BATHTUB _
CLOTHES WASHER KITCHEN SINK —WATER CLOSET _ BACKFLOW PREV. ($15)
_ _
DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
_
WATER METER —OTHER
. e.7..,: M � '�y I i_.;_01 L1
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.
PRINTNAMEDATE
SIGNAyT�URE OF APPLICA�Ny
yTw7� j 7y
'SRIi :: .,., F.�4,��".•D.�t, „T.A1�sz,A V
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 FRMLEY MOVING [ ] /J 'CKING PERMIT APPLICATION
6431 University Ave NE
Fridley MN 55432 �vD 01�1IS'
(763)572-3604 FAX (763)571-1287
Job Address:
Legal Description:
Owner & Address:
5'6(.31 -3rJ. s4, IJP.
Contractor: Vett L.["'-
Address: N000 �e`� P111L1 12/It. J 553?Sate License #
DESCRIPTION OF BUILDING
HOUSE: Length y Width a "? Height Sq. Ft. 5gY
Tel. #-571- 3y `?l
Tel.
Cu. Ft. ylra
GARAGE:Length Ita Width to Height 1� Sq. Ft. ►o-- Cu. Ft. ®�
OTHER: Length Width Height Sq. Ft. Cu. Ft.
Estimated Cost $ o as ,'o Approx. Completion Date 9/3�%�
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 [$
Moving Route: V
] Signature
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: a0 0Z) MINIMUM $20.00 STIPULATIONS: