AF - 46113� . . . •
City of Fridley, Minn.
BUILDING PERMIT N� s 6 2�
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Da�: _ _,�_-.-.�_l._ �.. _ _... _..,�... _ ..____.._
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Owner: ._._1:.�� •. ._ �.. . :___.._.,_._.. Builder _____.._..._.._._�........�...� ................__.--•._......._...._....__..._..._.._..._...._
Address....._.._.__:..._.._..._..___..__.._..._._..._,....._.._.__......_._..._...._...._.._......._.._. Address _..._...._..__.__._..._....._._.__..._.._......._..__......___.._.__._._....._.__..._.
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,,,,, � ATI F B ILDING
No. ��.....ii�1J...... Street ....._... _.. . .... .� ..�...---....._.._. P of Lot ...................___.__.. _.__...._._.... . .._.
Lot ..... ._�.�.....---.._...._._ Block .__.__.._.�x`-�=:...---------•-•--.---. Addition or Sub-Division _
........ _.... . _ .._ _.......__. _
/ /
Corner Lot ....._............_..._.. Inside Lot ---••--•••----��--------. Setback .-- .��..--'��...�.._........
... Si eyard .---....._ .._.._....._._._._..._.._..._..____.�..
Sewer Elevation ._._..._._.._..._.._.._..._.._.._._...__._._�._._............---...._ Founda.tion Elevation
DESCRIPTION OF BUILDING
T. . U���.� . Front ..�i�..'_..f� . Depth r�.�_. Height ...�_.�.......� Sq. F���r ..�.�� Cu. F���Z'f
_._.._..._...._..._..._._...._._.._........._ t_. __..._.__ Depth Height _..._...- _�.� Sq. Ft. . Cu. F� _._._..___._..
_.____........_ _.._..__. _..
Type of Construction ..._... ._...._... _;���...�.. Est. Cost���`�C.f°..�..._........ To be Completed .....__...__�....._..__.._......_._.
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
th� proposed work in accordance with the description above set comp ' with all pr 'ons of
ordinances of the dty of Fridley.
Y� _._.._.. __... '
�
Ea carisideration of the payment of a fee of $.�„�� ..°._:�_.., permit is hereby granted to._._.._.._..._ ..._
..,.__,........_......._.._..._...�..._....._..____. to construct the building or addition as described above. This permit is �ranted 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 a t ar�y time upon violation of any of the provisions of said
ordinances. i"'� _ �"1
Building Inspec'tor
NOTICE:
'�his pKmif doa not eov�r f6s eonstrue�ion, tn�allNion fe� wieMy. Piumbin9. oas h�af�g, aw�r or waNr. 8� sun to tN
th� Buildias In:p�cfor for s�panM p�rmits for f6�a inms.
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APPLICATIQN FOR BUILDiNG PERMIT
CITii OF FRIDLEY, MINNE50�A
OWNEI�' S NAME �UTI.DER
ADDRESS ADDRESS
LOGATiON OF BUiLDING
No. ��'� j� Stt�eet Part of Lot
Lot 3 Block �Additioa or Subdivision
Coxner Lot Inside Lot Setback Side Yard,
SEWLR ELEVATION FOUNDATION ELEVATION
Applicant attach to this for►n Two Certificates of Survey of Lot anci proposed build-
ing location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front DepCh Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction EsCimated Cost
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 Departmeat of Buildings, and hereby declares thet all the facta an3
representations stated in this application are true aad correct,
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DATE �„ � SIGNATUR� � {
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(Schedule of Fee Costs can be faund on the Reverse Side). �
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Land Plomm�9
Lond Su�veyin9
Soils Testm9
Clvil fr MuniciPol
En�ineerin9
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687S-H�hnnr� fCS NE.
MinnavPo/s32,
ENGINEERING, INC. ��°t°
SUnsrt�-6066
En9ineers � Survec�o�s
cesrti�icate o� sutve Fot c J- rt�:�,� � ��'..D� R�
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l fitrrby urfi�'y lhof this �s o fi ��e �d ca►r�cf �presentot�an o�'a s�,rr�y �'1/at bovndv�nts �'�ik �b+hr descr►6rd /ard, aad
o�'/fir /oivfia� o/'ol/ builda,9s , f/xrea�►� , oad d/ rrsib/e axinacl�inenfs ,��'a►,y, �nrn ar in said /and. As w�-rryed 6� mr 11�CS -°61�
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SUB URBAN ENG/NEE21NG , INC.
L- �iR�s , fFr Sur�rs y � � :
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City of Fridley
Application for P'lumbing and Gas Fitting Penn�t
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
V1 m . � . �. N -�',N, � .;"� ��� .`' . J� `._Z. •� `. °' t.' WAdBR �RTR.•
'f�" F �l� i x �n � � x } Z z o� �� � z V ,uz� �. _ ,. � (� Z •� 'i -
� ; U � �5 � � �n 3 � O � u=i � o U m < 3 <U' ` (9 � � O � N GAS EIEC.
Base
lst
2nd
3rd
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4th L_�_ � � � L � { � � i �_�_ � � �
• FuYure Conaeclion Openings Connected with
I 3ewer �
* New Fixture, Old Openings Cesspool �
PARTIAL RATE SCHEDULE
PLIIMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures . . . . . . . . . . . . . . . . . . . . . � x $1.50 $�
Future Fixture Opening ...............
New Fixture Old Opening .............
Catch Basin . . .
X 1.20
x 1.00
x 3.25
Water Heater (Up to 200,000 BTiT) ......� x 2.00
New Ground Run Old Bldg. . . . . . . . . . . . . x 3.25
$
$
$
$—�
$
GAS F'ITTING FEES: NO. RATE TOTAL
lst 3 Fixtures .........................._—� x $1.50 $�
Additional Fixtures .................... x .50 �
Gas Range to 200,000 BTU . . . . . . . . . . . . . .
REPAIRS & ALTERATIONS—Refer to Code
x 2.00 �
Dept. of Bldgs. Phone 3U 4-7470
Localion � � (O � � �cJ � � c� �` _ !(/ . �
Clty Oi �'T1�Cj�:
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.
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Fridley, Minn. s� L.r'J T' • � , 1 �
Owner �� �/� Y �V 'i V �Q. S
Kind of Building � 7'�/1'1 �
Used as `✓ �%�G `! /V �I
To be completed about
Estimated Cost, $
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Old—New. Building Permit No. '�' `� � Permit No. � Gl �
Signed � t.e /��i Si , �p- «�= ��I � ( /T--��' �jjJC
By � y
Business Ph n No. � ys—a/ 6' �
ROUGH � ! �P ✓ ��
FINAL
Description ................................................$
TOTAL FEE $.�.� a z
.
�
Application for Power Plants and Heating. Cooling. Ventilation� Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 �
Replacement of Furnace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.00 �
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $
Repairs & Alterations each add. �500.00 . . . . . . . . . . . . . . . 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 1?A,000 BT[J . . . . . . . . . . . .
each add. 60,Q00 BTU . .. . ....... .. ..... . . . . .
Replacement oP Furnace .............................
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . .
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . .
8.00 $
2.00 �
5.00 $
5.00 $
2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam .... . 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $
Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $
OIL BURNER—to 3 gal, per hour . . . . . . . . . . . . . . . . . . . . . 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . ... .. .. . . . . . 5.00 $ ��' � U
GAS FITTING FEES: NO RATE TOTAL
lst 3 Fixtures ...................... x $1.5d $
Additional Fixtures ................. x ,50 $
Gas Range to 200,000 BTU . . . . . . . . . . . x 2.00 $
AIR CONDITIONING ;
FAN HEATING SYSTEM $ee Fee Schedule
VENTILATING SYSTEM �
ALTERATIONS & REPAIRS TOTAL FEE $ ��
Rovax
FIN
Depi. of Bldgs. Phone SU 4-7470
Localion � �1 � � �� � J �• � • S�
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 appIication are true and correct.
�f _.r
. �idley, Minn.�� 7' - 9 , 19
Owner �
Kind of Building I / � /2 /4 �9'1 �
Used as _ � w ��� w °�
To be completed about
Estimated Cost, $
Old—New. Building Permit No. � � °Z`
DESCRIPTION OF WORI{
CiJ
HEATING or POWER PZ.ANTS�team, Hot Water, Warm Air—No.
Trade Name Size No.
Capacity Sq. Ft. E.D.R. BTLJ A.P.
Total Connected Load Kind of F�e�
BURNER — Trade Name Size No.
Capacity Sq. Ft. E.D.R. BTiJ H.P.
(REMARKS—OVER)
��eaz YM
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.
Appiication �or Power Plants and Heating, Cooling, Yentilation, Re�frigeration and
Air Conditioning Systems ond Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work . . . . . . . . . . . . . . ... . . . . . ��C 8.00 � i ��'
Replacement of Furnace ............................. 5.00 �
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 2,54 $
MEGH. WARM AIR
Furnace Shell & Duct Work to 1?A,Q00 BTU . . . . . . . . . . . .
each add. 60,000 BTU .......... . .. . .. .. . . .. .
R.eplacement of F�rnace .............................
Repairs & Alterations—up to $500.U0 . . . . . . . . . . . . . . . . .
Repairs & Alterations each add. $500.00 . . .. . .. . . . . . . .
8.00 $
2.00 �
5.00 $
5.00 $
2.50 $
STEAM or HOT WATER $YSTEM
Furnace Shell & Lines—ta 400 sq. ft. EDR Steam .... 8.00 $
Fumace Shell & Line--to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . 2.50 $
Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $
OIL SURNER—to 3 gal, per hour . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . 5.00 $
GAS FITTING FEES: NO RATE TOTAL
lst 3 Fixtures ...................... x $1.50 $
Additional Fixtures . ............... x .50 $
• Gas Range to 200,000 BTU . . . . . . . . . . . x 2.OQ $
AIR CONDITIONINd �
FAN HEATING 3YSTEM See Fee Schedule
VENTILATING SY3TEM $
ALTERATIONS & REPAIRS TOTAL FEE � ° a
ROUGH
FINAL
Dept. of Bldgs. Phone SU 4-7470
Loc8tion � � � � G� � ��. �'(, �% ! � ''
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.
F%idiey, Minn. •%1s� ,�, ��'6 , 19 �3
/' il . .1 n n ' +
Owner �K..--
Kind of Building _
Used as � - -
To be completed about �� O� U
Estimated Cost,
�
Old—New. Building Permit No. �� � Permit No, v� ��!O
OF WORK
HEATING or POWER PI�ANTS-�team, Hot Water, Wazm Air—No.
Trade Name Size No.
Capacity Sq. Ft. E.D.R. ,�V�� G BTLT H.P.
Total Connected Load�j��� �. $,.,�,'7 rj ��_ Kind oi Fue� �,
BURNER. — Trade Name Size No.
Capacity Sq. Ft. E.D.R. BTU H,P.
(REMARKS—OVER)
�¢y'"� a z 2M
Signe � `�' �
sy
Business Phone No "� " s � �
SuB�ECT •
City of Fridley 25 3 0 7
AT THE TOP OF THE TWINS g U I L D I N G P E R M i T
r
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV. � sy ��
r � v � PROTECTIVE INSPECTION SEC. �j
� � /'�'1 � CITY HALL FRIDLE� 55132 NUMBEH REV OATE PAGE Of APPROVED BY
�----�•� �•' 612-571-3450 9t0-Ft5 7/24/97 � �
JOB AODRESS 7565-67 Able Street NE
1 LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED
DESCR. 3 2 Nagel's Woodlands SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PHONE
ABLE PROPERTY MANAGEMENT 9920 Zi11a St NW, Coon Rapids Mn 55433 754-0743
3 CON7qACTOR MAIL AODRESS Z�P PHONE LICENSE NO
Kozitza Construction 9175 Isanti St, Blaine MN 55449 786-3625 2650
4 ARCHITECT OR DESIGNER MAII. ADDFiESS ZIP PMONE LICENSE NO.
5 ENGINEER MAIL AODRESS Z1P PHONE LICENSE NO.
6 USE OF BUILDING
Du lex
7 CLASS OF WORK
❑ NEW O ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
X
8 DESCRIBE WORK
Construct a 22' x 22' Detached Gara e
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Provide a hard surface driveway.
Variance on rear yard setback approved by Appeals Commission on 8/14/96.
'WAR'���� �
Before d+�giag c�ii for
all utility !ocations
454-0401
SEPARaTE PERM[TS REQUIRED FOR REQUIRED BY LA�II�
WIRING� HEAT�NG, PLUMBING AND SIGNS,
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTFICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZpNING SO. fT. CU. GT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONEO fOF A PERIOD OF 120 DAYS AT
ANY TIME AfTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINEO THIS APPLICATION 2' STALLS GAHAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SUIiTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �8, 949 �4.4J
DOES NOT PRESUME TO GIVE AUTMORITV TO VIOIATE OF CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- �149.75 Fire SC �H.9S
STRUCTION OR THE PERfORMANCE OF CONSTRUCTION.
PLAN CHECKFEE TOTALFEE
�- - `/�- `� License SC $5.00 $168.17
SiG� TUREOFCON'RACTOAORAUTHORiZEDAGENT IDAT� WHEN PROPER VALIDATED THIS IS YOUR PERMIT
_�..� � - �-�y
,
S�GNATU OFOWNEA�IFOWNEABUiLDEAI �DATEI 'BL G iNSP oaTE
NEW L )
ADDN [ ]
ALTER [ ]
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
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ConstructionAddress: �
Legal Description: � p j �
Owner Name & Address: � J„�
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Effective 1 / 1/97
�� ���a�
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Tel. # �sY- 07�3
Contractor: � ;� ,� a Z� i z �� )—` MN LICENSE #
Address: / ,S ��i � ;�j ��/� Tel. # ��"d�`{3
L
Attach to this application, a Certificate of Su erv y of
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF Ili�'ROVEMENT
�n� Width Height Sq. Ft.
�n� � r.� Width bZ a Height Sq. Ft. `�r�—
�ng� Wid� Hgt/Ground Sq. Ft.
Construction Type: � � ,�Y� Q Fstunated Cost: $ Fs (96o � pp ,12.�_ , %�
(F'ee Schedule on Back)
Driveway C�.�rb Cut Width Needed: Ft. + 6 Ft = Ft �x $ =$
DATE: 7_�� APPLICANT: 'i Tel. # 7,� Y^ 6�� 3
CITY USE ONLY
Permit Fee $ �, 75� Fee Schedule on Reverse Side
Fire Surcharge $ �� .001 of Permit Valuation (1/lOth%)
State Surcharge $ , $.SO/$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 []
1'OTAL
S"I'IPULATIONS.
$ �i %
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SuBJECT -
City of Fridley 25 E,91
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� .
� � •
� • COMMUNITY pEVELOPMENT DIV.
' j L '�""�
r � � PROTECTIVE INSPECTION SEC. ��%O
lL� s
1 , /'��1 � C�TY HALL FRIDLE� SS432 NUMBER pEV DI�TE PAGE Of APPHOVED BV
�'----'�: ,.' 612-571-3450 9�0-F15 11/18/97 � /
JOB ADDRESS 7565 - 7567 Able Street NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCF. 3 2 Nagel's Woodlands SHEET
2 PROPERTY OWNER MAIL ADDRESS 2�P PHONE
Able Property Management %SHS 9920 Zilla Street NW, Coon Rapids, MN 55433
3 CONTNACTOR MAIL ADDRESS ZIP PHONE UCENSE NO
Same 754-0743
a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO.
5 ENGtNEER MAII ADORESS ZIP PMONE LICENSE NO. i
6 USE OF BUILDING
Duplex
7 CLASS OF WOHK
O iVEW O ADDITION ❑ ALTERATION C� REPAIR p MOVE ❑ REMOVE
8 DESCRIBE WOHK
Replacement windows - Egress windows in bedrooms
9 CHANGE OF USE FROM TO
STIPULATIONS Install smoke detectors to meet the State Building Code.
TYPEOfCONST. OGCUPANCVGROUP OCCUPANCVLOAD
SEPARATE PERMiTS ARE REOUIRED FOq ELECTiiICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. fT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANOONEO FOR A PERIOO OF 120 DAYS AT
ANY TIME AFTEfi WORK IS COMMENCED. NO. DWLG. UNITS OfFSTFEET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 STALIS GAFAGES
AND KNOW THE SAME TO BE TRUE AND COFRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK Wlll BE COMP�IED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �8sOOO ��F.00
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANV OTHEfl STATE OR LOCAL LAW REGULATING CON- $137.25 Fire SC �H.00
STRUCTION O THE PERF MAN�,E Of CONSTRUCTION
// PIAN CMECK FEE T AL FEE
�=- G �, �t.��-�-,-- $149 . 25
SiGNATUAE OF CON"RACTOA OA AUTMOA�ZED AGENT IDATE� EN Y VALI A ED THIS IS r � P�M:�
�
SiGN4TUAE OF OWNEA ��: OWNEA BU��OERi iDATE�
BL G �NSP DaiE
w . .
NEW
ADDN
ALTER
[)
[l
� �.
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: �� � � - 7S� 7 �-� l� (�_ .S -� �
Legal Description:
Effective 1/1/97
�
� �L
�� �"
Owner Name & Address: f�6/e >>�.�r�y �1�nasErmF� "� Tel. #�Sy- 07�.3
Contractor: MN LICENSE �
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
<__�. �c
�'
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Tel. #
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
7+��/HG41'7��i3 � GU��riLfCC[J�
liJi �f F�'CE-�5 b�di� m �t,� irf a'e er!
Construction Type: Estimated Cost: $ Y,�:�� �
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: ��7 APPLICANT: s��� �Ole�S� Tel. # 7�y"D'%�3'
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ / 3�.���—
$ ��'. �c'�
$ �� G��
$
$
$
$
$
$
$ 1 ��,�s`
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$950 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 [ ]
sue�ecT P •
City of Fridley 2 6 8 0
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
� ` RECEIPT NO.
� • COMMUN�TY DEVELOPMENT OIV.
r � L � PROTECTIVE INSPECTION SEC. /�j ��j
� � ' V L/
� � /"'1 � CITY HALL FRIDLEr 55�32 NUMBER REV DATE PAGE Of APPROVED BY
�"""'�' �'� 612-571-3450 9�0-F15 7/23/98 � /
JOB ADDRESS
7565-67 Able St NE
1 LEGAI �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED
DESCR. 3 2 Na el's Woodlands SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PNONE
Able Pro ert Mana ement 9920 Zilla St Coon Ra ids 55433 754-0743
3 CON7RACTOH MAIL ADORESS ZIP PHONE LICENSE NO.
Onwer
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE ❑ REMOVE
6 DESCRIBE WORK
Reroof
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE RE�UIRED FOR EIECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONOITIONING.
THtS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFUCTION ZONING SQ. FT. CU. fT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICATION 2 STA�LS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS yp�VATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTINC� Of A PERMIT $1834.$O �.92
DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TNE pERM1T FEE SAC CHARGE
PROVISIO OF ANY OTH TE OR LOCAL LAW REGULATING CON-
STRUCT N R THE RMAN E OF C NST CTION. �59. SO Fire SC � L. H3�
PLAN CMECKFEE TOTALFEE
License SC $5.00 $67.25
S1GNAtUpEOFCON"RACTORORAUTH A�2EDAGENT iDATEi . ^WHEN PROPER ALIDATED THIS IS YOUR PERMIT
�a
SiGNATUAEOFOWNEF7UFOWNEABU�lDEA1 �DATEi �� Bl G�NSP �i�TE
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FANIILY AND DUPLEXES R-1 AND R-2 ��
BUILDING PERMIT APPLICATION � �
ConstructionAddress: ���.�� — � % p��''«�--�%� ` � � �
�
Legal Description:
Owner Name & Address: �,� <<G( ��"�_'�, ��/�(- � Tel. #_
Contractor: �,��� MN LICENSE #
Address: ��`�� �/L���/'� , �S���J��'/f�.�' � Tel. # _
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVi�i TG AREA: Length Width Height
GARAGE �AREA: � Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER: �D; �
Construction Type:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
DATE:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
,
APPLICANT:
$ �
$ /+
$ � �Z
$
$ ` o�
$
$
$
$
$ � ���
Sq. Ft.
Sq. Ft.
Sq. Ft.
/�� .
o-Q
Estimated Cost: $ ��Q d—� �
(Fee Schedule on Back)
Ft x $ _ $
Tel. #
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.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 [ ]
,... .
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
��iz-36U4 r�AX:
ADDRESS : 7567 ABLE ST NE
PIN : 123024220020
LEGAL DESC : NAGELS WOODLANDS
: LOT 3 BLOCK 2
PERMIT TYPE : BUILDING
PROPERTY TYPE : DUPLEXES
CONSTRUCTION TYPE : WINDOW/DOOR REPL
571-1LiS'/
PERMIT O:• 4 012 3
,
DATE ISSUED: 0 004
VALUATION : $ 1,500.00
NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DUPLEX PER R317 OF
THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS.
INSTALL AN EGRESS WINDOW. PERMITS REQUIRED FOR BASEMENTBEDROOM FINISH.
STATE LICENSED CONTRACTOR 1
APPLICANT
TRENDY ROOFING SONS INC (20027543)
210 ZACHARY LANE
PLYMOUTH, MN 55441-
OWNER
ASHRAF LLC
2947 BENT TREE HILL RD
NEW BRIGHTON, MN 55112
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether speciiied herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regu ' co struction or the performance of construction,
A i __ � Date �
Bldg
BUILDING PERMIT FEE
FIRE SURCHARGE
LICENSE SURCHARGE
STATESURCHARGE,VALUE
TOTAL
n
SEPARATE PERMTTS REnUiRED FnR WORK OTHER THAN DESCRIBED ABOVE.
54.00
1.50
5.00
0.75
61.25
NEW
ADDN
ALTER
� 1 CITY OF FRIDLEY Effective 4/1/2004
�� 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
�� StNGLE FQMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
j BUILDING PERMIT APPLICATION ����3, � j, �,��� �
�
Construction Address: � -�� � � �
Legal Description:
Owner Name & Address:
Contractor. �
`"i� •�- �!
Tel.
,.
; �, ,r-� MN LICENSE #� CX��% �� 3
��-�Me.�i�. �M,� Tel.�� 5�1�-��133
Attach to this application, a Certificate of Survey of the
bt, 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.
ATHER:
�y�� 1500 .°G ,
Construction Type��. r�SS � ; /1c� c� � �_ _ Estimated Cost: $ �
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE:� � "� APPUCANT: T��� ���
Call (763) 572-3604 for Pertnit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we wilt catl
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge ,
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL .
/
$_ .�~ . C��
$ ._._.
$ %, SC?
$ • �%�
$
$ 5 ,C''C'
$
$
$
$
g �' - �•�
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or A(t. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [] Not Necessary [ J
STIPULATIONS:
,
_ __ _____ _
����tay <o�n �'� ��,�r t J.� C� � 3) sq� - y-�
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