AF - 35651��`1
City of Fridley, li�i�inn.
r � �.
`�r�'���
� ' " � �'= � `` �� , �' � �: �
� �. -
� _ � � i. � �. � �
: � � �
�� �
/�`�
PERMIT
Builder
Address
N° 4481
�
/� , !�'
� ��r ��,�s : � � .
�y ,
� �` ��i / r
y � L CATI �¢�UILDING
No.��.�-1........ Street •-- • -- •• -. _ .. - --- --•�----_��L.� �-- �'-..._....--�----�-- Part of I.ot ......
Lot ....._...... --� ---- � -- ...... Block --�• --�--... ....--� � ....................... .. Addition or Sub-Division ....__........_....................
Corner Lot ...........................----... Inside Lot ......._�.......... Setback ...................._..------..._..---�-. Sideyard
Sewer IIevation
Foundation Elevation
DESCRIPTION OF BUILDIIVG
o Us : / ,
. .. -�--.. ... ... .. e Front .�..�..�....--. I?eP� �-�-.. Height ....�.�.�. Sq. F� �J.� .�J_..�. Cu. F't. � ��_(..�
�
........ ......................---.... F�Z� Depth ....._....._.. � ��� ��......_. Sq. F� ...................._.. Cu. Ft. .......---._......._--
. _.
..... n ................... ..�
�
Type of Construction ......:. .. .. . ._.. Est. Cos"t ".. l
. -- _.._.... _ .. ...... ....... ........... To be Completed ...._..........-------.......---
� ,�'�s � . � � � ��� � 'k�
I:iE� �-F�...'ia� �, -- �m,,,p��
� � 1 � ;��,�.� V'� �'L���-
, � ` -',� ' � ��
� ..;���;`
In considera.tion 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 co pliance with a11 provisions of
ordinances af the city oi Fridley. �^ �
� ._s /'r
In consider•ation of the payment of a fee of $.�.�.�.....
� Permit is herebY �ted to....---... �----� --�---�----... - .................•-�--�•--
...._.._............_.........----....------•-•----_..----------- to construct.the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, aronnd and upon said building, or any part thereof, shall conform in a]1 respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the citY limiis and this permit may be revoked at any time upon vio�on of any of the provisions of said
ordinances.
Building Inspector
NOTICE:
This permit does not eover the wnstruefion, insfallation for wiring, plumbing, gas heating, sewer or water. Ba sure to see
fhe Building Inspeeto� for separate permits for these hems.
4
e�
S
�.PPLICgTION FOft BUILDIldG PFRMTT
Ly
.;=--
�, c�
.�, �;
� �,
"S
CITY OF FftIDLEY, MIlJIVESOTA �
` � �����°i
Owners Name � Bui].der � � � �l/���� -� �
,
�z � � �� ?° �..� .�- �� _ ;1�� :
naares$ %� are�s
LOCATION OF BUILDING
v
No. �� �� Street _,��_ �� Paxt of Lot
Lot Hlock Addit3on os S�a.b.Div,
Corner Lot___�, Ins�de Lot�Set Back L/�„` a�,de•�Yard
SEW'ER ELEVgTION FOUNDATION ELEVATIOAI
Applicant attach to th3s form Certificate of Survey of Lot and propos�l buildin�
iocation.
To used,�Cjs :
��5� .
�° `�- Front
�
Sq. Ft. 7� ,�,Cu. Ft.
DESCRTPTION OF BUILDING
r�
°��/ o
Haia�ht �
Front Depth He3�ht
Sq. Ft. Cu. Ft.
Type of Construction "� '�'���{ Tstimat� Cost �� ��
To be completed � ��� �
-----�-- .� , . ..
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do a7.1 work in strict accordance with the City Ord3narices and ruling of
the Depertment of Buildings, and hereby declares that all the facts and representa-
tions s ted 3n� t�his �.pplication gre true and c rrect.
DATE � � j /%�r gIGNATURE � �
�
(A Sehedule of Fee costs can be fourid on the v, e 3ide.)
- _. !"1
„
m
�
s
l � // �
��
�� � �
;, ��, ,
�
_ ` �--�
�
�. �
�
�
�
�
�
�
�
� `� �
.� >
r
�
�
�
.
�
r
0
�
�
�
�
� �_
� 1
� ��
�
�
_
� � �
�
� �
����
���a
����
���Q
�
�
��
�
�
C"
�
�
�
� �
�
o�
� '�a . "� �
�y ' w n
3n p.,' ►� � C
ip m• k w R7
s����o
��� ���
��: ��
: : �' �.
• � . $ .
� .
x
»: ,� � ° :
� � �
� 8 y $
�► �
�y 9 P
� � �
O
r
be
�
g �
~ o
�
��
V �
�
��
�o
� M
� : -.
��
� �
�
8
�
� � ° � � �
� � �� �
� �I �
� �
� � ��
x �
:� , :�
,�
� �
� �
� ,�
�� �
�.
� �:
� � M � � � :
o����
r� �
� � p
� �
� b �
�
m w �
� � � � �
a cL � � O
w ea �' �' �„�
0 0° � C �
�� ���
� � �
�����
o �� ��
� p
� : �' �.
: : ��
� �i �
. . o �
. . �
: : �
: � .
� � � Q
8�8.�
�►�,�
q
�
O
`�
�
0
�� �
�
��� � ����a
� � � � m � �
��� R �'y�� � �
t� R° � � � � R' R° � �
p �
� � C � � � `� �
����� �����
o�' �4�►°� �O � �..
����� �� �
° �
� . �� ��:
�, � ' � a.�. :
y �► : a. ;�' Cn . .
�$� : � �$. : -
$ �
g:;:� �.::
. . . . � . . � �°
8�$� 8 8 8 8 8�
��. � ��
I- �
4 �
� I
O � � � �
i � � � �
� � ° � "
'S7 �
� g W
��R � � �
� �,
� �,g �
� � 9
o � ° ��
9� � �
n�e
�
�
,�
�
�
0
�
�
i
I � I
�
��
a.�� ".
���� �
fp b
M GL � �
A�•� 61
� �� � �
e d�a
�b � �.
i� °�
p���
�
�M� �
� ���
����
m �
o=� �.�
p��o
���p
��,o
�M �
�� ��
a��.�
a���
�� ��
���
���
�
�
��
�
���
��
�
\�
�
��
�
�
�
�
�
H
�
fl'0
�
�
�
�M
�
�
�
0
�
�
�
�
�
�
i0i
��
��
�
�
�
0
.�
�
�
�
.�.
)�
`�,;
I
��I
�
,�
�
�
�1�
�
�
�
�,
�
�
�
�
�
�
� ; � �.
;��o
� �. o
> c�i�' � Q y
ro �� ��,b
N � o c« �
a �,
� �o���.
< � o �. �. S'
C � i�
o�'� ��.
� ��p+
�i Qq A,,Z�yp ]
f�0• �+ i.' �l �
i0 a1
-�+, f3. �.`<
I �����Q
� ° �� A A,
�� ����
so��"
� Q`y� �.�
C a'+ i+. �h.,,
� � � to
i �o��
� �� ob
Q��
Ap� �
O �. A.
���'
� �,
�• c "�
� � �
� ��
, ���
���s
���
�
o � ��
�' �� �
0
o��•
� �, �' �
a.
�.�Q�
� � �
� �
5���
���I
�b��
o`�'��
s'�,�
�o�
� �� �'
��Q�
� �
�
�
o�O�
w a. 0 2s� �.
� � r►
'� b���
� � n�•�'
�. � �
�. �' a
° � a�
� � � �. A.
� � � � �
� ��� �
y F'n' � :s' F�o
� b
� �
� o
�, a
F�n A.
� �
�' �
�
�
1
�
�
0
'9
�
� �
� �
�.
� �
� �
� �
ca �
� c
� �
� �
O
0
�
�
�
.
�
�
�
� o
� �
s �
� �
�
o �
, �
�
��
S
� `
I� �
� II"
o Q o
� �' �
a
n `
�
A.
�
��
;�
��. <
> �
�
� ��
� � .
� �
7 A� ee
�
f�0
J �
� �
�
� ��g'
�.
I
�•
�. �
�
�
=
Z
�
`
70
�
x o �
�. � � o
� �.
� �
Fr
I�
�
,•
O � �
� � �
� � �
' 3 �
O � �
a• � O
�
a � �
� s �
s
� � �
3 �' 'a'-., .
� � �
�
� � N
v 'Qi a.
�D
�' s �
f�A �' �
�.
��
-
O
O
0
. ,-�
�
e
°.�,
A �
� �
�
gi+ �
-n n
O. �
� 'Q'
�
...
�
�
�ro
� �
�:
�
�
O
O
, �
�
� Op
t�rdA+ �,y
�1 �,
'�
:>i�3�iii�i��ii;iiiii#iiiii3i?�:ii;.,ii�ii�i}:ii3ii,ZSii;iiiii#i:�r: �i3i:iii333ii#�uiiii#ii' <c.:
itiiiti�:iitiiitit3ti�:i.�:iti:i.i;i:i:i.3i?ti::;i2i.::i2i=isi;i:i::;i:i:?i;;... ...,, ..i:iti ::.... . ................................. ...............�...,.............�..s:>:i:i: :i;�..,...:>ifi
�
m
�
n
m
�
m
Z
�
�
c
�
Z
n
m
��
�G *
= �
��
� n
0
� a
� Q
y �
o �,
�
o �
� �
Q o
o �
5. -o
cQ �
� a
o �
��
N
� �
� �
'a
�
�
�
0
c
..
�
m
z
�
v
/m�
\J
�
Z
�
m
m
�
W
0
0
0
D
a
v
0
m
Q
W
�
�Ci
��
�
0
�
cQ
3
i
�
v
�
m
�
�
�
v
�
�
�
�
W
�
�
�
�
a
"�
.�
��
�
�
���
�A
2
a
�
^Z
Y/
n
O
�
-o
v
z
.-<
o `�
a �
r c�
�
m �
�
cD
j '"
o�
��
o �
< �D
� A
C �
m =
�, a
'a tya"'
� �
�
0
�
0
�
j �
�O
a
o s
m
1
� �
m m
�
°, pi
A v�
m n
� �
� �
o �
�
x�
-�i
0
z
�
D
t�
�
� � �
,'� i„
l �� �
� W
C�
�
1
a
�
z
�
c�
_
�
N
�
z
0
m
v
�
� -W-I � o
�° co.•
- � o
� �
��� � a�
�m �
cQ
� �c
� �� �
�� �
�� ��
2 .
-� '� C�
o ��
� � n
W
p �" �
� ��
� � �
�. (n �
� m � �
Q-�o^
�• _
� o
.,.
��
�v
' 7�• ��
s
_v,
n
0
�;
O
�
�
�
i
a
N
�
Y/
w
�
v
�
"!
YJ
a�
�
�
�
�
m
E� Efl Efl
...L � �.i
0 0 0
0 0 0
0 0 0
� � �
m
�
�
�
-�i
m
v
n
O
�
tl�
�
�
��
"�
m
�
�
-i
Z
O
e.
p��
�..1
ao
C
r-
�
Z^
UJ
c
�
m
v
�
`�F
\�
��
�
�,
�.
�
�
w
�
�
�Q
Z
m
c�
o.
�
�
�
�
�
c
3
�
�
v
EA
�
0
0
�
O
z
m
�
�,
�
D C N
0 3 a
�� �
�°- �'^ �
� V'
A �
� �
� �
� n
�°
c
Su �
m �
0
�
W
c
3
m
i
Ef!
� �
o �
o m
�
�` o
� D
�c� r
.* � c� �- -i
��'���
� �'-' o � �
n.��� a
A � y � �
� � � �: cQ
m � a co �
�'�' � c � 0.
>>��
fl.cQ � c�
� ° c�'• a
m ���
�' CD o n3,,
� W �
� �. o �
�.', n �, �
� � � '�
� -<_°'�-�
��-
Q o � �
� � �
=
� � � O
�`09�' ��a
� � o �
i -a a. �. �
�,ci � � -�
� Q � o
�j cCDi � ?
¢� � '► w
� t�» � O
�D 7�
_.a
�O
�
�
-�i
m
�
c�
_
v
C
m
�
O
W
�
V ��A�
N Q, j �
m
o���
� z m �
� �
�,� v
�' r
N m -�
zz
m�
�
n
-i
O
Z
�o a °
� � <
� r
�a
m ,.,,�
D Z
O �t
Z p
a�
Z �
vp
a�
�m
n�
O �
Z
vz
��
o �,
zZ
�v
_
�Z
S �
�
z�
v�
m�
n �
mm
�, z
�
� .
Z �`
_ m
�.
�
�
�
�
w
�
c
a�
�
j
�
t0
�
� � `��9 � � � a��Q
- ��—.,� � Pr t� �g paubz g
/�
�9 ar�ar�o� �HZS�r�x
�v
:a�oQ uiag s�oi�E�a�TK �.stZ
� `���°� � > `� � � � �
� � � ' � � � sxa�uzag
( ) oH ( ) sa
( ) ox t )�,, ax
��
( ) oH �� ) sa�
�rr
( ) o ` ( ) Sax
( ox ( ) Sax
Q�,� � �� S � nss z�tso�°
�� � � � � s � f1sS �a�� ZTK
�� � �o s, �g but�.�au Z��o� sEg • g
pa�oauuoa s��$ Z��.o� puE azis
�03 s�uauza�tnbaa apo� �ua.z.zna TZ� s�.aay1 • g
pa�.zoddns 1�Za�n�as sI • i�
uiu�tM pabpot s��aCqo ubia�o� ou s�H •£
uoz��.zoiaa�ap �o �.snz uzo�� aa.z3 sI • Z
pauiut�xa �Ttn�a��� uaaq s�g •Z
:X���s �o �CauuttKa bui�s�xa au� �.�� sai�i�an �Iqa.zau paub�s�apun aus
xoia��i,�i��e x��ss a� a�ixo
�-- ------a..
SUBJECT '�
c�ty of Fridley � RMIT NO.
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T� 2 � 5 6 4
i �
� �
� ; y �_�_ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
l._-_� ��"" �,� CITY HALL FRIDLEV 55432 Nur�eER
i 612-571-3450
910-F15
JOB ADDRESS 5237 Capitol Street NE
1 LEGAL LOT NO. BLOCK TRACT OFi ADDITION
DESCH. 6 g Carlson' � St
2 PROPERTY OWNEF MAIL ADDRESS
Sharon Ekstrand
3 CONTRACTOR MAIL ADDRESS
_ Midwest Roofin� & Sidin� 18979 Gladstone
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAILADDRESS
6 USE OF BUILDING
REV I DATE
ZIP
��� �
PAGE Oi APPROVED BV
� /
SEE ATTACHED
SHEET
PHONE
416_
PHONE
PHONE
LICENSE NO.
�r�n� n;
LICENSE NO.
LICENSE NO.
Residential
7 CLASS OF WORK
� NEW � ADDITiON 0 ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCHIBE WORK
Reroof house and earaee 11R s�l Taar_nf�
9 CHANOE OF USE FpOM
STIPULATIONS
TO
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBIN(3, HEATING, �PE OF CO
VENTILATING Oii AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTEFi WORK IS COMMENCED. NO. DWLG.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yqLUATION
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT pRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. d c i n r
S�GNATURE OF CONiRACTOR OR AUTHOR12ED AGENT
OWN
IOATEi
iDATEt
SQ. FT.
OFfST
STALLS
SURTA
SAC CI
/ TOTAL
OCCUPANCYLOAD
CU. FT.
PARKING
ARGE
�S
r. �,
f�aTE
`
I
Al.�r�8—Z999
� _ � ,�,
� � �
A,DDI�i [ a
�-� t l
C .•,��7�c _ � . . � ,.� r�.-
L� • �� � .�,.:�
10 � 04 FRtJM C I1Y � FR I IIL�Y
l�
CI1°Y �D� �i.�Y
s�it'Gl[�E F�iF Ai� Du�� R I A►�D �t 2
l�[iil[.DI�'C`a P��T l�FLICATION
�164965 P.01/�
�F�Ctive X!1/9�.
�
��
� ��b�
_ . �
._ ,
, �__- �---, , -
s ,. ,,. � � �� - �� - __ �- -_ �-
� � _ —�i�Y����.�'�_�. .1.� � � � � ., � i I • I
,, ,.
t�i� : . ,�, � \��� � � � � : � . : ���� t�� -
^ , '
... — _ - �
• . _
'� �
,.. - 1 � � �� � �/ , �i ��_ ���r�o� � �1L — 1 i � !
` I,Y.� i � Yi ; :.ci��►-�.[,► �ll _ •'� �r-� a- .�:_.
A �- li �i ' .! - f�ll�► ".Ga. i 1�:'i i i i b' - I ( l. t ..r`-: -
� ` '� � � � � r� � '� � i-• � • � :�; • t'� ,
LIVII�IG AY�EA: � � '6�didt� �'______.,._... Heig� y._�_ �1. �.
C�RAGE A�I�A: r�� �, �vidt� � Hei�ht w, S+q. F�
�EC� �41ZE�!„ Le.� ��Vidth � I�t1C�ra�i Sq. Ft.
�f� �i':' l :tl �
. w l� , � v
�n �: ���. � 3 /�1 a
r�� s���z� �� �►��k�
a�y +� c� wa� N�: �. + � �t � � � � � �
DA�:�'` l ��,�c�: _ c � �, T�. � ����
��
L�I�tl�C Pe:�
Fire S'u�char�e
State Suxc�arge
SAC C�a
Ia� �ar�e
Dcivewa� Esprow
P.�i�m �C:ontro�
P� ��e
Sevv�r Nl�in �g�
r�rAL
��a�cr�.�,�o�vs:
$ G�a�)�
$ .�
$ `%%
$
�_„ .�� C��
�
�
�
$
� �8 � �CD
_��:. 4�.� . _�
Fee �chednl+e �n R� Side
.i�l vf i�q�t Yatea�v� (1l1t1eh�)
$.r0/$1,� Valu�son
$10� � SA�C Urut
�5.00 �St� ]Gf� R+�i�t�I C �
Abt. ��►� ar �bt. °B" Abov�
$450.� �o Pl�a R,evie�avv
� l�t��, b� �ering
��nt N�ary t l Ivc�c 1�t�c�Y [ l