AF - 35656�1
City of Fridley, Minn,
BUILDING PERll�IT
Daie: ...%.....�:..'....,�� .............
Owner ....:1.�.�, � . .
Addr ��.fi�.�:... . •..�:'o�:�'..
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N°
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35�9
Builder ...� ...................... ...
Address ............................................
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Lt�CATI1C}�1i��� .. � BUILDING
No.���. �`..��. . . Street . . . .. .. .: .. . : . . . . . . . Pa.rt f Lot . ..
... ........................
Lot . . . .��. . . . . . . BYock . . . . . . . . . . . . . . . . . AddiEion or Sub-Division . . . . e!l/s:-o:�r'!. . i: ��' �
,,. �. ' .
Coraer Lot . .. .. .. .. .. . Inside Lot . d� . .. ... .. . Setback ��.'.�..�. Sidey*ard . ��. ' !�..'. .. .. .. .. ..
DESCRIPTION OF BUILDING
� be Used as: r � �
�/���. .G��. .. .. . . . FTOIlt '�! �� � j}@�1 '�;� :'� .11I@�g$t ��Fl� .`�J e �• '� •e• •�� G`IL F't. ��/��
.................... P'rom ........ nepth ........ xeight ........ sq. Ft. ........ Gts. Ft.
........
Type of Construciion . .. .. .. ......... ... �t. Cost. .. . lQ..�'.. .... . To be Completed ........ ....
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��� I�n consfderation of 1�e issuance to. me of a pertnit to construct the building desribed above, I agree, to do
�� posed wQrk in accordance with the descript[on above set forth and in compliance with all provisiions of
,�p�li�&nces of the city of P`ridley.
/� � � � �
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In consideration of the payment of a fee o$�...�....., permit is hereby �ranted to .................
. . . .. .. .. .. . . .. .. . . . . . .. . to cunstruct the bwtlding or addition as described above. This permit is granted up�n
the express condition. that the person to whom it ia granted and his agents, employees and worlunen, in all work
done in, around and upon sa3d building, or any part thereop, shall c�ngorm in all respects to the ordinances of
Fridley, Hiinnesoia regarding location, construction, alteration, maintenaace, repair and moving of build'uags with-
fn the city limit,s and this permit ma.y be revoked at any time upon viola.tion of any of the provisions of said
ordinances. �
�: �
a � �', . . a �I' . . . . . . . . . . Building 7nspector
�, �
NOTICE:
Thls permlt doea not cover the construatlon, Inatallatlon o� alteration fo� wirin8, plumbing, gas heating�
sewer or water. Be suro to see the Building Inspeckor fo� sepa�ate permlts fo� these Itema
City of Fridley, Min.n.
6431 Univeraity Ave. N. E., Minneapolis, Minn. 55432
BUII�DING PERMIT
Date: __ M9v 7 1972
��' ----�b'^�.,-?-.--.R��.tar _8,�� T.t�n Ganrlarc
. Address 5245 Capitol Street N.E. Ad�� 7813 Jackson Street N.E.
LOCATIOiV O� BUILDING
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No. 5245 S�t �CaAitol Street N.E.
Part of Lot
�t ---7 — B1ock 8 _.__.____ Addition• or Sub-Divisian —..�,�7.son G�mmi t Mannr South Addition
Corner Lot ___..........:_.._ Inside Lot _.. _X Setback Sideyard.
Sewer IIevation.
Founda.l3on IIevation
DESCRIPTIORI OF BUILdING
To � v�a �:
Relocate Garage �� �nt � �p� HeigYxi Sq, Et, C�,, �^�.
--. Front Dep�ih Hei�ht Sq. Ft Cu, F�,
Type of Construction Frame �� �St �$480. 00 To l� Complet�ed _ Ju1y 1� 1972
r
In con�ideration of the fssuance to me of a permit to c
'�he ProAos�ed work. in accordance with the description above
Ordinances oP the city of Fridley.
.50
In consideration of the payment of a fee of $�QQ.__,
te
fihe build�ing Sescribed above, I agree to do
h and in compliance �th a]I provlsiona oi
is hereby granted ta John Ra i tar
to construct the building or addition as described above. This pezmit fs granted up�n
the express condition that the person to whom it is granted and his agents, employees and workmen, 3n, aII Work
done in, around and upon said building, or any part ttiereof, shall conform in all respects •to the ordin�nCeg oi
i�'ridley, Minnesota. regarding location, construction, alteration, maintenance, repa3r and mov3ng of bwilc�inp
a�th�n' �� citY limits and this permit may be revoked a t any time upon violation oi any of the provTs�tons of said
Q
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PIOTICE:
4his permft does not cover f6e constructfoe, installaHon for wirine, plumbing, ges 6eating, sewar or water. Be sare fo sN
the Bufiding Inspectar fo� aeparate permifs fo� theae items,
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR AllDITION BUILDING P.£RMIT
CITY OF FRIDLEY, MINNESOTA
�-
owlvsx � s Nar� :��°i-I 6� Z.�� � T�1�UILDER : I.- � t� S� N t� ,� iP, 5
ADDRES S : � � �':' S l.0 � Pl I O L � • � ' � . ADDRES S : •
NO : . `�i o� �� S TREET :
. <.
LOT: BL�K• ADDITION:
CORNER LOT: INSIDE LOT: � SETBACK: SIDEYARD;
�
Applicant attach to this form Zt�ao Certificates of Survey of Lot atid propose�.
building location drawn on these Certificates. �
➢ESCRIPTION OF BUILDING
To Be Used As:
e�� �t' Depth• Height•
Square Feet• Cubic Feet•
Front: Dep'th• Height:
Square Feet; Cubic Feet:
1�pe of Construction: � Estimated Cost: $ ��.�'�
�
To Be Campleted: ;_,� � q; � � � �_-
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The undersigned hereby makea applicativn for a permit for the work hexein
specified, agreeing to do all work in stfict accorda,nce with the City of
Fridley Ordinances and rulings of the Department of Buildinga, and hexeby
declares that all the'facts and representations stated in this application
are true and correct.
DATE : I � (, � ZS IGNAT[TRE • � (
(See Reverse ide For Additiona,l Informa,t on.)
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BUILDING PERMIT FE`� SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits f�r the
erection of any building or structure, o� for any addition to any �xisting
building ox structure� or for any alteration o� repairs to any �i�ti��
building or structure, upon application ther�fore� g�q�i�� ��� ������ �� ���
applicant for such permit of f�es to �he �e���g ������ b�b�� ��� ����� ��� ��
the manner herein provided to-wita
UIVIFORM BUILDING CODE s 1�pe 1, Z& 4-$2 015 �o� ��ch ox�e ttaoaasar�ei cubi�.
feet, or fraction thereofs in such cubical con�entso 1`�pe �& 5�$la�� for
��ch oxae th�u���d ��abg� f��itm
ADDITIONAL INFORNIATION
Eor the purpose of computing fees for building permits, the cubical contexat�
of any building or addition, is determined by multiplying tia� �round �re�
covered from a point six (6) inches below th� floor lin� of the basement
o� �he cellar to the �v�g��� hei�hts �f �h� �ap��� sur£ace or to the avera�e
hei�h� of �he �oof �u����� o�' ��x� �ia� gab1� o� a�itci�ecl roofe
For repairs or alterati�ns to an exi��:iaa� st�ucture, the f�e shall be at �he
rate of $3.00 per each five hundred dollars ($500.00) or fra�tion 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 $5.00.
VERIFICATION OF FOUNDATION
NOTE: Permits for construction will be issued a minimum of 24 hours from the
time of application, to allow for proper review o£ the proposed structure and
of the construction site.
A Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy sha11 be ma.de ten (10) days prior
to the use or oecupancy of aaay st$v.cture for which a building permit has been
issued; and said structure shall not be used og eccupied until a Certiticate
of Occupancy has been issue�,
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4. Name of Violator:
7. Nature of Complaint:
H E A L T H C 0 M P L A I N T
CITY OF FRIDLFY, MINNL�gpTA
2. Addreas:
5. Addresa:
o. conpiaiat rec�iv�d by; 9. Complaint Ref�rred to;
11. R�port of Actioa Taken; (Specify date of action)
G����� �
12. B�port Mad� by;
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SUBJECT
City of Fridley 2 7 4 8 3
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i `
; �y _ COMMUNITY OEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
l�-_�� ��"' �,� CITY HALL FRIDLE� 85432 NUMBER
t 612-571-34b0
91A-F15
JOB ADDRESS
5245 Ca itol Street
t LEGAL LOT N0. BLOCK TRACT OR ADDITION
DESCR. 7 g Carlson Sum�
2 PROPERTY OWNER MAIL ADORESS
Danuta Raitar
3 CONTRACTOR MAILADDRESS
_ Midwest Roofing & Siding 18979 GladstonP
REV
RECEIPT NO.
� ��
DATE PAGE OF APPROVED BV
8/31/98 / . /
SEE ATTACHED
SHEET
Z�P PHONE LICENSE NO.
MN 55�11 41h-4804 �nn�r
4 ARCHITECT Oii DESIGNER MAIL AODiiESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW � ADDITION O ALTERATION �7 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garat�e (23 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE RE�UIRED FOF ELECTRICAL, PLUMBING, HEATING, TYPE OF CO
VENTII.ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINO
AUTHORQEO IS NOT COMMENCED WITHIN 80 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.
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yq�UATION
AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 19],8
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STFUCTION OR THE PERFORMANCE OF CONSTRUCTION. @G7 �[
SIGNATURE OF CONiRACTOR OR AUTHORIZED AGENT 1DATEI
��GNATURE OF OWNERUF OWNER 9u1L�ERi .nw•e.
SQ.
STAILS
OCCUPANCVLOAD
CU. FT.
ET PARKING
IGARAGES
:CHARGE
�e SC $1.92
AL FEE
0 3
IS YOUR PERMIT
� ��
f1NTE
AUG-25-199� 15�16 FROM CITY OF FRIDLEY TD
N�V � [ m 1
ADL1�l' [ j C�`Y tJF �LEY
AL':�ER [] SIN�LE FAM�GY AND �7'Kl�'LE7�ES R X AlrTIi R z
BiJIY.DTNN'G PERIV�.''� APPLI�ATIOP�T
co������aa��s:
Le�ai Descriptiot�: _
Uwner Name & Address:
Contrgctor:
1#ddress:
�F164805 P.�1t�2
.Lffe�ti�re i/1/9$
a�� �
a1 �°�
T'el. #��,� -����
MN' LTCENSE ����=� �-`� �
TeI. # �%��� `C� ��
Attach to tt�is �p,plii:atian, a Get�t'if cate of Suxv�y of �Ize
lot, with the groposed car�9AU�tion drawn Qnt it to s�aIe.
n�C�o�v aF n�avE��r
LIVTNG �tE�i: L�ngth Width Height Sq. Ft.
- - — - - - - -- - -- -- --__
GARA+�� Att�A; _ ------ --- --�—
Le��gth Width �Teigh,t Sq. Ft.
�3E�S AltEA: I.ecrt,�i, Width � HgtlGrQUnd �q. Ft.
UT`AER: `� rP,l'-f7� �.� S 0. o� ��.l,l� /l _� n, � 11
�
, -.- u � �
�onst�uctio�n 'Type: Estimat�ti Cost: $ �
(�'ee SchedttZe os2 �a�k}
�riv�vvay Curb � Width Ne�ed: �'�. -� G Ft � _.. Ft x $ _ $
�1�/ .
I�ATE: g/d�d � APPL, . � _ '°- _
b xCA�TT. Tel; #`'� �L,Q t"�,b D�`
'ermit �ee
��xe Surcharge
►tace �urchar�e
iA� ��e
_ _�ieen�. � Su��trg�
)riveway Escrow
:rc�siq� Coutrol
�t'±�",�"��-'n'^--,
�ewer Maizx �C�arge
'�OTAL
�TIPLFY.A,TIt�PdS:
�� � � ��
��., 2- 2. S Fe� Sch�dule on �teverse Sid�
�_ l�� Z .UUI �sf Permit Val�tion (�.11thh�}
�— ,�l �n $•5U/$l,QC10 V�t�ti�n
� 5, bD �i(�4 p�c sa� unit
� - — _��_��� af _ i �nc +1 Recid�rrtiRl Contra�.,,�,,,,_tn�r�l _
� Ait. °A" or Alt. "� `' t�bove
� __ � �450.Ot� Conservation P1an �view
$ _ Fee Detern�ined 6y Engineering .
� Agreement Necessa.rY �] Not Necessary f l
� � �L � �