AF - 43019BUILDING PERMIT
Village of Friclley-, �Iinn.
Date .:j�.� •��"' . . . �
5
...........................
�
�7/�-� ��_y,� ..."....... Ruildcr�.�.:�"..C�s.� r
Owner ✓.y/.�.ffLaG(�+iii.LiFl ��.� °- v .................
AddreSS ..�%...��J.�...G':'::C�G �..�:5l..`.`'•'�'�f/� �ddress
.............................
LOCATION OF BUILDING
F.-i�TS.�...... Street ./1!..i.l.� (o!'.�°.Y ....................... Yart of Lot ...........
No. . .
Lot . . . .. LS� .. . . .. . Block . . . . f. . . . . . . . . . Addition or Sub-Division . C!!(O. a-�l. rS.d �4. ..e�y�-f �
' =
.
Corner Lot ............ Inside Lot ../�......... S�=lback „�.�}........ Sideyard ��.1{�Y.:-"c:..
DESCRIPTION OF BUILDING
To be Used as:
.��y�G�'�!K''�.. Front .Q�.�C�G. Depih ..e{2...IIeight �.s.s....
. `O`.°. ��� ..... Front . .�.'f... Depth . x �.. . Heigh[
... .... . / .:.�:....
� N
Type of Construction .�Zl..!'4,/... Est. Cost ../��p0
Sq. F[. ..9.%�. Cu.
Sq. Ft. ..3.Z�. Cu.
To be Completed .! f :.'�
In consideration of the issuance to me of a permit to construct the building described above, I
the proposed work in accordance with the description above set forth and in compliance with all �
ordinances of the village of Fridley.
��
� ;
x .:.�....L.�:.C6t:� ..::..:........�r�.�;
�In consideration of the payment of a fec oC $...I.!�.., permit is hrrcby granted to;� .Q ,�(j
(0.'Y ................ to construct thc building or addition as described a6ove. This permit is �
the express condition that the person to whom it is granted and his agents, employees and workmen
done in, around and upon said building, or any part Yhereof, shall conform in all respects to the o�
Fridley, Minnesota regarding ]ocation, construction, alteration, maintenanm, repair and moving of b�
in the village limits and this permit may be revoked at any time upon violation of any of the provi
ordinancea �
�,; : :
� �C� �.�: 14.'f-G�.k�... Buildi
NOTICE:
This permit does not cover the construction, installa:ion or alteration for wiring, plumbing, g:
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
. •
,��n,t�.:- PERM .
� City of Fridlev � 8859
�
°r'�E'°°°FT�E'W'NS� gUILDING PERMIT
' � R IPT
�
' • COMMUNiTV DEVELOPMENT DIV
i ly ' /
r � PROTECTIVE INSPECTION SEC ^! �� �
i
� � �"'1 � C�TV HALL FRIDLE� 55E37 ^+�MBEe qEV DaiE P4GE OF 4vaaOVE� B�
�""'�" ,�' 612-571-3450 9t0-F�5 4/6/87 / /
�oe nooaess 6315 Dellwood Drive N.E.
1 LEGAL LOTNO BLOCK TRACTORADDITION SEEATTACMED
DESCR. ZH 1 Moorel.ake Highlands lst sHeeT
2 PROPERTVOWNEF MAILADOHESS ZIP PHONE
John Keller 6315 Dellwood Drive N.E. 571-0006
7 GONTRHCTOF MAILADORESS ZIP PHONE LICENSENO
Same
a APCHITECTOROESIGNER MAILADORESS ZIP PHONE LICENSENO
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO
6 USEOFBUILDING
Residential
] CLASSOFWORK
:� NEW ❑ ADDITION ❑ ALTERATION C REPAIR C MOVE C REMOVE
B DESCRIBEwORK
Construct a 10' x 12' Shed in Back Yard
9 GHANGE OF USE FROM TO
STIPULATIONS
Shed must be 3 feet from back or side lot lines.
SEPARATE FERMRS ARE REOUIRE� FOF ELECTRICAL PWMBING. HEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCV LOA�
VENnLATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL ANO VOI� IF WORK OR CONSTRUCTION ZONING SQ. FT CU. FT.
AUTHORIZED IS NOT COMMENCED N'RHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPEN�ED OR ABANCONED FpR A PERI00 OF 120 DAVS AT
ANY TIME AFTEF WORh IS COMMENCED. NO DWLG UNRS pFFSTREET PARKING
I HEFEBY CERTIFV THAT I HAVE HEAD ANO EXnMINED THIS APGUCA710N STALLS GARAGES
ANDKNOWTHESAMETOBETRUEANOCOHRECi.ALLPROVI$IONSOFLAWS yqWATION $UFTqX
AND OROINANCES GOVERNING THIS TVPE OF WORN WILL BE COMPLIE� c C
WITH WHETHEA SPEGFIE� HEREIN OR NOi TME GRANTING OF A GEFMIT y6OO y. SO
OOES NOT PAESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PERMITFEE SACCNARGE
PROVISIONS OF ANY OTHER STATE OA LOCAL LAW REGl1LATING CON�
TR CTION OP THE PERFORMANCE OF CONSTRUCTION S1S.00
'1 I �J ,� PLANCHECKFEE TO'ALFEE
—��'�—��/�� �'�� y� $15.50
$IG�.I 4TUREOLC6N:opC�OAOA<U'HOA�IED<GENI iC<iE�
. WMEN GRO�EPI�V VFIIDOTEp THiS IS YpUR �ERMIT
� �� � �
I
� �/ � � ( (', f �
— -+'a=ea._ me=�,cav�eaee�_oeu. _-- �m.e. awn� -- '
N� (] City of Fridley Effective 4/1/86
ADDN. [] L R-1 AND R-2
pLTER. �) Building Permit Application
Construetion Address: C� `� �' � �� �, til t' `- ` � �� l� ` ��i� t !� � �l�"
Legal Description:
C i s D• t t �� ��� o n
f I
Owner Name & Address: .�J ' F'ti ���`, «,v�� F�''i'1"' ""' S�'r3�Te1. 0 5%/-<'00�
Contractor• Tel. 0
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn or. it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECR AREA: Length Width Hgt/Ground _ Sq. Ft.
OTHER: < i � �� s N - ,n
Corner Lot [] Znside Lot [] Ft. Yd. Setback Side Yard Setback
Type of Construction: ___ Estimated Cost: $ T%�=� �
Approx. Completion Date:
Alt. A Alt B
Proposed Drivexay Width If New Opening Is Desired: $ $
See Back Page for Explanation
�,�
DATE: � � �� � APPLICANT: *G�^— "' `� � Tel. 6 �5��- °" `� �
CITY OSE ONLY
Permit Fee $ � `�' Fee Schedule on Reverse Side
Plan Check $ 25� of Building Permit Fee
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $525 Per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge �
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ /-� �_'
STIPULATIONS•
s��x�cc� . �P -id[ttCO--_
� (:ity oi Fridlev � _; ; , , � -
;
°r'�E'°`°""E'w'"5� gUILDING PERMIT �
�• COMMUNI�Y DEVEIOPMENT OIV RECEI7T NO
r � � ['ROTEC�NE INSPECTION SEC
, ,�y,� �
, , ;
� ' "1 � CITV MALL FRIDLE� SS<32 NVMBEP AEV On�E �AGE or VROVf� B�
ti � � � -�-� -
612-577-3450 9i0-F�5 ��Z�9� / /
�os nooaess 6315 Dellwood Drive NE
I LEGAL LOTNO. BLOCN TPACTORA�OITION SEEATTAGHED
oesca 18 1 Moore Lake Highlands lst s�eer
2 PROPERTVOWNEA MAILADORE55 Z�7 GHONE
Jim Vogt 6315 Dellwood Drive NE
3 CONTFACTOH MAIL ADORE$$ ZIG PHONE LICENSE NO
Rite Way Waterproofing 448 Lilac St, Lino Lakes, hIN 55014 786-0550
a nRCNITECT OR DESIGNER MAIL ADDPE55 ZIP VNONE LICENSE NO
5 ENGINEER MAILAODRESS ZIP PHONE LICENSENO
6 USEOFBWLDING
Residential
] CLASSOFWORK
! NEW f' ADDITION ❑ ALTERATION �J qEPAIR ❑ MOVE C: REMOVE
P oESCR19E WOHK
Install interior basement drain tile system
9 CHANGE OF USE FROM TO
STIPULA7IONS
Electrical extension cords can not be used as part of the power
source to the pump.
TYPEOFGONS� OCCUPANCVGROUG OCCUPANC�IOAD
SE�! R4iE PERMRS FPE FEOUIRED FOR ELECTRICAL, PLUMBING. HEATING,
YEN'�LATiNG OR AIR CONDITIpNiNG
THIS PERMIT BECOMES NULL AND VOID iF WORN OR CONSTRUCTION ZONING SO. FT CU FT
AUT��ORIZED IS NOT COMMENCED WITHIN 60 DAVS. OR If CONSTRUGTION
OR WOLiK IS SUSPENDED OR ABANDONED FOR A PER100 O: �20 OAYS AT
ANV TIME AFTEF WORk IS COMMENCED NO DWIG UNITS OFFSTREET P4RnING
I MEFEBY CEATIFV TMAT I MAVE READ ANO E%AMINEO THIS AFPLICATION 1 STALLS GARAGES
AND NNOW THE SAME TO BE TPUE ANO CORRECT ALL PROVISIONS OF LAWS VA�UATiON SUFTAX
AND ORDINANCES GOVEFNING iH15 TYPE OF WORN WIL� BE COMPUED $3��3a �l.sZ
WI�H WHEiHEA SPEGREO HEAEiN OA NOT THE GAANTING OF A PERMtT
DOES NOT PPESUME TO GrvE AUTMOAiT'/ TO VIOLniE OR CANCEL THE pERMIT FEE $AC MnaGE
PROVi510N5 OF ANY OTHER STATE OR LOCAL L/+W REGULAiiNG CON- p•s� 25 1 0 SCi $3.04
STRUCnON OR THE PEAFORMANCE Of CONSTRUCiiON w
`I � � ` PLAN CHECKFEE T i4 FEE
/�
� l/`z- � ClY Ll RS $ 1.H1
S�Gn<�UPkO�C�NIVp�,I'(Jqpqp�l`�pFi(EGeGEN� •���P HE P LV V4LID T H1515 YOUA PEA
:.GM1<�liHf!��r�\'�kEA•'�C�YNfA9V'L�fAi ����E� 9. �n5� / �iC�
NEW
AllDN
ALTER
[I
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CITY OF FRIDLEY
SINGLI's FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERM['f APPLICATION
Constmc[ionAddress: �• ' ` �L l l- l. ' �C�I � � �i'.' 11%E�
l:ffcctive 1l1/97 � �
��� ���
Legal Description:
�,�i ;(>t i� in��'i� Di: ��i� Tel. # 4� S�l�i :A"'�� l I
Owner Name & Address: �iM �hF+T F�'�nu u 41u `,`-`I:'�-�.
Contractor: 4�; ��� Ll,'�� �l-�'r - c 12 �2t� "�r ' MN LICENSE#
.
Address: ����° LI�NC 4�T� �I�.'� 1t\r'E` �il.j r,r�,�i� Tel./t ��`���.-C�` c�C�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
I,ength
L,ength
I.ength
DESCRIPTION OF IMPROVEMENT
W idth
Width
Width
Height _
Height _
HgdGround
Sq. Ft.
Sq. Ft.
Sq. Ft.
�lJ11 �21c���- G-�rl`�.� illi=+tT � , ��, c��
Construction Type: J�i�A�iti� I 61.E � ����It �il�'j Estimated Cost: $ • � , �'� �� -� �
(Fee Scnedule on Back)
Driveway Curb Cu[ Width Needed: _Ft. + 6 Ft =_ Ft x$ _$
DATE: APPLICANT: �� j L��f� �� ���� (��� Tel. N �I�Sh d�`>C_�
CTTY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ ��-� `% � `
$ .Ji. C `l
$ l,.`�-�Z
$
$ E XL)Fli' I
S
$
$
�
Fee Schedule on Reverse Side
.001 of Permit Valuation (lli0th%)
$.50/$1,000 Valuation
$950 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Revicw
Fee Determincd by Engineering
Agreement Necessary O Not Necessary [ l
TOTAL $ �� ��,�/� �e
'. e�� C C. � C C [� K'�' l
S'I�IPULATIONS: .
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sua�tcr PERMIT NO.
City of Fridley 2 8 4 3 �
f"�MEI�Tq�Qq /q���'�E'W'NS gUILDING PERMIT
r � v »�,C.°�V'68'"� RECEIPT NO.
' COMMUNITY pE�EIOPMENT OIV
� � � � GROtECTrvEINSPECTION SEC 73� /
i
i .
� � �"'1 � CITY HALL FRIDIE� SS�d2 NuMeEA AEV D�iF v��E O� �nnnOVEO !r
�----�'� �'' 612-571-3450 9t0-F15 � /
10 27 98
�oe nooAess
6315 llellwood D '
1 IEGAI �07N0 BIOCN TNACTORADO�TION $EEATTACMED
oescR 18 1 Moore L k SNEET
2 PROPERTYOWNER MAILADDRE55 Z�� PMONE
Jim Vo t
7 CONTRALTOR MAIL AODfiESS ZIP PMpNE LICENSE NO
Mur h- Bros. Buildin- -
• ARCMIiECT OF DESIGNER MAIL ADORE55 ZIP 7MONE LICENSE NO
5 ENGINEER M�ILADDFE55 ZIP VMpNE LICENSENO
6 USE OF BUILOING
Residential
7 C1A550F WORK
❑ NEW O AODITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBEwORK
Reroof house and ara e 19 S Tear-off• Reside house and ara e• Windows
9 CHANGEOFUSEFROM TO
S7IPULATIONS
Underlayment must comply with the State Building Code.
Call for building wrap inspection before covering.
Install smoke detectors to meet the State Building Code - in each sleeping
room and on each level of house.
iYPEOFCONST OCGU�qNCVGRDUP OCCUPANCV�O�D
SEPARATE PEAMITS aRE REOUIRED FOR ELECTqICAL PLUMBING. MEAiING.
VENTIL4TING OA AIR CONDITIONING
Tr�15 PERMIT BECOMES NUIL 4N0 VOID IF WORN OR CONSTRUC�ION jONING $O FT GU fT
.UTNpRi2E� i5 NOT COMMENCED WiTMiN 60 DAVS. OR IF �OHSTRUCTION
OR WORR IS $USPENOED OA ABANpONEO FOA A �ER100 OF 1$0 OAVS �T
ANY TIME AFiER WORK i$ COMMENCEO NO OWLG UNIT$ OFFSiREET PARRING
I NEREB`/ CERTIFV TMAi I HAVE pEPO AND E%AMiNED iM15 AOVLICA710N Si���S WRAGES
ANO KNOW THE 54ME TO BE TFUE AND COAAECi ALL PROVISIpNS OF �AWS y���ATION SURTA%
4HD OADiNANCES GOVEANING iH15 TYPE OF WOFk W4L BE COMP�iED
WrtN WMETHEA SoEGFlED MEAEiN OA NOT TNE GR�NTiNG OF � pEAMR 13 HZS G.IL
DOES NOT �RESUME TO GrvE AUTHOFITY TO ViOIATE OA CANCEL THE pEpMtTFEE S�CCHARGE
PRpViS�ON$ OF 4NV OTNEF $T4TE OR LOCAL L<W FEGULnTING CON-
S*RUCTiON OA THE PERfORMANCE OF CONSTaUCiiON Z12.ZS F1T0 SC 13.BZ
PLAN CHECKFEE TOT��FEE
1�t �r 1%��9g
Lic nse 5 5 0 237.98
sc�.��aE < N o.r•oA a.�..oa¢eo•at�r �o•*t,
WHEN PROP V Vny IOATED TMiS i5 �OUA PEAMii
- `! :�f /U �1 %-�'
S�GN.•bqf J� iW'+EO,�� pµqEABm�OF4 iD�+E' B OG �a5� •'1
NEW ' [ ]
ADDN [ ]
ALTER [ ]
ConstructionAddress:
Legal Description:
CITY OF FRIDLEY
SINGLE FANiILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
i; � ��_ i %C�� , r ,
i/��.L ii;,;�,1� I�l��,
Owner Name & Address: ���� 1� � i Tel. !1_
Contractor: � � � � � '� , � ,' l , � � i �,' ' , , „ ,, - � � MN LICENSE �
�.� -
Address: � � � � . ! �� , ' '� Tel. tl
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:_�
Effective 1/1/98
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Heigh[ Sq. F[.
Length Width Height Sq. Ft.
Length Width HgUGround _ Sq. Ft.
� , �
� ��,
Driveway Curb Cut Width Needed:
DATE:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT:
/� Z���`
�f �' � ��<- � � Estima[ed Cost: $ ./�� �
(Fee Schedule on Back)
Ft. + 6 Ft = Ft x$ _$
Tel. J!
CITY USE ONLY
$�%���� L�� Fee Schedule on Reveise Side
$ � ���� .001 of Permit Valuation (1/lOth%)
$ � , `%� $.SO/$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 [ ]
,
$ � 7, �'
�1
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