AF - 45605City of Fridley, TVlinn.
BUILDING PERMIT
N° 5082 ^
pate: _...,,/_� '"'�..��,� ,...._—_
owner: __GLr�Y.L��'L�¢Lq��r_ . - aer ..---..._._ __......__.__...._....._..._..._...._.._..._..._._.__....__...
Address-------._.__�_.�...__�.....__...._......_.._. ddress ._ � __......_ ._.�__ye__......__..._.._...._�.._..._._�
� �� //�� yd/�r+���J�.H+{VIV VC�.�j1�1}VIIYV
!T �� ..,.•f �R�rF . .
No. .. {. . Street .. ._ .__�,�',S,P�_._`�L. �P�'��[�p Lot _ /. - . .
,y� . Swi�.. .��.1�_l_ i.s�.—._._.
Lot -. vr'.C_.----- Block ... .. ._...�. /._.... '�! Addition or 5ub-Ihvis�'�on� G/ t""�"'�r���t.
Corner Lot �__�.__,. Inside Lot _._!.. . Setback �._...._._ SideY� ..��-✓�� .............-_-......_�_.
Sewer Elevation _.._._._._.�..._..__..�._.r....__._..___ Foundation Elevation _..._._._......_.—.-...._...._._...._.._...._...._...—_
, DESCRIPTlON OF BUILDING
To..!"' Ur`-���t wei� ��� ' R�, r� (��� Cu. Ft sf �.C'..��t
_.. .�. F'ront ,f . DePth .�,w„��.._.. Height ... Sq. Fk +'�! ,,.E rs�
_ �.,; f 1- E'r� ,� .G��- DeP�.h ....�-�''� �..Height 1'.����--.,..�., Sq. Ft. '�.i^....V� Cu Ft. .'��.�'i..r
. Est C _ � a� r• :•"
Type of (�bnstruchon ...�.-.�'wr.�;l i�� _. ��' ..�r ��f_..... _. To be ComPleted ... .. .__.... .._._
In camsfderation 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 Porth and in compliance with all provisions of
ordinances of the city of Fridley. � � ��.. � �
Ea cau�sideratfon of the payment of a fee ot;� '�� , permit is hereby granted to...---_------
to construM the building or addition as described above. This permit is granted upon
the exprnss condition that the �person to whom.it is granted and his agenta, employees and worlanen, in all work
done in, azound and upoa said building, or any part thereof, shall oonform in all� respects to the ordinances of �
Fridley, Minnesota regarding location, cronshvction, alteration, maiatenance, air and moving of buildings
within the city limits � and this permit may he revoked at a�v�vi�on f any of the provisiuns oE safd
ordinances. .
��'
NOTICE:
this p�rmil doas net cowr 1h� conMruN3on� irotallation for wiring, plum6ing� gu Beafing, snver or wa»r. Ba aan b s»
!lu BuiWing Inapscfer for mpanfe psrmih for fham hams. � ..
4. .
_� ��
APPLiCATION F�t BQILDING PF�IIT
CITY OF' FRID7EY, MiNNFSO`PA
. , q
Owner' 8 Name �..fi�a� Builder
llddresa
LOCATION OF BIIILDING
No. / `r.: /
of Lot
Lot .� Block .? Addition or Subdivision % u u.,g,R��r �.. 1 �
� /4'S
Corner Lot Inai.de Lot � 3ettwok 35 Side—Ysrd is '
SEWER ELEQATION FOIJlIDATION.ELEYATION
Applicant attach to thia form Certificate of Survey of I.ot attd propoaed building
location.
To be uasd as:
DFSCRIP'fION �' BUiLDING
.
Sq. Ft. �S° �,�J..cu,. Cu. Ft. / %_d0p.
(� Sq. Ft. Cu. P't.
ee
2ypa of Construction .7-.�....... _ Eatimated Cost 2B � e�_
To be Completed
The undersigned hereby makse�/application for a permit Yor the work herein speci4ied,
agreeing to do all work in strict accordance with the City Ordinences and ruling oP
the Depertment oP Buildings, and hereby declares that a7.Z the facte and repreeentations
stated in this application are true and correct. � ��
(A Sohedule of F� Costa cett be found on the Reveree 3ids.)
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f.! � �„ ' Room ngth o Width Height
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Total Btu. ° "
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HEAT L'OSS CALCULATIOPIS DEPARTMENT OF BUlLDINCS �� i rd, '� M�•
A.S.H. E.
Weathersitips Conswction No. .. - � Insulation
Guide
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� sue�ec* � PERM �
City of Fridley � 15 2 0 4
ATTHETOPOPTHETWINS gUILDING PERMIT
�'� . . � REC �
�
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� • COMMUNITY DEVELOPMENT DIV.
, .,: ------� q �-� 8" 3
f� � � PHOTECTIVE INSPECTION SEG .
�
�L -._-� �"'�'� GITY HALL FRIDLEY 55432 NUMBER eEV. OATE PAGE OF APPROVEO Br
i 612-571-3450 9�0-F15 5/22/79 � �
JOB ADDRESS 1413 Glacier Lane N. E.
1 LEGAL LOTNO. BLOCK TRACTOPADOITION SEEATTACH�ED
DESCR. 3 Z IIlI1St?I'llC�C 13't SHEET �
2 PROPERTYOWNER MAILADDflESS 21P PHONE
Mr. Inman 1413 Glacier Lane N.E. � �
3 CONTRAC70R MAILADDRESS � ZIP PHONE LICENSENQ .
NortYavestern Builders 8053 E. Bloomington Freeway 884-8868
4 ARCHITECTOR�ESIGNHR MAILADDRESS . ZIF PHONE � LICENSENO. .
5 ENGINEER MAILADDRESS ZIP 'PNONE LICENSENO.
� 8 USE OF BUILDING �
R0S1C��1'tld�. �
7 CLASSOFWORK
❑ NEW � �ADDITION ❑ ALTERATION ❑ REPAIR ❑� MOVE ❑ REMOVE
8 OESCRIBE WORK � � . .
Oonstruct a 3 season porch 16' x 16'
9 CHANGEOFUSEFROM TO. �
STIPULATIONS
Area can not be heated unless it is brought up to the State
Energy �de.
� ���
Tf[EPypyy�,�ECTRlC�- ublrGe�
SEPERRTE PERMITS R� RFQUt�ED gY q�te.
MEATING. PLUMB(NG A�DUIRED FpR �/�Rt�� W
SIGNS,
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCV�OAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, � �
VENiILATING OR AIR CONDITIONING. �
THIS PERMIT BECOMES NULL AND VO10 IF WORK OR CONSTRUCTION ZONING � SO.FT. CLL FT.
AUTHOft12E0 IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION �. �.
OR WORK IS SUSPEN�ED OR ABANDONEO FOR A PER100 OF 120 DAYS AT � -
ANV TIME AFTER WORK IS COMMENCED. � NO. � DWCG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I MAVE READ AND E%AMINED THIS APPLICATION �. � STA�LS GAFAGES �
ANDKNOW7HESAMETOBETRUEANOCORRECT.ALLPROVISIONSOFI,AWS yp�UATION .� . SURTAX �
AND QROINANCES GOVERNWG THIS TYPE OF WQHK WILl 9E COMPIIED
� WITH WMETHER SPECIFIED MEPEIN OR NOT. TME GRANTING OF A PERMI7 SS� OOO $Z. SO �
DOES NOT PRESUME TD GIVE AUTHORITY TO VIOLATE OR�CANCEL 7HE PERMITFEE SACCHARGE �
GROVISIONS OF ANY OTNER STATE OR LOCAL LAW ftEGUTATING GON-
STRUCTION OR TME PERFOR NCE OF GONSTRUCTION. S3O.00 NONE �
, PLANCHECKFEE � TOTALfEE
$ 7.50 $40.00
SiGNAiUPEOrcON'PACTOR nJTNOA¢EOnGEeT �OA� 1 WMEN PROPERLV VALIDATED THIS IS YO R ERMIT
SiGN4tUl1EOFOWNERtlFOWNEBBNLOEFi �O/TEI BL�G iNSP D<iE
,.,,.
GITY Or FItIllLLY .
• n��ucnrro�a rori 12�SIllf:(JTI�L �U11_DIhIG Priii�iYS ,
• ��'�LW, �I_'I'l=R/iTI0t1S, /1llllIT10W5, OR RL:PAIf2S)
' . �c�T�� s B�iI��YS
oti,���rR: �j�f�tl��?R� r.vxLU�:�a: �',,�s
,
naar.�,... �� i'���.�F naare��. �'�r2 � �4�iell�.�1 �'P�zv�1.
xe�. ►�o. : y.�..,�,,,,.v_ �� M,c% 8"�'f�— _ F�
No..
T,OT: �
Street: �
}3u7CY,: !�_ ADRITIOTI: �� �_� �'
CO1tNL•'R LOT: It1ST.DE TAT: S:;TPIICY.: SIDL•'YARDS: �
�PP1icarL attach 'to this form 7�ao Certificate� of Survey o£ Lot an.d pxoj?osed
bui.lding location draom cn these Certificates.
To 13c usea I�s:
DESCRIPTIOPd OF BUILDInG
Front:
Sguare Feet:
Depth:
Cubic I'eet:
Height:
rront: Depth: Height:
Square Peet: Cubzc Peet:
Type oi Construction: ���ti y�Q}''/ __ Esiimated Cosi:: 5.��
7b Ae Completed: . Alt. A Alt. B
Proposed Driveloay tr'idth If 2�teiv Oyening Is Desired _ $ G
• (SEE I2�V�RSE SIDE OF SAEET)
The w�dersigned hereLy makes application for a permit for the work lierein
specified, agreeing t.o do all �.ork in strict accordance �aiih the City of
Fridley Ordin�uices and zulinqs of tl�e DenarCment oE Buildings, and hereby
declares that all tlie £acts a�id representations stat-ed in tiiis application
are true and correct. See revcrse sicle for ac7ciiLional infohnation.
DnT�: �� SIGNA'PUP.L•': � /�. �.%/il � A . �
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8053 BlOOmington Freeway SHEETNO. OF—
BLOOMINGTON, MINNESOTA 55420 CALCULATED BV DATE
Phone 884-8868
CHECKED BV DATE
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8053 Bloomington Freeway s�eerr+o. oF
�LOOMINGTON, MlNNESOTA 5�420 �. CALCULATEO BV %Z!_I�/P ^-4 OATE� /�
Phone 884•8868
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FORM2W4 qvaileblefrom�Irc.,Grolon,Mess.01d50 �
. CtTY OIF FRIDLEY
• .8431 UNIVERSfTY AVENUE��N.E., FRIDLEY, MINNESOTA 66432 �. �
. � .. - � � . . .. SELEPNONE � j 812)571•9450 .
Auqust 13, 1479
Mr. Mark Reynold ,
Northwestern Builders
8053 E. Blcami.ngton Freeway
Bloomi.ngton, NE7 55420
Ree 1413 Glacier Lane N.E. (3 Season Porch)
Dear Mr. Reynold:
We were called to make a framing inspection at 1413 Glacier Lane on
7.hursday, August 9, 1979. 7'he framing was approded, however it was
noted that`the garage side of the wall, between the garage and the
additi.on, does not have any Gyps� board on it.
Since this wall now divides living area from a garage, it must be
cove=ed with 5/8 Eire code Gypsum wall board.
We will expect that this will have been completed prior to our final
inspection. If you have any questions, please call me at 571-3450.
Sincerely,
D G. CLAFIIC � .
Chief Building O£ficial
1]GC/mh
CC: Mr.�Inman
1413 Glacier Lane N.E.
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�City of Fridley 3 0 3 0 4
•TTHETOPOfTMETWINS gUILDING PERMIT
� � � � � RECEIP7 NO.
� � �� COMMUNITY DEVELOPM�NT DIV. ��� iy
r i�'� PRO7EC�IVE 1NS�ECTION SEQ . . v
�
� � �-'-{ � CITY MALL FRIOLE� SS�ji NuM�EP ME`/ W�E o�GE 01 �ooa0VE0 !r
L'-°� � �'' 612-571-3450 910-Pt5 9/28/99 � �
J09 ADDRESS 1413 Glacier Lane NE
1 IEGRL �OTNO. BLOCK � . TNACTOpADD�110N SEE�TTACME�
oescR. 3 2 Innsbruck lst Addition SHEE7
Y PROGERTYDWNER MAILApDAES$ Z�� PNONE
Charlotte Inman 571-0073
3 GONTq�CTOR MAIL �DDRE55 ZIG PNONE UCENSE NO
Suburban Exteriors 9701 Penn Ave S#107 1
� �RCNITEC70RDESIGNER MAILADOPESS 2iP PHONE LICENSENO.
5 ENGINEER MAIIADDRE55 . ZIi PXpNE LICENSENO
8 USE OF BUILOING
Residential
7 ClAS50FWORK � �
O NEW p ADOITION ❑ ALTERATIpN xk9 REPAIR ❑ MOVE O REMOVE
B OESCNIBEWORK
Reroof house and garage (19 Sq) Tear-off
9 CNANGE OF USE FROM TO �
STIPULATIONS .
Underlayment must comply with the State Building Code.
TYPEOFCONST. OCCUPaNCVGROUP OCCUPANCY�O.eD
SEPRRATE PERMITS ARE PEOUIREO FOR ELEGTRICAI, PLUMBING. HEATING.
VENTIUTING OR AIR CONOITIONING. � - ' -
THIS PERMIT BECOMES NUIL 4N0 VOIO IF WORK OR CONSTRUCTION zONING SO. Fi CU. FT.
FUTMOAIZED IS NOT COMMENCEO N(ITMIN 80 OAYS. OR IF CONSiRUCTION �
OR WOAN I$ SUSPENOED ON ABANDONED FOA A PERIOD OF 1�(1 DAYS AT
ANY TIME AFTEF WORK IS COMMENCED. NO 0�4'LG. UNITS OFFSTNEE7 PARNING
I MEREBY CERTIfV THAT I MI,4E READ ANO EXAMINED THI$ APPUCATION STAI.IS GARAGES
AND KNOW TME SAME TO BE TRUE�AND COAAECT. A�L PRpV1510N5 OF ��WS y��UAtION SUpTA%
ANO OpWNANCES GOVERNING TNIS TYPE OF WOAN WILL BE COMP�IED
WITM WME�NER SPEGFIED MEREIN OA NOT. TME GRANTING OF A PERMIT IO(�]. 3
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA7E OR CANLEI TME pENMITFEE � SAC CMAPGE
PROVISIONS OF qNY OTMER SUTE OR LOCAL L�W REGUTAT�NC LON-
51RUCiIpN pR �HE PERiONMANCE Of CONSTAUCTION (�O. �
�_ � PLAN GMECKfEE TOTA E
� �^ .:..� c, 9 as �
— YG�+�*unEO�COU'n�L*OAOe�u�w0 ZED�GEH� o�rEi MEN ROP ALIOAT o N�sssr UA PEAM1-
>
�/ �
S�Gaa�ueEO�OwHfA���OWNEFBW�OEA� �O�if� � B� ��.5� � �!
NEW [ ] "
ADDN
ALTER
Effective 5/10/99
[ ] CI7'Y OF FRIDLEY
[ti J/ SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUII.DING PERMIT APPLICATION
Construction Address:
I.egal Description:
� c.�f��i/,i•-a
•.
������
� ��
Owner Name & Address: '�nfZ,cw�2__ � m,rn,r,,-„ Tel. # 5`? /'do 9 3
Conuactor. �J.,c,L,rreuX+�,. E,C�Zwrua MN LICENSE # `-f c� Sr 9
Address: Q � O l �t ..em,�. Q,�,.� .� . �� r o � Tel. # is �i -� a 3 a
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
I.ength
Lzngkh
DESCRIP'I'ION OF IlVIPROVEMENT
Width
Width
wia�n
�
Height =
Height _
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sa. Ft.
Construction Type:�� Estimated Cost: $ / 9' �, �C4(O�
Driveway C�rb C�t Width Needed: Ft. + 6 Ft =_Ft x
a
DATE: Q � aU ' G �1 APPLICANl': .7 /l,Qm .�d�m.t� , Tel. # 8 �s i - � a 3 �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ ,/b
$�
$�
$
$��_
$
$
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 per 5AC Unit
$5.00 (State Licensed Residentiat Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary ( ] Not Necessary [ ]
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