AF - 47094-;�; ��.
�
`•
City of Fridley, Minn..
BUILDING PERMIT
Dar�: __.._ �une �,.��
N� '7'741
� �g 5
3�
p�: _ dack Gottsr � s,,;��r eorl:o� Construction Go.
Aaarees 1�2Q x�ene Plas't�. N. S. ._ aaa�s -b1�31 2�in1-� -g�r�.e�_i�......E�..�_____.._
LOCATION OF BUILDING
1va b::?A s� H61en6 PlaCe N. 8• Part ot 7.ot �._._ __
Lot 9 _ Block _.�..__ AdBition or Sub-Div3sim�ffi
Corner Iat Inside Lot
Sewer F1e�vatian
Setback __._ Sideyard
� Foimdatian IIevatton
DESCRIPTION OF BUILDING
To � v�ea as:
Froant nepw xe�nt sn. Ft. cu. �c _._.
Frant Depth Height sq. Ft. cu. Fc.
Type of Cas�struction F�t. Ca�t ��_.—__ To be Campleted
Storm Da�aage Bspair
M3.nor Repair tu bonse and �iw garage
In Coeis[deratlon of the issuance to �� a permit to canshuct tbe building described a e, I to do
tha propo�ed w�ork in a�ordance with the descriPtion sbave �et i and in ' oe wi all of
a�dinancea a� tbe dty o! Fridley.
In caoslderatiaa ot the payment o! a fee of i—��� , P�►it is hereby graated to COrlOri Co,�t. CO•
to 000struct the buflding or additi� as described above. This P�t is granted upon
the exPr�s c�onditiou that ti►epe�oa to whom it is graated and his agents. emPloYees aud wori�en. in all work
dane in, around aad upon said wiliing, � aRy part thereof, shall confo�m ia all respects to the ardinances o�
���'Y, �� locatioq eo�tructiao, alteratioa, maintenanc�, repair and mavin8 of buildings
wi� dty limits� pesmit may be revdced at a�► time upos► violati� of any of the provisians of sa�d
Allen Jensen � ��
• �� �M deM �e1 eewr fiw ew�lerelie�, iafslitlioe fer YrMi�O. P�W N� �. s�w�r er wM�r. M awr fo s»
fM Mildiy I��elee fee s�praN Pn�i1a foe fw» il�es.
APPLICATIQN FOR BUILDI3�^ RF,P.MIT
CITY OF F�IDLEY, Mi�1t�ESL�A
��.����-��
OWNER' S NAME Jack Cott� gu�g,g CORLOPl CONST�UCTIOi1 C0.
�Dgp,�g 620 Helene Pl. p��gggg 6631 McKinley St. Tt.E.
SAME AS ABOVE LOCATION OF BUILDING
No. Street Part of Loe
Lot��Block �Addition or Subdivision
Corner Lot Iaside Lot Setback Side-Yard
SEWER ELEVATIO:�t FOUNDATION ffi.EVATION
Applicant atCach to this form Two Certificates of Survey of Lot aad proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDIr'G
MINOR REPAIR TO HOUSE AivTD NEtY GA?�AGE
To be used as:
GARAGE Front 2O ie�th �n_ �eight_��
Sq. Ft. Cu.. Ft.
Front Depth Height
Sq. Ft. � Cu. Ft.
Type of Construction WO OD FRAME E$timated Cost $1200.00
To be Completed AP�ROX Jun� l� 19
The undersigned hereby makes application for a permit for the work herein sgecified,
agreeing to do all work in strict accordaaca with the City of Fridley Ordina�ces and
xulin.gs of the Department of Buildings, and hereby declares that all the fact� and
representatioas stated in this application are true and correct. , _
DATE Ju�te 2, 1965 '
/
�Sched e o�ee Costs caa be
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found on the Reverse Side).
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January 5, 1993
To Whom It Mav Concern:
I hereby give permission for my neighbors John J. and Theresa Cotter,
at 620 Helene Place, to place the condenser unit for their central
air conditioner on the east side of their house.
/� ��
Crawford Foraker C�v �
630 Helene Place
Fridley. MN 55432
sue�ecr P IT NO.
c�ty of Fridley 219 7
AT THE TOP OF THE TWINS gU I L D I N G P E R M I T
; • RECEIPT NO.
� �• COMMUNITY OEVELOPMENT DIV.
r � v � PROTECTIVE INSPECTION SEC. �al.�/�
� �
i----� ���'�;'� CITY HALL FRIDLEY 55a32 NUMBER REV. DATE PAGE OF APPROVED BV
Z 612-571-3450 910-F15 7/15/93 / /
JOB ADDRESS 620 Helene Place NE
t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO
DESCR. 9 9 Donnays Lakeview Manor SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PHONE
John/Theresa Cotter 620 Helene Place NE 571-6173
3 CONTRACTOR MAII. ADDRESS Z�P PHONE LICENSE NO.
5ame
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADDHESS ZIP PHONE LICENSE NO.
6 USE OF BUIIDING
Resic�ential
7 CLASS OF WORK
O NEW � ADDITION O ALTERATION C� REPAIR O MOVE O REMOVE
8 DESCRIBE WOHK
Reroof House & Garage (32 Squares� Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS ��rlayment z�iust comply with the State Huilding Code. Provide adequate
attic venti.lation. Provide smoke c3etectors as per UBC 1210 adjacent to all sleeping
areas and in basenrent.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD
SEPARATE PERMITS ARE REOUtRED FOR ELECTRICAL, PLUMB�NG, HEAT�NG.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. fT. CU. fT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT
AMY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
1 HEREBY CERTIFV ?HAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ypLUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEp $1 � 7OQ $. 85
WITH WHETHER SPECIfIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHOR�TY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PHOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $39. OO Fixe SC $l. %O
STRUCTION OR THE PERFOiiMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
$41.55
SIGNATURE�OFCONiFACT0I:ORAUTHO%�IZEDAGENT IDAT6 WHEN P PER ALIDATED THIS IS VOUR PERMIT
. �, "" � �i'"' /�
SiGNATURE OF OWNER ��f OWNER BU4DERI IDATEI g iN pa7E
I�1EW
ADDN
AL'rER
[�
[]
[l
Consb�vction Addres.s:
Legal Description:
CITY OF FRtDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R 2
Building Permit Application
e
�
Effecrive 5126/93
Owner Name & Address: / o�� h�� _�t- �1j e f� r a. C� e��P. � Tel. # cS�/-� /�s3
Co�tcactor: ��v h P. r MN LICENSE #
Address:
Tel. #
Ait�ch to this a}�lication, a Certificate of Survey of the
lot, with d�e propased G�tructioa drawn at it to s�aie.
DESCRIPTTON OF IMPROYEMENT
i.�vnvG �: ��cn w� x��t sq. Ft.
GARAGE AREA: Le�g�th Wickh Height Sq. Ft.
� .N ; ' -
� ��
L�gih Width Hgt/Gro�ad Sq. Ft.
/Uew roa� - �`e�r-o �—
Co�ne� I,ot Insic� Lot {] Ft. Yd S�back Side Ysrd�ks
Ty� of ; � � �,, �:� e�c: s /7�1�,�
Approx. ComQl�ion Date:
(Cast an Back)
Driveway t�rb Cut Wic#6 Neoded: Ft. + 6 Ft = Ft x� = S
DATE: 3 APPLICANT: ,%�P� � f� �� 7%`�` Tel. ��5-�/ -.(��Z�
Pamit Fee
Fire Surcharge
State Surcharge
SAC Cbarge
License Svrcharge
Driveway Escrow
F,rosion Crnntrol
Park Fee
Sewer Main Charge
TQTAL
S 3`� �
� ��
� , �'S
$
$ —
$
�
$
$
� r,ss
S
�MM � .1
Fee Schedu�e on Reverse Side
.OQl of Permit Valuation {1/lOth96)
$.SO/51,000 Valuation
$750 pex� SAC Unit
SS.00 (State Iac�en.9ed Residential Cor►tractors)
Alt. "A" � Alt. "B" Above
Conservation Plan Review 5450.00
Fee D�etetmined by EnBineering
Agreement N�ry [ ] Not Nece.ssary [ ]
STIPULATIONS: �
41 ��
�
sue�ecT PE .
City of Fridley 2 8 54 7
, �572-36��` TNE �`µs BU iLDiNG PERMIT
CoMMUWirr oEVE�OPM�NT aiv. ��� /
v PROTECTIVE INSPECTION SEC.
� _
, � _.__ ,
r , ';
� � /"'1 � CITY HAIL FRIOLE� 5��3� NU4lEN AEV O�TE VAGE OF A►VROVED BY
���-��' �'� 612-57�-3a50 9�aF�s / /
11 9 98
J08 ADORESS
620 Helene Place E
1 LEGAL �OT NO. BLOCK TRACT Oq ADDITION SEE ATTACMEO
OESCR. 9 9 Donna Lak v� SNEET
2 PROPERTY OWNEFi MAIL A008�S$ ZIP PMONE
Jack Cotter -
3 CONTRACTOp MAIL ADORESS 2�P PMONE LICENSE NO
Midwest Sidin & Roofi -
� ARCHITECT OR OESIGNER MAiL A�DRESS ZIP PMONE UCENSE NO
5 ENGINEER MAIL AOOiiE$5 ZIP PMONE IICENSE NO
6 USE OF 9UILDING
Residential
7 CLASS OF WORK
O NEW O AODITION � AITERATION � REPAIR O MOVE � O fiEMOVE
8 OESCRIBE WORK
Reroof house and ara e 24 S Tear-off
9 CHANGEOfUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TVP OFCONST OCCUPANCVGROUP OCCUPANCvLOAO
SEPARA7E PERMITS ARE REOUIRED fOR EIECTFICAL, P�UMBING, MEATING.
VENTI�ATING OR AIR CONWTIONING
THIS PERMIT BECOMES NULI ANO VOID If . WQRK OR CONSTpUCT10N jONING SO. FT CU FT
AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CON$TRUCTION
OR WORK IS SUSPENpED OR ABANqONEO FOR A PERIOD OP 120 DAYS A7 °
ANY TIME AF7ER WOtiK IS COMMENCED. ' NO. DWIG. UNI7S QFFSTREET PARKING
1 HEREBY CEHTIFY TMAT I HAVE R ANO EXA N�O THIS APPLICA710N STALlS GAiiAGES
AND KNOW TME SA O 8 TRUE D OtiREC ALl PROVISIONS Of LAWS yA�UATION SURTA%
AND ORDINANCE G ING , IS PE OiiK WILL QE COMP�IEO
WITH WMETMER P I HE IN NO . ME GRANTING OF A PERMIT 2056 I.O3
DOES NOT P SU T GIV AUT Oii O VIOLATE OR CAMCEI THE pEpM17 FEE SAC CMARGE
PROVISIONS F AN T CAL LAW REGUTATING CON-
STqUCTION R TM PERf M f STRUCTION ]/{. %S Fire SC 2. O6
PLAN CNECK fEE TOTA� FEE
Lice se C .0 82.84
S�GN�TUpEO� Q�CIOAONAUTMQ iz •GENt iO�fE� NEN PROPEpLY V IOAT D THiS IS VOUA PEQMiT
� ^
S�GN�TUAEO�OWNEA���OWNEpBU�IDEAi IDA/f� ' �p( � SO r��(t
� �
NEW - [ )
ADDN [ )
ALTER [ ]
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: �D 2d f�•e! e�t.C_ {�l �t
Effective 1/1/98
„�1
��� ��
��
Legal Description:
Owner Name & Address: ;��aGG�- Cp T�-✓� Tel. #.� 7/ —�/ 73
Contractor: � � � t�c,� � .`a( � �F l�o-a � MN LICENSE �# �°O �dZ 7 7
Address: /� q% g G�dS� a1v cr� . Tel. # Yflo -��� `
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:
Length
Length
DESCRIPTION OF IMPROVEMENT
W idth
Width
W idth
Height
Height
Hgt/Ground
�. �! 5�
Sq. Ft.
Sq. Ft.
Sq. Ft.
1 /�r w.�. +�
Construction Type: ��r- d f�c �o� t- Estimated Cost: $ ��5� "
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: �(' ! - GT� APPLICANT: Tel. # "/��' ����
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ � .�^
� � d�
$ /a3
$
$ S bv
$
$
$
$
i—
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 [ ]
_�.
sue�ecT ERMIT N :
City of Fridley 317 0
�
AT THE TOP OF TME TWINS g U I L D I N G P E R M I T
; � �.
� • COMMUNITY DEVELOPMENT DIV. �/
f �~ � PROTECTIVE INSPECTION SEC. �� 7 y
1 . �
i---.�; �"',•� CITY MA�L FRIDIE� 55�32 NUMBEp pEV 0�1E o�GE Oi APVROVEO er
1 763-571-3450 9to-Fts 10/15/02 / /
J08 ADDRESS 620 Helene Place NE
1 LEGAL lOT N0. BLOCK TiiACT OF ADDITION SEE AT7ACMED
DESCR. 9 9 Donnays Lakeview Manor SNEET
2 PFOPERTY OWNEp MAIL ADOqESS I�P PMONE
John Cotter 620 Helene Place NE 763-571-6173
J CON7RACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Same
1 ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
S ENGINEER MAII AODRESS ZIP PHONE LICENSE NO
6 USE OF BUILOING
Residential
7 CLASS OF WORK
O NEW O ADDITION � ALTERATION ❑ REPAIR p MOYE � REMOVE
B DESCRIBE WORK
Remodel bathroom
9 CHANGEOFUSEfROM TO
STIPULATIONS
See notations on plan.
SEPA��TE PERMiTS
REaUfRED FOR:
PLUMBI� AAID ��
TVPE OF CONST OCCUPANCV GROUP OCCUPANCY �OAD
SEPARATE PERMITS ARE FiEOUIRED FOR ELECTRICAL, PLUMBING. MEAT�NG,
VENTILATING OR AIH CONDITIONING
TMIS PERM17 BECOMES NULL AND VOID IF WOFK OR CONS7NUCTION ZONING SO. fT CU fT
AUTMORIZED IS NOT COMMENCE� W�THIN 60 DAYS. OH IF CONS7pUCTION
OR WORK IS SUSPENOED OR A9ANOONEO FOR A PERIOO Of /20 OAYS AT
ANY 71ME AFTEii WORK IS COMMENCED /i0 DWLG. UNITS OfiSTREET PARKING
I HEREBY CERTIfY THAT I HAVE pEAD ANO ExAMINEO 7HIS APPLICA710N 1 S7A��5 GARAGES
ANO KNOW THE SAME 70 BE TRUE ANp COFiRECi ALL PROVISIONS Of LAWS yq�UqT10N SUpTA%
ANO ORDINANCES GOVERNING ?HIS TYPE Of WORK WILL BE COMP�IEO @
WITH WHETMEp SPECIFIEO MEREIN OA NOT TME GRANTING OF A PERMIT �1,450 �y. %2
DOES NOT PRESUME TO GIVE AUTMORiTY TO VIOIATE OR CANCEI THE pEqMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING coN- �54.00 Fire SC �1.�4.5
StRUCT10N OA THE PERfOpMANCE Of CONSTRUCTION
D�AN CMECK F ?OiA� FEE
56.17
S�GN�r EO� ON' , NAUT i2E •GENT iO�TE� EN OP VAL10 D 7H�S IS YOUp P MIT
C Q `� � Q � /i/ �1°�
5� •TUAEO�OWaEA��� WNEpBWlOE�7� iD�tE� BLD �N$� �i E
�+ i
NEW
ADDN
ALTER
[� CITY OF FRIDIEY Effective 1/1/2002
( j 6431 University Ave NE, Fridley, MN 55432 (763) 572�604 Bldg Insp
�j, SINGLE FAMIIY AND DUPLEXES R-1 AND R-2
BUILDING PERMtTAPPLICATION
�
Cohstruction Address: � � O lfL-'LL-�v� /�c
Legal Description: �
Owner Name 8� Address: �T ri� T. �o�r��e �S�lw� �as,d���� Tet. # �63�5 �� � �� 3
Contractor. S L r— MN LICENSE #
Address: 5.�� As il�v� Tel. #
LMNG AREA:
GARAGE AREA:
Attach to this application, a Ce�tificate of Survey of the
lot, with the proposed construction drawn on it to scate.
DESCRIPTION OF IMPROVEMENT
Length � V1�dth �,_ Height Sq. Ft �
Length Width Height Sq. Ft
DECK AREA: Length Width HgUGround Sq. Ft
OTHER: /1LifuDErE BIX�//�oa�! �
ConstrucUon Type: Est�mated Cost: $
����/�
Driveway Curb Cut Width Needed: F� + 6 Ft = Ft x$ _$
DATE: _ l0 -/5�- a Z APPLICANT: ✓A c,� �c �r� 2 Tel. # 76 3-� 7� -�/ 73
Cali (763) 5TZ-3604 fo� Pertnit Fees if mailing in appticatio� or Fax to 763-571-1287 if using credit card and we will
call you fo� card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ sy��
$ / � `/�
$ �
$
$
$
$
$
$
CITY USE ONLY -
� �� �chedule on Reverse Side
.001 of PeRnit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 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 [ J Not Necessary []
TOTAL $ � �CQ�I� STIPULATIONS:
�
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