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BUILDING PERMIT
Village of Fridley, Minn.
N° 2346
Date �J'•l,,�L�i �%� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Owner %� r . . .�,��%�"�'r•�. Builder . ...-�.'.��: :r.'.'.`.'�.i . . . . . . . . . . . . . . . . . . . . .
Address��jl�E1 ................................. Address .........................................
LOCATION OF BUILDIN�G
No. . . �' ,� ! i'�% . . . . . Street �_. � . . . . . . . . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . .
Lot ..... ...... . Block .....'. �. .. .. . Addition or Sub-Division �I��r��{lr�.�.�%�'?!'.'�. ..... .
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Corner Lot . .. .. . . .. .. . Inside Lot . .. . . . . .. .. . Setback ���.. .!:�"�' Sideyard . �«��. . ��.. . . . . .. . . . .
DES�CR[PTION OF BUILDING
To be Used as:
,
. .. . . Front ��. . • . Depth ,�.'�. . . Height �.'�i' .. ..
.� �'� � : k
��,.�/ . . . . . . . Front ��. . . . . Depth �,,. f . . . . Height �'. . . . . .
_ 'r.. R
v
Type of Construction .............. Est. Cost ..��� I! �...........
Sq. Ft. . .. .. .. . Cu. Ft. ........
Sq. Ft. . .... ... Cu. Ft. ........
To be Completed, .�. f.A�t�. .. .. . . • •
In consideration 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 compliance with all provisions of
ordinances of the village of Fridley.
iiiiii�ii�� _
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Tn consideration of the payment of a fee of $.�I!i� perniit is hereby grante to . L� .ti� .......
. . . . . . . . . . . . . . . . . . . . . . . to construct the building or ad dition as described above. This pernu is gr ed upon
the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work
done in, around and upon said building, or any part thereof, shall conform in a11 respects to the ordinances of
Fridley, Minnesota regarding loca.�ion, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. f^ � ��
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... Building Inspector ---�
NOTICE:
This permlt does not cover the construction, installation or alteration fo� wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
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City of Fridley, Mi.nn.
BUILDING PERMIT
nat�: � 2]-� 1965
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N° '74'76
owner: Donald Larson su�uder Gar �r�c Cen�t. co.
Address —.�?1R .Jeft►r�r�anri !�t_ �',Fs Address $727 Polk St. N�B�
LOCATION OF BUILDING
No. 6`�— Stceet �6ffk3PSOII St. N.E. Part of Lot r;° �'_''y�
Lot ..r 9 _ Slack �' Addition or Sub-Divleion ��3'e
Coraer Lot — Inside Lot — Sstback � Sfdeyard
Sewer IIevatla� �.. � Foundation IIevation
DESCRIPTION OF BUILDING
To be Used es:
F`ront Depth Height Sq. Ft Cu. F't
F'ront Depth I�eight Scl. F� Cu. Ft
1�►Se of Constructioa Fast Cost _..._1�.0 _ To be Completed
►g'GOY4� C1,8ID8�$�. RBCOi1�{:T4tC'fi '�'+O AP3�1II81•
In cansideration of the ffssuance to me of a permit to construct the bwllding described al�ove, I agi�ee to do
the proposed work in acc�rdance with the d+escription above Porth aad in compliance with all provisiona oP
oralinan� oP the dty of FrYdley. _ � � n
�
In conaideration oP the payment of a fee of $ �•�.., perm�t �ta hereby �rantea to ��T Jac Coa�t. Co.
to co�truct the buflding or addition as d�crYbed above. Thispe rmft is� granted uPon
the express c�ndition that the person to whom it ia granted and h3a agents, einployees and worlmien, fn all work
done in, around and upon said building, or any �art thereof, shall conPorm fn all reapecta to the orclinances of
Frldley, Minnesota regardiig location, conatruction, alteration, maiatenaace� repair and moving of build�ngs
within the dty I�nfts and tbis pernnit may be revoked at any t�me upon violation of any of the Provls�tons oi said
ordinances.
Bui1d1a8' Inapector
NOTICEs
1hb psneit doa ae1 cowr ths conshuaHoe, datallafien fer vrhlno, pinmbtea, �n 6�aNeg, aw�� or watsr. B� aRS to ss�
t6� Buildine le�aetor to� ap�rata � Po� 16�ss h�. �
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A.P:T�Yr,F^i:`.:'.v �iR BiJT"',,.rxt3% pva^1"QT
C�'I`Y 0� �';�IDLEY. M��.'3�1E.^,'�TA
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OWNER' S NAME �� �-b' :��.�.��- ��:s;��a Bi►�"LLER :��'� �, �� ,��i �� ��. � ' .
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ADDRESS �'' `� �� , �� ,o, <�_ �`" m ��DDRESS ;�" ,i . � ; % � � ,,�r ,� `y-� � u '` .
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LOCATION OF BUYI.DING
No. Street Part of Lot
Lot � Block Addition or Subdivis�ion ��-��.� -
Corner Lot Inside Lot Setback Side-Yard �
SEWER ELEVATION FOU:vL�1TI0N �I.E�,'ATION
Agplicant attacE� to Chia form Two Certifieatea of Surveq of Lot and propoaed build-
ing location drawn oa these Certificatea. •
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ri`���",�,�'�'�'�,�.�,_� __ ' ,� '1�,�`_.,,.d �'!�- +�-� ,� �,_ '�
BES�IPTiON Ox' BUILDIA?G
To be used as:
Front ;.•�pLh Eeight
Sq. Ft. �Cu. Ft.
Front Depth � Height
Sq. Ft. Cu. Ft.
, '' � .�
Type of Construction � �stim�ted Coat /�� ,
'
Ta be Complsted
The undersigned hereby makes application for a permit for ehe work hereia specified,
agreeing to do all work in etrict accordaace with the Citq of,Fridley Ordinances aud
rul3ngs of the DeparCmeat of Buildings, and hereby declares that all ehe facts and
representations atated ia this appl3cation are true and correct.
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DATE � ,%�, � ,� �%. � SIGNAI`URE ��,/G- �-� �.-
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,�Schedule of Fee Costs caa be found on the Reverse Side).
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BUII►DZNG PER►�T FEE SC�E�UE,E -
Section 2. The Ina�pector of Suil.din�s eh�ll, before issui3� any:peraat for_
the erection of atay building or structure, or for any add3tion to any erist-
iag building or structure, or for any alterations or rep�.ir� to any edi.sting
building os s�ructure, upon application therefor, require the ga3�enC by the
applicax�g for such permit of fees to the amounC herein below set fosth acsd
in the manner here3n provided to-wit: �
'�.�
2.1. For any such permit for the erection o,f any fire-proof buildisr�, c�iher,
than a gara�e� warehouae, factory or grain elevator,-or for the erection o��
any fire-proot addit+on, €or similar occupancy, to any axisting buildi�g
ahall be a� t�e rate of ��,.40 for, each one thousand cubic feet, or fraction
thereof, in such cubical conten�g.
2-.2.� For aay auch permit fos �he -erection o� anq f3re-praof garage, war�iiouse,_
factory or graia elevator, or for the er.ectioa of aay fire-p�oof edditiou, -
�or sim�.lar accupancy, to any existiisg butldiag shall be at the�ra�e o� $1.25
for each oae thousand cubic feet, clasaified as °1fireproof" by Sectiotk 5�2, of
the Minneapolis Building Code. " � � �
flOUSES
'' 2.3. For any such permit for the eiection of any non-�ireproof build�n.�; .�¢lrea
than a garage, warehouse, factory or grain elevator, or aaq noa-f�rep�c�s�
additioa, for similar occupancy, to any existing buildiag - permit $�,.QO £os
each one thousand cubic feet,.
GARAGES
2�.4. For any such permit for the erec�;i;s� ��' �r�� n�an-fis�^xc*o� gasa��,
-� warehouse, factory ar grain elevator, S?� if�3; ►.�za ��_-E.d:tcion o� any non-�ire�rr�af
additiaa, for •aimilar occupancy, to s4;�-� e.<..� �ti�g bu�,gding or for each sucla
_- .�build3ng�or addit3on - niaety c���� ��;>,^? for e�.ca one thousand cubi� feet
or fraction ,thereof, in the cu�ical c.c���cr�.c , therpo£ with a min3.mum of Y4.Q�.-
For the purpose of comguting fees f�r bc��.ding permi�s, the cubical cont�r.ts
�- of �ny�building or addition to a�uuifvxm heiffihC thro�ghout by mul.tiplyix�� the
grouad area covared from a point eis (6) inchea below the f],oQ�c. 13ae- of,.;:hs .. ,�
-basemeat or cellar to the average height of tiaP �gsper� sur'face or to the
average height of the roof surface of the main gable of a pitches�;roof.
2.5. For rapa$rs or alteratione to an existing structure, the fee ahall
at the rate af $3.00 per eacl� Five Sundxed Dollars ,($5.00.00)� or ¢,ractioa
therebf in the cost of all.pr�gosed work. ,
� 2.6 .� Ta no case shall , the fe.p_::charged `#oa ..aay permit , a� Bet , forth i�
.Section '2 be 1dss. than $4.00. �"�
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Caty of Fridlep, Minn..
6431 University Ave. N, E., Miuneapolis, Minn. 56432
�:�i�I�I�1�!'� '-I��/IM
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Owaer: Don�7d iaxson Builder Same
Address _b31Q�.effexson �treet Adclr�ss �r�mP
LOCATIOiV �F BUILDING
No. _�.�..�.10 g�t _ Jefferson Street Part of Lot
Lot .—_.� Block .�._�_._..—..—___.__ Addition or Sub-Divlsion - 4� i �a t i p A d i t i on
Corner Lot _.__.._..� Inside Lot
Sewer Elevation
Setback Sideyard
Foundation IIeval3on
DESCRIPTION OP BUILDING
To be Used as: �
Storage Shed __ �nt 13 � Depth 12 � Height $ t Sq. Ft, 156' �, � 124$'
� _..._____ Front ._._. Depth Height Sq. F� Cu. Ft.
Zj�pe of Construction �DTood Frame F��, Cost .,._�3QQ� To be Completed �.�Pt •- 15_ 7.972
Stipulation; Ma.intain 5 feet from existing structure in rear yaxd.
In consideration of the issuance to me of a germit to conatruct the buflding deseribed above I agree tp do
� progosed work in accordance with the description above set forth and in complfance with a�l provisions of
prdinances of the city of Fridley. , _ ,�
Ia consideration of the payment of a fee of $�� , permit is hereby granted to�onald LB.raon
to construct the building or addition as described. above. This permit �ts graanted upoII
the express condition that the person to whom it is granted and his agents, employees and worl�aen, 3n aII Work
done in, around and upon said building, or any part thereof, shall conform in all respects •to the ort]inaac�s of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bwtldillp
vy'ithin the city limits and thi.s perinit may be revoked at any time upon vio f any of the provisions of 8aid
or�diaaaces.
$
CLARENCE $ELISLE
IdOTICE:
ffiis permit does not eove� the conatruefion, instaqaHon fo� wfrin& POum6b►8r 8es heaHee. sewer or water. Be snrs to sas
f6s Building laspectar fe� separate permits for theae itetas.
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AP.P�ICATION FOR RESIDENT�AL, A�T�RATION,
OR AllllITION BUILD�NG p��yIT
CITY OF FRIDLEY, MINNESOTA
OWI�T�i � S�TAME t���lllY , hf,% Oz v BUILDER :
.ADD1tESS s_ _l���� ��FE•PS��S7� ADDRESS :
•l0is� S1^r•L'+�
I.OT : �,BLOCK • 7 ADDITION t C✓�1/''�c3 �E..
CORNER LOT: INSIDE LOT: SETHACR: SIDEX�Rpg
.,�..T�,........
Applicant attach to this form Z�o Certificates of Survey of Lot �uud p�opo�ad
building location drawa an these Certificatea.
HESCRIPTION OF BUILDING
�o �e Used As:
i
c��l"� �'`� Front • /� Depth : �� � Height : �' �
Square Feet: i��a Cubic Feet: /o?��
��
' Front: Depth: Height:
Square Feet; Cubic Feet:
'.�►pe of Construction: ��G� T�''�?�l Eatimsted Coet:_� ,�Gt� .����s
To Be Campleted: �,,D� /.S� /�702
Tt�e undersigaed hereby makes applicatioa for a pes�mit for ti�e .w��c1c �3���1
specif�ed, agreeing to do all work ia ettict accordance wiW the C�.t� q�
F��,d�ey 0=dinancee and svli�ge of the Department of Buildings, and b�e�ebj
d�ala�ea that all the facte aad representationa atated ia thie app�.�,����,�
a�re tuue aad correct.
��
�i�k : � ,��r% r ' i� !��., SIGNA � �� ,
(See Reveree Side For Additional Information.)
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$UILDING PERMIT FEE SCHEDULE
SEC�ON 2. The Inspector of Buildings ahall, before issuiag permi.t� foz Ch�
exection of any building or structure, or for any addition �o any existi,n$
building or structure, or for any alteration or repairs ta any ex�sting
building ox structure, upon application therefore, require the payme�� by �h�
applicant for such permit of fees to the amount herein below aet fartl� �Rd it►
�he manner herein prwided to-wit:
T,JNIFORM BUILDING CODE: 7�pe 1, 2� 4-$2.15 for each one thousand cubi,c
��e�, o� fraction thereof, in such cubical contents. Type 3� 5-��.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose af computing fees for building pe=mite, the cubical contents
o£ aay buildiug or addition, ie determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
o= the cellar to the �verage heights of the upper aurface or to the average�
height of the roof surface of the main gable of a pitched roof.
�or repaira or alteratioas to an exieting atructure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
T.n, ao case shall the fee charged for any permit as set forth ia Sect�aa� � ba
less than $S.Op.
VFRIFICATION OF FOUNDATION
�jp�; Permits for eonstruction will be iasued a mini�um of 24 hours f�rnp th�
�ime of applicatioa, to allow for proper review of the proposed structuxe a�nd
o� the conatructioa site.
!� Cextified Survey of the lot, showiag the location of the fouadAt�,A�� A3�S�� �.�
�ap been caastructed, will be required befo�e proceediag with the fxamiag,
CERTIFICATE OF OCCUPANCY
Applicatioa for a Certificate. of Occupaacy ahall be made ten (10) days p�C�,s��
�t� tkle use or occupancy of any structure for which a building pexmit has ���
ieeued; and eaid structure shall not be used or occup�ed until a Certifi�$��a
o� Occupancy has beea issued.
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Hois�r�i�i�ze x� ss ax� a�tia�
Building
Inspections
763-572-3604
DATE�.�
SITE ADDRFSS
THIS APPLICANT IS:
PROPERTY
owr�xi
TENANT
CONTRACTOR
SUBMIT A COPY OF
ypUR STATE
LICENSE WITH
APPLICATION
PERMTT 'I'i'PE
TYPE OF WORK:
P�iTMBIN G
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
. • ��
���� ' j I
�� ,
■ •� ►�• •'
�� � � � �
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�nr�ir�/_�e�.l
Permit
Received By:
Da ��iQ� 2 2Q0
►..�
���,,...:.
STATE LICENSE # 6�1-365•1340 EXP DATE a•- �
d Rd. #100 �y STATE �
ADDRESS:
.
PHONE
j�i INGLE FAIvIILY
�
❑ NEW
DETAILED DESCRIP'ITON OF WORK
p TWO FANIILY ❑ TOWNHOUSE
�EPLACEM�7�T
PER MS 16B.665 the permit fee is a minimum S dentiao ofixture� xcluding the�fixtureso �5,�00�,°�d reflect only there st of labor )
improvement, installation or replacement of a r
x.05=
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor I�� ToT�t,
FOR PROJECTS WI�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE. E3CCEPT WiiE1tE NOTED. FIXTURES: i[ND
I•nJMBER OF EACH BELOV� SHOWER ,_ WATER PIPING
BATH SINK/LAV FLOOR DRAINS — S��q�qNG POOL _ WATER SOFTNER ($35)
BATHTUB —GAS PIPING fn�ID Cm't►C� — WA.� �J,OSET _BACKFLOW PREV. ($15)
CLOTE�S VJ.4SHER _ KITCHEN SINK WA,� �.� ($3� FOR IRRIGATION
DISHWASHER ,_ LAUNDRY TRAY � WATER MEI'ER _ OTf�R
._ _ �
Fee
TOTAL DUE �
��� a���.�,�. � � �- ._; ;�.;.�'- .. �_��.,. ., a. .�-�.,W. .. ,_. .. .
�� Number of fixtures @ $10.00 x $10.00 = $
.50 Number of fixtures @ $15.00 x $15.00 = $
� Number of fixtures @$35.00 x$35.00 =$ 50
State Surchazge = $___._�_
Tota1= $
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
that the work will be in
I hereby apply for a building permit and I aclrnowledge that the information above is complete and accwate; �at I understand this is
conformance with the ordinancation for�a permit an 1workFis no�to start1withoutM permit; that th �'voriC �'�'il be in accordance with the
not a permit but only an app
approved plan in the case of all wor which uires,r,ev�ew and approval of plans. �ry[�
� PRINT NAME '`�L�''� " "" Vl • �ATE � Z `V !
SIGNATURE OF APPLICANT �� ��������4�
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
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