PRE 2010 DOCSMage of Md1eyq, Minn.
BUILDING PEBJM
N? 1014 Office of INSPECTOR OF BUILDINGS
Owner
Architect Fridley, Minn
Builder,
LOCATION OF BUILDING
NO. Street, (-0 W:Ile A"i C4 —Part of Lot
Lot Block Addition or Sub -Division
DESCRIPTION OF BUILDING
Front Depth --. Height— Stories Manner of construction -
To be used To be complet 'Estimated Cost—
Permit is hereby granted to- to
the building— described In the above statement. This permit
upon the express condition that the person to whom it is granted, and his agents, employees and work
the work done In, around and upon said building, or any part thereof, sha3l conform In all respects t
nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of
within the city limits, and this permit may be revoked at any time upon violation of any of the provisi
ordinances.
--Inspector of
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of I
the above permit, I hereby agree to do the proposed work in accordance with the di
above set forth and according to the provisions of the ordinances of Fridley, and, being
sworn, I hereby state and say that the facts stated by me and contained in the above p
true as therein stated.
Subscribed and sworn to before me at Fridley, Min
day
A.D. 19
560-3450
Cit Of rile
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE FRIDLEY, MINNESOTA 55421
TO WHOM IT MAY CONCERN:
I do not intend to do work for pay or devote.all of my time
at the use of this machinery or tools that are installed in my garage.
This is for the explicited use as a hobby and I will restrict the use
of these between the hours of 8:00 A. M. to 9:30 P. M. of any one day.
I also will take the necessary precautions that there will be no undue
noises or oders produced by these tools.
'LjE-) YOU e�
Donald Engebrit
60 Logan Parkway
Fridley, Minnesota 55432
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City of Fridley
Application for Plumbing and Gas Ming Pennit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK 60 Logan Parkway
Number, Kind and Location of Fixtures Location
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ......................
3
$
Future Fixture Opening ................
x $1.50
$
3�
c�
$
Z
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O W
<
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WATER HTR.
GAS
EIEC
Base
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures .......................... 2
x $2.00
$2.00
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
install (1) gas grill & (1)
lite
6.00
REPAIRS & ALTERATIONS—Refer to Code
1st
2nd
3rd
4th
• Future Connection Openings
e New Fixture, Old Openings I
Connected with
Sewer ❑
Cesspool Ej
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ......................
x $2.00
$
Future Fixture Opening ................
x $1.50
$
New Fixture Old Opening ..............
x $1.60
$
Catch Basin ... ........................
x $3.25
$
Water Heater (Up to 99,000 BTU) ......
x $3.00
$
New Ground Run Old Bldg . ............
x $3.25
$
Electric Water Heater
x $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures .......................... 2
x $2.00
$2.00
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
install (1) gas grill & (1)
lite
6.00
REPAIRS & ALTERATIONS—Refer to Code
City of Fridley:
53-84-5915.51
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Arron_ Sept. 11, 1970 019—
Owner
19_
Owner Donald Engegrit
Kind of Building f came
Used as residence
To be completed about Sept. 16, 1970
Estimated Cost, $ 20.00
Old XNew. Building Permit No Permit No.Cl
ROUGH
FINAL L %1- �— 7 /
Description .................................... ...........$
TOTAL FEE $ 8.00 az
Business
0
G43 CO. .
6` p
City of Fridley
Application for Plumbing and Gas Fitting Permit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
M111MMIM
NO.
RATE TOTAL
Number Fixtures ......................
x
$1.50
$
WATER KTR.
x
1.20
$
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ............................
x
3.25
$
Water Heater (Up to 200,000 BTU) ......
x
2.00
$
New Ground Run Old Bldg . ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
x
$1.50
$
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
.. ,Emma
V�r►.A
NoIN ;
,r
.. W.
MW
_ . .._
■
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
Number Fixtures ......................
x
$1.50
$
Future Fixture Opening ................
x
1.20
$
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ............................
x
3.25
$
Water Heater (Up to 200,000 BTU) ......
x
2.00
$
New Ground Run Old Bldg . ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
x
$1.50
$
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description .....................
TOTAL FEE $
Dept. of Bldgs. Phone SII
City of
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, 1VGn++ ' d 19—
Owner --6—
Kind of Building
Used as _
To be completed about
Estimated Cost, $
Old- 4klm-Building Permit No Perm' o. r
S
By
Business Phone No
ROUGH
FINAL
42 2M7-59
City of Fridley
SUBJECT
PE NO.
®. 14360
AT THE TOP OF THE TWINS
PERMIT
BUILDING
RECEIPT NO.
`v ______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 I � CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
9 14 77
JOB ADDRESS 60 Logan Parkway
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
27
1
Oak Creek Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Donald Engebrit 60 Logan Parkway
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Detached Garage 24' x 24'
7 CLASS OF WORK
[j NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Submit certified survey prior to,pouring. -Discontinue use of
existing garage as garage.
WI�RH{HG
'Bette diBQf nt caIl'
�a1 GAS Be.
WIRING, TELEPHONE �
.PERMITS REQUIRED FOR Ric
SEPERATE
LAWHEATING,
PLUMBING AND SIGNS. REQUIRED
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 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. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
$4,170
$2.08
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$23.04
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$25.12
SIGNATURE Of O AUTHOR ESA NT IDATEI
HEN PROPERLYVALIDATEDTHIS IS YOUR PERMIT
10)TR
v
��IA.Qj
I E O IIF OWN BUILDER) (DATE)
BLDG INSP DATE
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: � � J� � � 61`� (� BUILDER:
Address: Lo U. WLi�-� 44% Address:
No.
LOT: rL
Tel. No.
Street:
BLOCK: �_ ADDITION: C R CC11C
CORNER LOT: INSIDE LOT: V __ SETBACK: SIDEYARDS:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
6�02Front: a� Depth: �0 �� Height: �w
Square Feet: 6_ Cubic Feet:
Front:
Depth:
Square Feet: Cubic Feet:
Type of Construction: PTL�
Height:
Estimated Cost: $ 4 1 - m -0
To Be Completed: By^(yl Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side for addit irormati�
(( ,,
DATE: Sw 14. t�r) ! SIGNAeRE:_�
Stipulations:
���ta(L►M ►� a� � 0 � -
2,v$
►i�. C��vbVA �
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection
of any building or structure, or for any addition to any existing building or structure,
or for any alteration or repairs to any existing building or structure, upon application
therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.
PLAN CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
Alternate A: Removal and replacement of.concrete curb and
gutter only; Driveway width plus 6 feet x $11.75
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6 feet x $15.40
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inches below the floor line of the basement or the cellar to the
average heights of the upper surface or to the average height of the roof surface
of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 ljer each five hundred dollars ($500.00) or fraction 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 $7.50 plus $.50 state surcharge.
ERIFICATION OF FOUNDATION
NOTE: Permits for construction will be issued a minimum. of 24 hours from the time
of application to allow for proper review of the proposed structure and of the
construction site.
A Certificate of 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 shall be made ten (10) days prior to the
use or occupancy of.any structure for which a building permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
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SUBJECT E
City of Fridley
16 7 4 4
AT THE TOP OF THE TWINS
BUILDING PERMIT
rp
'
R
`v ...... COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
y-
r PROTECTIVE
'
>11
"1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF APPROVED BY
612-571-3450
910-F15
8/26/82
/
JOB ADDRESS 60 Logan Parkway N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
27
1
Oak Creek Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Donald Engebrit 60 Logan Parkway N.E. 571-5939
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install family room windows and re -stucco and reroof dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Use treated floor joist and subfioor if not vented.
SEPERATE PERMITS REQUIREp FOR WROIGe
HFATING. PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 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. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
S=M $5.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$10,000
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$80.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
t
$85.50
SIGNATURE OF CON FACTO OR HORIZEDA ENT (DATE)
WHEN PROPERLY LIDATED THIS IS YOUR
99PERMIT
A E F 0 N 11 W R UI ERI 0 1N
4AT
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATIM FOR RESIDENTIAL BUILDING PERr4ITS
(New, Alterations, Additions, or Repairs)
OWNER: ��� � ��l��1�1 � BUILDER: Id NAl p - .-Z FEN
-p �-s a a-y-er ►� ••
ADDRESS: L6 Z®l,-14js � e� ADDRESS: �A/ Q x4(� 1 IVAdW 1� 2
TEL 90: /�'� /--��i—�` TEL NO:
Construction Location
• STRICT NO: STREET:
IAT: a % BLOCK: ADDITION:
Corner Trot: Inside Lot: i Setback: Sideyards:
Applicant attach to this fora two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRiPTi0id OF COrJSTRUCTiON
L Front: Depth: Height:
pg–
A&A Square. Feet: Cubic Feet:
tW-40AZ <<°" Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: �®4W66
Tb Be Cbrapleted: 3 c 2D j'
Estimated Cost: $ , �—
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired:
SEE REVERSE SIDE OF SHEET
Mie undersigned hereby makes application for a permit for the %pork- herein specified,
agreeing to co,all work in strict accordance with the City of Fridley Ordinances and
rulings of the Deik-+rtment of Buildings, and hereby declares that all the facts and
representations stated in this application are tru and r t.
DATE: SIGNAB* - - - -, I
--l- &— - Z"'o
—U( V,
Stipulat' ns:
(D
us r
lb
Sup FV'GUN
�5s-66
SUBJECT
City of Fridley
o 19 9 913
AT THE TOP OF THE TWINS
BUILDING
_
PERM
r
EIPT N
tr COMMUNITY DEVELOPMENT DIV.
SEC.
r PROTECT VE INSPECTION
1 )
i I CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
j 612-571-3450
910415
7/12/89
JOB ADDRESS 60 Logan Parkway
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
27
1
Oak Creek
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Donald Engebrit 60 Logan Parkway
571-5939
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
NEW ❑ ADDITION] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 2W x 12t Shed; Complete conversion of garage to living area - install
X.Loor and outside wall inis .
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED 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. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$4 5OO
$2a25
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$74.25
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY V IDATED THIS IS YOUR PERMIT
F 1
I BLDG INSP
a
f DATE
SIGNATURE OF OWNER I IF OWNER BUILDER) IDATEI
NEW [tj
ADDU]
AL'I'T [ ]
Construction Address:
Legal Description:
R-1 AND R-2
Building Permit Application
G
Effective 5/1/88
Owner Name & Address:/4� D ,1� _ IVf j T� Tel.
Contractor: Tel, #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
V wt, Vi 4,T W-1 7. X %.®®(L-
LIVIIM AREA: Length Width Height Sq. Ft. ,®®
GNRAM AM: Length Width Height Sq. Ft.
DDCK AREA: Length Width Hgt/Ground Sq. Ft.
OMM: c JEss oRY �9 �T %2 �T s� ? �D 1S®�. 00
Corner Lot [ ] Inside Lot ] Ft. Yd Setback Side Yard Setbacks _
Type of Construction: 1& 0 Estimated Cost: $ �o
Approx. Completion Date:
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
+ 6' See Back Page
DATE:
APPLI Wi Tel
CITY USE CNLY
Permit Fee Fee Schedule on Reverse Side
State Surcharge $_ $.50/$1,000 Valuation
SAC Charge $ $575 per SAC Unit
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Park Fee $ Fee Determined by Engi newi rig
Sewer Main age $ r Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
Q9—
STIPULATIONS:
oej-
t=om
W
I-IARVr-v A. CARY'WRIGHT eomQl�+lviea Te�e c��3cQtzr�o Or
d.�7 �� t 1csJ, C t l w C a 4t�1jw 1't Ei i J. Imo,: "ILL, CIM14. !.Nall cull
CG2Ut-4`PV 1.Uwvu-Vl3 ZD4ACiLIDwGe7 99A3
GSciL�E �i�iCd COUNTY SURVUys �A AID S C� (!F: f� Lie Y0��47
4 1416. W2AiroLI0� OURVIZV l C. F. SAlt DDIOFF
0490 PALM e9YREUY ".W. iaTGGOSYUCiE® UM®4.A LAWS OF STATE OF MINNESOTACIVIP> EPdalrjacu
63YA061OHC�® 96:1
BUwaar 4-70013 LICENSED ®V ORDIf,'JA dCr- OF CITY OF MINNEAPOLIS
OWNER
JAMES NELSOH
,.�
002 UG6t.R X11®@29ESd BUILDING — 330-8729. �E:3IFv
L9YQG
ICJ'®UG3Y'C-i9AL – JUDICIAL
HEI'012-PIN AT FIFTH — MINNEAPOLIS, MINN. E55409 UZTA'LICHUD ee22
E,'U3IEd�Co� — Y®G®�R!>PFr21CAL, �'1G��Q'��°� �Q�Q�Q���d�Jt�'ti'I•�a�P�@�O—I'ARI I��AlI�
CIYV LOW — PLATTING � SUhhTE��3??t>'��GppYgqQ2Q, cUTAL;4.lQHcD Ivae
gq���lp�yy
305--85
too
est
4 5 Gcy jy a �"
� � 4
J 7
1J
I I B&R.EBY CLRTIFY lfiVf 41s A
TRUE, AM CORRECT STBI&Y OF LOT
27 BLOCK 1 � �?d�e�r;C���01,ANORA OOUNTI
MINNESOTA 1.S SUttvSVl D BY iZ, ON j
AUGUST 1,,1972
7r --,r
4T fig
`
��a�'�tisr�o�.sr�°I• �55e�sly �L,E�L'9 ,
L
SUBJECT
P -
City of FridleyI
_ 20029
AT THE TOP OF THE TWINS
BUILDING PERMIT
E EIPT
COMMUNITY DEVELOPMENT DIV.
SEC.
! Oq
r PROTECTIVE INSPECTION
1 1 �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
j 612-571-3450
910-F15
7/28/89
JOB ADDRESS 60 Logan Parkway
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
27
1
Oak Creek
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Donald Engebrit 60 Logan Parkway
571--5939
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR
❑ MOVE O REMOVE
8 DESCRIBE WORK
Install a Heat N Glow EM 42AT Free standing fireplace.
9 CHANGE OF USE FROM TO
STIPULATIONS Install per manufacturers specifications.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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 PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
1
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$50.0.
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$15.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$15.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ,
- WHEN PROPERLA VALIDATED
THIS IS YOUR
BLDG IN
^^PERMIT
� d
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEi
9A E
NEW [ ] Effective 5/1/88
ADDN [ ] R-1 AND R-2
ALTS [ ] Building Permit Application
Construction Address:
Legal Description: /� t ¢¢¢���
Address: Tress:id -A �adE " � Tel.
Owner Name & �.
Cm*xactor: _S/A M Z=�- Tel. #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVIM AREA: Length Width Height Sq. Ft.
GMRAGE AREA: length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
oma: N _D I -lr VAR IJ QL61 EM G'-"�
Corner Lot [ ] Inside lot [
Type of Constriction:
Approx. Completion Date: (P— J,Z_ g7
] Ft. Yd Setback
Side Yard Setbacks
Estimated Cost: $ S .aC�_
Proposed Driveway Width If New Opening Is Desired: Ft. $
Permit Fee $ o ()
State Surcharge $
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main auirge $
STIPULATIONS:
M 1�_1' •i 1
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$575 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Eng; zymr ng
Agreement Necessary [ ] Not Necessary [ ]
From: 7634124244 Page: 1/2 Date: 10/27/200910:22:20 AM
Building
BUILDING
Permit No.: ?-V 7d
Inspections
RESIDENTIAL APPLICATION
Received By:kWI -),
763-572-3604
CITY OF FRIDLEY
FAXRttl
763-502-4977 FAX
Date ., n �* i A J
EFFECTIVE 1-1-09
DATE 10&1/04
YOUR E-MAIL ADDRESS
SITE ADDRESS
t ryw
THIS APPLICANT IS:
0 OWNER CONTRACTOR
PROPERTY OWNER/
NAME:
TENANT
ADDRESS: JQQ I I OL" fir CITY F7"1 4—J!" STATE_MfAZIP 5749Z.
PHONE: fD 21't-7!1
NAME: (` irl jak!
_
CONTRACTOR
SUBMIT A COPY OF
_ . ,spa
YOUR STATE LICENSE
STATE LICENSE # 0�-�-��3111?'°L` EXP DATE
r ra
AND CERTIFICATE OF
p c
ADDRESS: i01 S S"rP_Ti_ S -4e ..Z,•10
STATF.nf4 ZIP L
INSURANCE
PHONE to3 - -14 to —Ol 6 O FAX (v 3 -
— *x& S
PROPERTY TYPE
V(SINGLE FAMILY/NEW CONSTRUCTION SIZE
0 TWO FAMILY/NEW CONSTRUCTION STORIES
PER HT TYPE
Q ADDITION 0 GARAGES= 1EWBWOWS
Q BASEMENT FINISH 0 ROOF ❑ DRAIN TILE
❑ DECK 0 SID114G Q OTHER
0 SWIMMING POOL
TYPE OF WORK: 1
0 NEW HOME CONSTRUCTION D ADDITION
MAINTENANCEIREPAIR 0 REMODELING
DESCRIBE WORK BEING DONE: wm claws — I L -S = L _ I '
D 61 H Ji'loj sLt
SIZE OF IMPROVEMENT
LENGTH WIDTH HEIGHT S FT
ROOFING
NUMBER OF SQUARES
❑ HOUSE ONLY
❑ HORSE & GARAGE
BASEMENT REMODELING SUBMIT:
1.
Existing Floor Plan
ABAEA
❑ ATTACHED GARAGE
2
Proposed floor plan
PROPOSED SIZE:
0 DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
SIDING
! FOR NEW CONSTRUCTION INCLUDING DECKS,
O Vinyli]Soffit
ADDITIONS_ & PORCHES SUBMIT:
0 Aluminum
0 Trim
1.
Site Plan/Survey showing the existing structuress
0 Other
0 Fascia
and proposed project.
I
Two sets ofconsbuction plans
WINDOWS
IN EXIS17NO OPENINGS JdYes ONo LOCATION OF WffJDOWS
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF 94%4-Jyy_.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1"7 U.B.0 FEE SCHEDULE)
JOB VALUATION $ i r 0040 --- OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Sm -charge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$
$
S
S
S
S
See Back Page for Fee Schedule
651/6 of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$2000 per SAC Unit (Plans to MWCC for determination)
ftf6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attic
THIS 18 AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all wor ?#ch re#res review and approval of plans. r
SIGNATURE OF APPLICANT
PLEASE NOTE: