PRE 2010 DOCS0 0
village of Fridley, Minn.
BUILDING PERMIT
N? 660 Office of INSPECTOR OF BUUMWGS
Architect Fridley, Minn-
ENUd
A�4
#�=ATION OF BUILDING
No. 17- — -S Part Of Lot
Lot Block Addition or Sub -Division
DESCRIPTION OF BUILDING
Front— Depth_ Height— Stories Manner of Construction
To be used as To be completed Estimated Co
41 Y
Permit is hereby granted to
the building described In the above statement. This permit is granted
upon the express condition that the person to whom It is granted, and his agents, employees and workmen, In all
the work done in, around and upon said building, or any part thereof, shall conform In all respects to the ordi-
nances of Fridley, Minn„ -regarding the construction, alteration, maintenance, repair and moving of buildings
within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
of Buildings.
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duty
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
Subscribed and sworn to before me at Fridley,
day Of -A.D. 19LZL
Minnesota, this
C17 of Fridley
IccOon for Pk=bbV and
-- - DOVL of Bldyr. Phom Swum
OnCRE TION Or WORK
Muzabor. Kmd and Location of FIX&W"
PARTIAL RATE SCHEDULE
Mttx IMG rllrrU= RATM wa ai►se Tarr"
l�Tmn>;er l`'tlb ................ a E !
.... 1 ...... _ SM ice- .
Iter radure Old Opening.......... s MUD =
Catch Bashe .................... s I= f
Water Hester 'vp to W.M B'Pt1: • • • •z �3 tl0 �
New Groand Rua c" Ow ........ _,z : 33� s
nectda pdrua+.r..............
Co" frf=Cw FEM- » R&Tc rMAL
Addftkad IM -1 it ............... It • 75 !
On Reaw to 10.000 BTU .......... _XOM 6
Stage Surcharge $_ .50
1W3l1S t ALTE.KMONW-- t to Cada
........... ........s.....a........
..a.
lV�lM
CRY of Mdbr.
The undersigned hereby maires application for a permit for the work hers%,.
specified, agreeing to do all work in strict amordanee with the Qty Ordtaa.1McrV7
and ruling of the Department of Buildup, and hereby declares that all Me batt. -
and representations stated in this appli a on are true and correct
Fridley. M11na3 ! "�
To be completed about
Estimated Cost. i
Okt--New. Building Pp. mf
spa.
B�
Busiom Pbmse lfa
................
..................
PARTIAL RATE SCHEDULE
Mttx IMG rllrrU= RATM wa ai►se Tarr"
l�Tmn>;er l`'tlb ................ a E !
.... 1 ...... _ SM ice- .
Iter radure Old Opening.......... s MUD =
Catch Bashe .................... s I= f
Water Hester 'vp to W.M B'Pt1: • • • •z �3 tl0 �
New Groand Rua c" Ow ........ _,z : 33� s
nectda pdrua+.r..............
Co" frf=Cw FEM- » R&Tc rMAL
Addftkad IM -1 it ............... It • 75 !
On Reaw to 10.000 BTU .......... _XOM 6
Stage Surcharge $_ .50
1W3l1S t ALTE.KMONW-- t to Cada
........... ........s.....a........
..a.
lV�lM
CRY of Mdbr.
The undersigned hereby maires application for a permit for the work hers%,.
specified, agreeing to do all work in strict amordanee with the Qty Ordtaa.1McrV7
and ruling of the Department of Buildup, and hereby declares that all Me batt. -
and representations stated in this appli a on are true and correct
Fridley. M11na3 ! "�
To be completed about
Estimated Cost. i
Okt--New. Building Pp. mf
spa.
B�
Busiom Pbmse lfa
r
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION -AND
AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work
Replacement of Furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
each add. 50,000 BTU
Replacement of Furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
STEA.ti OR HOT WATER SYSTEM:
Boiler & Lines up to 100,000 BTU
each addn. 50,000 BTU
Boiler only up to 100,000 BTU
each addn. 50,000 BTU
-OIL BURNER- to 3 gal, per hour
each add. 3 gal. per hour
RATE TOTAL Sob Address l o U 't 'lam a
$12.00 $
7.00 $
7.00 $ Department of Buildings
4.00 $ City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
$12.00 $ specified agreeing to do all work in strict accordance with the City Codes
4.00 $ and rulings of the Department of Buildings, and hereby declares that all the
7.00• $ facts and representations stated in this application are true and correct.
7.00 $G Fridley, Minn. pU 0 U . 1 ® . , 19
4.00 $
$12.00
$
4.00
$
7.00
$
6.00
$
$10.00
$
10.00
$
GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ lf%•
(over 199,999 BTU see Fee Schedule) $
GAS FITTING FEES:
lst 3 Fixtures x $ 3.00 $ .
Additional Fixtures x $ 1.00 $
Gas Range to 199,000 BTU x $10.00• $
AIR CONDITIONING
FAN HEATING SYSTEMS
VENTILATING SYSTEMS
ALTERATIONS $ REPAI.RS
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT
$
See Fee Schedule $
S
$
State Surcharge $ .50
TOTAL FEE $ U.
REINSPECTION FEE
($10.00)
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
OWNER 1\0 ju k 1` I V1 L 1
KIND OF BUILDING 'C-ilrOiUl@ 51 Y1CA 1@ '�C�tiVll l y
USED AS he51 (�1yw to
TO BE COMPLETED ABOUT e C .
ESTIMATED COST O
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam,
�� Hot Water,` W�Air- , No.
Trade Name � 1py r.e Whil s Size No.
Capacity �O a 6 ® Sq. Ft. EDR BTU HP IIW
Total Connected Load Kind of Fuel Al&o r iQ S
BURNER - Trade Name S 61 Vit Size No.
Capacity Sq. Ft. EDR BTU HP
Company A4N Y121'
Signed By s�
Tel. No.
N
-SUBJECT
City of Fridley
JPERMIT_jN0_-
1�
AT THE TOP OF THE TWINS
BUILDING PERMIT
111
r
RECEIPT NO.
16 • COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
IL ,
L----h 612-560-3450
910-F15
8/21/731
JOB ADDRESS 189 Lo an Parkwa
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12
1
1 Oak Creek SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ray Dodson 189 Logan Parkway
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central N.E.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
KKKKKII Re-Roof
9 CHANGE OF USE FROM TO
STIPULATIONS
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
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,000.00
S.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHE TATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERF MA E OF CONSTRUCTION.
S6.00
PLAN CHECK FEE
TOTALFEE
SIGNATURE OFCONTRAG THO ED AGENT (DATE)
EN PROPERLY VALE ATE THIS IS YOUR PERMIT
C7
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
BLDG INSP DATE
N
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNERV
S NAM: i :� BUILDER • i
ADDRESS:_ ' rA Pas DRESS
NO:. O STREET•_L_ a q xj_'_j
LOT • / „� BLOCK: / ADDITION:-- 0.-qX oze e K
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
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: Ue
Front• Depth: Height:
Square Feet: Cubic Feet:
-Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: Estimated Cost:
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stfict 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.
DATE : Zi% - % SIGNATURE :
(See Reverse Side For Additional Informat .) L"./.
e4
o � -
a
J
SUBJECT
City of Fridley
16331
AT THE TOP OF THE TWINS
BUILDING P E R M I T
r
REC
I • COMMUNITY DEVELOPMENT DIV.
It �,:------.
PROTECTIVE INSPECTION SEC.
3 93 1
1 ----I CITY HALL FRIDLEY 55432
,'j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/7/81
JOB ADDRESS 189 Logan Parkway N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
12
1
Oak Creek Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert Lange 189 Logan Parkway N.E. 571-1551
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 Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 25' x 11.8' Garage Addition
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway.
WARNING
SEPERATE PERMITS REQUIRED FOR MfRlltq6 Before mint call l®wl utilities
HEATING. PWIMBING AND SJG ' TELEPHONE - ELECTRIC - GAS OIL
REQUIRED BY LAW
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
291
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
$2.749.95
$1.37
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-
$38.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$39.87
_qLSIGN TORE CONTFACTOR OR RUTH RIZED AGENT (DATE)
WHEN ROPE LY AW A ED IS IS YOUR PERMIT
WNERUF W ERBUILDERI
Ix IA
SPSIAT DATE
J
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATIOJ FOR RESIDENTIAL BUILDING PEW41TS
(New, Alterations, Additions, or Repairs)
OWNER: � G. & _T 'A �
ADDRESS: IM Lo%m Fl woad A)E
TEL NO: X71— i 1�5
BUILDER: �ober-�' �rt �gnu'-'
113
ADDRESS: sowne.,
TEL NO:
Construction Location
• STREET NO: STREET: Logm Ya
LOT: L 2 BLOCK: I ADDITION: 0-ok Creek
Corner Lot: Inside Lot: x_ Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Game, A'Also • Front: 25 Depth: Height:
Square. Feet: t\ Cubic Feet: 2350
Front: Depth: Height:
Square - Feet: Cubic Feet: _
Type of Construction: y't(, m/
Rb Be tbrapleted: &N I -IS 2
Estimated Cost: $`
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.
DATE: LM SIGNATUM : XJ`
Stipulations:
V . , i
SUBJECT
T NO.
City of Fridley
j'1M`_
18675
AT THE TOP OF THE TWINS
BUILDING
PERMIT
• ___ COMMUNITY DEVELOPMENT DIV.
I �L �_�
r � � PROTECTIVE INSPECTION SEC.
'
! CITY HALL FRIDLEY 55432
".j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
10/1/86
JOB ADDRESS
189 Parkway N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12
1
1 Oak Creek
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert G. Tange same
571-1551
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
Reconstruct existing screen porch
(new screen, roof)
576 x 6.30 = 3628.80
9 CHANGE OF USE FROM
TO
STIPULATIONS
See note on plans.
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
SQ. 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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3,650
$1.83
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$44.50
PLAN CHECK FEE
TOTALFEE
57.46
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
WHEN PROP LY ID TED IS IS YOUR RM
to-L�6
K21NAT!RA1.F!1g.NER�1IF
Vu l
BLDG INSP OATE
OWNER BUILDER) IDATEI
NES I ] City of Fridley Effective 0/1/8c
ADDh I ] R-1 AND R-2
ALTER. [' ) Building Permit Application
Construction Addri
Legal Description
_I�obQh� • na2 1 %9 "otayt- V rkww& /_u� Tel. # -3Ji — �' L
Owner Name i Address:
Contractor: gel- Tzo el. f
wY
Address: ��� L0 W A/ 5-
1-3
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Corner Lot [ ]
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 Height ____ Sq. Ft. __
Length
Length H3�g
Width—WI-0- Height
Width 19' o' Hgt/Groundt�
9VxGild ,&U.�.
Inside Lot [ ] Ft. Yd. Setback _
Type of Construction:
Approx. Completion Date:�yc.� -
Sq. Ft.
Sq. Ft.
Side Yard Setback
Estimated Cost: T �I)
Alt. A Alt P
Proposed Driveway Width If New Opening Is Desired: $
See Back Page for Explanation
� �/r�nr-I'�.n 1,�, DU ..l�L���2 Tel'�
DATE:
5 6 APPLICANT:
''IlCITY USE ONLY
Permit Fee .5V Fee Schedule on Reverse Side
Plan Check f 25% of Building Permit Fee
State Surcharge S $.50/$1,000 Valuation
SAC Charge g $475 per SAC U ni t
Park Fee g Fee Determined by Engineering
Sewer Main Charge
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS: e3
J
SUBJECT
PE
City of Fridley
10896
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
j • COMMUNITY DEVELOPMENT DIV.
______
r I v i PROTECTIVE INSPECTION SEC.
0 '70'7
�
NUMBER
REV
DATE
PAGE OF
APPROVED BY
lI =
I CITY HALL FRIDLEY 55432
----� ,---'
L 612-571-3450
910-FIS
6/25/91
JOB ADDRESS 189 Logan Parkway NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12 kM
1
Oak Creek Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert Lange 189 Logan Parkway NE 571-1551
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 I� REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Rebuild Screen Porch. with Roof (211 x 131) Reroof Dwelling (23 Squares)
9 CHANGE QF USE FROM TO
STIPULATIONS See notations on plan
On all new roofs or tear-offs and replacement roofs,
State Code requires that 2 layers of 15 Ib. felt,
mopped together, be installed to a point 24 inches
up from exterior wall line, or the use of other
approved underlayment membrane.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$3f250
$1.63 j
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$ 63.00
Fire SC $3.25
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$67.88
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIWHEN
PROPE Y LI AT THIS IS YOUR PERMIT
(o- ') moi l
INSP DATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
J
NSW [ ] Effective 1,/1/91
AD[V [ ] R-1 AND R-2
ALTER [ ] Building Permit Application
Construction Address: Lo 4 o YL '?a rk w d� N
legal
Description: Lo+ 12-1 g to 1, Oak Creek
Owner name & Address: R06R�4 G. L9n(kQ, Teel.
oo�ntrac-tor: � • #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVI G AREA: length Width
height
Sq. Ft.
$
GRRAGE AREA: length Width
height
Sq. Ft.
$
DECK AREA: len;rth Width
Hgt/Ground
Sq. Ft.
$
07MR: Rtbuid ?orC� wI`"i%t Roo'i
2� c� I
= -73
der®o�'in�o - 2 3 Sures
Corner Lot [ ] Inside Int [ ] Ft. Yd Setback
Side
Yard Setbacks
10
Type of Construction: 'Frarn4. Estimated
Cost:
$ Pore.L :'0
0 ;)QGq
Approx. C=pletion Date: Og ; :, 19 q I
IZe ci�g ;
I 101 6
a�
Driveway Width If New Is Desired:
Proposed Y �n3
Ft.
$
$
Width + 6'
See Back
Page
Permit Fee
Fire Surcharge
$
State Surcharge
$
SAC Charge
$
Driveway Escrow
$
Park Fee
$
P�oMI%i1"4M(4-Z
Fee Schedule on Reverse Side
.001 x Permit Valuation (1/10th $)
$.50/$1,000 Valuation
$650 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
ng
Agreement. Necessary [ l Not Necessary [ l
suBjEcr
PERMIT NO•
I7
City of Fridley
5p
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
COMMUNITY DEVELOPMENT DIV.
i ifr-----�,
r PROTECTIVE INSPECTION SEC.
—5e-%�
1
1 �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
-11 CITY HALL FRIDLEY 55432
612-571-3450
910-F15
10/10/95
JOB ADDRESS 189 Logan Parkway NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12
1
Oak Creek
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Robert Lange 189 Logan Parkway NE
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 (j ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Rebuild roof to eliminate valley; redo soffit on house
front
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
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
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
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
I
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
600
.50
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
$23.75
Fire SC .60
PLAN CHECK FEE
TOTAL FEE
p
2 . 85
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPE VALIDATED THIS IS YOUR PERMIT
BLISG INSP
TIATE
SIGNATURE OF OWNER IIF OWNER BUILDE RI %I IDATEr
NEW [ ]
ADDN [ ]
ALTER [ ]
ConstructionAddress:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
0
Owner Name & Address: �,' �Y1 Tel. #
Contractor: -SR MN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
Effective 8/1/95
LIVING AREA: Length Width Height Sq. Ft,
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: �, `° 22 ®If
U�
Corner Lot [ ] Inside Lot [ ]
Type of Construction:
Approx. Completion Date:
Ft. Yd Setback Side Yard Setbacks
Estimated Cost: $ 6 GYM, Gee
Driveway Curb Cut Width Needed:
DATE: _ APPLICANT:
(Cost on Back)
Ft. + 6 Ft = Ft x $
&V
_ $
Tel. #
CITY USE ONLY
r'
Permit Fee $ 3, -7�— Fee Schedule on Reverse Side
Fire Surcharge $ 60 .001 of Permit Valuation (1/10th%)
State Surcharge $ P $.50/$1,000 Valuation
SAC Charge $ $850 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
STIPULATIONS:
h4lv e.
`�t 6
1:4t®
Q
XN� o
P�4)1
&TLC-&.
AlDpl�407-
ICL
4, "'W',L) ('? - ---) 9)
SUBJECT
P
City of Fridley
,� 1
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
• COMMUNITY DEVELOPMENT DIV.
r 1 PROTECTIVE INSPECTION SEC.
��
1 � i
1 ' -'-'I CITY HALL FRIDLEY 55432
V
NUMBER
REv
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/3/95
JOB ADDRESS 189 Logan Parkway NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12
1
1 Oak Creek
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert Lange 189 Logan Parkway NE
571-1551
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 ❑ REMOVE
B DESCRIBE WORK
Renew Building Permit 420896 (6/25/91) to reroof dwelling (28 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Only additional amount collected on this permit.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
I
I 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
$.30
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-
Fire SC $.61
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$9.32
PLAN CHECK FEE
TOTAL FEE
$10.23
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPE VALIDATED THIS IS YOUR PERMIT
o3 ?S
A/'
_�01.WNE.01ZLo
SIGWNER BU4DERI IDATEI •
Bt. G INSP
BATE
.... .l:r .. .,.::�>;,::.:,.,. ..,..,., �.: .:. :.. .....:.:.:.:.:...:.:.•.• •w,t,o:,;,t.;ar.,•,t:!>.>t>t ..::;r, : t,n;cStx,t,: t,t)gr,t)t.b , . .... , . ...:�:•a:.:,i:wti:apaa:):::laath ai.>t� > > . , ,
NEW [ ] Effective 8/1/95
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 -7
Building Permit Application
ConstructionAddress: L I Lei,
Legal Description:
Owner Name & Address: o,\q,,,r LU Tel. # 5'5'1
Contractor: MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length
Width
Height
Sq. Ft.
GARAGE AREA: Length
Width
Height
Sq. Ft.
DECK AREA: Length
Width
Hgt/Ground
Sq. Ft.
OTHER: Re-- ` ,0 , ,A a
( "® cis° k
�vv\Xzj 3-- '-F
y "n, Qct a -
Corner Lot [ ] Inside Lot [I Ft. Yd Setback acks
Type of Construction: 1?e -r oS?'Wct Estimated Cost: $
Approx. Completion Date: Q g , 31.. 1 I g S L1 C)
1Cost on Back) 1
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE:
APPLICANT:
G� CITY USE ONLY
Permit Fee y' 372 $ '14, 5Fee Schedule on Reverse Side
Fire Surcharge '6/ $ Lay .001 of Permit Valuation (1/10th%)
State Surcharge' -5® $ Q $.50/$1,000 Valuation
SAC Charge $ $850 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
ROPLY, A c) 969
STIPULATIONS' 1 �� �
G7YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
Ro � Zr� (�;, Lq�r
I%`f C�aK ?arisu�ay
5
a AAA=
S.mca�Ds�.,
3uilding
BUILDING
$
Permit N0. , ' Z 1
inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Ree' Y l
E-MAIL ADDRESS L ,A
)ATE I L YOUR E-MAIL
M �� 1% t Lk
S � N, R R, C
;ITE ADDRESS 19, 2
LCI G IV A�C�� � !el �.
i HIS APPLICANT IS:
AOWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: �',porV,,r G �I,l'�1
.,
TENANT
Ax-
ADDRESS: V1.1 L� G K? K M UV.
CITY STATF IP 55-4'?)Q
PHONE: 7L--5 ( '7 1—
CONTRACTOR
NAME: a
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS:
CITY
STATE ZIP
WITH APPLICATION
PHONE FAX
PROPERTY TYPE
SINGLE FAMILY/NEW CONSTRUCTION
SIZE
TWO FAMILYMEW CONSTRUCTION
STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED
❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF
❑ DRAIN TILE
❑ DECK ❑ SIDING
'OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑NES' [3ADDITION
J)R, MAINTENANCE/REPAIR JRkEMODELING
DESCRIBE WORK BEING DONE: \&
SIZE OF IMPROVEMENT LENGTH f O
WIDTH pts
HEIGHT Sq. Ft
ROOFING�,� %� ❑ HOUSE ONLY
1 J . 'r
NUMBER OF SQUARES k
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
-
GARAGES
❑ ATTACHED GARAGE
1.
2•
Existing Floor Plan
Proposed floor plan
PROPOSED SIZE: b CL
❑ DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1.
Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project
2.
Two sets of construction plans
WINDOWS
3.
Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR'FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
(tW*�V�q, NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUITION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ -' W 6 0 01?4X OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ !31.
$
$
act
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
THIS IS 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; that the work will be in accordance with the approved
plan in the case of all work which requires reviewaannd approval of plans.
SIGNATURE OF APPLICANT �� � Zt t�C PRINT NAME ��� �� i i" e • DATE 7 `-1
(l)
q
Building `
PLUMBING
Permit No.:M-0 - K49,
Inspections
RESIDENTIAL APPLICATION
Received By: T4,
763-572-3604
CITY OF FRIDLEY
Date Rec'd:!5 EX
DATE -6(z YOUR E-MAIL ADDRESS JQ )MAi�AVyk
SITE ADDRESS 1 0"� LLa Ck KN RN&VO WE
THIS APPLICANT IS: XOWNER ❑CONTRACTOR
PROPERTY
NAME:
OWNER/
�1� CITY ZIP
`� STAT)
ADDRESS: ``� Lb'%C'" C�1tu�i CZ\Q L"� �' X32.
TENANT
.�--1f�
PHONE:
CONTRACTOR
NAME:
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE
ADDRESS: CITY STATE—ZIP–
TATEZIPLICENSE
LICENSEWITH
PHONE FAX
APPLICATION
PERMIT TYPE
SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK:
0 NEW REPLACEMENT
DETAILED DESCRIPTION OF WORK
PER 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater;:for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the_-cost-oflabor
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 =
FOR*113��RE LABOR EXCEEDS $500, FEES- ARE `BASED ON $10.00 PER FIXTURE, EXCEPT WHERE -NOTED. FIlCT,�II;TOTAL-,:.
NUMBER OF EACH BELOW)
BATH SINKILAV DRAINS (0), SHOWER WATER PIPING
_FLOOR _
X BATHTUB PIPING a&w cmucENsE)_ SWIMMING POOL WATER SOFTNER ($35)
—GAS _
—CLOTHES WASHER _ KITCHEN SINK C 1, E WATER CLOSET _ BACKFLOW PREV. ($15)
—DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
WATER METER OTHER
Permit Fee $
Number of fixtures @ $10.00 x$10.00=$
Surchar a .50
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $
State Surcharge = $ .50
Total = $
THIS IS 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; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT ` ` " '�' Ytk�.YRINT NAME �� �S I % DATE S – '7—C39
R �
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
�C- z v tom+
o
d s�NK VA1�I�TY �
?u� TaI L
'ISEs. (r. NIF- W
63
LANGJ--'
Q LV C -v AN
PMJI NE
- I Q 317. l Q LUwN Gs
5 I '�- oR� (T--x-rCx)
A �'C R
1 z � vet
LW ER vc4t y
�5 Q�C��7�l OtJ
VE,N�
mm 4(s�zwce- ty-4wE
"f.mp " UPJ-, i $
4
. , �• tot; c:c�; 7r:
(I'NiPL IANh::L
b:�