PRE 2010 DOCS�4
Village of Fridley, Minn.
BUILDING PERMIT
Date: ... ........ �..........
Owner.......................................
Address......................................
N° 1819
Builder .... ..
Address......`7' h -j .............................
TIO F BUILDING
%S 7 6 Street .................... Part of Lot
1V0. .�. ...... ....... ..........
;00
Lot ..Z...... Block ..... k.......... Addition or Sub -Division ..�.
Corner Lot ........... Inside Lot ....:�... Setback .. .. Sideyard .............................
DESCRIPTION OF BUILDING
To be Used as: 01
.. Front ...... Depth Height . Sq. Ft. ........ Cu. Ft. ........
..................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction . F ...... Est. Cost ..l ®A� ...... To be Completed ..................
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.
r
r'.....................................................
00
]In consideration of the payment of a fee of v--, permit is hereby granted to Y.Y.4i %?%n ... .
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, 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.
.1 ...................... Building Inspector
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
City of Fridley, Minn..
BUILDING PERMIT
Date: May 25s 1965
Betty Beek
Owner: Builder
Cobb Inc.
4 fs-, 7
N? 7540
Address 5760 K. E. Madison Address P. 0. Box 2647 New Brighton
LOCATION OF BUILDING
xo. 5760 street Madison Street N. E. Part of Lot
Lot 12 __ Block $ Addition or Sub -Division Domay t s
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation
To be Used as:
Foundation Elevation
DESCRIPTION OF BUILDING
Front Depth Height Sq. • Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est. Cost .Qsi __ To be Completed
Repairs due to Storm Damage
In consideration of the issuance to me of a permit to const
the proposed work in accordance with the description above set
ordinances of the city of Fridley. /
I awe to
In consideration of the payment of a fee of $ WA , permit is here�y granted to Cobb Inc.
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of building
within the city limits permit may be revoked at any time upon violation of any of the provisions of said
ordinance&
Building Inspector
NOTICE:
This penah des not emw the eonstruethm, haft&ffen for wiring, phm ban& ®n hating, www w wstsr. Be sun to sa
the Bo Mko b qm for for sepanft pwmhs for thea Nems.
4
.APPLICATION 'FORG MUM
IN
CITY OF FRnLzy6.tNNESOTA
ADDRESSy.
LOCATION OF AXING
No.. Street Part of Lot,
Lot Blocka
ditiow br.SubdIvi'ion
Corner tot Inside Lot _,Setblitk Side Yard
SEWER, ELEVATIQN?V
FOUNDATION ELL ATION�
Applicant attach to this form Two.Certt*ficates of. Survey of Lot and proposed ink",
ing location drAwn on these'Cartificates.
DESCRIPTION OF B VIL DING
To be used to:
_.—Front Depth Height__
Sq. Ft. Cu., Ft.
Depth -I'!-- Height
Sq.� Ft* Cu. Ft.
Type of Construction Estimated Cost
The undersigned*hereby makes application for a,permit for the work herein'specified,
agreeing to do all work Lit 'strict accordance with . the City -of Fridley .. Ordinances I and
rulings Of the Departmeut'of Buildings* And hereby declares that all,the. facts and
representations stated in this 'application are true 'and correct.
_0chedWA*.of Fee Costs can be found on the Reverse Side).
- 0 � Co.-
9
SUBJECT
P_ERiiA�T�- '.
City of Fridley
17585
AT THE TOP OF THE TWINS
BUILDING P E R M I T'
r
RECEIPT
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r PROTECTIVE
CITY HALL FRIDLEV 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
J 612-571-3450
910-F15
6/27/84
JOB ADDRESS 5760 Madison Street N, E.
1 LEGALLOT
NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
12
8
I Donnay's Lakeview Manor SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
James Thompson 5760 Madison Street N.E. 757-5764
3 CONTRACTOR Seviola Const M° PDRESJ0580 President Drive, Bla.irR., MN - 4 LICENSE NO.
SUssel Corp. 1920 Como Avenue, St. Paul 645--0331
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 30' x 24'.Detached Gaza e
9 CHANGE OF USE FROM TO
STIPULATIONS provide a hard surface driveway.
WARNING
Before digging call local utilitie$
TELEPHONE - ELECTRIC - GAS Ete.
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 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
$4.03
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$8,050
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHN STATE OR LOCAL LAW REGULATING CON -
R TION THE7PLMANCE OF CONSTRUCTION.
$74.50
PLAN CHECK FEE
TOTAL FEE
r
$78.53
SGI TU EOF(fO iRACTORORAUTRORIZEDAGENT (DATE)
WHEN PROPERLW DATED THIS IS YOUR PERMIT
BLDG INSP DA
SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE)
9
NEW City of Fridley Effective 4/1/84
ADDN. [ ] R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address:
� � � c� /�► d�-cl�1oN r� N
Legal Description: L d / 2 7V /t (� 0 X01 tJ ��C�' U /P
Owner Name & Address: ��� U`^������ `' ?6v �r'Jn� Tel. #
Type of Construction:
�i`J�^9_
r ��
$
+ Tel. #
Contraetor:��A
ti���
®���
Approx. Completion Date:
�� '
Address:
/ G/ 2 0
0 A^j 5
S
'�&®r),')
Alt.
A Alt B
Attach to
this application, a
Certificate of Survey of
the
�See
lot, with
the proposed construction
drawn on it to scale.
Tel.��� 3 /
DESCRIPTION
OF IMPROVEMENT
LIVING AREA:
Length
Width
Height
Sq.
Ft.
GARAGE AREA:
Length
J Width
2— Heigh W v*t/
Sq.
Ft.2 0
DECK AREA:
Length
Width
Hgt/Ground
Sq.
Ft.
OTHER
Corner Lot [ ]
Inside
Lot Ft. Yd.
Setback.R / Side
Yard
Setback
Type of Construction:
�i`J�^9_
Estimated Cost:
$
®���
Approx. Completion Date:
�� '
1 I, ) I `-
'�&®r),')
Alt.
A Alt B
Proposed Driveway Width
If New Opening Is Desired: $
Back Page for
$
Explanation
�See
�1
DATE: APPLICANT: ��I ��
�i�- l F`'/ ��''�
Tel.��� 3 /
CITY USE ONLY
Permit Fee $ 0, Fee Schedule on Reverse Side
Plan Check $ 25$ of Building Permit Fee
State Surcharge $ °� $.50/$1,000 Valuation
SAC Charge $ $425 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
$
3 Agreement Necessary [ ] Not Necessary
TOTAL [ ]
STIPULATIONS:
Ql
I )
SUBJECT
P
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_179627
r
RECEIPT NO.
• ___ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/12/88
JOB ADDRESS 5760 Madison Street N.E.
1 LEGAL
LOT N0.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
12
8
Donnay's Lakeview Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
James Thompson 5760 Madison Street N.E.
571-0036
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
8 DESCRIBE WORK
Construct a 7' x 4'4" Entry Onto Dwelling
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
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
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
$1,000
$.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 COW
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$25.00
PLAN CHECK FEE
TOTALFEE
$25.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERLLIDATED THIS IS YOUR PERMIT
t j
BLDG )NSP
DAT
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
I )
NEW [ ] City of Fridley Effective 5/1/88
ADDN [ ] R-1 AMID R-2
ALTER [ ] Building Permit Application
Construction Address: CPO rn edr S -C) .
Legal Description: 4-5"t LO tq/G c A- 6 470 !2-) /U Gam, Z '-S G IZ4-�� L-)0 e "-) M, XftbK
Owner Name & Address: .S 14,k4 e- 5 5 0,0y Tel. # 5 71- oo 3
Contractor:
Address:
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposoed construction drawn on it to scale.
DESCRIPTION OF I�
LMW, AREA: Length Width Height sq. Ft.
GARAGE AREA: Length Width Height 9T. Ft.
DECK AREA: Length Width Hgt/Ground Sg. Ft.
CK
�L* g:-, V/ X �L V A,
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $1O00
Approx. Completion Date:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
% Width + 6' See Back Page
DATE: �' ��' - 88 APPLICANT: la,,a,,y� Tel. # _S7/ -C-,03(.
Permit Fee
State Surcharge
SAC Charge
Driveway Escrow
Park Flee
Sewer Dain Charge
TOTAL
3PIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$550 per SAC Unit
Alt. "A" or Alt. 'B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
w , R
suerecT
ERMIT NO. -
City of Fridley
25573
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r?
fr _ __ COMMUNITY DEVELOPMENT DIV.
- PROTECTIVE INSPECTION SEC.
�®
r �
�J
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612--571-3450
910-F15
10/7/97
JOB ADDRESS 5760 Madison Street NE
I LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
12
8
I
Donnay's Lakeview Manor
I
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jim Thompson 5760 Madison Street NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
B & B Roofing 6760 Madison St NE, Fridley, MN 55432 571-0248 9042
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 I1 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (16 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS Underlayment must comply with the State Building Code.
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
$1 334
$.67
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES.DjQT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PR ISI S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$45.75
Fre SC $1.33
S UCT N OR THE PERF MANCE F CONSTRUCTION.
PLA9�;P
OTAL FEE
SC
$ .00
$52.75
SIGNAT EOF CONTRALTO OR AUTMORIZEDAGENT IDATEI
Y VALIOrED THIS IS YOUR PERMIT
AEP
BLA5G INSP
PATE
SIGNATURE OF OWNER of OWNER BUILDERI IOATEI
NEW f ] Effective 1/1/97
ADDN f ] CITY OF FRIDLEY
ALTER f ] SINGLE FAMILY AND DUPLEXES R-1 AND R -Z
BUILDING PERMIT APPLICATION
ConstructionAddress: 4 L
Legal Description:
Owner Name & Address: �e�>" Tel. # zs 7/ -
Contractor: b M MN LICENSE #
Address: ���®D 1yj/%�j.�lJYI �� /j�L Tel. # S7/—e,;Ft6�
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:
�%��
�-%% L/f2S &2v
9q) t- C �
Construction Type:
Estimated Cost: $
(Fee Schedule on Beck)
Driveway Curb Cut Width Needed :..,Q:.. Ft.' +.6 Ft :..,:Ft x $ -.
DATE: ®(%�C APPLICANT: Fla Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
$ . _611-11
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge
$
TOTAL
STIPULA,riONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$950 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 f I Not Necessary [