PRE 2010 DOCSCity of Fridley, Minn.
WELDING PERMIT N® 3 618
0
Date: ....................................
?"
Owner ....................................... Builder .............. ..................
Address ...................................... Address ......................
LOCATION OF BUILDING
(� ?� ,
No. .......... Street �.. .. ..... ....... Part/hof Lot.............................o..,(
Lot ....,? ..... Block ...... X....... Addition or Sub -Division
Corner. Lot ..A ......... Inside Lot ............ Setback :3:.'� .. Sideyard .................
r
DESCRIPTION OF BUILDING
TO Used as: , 1.
... �� ..... Front '/ ® Depth ...,.';� Height ...... 'Sq. Ft.16_66 Cu. Ft R.to6 b cn-
_e. . ... � ... ® Depth �l. �a� Height_ I �...�. v Sq. Ft J �6 Cu.
Front // ,
Type of Construction ................... Rat CoJ..t...� .�. To be Completed ...................
In consideration of the issuance to me of a permit to construct the building desribed 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 city of Fridley. Q.
t�
In consideration of the payment of a fee of $.-14: ....... permit Is hereby granted to ...................
......................... 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 city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
�. ��........ 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.
19
City of Fridley, Minn. N° 8077
BUILDING PERMIT
Date: JUNE 29, 1965
Owner: GENE F. ENGELBRECHT Builder SAME
Address 6800 Madison -St. N. E. Address
Fridley 32, Minnesota
No. Street
Lot _ Block
LOCATION OF BUILDING
Part of Lot
Addition or Sub -Division
Corner Lot Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
To be Used as:
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth freight Sq. Ft. Cu. Ft.
T�VW of Construction Est Cost $400 to X500 To be Completed
REPAIRS DUE TO STORM DAMAGE
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 liance with afl provisions of
ordinances the city of Fridley. '
.7
In consideration of the payment of a fee of5� .00 , permit is hereby granted to GENE F.
EN9MUCHT 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 thereof, shall conform in all respects to the ordinances goff
Odin Minnesota permit may be alteration, t any tine upon�o a�tion�of�any of theand m Provisions ��said
ordinances.escity limits and this
ALLEN G. JENSEN Building Ins;Nctor
NOTICE:
'lids panah den mn eswr do conshucam, men for wkbo, phNdgae, oa h*dhm ewer or water. Be arra to aw
tha Building hamar fm sepa pwadb for thna hams.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME
E��
5----ZZXX 44C/ BUILDER
ADDRESS, gyp®
ADDRESS
LOCATION OF BUILDING
Street Part of Lot
.LOT IC ADDITION OR SUBDIVISION
Corner Lot -Inside LOT Setback Side-Ybrd
..SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as:
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth _Height
Sq. Ft. Cu. Ft.
Type of Construction �� /it9/i� Estimated Cosh rbc "
To be completed _ %-3cs
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.
SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
SUBJECT
PER .
City of Fraley
2.2,6 3 6 -
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i �
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC.
� of ?�
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
6/24/94
10B ADDRESS
6800 Madison Street NF-
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
5
Rice Creek Terrace Plat 6
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Gene Engelbrecht 6800 Madison Street
E571-8783
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
B & B Roofing 6760 Madison Street NE
Fridley
-
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 ❑x REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (23 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. 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
$1 725
$.86
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
POVI SOF ANY OT R STATE OR LOCAL LAW REGULATING CON-
$ 41.00
Fire SC $1.73
ST U I OR THE PE ORMANC OF C NSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
4
1.7"x
License SC $5.00
$48.59
—7;1.N.Tj#E OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
HN PROPERLY V )DATED THIS IS YOUR PERMIT
�(ny
BLDG I P
BATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
lei E VV
ADDN CITY OF FRIDLEY
ALTER j SINGLE FAMILY AND DUPLEXES R -I AND R-2
Building Permit Application
Construction Address: -
Legal Description:
EfIective i/ i/94
Owner Name' & Address: &x.-) I—V7-1 Tel.
Contractor: p r� s V s _ _ MN LICENSE # ge,
Address: Tel. # J71-6 Z
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:
t'a Apae
$.50/$1,000 Valuation
101-2,e^
$
a.5
sep
$ 0 b
Corner Lot [ ] Inside Lot [) Ft. Yd Setback
Side Yard Setbacks
Type of Construction:
Alt. "A" or Alt. "B" Above
Erosion Control
Estimated Cost:
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: . + 6 Ft = fl x $ _ $
DATE:z- j��� ��% APPLICAN Tel. #,S V -O Z
CITY USE ONLY
Permit Fee
$ e 0
Fee Schedule on Reverse Side
Fire Surcharge
$ 1,113
.001 of Permit Valuation (1J10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$800 per SAC Unit
License Surcharge
$ 0 b
$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:
Building
$y
BUILDING
See Back Page for Fee Schedule
Permit No.:
`
Inspections
RESIDENTIAL APPLICATION
Fire Surcharge
Received By:
763-572=3604
.001 times the total job valuation
Surcharge
$
D ACT 1
.0005 x Permit Valuation Minimum $.50
License Surcharge
CITY OF FRIDLEY
"T'00
$5.00 (State Licensed Residential Contractors)
DATE O c 0
m -z(-v-7 YOUR E-MAIL ADDRESS
SITE ADDRESS J�
0, i Su wN i p , e w 14 N SS L/ 3 2
$
THIS APPLICANT IS:
❑ OWNER CONTRACTOR
Erosion Control
PROPERTY OWNER/
NAME:
$450 Conservation Plan Review
TENANT
ADDRESS: (O 1st ID �M A c! Sc -K 5fi CITY ` k i d
N
STATOW PIIP SSe13 Z
Fee Determined by Engineering
PHONE:
$
CONTRACTOR
NAME: M W% Q r Z+. T h c—
Total Due
STATE LICENSE # "ZO 4 t f 325,6 EXP DATE j l 'ZDV
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: % 4i [d UJ A -AA ":E; CITY 6L !! l v, —STATE�!VIP 5 SW 32
WITH APPLICATION
PHONE FAX
�
PROPERTY TYPE
SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH KROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
MAIN ENANCEIREPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: nr �-
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING ❑ HOUSE ONLY
2 5
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1.
2.
Existing Floor Plan
Proposed floor plan
PROPOSED SIZE:
❑ 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
WINDOWS
2.
Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
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 1997 U. .0 FEE SCHEDULE)
TOTAL JOB VALUATION $ 3.0'71, QU OCCUPANCY TYPE
Permit Fee
$y
Z,�j jj
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$j
p',
.001 times the total job valuation
Surcharge
$
/, jL�
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
"T'00
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1675 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
10b • k&
Make checks payable to: City of Fridley Attach Stipulations
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 CityA Fridley and with the Minnesota Construction Codes; that I understand this is not a
n
permit but only an application fo a permit and work/is t to start without a permit; that the work will be in accordance with the approved
plan in the case of all work w ' equire rev w d roval of plans.
SIGNATURE OF APPLICANT ( �� PRINT NAME ��V / 1, —� / o+j►►T• DATE 1 f 6 d Z0D