PRE 2010 DOCSCity of Fridley, Minn.
BUIIDING PERMIT N® 3659
Date: .................... !...........
Owner ....................................... Builder ......... ����........::� o
Address...................................... Address ................ .........................
/ LOCATION OF BUILDING
No. IP®l.��// al... Street .. �:tPart of Loot . .,.-..� .........
...
Lot ... �p....... Block .. ............. Addition or Sub -Division . Kl . C% 'z
... Setback :®.. "Sideyard
Corner Lot ............ Inside Lot .. � . > S
DESCRIPTION OF BUILDING
To bie Used as: rIT
...- Front . ! De ;M ..... Height ���
... .. pth ght ... Sq. Ft..
�of. .. Front . �` ��, Depth °?.7�¢.�. I Heights 0 -A Sq. Ft. J,3� Cu.
Type of nstruction ................... hist. Cosmo j-3. 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.
W—
In consideration of the payment of a fee of 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 a "f the provisions of said
ordinances.
.`.:!...� .:,�1....—J.. _ .. 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.
4
d
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City of Fridley, Minn.
BUILDING PERMIT N® (:4:7 0 7
Date:
R
Owner:...._.-._(.� .:..._ .. . __.at",,,t _.._.. Builder .... ..............
_.__.._......._.._.:...__.._.._...___�_.___..__._
Address .. .Q_. .L.._. r R .: _ i i Address .................. I�...�, — ......._._. _.
CATION OF BUILDING
No. _' _::.— Street _ :-- RIZ ._.._--- Part of Lot -
Lot .....----............. Block ....._. ' .... ....... Addition or Sub-Divilon r !a r ..r._� •
Corner Lot ..... -.................... ........ Inside Lot . -- - � - Setback -- j ..... ---............ Sideyard --- Q ._..._...._...... ....................
—.�..
Sewer Elevation .... _.................. ._.............. _.......................... _............. _. Foundation Elevation - .......... ........................ _.... .... _........ .......... ....... _.......
_.--_--
DESCRIPTION OF BUILDING
To be Used as:P/
- Ont 1-J,--1-J,--Depth .. o ..' Height /-,........ Sq. Ft /3.7f Cu. Ft. f...
5-1
_.............._.........--------.._..........--- Height......._.. Sq. Ft. ...................... Cu. Ft.............._...._
Depth ....._...
Type of Construction' ...... i-- .. �r !a .;..' Est. Co �""' "'.... To be Completed ... ........................................
,THIS pERn,4)T`f1--�—'—®N
ION AU1"; �OF71ZE VI®LAT
D COVENANTS AND
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 city of Fridley.
In consideration of the payment of a fee of $._ :..:.:.::............. 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, re and moving of buildings
within the city limits and this permit may be revoked at any tim Ippn ' lation o any of the provisions of said
ordinances. "
_ Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these Nems.
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1 APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner s Name- �_ 1 % / /��„ (�Builder
Address &F'01 � ,, N�. Address
LOCATION OF BUILDING
No. Street /.�. Part of Lot f
Lot Block Addition or Sub.Div.5/
Corner LotInside Lot_Set Back Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
�dlv._J"'2 -v Front
Sq. Ft. Cu. Ft. U (�
DESCRIPTION OF BUILDING
Front Depth height
Sq. Ft. Cu. Ft.
Type of Construction jEstimated Cos
To be
M
The undersigned hereb/makes Upplication 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 representa-
tions stated in this application are true and correct. Q
DATE
(A Schedfule of Fee costs can be found on the Reverse Side.)
d
SUBJECT
PE JI.hIO,-.
City of Fridley
6 O
AT THE TOP OF THE TWINS
BUILDING
PERMIT
Ir
_
i �• COMMUNITY DEVELOPMENT DIV.
______
r 1 v PROTECTIVE INSPECTION SEC
/
�G 41
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/21/95
JOB ADDRESS 6801 Madison Street NE
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
1 LEGAL
DESCR.
6
1 Rice Creek Terrace
Plat
6 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
May Schlins 6801 Madison Street NE
571-2836
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
B & B Roofing 6760 Madison Street NE
571-0248
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
CJ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reroof House (26 Sq) 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not
the 3rd.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG.
UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION
I
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
WIT THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DO S NOI PRESUME TO GIVE UTHORITY TO VIOLATE OR CANCEL THE
POOVISICAIS OF ANY OTHER ATE OR LOCAL LAW REGULATING CON-
RUCT N OR THE PERFO NCE OF NSTR TION.
S51.25
Fire SC $1--iis
PLAN CHECK FEE
TOTAL FEE
�L
SIGNATURE FCO - ACT OR AUTHORIZED AGENT IOATEI
IEN
P OP:RrgkL1jfTED THIS IS YOUR PERMIT
SIGNATURE OF OWNEP,IF OWNER BUILDER$ IDATEf
-. BL
INSP
nATE
. .....� i�.�::` .::I`:....wn+........ ..:"i!:` ... •. .. -... .i:c:.:.:.:K .'ti.:•iti!: `.?tn;.Gti.:.��....... �. .... .. .. ... .......
NEW Il
ADDN (] CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Constructioc
Legal Descr
Owner Nam
Contractor:
Address:
Effective 8/1/95
r
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
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
Length Width Height
Length Width Hgt/Ground
Corner Lot [ ] Inside Lot [ ]
Type of Construction:
Approx. Completion Date: _
Ft. Yd Setback
Tel. # 2 �/
S4 -.--Ft.' - .. _ .
Sq. Ft.
Sq. Ft.
Side Yazd Setbacks
Estimated Cost: $ p _
(Cost on Back)
Driveway Curb Cut Width Needed: t. 6 Ft = t x = $
DATE:. fie/ APPLICANT: Tel.
CITY USE ONLY
Permit Fee $ S�/, S� Fee Schedule on Reverse Side
Fire Surcharge $ /• .001 of Permit Valuation (1/10th%)
State Surcharge $ '% $.50/$1,000 Valuation
SAC Charge $ $850 per SAC Unit
License Surcharge $ 60 $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(711
[ ]
TOTAL $ 4v ,
STIPULATIONS: