PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT iv® 6849
Date:
Owner: Builder --
6d
Address Address
LO TION B ILDING
No. Street
Lot _ . _ __ Block Addition or Sub -
Corner Lot Inside. Lot Setback Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
ToAg
. Front o Depth Height Sq. F't. Cu. Ft
Age
Depth_ei t iv-0-5Sq. F't. Cu. Ft.
Type of Construction - . Est. Co _�-'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 a 7pliance 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
tLdl
ress condition that the person to whom it is granted and his agents, employees and workmen, in all work
,thc m
NOTICE
M permit does not cover the consnueAon, hutall an for wirin& plumbing, on heating, sewer or wafer. Be errs to no
the Building Inspector for separate perm(ts for these hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME��r� �Cera/diraP lereJ.chBUILDER s��e-
ADDRESS &/,PZ / �Rt a "S, '011 S/' ' "Jp /s- ""ADDRE5S
LOCATION OF BUILDING
No. 1� Street SY VC Part of Lot
Lot Block Addition or Subdivision 1?We
Corner Lot Inside Lot vl*" Setback Side Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
To be used as:
DESCRIPTION OF BUILDING
aV A j e _Front IP Depth a 5/. , Height
S4. Ft. Cu. Ft.
Front Depth Height
Sq. Ft.
Cu. Ft.
Type of Construction fL_ s_,17&_ Estimated Cost
To be Completed
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_ SIGNATURE A44"��
(Schedule of Fee Costs can be found on the Reverse Side).
-41f� 4�
City of Fridley, Minn. N° 7658
BUILDING PERMIT
Date: June 2, 1965
oma: Robert Perovich Builder Northwest Maintenance
Address 6821 Madison N. E. Address 340 5th. St. N. E. Xpls., Minn.
LOCATION OF BUILDING
No. 6$21 Street Madison Street N. E. Part of Lot
,at 4 _ Block 4 Addition or Sub -Division Rice geek Terrace, . Plat 6
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation Foundation Mevation
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est. Cost _$ 22300-00 To be Completed
Storms Dmmage Repair
In consideration of the issuance to me of a permit to construct the building described above I agree to do
=posed work in accordance with the description above set f and in compliance with of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $10.00.-, permit is hereby granted to N. W. Maintenance
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, Minnesotang location, 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.
Allen Jensen Building Inspector
NOTICE:
M pamb den not corer the cendme lon, hwhMen for v khm plumbing, on ban&& arra w Arent. Be euro to see
the Budding hapedw for spm to permW for thea Nems.
LOCATION OF BUILDING'_`
No._ �' Rome
-� Street Part of Lot
LOTS BLOCK ADDITION OR SUBDIVISIONS-,_
Corner Lot. Inside LOT„��;Setback Side- and
SEWER ELEVATION . F"ATt q, ELEVATION
Applicant attach to this form Two certificates of Survey of Lot and proposed
building.location drawn on these Certificates.
bESCRipriON OF BUILDING'
To be used ass
Front Depth _; Height
Sq. Ft. Cu. Ft.
Front Dept � 'Height
Sq. Ft. Cu: Ft._
-� ,
P
Type of Co struction Fr e " Estimated Cost 2300..06
To be completed
doors and interior decorating.
The undersigned hereby makes application fora 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,'atid hereby declares that all the facts
and representations stated in this application are true and correct.
DATE 5-25-65 SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
SUBJECT
PERMIT NO.
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
P E R M I T,/'(
f
NO.
COMMUNITY DEVELOPMENT DIV.
1 PROTECTIVE INSPECTION SEC.
r
1 ,
-I CITY HALL FRIDLEY 55432
NUMBER
REV
GATE
PAGE OF
APPROVED By
,'' 612-571-3450
910-F15
7/14/97
JOB ADDRESS 6821 Madison Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
4
Rice Creek Terrace Plat
6 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Phillip/Dianne Allison 6821 Madison Street NE
571-1739
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 j7 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (24 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,
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
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
$2,001
$1.UU
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-
`P
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$77.75
SIGNATURE OF CONTRACTOR O��rrR,, AUTHORIZED AGENT (DATEI
WHEN PROPERLY LIDATED THIS IS YOUR PERMIT
I �s
I
aStATUR"EOqFOW
&
BLD )NSP
DAT
NER OF OWNER BUILDER) IDATEI
NEW [ ) Effective 1/1/97
ADDN [ ] CITY OF FRIDLEY
ALTER, [ ) SINGLE FAMILY AND DUPLEXES R-1 AND R-2®,+ �`�
BUILDING PERMIT APPLICATION
ConstructionAddress: i;::::, Q
Legal Description:
Owner Name & Address: 'P14 /,12 C cP Tel. #
Contractor: / / 5 r r 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 MWROVEMENT
Tel. #
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: Y�
' ^ lam.' � ✓✓ C n P �(!1.•✓eF.0 �� �i�" � rirVS-�W{{� A
U
G �
Construction Type: .,� E 1f Or-' I
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Estimated Cost: $
(.Fee Schedule on Back
_Ft ix $ _ $
DATE: 71 y, APPLICANT:
�
/-� G�'
�.��� ���� Tel. # ,J %/ / 73 /9
CITY. USE ONLY
Permit Fee
$ ' S�
Fee Schedule on Reverse Side
Fire Surcharge
$ ®. �(�
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$950 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
$ S
STIPULATIONS:
SUBJECT
RMIT NO.
City of Fridley
26769
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECE PTN .
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
//// /
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/23/98
JOB ADDRESS
6821 Madison St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
4
1 Rice Creek Terrace Plat 6
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Phillip/Dianne Allison571-1739
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
n
®0A,M"
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
Reroof (22 Sq); Bow Window (10'X4 1/2')•Reside; Glider 6'
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be 2nd layer but not 3rd.
Install smoke detectors to meet the State Building Code - in each sleeping
room and on each level of house.
Call for building wrap inspection before covering.
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
$5678
$2.84
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.
UM $112.25
Fire SC $5.68
PLAN CHECK FEE
TOTAL FEE
$120.77
S194ATUREOOFF CONTRACTOR ORAUTHORIZ€D AGENT IDATEI
WHEN PROPERLY LIDATED THIS IS YOUR PERMIT
BLD INSP
GATE
SGNATUREO W[ER OF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY /`ba
ALTER SINGLE FAMT ILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: '�g021 )` 1,+Q I S 0 IN -!;q-' hl F
Legal Description: 4, 0 41 !30K H Ai c r c rz E EX TE A&4 cra PtiA T (�
Owner Name & Address: lam% 1i h 1 P 1 D iA n/nl� AA � f S 0 A flap/sofy ;F 7- Ne Tel. # 7 3 q
Contractor: o LU N o (-Z,
MN LICENSE #
Address: t -i /i-61; 0 N �i AIIE Tel. # A" 6
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF INIPROVEMENT
LIVING AREA:J� Length Width Height
GARAGE AREA Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER:
Construction Type: /a' 'Y � stimated Cost: $
Driveway Curb Cut Width Needed:
DATE: 6 a 8 -
0 ()
Sq. Ft. / 3 q,-1 Z
Sq. Ft.
Sq. Ft.
U
(Fee Schedule on Back)
Ft. + 6 Ft = Ft x $ = $
APPLICANT. _ Tel. # 6-W—
CITY USE ONLY
Permit Fee
$ //-1 •o?.S
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 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
$ �D• 77
STIPULATIONS:
suerHtT
P NO.29917
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
NO.
COMMUNITY DEVELOPMENT DIV.
1 PROTECTIVE INSPECTION SEC.
Iblo
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L j\ 612-571-3450
910-F15
7/21/99
JOB ADDRESS
6821 Madison Street
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
4
Rice Creek TerraceSHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Phil Allison
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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 ZQ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 241 x 221 deck
9 CHANGE OF USE FROM
TO
STIPULATIONS
See stipulations on plan
IAI'ARN1�
Before diglieg cell
all utility lopiions
454.81I� `
REQUIRED BY LAW
SEPARATE PERMITS ARE REOUIRED 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
1 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
4963
$2.48
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CH A E
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$111.25
Fire 4.96
PLAN CHECK FEE
TOTA E
'ItJ
CON TRACTOR ORAUTHORIZEDAGENT iOATEt
�
U�11
ENP OP LI A IS is R PA��/p7MI
WNER.,F OWNER BUiLDER� iDATE.
BLDG NSD r�AtE
NEW[ ] Effective 5/10/99 U
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R 1 AND R-2 ��
BUILDING PERMIT APPLICATION
Construction Address: l.O��l P-1 A 1) f S O A! S T /V
Legal Description: X j�q T 4,1 8 4 O ck' A / c r= C R FE,(1 T ,6"AFC/= f(6 6
Owner Name & Address: /�%f / 1, IJA A i S O eV Tel. # /�Z �7/ /737
Contractor: 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 EWROVEMENT
Tel. #
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length 2 q Width Hgt/Ground ,:7-V Sq. Ft.
OTHER:
� �_ �N fZ Fes._
Construction Type: T Estimated Cost:
Driveway Curb Cut Width Needed:
DATE:
Ft. + 6 Ft = Ft x $
=9
?APPLICANT: � Tel. # ,//-z S"%!
TOTAL
STIPULATIONS:
/ 73q
CITY USE ONLY
Permit Fee
$ / % Z VS
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1050 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:
/ 73q