PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N® 3250
Date: ....`.C. ." ................... �.
Owner ....................................... Builde' �-; a,'.:..:.....�:5!s:..............
Address ... .....
Address .................................................
LOCATION OF BUILDING
No.' .. Street Iq ............. Part l,�ot .......... ............
Lot ...... Block ...... Addition or Sub -Division .
R�
Corner Lot ............ Inside Lot ............ Setback ... ..... Sideyard . �.f::...:i ...:.........
DESCRIPTION OF BUILDING
To aed':
-
r _
. � ...... Front .... n ... Depths �.... Height .... Sq. Ftp' �' .�.:".. Cu.
.................... Front ........ Depth ........ Height ........ Sq. Ft......... Cu. Ft.........
Type of Construction .•...... fit, Cost.. �`.®� � � �.... 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.
In consideration of the payment of a fee of $'. °�. ., permit is hereby granted to
......................... to construct the building or addition as described above. This permit Is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done In, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
.. ....:� a? j,.,� Building Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these itema.
MINDERENGDCE..r -G C040.91N 0
F
ENGINEERS AND St, QVEY4R$
LANO auavevlNG SOILO TESTING
CIVIL MUNICIPAL BNOINSERING LAt1lO RI�ANNItJ °il
j
6416-86TK AVENUE N.
9
MINNEAPOLIS 27. MILAN.
KE T- SGST
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ca
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1 2.61
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App roved by Building tospcc
P
Z07"'3 4 L- E ' F4--T--A- RFAaF191-A`7-1:
WE KERfSY CERTIFY THAT THIS 15 A TRUE ANO CORRECT REFRSEN"I'ATION OF A S iOEY OF THE BOl1NOAAM-s: OF THE,
LAND RBOVE . DExRI6ED ANO OF THE LOCATION OF ALL MLOINGS , 1F AMY? THEREON , A14D "L VISIBLE e1CROACNM£N 1'S,
IF ANY, FROM OR ON SATO LA40. MINDER NGIIVEEIZING Co.s NC.
E1sg11�.1�EiLb awNC � bV>a.Y�j�YO�$
DATED THIS My OF A{ "aneby
s r
)tlee�' � ,-2.1-11/ City of Fridley, Minn..
BUEUDING PERMIT
t
O 7239
Date: Z
Twa-er: Builder le
I.ddrew Address
L CA'T,ION O UILDING
No. Street - Part of Lot
Lot _ _ _ __ Block Addition or Sub -Di on
f
Corner Lot Inside Lot _ _ ��`Setback _ _ _ Sideyard
Sewer Elevation :. _ FoZdation Elevation
DESCRIPTION OF BUILDING
TU ���,
le it ..qt ow 4a--- a a Front Depth Height I ® Sq. Ft. 4YZCu. Ft�_L40'
Fro t DepthHeight —_ Sq. Ft. cu. Ft.
Type of Construction Est. .7—jv _ 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 city of Fridley.
In consideration of the payment of a fee of $-V— , 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
within the city limits and this permit may be revoked at any time upon vio" of any of the provisions of said
ordinances. --,-% ' 'I
Nonce:
fids pert does not corer the construction, hnlaWan for wiring, phnnbing, gas boding, sewer or water. Be acro to no
the Building Inspector for soparat• permits for these Nems.
LOT
NAME
SIZE
tt
SQ.UAILE 1�/T/d NotJSE
Z2.
BLOCK
ADDRESS
VALUE
(o6 51 o G �7
SOOT
ADD'N.
AREA
TYPE
0—T,vsrAi-L Pew 42"WqLte- XAj
}L..
r
S
(2) wAj l- To 17-c l ouE of,4orHES
gi.E
AE Nc E
tt
SQ.UAILE 1�/T/d NotJSE
LAME FZ00-r oI= 0yAZAc,&
b' AOM
ReAe Q/- Mouse AS JHor✓c�ai
n%ld peolou'r Sao S//✓E Foe- 6w,"oe
t� A4, --SH 5
2A/SrALL. NIEw DZIVE ,4s �IaowAJ
0—T,vsrAi-L Pew 42"WqLte- XAj
J
F/zoAvr s z¢.• IVALr XN lZrA.e
Qs SI-/ 04,040#
to
-
Nous J -w
FmoAn- 45'rewo r f 20fo Far r_L/^!
5rrt .r
2O
City of Fridle y
SUBJECT ('�
��] T�N 0.
� 1342'7
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
Z
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
REC .
NUMBER
910-F15
REV.
DATE
3/30/76
PAGE OF
APPROVED BY
-'-1 CITY HALL FRIDLEY 55432
l----- �•J 612-560-3450
JOB ADDRESS 66831
ANN Madison Street N.E.
1 LEGAL
DESCR.
LOT NO.
��
BLOCK JTRACT
4
OR ADDITION SEE ATTACHED
Rice Creek Terrace j)Zf}% { SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Richard W. Durin 6831 Madison Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Meridian Waterproofing 8736 Research Center DRive
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
SANm
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ;k] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Waterproofing
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
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
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 SAMETO 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
2,892.00
1.45
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.
17.355
PLAN CHECK FEE
TOTAL FEE
Bul� 3 -3®-7(0
18.80
SIGNATURE OFJCONTRACTOR OR AUTHORIZED AGENT (DATE)
EN PROPER YYOUR PERMIT
=uv
I w BL 176. )NSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
m
-APPLICATION FOR RESIDENTIAL., ALTUATION,
OR ADDITION.BUILDING PEMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NMIE : R\ c ,R _9 R -1S LO. BUILDER: /J74el -b) AA) A2fr,69 SPkodF.V 4,
• ADDRESS: 6831 M4Z16042 jT••.),a o Fe,aLkyADDRESS: 734 VIII—AAc,1 Cr -A) z4e,
NO • . ' l67 ,-�/ STREET: Mfl b I S 0 A) r, .ET IVa Z .
LOT: BLOCK: 7 • ADDITION : 9)4*
C���K �' ie • %�%�} i (o
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates. ,f . Survey .ofLot and .proposed .II
building location di. -Awn on these Certificates.
DESCRIPTION'OF BUILDING
To Be Used As
10 Front: Depth: Height:
•- Square Feet: Cubic.Feet:
Front:' Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: W,4-C&Pk-6or �,c�S Estimated Cost:_ $ zf39Z ; o0
TD• Be Completed: 4- / - '7&
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 herjeby
declares that all the facts and representations stated in this application
are true and correct.
• DATE: 3 P 30 - 7SIGNATURE:_ ,, ✓�'
-(See Reverse Side For Additional Information.)'
ON
SUBJECT
City of Fridley
2 ii6
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1
NUMBER
REV
GATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/18/94
JOB ADDRESS 6831 Madison Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
4
Rice Creek Terrace Plat 6 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jim Halvorson 6831 Madison Street NE 571-6899
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
B & B Roofing 6760 Madison Street NE Fridley 971-024R 9042
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 ❑R REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (15 Sq) Tear -off; Reroof Garage 6 SO 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code. Inform
homeowners that smoke detectors are required adjacent to all sleeping areas and in
basement.
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
NO. OWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS I 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
$2,73O
$1.37
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-
$54.00
Fire SC $2.73
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$63.10
SIGNATURE OF CONT FACTOR OR AUTHORIZED AGENT IDATEI
N PR ER VALIDATED THIS IS tY'OUR FERMI
BLDG nATE
SIGNATURE OF OWNER,IF OWNER BUILDER) IDATEI
ON
NEW
ADDN' [) CITY OF FRIDLEY
ALTER { j SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
,
Construction Address:
Legal Description:
Effective 1/1/94
Owner Name & Address: /, /y IV/�-L of ,Sa/% Tel. # ��7f
Contractor: 6 P=nz-;,F(X,b MN LICENSE #
Address: �i�%(per `��/�JJ�% Tel. # 7/ e:2Z, vd,
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: SCS rUfi�L lry�,��9t; b
,Z�/ std
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. /+ Ft = Ft x $ = $
DATE:�4�
APPLICANT: «t Tel. # %% D
CITY USE ONLY
Permit Fee $5q- • 00 Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge $ f , 3 $.50/$1,000 Valuation
SAC Charge $ $800 per SAC Unit
License Surcharge $ -S-'00 _ $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:
From: unknown Page: 2/2 Date: 913/201011:07:15 AM_
Building BU LDING Permit �.:I
Inspections RESIDENTIAL APPLICA'T'ION ���i`' a Sy: '
763-572-3604 TTX UP FRIDLEY D
OA►TF_ f� ,Yt)Ult E-MAIL F.Nq
SITIJ
THM APPUQl NT )S: ❑ OWNER V'Il)R
PRt)PEIt7' NAME:71
TENe1.l1iT ADDK68
PROM;R: -y=S-� .. ATEn�r"21P�� 1
_ r
CONTRACTOR -xAm:, kX -j . cam, s
StAnT A MY OF STATE MENU 11• • LcQA�
�,�cgx�r
YOUR SrATK LICENSE ADDRESS: _Q� � :�1�- S.MY..
Wrlxl APRI..ICATION PjMmgQQSS FAX -
PROP ERTXTXP>rG1,F.FAMILY WCUM.TKUCn7N.
D TWO FAM11,Vn4M C()NSTRUt;11CN STGRIrS
1P^KMiT TYPE C ADI)MON R ARAUFA 1L o WiNUUWS
d BASEMENT FIMSH Ci DRAIN ULE
R DUCK )INi
SWIMMING POOL _
TOF WORK;DAUDITIGN
_ •. A7WMANIM4WA1it RI?MQt i13G
ESCU IiIS);1NC?RXBw D(YNE:�'C •-
_ WIDTH IiFIGHf _ SQ. F1:
BA
N OF SQUARES ryl� Q RAUSE & 0AVOV RE >�
d ATFA0-1>rl) GARAGE 7. FxroltosedD 1K' A
PRO St�SIZH:,•. A[jl=IACHFbGARAfi: 3. List urs mcml to�bcmmd
YRt7Ps]�31,{)it(F31t}H'I'; ",�.
s FOK NL•w CONSTRU • TUN WCI.IJDM I)FXM,
t tj sia
gexiwa ssr„F slructaresO Ahr(Emm m and p,ot,om wriaL
Q hN _ .2 sets ofj xwntfion plass
S. Fmrgy Gila 101afts
TN OOPM41NO UYss []Not
LOCATION OF WINDOWS
VltT0A1V13WOPiiNtFIG:rC1N=SCRIBk;'IIZCOF .—. _ .
op)JNING CHANGES &
TYPE OF W iNDOW 11 I,3RTAI.Lk NUMBIM OF WINDOW -
ALLSEES ARE BA=
QsW VAWA'rjoK INCL7UDINC T)Flg 0057 (3F I.AS�R A1V1) MATE AUS:
(C751I+IC E 1997 U.B.0 FEE OCGtlPANCY 'TYPE
TOTAL J+018 VAd,UA'tIOl1$
Permit Fe c $ 3. See Sack Page for Fee SdMdule
PIan Roview $ 65% of Wlding Permit Fee
Fire SUM11 rile S 001 dints the tonal jub valuation
Surdharge $—� 0405 x Permit Vaivation Minimum 5.50
Uccuse SUTOW90 S $5.4o (State Liamsed Residential C:ontrautors)
SAC Charge $1075 pea SAC ilalt (Plans to MWCC for d�terniih 0")
Curb Cut 9storow $ ft + 6 ft , __ _ ft• x $21 = S,_,"`•_
R+rosiaz COMM $ $450 Conservation Plan Review
Pari: Fee $ Fee Deta mined by8nghworing
Se+etwr Nlabt Charge $ Agreement nEc ry () Nim Ncce .m y ( )
..�^�- n _... "s"..,...,at,io In. f Ctev ai FridlEv Attach Stipultttk.,*a
11US L41 AN .41n[CATION I)K A pfXM 7 -LVOT VALID UNr1L PROCESS
ED
I horeby apply for a building permit and I teklna. W%r, that the tnfmmlltion above is coanplete and accu e; thea the work ' " ll be in
vvclformi occ with the ordinwca and codas of tits City of Fridley aW wilh thg 1111
MiwOU COnatrwtion Codcs; at I undomtMd this Is not a
I>eranit but only an applit:ation far a pCrlt,it land work i of to start wid,cot a perrni ; thal file work will be in cuTdartoe with thc approved
play lI7 the ca9c of all w ch re uir es raview and vat r plans.
INTINAME
sVYq '1•t.1W Of APPLIC l _ --
Ld Wd90:170 LOW £z 11:00 L8z1;Z4Sc9L: "ON AJA fi;�IA?aj .to fiat_3: W02Li