PRE 2010 DOCSCity of Fridley, Minn..
BUILDING PERMIT N® 3641
Date: .. ^ ./... .........
Owner ....................................... Builder .!'��,. ..r... .....................
Address ...................................... Address .............................................
LOCATION OF BUILDING
6
No. .. / .. Street . %. ..... .... aft of Lo
... ..... .... .............
Lot ...��...... Block .. ............ on or Sub -Division .�. ��.k'' .........
Corner Lot ............ Inside Lot ..!� ........ Setback . '7.�.. �..T Sideyard ..�� .-.®..`..............
DESCRIPTION OF BUILDING
v1 6
� 0 1
.......... ...... Front fJ.: ►be Depth / .. Height �/ ® Sq. 9S� //��®
........ Ft ... Cu. Ft. ..... ..
e/�.... Front ..� Depth . :���/Height
��. t4 c Sq. Ft. 4. �: �.. QL Ft. ���
Type of nstruction ................... nst. Cost. /3/4 .. { .l.:= ... To be Completed ...................
In consideration of the issuance to me of a permit to construct a buil desribed above, I agree to do
the proposed work in accordance with the description above se plias with all provisions of
ordinances of the city of Fridley.
.%` .a.. ..... ......... ........
s� 1�
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.
X ..... 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.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
:. ��l Builder �'
Owners Name
Address ' Address
LOCATION OF BUILDING
No. l Street Part of Lot
Lot Block_ y Addition or Sub. Div.
Corner Lot Inside Lot C Set Back.
Applicant*attach to this form Certificate of Survey.of Lot and proposed
building' location.
DESCRIPTION OF BUILDING
Tollbe used as
Front �' DepthFieight
Sq. Ft. 6,
'°?Cu. Ft.
Front ____._..... Depth Height
Sq. Ft. Cu. Ft.—
Type of Construction 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 Ordinances and ruling of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are trued car ect.
Date r ''� `� Signature
(A Schedule of Fee Costs can be found on the Reverse Side)
01
SUBJECT
PERMI
City of Fridley
14
19620
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
f
RE
`L_ OMMUNITY DEVELOPMENT DIV.
=I'VE
r � � INSPECTION SEC.
1 � �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L J\ 612-571-3450
910-F15
8/4/88
JOB ADDRESS 841 Mississippi Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
] ]
2
Meadowlands Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Richard Zegland 841 Mississippi Street N.E.
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Twin City Storm Sash Co. 10825 Green Brier, Minnetonka., MN 55343 545-8160
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
Soffit Fascia
9 CHANGEQFUSEFROM 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
1 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
$3,000
$L.50
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 -
$54.00
R CTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
°
$55.50
SIGNATURE OF CCKTRACTOR Q4UTHORIZED AGENT IDATEI
WHEN PROPERLY V I ATED THIS IS YOUR PERMIT
• r
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
BLDG INSP
TE
01
NEW
I ]
City of Fridley Effective 5/1/88
AMN
I ]
R-1 AND R-2
ALTER
I ]
Building ding Permit Application
ODnstruction Address:l
ill Description: Lo / %�� i
Owner Name & Address: 16 40 2� 4 A ® Tel. �
ODntr actor : i� Q , i 15�7o 6-1 /97 �` 6 Tel. tnr e7!r $!G e
Address: /D �5'- �'%'4--gif�4142 /'j A S-S-3-Z:�
Attach to this application, a Certif icate of Survey of the
lot, with the prcposoed construction drawn on it to scale.
EESCRIPPION OF IMPROVHMEN'T
Length Width Height Stu. Ft.
Length Widtt: Height sq. Ft. '
Length Width Hgt/Ground Sq. Ft.
ODrner Lot I ] Inside Lot I I
Type of Construction:
Approx. Completion Date:
Ft. Yd Setback Side Yard Setbacks
Estimated Cost: $ '3 ® e 15 . `"--
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
Width + 61. See Back Page
DATE: APPLIOW: /' Tel. # 3
CITY USE OILY
Permit Flee 5 S-400 Fee Schedule on Reverse Side
State Surcharge 5 A �gp $.50/51,000 Valuation
SAC Charge 5 $550 per SAC Unit
Driveway Escrow 5 Alt. "A" or Alt. "B" Above
Park Fee 5 Pbe Determined by Engineering
Sewer Main Charge $ Agrement Necessary I ] Not Necessary I ]
IONS:
SuBjECT
City of Fridley
=89�4
AT THE TOP OF THE TWINS
BUILDING PERMIT
v __��__ COMMUNITY DEVELOPMENT DIV.
n
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
ti..__1l.' '•�
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
2/25/99
JOB ADDRESS 841 Mississippi Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
11
2
Meadowlands Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Richard Zegland 841 Mississippi Street NE
571-1895
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Milton Johnson Co. 525 Lowry Ave NE, Mpls., MN 55418
781-9548 2083
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] REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Tear off and reroof front of house; aluminum repair for windows & fascia
9 CHANGEOFUSEFROM 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
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
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, 617
$.81
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-
Fire SC $1.62
STRUCTION OR THE PERF ORMAN E - CONSTRUCTION
$54.00
. /
PLAN CHECK FEE
TOTAL F E
L'Gcti� - /t-���L� l/mss l
Lice C $5. 0
1.43
J SIGNATURE OF CON OR AUTHORIZED AGE
EN OP ALIOATE IS IS R PERMIT
49M
•- *'d
SIGNATURE OF OWNERoF OWNER BUILDER. DATE-
d8L0 �NSo
pAtE
1
NEW [xi 11. Effective 1/1/97
ADDN [ 'CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 841 Mississippi Street N.E.
Legal Description:
Owner Name & Address: Richard Zegland ( same)
. Tel. # 571-1895
Contractor: Milton Johnson Company MN LICENSE# 2083
Address: S25 Lowy AVe N F Mals. 55418 Tel. # 781-9548
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:
Tear off and re -roof front of house/ a/
Construction Type:aluminum xepair Estimated Cost: $� ��
.(Fee Schedule on Back)
Driveway Curb Cut .Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: .� 781-5548
Tel. #
TOTAL $ �
nPULATIONS:
CITY USE ONLY
Permit Fee
$
�`U O
Fee Schedule on Reverse Side
~ire Surcharge
$_ / L-2
,001 of Permit Valuation (1/10th%)
State Surcharge g
$
B 0
$.50/$1,000 Valuation
SAC Charge
$
$950 per SAC Unit .
License Surcharge'
$
S ®(J
$5.00 (State Licensed Residential Contractors)
driveway Escrow
$
Alt. "A" or Alt. "B" Above
3rosion Control
$
=$450.00 Conservation Plan Review
lark: Fee
$
Fee Determined by Engineering
ewer Main Cliargc
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ �
nPULATIONS: