PRE 2010 DOCSBUILDING PERMIT
Village ®i Fridley, Minn. N
Date ....... ..........
Owner
Address5�,�Zlrc�.l!f�P. !�&
2019
Builder .... ..
7
Address ....................
LOCATION OF BUILDING
No.Street.. .................... Part of Lot ........................
Lot ...../0....... Block ... �1.......... Addition or Sub -Division .. .......... ... ...................
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ... ...................
DESCRIPTION OF BUILDING
To be Used as:
r f
Front ,/.� •P Depth A W%
.... Height /N .... Sq. Ft.... .. Cu. Ft........ .
........ Front ........ Depth ........ Height ......... Sq. Ft.... .. Cu. Ft,
Type of Construction *.4w.:`-- . Est. Cost . /Z, 010%..:x. .... To be Complet i ...................
In consideration of the issuance to me of a permit to construct the building describe
the proposed work in accordance with the description above set forth and in compliance
ordinances of the village of Fridley.
above, I agree to do
with all provisions of
.............................N!.....................
,� conside ation of the payment of a fee of $ni.. 7, permit is hereby granted to .... .. .
..�........ to construct the building or addition as described above. This !rmit 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 moiring of buildings with-
in the village limits and this penin may be revoked at any tim10e uponviola of any of ithe provisions of said
ordinances.
1,9
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, pi
sewer or water. Be sure to see the Building Inspector for separate permits for these It(
. Building Inspector
gas heating,
Date:
Addres
City of Fridley, Minn..
BUILDING PERAUT
Builder
Address
N° :5:4:3:9
No. � ,�� LOCATIO OF BUILDING
Street _.. _ _ _ _ _ _ Part t
�°
Lot —_,__._.__ Block Addition or Sub-�ivisi
601,
Corner Lot Inside LotAtback Sideyard
Sewer Elevation Fo dation Elevation
DESCRIPTION OF BUILDING
To V d
Front Depth a Height � Sq. Ft Cu. Ft fiov
_
Fro Depth +. Height Sq. Ft. Cu. Ft
Type of . Construction _ Est _ 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
grdinances 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
within the city limits and this permit may be revoked at any Urn ✓i"
y v elation y of the provisions of said
ordinances �+' 1
Mt��.A ►.RFI :.
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for these items.
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No.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDIEY. MINNESOTA
LOCATION OF BUILDING
of Lot
Lot Block Addition or Subdivision.,
Corner Lot Inside Lot Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be. used as:
Sq. Ft.
DESCRIPTION OF BUILDING
Y ;Tai nh+. l a
Ft.
FrontDepth Height
Sq. Ft, Cu. Ft.
Type of Construction_, A 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 true and correct.
DATE SIGNATURE
(A Schedule of Fee Costs can be found on the Reverse Side.)
SUBJECT
PE
City of Fridley
9 6
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
r
T NO.
' COMMUNITY DEVELOPMENT DIV.
______
9
r I PROTECTIVE INSPECTION SEC.
35S
i
NUMBER
REV
DATE
PAGE OF
APPROVED 8Y
i CITY HALL FRIDLEY 55432
•-_-/�"1,.j
L J` 612-571-3450
910-F15
9/13/94
JOB ADDRESS
6340 Monroe Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
6
1 Christie Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
John/Virginia Steinmetz 6340 Monroe Street
1-2
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (17.5 Squares) 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
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
1
I HEREBY CERTIFY THAT 1 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
9553
$.50
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
$25.00
.95
PLAN CHECK FEE
TOTAL FEE
26.45
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT tOATEI
XWHN
Y VALI ATED THIS IS YOUR PERMIT
SIGNATUREOF OWNEROF OWNERBUILDERI IDATEI
NEW [ ] Effective 111/94
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: A
Legal Description:
Owner Name & Address: V o 0 ti Iy , I]' TE 1U 1\AF- T -Z- Tel. #
Contractor:
a L �L �� �u ,� `� MN LICENSE #
Address: 01(g -r-✓ - Tel. #
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
GARAGE AREA: Length Width Height
DECK AREA: Length —�-- Width Hgt/Ground
OTHER: . - �� 0 `7 -� d rw �� ✓,
Corner Lot [ ] Inside Lot [ ]
Type of Construction:
Approx. Completion Date: _
Ft. Yd Setback
Driveway Curb Cut Width Needed:
Sq. Ft.
Sq. Ft.
Sq. Ft.
Side Yard Setbacks
Estimated Cost: $ ii o Y /7 2
(Cost on Back)
Ft. + 6 Ft = Ft x $
DATE: APPLICANT: Tel. #
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1 / 10th % )
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $800 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 $ for e I
STIPULATIONS:
SUBJECT
PE
r ?City of Fridley
` 50 HE TWINS
1 6 ______ COMMUNITY DEVELOPMENT DIV.
t✓ PROTECTIVE INSPECTION SEC,��
1 � �
CITY HALL FRIDLEV 55432
612-571-3450
BUILDING
PERMIT.00
28225
NUMBER
910-F15
REV
DATE
10/13/98
PAGE OF
APPROVED BY
JOB ADDRESS
6340 Monroe Street NEW NW
1 LEGAL
DESCR.
LOT NO.
6
BLOCK
6
TRACT OR ADDITION
Christie Addition
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Jayson Lindsay Roofing 2638 Clearview Ave M792-IRS7
2009R263
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 ]a REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house and garage (22 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlaymen� must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYP 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
ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
VALUATION
SURTAX
WITH WH THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
1885
$.94
DO OT ESCT VE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
P 00 ION F ANY TH R STATE OR LOCAL LAW REGULATING CON-
TRUCTION O THE ERF RM CE OF ONSTRUCTION
?
$59.50
Wre SC $4.88
PLAN CHECK FEE
OTAL FEE
o ^rJrl
:2
6 3
SI NATURE OF CON'RA ,TORO AUT R12ED AGENT IDATEI
PRO
ALV TEDTHI YOUR PER IT
r
S,GNATURE OF OWNERIIF OWNER BUILDERI 'DATE'
SLOG IN
DA Ot
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATIONLop
ConstructionAddress: 4340 'q401xj /2 0 E- /
Legal Description:
Owner Name & Address:
Contractor: V S�rJ i
Address:
Tel. #
MN LICENSE # o?U D 98'02 6.3
Tel. # 4'Y6 ^ /70A
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: / 0
Construction Tyre: Rd 0,P 9a Estimated Cost: $4ng--
:F�/(95s_
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:/ Q -13 - %$' APPLICANT: Tel. # Td6 -0 Y6 el
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
3d
CITY USE ONLY
Fee Schedule on Reverse Side
001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]