PRE 2010 DOCSL'
Village of Fridley, Minn.
BUILDING PERMIT � ° 1748
Date: ...04r, .............
Owner....................................... Builder ...`'&' ....... .......... .........
Address...................................... Address .... .�� .... �s / .... .. .. ...
LOCATION FF BUILDING
No. ..6�5� Street ..... ......... Part of Lot ....... .. ..........
Lot ......�....... Block ...... J .......... Addition or Sub -Division . ��.. ... ....�—�.
. `�s.ti'L ..�
Corner Lot ........... Inside Lot .. '/ .... Setback .. a.... Sideyard ... � .. ' .. ............ .
DESCRIPTION OF BUILDING
To be Used as: 6
..... Front .. :� Depth ... Height Sq. Ft. ........ Cu. Ft. ........
* ....... Front ... Depth .. l .� Height 'S. Sq. Ft. ........ Cu. Ft. ........
pv
Type of Construction ! ...... Est. Cost ...........� ... To be Completed ..................
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
t proposed work in accordance with the description above set forth and in compliance with all provisions of
dinances of the village of Fridley.
.........�...................... ...
relyIn consideration of the payment of a fee of $.1..!......, 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 village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
.................. 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.
City of Fridley, Minn.
BUILDING PERMIT
Date: June 28, 1965
Louis E. Olsen
_ Builder Same
Address 6565 Monme St. N. F-. Address
N? 8055
LOCATION OF BUILDING
Na 6565 Strenonroe Street N. E. part of Lot
Lot - 3 _ Block Addition or Sub -Division . Clover Leaf . 2nd Arid.
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation
To be Used as:
Foundation Elevation
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est. Cost _ 9500.00 To be Completed
Storm Damage repair
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 ;J1 provisions of
ordinanos of the city of Fridley.
In consideration of the payment of a fee of 0.00 , permit is hereby granted to Louis Olsen
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 violation of any of the provisions of said
ordinances.
Allen Jensen
Building Inspector
NOTICE:
%b pemb den not eater the constroegm, hwhlletion for whdag, plumbing, gas heating, n ww or weer. Be wn to we
the SuMing lwpa for apmh penahs for thea hens.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
.OWNER• S NAME_ BUILDER
� r
ADDRESS_ �� ®� O % ADDRESS
LOCATION OF BUILDING
Street�A�a✓,� Part of oto
LOT OCR. _ADDITION OR SUBDIVISION,
Corner Lot Inside LOT Setback Side -Yard
- .-SEWER ON IMATtO
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front Depth,�Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost -10 _ 6
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.
(Schedule of Fee Costs can be found on the Reverse Side).
SUBJECT
City of Fridley
=84�
AT THE TOP OF THE TWINS
BUILDING PERMIT
COMMUNITY DEVELOPMENT DIV.
r � � P. VE TION SEC.
�13�
NUMBER
REV
DATE
PAGE OF
APPROVED By
C Y H V 35132
612-571-3450
910415
9/17/98
JOB ADDRESS 6565 Monroe NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
3
1
Clover Leaf 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Louis & Virginia Olsen
571-4490
3 CONTRACTOR MAIL ADDRESS ZIP55J10PHONE LICENSE NO
Dan Mottl New Covenant Construction Otterview Trail White Br L
653-8291 20006112
d 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 O ADDITION ❑ ALTERATION C REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house & garage (24SQ) Tear -off
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
OCCUPANCYLOAD
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 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION
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
$2,056.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1.03
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVIPNNS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON -
$74.75
F SC
STRUVTI�NOR T P RFO NCE OF CONSTRUCTION
e $2.06
p
17`!0
PLAN CHECK FEE
Lice SC $5 0
TOTA EE
$82.84
SIGNATURE OF CON"RACTO UTHORIZED AGENT iOATEt
EN ROPE AZIDATTHIS
UR ER IT
S,GNATURE OF OWNEROF OWNER SUILOER, IDATEI
BL iNSP 01MATE
NEW
ADDN [ J CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 605 �05 rnwrce �-E I
Legal Description:
Effective 1/1,8
ss4c:�a
Owner Name & Address: Lou 1 :S ty 1 Y:�10 n WSe� Tel. #
Contractor: DQn Mo+H cLuM (m)ST MN LICENSE
i� �aa (Q
Address: 0#92 `L whk 6� Tel.# 65J--8Q'�
Attach to this application, a Certificate of Survey of the' \10
lot, with the proposed construction drawn on it to scale. `7
DESCRIPTION OF IMPROVEMENT
LIVING AREA:
Length Width Height
Sq. Ft.
GARAGE AREA:
Length Width Height
Sq. Ft.
DECK AREA:
Len Width Hgt,//G� round
Sq. Ft.
OTHER:
e 4
Construction Type:
Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DAT 1 1q8 APPLICANT:LTel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge
$
TOTAL
. STIPULATIONS:
$ 8�
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 [ J
[I (2\-�)
SUBJECT
-PERMIT NO -
City of Fridley
33613
AT THE TOP OF THE TWINS
BUILDING
PERMIT
�
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
fr .....
i �� PROTECTIVE INSPECTION SEC.
NIMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
763-571-3450
910-F15
6/16/03
10B ADDRESS 6565 Monroe Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
1
Clover Leaf 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Virginia Olsen 6565 Monroe Street NE 763-571-4490
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Pella Windows & Doors 15300 25 Ave N STE 100, Plymouth, MN 55447
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
763-745-1400 20165884
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW 0 ADDITION O ALTERATION ! REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Replace 14 windows within existing openings
9 CHANGE OF USE FROM
TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform
Building Code. Caulk and flash all
exterior openings.
Permit Inspection Cards
Will Be Wailed
To Homeowner To Post
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
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
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
$5.65
WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT
$11,294
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.
$209.25
Fire SC $11.29
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
Lice se SC $5.00
$231.19
SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEI
HEN PROPERLY VALIDATED THIS IS YO R PER IT
IBCOG INSP OAYE
S,GNATURE OF OWNEROF OWNER BUILDERI IDATEI
[I (2\-�)
NEW[ l
Effective 5/10/99
ADDN [ ]
CITY OF FRWLEY
ALTER [ J
SINGLE FAMILY AND DUPI.EIKES R-1 AND R:2
BUILDING PERMIT APPLICATION
Construction Address:
_ �o o� YYl®icZC®-e, -.1f�. �
Legal Description:
Owner Name do Address: c�-,,i, Tel. #_ 4y9 C)
Contractor:;
PELLA WINDOWS & DOORS MN 110ENSE #
Address:
15300 -25TH AVE. N. STE. #100
PLYMOUTH, MN 55447 Tel. #
Attac 763-745-1400 ye . of the
LICENSE #20165884
lot, o _ -- -- _ _-- _.... ...: to scale.
DESCitH ON'QF UvWIWVn - .
LIVING AREA:
Length Width Height Sq. Ft.
GARAGE AREA:
Length Width Height Sq. Ft.
DECK AREA:
Length Width' Hgt/Ground Sq. Ft.
OTHER:
Construction Type:
Od
Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = _ Ft x $_ _ $
DATE: APPLICANT: Tel. #
CITY USE ONLY
Permit Fee
$ 9, Fee Schedule on Reverse Side
Fire Surcharge
$ t .001 of Permit Valuation 1/10`h% )
State Surcharge
$ 5.(o5 $.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
$ al 19
STIPULATIONS:
NOV-14-2005 12:2?
Building
Inspections
7.63-572-3604
SITE ADDRESS __j
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
SUBMIT' A COPY OF
YOUR STATE
LICENSE WITH
APPLICATION
QUITMA`I 0�
TYPE OF WORK:
MECHANICAL
P.02/03
Permit Na. -_X 0'7 -
RESIDENTIAL APPLICATION Received By:�� CITY OF F+ RIDLEY Date Recd:
1 YOUR S-K4JL ADDRESS
3- Loco w 'P_ sf-r. rX
O OWNER
I ° g44QO
CONPANYNAIVIE.-laoWD
CONTACT PERSON, ^ (
! 2
STATE LICENSE d FNP DATE
PHONE
t FAX SS
LO- =
`ASINGLE FAMILY 13 TWO FAMILY
D NIEW REPLACEMENT
DETAILED DESCRIPTION OF WOR1C
Q TOWNHOUSE
0 ALTERATIONMEMODEL
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (',Chis should reflect only the cost of labor)
Labor cost wader $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
MFG;
MODEL:
SIZE/BTU-
Equipment Equipment hied
MFG_
MODEL:
� S72MTU _
MFG:
MODEL: �
SIZEIBTU
A/C $25.00
FIREPLACE (GAS) $15.00GAS
IS (WOOD) $35,00
RANGE (OVEN $10.00
NEW GAS GRILL $10.00
AIR TO AIR EXCHANGEE:R $15
$35.00
FI3RNACE 535.00,_GAS
UNIT HIR 510.00
BOILER
CHB+�II�tEY LII -MR $10.00
GAS DRYER $10.00
_PONT. HEATER 535.00
VENTII.ATOR$15.00
DUCTWORK$1000
i PIPING $10.00
.. n. i+�lr
e i ..rrs ✓li.
Permit Fee $ _ Number of fixtures @ $10.00 x S10.00=
Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE S Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 =
State Surcharge= S 50
Total � $
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of allrr which re wires revi and approval of pl fSIGNATURE OF APPLICANT n PRINT NAME r�d�1 t CDATE/�a� f
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604