PRE 2010 DOCEDate: 4 — z
Owner:
Address
City of Fridley, .Minn..
BUILDING PERMIT
N° 4006
Builder`� . ,
Address
LOCATION OF BUILDING
No.Street .. -.. _._ ._...._............. _.... .%7.....6:........... Part of Lot ......................... ........... _.................... ....
�—�
Lot ..........Z .................... Block -•------.... -----------------------..._..------ Addition or Sub -Division _.. --...----------------._ ...... _.. ...
Corner Lot .................................... Inside Lot ..... -.......................... ...... Setbac"...a57_'�.—....o..-Sideyard..Z.
........... --4--/i....:..._ ............. ... _. ..
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Q ............_ ..................... Front Depth Height /........... .. Sq. Ft./ Cu. Ft. Za
.................... _.............................. ........ Front .........-----•----_.. Depth .................... ... Height ....................... Sq. Ft. ...................... Cu. Ft.......................
Type of Construction ................. .............. .................. _. .. Est. Co�f.../a21..9. To be Completed ....._............. _ ...................... .........
In consideration of the issuance to me of a permit to construct the building cri e,I agree to do
the proposed work in accordance with the description abov se forth and inc lian��4bov
thall provisions of
ordinances of the city of Fridley. ,
In consideration of the payment of a fee of $...,2iL.o...®_d...,ermit 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 violation of any of thsions of said
ordinances. � / d d
Inspector
NOTICE:
This permit does not cover the construction, installation 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
° 4911
Date:....._.. `
i` -
._�_,
Owner: __.. ... __ ` . .._ -'' Builder _...................
Address _. Address
— I __
LOCATIO F BUILDING
No.q
__.. Street _..:: t r:_._ �......_..... P LotLot ............._........ Block _.._.._..._ _. Addition or Sub-Divisi n 'f=+a"�P!- C,fe .-- _ �0
Corner Lot .......- :................ _........ Inside Lot ....._..._.......... hack .. Sideyard_................. _............ ........
.
Sewer Elevation .......... ....... _....... _..__ _..___.__..__.._.....__...._. Foudation Elevation ................. ........ ... _... _......
DESCRIPTION OF BUILDING
TZu-
s f.,..�.. �..._ Front ,....._. Depth f-. Height Sq. FL ...__ Cu. Ft. '�/o
.......................... '.-_..••.. ,...... ........ .................... Depth ................ . H ig Sq. Ft....................... Cu. Ft. ..... .................
zw
Type of Construction ..__7
r:`S"-....._. 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
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley: to
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, r and moving of buildings
within the city limits and this permit may be revoked at anytim pon ola on any of the provisions of said
ordinances. w ,d
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items. , A, Ii `(nom
IOra I�r4r;: ,
ZE VIOLAT-
�'_. --- mow= S A;N1O
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
111?r
011,7ner 1 Name Builder
Address /Y 6A) It S1, A), P—,. Address Slt�1
LOCATION OF BUILDING
No. ( 93(� Street, ___�art of Lot 5.6 c k
Lot Block Addition or Subdivision1jSbAb.C2i4roN BROO,K-
-vrcw fie-KKR[e_
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.
DESCRIPTION OF BUILDING
To be used as:
`r A - }t O Front , J S F F. Depth �� F � Height %���
Sq. Ft. % / � - Cu. Ft. �, / 6 0
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction ��/`r� 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.
c
DATE____Z SIGNATURE
(A Schedule of Fee Costs can be found on the.Reverse Side.)
r
I ®+ -7s,
W, a
PD81city of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
PERMIT
jj3
`
` r .____ COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC.
,
CITY F V 432
`� i
gyp
L
RECEIPT NO.
NUMBER
910-F15
REV
DATE
3/21/03
PAGE OF
APPROVED Y
JOB ADDRESS 6836 Monroe Street NE
1 LEGAL
DESCR.
LOT NO.
2
BLOCK
7
TRACT OR ADDITION
1 Brookview Terrace 3rd
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
Richard Lund 6836 Monroe Street NE
ZIP PHONE
763-571-8436
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
O NEW 0 ADDITION O ALTERATION j] REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reside gable ends of house & garage
9 CHANGE OF USE FROM
TO
STIPULATIONS
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
`@@
P500
SURTAX
$''50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PERMIT FEE
SAC CHARGE
PLAN CHECK FEE
TOTAL FEE
$24.50
OF COUTrIOaq D GENT IOATEI
3 a a
WH PROPERLY VALIDATED THIS IS YO R PER
IIT
LxSIGNAT�TRAC:TOR
TuBUIL E IOATE
�p
ryAr
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-4287 Fax
BUILDING PERMIT APPLICATION
Construction Address: b e�3 �p 1-7 vA) 0-o L -S -r N
Legal Description: -
Owner Name & Address: c_�� Ari r,)N L { N 1� Tel. # 7.
Contractor. MN LICENSE #
Address: 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
Sq. Ft.
GARAGE AREA:
Length Width
Height
Sq. Ft.
DECK AREA:
Length Width
Hgt/Ground
Sq. Ft.
OTHER:
I e- 1'3 112 t k6
LeL �y b S o t'
N S f— q- G A Ami
w 1ft1 v y l
a®
Construction Type:
U I N L
Estimated Cost: $
_
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 3 - c) i - O 3 APPLICANT: Tel. # -763
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ :;?3,5-6-
$
3�a
TOTAL $ 2 • S 0
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]