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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT Date: . !!*q . !fit'. 939 ..................... Owner ....................................... Address...................................... N® 3963 Builder .. Q..ft== .......................... Address............................................. LOCATION OF BUILDING No...... Street ....*P.r4Q. At*. X. $t .............. Part of Lot ............................... Lot ....?� ...... Block ....... r3.......... Addition or Sub -Division .... BY'GOZC:YAw ,T@P3'8C8a . t.4.CZ �]1• Corner Lot ............ Inside Lot .... X ...... Setback .. 35 t .O!! . Sideyard .10 to....... . DESCRIPTION OF BUILDING To be Used as: .. DWe:?9 ...9 ... Front .4?:W Depth —WO! Height 19tg! . Sq. Ft. 1M_ Cu. Ft W.94. .................... Front ........ Depth ........ Height ........ Sq. Ft......... Cu. Ft......... Type of Construction ................... Est Cost. 0145 CPQ...... 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 compljapce 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. ............ .�... 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. 0 City of Fridley, Minn. BUR DING PERMIT N° 5isjo Date: 61 Owner: Se uilder ��' �•j'l� �,•rF�' f , �� •� � __ _ Address Address - . + — — LOC�►TION B I DING No._1P_4&Street Past Lot.__ Block Addition or Sub- vista .�� Corner Lot Inside Lot — , rack ideyard ___ — Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING TO. as: 1 Front Depths Height �� Sq. Ft. Cu. Ft. Depth Height _ _.. Sq. Ft. Cu. Ft. Type of Construction Est. CZY __ 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. A' In consideration of the payment of a fee of $ ._ ,permit is hereby granted ',to:— to construct the building or addition as described above. This emit is granted upon the express condition that the person to whom it is granted and his agents, employees anworkmen, 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 violattgn of any of the provisions of said ordinances. _. — A 1 Building Inspector NOTICE This penult does not cover the construction, Installation for wiring, plumbing, gas beating, sewer of water. Be sure to sea the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, MIl1WSOTA Owner's Name _ `mak— Builder !►`'- Address� LOCATION OF BUILDING NO. Street;rG+� w Part of Lot s Lot Block Addition or Subdivision's„a Corner Lot Inside Lot L,-< Setback Side -Yard SEM ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used a Type of DESCRIPTION OF BUILDING Sq. Ft. A� z�� Cu. Ft. Front Depth Height To be Completed Cu. Ft. ted Cost, /�(, � 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 Z4. SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) M City of Fridley, Minn. BUILDING PERMIT Date: July Akj 1965 Owner: LESTER POLLOCK, JR. Builder 6890 MONROE STREET Address Address Fridley, Minnesota ar LOCATION OF BUILDING No. 6890 Street MONROE STREET Part of Lot Lot Block Addition or Sub -Division Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation To be Used as: Front Front Type of Construction DETACHED GARAGE Foundation Elevation DESCRIPTION OF BUILDING N? 8203 Depth Height Sq. Ft. Cu. Ft. Depth Height Sq. Ft. Cu. Ft. _ Est. Cost _ $12 87 2,00 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 wi all provisions of a�Iinancxes oY the city of Fridley. In consideration of the payment of a fee of $ 6.00 , permit is hereby granted to ITER MLLOCK, JR. to construct the building or addition as described above. This permit-isgranted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in au work. done in, around and upon said building, or any part thereof, shall conform in aII respects to the ordinaucea of Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of buildings within the city limits permit may be revoked at aqv time upon violation oY any of the provisions of said ordinances. ALLEN G. JENSEN Building, Lupector NOTICEt fhb pin* dem sal cow the eemtruation, haf ildlon for v rh* plumbing, gas bating, sewn or water. Be sun to sa the WhIing lmpeater for apu pwmft for these heam APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME�L til' i� �GGf`� al I� BUILDER 1 e sA J" 14a' ADDRESSl4 6�jPe e ADDRESS LOCATION OF BUILDING N0. STREET PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used s FrontDepth_,LjL,__Height t� Sq. Ft. Cu. Ft. (o C) Front Dept h Height Sq. Ft. Cu: Ft. Type of Construction Estimated Cost T To be completed The undersigned hereby makes application for 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. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). K.. SUBJECT P IT NO. City of Fridley � 14185 AT THE TOP OF THE TWINS BUILDING PERMIT r R T N O. COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. 1 . � /---r CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 812-580-3450 910-F15 6/28/77 JOB ADDRESS 6890 Monroe Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Brookvi-ew Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lester Pollack Jr. 6890 Monroe Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION QA ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a chimney 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Cement THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 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 $400 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $.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. $7.50 PLAN CHECK FEE TOTALFEE $8.00 SIGNATURE OF CONTRA TOR OR AUTHORIZED AGENT (DATE) WHEN PRO ERLY VALIDATED THIS IS YOUR PERMIT r i 4 BLDG )NSP OAT SIGNATURE OF OWNEROV NER BUILDER) (DATE) O CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PER141TS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER:. ,C. -G 57et BUILDER: Address: 10A10 Address: . Tel. No.. No.: Street: LOT: BLOCK:_ ADDITION:iC� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: • _ Height: Square Feet: Cubic Feet: /� Type of Construction: l_.�/d1W T— To Be Completed: '--) mo -� Estimated Cost: $-4��o' p Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work he specified, agreeing to do all work in strict accordance with the Cit} Fridley Ordinances and rulings of the Department of Buildings, and hE declares that all the facts and representations stated in this appliE are true and correct. See reverse side for additional information. DATE: 6— ,,ZK,T2 SIGNATURE: Stipulations: ()0 0 Im SUBJECT City of Fridley 20965 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. , COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/26/91 JOB ADDRESS 6890 Monroe Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Brookview Terrace 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Les Pollack 6890 Monroe Street NE 571-1586 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jack Pixley Sweeps Inc. 4179 -- 149th..Ave NW, Andover, MN 55304 422-0481 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 O ADDITION O ALTERATION REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Repair chimney lining (Ahrens Systm) 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS 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 $1,6Q0 $'80 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- $37.00- Fire SC $1.60, STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $39.40 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI W N PROP RLY A A EDT SIS YOUR PERMIT ig,�aS=g `J DG INSP DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI' Im NEW [ ] Effective 2,/1/91 AMV [ ] R-1 AMID R-2 A= [ ] Building Permit Application Construction Address: dl Isgal Dem ripticn: i owner Name & Address: 0 MO -AV -0 a , f4-. a !- . 3 rr"c►��'c�>f eek �s�� Tel. # S-7/ - Contractor: 4�L& 'lel. # -0 Address: V-1 i'i - I (t �'S3® Attach to this application, a Certificate of Survey of the lvt, with the proposed cons xuction drawn on it to scale. U3nTM OF ae= I.'[`TM AMM: Length Width Height Sq. Ft. GRRRM ARTA: Length Width Height Sq. Ft. LyECR AREA: Width Hgt/Gravid Sq. Ft. 0MMR: _ A- U n c? A-3 \ c,:::� L/ C") -"A tbrner Lot [ ] Inside Iat [ ] Ft. Y Setback Side Yard Setbacks Type of bion: V -4,5 ted Cost: $ /zt5� Approx. Co pletion Date: Proposed Driveway Width If New Opening Is Qasired: Ft. $ S if ,G Width + 6' See Hack Page ZLZL�b%_ J 1 APPr�ic�4Nr: Tel. # i -a 61=7 HHB 9BLY Kermit Fee $ r 3 Fire Sur uuVe State Surcharge a 'SAC amrtje $ Driveway Esarow $ Park Fee $ Sewer Main O:atge $ 70TAL $ Fee Sohe&ae on Reverse Side .001 x Permit Valuation (2/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Free Determined ne by ;,�,�; *� Agreement Necessary [ ] Not Necessary [ ] STIPUIA27CNS: Cj ( CT, k SUBJECT PERMIT NO. City of Fridley B 23757 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEI ` _______ COMMUNITY DEVELOPMENT DIV. 1 - PROTECTIVE INSPECTION SEC 7 Z-0 r 1 � NUMBER REV DATE PAGE OF AP OVED Br CITE' HALL FRIDLEY 55432 612-571-3450 910-F15 10/2/95 JOB ADDRESS 6890 Monroe Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 3 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lester Pollock 6890 Monroe Street NE 571-1586 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 J7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (28 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQIUIRED 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 1 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 $2,240 $1.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE OF CONSTRUCTION $74.75 Fire SC $2.24 PLAN CHECK FEE TOTAL FEE �PERFORMANCE 7.99 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT (DATE( WHEN PRO BLDr INS ALIDATED THIS IS YOUR PERMIT n TE S)GNATURE OF OWNERUF OWNER BUILDER) (DATE( NEW [ ] Effective 8/1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: mo Legal Description: Owner Name & Address: 5 r V -1 C , Tel. Contractor:� -- e -r & %/d 0 _ MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length Length Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: _ DESCRIPTION OF IMPROVEMENT Ft. Yd Setback Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. —_— c- Z1?,4D Side Yard Setbacks Estimated Cost: $ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 16 - y. - � ✓� APPLICANT: Tel. # 7 CITY USE ONLY Permit Fee $ "[� Fee Schedule on Reverse Side Fire Surcharge $ 2. S.+ .001 of Permit Valuation (1/10th%) State Surcharge $ 1. cD $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit Licensed Residential Contracto. License Surcharge $ $5.00 (State 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: — I SUBJECT P City of Fridley 31359 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE F � E 0 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By %.J 612-571-3450 9t0-F15 9/1/00 JOB ADDRESS 6890 Monroe Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lester/Norma Pollock 6890 Monroe Street NE 571-1586 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 B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION M REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House & Garage (28 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 ] 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 r WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,863 $1.43 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC HARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK EEAL T FEE V/ $87.54 SIGNATURE OF CON-RACTORO TMORIZED AGENT iDATE, /! e)t,, rl-r-tA HE P O L & ,NSo VALIDAT THIS I�ER T ,. BATE S-GNATURE OF OWNER,1F OWNER BUILDERI 1OATEi — I EW I lEffective 1/1/2000 DDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ l SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION P,1 Construction Address: Legal Description: M Owner Name & Address: Contractor: Tel. # 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 yAa Width Height Sq. Ft. 1�0V GARAGE AREA: Length Width �j Height Sq. Ft. DECK AREA: Length Width Hgt/Ground _ Sq. Ft. OTHER: Construction Type: Estimated Cost: $ C;28- Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: — — v i APPLICANT: A, Tel. # CITY USE ONLY - Call (763)) 572-3604 for Permit Fees if mailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ •g .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1100 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 STIPULATIONS: SUBJECT City of Fridley AT THE TOP OF THE TWINS r BUILDING PERMIT (73 04 COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 763-571-3450 NUMBER 910-F15 REV DATE 9 /5/02 PAGE OF APPROV D BY JOB ADDRESS 6890 Monroe Street NE T LEGAL DESCR. LOT NO. 2 BLOCK 3 TRACT OR ADDITION Brookview Terrace 3rd SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lester Pollock 6890 Monroe Street NE 763-571-1586 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same a 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 .0 REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install soffit/fascia 9 CHANGE OF USE FROM TO STIPULATIONS Install soffit ventilation to meet 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 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 1 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 $1,800 SURTAX @@ $ • 90 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 $63.15 Fire SC $1.80 PLAN CHECK TOTALFEE .8 Si GNATURE OF COWRACTOR ORA HORiZED AGENT tDATEi WHE PR P BL -NSP L VA ID IS � LT nATE SSG TURE OF OWNER,F WNER BUILDER, iDATE, NEW [ J CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: _ Owner Name & Addre Contractor. btt-'—,94 _ MN LICENSE # Address: a -S �/�,gad'4t -fir �.01�, _ Tet. # 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 OTHER: ��i Width HgUGround Sq. Ft Construction Type: Estimated Cost: $ _� K6 l� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: - - a a APPLICANT:�l,cP ��-!� Tel. # Call (763) 572.3604 for Permit Fees if mailing In application or 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 Driveway Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] TOTAL $ 6S�. ()-F'- STIPULATIONS: 32 Building U BUILDING Permit No.: 7U 6 L4 G Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dati:APR 2 2009 763-502-4977 FAX EFFECTIVE 1-1-09 DATE — 6) Q YOUR E-MAIL ADDRESS SITE ADDRESS l THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: v 0,1nL S TENANT ADDRESS: to 99 0 IM r,}') Yro e 61TY 4�7� I ( STATi%/ PHONE: ib 3 — % 90 — 0,S9',4 CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION '13 MAINTENANCE/REPAIR gREMODELING DESCRIBE WORK BEING DONE: Li -+4- .� W ti h SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE ORWINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ (0 off 0-0 OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ U $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach 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 applicatio for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the cas of ll w rk which quires review and approval of plans. p SIGNATURE OF APPLI PRINT NAME 4',� (—'�tN ,?v� DATE Building 4 Q S'--- BUILDING Permit Fee _) Permit No.!U IU -b Q Inspections, Plan Review RESIDENTIAL APPLICATION Received By: A 763-572-3604 $ CITY OF FRIDLEY Surcharge Da 'MCT Owl ZM 763-502-4977 FAX License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ EFFECTIVE 1-1-2010 Curb Cut Escrow $ Oat. 2-0 Erosion Control DATE i1 1 ) YOUR E-MAIL ADDRESS Park Fee S� SITE ADDRESS LOHD ,� 1 r u� Y-t'r 0P- (s , eCj TT ` , ` Y) SS�j s Z. THIS APPLICANT IS: OWNER ❑CONTRACTOR Total Due PROPERTY OWNER/ NAME:L-) nC) Uery\ -t- 1- n SQy� TENANT ADDRESS: loD 8 7 b AD n �f6e Jfi f Vr S CITY V-radA(if ,t f� ,'1 STATE ZIP�� PHONE: %lr,3-% COSV- aS9 CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED INDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION MAINTENANCEIREPAIR 13REMODELING DESCRIBE WORK BEING DONE: T2 : NQ C' rlr, 6r n Key\ W Y1Aow uxZ i4G1 C3i.Y1UMle-q,- SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING l7 HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 4 Q S'--- OCCUPANCY TYPE Permit Fee $ „2-� y'L� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ ,; Ll, / Make checks payable to: City of Fridley Attach Stipulations 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 on site; that the work will be in accordance with the approved plan in the case of I work whic uires review d approval of plans. ,f /n SIGNATURE OF APPLI , dy �� PRINT NAME ^ ` iie � `V I' C-TtI M aWILW DATE l D ^ 7 - Zy l o Buitding Permit Fee BUILDING See Back Page for Fee Schedule Permit No.:.f ` I(ry Inst ections —" 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 7-63-572-3604 Surcharge CITY OF FRIDLEY RRIBAM, T 61ff8 2 763-502-49c77 FAX $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) EFFECTIVE 1-1-2010 $ ft + 6 ft = ft x $24 = $ DATE YOUR E-MAIL ADDRESS $ SITEADDRESS (O�RO V Y /� o A V-6 C $ THIS APPLICANT IS: OWNER ❑CONTRACTOR $ PROPERTY OWNER/ NAME: n 4 LEE G u- OjY� p ADDRESS: to Oq O V ,n / 1DI/l Y -() c Bt %U CcCITY rS f � I'd I e L� STATEPWZIP SSq 3z - TENANT PHONE: 1039 — Soqy CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: W i r k 6,1- J S + b o o r- T-- Q 1-a CJ Q OI Qil e U) i t tU 6 cO SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING Q HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑Trim 1. Site Plan/Survey showing the existing structures ❑ Other 11 Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWSFOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF r o L m ^h V fff ck C i1 MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $?y- See Back Page for Fee Schedule Plan Review $ —" 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ ) .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ .L- 737-) Make checks savable to: Citv of Fridlev Attach Stipulations 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 on site; that the work will be in accordance with the approved plan in the case oCgall wjork w/hii�c res review and nd approval of plans. � A %� p t SIGNATURE OF APPLICANII' IV4 W JL Y 1 k W/rC� ;R T NAME L; 61 Aa I", . l7 GL Gl {'ld (�S 1 U - D - z 0 t v