PRE 2010 DOCS3�
City of Fridley, Minn. 5
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERAUT
ate: __ June 15, 1972
OWner: Vprn Dannay Real t -y Inc. Builder rSame _
,Address 7100 - ght-b Avenup N. Address _ Same
LOCATION OF BUILDING
No 1412 Street -----Osborne Road N.E part of Lot
Lot 9 Block 2 Addition or Sub -Division Meadowmoor Terrace
Corner Lot Inside Lot R Setback x _35.5! — Sideyard __ 10 - 51
.' 6* f Elevation --- 893.38 i lain. of f e Dov va er table
Y P F ng (WATER TABLE - 895.8 Approx.)
DESCRIPTION OF BUILDING
To be Used as:
D1de1 11ng Front 32 �,
Depth _ 24.4Height
20' Sq. Ft. 777.6'
Cu, Ft _ 1515 2
GaZage Front 14'
Depth 22' Height
10' Sq, Ft 308
Cu, Ft 3080
Type of Construction --Won cl Esme
Est. Cost — $19,580
_ To be Completed -
Sept,. 1972
WATER LOCATION: 101 E. of Sewer Service
SEWER LOCATION: 168.3' E. of Manhole
Stipulation: This permit issued subject to stipulations in ':Mutual Agreement" signed
by Vern Donnay Realty Inc. and dated June 14, 1972.
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in comp1'ance with all provisions of
Ordinances of the city of Fridley. /) 7— _ _ / J
In consideration of the payment of a fee of 4 -3 -4L. -K—, permit is hereby granted to Vern Donnay_Ega,lty Inc.
to construct the building or addition as described above. This permit is granted upon,
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiM
.within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, Bea heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
i
MPLICAT 1ON, FOIL RESID�' IAL; ALThRATION, `
r
>
F
OR ADI) ITION'$:UILWNG
CITY. QF FRLDLtY;, MIIVNESTA
t�
tiWNER;S NAME: u�r :�nnby Regif-ye 1�ia '�pILDM: 'Vein Donna
halt r Inc.
'
ADDRESS: y 7 -. s tIi " Afir�la.Yirin.ADDRE.SS; :'7303 -36th Av
r. gi ls.
542?
;inn. 584
n
NQ..� STREET:, Q�il
LOTS„,;_;ADDiTION;i�
CORNFB INS IDE x.0►'C ;`_STBACK 57��EYARTI;
App scant"rittach to this farm 1�wo,Certiiicates' of Sa►o L
k d proposed
building location draw#on these Certifiastea.
DESCRI,1'TION'':t;F BUILDING
To Bt Used As �''Res]' t
�zQf#Ple-td: 2414Mr Heigh
s 19 1211 -
Square Feet 777«6Cubic Feet; 14 WX
Garan, Ficx�nt:'14'�Q" Depfti; 2rCs" tieight�t:
"' S care reet � 3� �Q�, Cuhic � deet; . �� �.�.BS' 0
TFPe 'vf Constructio;: I'romeEst mated Cost.;:
10 0000
z To Be C,ompletedsF-PT'
The umde�rsigned hei6by' makes . applicatilm for a 'permit fo�c the
a7CiC hex'ein
specified, . agreeing to do all 46ft ins stiict 'accordance' with �,�,
a ;City of
:
Frith Ordinances `and ruli sof the Des amnent of Builds s
eF g P n8 ►,
and heeeb Y
deol'axes .that sll the ,fats erndfrepresentatioh� stated'in,thi
.
'application
are trae and cexrecC.
F
]SATE; SIGNA
(See -'Reverse Side For. Additional Itifa tidri;�)
S It
DATE PERMIT NO.
DESCRIPTION
INSPECTION RECORD
DATE REPORT
II Al
Ad
OWNER REP. _JNSPECTO
City of Fridley
for Phmbbigand On
Dept. of Bldoe. Phon. 560-345D
DESCRIPTION OF WORE
Kind and Location of t°ixtu Location—
Number,l�/
e e wAM "M.
III Ell 11111. il� I 1� 11
Base
1st
2nd
3rd
PARTIAL RATE SCHEDULE
PLUMBING„ FIXTURE RATES- NO. RATE TOTAL
Number Fixtures ................
x $100
i
Future Fixture Opening ...... • . • ..
x $1.60
i
New Fixture Old Opening ..........
x $1.80
i
Catch Basin .......... ........
x $3.25
i
Water Beater 'Up to 99,000 BTU)... .
x $3.00
$
New Ground Buss Old Bldg.........
x $3.25
$
Electric Water Heater ..............
a 52.00
S
GAS rITTING PEES.
NO. RATE TOTAL
1st 3 Fixtures ............ • ..
x $2.00
5
Additional 8lxtturre�sfy................
: S .755
$ -
Vas Raage to 190.000 BTU o . a.... o ....
x $5.W
6
State Surcharge
$ .50
REPAIRS S ALTERATIONS– Astor to Code
Description o o . .. . . . .. .... .. ... o .... .. a.... . ......... a 4
TOTAL IME 8 122 -3 -SZ
City of Ridley:
The undersigned hereby makes application for a permit for the vsork here!,:
specified agreeing to do all work in strict accordance with the City ordinance
and ruling of the Department of Buildings. and hereby declares that all the fact`
and representations stated In this application are true and correct
P'tidley. Minn '
Owner 0
Kind of Building IE
Used as 12 /�
To be completed about 1/0 �/�-S. , 7 -t—
Estimated Cost. $ "7-0 ®. e--dt—
O1d�Building Permit No. Permit No. �&,3
ROUGH
Signed
Business Phune
�Ari�c
/Application for Pourer ![arts and Heating, C.00iinge Y..1.110ne Rehigereflon and
AirComfitioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ...........................$10.00 $
Replacement of Furnace 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
CH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............$10.00 $each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ....
. $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water
.. 10.00 $
Each add. 200 sq. ft. EDR Steam .... .................
3.00,$—
.00'$-
Each
Each add. 320 sq. ft. EDR riot Water ... ........
... 3.00 $
OIL BURNER—to 3 gal. per hour ......... ... ... .....
6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTUs ....... :..............'
.. me $
over 199,000 BTU See, Fee Schedule
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
x$ 7.00 a --eAt—
Additional Fixtures ..................
x .75 $
Gas Range to 199,000
AIR
CONDRTIONRNa
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL / -
See Fee Sib
TOTAL FEE
Dept. of Bldgs. Phone OW -3480
City of Fridley:
CD. 14'n0
..
The undersigned hereby makes application for a permit for the work herein.
specified, agreeing to do all work in strict accordance with the City Ordinance*
and ruling of the Department of Buildings, and hereby declares that an the facts
and representations stated in this application are true and correct.
.Fridley. Minn- �� _ is lad
Owner
Kind of Building
Used as
To be completed about 7 1'14o
Estimated Cost, $� _
O1dBuilding Permit No.
Permit Pio.
DESCRIPTION OF WORK
HEATING or POWER PLANTS --Steam, Hot Water, No -
Trade Name , ' Size No- 111f-01
Capacity Sq. Ft. E.D.R BTU H.P.
nli
Total Connected Load Rind of FueL—
BURNER — Trade Name Size No
Capacity Sq. FL E:D.R BTU HP:
Sig... JLJ
By—
Business Phone xs___---
SEDGWICK FITS. & ;AIR-DOND. SP
1.001 Xenia Av. S. - 545.1611
(MMARKS-OYER) Hnneapotis, Minn. 55416
53-84-9915.51
City of Fridley
AppiicaMon
for PMmbbg and Gas Ph h it
Dart. of Bldgs. Plan. sec -3480
DESCRIPTION OF WORT[ 1412 N. E. OsborneRoad
Number. Kind a" Location of Fixtures LONAWL
FO1DA��1��BB�m
...............MMMEEMMMMMMMHMENW.
.EMEMMM
..........MMMMMEEMEN
.
................
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................ x $2.00 $ -
Future Fixture Opening ............ x $1.50
New Fixture Old Opening .......... x $1.50 $
Catch Basin .................... x $3.25 $
Water Heater (Up to 99.000 BTU) . • .. x $3.00 $
New Ground Run Old Bldg......... x $325 $
Eleatrlc Water Heater .............. x $200 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures ............ • • • • • • x $2.00 $
Additional Fixtures .................. x $ .75 $
Gas Range to 199.000 BTU ............... 1 x $5.00 $ 5.00
REPAIRS & ALTERATIONS—Refer to Code
Description ............................................ 4
TOTAL FEE $ 5.00
(SURCHARGE $_.50)
City of Fridley:
The .undersigned hereby makes application for a permit for the work herei
specified, agreeing to do All work in strict accordance with the Cita Ordinance
and ruling of the Department of Buildings, and hereby declares that alts the fact
and representations stated in this application are true and correct
9-29-72
Fridley, 111Ii „ 18,
owner Vern Donnay Homes Inc.
Kind of Building Frame
Used as Res.
To be completed about 10-6-72
Estimated Cost, $ 10.00
X700—New. Building Permit No. p i ,9 -2
Uva
Signed. v
MINI
ROUGH
egg nA" Iffthayga $.50
By
Business Phone No
0jG. J., .
G
SUBJECT
PM
City of Fridley
13Oi3BUILDING
AT THE TOP OF THE TWINS
PERMIT®
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
INSPECTION
r � � PROTECTIVE SEC. e
1
,`, CITY HALL FRIDLEY 55452
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-560-9450
910-F15
6/12/75
JOB ADDRESS 1412 Osborne Road N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
2
Meadowmoor Terrace Addition
SHEET
2 PROPERTYOWNER MAIL ADDRESS
ZIP PHONE
Lloyd Erion 1412 Osborne Road N.E.
—7 -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
7 CLASS OF WORK
❑ NEW IX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct an 18 x 10 foot redwood deck
9 CHANGE OF USE FROM TO
STIPULATIONS
1. Provide'42" frost footings on posts.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
redwood
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
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
$300.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
.5O
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.
$5.00
PLAN CHECK FEE
TOTAL FEE
$5.50
SIG URE OF CONTRACTORORAUTHORIZEDAGENT (DATE)
EN PROPERLY AL DATED THIS IS YOUR PERMIT
SIGN URE OF OWNER (IF OWNER BUILDER) (DATE)
BLDG. INSP
D TE
0jG. J., .
G
• - w
.APPLICATION FOR RE•SIDI:NTIAL., ALTERATION,
OR ADDITION.BUILDING PERMIT
CITY OF-FRIDLEY, MINNESOTA
OWNER'S M*1E •- BUILDER •
ADDRESS: / / /� (�"^^� �v' ' ADDRESS:
NO: STREET: ��
LOT: BLOCK • ADDITION:
CORNER LOT: INSIDE LOT: SETBACK:: SIDEYARD:
Applicant attach to this fore Tc -7o Certificates of Survey of Lot and.propose'
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front• z Depth: /0 Height:
Square Feet: Cubic.Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
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 sttict 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 : �/ `S SIGNATURE:
(See reverse Side For Additional Information.)'
&7-0
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERM IT
PER
_ - 15.9.3
COMMUNITY DEVELOPMENT DIV.
r I PROTECTIVE INSPECTION SEC.
I �
CITY HALL FRIDLEY 55432
612-571-3450
RECEIPT NO
y
NUMBER
910-F15
REV.
I DATE
9/19/80
PAGE OF
APPROVED BY
JOB ADDRESS 1412 Osborne Road N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
9
2
Meadowmoor Terrace SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Loyd Erion 1412 Osborne Road N.E. 786-6415
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Sane
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 ❑
ElNEW ❑ ADDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Install masonry chimney and wood burning stove
9 CHANGE OF USE FROM 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
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
$300
$.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
TOTAL FEE
$8.00
SIG TUREOF ONiR TOR OR AUTHORIZED AGENT (DATE)
- WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG INSP 100E/
SiGyrURE, WNER BUILDERI IDAT 1
. e
CITY OF FRIDLEY
APPLICATIOPJ FOR RESIDENTIAL BUILDING .PERMITS
(New, Alterations, Additions, or Repairs)
OWMER: O
ADDRESS:
TEL NO:
BUILDER: - 06,0741'-�
ADDRESS:
TEL NO:
Construction Location
STREET NO: STREET: �� r
r
LOT: BLOCK: ADDITION: O?Jo �—
Corner Lot: Inside Lot: -tlol Setback.: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
/Front: Depth: Height:
Squane.Feet: Cubic Feet:
Front: Depth: Height.
Square - Feet: Cubic Feet:
Type of Construction:
To Be Oompleted:
Proposed Driveway Width If New Opening Is Desired:
Estimated Cost: $ 30
Alt. A Alt. B
SEE REVERSE SIDE OF SHEET
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 armee true and correct.
D,'�TE : /1j 9111PIP SIGNATURE:
Stipulations:
•S c
L1(l ur rK1ULLY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT.
-- -- -RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures. $ 5.00 $
Future Fixtures $ 3.50 $
01-d Opening, Now -Fixture- _ S 1.50
Beer Dispenser _- `-'_ _ ; .00 $ - -
Blow Off Basin ; 5.00 $
Catch Basin $ 5.00 $
Rain wezir Leader S 5.00 $
Hydraulic valve S 5.00 $
Sump or Recetying Tank_- S 5.00 5
water Treating Appliance $ T.00 j
Hot. -Water liea.ter $ 5.00 $
Gas Range $ 10.00 S
Gas Dryer $ 10.00 $
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
11 of value of Fixture or Appliance
- --' State Surcharge S .50
Reinspection Fee S - __=_ ^�
TOTAL FEE S I:1
Job Address � � R` 'D /y /_
Department of Buildings
City of Fridley
Tel. 1571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of theDepartmentof Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. , 19
OWNER�/� J L7_ V �S
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIrt4TcD COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company
Signed By
Tel. No.�i
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT
!11aI1i(14 FEE FOR ANY PLUMBINr, PERMIT IS $10.00
PLUS THE S.50 STATE SURCI(AkGE -
m
T.
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let
'2nd
-
-
-
-
3rd
4 tjj
—
-
(R)1_ - Future Connection Opening
Connected_ with - -Sever
(•)_- New Fixture, Old Opening
Mater
-- -- -RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures. $ 5.00 $
Future Fixtures $ 3.50 $
01-d Opening, Now -Fixture- _ S 1.50
Beer Dispenser _- `-'_ _ ; .00 $ - -
Blow Off Basin ; 5.00 $
Catch Basin $ 5.00 $
Rain wezir Leader S 5.00 $
Hydraulic valve S 5.00 $
Sump or Recetying Tank_- S 5.00 5
water Treating Appliance $ T.00 j
Hot. -Water liea.ter $ 5.00 $
Gas Range $ 10.00 S
Gas Dryer $ 10.00 $
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
11 of value of Fixture or Appliance
- --' State Surcharge S .50
Reinspection Fee S - __=_ ^�
TOTAL FEE S I:1
Job Address � � R` 'D /y /_
Department of Buildings
City of Fridley
Tel. 1571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of theDepartmentof Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. , 19
OWNER�/� J L7_ V �S
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIrt4TcD COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company
Signed By
Tel. No.�i
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT
!11aI1i(14 FEE FOR ANY PLUMBINr, PERMIT IS $10.00
PLUS THE S.50 STATE SURCI(AkGE -
SUBJECT
City of Fridley
217 2 2
AT THE TOP OF THE TWINS
BUILDING PERMIT
`
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
_
L PROTECTIVE INSPECTION SEC.
98
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
1/27/93
JOB ADDRESS !412 Osborne Road NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
9
I
2
Meadowmoor Terrace Addition SHEET
I
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Michael Kabitz 1412 Osborne Road NE 783--0539
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
3700 Annapolis Ln Suite 145 Plymouth 55447 553-0020 2406
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION fJ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Dwelling (Vinyl)
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED$.14
�QO
$7.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$ 153.00
Fire SC $14.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$ 5.00 License SC
$179.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
PRO RLY V IDA D THIS IS PE,IRwMIT
�:HE YOUR
^ �y
L
LOG INSP / DATE is
SIGNATURE OF OWNER OF OWNER BUILDER, IDATEI
NEW [ l Effective 3/l/92
ADDN [ ] CITY OF FRIDLEY
ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: . �7/ �To OQcC
Legal Description:
Owner Name Address:Z14dl Q C Tel. # W-�l
Contractor• elfl ga-y �' �G`c�� MN LICENSE # c5�Ve(�a
c,�k�Z 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:
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width HgtlGround
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [ J Inside t [ ] F Ydack Side Yard Seib ks
Type
of Construction: ,t y /�e °LGa�x�r timated Cost: $ Seth
Approx. Completion Date.
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ = $
DATE: /—C f P
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Tel.
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ j Not Necessary [ ]
TOTAL //19, 9°
STIPULATIONS:
SUBJECT
PER
City of Fridley
5��
8jf
AT THE TOP OF THE TWINS
BUILDING
PERMIT
u`
�
NO.
COMMUNITY DEVELOPMENT DIV.
r I � PROTECTIVE INSPECTION SEC
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
910-F15
6/23/97
JOB ADDRESS 1412 Osborne Road NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
2
Meadowmoor
Terrace
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Berri Rabitz 1412 Osborne Road NE
783-0539
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Midwest Siding & Roofing 18979 Gladstone
Blvd, Maple
Grove MN 416-4808
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20010277
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION [j REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (17 Sq) 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 REOUIRED 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 I 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
$1,054
$.53
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 OTH R STATE OR LOCAL LAW REGULATING CON-
$37.50
Fire SC $1.05
OR THE PERF RANCE OF ONSTRUCTION
ST ICTIO M
PLAN CHECK FEE
TOTALFEE
aAUT..R1ZEDAGENT
License SC $5.00
$44.08
Si vATUR F NTR CTOR 1.(DATEi
HEN PROPERLY 18ATED THIS IS YOUR PERMIT
ti
BLDG NSP
TATE
SIGNATURE OF OWNER OF OWNER BUiLDERI iDATEj -
NEW [ ) Effective 1/1/97
ADDN [ ) CITY OF FRIDLEY
ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION3l��
ConstructionAddress: / �� �i S�o� �► �( /r!�' .
Legal Description:
Owner Name & Address: % ��, ' g �, f Tel. # 3 —01-3 7
Contractor: J/�j , ,N� s �-A S,' �( �, i a- /�v �MN LICENSE # o el d � 7 7
Address:(G'S7 g !, Jr #
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
DESCRIPTION OF IMPROVEMENT
Construction Type: (fU v, VZo j
Width Height
Width Height
Width Hg°t/�Ground
/U -
V�-e l /S�--
Driveway Curb Cut Width Needed: Ft. + b Ft =
Sq. Ft.
Sq. Ft.
Sq. Ft.
Estimated Cost: $ 1 ��� %� i
(Fee Schedule Back)
_Ft x $ _ $
DATE: 3 -7 -7 APPLICANT: Tel. # �� ' `'l �o y
TOTAL $
STIPULATIONS:
14
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
.001 of Permit Valuation (1/10th%)
State Surcharge
$.50/$1,00 Valuation
SAC Charge
$
$950 per SAC Unit
License Surcharge
$ oo
$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:
14
NO.
7 F
sue.iEtT(PERMITCity
of Fridley
30327
AT THE TOP OF THE TWINS
BUILDING
PERMITRECEIPT
NO.
v______COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.6
PROTECTIVE
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
j612-571-3450
910-FlS
10/1/99JOB
ADDRESS 1412 Osborne RoadNE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
2
Meadowmoor Terrace Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Kerri Kabitz
783-0539
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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 ZX ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reb '1 a 's in ' ' deck9
CHANGE OF USE FROM TO
STIPULATIONS
See stipulations on plan.
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL. PLUMBING, HEATING,VENTILATING
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
OR AIR CONDITIONING
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
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 8E COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1598
.80
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
57,05
Fire S 1.60
PLAN CHECK FEE
TOTAL F
5
SIGN TUREOFCON"RACY RORAUTHORIZEDAGENT IDATEI59
N RO E LIDATE T S ISYOUR PERMIT
S. AT E OF OWNS IF OWNER UILDERI IDATEI
BLO INSp
F!A
NO.
7 F
NEW [ ] '
&406 LL I k Tel. #
Effective 5/10/99
ADDN [ ]
Permit Fee
CITY OF FRIDLEY
Fee Schedule on Reverse Side
ALTER [ ]
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
.001 of Permit Valuation (1/10th%)
State Surcharge
$
BUILDING PERMIT APPLICATION
SAC Charge
Construction Address:
4
(D&feA2..
Legal Description:
'S i n91 e.
r—A ev%.y
Alt. "A" or Alt. "B" Above
Owner Name & Address: Kerr;
1oziaa&vt Z� 6Q1 Tel. #
41A- 773 •O
Contractor:
$
MN CENSE #
Sewer Main Charge
Address:
Agreement Necessary [ ] Not Necessary [ ]
Tel. #
$
Attach to this
application, a Certificate of Survey of the
lot, with the proposed construction dr .
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Length
Length
Length 17 # A
1-7
Construction Type: C) PC h
Driveway Curb Cut Width Needed:
[ON OF IMPROVEMENT
f 6 !J r
Width
Height Sq. Ft.
Width a t � 11 Hgt/Ground,E "Sq. Ft. f ;r� O .
= -'V/�5 9
w-8 on S4 Pboi-a5C V2 (vib^ a (5 ots
Estimated Cost: $ t 1�00 _ 00
Ft. + 6 Ft = Ft x $
DATE: 9 APPLICANT:
&406 LL I k 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
$
$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
$
STIPULATIONS: