PRE 2010 DOCSCity of Fridley, Minn.
BUR DING PERMIT
Date: ....1�.r .!�!.Y . � .............
Owner .......................................
Address ......................................
N® 3996
Builder ...�.. ...... ..........
Address .............................................
LOCATION OF BUILDING
No. .. Street O . PS .............. -6 4 -Ai. ...... Part of Lot ........ ...... ....... . .
Lot ...?sem 3... Block .... \.5 ........ Addition or Sub -Division 6A-&.:.. ..... . ���. ......�7 �
Corner Lot ............ Inside Lot ............ Setback �/: O ' Sideyard �d -� . .
........ ..............
DESCRIPTION OF BUILDING
To be Used as%
..... .. Front7:�. �.T. Depth � .� 'Height-�,9 ,..o. Sq. Ft/0 VY Cu. Ft. ".51
.................... Front ........ Depth Height/ ..... Sq. Ft......... Cu. Ft. ........
Type of Construction ................... Est. PP. 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 j7omplipnce with all provisions of
ordinances of the city of Fridley. F�1
......ss.' . lrf.'.Y Ml . ...1� iaU ...................... .
1�
In consideration of the payment of a fee of $ 4 A. O ®, 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.
City of Fridley, Minn.
BUILDING PERMIT
Builder
Address
No. / LO TIONI,�NG
L___ street � .d. Part qf Lot
Lot _ __ Block Addition or Sub -Di on
Corner Lot . Inside Lot f�— _ ::Petback — Sideyard
Sewer Elevation FoleAslum Elevation
DESCRIPTION OF BUILDING
�p3�y
No 6515
To
Front �� Depth Height ZZ Sq. Ft Cu. Ft
IJ Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est. Coat�0!-P�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 complian with all p ovisions. of
ordinances of the city of Fridley. X
In consideration of the payment of a fee of $ , perms 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 vin of any of the provisions of said
ordinance.
NOTICE:
Tis permit dost not emer the construction, hwhQadon for wh%V, phmbing, gas hoathig, sewer or water. Bo sure to we
the BuiMh* hupacter for separate pwn&s for these Hams.
APPLICATION FOR BUILDING PERMIT
CITY OF'FRIDLEY, MINNESOTA
OWNER' S NAME
�,L O //1 Ai
O fr /SCA-
l i BUILDER ® f�4►®/I® lP
ADDRESS
A / ®VF,
fi Z:0 N ' 0R•
ADDRESS .
LOCATION OF BUILDING
No. FAA Street ® yger-dil Part of Lot
Lot 2L 3 Block -Addition or Subdivision ,foo VIEW 7Ed--&ACF �D•
Corner Lot. Inside Lot I' Setback Side Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates. '
To be used as:
Front a-3- Depth a. Height
Sq. Ft. cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction k-/? 444 E: 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 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 67-7 9L `{ C �' SIGNATURE,,��
(Schedule of Fee Costs can be found on the Reverse Side).
Y ♦ w t
y c f'
. 0%
i
sue�ECT
MIT NO.
City of Fridley
26306
AT THE TOP OF THE TWINS
r
BUILDING
PERMIT
_ COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC.v�
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
6/22/98
JOB ADDRESS -8{1 Overton Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
25
5
Brookview Terrace 3rd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Viking Home Improvement Co 4832 2 1/2 St NE, Mpls., MN 55421 572-1821 4772
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 ❑ ALTERATION j] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (27 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with 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
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
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
$1.37
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,751
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CON-
Fire SC $2.75
ST TIOI±I R THE PERFORMANCE OF CONSTRUCTION.
$74.75
PLAN CHECK FEE
TOTAL FEE
XXX License
SC $5.001
$ 83.87
SIGNATUR F ONTRACTOR OR AUTHORIZED AGENT (DATEI
WHEN THIS IS YOW P`EE/RvSMI.Tpy�
/PROPERLYYALIDATED
)NSP
FATE
SIGNATURE OF OWNER I IFOWNER BUILDER) IDATEIBLD
. 0%
i
NEW [ ]
ADDN [ ]
ALTER [ ]
ConstructionAddress :
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
90-L/
ry �
Effective 1/1/98
Legal Description:
Owner Name & Address: 40 C A,11 AfAY Tel. # 5-96 o i i s'
Contractor: •-e 2�;��� uca..�.J C o . MN LICENSE # 17 7 2—
Address:.
Address:. •E Tel. # S72 " /�e2
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:
e- Ro o
-<P os- a- 2 e 601-
-Construction Type: Sr✓/e.- it���,2
Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft.
+ 6 Ft =
Ft x $ _ $
DATE: 2 2,J,✓r,
MAPPLICANT:
Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee $
Sewer Main Charge
TOTAL
STIPULATIONS:
$ 83. c'�
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 [ ]
.4.
\9111 @ 'n - - 0 - -I-) i
Building
PLUMBING
U ) I
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604CITY
OF FRIDLEY
Date Rec'd:� 64
DATE YOUR E-MAIL ADDRESS
SITE ADDRESS Do-( c ver n Dr.
THIS APPLICANT IS: ❑ OWNER PeONTRACTOR
PROPERTY
NAME: rjociadnq't—
ADDRESS:564yyLg_ CITY ST zip
OWNER/
TENANT
'V?,-
PHONE:
CONTRACTOR
NA IEW —
SUBMIT A COPY OF
STATE LICENSE EXP DATE 1W D (o
® t
YOUR STATE
ADDRES CITY STATE ZIP
LICENSE WITH
/
I (?>L4 Q
APPLICATION
a _
PERMIT TYPE
GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW LACEMENT
DETAILED DESCRIPTION OF WORK C4 &OLI: ink
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $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)
BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING
_ _FLOOR
_ GAS PIPING o= Cm umNsE) _ SWIMMING POOL —WATER SOFTNER ($35)
—BATHTUB
_ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15)
DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION
WATER METER OTHER
a
Permit Fee $ 20 .03
Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $ .150
_ys
State Surcharge = $ .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 -,or a. permit of to start without a permit; that the work will be in accordance with the
approved plan in the case of all o ich re es review an approval of plans.
L'
NAME&c5 oten DATE
SIGNATURE OF APPLICANT PRINT
PEASErNOTE",''AXM"
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977 "�5
po