PRE 2010 DOCSCity of Fridley, Minn.
BUIIDING PERWr N® 3887
Date: .2-7:7�C2
Owner....................................... Builder a't. .,YQ.............
Address ...................................... Address ............/.........................
LOCATION OF BUILDING
No.. 0.... Street Part of Lot ................ ...........
Lot ....... Block .... .. :� ........ Addition or Sub -Division .. ...�. .�
Corner Lot ............ Inside Lot .. ....... Setback Sideyard .. AQ.. f9
DESCRIPTION OF BUILDING
Tole Used .. _
Front y�7 Q 4 Depth `'...� Height / "{� . Sq. Ft. /� Cu. Ft.
h , e/
�!.J .... .. Front A a " Depth �� -�41t
-OHeight / 0 g Sq. Ft. t. � Cu, ru. 1. if
Type of Construction .......... .....To be Completed .................. Fst. Cost.p t,
In consideration of the ismance to me of a permit to construct the building dearibed above, I agree to do
the proposed work in accordance with the descriptlon above set fortlyand in compliance with all provisions of
ordinances of the city of Fridley. ../AZT .. 7 . . ........
cow / 9"- 1
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
t• �V , 0
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners N Builder
2/S®o Y}
Address �. ��� Address
LOCA ON OF BUILDING
No. / % 6 Street Part of Lot
Lot ._.. Block � Addition or Sub. Div
Corner Lot Inside Lot Set Back
Applicant attach to this form Certificate of Survey of Lot and proposed
building location.
DESCRIPTION OF BUILDING
-be used asr
Front- Depth Height
Sq. Ft. �'® �" $' .. Cu. Ft.®
Front _...._.._..... Depth -Height
Sq. Ft, Cu. Ft. _»__....,....-
Type of Construction Estimated C*
/&4W
To be 'completed L
The unde'rsigned hereby makes application for a permit for the work
herein specified, agreeing to do all work in strict accordance with the
City Ordinanc;es'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 --,A ' 4 ..---.--- Signature a /`
(A Schedule of Fee Coats can be found on the Reverse Side)
0 ?_� 3 1P
Application for Power Plants and Heating. Cooling, Ventilation, Refrigeration and
Air Conditioning System and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470
GRAVITY WARM AIR: RATE TOTAL Location 7 40
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $
Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 $
Each add. 200 sq. ft. IDR. Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
OIL BURNER to 3 gaL per hour ......................... 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $
(Add 50c each over 3)
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
REMARKS:
See Fee Schedule
TOTAL FEE
" : / _'U'n - '�' -
City of Fridley:
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 applicatio true and correct.
Fridley, .
in
` 19i
Owner `� - 1 195—
Kind of Building h-��'� �' % 195—
Used as
To be completed about
Estimated Cost, $ !�C
Old New. uilding Permit No.
/ G
DESCRIPTION OF WORK
BEATING or P97M PLANTS—Steam, QH-ot Wa Warm Air No f
Trade Nam, e76L,r Size No es
Capadtp Sq. Ft. E.D.R- LO 0 r &-&T) BTU H.P.
Total Connected Load Kind of Fue
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
S AY N..WELTER HEATING=.
4637 CHICAGO A .
By M1NNPARMn Ir"
7_ MINNESOTA
11 POST IM -8-58 Business Phone No moi- �O
Date:
Owner:
Address
City of Fridley, Minn.
BUILDING PERMIT
Builder
Address`
LOCATION OF BUILDING
N° 8220
sy
No. Street Part of Lot
Lot Block } Addition or Sub -Division
Corner Lot _ Inside Lot Setback __._ Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height Sq. Ft Cu. Ft
Front Depth Height Sq. Ft Cu. Ft
Type of Construction Est. Cost _ = To be Completed
111
In consideration of the issuance to me of a permit to construct the building described above Ito to do
the propoxd work in accordance with the description above set forth and in compliance with aft 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
within 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 net cover the conatrudlmr, but ibidon for whdng, plumbing, ga hath& sewer or water. Be sues to see
the Building hnpsator, fee separate permits Por thea items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S
NAME I ��, ,`,
(�� 7-r .t ,
BUILDER 4 _- iZ _ 5 Z -v ' , Z - H L 'y'c IA-) L
ADDRESS
���
���,z
ADDRESS Z6 -5 /
AL
LOCATION OF BUILDING
NO. 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.
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 ��C�� ®a
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 at d in this application
are true and correct. / -1-1
DATE_ /�' �� SIGNATURE
(Schedule of Fee Costs can be found on the Reverses de).
91-8L :'87
1.1 I T ur rKiuLrj
APPLICATION FOR PWMBING AND GAS FITTING PER41T
Job Address 949 OVERTON DRIVE
� Department of Buildings
City of Fridley
Tel. #571-3450
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
hls-her Fixtures
x
$3.00
S
Future Fixture Opening •_
x
$2.00
$
water
Heater
V
v
v
h
rUl
M
Catch Basin �_
x
p
$
water Heater - to 99,000 BTU,
CI
M
ft "4
A
x
V
$
Water Softener __
x
$7.90
$
New Ground Run old Building
x
$5.00
.5
4
Electric Water Heater - -X
j
H
�
�
GAS FITTING FEES:
y`ja�
a�R�
a
�
a
0
as
lec
a
%u
.Gas Range to 199,000 BTU
x
�
$
REPAIRS 8 ALTERATIONS
a
w
First $100.00
$5.00
$ �_
each add. $100.00 or fraction
$2.00
$ �_
State Surcharge
$ .50
TOTAL FEE
$ .00�
As t
2,d
r3..
ins
a11
grill
'
F4th
(R) - Future Connection Opening
F.
Connected with Sewer
- New Fixture, Old Opening
Wates
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
hls-her Fixtures
x
$3.00
S
Future Fixture Opening •_
x
$2.00
$
Now Fixture. Old Opening
x
$2.00
$
Catch Basin �_
x
$5.00
$
water Heater - to 99,000 BTU,
x
$5.00
$
100;000 BTU to 199,000 BTU
x
$10.00
$
Water Softener __
x
$7.90
$
New Ground Run old Building
x
$5.00
$
Electric Water Heater - -X
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
x
$3.00
$
Additional Fixtures �_
x
$1.00
$
.Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS 8 ALTERATIONS
First $100.00
$5.00
$ �_
each add. $100.00 or fraction
$2.00
$ �_
State Surcharge
$ .50
TOTAL FEE
$ .00�
REINSPECTION FEE
dS)0.00)
The undersigned hereby makes application fora permit for the work herc
specified agreeing -to do all work in strict accordance with the City Codc
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and cot
Fridley, Mn. 5-12-77 , 19
OWNER HAROLD WESTON . •
KIND OF BUILDING frame
USED AS res
TO BE COMPLETED ABOUT 5,-19-77, _
ESTIMATED COST 10.00
OLD - NEW BUILDING PERMIT NO. PEWT N0.
Company
MINNEGASCO
Signed By MINNEGAgr-n
Tel. No.
ROUGH INSP.
Date
FIN4L INSP.
Date
APPROVAL FOR PERMIT +
MINIMUM FEE FOR ANY pLUNBING PERMIT IS $7.$0
:lass "A" Surcharge .500
Q
City of Fridley
SUBJECT
15826
AT THE TOP OF THE TWINSBUILDING
PERMIT
<RE
rp
i L'_ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
�®
'
,`� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
j, 612-571-3450
910-F15
17/15/80
JOB ADDRESS 940 Overton Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
5
Brookview Terrace 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Martinson Builders 8131 - 6th Street N.E. 786-1599
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
❑ NEWx❑ ADDITION ElALTERATION ❑ REPAIR ❑ MOVE ElREMOVE
8 DESCRIBE WORK
Construct a 2616" x 8' Addition to back of (brelling & garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Wmas
SEPERATE PERMITS REQUIRED FOR *19ft Saw suing can local utliltw
HEATING, SND SIGNS. MEPWItE-ELECTRIC•on Er
REQUIRED BY LAW
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
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
00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
212
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$6,600
$3.30
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 O TZHEP - FORMANCE OF CO STRUCTIO
$42.00
NONE
PLAN CHECK FEE
TOTALFEE
$10.50
1 $55.80
SIGNATURE OF CONTRACT ROR XOTHORIZED AGENT IDATE) 01
WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT
BLDG INSP I OAT
SIGNATURE OF OWNER I IF OWNER BUILDER) IDATEI
OWNER:
-ADDRESS:
TEL NO:
CITY OF FRIDLEY
APPLICATIOtd FOR RESIDENTIAL_ BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
, A-1111
z'
BUILDER:
ADDRESS:l""tel
TEL NO:v�
Construction Location
STRESi T NO: -�� STREET:
LOT: �. BLOCK: ADDITION:
Corner Lot: Inside, Lot: Setback: Sideya.rds:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
`r IIf
Front: - Depth: Height:
Square. Feet: Cubic Feet:
Depth: H eight:
Square• Fee ft: Cubic Feet: a
a 9 31 •� �(0 _
Estimated Cost:
Type of Construction:
7b Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is.Desired: $ $
SEE REVERSE SIDE OF SHEET
• s
• i
Mie 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: SIGNATUF" :
r {
Stipulations: f
I
00
�.� )®gp.
T',,
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
.AIR CONDITIONING SYSTEMS AND DEVICES 1
PARTIAL RATE SCHEDULE
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
each add. 50,000 BTU
Replacement of Furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
STEAM OR IST WATER SYSTEM:
Boiler & Lines up to 100,000 BTU
each addn. 50,000 BTU
Boiler only up to 100,000 BTU
each addn. 50,000 BTU
OIL BURNER- to 3 gal. per hour
each add. 3 gal. per hour
GAS BURNER- from 100,000 BTU to 199,999 BTU
(over 199,999 BTU see Fee Schedule)
The undersigned hereby makes application for a permit for the work herein
$12.00 $-� specified agreeing to do all work in strict accordance with the City Cades
4.00 $ and rulings of the Department of Buildings, and hereby declares that all the
7.00 $ facts and representations stated in this application are true and correct.
7.00 $�
4.00 $ Fridley, Minn.
OWNER 7 "/2
$12.00 $
4.00 $
7.00 $
6.00 $
$10.00 $
10.00 $
$10.00 $ f
S
GAS FITTING FEES:
1st 3 Fixtures x $ 3.00 $
Additional Fixtures x $ 1.00 $
Gas Range to 199,000 BTU x $10.00 • $
AIR CONDITIONING $ �.
FAN HEATING SYSTEMS See Fee Schedule $
VENTILATING SYSTEMS $
ALTERATIONS $ REP IRS $
Surcharge $ .50
TOTAL FEE $
ROUGH INSP. REINSPECTION FEE
Dated2 eo ($10.00)
FINAL INSP.
Date ,�J
APPROVAL FOR PERMIT 11kj
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
KIND OF BUILDING �s ✓�
USED AS
TO BE COMPLETED
ESTIMATED COST ,(LO
OLD -4 W BUILDING>l-EERMIT NO.
PERMIT NO. / J-7
DESCRIPTION OF FURNACE/BURNER
L
HEATING or PO R LANTS, Steam, _Hot Water, z'm Aii- N/oma.
Trade Name z% Size No.
Capacity Sq.�jFt. eE•DR BTU HP
Total Connected Load �, A �% `� Kind of Fuel 1<72 ,!r
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Compan �-
Signed By %
Tel. No.
.
GRAVITY WARM AIR:
RATE
TOTAL
Job Address
Furnace Shell & Duct Work
$12.00
$
Replacement of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
S
Department of Buildings
Repairs & Alterations each add. $500.00
4.00
$
City of Fridley
Tel. #571-3450
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
each add. 50,000 BTU
Replacement of Furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
STEAM OR IST WATER SYSTEM:
Boiler & Lines up to 100,000 BTU
each addn. 50,000 BTU
Boiler only up to 100,000 BTU
each addn. 50,000 BTU
OIL BURNER- to 3 gal. per hour
each add. 3 gal. per hour
GAS BURNER- from 100,000 BTU to 199,999 BTU
(over 199,999 BTU see Fee Schedule)
The undersigned hereby makes application for a permit for the work herein
$12.00 $-� specified agreeing to do all work in strict accordance with the City Cades
4.00 $ and rulings of the Department of Buildings, and hereby declares that all the
7.00 $ facts and representations stated in this application are true and correct.
7.00 $�
4.00 $ Fridley, Minn.
OWNER 7 "/2
$12.00 $
4.00 $
7.00 $
6.00 $
$10.00 $
10.00 $
$10.00 $ f
S
GAS FITTING FEES:
1st 3 Fixtures x $ 3.00 $
Additional Fixtures x $ 1.00 $
Gas Range to 199,000 BTU x $10.00 • $
AIR CONDITIONING $ �.
FAN HEATING SYSTEMS See Fee Schedule $
VENTILATING SYSTEMS $
ALTERATIONS $ REP IRS $
Surcharge $ .50
TOTAL FEE $
ROUGH INSP. REINSPECTION FEE
Dated2 eo ($10.00)
FINAL INSP.
Date ,�J
APPROVAL FOR PERMIT 11kj
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
KIND OF BUILDING �s ✓�
USED AS
TO BE COMPLETED
ESTIMATED COST ,(LO
OLD -4 W BUILDING>l-EERMIT NO.
PERMIT NO. / J-7
DESCRIPTION OF FURNACE/BURNER
L
HEATING or PO R LANTS, Steam, _Hot Water, z'm Aii- N/oma.
Trade Name z% Size No.
Capacity Sq.�jFt. eE•DR BTU HP
Total Connected Load �, A �% `� Kind of Fuel 1<72 ,!r
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Compan �-
Signed By %
Tel. No.
x
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLU,\I3ING FIXTURE RATES: NO. RATE
:.` -der Fiat: res x $3.00
Fazure ?ixtsre Cpenirg x $2.00
New Fixture, Old Opening x S2.00
Catch Basin x $5.00
Nater Seater - to 99,000 BTU x $5.00
100,000 BT•J to 199,000 BTU x $10.00
Water So£teaer x $7.00
New Ground Ran Old Building x $5.00
Electric Water Heater x $5.00
GAS FITTING FEES:
1st 3 fixtures x $3.00
Additional Fixtures x $1.00
Gas Range to 199,000 BTU x $10.00
REPAIRS v ALTERATIONS
First $100.00 $5.00
each add. $100.00•or fraction $2.00
State Surcharge
TOTAL FEE
REINSPECTION M
(514.40)
Job Address
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with t1he City Codes
and rulings of the Department of Buildings, and hereby declares that all
the faces and•roprusontations stated in this application arc tr.:e and correct
Fridley, Mn. (F — I: 199ho
OWNER
KIND OF BUILDING
USED AS C%
TO BE COMPLETED ABOUT
N
TOTAL
Q
OLD - NEW BUILDING PERP:IT NO. PERMIT NO. 938 /n
a
m
$
ro
$Company
v
$—�
x
u
Signed By
Plater
d
m
w
S
sro+
••c+
0
C
Date
4+
s,
0414
$
rte,
Heater
o
y
^+
a
H
•- i ro
N
0
rd
Cr
a
M
JI
•.t
0
+7
3J N
N
N
0
4
O
O
+�
N
C
0
o
O
O
is
ro a
o ro
N
roC
VI
U
q
t!1
3
Win
.c
^+
w
U P9
iC 3
C7
;�
.c
a
o
as
lec
1st
2nd
3rd
Std:
1
I
(R) _ :-ature Connection Opening
Connected with Sewer
(*} = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLU,\I3ING FIXTURE RATES: NO. RATE
:.` -der Fiat: res x $3.00
Fazure ?ixtsre Cpenirg x $2.00
New Fixture, Old Opening x S2.00
Catch Basin x $5.00
Nater Seater - to 99,000 BTU x $5.00
100,000 BT•J to 199,000 BTU x $10.00
Water So£teaer x $7.00
New Ground Ran Old Building x $5.00
Electric Water Heater x $5.00
GAS FITTING FEES:
1st 3 fixtures x $3.00
Additional Fixtures x $1.00
Gas Range to 199,000 BTU x $10.00
REPAIRS v ALTERATIONS
First $100.00 $5.00
each add. $100.00•or fraction $2.00
State Surcharge
TOTAL FEE
REINSPECTION M
(514.40)
Job Address
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with t1he City Codes
and rulings of the Department of Buildings, and hereby declares that all
the faces and•roprusontations stated in this application arc tr.:e and correct
Fridley, Mn. (F — I: 199ho
OWNER
KIND OF BUILDING
USED AS C%
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SUR'OH%+RG'
$ .50
TO BE COMPLETED ABOUT
ESTIMATED COST
TOTAL
Q
OLD - NEW BUILDING PERP:IT NO. PERMIT NO. 938 /n
�
$
$Company
$—�
Signed By
$
$
Tel. No. 7-
S
$
ROUGH INSP.
$
Date
FINAL INSP. r® �ag-fid
$
Date
$
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SUR'OH%+RG'
$ .50
SUBJECT
City of Fridley
5
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
T NO.
' '
�L
COMMUNITY DEVELOPMENT DIV.
~
r PROTECTIVE INSPECTION SEC
NUMBER
REV
DATE
PAGE OF
F/
APPROVED BI
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
11/10/94
JOB ADDRESS
940 Overton Drive NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
5
1 Brookview Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Lillian Westin 940 Overton Drive NE
571-6426
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
D & D Home Improvement Inc 7401 Central Ave NE, Fridley
55432
784-7543
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 ❑ REPAIR
❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reroof House 21 Squares) 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 REQUIRED 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
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
I 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
$.58
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,155
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-
CONSTRUCTION
$29.00
Fire SC $1.16
STRUCTI R THE PERFORMANCE OF
PLAN CHECK FEE
TOTALFEE
--
License SC $5.00
$35.74
7---(c7ATEi
IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
WHEN PROP
4Y VALIDATED THIS IS PERMIT
B G INSP
/YOUR
{
IT
/
GATE
SIGNATUREOF OWNERIIF OWNERBUILDERI IDATEI
NEW [ ] Effective 5126/93
ADDN [] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Constriction Address.
Legal Description:
Owner Name & Address: e.57 -M) Tel. # S- -oYIZ
Contractor: 0 8 0 Home Improvement mac_. MN LICENSE # 4840
Address: 7401 Central Avenue N.E. , Fridley, MN 55432 Tel. # 84-7543
Attach to this application, a Certificate of Survey of the
K with the proposed construction drawn on it to scale.
LIVING AREA: Length . Width Height Sq. Ft.
GARAGE ARES: Length Width Height Sq. R.
DECK AREA: Length Width Hgt/Gr and Sq. R.
OTHER:
Corner Lot [ ] Inside Lot [ ] Ft. Yd Suck Side Yard Setbacks
Type of Construction: AUa Z .eAl d cost: �-
Approx. Completion Date: vZ l s.WAyP. S
(Cost on Back)
Driveway Curb Cat Width Needed: Ft. + 6 Ft = Rx. $ =$
DATE: / l YU APMCAMT.� Tel.
Perndt Fee
$
o� 9 D D
Fee Sclmdule on Reverse Side
Fire Surcharge
$
/, 14,
.001 of Permit Valuation (1/10th%)
State Surcharge
$
S vv
$.501$1,000 Valuation
SAC Charge
$
$750 per SAC Unit
License Surcharge
$
-S,00
.$5.00 (State Licensed Residential Cont rates)
Driveway Escrow
$
Alt.' "A" or Aft. "B' Above
Erosion Control
$
Conservation Plan Review $450.00
Park Fee
$
Fee Deteamined by Engineering
Sewer Main Charge
$
Agreement Necessary [ l Not Necessary [ ]
TOTAL
$,;`�.
STIPULATIONS:
-
SUBJECT
R NO.
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r I L PROTECTIVE INSPECTION SEC_J
I -/
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
4/30/97
JOB ADDRESS 940 OVERTON DRIVE NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
5
Brookview Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Lillian Westin 940 Overton Drive NE
571-6426
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
Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 12' x 16' Shed - Remove existing 10' x 10' Shed
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
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
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
$1,700
$.85
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 OTHER STATE OR LOCAL LAW REGULATING CON-
$54.00
Fire SC $1.70
STRUCTION R THE PERFORMANCE CON TRUCTION
_
PLAN CHECK FEE
TOTALFEE
e""l$56.55
SIGVX1 RE OF CD ACT R OR AUTHORIZED AGENT tDATEI
WHEN PROPER VALIDATED THIS IS YOUR PERMIT
BL INSP
t -
GATE
_
SIGNATURE OFOWNERIIFOWNER BUILDERI tOATEi
NEW [ l
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: `/ V�) —
Legal Description:
Effect/ive
/l/97
w
Owner Name & Address: '/44A.) j(),F S f,' � �16 - jd � � �, ti D� Tel. #
Contractor: C% W AJ,-5MN LICENSE#
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length
Width
Tel. #
Sq. Ft.
Sq. Ft.
So. Ft.
/C a' 1-6 r
S
Construction Type: GJ o o p Estimated Cost: $ / ;70 y .10 y
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: /7/- --;Y- 5�2 APPLICANT: Tel. # S7/- C� V,;2�
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge $ e ��i' $.50/$1,000 Valuation
SAC Charge $ $950 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 1 7cessary [ ] Not Necessary [ )
TOTAL $
STIPULATIONS:
Ioan .Survey • or-
A
This is a Irue 07d C&red IUA46W %0/7, .4(1fk hVlOdanks e&land abort &wvbedcnd4*1OCOAQ7 #fd1bVl1dAnYS,
O�f 07 4wrch�7 M4 nw4, t,
6W or, 1*7 said 4d. & �r� is ma 4 yOr W7 AW
Miokcad a7the prjver y a7,d 00 �Iikily i assWmd excfpf /a Ik hdier o0suthm4sye er, Aer kleml * b, *maw i(
such nwl W
fa
qe. # dff 3hd Md4yreidnv nvnLmeai5 Ame A= p6wd fa- 4)orpm �7i �6jsbvy /01 Ars gr C"CM
LL - nom„SUBURBAN EAf6l'VffR'A(Cl, INC'.
SUBJECT
City of Fridle y
2 8 4 9 0
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
1-1
i �
COMMUNITY DEVELOPMENT DIV.
•l
j I � PROTECTIVE INSPECTION SEC.
�Z �C
NUMBER
NEv
DATE
PAGE OF
APPROVED BY
i 01 CITY HALL FRIDLEY 35432
---.� •i
L 612-571-3450
910-F15
11/2/98
JOB ADDRESS
940 Overton Drive NE
1 LEGAL
LOT NO.
BLOCKTRACT
OR ADDITION
SEE ATTACHED
CESCR.
3
5
Brookview Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Lizan Westin
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Kodiak Constr. 2607 Brighton -
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 WORN
O NEW 0 ADDITION O ALTERATION REPAIR 0 MOVE 0 REMOVE
B DESCRIBE WORK
Reroof house and garage 22 SO Tear -off; Reside house and garage - vinyl
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Call for building wrap inspection before covering.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED 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
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
7885
@
$3.94
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
$137.25
Fire X $7.88
PLAN CHECK FE
TOTAL F
loo
L S
5
5 .07
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE,
ENR
L LI A IS IS YOUR PERMIT
•
S,GNATURE OF OWNERiIF OWNER BUILDERi iDATEi
BLOJ9 INSP
I �
GATE
NEW " [• ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 G�(�
BUILDING PERMIT APPLICATION
ConstructionAddress: 71i0 Q U e e ry et/ FA' D; �fz,
Legal Description:
Owner Name & Address: �, 'z- rt+J t�'� Z'o Tel. #
Contractor: KV ; e11–K r_,0 -n,5 0" MN LICENSE # 0 ?6o 8
Address:. L o Y9 c2' !l (�/� „rm• A–rvo 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: Z d r tc`�a1�
Construction Type: S,`p ,,,* Estimated Cost: $ `9 �► ^ ^-�— ���
v
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: Z 159 t APPLICANT:
Ro ,'Pj s Tel. #
CITY USE ONLY
Permit Fee
$�
Fee Schedule on Reverse Side
Fire Surcharge
$ '7 ) '
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ D
$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 [ J
TOTAL
STIPULATIONS:
SUBJECT
City of Fridley
31276
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT
i LV ------ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
496A
r � � PROTECTIVE
1 . �
NUMBER
i1EV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/2/00
JOB ADDRESS 940 Overton Drive NE
I LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
5
Brookview Terrace 3rd SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Lilian Westin 940 Overton Drive NE
571-6426
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Renewal By Andersen 350 73 Avenue NE, Fridley, MN
55432 502-4777 20130983
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE N0,
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION
j7 REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Replace patio door and french door within existing
openings
9 CHANGEOFUSEFROM 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.
Permit Inspection Cards
Will Be Mailed
To Homeowner `i'o Post
SEPARATE PERMITS ARE REpUIRED 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 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3,345
$1.67
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
PLAN CHECK FEE
TO AL FEE
Licen
C $5.0
$107.26
SIGNATURE OF CONTRACTOR OR AUTMORiZED AGENT iDATE.
E
iNSP
PROP VALID T THIS IS Y UR P Mlj_.y�3
rgATE
S-GNATURE OF OVVNERJF OWNER BUILDERS jDATEi
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 AD
BUILDING PERMIT APPLICATION
1 1A
Construction Address:
Legal Description:
Owner Name &Address: l,'X�0,'1u Tel. #(al�,•��-� • �4alQ
Contractor:.
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
RENEWAL BY ANDERSEN MN LICENSE #
350 -73RD- AVE. NE
FRIDLEY, MN 55432
( 612) 502-4777 Survey of the
LICENSE #20130983 Y
on it to scale.
DESCR IRN CSF UWPIKOVENIENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Tel. #
Sq. Ft.
Sq. Ft.
Sq. Ft.
J YT02.
Estimated Cost: $3-..l L CO -
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 0•'Jul APPLICANT: Jel. #9�a - $ Ste( •a$5
K4
lP
TOTAL $
STIP TIONS: ?ft?�v /�/�� ����� �•c� !.� l
CITY USE ONLY
Permit Fee
$ a^
Fee Schedule on Reverse Side
Fire Surcharge
$ 3 3y-
.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 [ ]
lP
TOTAL $
STIP TIONS: ?ft?�v /�/�� ����� �•c� !.� l
SUBJECT
P
City of Fridley
34003' 4003'
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
DEVELOPMENT DIV.
V -------COMMUNITY
PROTECTIVE INSPECTION SEC.
5,19r
I
NUMBER
EV
DATE
PAGE Oi
APPgOVEO Br
�'� CITY MALL FRIDLEY SS432
L 763-571-3450
910-F15
10/30/03
JOB ADDRESS 940 Overton Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
5
Brookview Terrace 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Virginia Penke 940 Overton Drive NE 763-571-6426
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
David Schweich Construction 21716 Kenrick Ave, Lakeville, MN 55044 952-469-3222
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
20262622
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
R
8 DESCRIBE WORK
Re lace egress window within existing opening in basement bedroom
9 CHANGE OF USE FROM TO
STIPULATIONS
Install window to meet the State Egress Code.
I� Isci® is
noSt
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
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
$1,850
$.93
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-
F
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$66.20
e SC $1.86
PLAN HECK
C
T AL FEE
Lic se C $ /'0
$73.99
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEr
HE PR VALI ED THIS ISYOUR,,JrERMIT
Z
SIGNATURE OF OWNER.iF OWNER BUILDER, IDATEI
B 0 -NSP SIA E
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) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: _ q 40 Ove ID -,-L
Legal Description:
Owner Name & Address: ULn:�, ot. Pe ►n Le- cI 40 OUe rtc-y-% b,r.Tel. # -1 G 3 -5 `1 1--6LI a
Contractor: nd S&,we�c,P�, CoY1S zaaCEt, MN LICENSE# �40a(.=,St .�
Address: at71.6 -Ke.snrcc_ic Tel.# C15a--`-t6
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:
/IV j�Xr 5I-iwr 5 )O
Construction Type: -eG,c�� L - dl &jAJ _Estimated Cost: $ jJ5g 0
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 10- a-1 •0?> APPLICANT: i Tel. #I-0sti y
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.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ (0("^aa
$ 1,8c
$ . C6—
TOTAL $ —7 3 -9 9
CITY USE ONLY -
Fee
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 [ ]
KC441 Lxi- a -
NEW [ ] CITY OF FRIDLEY vo I
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
qqoB&Construction Address: am�c ,1 v � l._.
Legal Description:
Owner Nameddress• U 1/1.GLt --0Lh•�Q� Te . # 10- ZZb - 0240
Contractor: MN LICENSE # -J t 1 3
Address:636vLOM (& I vCjaan^ 5 5q 2-1 Tel. # (76308 Fi-9 LI) I 'A
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
O�
Construction Type: Estimated Estimated Cost: $
Driveway Curb Cut Width Needed: Ft + 6 Ft = `- Ft x $ _ $
DATE: 04°1 05 APPLICANT: 5LA
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.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
$ �5 .00
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1450 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 $ I / 83. /0 STIPULATIONS: