PRE 2010 DOCSCity of Fridley, W=0
BUILDING PERMIT
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14
Date: ... ..... �._.._..._....__...._.._..'
r
....-- - .��+"•�-- _ �•"�-'.'���der��a.....�
Owner. e"
3
�.. Address •� - -� .'::
Address _ .__.. _...-'--• •• a+l
.,. LOCATION OF BUUI
.Para>T.ot....................No !�
a
Lot ... _...........:..... Block ,. ... .._..��.............. - addition or Sub ]?"iopr .. e� " W, ....
Corner Lot ...._...- Inside Lot .......... :......................... Mack � Y`' ideyard�
,n
SewerElevation ....._ ............................ .............. _....... ...... _............. ........ ---_........ Foufiltlon Elevation ................................................ _............ ... ................. ........
DESCRIPTION OF BUILDING
To e; U as ��
Front _�._.. Depth. ✓._.
Height --- .... Sq. Ft.,. �.. Ft -:O/....
_.............._ i*
Front Depth ......... Hgjght Sq. Ft. .......... ....... Cu Ft. ..........
Type of Construction y�'y�.(jo..... Est. Co ...... ..... 404 —'"',% be - Completed ..................................................
iH►S
pr? No p CQVSNANTs AND
40N OF ANY Pelt C-C10NS•
r�
In consideration of the issuance to me of a u1
struct t1uct' the � '
permit to c�ibuilding 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.
In consideration of the payment of a fee of $..%.e .......... ........ 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,. and moving of buildings
within the city limits and this permit may be revoked at any time u violation o any of the provisions of said
ordinances.
TM°►' Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate.. permits for these items.
J1
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name ers-�t�
a
Address G -coc 7 F Address
'LOCATION OF BUILDING
No. Street 2===.
= . t of Lot
Loth Block. Addition or Sub.Div.
Corner Lot_„_ Inside Lot -Set Back Side -Yard
�=- _,_� 61�, y�A- 3..21 r rt
WMEMW
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To :used as: ® 9
Front ;j o ., Depth
Sq. Ft. t V Cu. Ft..� 0 g
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated CoJ. _6-v
To be
6C)
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 representa-
tions stated in this application are true fy and -correct. nd correct.
T112i, M �ter
Cons ructA'on Company
DATE SIGNATUEBy_
Sole owner
(A Schedule of Fee costs can be found on the Reverse Side.)
. . -
C,
SUBJECT
PERMIT O.
City of Fridley
-
AT THE TOP OF THE TWINS
BUILDING
PERMIT
2 52
RECEIPT N
?��
,57 • ITY DEVELOPMENT DIV.
I
r � � PROTECTIVE INSPECTION SEC.
G
1
NUMBED
REV
DATE
PAGE OF
APPROVED BY
�.� CITY HALL FRIDLEY 55432
l 612-571-3450
910415
11/4/98
JOB ADDRESS
5665 0 incy Street
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
15
1 6
IDonnay's Lakeview Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Floyd Hessevick571-7232
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Town & Country Roofing
-
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
O NEW 0 ADDITION 0 ALTERATION fax REPAIR 0 MOVE 0 REMOVE
8 DESCRIBE WORK
Reroof house and garage (21.33 Sq) Tear-off
„t
9 CHANGE OF USE FROM 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 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANQONED 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
1885
• 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
$59.50
1
Fire W, $1.88
PLAN CHECK FEE
TOTAL E
Lice
5.0-0
7 -32
SiGNATuRE OF CONTRA TOR ORA HORiZED AGENT 10ATEi
P P
L ofirleSR
LI AT
-
7 IS IS Y f�ER_MI
DATE
S,GNATURE OF OWNEROF OWNER BU4DERI iDATE,
NEV
ADDN [ ]
ALTER [ ]
ConstructionAddre,
Legal Description:
Effective 1/1/98
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION �a-�0
Owner Name & Address: 1�-' r-'
j e ec, Tel. # / — 72-3 2
Contractor: v1 to MN LICENSE #
Address:?9/0 ZED L(- 3 e1. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF AWROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: Q 1. � 3 - / n5. �
Construction Type: lanGl
n Estimated Cost: $ 3-7
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: ) /a CSS
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
M000IAI
STIPULATIONS:
APPLIC Tel. # Sk! 33
CITY USE ONLY
$ ® Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ e $.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 [ J
SUBJECTIT
N
City of Fridley
M O V I N G
2 999 LJ
AT THE TOP OF THE TWINS
WkDtN6
PERMIT
`
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r e� PROTECTIVE INSPECTION SEC.
1 �
NUMBS .
REV
DATE
PAGE OF
APPROVED BY
`
�'� CITY HALL FRIDLEY 55432
-__•�;"'
L 612-571-3450
910415
8/4/99
JOB ADDRESS '
5665 Quinc Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
I 15
6
IDonnay's Lakeview
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Medtronics
-
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Swift House Moving 208 5Larkin Rd. Cornnrnn NN 55340
-8521
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 0 REPAIR XM MOVE ❑ REMOVE
8 DESCRIBE WORK
Move house at above address to out of city
9 CHANGE OF USE FROM TO
STIPULATIONS
Quincy to 57th to 7th to 57th to TH 47 N to 73rd E to Old Central N out of city
Current Water Bill of $75.61 due 8/25/99 plus final bill after meter reading.
Clean site of all debris including foundation and slab.
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
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
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE Ofl LOCAL LAW REGULATING CON-
STRUCTION OR THE PER RMAN OF ONSTRUCTION
$20.00
4":E '-
PLAN CHECK FE
/
TOTAL FEE
0.00
SIGNATURE OF CON "RAC OR AUTHORIZED AGENT ATE- ,`.,..,
HEN R P
VALID D THIS I �M
r ew pf
SIGNATURE OF OVyNEROF OWNER BUILDERI IDATE I
BL G INSO
/
MATE
Effective 5/10/99
CITY OF FRIDLEY MOVING [ ] WRECKING [ ] PERMIT APPLICATION
6431 University Ave NE
FridleyMN55432
572-3604
Job Address:
Legal Description:
Owner & Address: rVte-X� �,�� Tel. #612 9,7,7 3
Contractor:
Address: 96'91� 5 -
Tel . . #�w-? g63S/
State License
DESCRIPTION OF BUILDING
HOUSE: Length P'�— Width Height Sq. Ft. Cu. Ft.
GARAGE:Length Width Height t�Z Sq. Ft. Cu. Ft.
OTHER: Length Width Height Sq. Ft. Cu. Ft.
Estimated Cost $ '7 Z)cnc--) Approx. Completion Date /
UTILITIES City Water/Sewer Minnegasco N S P U S West
NOTIFIED: 572-3529 372-4720 [,;,-] 330-5500[ ] Business -603-6000
Home -2441111 [0 ' ]
Water Bill Paid: Yes [ ] or Collect [$ �'�� ] Signature
Moving Route: a S75)A, &
�D o tac cle v'iro ( Au al O F bi "-V
The undersigned hereby makes application for a permidto wreck/move the building described above, agreeing to
do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State
Code which requires any water well on the property to be sealed by a State licensed water well driller, and
hereby declares that all facts and representations stated in this application are true and correct. ALL
Date
Moving: Principle Building into Fridley .... $300.00
Accessory Building into Fridley .... $ 42.00 Minimum Fee: $20.00
Through or within the City ...... $ 2�
Move a building out of City ...... 20.00
Wreddng: For each 1,000 cubic feet or fraction .. $ 1.25
For structures which would be impractical
to cube the fee shall be based on the Minimum Fee: $20.00
total cost of wrecking at the rate of
$6.00 for each $500.00 or fraction.
PERMIT FEE: STIPULATIONS:
Pai ks
Sirecis
M:lil11Ci1.1I1C('
MEMORANDUM
TO: Mary Hintz
FROM: Jon Wukaas, Assistant Public Works Director
DATE: September 2, 1999
SUBJECT: Properties Acquired for Right -of -Way
The following properties have been demolished and will no longer use water and sewer services:
�uincy
56
5655 Jackson Street
5664 Jackson Street
5665 Jackson Street
5674 Jackson Street
5675 Jackson Street
PW99-163
The properties were acquired for use as street right-of-way. They will no longer be residential properties.
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