PRE 2010 DOCSVillage of Fridley, Minn.
EUJILDING PERMIT 0 1977
Owner ... Builderrlc. d ' " . t = ! ` .
Address.... ....... ... Address ..............................................
LOCATION OF BUILDING
No. Jj Part'of Lot ... ... .... ..
Lot . ,",. 1' . Block ..... Addition.or Sub Division �d&s �.�."� �P. .
Corner Lot Inside Lot «et'it
Setback $ seSdeyard; :.... :.
DESCRIPTION OF BUILDING
To be Used as:
-� � f, trl. Front Depth : ,. Height/,_ +" Sq. ` Ft. Cu. Ft. ........
.. .. ... Front Depth . Height: Sq, Ft. Cu. Ft.
Type of Construction'' �rX�i!. Est. Cost ,„..�. To be Completed .�'j
a
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 village 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 binding, 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 village limits and this permit may be revoked at any time upon violatio, of any of the provisions of said
ordinances.
y
... T F.
.5��. : ♦ .u; AI�. ! Building, Inspector
NOTICE:
This permit does not oover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to seer uilding- insppctor for separate permits fort ase items.
City of Fridley, Minn.
BUILDING PERMIT N° 4140
Date: .....�..a,C....�-...- _ _ __ .._......._...._..
Owner:.............._`.�........ ....... .
.......__.._... _......................... Builder ....... ... _....
____
Address.. ........... Address _....................._.._..._...._......................_......._......._......._.._..._..._..
_ LOCATION F BUG
No. n �..�._� Street ....._._ ._. ..._....r__..... Part Lot ...................._.. _..._....._.......
'..... ....� . _..._
Lot ....�'��..,�................... Block ------------- (V Addition or Sub -Division
Corner Lot .................................... Inside Lot .._,i.........._......._.
------ Setback .................... ............ - ...... -- Sideyard...._.............. ............. _..... •-.....................
---
Sewer Elevation --------------------------------- -............................................................... Foundation Elevation _.................. .....
DESCRIPTION OF BUILDING
To be Used as;
Q 9 �
Front.'. Depth .__ Height ....✓....._ Sq. Ft Cu. Ft.
AAA .... -.............. _...................................... Front ...---...._.. Depth .................... Height ................... Sq. Ft. ...... ................. Cu. Ft. .....................
CPO
Type of Construction .................... _.......... .................. _........ Est. Cost.......... . ....... _........ 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. C
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 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.
4
City of Fridley, Minn.
BUILDING PERMIT N° 4 604
Date: ....._.. .... ..... "° ....... ..... .... =6-6 ........................
Owner: ... _...: Builder ....._.....__.......__w._-__....:.._.__..._............................. _..... __......_....... _
_. ....-.........m......._._.
Address ...z........_ _ .. Address _...... _:..:.:..:.__......:......... .................... ... _......
_ LOCATION 1 DING
,._-�..�e..... ...- _.... Part of t ..__...._......._....__...._._..
.�.._.. ._...._......s.._._
Lot.._......0q.... :........ Block ...._............... ... .................. Addition or Sub -Division ..... - _. ................. e`
Corner Lot .................................... Inside Lot ....._.._fir F..... Setback ..._ _......... Sideyard -............................. ........... ..................... ....
Sewer Elevation.....-............._............._...._.-._._......._...._......._............................. Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
a..----.... Front .--.:_.. Depth ...: Height Sq. Ft ,.. Cu. Ft...
............. _....... _.............. Fro ..... ............. ._.. Depth ................ .. Height .......... ,............ Sq. Ft. ...................... Cu. Ft.
Type of Construction .--- .- .... Est. Co "i..n �.... t ....":0-1 .` ......... 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.
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 anyElie u/7,n Iola * of y of the provisions of said
ordinances. //�� �il'',i►
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:
4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name ,R®G�R
F%�
e��5 %
Builder ��' �°1 E
Address °?
�c�
z
A�
Address_
LOCATION OF BUILDING
No. �`��Street ®/v �( ��,� t of Lot
Lot Blocker Addition or Sub ,Div .
Corner Lot .- Inside Lot— et Back Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location:
DESCRIPTION OF BUILDING
To be used as:
a
P-0 nc, /� - Front %� 11 Depth Z �� ight— l j
Sq. Ft. Cu. Ft. A 0 0
Front Depth Height
Sq. Ft. Cu. Ft,
Type of Construction 4w,4"14 e Estimated Cost
To be completed oc-"-t— / , -Z-2(� d
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 and correct.
DATE SIGNATURE �.....
(A Schedule of Fee costs can be found on the Reverse Side.)
- r
City of _Fridley
AT THE TOP OF THE TWINS
SUBJECT
B U I LDI N G P E R M I T
PE
16
1 1
COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION BEC.
-•
(b/
CITY HALL FRIDLEY 55432
612-571-3450
NUMBER
910-F15
REV.
DATE
14/17/781/
PAGE OF
�
APPROVED BY
JOB ADDRESS 5735 Quincy Street N.E.
1 LEGAL
LOT N0.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
22
6
Domay Lakeview Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
David Rust 5735 Quincy Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 253i' x 40' 2nd storyaddition to dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS PER $I
HEATING, PLi M13ING AND SI��S.
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
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ZONING
SQ. FT.
1020
CU. FT.
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$22� 000
Y
SURTAX
$ll. DO
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
TOTAL FEE
00
176.00
6
SIGNATURE OF CONTRACTOR AUTHORIZED AGENT (DATE)
f.QWH�E
PROPER Y E IS YOUR PERMIT
!'�
SIGNATURE OF OWNER pF OWNER BUILDERIIDATEINSP
128
CITY OF FRIDLEY
APPLICATi0:P FOR RESIDENTIAL BUILDiNG .PfP'J41'FS-
(New, Al terat•iuns, Additiun or Rcp s)
OtdN R: Z 7 -
ADDRESS: ADDRESS:
TEL NO:
BUILDER:
ADDRESS:
TEL NO: .
Construction Location
STRM-i T NO:
'%
STREET:
LOT:
�oZ
BLOCK:
Corner Lot: inside Lot:
TION: '6,)y 4LA
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: 401 Height:
Square.Feet_.- Cubic Feet:
Front: Depth: T Height:
Square -Feet: Cubic Feet:
'.type of Construction: ��O � �j���'1 � Estimated Cost:
To $e tbrapleted:
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 vork'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 ad
representations stated in this application_are true _ ax1d correct.
--
n"sTF;: _'� -_J � SIGNATURE:
Stipul'a/tio/ns :
0/01
xi' C�
1 >>
®� �� b134 .