PRE 2010 DOCSCity of Fridley, Minn.
BUR DING PERMYIP
Date: ..�.`:�.... .... `.'.......... .
owner.......................................
Address ......................................
N� 3529
Builder. ...............
Address .......................................
LOCATION OF BUILDING
No. G� .�1. Street 4 .............. Part ot Lot ........... ........... .
Lot ... ...... Block .... .......... . . Addition or Sub -Division ... .
Corner Lot .. Inside Lot X ......... Setback �.�. Sideyard �®
DESCRIPTION OF BUILDING
To be Used as:
..
.... Front i •� Depth .: Height //0::(!* 1 sq. Ft./ .' Cu. FE. ;�� ,S—
.................... Front ........ Depth ......`/.. Height ........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction ................... Wt. Cost✓.. , ,9'/0.7..'. To be Completed ..............:....
In consideration of the issuance to me of a permit to construct desribed above, I agree to do
the proposed work in accordance with the description above set fo compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $l...::ermit 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. A
.... $ceding 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 N® s s z
Date:
Owner: ..:.. ................... Builder .............
Address ...... ..... l.'..........¢' «_ .__...,..._. Address ..
LOCATION OF BUILDING
No..,. ` . Street .._..., `........... _..._................... .... Part of Lot ..... _................. :.......
Lot ..... #` Block ...._ .....::.....:.............. Addition or Sub-Divisi n ,,0" .. '+ � .. ...+....... _.....
Corner Lot ....................... ........ Inside Lot ... ....tback ...: Sideyard ...__..,.......,................ _.............
SewerElevation ..... . ............. _.......... ..._............. _............ ._...................................... F dation Elevation .................................... ............................. ................ .
DESCRIPTION OF BUILDING
Moursas:..P7 ....: _ .._"�..;... Front � ........ Depth --..�!".`"._...'_:. Height _ ...::... Sq. Ft. ...... Cu. Ft. .�....
,F
.... .......... ....._ .__......._..............Fron .... Depth .......... _ Height Sq. Ft. .............. :.:.._.. Cu. Ft.........................
,rte
Type of Construction ..... Est. C fir':..- ........ 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 oft 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. ,- ,1,4
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 THIS PEf DOES NOT AUTHORIZE VIOLAT-
ION
IOLATION OF ANY PRIVATE LAND-CSVENANTS ANO
BUILDING RESTRICTIONS.
APPLICATION FOR BUIIDING PERMIT
CITY OF FRIDIZY, MINNESOTA
Owner's Name Builder
r
Address Address
LOCATION OF BUILDING
No. Street Part of LotN,-.
Lot Block Addition or Subdivision 13/,,w -DL 112-1
Corner Lot Inside Lot / Setback ,/,cf 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:
s i Front__U Depth - c-/ Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction 6k �4 �'?A Q- 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 Ordinances and ruling of
the Department of Buildings, and hereby`declares that all the facts and representations
stated in this application are true and correct. -P ly ""/ / x)
DAA
(A Schedule of Fee Costs can be found on the Reverse Side.)
SUBJECT
PE .
City ®f Fridley
2 6 461
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
`, / ]
L _ PROTECTIVE INSPECTION SEC.
3 cldJ
NUMBER
REV
DATEPAGE
Of
APPROVED BY
CITY HALL FRIDLEY 55432
ti.__..1`•' '-�
612-571-3450
910-F15
7 / 6/98
JOB ADDRESS 6710 Quincy Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
4
Brookview Terrace
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Charles Lindsay 6710 Quincy Street NE
571-2773
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
J Benson Construction 7020 Walker St, St Louis Park,
MN 55426 920-0717 4740
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 Q REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (19 Sq); Siding Repair - STORM DAMAGE
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building
Code. Call for
inspection of building wrap before covering.
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
$4,584
$2.29
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRE ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS O ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$99.75
Fire C $4.58
STRUCTION�THEERFORM NCE O QNSTRUCTION.
PLAN CHECK FEE
TOTAL E
License5.00
$ 1.62
SIGNATU OFC TRACTORORAUTHORIZED AGENT IDATEIp
P
.BL - INSP
IDATED S IS YOUR PERMI
PATE
S,GNATURE OF OWNER OF OWNER BUILDERI IDATEI -
NEW
ADDN
ALTER
ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
(®7 /o �Qcelnv c y 57 r`- . IV
Effective 1/1/98
Legal Description:
Owner Name & Address: 1,5 S Z i Alb S4 If Tel. # 571--2773
Contractor: 7 MN LICENSE # /-/7yc
Address: 70Z,a � 57� zoa r3 le gs.yo.� Tel. # 0717
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:
Construction Type: 51blAj & �Ao?(IL Estimated Cost: $ ox�Cl
(Fee Schedule on Back
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: �� APPLICANT: Tel. #
Permit Fee
$ 99
Fire Surcharge
$
State Surcharge
$ 02.1
SAC Charge
$
License Surcharge
_
$ 9 - 86
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL
STIPULATIONS:
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 [ ]
s
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