PRE 2010 DOCSVillage of Fridley, Minn.
BUILDING PERM"
N? 938 Office of INSPECTOR OF BUILDINGS
Owner(,
Architect Fridley, Minn.,
Builder,
LOCATION OF BUILDING
NO. 6120 Street -Part of Lot-
k2a'
L Block '�.;l Addition or Sub -Division 4 -
DESCRIPTION OF BUILDING
Front� --,t DepthHeight- Storie&4' Manner of Construction
To be used as To be completer] Estimated Cost
Permit Is hereby granted toa. 7
to -
the building described described in the above statement. This permit is granted
upon the express condition that the person to whom It Is granted, and his agents, employees and workmen, in all
the work done In, around and upon said building, or any part thereof, shall conform In all respects to the ordi-
nances of Fridley, Minn., regarding the 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.
,k:LInspector of Buildings.
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated. I
Subscribed and sworn to before me at Fridley,
day of
Mipnesota, this -4L
City oFridley, F , Minn. S
BUILDING PERMIT N® 4 014
Date: ....._...... .................... _.......
Owner- ----- ----------------------------------------- --------------- .--------- --- ---- ---- —_._......._..--------- Builder _......_...._.... _ ......._..._.. ....__..... .._ ... _.._
Address.... _....................... __....... .......... _._. .. _ __. _......... ..... Address ................................................. ... .............. __......._......._......._------.---- _._....---
LOC TION F BUILDING
No..._�r'. Street....._�/......_.......... ------------- ..�.f... Part of Lo ...........
._. ... .. .._ _...._....... _.... %
Lot .................. Block ....._....... ........_................. Addition or Sub-Divisio .. , ....................._._.........._......------- /...
CornerLot .......................... _........ Inside Lot ..... _ ............. _.......... .....-. Setback .................... _................... Sideyard..... _............. _............. .............. _............ --
SewerElevation ..................... ........ ............. ............. ........................................... Foundation Elevation ..................... .............. ... _........... _............. ........................
DESCRIPTION OF BUILDING
To be Used as:
t P z't P /�
4-1521
......._...._... - - Front .'. Depth .[� Height .�d....'.�`.� Sq. Ft .1. -42 Cu. Ft..�Y. .. �
............._.....----............................ Front ....... ................ Depth ................... Height ........................ Sq. Ft. .................... .. Cu. Ft.........................
Type of Construction .. Est. Co ............................... 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.
CIO
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 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
� (49 - 2 )11 V
....................... ...................... ............... ..........
Pzope:i ty Mae
Front
Property ILne
............ I .................... ..........................
SUBJECTC21
City of Fridley
20
AT THE TOP OF THE TWINS
BUILDING
PERMIT
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
OF
APPROVED BY
j 612-571-3450
910-F15
6/23/87
FPAGE
JOB ADDRESS 6130 Rainbow Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
rj
3
Sylvan Hills Plat 1
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Elmer Skaaden 6130 Rainbow Drive N.E.
571-2998
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
AMRE 3700 Annapolis Lane, Plymouth, AIN
553-0020
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
8 DESCRIBE WORK
Reside.Dwelling (Add soffit utters fascia
9 CHANGE OF USE FROM TO
STIPULATIONS
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
SQ. 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
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
$14,50Q
$7.25
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISION ANY OTHE STATE OR LOCAL LAW REGULATING CON-
STRUCTI 0 T E ANCE OF CO R ION.
$110.50
PLAN CHECK FEE
TOTALFEE
$117,75
SI NATURE bFCONTRACTOR THORIZEDAGENT MATE)
WHEN PROPERM VALIDATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
f DVFE
NEW L 7
City of Fridley Effective 4/1/86
ADDN. [ 7 R-1 AND R-2
ALTER. Building Permit Application
Construction Address
Legal Description: LZ
-- -Tel. # _�
Owner Name & Address:
Contractor:
„AM,& �Tel. # 5S.3C�
n
Address
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.
DEC[ AREA: Length
__ Width
Hgt/Ground Sq. Ft. _
OTHER:
Corner Lot [ ] Inside
Lot [ ] Ft. Yd.
Setback Side Yard Setback _
Type of Construction:
� ��� c�:)
Estimated Cost: $
K `�------
�!
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width
If New Opening Is
Desired: - $ $ -
See Back Page for Explanation
O� Tel.
DATE: 6'` �- ��i APPLICANT:
CITY
USE ONLY
Permit Fee
$ 1/0 5o
Fee Schedule on Reverse Side
Plan Check
$ -'-
25% of Building Permit Fee
State Surcharge
$ �.�
$.50/$1,000 Valuation
SAC Charge
$
$ 525 per SAC Unit
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
�
TOTAL
$
STIPULATIONS:
YC
.&
SUBJEtr
PER
City of Fridley
2 9842
AT THE TOP OF THE TWINS
BUILDING
P E R
M I T
t
�• COMMUNITY DEVELOPMENT DIV.
LV-----
PROTECTIVE INSPECTION SEC.
yy�%/y��{yO
r
1 ,
(�1..!
NUMBER
NEv
DATE
PAGE OF
APPROVED BY
A_"'1 CITY HALL FRIDLEY 55432
�---•A 612-571-3450
910415
7/8/99
JOB ADDRESS 6130 Rainbow Drive
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
3
Sylvan Hills Plat 1
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Elmer Skaaden
571-2998
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Owner
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 REPAIR
p MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 2Tpar-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
SQ. 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
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
$1923
$.96
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
$72.13
NATURE OFCON'RAC AUTHORIZED ENT (DATES
A
�{ Pqp
RLY VA
ATED THIS I YOUR PERMIT
)q,GNAT0REOFOVV
(A�_
NERoF OWNERBUiLDERi iOATEi
BLDG NSR
GATE
NEW[ ]
ADDN
ALTER
Effective 5/10/99
[ ] CITY OF FRIDLEY
[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
-L —
Legal Description:
Owner Name & Address: Tel. #
Contractor: MN LICENSE#
Address: d�� Tel. #��'
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Driveway Curb Cut idth Needed:
DATE: '9 �9'
Ft. + 6 Ft =
Estimated Cost: $ 1
Ft x $
_S
Tel. #
TOTAL $ %2.13
STIPULATIONS:
CITY USE ONLY
_
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.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 [ ]
TOTAL $ %2.13
STIPULATIONS: