1621City of Fridley, Minn.
BUILDING PERMIT
Date: -- +�.�.�. _.............. —......
Owner: .......
.......
-..... ........ .... --.. Builder
Address��%..._- .... a .... ._ . Address
..........
N® 4049
No. `_ / Zlock. eef--s.............mart o Lot - ..._...._...
- - - ...
Let!..:.. ...._.-----...._.._........._..._............ Addition or Sub -Division
-..._
CornerLot .... ......... ....- ....... ......... Inside Lot -------- .......... Setback ....._............. _............. -........ Sideyard ......................... .............................
Sewer Elevation ...... .............. ............. .............. .................... ............................... Foundation Elevation ... ................. -.................
DESCRIPTION OF BUILDING
To be Used as:
G -...._ .............. Front -F'. P Depth—?Y--® Height/ eft Ft. � Cu. Ft.1.4 D
...._ ..............-----.................................. Front ........................ Depth ... ................. -p..�Height ........................ Sq. Ft. ...... .......... ....... Cu. Ft.........................
Type of Construction........................................................... Est. Cost.. .. .` ..f.1 ............. To be Completed ....._............._............. .................
10
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. �, d
In consideration of the payment of a fee of $.l...._... 9""_, 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. I® --
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 S® 4113
-�- ®�
Date: _.__.. ....__...__.._.... ....__....__---.......___ .....___......_......_...-_--
Owner: .... ._....--•----._.. r. .__' . ........... Builder ....._ .. ��_.._..._......._..___..__.. _.._.__ _._
Address........................ _ __ ___ ....._ Address ........ ..... ........................................ ...._..... ..._.._...__... _..._..._..__. __._
OC�►TION BUILDING
No... .. ,�.. .Street _.. . - ......... - - - - BUILDING
. Part of Lot
Lot ........... ........_'.---__..... ..... -........._..- ..... .... ........ Addition or Sub -Division ----........._.._......
Corner Lot .............. ........... _........ Inside Lot .............. .......... .... -........ Setback ...... ...................... -.... -........ Sideyard
Sewer Elevation....._............._............._.._.........-_.....-....-............._.......-............. Foundation Elevation ..................
DESCRIPTION OF BUILDING
To be Used as:
t...._..•........... ront' Depth��..7...:.._' Height ........................ Sq. Ft ..................... .. Cu. Ft-
..................... .............. .......................
..................................................... Front ..................... Depth ...................._.. Height ........................ Sq. Ft......................... Cu. Ft.
Type of Construction............................................................ Est. Cost .....--� 7...,.....:0...... ........ 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 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.
U "
City of Fridley
Application for Plumbing and Gas F'itti'ng Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK �/ Location �'" �"l
Number, Kind and Location of Fixtures L
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...................... x $1.50 $
Future Fixture Opening x 1.20 $
New Fixture Old Opening .........:.... x 1.00 $
Catch Basin .... ....................... x 3.25 $
Water Heater (Up to 200,000 BTU)...... x 2.00 $
New Ground Run Old Bldg. x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50 .$
-
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $3.:,5
City of Fridley:
The undersigned hereby .makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Minn 19—
Owner �•�',�
Kind of Building
Used as
To be completed about
Estimated Cost, $
O1 ew. Building Permit No Permit No. _
Signe
By
Business Phone No
ROUGH
FINAL
42
ZWU'
o�
S�
U
<3
U' °d
Z
P
N
WATER HTR.
GAS
ELEC.
Base
—
- --
-
—
lst
2nd
3rd
4th
• Future Connection Openings
* New Fixture, Old Openings
Connected with Sewer
Cesspool
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...................... x $1.50 $
Future Fixture Opening x 1.20 $
New Fixture Old Opening .........:.... x 1.00 $
Catch Basin .... ....................... x 3.25 $
Water Heater (Up to 200,000 BTU)...... x 2.00 $
New Ground Run Old Bldg. x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50 .$
-
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $3.:,5
City of Fridley:
The undersigned hereby .makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Minn 19—
Owner �•�',�
Kind of Building
Used as
To be completed about
Estimated Cost, $
O1 ew. Building Permit No Permit No. _
Signe
By
Business Phone No
ROUGH
FINAL
42
/f- j4 --i �
City of Fridley,
IPMRIIIIII- oia.t *i►t•` %'
Street Part of Lot
No. /C -V-
Lot — " __ Block Addition or Sub -Division
Q�
Corner Lot _. Inside Lot ....._ Setback - Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
T
1 Front ! Depth Height Sq. Ft. Ft.
Fron Depth Height 4 Sq. Ft. Cu. Ft
Type of Construction _..._ _ 9 Est, �o 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. A ,
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 pari thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
ice city limits and tb s permit may be revoked at any /1-1\ n yiolatiop2.o# any of the provisions of said
Building Inspector
NOTICE:
" permit den not corer the eonstrueden, iastatlatlon for whb& plumbing, pas heating, sewer or water. Be wre to we
the Building hnpeeter for separate permits for these beam
LOCATION OF• BUILDING,
No. Street Part of Lot
Lott Block . AAdddition. or Subdivision
Cornu LotInside Lot Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
ApplAtant attach,to.this form..,Two Certificates of-Su�rvey,of L•ot and.proposed build-
ing;location drawn on,these,,;Certificates.
DESCRIPTION OF BUILDING
To be used as:
cont Depth. Beight .
....-...
Sq, Ft. Cu. Ft;.'
Front: Depth Height
Sq,, Ft. Cu Ft.
Type of .Construi6iion I I• 2f/�ip';,^ 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 of Fridley Ordinances and
rulings ef3 the. D,epartment,..of, Buildings, and; -hereby .decl-ores that ,all :the ,facts and
representations stated in this application are true and correct:.
DATE 61. SIGNATURE Ag
jSchedule'of Fee Costs can be found on the -Reverse Side).
560-3/450
Mr. Andrew Wargo
1621 Rice Creek Road N. E.
Fridley, Minnesota 55421
Degemhotv13, 6
[�uil�Jivtg.�it�u a_ 7061
juiie
Addy°®�t heri _` its tioa
r, 1621 Rice Creek Road N. E.
?ugT SITO.
'this 02f I@& hao bc4e& ingot 34 11�y the City Aaggggav that th@ T1e
('?V0i 4 ( chop gab(dCST)TA.m d bmildirgg pemit hers VIO)t acs yet, be --,n
ccc plgt+pd,> AS 7m y a bultdiwgg "resit 12T vss&id for SA mdg y@air
ri@d fyom the date It VZO iaage&
Xiga .y got in tM-1 .b with t1f is off .ca for vmewall of this pelt
bcfare jgOlu's:t,, 19fi? " If any ch mgu�Q of- dtei oe @xt@flt '�A watev
lage ptgmadr plerisa aukwdr this ft'lEorti(rpt 31.lOPS with ��t��•st�d
-t4 f,ca � � a�,thtk� pitys .c�
Arsm—mogr e 6.
9f there ar@ any gTmSti@f.'q vith3 mUm-m@ to thin l tt@r, kindly
6-!M this office.
wourm very ETWIT"`'�r
city ax Twidtloy
CSgr' @
t)
SUBJECT
PERMIT NO.
City of Fridley
® 13000
AT THE TOP OF THE TWINS
PERMIT
r
BUILDING
RECEIPT NO.
w-_____ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
%-/
�
i�'--t CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROV D BY
612-560-3450
910-F15II
/
6-5-75
JOB ADDRESS
1 LEGAL
BLOCK
TRACT R ADDITION
SEE ATTACHED
DESCR.
JLOTNO.
-
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
3 CONTRACTOR MAIL ADDRESS ZI
PHONE LICENSE
NO.
CONRAD CONSTRUCTION COMPANY 5913 Pleasant Avenue
4 ARCHITECT OR DESIGNERMAIL ADDRESS
ZIP
PHONE LIC�NSE
NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE
NO.
6 USE OF BUILDING
residential
7 CLASS OF WORKi-�
ElNEW ❑ ADDITION
❑ ALTERATION CAS RMIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct o
9 CHANGE OF USE FROM TO
STIPULATIONS
PERMITS EQUIREtl FOR` WIRI G,
.SEpERAiE
.'ilk, PLUMBING ND SIGN
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBI G, HEATING,
VENTILATING OR AIR CONDITIONING.
wood frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CO STRUCTION
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 p20 DAYS AT
ANY TIME AFTER WORK 1S 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 PROVISI NS 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
$9,300
$5.35
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 HE PERFORMANCE O TRUCTION.
Z SOZSZ $50.56
PLAN CHECK FEE
TOTAL FEE
�1/7
6-1
$80.91
EN PROPERLY VA ID TED THIS IS YOUR ERMIT
BLDG. INSP DATE
SIGNATURE OF CONTRACTOR ORAUTHORIZED AGENT ( TE)
SIGNATURE OF OWNER (IF OWNER BUILDER)- (�ATEI
t)
-APPLICATION FOR RESI'DENTIAL., ALTERATION,
CR ADDITION.BUIL.DLNG PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S MOM: t 6CI� -20 BUILDER:
ADDRESS: A ADDRESS: 5-91Y
NO:. 0( Z% STREET:
LOT: J' BLOCK: ADDITION:. . e�
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach . to this form .Two Certificates . of Survey -of Lot an&p.roposed
building location drawn on these Certificates.,
DESCRIPTION OF BUILDING
1
. To Be Used As.
Front: Depth: Height:
a�
O Square Feet: Cubic . Feet :
Front: : �-i Height:
Square Feet; Cubic Feed: , ,7
Type of Construction: Estimated Cost: $��, ��c e 1�4
To Be Completed:
The undersigned hereby makes application for a permit for the•wbrk herein
specified, agreeing to do all work in sttict 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: SIGNATURE:
(See Reverse Side For Additional Information.)'
(//� �p�•(�� cc � Pte/ r_ r
01
su9jEtT
RMIT NO.
City of Fridley
33186
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
`
RECEIPT NO.
_ COMMUNITY DEVELOPMENT DIV.
• ------
INSPECTION SEC.
r � PROTECTIVE
1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
763-571-3450
910-F15
10/18/02
JOB ADDRESS 1621 Rice Creek Road NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
Pt 596
Auditor's Subdivision #22
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Andrew Wargo 1621 Rice Creek Rd NE
763-571-5108
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Same
s 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 l REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Rerod House & Garage (25 Sq') 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
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
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
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
$29174
$1.09
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TALFEE
$86.51
SSG +ATURE OF CONC CTOR uTMOR�ZED AGENT IDATE,
We11
H PRO
- Y VA D ED THIS IS YOUR P MIT
S.N4 URE OF MEA,.F OWNER Su ERi 10ATE
RZOG -NW
OATS
01
NEW [ J CITY OF FRIDLEY Effective 1112002
ADDN [ i 6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: I60 a, \ � � C'fc c \C �Z6
Legal Description:
Owner Name & Address:
Contractor.
Tel. # �I Loa ` x-11- 51D;�
MN LICENSE #
Address: Tel. #
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. FL
Length Width Height Sq. FL
Length Width
Construction Type: Estimated Cost:
Sq. Ft
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
tt toss - a s-1 -'ejocC6-
DATE: APPLICANT: `\ Tel.# �1-(o'LA`Igl
Call (763) 572-3604 for Permit Fees if mailing in application or 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
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ S-7
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by*Engineedng
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS: