PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT No ` 4743
Date: .. ;; ...!: "/, ...._ . .. ...._ _....:_...._._.......__.
Owner: ..... ... ..... .. udder_........_.._._.._ ........
. �.._.. _... .__..._
,d^ �' f.!
Address .. -._ 'J ddress r .. ..� "--._._.._.._------_.....::_...-----
I4CA�T�IONF BUILDING
No....d.. Street ...... ..:.......... Part of Lot _ .. -•-
Lot ..._.................. Block ...__.............. _ ........... Addition or Sub-Division,�t,,,
•.w ..
Corner Lot ......... ............... Inside Lot ... 4r1 .""."'................ Setback . ..........:..: Sideyard ...:.. :. �---................_..................
SewerElevation....._.............--------......__....._...._..........-•---............_.-------•--............ Foundation Elevation .................... _........ _... _..:......... ___....................... .............. ...
DESCRIPTION OF BUILDING
To be Used as I � ,
Front ...._.. Depth :.._? ....... Height .. Sq. Ft./d.5-7 Cu. Ft a
..... ............... ._........ ...... Front Depth e'ght Sq. Ft......_.....__........ Cu. Ft......_..............
:..... .a
Type of Construction ..._ �-_. .::;. Est. CostF`�t" ,� '"" ... To be Completed ....._...-...--..........................
I' ........
THIS PEi-,,t%' •._ _.-� _
VIOLAT.
ICN OF ANY..r� at
BUILDING RELAi'STRICTIONS, D COVENANTS AND
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.
I................. .._..._._ _..._.._.�__..__ _ _._..__._.._...
In consideration of the a $.. -_"!7
payment of a fee of {�'_....._................... pernut is hereby granted to. .... .................. ...................................
t 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 ;4 this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. .a 'i X..A j
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
J?
APPLICATION FOR BUILDING PERMIT
CITY OF.FRIDLEY, MINNESOTA
Owners %tie- -Builder
Address
LOCATION OF BUILDING
No —Street. CSC Part of Lot
Lot Block Addition or Sub.Div./94,
Corner Lot Inside Lot --)(—Set Back Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
Front Depth. Height_Lq _'
Sq. Ft. Cu. Ft.
Front Depth Height.
Sq. Fti: Cu.. Ft.
Type of Construction Estimated Cost
To be completed
T . h4i'undersigned hereby makes application fora permit for the work herein specified.,
agreeing to do all work i ' n strict accordance with the City Ordit4nees and ruling of
the Department of Buildings, and -hereby declares that all the facts and representa-
tions stated in this application are true and Arrect.
DATZ' X/ SIGNATURE
(A Schedule of Fee costs can.be found on the Reverse Side.)
City ®f Fridley, Minn..
BURDING PERMIT
Date:��'
Owner: '� ° _ 46 Builder
Address Address
a Fogy
N® 7447
t
/ OCA ON SOF BUILDING
No. Street Part of Lot _I)
Lot ___ Block Addition or Sub-
Corner Lot Inside Lot, '�!� Setback �'�"� Sideyard
Sewer Elevation __ _ Foundation Elevation
DESCRIPTION OF BUILDING
To ;
.�
/0 Front Depth 7 Height _ d Sq. Ft. �' >> Cu. Ft. //�
0, ,He1 t Ft. Cu. Ft.
t Depth Sq gh
Type of Construction i EstrC
Co To be Completed
In consideration of the issuance to me of a permit to construct th uilding described above, I agree to do
the proposed work in accordance with the description above set fo and inlianc wi ovisions of
ordinances of the city of Fridley. 27-�' //4
�%
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, 1Minnesota regarding location, construction, alteration, maintenance repair and moving of buildings
within the city limits and this permit may be revoked at any time u vanslati of any of the provisions of said
ordinances.
Building Inspector
NOTICE:
Thb permIt does not corer the caatrnetion, installation for whing, phrmbins, gas heating, sewer or water. Be acre to see
the Beildbg hulmidor for separate permits for these items.
APPLICATION FOR BUILDING MMI=
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME 1-204 BUILDER /M V_�C
ADDRESS Pd 6 &eeoe T�_91---kAce ADDRESS
LOCATION OF BUILDING
No. �� ? �[ �e-c &4 ee,< l e&KAe Street Fart of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to.this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on'these Certificates.
DESCRIPTION OF BUILDING
To be used as:
T%40 t+ e {> Front Lapth Height /'� �'ey
Sq. Ft. Cu. Ft.
Front Depth
Height
Sq. Ft. Cu. Ft.
Type of Construction 2 Tzx M e_ 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 of the Department of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE B SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
SUBJECT
City ®f Fridley
26055
AT THE TOP OF THE TWINS
BUILDING
PERM!
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
d
NUMBER
REV
DATE
PAGE Of
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
5/14/98
JOB ADDRESS 821 Rice Creek Terrace NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
oESCR.
7
1
Brookview
Terrace 3rd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Hary Kienholz 821 Rice Creek Terrace NE
571-1140
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Greg Wills Exteriors 4246 Royce St NE,
Mpls., MN 55421 788-0529 20037840
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 ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Aluminum. soffit & fascia
9 CHANGE OF USE FROM
TO
STIPULATIONS
Install soffit ventilation to
meet 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
]
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
$1,350
$.67
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-
ire SC $1.35
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$45.75
PLAN CHECK FE
OTAL FEE
Lic C
$ 0
$52.77
SIGNATURE OF CQfeRACTOR OR AUTHORIZED AGENT (DATE)
HEN P
Y VAL ED THIS IS Y R E
BL )NSP
gTN
FJATE
SIGNATURE OF OWNER) IF OWNER BUILDER) IOATEI
NEW [ ] Effective 1/1/98
ADDN CITY OF FRIDLEY 66
ALTER ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 0
BUILDING PERMIT APPLICATION
ConstructionAddress: 9W C;e4=14E�e 779�.e
Legal Description:
Owner Name &Address:ZZ,�Jg'ji` Tel. # 5 f ��
Contractor: –MN LICENSE #
Address: �,%� � ,/�: t VGA Tel. # S79L01
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:�P Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: �// PLICANT: 64,,4:6 4:J/I X 457K 7— Tel. # ` ,& iOS�9 %
TOTAL $ S� `?
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ SSV
Fee Schedule on Reverse Side
Fire Surcharge
$ 1,,3S—
.001 of Permit Valuation (1 / 10th %)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 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 $ S� `?
STIPULATIONS:
cr f
suerecT
City of Fridley
J
27186
AT THE TOP OF THE TWINS
BUILDING PERM
IT
r
`
T NO.
i _ COMMUNITY DEVELOPMENT DIV:
~ PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/14/98
JOB ADDRESS 821 Rice Creek Terrace
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR..
7
1
Brookview Terrace 3rd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Harvey R Kienholz 821 Rice Creek Terrace
571-1140
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
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION )a REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 25 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building
Code.
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
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
2085
$1.04
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.
$74.75
Fire SC $2.08
PLAN CHECK FEE
TOTAL
TU�E•'OF�CONTRACTOR ORA MO 2E G (DATE
N P OPE IDATE T IS /' UR/P/ERMIT
SIGNATURE OF OW q OWNER BUIL Di_R1 10 EI
SLOG 1NSPTATE
NEW [ ]
ADDN [ ]
ALTER [ ]
ConstructionAddress:
Legal Description: _
Owner Name & Address:
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/98
Tel. #
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length
Length_
NZAu
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
�F-/f
Construction Type Z Estimated Cost: $_�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT:
CITY USE ONLY
Tel. #
Permit Fee
$ 1741
Fee Schedule on Reverse Side
Fire Surcharge
$ 0
.001 of Permit Valuation (1/10th%)
State Surcharge
$ /,
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
f.
$45(Y 00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
$T7. 607
Building
$
BUILDING
See Back Page for Fee Schedule
Permit No.: Wbli
Inspections
RESIDENTIAL APPLICATION
Received By: r0LC��h
763-572-3604
.001 times the total job valuation
Surcharge
$
O '
.0005 x Permit Valuation Minimum $.50
CITY OF FRIDLEY
$
e_��
763-502-4977 FAX
SAC Charge
$
$2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
EFFECTIVE 1-1-2010
ft + 6 ft = ft x $24 = $
DATE 1
O YOUR E-MAIL ADDRESS
SITE ADDRESS�_,��
Park Fee
$
THIS APPLICANT IS:
❑ OWNER CONTRACTOR
Sewer Main Charge
PROPERTY OWNER/
NAME: J --�,
Agreement necessary ( ) Non Necessary ( )
TENANT
ADDRESS: Cr CITY®
-e_J STATEJZIP
Make checks payable to: City of Fridley Attach Stipulations
PHONE:-* 7 CQ' -2,,
CONTRACTOR
NAME: 2Mn
C—
SUBMIT A COPY
STATE LICENSE # ZOZZ ^jS4d EXP DATE '
YOUR STATE LICENSE
AND CERTIFICATE OF
ADDRESS: --3,;s `�' CQ ncd Q=_n Ci
CITY cs1a(— STATE ZIP
INSURANCE
PHONE 10 17 — t f® C- FAX
b
PROPERTY TYPE
NO SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK X SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
MAWTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT
LENGT WIDTH
HEIGHT SQ FT
ROOFING
Q HOUSE ONLY
BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES
❑ HOUSE & GARAGE
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
'Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
I. Site Plan/Survey showing the existing structures
❑ Other
❑Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
FOR WINDOWS - PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
If (USING THE 1997 U.B.0 FEE SCHEDULE)
im
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$ —r
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
O '
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
e_��
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $24 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
Make checks payable to: City of Fridley Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of #ie City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application fora ltnot to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all, 1 c s revie approval of \pl
SIGNATURE OF APPLICANT PRINT NAME1N��" 1% DATE P 6 I -Z I -01 `-'