PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMITS? 4408
Date: ....._....._ ............. _......_...._............._....._....__........_._................ ...........
/10
Owner: ..... ........ ............................................. ........ ._._..... --.......... .............. -... Builder . . - _--- — -- ��it
Address............ -.... ........ _ _— .._.._....._.._.... _ _ _ _ _. Address ........_....------.._----------------•----------.............._._.._......._..------......_......._...:.._._....
LOCATI N OF BUILDING
NO$F....�......�%... Street - -------- _... of Lot ........................ —y- ......_ ._........... - ...__....__
Lot ..----- ............. ........... Block ............. _.... ............ ................. Addition or Sub -Division . ............... C
- - .....................-...._..
..
Corner Lot ............ .............. ......... Inside t Lot ...... -A........................ Setback ..3. -�.-� . Sideyard ..... �®.._.-�. �%.....-_.._...
Sewer Elevation --------------- 0......../..--o ....... -....................... .... -.............. Foundation Elevation q.rv. �...M
DESCRIPTION OF BUILDING
To
be Used
as.
�........... Front .7.."� Depth ? ..'.. Height .. Sq. Ft. .. ... A Cu. Ft. �.C�,-9.
........... _................................... Front .................... ---Depth ...................... Height ........................ Sq. Ft......................... Cu. Ft. ........................
..
Type of Construction ........................... ................................ Est. C ................ 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 se orth d,a� complian a with all provisions of
ordinances of the city of Fridley. �I e,
payment ..ma�yy s ,permit is hereby granted to .... _...----------........ --................---...---
In consideration of the a ent of a fee o $ ®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 and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. le
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.
rte:— M
City ®f Fridley,
1101DING PERMIT N? 7120
Date:
Ownsr: t�, ";"Builder
Address
L OF BUILDING
No. Street (-V_ _ Part f Lot
e
Lot Block Addition or Su on
Corner Lot Inside Lot _�� daetback 0 Sideyard
Sewer Elevation — FoWdation Elevation
DESCRIPTION OF BUILDING
T U as:
Front Depth Height 40— Sq. Ft. Cu. Ft.
plliwt Depth Height ___.�7 Sq. Ft. Cu. Ft.
Type of Constru _ _Est, =' _ 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 21 provisions of
ordinances of the city of Fridley.
%..D�
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 pera�n 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
w��� dty ]imita and this permit may be revoked at any time upon violation of any of the provisions of said
Building Inspector
NOTICE:
This permit does not corer the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sero to we
the Building Inspedar for separate permits for theta Ben%
APPLICATION FOR BUILDING PERMIT
CITY ;OF FRIDLEY, MINNESOTA.
OWNER'S NAME //�i�,e ` BUILDER
ADDRESS �fjf 0 /?! ce. C_h,e �1, 1 e 1- Pd_C.e. ADDRESS l e6-6 0-7 o 4414
LOCATION OF -.BUILDING
No. Street_ Fart of Lot
Lot Block Addition or Subdivisi
Corner Lot Inside tot Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant 0tach.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:
Front 'D _D_ Depth 0 3- Height
Sq. Ft., Cu.. Ft
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Af-4ine. Estimated Cost I3 g -
To be Completed 96 e(aS
The undersigned hereby makes applica'tion,for,a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of.FridleyOrdinances and
rulings of.the Department of Buildings, and hereby declares that all the ficte and
representations stated in this application are true and correct..
(Schedule of Fee Costs can be found on the Reverse Side).
y - , " 16,160D-3049
LOT
NAME
SIZE
,C—
I/JJ) L %
2 'y
BLOCK
ADDRESS
VALUE
era
1,37,6
ADD'N.
AREA
TYPE
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re aalf/r f7Avse
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Sin off, �
ns fri// 9,30 S�. 1r n/
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SUBJECT
PE N.
O6
City of Fridley
F
15 2 5
AT THE TOP OF THE TWINS
BUILDING P E R M I T
_
r
ECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
r � PROTECTIVE INSPECTION SEC.
�
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
3/19/80
JOB ADDRESS 880 Rice Creek Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
2
4
BrookvieW Terrace 3rd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert Wuertz 880 Rice Creek Terrace N.E. 571-6969
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECTOR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reroof and add plywood on roof
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR WIRI
HEATING, PLUMBING AND SIGNS.
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
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
$1,000
$'50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$7.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$8.00
SIGN TUREOFCONTRACTORORAUTHORIZEDAGENT (DATEI
WHEN PROPERLY ALIDAT/ELD THIS IS YOUR PERMIT
l�
� / W�
BLDG INSP DAT
01 SIGNATUREOF OWNER tlF OWNER BUILDER4____-) ( TE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER:BUILDER:
ADDRESS: $ 6), �� GZ ADDRESS:
TEL NO: 2 TEL NO:
Construction Location
STRF�T N0: 17 T C% STREET: ` Z
LOT: BLOCK: __. .�. ADDITION:
Corner Lot: Inside Lot: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
Fr t: Depth: Height:
Square.Feet: Cubic Feet:
Front: Depth: Height:
Square- Feet: Cubic Feet:
Type of Construction:
To Be Completed: -n��
Estimated Cost: $
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 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. I
DATE:, q 2� 0 SIGNATURE:
Stipulations:
City of Fridley
SUBJECT.
'`�
0 16012
AT THE TQP OF THE TWINS
BUILDING PERMIT
._
r
RECEIPT NO.
'<: ---*- COMMUNITY DEVELOPMENT DIV.
-
r � � PROTECTIVE INSPECTION SEC.
�
`t _
�r---,.� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
----�
j 612-571-3450
910-F15
u-14-80
JOB ADDRESS
880. Rice Creek Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
2
4
Brookview Terrace 3rd SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Robert Wnertz 880 Rise Creek Terrace Fridley 55432 571-6969
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Omer
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW EX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install a good burning ' s.tove' and' chimney.
9 CHANGE QF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Metal/Block
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
R-1
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
c�200� OQ
�S`. 5O
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
Y
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
TOTALFEE
$8.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED A ENT (DATE)
WHENNROVRLA(AU THIS IS YOUR PERMIT
BLDG INSP RATE
SIGNATURE OF OWNER OF OWNER BUILDER) (DATE)
S
CITY OF FRIDLEY
APPLICATIM F -01t Ri-Si[)kilTl/',;. BUILDING I'EPHlTs
(New, Al aerations, Additions, or Repairs) .
OWNER: BUILDER:
c
ADDRESS: �, /Y���� 7ey- ADDRESS:
TEL NO: _57 17 TEL 140:
Construction Location '
o
• sTREeT No : � � 0 , STREET:
LOT: BLOCK: ADDITION: 1 -115
Corner Lot: Inside Lotze 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: Height:
Square. Feet: Cubic -Feet:
Front: Depth: Height:
Square- Feet: Cubic feet:
9
Type of Construction:��
Estimated Cost: $ , U C)
To lie Completed: %{ l r
T
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
Mie undersigned hereby makes application for a permit for the %.nrk*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
representltions stated in this application are true and correct.
DATE: I� SO SIGNATURE:
Stipulations:
>� 7. g
�> 0-0
SUBJECT --
PE T
City of Fridley
®-
AT THE TOP OF THE TWINS
BUILDING PERMIT
P
RECEIPMW
• _____ COMMUNITY DEVELOPMENT DIV.
L
r PROTECTIVE INSPECTION SEC.-
� �
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
I CITY HALL FRIDLEY 55432
612-571-3450
910-F15
11/16/83]
JOB ADDRESS 880 Rice Creek Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
2
4
1 Brookview Terrace 3rd Addn. SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Robert Wuertz 880 Rice Creek Terrace N.E. 571-6969
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
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
X
8 DESCRIBE WORK
Construct bathroom in basement 9' x 51
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPER ATE PERMITS REQUIRED FOR WRING.
HEATING, PLUMBING AND SIGNS.
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
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
$5OO
$. 5O
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-
$15.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
LAN CHECKFEE
TOTALFEE
$15.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY THIS IS YOUR PERMIT
OVIDATED
/ / 93
BLDG INSP f DATL
SIGNATURE OF OWNER IIF OWNER BUILDE - (DATE)
CITY OF FRIDLEY
. Effective Aug'. 1, 1981
APPLILATIM FOR RESIDENTIAL BUILDING PERMITS
(Nevi, Alterations, Additions, or Repairs)
OWNER:
ADDRESS: '--b L2 -0 1-7
TEL NO: � - R d' q
�BUI LDER : A N\
ADDRESS:
TEL 140:
Construction Location
STRICT NO:. c6 <9 o STREET:
LOT: � BLOCK: '� ADDITION: .lic�l�Q�3 I
Corner Lot: ^� Inside Rat: y Setback.: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
AJC M- DESCRIPTIOR OF C01-11STRUCTI014
_ p Front:
Square Feet:
Front:
Depth: j Height:
Cubic Feet: 3
Depth: Height:
Square Feet: Cubic Feet:
Type of Corstruction : 0 P t l ky o M Estimated Cost: S a
Zb Be Obr.pleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEn pzVF.RSI: -SIDE OF SHEET
7be undersigned hereby makes applicaticn for a permit fcr the %cork herein specified,
agreeing to do,all work in strict accordance with the City of Fridley Ordinances and
rulings of the Delwirtment. of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
DAZE: Z22� f 5 3 SIGN1lTillE :
Stipulations:
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES:
New Fixtures
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
Water Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
NO.
3
7cY�
$ 5.00
$ 3.50
$ 1.50
$ 4.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 7.00
$ 5.00
$ 10.00
$ 10.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or Appliance
Reinspection Fee $ State Surcharge
($15.00) TOTAL FEE
TOTAL
$ /6-10c)
S
S .5o
Effective Aug. 1, 1981
Job Address '0 S Q 4 L ry v
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
OWNER
KIND OF BUILDING
USED AS
Fridley, Mn.
e
19
TO BE COMPLETED ABOUT
1 0
ESTIMATED COST D
OLD - NEW BUILDING PERMIT NO. PERMIT NO. 47161
ROUGH INSP.
Date
Company
Signed By° p//lam' e'
Tel. No. 7 / 6 �z 6
®
FINAL INSP. (
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00
PLUS THE $.50 STATE SURCHARGE
>,
m
u%
m
Water
yy
.ci
{.{.��
W
H
a
rU
Heater
H
.0 C@
d
a
N
o
a
4
to
3
as
lec
ca -.
U
D
tll
0
W
W
U o�
a�u
uT
1st
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) - New Fixture, Old Opening
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES:
New Fixtures
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
Water Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
NO.
3
7cY�
$ 5.00
$ 3.50
$ 1.50
$ 4.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 7.00
$ 5.00
$ 10.00
$ 10.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or Appliance
Reinspection Fee $ State Surcharge
($15.00) TOTAL FEE
TOTAL
$ /6-10c)
S
S .5o
Effective Aug. 1, 1981
Job Address '0 S Q 4 L ry v
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
OWNER
KIND OF BUILDING
USED AS
Fridley, Mn.
e
19
TO BE COMPLETED ABOUT
1 0
ESTIMATED COST D
OLD - NEW BUILDING PERMIT NO. PERMIT NO. 47161
ROUGH INSP.
Date
Company
Signed By° p//lam' e'
Tel. No. 7 / 6 �z 6
®
FINAL INSP. (
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00
PLUS THE $.50 STATE SURCHARGE
City of Fridley
SUBJECT
P
1855
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
EIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
NUMBERREV:
DATE
PAGE OF
F7/23/86
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
/ /
JOB ADDRESS 880 Rice Creek Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
2
4
Brookview Terrace 3rd Addition SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP PHONE
Robert Wuertz 880 Rice Creek Terrace
N.E. 571-6969
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
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 XJ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 26' x W Three Season Porch Addition
9 CHANGE OF USE FROM
TO
STIPULATIONS
;01/0 ���g
04,7
SEPARATE P1`1``ilbR
SFO c'c'fs�r 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
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
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
$7,850
$3.93
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-
$68.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
LAN CHECKFEE
TOTALFEE
$17.13
$89.56
�TURE OF CONTACTOR OR AUTHORIZE ENT (DATE)
NWHEN PROPERLY V8kpATED THIS IS YOUR PERMIT
2
BLDG iNSP DATE
SiGNATURE OF OWNER OF OWNER BUILDERI (DAT
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ ] �R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address: vv
D E4 � P
Legal Description: / cy
Owner Name & Address: Tel. #� ( ��/�
Contractor: �l-�"'�-Tel. #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
1
LIVING AREA: Length Width Height 3 Sq. Ft. f
GARAGE AREA: Length __ Width _ Height Sq. Ft.
DECK AREA: Length Width __ H /Ground Sq. Ft.
OTHER: `
Corner Lot [ ] Inside Lot Ft. Yd. Set �ck Side Yard Setback
Type of Construction: r Estimated Cost: $
Approx. Completion Date: i D� Pao
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
"WATE: APPLICANT: A4^�'1.
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$475 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
6Y6�
SUBJECT
IT NO.
City of Fridley
3 0307
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
REC�nEI/P%T NO.
�
_ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r � �
�
NUMBER
REV
DATE
PAGE OF
APPROVED BY
l1 =
CITY HALL FRIDLEY 55432
_•_.� �r���,,,
L 612-571-3450
910-F15
9/28/99
JOB ADDRESS 880 Rice Creek Terrace NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
OESCR.
2
4 lBrookview
Terrace 3rd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert Wuertz
571-6969
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
O NEW ❑ ADDITION ❑ ALTERATION X® REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house 25 S Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the 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
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
$2185
$1.09
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
$83.25
Fi= SC $11 $2.19
PLAN CHECK FEETOT
FEE
.53
AT E OF ON O NOR4Ep AGE i iDATE.
E PR P
VALI T THIS I UR PERMIT
'0
%Ir
41�1
SIGNATURE OFOWNER i iFOWN
8 G INSP
TATE
WE
] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION ®� _\0
Construction Address:
Legal Description:
Owner Name & Address: -Tel. .# 7 /
Contractor: MN LICENSE #63-9 7 K 5 Ok 96
Address: r2,1A
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER: F
Construction Type:
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Estimated Cost: $ l�S�
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:.A'% g 9APPLICANT: Tel. #
Permit Fee $ o�S
Fire Surcharge
$ '�' ! 9
State Surcharge
$ 1,09
SAC Charge
$
License Surcharge
$
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ .5
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ ]