PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N®
Date: ..._.....'_. , .........._...._......_...--
�i
Owner: ...... !�a,...-r Builder
Address' ^ f -
__�_... Address
::x - _..._.. c 1; _
e LOCION9FUILDING
No. ..... . street ....._. ' '.....�.._. Part,1f$Lot`"a�
Lot ......... .....
........... Block ......... __......Addition or Sub -Division
Corner Lot....................... ..-......... Inside Lot ...----........... Setback .......................... Sideyard ....:.. '._............ _............................ ............
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To,; e Used as x
Depth .:...i .. g Sq. Ft.
Front.... Hei ht , Cu. Ft.
......... ......... .11/ From ........................ Depth ...... Height Ft. ........... Cu. Ft......
Type of Construction .. _ . Est. Cost X.0; , .._ ............ To be Comph d .............. ... _......... ....................
--
C,J,.JD
In consideration of the issuance to me of a permit to construct the building described above I agree to do
Pe g , �'
the proposed work in accordance with the description above set forth and in compliancewith 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 yf any of the provisions of said
ordinances.
x
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
#' s
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, KMNESOTA
r
Owners. Name � Builder
Address
Address '� s
-_--�--
LOCATION OF BUILDING
Nod Street,°s R Part of Lot
Lot Addition or Sub,Div.1�j''�'=
Sit Set BackSide-Yard
_,,,,,
Corner LotInside ,,,_____.....L.:
Y
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate.of Survey of Lot and proposed building
location.
DESCRIPTION OF BUIMING
To be used as:
Front Depth_ Height....._.._.-....
Sq. Ft. . , 'Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft,
Type of Construction '` 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 representa-
tions stated in this application are true and correct.
DATE a SIGNATURE _ -
(A Schedule of Fee costs can be found on the Reverse Side.)
City of Fridley j
Application for Plumbing and Gas Fitting Permit
DepL of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK AZ
Number, Kind and Location of Fixtures Location %�
City of Fridley:
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.
UN 1060 19—
Fridley, 1Vlinn
Owner G A Itr G i4 'f/j /&/ 'DA -5
Kind of Building 1111: -At
Used as ow,
To be completed about
PARTIAL RATE SCHEDULE Estimated Cost, $
Old—New. Building Permit No ��' �`3 Permit No. �
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...................... x $1.50 $ ! Signed,
LONDON PLUMING CO. "
Future Fixture Opening ................ x 1.20 $ By—
New
y New Fixture Old Opening .............. x 1.00 $ Business Phone No
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTU) .. ...Z x 2.00 $ 'A . &V
New Ground Run Old Bldg. x 3.25 $ ROUGH
FINAL
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 ................................................$ ma�yy® ,,��
TOTAL FEE $�C) d2 2M 7-59
<�
Z
1-,
pZ
Z
�
WATER HTR.
F
'O
O
Base
1st
2nd
_
3rd
_
4th
• Future Connection Openings
Connected with
I
Sewer �
New Fixture, Old Openings
Cesspool
City of Fridley:
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.
UN 1060 19—
Fridley, 1Vlinn
Owner G A Itr G i4 'f/j /&/ 'DA -5
Kind of Building 1111: -At
Used as ow,
To be completed about
PARTIAL RATE SCHEDULE Estimated Cost, $
Old—New. Building Permit No ��' �`3 Permit No. �
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...................... x $1.50 $ ! Signed,
LONDON PLUMING CO. "
Future Fixture Opening ................ x 1.20 $ By—
New
y New Fixture Old Opening .............. x 1.00 $ Business Phone No
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTU) .. ...Z x 2.00 $ 'A . &V
New Ground Run Old Bldg. x 3.25 $ ROUGH
FINAL
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 ................................................$ ma�yy® ,,��
TOTAL FEE $�C) d2 2M 7-59
City of Fridley, Minn..
BUIIDING PERMIT
Date: — SEPTEMBER 9, 1966
M
3-5-0 --L/
9000
Owner: DONALD GREENWALDT Bider SAME
Address 942 RICE CREEK TERRACE Address —
FRIDLEY, MINNESOTA 55432
LOCATION OF BUILDING
No. 942 Street RICE CREEK TERRACE Part of Lot
Lot 3 _ Block 3 __ Addition or Sub.Division HROOKVIEW TERRACE 3 2ND ADDITION
Corner Lot —_ Inside Lot % Setback _.—_ Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
DET. GARAGE Front —2—Q Depth 24 Height 10 Sq. Ft. 480 Cu, Ft, 4,800
FATIO ® QFM Front 10 Depth 24 Height 10 Sq. FL 2A 0 Cu. Ft. 2, 400
Type of Construction _ _ _FM Est. Cost _ 1 000 -- 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 comp ance with all provisio of
ordinances of the city of Fridley.
oo
In consideration of the payment of a fee of $ 600 , permit is hereby granted to DONALD
GRE�DT 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.
CLARENCE BELISLE Building yuwctor
NOTICE:
This pence does not cover the construction, Installation for wiring, phunhIng, gas beating, sewer or water. Be sure to as
the Building Inspector for separate permhs for these Items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIMEY, MINNESOTA
ADDRESS 9qu ict. �C LEF-e 7 EAE _ADRESS !24_1_2 WILL Cho. L4,e g,
LOCATION OF BUILDING
N0. -STREET PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION)C E 2-14 4ed
CORNER LOT INSIDE LOT_SMACK SIDE -YARD
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as;
9,041A4 9 A-9, Frontes Depth Zi _Height
Sq..Ft. +�f Cu. Ft4-
Front 140 Depth ,N/. Height s'
Sq. Ft. ;2 4/cl Cu. Ft. 0
Type of Construction_Estimated Cost
To be completed 2
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.
(Schedule of Fee Costs can be found on the Reverse Side).
V
ci
t
SUBJECT
PER --,
City ®f Fridley
21529
AT THE TOP OF THE TWINS
BUILDING PERMIT
i ,
fi
COMMUNITY DEVELOPMENT DIV.
T/S
____�_
r U PROTECTIVE INSPECTION SEC.
� ,
CITY HALL FRIDLEY 55432
NUMBER
REV,
GATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
9/3/92
JOB ADDRESS 942 Rice Creek Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
3
Brooks7iew Terrace 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Donald Greenwaldt 942 Rice Creek Terrace NE 571-5723
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house & . Garage C25. wares) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with.th.e State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
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
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$ l 325.
$,66
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
f
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$33.00
Fire SC $1.33.
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$34.99
ATURE OF N7RACTOR AUTHORIZED AGENT (DATE,
HEN PROP LY V L DATED THIS IS YOUR PERMIT
%S pi e J -- � yam.
- 9 99
A' G INSP BATE
T SIGNATURE OF OWNER OF OW NER BUILDERI �- (DATE)
NEW { ]
ADDN ( ]
ALTER [ ]
Construction Address
Legal Description: y s
Owner Name & Address:jpj�� ��T�/V i��L-%�`� Tel. #�5-7172,3
Effective 3/1192
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Contractor: MN LICENSE #.
Address: q e¢®2 g IC i���1� fi��2�, //�/� Tel. # y ZZ �'7,23
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:
RERLE
d Sler- _q:
E_z�R A6 L
�,S— �9C MMI -C
fivl� R
. 0 r - F
Corner Lot [ ] Inside Lot [)
Ft. Yd
Setback
Side Yard
Setbacks
Type of Construction:
&
L 7—
Estimated Cost: $
% e
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ = $
DATE: APPLICANT: 1&0
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,00 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary { ] Not Necessary ( ]
k],
SuBjECT
RMIT NO.
City of Fridley
3348
AT THE TOP OF THE TWINS
BUILDING PERMIT
�
RECEIPT NO
�` COMMUNITY DEVELOPMENT DIV.
V PROTECTIVE INSPECTION SEC.
f�
r � ;
NUMBER
REV
DATE
PAGE OF
APPROVED BY
Ii CITY HALL FRIDLEY 55432
IL'--- ��'
763-571-3450
910 -Fl 5
4/29/03
10B ADDRESS 942 Rice Creek Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
3
Brookview Terrace 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Donald Greenwaldt 942 Rice Creek Terrace NE
763-571-5723
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 O ADDITION ❑ ALTERATION OX REPAIR
❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (25 Sq) Tear -off
9 CHANGE OF USE FROM 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 920 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
$2 g94
$1.45
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-
$83.25
Fire SC $2.89
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
$87.59
ATURE OF CON- CT R THORiZED AGENT ,MATE,
WH N PROPERLY VALIDATED THIS IS YO R PERM
Z9 �®nilo
VSSGNATUAE
,gatE
B OG -45V9--
OF OWNE ,-F OWNER BUILDER, ,DATE,
k],
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: 9 � IC,E Z?k E IC' ZW R
Legal. Description:
Owner Name & Address: - Tel. # W S 7%
Contractor. jQ4ZGJ1,F MN LICENSE #
Address: Tel. #
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: P,6, #F 1-9'611LE 9L aAR Com" _ 0� 0_�✓
Construction Type: Estimated Cost: $ e2?69
<1
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 17 -29-03 APPLICANT:,, W aIQ R Tel. #
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-5714287 if using credit card and we will
call you for card number.
TOTAL $ 6 / ° Q_
CITY USE ONLY -
Permit Fee
$ ®S
Fee Schedule on Reverse Side
Fire Surcharge
$ .
.001 of Permit Valuation (1/10th%)
State Surcharge
$ A 4S
$.50/$1,000 Valuation
SAC Charge
$
$1275 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Curb Cut 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 $ 6 / ° Q_
Building
$ ��.,�(�
BUILDING
Permit No.:
Inspections
65% of Building Permit Fee
RESIDENTIAL APPLICATION
Received By:
763-572-3604
Fire Surcharge
CITY OF FRIDLEY -L—
Date Rec'd: I®
2�A
DATEJo �d
YOUR E-MAIL ADDRESS
$5.00 (State Licensed Residential Contractors)
.-
SITE ADDRESS 2+ CeE C, k
$
THIS APPLICANT IS:
OWNER ❑CONTRACTOR
$
PROPERTY OWNER/
NAME: .P
$
CITY% �.�� STA
TENANTADDRESS:
$
PHONE: "T� �- —7
Sewer Main Charge
CONTRACTOR
NAME:
Total Due
STATE LICENSE # EXP DATE
Make checks payable to: City of Fridley Attach Sti ulations
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: CITY
STATE ZIP
WITH APPLICATION
RLIONE FAX
SINGLE FAMILY/NEW CONSTRUCTION SIZE
PROPERTY TYPE
E3 TWO FAMILY/NEW CONSTRUCTION STO S
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF 0 DRAIN TILE
❑ DECK ❑ SIDING O
r
❑ SWIlvM NG POOL
G�
TYPE OF WORK:�'
IJ ADDITION
MARK ANCEIREPAIR ❑ REMODELING
TO
DESCRIBE WORK BEING
DONE:
SIZE OF IMPROVEMENT 01 LENGTH � WIDTH �
HEIGHT r / Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
I. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
E3DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
L 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
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATIONS OCCUPANCY TYPE
Permit Fee
$ ��.,�(�
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Surcharge
$
(.0005) times the total job valuation — Minimum $.50
Fire Surcharge
$ 156
.001 x Permit Valuation (1/10%)
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1450 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $20 = $
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 Sti ulations
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 the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work w ich requires re"' w and approval of plans. ,,/ f�� �/ / ��f /� . / "J ,_ /�j
SIGNATURE OF APPLICANT RINT NAMED? &-C-- [�0 Tl4AATE�U !!� t/ °�