PRE 2010 DOCSBUILDING PERMIT
Village of Fridley, Minn.
2912
Builder .... .........................
Address.........................................
WWII, L " OC 14ION OF BUILDING
No. ....... St .../ .... .... ................ Part of Lot
Lot ..../....... Block ........ �X. ........ Additeon or Sub -Division ...
Corner Lot :®t... Inside Lot ....... Setback ...... Sideyard
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height -4d... 4r .... Sq. Ft. zo 4 Cu. Ft. ........
-4 .... "."
.................... Front ......... Depth ..:7 -. Height ... !777".. Sq. Ft. Cu. Ft.
............
Type of Construction -� .. Est. Cost .... 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 village of Fridley.
.............................. Y ..............
In consideration of the payment of a fee of permit is hereby granted to2.A_("-. Z.,
to construct the building or addition as described above. This permit is jPqanted 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 with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said:,
ordinances.
'Wing Inspector
NOTICE:
This permit does not cover the construction, installation or alteration for wirlpe, Oplumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
City of Fridley, Minn.
BUILDING PERMIT jj® `' 4675
r LOCATIOW OF BUILDING
� Z
No. _:_,._.�:. Street _._ _:....."r,.:.�-...442�u P"Ot .-----...._._.�. ..... .
Lot ...._.. Block ._-•---•...................: Addition or Sub-Dsion ..._..Wit-.......... ..... .`
CornerLot............ .... .............. Inside Lot ...... .... ............ . Setback ............................. -.... _........ Si ............. ................. ................. ............... _.._.......
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as
psi , * '. ') d Front ..:.....:. Depth y �a�' ",.. Height _ .... Sq. Ft. � Cu. Ft_,a,
............ .........:_....... Fron Depth _........ Height Sq. Ft......_ ...... Cu. Ft. ..... _...........
......
Type of Construction- , :��'':.._. Est. Cos ......... .......... To be Completed ..................................................
......_........
THIS PERMIT Y)! -.S 1-4C t AUT1HORM v1OLAT-
ION OF ANY ': IvA"( E �A 0 COVENP FS AND
BUILDING RES T nECTIONS.
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 $.-:':.............._..._....., permit is hereby granted to. .......... ..... ................................. .......
.__._............... _... .„_.._..._..__....... to construct the building or addition as described above. This permit is granted upon
the express condition that theerson to whom it is
p granted and his .agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of -any of the provj''sions of said
ordinances.
i� +r
s "4 ... uilding Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
o1jW4
® n
Irr ; 1Ae m4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners. Name Builder - - � .,� `
Address
LOCATION OF BUILDING
No. Street Fart of Lot
Lot Block Addition or Sub.Div.
Corner Lot___Inside Lot_,& .Set Back Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
51
Front Depth '7 Height
Sq. Ft. % Cul. Ft�:? .,...
Front Depth Height
Sq. Ft. Cu. Ft.
Type' o£ Construction Estimated Cost
To be completed 'r
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Buildings$ and hereby declares that all the facts and representa-
tions stated in this application are true and correct.
DATE■ .. � .. _ SIGNATURE
-r:
(A Schedule of Fee costs can be found on the Reverse;Side.)
SUBJECT
PERM O.
City of Fridley
15860
AT THE TOP OF THE TWINS
BUILDING PERM l
r
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
i
CITY HALL FRIDLEY 55432.
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-345,0
910-F15
8/1/80
JOB ADDRESS 109 Rivers. Edge Way N. E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
14
2
Rivers Edge Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Scott C. Reed 109 Rivers Edge Way N.E. 571-2567
3 CONTRACTOR MAILADDRESS 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 X ADDITION ElALTERATION ElREPAIR ElMOVE 0 REMOVE
8 DESCRIBE WORK
Construct an 18' x 101' Garage Addition
9 CHANGE OF USE FROM TO
STIPULATIONS
digging cmi io'txl ulliities
TEtEI'IIUNE -
'A ��"�� ELECTRIC • w Etc,
NG►.
w0� REQUIRED BY LAW
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
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
180
1800
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
ISTALLS I 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
$1,588 $-50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE SAC CHARGE
PROVISIONS O NY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTIONHE PERFORMANC CONSTRUCTION.
5
PLAN CHECK FEE TOTALFEE
eeeztR2az
'A $8.00
SIGNATURE OF CONTRACTOR OR AUTHORIZ DAGENT 1 (D Aft E)
WH N PRO ER LI AT D HIS IS YOUR PERMIT
BLDG )NSP ® DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
CITY OF FRIDLEY
APPLICATIO,f FOR RESIDENTIAL BUILDING PERMITS
{tde�r, Alterations, Additions*, or Repairs.)
OWNER:��
ADDRESS: ®
TEL NO: -x"71- Z S'(y 7
BUILDER:
ADDRESS:
TEL NO:
Construction Location
STREET NO: STREET:
LOT: BLOCK: A.DDI TION :
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
Front: ' Depth: Height:
Square. Feet: O Cubic Feet: got)
Front: Depth: Height:
Square - Feet: Cubic Feet:
Type of Construction:
`fib Be Clompleted:
Estimated. Cost: $ • w
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired:. $ $
SEE REVERSE SIDE OF SHEET'.
SUP 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
riffngs of the Department of Buildings, and hereby declares that all the facts and
representations stated an this application are true a.nd correct.
DAVE: SIGNATURE:
Stipulations.
y
t
4
pca
SUBJECT
PE
City of Fridley
2 8 9 04"
AT THE TOP OF THE TWINS
BUILDING I
PERMIT E R AA I T
I ,
,�1 1
RE tTTPTWa—
o • __ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
!
PROTECTIVE
f/
1 . �
i � CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
----�
L 612-571-3450
910415
2/9/99
JOB ADDRESS 109 River Edge Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
2
I River Edge Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Tracy Mclellan 109 River Edge Way NE
574-9483
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
American Building Contractors 12233 Nicollet Ave S,
Burnsville, MN 55337
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
707-6959 20141480
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
0 NEW 0 ADDITION 0 ALTERATION REPAIR 0 MOVE 0 REMOVE
8 DESCRIBE WORK
Reroof House & Garage (23 Sq) 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
1
1STALLS 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
$1,971
$.98
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
Fire SC $1.97
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$62.25
PLAN CHECK FEE
TOTAL FEE
License SC
$5.00
$70.20
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi
WHEN PROPE VALIDATED THIS IS Y U/R,J�fpPERMIT
B G NSP'
/SATE
S,GNATURE OF OWNER,IF OWNER BUILDERi iOATE, -
AUG -25-1998
ava�vv t
ADDN C ]
ALTER
ConstructionAddress:
09:16 FROM CITY OF FRIDLEY TO
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
7079925 P. 01102t-73 !j
knectmve v vys
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. fit.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Construction Type: J Estimated Cost: $�
911. `'o 0,3
lF7 Schedule on Back)
Driveway Curb Cut Width Needed•,``�� Ft. 6 Ft $ = $
DATE: MliAPPLI
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ lJ� Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ o $.50/$1,000 Valuation
$ $1000 per SAC Unit
$ �� $5.00 (State Licensed Resides
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan F
$ Fee Determined by Engineer
$A
greement Necessary C ] t
Building
BUILDING
PermitNo.: 2
EnspectionsRESII)ENTTAT,
APPLICA'T'ION
Received By:. -
763-572-3604
CITY OF FRITILEY
Date Recd:
ATE t! 2 s
�% YOUR E-MAIL ADDRESS
c d i e 0-7-6
SrM ADDRESS bq
klYef r!.t1 Cr
THIS APPLICANT IS:
❑ OWNER •CONTRACTOR
PROPERTY OVVNER/
NAME: l r n
TENANT
Y�
ADDRESS: tog !l 1 V C r 10 ft a L
CITY f' / ('1 / l t STATE ZIP 5" 5' N 3?
PHONE:. 3 S: - 5 V7 %
CONTRACTOR
NAME:_ THD At- Home Services, Inc.
Jo d c ep F(d e t a n t
STATE LI( 2690 Cumberland Pkwy, Ste 300
-
{ q TA 19 q5- L 0 L 7
SUBMIT A COPY of �
Cumberland Office Park
STATE LICENSE
ADDRESS
CITY STATE ZIP
STATE—ZIP
WITH APPLICATION
PHONE Atlanta, GA 30339-3913
-@4;INGLE Lic# 20268257 Ph. 763/542-8826
"E
PROPERTY TYPE
El TWO FA
_ .DRIES
PERMIT TYPE
IJ ADDITION ❑ GARAGE/SHED�wlrrpowS
❑ BASEMENT FMS13 ❑ ROOF
❑ DRA1N TILE
❑ DECK ❑ SIDING
❑ OTHER
❑ SWA&VffJG POOL
TYPE OF WORK:❑
NEW ❑ ADDITION
NS41A NTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: W r A 010W r� P 10 tj M., A
/A t' 0! n 1 A e
l J
>IZE OF IMPROVEMENT LENGTH
WIDTH HEIGHT Sq. Ft.
ZOOFING
❑ HOUSE ONLY
KJNMER OF SQUARES
O HOUSE & GARAGE
BASEMENT REMODELING'SUBMIT:
>ARAGES
❑ ATTACHED GARAGE
1. Existing Floor Plan
'ROPOSED SIZE:
❑ DETACHED GARAGE
2. Proposed floor plan
ROPOSED HEIGHT:
3. List of structural members to be used
'MING
FOR NEW CONSTRUCTION INCLUDING DECKS,
I vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
I Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
3 Other
❑ Fascia
and proposed project
VINDOWS
2. Two sets of construction plans
J EXISTING OPENINGS°®,Yes ❑No LO ATION OF WINDOWS
3. Energy Calculations
%R FOR NEW OPENINGS -DESCRIBE SIZE OF I f ur o * room d /`0 o
r7
OPENING CHANGES &
_ L
YPE OF WINDOW TORE 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 VALUATION $ & 7 13 OCCUPANCY TYPE
ermit Fee
Ian Review
urcharge
ire Surcharge
icense Surcharge
AC Charge
'.urb Cut Escrow
rosion Control
ark Fee
ewer Main Charge
otal Due
.2
$ 3.31.
$ G.7
$ S.o 0
See Back Page for Fee Schedule
65% of Building Permit Fee
(.0005) times the total job valuation — Minimum $.50
001 x Permit Valuation (1/10%)
$5.00 (State Licensed Residential Contractors)
$1450 per SAC Unit (Plans to MWCC for determination)
ft+6 ft= ftx$20=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
mformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
-rmit 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
an in the case of all work which requires r vie �/ d. approval of plans. %� I
GNATURE OF APPLIC ----- !Y "� PRINT NAME / I / " J 6 ( / / l A l L DATE