PRE 2010 DOCSBUILDING PERMIT
Village of Fridley, Minn. No 2 q 3 2
Date'fewc... `'e ....... . /..................
Owner .............. Builder
Address ��1............ Address
% I -
LOCATIION OF BUILDING
No. . J Q I ......... Street ` .. .. Part of Lot ... I ..................
Lot ................ Block ..
....... ........... Addition or Sub -Division ..... ..... ... ... .
Corner Lot ............ Inside Lot .... Setback ............ Sideyard ..........................
DESCRIPTION OF BUILDING
To be Used as:
� -J,- `�i p�
....-1 r�,.... Front ,�. ... Depth I., .J `(.. Height �.:`i' ... Sq. Ft..11!;%.. Cu. Ft. ........
CA
..46AMA41 .9 ..... Front ��.... Depth R.®� .. Height Sq. Ft. 3.5 � Cu. Ft........ .
ar
Type of Construction Est. Cost . .qJJ 4iR........... To be Completed ....�. .Q....
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.
An consideration of the payment of a fee of $. /.t/71?Ppermit is hereby granted t
to construct the building or addition as described above. This permit isanted upon
thZkTress 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, alteratio aintenance, repair and moving of buildings with-
in the village limits and this permit'may be revoked at ao time pon violation of any of the provisions of said
ordinances.
... .. .. Building Inspector
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
53-84-s-915.51
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C2GAS
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TUC umdemigned hareby omkes mppUmtma for a pamut for th&- hcom
ctflc ng to do an with the CHU Godbumm
JUN -1473
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Wilfred J. Otremba R
®t Bumft Frame
Res.
To W commmw abmt 6/10/73
PARTIAL RATE SCHEDULE
Estimated Cost. 10.00W-umam
ani Pormft I"
G Furmaz Imm.- W& M&T& TOM
MM FIXtWo Old OpMift. o ........ $
s ............ ® ......
New G ........ •
..............
Ralm
W3Fixtum ........•......... 1am 4-1--0-0,
Afflemomml Orem" .............. a 75 ?,-
an Room to 10. ..........
State Su $ .50
morass a CIO"
Install (1) Gas Grill 3.00
e . • . a • . • s s a • I • . ! • � i.M r i • s a o a a s • •
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SUBJECT
P I
City of Fridley
ATTHE TOP OFTHE TWINS
BUILDING PERMIT
r
RECEIPT
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r PROTECTIVE
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
5/22/81
JOB ADDRESS 121 Riversedge Teiay N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
11
2
1 Rivers Edge Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Wilfred Otremba 121 Riversedge Way N.E. 571-4731
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
Reroof Dwelling and change garage door
9 CHANGE-OFUSEFROM TO
STIPULATIONS Roof can be 2nd but not third roof. Install ridged galvanized valleys.
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
1
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
$40.0
$.50
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-
$7.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$8.00
SIGNATURE OF CONTRACTO OR AUTHORIZED AGE (DATE)
WHEN PROPER VALIDATED THIS IS YOUR PERMIT
SIG ATURE OF OWNER II OWNER BUILD (DATE)
BLDG INSP OALE
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PEPJ}ITS
(New, Alterations, Additions, or Repairs)
BUILDER:
ADDRESS:
TEL NO:
Construction Location s
STREET .NO: / .21 STREET: ✓�C�
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.
DESCRIPTIO14 OF CONSTRUCTION
• Front: Depth: H eight :
Squane.Feet: Cubic Feet:
Front: Depth: Height:
Square•Feet: Cubic Feet:
Type of Construction: A Z Estimated Cost. $
To Be Completed:
Alt. A Alt. B
Proposed Driveway Width 1•f 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 Buil dings, and hereby declares that all the facts and
representations stated in this application are true and correct.
D.'1TE:
4A SIGNATURE::
Stipulations:
AD
SUBJECT
"PER 0.
City of Fridley
v 18834
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT Np
COMMUNITY DEVELOPMENT DIV.
r ~ PROTECTIVE INSPECTION SEC.
23 R e Z
i � CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
j J\ 612-571-3450
910-F15
3/20/87
JOB ADDRESS 121 Rivers Edge Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
11
2
River Edge 1W Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Wilfred Otremba 121 Rivers Edge Way N.E.
571-4731
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central Avenue N.E., MPIS 55418 781-9548
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 Ij REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install.alumi.num siding, soffit & trim
9 CHANGE OF USE FROM TO
STIPULATIONS
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
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
$5,000
$2.50
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-
$50.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
4v -ft $53.00
HEN PROPERLY ALIDATED THIS IS YOUR PERMIT
Inv
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
BWSP
�®
DATIf
SIGNATURE OF OWNER I IF OWNER BUILDERI IDATEI
NEW [ ]
ADDN. [ ]
ALTER. [ ]
Construction Address:
Legal Description:_
Owner Name & Address:
C t etor • i
Val ra — -
Address
City of Fridley
�R-1 AND R-2
Building Permit Application
R1 pe,
/ 19, �'dD
1 4 -� Cq/'
T �?,E
_5�- "�
Effective 4/1/86
Tel. 5-11- V 731
Tel. #
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
� a
�, e' • "-
Type of Construction: Estimated Cost: $,r
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
APPLICANT: t* Tel. # %— _2r
DATE:
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Plan Cheek $ 25% of Building Permit Fee
State Surcharge $ �- $.50/$1,000 Valuation
SAC Charge $ $475 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
STIPULATIONS:
Attach to
lot, with
this application, a Certificate of Survey
the proposed construction drawn on it to
of the
scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA:
Length
Width Height
Sq. Ft.
GARAGE AREA:
Length
Width Height
Sq. Ft.
DECK AREA:
OTHER:
Length
Width Hgt/Ground
Sq. Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
� a
�, e' • "-
Type of Construction: Estimated Cost: $,r
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
APPLICANT: t* Tel. # %— _2r
DATE:
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Plan Cheek $ 25% of Building Permit Fee
State Surcharge $ �- $.50/$1,000 Valuation
SAC Charge $ $475 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
STIPULATIONS: