PRE 2010 DOCS-1,
BUILDING PERMIT
Village of Fridley, Minn. No 2792
Date ®�� l.¢' `� . ..........................
Owner ..e ........ Builder ..........................
Address%�.... ..�/ AW. - Address .........................................
/LOCATION OF BUILDING
No. � �... Street/.1.:. .... ... . .................... Part of Lot .............. ....... .
Lotw1-3 r ..... Block .... ....... Addition or Sub-Division9'1.0414�....' ... .............
F
Corner Lot ............ Inside Lot A .......... Setback , �i�-. � . Sideyard %-Ca oWv-"0 ..............
DESCRIPTION OF BUILDING
To be Used as:
tt .. Front .410.. Depth � ..... Height /Xr..... Sq. Ft. 11J.1. Cu. Ft. ........
. ....... Front ... Depth ... Height /.G ...... Sq. Ft.. 74 q� Cu. Ft. ........
Type of Construction��^.� ... Est. Cost 14 4.40 ............ To be Complet7ed"' ? .. ...........
In consideration of the issuance to me of a permit to constructilding described above, I agree to do
the proposed work in accordance with the description above set forth and in com 1' rovisions o
ordinances of the village of Fridley. (" "ro
1=n ration of the payment of a fee of $ A permit is hereby granted to w-.� .. �
.. 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 with-
in the village limits and this permit may be revoked at any time upon 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.
Minneapolis, Minnesota
November 10,1957
Mr.A.A.Folstad
4111 Russell,Ave,North,
Minneapolis, Minn.
Dear Sir,
This notice to you will authorize you
to extend on your lot the part of the garage
attached to the dwelling on the northeast
corner adjoining my lot the necessary number
of inches running in a diagonal line due to
the survey, This will enable you to construct
a sixty foot building and alsokeep your
house in line with the existing dwellings,
My lot numbers adjoining your property are
10-11-12 block 5 Florence park,Fridley,Minn.
ur
J� Oswald
m
sueJEcr
PER
City of Fridley
47,9 1
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV
PROTECTIVE INSPECTION SEC.
335v
r
Is
1 � I
CITY HALL FRIDLEY 55432
NUMBER
REV
DATEPAGE
OF
APPROVED BY
612-571-3450
910-F15
10/16/96
JOB ADDRESS 6310 Van Buren Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
12,13
5
Florence Park Addn to Fridley
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Marshall Larson 6310 Van Buren Street NE
571-4397
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Twin City Exteriors Co Inc 9060 Zachary Ln N #108,
Maple
Grove MN 55369
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO
425-4737 2535
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION Cl ALTERATION l REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside House
9 CHANGE OF USE FROM TO
STIPULATIONS
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
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
$3,300
$1'65
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$87.25
Aire SC $3.30
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK F
T AL FEE
Licen SC
.00
$97.20
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT MATE)
N P
7
DG INSPA
Y VAL
T THIS IS YOUR PERMIT
DATE
SIGNATURE OF OWNER I iF OWNER BUILDERI IOATEI
m
NEW (] Effective 3/1/96
ADDN [ ] CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress:
ZAI)
Legal Description:
Owner Name & Address:) Tel. #��—��
9
Contractor: TVM CITY EXTERIORS Co., INc . MN LICENSE # 2535
Address: 9060 ZACHARY LANE N #108 MAPLE GROVE, MIS. -55369-4083 Tel. # 425-4737
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF UAPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
I
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction.
"ilk Lc SrO�+�fy's 1�r Estimated' Cost: '$
Approx. Completion Date:
(Cost, on Back)
Driveway Curb Cut Width Needed:.. Ft. + 6.Ft = Ft x,' $ _ $
DATE: 6> j. APPLICANT: 1. Tel. #
-y- � �?
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY`
$ ° ''Fee Schedule on Reverse Side.
$ " . 001 of Permit Valuation ` (1 / 10th %)
$ % 6 $.50/$1,000 Valuation
$ $900 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 [ ]
$ "/
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount, ,
herein below set forth and in the manner herein provided to -wit:
$500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from, the time of application to allow for proper
review of the proposed structure and of the construction. site..
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing. 4 §•
TOTAL VALUE
FEES'J'
$1 to $500
$21 (Minimum Fee is $21 plus surcharge)
$501 to $2,000
$21 for first $500plus $2.75 for each additional $100 or
fraction, thereof,- to, and including $2,000 ,
$2,001 to $25,000
$62:25 for fust $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
..g
$50,001 to $100,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000
$887.25 for, first $100,000 plus $5.00 for each additional
a
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from, the time of application to allow for proper
review of the proposed structure and of the construction. site..
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing. 4 §•
F
SUBJECT
P
City ®f Fridley
2 6 617 `
AT THE TOP OF THE TWINS
BUILDING
PERMIT
f
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
L
r I PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
j 612-571-3450
910415
JOB ADDRESS 6310 Van Buren St. NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12,13
5
Florence Park
Addn. to FridleySHEET
2 PROPERTYOWNER MAIL ADDRESS
ZIP PHONE
Marshall Larson
971-4397
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Twin City Exteriors Co. 9060 Zachary Ln. N.
i'108 Maple Grove, MN 55369 2 - 73
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
2595
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEIN ❑ ADDITION ❑ ALTERATION )p REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Repairs on West Side of House
9 CHANGE OF USE FROM
TO
STIPULATIONS
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$500
.50
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.
$21.00
Fire SC $.50
PLAN CHECK FEE
TOT L FEE
Licewe C
5. 27.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIEN
RQ
VALIDEYD THIS IS YOUR PERMIT
!
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
B G INSP
MATE
F
NEW [ l
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 6 c?
Legal Description:
Owner Name & Address:
Contractor:
Address:
Effective 1/1/97
Tel. #
to 16S MN LICENSE #
/��.1�� ✓YA62 Tel. # '015�7v
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: g Width Hgt/Ground Sq. Ft
OTHER: e_) r Sj ,8�_ C3(t )cj Ste.
l3 1,1,M A ®c_
Construction Type: 3'p Estimated Cost: $ co
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
` I ;_/f. hAr " I f ROM/
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ y
.001 of Permit Valuation (1/10th%)
State Surcharge
$ C1
$.50/$1,000 Valuation
SAC Charge
$
$950 per SAC Unit
License Surcharge
$ �' _ C�C�
$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
Da
$ '�
STIPULATIONS:
SUBJECT
City ®f Fridley
2 6 8 0 3
AT THE TOP OF THE TWINS
BUILDING PERMIT
E ,
RE E PT NO.
• ______ COMMUNITY DEVELOPMENT DIV.'
v
6'f
r � PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/23/98
JOB ADDRESS 6310 Van Buren St
t LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12,13
5
Florence Park Addn. to Fridley
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Marshall Larson
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Knight Const 4808 Lamplighters Ln Minnetonka
470-1649 20022883
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 E REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house and garag e(26 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with 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
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
$2168
$1.08
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHR TE OR LOCAL LAW REGULATING CON-
ST CTION OR THE PERF N OF CONSTRUCTION.
]4, 75
$2.16 Fire SC
CHECK FEE
TOTAL FEE
CNI/PLAN
License SC 5.00
82.99
sl. f T RE OF CONTRA T R AU HORIZED AG A EI
HEN PROPERLY IDATED THIS IS YOUR PERMIT
—S,G
&aa
dAT RE OF OWNEROF OWNER BUILDERi IDATEI
BLOG/JNSP
PATE
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: (p s [ (o 1� � ,' S
Legal Description:
Effective 1/1/98
Owner Name & Addr fess: M vvp S\'�C L i z S cil-i Tel. #
Contractor: Yoj co N -'1 _ MN LICENSE # Z
Address: L..,,,g k << .1_ �e, Tel. # Q41v- 1 U A$
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: v� ` C--csz _ o f �-�t�9-Q S%
Construction Type: Estimated Cost: $ /
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: z� l `�
APPLICANT:
S 1�� C C) ti � t Tel. # (4-1 y - � (o
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
/.03
$.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
U
TOTAL $ v
STIPULATIONS:
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE FEES
$1 to $500 $21 (Minimum Fee is $21 plus surcharge)
$501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.