PRE 2010 DOCSBUILDING PERMIT
Village of Fridley, Minn. N? 2 R 9 8
Date.. ...................
Owner o1 ei........... Builder ...............................
Address........................... ........... Address .........................................
LOCATION OF B ILDING
No. .. $3.0 ....... Street..�`.�..� �OfLot ....Lot ......(;........ Block .....� ......... Addition or Sub -Division... . .. , .. .
Corner Lot ............ Inside Lot ............ Setback.:.... Sideyard ... t ...........
DESCRIPTION OF BUILDING
To be Used
..... ............ Front D1.4 ... Depth . 7. S� Height Sq. Ft.. �td�.!� Cu. Ft. . .
..�.'.�r�... Front d-4;... Depth ..P�Height /... Sq. Ft. `7 `�.® Cu. Ft. ........
Type of Construction .. l -74<N. r Est. Cost .. 16. Q............. To be Completed ..6.. d ..... .
ro In consideration of the issuance to me of a permit to construct a building described above, I agree to do
the proposed work in accordance with the description above set fo d in c ance with all provisions of
ordinances of the village of Fridley.
............d . ................................
. • In nsi ration 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 ther , sh onform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, al ation, ma' tenan a a' and oving of buildings with-
in the village limits and this permit may be revoked t any tiM_-.11
on o ti f an of the provisions of said
ordinances.
Inspector
NOTICE:
This permit does not cover the construction, installation or aiteratio wiring, plumb -Ing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
SUBJECT
PER
City of Fridley
o 1843
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
REIPT .
COMMUNITY DEVELOPMENT DIV.
r i PROTECTIVE INSPECTION SEC.
77y
�
i1 =
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
,,
1 --_- 612-571-3450
910-F15
5/21/86
JOB ADDRESS 830 West Moore Lake Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
1
Shorewood 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Harold Unglaub 830 West Moore Lake Drive N.E.
571-1476
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO,
Milton L..Johnson Co. 2513 Central Avenue N.E., Mpls. 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 Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Aluminum soffit, fascia & gutters
9 CHANGEOFUSEFROM 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
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
$1,700
$.85
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 P FORMANCE OF CONSTRUCTION.
$28.00
CHECK FEE
TOTAL FEE
�_.'1qrL'_jPLAN
2j ��
$28.85
SIGN_ uR O CON A OR OR AUTHORIZED AGENT t ATEI
I
WHEN PROPERLY
BLDG INSP
LIDATED THIS IS YOUR PERMIT
DA
SIGNATURE OF OWNER OF OWNER BUILDERI (DATE)
NEW [ ]
City of Fridley Effective 4/1/84
ADDN. [ ] �R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address: 930 At& 0 A
Legal Description:
�-Q L- L� A�9 SGL BTel.
Property Owner/Address:5 &777 #
Contraetor.�+
L q�.J h �d lYti s®�®�/�^'7 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
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot [ ] Ft..' Yd. Setback Side Yard Setback
Type of Construction:
41t) /,A�� ,45'0 , vll(uTi 'stimated Cost: $
Approx. Completion Date:
Proposed Driveway Width If New Opening Is Desired:
Alt. A Alt B
See Back Page for Explanation
DATE: ref' APPLICANT: Tel.
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
I
SUBJECT
City ®f Fridley
2 7 419
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT .
COMMUNITY DEVELOPMENT DIV.
_
v PROTECTIVE INSPECTION SEC.
NUMBER
REV
GATE
PAGE O:
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8E 6/98
JOB ADDRESS
830 West Moore rivp
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
1
Shorewood 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Harold Un laub
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Affordable Family Homes Inc. 1754-92()2
3690
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION 3& REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (22 S) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the 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 50 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
$1834
.92
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-
TAU CTIO�v OR THE ERFORMA E OF CONSTRUCTION.
$59,50
Fire SC $1.83
PLAN CHECK FEE
TOTALFEE
Licens 5.00
$6715
TLWE ORORAUTHO ZED AGENT IDATEI
N ROPER (DATED T IS YOUR P 'RMIT
SIGNATURE OF WNERIIF OWNER BUILDERI IDATEI
LD9 (NSP
f)
I
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 3Q — - /W 4& 4e, 6/elclk-4 TZ7
Legal Description: 22 Sy 611�we
Owner Name & Address:
Contractor:
Address:
1
Tel. #
MN LICENSE #
Tel. 0Y ZZ Q
// //—zcj I�z
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: 22 — q uN—E
Construction Type:� Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: E— Z& — I 0 APPLICANT: f f Tel. #
CITY USE ONLY
STIPULATIONS:
Permit Fee
$ �/ -�
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ 9�-
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ 6)
$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
$�
STIPULATIONS: