PRE 2010 DOCSCity Of Fridley, Minn.
BUILDING PERMIT
Date: March 16, 1971
Owner: Robert Kelshaw Builder
Same
Address 897 West Moore Lake Drive Address Same
LOCATION OF BUILDING
No. 831 _ Street West Moore Lake Drive _ — Part of Lot
Lot --Z---- Block 3 Addition or Sub -Division
Corner Lot __ X __ _ Inside Lot _ _ Setback
Sewer Elevation
Shorewood
�S 3 �3
1096
Sideyard 5' With Variance granted
December 15, 1970
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: From Existin uarage
R=QAel Living"AreaFront —34'— DeDth __22_'._ Height .x_101 Sq. Ft. 308' Cu. Ft 8080'
_Garage . _ Front 24' Depth 221 Height 10, Sq. Ft 528' Cu. Ft 5280'
Type of Construction Frame _Est, Cost $2450.00 ___To be Completed 1 year
Provide hard surface driveway.
In consideration of the issuance to me of a permit to constrjW the building described above, I agree to do
the proposed work in accordance with the description above se0forth and In mmpliapee with all provisions of
ordinances of the city of Fridley.
Remodel Fee $6.00 Garage Fee$11.00
In consideration of the payment of a fee of $__11 00_ ., permit is hereby granted t,Robert Kelshaw
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 limfts and this permit may be revoked at any time upon violation of. any of the provisions of said
ordinances.
Building Inspector
NOTICE:
Tile permit does not cover the construction, installation for whbg, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for thews hems.
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME:1 fa ,o S !3 a BUILDER :
ADDRESS :_ < 3 % Wa #0cry-f /*i�C-v- ,0 G 1
� ADDRESS•
NO:. .3 T STREET:_ W. �®G �' F' ce%rte P 7' of y �
LOT: BLOCK: .3 ADDITION:_ _j � 0EV 6 F, d
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: `w,''14 11 a ys wrt.
/ /,70
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:
Lew
j2si'232, Cel - Front • & Depth • J 1 Height • /0
Square Feet: __30 <�- Cubic Feet:� o &- 0
Front: �2 4 Depth: a Height: /;a
Square Feet; �j a % Cubic Feet:
Type of Construction: —/-y Q '144 P_ Estimated Cost:
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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.
DATE : SIGNATURE
(See Reverse Side For Additio 0 on.)
ell
/` it'd/ �'
SUBJECT
City of Fridley
4
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r 1 �
1 �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
j 612-571-3450
910415
8/23/96
JOB ADDRESS 831 West Moore Lake Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7
3
Shorewood
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Wallace Holler 831 West Moore Lake Drive NE
574-9851
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 House (23 S) Tear—off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State
Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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. OWLG. 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
$.95
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,897
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-
$59.50
Fire SC $1.90
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
$62.35
SIGNATURE OF AUTHOR,. EDAGENT
WHEN PROPERLY V DATED THIS IS YOURP�)jERMIT
rCO,N,TRACTORO
yy �j(DATEii
BLDG SP
GATE
SIGNATURE OF OW NER ii F OWNER BU, R) 1 TEi
NEW [ ] Effective 3/l/96
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress: �� }- 10pre- U 1 b u
Legal Description:
Owner Name & Address: V a j lac e- W Q �( e n Tel. # S-? c( - S,-� 37
Contractor: S a"j, C MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
Length Width Height Sq. Ft.
Length WidthHeight Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Corner Lot [ ] Inside Lot [ ]
Type of Construction:
Approx. Completion Date:
Ft. Yd Setback Side Yard Setbacks --�`
Estimated Cost: $ '
--r
(Cost: on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: SCa APPLICANT: /�J����<<�( Tel. # �s J "
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%)
$.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 [ ]