PRE 2010 DOCSIr
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"�d.��.age of F idley, Minn.
BUILDING PERMI
X? 1162
C; -
�"nv
Date. •. ur .. a .
Owner:'. a 'r Y xBuilder
Address .. . ..I. Address
_ I LOCATION OF BUILDING
No. ? .�. II Street .. 'r..... Part of Lot .......
Lot .... �........ $lock Addition or Sub-Division ...�: ::.:, . ' .:. .......
Sideyard�z :.::....` .............
Corner Lot .. E'" ...Olr .. Inside Lot ........... Setback : c.,:..
DESCRIPTION 'OF BUILDING,
To, be Used as:
......:...
........ 1, Front .. r. .. Depth .: , .:.. Leight Sq. Ft. »-.:.. Cu. Ft.
..... � Front' Depth Might Sq.. _Vt. Cu. Ft. ... . .
YID � I ,
T of Construction
.. ...;.. ; .. �.... Est. Cost .� .e:,+ . y.`......... To be Completed .... . .........., ...
„
ll
Tn consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in I ceordanee with the description above set forth and in- compliance with all provisions of
ordinances of the village of Fridley.
.%, .... ......
F�
In consideration o the payment of a fee of $, 1...a ..., pernnt is hereby granted to '' .:." ...........
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and Workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regsding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits ante this permit may be 'revoked at any time, upon violation of any of the provisions of *said
ordinances.��
�` • . s . ::�kldllg In$pCCtOi
NOTICE:
This permit d'oes;!not cover .the construction, installation or alteration for wiring, plumbing, gas, heating,
sewer or wafter. Be s re to see uilding Inspector for separate permits fo a items.
...........—
� <s 11
is
(arty ®f Fridley,
N® 680,
Owner:44::y
a Builder P d
Address Address
CATION O ILDINIG
No. "� Street 4� P Lot
���
Lot .— __ Block Addition or Sub-133-1-4—
Comer
ub-Di 'nCorner Lot _ _ Jef::� Inside Lot r Setback _ Sideyard
Sewer Mevation — Foundation Mevation
DBCRIPTIONI OF BUILDING
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
Jordi ano of twork in
he city of Fridley.with the description above se-fe hand in comp a " provestons of
In consideration of the payment of a fee of $ 42 Z---- v, permit is hereby granted
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 thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construalteration, maintenance, repair and moving of buildings
within city limits and this permit may be revoked at any upon viola of any of the provisions
ordinances. of said
Building Inspector
NOTICE:
Itis permit does no cover the eonstrucHon, Instal dbn fee whine, phmb1n& gas hen&& sower or water. Be sura to on
the Building inspector for separate permits for these items.
APPLICATION i Jit BUTT.' 7NG PERMIT
CITY OF IMIDLE°l, I•MINESOTA
Own?, . ° S BUILDER
ADT SS ADDPISS
LOCATION OF E*►'!,DI-TG
No. Street Part of Lot
Lot Block Y Addition or. Subdivision i`5
Corner Lot Inside Lots_+ Setback Side Yard
SEWER ELEVATION FnU.MATION ELEVATION
Applicant attach to this form Two.Certificates of Survey of. Lot and proposed build-
ing location drawn on these Certificates.
To be used as:
DESCRIPTION OF BUILDING
Front -t' Depth Height
A
Sq. FC. Cu. Ft. - `
Front Depth Height s°
Sq. FtCu. Ft.�
Type of Construction F Estimated Cost
To be Completed
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 Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE SIGNATURE"
(Schedule of Fee Costs can be found on the Reverse Side).
�.' �! -
_ � � �. _
------ - �----------- - - -- �a--- s---- - ---- - --
��, � `�
SUBJECT
PE
City ®i Fridley
20433
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
e� v
RE NO.
COMMUNITY DEVELOPMENT DIV.
v
r 1 PROTECTIVE INSPECTION SEC.
1 �
1
CITY HALL FRIDLEV 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/19/90
JOB ADDRESS 350 Osborne Road N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1
2
1 Osborne Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert Carlson 350 Osborne Road N.E. 780-7988
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.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE REMOVE
8 DESCRIBE WORK
C onstruct a 261 x 38` Detached Garage and Remove an Existing 161 x 221 Garage
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide a hard surface driveway.
OL,nsica r j pQrj 8—Ity-5a
WA Wm6
$efore.,*gging call for
RqRq� all +�0tions
�02�nqmru
WRING,
Foy REQUIRED BY LA
s0
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
'HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$14,901
$7,45
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$162+00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
LAN CHECK FEE
TOTAL FEE
$169.45
,,,SIGNATUREO CONT RACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY V ID TED THIS IS YOUR P RMMIT �p
/qpool
BLDG )NSP SAT
SiG ATUREOFOWNEROFOWNERBUILDER) )DATE)
NEW [ ] Effective 1/1/90
ADDN [j�] R-1 AND R-2
ALTS [ l Building Permit Application
Construction Address: 5SO DS 809oklE— KID
Legal Description:
Owner Name & Address: E ; EZ+ Tel.. #
Contractor: Oujjvz�f Tel. #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF
LIVIM AREA: lexigth Width Height Sq. Ft.
GARAGE AREA: L )gth Width - Height Sq. Ft. -d
DECK AREA: Length Width Hgt/Ground Sq. Ft.
z
Corner lot [)] Inside Lot [ ] Ft. Yd Setback AS < Side Yard Setbacks E15 f
Type of Construction: L L,� n 1 Cat A Estimated Cost: 77,,)o>
Approx. Completion Date: 6C'9421. 91) O
iy;;
Proposed Driveway Width If New Opening Is Desired: gc)A E Ft. $ $
Width + 6' See Back Page
DATE: 04 APPLICANT: Cxj14, Tel. # Iffo
Permit Fee $ ) �'-?, 40
State Surcharge $ 2,16
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
t STIPULATIONS :
CITY USE ONLY
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
lap
3uilding
$
BUILDING
Permit No.:
nspections
65% of Building Permit Fee
RESIDENTIAL APPLICATION
Received By:
763-572-3604
Fire Surcharge
CITY OF FRIDLEY
Date Rec'd:
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
)ATE JI - q- 06—
YOUR E-MAIL ADDRESS
$1450 per SAC Unit (Plans to MWCC for determination)
:ITE ADDRESS 35-0 -0
U a 8 0 tJ dLN � ,
ft + 6 ft = ft x $20 = $
'HIS APPLICANT IS:
TOWNER OCONTRACTOR
$450 Conservation Plan Review
PROPERTY OWNER/
NANIE; A1&,SofJ_��
Fee Determined by Engineering
� 03 B U E1 ftp L,LsI
STATEf?/I4IP_t�_°,'-r'
TENANT
Total Due
ADDRESS: 5-0 0 CITY
Make checks payable to: City of Fridley Attach Stipulations
f
PHONE:
CONTRACTOR
NAME:
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: CITY
STATE ZIP
WITH APPLICATION
PHONE FAX
O SINGLE FAMILY/NEW CONSTRUCTION SIZE
PROPERTY TYPE
0 TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
0 ADDITION O GARAGE/SHED 0 WINDOWS
0 BASEMENT FINISH XROOF 0 DRAIN TILE
0 DECK Jt SIDING 0 OTHER
0 SWARvIING POOL
TYPE OF WORK:
0 NEW 0 ADDITION
MAINTENANC&REPAIR 0 REMODELING
DESCRIBE WORK BEING DONE: 4MA F1 0 &JbiA)L
f
3IZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
?,00FING 0 HOUSE ONLY
gUMBER OF SQUARES HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
3ARAGES
0 ATTACHED GARAGE
2• Proposed floor plan
?
Building
PLUMBING
Permit No -7 -Co
Received By:
Inspections
p
RES IDENTIAL APPLICATION
763-572-3604
CITY OF FRIDLEY
Date Rec'dgi
DATE Y OUR E-MAIL ADDRESS
SITE ADDRESS
THIS APPLICANT IS: aOWNER OCONTRACTOR
PROPERTY
OWNER/
NAME: c yin
6 J O � %_9 d CITY �' STATF�LIP
ADDRESS: 3
TENANT
61
PHONE:
CONTRACTOR
NAME:
SUBMIT A COPY OF
STATE LICENSE # EXP DATE
STATE ZIP
YOUR STATE
ADDRESS: CITY
LICENSE WITH
PHONE FAX
APPLICATION
PERMIT TYPE
SINGLE FAMILY O TWO FAMILY O TOWNHOUSE
O NEW REPLACEMENT
TYPE OF WORK:
DETILED DESCRIPTION OF WORK l�l�i 1'n W�` � i� G� �//7� / rS A�� ✓,'�
A
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor X.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW) ®WATER PIPING
_ BATH SINK/LAV _FLOOR DRAINS _ SHOWER
BATHTUB_ GAS PIPING (NEED cirrucME) _ SWIMMING POOL _ WATER SOFTNER ($35)
_
_ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15)
LAUNDRY TRAY HEATER ($35) FOR IRRIGATION
DISHWASHER _WATER
WATER METER —OTHER
�.',?'. .. ;._}" e' , k
Number of fixtures @ $10.00 x $10.00 =$
Permit Fees $
Surcharge .50
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $
State Surcharge = $�— .50
Total = $ / J5
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit 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 plan in the case of all work ich it eview approval of plans./ ,�
�% "v� '� DATE
SIGNATURE OF APPLICANT PRINT NAME
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
City of Fridley
6431 University Ave NE
Fridley MN 55432
(763) 572-3604 or Fax (763) 5024977
Water and Sewer Permit Application
❑ New Connection ❑Utility Line Repair/Relocation
Existing JoWater and Sewer Connection
Date: c� v /
y )
Job Address: 3,5o o:� by ir-f) e d
Name of Applicant (Plumber): 22��L%'e J�()
Name of Property Owner: J �iM 10-
Existing Structure Permit #
Permit Type: Sewer Fee:
Water Fee:
Meter Fee:
Repair Fee:
Relocation:
State Surcharge:
SAC Charge:
Special Assessment Fee:
Total: $ kms_
Applicant Signature;
Inspector approval:
Water Meter Repair — end & Holidays
$125/hour
Water Connections Permit
$50
Sewer Connections Permit
$50
Inspection Fee for Water/Sewer Line Repair
$40
Special Assessments
See Engineering
Cost of Water Meter
See Utility Billing
SAC Charge
$1675
State Surcharge
$ .50
Water Tap
See En 'neerin