PRE 2010 DOCSi
BUILDING PERMIT
Village of Fridley, Minn. No 2 R i 8
Date. ................... .
Owner ..... ..
Address ..4573 0.1... !�...��... Address .... �............... ... !meq .. .
LtCATION OF BUILDING
No. .5610..... Street .. ...... .. !.. ..o...... Part of Lot...................
}
Lot../?.413 ..... Block ... ZA ....... Addition or Sub -Division . .... . !!� 4 ...... .
Corner Lot ............ Inside Lot .... ate... Setback ..... Sideyard ........... .
DESCRIPTION OF BUILDING
To a Used as:
.. Front .. Depth , .. Height .. Sq. Ft. ! Sf P... Cu. Ft. ........
.................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft, ........
Type of Construction ..rRAM:9 Est Cost .,V ,.000i00 ....... To be Completed ..�. A ?O....... .
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.
%1. .............. ......
g-ec"eaan
of the payment of a fee o � ,f — , permit is hereby grant d to..toconse building or addition as described above. This permit is granted upon
n 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, sh orm in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, am nan tea' an oving of buildings with-
in the village limits and this permit may be revoked at any n 1 1�io�if the provisions of said
ordinances. /`� fly'74
,,4Xuilding 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.
City of Fridley, Minn.
BUILDING PERMIT N® 3356
Date:...1......`.........................
Owner?......� ... .... Builder ..... ...
Address ... ... Address .............................................
LOCATION OF BUILDING
No. �� . Street . �!.�'................ Part of Lot ..
. .. ... .. .. ..
Lot Block ....429R ....... Addition or Sub -Division .. ... .. .
Corner Lot ............ Inside Lot . ...... Setback .35 ..Y. deyarri ../P ....................
DESCRIPTION OF BUILDING
Tole Used as: pp�� //�� A,Q' �J �}
.... Front 3..R... Depth 97 6 .. Height . /. � . Sq. Ft. ? . �Gu. F't. //..�/,
.......... V .... Front ........Depth ........ Height ........ Sq. Ft. ........ Cm Ft.
Amobft
ow
Type of Construction .................... Mgt. Ws . . .' ! :Z:"; ... To be Completed ....................
In consideration of the issuance to me of a permit to construct the building desribed 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 city of Fridley.
'04 - — ---------
V � r
In consideration 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 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 city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. ,,, --0-01
6........ 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.
SUBJECT
PER O.
City of Fridley
15131
AT THE TOP OF THE TWINS
g U I L D I N G P E R M I T
RECEIPT NO.
�
1 L -._--_ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 i
� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED By
612-560-3450
910-F15
I
4/17/79
I
I
JOB ADDRESS 5810 - 3rd Street N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12,13
22.
Ryde Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Martin Dykhoff 5810 - 3rd Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS 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
9 CHANGE OF USE FROM TO
-STIPULATIONS
Roof can be second 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
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.
$400
$.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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$7.50
PLAN CHECK FEE
TOTAL FEE
$8.00
SIGNATURE CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATEDTHISIS YOUR PERMIT
e Z.44L
BLDG INSP DATE
-�04Z?2
11 SIGNATURE OF OWNERII OWNERS I ERI DATE) f
• CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PEN14ITS
(NEW, ALTERATIONS, ADDITIONS,' OR REPAIRS) a
OWNER: q 'P BUILDER:
i
Address:J79 /® *3-1t�-9 '5Address:
Tel. No. 3
No.: � 0 � Street:
LOT: /at /.3 BLOCK: ADDITION:
CORNER LOT: INSIDE TAT: c/ STBACY.: SIDEYARDS:
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:
9: )_4 ffil � Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: .Height:
Square Feet: Cubic Feet:
Type of Construction: Estimated Cost: $ 00• C) o
Ta i3e c:omptetea: Alt. A Alt. B
Proposed Driveway Width If 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 Buildings, and hereby
declares that.all the facts and representations stated in this application
are true and correct. See reverse side for additional information.
DATE: /I ? SIGNATURE:
Stipulations:
8' . 00 .
suerecr
ITN
City of Fridley
26312
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
`
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
tV ____ - SEC.
PROTECTIVE INSPECTION
r �
1 �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEY 55432
612-571-3450
910-F15
6/22/98
JOB ADDRESS 5810 3 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12, 13
22
Hyde Park
SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP
PHONE
Emily Dykoff 5810 3 Street NE
571-1323
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Croston & Fleming General Contractors 360 Carlson Pkwy #107, Minnetonka, MN
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
404-2443 20139141
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO,
8 USE OF BUILDING
Residenital
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (25 Sq) Tear -off; Reside House & Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building
Code..
Install building wrap and call for inspection before covering.
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 80 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$6,869
$3.43
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-
Fire SC $6.87
STRUCTION OR THE PERFOR ANCE OF CONSTRUCTION.
$124.75
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$140.05
SIGNATURE OF CONTRACTOR OR AUTIAIZED AGENT IDATEI
WHEN PROPS Y VALIDATED THIS IS YOUR PERMIT
W&G INSP
L
f1ATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ .] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: ��l® ��(- E ic+ eU, Mo 55y 32
Legal Description:
Owner Name & Address: - � E Tel . # 57/- /3?3
Contractor: Crc4
I 1 MN LICENSE # 2[) ! 39/ el l
Address: !% C ,��✓ (5r�s� ����7 `� %��U Tel. # q6el- ?-W 5
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
/2 e y-ojA Aomj: � R-
a z5 60r! r00
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
!g + 5 ,-of r n i Cj G) �-..
Estimated Cost: $_`'
(Fee Schedule on Back)
Ft x $ = $
DATE: - Z 2-2� APPLICANT: Tel. # 4 lI - Z04/3
STIPULATIONS:
CITY USE ONLY
Permit Fee
.�
$ /
Fee Schedule on Reverse Side
Fire Surcharge
$ a
.001 of Permit Valuation (1/10th%)
State Surcharge
$ -
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ e , ��
$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:
Building
PLUMBING
Permit No:: s
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rec'd:
763-502-4977 FAX
I EFFECTIVE 7-1-2010
� A- (15�' to
DATE
YOUR E-MAIL ADDRESS
SITE ADDRESS 6-81
Tra n (-
THIS APPLICANT IS:
WNER OCONTRACTOR
PROPERTY
NAME: U [` ( S 1 e NO
OWNER/
ADDRESS: Is Va1 13r A(, CITY r 4 t Y STATE f'"bZIP �i y-?_?
TENANT
/S
PHONE:
CONTRACTOR
NAME:
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE, BOND AND
STATE BOND # EXP DATE
CERTIFICATE OF
ADDRESS: CITY STATE ZIP
INSURANCE
PHONE FAX
PERMIT TYPE
-It GLE FAMILY O TWO FAMILY O TOWNHOUSE
[3 NEW .,REPLACEMENT
TYPE OF WORK:
DETAILS DESCRIPTION OF WORK 14 e C, S 'i D Oa v L r C�
Mt-
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINDAUM FEE
$35.50.
SINIULAV
FLOOR DRAINS _ SHOWER > AT PIPING
_BATH
GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35)
—BATHTUB
WASHER
_
KITCHEN SINK CLOSET _ BACKFLOW PREV. ($15)
_CLOTHES
_ —WATER
LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
—DISHWASHER
_
WATER METER OTHER
S
Z�7
4 �b�.s,
=:-'£ .^a,:: ��°+
&a��'�• �£p`ETt. Y'�. �'fi f5 t � �J �'"', t F � .A '.—H'�- �5.� E +, �' ✓1,�,. "�,.G aE 7
d �'�..3.
fR �., z�, _�'' �� � � � �?� '�+` 3`r➢� °,a�.c�:h"&` k=r..�Y�
_._
'rc ,..�. 2 v_.E'n��� .�
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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 a 1' . n r a t and work is not to start without a permit o site; at the work will be in accordance
with the approved plan in r w es review and appr�l oa�sse��0
SIGNATURE OF APPLICANT RINT NAME DATE
APPROVAL INSPECTORS
SIGNATURE
NOM W1
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977