PRE 2010 DOCSCity of Fridley, Minn.
BUR DING PERMIT N® 3942
Date: ... 4.- .1 . -.�Y............
Owner .......................................
Address ......................................
f
r
Builder .. .......... ... ........
Address .............................................
LOCATION OF BUILDING
No. 13-%. Street.... /.. ...... ....... Part of Lot ............. .... ...... .. .
Lot R. ?r . a.�Block ..... ..YY... Addition or Sub-Diviialon
Corner Lot ............ Inside Lot .. /� ....... Setback .3.1 t 'Q Sideyard :;?� ..
DESCRIPTION OF BUILDING
To Used
Y . ° ..... Front . /.. l..:� Depth 7'::� 4 xeight !.' �s sq. Ft. �l �1� Cu. Ft 4 p/! �"K
if
............. ...... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction ................... Est. Cost.. &F / g ®p o 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 com fiance all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $.'.'f . ...": 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.
... 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.
City of Fridley, Mi
BUILDING PERMIT N° (:5:312
Date:
Owner:"�'i"1 'r Builder
Address Address
O FUILDING
No:.��� Street - - it -- Part of Lot
Lot _Block Addition or Sub -Di ' y --
.77
Corner Lot _ _ _ Inside Lot _eW ack;- s-►ideyard
Sewer Elevation _.__ Fowdation Elevation
DESCRIPTION OF BUILDING
T�,�,,
`, Front ;�. "" `T)
Z epth Height Sq. Ft.. L.. ,- a Cu. Ft.
nt DepthHeight Sq. Ft. Cu. Ft.
Type of Construction ,..? .r�st.
Depth,/
✓✓ - ,' 03. '+s `- To be Completed
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 city of Fridley.
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 Irenair and moving of buildings
within the city limits and this permit maybe revoked at any time upon violatiox `o'f y of the provisions of said
ordinances
Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, Plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these Items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name ' Builder
Address Address
OF BUILDING
No.
of Lot
Lot
Corner Lot_
Block
Additio o b.Div.
Back Side -Yard„_.
side Lot
SEWER ELEVATION
ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To us ass
Front Depth Heg6htl�
Sq. Ft. �Ga.
Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type. of Construction 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 Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representa-
tions stated in this application.are true and correct
DATE � � � SIGNATME
(A Schedule of Fee costs can be found on the Reverse Side.)
'
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING P E R M I T
P
� 5 9 0
r
_ COMMUNITY DEVELOPMENT DIV.
I � -
rr PROTECTIVE INSPECTION SEC.
I
CITY HALL FRIDLEY 55432
�--"" 1'' 612-571-3450
rr
`
NUMBER
910415
REV
DATE
17/13/98
PAGE OF
APPROVED BY
JOB ADDRESS
5339 4th St.
1 LEGAL
LOT NO.
TRACT OR ADDITION
SEE ATTACHED
DESCR.
24 S 1/2
[BLOCK
5 14
Hamilton's Addn. to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Bill and Karen Frauly 53394th St.
782-0394
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
XXXXXXM Owner
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 USE OF BUILDING
Residential
7 CLASS OF WORK
D NEW ❑ ADDITION ❑ ALTERATION REPAIR
❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage 22 S
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply withState Building Code.
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
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
VALUATION
SURTAX
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,834
.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-
ST R CTION OR THE PERFORMANCE OF CONSTRUCTION.
$59.50
Fire SC $1.83
��
PLAN CHECK FEE
TOTAL FEE
62.25
SIGNATURE OF CONTRECTOR OR AUTHORIZED AG IdIDATEI
WHEN PPROPE VA_LI DATED THIS IS YOUR PERMIT
aafl 4 •x
81,INSP
BATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
01
NEW r[ ] Effective 1/1/98
ADDN [ ] CITY. OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: j S,' j ci L4kh 1 - ,
o�
Legal Description: 1
Owner Name & Address: Kox -en ((j u Tel. # _ 67 -( 52cj
Ems: k�� ' MN LICENSE #
Address:. + j Tel. #
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:
Construction Type: C�
AoLkL��stirnated Cost: $ rfl' Ax,
(Fee Schedule, on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: APPLICANT: Tel. # -0
TOTAL $ ® Z Y"
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ g�
Fee Schedule on Reverse Side
Fire Surcharge
$ /.�
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.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 [ ]
TOTAL $ ® Z Y"
STIPULATIONS: