PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date: /— 4� 1
Owner: ,, Builder
Address
Address
N° X5089
_
WTION OF BUILDING
No.street - Part t
Lot,._ Block _ . Addition or Sub -Divi i r
Corner Lot Inside Lot �"" Setback _s Sideyard —
Sewer Elevation __ Foundation Elevation
DESCRIPTION OF BUILDING
To
ZzzFront- Depth XR Height Sq.
-� j �'Q,. "" �. Sq. Ft. Cu. Ft.
Type of Construction .— Est. ,�u.'-�.° ___ 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, Mizmesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within 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 for wiring, plumbing, gas heating, sewer or water. Be sura to see
the Building Inspeetbr for separate permits for these hems,
APPLICATION FOR BUILDING PRUM
CITY OF FRIDLEY, MINNESOTA
Address
LOCATION OF BUILDING
No. 6`1 L X Street• a /��°`i �L X, Part of Lot
,--,/ ' D'd - ,,-M
Lot "�, Block r Addition or Subdivision
Corner Lot Inside Lot Setback_ILSide-Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
Sq. Ft. /S ~ Y Z Cu. Ft..20,y-yo—
Front
w - ®y o-
+2�
Front Depth Height
Sq. Ft. Cu. Ft.`
0`- /�1 G
Type of Construction �Is��� Estimated Cost .2 /1,
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
A. Department of Buildings, and hereby declares that all the facts and representations
stated in this application are true and correct.
DATE / „/ -- 9 97~- Ae� _ SIGNATURE
(A Schedule of Fee Costs can be found on the Reverse Side.)
Jin ifis ector
H. STIPULATIONS (List): DATE REQUIRED DATE COMPLETED
I. MISCELLANEOUS:
PROPERTY SUMMM SMKET
QTY OF FRIMMYr MI11NESOM
ADDRESS AMID LEG -M DESCRIPTION:�'-
OWNEIj/CMMACT POSER:
CDNSTRUGTION DATE: / - L/ - & / ADDITIONS:
CERTIFICATE OF OCCUPANCY ISSUED: YES NO DATE
A.
ZONING XVION: ORDINANCE NO:
B.
SPECIAL USE PERMIT(S): #
c.
rDT SPLIT (S) : #
D.
VACATIONS) : # ORDINANCE NO:
E.
VARIANCES
APPEALS FISSION: APPROVED DISAPPROVED DATE
NO.
CITY COUNCIL: APPROVED DISAPPROVED DATE
NO.
F.
EASEMENTS: REQ'D DEPT
RDC'D
Bikeway/walkway
Street right-of-way
Utility
Drainage
Alley
Other (Specify)
G.
LICENSE S) (List) : Date of Renewal:
H. STIPULATIONS (List): DATE REQUIRED DATE COMPLETED
I. MISCELLANEOUS:
City of Fridley
SUBJECT
PER
P1 17 7 7 5
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
COMMUNITY DEVELOPMENT DIV.
r I PROTECTIVE INSPECTION SEC.
"1 CITY HALL FRIDLEY 55432
612-571-3450
EIPT NO.
I
NUMBER
910-F15
REV.
DATE
10/23/84
PAGE OF
APPROVED BY
JOB ADDRESS 5428 - 5th Street N.E.
1 LEGAL
DESCR.
LOT NO.
8, 9
BLOCK
11
TRACT OR ADDITION SEE ATTACHED
Hamilton's Addn. to Mechanicsville SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
>= James Peng 5428 - 5th Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
University Roofing & Constr. 12 E. Imperial Drive, W. St. Paulf 55118
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
455-4205
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
4 Plex
7 CLASS OF WORK
❑ NEW ❑ ADDITION (i ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Structure
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be 2nd laxer but not 3rd. Install ridged galvanized
valleys where necessary.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
TYPE OF CONST.
Fiberglass.
OCCUPANCY GROUP
OCCUPANCY LOAD
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 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
a
I 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$1 1600
SURTAX
$.80
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
'TON-
OVISIONS',�OF ANY OTHER STATE OR CAL LAW REGULATING CON-
U,CTI0R THE PERFORMANCE OF C STRUCTION.
r
PERMIT FEE
$2650
SAC CHARGE
PLAN CHECK FEE
TOTAL FEE
$27.30:
SI . TUREOFCONTRACTORORAUTHORIZEDAGENT )DAT
WHEN PROPE�LY V ATED THI IS YOUR PERMIT
SIGNATURE OF OWN ER IIF OWN E R BUILDER) (DATE)
BLDG INSP ATE001
NEW
[ ]
City of Fridley Effective 4/1/84
ADDN.
[ ]
�R-1 AND R-2
ALTER.
[ ]
Building Permit Application
Construction Address: ':�_ZgZ
Legal Description:- /L
Owner Name & Address: ��- --�� Tel. #
Contractor: 00dj r -5 i � � T��'''�'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: 00<a4'�
! L
Estimated
Cost: $
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE: APPLICANT: Tel.
CITY USE ONLY
Permit Fee
$ S7Z)
Plan Check
$
State Surcharge
$ PO
SAC Charge
$
Park Fee
$
Sewer Main Charge $
TOTAL $ i22,3 d
STIPULATIONS:
&a . 30
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 [ ]
- V.
�
NEW I
CITY OF FRIDLEY sell a 4/1/2004
ADDN [) 6431 University Ave NE, Fridley, MN 55432 (763) 672-3604 Bldg Insp
ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: - k+
Legal Description:
Owner Name & Ac
Contractor:
LIVINGAREA'.
GARAGE AREA:
DECK AREA:
_ r 1 S ,C.i �= Tel. #
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft
Length I Width Hgt/Ground Sq. FL
OTHER:
le.,
Construction Type: / L # P ��' ;' / -- Estimated Cost: S
Driveway Curb Cut Width Needed: Ft. + 6 Ft= Ft x $ =
s $
...7
DATE:Z"a � APPLCANT:
f ;�� _ Tel. #
Call (763) 672-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Parte Fee
Sewer Main Charge
TOTAL
$ % %, a S Fee Schedule on Reverse Side
$ 65% of Permit Fee
$ ' .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1350 per SAC knit
$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[ ]
$ d F" 'Zo STIPULATIONS:
20/Z0 ' d A31a I dd 30 Ai I 0 vS : Z i b00Z-L0-03C