PRE 2010 DOCSVillage of Fridley, Minn. oa-g�'
BUILDING PERMIT
Date: i.. .............. c...... ........ .
Owner .. Builderpp ... ................
Address . �.�...... Address .®. P..... / aKA........ .
L�-
Lot
ON OF BUILDING
No. ./.. Street ..4. �'/'.................. Part of Lot .. •)10C • • ..... Block .... 41............ Addition or Sub -Division . .. .....� .
Corner Lot ........... Inside Lot ........... Setback"...... Sideyard
DESCRIPTION OF BUILDING
To be Used s:
....Front DepthW.� I.. Height Sq. Ft. ... Cu. Ft. ........
.... Front ........ Depth ........ Height!j Sq. Ft. ........ Cu. Ft. ........
Type of Construction Est. Cost / ®.® e Completed ..1.
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 and in co pliance with all provisions of
ordinances of the village of Fridley.
.... ...�� ....... ........................
D�
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 village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
NOTICE:
This permit does not cover the construction, installatiow or alteration for wiring, plumb g, 'gas
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
0 City of Fridley, Minn
BUILDING PERMIT N° 4148
Date. ....._.._.. _._._.--�-----------....._._.._._......._._...__._.__....._...._..
Owner: .. 9 r _.._.__.._..__..._ _ _....
Address` ....._......_....................... _...._......... Address........-............._...........---..._......._...............__.._._..__.....__....._.......__..__....
X1..0 TI N O B ILDING
No.QJ.....�.y...... street ........... ..... ._................_...._�.............._.............. Part of Lot _....
Lot-ff.�.J� .�; $lock ..... _.....__..Z ....... .... ................ Addition or Sub-Divisio . -...........................
Corner Lot .................................... Inside Lot ...................................... Setback ......._ ........... _.............. ........ Sideyard
Sewer Elevation .....- ............. .............. .............. .............. _.............. ....... -.............. Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
-e o! C 7.-
A�--........
---.......... ............. Front ®..� Depth � ..�
Height 1...®-�. 7 Sq. Ft.."!_... Cu. Ft.
.................... -.............. .............. ...- Front .................... _. Depth .................... _.. Height ........................ Sq. Ft. ..... _................. Cu. Ft. ....._.................
Type of Construction.................................................. -........ Est. Cost../3.02.0 01,4 To be Completed .............................. ..............
In consideration of the issuance to me of a permit to construct the buil g described above, I agree to do
the proposed work in accordance with the description above set forth and
cmpliance 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, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the rovisions of said
ordinances. s _ i
Building 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.
4
W
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDL EY, MINNESOTA
I
Owners Name ,C_Builder
Address' ' ''��� ",� Address
/LOCATION OF BUILDING
No. ��� Street (® - Part of Lot
Lot ��-`.`°i !-� J SBlock % Additipn . or. Sub.Div,
Corner Lot Inside. Lot Set Back Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant. t-ch.to this form Certificate of Survey of Lot and proposed building
locatiop...;
DESCRIPTION OF BUILDING
To be .sed as: r '
Depth Height
�.
rP .
Sq. Ftp r r Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft. .
Type of Cd istruetiori Estimated .Cost
To b�'166mpleted
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 he facts and representa-
tions s -Weed, in' -his applicationare 'trite and orrect,
DATE Gdf '- -� SIGNATURE
Schedule of Fee costs can be .found oj�V'the Reverse Side.)...
SUBJECT
O .
City of Fridley
765 7 0
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
REC O.
_ COMMUNITY DEVELOPMENT DIV.
\' PROTECTIVE INSPECTION SEC.
o/ /�
(�
LE.R
REVDATEPAGE
OF
APPROVED BY
CITY HALL FRIDLEV 55432
612-571-3450
0-F15
7-13-98
JOB ADDRESS 5641 6TH ST NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
Hamilton's Addition to Mechanicsville SHEET
DESCR.
24 -pt 23&
5 1
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Barb Parcello
571-0086
3 CONTRACTOR MAIL ADDRESS ZIP
Tabor & Sons Inc, 3716 St Franics Blvd, Anoka,
PHONE LICENSE NO.
55303, 789-1902
xxxxx
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
20014248
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION C REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Re -roof house & garage (29 Sq) - tear -off
8 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIREO 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 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. DILG. 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
$2,418
$1.21
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-
$2.42
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$74.75
09
PLAN CHECK FEE
TOT FEE
%- /�
Licens C $5.
$83.38
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE,
OP A IDAT
ZrN//
>1 - BLD INSP
D IS IS YOUR PERMIT
BATE
SIGNATURE OF OWNER )IF OWNER BUILDER) IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY. OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
3
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address: 5 yi xis Tel. # ng 8G
Contractor: MN LICENSE # c2 o a / Ci -z
Address:.. 1 � �� 14 � a, Z4, �Q_3 Tel. # 7,_1�4_- l
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: , -
(Fee
DESCRIPTION OF EAPROVEMENT
Length Width Height Sq. Ft.
Length
Width Height Sq. Ft.
Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $,
DATE: - l APPLICANT: Tel. # %r�Gl - 124 �R
CITY USE ONLY
Permit Fee
$ l / - /--:> 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
$ 0 C)
$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 [ J
TOTAL
STIPULATIONS:
CITY OF FRIDLEY PERMIT NO.: 2004-00159
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 02/05/2004
STL-36U4 YAA: (763)571-1257
ADDRESS : 5641 6TH ST NE
PIN : 233024310009
LEGAL DESC : UNAVAILABLE
LOT BLOCK
PERMIT TYPE ELECTRICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADDITION/ALTERATION
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE.
REPLACE MAIN LOAD CENTER
APPLICANT
TOTAL ELECTRIC INC
11967 ELDORADO ST NE
BLAINE, MN 55449-7907
(763)786-8484
OWNER
PARCELLS BARBARA A
5641 6TH ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application 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 does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
STATE SURCHARGE, ELEC FLAT 0.50
ELEC AMP SERVICE FEE 30.00
TOTAL 30.50
PAID WITH CHECK # 12648
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.