PRE 2010 DOCSBUILDING PERMYIP
Village of Fridley, Minn. N° 2990
Date.. ���. . ........................
Owner... .... Builder .......... ..........Jo�
64
Address .�. ..- .' r!� ���A,:g Address .....
LOCATION OF BUILDING
il
No. � .�. .... Street .(O.... . ..... .......................... Part of Lot ........... ..i.. .. .
/ P
Lot .... &....... Block ................ Addition or Sub -Division .. ....... .. ................. ...
Corner Lot ............ Inside Lot ... o/. • .. Setback .fir? ...... Sideyard
DESCRIPTION OF BUILDING
To be Used as: I
Front .. .. Depth . ?.! ... Height Sq. Ft..I..o ! .9
/ Cu. Ft........ .
.................... Front .......
Type of Construction
. Depth ..... Height ........
Est. Cost
Sq. Ft......... Cu. Ft. ........
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 an in ompliance with al provisions of
ordinances of the village of Fridley. 1 7. ®,a ®lj , %_
In consideration of the payment of a fee of $...1 7.-.`, permit is hereby granted to K, 41g4 '.
...................... . 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, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
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*City oFridley, , Minn..
BUILDING PERMIT No 4 410
Date: -..//..,:J...-......._i� `...._._..._........_............._..
P
Owner: ................................... Builder_,. . - ................ ��.._
Address........................... ...... -.............. ... - --.._ _ _.__._..__.._ Address .....................................--------------......................_......._......_......._.......-......._......_
CA I N OF BUILDING
No. S..�...3 & Street ....._..... - _........ ............. Part of Lot
Lot ---- - -------------- -------------- Block ..... _....... ..... _................................ Addition or Sub -Division ............... --................
Corner Lot ................................. Inside Lot ... (.............................. Setback ..... .............. _......... .............. Sideyard
Sewer Elevation....._............._............._......._...._............._......._...._....................... Foundation Elevation
DESCRIPTION OF BUILDING
Tobe sed as:
C
..............:.........._.. _ ....--.... Front L.._ .._� Depth ` Height .. - Sq. Ft. ......
.... _........ .................. ........ Front ...... ................. Depth ........_ ----- ----- Height ---------------- ---- Sq. Ft. ............. ..........
a?10
Type of Construction ........................... .............. .................. Est. Cost_ �...._......—.. To be Completed .....
Cu. Ft...../....�
Cu. Ft....... .................
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 f and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $...7.....�....:..., 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 provisions of said
ordinances. /'-
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.
I
APPLICATION FOR BUILDING PKDM
CITY OF'FRIDLEYj MINNESOTA
Owners Name 0 1)01t,4 Builder I?A & CA -A jQ-JE
Address 9213 41/ Address
LOCATION OF BUILDING*
No.1
Street /V Part of Lot
Lot Block Addition or Sub -Div -
Corner Lot Inside Lot
�_Set Back Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed build#g,..;:.
location.
DESCRIPTION OF• BU31D ING
TO be U.5 1 as -
to,
Front Depth
U A r -A 12—,oc —Height�
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction AA Estimated Cost
To be completed 6
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 / //SIGNATURE/ -O
0
(A Schedule of Fee costs can be found on the Reverse Side.)
OWNER'S
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY. MINNESOTA
ADDRESS_ / 3 � J V1 ADDRESS �.� /J� �,�� �� `y�
S
Corner Lot Inside LOT
LOCATION OF BUILDING
Part of Lot
OR SUBDIVISION
Side -Yard
NEWER ELEVATION FOUNDATION ELEVAT10
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. 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 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.
DAPI; - -;' SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
c � �
SUBJECT
City of Fridley
�, 9
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
�
CEIPT N
• __ COMMUNITY DEVELOPMENT DIV.
tr PROTECTIVE INSPECTION SEC.
r ; ;
NUMBER
REV
DATEPAGE
7/22/9
OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
/ /
JOB ADDRESS 5933 6 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
16
5
Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
571-6284
Ted/Mary Ann Stodolka 5933 6 Street NE
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Seal Guard Systems, Inc 11464 ROBINSON Dr, Minneapolis,
MN 55433 757-0097
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
20093688
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION lJ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Soffit/Fascia
9 CHANGE OF USE FROM TO
STIPULATIONS Install soffit ventilation to meet the
State
Building Code.
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
1
STALLS
I 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
$3,100
$1.55
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$8725
Fir SC $3.10
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FE
TO L FEE
Licens S
$5.
$96.90
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
EN AOP
VALID D THIS IS YOURMl;o�
.40
9L 5P
GATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
NEW [ ] Effective 1/1/97
ADDN b [ ] CITY OF FRIDLEY _
ATTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
PJB BUILDING PERMIT APPLICATION
ConstructionAddress: l
Legal Description:
Owner Name & Address: Tel. # -
Contractolr`: r ( MN LICENSE #_Z j
Address:_► -� �(Z Gsg6C2 Tel. # -7a,%- C �
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: CQQ2 d - _ Estimated Cost: $ 5) 0D I DD
�5e (Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:1(0-Lu APPLICANT:
Tel. o q
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
c
TJ� a�
Fee Schedule m Reverse Side
Fire Surcharge
$
J� ` C)
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$950 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 [ J
TOTAL$�(00'q
STIPULATIONS:
City of Fridley2
AT THE TOP OF THE TWINS
SUBJECT
c BUILDING PERMIT
6 4 7 0
COMMUNITY DEVELOPMENT DIV.
r ~ PROTECTIVE INSPECTION SEC. .
CITY HALL FRIDLEY 55432
612-571-3450
RECEIPT NO.
���
NUMBER
910-F15
REV
DATE
7/7/98
PAGE OF
APPROVED BY
JOB ADDRESS 5933 6 Street NE
I LEGAL
DESCR.
LOT NO.
16
BLOCK
5
TRACT OR ADDITION
Bonny Addition
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Ted Stodolka 5933 6 Street NE
571-6284
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Premium Roofing 6680 Lucia Lane 411, Fridley, MN 55432 571-3973 20097688
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION x REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (23 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State 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
1
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
$1,918
SURTAX
$.96
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW
STRUCTION OR THE PERFORMANCE OF ONSTRUCTION.
$62.25
Fire SC $1.92
1 / �
Xfmq&_
PLAN CHECK FEE
License SC $5.00
TOTAL FEE
$70.13
SIGNATURE OF CONT FACTOR OR AUTHORIZED AGENT MA/E
WHEN PROPERLY LIDATED
�. 01 INSP
THIS IS YOUR PERMIT
s ~7
DATE
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
AT [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER:
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type:
BUILDING PERMIT APPLICATION 4 1 0 (�
Estimated Cost: $ 94
q
ConstructionAddress: 5 0133
Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: - -- 9' APPLICANT:
Legal Description:
CITY USE ONLY
Owner Name & Address: rE/)
s%,
0e_ && Sqi�7 (�; `A
ST VF - Tel. #�
Contractor: PeA161M INOFIlVe,
.001 of Permit Valuation (1/10th%)
MN LICENSE #..2001 74,"
Address: Elle(r-
A
t®1
j� Tel. # S7/-3� 73
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER:
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type:
XOO F11V6
Estimated Cost: $ 94
(Fee Schedule on Back)
Driveway Curb Cut
Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: - -- 9' APPLICANT:
Tel. #:5 3'? 7.3
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ 19&
$.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
$ 0
STIPULATIONS:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-36U4 YAX: (7b3) t071-1257
ADDRESS : 5933 6TH ST NE
PIN : 233024210076
LEGAL DESC : BONNY ADD
: LOT 16 BLOCK 5
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOW/DOOR REPL
PERMIT NO : 2004-00846
DATE ISSUED: 06/04/2004
VALUATION : $ 500.00
NOTE: PROVIDE SMOKE DETECTORS PER CODE. INSTALL A BASEMENT EGRESS WINDOW.
APPLICANT BUILDING PERMIT FEE 23.50
MATTHEW KRIG PLAN CHECK FEE 15.28
5933 6TH ST NE FIRE SURCHARGE 0.50
FRIDLEY, MN 55432 STATE SURCHARGE, VALUE 0.50
TOTAL 39.78
PAID WITH CHECK # 2006
MATTHEW KRIG
5933 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 wort
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 co truc�or performance of construction.
ADDli Date
Bldg Insp \t/ Q V—W \ D JONa
I
6r,YA1CA i i; rzruvii l A r zy u ixr ij r Lm, w V hili V 1 riri( i riA1V Lr Al iciisr L [iD V V �.
Effective 4/1/2004
NEW [) CITY OF FRID N 554 � 0 763) 572 3604 Bldg Insp
ADDN [ ] 6431 University Ave NE, Fridley,
ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax s
BUILDING PERMIT APPLICATION i
Construction Address.
Legal Description:
Owner Name &Address:
{N� e -b) �' Tel.# 61?– 386-377/
Contractor. Ce'o H e lr MN LICEEDNS E #
Address: Tel.4 76 3 ? - -q78—
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT '�)? L4 — 00cy 4
LIVING AREA: Length Width Height _ Sq. Ft.
GARAGE AREA: Length Width Height _ Sq. Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft
QTHER:
Construction Type: 0 Q Estimated Cost: $ -S ®O 1212
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: 6 - Z - 0 �l APPLICANT: 1a. � �� �°� Tel. # 612 ` 3'36 - 3 7 7�
Call (763) 572-3604 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
$� ��
Fee Schedule on Reverse Side
Plan Review
$
65% of Permit Fee
Fire Surcharge
$ SCD
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$•50/$1,000 Valuation
SAC Charge
$
$1350 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Curb Cut 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
s-39 o
STIPULATIONS:
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