PRE 2010 DOCSBUILDING PERMIT
Village of Fridley, Minn. No
Builderi't�, , r
Address
2Q6y
LOCATION OF BUILDING
No. .. �!. ... Street .. tV ...... Part of Lot .......................
Lot ... ......... Block ... 6.......... Addition or Sub -Division R
9. .
Corner Lot ............ Inside Lot.+..I....... Setback ...�J.... Sideyard ..................
DESCRIPTION OF BUILDING
To a Used as: [
.. . Front ..q. .. Depth ....2
.Y Eieight `la!^.:v .. Sq. ..... Cu. Ft. ........
Front ........ Depth ...,.+.... .Height ......... Sq. Ft......... rCu. Ft.........
Type of Construction ..L .!5 .E- Est. Cost ..17. ):LOP ®4q ..... To be Completed ...�G � ..... .
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.
in Id t! of the payment of a fee of $.I.S %*t permit is hereby ted to ................ .
.�.... .. to construct the building or addition as described a ove. 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, alter n, mainten q , repair and moving of buildings with-
in the village limits and this permit may be revoked at my t me fto i f n 6 any of the provisions of said
ordinances. f
NOTICE:
This permit does not cover the construction, installation or alteration for wirinumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits fort 4
a items.
6 3 --� -.-)- 3
City of Fridley, mom.- 11721
6431 University Ave. N.E., Minneapolis, Minn. 55432.
BUILDING PERMIT
Date: October 13, 1972
Owner: John Gerard Builder Swine (Lampert Lumb . )
Address 5973 - 6th Street Nom, Address
LOCATION OF BUILDING
No. _ 5973 Street 6th Street N.E. Part of Lot
Lot ._._..._21.._......_ Block _ __ �..._.._.._..___ Addition or Sub -Division ._._Bonny Addition
Corner Lot __.._. .. _ Inside Lot X _ Setback Sideyard
Sewer Elevation _ _ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Attached Garage __—_ Front _ 21.7' Depth _ 25.71 Height 101 Sq. Ft. —557 Cu. Ft. 5 570
Type of Construction
Front Depth Height Sq. Ft. Cu. Ft.
Wood Frame Est. cost $2, 523.21 To be Completed Oct. 13, 1973
STIPULATION: Provide a hard surface driveway
In consideration of the issuance to me of a permit to construct the building described above I agree tp do
the proposed work in accordance with the description above set forth and ' coingliance with ah provisions of
ordinances of the city of Fridley.
1.27 St Surcharge
In consideration of the payment of a fee of $ 11.00_V—, permit is hereby granted to John Gerard
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
vgithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of Said
ordinances.
mor
CLARENCE BELISLE
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to seg
the Building inspector for separate permits for these hems.
APPLICATION FOR RESIDENTIAL, ALTERATIDN9
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
QwM' S : LeRA P
Bun=:
Z 4 m
pPi?_�
Glw R, d .
AD=ss • 45'1-73-
=S3:
rw fa
i d )'
�.�
y 11400('
e• i e e
�l sLocxa AWITIONa
4ORM LOT: IMUE LOT; ETBACK; SIDEYARD:
.li attach to, fe=_ZE,o Certificates of Survey of Lot and proposed
b"14tS location drwn ou these Certificates.
ADSCRIPTION OF BUILDING
To Be UWW As:
A iz Y4 ye P=atv?'Height: �®
Square 'peat; -:55-7 • Cublz Veet3 5 S 7
front t Depth ; Height:
Square Feet; Cubic Feet
Type, of Uonetructioas Fie,4me' Estimated Cost: _$
To So
TM umdarvigned hereby makes application for. a pelt for the work herein
spaclfie44 agreeing to do all work in sttict accordance with the City of
M41,ey O dUances 4n4 zutl V pf the Department of Buildings, hereby
doolareq t all the sects and representations stated in this iappItcation
age truce m4 correct,
PAT&4 4,0 /3 % Z— STMATt�.
( 1aywoe Bides For Additional Info tion.) g
SUBJECT
P O.
City of Fridley
O 15 4 7 6
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
�7a6y
1 �
NUMBERDATE
PAGE OF
APPROVED BY
� HALL FRIDLEY 55432
612-571-3450
910-F15
719/24/79
JOB ADDRESS 5973 - 6th Street N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
21
5
Bomy Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
John Gerard 5973 - 6th. Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Metro Aluminum 4244 Madison Street Col. H ts. 786-7766
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO,
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
SidingAlizainum
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR WIRING.
HEATING, PLUMBING AND SIGNS.
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
SQ. 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 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
$2,270
$1.14
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISION'! ANY OTHER STATE OR LOCAL LAW REGULATING CON-
-OF
STRUCTI R THE PER RMANC OF CONST TION.
PLAN CHECK FEE
TOTALFEE
k1
$16.14
SIGNATURE OF CON RACTOR OR AUTHORIZED AGENT (00E)
N, c, WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG INSP A E
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS ¢
ItJew Alterations Additionsi. or Repairs)
OWNER: _TQ ff A
ADDRESS:
TEL NO:,
BUILDER:
(2o L, s
ADDRESS: L4 -�_44 Mj2 fllscx) Ss -r
TEL' NO:�—�'
Construction Location
.STREET NO: STREET:
LOT: o:2/ BLOCK: ..1 ADDITION: 2n Ajd 1`1dJ / I U
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front: Depth: Height:
Squane. Feet: Cubic Feet:
Front: Depth: Height:
Square - Feet: Cubic Feet:
Type of Construction: v� f��N Estimated Cost:
J�70o
lb Se [bmvleted:
Proposed Driveway Width If New Opening Is Desired:
Alt. A Alt. B
SEE REVERSE SIDE OF SHEET .
Mie 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 applica
DATE: / 9 SIGNATURE : .
Stipulations:
October 30, 1992
John Gerard
5973 - 6th Street N.E.
Fridley, MN 55432
Dear Mr. Gerard:
Recently you contacted me concerning your desire to construct a temporary
fence measuring nine feet in height along the south side of your property.
l have researched this question and would like to provide the following
response.
The Fridley Zoning Code sets a height limit of seven feet for fences built in
the side and rear yards on residential properties. In addition, Fridley City
Code 213 establishes other standards for fence construction. Neither of
these code sections distinguishes between temporary and permanent
fencing. (I have enclosed copies of this information for your review.)
Neither staff nor the City Council has the authority to administrativelyapprove
construction of a fence in excess of the height limitations. If you wish to
install such a fence, you must obtain a variance from the Zoning Code
requirements. I have enclosed an application form and meeting schedule
should you wish to pursue this option. Please call Michele McPherson at
572-3593 if you have questions regarding completion of the application
materials or the variance process.
Feel free to call me at 571-5457 if you have questions or wish, to discuss this
further. Thanks for your cooperation!
Sincerely,
Steven Billings
Councilmember Ward 1
SB. -Is
i
CIiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
January 8, 1993
John Gerard
5973 - 6th Street N. E.
Fridley, MN 55432
Dear Mr. Gerard:
As you are aware, there has been an ongoing dispute between you and one of your neighbors.
It is my understanding that this disagr xit centers around shaveling and storage of snow
near your property lines and on the adjacent boulevard. MAs letter is to clarify the City's
position regarding this matter.
Vile the City has an interest in how boulevard areas are used and maintained, the Fridley
City Code only addresses this issue to a limited degree. Specifically, the two areas covered
are as follows:
1. vision Safety/safety Hazard - Any barrier (which presumably would include storage
of snow) which impedes vision safety at an intersection or driveway or causes
some other type of safety hazard sha11 not be permitted.
2. Maintenance - The boulevard area shall be propexly maintained, groomed, and cared
for by the abutting property owner. This implies that property owners have some
interest in abutting boulevards sine they are responsible for maintenance of
these areas. Therefore, it is my understanding that a property owner could
attempt to bring civil action against a party for damage done to
sodding/landscaping in the adjacent boulevard area.
Subject to the above points, the Fridley City Code does not address the issue of snow being
moved from one portion of the boulevard to another. As a result, there does not appear to
be a code restriction preventing either you or your neighbor from performing such work.
However, I feel it is important that you and your neighbor work this problem out to prevent
a bad situation in the future.
I have enclosed a brochure from an organization called "Mediation Services for Anoka County".
This agency uses trained mediators to perform conflict resolution between neighbors on
matters similar to yours. You may wish to contact Mediation Services at the number listed
on the back of the brochure to discuss their service and how it could benefit you.
feel free to call me at 572-3595 if you have questions or wish to discuss this further.
sincerely,
Steven Barg
Code Enforcement Officer
SB:ls
CE -92-12
SUBJECT
MIT NO.
City of Fridley
2 7 4 4 2
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
`
—R—CC
R CEIPT NO.
_ COMMUNITY DEVELOPMENT DIV.
~ PROTECTIVE INSPECTION SEC.
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/28/911
JOB ADDRESS 5973 6th Street
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
21
5
Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
John Gerard
571-1054
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Premium Roofing 6680 Lucia Lane NE Fridley nLbffi 55432
571-3973 20097688
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION JEk REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (22 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with 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
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
1834
.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-
STRUCTION OR THE PE FORMANCE OF CONSTRUCTION.
$59.50
Fire SC 1.83
PLAN CHECK FEE
TOTAL E
Llcen C
5.0
67 -25
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
N P OP
INSP
ALIDAT
orBATE
IS IS R PSR
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
NEW +[ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: ' 3 y St
Legal Description: 42Q EjA ;
Owner Name & Address: J -OF%' pgkp Tel. # .S %/—
Contractor: )C '?CA/y/�j &CeMG MN LICENSE
Address:6:�<(- Ln c-14 6,Q!!12— Tel. # c//' -R; f fol
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:
$ S - 610
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
Construction Type: wze�-(jF�
Alt. "A" or Alt. "B" Above
Erosion Control
Estimated Cost: $�
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
(Fee Schedule on
Back)
Driveway Curb Cut Width Needed: Ft.
+ 6 Ft =
Ft x $
= $
DATE: e— 0"17 S� APPLICANT: Z,7lG Tel. # ,S'7/—�'-1 73
TOTAL
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ 7.0,
Fee Schedule on Reverse Side
Fire Surcharge
$ . 8 3
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ S - 610
$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:
/5—
SUBJECT
PERA
City of Fridley
3 065 7
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r?
T
-ReCVT NO.
`y _ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC
NUMBER
__[�CITY
nEv
GATE
PAGE OF
APPROVEO BY
HALL FRIDLEY 55432
l 612-571-3450
910415
2/10/00
JOB ADDRESS 5973 6 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
21
5
1 Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
John Gerard 5973 6 Street NE
571-1054
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Wellington Window & Door Co 3938 Meadowbrook Rd St Louis Park MN 55426
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
933-6300 Cit
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION Q REPAIR O MOVE O REMOVE
X
8 DESCRIBE WORK
Replace Windows
9 CHANGE OF USE FROM
TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms
and on all levels of the
dwelling per Section 310.9.1.2 of the 1997
Uniform Building Code.
CALL FOR FINAL INSPECTION
Permit Inspection Cards
WITHIN 10 DAYS OF WORK
Will Be Mailed
COMPLETION
To Homeowner To Post
COPY TO HOMEOWIRR
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED 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 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
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$4,306
$2.15
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
PLAN CHECK FEE
TOTAL FEE
City se
$,,1,17. 70
SIGNATURE OF CON"RACTOR OR AUTHORIZED AGE N T 10ATE1
ENP OP ALIDA 0 HISS R PERMIT
-
S-GNATURE OF OVVNE A, IF OWNER BUILDER- iDATE,
Vp
BLD -NSP PATE
/5—
NEW [ ] Effective 5/10/99
ADDN [) CITY OF FRIDLEY
ALTER [ ] SINGLE FAiMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION 16
�
Construction Address:CPf " Si. �.
Legal Description:
Owner Name & Address• Tel. #
Contractor: (fie j 1, A.+Rl'N I A) 11A 1,0MN LICENSE #
Address:MW 0 �t 8 Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF BIPROVEM INT
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:
Estimated Cost:
Driveway Curb Cut Width Needed: ' Ft. + 6 Ft = Ft x = $ -
DATE: 0 APPLICANT: Tel. #( �/d -3'IA3
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ City
S -Z17, -70
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$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 [ ]
Susie&
PERMIT N
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
3075 2
r?
COMMUNITY DEVELOPMENT DIV.
i
r :; V ------ PROTECTIVE INSPECTION SEC.
NUMBER
pEv
DATE
PAGE OF
APPROVED BY
��"'>;•j CITY HALL FRIDLEY 55432
1 •+` 612-571-3450
910415
3/21/00
JOB ADDRESS 5973 6 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DEscR.
21
5
Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
John Gerard 5973 6 Street NE
571-1054
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
L & L Contractors Inc 151 Silver Lake Rd #7, New Brighton, MN 55112
d ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
651-697-9455 20139735
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION 1Q REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Partial reside of house
9 CHANGEOFUSEFROM TO
STIPULATIONS
Call for building wrap 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 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 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
$5,900
$2.95
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-
$125.25
Fire S�.' $5.90
T CT THE PERFO MANCE O CONSTRUCTION
/ ®®
PLAN CHECK FEE
TOTA E
tr_Lice
$5.00
9.10
SiGNATu E OF C "AACTOR OR AUTHORIZED AGENT ATE
_
EN PROP
If
L ALIDA ED IS IS OUR PERMIT
&0�1J/.'!5z
SIGNATURE OF OWNER OF qWNER 13UILDEAI iOATE.
iNSo
r,A1E
NEW [ ] Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION n
Construction Address: 59
Legal Description:
Owner Name & Address: _�J&�n kA ��ev(2_it1, Tel. # /05 41
Contractor: ro j-t1,+c--ro1zs MN LICENSE # a0 13 9 7 35`
Address: 151
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
(c- Tel.# (& sl) 697-N55
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 Width Hgt/Ground Sq. Ft
Construction Type: P A- L_ Estimated Cost: $ 5,
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: ® APPLICANT: Tel. # vZ t% 83 ��Z�3
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ �o?$� o?S� Fee Schedule on Reverse Side
Fire Surcharge .001 of Permit Valuation (1/10th%)
State Surcharge $ �• %S� $.50/$1,000 Valuation
SAC Charge $ $1100 per SAC Unit
License Surcharge $ �, Od $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 $ 139 t1O
STIPULATIONS:
NOU-16-2004 10:25 CITY OF FR I DLEl'
ADDN [ J 6431 University Ave, NE, Fridley, MN 55432 (763) 5723604 Bldg Insp
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION �7/ j C
Construction Address:
Legal Description:
Owner Name & Address: Tel.
Contractor. MNL CENSE #
Address: Tel. #9t';
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA--
GARAGE
REA:GARAGE AREA:
DECK ,AREA:
OTHER:
Construction Type:_
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length I Width Height Sq. FL
Length
Driveway 9urb Cut Width Needed: Ft + 6 Ft Ft x $ =$
DATE: • � ` D APPLIG q"'Tel.#q��
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will cal
you for card number.
CITY USE ONLY -
Permit Fee $_ Fee Schedule on Reverse Side g
Plan Review $ 65% of Permit Fee
Fire Surcharge $ ��0 .001 of Permit Valuation (1/10th%)
State Surcharge $ 60 $.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 [ ]
TOTAL $ STIPULATIONS: