PRE 2010 DOCS0
City of Fridley, Minn.
BUILDING PERMIT NN® 3075
Date: ...�. +.../. ` .� .. .............
r
Owner / ........ // . Builder .... ...%J' �.....
Address Address .. J .o ................ ..
LOC TION OF BUILDING
No.,l..Q .o . Street ... " .... .... .................of art Lot .
....
cy P .
Lot ... /..... Block .... � ........... Addition or Sub -Division
IAIA Corner Lot .....` .. Inside Lot ............ Setback `.� ..... Sideyard °��
To lie Used as:
..... ... . Front s Depth n ! ... Height Sq. Ft.lq. q Cu. Ft. ........
nt ........ Depths h/t ....a. B. Sq. Ft. ........ Ft. .
Type of Construction Est. C • .. / j'. Y(. q . �o be Completed ... ............ .
In consideration of the issuance to me of a permit to construct the uilding desribed above, I agree to do
the proposed work in accordance with the descriptionabove set fo d in cor
with ovisions of
ordinances of the city of Fridley. �.................. .........
O�
In consideration of the payment of a fee of $.A. I ........ permit is hereby granted to .. c.,. ��! .......
......................... 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.
NOTICE: r
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building inspect6r for separate permits for these Items.
THOMAS S.4�ILVIS
0
DESIGN • DEVELOP • BUILD
2100 INDIANA AVE. NORTH • MINNEAPOLIS 22, MINN.
L •+
/ 1A -7-, /A ��
, X4
City of Fridley, Minn.
BUILDING PERMIT N°53 33
Date:
Owner: .rJi Builder—
Address _ _ _ _ Address -- —
® F BUILDING
No. Street- _ _ Part of Lot _.
Lot _ Block Addition or Subpi ' on .—
Corner Lot Inside Lot �tback , *4, 1deyard
Sewer Elevation_ __ FiOndation Elevation _
DESCRIPTION OF BUILDING
To U � %
Front Depth , ` Height! Sq. Ft Cu. Ft
DepthHeight Sq. Ft Cu. Ft
7h* of Construction 1� Est Cos %__g J " . he Completed _
In consideration of the issuance to me of a permit to construct the building described above I agree to do
'he proposed work in accordance with the description above set forth and in compliance with adl 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 anyviolation 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 hems.
-1 0 Q04 0 _y
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
• _ = Builder
�=-Z2-
LOCATION OF BUIMING
no. le-141� Street Part of Lotr
Lot Block Addition or Subdivision
Corner Lot Inside Lot Setback Side -Yard
SES ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used; as :
- - - ----- - -
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
e � J
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 jl,he fa and representa ions
stated in this application are true and correct.
(A Schedule of Fee Costs can be found on the
"- • • _..
R
City of Fridley, Minn.
BUILDING PERMIT
•
Date: May25, 1965
•
•
Owner: Richard Beck
Address 6100 6th. St. N. E.
Builder
Freund & Patnode
=1T� '751
Address 14105 Wth. Ave. No. Hamel
LOCATION OF BUILDING
No. 6100 Street 6th- gt—N. E. -- Part of Lot
Lot 19 _ Block 2 Addition or Sub -Division . Upland 2nd Add
Corner Lot — Inside Lot Setback Sideyard
Sewer Elevation
To be Used as:
Foundation Elevation
DESCRIPTION OF BUILDING
Front Depth Height — Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Repair Est. Cost —86s726,00 - ..— To be Completed
Storm Damage Repair
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 fg and in compliance wit ah provisions of
ordinances of the city of Fridley. . � // , -401. a rm
In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to Frommel & Fat ende
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 lactation, 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.
NOTICE
11@ permb den net cam the eonslm:tion, In hillsi m for wkb& plumbing, gas boating, aver or weer. Be wn to w
the BuWbg hope for for sepwaN pem bs for thea Items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MIIQNESOTA
a
v -
OWNER'S NAME BUILDER �
ADDRESS -
i) bL-V-� V
No.
LOT- _ BLOCK
Corner Lot P"'Inside Li
SEWER ELEVATION
Applicant attach to thi
building location drawn
To be used as:
Type of Construction
To be completed
The undersigned hereby
agreeing to do all..wor
and rulings of the Dep
and' representations st
DATE .�j- -,62 ±Zze (f
(Schedule of Fee Costs
i
A,
Application for Powtr Pl=ds and HeMbS Cooling. Venula ba. nap 1 Oki and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM ATR: IRATE TOTAL
Furnace Shen & Duct Work ................ .. $10.00 $
Replacement of Furnace .... . 6.00 $
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 $—
MECH. WARM ADR
Furnace Shell & Duct Work to 120,000 BTU ...... . .. $10.00 $--_
each add. 60,000 BTU .................... .. 3.01 =
Replacement of Furnace .... 6.00
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 .... .. &W $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. FDR Steam $10.00 $.
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00
Each add. 200 sq. ft. EDR Steam 3.0n
Each add. 320 sq. ft. EDR Hot Water 3.00 $_
OIL BURNER—to 3 gal. per hour 6.00 $ —
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 198.000 BTU) 8.00 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures .. . ..... x$ 200 $
Additional Fixtures x .75 $
Gas Range to 199.000 z$ 5 O0 $
AIR CONDITIOND/G
FAN HEATING SYST=
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
C�>
See Fee Schedule
$
TOTAL FEE $
ROUGH (SURCHARGE $�,50)
(/
FINAL— ®c 5
Dept of B1dgga. Phone 6ee-34806
W
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinancef
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn_ f ZJ- 2—
Owner —Owner -
Kind of Building
Used as
To be completed about _ �� �'�� 7
Estimated Cost, $__ 7,57-0
6INew- Building Permit No. Permit No.
RM or POWER PI-ANTS—Steam, Hot Water, Warm Air—No
Trade Name_ gin No- Z -40- 3—
Capacity Sq. Ft. E.D.R BTU ^�7 b i my
Total Connected Load Rind of Feet
BURNER — Trade Na.ne Size No
Capacity Sq. FL ED R- BTU Np
(REMARKS -OVER)
SUBJECTPE
NO.
City of Fridley
- - 7450-
AT THTOP OF THE TWINS
BUILDING PERMIT
rp
R EIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
4/10/84
10B ADDRESS 6100 - 6th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
EE ATTACHED
DESCR.
19
2
Upland 2nd Addition
HEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Shirley Beck 6100 - 6th Street N.E. 571-
875
3 CONTRACTOR MAIL ADDRESS ZIP PHONE
LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE
LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE
LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE
❑ REMOVE
8 DESCRIBE WORK
Construct
9 CHANGE OF USE FROM TO
STIPULATIONS
slam
Art
IJ1909 cCTR�C �utilwes
SEPERATE PERMITS REQUIRED FOR LRING,
Before GASEtc.
Tmplio%E-ELEHEATING, PLUMBING AND SIGNS.
'by LAW
W)UIRED
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
IHEREBY 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
$2,600
$1.30
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-
$38.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
LAN CHECK FEE
TOTAL FEE
$9.63
$49.43
IGNATUR OFCONTRAC ORORAUTH DAGENT (DATE)
a WHEN PROPE VALIDATED THIS IS YOR PERMIT
BLDG INSP - DAT
11 [GNATURE OF OWNER tl NERBUILDERI (DATE)
Prepaid Plan Check $ Effective 4/1/84
Estimated Cost $ City Of. Fridley
Receipt # OTHER THAN R-1 AND R-2
Building Permit Application
Construction Address: (/J(d0 l0}� 51• t� -E
Legal Description: UR.At.)® •��� A= 0&1 e I -DT 11 5LDC.� TU_ L)D Z�D
Property Owner/Address:
Contractor/Address: Tel.#
Architect/Address: Reg.#
Engineer/Address: Reg.#
Type of Work [ ]New[-] Addition [ ] Alteration SC`F�-
USE OF BUIL I
APPLICANT SIGNATURE: . Tel. # (-2975 Date: 4 -
BUILDING DIMENSIONS
Size of Structure
c
Length Width Width - 2Height I Sq. Ft. # of Stories
OFC. AREA: Length Width Height Sq. Ft.
WHSE. AREA: Length Width Height Sq. Ft.
OTHER AREA: Length Width Height Sq. Ft.
VALUATION
Sq. Ft. ISO X $ I). �i3 Cost/Sq. Ft. = Valuation $
Sq. Ft. X $ Cost/Sq. Ft. = Valuation $ ) _ $
Sq. Ft. X $ Cost/Sq. Ft. = Valuation $ ) Total
Type of Building Construction Occupancy Group Class. Zoning
Air Conditioned [ ]Yes [4 No Fire Protection System [ ]Yes [ No.
Permit Fee
$ &-To
Plan Check
$ •(V
State Surcharge
$ �•
SAC Charge
$
Park Fee
$
Sewer Main Charge
$
TOTAL
$ "1 • `7 3
STIPULATIONS:
See Fee Schedule on Reverse Side
In excess of Prepaid Plan Check -See Back Pg.
$.50/$1,000 Valuation (See Sched. for > $1 mil)
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
sueJECTPER
City of Fridley
18,
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
j 612-571-3450
910-F15
5/1/86
JOB ADDRESS 6100 - 6th Street N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
19
2
Uplands 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Richard Beck 6100 - 6t1i Street N.E. 571-2875
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
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
Reroof Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS Roof Can be the 2nd layer but not the 3rd.
Install ridged galvanized
valleys.
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
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
$1►000
$'50
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-
$17.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$18.00
SIGNATU EOFCONT�RA TORO/RAUTHO AGENT tDATEi
WHEN PROPERLY V DATED THIS IS YOUR PERMIT
%
d(.�
� t U
SIGNATURE OF OWNE F OWNER BUILDERI IDATEI
IG WSP
ATE
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ ] R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address:
Legal Description:
Owner Name & Address:
Tel. f %/-2d75'
Contractor: - - o __- Tel. #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
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.
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: Estimated Cost: $ell
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: - �` ,Y APPLICANT: �r�=� Tel .
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
25$ of Building Permit Fee
$.50/$1,000 Valuation
$475 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJEt/
City of Fridley
=2:87
AT THE TOP OF THE TWINSBUILDING
PERMIT9iEEEWT
NO.
COMMUNITY DEVELOPMENT DIV.
_
r PROTECTIVE INSPECTION SEC.
15/_'
1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
12/7/98
JOB ADDRESS
6100 6th Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
19
2
1 Upland 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Derek Hussvet571-IOOS
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Nutzmann Bros Const 736 is
-
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
T CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 24 SO Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 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
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
$2056
11.03
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
74-79
Fire SC $2-06
LAN CHECK FEE
TOTAL FEE
SIGNA E OF CONTRACTOR OR AUTHORIZED AGENT Ir I A r V
WHEN PROPERL ALIDATED THIS IS YOO®DUD�R
'PERMIT
S-GNATURE OF OWNERof OWNER BUILDER, (DATE,
BL ,NSR
gAfE
NEW
ADDN [ ] CITY OF FRIDLEY
ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:, /�O
Legal Description:
Owner Name & Address:
Contractor:-/,/,-,-;--,,_
Address:
ev
Tel. #
Effective 1/1/98
MN LICENSE
Tel. #�a�� Sl
P --
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:
i
Construction Type:P,x— e;g�l
Y'_,_',�,-,dj�,tEstimated Cost: $ r'��
(Fee Schedule on ac
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: /X57 sr— APPLICANT: Tel. #�1
TOTAL
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ %S^
Fee Schedule on Reverse Side
Fire Surcharge
$_
0 (o
.001 of Permit Valuation (1/10th%)
State Surcharge
$
1.(-)3
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
. j) ®
$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:
SUBJE&
PE R
City of Fridley
0442
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i �
`L ______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
tol
1 ; �
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/26/99
10B ADDRESS 6100 6th Street NE
1 LEGAL
LOT N0.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
19
2
Upland 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Derek Hustvet
571-1005
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Minnesota Rusco Inc. 9901 Smetana Dr Minnetonka 55343 935-9669 2173
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ®x REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Replace 1 window into existing opening - Egress requirements are being met.
9 CHANGEOFUSEFROM
TO
STIPULATIONS
Permit Inspection Cards
Will Be 1111alled
To Honmeowner To Post
SEPARATE PERMITS ARE REOUIRED 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 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
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
$594
$ .50
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
TOT EE
Licens $5.0
.64
SIGNATURE OF CON•RACTOR OR AUTHORIZED AGENT .DATE.
MEN ROP VALIOA THIS ISYOUR PWRMIT
S-GNATURE OF OWNER IIF OWNER BUILDER. (DATE.
L .NSP OAt
NEW[ ] - Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY °.
�
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 G� �/
BUILDING PERMIT APPLICATION O� n
Construction Address: /DD - 47 t, 6V
Legal Description:
Owner Name & Address:a(-,
��/OQ %� �, Tel. # 6/2�%/'/00�
Contractor: MINNESOTA RUSCO, INC. MN LICENSE #o?/%�
9901 SWANA DRIVE
90
,; x'9469
Address • ��0 Tel. #61
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:' Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE: /d Q2 ` C&
APPLICANT:
�r�e .-� 'lv- Tel. # b /a?- d OW 9
r
CITY USE ONLY
Permit Fee
$
�� - 5^S
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
�—
$1050 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
STIPULATIONS: