PRE 2010 DOCS•
City of Fridley, Minn.
•
BUILDING PERMIT
Date: SEPTEMM.._11 l
No 4218
Owner:...... ........... _.................... Builder LYNDALE BUILDERS
Address ..... ........ .... ......... Address _3019 Lyndale Avenue .South
Minneapolis, Minnesota
LOCATION OF BUILDING
No. ....... 5..4.21............ street .. ..7..tlt...Street --- .......... _._......................... -.............. Part of Lot .................... _....... _......
_ --._..._.-._.....__. _
Lot ............. 26......._.......- Block ............. ....._.._1......................... Addition or Sub -Division ....._Ly7ldele�..--/A t�---A,�.VA.
Corner Lot .................................... Inside Lot ....._....... ............... Setback .......... ..35.1..................... Sideyard............ 15-1- .......... .............. _......... ...._.._._...
Sewer Elevation ..---- ............................ .............. -...................... - ............ __........... .. Foundation Elevation ...................--
DESCRIPTION OF BUILDING
To be Used as:
_D�Tell ng...... .............. Front .....40- -. Depth .2 7.M.".. Height ...-.191...... Sq. Ft. .1.1.063L. Cu. Ft. 20.x.1.97
.................... -................. ..................... Front ........................ Depth ....................... Height .................... Sq. Ft. .................... _.. Cu. Ft........................
Type of Construction ....... F`t =O ............................ Est. Cost.......$3....0.75......................... 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. --)'n ,1 , f i f I
In consideration of the payment of a fee of $....... 2Q.*.PQ.......... 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.
...._......_.......,r....W.......:.. _.._......_........ Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for these items.
City of Fridley, Minn.
BUILDING PERMIT N°Ile
5 3 9 3
Date: �...
' O�A 41/
Owner: _ Builder
Address Address
+ O OF BUILDING
No.' Streety-- --- _Part of Lot
Lot _ Block dit1on or Sub -Won
Corner Lot _ Inside Lotwetback ; ��' Sideyard
Sewer Elevation ________ -- Foidation Elevation — _
DESCRIPTION OF BUILDING
To
VeE 94E .�Aell Front Depth Height! Sq. Ft. Cu. Ft.
Front Depth`s Height_ __. Sq. Ft. Cu. Ft.
Type of Constructions.. � East. �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 $ _`ate — , 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. f any of the provisions of said
ordinances.
Building Inspector
NOTICE:
This permit does not cover the construction,lustaMon for wiring, plumbing, gas heating, sewer or water. Be sura to we
the Building Inspector for separate permits for thew Hems.
9
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
LOCATION OF BUILDING
No. Street Part of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
Front /,Y Depth__j Height
47 9
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction �n Estimated Cost %Iyeraed
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 all the facts and representations
stated in this application are true and correct.
DATE SIGNATURE�
(A Sc edule of Fee Costs can be found on the Reverse Side.)
l
Mu
LOCATION OF BUILDING
No. Street Part of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
Front /,Y Depth__j Height
47 9
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction �n Estimated Cost %Iyeraed
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 all the facts and representations
stated in this application are true and correct.
DATE SIGNATURE�
(A Sc edule of Fee Costs can be found on the Reverse Side.)
53-84-S-915.51
City of Fridley
and Gas
DESCalmon or WORK
Number. Kid ad Locakhm of TWluraa .
Rase
iso
bw
PARTIAL RATE SCHEDULE
PLVMMM : rIXTUM RATi�t; z
N& RATZ TOTAL
NW&W plahas ................. �.
Zan Yi
...:......
z SIM
M" .........
r VLW
Cotc% 1 ............. :......
Z
Rater Reahr !Up to
s am _
New Gro d Run Old BW ........
IF $a-* i
Qsetaie Ratorltmim .............
a no t
G" r&r=G rms:
Im R&Tz TOTAL
h& i 1?mtYrea ..................
Zan =
Y
Addltlood Fhdw= .......... 0....
—a$-"
an Ramos to t' .Oft Fm ...........
1 :tsos = 5� 5
State Surcha ge
$ .SO
1z?Am a ALTA►?ZaA—>tohr OR Coit
5.50
...................,....
a............. �
TCWAL= s
r 5421 N. E. 7th. Street
MY of Phdloar.
The tandemed herft nee&es sppHestim for a permit for Ow wwh hemi
speeified, apex{na to do all wwk 6n sbW ocvcffdmw with Ow ®1v r
and nding of the DepsrUnmt of Buddimm and herd w declares that A the fad--
and
ad:and eepreaentatims slated in litis appOeMim are true mW eorrect
Fridley. 8-31-73 _
Owner Dwight W. Moore
Kind of HuBdtft Frame
Used as Res,
To be about 9-7-73
Wimated Cost.: _-- lo_ 0Q /
Did-- Ceuildio` Pp. of 11r� I�ft lfi. to
$ A"-. --— /Jut me o _
' • •lYL.
K7 -
lR�aasr
Ow oe Surcharge .500
City of Fridley
SUBJECT
PE04
o 17 48 6
AT THE TOP OF THE TWINS
BUILDING PERMIT
Ir
RECEIPT NO.
1 Y__..__ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1t
l ".j CITY HALL FRIDLEY 55432
L
NUMBER
REV.
DATE
5�8�84
PAGE OF
APPROVED BY
612-571-3450
910-F15
JOB ADDRESS 5421 7th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRA CT OR ADDITION SEE ATTACHED
DESCR.
26
1
Lyndale Builders 4th Addn. SHEET
-7-PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert M. Bryant 5421 7th Street N.E. 572-9234
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
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 Jfz] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
new garage 1 20'
9 CHANGE OF USE FROM TO
STIPULATIONS
1. Provide a hard surface driveway
REQU
AN D SIGNS,.
PLUMB
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
wood frame
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
320
ANY TIME AFTER WORK IS COMMENCED.
NO. OWLG. UNITS
OFFSTREET PARKING
1 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
20
1.80
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
3,587.
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-
44.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
46.30
NATURE OF CONTRA TOR OR AUTHORIZED AGENT IDATEIn
N PROPERLY D THIS I$ YQ R. P RMaT
BLDG iNSP
S NATURE OF OWNE�11OWNE DERi IDATEI
%a
.4.
.5'rUDS '
KATES
$I pi'16,5
A001F
UJWQO,.)
AS
PI.Y--b
,DS
,e Ila, DAY woo b
�SiS'X'i
1t4 9;..*TIF 5
NEW L ]
ADDN. �]
ALTER. L 7
Construction Address:
Legal Descriptio
City of Fridley
�R-1 AND R-2
Building Permit Application
ya) -Tom"' s7NE_.
Effective 4/1/84
AMM,
Property Owner/Address:
Roar2� ()l
%��1/A� ��i Ya 1 7 `5 T, NZ Tel.
#
Contractor: Sg:p-
Tel.
#
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Corner Lot [ ]
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 16 Width a -a Height Sq. Ft. -yv_o J -?U
Length Width Hgt/Ground Sq. Ft.
Inside Lot [ ]
Type of Construction:
woo D
Ft. Yd. Setback Side Yard Setback
Approx. Completion Date: 1 A047- `5
Estimated Cost: $
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
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
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJECT
P9 _FWT NO.
City of Fridley
AT THE TOP OF THE TWINSBUILDING
PERMIT '
�-'7-1
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
1 L INSPECTION SEC.
PROTECTIVE
I ,
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
4/6/95
JOB ADDRESS 5421 7 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
26
1
Lyndale Builders 4th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
XXXXXXXXXXXX Robert Bryant 5421 7 Street NE
572-9234
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Minnesota Exteriors Inc 8600 Jefferson Hwy, Osseo, MN
391-5514 2877
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 Ii ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Interior remodeling
9 CHANGE OF USE FROM TO
STIPULATIONS
Any change in bedroom windows must meet the State Egress 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
$2,636
$1.32
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,
$54.00
Fire SC $2.64
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
62.96
SIGNATURE OF CON. RACTOR OR AUTHORIZED AGENT (DATEI
WHEN PAOPERA
8jjTG INS
VALIDATED THIS IS YOUR PERMIT
F)A E
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW [ ] Effective 5/26/93
ADDN [ ] CITY OF FRIDLEY
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 as3
Building Permit Application
Construction Address: �% % >7 CE
Legal Description:
Owner Name & Address:
Contractor:
Address:
LIVING AREA: Length
GARAGE AREA: Length
OTHER:
Tel. #s7-) 4jV
MN LICENSE
Tel.
Attach to this application, a Certificate of Survey of the
lot, with the proposed constructiw drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Width
Width
Length Width
Corner Lot [ j Inside Lot [ ] Ft. Yd Setback
Type of Consowtion:���
Approx. Completion Date:
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Side Yard Setbacks .
Estimated Cost: $ �� d
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ _ $
DATE: e3 �' APPLICANT: 2 Te1.
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ ?.(, .001 of Permit Valuation (1/10th%)
State Surcharge $ a $.50/$1,000 Valuation
SAC Charge $ $750 per SAC Unit
License Surcharge $ 06 $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ Conservation Plan Review $450.00
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ j Not Necessary [ ]
TOTAL $ STIPULATIONS:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3604 VAX: (763) 571-1287
ADDRESS 5421 7TH ST NE
PIN 233024430028
LEGAL DESC LYNDALE BUILDERS 4TH ADD
LOT 26 BLOCK l
PERMIT TYPE BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING
PERMIT O.: 2004-00919
DATE ISSUED: 06/15/2004
VALUATION : $ 1,852.00
NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE (16 SQ) TEAR -OFF
STATE LICENSED CONTRACTOR 1
APPLICANT
PEDERSON JOHN CONSTRUCTION (2026614
7790 MAIN ST NE
FRIDLEY, MN 55432-1213
(763) 586-7800
OWNER
BRYANT ROBERT MICHAEL
5421 7TH ST NE
FRIDLEY, MN 55421
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 onsnction or the performance of construction.
Applicant Date I
Bldg
BUILDING PERMIT FEE
66.20
FIRE SURCHARGE
1.85
STATE SURCHARGE, VALUE
0.93
LICENSE SURCHARGE
5.00
TOTAL
73.98
PAID WITH CHECK # 10946
Permits in'Spacr1pn i:arn
Will Be Mailed
® M®m®oWner To paps
CTTDAD ATT DTDI ATTCT DT/Ii TTD TT TILT] TTTIIDT/ /�TTTTD TTTAAT TTCT!'�D TDL�TI ADII[7L'
vua � aa�[ a • �... a uau.0 a v a�ua� vu�u✓ a vat ♦• viu� v a aaua� a iu u � aiu..rvauvLL a avv ......
�'33oy $7 3.9f�
NEW [ ] CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [yJ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: 542-1 J '5tr�Cr'
Legal Description:
Owner Name & Address: t'1 Tel. # (o[ ?2-- O N - 712
Contractor. ®V1 lel MN LICENSE # dj)-2 (.e& / c/ /
Address-- - � -d f1� X1"1' fi 111 �L , �� 1 C� l P y / l�;� lU � �� )' ZTeI. # 7 d`(� � 9i!a - 7W
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 H H bt/Ground Seq.. Ft.
OTHER: I e-ar -_ l
f I � _ r i) l 1,Ce � Jm u
Construction Type:�� l r 00 W1 A stimated Cost: $
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE:
APPLICANT: Tel. #
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.
TOTAL $ STIPULATIONS:
i
c� 1
CITY USE ONLY -
Permit Fee
$ - >
Fee Schedule on Reverse Side
Plan Review
$
65% of Permit Fee
Fire Surcharge
.001 of Permit Valuation (1/10th%)
State Surcharge
$ G
$.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:
i
c� 1