PRE 2010 DOCSJUSE
SUBJECT .✓_
J�ERAAIT NO
S'
City of Fridley
o 18�
AT THE TOP OF THE TWINS
BUILDING P E R M I T
_
r
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
C�l�
,--n CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
' 612-571-3450
910-F15
7/22/86
JOB ADDRESS 5784 - 7th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3, 11 4
32
Hyde Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Garjac Inc. 481 - 206th Avenue N.E., Cedar, MN 55011 434-7096
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESSTHE CITY OF FRIDLEY I N ENO.
LOCATIONS AND ELEVA.
F UTILITY
5 ENGINEER MAILADDRESS
THIS DATA IS FOR IN No.
SAKIO USING THIS MFORMATION SH
PERSON
8 USE OF BUILDING "
IT 4N THE
4CRIFy
Residential
7 CLASS OF WORK
Ck NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 381 x 24' Dwelling; a 22' x 21' Garage; and an 8' x 10' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS Provide hard surface driveway.. Provide sod in the front and side yards.
Provide City with copy of verifying survey. Lot Split approved by Council 4/7/86.
Paid Park Fee of $750.00
WATER & SEWER LOCATIONS: See Engineering Department for exact location.
DRIVEWAY CURB CUT: If Needed, $13.50 per foot.
SAC CREDIT from House Moved Out of City on Permit #18,551 issued 7/22/86.
WARNING
Before digging call local utilities
TELEPHGK - ELECTRIC - GAS Etc. SEPARATE PERMITS REQUIRED FOR
REQUIRED BY LAW WIRING, 1IEATING, PLUMBING AND LM
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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
R-1
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
$29.83
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$59,650
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-
CREDIT FROM MOVED 11
STRUC N OR THE PERFORMANCE OF CONSTRUCTION.
$313.00
PLAN CHECK FEE
TOTAL FEE
$ 78.25
$421.08 + PF
SIGNATURE OF ONTRACTOR OR THORIZED AGENT (DATE)
F,
WHEN PROPERLY VAATED THIS IS YOUR PERMIT
a
�IT
SIGNATURE OF OWNER)IF OWNER BUILDER) )DATE)
BLDG U
JUSE
NEW [ City of Fridley Effective 4/1/86.
ADDN. [ J �R-1 AND R-2�
ALTER. [ J Building Permit Application
Construction Address:
Legal Description:
Owner Name & Address: Tel. #
Contractor: e ti C- Tel. #
Address: „2 0 4 ff
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
8 Width Height 9 I Sq. Ft.
GARAGE AREA: Length 2 Width _z1_____ Height Sq. Ft.
DECK AREA: LengthWidth J 6 Hgt/Ground Sq. Ft._
OTHER:
Corner Lo.3t [ J Inside Lot [vJ Ft. Yd. Setback 5- Side Yard Setback
Type of Construction: / -R,4 M E
Approx. Completion Date:
Estimated Cost: $
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE: AL APPLICANT: Tel.
CITY USE ONLY
Permit Fee $ '7;1lou
Plan Check $
State Surcharge $ , F �
4
SAC Charge $
Park Fee $ rl sao6
Sewer Main Charge $
TOTAL $ I
L vj
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 [ J Not Necessary[ J
I
lie IWAk J14 ' AU
11
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DO
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It
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lot V Vx
eAt.47 Z;,re 1�,ovee
APPROVED FOR TRANS
wL. —without Conditions
i"i
Circle one. I
y�% � City ot..-.-- =7'�-Lt
Late:
-f--A le BY: LI
(SEAL)
0 'Oe'vol-e-<
//'�o A'le a"xr 'z 'x". ee I 'i'
I hereby certify that this survey, plan plat, preliminary plat or report -was prepared by me or under
my direct supervision and that I -am a duly Registered Land Surveyor under the laws of the State
ofXnesota. I
A'4174_ 90
Reg. No. D;Lte, Job No. Book No.
5
11"D . . . . . . *
AwV
...a
RESMUTION N0. 33 - 1986
A RESOLUTION APPROVING A SUBDIVISION, LOT SPLIT, L. S.
#86-01, TO SPLIT OFF THE SOUTH ONE HALF OF LOT 4 , BLOCK
32, HYDE PARR, TOGETHER WITH THE EAST ONE HALF OF THE
ADJACENT VACATED ALLEY AMID ADD TO LOT 5 , BLOCK 3 2 , HYDE
PARR TO CREME A. SINGLE FAMILY RESIDENCE, AND SPLIT OFF
THE NORTH ONE HALF OF LOT 4, M= 32, HYDE PARR AND ADD
TO LOT 3, BLOCK 321 HYDE PARR TO CREATE A SINGLE FAMILY
RESIDENCE, ALL BEING: 5738 - 77H SEREET N.E.
WHEREAS, the City Council appioved a lot split at the March 17, 1986 meeting;
and
WHEREAS, such approval was to split off the south one half of Lot 4, Block 32,
Hyde Park, together with the east one half of the adjacent vacated alley and
add to Lot 5, Block 32, Hyde Park to create a single family residence, and
split off the north one half of Lot, 4, Block 328, Hyde Park, together with the
east one half of the adjacent vacated alley and add to Lot 3, Block 32, Hyde
Park to create a single family residence, all being 5738 - 7th Street N.E.;
and
WHEREAS, the City has received the required Certificate of Survey from the
owner; and
WHEREAS, such approval will make two new residential building sites.
NW, THEREFORE, BE IT RESCLVED that the City Council directs the County of
Anoka to record this lot split within six months of this approval or else such
approval shall be null and void.
PASSED AND ADOPTED BY THE QTY COUNCIL OF THE QTY OF FRIDLEY THIS 7TH DAY OF
APRIL, 1986
W&M
.l�
SHIRLEY A. AAAFALA - aTf CLERK
t':
4/7:c- c- Zo it s�`tdc lc/1
Al - 17 771 ,�S7
�� T%it tiW Z'oZ04'-3
And that part of the east half of the vacated alley in Block 32, Hyde Park, Anoka County,
Minnesota, more Darticularly described as follows:
Beginning at the northwest corner of Lot 3 in said Block 32; thence South along the
west line of Lots 3 and 4 a distance of 66.01 feet; thence westerly on the extension
westerly of a line from a point on the east line of said Lot 4 distant 66.21 feet
south of the northeast corner of said Lot 3 through a point on the west line of
said Lot 4 distant 66.01 feet south of the northwest corner of said Lot 3 a distance
of 6.00 feet to the center of said vacated alley; thence North along the center of
said vacated alley to its intersection with the extension westerly of the north line
of said Lot 3; thence easterly along said extension of the north line of said Lot 3
a distance of 6.00 Beet to the point of beginning.
� ,�Bito7`�J' /rah r�eyt�Js+eii � �►' vc�h d
O �ehos /�-o�ia�r u�► e7 se /�es,cli 3l� /?8G
I hereby certify that this survey, plan plat, preliminary plat or report was prepared by me or under
my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State
of Minnesota.
zz
Re- No. Date Job No. Book No.
9S. 2B
'/:F g3 ------
--
,
v
,r►9 ti
v
h
ss rP
a
S
DESCRIPTION
All of Lot 3 and that part of Lot 4,
Block 32, =iyde Park, Anoka
County, Minnesota,
more particularly described as follows:
That part of said Lot 4 lying north of a line drawn -from
a point on the west
line
of said Lot 4 distant 66.01 feet southerly of the northwest corner of said
Lot 3
to a point on the east line of
said Lot 4 distant 66.21
feet southerly of
the
northeast corner of said Lot 3.
And that part of the east half of the vacated alley in Block 32, Hyde Park, Anoka County,
Minnesota, more Darticularly described as follows:
Beginning at the northwest corner of Lot 3 in said Block 32; thence South along the
west line of Lots 3 and 4 a distance of 66.01 feet; thence westerly on the extension
westerly of a line from a point on the east line of said Lot 4 distant 66.21 feet
south of the northeast corner of said Lot 3 through a point on the west line of
said Lot 4 distant 66.01 feet south of the northwest corner of said Lot 3 a distance
of 6.00 feet to the center of said vacated alley; thence North along the center of
said vacated alley to its intersection with the extension westerly of the north line
of said Lot 3; thence easterly along said extension of the north line of said Lot 3
a distance of 6.00 Beet to the point of beginning.
� ,�Bito7`�J' /rah r�eyt�Js+eii � �►' vc�h d
O �ehos /�-o�ia�r u�► e7 se /�es,cli 3l� /?8G
I hereby certify that this survey, plan plat, preliminary plat or report was prepared by me or under
my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State
of Minnesota.
zz
Re- No. Date Job No. Book No.
NFA [ ]
ADDN . [ ]
ALTER. I ]
Construction Address:
Legal Description:_
Owner Npme a Address:
Contractor:_rr--��_``
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Corner Lot [ ]
City of Fridley
�R-1 AND R-2 i
Building Permit Application
77/ e(7� -
Effective 4/1/8(
Tel.
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.
Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction:
Estimated Cost: $
Approx. Completion Date:
%D � L Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: / / $ ` `�'c ?) $
See Back Page for Explanation
DATE:SD a4�1
- G ��� APPLICANT: �` Tel . -
If
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
S71FULATIONS :
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 [ ]
SUBJECT
City of Fridley
AT THE TOP OF THE TWINS BUILDING PERMIT
r
TYPE OF CONST.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING.
COMMUNITY DEVELOPMENT DIV.
ZONING
______ -
r
PROTECTIVE INSPECTION SEC.
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
�---- �'�
CITY HALL FRIDLEY 55432
7NUMISER
REV.
1
612-571-3450
0-F15
VALUATION
JOB ADDRESS 5784 7th Street NE
$3, 000
LOT NO.
BLOCK
TRACT OR ADDITION
1 LEGAL
DESCR.
3, 12
4
32
Hyde Park
2 PROPERTY OWNER
MAIL ADDRESS
Don Miller
5784 7th Street NE
3 CONTRACTOR MAIL ADDRESS
135h Clay St, Anoka MN
Discount Siding
Inc
4 ARCHITECT OR DESIGNER MAIL ADDRESS
GINEER
MAIL ADDRESS
5 EN
8 USE OF BUILDING
Residential
T CLASS OF WORK ❑ NEW
8 DESCRIBE WORK
Reside Iiquse & Gar.a,
9 CHANGE OF USE FROM
STIPULATIONS
DATE PAGE OF APPROVED BV
7/6/92
SEE ATTACHED
SHEET
ZIP PHONE
571-5074
ZIP PHONE LICENSE NO.
323--3173
ZIP PHONE LICENSE NO.
P PHONE LICENSE NO.
❑ ADDITION ❑ ALTERATION )J REPAIR
C3 Si.des)
TO
MATEi
SQ.
❑ MOVE ❑ REMOVE
PANCY
OCCUPANCYLOAD
CU. FT.
STALLS
TYPE OF CONST.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
gxn $1.50
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$3, 000
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$54.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
SIGNATURE OF CONTRACTOR OR AUTHORIZE AGENT (DATEI
nWHEIn PR
MATEi
SQ.
❑ MOVE ❑ REMOVE
PANCY
OCCUPANCYLOAD
CU. FT.
STALLS
IGARAGES
SURTAX
gxn $1.50
SAC CHARGE
Fire SC $3.00
TOTAL -EE
$58.50
ATED THIS IS YOUR PERMIT
GATE
NEW [ ]
ADDN [ ]
ALTER [ ]
Construction Address:
Legal Description:
Effective 3/1/92
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Owner Name & Address:
Contractor: 0. S ca 0 It
Address:
i-�' d 4
-30.
Tel. # .> 2l c�-O %
MN LICENSE # A)01t) E--,
Tel. # 3,,� 3 /,�
Comer Lot [ ] Inside Lot ] Ft. Yd Setback _
Type of Construction: ,v
Approx. Completion Date:
Driveway Curb Cut Width Needed: Ft. + b Ft =
Side Yard Setbacks
Estimated Cost: $ 4000
(Cost on Back)
Ft x $ = $
DATE: 7 CG �� APPLICANT: / Tel. #
CITY USE ONLY
Permit Fee $'�� b b Fee Schedule on Reverse Side
Fire Surcharge $ .3,00 .001 of Permit Valuation (1/10th%)
State -Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $700 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ — Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
$ 5"S-01-
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:
Len
Hgt/Ground
Sq. Ft.
OTHER:
h�,Width
. n us
Comer Lot [ ] Inside Lot ] Ft. Yd Setback _
Type of Construction: ,v
Approx. Completion Date:
Driveway Curb Cut Width Needed: Ft. + b Ft =
Side Yard Setbacks
Estimated Cost: $ 4000
(Cost on Back)
Ft x $ = $
DATE: 7 CG �� APPLICANT: / Tel. #
CITY USE ONLY
Permit Fee $'�� b b Fee Schedule on Reverse Side
Fire Surcharge $ .3,00 .001 of Permit Valuation (1/10th%)
State -Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $700 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ — Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
$ 5"S-01-
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On March 1, 1996
/ " (0, 1
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS S 77 `( %cam Sk, )j .
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater -Electric
$ 7.00
Water Heater - Gas** _f_
$10.00
Gas Range**
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes () No
Type
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
10_
State Surcharge $ .50
TOTAL FEE $
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
'1996
Owner ONA(G4 i(Ic?-� S_%1 - 5�_l4% y
Building Used As IC-C4Si co �L
Estimated Cost PERMIT NO.
PLUMBING COMPAIUP�u11
S6t��nhiaq (o�Dl \+�Nit� �J� IL%•
y� f �kWly� a�a.k w�N , s54ZF
SIGN ED BY L Y11 1judexTEL N0. 533 -439 1
� �') o d
Approved By Rough -In Date Final Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00
PLUS THE $.50 STATE SURCHARGE
**COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.
P -2 Y 3 o -7.6 .9 2
95- - S" O T -DI S C 61—., �
sic, i •-� sic .
SUBJECT
City of Fridley
26961
AT THE TOP OF THE TWINS
BUILDING P E R M I T
r •
RECEIPT NO.
___ _ COMMUNITY DEVELOPMENT DIV.
`�%" PROTECTIVE INSPECTION SEC.
o /���
G(/
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
01 -"'1 CITY HALL FRIDLEY 55432
j 612-571-3450
910-F15
8
JOB ADDRESS
5784 7 St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3, $4
32
Hyde Park
SHEET
2 PROPERTYOWNER MAIL ADDRESS
ZIP PHONE
Donald A. & Carole A. Miller 5784 7 St NE571-5074
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE
LICENSE NO.
Owner
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
O NEW ❑ ADDITION ❑ ALTERATION C11 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
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 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
1668
.83
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 $1.66
PLAN CHECK FEE
AL FEE
, /
r,,$516.49
SI IATUREOFCONTRACTOR ORAUTHORIZED AGENT IDATEIE
P Y VAL ED THIS IS YOUR PER
n ADSP
Pk SIGNATURE OF OWN I OWNER LD RI IDATEI
GATE
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R 1 AND R-2 ly
RU1 q��BUILDING PERMIT APPLICATION A 6
ConstructionAddress: 15 0 7
Legal Description: ,/
Owner Name & Address: V Tel # �7l S0 %I`
Contractor: MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF BIPROVEMENT
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: $ �� U
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:(� APPLICANT: Tel. #
V2%
STIPULATIONS:
E
CITY USE ONLY
Permit Fee
$
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
$
$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 [ J Not Necessary [ ]
TOTAL
$ �� 7
STIPULATIONS:
E
W /
5UBJECT
P
City of Fridley
2 827
AT THE TOP OF THE TWINS
BUILDING PERMIT
T NO.
rry ______ COMMUNITY DEVELOPMENT DIV.
I; f�/E I
I ' � P SEC.
(t�
69 Pi�
i
1 'p-1 CITY HALL FRIDLEY 55432
�'�
NUMB R
REV
DATE
PAGE OF
APPROVED BY
�
612-571-3450
9:0-F15
9/16/98
JOB ADDRESS 5784 7th St NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DEscR.
3, $ 4
32
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Don & Carol Miller
571-5074
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Franzen Construction Co 4250 5th St NE Columbia Heights 55421 788-4071 2744
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 Ek REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reside/storm damage
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN BO 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
$500.00
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO IVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIPNR OF ANY OffERJITATE OR LOCAL LAW REGULATING CON-
$21.00
Fire SC $.50
STRUION R THE P ANCE OF CONSTRUCTION
.ofPLAN
ZTOTAL
4��
/�/, /-0
CHECK FEE
EE
J. , � �' V
AIN.CTORORAUT
Lice $5.00
$27.00
Ri2E0AGENT IOAT I
N LI AT
HI$ IS ERMI
0FROPE
7
S4NATURE Of OWNEROF OWNER BUILDERI IDATE,
Bl -NSP
IF qAI
W /
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address: /�Q-rl 4- / %/r Tel. #
Contractor: 2 e_Z fry C'�, MN LICENSE # 7�7
Address: '�2Sa �5�ic c Tel. #
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: /?re 101 + c.•
'�r 1.�.�
-.0 4e/i
-s i c-
"�?a ,-,ire ,l�ryiG• �f
Construction Type: Estimated Cost: $ 530
d d
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft $ = $
DATE:/lv APPLICANT: Tel. # C/�' Q
TOTAL
STIPULATIONS:
CITY USE ONLY
D
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
��
.001 of Permit Valuation (1/10th%)
State Surcharge
$
S -Z)
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
.S • Uy
$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: