PRE 2010 DOCSBUILT JING PERMIT
Village of Fridley, Minn..
Date.. ....... .
er l Builder ......
Ad ess
Address
LOCATION OF BUILDING
No.......
Street .. 0 ....... , .;.......... Par
of Lot .......................
Loth ....
Block ../........... Addition or Sub-Divisionwow
..... .
er Lot .......
:•
. .. Inside, Lot ............ Setback ft -ill'. Side
mrd •
�g..•i%•i ............
DESCRIPTION OF BUILDING
To l; be Used as:
•
Front .. Depth .. Height ` ..1%
t. Ft. last Cu. Ft... ... .
...':...........
Front .... Depth ....... Height .... S
Ft. .... Cu. Ft........ .
Tyle of Constructs
Est. Cost` . tom...... To b
'
Completed
In eonsideratio of the issuance to me of a permit to construct the building described above, I agree to do
thol proposed work accordance with the description above -set forth and in compliance with all provisions of
ordinances of the age of Fridley.
In consider",.
payment of a fee of $.:.. Perms is hereby grants . , .. .
• :' ...:
o constructthe bunding�i ad clition as described above. upon
• the person to whom it is granted and his agents, employees and workmen,, in all work
do', a In, around an upon said building, or any part thereof, -shall conform in all. respects to the ordinazices of
M' Zey, Minnesota egarding location, construction, alteration, maintenance, repair and moving of buildings with-
in *e village lima and this permit May be revoked at anytime. upon violation of. any of the provisions of said
ordinances.
Z9I .'.1 TAnildinv T"muw nr
OTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, .
wer or water. Be sure to see the Building Inspector for separate permits for these items.
0
City of Fridley, Minn.
0
WELDING PERMIT N® 3457
Date: ./.. �P. . /..� .........
Owner . /..'Qu .. Builder......>4-P .................................
Address A. Z /J0 ... 9f��.�� Address .............................................
W.,
T��BUILDING
No..SN . Street ........... . .. .0". ......... Part of Lot ...............................
Lot ............ Block .................. Addition or Sub -Division .......................................
Corner Lot ............ Inside Lot .... A..... Setback ............ Sideyard ...........................
DESCRIPTION OF BUILDING
To be Used as:
r
Pth V A .; Height /.4.� sq. Ft�.. Cu. Ft. od f O
..... Front ..®�... �e
....................FLont ........ Depth.... ... Height ........ Sq. Ft ........ Cu. Ft. ........
�
Type of Construction 17
..... Not � � ............... To be Completed ...................
i
In consideration of the issuance to me of a permit to construct the building desribed 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 J,! ...... 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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
•,J' ...... ...... ....... Building Inspector
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.
•
L
City of Fridley, linin..
BUILDING PERMIT
Date: _ May 25s 1965
owner: Forrest Bellows Builder
Address 6110 7th $t,, N. E. Address
Same
10 7547
LOCATION OF BUILDING
No., 6110 Street 7th `Street X. E. Part of Lot
,r
Lot 18 __ Block � � 1 Addition or Sub -Division . UQlend 1st, Add.
Corner Lot _ Inside Lot — Setback _ Sideyard
Sewer Mevation Foundation Elevation
To be Used as:
Front
Front
Type of Construction
DESCRIPTION OF BUILDING
Depth Height Sq. Ft
Depth Height Sq. Ft
__._ Est Cost 1 OW U0 _ To be Completed _
Storm Damage Rebuild Garage
Cu. Ft
Cu. Ft
In consideration of the issuance to me of a permit to construct the building describecl above I agree to do
the proposed work in accordance with the description above set forth and in p ce tit & provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of It 10•QQ , permit is hereby granted to 1' est Ral lettR
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
ordinance&
NOTICE:
fhb permit don not corer tits cmntrucHoe, hntali = for wMh& phwhing, gas heating, sewer or water. Be sure to sae
the Building h"Peeter for aparate permits for thea beam
APPLICATION FOi'BUILDING PERMIT
CITYOF FRIDLEY; MIlJNE'SOTA
OWNER' S NAIL � _4 1 - Lt
/ �� -, XTI—) 11 S ennDVQQ "1 A
LOCATION OF BUILDING'
No.
Street Part of f,ot
LOT BLOCK ADDITION OR SUBDIVISION
Corner Lot�Iaside LOT ac s'/. Side Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and.proposed
building location drawn on these Certificates.'
DESCRIPTION OF BUILDING
used as t
Front Depth 'Heigh t
Sq. Ft.• Cu. Ft.
Front •Depth Height
Sq. Ft. - Cu. Ft.'—
Type
t.'—
Type of Construction Estimated Coo
To be completed
The undersigned hereby makes application for a permit for the taork 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 representationsstated in this= application are true' and .'co rect.
DATES I� 1�5IGNATORE
(Schedule 60Fee*'Costs " can be found on thd,-Reverse Side).
•
City of Fridley, Minn.
BUILDING PERMIT
Date: AUGUST 20, 1965
Owner: FORREST BELLOM Builder SAME
Address 6110 7th Street N. E. Address
Fridley 21, Minnesota
N° 3395
LOCATION OF BUILDING
No. 6110 Sit 7th Street N. E. part of Lot
Lot ._._18 _— Block 1 Addition or Sub -Division . Uplands, 1st Addition
Corner Lot _ Inside Lot
Sewer Elevation
To be Used as:
Type of Construction
Setback Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft. Ca. Ft.
Front Depth freight Sq. Ft. Cu. Ft.
Est. Cosb$U 000.00 __ To be Completed
• REBUILD HOUSE ON ORIGINAL FOUNDATION — STORM DAMAGE
•
In consideration of the issuance to me of a permit to construct the building described above I agree to do
=Poi
work in accordance with the description above set forth and in compliance idl provisions of
ordinaaoes of the city of Fridley. , ,
In consideration of the t of a fee of $ t is hereby granted to FORREST
BELLOWS to construct the building or addition 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 anypart 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.
ALLEN G. JENSEN Building Inspector
NOTICE:
Ub peen* does not never the eomtrncdon, hutall = for whIM plumbing, ga heating, sewer or wdw. Be sun to see
the Bnpoleg Impedw for apanfe pwn*s for thea *ems.
APPLICATION FOR, BUILDING PERMIT
CITY OF FRIMEY9 MINNESOTA
OWNER'S NAME
J
ADDRESS � "' " � — S7 ADDRESS
LOCATION OF BUILDING
NO, ��� STREET Z PART OF LOT
'2 LOT BLOCK ADDITION OR SUBDIVISION 16,14
CORNER LOT INSIDE'LOT gEtBACK
SEWER ELEVATION FOUNDATION -ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
'`-
To be us
.IPTION QF BUILDING
Front Depth Heig t
Sq. Ft.__ t���''� Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.L
Type of Construction ZJ�'d-
Estimated Co /}tel d
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.
DAT E��� 4; `` SIGNATURE.
(Schedule of Fee Costs can be found on
•
Reverse Side).
14� U J
/O
� a � b • i
r
SUBJECT
PER
City of Fridley
1. 1 7
AT THE TOP OF THE TWINS
BUILDING PERMIT
T NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
j 612-571-3450
910-F15
7/20/98
JOB ADDRESS 6110 7th St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
18
1
Upland - 1st
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
James B`orklund
574-9079
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
New Haven Const. 4208 83rd Ave N.Brooklyn Park MN 55443 566 -5225 20077950
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 iia REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof (22 Sq) Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply withState 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
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
$.92
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1834
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE Inv Fee
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR OCAL LAW REGULATING CON-
ST50t-T16V OR THE P FORMAN; C O NSTRUCTION.
$59.50 $59.50
Fire SC $1.83
PLAN CHECK FEE
TOTAL FEE
rLicense
SC $5.00
$126.75
SIGNATURE OF ONTRACTOR OR AUTHORIZED AGENT IDA EI
WHEN PROPERLY LIDATED THIS IS YOUR PERMIT
&/ 7-9
SLOA INSP BATE
S,GNATURE OF OWNER OF OWNER BUILDERI IDATEI
o o,-5
�f6
S J/ c25 6 5
IF
J I -C C
e6q�ll�
J �O'Zh
0/� - T --w
Building
900
BUILDING
Permit Fee
Permit No.: % �'
Inspections
Plan Review
RESIDENTIAL APPLICATION
65% of Building Permit Fee
Received By:9�i
$ Q_ 0
.001 times the total job valuation
Surcharge
$
�y
I U
763-572-3604
$
CITY OF FRIDLEY
SAC Charge
Date q (-U
763-502-4977 FAX
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
Erosion Control
$
EFFECTIVE 1-1-09
Park Fee
$
DATE 2-17-09
YOUR E-MAIL ADDRESS
$ ,
SITE ADDRESS Cl i b
'�� S�. NI;
$ 'I "-;, .1-1111.1
THIS APPLICANT IS:
o'OWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: NCIC;h 6
TENANT
ADDRESS: 6110 -7t 54, Nk CITY Fri I ge
STATE PIA/ ZIP :5SY-r4
PHONE: 65-1- US` 3-$-7-2-
.$-Z2CONTRACTOR
CONTRACTOR
NAME:
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # EXP DATE
AND CERTIFICATE OF
ADDRESS: CITY
STATE ZIP
INSURANCE
PHONE FAX
PROPERTY TYPE
l2rSINGLE FAMILY/NEW CONSTRUCTION SIZE O S F't
❑ TWO FAMILY/NEW CONSTRUCTION STORIES 1
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
UBASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
I2MAINTENANCE/REPAIR REMODELING
1 r '❑I f -r
DESCRIBE WORK BEING DONE: tt&,^rq tee- clfyvell Tat � ,A 9 olol J.ns444
p� r,
�IS� &61
,� 046,f ,"-as
SIZE OF IMPROVEMENT
LENGTH WIDTH 5 HEIGHT SQ FT
ROOFING
❑ HOUSE ONLY
BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES
❑ HOUSE & GARAGE
1.
Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2.
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS.
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1.
Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2.
Two sets of construction plans
WINDOWS
3.
Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $
900
OCCUPANCY ' TYPE
Permit Fee
$ 3 2. , 6S
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$ Q_ 0
.001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2000 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$ ,
Agreement necessary ( ) Non Necessary ( )
Total Due
$ 'I "-;, .1-1111.1
Make checks Davable to: Citv of Fridlev Attach Stipulations
AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
��SIGNATURE OF APPLICANT z '44— PRINT NAME P c Syl, DATE �nGI
S6dcd amo s "'ll h�v�
--i 6 Ge,.k,q
fAA", CCOM,s any c nPw�d1 he
lmoord.
F61 s c 461,E it 4k m ao roofy,
DJy X11 +he, becl roams
ws.,
fvl•ti �al� ur�lsjiou R -s wTi� rk
vr�-far 'ozre�tes,
I CU c�E�al�. ez �� sal zss r . �