PRE 2010 DOCSi
3213
City of Fridley, Minn.
BUILDING PERMIT No
-.-
Date: ................................
Owner....................................... Builder ",.. .........................
Address ...................................... Address .............................................
�L�A►TION OF BUILDING
No. �. y" Street ....� ... ... Part of ..
Lot ......... Block .. / .............. Addition . or Sub -Division ..... • .ot T .. ..... a
Corner Lot ............ Inside Lot ............ Setback ... ... ideyard .�� . /... !� . e. ..� ..... .
DESCRIPTION OF BUILDING
To be Used as:
............... .. Front ... ".. v Depth L Height .... /. Sq. Ft./Q. Cu. Ft. ........
................... Fr nt . !... Depth /.. _Height 0.. Sq. Ft. Ft. ........
Type of Construction Est. Cost. �!SeO®.... To be Completed ... ......
(� . -N r a
� s
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 $. Idolp
f. .., permit is hereby granted to
......................... to construct the building or addition as described above. This permit is granted upon
tl:e 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.
A
7 taildinInspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbs gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these iteo.
w
--
City ®f Fridley, Minn. N® 7779
BUILDING PERMIT
•
Date: June 9s 1965
Owners Juenamen Builder Glad, & Miller i er Const. C.
Address 6280 7th Street N. E. Address 3954 Alabama
929-2232
LOCATION OF BUILDING
No. 6280 Street 7th Street IIT, E. Part of Lot
Lot 1 _ Mock 1 Addition or Sub -Division Uplands, let. Add.
Comer Lot — Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height Sq. Ft. Cu. Ft
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Fast. CostTo be Completed
• Storm damage repair
r 1
U
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 , t orth and in compliance with all provisions of
ordinances of the city of Fridley. ��%/'�
In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to Glad & W l I er Const.
COmparor 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, shaII conform in all respects to the ordiz►ances of
Fridley, Minnesota g location, construction, alteration, maintenance, repair and moving of buildings
within the dty limitsr�and this permit may be revoked at any time upon violation of any of the Pm� of said
ordinances.
A71en Jensen Building Inspector
NOTICE:
Ub permit docs Dot emw the cond mcHon, hutallstlon for whtea, phD *bM Ba bathm www or water. Be euro to to
tM BW&q Igetor for apmmte p m& for thea he=
r.
• Y,..
APPLICATtOp FOR =B ftt tilllG, PRRW
'S. CITY OF'-'R+DLE'i,r
`•MINftSOTA '-
ADDRi�SB�' A' — 7 - ADDRESS
LOCATIOVT OF $t
gtreet P rt odt
LOT BLOCKI _ ADDITION OR SM6MSIONAi
T-----
1Cor0er Lot brislde I Setback Sidi-��tard f
SEWER' mvAftov 001iftftOVIUVATIOR..
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIIST`ION OF BUILDING,'
To bei used as;
Front Depth Height.
Sq. Ft. Cu. Ft.
Front Dept Height,
cSq. Ft.' Cu. Ft.
Type of Construction" Estimated Cost:�,&—,cy-e-,
To be completed _ %—
The undersignod•hereby makes application for a perini.t 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 than all the facts
and representatiaoas stated"in this application ar'eltrue and•correct.'
DATE_J��'% }� SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
r
SUBJECT PER
City of Fridley
19630
AT THE TOP OF THE TWINS
_
BUILDING PERMIT
r
RECEIPT .
COMMUNITY DEVELOPMENT DIV.
INSPECTION
r PROTECTIVE SEC.
Y
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
1 612-571-3450
910-F15
8/16/88
JOB ADDRESS 6280 - 7th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1
1
Upland lst Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Douglas Juenemann 6280 - 7th Street N.E. 571-5821
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 f7 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling (20 Squares)
9 CHANGEOFUSEFROM TO
STIPULATIONS
Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys.
On all new
roofs or tear•off � end ►eplacemertt rpofs,
State COt-requires
that 2 . laYers of: t
,15
mopped togethet, be:. installed tea .dbint .�4 ids"Ifs
UP from ezteri#r"wafl line, or the use of ether
approved underlayment membrane.
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
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
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
sif000
$.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-
$25.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$25,50
IGNATURE OF CONTR CTOR OR AUTHORIZED�AGENT
WHEN PROPERLY V DATED THI IS YOUR PERMIT
/(DATE)
/�
V
SIGNATOR F OW IIF OWNER BUILDER) ID T I
BLDG IN SP )]ATE
NEW
AMN
ALTER I I
Construction Address
legal Description
Owner Name & Address
City of Pridle
y
R-1 I= R-72*.*
Building Permit Application
7'
t4 Yk "A
Effective 5/1/88
A 41�,0-4
Tel. # 5 7J - 5-Q6PQ .,X, j
Contractor:
Tel.
Address:
Attach to this application; .a Certitidaik of Survey of the
lott with the proposoed construction drawn on it to scale.
EESCRIPTION OF IMPROVEMENT_
Corner Lot I I Inside Lot [ ]
Type of Construction:
Approx. Completion Date:
Width Height Sq. Ft.
Width Height Sg. Ft.
Width Hgt/Ground — Sq. Ft.
Ft. Yd Setback
Side Yard Setbacks
Estimated Cost:
Proposed Driveway Width If New Opening Is Desired:
Width + 61
Zie VP APFLICMV,:-��&,Jz
USE ONLY
Permit Flee
State Surcharge
SAC Charge
Driveway Escrow
Park Plee
Sewer Main Charge
TOTAL
S 91 33MMICUS:
Alt. A Alt. B
See Back Page
Tel. # 6-71-5if(Q .1
Fee Schedule on Reverse Side
0.50/$1,000 Valuation
$550 per SAC Unit
Alt. "A" or Alt. "B' Above
Fee Determined by Engineering
Agreement Necessary I I Not Necessary 1 1
NEW [) CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571 -1287 -Fax _
BUILDING PERMIT APPLICATION
Construction Address: 6
Z 7tl
Legal Description:
Owner Name & Address: o pec j"It 9 Rn A Ai Tel. #
Contractor. At cS MN LICENSE # y V5 /
Address: 6 3 3 / R `y F- m K Tel. # S, '(-F79-6
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 S
Construction Type:640 Z `a' rk — L.o-vF Estimated Cost: $ s, `
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$
DATE: 4,12b&y APPLICANT: Tel. # .T'7
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.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ L3 ` S8
C2 9
$ ADO
$
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ ]
TOTAL $ STIPULATIONS:
Building
BUILDING
OCCUPANCY TYPE
Permit No.:a001-0 14)-u
Inspections
a r
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Fire Surcharge
ACU EP `Z 2009
763-502-4977 FAXq
.001 times the total job valuation
Surcharge
$
161--1
.0005 x Permit Valuation Minimum $.50
EFFECTIVE 8-19-09
$
S O O
a-�
SAC Charge
DATE
/ YOUR E-MAIL ADDRESS
$2000 per SAC Unit (Plans to MWCC for determination)
SITEADDRESS 970�L��
G+
THIS APPLICANT IS:
❑ OWNER W06NTRACTOR
$
PROPERTY OWNER/
NAME: nG
Park Fee
TENANT
ADDRESS: eP L D �O ' Sf C CITY STATE�Z[P
Fee Determined by Engineering
PHONE:_ 703 57.4— — A W4= -
$
CONTRACTOR
NAME: �W�. J 'C'Wi ew "'t
Total Due
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE #�Dl�/ i ! S�p EXP DATE
AND CERTIFICATE OF
ADDRESS: 7%/O �-B /! '�
CITY.4A /-:�7 STATeWh/ZIP `3�
INSURANCE
PHONE 5' %Z - 2 ? FAX
PROPERTY TYPE
ti TINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH 8 -IMF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
Ha-MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: 7��
SIZE OF IMPROVEMENT
LENGTH WIDTH
HEIGHT SQ FT
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
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
FOR WINDOWS — PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE
SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
WSTNG THF, 1997 1LR_r FRY.. RC14RDI1i.F.l
TOTAL JOB VALUATION $
'3Qq
OCCUPANCY TYPE
Permit Fee
$
a r
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
Act
.001 times the total job valuation
Surcharge
$
161--1
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
S O O
$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 $22 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
1 V , 11
Make checks Davable to: Citv of Fridlev Attach Stipulations
THIS IS 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 the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application fpr a pe t d 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 al e t review and approval of plan
SIGNATURE OF APPLICANT G%% PRINT NAME