PRE 2010 DOCSBUILDING PERMIT
Village of Fridley, Minn. No 2 Q 2 7
Date 4.�.�'� ^�........................
Owner a,4 .. yA............ Builder ......................
Address �,� - .... Address ..............
LOCATION OF BUILDING
No. 1.e� .0 ...... Street .Zq. � 07r ......................... Part of Lot .......................
Lot ...... �43....... Block j ............. Addition or Sub -Division RO ../.r,H?7. .....
Corner Lot ............ Inside Lot ..d!'........ Setback -34'4lov.. Sideyard ��.��e' ..................
DESCRIPTION OF BUILDING
To be Used as:
40110'Z&Oet..... Front .41�... Depth ! ....lIeight
.................... Front ........ Depth ..... Height ........
Type of Construction9A_ W.- .. Est. Cosi %qf%.'0'd .............. .
Sq. Ft. /.44.4P Cu. Ft. ........
Sq. Ft......... Cu. Ft.........
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 village 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 with-
in the village limits and this permit may be revoked at any time Pon violation of any of the provisions of said
ordinances, i / A n
..(,/.. ..: V..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.
SUBJECT
ITON�
City of Fridley
26451
AT THE TOP OF THE TWINS
BUILDING
PERMIT
CEIPT NO.
COMMUNITY DEVELOPMENT DIV.
_
L PROTECTIVE INSPECTION SEC.
���
NUMBER
REV
rAT"AGE
OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/6/98
JOB ADDRESS 6830 7 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
3
Rice Creek
Terrace Plat 4
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Armond Grage 6830 7 Street NE
571-2337
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
United Roofing 1155 140 Ln NW, Andover MN 55304 804-5360 20091868
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION _❑ REPAIR
X
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (19 Sq) Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
the 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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,584
.79
DOES NOT PRESUMEkQTO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY THEIR STATE OR LOCAL LAW REGULATING CON-
ON-
STRUCT N T P FO MANCE OF CONSTRUCTION.
STRUCT"
$51.25
Fire SC $1.58
7--001
ANCHECK FEE
TOTAL FEE
License SC $5.00
$58.62
,SIGNA RE OF CONT ACTOR OR AUTHORIZED AGENT IDATEI
WHEN�PROPERL ALIDATED THIS IS YOUR PERMIT
BLO INSP
MATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW [ J Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION a ` I
ConstructionAddress: /� / �/
Legal Description:
Owner Name & Address:
Contractor:
Address:.�S'
LIVING AREA:
GARAGE AREA:
DECK AREA:
6 :1
Construction Type:
Tel. # _571—Z33;7
MN LICENSE #
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.
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Estimated Cost: $
(Fee Schedule on Back)
Ft x $ = $
DATE: ���
APPLICANT:
_47Tel. #
C elUSE ONLY
Permit Fee
$
S-/ • 2Si�a
Fee Schedule on Reverse Side
Fire Surcharge
$
/, ,cam
.001 of Permit Valuation (1/10th%)
State Surcharge
$ q
$.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 [ ] Not Necessary [ J
TOTAL
$
STIPULATIONS: