PRE 2010 DOCSSUBJECT
P E R
City of Fridley
14902
AT THE TOP OF THE TWINS
BUILDING PERM I T
t
N
�-- _____ COMMUNITY DEVELOPMENT DIV.
INSPECTION
r � � PROTECTIVE SEC.
1 } �
.930 ®4
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-560-3450
910-F15
9 �j
JOB ADDRESS
159 - 53rd Avenge
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
2
lCarlson'sSHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dallas H. Schute Same as above Fridlp-y S5421
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.
6 USE OF BUILDING
Garage
-T—CLASS OF WORK
IR NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
New qarage w ab a roof
9 CHANGE OF USE FROM TO
STIPULATIONS
1. Provide hard surfaced driveway.
2. Both parcels must be recorded at Anoka County
and City of Fridley within 60 days.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Garage
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
Res,
576
5,760
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
$4,170.24
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.
$23.04
PLAN CHECK FEE
TOTALFEE
915/78
GNATUREOFCONTRACTORORAUTHO IZEDAGENT (6ATEI
0 ERLY VALIDATED THIS IS YOUR PERMIT
aywa 9/5/78 .A
-6WH
ti 9-5-78
BLOC INSP DATE
SIGNATURE OF OW IIF OWNER BUILDER) (DATE)
/ 6�9P -5-3Z.c
40J... .
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER:'x �26l l g S k._ -5'�A-e BUILDER: Ae SAME
cq
'
Address:/C�Sq- .3 rrdfiU�e, Address: T
Tel. No.:
Street: rd, U� ®U• �� •�d ��
LOT:X BLACK: �_ ADDITION: r A t/ s o Ws' 54M M� f N14A�1 at -Nee i �►
CORNER LOT: I14SIDE LAT: SETBACK: SIDEYARDS:
Applicaht attach 'to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTLON OF BUILDING
Front: o?"r Depth: . C2. Height:G
/l
Square. Feet: -52aCubic Feet: - Pb
Front: Depth: Height:
Square Ft: Cahic Feet:
Type of Construction:
To Be Completed:
Estimated Cost: $
#7-Z
f
Alt. A Alt. B
Proposed Driveway width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
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. See reverse side for additional information. n
DATE: 9 7a SIGNATURE:
Stipulations: ('.23. 0 Y
SUBJECT NO.
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERM
rp
RECEIPT NO
-------- COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
S
HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF APPROVED BY
L 612-571-3450
910-F15
6/5/79
JOB ADDRESS 159 - 53rd AVenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
2
Carlson's Summit Manor North Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dallas Schute 159 - 53rd Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Pilgrim Remodeling 10091 Pilgrim Way 425-6523
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Install aluminum soffit and facia
9 CHANGE OF USE FROM TO
STrPULATIONS
SEPERArE PERMITS
RE UI
HEATING. PLUMBING AND
RED EOR IRIN(j.
SIGNS.
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
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
1
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
$300
$.50
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-
STRUCTA OR THIVqRFORMANCE OF CONSTRUCTION.
$7.50
PLAN CHECK FEE
TOTALFEE
$8.00
SI T 0 C RACTORORAUTHORIZEDAGEN ID EI
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG INS JATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL•BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER: BUILDER:
ADDRESS: ��� ,�� %�� ADDRESS:
TEL NO: TEL NO:
Construction Location
STREET NO: ��/� STREET:
LOT: BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front:
Square. Feet:
Front:
Square Feet:
Depth: H eight :
Cubic Feet:
Depth: Height:
Cubic Feet:
Type of Construction: Estimated Cost: $Qy S�
To Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
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/,hre true and�eorrect. )
DATE: 10k '<- I/ 7 7 SIGNATURE : �- /-iil Z / -
StipUlations :
sue1Ecr
PERMIT
of Fridley
15.5
AT THE TOP OF THE TWINS
BUILDING PERMIT
_ _ .38
rpCity
RECEIPT NO.
•______ COMMUNITY DEVELOPMENT DIV.
L
r 1 PROTECTIVE INSPECTION SEC.
1 �
1 i �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/29/79
JOB ADDRESS 159 53rd Ave. N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
2 1
Carlson's Summit Manor N. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dallas Schute 159 53rd Ave. N.E. FrIdley 55432 566-5156
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Sawhorse Inc. 6325 welcome Ave N -
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Add on a 10' x 14' addition to the house.
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
wood Frame
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
R-1
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
$3,500.00
$1.75
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$21.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
�2PLAN
/�C /®
CHECK FEE
TOTAL FEE
$28.00
SIGNATURE OF CONTRACTOR O AUTHORIZEDAGE (DATE)
WHE THIS IS YOUR PERMIT
�PROPR;UD
I i �
SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI
G INSP fi T
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER: PA Ltd S 5CI407-F- BUILDER: 5A j:jj ® S�
ADDRESS: S3` d UE- ti4L ADDRESS:
TEL NO: TEL N0:
Construction Location
STREET NO: C. STREET: 57 .3 --Y-Q A U6- Ai "&
LOT: ¢- BLOCK: Iz ADDITION:
A.)
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
pz?M00_) Front: % Depth: 14- Height:
Squane. Feet: �d Cubic Feet:
Front: Depth: Height:
Square - Feet: Cubic Feet:
Type of Construction: LnL)C / Estimated Cost: $
•
34a v
To Be Oempleted: 2 % Z8
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
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.
DATE: D� SIGNATURE:
Stipulations:
P
�. T 3S66 1C
City of Fridley
AT THE TOP OF THE TWINS
susdEcr
Q I III DIN %� D [ D � A I T
BUILDING
PER
1r- .6 4 5 9
r
�
`L COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
t �
CITY HALL FRIDLEY 55432
612-571-3450
L v r L R'v' I
R N
NUMBER
910-F15
REV.
DATE
11/12/81
PAGE OF
APPROVED BY
JOB ADDRESS 159 53rd Avenue N.E.
1 LEGAL
DESCR.
LOT NO.
4
BLOCK
2
TRACT OR ADDITION SEE ATTACHED
Carlson's Summit Mannor North Addn. SHEET
2 PR06EaFjT1YaOS N Chute MAIL AD RESS ZIP PHONE
II �59 53rd Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Pilgrim Remodeling 10091 Pilgrim Way 425-6523
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 ❑X REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
new alumimum trim
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. il
TYPE OF CONST.
uml num
OCCUPANCY GROUP
OCCUPANCY LOAD
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$500.00
SURTAX
.50
DOES NRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PE RM IT FEE
SAC CHARGE
PROVIS11 O�ANY OTHE E OR LOCAL LA REGULATING CON-
STRUCTI NOR THE PERF RMANC OF CONSTRU TIO
15.00
PLAN CHECK FEE
TOTALFEE
/
15.50
S TURE J CONTRACTOR OR AUTHORIZED AGENT 1 TEI
EN PROP, LY V LI ATED TtVSIS YOUR _9E IT p
BLDG )NSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) ;DATE)
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATI94 FOR RESIDtNTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWIIER: A. 1�7
ADDRESS:
._�.�
TEL NO:
BUILDER:
ADDRESS:
TEL NO: y���i ✓��3 "�
Construction Location
- STRIMT NO: STREET:
LOT: BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback.: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front: Depth: H eight :
Square -Feet: Cubic Feet:
Front: Depth: Height:
Square - Feet: Cubic Feet:
Type of Construction: Estimated Cost: $��
Zb Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
Mie 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/-4re true and correct.
DATE: /L)() U /2' Z-2-4:52/ SIGNATURE :
Stipulations:
011
SUBJECT
PERMIT NO.
City of Fridley
205 1A
AT THE TOP OF THE TWINS
BUILDING PERMIT
i •
RECEIPT NO.
_ COMMUNITY DEVELOPMENT DIV.
~ PROTECTIVE INSPECTION SEC.
%,, 6p
3
r
11,3"
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/10/90
JOB ADDRESS 159 - 53rd Avenue N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
2
Carlson"s Summit Manor North SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Darren Eide 159 - 53rd Avenue N.E. 572-3749
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 Q REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof Dwelling (2nd layer) 11 squares
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be second layer but not 3rd.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
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
1
STALLS GARAGES
VALUATION SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$550 $.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION$17,00' OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTALFEE
17.5.0
SIG TUBE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN P OPERLV V LI I I$�YDJ1 PERMIT
L i
'16 6- 6--/C
-
gP DATE
SiGNATU RE OF OWNER OF OWNER BUILDER) IDATEI
011
NEW [ ] Effective 1/1/90
ADEN [ ] R-1 AND R-2
ALTER [ ] Building Permit Application
Construction Address: / 5-3 go %9 Vk'f
Legal Description: LCAT 7 i3L 0 Gl( Z C,1iz6-5c)n1S 50/`M'7- /l91VOQ
Owner Name & Address: D"576z r-ly Fide: /5Y S5 " rg UF' Tel • # 5-72 - 37g9
Contractor: Df 2p£eq E-tdc w. # 5'%2 37(-/9
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIMG AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK -AM: Length Width Hgt/Ground Sq. Ft.
n
OTHEM R L Ic W FF- '40LI5,6 // 59
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: AS A LT Estimated Cost:
Approx. Completion Date: '
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
�} Width + 6' See Back Page
DATE: fj''- %D - %y APPLICANT: � C",) L s�-A Tel. # 5 72 -37LM
Permit Fee L 6
State Surcharge $ 62)
SAC Charge
$
Driveway Escrow
$
Park Fee
$
Sewer Main Charge
$
$ /'� s0
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJECT
ER IT NO.
City of Fridley
2 6 413
AT THE TOP OF THE TWINS
P
BUILDING
PERMIT
r
� ,
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
_
v PROTECTIVE INSPECTION SEC.
✓/
I
c�Jj
NUMBER
REV
I DATE
6/30/98
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55432
612-571-3450
910-F15
JOB ADDRESS 159 53rd Avenue
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
2
Carlson's Summit Manor N
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Darren Eide, 159 53rd Avenue, Fridley 55421
572-3749
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Darren Eide (same as above)
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 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof and reside one side of house and garage.
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must meet 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 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
1 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
$834.00
$.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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FE
7ALFEE
$33.33
IGNATURE OF CONTRACTOR OR AUTHO ED AGENTIDATEI
/ V Ki�O v w 30 4�[en
JSIGNATUREOF
E PRO
aVtG INSP
VALI AT D HIS IS YOUR PE I
Z
GATE
OWNERIIF OWNER BUILDER) IDATEI
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: �,��,D T9 S 3�� �'/�P Tel. # 7Z 3 7e( cl
Contractor: 5 e, ] i::-, MN LICENSE #
Address:. Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IlAPROVEM ENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Construction Type: IOSl? Estimated Cost: $.
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
(Fee Schedule. on Back)
Ft x $ = $
DATE: 'ld " APPLICANT:
c Dclw� Tel. # 5"72 _3
32,
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ 3
.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 [ ] Not Necessary [ ]
TOTAL $®
STIPULATIONS:
1
SUBJECT
P
City of Fridley
(32940_"""
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
`
R
� `L -------COMMUNITY DEVELOPMENT DIV.
el
r PROTECTIVE INSPECTION SEC.Z
U to
NUMBER
REV
DATE
PAGE OF
APPROVED BY
`
A "I,...I CITY HALL FRIDLEY 55432
A
L .-_.
763-571-3450
910415
7/29/02
JOB ADDRESS 159 53 Avenue NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
4
2
Carlson's Summit Manor North Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Mike Montague 159 53 Avenue NE
763-717-0886
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Advance Aluminum Supply Inc 7701 Main Street NE, Fridley, MN 55432 763-571-3440
d ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
7983
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
NEW 0 ADDITION 0 ALTERATION 3J REPAIR 0 MOVE 0 REMOVE
8 DESCRIBE WORK
Reroof House (13 Sq) Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
the State Building Code.
Permit Ins Pc�a n Cards
Will Ba marled
To Homeowner TO Post
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
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 1 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
$1,393
$.70
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
Licens $5.00
$/8.04
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
HEN ROPE LIDATED IS IS YOUR PERMIT
BLD INSP rIArE f`
S.GNATURE OF OWNER.IF OWNER BUILDER. IDATE.
1
07/29/2002 10:38 7635712260 ADVANCE ALUMINUM SUP PAGE 01
NEW [ ]
Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 1 es:W 11* f' .
Legal Description:
Owner Name & Address: A Tel. # �W •- - /VCI ; -
Contractor: MN LICENSE #%gg,_
Address: `
Tel. #L71A'IL-
Attach
-
Attach to this application, a Ce Xficate 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:
Construction Type: Estimated Cost: X.,60 L'?
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: - r -6APPLICANT: Tel. #26 -"%Ll�j
STIPULATIONS:
Ca(( -k- l g L e red 06 rd
.
CITY USE ONLY
Permit Fee
$ �0.
Fee Schedule on Reverse Side
Fire Surcharge
$ L
.001 of Permit Valuation (1/10th%)
State Surcharge
$ 170
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ j. d
$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 [ J
TOTAL
$
STIPULATIONS:
Ca(( -k- l g L e red 06 rd
.