PRE 2010 DOCSNOTICE:
This permit does not cover the construction, Insta1,�atbon or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to, $84 the Building Inspector for separate .permits for, these Items.
BUILDING ,'PERMIT
N° 2287
.
Village of Fridley, .
� Minn. Y
Date............
.... ......... .................
Owner ........
Builder ... ........... ..............'
.... .. .. ..
1I
Address
....................IAddress ..... ......... . ..............
LOCATION OF BUILDING,
No.......
o.......... .....
Street ...;i,. ...:................ ............... P of Lot .. ............
Lot ..... .....
Block ��!� .. Addition or f'i Sub-Division .. ..................... .
•Sid
V!`!.'�... �.
Corner Lot ......
Inside Lot .� . .. Setback ey and .: .......... . .
DE IPTIO OF BUILDING
To be Used as:
.............
', Fro f `.:.. Depth eight Sq. Ft......... Cu. Ft.........
......
.....
...... ... ......
Fr t .... ... De .:.....eight ......... Sq. Ft......... Cu. Ft.... ...
..
Type of Constructio
.......... ,!`.. Est. Cost.
. iTo be Completed
In consideratio
I
i
'i
of the issuance to me of a permit, to construct the building described above, I agree to do!
the proposed work
accordance with the description above set forth and in compliance with all provisions of'.
ordinances of the
age of Fridley. !I
of the payment of a fee of $:. :.... , permit is hereby granted to ... c.: ..::.......... .
.... to construct the building or addition as described above. This permi• is granted upon
the express conditi
that the person to Whom it is.grantW and his agents, employees and in all work)
done in, around ane
,workmen,
upon said building, or any part thereof, shall conform in allrespects to the ordinances of
Fridley, Minnesota
,
egarding location, construction, alteration, maintenance,, repair and moving of buildings with-.
In the village llmitis
and this permit may be revoked at an time u n 'olati any of the provisions of said
ordinances.
Building Inspector
NOTICE:
This permit does not cover the construction, Insta1,�atbon or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to, $84 the Building Inspector for separate .permits for, these Items.
•
BUILDING PERMIT
Village of Fridley, Minn, No 2 R 2 8
Date ....�� . `�..1..�.�.
Owner ...,�JFZ/G ...����,- Builder :...
Address �.. " ... .Lia Address .....4��. .............
LOCATION OF BUILDING
i
No. ...%er,6.... Street .... �jJ...:�:.......................... Part of Lot .......................
Lot ..... �t ....... Block ............. Addition or Sub -Division .. #r__
...'C.. .
Corner Lot ............ Inside Lot ............ Setback&'�J". S" ideyard 4e-.................
DESCRIPTION OF BUILDING
To be Used as:
0.9 0. - . .. ...... Front �% 1- ... Depth . �1!'. Height �. S r.... Sq. Ft. .3 4P .S. Cu. Ft. ........
.................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. ........
Bd
Type of Construction?_! �lrF. Est. Cost ...... ?o2q............
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, ti
In �on idera ' the payment of a fee of $. ... , permit is hereby granted to ......... .
.4 to construct the building or addition as described above. This permit is anted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. >o _1011
:... �/..- /.. 4114!'Muilding Inspector
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
•
City ®f Fridley
r 4T THE TOP OF TME TWIN$
r
-------- COMMUNITY COMMUNITY DEVELOMENT DIV,
F*0TECTIVE VdVftCTION 9E►T,
r. CITY 14ALL FRIOLCY DSR
SUD44CT
Permit No�
PLUMBING PERMIT APPLICATION �-
�� v
Comp etio Date
910-FIBA
Estimated Cost
1 0
12115/73
1 1
l
1 800
Job Address
G r.
Owner ;
/
Address _,
Phone
Plumbing Contractor_,/
,
-,
Address
Phone
W
Kind of Building
Us -e _
Number Fixtures
x $2.00
Comp etio Date
Estimated Cost
G r.
Plumbing Fixture Rates:
NO. RATE TOTAL
W
Number Fixtures
x $2.00
Future Fixtures.
x $1.50
asNva
GYfl
�
I I i
�
' New Fixture -Old Open.
x $1.50
'1ddYI
j
f
l
O
Catch,Bastn
x $3.25
CYO
Water Heater -99,000 BTU
x $3.00
-
•°BIN
I
I
I
I !
I�
i
Ground Run Old Bldg.
x $3.25
jMNIYaI
m
! Elec. Water Heater
x $2.00
i
9N18VB
%
"*v,,
*Y
I
I
w
!
Gas Fitting Fees:
tiNlvaal
l
I
I OD
>
i3 C
".0Z'
a
lst 3 Fixtures
x $2.00
10 V I&tl3M0NSl
Ip'3
I
I I
V
j
Additional Fixtures
x $ .75
a
'1Nnoi
I
°
UNIWO
I
I
1 I
Gas Range -199,000 BTU
x $5.00
q►:
"SYMI
i I
` I
Repairs &- Alterations
-
s>t"SSI
e-
I
Description:
See
Z
I
I
ode
a�
diNdCYYI`
`
I
_� I
I I
State
State Surcharge
.50
C■^ll�e
I
i
e
1 TOTAL FEE $
NlYe
I
!The undersigned hereby makes application for a permit
invNIYd,
I
I
I
I
for the work herein specified,
agreeing to .do all work
otl,rMl
in strict accordance with the City
Ordinances and ruling
I
I
I,
I
of the Department of Buildings,
and hereby declare that
all'the facts and representations
stated in this
d
application afire true and correct.
.�1
-Signature
Date/ ,
tl
SUBJECT O.
City of Fridley
1492
AT THE TOP OF THE TWINS
BUILDING P E R M I T
r
�
ECEIP
COMMUNITY DEVELOPMENT DIV.
INSPECTION
t
r PROTECTIVE SEC.
1 . i
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF APPROVED BY
1.J 612-560-3450
910-F15
9/18/78
JOB ADDRESS 516 - 5331 Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
16
2
Temple Terrace 2nd Addition SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Lois Huddleston 516 - 53h Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central Avenue N.E.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSENO-
6USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
S
8 DESCRIBE WORK
Reroof structure.
9 CHANGE OF USE FROM TO
STIPULATIONS
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
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
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,000
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STAVE OR LOCAL LAW REGULATING CON-
$7.50
STRUCTION OR THE PERFO M E ONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
� f � ' %
$8.00
SI NATURE OF CONTRACTOR 0-/.JUTH ED AGENT (DATE)
DA D THIS IS YOUR PERMIT
i
l --f 9-"? I'
OATE
=INSP
SIGNATURE OF OWNER IIF OWNER BUILDER) (DAT EI
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL ALTERATION,
ADDITION, OR REPAIR BUILDING PERMIT
OWNER'S NAME:k O r S T7 4-L 0 /) LC 51-c •ti BUILDER: s ) 1 1- T o "J � -1Jc i4 " -- c 1-C
ADDRESS: -5'/ G S,31-2- A U [> N L ADDRESS: -� , 3 �an /t a A U
NO • S/ C STREET • S-3 YZ / 'F -, Ai-
LOT : /4, BLOCK: a ADDITION: IFJP4--c / €ed�Q= �.v/J %44�
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
a
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
qa C Front:
Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: Estimated Cost: $ / �' " e .
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.
DATE: 7
SIGNATURE: 1
(See Reverse Side For Additional Information.)
Pic h r� - J2
�- O v
..T
,"a
FIRE DEPARTMENT MEMO
(::T0::;U:ILDj�lj�l
T
ASSESSING
SUBJECT: FIRE DAMAGED STRUCTURE
FIRE HAS OCCURRED AT
DATE: 7-- .` G
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City of Fridley
SUBJECT
) 19154
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
R
COMMUNITY DEVELOPMENT DIV.
1 INSPECTION SEC.
r 1 � PROTECTIVE
1 ,'--1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
j 612-571-3450
910-F15
9/8/87
JOB ADDRESS 516 - 531% Avenue N.E.
1 LEGAL
LOT N0.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
16
2
Temple Terrace 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Lois Huddleston 516 - 5312 Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Landgraff Construction 521 - 53rd Avenue N.E. 572-9016
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
Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 22' x 20.' Garage (Replaces old 141 x 22' Garage that burned)
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway.
ITPLRE¢IJOR�D FOR
SEPARATE WARNING WIRING,
HEATING / UMBING AND SIGNS,
�,
-i>--bre digging call local utilities
+ 0PRONE - ELECTRIC - GAS Etc.
REQUIRED By LAW
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 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
$2.85
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$5,702
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 -
RUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$56.50
F
`
PLAN CHECK FEE
TOTAL FEE
$59.35
S;I�NAfURt OFCONTRACTOR O UTH ZED AGENT IDATEI
WHEN PROPERLY (DATED THIS IS YOUR E. MIT
--(!1
BLDG INSP DAT
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ ] �R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address:
Legal Description:
Owner Name
Contractor
Address:
LIVING AREA:
rARAnR AREA:
DECK AREA:
OTHER:
Corner Lot [ ]
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 o'L Width ® ! Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
14 'ZZ, X i? # 0 v t (®1 W 0,40 QM66MOW
Inside Lot [ ] Ft. Yd. Setback
Type of Construction:
Approx. Completion Date:
Side Yard Setbacpk
Estimated Cost: $ ��f o •!in
4 tbtoO
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: �< �/� APPLICANT: Tel.
CITY USE ONLY
Permit Fee $
>6s Fee Schedule on Reverse Side
Plan Check $ 25$ of Building Permit Fee
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $ 525 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
j Agreement Necessary [ ] Not Necessary
TOTAL [ ]
STIPULATIONS:6
C, S1 0Q 3� •
R% � ®moo ` z 4,00
erld per '& vi Poli ,Sv
00
e
lt6 s3 �/L
0,4 aAav a %U(VM
oow.*J 9 - 8'7
--- _ _ _ . _ .. From: 6b51 433 4801 _ baZe: 1/1 ,r Date: 10/4/201011:18:23 AM .... _ r .
Building
PLUMBING
Permit No.._
Inspections
RESIDENTIAL APPLICATION
Received B} "
763-572-3604
CITY OF FRIDLEY
®�
763-502-4977 FAX
EFFECTIVE 7-1-2010
DATE ibi i I t a YOUR E-AIAM ADDRESS
_
S1IEADDRESS t�11a 5.'b
THIS APPLICANT IS: O OttNER Ki'ONTR (`T0k
PROPERTY
NAME: K 103 1< Q�h.1
OWNERJ
ADDRESS: , } ' - L Cam TY t .►.- STAT`4g!`� ZIF5 r1
TENANT
PHONE: (4 1a *5cZ S 53 "1
CONTRACTOR
NAME:
SUBMIT A COPY OF
YOUR STATE
V a
STATE LICENSE 00 DATE
LICENSE. BOND AND
STATE BOND u & ! b `T v1 1 g EXT DATE / a-� i / 4
CERTIFICATE OF
c
ADDRESS: Of (00-0 -(R6' Sf' CrrY I L1-�Sr%aiC� STATE Tv"' So�S
INSURANCE
PHONE 6 c5%-- 44 3a - t4? 1, (• FAX_ %OS) . - ti 33 - 49*6
PERMIT TYPE
JKTNGLE FAMILY ❑ TWO FAMILY a TON11 10USE
TYPE OF WORK:
❑ NEtt' REPLACEMENT
DETAILED DESCRIPTION OF NVORK [.[I e, � � -WatVl jkpCZDL
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICA'T'E TOTAL NUMBER OF EACH BELOW). MINIMUM FEE
535.50.
_ BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING
—BATHTUB _ GAS PIPING (NEED CITY LIC) SWIMMING POOL — WATER SOFTNER ($35)
_CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _BACKFLOW PREV.($IS)
DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION
_ WATER METER —OTHER
Number of tAtures +ri, $10.00 S $10.00 = $
Number of tTctllres ,&. $15.00 s $15.00 = $
Number of fixtures i& $35.00 x $35.00 = $
State Surcharge $ 5.00
(MzQMUM 540.00) Total = $ ILm. d
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I heretic apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the pork stili he in
conformance: with the ordinances and codes of the City of Fridley and with the Minnesota Constniction Codes. that I understand this is
not a permit hilt only an application for a eraut and work is not to start without a permit on site: that the work will be in accordance
with the approved plan ' ca ofall w 'cythisquires review and apprqy4 of plans.
SIGNATLtRE t:nF APPLI Z t. •- Zrz1 PRINT N.aAtE1 / r►t� C �! 11.11
.�ePPRo% .kL INspwroRs SIGN -nTRE -T
PLEASE NOTE: SEPARATE P REQTIIRED FOR BUILDING. ELECTRICAL AND CAL WORK
U
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-5024977