PRE 2010 DOCSBUILDING PERMIT
Village of Fridley, Minn, No 2289
i..I
Date ... ..ii„! .........................
Owner .,►*•'i .
i'
r
Address. B? ........ ... .. ... .
Buildej � y., . �.
Address ..... •:!�e'ti°r°�YAGPIr................... .
50( LOCATION OF BUILDING
No. . "�► d'.�'.'- .. Street . ':. ........................ Part of Lot .......................
Lot ..... It/ ...... Block .... •rte• • ...... Addition or `Sub -Division ..43:
... ..
Corner Lot ....... .. Inside Lot ... %r ...... Setback Sideyard ..........................
To be Used as:
Type of
In consideratior,
the proposed work i
ordinances of the vi
DESCRIPTION OF BUILDING
Front !".. Depth g:" ;n . Height /-4!....- .... Sq. Ft......... Cu. Ft. ........
°Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft......... .
AVi,�1+ — .. Est. Cost . �i�+?�!�Q, ..... '.......... To be Completed >i�.................
Df the issuance to me of a permit to construct the building described above, I agree to do
accordance with the description above set forth and in compliance with all provisions of
age of Fridley.
..... ........ ......
ideration of the payment of a fee of $:.�*'.". , permit is hereby granted to
'� ...... ... to construct the building or addition as described above. This permit is gr ted upon
the express conditio 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, Mumesota egarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits �nd this permit may be revoked at any time• upon violation of any of the provisions of said
ordinances. Ift
....... Building Inspector
NOTICE:
This permitoes not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. a sure to see.the Building Inspector for separate permits for these Items.
40
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City of Fridley, Minn.
BUR DING PERMIT N® 3799
Date: ... !.. `. ...........
e6
Owner....................................... Builder �.•:................ ........... ........
Address ...................................... Address ..........:......:.............. ...........
LOCtPyTION OF BUILDING
aa ,r(�a t
No. Sr .... Stree�J.....Z........ ...Part of Lpt ........................ ....
Lot . .... Block ..... ...... Addition or Sub -Division.
Corner Lot ............ Inside Lot ............ Setback ............ A2ym��...........................
DESCRIPTION OF BUILDING
..
. 'Q Depth 0�..� ` Height . �Q.. i� Sq. Ft. 5�.r Cu. Ft.
Front .
.................... Frpnt ........ Depth ........ ,(Height ........ Sq. Ft......... Cu. Ft. ........
Type of Construction .................. .Est. Cost../.,r.�%l..��"� .. To be Completed ...................
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 $.�.®.., 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. ..4 _ -.--
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 Tor separate permits for these Items.
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CITY OF FRIDLEY
APPLICATION FOR PWMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater - to 99,000 BTU
100,000 BTU to 199,000 BTU
Water Softener
New Ground Run Old Building
Electric Water Heater
GAS FITTING FEES:
1st 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
x $3.00 $
x $2.00 $
x $2.00 $
x $5.00 $
x $5.00 S
X $10.00 $
x $7.00 $
x $5.00 $
x $5.00 $
x •$3.00 $ ��
x $1.00 $
X $70.00 $
$5.00 $
$2.00 $
State Surcharge $ .50
TOTAL FEE $ .�
REINSPECTION FEE
($10.00) .
Job Address j — '� nXi -c— /A/C--
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. �� ` _ , 192-Z
OWNER --X-L4
KIND OF
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO. /
Company0�-�
r
Signed By
Tel. No.(�—
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SUFE
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(7
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kel
1st
2nd
3rd
F
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater - to 99,000 BTU
100,000 BTU to 199,000 BTU
Water Softener
New Ground Run Old Building
Electric Water Heater
GAS FITTING FEES:
1st 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
x $3.00 $
x $2.00 $
x $2.00 $
x $5.00 $
x $5.00 S
X $10.00 $
x $7.00 $
x $5.00 $
x $5.00 $
x •$3.00 $ ��
x $1.00 $
X $70.00 $
$5.00 $
$2.00 $
State Surcharge $ .50
TOTAL FEE $ .�
REINSPECTION FEE
($10.00) .
Job Address j — '� nXi -c— /A/C--
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. �� ` _ , 192-Z
OWNER --X-L4
KIND OF
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO. /
Company0�-�
r
Signed By
Tel. No.(�—
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SUFE
SUBJECT
PERMIT.14
City of Fridley
15.217
AT THE TOP OF THE TWINS
BUILDING P E R M I f
f
COMMUNITY DEVELOPMENT DIV.
r I PROTECTIVE INSPECTION SEC.
a7
I
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/29/79
JOB ADDRESS 532 - 5331 Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
14
2
Temple Terrace 2nd Addn. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jerry Marquis 532 - 53h Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Landgraff Construction 521.— 53rd Avenue N.E. 560-5827
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 E� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 5' x 6' rear entry, remodel kitchen, reside and reroof house,
screen in garage patio
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR WIRING
HEATING,, PLUMBING AND 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
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
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
$10,000
$5.00
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-
$60.00
STRUCTION OR THE P RFOR NCE OFC NSTRUCTI N.
r
PLAN CHECK FEE
TOTAL FEE
$65.00
SICOATUREOFCONTRACTORORAUTHO ZEDA T IDAT
WHEN PROPER ALTHIS IS YOUR PERMIT
LIIDA�,TE�D
C R .�-/ ' 6
BLDG INSP 0AT
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
• CITY OF FRIDLEY ,
•
APPLICATION FOR RESII):NTIAL BUILDING PERMITS
(NE --W, -ALTERATI ows, AI)DI T I ONS, OR REPAIRS)
OWNER:
� r
BUILDER: /00W/4
Tel. No.: ® --z- % _
No. �� e� Street:
LOT:
}3LOCY.: ADDITION:
COMER LOT: INSIDE IAT: SBTBACY.: SIDEYARDS:
Applicaht• 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:
Front: Depth: Height:
Square Feet: Cubic -Feet:
4Gflri•.-Front: Depth: Height:
Square Feet.'Cubic Feet:
.. •
c2c/�'�'rti.��cyti�,✓
Type of Cons 'ruction: Estimated Cost: $fQ9
To Be Completed: % Alt. A Alt. B
Proposed Driveway Width If IJeia 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.
DATE: ---' ° J��9z 9 SIGNATURE:
Stipulations:
PIZ nVA-er
P. C
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
OLD - NEW BUILDING PERMIT NO.
W
PLUMBING FIXTURE RATES:
NO.
>,
m
TOTAL
Number Fixtures
x
o
$
%
0
x
Water
cd
to
m
4
$2.00
$
►bi
C -1
0
A
$
�
W
w
tP
$
Heater
100,000 BTU to 199,000 BTU
x
$10.00
$
r.
01
x
$7.00
�
x
x
Q
$
Electric Water Heater
x
i
a ra
e
x
- 4
c�
e
1st 3 fixtures
o
-•Ci
o Xu)
ci
x
d
$
Gas Range to 199,000 BTU
si
$7:0.00
cd
REPAIRS F ALTERATIONS
�
M O
X
49
G
y
b
N
NN
4J
aOr
to
.0i
U
fir
M
W
�p
Pq
W
3
D w
to
.O1
w
rd
U GC
a 3
C7
Sf a O
t7
o
as
lec
1st
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*} = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
OLD - NEW BUILDING PERMIT NO.
PERMIT NO. Sol 9
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
_ x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
x
$3.00
$
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$7:0.00
$
REPAIRS F ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$
.50
'
TOTAL FEE
$
Sf a O
REINSPECTION FEE
($10.00)
Job Address �a.7z Z 14-0
�%CO
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. '�d�2s� , ..� 19�
OWNER
KIND C
USED AS
TO BE COMPLETED ABOUT 4S
ESTIMATED COST 7 `i Cl, 0 t
OLD - NEW BUILDING PERMIT NO.
PERMIT NO. Sol 9
Company
Signed B
Tel. NO.
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
SUBJEOT
PER
City of Fridley
16 8
::j�
AT THE TOP OF THE TWINS
g U I L D I N G
BUILDING
PERMIT
`
RECEIPT NO.
� • ___ COMMUNITY DEVELOPMENT DIV.
�
�LV
r PROTECTIVE INSPECTION SEC.
�
1
NUMBER
REV
DATE
PAGE OF
APPRO D BY
i CITY HALL FRIDLEY 55432
1 J` 612-571-3450
910-F15
4/9/99
10B ADDRESS
532 53 1/2 Avenue NE
I LEGAL
LOT N0.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
14
2
Temple Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
David Ryba 532 53 1/2 Avenue NE
571-2611
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Northern Crest Inc 8245 Polk St NE S-priniz Lake Park MN 55432 792-9364
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
20098415
-
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE WO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (24 Sq) Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
SEPARATE PERMITS ARE REOUIREO 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
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
@
$1.03
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,056
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-
$74.75Fire
$2.06
STRT OR THE PERFOR N E OF CONSTRUCTION
n
PLAN CHECK FEE
TOTA EE
Licens
$5.0
$ .84
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE.
EN RO
L VA IDAT HIS, IS YO P IT /
.I
S,GNATURE OF OWNEROF OWNER BUILDER, iDATE,
8L
41FiAlk
NEW [ ] Effective 1/1/99
ADDN [ ] CITY OF FRIDI"
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
CowtrudtionAddresS: 532 - 5 3 1/2 Ave. NE
Zegal Description:
Owner Name & Address: David Ryba Tel. # 571- 261 1
Contractor: Northern Crest, Inc. MN LICENSE#209845=
Address:_ 8245 Polk St. NE Spring Lake Park, MN 55432 Tel. # 79.2-9364
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCPJ PTION OF EM PROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: Tear off and re -shingle house andj garage
Construction Type: 24 square Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 4-9-99 APPLICANT: Tel. # 792-9364
CITY USE ONLY
Permit Fee
.Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
$ W
$ -?- 66
$ /-U3
$ S.yo
Park Fee $
Sewer Main Charge $_
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Enjineering
Agreement Necessary [I ] Not Necessary [ ]