PRE 2010 DOCSi
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1'n consideratio 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 v llage of Fridley.
InVS of the payment of a fee of • ,,, permit is hereby granted- to
:. to construct the building or ad clition as described above. This permit granted upon
the •express conditic a• that the person to whom it is granted and his agents, employees and workmen, in all work
done ;in, around ani upon said building, or any part thereof, shall conform in all respects to the ordinance% of,
Fridley, Miimesota egarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked ata time upon olation of any of the provisions of said
ordinances.
Building Inspector,'
NQTICE:
This permit low not cover the construction, Inatalllation or alteration4or wiring, plumbing, gas heating, •'s
sewer or water. Be sure to see the Building Inspector for separate permits' for these items.
II ..
BUILDIN PERMIT
Village of Fridley, Minn. N° 2290
� Y�
Date
.. .. .. .
IIS
Builder ............ . ................Owner................................
Address
.. .... ... ,Address i' ...... .. .... '
LOCAITION F BUILDING
No. '.. :..
Street : +�7l .. , N............ , ...... Part of Lot .................. . .
Lot ,.;, ....
I'
.. Block .. ; ..,........ Addition or Sub -Division ...��• `•.�.: .......
Corner Lot
.. Inside Lot . ..... Setb
0
ck Sideyard :............ ....... r
DESCRIPTION
OF BUILDING
To be Used as:
Front a`i .. Depth " . ... ."eight Sq. Ft. ........ Cu. Ft. .... i
.... i ..... ....
. Front .. , . Depth ........ I'�eight
......... Sq. FL ........ Cu. Ft........ '
Type of Construcd
n .... tf Est. Cost . Ai! . r ............... To be Completed ... .. .
i
.I
I'
II
it
1'n consideratio 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 v llage of Fridley.
InVS of the payment of a fee of • ,,, permit is hereby granted- to
:. to construct the building or ad clition as described above. This permit granted upon
the •express conditic a• that the person to whom it is granted and his agents, employees and workmen, in all work
done ;in, around ani upon said building, or any part thereof, shall conform in all respects to the ordinance% of,
Fridley, Miimesota egarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked ata time upon olation of any of the provisions of said
ordinances.
Building Inspector,'
NQTICE:
This permit low not cover the construction, Inatalllation or alteration4or wiring, plumbing, gas heating, •'s
sewer or water. Be sure to see the Building Inspector for separate permits' for these items.
II ..
City of Fridley, Minn.
BUR DING PERMIT N® 3883
Date: ..... .� ...�.'...v.
Owner ....................................... Builder .C� ......... .O`..�d.�7�"C�
Address...................................... Address .............................................
LOCATION OF BUILDING
No. .� e� .. Stree....� .. �.: ........... Part of L4 .......... .
Lot ... Block .... QV........... Addition or Sub -Division
Corner Lot ............ Inside Lot .A........ Setback ............ Sid ...........................
DESCRIPTION OF BUILDING
o be10 Zx-
as: <
.. .. Front /& n V •Depth Z ,* 'V'*Height !. Q.'�� ySq. Ft. , �/Q Cu. >�:`�b . r�
.......... � ... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction ................... Est. Cost.. ��y��.�— --Tt) 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.
X
....................................................
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. _
. 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.
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12
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name P_aW / O&Se-h Builder
Address & AddressLOCATION OF BUILDING
yv
NQ
Street Part. of Lot
Lot -Addition. or. Sub-. Div.- AW-144-nk c e -
Corner Lot Inside Lot Set, Back..
Applicant. attach to this form Certificate -of Surv,6of Lot.and proposed
building lo * cation..
'DESCRIPTION OF 'BUILDING
To be used as
ro Depth
A F
>'OH,6ight
-Sq:*: Ft Cu. Ft**
Front -Depth Height.,
Sq. Ft. Cu. Ft...
Type-of'Construction Rsbiwiftd cost
"To be completed
The undersigned hereby makes application for.a permit for the work,.
herein specified, agreeing-todo all work in strict accordance with the
City. Ordinances and ruling of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are .true and correct.
Date. Signature
loor
( SA.461-e of be found on the Reverse'!'Sid'e)
A Fee Costs can
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE
TOTAL
New Fixtures
$
5.00
m
Future Fixtures
?
m
$
ro
Old Opening, New Fixture
v
1.50
k
N
Beer Dispenser
Water
ut
o
m
Blow Off Basin
$
5.00
►roi
R.104
m
A
5.00
N
W
w
gV,
5.00
Heater
Hydraulic valve
$
5.00
$
Sump or Receiving Tank
$
5.00
$
Water Treating Appliance
$
7.00
$
Hot Water Heater
o
e o
$
mro
$
m
$
0
8
`+� m
m
$
m
0
)
Type
D
PO
$
En
3
A w
w
U
3
O
State Surcharge
lec
En
: U
fA
($15.00)
TOTAL FEE
F[»
o�0
as
1st
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening.
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE
TOTAL
New Fixtures
$
5.00
$
Future Fixtures
$
3.50
$
Old Opening, New Fixture
$
1.50
$
Beer Dispenser
$
4.00
$
Blow Off Basin
$
5.00
$
Catch Basin
$
5.00
$
Rain Water Leader
$
5.00
$
Hydraulic valve
$
5.00
$
Sump or Receiving Tank
$
5.00
$
Water Treating Appliance
$
7.00
$
Hot Water Heater
$
5.00
$
Gas Range
$
10.00
$
Gas Dryer
$
10.00
$
Back Flow Preventer Required.
Yes ( ) No (
)
Type
$
5.00
$
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
`
1% of Value of Fixture or
Appliance
State Surcharge
$
.50
Reinspection Fee $
($15.00)
TOTAL FEE
$( /
Effective Date May 1, 1988
Job Address '�6 j 'p` /-i/ x
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.
OWNER r. �i',i .4 /14'
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST I
OLD - NEW BUILDING PEPXIT NO. PERMIT NO.
Company l a ✓ L/ //� /'
Signed By
Tel. No.
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT,
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
I%
SUBJECT
PER
City of FridleyJ
6
0 6 6
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
�
• _ COMMUNITY DEVELOPMENT DIV.
r : � PROTECTIVE INSPECTION SEC.
`/�]
1
/�--1 CITY HALL FRIDLEY 55432
Tr
NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
910-F15
111/2/94
/ /
JOB ADDRESS 540 531 Avenue NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13
2
1 Temple Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Gary Walen 540 531 Avenue NE
572-9030
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 ElADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
11x8
DESCRIBE WORK
Construct a 16' x 8' Shed
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors adjacent to all sleeping areas and in basement.
See notations on plan.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 1 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
814
.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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$23,00
Fire SC $.81
PLAN CHECK FEE
TOTAL FEE
$24.31
OF CONTRACTOR OR HO iZED AGENT iD2'.V_
WHEN PROPERLY ALIDATED THIS IS YOUR PE�R./M+/SIT
A/1SIGNATURE
INSP
DATE
S G ATURE OF OWNER OF O E UAL DE RI �D
I%
NEW [ ] Effective 1/1/94
ADDN [ ] CITY OF FRIDLEY (
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 7 % 9
9
Building Permit Application
ConshwdonAddress• --LLl l--,?- .r` _ Ncz
Legal Description: 122
Owner Name & Address: rd Tel., #�� `
Contractor: MN LICENSE #
Address: ' 1'' 9 �"TNEt Ia i iv �4 Tel. #
e T
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((7� is i . ! Y
Corner Lot [ ] inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: ��,��..-Q Estimated Cost: $ -1 I J�
Approx. Completion Date:
(Cost on Back) :.
Driveway Curb Cut Width Needed: Ft.+ 6 Ft Ft x $ — $
DATE: 9 APPLICANT: �':` Tel, #f22 74D,30
J
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ ;/
..001 of Permit Valuation (1/10th%)
State Surcharge
$.50/$1,000 Valuation
SAC Charge
$
$800 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
$ G/
STIPULATIONS:�P
SUBJECT
RMIT NO.
City of Fridley(��3
AT THE TOP OF THE TWINS
BUILDING P E R
M I T
r
RECEIPT
COMMUNITY DEVELOPMENT DIV.
•'7 �l
r PROTECTIVE INSPECTION SEC.
O✓1 `
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
".j
L J` 612-571-3450
612-571-3450
910-F15
7/1/02
JOB ADDRESS 540 53 1/2 Ave NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13
2
Temple Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Barb & Gary Walen, 540 53 1/2 Ave NE, Fridley, MN 55432
763-572-9030
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Capital Siding & Windows, 9673 Wynstone Dr, Woodbury, MN 55125
651-578-9205
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO
20053636
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
X] NEW O ADDITION ❑ ALTERATION ❑ REPAIR
❑ MOVE O REMOVE
8 DESCRIBE WORK
Replacement windows/inserts & bay window
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels
of the
dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code.
Caulking and flashing for all exterior openings.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
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
$109463.00
$5.23
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-
$195.25
Fire SC $10.46
R THE PERFORMANCE OF CONSTRUCTION
STRUfflo
�
PLAN CHECK FEE
TOTAL FEE
_% �
Licen $5.00
JA215.94
SIGNATURE OF CONTRACTOR I iCIATEi
IE PRO Y VA D ED THIS IS YOUR PERMIT
SIGNATURE OF OWNER IIF OWNER BUILDERI IOATEI f
8 OG INS0
JLLL-01-2M2 0b: 44 H&II9 (:1 1Y ur F K 11AAtY I u min rm-1110 r. nc/ nj
or s
NEW ( ]
ADEN [ ]
ALTER ( ]
Cordon Address:
Legal Des<xWn:
Owner Name & Address:
Contractor:
CITY OF FRIDL,EY Effecfw 1h/2002
6431 Unkgmsky Ave NE, Fridley, MN 55432 (763) $72-36" 13M9 Insp
SINGLE FAMLY AND DUPLEXES R•1 AND R-2
BUILDING PERMIT APPLICATION
Tel.
Li, � �✓,..r s MN LICENSE # - 06 3 6 3
uT/nl�v jzb) TeL#
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
D@SCMPTION OF LtI MOVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length _-, Width _ HgVGmund Sq. Ft
OTHER:
d
Construction Type: L9CAC- w1 � �r�r� c�, �` ;,daw F..siimmated Cost$
V
Driveway Curb Cut Vlfidth Needed: Ft + 6 R = Ft x $ -=3
DATE: If APPLICANT: TeL
Call (763) 5724M for Permit Fee;: if malling in appliaa*m or Fax to 703 6711-1121117 if using credit card and we will
will you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Esom
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit valuation (1/10th%)
$.50/$1,000 Valuation
$1200 per SAC Unit
$5.00 (State Licenses Residential Contractors)
AIL W or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by'Engineering
Agreement Necessary ( ] Not Necessary
STIPULATIONS: