PRE 2010 DOCS1�
Date
Owner
Addres
M
s
BUILDING' PERMIT
Village of Fridley, Minn.
N°
7 ..... ............. .
��.�.......
...........
2Q35
Builder ....... .. ...................
Address ....f57
LOCATION OF BUILDING
No. .. 4���..... Street .... ./.Z... � ............ Part of Lot .......................
Lot ..Ifr ......... Block ...... I......... Addition or Sub -Division .. ..
Corner Lot ............ Inside Lot ... V ... Setback ............ Sideyard ..........................
DESCRIPTION OF BUILDING
To be Used as: PP ^
.':�....... Front ..� Vie.. Depth . Z Z^ Height ......... Sq. Ft. 11.1 4J - Cu. Ft. ........
.................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft.........
Type of Construction .. r&"i—C .. Est Cost .....I.44,500 ......... To be Completed ...1 //0 t -k%-4 V.....
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 $.I� �/�Fpermit is hereby granted to .6...4a! t.l.. .
. r& UV. 9/ ...... to construct the building or ad dition 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 tenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any e u n violgtl�nA any of the provisions of said
ordinances. I I I A
... 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.
City of Fridley, Minn. N° 8992
•
BUILDING PERMIT
•
Date: AUGUST 31, 1966
Owner: LEO SWARMER Builder STATEWIDE CONTRACTORS, INC.
Address 557 - 532_ Avenue N. E. Address 4221 Excelsior Blvd.
Fridley, Minnesota 55421 Minneapolis, Minnesota
LOCATION OF BUILDING
No. 557 Stmt 532 AVENUE N.E. Part of Lot
Lot 18 _ Block 1 Addition or Sub -Division TEMPLE TERRACE, 2ND ADDITION
Corner Lot , Inside Lot g . Setback Sideyard
Sewer Elevation — _ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: 10
DET. GARAGE Front 22 Depth 26 Height $8 Sq. Ft 572 CtL rt 5,72
Front Depth freight Sq. Ft. Cu. Ft.
Type of Construction FRAME Est. Cost _ 1 9 00 _ 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 21 provisions of
oidiaaaces of the city of Fridley.
In consideration of the payment of a fee of $-6 - 00 , permit is hereby granted to STATEWIDE
CONTRACTORS, INC. to construct the building or addition as described above. This permit is granted upon
the exps condition jbultl
:jIZdonj
to we inround and ing, oFridley,innesota rn, conwithinthe city Iimitst may be revoked at any time upon violation of any of the provisions of said
ordinances.
CLARENCE BELISLE Building IIIspector
NOTIC&
M pumb don net cors the candmedon, hoWlstion for wbing, plumbing, gn beating, awe w wmr. Be am to ae
tin Building lespeator for "punts permit for thea hem
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME �'""� ���®/" �- BUILDER
ADDRESS ��� ��� //,/ ADDRESS
LOCATION OF BUILDING
NO. STREET PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDE YARD
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
ToDe used as;
Front ��� Depth Heigh
Sq. Ft. L7 Cu. Ft•.=f
Type of Construction`
To be completed
Front
Sq. Ft.
k *'Y L
Depth Height
Cu. Ft. q
Estimated Cost / / ®o
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.
(Schedule of Fe#'Costs can be found on the Reverse Side).
0
Mortgage Associates Inc.
.iz o 6w ame r
F. C. JACKSON
LAND SURVEYOR
0 r . 2064
::204 -3rd
REGISTERED UNDER LAWS OF STATE OF MINNESOTA
LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS
3616 EAST 55TH STREET PA. 4-4681
7J
4 ?i
N
_�) •Hve. IN. I=.
I HERESY.CERTIFY THAT THE ABOVE IB A TRUE AND CORRECT PLAT OF A SURVEY OF
Wlo rtF,ap,;e Survey
-got 13 Block 1, oa-mple Terrace 2nd Addition.
Anoka County,�inn.
AS -SURVEYED 13Y ME THIS 13 thl DAY of Aqz. A.0. 19132
SIGNED -
1 -G v 11,'Vr L7 �
F. C. J CKSON. M NN¢SOTA RE ISTRATION. No. 3600
i
•
City of Fridley_
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
PERMIT
Wr 18919
r
Lu _ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 � i
i --•_� ��"' "•j CITY HALL FRIDLEY 55432
L 612-571-3450
RECEIPT NO.
NUMBER
910-F15
REV.
DATE
5/4/87
PAGE OF ]APPROVED
BY
JOB ADDRESS 557 '- 5A Avenue N.E.
1 LEGAL
DESCR.
LOT NO.
18
BLOCK
1
TRACTOR ADDITION SEE ATTACHED
Temple Te-race 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Leo Sw.a.rmer 557 - 531i Avenue N.E.
572-9073
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Install bay window and bath window
9 CHANGE OF USE FROM TO
STIPULATIONS
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
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
STALLS 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
$11500
SURTAX
$.75
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
PERMIT FEE
SAC CHARGE
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
�S
PLAN CHECK FEE
TOTAL FEE
TURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
�„
.VVWEN PROPERzz LY A I A-TED^ THS IS YOUR PERMIT
�
Y
BLDG INSP
C9ZJ
ATE
IGNATURE OF OWNER IIF OWNER ILDERI IDATEI
NEST
ADDN.
[ ]
[ ]
City of Fridley Effective 4/1/86
R-1 AND R-2
ALTER.
[ ] •
Building Permit Application
Construction Address
Legal Description:
Owner Name & Address: �`y s Tel.
Contractor: Tel. # -
Address: 5�; 7 5^ �%z ! &,1-- ti J'
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.
OTABR: aa�1®�
� t.� L -'
Corner Lot [ ] Inside
Lot [ ] Ft. Yd. Setback
Side Yard Setback
Type of Construction:
ouo FA
Estimated
Cost: $ ej —
''yQ—P1
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
1�
DATE:
�® APPLICANT: `per -kl�� Tel. 4
CITY USE ONLY
Permit Fee $ 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 TOTAL �$$
® Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS: �� ®1 00U
�'b
04/02/2004 FRI 13:21 FAX ELDER JONES _. /`'�`� [� Q001/001
NEW [) CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] -6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ I SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILD I G PERMIT APPLICATION
Construction Address: cJS - cJ
Legal Description_
Owner Name 8; Address:
Contractor. _ RMA HOME SERVICES, INC.
Address: Home Deopt Installed Sales
3200 Cobb Galleria Pkwy.Ste. #200
Atlanta, GA 30339
763-542-8826 BC -20268257
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
TeL# 1(g3-54@- 90-7-k
MN LICENSE #
Tel. #i
i Certificate of Survey of the
truction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length —_..� Width Height Sq. Ft.
Length Width Height_ Sq. Ft
Length Width Hgt/Ground Sq. Ft _
Construction Type: Estimated Cost: $ t I () C) 0
Driveway Curb Cut Width Needed; Ft. + 6 Ft = Ft x $ —=$
DATE: O'A%W QFC APPLICANT: ) Tel. # qSO - SLiS • (Od4�
Call (763) 672-3604 for Permit Few if mailing in application. Fax to 763-571.1287 N using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
$ 'L Fee Schedule on Reverse Side
$ 65% of Permit Fee
I • O .001 of Permit Valuation (1/10th%)
$ •� - $.50/$1,000 Valuation
$ $1350 per SAC Unit
$ $5.00 (State Licensed Residential Contradtors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ STIPULATIQNS:
PLUMBING
RESIDENTIAL APPLICATION
City of Fridley
P"Ittuber
ecei te
d By
Date Received
NOTE: IF PROPERTY IS NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT.
1 k -Q�S
DATE YOUR E-MAIL ADDRESS
SITE ADDRESS 5% 5� tl� /e -
THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR
NAME UQ StOalrAI L(:�
PROPERTY OWNER!
ADDRESS SayY'1e--'
TENANT
CITY f (-ld l STATE Vol ZIP SS 404
PHONE # t7b -3' b a- qO 15
NAME. EJP f)f 0=�W® I( KS LICENSE # 5529 �- Al
p
7
ADDRESS 3676 1/o d 9Q -
CONTRACTOR
CITYSTATE Imo( ZIP S IM
PHONE # 1 `` � Llb - I AlfO FAX#
PERMIT TYPE
_SINGLE
FAMILY TWO FAMILY TOWNHOUSE
TYPE OF WORK
❑ NEW REPLACEMENT
DETAILED DESCRIPTION OF WORK 4 -Na -(Z WGiJJL.Y Y QLk
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED
FIXTURES: (INDICATE TOTAL NUMBER OF EACH)
BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING
BATHTUB GAS PIPING (Need City License) SWIMMING POOL WATER SOFTENER ($35)
CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15)
DISHWASHER LAUNDRY TRAY _WATER HTR ($35) FOR IRRIGATION
WATER METER OTHER
-
Permit Fee $ 00 MINIMUM: $15.00 or 5% of cost of the improvement -whichever is
Plan Review $ greater on work less than $300
Surcharge $ .50
TOTAL DUE $ 35•SO Make checks payable to: City of Fridley
THIS IS AN APPLICATION FOR A PERMIT - NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with
the ordinances and codes of the City of Fridley and with the Minnesota Construclion Codes; that I understand this is not a permit but only an
application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which
requires review and approval of pla%n
Q
NAME OF APPLICANT (�I S o 1er) DATE
Please type or print
SIGNATURE OF APPLICANT 1 o L.QiYi
, Z", isiASRC1 its SEAI�ATI= PERIVJtS �#IiE R�ItIIREDCilt BUIITIAIG� ELEC7R1C3AL Al�][i<1WIEGfA+I1C1�L3NORK?
9
r -
CITY OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTMENT
6431 UNIVESITY AVENUE NE, FRIDLEY, MN 55432 ���
(763) 572-3604 H^
O
Building
$
BUILDING
Plan Review
Permit No.:
Inspections
Fire Surcharge
RESIDENTIAL APPLICATION
Received By:
763-572-3604
$
CITY OF FRIDLEY
License Surcharge
Date Recd:
, 05 $5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
DATE IS// 9 4
YOUR E-MAIL DRESS
/ 5 d ✓S G r��S
SITE ADDRESS
Jr S 3 va
Park Fee
THIS APPLICANT IS:
❑ OWNER CONTRACTOR
Sewer Main Charge
PROPERTY OWNER/
NAME:
Total Due
TENANT
_, '"�
ADDRESS: .5j 5 AN CITY STATv 4ip K -342Z
q/1
PHONE: L % L � " � � 4 � Z 41 0
CONTRACTOR
NAME: M D.)" i Z
,o Z o p s ati n -i-, l/i
SUBMIT A COPY OF
STATE LICENSE # g d S 3 Z 11 EXP DATE 3 3 1 Z O t)
YOUR STATE LICENSE
ADDRESS: 3 %3 1,J H F
CITY M171-'5 STAT&ZIP
WITH APPLICATION
PHONE ) Z J2/Z FA){ 12'
S- Z /
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION
SIZE
❑ TWO FAMILY/NEW CONSTRUCTION
STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED
❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF
❑ DRAIN TILE
❑ DECK ❑ SIDING
OTHE
❑ SWIMMING POOL
-�/)
��/ n 4 U ✓l o
TYPE OF WORK:
❑ NEW 1§ADDITION
❑ MAINTENANCE/REPAIR REMODELING
DESCRIBE WORK BEING DONE: J -)-0 r
$�//'t�,.,
SIZE OF IMPROVEMENT LENGTH
WIDTH HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1. Existing Floor Plan
PROPOSED SIZE:
❑ DETACHED GARAGE
2. Proposed floor plan
PROPOSED HEIGHT:
3. List of structural members to be used
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
WINDOWS
2. Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
3. Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION ,90 0, a� OCCUPANCY TYPE
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
5124. / 65% of Building Permit Fee
Fire Surcharge
$
1® .001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
, 05 $5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21= $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
, 157; Make checks payable to: City of Fridley Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work w c approvalof plans.pSIGNATURE OF APPLICANTVz�= PRINT NAME Pd, 12EIC S fAf C X Fi � DATE Sl// / 1�9 4
THIS JOB COPY SHALL BE
AVAILABLE ON THE. JOB
SITE FOR THE FRAMING
AND FINAL INSPECTIONS `
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REVIEWED
FOR CODE
LDG
�1 AML
Building
PLUMBING
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRI DLEY
Date Rec'd: S'
DATE 5---2 3 ,Q YOUR E-MAIL ADDRESS
SITE ADDRESSS`I 3 AJC
THIS APPLICANT IS: ❑ OWNER MQCNTRACTOR
PROPERTY
NAME (` ei v r LA,
OWNER/
TENANT
ADDRESS: .5--S-7 e-gr1i a CITY r l t,, STATE .9&z ' gsq;-r
PHONE.10� s%�/- vio
CONTRACTOR
NAME: 'Yh S tka ef(4
SUBMIT A COPY OF
STATE LICENSE� S73 C ® P/i'1 EXP DATE
YOUR STATE
ADDRESS: 61;'.? Cl[Y-,+reQ AiJx- CITY Osseo STATEWZIPS-5-361
LICENSEWITH
PHONE %(®?— S?l169-5-c/ FAX ?&yr
APPLICATION
PERMIT TYPE
dWKNGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
O NEW MMPLACEMENT
DETAILED DESCRIPTION OF WORK NL
PER MS I6B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the f»ttures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor 38'1•60 x.05= I V'
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
_ BATH SINKA AY FLOOR DRAWS _ SHOWER_ WATER PIPING
—BATHTUB —GAS PIPING �carucmao SV RWM]NG POOL _ WATER SOFrNER ($35)
CLOTHES WASHER _ Knx3m T SINK WATER
WATER CLOSET BACKFLOW PREY. ($15)
_
—DISHWASHER — LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
_ WATER METER OTHER
Permit Fee. $ Number of fixtures @ $10.00 x $10.00 = $
S e .50 Number of fixtures @ $15.00 x $15.00 - $
TOTAL DUE $ Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $
THIS IS AN AM ICA71ON FOR A PERMrr NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case work which review and approval of plans.
]
��
SIGNATURE OF APPLICANT PRINT NAME DATE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977