PRE 2010 DOCSift*�' Pi
t
BUILDING PERMIT
Village of Fridley, Minn. N° 2Q41.
Date...".s7 �.`..� .�.......................
Owner .. G....111.t.(4 -V � ... C1 0). U a lit.. Builder ... .
Address .. ..... 3. �j ............... Address .... (a ...'
LOCATION OF BUILDING
No. .5-41-1 ...... Street ..... :5.a Y:;...: ......................... Part of Lot .......................
Lot ........ Block ............. Addition or Sub -Division . .
Corner Lot ............ Inside Lot ....L,.—.. Setback ............ Sideyard ..........................
DESCRIPTION OF BUILDING
To
%b�e Used as:
.GTCAC✓.� fes....... Front , . Depth height / . Sq. Ft..��7 f . Cu. Ft. ........
.................... Front ........ Depth ........ Height Sq. Ft......... Cu. Ft........ .
Type of Construction .I .I61Twr_. Est. Cost ...1. 1 ......... To be Completed ..4� ter. -4;i .-.....
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.
Z.4 .. .........................
�! 14 consideration of the payment of a fee of'$.14 7 e, permit is hereby granted to . ax .. mckW .
W. I O.U.M....... 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 village limits and this permit may be revoked at time on violati 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.
City of Fridley, Minn. 11045,
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: June 14, 1971
Owner: _ .lamps Balser Builder ,Same
Address __.56x4 -53h_ Avenue N E _ Address Same
LOCATION OF BUILDING
No. _..564-.__...— Street — 53k Avenue .1q.. E . Part of Lot
Lot —la —_ Block Addition or Sub -Division mga6g2n.d_Addza.-----
Corner Lot ____.._..__ Inside Lot Setback Sideyard
Sewer Elevation __
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
_Gar ._.._..__ Front 26' _ Depth 281 Height 10' _ Sq. Ft. 6281_ Cu. FL 6,2 �
Front ._ Depth Height Sq. Ft. Cu. Ft.
Type of Construction — Frame Est. Cost 100.00 To be Completed June 14, 1972
Provide a Hard Surface Drive.
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 slet forth and in compliance �'d
In
provisions of
ordinances of the city of Fridley. 'I /r
In consideration of the payment of a fee of $ 12.00v , permit is hereby granted to James B
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
Within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Building Inspector
HANK MUNICH
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to no
the Building Inspector for separate permits for these hems.
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME:_
6r, bAkE BUILDER: j�, X- ,, %10
ADDRESS :"f — rfa �j� ADDRESS:
NO • . 'el STREET : �5_
LOT: /® BLOCK: ADDITION : %roil%� ✓ ?sr"' �t g—`' ,
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
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:
G- Front: -'7467 Depth• -25` Height:
Square Feet: �S ` Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: �e',a�� Estimated Cost: _$_ -3.
To Be Completed: ,,.-f i / 9 ?�
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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:*- SIGNATURE: I .9
(See Reverse Side For Additional Informat .)
4
CERTIFICATE OF SURVEY
ti
MILNER W. CARLEY & ASSOCIATES
CONSULTING CIVIL ENGINEERS LAND SURVEYORS
500 W. HVVY. 96 314 OAK ST. 18 4TH AVE. S.E. 1
ST. PAUL, MINN. 55112 SAUK CENTRE, MINN. 56378 ST. CLOUD, MINN. 56301
484-3301 352.3664 251.7751
1 hereby certify that this survey, plan, or report was prepared by me or under my direct supervision
and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota.
Reg. Nofa-El Date
Lor / O, Bz oc,e Z,
TE�1PL £ TE,P PA CE
2n el A00 �NO,(C A
(,if/lll✓A4 L
Uri xir- y �A sE^cia r
7 i--0
3171-3,7
City of Fridley
ippgCd m for PMmbbg dlld Gm
Dept. of Bldoe. Phan 560-3450
DESCRIPTION OF WORE
Number. Kind and Location of Fixtures
0
(9
WATER HYR.
GAS
ELEC.
uJ
i�
°C
3�
Base
r
r
e
1st
2nd
3rd
4th
• Futuro Connection Openings
Conaaelad with
* Now Fixture, Old Openings
Sowor
Cuspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................ x $2.00 $
Future Fixture Opening ............ x $1.50 $_
New Fixture Old Opening .......... x $1.50 $
Catch Basin .................... x $3.25 $
Water Heater ;Up to 119,000 BTU) . • .. x $3.00 $
New Ground Run Old Bldg. ........ x $3.25 $
Electric Water Heater .............. : $2.00 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures x $2.00 $
Additional Fixtures .................. x $ .75 $
Gas Range to 195,000 BTU x $5.00 $
REPAIRS A ALTERATIONS—Rotor to Code
Description.............................................8
TOTAL FEE i
(SURCHARGE $_.50)
City of Fridley:
The .undersigned hereby makes application for a permit for the- work herei
specified, agreeing to do all work to strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that aR the fact
and representations stated in this application are true and correct
Fridley, Minn /_//Q lg-Z L -
Owner
V
Kind of Building��—
Used as SL Uzt::r
To be completed about . .3 ® % `z -
Estimated Cost, $ '5 D
Old—New. Building Permit No. Permit N�. - S49-1
1
Signed
ROUGH
Business Phone No i 4L
SUBJECT
PERMIT NO.
City of Fridley
27841
AT THE TOP OF THE TWINS
BUILDING PERMIT
f
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r TI ION SEC.
072- 6U4
�--- 1 CITY HALL FRIDLEY 55432
'•j
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
9/17/98
JOB ADDRESS 564 - 53$ Ave NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
2
Temple Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
James Baker
572-9034
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Northern Crest Inc 8245 Polk St NE Spring Lake Park 55432
792-9364 20098415
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 O REPAIR
O MOVE O REMOVE
x
B DESCRIBE WORK
Reroof house & garage (23SQ) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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 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
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
$1,971.00
$.98
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-
$62.25
Fire SC $1.97
STRUCTION OR THE PERFORMANCEOF CONSTRUCTION
/�f �I
(o%� 0 d 0 ! %
PLAN CHECK FEE
Lice SC $5 0
51
TOTA FEE
$70.20
SIGNATURE OF CON•AACTORORAUTMORIZED AGENT IDATEI
EN ROPE ALIDAT
HIS I FI Pit T
S.GNATURE OF OWNER,IF OWNER BUILOERI MATE,
INSP PDATE
p1:tl
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 5 6 4 - 53 1/2 Ave. NE
Legal Description:
Owner Name & Address: James Baker
Contractor: Northern Crest, Inc.
Effective 1/1/98
Tel. # 572-9034
MN LICENSE # 20098415
Address: 8245 Polk St. NE !'°,AS L&Ee Tel.# 792-9364
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
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 and garage
Construction Type: 23 SgUARE shingles Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 9-17-98
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT: Tel. #
$ 420? •'5_
Fee Schedule on Reverse Side
$ Z, 27
.001 of Permit Valuation (1/10th%)
$ NT
$.50/$1,000 Valuation
$
$1000 per SAC Unit
$
$5.00 (State Licensed Residential Contractors)
$
Alt. "A" or Alt. "B" Above
$
$450.00 Conservation Plan Review
$
Fee Determined by Engineering
$
Agreement Necessary [ ] Not Necessary [ ]
792-9364
01
SuejECT
PERMI
City of Fridley
14 07
AT THE TOP OF THE TWINS
BUILDING PERM
`
RECEIPT NO.
V ------ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r 1
i/P7n�
� t
NUMBER
REV
DATE
PAGE OF
APPROVED By
= CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/18/00
JOB ADDRESS 564 53 1/2 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1 10
2
Temple Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Jim Baker 564 53 1/2 Avenue NE
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Renewal By Andersen 350 - 73 Avenue NE, Fridley, MN 55432
612-502-4777
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
e USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION 37 REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Replace 4 windows within existing openings
9 CHANGEOFUSEFROM 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.
Permit Inspection Cards
096 Be Mailed
To Homeowner To Post
SEPARATE PERMITS ARE REOUIRED 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 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
$39760
$1.88
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 COW
$97.25
Fire SC $3.76
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK
TOT FEE
Lice e C $5
$107.89
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
E p VALI AT D THIS IS UR PERMIT
S,GNAIURE OFOW NEA iIi OWNER BWLDERI IDATEI
G -NSP
qA tf
01
NEW[ ] Effective 5/10/99
ADDN [ 1 CITY OF FLEY
ALTER SINGLE FANNY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address:Tel. C"
-
Contractor:. RENEWAL BY ANDERSEN ._ MN LICENSE #.
Address:
Attach 1
lot, wit]
350 -73RD AVE.'NE Tel. #
FRIDLEY,°MN 55432
( 612) 502-4777 of the
LICENSE #20130983 scale.
r 77- -r - - - - - ------�-.gy-D--VE NT
DIVING AREA:
Length
Width
Height
Sq. Ft.
GARAGE AREA:
Length
Width
Height
Sq. Ft.
DECK AREA:
Length
Width
Hgt/Ground
Sq. Ft.
OTHER:
9.0 ,0 r, rr Q
�I I ( a 0 Lr-
I . ;, r, A r%- .
V ry,,v% - r , U.,
Construction Type: Estimated Cost: $ �, �- 0
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 9 I2 -CO APPLICANT• Tel. #9SQ - 3V5 - �o®4
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
I
CI'T'Y USE ONLY
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 Pian Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS: S;�-ee
�.��� i•v� pie%cw x .•� �v �L� .��"y�1 off'
Building
PLUMBING
Permit No.: -0
Inspections
RESEDENTML APPLICATION
Received By:
763-572-3604
CITY OF LEY
Dat &.00T 0 2 20
763-502-4977
EFFECTIVE 1-1-08
C% ((FL�AX
DATE Cep YOUR E-MAIL ADDRESS
SITEADDRESS sar nF
,1&q
THIS APPLICANT IS: 0 OWNER CONTRACTOR
PROPERTY
-�-
NAME: e S B a kph
ONVNER/
AGM
ADDRESS: CITY STATE ZIP
TENANT
PHONE: goaB
r
CONTRACTOR
NAME:
SUBMIT A COPY OF
YOUR STATE
STATE LICv"iVVI %0116Y Flumbing 0o SF. EXP DATE
`J'
LICENSE, BOND AND
STATE BOND # �' EXP DATE
CERTIFICATE OF
ADDRE • 'MN 55432 CITY --STATE—ZIP
INSURANCE
PHONE FAX ►� 1C'% do Ae.f
PERNIIT TYPE
0 SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK:
0 NEW REPLACEMENT
DETAILED DESCRIPTION OF WORK nA gj=
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost ap to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = plus .50 surcharge
OR
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW). MINIMUM FEE $15.50.
BATH SINK/LAV DRAINS _ WATER PIPING
_ _FLOOR —SHOWER
GAS PIPING (NEED CITY LIC) SWIMMING POOL —WATER SOFTNER ($35)
—BATHTUB _ _
CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15)
_ _ _
LAUNDRY TRAY :)LWATER HEATER ($35) FOR IRRIGATION
—DISHWASHER _
WATER METER OTHER
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge 50
Number of fixtures @ $15.00 x $15.00 = $
OR Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $
State Surcharge = $ 50
(MINIMUM $15.50)
(MINIMUM $15.50) Total = $ 5. SO
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 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 on site; that the work will be in accordance
with the approved plan in the case'o'fall_lwork ich requires review and approvalof plans.
�f
SIGNATURE OF APPLICANT `//YAC PRINT NAME /V r k 12 -d4— _DATE 7 -ON -6e
APPROVED BY DATE
PLEA NCh T'J~ SAA.TIrEL�S.ARER tTED;'Ffa►IL BUIi3iN>'ELI�CTIICILNID r' `A>1C1:.RI
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
13