PRE 2010 DOCSSUBJECT
P R�:�.
City of Fridley
26488
AT THE TOP OF THE TWINS
BUILDING
PERMIT
=
r
`
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
_
~PROTECTIVE INSPECTION SEC.
I
NUMBER
REV
DATE
PAGE OF
A PROVED BY
t.
CITY HALL FRIDLEY 55432
'' 612-571-3450
910-F15
7/7/98
JOB ADDRESS 761 58 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
26
4
Donnay's Lakeview Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
David Kipp 761 58 Avenue NE
571-2857
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 )J REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (20 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS Underlayment must comply with the State Building Code.
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
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 BECOMPLIED
$1,668
$.83
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF APERM
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-
$54.00
Fre SC $1.67
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEETAL
FEE
7$56.50
SIGNATURE FCONTRACTOROR U HORIZEDAGENT IDATEI
PRO
VALI D THIS IS YQjPR P MIT
BL46G IN P
t
� t
BATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION.
ConstructionAddress: -7 � 1 — Sg; 4"_ pi G
Legal Description:
Owner Name & Address: G 6• njTel. # 5'71 - 21 '7
Contractor: IQ„l MN LICENSE #
Address:. Tel. #
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
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
OTHER:
Construction Type: Estimated Cost: $ /�o �� • 00
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
DATE: '17 2�
APPLICANT: Tel. #
Permit Fee $ d�
Fire Surcharge
$ / Z., 7
State Surcharge
$ ti8.3
SAC Charge
$
License Surcharge
$
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ 6Z. Sb
. STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.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 [ ]
5?(-a�7
Lis 1 Nf
SUBJECT"PERMIT
NO.
City of Fridley
2959 8
AT THE TOP OF THE TWINS
BUILDING
PERMIT
�
PT NO.
COMMUNITY DEVELOPMENT DIV.
���
f PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
ti.__.11.' '•�
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
6/2/99
10B ADDRESS 761 58th Avenue NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
1 1
1 Donna 's Lakeview Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
David & Dorcas Kipp
571-2857
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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 O ALTERATION O REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Construct a 17.5' x 12' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
See stipulations on plan.
WAINA&
Softrt digging call f0t
all otllity, locations
REQLARED �1f 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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1974
$.99
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
69.25
Fire SC $1.97
PLAN CHECK FEE
TOTAL FE�1
4
t1 7
SIGN ATUREOFCONTRACTOR ORAUTHORIZED AGENT IDATEI
PR
ER IOATE R4
S•IS]V RPE
VO4fli IL?�? �V /
BLDG NSP
'
SIGNATURE O NEA.IF OWNER BUILDERI IDATEi
Lis 1 Nf
NEW[ ]
Effective 5/10/99
ADDN [ J
CITY OF FRIDLEY
ALTER [ ]
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
Permit Fee /
BUILDING PERMIT APPLICATION
Construction Address:
'I (o [ - Sg ° NE V:-rJV SS q 3
Legal Description:
.001 of Permit Valuation (1/10th%)
Owner Name & Address: Tel. #��1 �i 511 -24x`1
Contractor:
MN LICENSE #
Address:
Tel. #
$1050 per SAC Unit
Attach to this application, a Certificate of Survey of the
$ ��
lot, with the proposed construction drawn on it to scale.
Driveway Escrow
DESCRIPTION OF EMPROVEMENT
LIVING AREA:
Length Width Height Sq. Ft.
GARAGE AREA:
Length Width Height Sq. Ft.
DECK AREA:
Length 1-1. S' Width l a' Hgt/Ground Sq. Ft. ;L I c; -
OTHER:
Sewer Main Charge
Construction Type:
-pp- C' tL Estimated Cost: $ '3--rb-
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 1 APPLICANT: Tel. A444,57( -2397_
4(Z -s1('Z397
STIPULATIONS:
CITY USE ONLY
/
Permit Fee /
$ (O �.��
Fee Schedule on Reverse Side
Fire Surcharge
$ 92
.001 of Permit Valuation (1/10th%)
State Surcharge
$ e
$.50/$1,000 Valuation
SAC Charge
$
$1050 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
$
STIPULATIONS:
su6jEtr
P IT NO.
City of Fridley
29867
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
T NO.
`� ______ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L 612-571-3450
910-F15
7/14/99
JOB ADDRESS 761 58th Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
26
4
IDonnay's Lakeview
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
David Ki571-2957
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Ken Ban Bund Constr. 8805 Davern AvA NF Mnnticello 99162
A68-2411
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
❑ NEW ❑ ADDITION ❑ ALTERATION PY( REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Patio door
9 CHANGE OF USE FROM TO
STIPULATIONS
Install smoke detectors to meet the State Building Code -
in each sleeping
room and on each level of the house.
SEPARATE PERMITS ARE REOUIREO 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$500
.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-
23.50
SC
STRUCTION OR THE PERFORM NCE OF CONSTRUCTION
.50
PLAN CHECK FEE
TA FEELi
Gens 5.
;fFire
50SIGNATURE
CON'RAC OR ORA UT NORIZEDAGENT IDATEI
N ROP
ALIDAHIS YO�ER 41
�I /
SIGNATURE OF OVVNERIIF OWNER BUILDER I IDATEI
L G INSP
FIATS
NEW[ l Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address:
Contractor: Ke n
Address: 7-� d 5-
4 Tel. #
H e, S ec �' 6 h .t'l�v a c^%' �•�, MN LICENSE # f%O
't L., -C i v"
11"c4.1111t Tel.# Yig—? X11
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:
Orb
Construction Type:,/?a '' 6 �o oI� Estimated Cost: ••���
Driveway Curb Cut Width Needed:
DATE: 7-1) - APPLICANT:
Permit Fee
$ o 79. SO
Fire Surcharge
$
State Surcharge
$
SAC Charge
$
License Surcharge
$'r7 13-C>
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ C7?.. 5—,6
STIPULATIONS:
Ft. + 6 Ft = Ft x $
Tel. #
CITY 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 Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] N t Necessary [ ]
6,dd
rg J
�,�3
� r
Since 1897
CONCRETE PRODUCTS COMPANY
•415 Lilac Street, Lino Lakes, MN 55014
Office 612-786-7722 • FAX 612-786-0229
1-800-336-6546
•
40
6&i't7 1 01,f'IKc1'oy
Project IYa -f-' a �° ° /� Sheet No.
Job No. _
Re �a�' ►_ By Date
OVER 100 YEARS OF CUSTOMER SERVICE
® Flexicore Hollowcore Plank r Precast Beams and Columns • Insulated Wall Panels