PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N soon
.::
139MM
1.5 0
O �,�G %
No. Street Part .o Lot • r fZ
Lot _ Blocker Addition or Sub -Di
'011—
comer—
1
corner2�.
_ Inside Lot Setback Sideyard
Sewertion_ Foundation Elevation
DESCRIPTION OF BUILDING
T r
Front Depth Height Sq. Ft.. t'm Cu. Ft. %jW
nt De H ght Sq. Ft. Cu. Ft.
Type of Construction t./�M 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 a& 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
within the city limits and this permit may be revoked at any time uponvi l o�'o any of the provisions of said
ordinances. — .w
NOTICE
M pen & don not ewer the construdlon, tnshWan for wkht& phon"g, go host[ , nwee or webr. Be sun to sa
the Buihih* Inspector for seperi fe penm8s for thea hen&
ti r
owner's
Address
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Builder
ss
LOCATION OF BUILDING
No.ZZ Street -fzPart. of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot P/ Setback 5.n Side -Yard f
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
To be used as:
Front Depth Height
1
Sq. Ft, Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost
To be Completed
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 Fee Costs can be found on the Reverse Side).
•
•
•
City of Fridley, Minn.
� 7®s11
BUILDING PERMIT N° 7369
Date:
a
AA
Owner: _ Builder --
Address Address
L CATION OF BUILDING
No. — Street Part Lot
Lot __ Block ______ Addition or Sub -Division .
Corner Lot ._ Inside Lot _ _ Setback --- Sideyard — /
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be U as:
Front Depth Height Sq. Ft. �S , CU. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Constructiono--_ Est. 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 a'll provisions of
ordinances of the city of Fridley. t
In consideration of the payment of a fee of E ,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 anworkmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances oP
Fridley, Mitmesota regardixg locai3oa, construction, alteration, maintenance, repair and moving oY buildings
within the dty limits and this permit may be revoked at any time upon violation oY aay of the provisions of said
ordinanoea _.
NOTICE:
This permit does not corer the constwcHon, hatoWen for wiring, phnnbIng, ges heating, sower or water. Be core to ese
the Building Inspector for separate permhe for these Meme.
53-84-s-915.51
City of Fridley
Application for Numbbg and Gay R"I" Fen*
Dept. of Bldgs. Phon• MCI -34M
DESCRIPTION OF WORK ?71 N. E. 58th, Ave.
Number, Kind and Location of Fixtures
Localtioa—
CIO
oil
1
1,
New Ground Run Old Bldg.........
a
It a�
$
Electric Water Heater ..............
z $2.00
$
GAS FITTING FEES:
Z
-I
N
WAUR NTS.
GAS ELEC.
Base
Additional Fixtures ..................
x $ .75
$
1st
Ute
&
Grill
2nd
3rd
4th
• IF uturo Connection Opel
* New Fixture. Old Openings
connect" with
Sawar
ceaspool Q
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. •
. ...........
Water F%at£® *, p tto1-$9 000 BTU) ....
x $3.25
2 x $3.00
$
$
6•�
New Ground Run Old Bldg.........
x $3.25
$
Electric Water Heater ..............
z $2.00
$
GAS FITTING FEES:
NO. RATE
TOTAL
1st 3 Fixtures ................
1 x $100
Additional Fixtures ..................
x $ .75
$
Gas Range to 199.000 BTU ............. x $500 $
REPAIRS & ALTERATIONS --Refer to Code
Description ........................ , .................... i
TOTAL FEE $ ��?
City of Fridley:
The .undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that aft the fact
and representations stated in this application are true and correct
Fridley, Minn June 7, 1971 19�
Owner Donald Zeigler
Kind of Building Frame
Used as Res
To be completed about June 12, 1971
Estimated Cost, $ 10•p0
Q -New. Building Pe• eMai .�
Signed
By
Business Phone No
ROUGH
SUBJECT
City of Fridley
2502 2
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
�•
RECEIPT NO.
-------COMMUNITY DEVELOPMENT DIV.
1 PROTECTIVE INSPECTION SEC
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
5/1/97
JOB ADDRESS 771 58 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR
27
4
1 Donnay's
Lakeview Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Don Ziegler 771 58 Avenue NE
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
L J Roofing 10151 Foley Blvd NW, Coon Rapids MN 55448
767-1587 9036
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 p
[INEW ❑ ADDITION El ALTERATION X REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (24 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
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
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS
I 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
$1,980
$.99
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$62.25
Fire SC $1.98
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TAL FEE
License W $5.
$70.22
CONTRACTOR OR AUTHORIZED AGENT IDATEI
4 RO
Y VA
ATTED THIS IS OUR P RMJj
&GNATURE,OF
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
Y
8 G INSP
MATE
NEW [ ] Effective 1/l/97
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: �" ✓° % S c� ��
Legal Description:
Owner Name & Address: 00 .. 2—, e ti e r - Tel. #
Contractor: L3 b r 4 t ^5 MN LICENSE # °0
Address: o I YI o o ,, Tel. # i 6 ? - /517
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:
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Construction Type:
E,r od=d-
re ro a
Estimated Cost:
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
(Fee Schedule on
Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft =
Ft x $
= $
DATE:V4121APPLICANT: Tel. #'6 7- 1-W
117
TOTAL
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ -Z;-Fee
Schedule on Reverse Side
Fire Surcharge
$ 1,96
.001 of Permit Valuation (1/10th%)
State Surcharge
$ , 99
$.50/$1,000 Valuation
SAC Charge
$
$950 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:
SuBJEtT
City of Fridley
30728
AT THE TOP OF THE TWINS
BUILDING
PERMIT
� `
ECEtPT N
COMMUNITY DEVELOPMENT DIV,
INSPECTION SEC.
r � � PROTECTIVE
1 � i
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
' 612-571-3450
910-F15
3/16/00
JOB ADDRESS 771 58 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
OESCR.
2
1 4
1 Donnay's
Lakeview Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Donald Ziegler 771 58 Avenue NE
571-6893
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
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW 0 ADDITION ALTERATION 0 REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Add steel garage door header to existing,
opening
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan.
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
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
$200
$.50
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-
$23.50
Fie SC $.20
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOT L FEE
4.20
EN R VALID E THIS UR IT
r
xSIGN AE FC ON TRACTOR OR AUTMORI ED AGENT iDATE,
Tz4x_;�
&GNATUQE OF OWN OWNER E1w DEAD ATE)
9l iNOP OA T
NEW I l Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg In
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION®
Construction Address:
Legal Description: y -,U" �
Owner Name & Address: G� Tel. #
Contractor: 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 Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER: "a • o " ,.o�
Construction Type: Estimated Cost: $ ;?06-6 O
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ = $
DATE: 3 -16- 6 6 APPLICANT: h,'A,-da-d� �� Tel. # 5 2 g 3
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee
Fee Schedule on Reverse Side
Fire Surcharge
.001 of Permit Valuation (1/10th%)
State Surcharge
$
S -Z)
$.50/$1,000 Valuation
SAC Charge
$
$1100 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 [ ]
�� 0
TOTAL
$
STIPULATIONS:
A
T
f4
cb
V
rb
P
hi
.70",
s
U