PRE 2010 DOCS•
•
IW
City of Fridley, Minn.
BUILDING PERMIT N® 6667
Date.
a �
owner: LBuilder
Address Address
LOCATION OF UILDING
No. Part of t
Lot ___ __ Block _-� ddition or Sub-Divisi �.�
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To UsL01W'
ed Front Depth Height Sq. Ft. /� Cu.
Depth ight Sq. Ft. Cu. Ft.
Type of Construction_ Est. To be Completed
-, M,19- e
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 comjl mce with all provisions of
ordinances of the city of Fridley.A. n / ' ] i
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, ixi all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regardiYg location, construction, alteration, maintenance and moving of buildings
within the city limits and this permit may be revoked at any thus u tion aay of the provisions of said
ordinances. / f/
Building Inspector
• This ponnit does nor corer the condrucdon, hu tdlatfoo for whing, Plumbing, gas heaths& sewer or water. Be acre to see
r.N0.1nr10E-.-.
e lding Inspector for separab permits for those trona.
APPLICATION FOR BUILDING PERMIT
CITY Or FRIDLEY, MINNESOTA
,6 w/
'O
OWNER'S NAME,- L V ! �► �crs�/r N S° e BUILDER S' %I 6
ADDRESS'` -G.2 a ALL ADDRESS
LOCATION OF BUILDING
No. Street Part of Lot
Lot -7 Block /7 Addition or Subdivision
Corner Lot Inside Lot—Y_Setback IJ- ° Side Yard f10 , f
SEWER ELEVATION ; ' - v'�+��� .� f FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
jr be used as:
S Front Depth
U � R p � � ` Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft.
Cu. Ft.
Type of Construction /?%7/l1 .r 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.
DATE #(,, q S
(Schedule of Fee Costs can be found on the Reverse Side).
1'
•
•
City of Fridley, Minn..
BUILDING PERMIT N? 743 2
Date: I- „ z ' ,_
Owner: &i%l Builder �
Address Address
LOCATION OF BUILDING
No. Street _ Part of Lot --
Lot ___ Block I ddition or Sub-Div1don
Corner Lot _ Inside Lot ------ Setback c Sideyardy
Sewer Elevation Fo dation Elevation
DESCRIPTION OF BUILDING
r
sed as:
7 7W Front Depth Height Sq. Ft Cu. n% -K'
t Depth Height Sq. Ft _ Cu. Ft
Type of Construction �' - Fit Cost�;4�,..._____ 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 aboveset fort��, and in comFFcae with ail provisions of
ordinances of the city of Fridley. l / / J ,
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
tLd:l
ress condition that the person to whom it is granted and his agents, employees and workmen, in all work
d,Fwthoces.
Building Inspector
NOTICE:
nb penak does not cover the construeflon, k&MMMon for wMh& plumbing, gas heethl& sewer or water. Bo Bare ft sae
the SuMne Inspector for separafe permits for these Ilona.
APPLICATION FOR BUILDING FEMET
CITY OF FRIDLEY, MINNESOTA
OWNER'S NANEZ j l v J M-7 R oc IV j, BUILDER 54M&
ADDRESS`/3-6.2s S7, NZ-, f-1?lsLFy ADDRESS
LOCATION OF BUILDING
No. ' -- - �� Street
Lot,Z,7 Ic &J, P --S loc k� 17 Addition or Subdivision
Corner Lot Inside Lo Setback Side -Yard -
SEWER ELEVATION FOUNDATION ELEVATION
part
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTIdN OF BUILDING
To be used as:
Front Height cJ
Sq. Ft. ,� Cu. Ft. 4 ,0�' a
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction 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 sthted in this application are true and correct.
DATE_ jd`-�� �o SIGATATURE 1. F 1 P
(Schedule of Fee Costs can be found on the Reverse Side).
1
SUBJECT
City of Fridley
o 189
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
1
r PROTECTIVE INSPECTION SEC.
`
A /"-1.� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
•---
L J`� 612-571-3450
910-F15
5/5/87
JOB ADDRESS 43 — 6232 Way N. E.
1 LEGAL
LOT N0.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR,
17, 1
17
Fridley Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Melvin Kocinski 43 - 6211 Way N.E.
571-2994
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Construction Specialties 4140 Jefferson Street Na E. 789--2508
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
8 DESCRIBE WORK
Reroof Dwelling (17 squares)
9 CHANGE OF USE FROM TO
STIPULATIONS Roof can be the 2nd layer but not the 3rd. install ridged galvanized
valleys.
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 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
$850
$� r�0
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-
$16.00
TRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
3---
PLAN CHECK FEE
TOTAL FEE
$16.50
AEOFCONTRACTORORAUTHORIZEDAGENT IDATEi
WHEN PROPERLY DATED THIS IS YOUR PERMIT
BLDG iNSP
Ij 7E
SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI
1
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ ] R-1 AND R-2
ALTER. [ ] Building Permit Application
11
Construction Address: y3 61 _y'h
Legal Description:
Owner Name & Address:✓/��e�! 4c.Ns�`r/ 2L/ Tel. S-I/'299��
Contractors �ovsr2cr 710✓ s®�9LT��.� Tel. #
Address: '��/D ✓��h �^� S�' �� r
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
Corner Lot ] Inside Lot [ ] Ft. Yd /Setback Side Yard Setback
Type of Construction: Estimated Cost: $ S
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: .{ _ APPLICANT: � �r Tel. # /8-•1.iC&
777,07
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$525 per SAC Unit
Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
City of Fridley
AT THE TOP OF THE TWINS
I L
�V------, INTER- DEPARTMENT REOUEST
PUBLIC WORKS DIVISION
CITY HALL FRIDLEY 55432
%j 612-560-8450
SUBJECT
SEWER STOPPAGE
NUMBER
REV.
PATE
PAGE OF
APPROVED BY
SEWER STOPPAGE
ADDRESS 43 - 62-1/2 Way DATE 11-22-.89
CALL RECEIVED BY Jim Saefke, then he called Robert Small AT 7:40 pm (AM)(PM
CREW LOCATION WHEN NOTIFIED Home
EQUIPMENT TAKEN TO SITE Jetter
CAUSE OF STOPPAGE Roots 190' from manhole on
manhole.
East River Road east to dead end
TIME STOPPAGE RELIEVED 8:15 pm
DESCRIBE DAMAGE (IF ANY) No damage
NOTE ANY STATEMENTS MADE BY CREW OR HOMEOWNER REGARDING DAMAGE OR POSSIBLE CLAIM
No damage of an kind.
CREW AND HOURS Robert Small - 2 hours
i
. �1
i
SuBjECT
of Fridley
rPErCity
3
P, AT THE TOP OF THE TWINS
BUILDING
PERMIT
COMMUNITY DEVELOPMENT DIV.r
v
rPROTECTIVE INSPECTION SEC.
i
NUMBER
REV
GATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
3/30/95
JOB ADDRESS 43 62 1/2 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
117, Pt 18
17
Fridley Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Melvin Kocinski 43 62 1/2 Way NE
571-2994
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
8 DESCRIBE WORK
Install egress window in basement
9 CHANGE OF USE FROM TO
STIPULATIONS
Window must comply with State Egress 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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
@
$420
$.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-
$15.00
Fire SC $.42
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
$15.92
SIGNATURE CONTRA AUTHORIZEUAGENT IDATEI
RLY ALIDATED THIS IS YOURPERMIT
OIJOR
e[a
XWHPP
DATE
SiGNA URE OF OWNER iI ER BUILDERI IDATEI
i
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
%, r
Effective 1/1/95
,72—
Construction
72 -
Construction Address: Z ��� W 14
Legal Description: % % T- o / / 6� oc �� ) '� X12 1 l)
Owner Name & Address: //C /v�iti �C o c /V5 k ,� Tel. # C /t - S / -2 g 9 y
Contractor: O (,t//V/z /Z 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: 1C /z G /Z r s 3 c4v r �y Q 6 W r.v
13AKE 1-1114F, 7—
Comer Lot [ ] Inside Lot [ j
Type of Construction:
Approx. Completion Date: _
Ft. Yd Setback
Side Yard Setbacks
A c
Estimated Cost: $ 2/:l 0 2
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: -3-30--r,5- APPLICANT: Tel. #6/1k- S'? 1-Z 9 9 y
CITY USE ONLY
Permit Fee
$ �� G� d
Fee Schedule on Reverse Side
Fire Surcharge
$ 9/ 2
.001 of Permit Valuation (1/10th%)
State Surcharge
$ , 1D
$.50/$1,000 Valuation
SAC Charge
$
$850 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
$ Z�9�
STIPULATIONS:
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
2 6 8 9'
r COMMUNITY DEVELOPMENT DIV.
r Vy _____
r � PROTECTIVE INSPECTION SEC.
1 ` r
CITY HALL FRIDLEY 55432
L „ 612-571-3450
REC
NUMBER
910-F15
REV
DATE
7/29/98
PAGE OF
APPROVED BY
JOB ADDRESS
43 62 4 a
1 LEGAL
DESCR.
LOT NO.
17&W 251 o
BLOCK
18 17
TRACT OR ADDITION
Fridley
Park
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Melvin cinski
571-2994
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
.1 T Builders x Forest Lake
55025 433-4404
4748
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO
8 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ID REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
(22 S Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
State Building Code.
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 80 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
VALUATION
SURTAX
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
1834
$.92
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 TH EVRMCE OF CONSTRUCTION
$59.50
Fire Sc $1.83
PLAN CHECK FEE
TOTAL FEE
7.25
SIGNATURE O.0 NTRACTOR OR AUTHORIZED AGENT IDATEI
EN P OPE ALIDAT
BLDG SP
D T $ ISOU IT
PATE
S,GNATURE OF OWNER.IF OWNER BUILDERI IDATEI
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address:
Contract,
Address:
Effective 1/1/98
Tel. # ;g 9 ��
ENSE # �z 7 ed
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF E%IPROVEMENT
LDILNG AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER:
Tel. # 4--? 3 - -o, v ej or --
Sq. Ft.
Sq. Ft.
Sq. Ft.
((7�
Construction Type: Estimated Cost: $ t U
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. #
CITY USE ONLY
TOTAL $ S
STIPULATIONS:
J.
Permit Fee
$ �-
Fee Schedule on Reverse Side
Fire Surcharge
$ _ T
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$_
$1000 per SAC Unit
License Surcharge
$ 'S
$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 $ S
STIPULATIONS:
J.