PRE 2010 DOCSC)'
Village of Fridley, Minn.
BUILDING PERMIT N?
WOW
Date: . Cii.................................... .
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Owner 4.. .. .... ....... Builder ..R.4 fi..
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�f . .
Address ! .. .. Address ........ .
LOCATION OF BUILDING
No. .! . Street . �. ...-s.1 . ............... Part of Lot 4 .. ........... .
r'
®r
Lot ..� ....... Block ............... Addition or Sub -Division ..... ..... ... .
Corner Lot ........... Inside Lot ........... Setback '.... ``....... Sideyard "t Q
DESCRIPTION OF BUILDING
To be used s
/sef
Front y.. Depth Height Sq. Ft. °��' Cu. Ft. ........
�Y R
........ Front oc . � .. Depth Z e_ i j'. Height ........ Sq. Ft. Cu. Ft. ....... .
ype of onstruction/,A—.. ........... Est. Cost To be Completed ..Cr �!?!O?
ZR x A/ — a 2" C/' C-',
e Ity .7- /-Y
L � P
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.
................. ..`.ig
c v ." v
In consideration of the payment of a fee of $.. l permit is hereby granted tol..`...........
......................... 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 any time upon violation of any of the provisions of said
ordinances.
Building Inspector
0
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.
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Date: June 7, 1965
1�e-ll
City of Fridley, Minn. N° 7744
BUILDING PERMIT
Don Brandvold
Address 573 63rd. Ave. N. E. Address 6246 Bryant No.
LOCATION OF BUILDING
No. 573 street 63rd. Avenue N. E. Part of Lot
Lot 10 Block 4 Addition or Sub -Division Christie Addition
Corner Lot _ Inside Lot Setback __ _ Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est. cost 06,800.00 To be Completed
t• Storm Barrage Repair
•
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
ordinances of the city of Fridley. 7 %
In consideration of the payment of a fee of $ 100,permit is hereby granted town Brendv+Dld
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 anypart , shrespects an
Fridley, Minnesota �gg location, construction, alterationthereof, maintenanceallconform,in repairall and movingtothe ofordinbuildingscesof
within the city limit uns permit may be revoked at any time upon violation of any of the provisions of d
ordinances.
Allen Jensen Building Inspector
NOTICE
Tbb pandt den net nvor the eoastru mon, hatdbNen for wlrb & plumbing, gn hadln& swrar or water. Be son to see
tis Bum&$ 18er for separate pwndb for thea Nems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY,-MINNESOTA
OWNER'S NAME BUILDER
ADDRESS--- ��� �.� ADDRESS
0
LOCATION OF BUILDING
'No. Street Part of Lot
LOT 'BLOCK ADDITION OR SUBDIVISION Mz
Corner Lot`Tlnside 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.
To be used as:
DESCRIPTION OF BUILDING
Front Depth Height
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,
agk6eing'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 Gi' �'— SIGNATURE
(Schedule'of Fee Costs can be found on the Reverse Side).
TYPE OF CONST.
OCCUPANCY GROUP
PERMIT NO.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
SUBJECT
VENTILATING OR AIR CONDITIONING.
BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
City of Fridley
S0. FT.
CU. FT.
THIS PERMIT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r?
PARKING
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
CEIPT NO.
�� COMMUNITY DEVELOPMENT DIV.
1
STALLS GARAGES
_
PROTECTIVE INSPECTION SEC.
r -----;
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
Y;
I I
i -''S I- CITY HALL FRIDLEY 55432
NUMBER
pEy,
DATE
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PAGE OF
/
APPROVED BY
.... � � �'� 612-571-3450
910-F15
PERMIT FEE
5/14/92
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
JOB ADDRESS 573 63rd Avenue NE
Fire SC $1.22
TRUCTION OR THE PERFORMANCE OF SONSTRUCTION.
PLAN CHECK FEE
LOT N0.
BLOCK
TRACT OR ADDITION
SC
$5,00
SEE ATTACHED
SHEET
1 LEGAL
1O
4
Christie Addition
"' L INSP
MATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
DESCR.
ZIP
PHONE
2 PROPERTY OWNER MAIL ADDRESS
572-3755
Phillip Rono 573 - 63rd Avenue NE
ZIP
PHONE
LICENSE NO.
3 CONTRACTOR MAIL ADDRESS
7577058
1751
The Ca,rpenterts Tool Box 1554 131st Ave NfnT C O
i Z P
PHONE
LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE
LICENSE NO.
5 ENGINEER MAIL ADDRESS
6 USE OF BUILDING
Residential
7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION L2
REPAIR
❑ MOVE
❑ REMOVE
8 DESCRIBE WORK
Reroo�f Dwelling & Garage 1-23.5 ares Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply wth.State Building Code,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
S0. FT.
CU. FT.
THIS PERMIT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
OFFSTREET
PARKING
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1219.
,6.1
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
SACCHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$31, 00
Fire SC $1.22
TRUCTION OR THE PERFORMANCE OF SONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
'("-'License
SC
$5,00
37.83
SIGNATURE OF C K - ACTOR OR AUTHORIZED AGENT IDATEi
HE P
ERV TED THIS ISR PET
�
"' L INSP
MATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ ] Effective 3/1/92
ADDN [ J CITY OF FRIDLEY
ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: -6-73 3 04
v -
Legal Description: L/
Owner Name & Address: 7 3 G 3 0,1,e_ Tel. # S 7a — 3 7 s -s
Contractor:, ' %3rr� t �R. MN LICENSE # 7 5 -
Address:
Address: /r 24je 7` azc -0- le- 0e,;�, - Tel. # 7 5- 7-/D S'
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:
Width
Hgt/Ground Sq. Ft.
OTHER:
d��
t -� S
/1�2 �1�� 3 S` 2 s r d 0 f7
Corner Lot [ ] Inside Lot Ft. Yd Setback
Side Yard Setbacks
Type of Construction:
Estimated Cost: $ e
Approx. Completion
Date:
(Cost on Back)
Driveway Curb Cut
Width Needed:
Ft. + b Ft =
Ft x $ = $
g i `�' 9 Z
DATE: APPLICANT:
Tel. # 7 S 7
CITY USE ONLY
Permit Fee
$ /. C> 0
Fee Schedule on Reverse Side
Fire Surcharge
$ %.Q2a
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$700 per SAC Unit
License Surcharge
$ , C 0
$5.00 (State Licensed
Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B"
Above
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary
[ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Effective On January 1, 1991
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 9-,-3` -3', 0 ) 1--•,/-: N, e, "-%1.4N'
New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein �Sy32
Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes
Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts
Blow Off Basin $ 7.00 and representations stated in this application are true and correct.
Catch Basin
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00 Owner
Water Heater -Electric
$ 7.00
Water Heater - Gas $10.00 Building Used As °
Gas Range $10.00
Gas Dryer$10.00 Estimated CosPERMIT NO.
Back Flow Preventer Required 6Yes () No
Typ $5.00 PLUMBING COMPANY_,�d�
�r r
�
Reinspection Fe $30'��.00 SIGNED BY f
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
• Approved B Rough -In Date
7 ` /Dl99Z
199+
TEL NO. 5" 2 -- 3 SSS
Final Date ' 5 L,
.50
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
$ PLUS THE $.50 STATE SURCHARGE
SUBJECT
PERMIT NO.
City of Fridley
28461
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
V----- _
r PROTECTIVE INSPECTION SEC.
�
CITY HALL FRIDLEY 55132
NUMBER
pEv
GATE
PAGE OF
APPROVED BY
.�
L 612-571-3450
810-F15
10/28/98
JOB ADDRESS 573 63rd Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
1 10
4
lChristie Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Phillip Rono
572-3755
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Four Seasons Roofing & Rem LLC 7930 Univ. Ave NE Fridley 55432
795-9410 20138780
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 St REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (25 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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 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
$2142
$1.07
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
OF ANY OTHER STATE OR LOCAL LAW REGULATING CON -O
R4LM�PERFO'RMANCE OF CONSTRUCTION
EYS $74.75
Fire SC $2.14
j
PLAN CHECK FEE
TOTA EE
;PROION
W��
-- - -
License $5.00$
.96
GNATURE Of CON"R, RORA MORiZED AGENT aDATE,
N P OP ALIDAT—EDITHIS
IS/YOUR PERMIT
BL -NSF'
S,GNATURE Of OWNERoF OWNER BUROERs tOATE,
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
AT [ ] SINGLE FATVfTT.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION \�
ConstructionAddress: '573 6 3 r-cP-,,, �J.
Legal Description:
Owner Name & Address: P 1 % ® 'R(n'16 Tel. #-522-E 76�5-
Contractor: K",() �r Sleet C, MN LICENSE #
Address: r7q30 (lo w,e,rsc--i J4zA� 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:
�.w0n1.Q.
c -'R:�=Q I&CP -25.
--->-q U fsh Lar, JeS
Construction Type:'P .v Wg.*a fR2�lc�e_
�eao�
Estimated Cost: $
(Fee Schedule
on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft =
Ft x $
_ $
DATE: �- — Gf $ APPLICANT:
,—,Q.AA. �
QaPlke
Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ /, e�9 7 $.50/$1,000 Valuation
$ / $1000 per SAC Unit
$ eW $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 [ ]
SUBJECi
PERMIT NO.
City of Fridley
28641
AT THE TOP OF THE TWINS
B U I L D I N�
P E R M I T
1.572-364
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
-------
f PROTECTIVE INSPECTION SEC.
1 "'1 CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450 1
910415
11 24 98
JOB ADDRESS
573 63rd Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
oEscR.
10
4
Christie Addition
SHEET
2 PROPERTY OWNER MAIL ADORE"
ZIP PHONE
Phillip Rono
972-3799
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Four Seasons Roofing & Rem LLC 7930 Universit Ave E Fridley
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 O �DITION ❑ ALTERA ION RK REPAIR ❑ MO ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (25 Sq Tear- ff
9 CHANGE OF USE FROM T
STIPULATIONS
Underlayment must comply with the Stat Building ode.
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
SQ. 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
t
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
2142
$1.07
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROW S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
R CT OR TF�PERFORMANCE OF CONSTRUCTION
74.75
Fire SC 2.14
PLAN CHECK FEE
TOTAL FEE
License SC
0
82.96
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
SIGNATURE OFCr ACTOR OR AUTHORIZED AGENT IDATEI
S-GNATURE OF OWNER IF OWNER BUILDERI IDATEI
BLDG I-NS P
GATE
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY \
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: �7 3 � 3- � l e
r
Legal Description: ,S- 7.3 b- .3 �-e /
Owner Name & Address: e {� Tel. #
Contractor: o - w ` �� {, ; -� MN LICENSE #
Address: Jq30 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:
$ . /
.001 of Permit Valuation (1/10th%)
Construction Type:41.-Ieou C4 k10 4Ace Ae,6,
Estimated Cost: $
�r a
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. #
TOTAL $ d , -912
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ . /
.001 of Permit Valuation (1/10th%)
State Surcharge
$-/&,7
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ .5-6)0
$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 $ d , -912
STIPULATIONS: