PRE 2010 DOCSBUILDING
PERMIT
Village of Fridley, Minn.
Date........... j......
Owner ..... ... .... • ...
Address !W �" .... .......... .
No. ....
Lot......... .
Corner Lot .... P—,
To be Used as:
..
Type of
In consideration
the proposed work h
ordinances of the vil
N° 2376
Builder...........................................
Address.........................................
LOCATION OF BUILDING
Street .� ..��� . ! .. Part of Lot .......... ..... .
ae
Block../
........... Addition or Sub -Division .!`I®�` .. � �'' 3
d
.... Inside Lot ............ Setback 44701!C.
s01!C. Sideyard 17l�.'.....r..........
DESCRIPTION OF BUILDING
Front �'� .. Depth ' eefeight /I ..... Sq. Ft. 814' Cu. Ft........ .
Front ........ Depth ........ Height ......... Sq. Ft... ... Cu. Ft .... `
.. Est. Cost .�"' ! ", . .......... To be Completed r�. �.... .
VW f- 4P. 0
if the issuance to me of a permit to construct the building described above, I agree to do
accordance with the description above set forth and in compliance with all provisions of
,ge of Fridley.
o iate' n f.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 pon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota ro g location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits t d this permit may be revoked at any time up= violatioq of any of the provisions of said
ordinances.
.. .,:� .. .... Building Inspector
NOTICE:
This permit
sewer or water.
a not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sure to see the Building Inspector for separate permits for these Items.
City of Fridley, Minn. �._....a
BUILDING PERMIT N° 5228
Date:
Owner: '' Builder -
Address _______ _ Address
r/7 N O B ILDING
No. f Street " P of Lot
Lot
Block ._ _ Addition or Sub-Dyisio
Corner Lot _ f Inside Lot _ _ fatback 22�•=�Sideyard _
Sewer Elevation __- , Foij7dation Elevation
DESCRIPTION OF BUILDING
TeU,das*
r, � � d" /, r,K --
y Front �_ Depth Height �' Sq. Ft. Cu. Ft. 1- ..r,�::.,,,'� 6
Depth ht Ft. Cu. F't.
Type of Constructin _ - "" etAett- Est. cost.. ' _ 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 all provisions of
grdinances of the city of Fridley.
�t
4 g
In consideration of the payment of a fee of $ � , permit is hereby granted Co—
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 >�{on violation of 4ny of the provisions of said
ordinances. ' ` 4„ Z? `' A
Inspector
NOTICE
This permit 'does not cover the construction, installation for wiring, plumbing, gas heating, Sewer or wafer. Be sure to see
the Building Inspector for separate permits for these Items.
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Owner's
Address
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEYi MINNESOTA
LOCATION OF BUILDING
No. Street Part of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot Setback Side -Yard_,= __
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location:
DESCRIPTION OF BUILDING
be used as:
Sq. Ft.
Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction /' -,e,- ,��� 1 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 Ordinances and ruling of
the Department of Buildings, and hereby declares,that all the facts and representations
stated in this application are true and correct.
17
(A Schedule of Fee Costs can be found on the Reverse Side.)
i
C
SUBJECT
ERM)
City of Fridley
(-0 16 5 7
AT THE TOP OF THE TWINS
BUILDING P E R M I T
r
ECEI NO.
COMMUNITY DEVELOPMENT DIV.
g
r PROTECTIVE INSPECTION SEC.
7
i I �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
670/11/82
JOB ADDRESS
1065 - 63rd Ave. N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR,
8
1
Moore Lake Highlands Third SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Martin Burditt 1065 - 63rd Ave. N.E. Fridley 55432 571-0417
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Kilgore Siding Co 6393 Highway 65 Fridley 55432 571-9715
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW M ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reside and insulation
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Asphalt/Vyn
1
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
R-1
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
$4,000.00
$2.00
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-
$44.50
STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION.
y_
PLAN CHECK FEE
TOTALFEE
s
$46.50
�
SIGNATURE OF CONTRACTOR OR AUTHORIZED GEN )DAT
PROPERLY VALIDAAED IS YOUR PERMIT
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) )DATE)
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATIM FOR RESIDENTIAL BUILDING PEIU41TS
(New. Alterations, Additions, or Repairs)
OWNER: /V'11 �d
ADDRESS:
TEL NO:
STRIZST NO: �gr
BUILDER: JJ Ji c
ADDRESS: �� C' 3— �_ &/ C)
TEL NO: t� ��V /0 //L
5 %/—�P%1
Construction Location
STREET: ��
LOT: BLOCK:
% ADDITION: oV-V C `
Corner Lot: Inside Lot: Setback.: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front:
Square Feet:
Depth:
Cubic Feet:
Height:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: 1 d / 1V'Astimated Cost: $
B
To e Completed:
. ter.
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
Tile 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 re true and correct.
DATE: � r/ � SIGNATURE.
Stipulations:
61-q.So
s-
so
suB�Ecr
IT NO.
City of Fridley
26 8 6 3
AT THE TOP OF THE TWINS
BUILDING PERMIT
'r ,
-REeEfPT NO.
_ COMMUNITY DEVELOPMENT DIV.
i L
PROTECTIVE INSPECTION SEC.
pay
1 . I
OY
NUMBER .
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/28/98
JOB ADDRESS 1065 63rd Ave NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
1 1
1 Moore Lake Hi hlands - 3rd
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
John Dahl
707-0100
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
AAAmerica's Best Inc 2400 Interlachen Dr 4222, Spring Park 20139703
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
55384
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR ❑ MOVE ❑ REMOVE
5 DESCRIBE WORK
Reroof house and garage (24 S) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 50 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
I
ISTALLS
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
8747
$4.37
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$149.75
Fire SC $8.74
xPLAN
CHECK FEE
TOTA EE
1 /,a,- f
Licens 5.0
67.86
SIGN VRL-OF CONTRACTOR OR AUTHORIZED AGENT 10 TEI
N ROP L ALIDAT
• BLQ47NSP Or
D NIS IS YOUR APERMIT
S.GNATURE OF OWNER OF OWNER BUILDER$ IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address: Tel. # -7 r4 Ct
Contractor: 1 ��. {=�, , �„ ��.'� \��a_.k MN LICENSE # �) 0,� 3 j '4 c
Address: Jr- Tel. # q -o
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: LenWi/dth Hgt/Ground ' /S P.
OTHER: C) � le Ale ���(7�: •/ _�7��/
00
Construction Type: Estimated Cost: $ V
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $
DATE: APPLICANT: (-- 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
$ O - �]� .001 of Permit Valuation (1/10th%)
$ -37 $.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 [ ]