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PRE 2010 DOCSh • BUILDING PERMIT Village of Fridley, Minn. N° 2 R 14 Date..-.a` �..�.� .Y ...................... .... Builder ........................................... Owner�i�V_Xra.... AddressAddress ......................................... LOCATIO F BUILDING; No. .... o....... Street A. .� ............... ....... Part of Lot ....................... Lot . ...... Block ... ......... Addition or Sub -Division . Ff[ . D t . C Y.. Corner Lot ............ Inside Lot ............ Setback ............ Sideyard .......................... DESCRIPTION OF BUILDING To be Used as: � /����/���� Fro t ..., Da�... Height SqFt......... Cu. Ft. ....... . .................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft......... Type of Construction_�.4... Est. Cost ZAA ................ To be Completed 4./.� ox-oc.. 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. 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 expedition 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. fJ/ /'1 ... Building Inspector 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. City of Fridley, Minn.. BUILDING PERMIT N°5 s 7 4 Date: r`... rI Owner: '" Builder Address' "=. _, f `,��a Address +� , LO TION OF BUILDING No. _,�"`l� Street _ _17� y ._ _ ._._.._ Pari of — Lot � V�.__ Block _ _—,� AddiiioIr b -Division Corner Lot __ Inside Lot � Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING MoUsed as. Y`s1 j �l Front Depth, Height Sq. Ft. Cu. Ft. _ • mss'"' _ Front Height Sq. Ft. Cu. Ftp - 9 of Co traction st .� - _ 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 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,70f and moving of buildings within the city limits and this permit may be revoked at any time upon violaty of the provisions of said ordinances. " tuilding Inspector r .t -o' .. NOTICE: This permit does not cover the Construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. Owner' Addres No APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Lot Bl LOCATION OF BUILDING of Lot ition or Subdivision Corner Lot Inside Lot Setback Side -Yard SETTER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: 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 ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. A (schedule of Fee Costs can be found on the" Reverse side). City of Fridley, Minn.. BUILDING PERMIT 0 Date: — April 6, 1967 • Owner: John M. Othoudt Builder Same Address 20 63rd Way N. E. Address . — No. — 20 Lot W 2-3 Corner Lot --- Sewer Elevation LOCATION OF BUILDING Street 63rd Way ____ part of Lot — Block 17 Addition or Sub -Division — Fridley Park Inside Lot — Setback — __ _ _ Sideyard — Foundation Elevation No DESCRIPTION OF BUILDING To be Used as: Addn. to present Front 16' Depth 22' Height 2 story sq. Ft. Cu. Ft. we ng Front Depth Height Sq. Ft. _ _ Cu. Ft. Type of Construction Frame Est. Cost .— $3500.00._.._.._.._......____�.._.... To be Completed — 3 -7--3 zg� .9179 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 abre sehforth and in comii ce }nth all p� ons of ordinances of the city of Fridley. 1/ In consideration of the payment of a fee of $ 9.00 , permit is hereby granted to— John M. Othoudt 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 upon violation of any of the provisions of said ordinances. Clarence Belisle Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, Plumbing, gas heating, sewer or water. Be cure to me the Building Inspector for separate permits for there hems. OWNEA'S ADDRESS APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA N&C 7-M k -BUILDER SA M ADDRESS i LOCATION OF BUILDING 4. N0. STREET ,3 � T OF LOT LTA BLOCK ADDITION OR SUBDIVISION • CORNER LOT INSIDE LOT SETBACK —9IDE-YAVD 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 Ad; "Front Depth �_� Height eC Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. t y r Type of Construction Estimated Cost e7.7 ®®• 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 *verse Side). r 4 0 0 poleCD rm- XA AA AV 8.r Ell City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3950 DESCRIPTION OF WORK �� _ 3 Number, Kind and Location of Fixtures Location Gi NO. RATE TOTAL Number Fixtures x $2.00 $ A =2 � Future Fixture Opening ................ x $1.50 y New Fixture Old Opening .............. C Z H Catch Basin ...... ..................... J w 0 z o • R • N WATER HTR. GAS ELEG Base a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 2nd "- 3rd 9th • Future Connection Openings e New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $2.00 $ A =2 � Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code x $2.00 $ x$.75 $ x $5.00 $ City of Fridley: Y 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 all the fact and representations stated in this application are true and correct. Fridley, Owner Kind of Building Used as To be completed about 1 Estimated Cost, $ �� 6. ° Old—New. Building Permit No Permit No. �� 6 Signe By Business Phone No ROUGH FINAL Description ..... ..............................$ TOTAL FEE $ �� � 42 19_ SUBJECT PER City of Fridley 121'7 AT THE TOP OF THE TWINS BUILDING PERMIT Ir? NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY %.J 612-560-3450 910-F15 JOB ADDRESS 20 63rd Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1, 2 3 17 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John M. Othoudt 20 63rd Way N.E. 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 garage (garage) 7 CLASS OF WORK JJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct 24x30 garage 9 CHANGE QF USE FROM TO STIPULATIONS 1. Provide hard surface driveway 2. Provide drainage 3. Remove old garage one year from this date. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood frame 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 720 7,200 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 $3,261.60 $1.63 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITffs . 50 SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE xq� -U,x, -;In. 0t" V /3 1 015.13 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIN PROPERLY AL T THIS IS YOUR PERMIT- . . r BLDG )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: J0 >� I �, D V L% t BUILDER ADDRESS :_,16 —'o -j o.-/ ADDRESS: NO : • r _ STREET. LOT:_I f' "a BLOCK: / a ADDITION;_ a CORNER LOT: INSIDE LOT: SETBACK: SIDEY1RD: 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: 36 Height: Square Feet: l? ': Cubic Feet: r/ r Front: —Depth: Height: Square Feet; Cubic Feet: Type of Construction: WC,14 ��� Estimated Cost: $ To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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, s DATE: SIGNATURE: (See Reverse Side For Additional Information.) f= �%) i, l t Gj SUBJECT PE City of Fridley 3 �3302 AT THE TOP OF THE TWINS ? BUILDING PERMIT r ` RECEIPT NO. : • COMMUNITY DEVELOPMENT DIV. i ------ PROTECTIVE INSPECTION SEC. ��� / 1 � � REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432NUMBER � '..J763-571-3450 910-F15 11/1/02 JOB ADDRESS 20 63 Way NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,2 ,3 17 1 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John & Sheila Denny 20 63 Way NE 763-571-6692 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Custom Remodelers Inc 474 Apollo Dr, Lino Lakes, MN 55014 1748 a 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 O ALTERATION j] REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace 24 windows within existing openings; trim; patio door 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Permit Inspection Lards Will 119 Mailed To Homeowner To Post 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 $22,400 $11.20 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE License $5.0 $4 .85 SIGNATURE OF CON'RACTOR OR AUT.IORQED AGENT IDATEI EN OP VALIDATED IS IS YOUR PERMIT B� INSP f nATE S.GNaTURE OF OWNER.rt OWNER BUILDER,IDATEI NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Nam Contractor: Address: 4 I Tel. #1&3-611- (o64.2 MN LICENSE # N If _Tel. # 66-1 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: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: A4W:v�A&t_,w Estimated Cost: $ AA'f oo' D 1 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: `30 ®0 APPLICANT• A A Tel. # lo-30'�" CITY USE ONLY Permit Fee $ 30...5- Fee Schedule on Reverse Side Fire Surcharge $ aa,4-0 .001 of Permit Valuation (1/10th%) State Surcharge $ f [, O.t) $.50/$1,000'Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 5.00 $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: l� a z M SUBJECT city of Fridley 3368 AT THE TOP OF THE TWINS BUILDING PERMIT DEVELOPMENT DIV. 16 v -------COMMUNITY r PROTECTIVE INSPECTION SEC.A 710 I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910415 7/9/03 JOB ADDRESS 20 63 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 1,20 17 1 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John & Sheila Denny 20 63 Way NE 763-571-6692 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Grayhawk Builders 3020 Centerville Rd, Little Canada MN 55117 651-486-9888 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO, 20174611 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors ir, all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Permit Inspection Cards Will Be Mailed To Homeowner To Post 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 $59500 $2.75 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 COW $125.25 Flre SC $S STRUCTION OR THE PERFORMANCE OF CONSTRUCTION .5O PLAN CHECK FEE TOTAL FEE Licen e SC $5.00 $138.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDArEi PROPERLY VALIDATED THIS IS YOUR PER IT _,LMEN BLDG iNSP OATF $,GNATURE OF OWNER.-F OWNER BUILDER, iDATE, M NEW [j ADDN [ j CITY 4F FRtDL.EY Effective 1/1/2oo7 ALTER [ j SINGLE FAMILY AND DUPLEXi:S R-1 AND R-2 �� 572-36t1� Bldg ttssp BUILDING PERMITAPPLICATION Construction Address: j s Legal Description_ __ >(� Owner Name & Addre: ,Tel. # --, I – — I LICENSE *Iq L{ (,P–Lt /_ ,Ci!�`�" X twu-ti Attach tows application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width HeightT Sq. Ft, GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length --` Wdth Hgt/Ground Sq_ Ft OTHER.- Construction THER Construction i'ype(' +' Ig �� Estimated Cost $ �L3 ".,feway Curb Cut V►ii th Needed: Ft + 6 Ft = Ft x $ _ $ DATE: I -t„_ APPLICANT: Tet. # CITY USE -ONLY- Call (763) 572-3644 for Permit Fees if mailing in application Permit Fee�' $ Fee Schedule on Reverse Side 10 Fire Surcharge $ 5 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $-----.$1150 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 $ —�E a S- ILATIONS: