PRE 2010 DOCSSUBJECT
T
Pj718156
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
R
'
rrV COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
i CITY HALL FRIDLEY 55432
�'""' ,•�
NUMBER
REV,
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/9/85
JOB ADDRESS 40 - 631-2 Way N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4,5
16
Fridley Park. Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Rochelle Harris 40 - 6A Way N.E. 574-0493
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
f� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 20' x 20' Detached Garage
9 CHANGE OF USE FROM TO
STIPULATIONS Provide a hard surface driveway.
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
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
$4876
$2.44
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-
$50.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
FEE
TOTALFEE
�ACHECK
$52.94
SIGN�, U EOFC NT ORO UTHORI E AGENT iD EI
'
WHEN PROPER
LY (DATED THIS IS YOUR PERMIT
Zt
SIGNATURE OF OWNER I IF OWNER BUILDERI 0' DAPZI
BLDG WSP
F1 E
e,,, . -'el-- / 7?3 97
NEW [ ] City of Fridley Effective 4/1/84
ADDN. I J �R-1 AND R-2
ALTER. [ ] Building Permit Application
-41" _ 1-2- IL
Construction Address:
Legal Description: 1 �� �� 4S
Owner Name & Address: Rtd' L/O Loi X17 WCTel. #
Contractor: �rn �{� `"-� (�� lr % Tel. #
Address:
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 ao Width =*�Z cPD Height Sq. Ft. 46Mn
_
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ J Inside Lot [k] Ft. Yd. Setback Side Yard Setback
Type of Construction: Estimated Cost: $ %6.a
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: NO $ $
See Back Page for Explanation
DATE: 9 �S APPLICANT: Tel. # 9i q - Q� ? ?
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ V �;2.9 /
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ J
�(z
SUBJECT
P
City of Fridley
5 4 6 6
5466
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
L �s
r
1 � �
NUMBERREV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/4/97
JOB ADDRESS 40 63 1/2 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
4,5
16
Fridley Park Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Brian Nelson 40 63 1/2 Way NE
571-9636
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
❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (13 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS Underlayment must comply with the 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
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
$1, 084
$ .54
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-
$37.50
Fire SC $@1.08
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$39.12
SIGNATURE OF CONTRACTRA THORIZED AGENT IDATEIP
WHEN PROPERLY LIDAT D THIS IS YOUR PERMIT
.. /
A
G INSP
P
rjA TE
S,GNATURE G-WNER-,F OW ER BUILDERI DATEI
NEW [ ) Effective 1/1/97
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description: f
Owner Name & Address:�j�,o°„� iJc�Se✓l Tel. # 5'7L qkk.
Contractor: (nw n rr MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width
Length Width
Length Width
e (-,Gcg 9'
Height Sq. Ft.
Height Sq. Ft.
Hgt/Ground Sq. Ft.
(3 se7vc�rr-
(- Q
Construction Type: Estimated Cost: $ to E� y
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
4
,r
DATE: APPLICANT: Tel. #
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ f Q .001 of Permit Valuation (1/10th%)
State Surcharge $ _ $.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:
01
SUBJECT
PER
City of Fridley
6 018 8
AT THE TOP OF THE TWINS
BUILDING PERMIT
f
ECEIPT NO
���� _ COMMUNITY DEVELOPMENT DIV.
------
i L ,
v PROTECTIVE INSPECTION SEC.
1 1 i
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
j 612-571-3450
910415
5/26/98
JOB ADDRESS 40 63 1/2 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4,5
16
Fridley Park Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Brian Nelson 40 63 1/2 Way NE
571-9636
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
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install basement egress window
9 CHANGE OF USE FROM TO
STIPULATIONS
Egress window must meet the State Egress 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
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
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
$'50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$300
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.
$21.00
PLAN CHECK FEE
TOTAL FEE
$21.80
SIGNATURE OF CONTRACT R THORIZED AGENT (DATE)
HEN PROPERLY V DATED THIS IS YOUR PERMIT
�FGo
4�1,GNAT'..EONWOWERZF
__X411
OWNER BUILDERI I ATEI
BIDG SP
BATE
01
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FANMY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: q0 -63 Z
Legal Description:
Owner Name & Address:
Contractor:
Address: 1�0 - <:;�
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Effective 1/1/98
o11
Tel. #,J -t/ I —(7636
MN LICENSE #
Tel. #
Atttach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF BIPROVEMENT
Length Width Height Sq. Ft.
Length Width Height. Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Estimated Cost: $ JQQ
co
(Fee Schedule on Back)
Ft x $ = $
DATE: S �� Cf �
APPLICANT:
B r" Con �� Tel. # 5_7 '� 6
CITY USE ONLY
Permit Fee
$
00
Fee Schedule on Reverse Side
"ire Surcharge
$
00
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 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
$
�` ' 80
STIPULATIONS: