PRE 2010 DOCSCity of Fridley, Minn..
BUILDING PERMIT N9(::5:5:4:4
Date:
Owner: ` r '� "' "s :Builder -- --
Address __ Address
r.
LOCATINOF BUILDING
No. _ _ $freet... _ _ _ m. Part Lot
Lot �, Block" Addition or Sub-Divisi -
Corner Lot _ ' Inside Lot Setback Sideyard _Za�
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To J9 Used . ,%
J�Front Depth Height Sq. Ft. A Cu. Ft. � e
DepthH t Sq. Ft.. _ _ Cu. Ft.
Type of Construction F 1'' �. Est. Co 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
prdiaances of the city of Fridley.
In consideration of the payment of a fee of $-pL,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, 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.
•: Building Inspector
NOTICE:
Ibis permit does not cover the construction, installation for' •vArlm, plumbing, gas hosting, sewer or water. Be sure to sae
the Building Inspector for separate permits for thea Items. " ',1
APPLICATION FOR BUILDING PROM
CITY OF FRIDIEY, KDHMSOTA
Owner's Name Builder_
Address Address
LOCATION OF MIMING
No. Street 6.3 5 Part of Lot
Lot Block Addition or Subdivision -B
Corner Lot ` side Lot Setback -�Side-Yard /O
SEWER ELEVATION FOIINDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
Sq. Ft.
DESCRIPTION OF MIMING
s Depth � `/ight--�J—
Cu. Ft.
FrontDepth 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,
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.
DATE 4/4 6 ® SIGNATURE
(A Schedule of Fee Costs can be found on the Reverse Side.)
City of Fridley
Application for Plumbing and Gas Fitting Permit
DepL of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORKi t.
Number. Kind and Location of Fixtures Location 135 – 63� uu
City of Fridley:
47 I
NO. RATE
TOTAL
Number Fixtures ...................... 7
x $1.50 $
10.50
S
Z
Z
8
Z
OOj
,J
1�U''
Z
•
F
i
N
WATER HTR.
GAS
ELEC.
GAS FITTING FEES:
NO. RATE
TOTAL
1st 3 Fixtures .......................... __
x $1.50 $
1.50
o
x .50 $
0
5
x 2.00 $
0
Description ................................................$
TOTAL FEE $__14.
00
Base
1
1
1
1st
1
1
1
1
1
isoos
1
2nd
_
3rd
_
4th
• Future Connection Openings
Connected with
Sewer El
New Fixture, Old Openings
Cesspool E]
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures ...................... 7
x $1.50 $
10.50
Future Fixture Opening ................
x 1.20 $
New Fixture Old Opening ..............
x 1.00 $
Catch Basin ............................
x 3.25 $
Water Heater (Up to 200,000 BTI) ......
x 2.00 $
2.00
New Ground Run Old Bldg . ............
x 3.25 $
GAS FITTING FEES:
NO. RATE
TOTAL
1st 3 Fixtures .......................... __
x $1.50 $
1.50
Additional Fixtures ....................
x .50 $
Gas Range to 200,000 BTU ..............
x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $__14.
00
N.E
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.
Fridley, Affnn , Sept. 15
Owner Paul Schwartz Const. Co.
Kind of Building Frame
Used as Dvie l l ing
To be completed about December 1591961
Estimated Cost, $ 800.00 � ' p
Old—New. Building Permit No Permit No.
Sig ned STANDAPA PIRMNr a kpp� Pcian,
By
Rusin ss Phone No V.iffi35�89��
ROUGH
FINAL
.40OA2 2M 7-59
01
Application for Power Plants and Heating. Cooling. Ventilation,,ReMgeration andAir Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL,
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 8.00
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 ....... :...... 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
OIL BURNER—to 3 gal. per hour ........................
5.00
$
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) .......................
5.00
$ 5.00
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
x $1.50
$ 1.50
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$ 14.50
JROUGx Plan R-1 on file
. FINAL
Dept. of Bldgs. Phone SU 4-7470
Location 135 - 63J Wear N. E.
City of Fridley:
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.
Fridley, nn 10-2-61 , 19 —
Owner Pawl sch.yartz i onAtpactien co
Kind of Building 'r •
Used as Re S .
To be completed about 11=2-61
Estimated Cost, $ 500.00
Old—New. Building Permit No. KP.rmit No. / ce '76
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No 1
Trade Name Westinghouse _ Size No GIIE--100
Capacity Sq. Ft. E.D.R 100M g H.P.
Total Connected Load 459631 Kind of Fuel Gas
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
FRED VOGT & CO.
Signed HEATINGS & AIR CONDITIONING
By 6530 West Lake St. * WE. 9-6767
St. Louis Park, Minnesota
-1�jfw 42 2M 7.59 Business Phone No
•
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-3 q/-)-7
City of Fridley, Minn. N° 9428
BUILDING PERMIT
Date: August 30, 1967
Owner: Dale Anderson Bider Mi 1 Pc Cont -
Address 135 63a Way Address 4500 Lvndale Ave, North
LOCATION OF BUILDING
No. 135 ___. Street — 63-,- Way N. E. _ Part of Lot
Lot _ 3 __ Block 1 Addition or Sub -Division ;Yg.. F.xjS0 Qn R i ver Manor
Corner Lot , Inside Lot — Setback Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Garage Front ^29' Depth 22' Height ._, 10' Sq. Ft. .440 Cu. Ft. 4449
Front Depth _ _ Height Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost ` $1700.00 __ 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 het fopand compliance with adl provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $—Z _-00 , permit is hereby fitted to Miles Const.
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 sagid building, or any part thereof, shaII conform in all respects to the.onainanoes of
with n the dolii wand this location, construct%n, alteration, maintenance, repair asci moving of buildings
ty permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
CLARENCE BELISLE
Building Inspector
NOTICE:
Sit permit does not cover the construction, Installation for widng, plumbing, gn hooting, arror or Water. Be sure to we
the Building inspector for separate permits for thea hens.
CI-C'i Of FRIMEY, MINNESOTA
OWNER'S NAME ►4 Y� \r S Q k---'Rtv s ?,DER , ` S Cv kn, C. L -
ADDRESS 3Ql'4 _ ADDRESS
LOCATION OF BUILDF G
N0.
3S� STREET C� � r�i � � �l PART OF LOT
LOT BLOCK ADDITION OR SUBVISION
DI
CORNER LOT INSIDE 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.
DESCRIPTx0,1 OF BUILDING
To Be Used As:
�—� Front Depth 2-^Z Height
Sq. Ft. `�U Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
00
Type of Construction Estimated Cost 42
To Be Completed �C�
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 tr a and correct.
;; .
DATE 2 SIGNATURE I G
(Schedule of Fee Costs can be found on the Reverse Side).
LAND SUR V E CORS
l,° �'•� s rJ< p<f�� L/I 1� )A�yJ�rl1�j/j,,.�
moi' �., '+ irf •`�..� f7 u ,11 �x"' 4.✓ i1' fV H f1 Yr v •.Y !J 4f —0
fX t �I .. •. �, d o 1 0 6 2 1 FRANCEA VC. SOUTH
MINNEAPOLIS 20• MINNESOTA
HARRY S. JOHNSON !, T...DO o.zlco
ROBERT R. MEREDITH Rr
Ct 5
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03
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. _ _. __ - - _ .�•�� d�+�1-YF/✓?Yi.ta2l-lL)rL O� CZ•y�•. _
City of Fridley1�4�68
SUBJECT
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
EIPTNO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
a
77-o-767
".—I
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATEPAGE
OF
APPROVED BY
,,
L 612-571-3450
910-F15
9/25/79
JOB ADDRESS 135 - 63h Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
1
Eva Erickson River Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dale Anderson 135 - 63h Way N.E. 560-6829
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
Re side t' 1
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 'x1" GarAge.AddLtbon
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR WIRING#
HEATING, PLUMBING ANIS Sim
WARNING
Before digging cell local ub'litles
TELEPHONE - ELECTRIC • GIS Ek
REQUIRED BY LAW
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST,
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood frame
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
300
3000
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,5511
$1.26
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.
$12.00
PLAN CHECK FEE
TOTAL FEE
$13.26
SIGNATURE OF PONTRACTORO AUTHORIZED AGENT (DATE) r
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
Ap�'
_ (1 'g am
BLDG WSP DAT
SI NATUR OF OWNER dF OW ER BUILDER) (DATE)
1
CITY OF. FRIDLEY
Mie 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 arej true and porrect.
DATE 1 SIGNATURE:
Stipulations:
oL
a
• APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
' OWNER: BUILDER: -�� kad-rrSon
ADDRESS: ��� €7� (J<I .— ADDRESS: cam•
TEL NO: i j0 — TEL NO:
- Construction Location
• - STREET NO: STREET: 6J]&
LOT: -BLOCK: I ADDITION: E-1- 1, OL (C_ Y)
Rt'J�.�(
A
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.
0 DESCRIPTION OF CONSTRUCTION
nt: Depth:' l Height:
�U .
Squane.Feet: 2W Cubic Feet: �V
Front: Depth: Height:
Square - Feet: Cubic Feet:
Type of Construction: GSD Estimated Cost: $
��
Tb Be Completed: ®�`�''• /S� / l%'9 '
Alt. A
Alt. B
Proposed Driveway Width If New Opening Is Desired:
SEE REVERSE SIDE
OF SHEET .
Mie 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 arej true and porrect.
DATE 1 SIGNATURE:
Stipulations:
oL
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LAvo stir# vC 70WS
C�:•,y,til� -/v'y- IWi-� •���` f%ilja��it - 10'621 rItANCE AVE. SOUTH
MINNEAPOLIS 20. MSHNr SOTA
HARRY S. JOH?:SON �� L TUxcoO 0.2100
R-DUCUT Y.; MEREUSTM
(�pb a �,
13C
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dle
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N g 3 00
jai w„ -
• ti.. LAND SURVE�VORSS ,
t''�':� - r :� -1.. j •. ; . �, a -� r to '� cr ' 1 11 t�1 '%�� /_�. <I01111.SOM
C:� dJ �/ .l� ; ,� � �.; C �� ' J tLls G •l v :J _ ., (ss� s/ E F\ F 1 /�'I(/ .r^' z
�S:.�ve�//._zot,,: ��w.o �)eu�,ln.,nce.st C'n - . e.� � ��'' �✓.f:�C%rui�i/
• 10'621 TRANCEAVE. lOUTN
MIN NEAAOLIS* 20. MINNESOTA
HARRY S. JOHNSON �� � t. TUXEDO 8.2100
ROBERT B. MEREDITH
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224082 {
TWO , bent ure , Made of ......June
i�tween ......._......_..... _....� . -.- . ,LroDevelopmPn Company __....._ ...._ _......._...._.. ... .n ...
a corporation under the laws of the State of...Mnng� ,,, _ ,_, .... ,. _....., party of the first part, and
_........._.......... .............. ......�'i7lty....
Jla7C88WAY- ii under the laws of the State of. U:TM- - .. ........ ......_........ _..�....-....-.� ._. _... ._.._...._
party of the second part,
Witne0etij, That the said party of the first part, in consideration of the sum of
_One dollar and other good and valuable consideration - - - - - - - - - - - LL.4BS,
................_...................................................................................................................._..� ................. _........DO
to it in hand paid by the said party of the second part, the receipt whereof is hereby acknowledged,
does hereby Grant, Bargain, Quitclaim, and Convey unto the said party of the second part, its
successors and assigns, Forever, all the tract ...... _....or parcel._._......of land lying and being in the County
Of. --7 _.. State o f Minnesota, described as follows, to -unit:
Ease'ment'over the 11%resterly twenty (201) feet of Lot Three (3) and the Easterly
Twenty (201) feet Lot Four (4), Block One (1) Eva Erickson River Manor
for street and highway purposes and for purposes of engress and egress to
that land lying immediately North of Eva Erickson River Manor Addition, if
necessary. If said easement is not exercised by the City of Fridley within
15 years from date hereof, said easement and all rights therein shall be
at an end and terminated.
Deed Tax Paid $ f o
Receipt No. /-'
WALTER D. DOWERS
A: County Treasure
by
r
Deputy
To jbacbe anb to )boib the OMMC, Together with all the hereditaments and appurtenances there-
unto belonging or in anywise appertaining, to the said party of .the second part, its successors and assi7ns
Forever.
„tn n �D"h "I",
CITY OF FRI®LEY
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 56432
TELEPHONE ( 812)571-3460
January 27, 1982
Mr. Dale Anderson
135 - 63)j Way N.E.
Fridley, MN 55432
Re: Garage Addition Construction, 135 - 63ZI Way N.E., Building Permit
#15480 Issued 9/25/79
Dear Mr. Anderson:
An on-site inspection was conducted on January 27, 1982 to check the
status of the above noted construction. It was determined that the
construction was discontinued before completion of the addition.
A building permit becomes null and void if work or construction authorized
is not commenced within 60 days of issuance, or if construction or work
is suspended or abandoned for a period of 120 days at any time after the
work is commenced.
Therefore, the above noted building permit has become void and a new
building permit must be obtained before continuing with the completion
of the garage addition.
If you have any questions on this matter, please feel free to contact me
at 571-3450.
sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
L ► i l Ur rn111LLY
APPLICATIDN FOR PLUMBING AND GAS FITTING PERiIT. -_
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. HATE TOTAL
New Fixtures. ; 5.00 $
Future Fixture* $ 3.50 $
Old Opening. New Fixture $ 1.50 $
Beer Dispenser — S 4.00 S
slow Off Basin $ 5.00 $
Catch Basin $ 5.00 $
Rain Weta: Leader S 5.00 $
Hydraulic Valve S 5.00 $
SUMP or Receiving Tank S 5.00 $
rater Treating Appliance $ 7.00 $
Not mater Neater $ 5.00 $
Gas Rangs S 10.00 $
Gas Dryer ; 10.00 $
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It, of Value of Fixture or Appliance $
Reinspection tea $ State Surcharge $ .50
/ }�
TOTAL FEE
Job Address
Department of Buildings _ —
City of Fridley -
Tel. •S71-3450
The undersigned hereby makes application for ._permit for the work herein
specified agreeing to do all work in strict accordance with the City Codea
and rulings of the Department �f-��ildings,-and hereby declares that all
the facts and representation9_s_tates!_ln this application are true end•-cOrcect-
Fridley, Mn.
OWNERr S— 71
KIND OF BUILDING --
USED -AS
1'0 BE COMPLETED ABOUT gam• a---_ - _ - --
— ESTImA-ED C.,ST
OLD - NEW BUILDING PERMIT NO. PE"IT NO.
9
CompanyC
Il
Signed By`' J
Tel. No.
kc)L;-h INSP.
Date
l%
FINAL INSP.-
Date —
A11FkCr✓A.L FOR
MINI!1114 FEE FOR ANY PLUMIJING VLRJ4IT IS $10.00
PLUS THE $.50 ST4TE SURCIIAkGE _
M
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Mater
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lot
2nd
3rd
4 th
(R) - Future Connection Opening
Connected with Sever
(61 w New Fixture. Old Opening
Mates
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. HATE TOTAL
New Fixtures. ; 5.00 $
Future Fixture* $ 3.50 $
Old Opening. New Fixture $ 1.50 $
Beer Dispenser — S 4.00 S
slow Off Basin $ 5.00 $
Catch Basin $ 5.00 $
Rain Weta: Leader S 5.00 $
Hydraulic Valve S 5.00 $
SUMP or Receiving Tank S 5.00 $
rater Treating Appliance $ 7.00 $
Not mater Neater $ 5.00 $
Gas Rangs S 10.00 $
Gas Dryer ; 10.00 $
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It, of Value of Fixture or Appliance $
Reinspection tea $ State Surcharge $ .50
/ }�
TOTAL FEE
Job Address
Department of Buildings _ —
City of Fridley -
Tel. •S71-3450
The undersigned hereby makes application for ._permit for the work herein
specified agreeing to do all work in strict accordance with the City Codea
and rulings of the Department �f-��ildings,-and hereby declares that all
the facts and representation9_s_tates!_ln this application are true end•-cOrcect-
Fridley, Mn.
OWNERr S— 71
KIND OF BUILDING --
USED -AS
1'0 BE COMPLETED ABOUT gam• a---_ - _ - --
— ESTImA-ED C.,ST
OLD - NEW BUILDING PERMIT NO. PE"IT NO.
9
CompanyC
Il
Signed By`' J
Tel. No.
kc)L;-h INSP.
Date
l%
FINAL INSP.-
Date —
A11FkCr✓A.L FOR
MINI!1114 FEE FOR ANY PLUMIJING VLRJ4IT IS $10.00
PLUS THE $.50 ST4TE SURCIIAkGE _
f
A®PLICATION FOR POOCR PL..NTS AND HEATIrf rC.,LIW.
AIk i.ONL)1 i 1ON1% `' `LMS AN t t5
RATE SUEDI3L
RESIDENTLz L
Furnace Shell and R.ct W--rk,
Burner (Also rep.1cemment furnace; $ .10.00
Gas Firing $ 10.00
{piping needed with new furnaca,
Gas Range $ 10.00
Gaff Dryer S-0.00
* Air Conditioning (all ®izes) $ 10.00
All Others/Repairs and Alterations
11 of Value cf Appliance or work
CC" ERCT A, -,`INDUSTRIAL
Is --: Value of Appliance or Work
state SvL.
mr—AL me
Reins -tioe: Fee ($15.00)
—.c ..s oc —Y ., V"00
wQ��(�a
s to /D/2 ` !.gr 19__
Frei KIND ti.F L Frei
BSTIMA4ka� C'� 9 ] ®tl
30
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RDi?Sii :8p. HL r rGWLR PW"
Date
�
YD Tp ,P vry
, e
Final snap. �L r�
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AFe.oval for Perzit -�.. i ii (� „$: :, r,:,: - 31 71 -Y—
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SUBJECT
RMIT NOS
City of Fridley
760
AT THE TOP OF THE TWINS
BUILDING
PERMIT
''
E �
NO.
L'__--_ COMMUNITY DEVELOPMENT DIV.
SEC.
f E PROTECTIVE INSPECTION
i CITY HALL FRIDLEY 55432
; ,,�
NUMBER
pEV
DATE
PAGE OF
APPROVED By
----
L J` 612-571-3450
910 415
6/23/99
JOB ADDRESS
135 63 1/2 Wa NE
i LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
3
1
Eva Erickson River Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Dale & Betty Anderson
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Ken Ban sued Constr. 8805 Davern Ave. NE Monticello 55362 868-2411 7408
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 EF REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house and garage (26 Sq) Tear -off
9 CHANGEOFUSEFROM 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 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
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
$2272
$1.14
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE R LOCAL LAW REGULATING COW
Fire SC $2.27
STRUCTION OR THE PERFORMANCE F CONSTRUCTION
$83.25
PLAN CHECK FEE
TOTAL FEE
66/5
License SC
$5.0%
$91.66
SIGNATURE OF CON',ACTOR OR AUTHORIZED AGENT iDATE.j
�WHEN PROPERLY
O
BL INSP
IDATE THIS IS VO,UR PERMIT
Tj&TE
S,GNATURE OF OWNEROF OWNER BUILDER, IDATEi
NEW[ l Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY o
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 1-3
Legal Description:
Owner Name & Address: U,( Y !S Q %� �l� ��v fodt Tel. #
Contractor: k/,P- h a 1., S 6,1 SI'K MN LICENSE # `f
Address: �� �a �Cd� ��' z /% MOtiliee/(o Tel. # 2y//
Attach to this application, a Certificate of Survey of the S5 3 4 I;t
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:
Construction Type: �`_ o l Estimated Cost: $ OU 7.-2
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE: APPLICANT:
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
M91
Tel. #
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ ]