PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N° 4256
Date: ..............---•--......... _
Owner: ... - ..._........ _........ _.._.................... Builder ../...` -_............. _..__....._._....._._._
Address
Address
LO ATION %BWDING
No. .2!fStreet ....... -L1...... ........ _ .... .._..........._-. .............. Part of Lot .................. _.......
Lot ....._..s�T�................. Block .... ....... "��............................... Addition or Sub -Division ed'r1.-......... __._._....._.....
CornerLot .................................... Inside Lot ......._ ........................ Setback '.'3- 71-0 ........... Sideyard /. ..............._..----------------------..._._.._...-
• Sewer Elevation
To be Used as:
.......... .......
'.r:.J.._............... .
Type of Cons�tru
Foundation Elevation
DESCRIPTION OF BUILDING
Front .7._.`.ptfP�........ Height_f.. Sq. �.�.-�l.°90Ft..Cu. Ft. I..../...
Front / _._... Depth ..'. Height /I Sq. Ft. '" _. Cu. Ft. �� 7
......................................................... Est. Cost ...........1,�.,�9.... -'—`ro be Completed ....._............._. ..............................
In consideration of the issuance to me of a permit to construct the buil g described above, I agree to do
the proposed work in accordance with the description above set forth an comp#pnce 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, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any o the provisions of said
ordinances.
Building. Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for these items.
4
r
SUBJECT
PNO•
City of Fridley
6151
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r i
NUMBER
REV
GATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L ' 612-571-3450
910-F15
6/5/98
JOB ADDRESS 850 66 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
2
1 Meadowlands
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Virginia Schilling 850 66 Avenue NE
572-8501
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Banner Roofing Corp6001 Lyndale Ave S, M ls., MN 55419 798-4970 20012044
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
8USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (18 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
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
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
$1,501
$.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 CON-
$51.25
Fire SC $1.50
STRUCTIO R THEPERFO ANC UCTION.
PLAN CHECK FEE
TOTALFEE
License SC
$5.00
$5 .50
SIGNATURE CONTRACTOR OR AUTHORIZED AGENT IDATEI
.001
PJWOPERLY V DATED TtA IS YOUR PERMI(T
` BLD INSP
GATE
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
r
NEW [ ]
ADDN [) CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
a---
ConstructionAddress:
Legal Description: _
Owner Name & Addt
Contractor:
Address: Aer�n
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Effective 1/1/98
6\ 1
��Af-'�
:I
. a Tel. # S7�2.
,P MN LICENSE #
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height. Sq. Ft.
Length Width H Gro n Sq. Ft.
�i�v
75 :7 �
Construction Type:&/Q
p
Estimated Cost: $ I
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft= Ft x $ _ $
DATE: - 3 '
APPLICANT:
Tel. #
CITY USE ONLY
Permit Fee
$
r
0 S
Fee Schedule on Reverse Side
Fire Surcharge
$
S-0
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
dy
$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: