PRE 2010 DOCSJ
0
BUILDING PERMIT
Village of Fridley, Minn.
Address .
i
N° 2973
Builder - ...--4 7 ...... ........
Address
LOCATION OF BUILDING
No. JR/?v ! ...... Street .Fes./... ... ..... Part of Lot .......................
Lot ..... I......... Block .... !1�7 ....... Addition or Sub -Division
Corner Lot ............ Inside Lot ... v....... Setback ... ✓....... Sideyard ..�d.���`%�! ✓�
DESCRIPTION OF BUILDING
To be Used as:
.... .. .. ..... Front �.. Depth 94 .V Height 4P711r
...
...... ....... Front ........ Depth ........ Height .........
a
Type of ConstructionAEst. Cost ..... D ...�..... .
/ �",
(174w, 0
Sq. Ft..1.4PP Cu. Ft. ........
Sq. Ft......... /Cu. Ft:....... .
To be Completed .dv............:...
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.
....................................................
In consideration of the payment of a fee of $!.. ..� t is hereby granted to Api_ !_ . .
. 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 with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
oz.sn ,
BUSINESS , C. E. COULTER
BU
CITY LOTS LAND SURVEYOR
TOPOGRAPHIC MAPPING REGISTERED UNDER LAWS OF STATE OF MINNESOTA
LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS
3300 LYNDALE AVE. SO. MINNEAPOLIS S. MINN.
TAYLOR 4-0370
51"TY-Ay 'r0A' C:C"
6-7
75
PLATTING
FARM SURVEYS
LAKESHORE
JUDICIAL
e
-- �
I e �
,ox�® 40
T hereby certify that the above is a true and correct plat of a survey of:
Lot Nine (9). Block Five (5), RICE CREEK PLAZA SOUTH ADDITION, Anoka County, Minnesota.
As surveyed by me this Ist day of May 1958 A.D.
`g
Si ned
�. Yinnesote Registration No, 2584
I
INDUSTRIAL 0 • C. E. COULTER
BUSINESS
CITY LOTS LAND SURVEYOR
TOPOGRAPHIC MAPPING REGISTERED UNDER LAWS OF STATE OF MINNESOTA
LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS
3300 LYNDALE AVE. SO. MINNEAPOLIS 8. MINN
TAYLOR 4-0370
5 -*-
0 -4mmeLm's
PLATTING
FARM SURVEYS
LAK SHORE
JUDICIAL
III
I hereby cprtify that the above Is a true and correct slat of, P) survey of:
Lot "Nine (9), Block Five RICE '-L.A 'A -,0TJ7rl ADT=JLO, kncka County, I innesota.
As surveyed I.,v ine this 1st I;iy of T -a --r lqr)t� A.D.
1-inne:iota Rk-,ristratlion 14,,. 2c64,
City of Fridley, Minn..
BUILDING PERMIT No %` �48
Date:
Owner: _.. ._ _ .....�r�,-t-.._� _. Builder ............ ...
Address _. ' -? _ Address _
ION OF BUILDING
No.. ..._.. Street ,
Lot ------------ ........_........ Block ...... _..................... Addition or Sub -Div],
Corner Lot .......................... _........ Inside Lot ............ .... Setback.&tiElevation
Sideyard-_--�}....�_Sewer Elevation....._......._...._......._..__....._..__.._..._....----..._...._..._............._... Fo _....... .........................
_...._.._...._._.__.._...._..__._..._..
DESCRIPTION OF BUILDING
To Im Used as:
_ --t-..... Front ...._,R� .--_ Depth ..., Height -d.+..._.. Sq. Ft. -,e Cu. Ft.�
..................... ...................... Front ...................... Depth ..... _............. eight ................. Sq. Ft. ...................... Cu. Ft......_...----------_..
Type of Construction ...... 7-e-- t�"C'. - Est. cos?.'
os :.._.._ ..tf..............._... To be Completed.................
THIS PERMITNOT AUTHOPIZE VIOLAT
ION OF ANY PRIVATE LANID COVENANTS A«D
BUILDING RESTRICTIONS-
In
ESTRICTION -
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,.-draployees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in M 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 tim' any of the provisions of said
ordinances. �/,7
Building Inspector
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 Mems.
..r:. � A� �� ..,...A+'rCr �,..rt "xPt� �� ..A • .n � � ea. �. AwiC
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
41/
Owners Name 0/ Builder de -4"2
Address ���r` �%�� -�✓,� °�1- Address c9
LOCATION OF BUILDING
No.
Street Port of Lot
tot Block. Addition or Sub.Div,
Corner Lot_Inside Logs/ --Set Back Side -Yard a
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
� r
out Depth_za Height'
Sq. Ft,�� Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft,
Type of Construction ,�Y � 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 representa-
tions stated in this application are truce and correct,
DATESIGNATURE
(A Se edule of Fee costs can be found on the Reverse Side.}
• Date:
Owner:
April 28, 1967
W. K. Williams
City of Fridley, Minn.
BUILDING PERMIT
Builder
Address 220 67th Ave. N. E. — Address
37VY3
N9 9210
A. B. C. Blacktop Co.
1308 Main St. N. E.
LOCATION OF BUILDING
No. 220.__,_.. Street_ 67th Ave. N. E. _ Part of Lot
9 5 Rive Creek Plaza South
Lot ____ .__ Block � Addition or Sub -Division __.._.._.._._..._.....
Corner Lot ---- Inside Lot — _ Setback
Sewer Elevation
To be Used as:
Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
Front _ Depth
Front --- Depth --
Type of Construction Asphalt Driveway�t Cost
3" Class 5 Stabilizer Minimum
2" Mat
Height — Sq. Ft.
Height _ Sq. Ft.
$225.00 To be Completed
In consideration of the issuance to me of a permit to c
the proposed work in accordance with the description above
ordinances of the city of Fridley.
Cu. Ft
Cu. Ft.
May 5, 1967
the building described above, I agree to do
h and in compliance with all provisions of
Inconsideration of the payment of a fee of $ 5 • CO , permit is hereby granted toA . B. C.
Blacktop 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 upon violation of any of the provisions of said
ordinances.
CLARENCE BELISLE
Building Inspector
NOTICE:
This permit does not cover the construction, hatagation for wiring, plumbing, gas heating, rower or water. Be son to see
the Building Inspector for separate permiu for these Nems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S UILDER Y'�) Z_4 CA -TOP
ADDRESS Z 7 /- V E ° V ° E ADDRESS 2:3 ® 8 " M Al tO ZS7i N, &
LOCATION OF BUILDING
NO. P O STREET % ��. %� PART OF LOT
LOT BLOCK S ADDITION OR SUBDIVISION g6'
CORNER LOT INSIDE LOT
SEWER ELEVATION
SETBACK SIDE -YARD
TOP OF FOOTING
Applicant attach to this form two certificates of survey of lot and proposed
building location drawn on these two certificates.
To be Used as:
DESCIPTION OF BUILDING
Front_
Sq. Ft.
Front_
Sq. Ft.
Depth
Cu. Ft.
Depth
Cu. Ft.
Height
Height
Type of Construction L 7- Estimated Cost�.5',
To Be Completed & (03 14
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 Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
4r
DATE /� SIGNATURE
(Schedule of Fee Costs can be found//nthe Reverse Side).
SUBJECT
PERM
City of Fridley
AT THE TOP OF THE TWINS
?
B U I L 1 N G PERMIT
9225
r
: � T NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
�
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L J` 612-571-3450
910-F15
4/15/99
JOB ADDRESS 220 67 Avenue NE
I LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
9
5
Rice Creek Plaz
South SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Richard Duehn 220 67 Avenue NE
571-7389
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Suburban Exteriors 9701 Penn Ave S STE 107,
Bloomington, MN 55431 881-8232
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
4289
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION CX REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (23 Sq) PT Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
$1,971 $.98
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 CMA E
PROVISIONS OF ANY OTHER STAT OR LOCAL LAW REGULATING CON -gyp
]ryM $62..25 Fire C $1.97
STRUCTION OR THE PERFORMAN F CONSTRUCTION
e'0�
PLAN CHECK FEE TOTA F E
Lic s SCP5 0 70.20
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
HEN elR Fly,A D T D 1IS PERM
d
SIGNATURE OF OWNER OF OWNER BWLDERI IDATE,
INSP PATE
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [,,]� SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: aa (0 � 1-11 (a U e, IV C -
Effective 1/1/99
6•a0
3
Legal Description:
Owner Name & Address: P ; C ho - v -JL D G e - k n Tel. #
Contractor: S L 6 (4 r h in ->c fi' ►' r S MN LICENSE # C l a
Address: C) i �} e rt n -- 1 �'% Tel. #
Sj) 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 Width Height Sq. Ft.
DECK AREA: Length W'dth Hgt/Ground- Sq. Ft.
OTHER:
—jp
Construction Type: Re. -r'00 --r Estimated Cost: $ I q e
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATEr L/ -/ y - q 9 APPLICANT: (U�m
Tel. # d 8 1 -S vq Z�,q
CITY USE ONLY
Permit Fee $ 6j:a S' Fee Schedule on Reverse Side
Fire Surcharge $ (. q � .001 of Permit Valuation (1/10th%)
State Surcharge $ , q S $.50/$1,000 Valuation
SAC Charge $ $1050 per SAC Unit
License Surcharge $ 5,06 $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 $ ®• a
STIPULATIONS:
CITY OFFR1DLEYINi3PEc-nON DIV.
6431 University Ave NE
Fridley. MN 55432
572-3604
APPLICATION FOR PLU
MARK NUMBER OF FIXTURES To Be
T
Stories
Urinal
New Factures
Tray TMy
Basement
$4.00
Seer Dispenser
$5.00
Blow Off Basin
$7.00
I
$7.00
Floor 1
3 7.00
!kLffnp/Rec:eIvIng Tank
37.00
Floor 2
..... .....
Water Heater —Electric
Ow
Floor 3
310.00
Gas Range"
$10.00
Gas Dryer"
$10.00
Back Flow Preventer Required )Yes No
Floor 4
$15.00
-.50,
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
New Factures
$7.00
Old Opening. New Fbcture
$4.00
Seer Dispenser
$5.00
Blow Off Basin
$7.00
Catch Basin
$7.00
Pain Water Leader
3 7.00
!kLffnp/Rec:eIvIng Tank
37.00
Water Treating Appliance
$10.00
Water Heater —Electric
$7.00
Water Heater — Gas" j
310.00
Gas Range"
$10.00
Gas Dryer"
$10.00
Back Flow Preventer Required )Yes No
Type—
$15.00
Reinspection Fee $42.00ft
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS -1
1.5% of Value of Facture or Appliance 9-,wp, 06
State Surcharge S .50
TOTAL FEE S
Effective On January 1. 1997
FITTING PERMIT
EACH FLOOR
Auto.Gas
&
Water Heater
Washer rwo Ran ge
Gas Sec
The un
preby makes application for a permit for the work herein
speciff
to do all work In strict accordance with the city codes
and rutin
g Division. and hereby declares thati all the facts
andre
NO
EMO
JOB ADD
J(J
The un
preby makes application for a permit for the work herein
speciff
to do all work In strict accordance with the city codes
and rutin
g Division. and hereby declares thati all the facts
andre
In this application are true and correct
• Y�q
Owner
fmce
Building
PERMIT NO.
PLUMS
WBOFAWWM
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A)
N IMT
TEL N0.
i Date Final Date -9--29-60
MINIMUM SIZE 9 SO INCHES.
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287
September 18, 2000
Rebecca Duehn
220 67 Ave. NE
Fridley, MN 55432
Re: Final Inspection at 220 67 Ave. NEN
Contractor: Mr. Rooter of Anoka Co.
Dear Ms. Duehn:
A plumbing permit was issued on May 4, 1999, for th ab
to install a gas water heater. According to section 471 N
Plumbing Code, a final inspection shall be conducted on
by this permit. As of this date no inspection has been cal
ove noted adds ,
800 of the State
e plumbing auth
le for.
You will be given thirty (30) days from receipt of this notice to r pond. If we do
not hear from you, we will expire the permit and any inspectionsthis
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
1
I
CIlYOE
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
September 25, 2000
Diane Haugen
220 67 Avenue NE
Fridley, MN 55432
Re: Final Inspection at 220 67 Avenue NE
Contractor: Mr Rooter of Anoka Co
Dear Ms. Haugen:
A plumbing permit was issued on May 4, 1999, for the above noted address, to install a gas
water heater. According to section 4715.2800 of the State Plumbing Code, a final inspection
shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has
been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from
you, we will expire the permit and any inspections on this installation will require a new permit.
Any questions can be addressed to me at 763-572-3603.
Sincerely,
DAV)DJJENSEN
Bui g Inspector