PRE 2010 DOCSVillage of Fridley, Minn.
BUILDING PERMIT
N? 1826
Date: ...... . .... ......................
Owner ........ ... ..
Builder .... .... ..... .. `/ E ..
Address ...................................... Address ... /.�...... .. ✓ �''C,�� ,
LOCATION OF BUILDING
No. .' r'2.. 5.... Street ......�..7 ................... Part of Lot .............................
Lot ...... ...... Block ..... 111:::� .......... Addition or Sub -Division .....G: �..1, .. ... .... .
Corner Lot ........... Inside Lot ...... Setback ..... Sideyard .�..... ��...
DESCRIPTION OF BUILDING
To be Use as:
c
...... ..... Front Depth . a2.. Height % - Sq. Ft. ........ Cu. Ft. ........
. ............ Front .1.2... Depth P.2.0 .. Height Sq. Ft. ........ Cu. Ft. ........
Type of Construction . � .... Est. Cost ... ®CSC ..... To be Completed ..................
-k
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.
"e
.....................................................
9 00
41
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 with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
-91
�- ` .................. Building Inspector
NOTICE:
This permit does not cover t 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.
t-4 0
rel
City of Fridley, Minn.
BUILDING PERMIT
Date: June 7, 1965
N° 7'751
per: C_ L. TAnger Builder Carlson Ls.Hine s Inc.
Address 525 67th Ave. N. E. Address 2$54 Columbia Ave. So
LOCATION OF BUILDING
No. 525 street 67th Avenue N. Be Part of Lot
Lot 5 _ Block 6 Addition or Sub -Division . Ries Creek Terrace.. Plat 4
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est. Cost h -a __ To be Completed
• Storm damage repair
•
In consideration of the issuance to me of a permit to construct the building described above I agree toy do
the proposed work Inaccordance with the description above set forth and in compliance with aft provisio of
ordinances of the city of Fridley. e? - _ — �I e
In consideration of the payment of a fee of permit is hereby granted
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, arotmd and upon said building, or any pmt thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota local3on, construction, alteration, anaintenaace, repair and moving of buildings
within the dty limitsr�andth S permit may be revoked at any time ups violation of any of the provisions of said
ordinamc.
Allen Jensen Building inspector
NOTICE:
'Ibis pumb dos not emu tho condmdloe, h►stallation for wiring, plumbing, on heating, sawu or wdw. Be sun to no
tin BuNW@ h goftr for nparats parmfts for than harts.
, Inc.
• 'o
OWNER'S IV.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
LOCATION OF BUILDING
No. Street Part of Lot
LOT BLOCK [�,. ADDITION OR SUBDIVISION
-�'-
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.
To be used as:
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu, Ft.
Front Depth Height,
Sq. Ft-. Cu. Ft.
Type of Conetructione.,O.� Ik,-I J° astimated Cost 4occ ,*`
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.
DATE'—SI GNATURE r
(Schedul° of Fee Costs can be found on the Reverse Side).
H, • i �y
P
i---- — ._ � �.----
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fes:./�!_.d_`__.�`�_T/_4�_. S ._�____. _... ___ __..._.___ _-..._____._._�
i
City of Fridley
SUBJECT
PE
® 13868.
AT THE TOP OF THE TWINS
BUILDING
PERMIT
• COMMUNITY DEVELOPMENT DIV.
r I PROTECTIVE INSPECTION SEC.
���/
1 = �
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L•"' �'� 612-560-3450
910-F15
11/9/76
10B ADDRESS 525 67th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
5
6
Rice Creek Terrace Plat
4 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Lynn Fisher 525 67th Avenue N.E.
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Finnish Sauna-Builders
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
SAME
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION EX ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
construct 51 x 61 sauna
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPtRATE PERMITS REQUIRED FOR WIRING,
IDEATING, PLUMBING AND SIGNS.
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
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,l OO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
.55
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-
$9
STRUCTION OF; THE PERFpAMANCE OF CONST 10
•00
PLAN CHECK FEE
TOTALFEE
^ —
9.55
SIGNATURE OF CORTTOR OR AUTHORIZED AGENT IDATEINP
P
VALIDATED THIS IS YOUR ER I T
zl�� P
BLDG SP
ynYY
l
DATE ,b
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR- REST DENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER'S NATBUILDER :�
ADDRESS : 7 �.z-QADDRESS :J� G
TEL. NO.: f
NO:. STREET:
LOT: BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIMARD:
Applicant attach to this form nio Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To die Used As:
/L� _ Front:
Depth: ( Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
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 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.
7 c�
DATE: / L � 1 � � SIGNATURE. .
(See Reverse Side For Additional Information.)
AUNA P c � G lv\ c. A
W.4
11#41111-6" or 8" CEDAR OR REDWOOD
ZOO'
-41
+.._ ,__ __ II
MuAlry Q^1111
Ic.
zet
-41L
fit
401
P60WOOD BASE
SE--cTION sciqB evvr- I'- e
H
lmltc3!3 SAUNA inc. D R W. NO. G&9 I if
MMMMATM; BUILDERS, INC. DATE
5738 ZPM AVENUE NORTH
MMMOOLiss KDDMOTA 55429
Endorsed by the Consulate of Finland
NSSAUNA
N�a
El
PGG M(A
7 2.', _ ---
@7 0 3/4
_@703/4"
-17
- -
�; i -- --- UPPER 4ENCH !9T/2 X'►a 4
t
X r�..N_ _
�fi �� RES•l" LOWER Z -i G - 2'j 1740
� I
GUF R O RAI L
mEtos
MGA.
L,GNT G(C '141 _
# R
R..._. _
12!
—2X4 67UD 5
—EXTERIOR FIN'sH
—1 N SULATI orJ
—
./gK4' Rcvw000
INTERIOR FINISH
1"x4"-6" or 8"
CEDAR, OR REDWOOD
.yam BENCH STOCK
11"x4" wA" FACE
or
2"x2" w/2 "x41f FA'
V1 S4S CLEAR STOCK
%9
DPTI NAL CONTROL Cad'HI
51/ %1
S/g �
WINDOW OPTIONAL
PLAN s Ela LE 3/4''-
A114 -d c I &xe 4 *d1f 4. AA."vee-v
m t®S SAUNA inc. DRW. NO. 09151 A
FINNISH SAUNA BUILDERS s INC, DATE M-4. r09
5738 ZANE AVENUE NORTH •
1++aNNFAPCLISa MINNESOTA 55429
Endorsed by the Consulate of Finland
SUBJECT
ERMIT NO.
City of Fridley
� 5 2 3 8
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
I?
REC O.
` COMMUNITY DEVELOPMENT DIV.
~ _--_
r � � PROTECTIVE INSPECTION SEC.
1 � �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
1
910-F15
7/2/97
JOB ADDRESS 525 67 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
6
Rice Creek
Terrace Plat 4 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Lynn Fischer 525 67 Avenue NE
571-7597
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Twin City Exteriors 9060 Zachary In N,
Maple Grove MN 55369 425-4737 2535
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 jo REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside House
9 CHANGE OF USE FROM
TO
STIPULATIONS
Install building wrap and have inspection of same unless
manufacturer's specifications state it
is not required.
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
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
1
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
$2,500
$1.25
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$83.50
SIGNATURE OF CONT FACTOR OR AUTHORIZED AGENT IDATEI
WHEN RRO�PE RLY ALI DATED THIS IS YOUR PERMIT
yP
BLD INSP MATE
SIGNATURE OF OWNER IIF OWNER SUILDERI IDATEI
NLW ( ) Effective 1/1/97
ADDN [ ] CITY OF FRIDLEY
ALTER [ ) SINGLE FAMILY AND DUPLEXES R-1 AND R-2� /'C
BUILDING PERMIT APPLICATION '(
ConstructionAddress:��
Legal Description:
Owner Name & Address: _4YAW Tel. # L5—'7/-
Contractor: =) MN LICENSE #,,-;? -
Address: % Tel. #
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 Width Hgt/Ground Sq. Ft.
OTHER:
o_-1
Construction Type: 5 Estimated Cost: $4'-d�c
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
i
DATE: !?16-4
i
-_
APPLICANT e) (D�& �� Tel.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY &
S r74 Schedule on Reverse Sidc
$ f .001 of Permit Valuation (1/10th%)
$_ 5 $.50/$1,000 Valuation
$ $950 per SAC Unit
$_ er'77 $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 [ J
5 D
$ W--3
D�
SUBJECT
NO.
City of Fridley
25619
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
1`COMMUNITY DEVELOPMENT DIV.
L _
� PROTECTIVE INSPECTION SEC.
r �
1 �
= CITY HALL FRIDLEY 55432
NUMBER
REV7
DATEPAGE
OF
APPROVED BY
L •�`� 612-571-3450
910-F15
10/21/97
JOB ADDRESS 525 67 Avenue NE
1 LEGAL
LOT N0.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
5
6
Rice Creek Terrace Plat
4 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
EXXXXM Lynn Fischer 525 67 avenue NE
571-7597
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Dale Cole Construction 6452 Bluebird Cir, Maple Grove MN 55369 559-2045
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6907
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION §j ALTERATION Lk REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (25 Sq) Tear -off; Window installation in kitchen (Bay)
9 CHANGE OF USE FROM TO
STIPULATIONS Underlayment must comply with the State Building Code.
Install smoke detectors to meet the State Building Code.
SEPARATE PERMITS ARE REOUIREO 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. OWLG. 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
$3,185
$1.59
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-
$87.25
Fire SC $3.18
it
STRUCTION O E P RFORM CE OF CONSTRUCTION
00
PLAN CHECK F E
T EE
L e SC
$5 00
$97.02
SIGNATUREO ONTRAC ORAUTMORIZEDAGENT IDATEI
HE PROY
VALIDAT D HIS IS YOUR PERMIT
') ♦ / r
V
16:,k
SIGNATURE OF OWNER,IF OWNER BUILDERI IDATEI
s
BL G INSP
BATE(
NEW Effective 1/l/97
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address: A' Y/l/ jl/ Tel. # _�'l /' 70 7
Contractor: ,) G c), MN LICENSE # 7
Address: 12111A,,f G 8 6)y Tel.%3-
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:
Construction Type:
DESCRIPTION OF IMPROVEMENT
Length Width
Length Width
Driveway Curb Cut . Width Needed:
Width
W / NJ.7,6 w
Ft. + 6 Ft =
Height Sq. Ft.
Height Sq. Ft.
Hgt/Ground Sq. Ft.
q dv
Uu
��a v
mated Cost: $� U
( e Schedule on Back)
_Ft x $
DATE: /'0 % APPLICANT: Tel. #�
CITY USE ONLY
Permit Fee $ �`1- �S Fee Schedule on Reverse Side
Fire Surcharge $ 3-13 .001 of Permit Valuation (1/10th%)
State Surcharge $ /. $.50/$1,000 Valuation
SAC Charge $ $950 per SAC Unit
-icense Surcharge $ .Q b $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
;ewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ 99,06Z
;TIPULATIONS:
r /
SUBJECTO•
City of Fridley
27717
AT THE TOP OF THE TWINS
BUILDING PERMIT
f
IPT NO.
_ COMMUNITY DEVELOPMENT DIV.
~ PROTECTIVE INSPECTION SEC.
l
NUMBER
REV
DATE
9/11/98
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
JOB ADDRESS 525 - 67th Ave NE
I LEGAL
LOT NO.
BLOCK
6
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
Rice Creek Terrace Plat 4
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Lynn & Sandy Fischer Same
571-7997
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Twin City Exteriors Co 9060
6 425-4737 2595
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 Reside
Storm damage repair
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering
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 BO 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
$500.00
$.50
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-
$21.00
Fire
SC $.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
License C $5.00
TOTAL FE
$27.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
N P PE L TED IS YO PERMIT
BLDG NSP
vv
r�iiE
S,GNATURE OF OWNER IIF OWNER BUILDERI IDATEI
r /
NEW [ l
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: `-a�5-- A
Legal Description:
Owner Name & Address: ol- YAM) -1-�A
Contractor: sc�i c� � LT -1 i�:-X
Address: `0 a ---;,9,H f2Y WA) A #
Effective 1/1/97
MN LICENSE #
�S�Tel- # '59025��(7 2—
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF MPROVEMENT
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: '-.--j-atI4 t) GLS � k Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x' $ . = $
TWIN dliy affEmalis
DATE: - APPLICANT: SUITE 108 Tel. # S' q7S
MAPLE GROVE, MOV 5538r
CITY WE *6MV73 r
Permit Fee
$
o�� �b
Fee Schedule on Reverse Side
Fire Surcharge
$
,..ry
.001 of Permit Valuation (1/10th%)
State Surcharge
$
.vrV
$.50/$1,000 Valuation
SAC Charge
$
�^
$950 per SAC Unit
License Surcharge
$_
�lj U
$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:
I
SUBJECT
P
City of Fridley
32351
AT THE TOP OF THE TWINS
BUILDING PERMIT
i �
•
R
w_ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
�®
NUMBER
REVOTE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 53432
L 612-571-3450
910415
12 / 7 / 01
JOB ADDRESS 525 67th Avenue NE
T LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
6
Rice Creek Terrace Plat 4
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Lynn & Sandi Fischer, 525 67th Ave NE, Fridley, MN 55432
763-571-7597
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Renaissance Exteriors, 2556 Highway 10, Mounds View, MN 55112
763-780-2000 202085
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Dwelling
7 CLASS OF WORK
C)l NEW O ADDITION O ALTERATION O REPAIR
O MOVE O REMOVE
8 DESCRIBE WORK
Replace 10 windows
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.
Caulking and flashing for all exterior openings.
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 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
$8,536.00
$4.27
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
A-
PLAN CHECK F
AL FEE
$5.00 i ense
$185.06
SIGNATURE OF CONTRACTOR OR AUTHORIZEO AGENT iDATE,
EN THIS PERMIT
_
:R4OPVALIPAIED
SIIS2YOUR
G/ • f I �� � 0�
S.GNATURE OF OWNERJF OWNER BUILDER. IDATEI
BlD iNSP
MATE
I
NEW [ ] Effective 1/1/2001
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: r 3— C 7 l- ✓) I P AIC—'
Legal Description:
Owner Name & Address: t\1k t iJL rq F� 1•�� r Tel. # 7 ( 2-271-11--Z7
Contractor.MN LICENSE#
Address: t S`S 6 wy %% I�i��,.,t 'r (�T��,, . %ice X77I,� Tel. # 7 o .?)
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 Width Hgt/Ground Sq. Ft
OTHER:
Construction Type: R e
9(.4) Estimated Cost: $
�
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
DATE: "(,'��� APPLICANT: r- Tel. # 61' ' 7741— 94V
CITY USE ONLY - Call (76`3) 572-3604 for Permit Fees if mailing in application
Permit Fee $ / 2. c2 Fee Schedule on Reverse Side
Fire Surcharge $ - .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 $ ® S-- v fo
STIPULATIONS:
Building
BUILDING
Permit No.,
Inspections
RESIDENTIAL APPLICATION
Received By
763-572-3604
CITY OF FRIDLEY
Date Rec'd;�9
DAA
YOUR E-MAIL ADDRESS
t) s ��
116—
SITE ADDRESS
THIS APPLICANT IS:
O OWNER ONTRACTOR
PROPERTY OWNER/
NAME:
TENANT
ADDRESS: CITY
STATE ZIP
CONTRACTOR
NAME: ra;r11 (117y c 7�ie /om2 S rn�,�•[i�
STATE LICENSE g EXP DATE
SUBMIT A COPY OF
,J W
YOUR STATE LICENSE
ADDRESS306074U,My /�
WITH APPLICATION
PHONE - FAX ,s-6`fS
PROPERTY TYPE
0 SINGLE FAMILY/NEW CONSTRUCTION SIZE
0 TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
0 ADDITION 0 GARAGE/SHED >FWINDOWS
0 BASEMENT FINISHO F 0 DRAM TILE
0 DECK IDING 0 OTHER
0 SWIMMING POOL
TYPE OF WORK:
0 NEW 0 ADDITION
D MA04MANCMEPAIR 0 REMOD LING
DESCRIBE WORK BEING DONE: –
SIZE OF 114PROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
Roo"NG
0 HOUSE ONLY
NUMBER OF SQUARES
0 HOUSE & GARAGE
BASEMENT
REMODELING SUBMIT:
O ATTACHED GARAGE
1.
2'
Existing Floor Plan
Proposed Moor plan
PRSARAGES OSIZE:
0 DETACHED GARAGE
3.
List of sWctural mentors to In used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
0 Vinyl
OSotrt
ADDITIONS.
& PORCHES SUBMIT:
Aluminum
' 0 Trim
1.
Site Plan/Swvey showing the existing structures
Other
0 Fascia
and proposed project
W-13 S
2.
Two sets of construction plans
IN EXISTING OPENINGS DYes ONo L� TION�
3.
Epergy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF _YJi/ T C
OTC
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED \ NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OTS — OCCUPANCY TYPE
Permit Fee $ See Back Page for Fee Schedule
Plan Review $ 65% of Building Permit Fee
Surcharge $ , (.0005) times the total job valuation – Minimum $.50
Fire Surcharge $ -7c) .001 x Permit Valuation (1/100%)
License Surcharge $ ;5-00 $5.00 (State Licensed Residential Contractors)
SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft + 6 ft = ft x $20 = $
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( )
Total Due - $ c 2(2 � Make checks payable to: City of Fridlev Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; that the work will 'be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work v tit h reAt: �evi�ewa_ndpprovohof plans.
Building PL E"iG Permit No.:
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CI'T'Y OF FRMLEY Date Recd:
763-502-4977 FAX EFFECTIVE
DATE I ® YOUR E-MAIL ADDRESS
SITE ADDRESS ri Z5 (fJ� N
THIS APPLICANT IS: ❑ OWNER CONTRACTOR
PROPERTY
NAME: Wjri _- L
OWNER/
ADDRESS: _57 s- 101 /V IU 1S CITY rd 4'6" STAT" IP a
TENANT
PHONE: 1V I-5111 -�T51T
CONTRACTOR
NAME: 014MAQ
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE
LICENSE, BOND AND
CERTIFICATE OF
STATE BOND # A ^ EXP DATE
S1 AICA # 9901 CITY STATE�ZIP �
INSURANCE
ADDRESS: l�' LGVI�I
PHONE—�5��%l FAX e+�' ILLE %°1q
PERMIT TYPE
*3INGLEFAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW SEPLACEMENT
DETAILED DESCRIPTION OF WORK I ;kl o
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE
$35.50.
SINK/LAV FLOORDRAINS _SHOWER _WATERPIPING
_BATH
GAS PIPING (NEED CITY LIC) _ SV;D&vUNG POOL —WATER SOFTNER ($35)
—BATHTUB _
WASHER SINK WATERCLOSET _BACKFLOW PREV. ($15)
_CLOTHES _KITCHEN
—DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION
WATER METER —OTHER
4 .{(lipy�E�t
i�� 'l hIS� iii P '!}.7 •�'�cb�'•'R 'G ,y� . y` `7+ ,S yE
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WE
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bt �'}h is t ��
kt ;�'ij'„'`"st„ r>�tr,
f.`...�; ..`�1� ta. S ,fit k%,.~ti . 'I. "P; y�. � .. .1!. ”' �`^ ua'G �;f 11 •'s. I a.
�i'I��� Ell
'.. ..y:
EKiR'.�:
�'�
�arr;�ii1ry
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance
with the approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT ` PRINT NAME Yjl6k C ��v DATE Lv
PLEASE NOTE: SEPARATE'PERIMIT . ARE REQUIRED FOR BUILDING:. ELECTRICAL. AND MECHANICAL WORD.
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977