PRE 2010 DOCSBUILDING PERMIT
i
N° 2483
Village of :Fridley, Minn.
Date q'• �c�f�r
'� �j� ......................... .
Owner
Builder x?p„�!` ........................
r ...... .
Address......... y�•�%• "
' Address ........................................,
I
LOCATION OF BUILDING
No.%r,Y9........
1. Street , s a*.*. ,- .�'�,' ............. Part of Lot .......................
Lot ..... `j ....
Block ....... 7...... Addition o r Sub -Division " •. .' .. Z.
Corner Lot .......
{ .... Inside Lot ... 4-!`...... Setback s* •-.r Sideyard .fjz.................
DESCRIPTION OF BUILDING
To be Uss/e��das:
�i►L+ Y` .
Front / ... Depth OL*/ ... Height/k...... Sq. Ft. 10.4. Cu. Ft........ .
�r•I
...
Front IX... Depth .,i/.... Height ......... Sq. Ft.Cu. Ft, ........
Type of Constructiol
... Est Cost'. Ry„ ....... To be Completed !Olk0:0W= ...
In consideration!
i
I
I
of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work '
accordance with the description above set forth and in compliance with all provisions of
ordinances of the vil
age of Fridley.
...................................................
In conside tion
�1 7k14i+.. ��I
f the payment of a fee of $. permit is hereby granted to ,:
... to construct the building dr addition as described above. This permit is gr ted upon
the express dftio
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 r
agarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits
d this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
m
..�.. Building Inspector
NOTICE:
This permit d�Oes
not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Ele
sure to see the Building Inspector for separate permits for these Items.
City of Fridley, Minn. N0 10 6 0 3
BUILDING PERMIT
Date: _ April 10, 1970
owner: Joseph Krauter Builder Eames
Address 548 - 67th Avenue N.E. Address Same
LOCATION OF BUILDING
No. _548 Street 67th Avenue N.E. _ ____ part of Lot
Lot _.._ 5 --- Block 7 Addition or Sub.Division .-Rice Creek Terrace P1at 4
Corner Lot _ Inside Lot _ _XSetback __ Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Storage Shed Front _L2_L Depth 8 Height 6 Sq. Ft. 96' CU, Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Wood Est. Cost __.. 65.00 _ __ To be Completed June 1, 1970
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 Vt, forth andin comp ce with all provisions of
ordinances of the city of Fridley. o_�
Inconsideration of the payment of a fee of $ 5 _ ()0 —,permit is hereby granted to Jagpb
Krauter 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 �
city limits and this permit may be revoked at any time upon violation of any of the provisions of said
\iLP
— Building Inspector
HANK M[THICH
NOTICE:
This peso t does not cover the construction, Installation for wirt g, Plumbing, gas hooting, sewer or water. Be sore to an
the Building hupeetor for wpm" permhs for these Henm
w 4 F
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S. NAM: Jo S'e Phi �e/W&/BUILDER:--S�L-�
ADDRESS • S�'� %'-1i� ADDRESS • 5..�
NO:. STREET: �$
LOT: BLACK: "7 ADDITION: /J«� �,Q�p�/� T 4e PX,T z1
CORNER LOT: INSIDE LOT: X SETBACK: 40 P SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As: G
Vie.-kv YX•0 40 -Front: o� / Depth: ® Height:
11
Square Feet: Cubic Feet:
Front: Depth: -Height:
Square Feet; Cubic Feet:
Type of Construction:
TyP 4%d ® Estimated Coat: $ ��
To Be Completed: %0
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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: �y��"' 70 SIGNATURE:
(See Reverse Side For Additional Information.)
u
11
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City of Fridley, Minn..
BUILDING PERMIT
Date: June 3, 1965
N° '7696
Owner: Joe M. 8rauter Builder G. & M. Construction, Inc.
Address 5 : 48 67th. Ave. N. E. Address 3452 Fremont Ave. No.
LOCATION OF BUILDING
No. 548 street 67th Avenue N. E. Part of Lot
Lot 5 Block 7 Addition or Sub -Division Rice Creek Terrace, Plat 4
Corner Lot , inside Lot Setback _ _ _ Sideyard
Sewer Elevation Foundation Mevation
To be Used as:
DESCRIPTION OF BUILDING
Front - Depth Height Sq. Ft
Front Depth Height Sq. Ft.
Type of Construction Est Cost _W4e.4Q__ To be Completed
Storm Damage Repair: Rebuild to Original
In consideration of the issuance to me of a permit to construct the
the proposed work in accordance with the description above met
ordinances of the city of Fridley.
Cu. Ft.
Cu. Ft
above I agree to do
16 a'll provisions of
In consideration of the payment of a fee of $ 10,00 , permit is hereby granted to G, & MCo_ nst - T IIIc •
JOn MUM to construct the building or addition as described above. This permit is granted upon
the express oandition that the pera�n to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any pari thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota reg gg location, construction, alteration, maintenances repair and moving of buildings
wlthffi the city limits aadthis permit may be revoked at any time upon violation of any of the provisions of said
ordinano.
Allen Jensen Building lnqmtor
NOTICE
This permit don not cam the condrudbe, inuetlstien for whiny, phi nbing, gn hesdng, sewer or wrier. Be nun to no
the Building kqm for for sepwaft pwnft for thea tuna.
a_ 0
APPLICATION FOR•BUILDING.PERMIT
CITY OF FRIDLEY,. MINNESOTA
OWNER'SI:/
ADDRESS
LOCATION OF BUILDING
No. 7
-Street . Z .Part of Lot
Lot Block Addition or Subdivision
Corner Lot Inside �Iot Setback .Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applieant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn -on these Certificates.
DESCRI ON OF 43UILDING ".
To be used as
ont Depth eig
Sq, Ft. int.
Front � Depth Height
Sq. Pt.
Type of Construction_ latimated Cos Q < ad
To be Completes
The undersigned hereby ma kes'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 cif .the Department,. of Buildinga,, and hereby declares that all .the facts and
representations stated in this application are true and correct.
DATE .7 - G SIGNATURE
,,( Schedule of Fee Costs can be found on the Reverse Side).
June 19, 1965
To the Honorable Mayor and Council of the City of Fridley:
re: Petition of Floyd J. and Lorraine Ordemann for waiver of
side lot set -back requirements from ten feet to five feet for
construction of a combination dinette -family room at 540 67th
Avenue NE.
I am the owner of the property at 548 67th Avenue NE which abutts
the subject Ordemann property on the east. I understand that the
petition if granted will reduce the side lot set -back adjoining
my property from ten feet to five feet and that an addition for
living area will be constructed within five feet of the lot line.
I hereby agree to the grahting of the set back waiver as requested
and therefore do not now object nor will I object in the future.
Joseph Krauter
v
i
7,0 1,
June 19, 1965
To the Honorable Mayor and Council of the City of Fridley:
re: Petition for waiver of side lot set -back requirements on the
easterly side of 540 67th Avenue NE, from ten feet to five feet
for the construction of a combination dinette -family room.
The undersigned are the property owners of 540 67th Avenue NE
in the City of Fridley. This property was severely damaged in
the storm of inlay 6, 1965, and in reconstruction we desire to
close in and convert to living space what was previously a
covered open porch behind an attached garage. This addition
will have no windows facing the property which adjoins it to
the east, 548 67th Avenue NE, will be finished off in a
workmanlike manner, and will be a credit to the general area.
The contracter performing the work will be Quality Homes, Inc.
the original builders of the house. The adjoining property
has a garage and porch facing the addition. The permission
and consent of this property owner to the waiver is attached
as well as a sketch of the proposed addition.
Your petitioners pray that this petition for side lot waiver
be granted.
Respectfu ,
FI, yd J Qrdemann
14,Z �
Lorraine Ordemann
5' mi n.
16'
NOT TO SCALE
M
N
54S 67th Avenue NE 1 540 67th Avenue NE
SUBJECT
RMIT
City of Fridley
18 2 6 9
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEI
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEY 55432
--•.�/"','�
L 612-571-3450
910-F15
10/28/85
JOB ADDRESS 548 - 67th Avenue N.E.
1 LEGAL
LOT N0.
5
BLOCK
7
TRACT OR ADDITION SEE ATTACHED
Rice Creek Terrace Plat 4
DESCR.
SHEET
2 PROPERTY OWNER MAILADDRES$
ZIP PHONE
James Nihart 548 - 67th Avenue N.ER.
571-979 -
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
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Install a fireplace t'1 t r
—
9 CHANGE OF USE FROM TO
STIPULATIONS
1. Provide combusion air for new fireplace or existing furnace.
2. Install products of combusion fire alarms in lower level and bedroom
of home.
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
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
$850.00
$.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-
$ 155.00
$
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$15.50
SIGNAT OFCONiRACTORORAU E ENT to I
...,...-- �. ® mss'
WHEN PROPERLY
BLDG INSP
VALIDATED THIS IS YOUR PER IT
DATE
SIG NATURE OF OWNER IIF OWNER BUILDERI ATEI
NEW [ ]
ADDN. [ ]
ALTER. [ ]
Construction Address:
City of Fridley
�R-1 AND R-2
Building Permit Application
5'1 g & 7 Aw- 0.16,
Effective 4/1/84
Legal Description:
Owner Name &Address • JAMES MES J
/�h�� 5�8 6 7 4 . #
� Tel
Contractor: Tel. #
Address:
Attach to this application, a Certificate of Survey of the
t, With the proposed construction drawn on it to scale.
/��a'�/�c71� DESCRIPTION OF IMPROVEMENT
LIVING A ength Width Height Sq. Ft.
GARAGE AREA:
Length
Width
Height
Sq. Ft.
DECK AREA:
OTHER:
Length
��'sN q
Width
al 1�4�_�zeio
Hgt/Ground l
Sq. Ft.
f`
h1; 6
Corner Lot [ ]
Inside Lot
Ft. Yd. Setback
Side Yard Setback
Type of Construction:
Estimated Cost:
$ 6_10 r
Approx. Completion Date:
Proposed Driveway Width If New Opening Is Desired:
Alt. A Alt B
$ $
See Back Page for Explanation
DATE:
APPLICANT: Tel. #-571— �'7 g
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
G
CITY USE ONLY
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 [ ]
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Susp/Receiving Tank
Water Treating Appliance
Mater Heater - Electric
Water Water - Gas
Gas Range
Gas Dryer
Back Flow Preventer Required ( ) Yes
Type
RATE TOTAL
$
7.00 - $
S
4.00 - $
S
5.00 - $
aw.
a
S
b
$
u
$
M
o
10.00 - $
Water
A
y
w
�wwqq
J
10.00 - $
S
}�
r.
C .44
•r b
m
A
5.00 - $
u
p,
a
5
Neater
~
a
~
�
N
p�
O
M
a
g�
S
s�mVm
g
w
a
let
2nd
3rd
4th
-FEL
(R) - Future Connection Opening
Connected with Sewer
(a) - New Fixture, Old Opening
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Susp/Receiving Tank
Water Treating Appliance
Mater Heater - Electric
Water Water - Gas
Gas Range
Gas Dryer
Back Flow Preventer Required ( ) Yes
Type
RATE TOTAL
$
7.00 - $
S
4.00 - $
S
5.00 - $
$
7.00 - $
S
7.00 - $
$
7.00 - $
$
7.00 a $
S
10.00 - $
S
7.00 - $
5
10.00 - $ 10.vb
S
10.00 - $
S
10.00 $
(I
No
$
5.00 - $
Job Address
Effective Date January 1, 1991
N I FAIT JAM
545 67TH RUM NORTHM
FRIG , M 55
N 571-M7 N
Building Inspection Div. 6431 University Ave HE
Tel. No. 572-3604 Fridley MN 55432
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
OWNER
KIND OF BUILDING
USED AS ✓�
TO BE COMPLETED ABODUT� Z -
ESTIMATED COST " y 6D --"s4
OLD - NEW BUILDING PERMIT NO. PrMIT 80.
company
Signed By
STH
/ Tel. No. s1�ANl F420Llgv PA;P4 ���
f m5F
/ 327-4033 - 627-4311
ROUGH INSP.
64�4
FINAL INSP. W�/e
e
to /
APPROVAL FOR PERMIT
ALL- OTHERS AND/OR REPAIRS AND ALTERATIONS C:�) MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
Is of value of Fixture or Appliance $ PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00 State Surcharge S .50
TOTAL FEE $ IS S6
�, G
SUBJECT
City of Fridley
2 6 0 3 9
AT THE TOP OF THE TWINS
?
BUILDING
PERMIT
r
4kEC.EW4-N0-_
��
1
_ COMMUNITY DEVELOPMENT DIV.
~ PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
5/12/98
JOB ADDRESS 548 67 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
7
Rice Creek Terrace Plat
4 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
James Nihart 548 67 Avenue NE
571-9797
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
❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Install a basement egress window
9 CHANGE OF USE FROM
TO
STIPULATIONS
Window 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 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
$500
$.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
TOTALFEE
2.00
SIGNAT OF CONTRACTOR ORAUTHO DAGENT IDATEI
P
VALIDATE THIS IS YOUR PERMIT
�__'JWATURE
E��PR
, BFJ"NSP
411/42
DATE
OF OWNER -11F OW ER BUILDERI IDATEI
�, G
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 5-y 9 & 7 rb Aw AJE
Effective 1/1/98
Legal Description:
Owner Name & Address: J '�� s �' h''`�� .�'b®� Tel. # 5 -'7t -?71-7
Contractor: 01-e-0 MN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: 66?�Wrr
Construction Type: Estimated Cost: $ �r6�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: q(1- A C6
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT: Tel. # S% "� 7q 7
CITY USE ONLY
$ Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1 / 10th %)
$ $.50/$1,000 Valuation
$ $1000 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 [ ]
SUBJECT
PERMIT NO.
City of Fridley
.%f7�
8 � �
AT THE TOP OF THE TWINS
BUILDING
PERMIT-'
NO.
'
rr
COMMUNITY DEVELOPMENT DIV.
EC.
r I PRQ§ 116X432
IASCITY
H L
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
9/18/98
JOB ADDRESS 548 67th Ave NE
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
7 Rice Creek Terrace Plat 4
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
James Nihart
571-9997
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Viking Home Improvement Co 4832 21 St NE Fridley 55421
572-1821 4772
1 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 (26SQ) 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
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
@
$2,228.00
$1.11
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-
STRUC &I ERFORM CE OF C NSTRUCTION
$74.75
F+ a SC $2.23
o
PLAN CHECK FEE
TATA E
_
LipwatISC
5 0
83.09
S-GN4T E OF CONTRACTOR OR AUTHORIZED AGENT iDATE-
EN
IS Y P RMIT
PjE
B NSP
MOAILiDAFTIS
r�ATE
S,GNATURE OF OWNERof OWNER BUILDER, iDATE,
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION 101015
3-72—
2--7ConstructionAddress: ��i� G% %�/�
Legal Description:
Owner Name & Address: -1-A An CIS Q), h 4,L4 Tel. # S77/ — W� 7
Contractor: V i PA -r &A It--- -T- ✓n p,2d c>EA,,6AJ� MN LICENSE #
Address: Y9 2 5--2, /(J 6 Tel. # 57a —1,Fa/
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: eQ- PQ�� ---)- 1 D 7�� —(A� -7Q;r
Construction Type: ka'ev e Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: APPLICANT: Tel. #
Permit Fee $ / l� 's
Fire Surcharge
$ -),.23
State Surcharge
$ l /
SAC Charge
$
License Surcharge
$ S U®
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 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 [ ]
5 7� -/�1?1(
Building
• wo OCCUPANCY 'I'YrE
BUILDING
$
Permit Ivo.: 7 -
Inspections
Plan Review
RESIDENTIAL APPLICATION
Received By:
763-572-3604
Fire Surcharge
CITY OF FRIDLEY
$ -(}
n: O
DATE K- 23 - &# 07
YOUR E-MAIL ADDRESS S U$tsf% r!Ctn0Jff
11 he. 19 MIA
SrrEADDREsS 558
670 /et Nis
$
d��
$1675 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
THIS APPLICANT IS:
❑ OWNER NWONTRACTOR
ft + 6 ft = ft x $21 = $
PROPERTY OWNER/
NAME: "St M N I ks'er
ADDRESS: S't g &'10 AVE NC CTI Y
J kf STATE_ZIP_-OrY;Y
TENANT
PHONE: 763- S`7 l - 4797
Sewer Main Charge
CONTRACTOR
NAME: Cal -tam t4mr /a^t00�C'j r� !r 2NG.
Agreement necessary ( ) Non Necessary ( )
STATE LICENSE # 2.03 I Z Z 1Z 9 EXP DATE —3-1
�3 ! j O$ tt f �v
��i'i1f3'fATEMf AM t
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: �Sl- I S* St. WE
CIT- C�O�rMnyU• P
WITH APPLICATION
PHOS 7ti- Q 7d 9 FAX 763 20�'- l2 os
PROPERTY TYPE
WTINGLE FAMILY/NEW CONSTRUCTION SIZE
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED WWINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK W'SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK-
❑ NEW ❑ ADDITION
❑ MAINTINANCE/REPAIR ❑ REMODELING
+ 6Oo4S
DESCRIBE WORK BEING
DONE: a. -ra
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
GARAGES
E3 ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
IDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
WVinyl
m5fIit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
w1run
1. Site Plan/Survey showing the existing structures
❑ Other
56ascia
and proposed project.
2. Two sets of construction plans
WINDOWS�
IN EXISTING OPENINGS 04. []No LOCATION OF WINDOWS
3. Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
O
TYPE OF WINDOW TO BE INSTALLED
NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND M&IMMA I b:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ ZZi 039
• wo OCCUPANCY 'I'YrE
Permit Fee
$
?� �S'
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$ -(}
.001 times the total job valuation
Surcharge
License Surcharge
$
$
r!% _ [}�
W
0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
d��
$1675 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$!!,1�01,
31
Make checks payable to: City of Fridley Attar
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a building 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; that the work will be in accordance with the approved
plan in the arse of all work w ich ,MIaand approval of plans.
SIGNATURE OF APPLICAMIMI RINTNAME
3 /o% u�