PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date: June 2, 1965
N? '7634
owner: D. D. Albright Builder Qaality Homes., Inc.
Address 561 AM 67th. Avenue N. E. Address 3701 Fremont Ave. No.
LOCATION OF BUILDING
No. 564 street 67th. Avenue N. E. part of Lot
Lot �3 _ Block 7 Addition or Sub -Division Rice Creek Terrace Plat 4
Corner Lot — Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
To be Used as:
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft Cu. Ft
Front Depth Height Sq. Ft Cu. Ft
Type of Construction Fat Cost—112,A6M-..00___ To be Completed
• Storm damage repair
0
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" and in coo ce with a'll provisions of
ordinances of the city of Fridley. `7
In consideration of the payment of a fee of 10-QQ , permit is hereby granted to Quality Homes:
Ine • 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 aII work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota reg location, construction, alteration, maintenance, repair and moving of buildings
wiorthi nthe city limil Tals permit may be revoked at any time upon violation of any of the pnovlsions of said
Allen Jensen Building Inspector
NOTICE:
'Ido permit don not emu tha eondmeNce, hes ARWOn for Wbk& pWAIng, Baa headae, aawer or water. Be Sore to M
do Balidhq letp.etor for aparaM pmaita for thaw tt nm
APPLICATION FORING PERMIT
CITY OF FRIDLEY6,NNESOTA
OWNER'S NAM
i
- ,
-ADDRESSL.� ice%
LOCATION OF BUVDTM
NO., Street Vy/ l Part of Lot.
Lot_ 3 Block Addit.ioir br Subdivision I
Corner Lot Inside Lot _,,.Segs=k Side -Yard
SEWER ELETVATIQN FOUNDATION
Applicant attach to thi9 form, Two Certificates of. Survey of Lot ,and Froposed'bsti, i,. -
ing Location drAwn on these Certificates.
DESCRIPTION OF BiIILDING
Tc be used as:
-PronC Depth Height
sq. Ft. Cu. Ft.
Front - Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost
,Completed
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work ift strict accordance with the City of Fridley Ordinances.and
rulings if the Department'of Buildings, and hereby declares that.all the facts and
representations stated in this application are true and correct.
schedule of Fee Costs can be found on the Reverse Side).
SUBJECT
PER
City of Fridley
�JC7
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
`
RECEIPT NO.
• _____ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
7
___j-3
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
10/10/97
JOB ADDRESS
564 67 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
7
Rice Creek Terrace Plat 4
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Allen Motl 564 67 Avenue NE
574-0117
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
8 USE OF BUILDING
es dent a
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR
❑ MOVE ❑ REMOVE
%
8 DESCRIBE WORK
Reroof House (17 Sq) 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
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
$1 417
$.71
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
W
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-
W
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$50.63
�SGT OFFCONNTTRACTORORAUT 1Z - GENT IDATEj
PROPERL VALID TED THIS IS YOUR PERMIT
v oh) il®r�
.�BLDA INSP
DATE
S,GNATUREOFOWNE iF WNERBU ERi ID TEi
NEW [ ) Effective 1 / 1 /97
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: -2 t� .%✓iy'L A-) d --
Legal Description:
Owner Name & Address: 9k) ✓n vTL. !-41,z AT' Tel. # .-) y —p -7
Contractor: S�Jn„ MN LICENSE #
Address: 5/d,.. ,!' Tel. # .SA n
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:
,Q,e oFr f—aA94"
Estimated Cost: $ ! S�� •9L '%��/. ��
(Fee Schedule on .Back)
f . Driveway Curb Cut Width Needed.
Ft. + 6 Ft `_ ' : " Ft x
DATE: �d—/I� ��f % APPLICANT:
Tel. #
CITY USE ONLY
Permit Fee
$ -8..$•V
Fee Schedule on Reverse Side
Fire Surcharge
$ A,�i
.001 of Permit Valuation (1/10th%)
State Surcharge
$ .
$.50/$1,000 Valuation
SAC Charge
$
$950 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
$
STIPULATIONS:
Suead?
PE O.
City of Fridley
30380
AT THE TOP OF THE TWINS
BUILDING
PERMIT
T NO.
`- _ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r � PROTECTIVE
1 . �
NUEABEA
REv
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
10/12/99
10B ADDRESS 564 67th Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
7
Rice Creek Terrace Plat 4
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Al MOtl
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
North Metro Const. 525 Tower Pond Ct
Anoka MN 55303
272-4231 20098397
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 X® REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garagge 23 S 2nd Layer
9 CHANGE OF USE FROM
TO
STIPULATIONS
Roofing can be 2nd but not 3rd layer
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 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
$1510
$.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.
$57.05
Fir SC $1.51
S RU TION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOT EE
(Ci-(-�
License $5.00
$ .31
SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IOATEI
EN R VALID THIS IS YOUR PERMIT
Bl G -NSP
MATE
S-GNATURE OF OWNER,lf OWNER BUILOERI IDATEI
NOW [ ] F Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
W
Construction Address:Ave tj 9---.
Legal Description: CZE? ;5e`4er4-,
Owner Name & Address: Ai 08&-I c. Tel. #
Contractor: Qo,r L( dbleJcfv Cel-. MN LICENSE # bUQq2s3c1"]
Address: 5-@Ll� To w -er- mai G- Tel. # a. -7a-- 4 a 3 l
Attach to this application,' a Certificate of Survey of the LLa ( a
lot, with the proposed construction drawn on it to scale.
DESCPJMON OF I1%1PROVEME'T
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: A) D Oft",P-jp cn�3e- a
Construction Type: Estimated Cost. $ 1
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $.
C99
DATE: 1()—(;;L -q9 APPLICANT:- `�•� Tel.�tt
CITY USE ONLY
Permit Fee $ 61, b Fee Schedule on Reverse Side
Fire Surcharge $ /, S .001 of Permit Valuation (1/10th a)
State Surcharge $ � $.50/$1,000 Valuation
SAC Charge $ $1050 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:
01,
SUBJECT
P
City of Fridley
30529
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_ COMMUNITY DEVELOPMENT DIV.
SEC.
r � � PROTECTIVE INSPECTION
1 = ..---I CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
.......
612-571-3450
910-F15
11/19/99
10B ADDRESS 564 67th,* Avenue NE
T LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
7
Rice Creek Terrace Plat 4
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Al Motl
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
North Metro Construction 525 Tower Pond Ct. Anoka 55303 272-4231 20098397
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 X2 REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Replace soffit & fascia - aluminum
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide soffit ventilation to meet 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 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
2000
$1.00
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
$69.25
Fire SC 92.00
PLAN CHECK F
TOT FEE
C�
1J'".. o� 0_10L 'C,9
2
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iOATEo
LYVVAALIDAT THIS IS IT
=.UbG
/O/U�/P
QAiE
S,GNATURE OF OWNER,IF OWNER BU4DERi iDATE,
01,
NEW [ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: (p ko—? Ave- . N, L f
Legal Description: �\QV-6 P,
Owner Name & Address: At Moi - l Tel. #
Contractor: Q a,�� N\.,--+ro CoA6+(-L^� MN LICENSE #
Address: Sd s `(`6 w tr— zQa✓� C + .. A,,a )<a tM••. Tel. # a-7 a - 4D 3
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: 5oiZi'+ -v Fr, 5cXc' 4tuv, ,-,Estimated Cost: $ J-000, 60
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Ft x $
M51
DATE: { �_ �� Cn APPLICANT: d. �� Tel. # a_7,�_- 4x31
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ c�. O 6 .001 of Permit Valuation (1/10th%)
State Surcharge $ /,00 $.50/$1,000 Valuation
SAC Charge $ $1050 per SAC Unit
License Surcharge $ S • $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:
SUBJECT
IT NO'`
City of Fridley
32025
AT THE TOP OF THE TWINS
BUILDING P E R M I T
r
RECEIPT NO.
_ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
372-3604
I �
/
1 � i
NUMBER
REV
DATE
PAGE OF
APPROVED BY
1 CITY HALL FRIDLEY 55432
612-571-3450
910415
7/23/01
JOB ADDRESS 564 67 Avenue NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1 3
7
Rice Creek Terrace Plat 4 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Rosanne Moh 564 67 Avenue NE 763-574-0117
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
RMA Home Services Inc 3200 Cobb Galleria Pkwy STE 200, Atlanta, GA 30339
a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
763-542-8826 20268257
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
Replace 11 full frame windows within existing openings
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. Caulk
and flash all exterior openings.
Permit Inspection Cards
Will Be Mailed
To Homeowner To Post
SEPARATE PERMITS ARE REQUIRED 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$10,843 $5.42
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
$195.25 re SC $10.84
PLAN CHECK FEE T AL FEE
hic s SC.00 $216.51
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT tDATEt
WH PR LY VA I TED THIS IS YOU9FPERMLf
u Z
SLtG INS -rort
SIGNATURE OF OWNER iF OWNER SUILDERi IDATE,
NEW[ ] Effective 5/10/99
ADDN I ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND IDUPLEMS R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: -aoy • La 7+"4' 'AUl.4 ,T%jA,,,.
Legal Description:
Owner.Name & Address: F-soboonhe. iMok\ Tel. # *(o3.S}y.011�-
Contractor: ; RMA HOME SERVICES INC. MN LICENSE #
Home Depot Installed Sales
Address: 3200 Cobb Galleria Pkwy., Ste. #200 Tel. #
Atlanta, GA 30339
Attar 763-542-8826 veyof the
lot, BC -20268257 it to scale.
1.0 " AFUDQkt4
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length ` Width Hgt/Ground Sq. Ft.
Q
OTHER: Y1 a e% k h Q� a 1, _ �1. i % Et Le r & r . _ .— AM _ . .7. _ _
Construction Type:
Driveway Curb Cut Width Needed:
—Estimated Cost:
Ft. + 6 Ft = _ Ft x $.
DATE: 1 .• • O APPLICANT: Tel. # CjS a •3q� • Cg0q.+
11
Permit Fee
$ ,C�cj. as
Fire Surcharge
$ 1 b .TA
State Surcharge
$ 5.'A
SAC Charge
$
License Surcharge
$ cJ . O o
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ I x.0.5
CITY USE ONLY
Fee Schedule on Reverse Side
.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 [ ]
STIPULATIONS: