PRE 2010 DOCSl�l J/
City of Fridley, Minn. N 0993
BUILDING PERMIT
Owner: Gordon Aspenson Builder Same
Address 17 Rice Creek Way N.F.- _ Address Same _
LOCATION OF BUILDING
No. —11 Street 67th Way N.E. _ Part of Lot
Lot —Z_ _ _ Block 2 Addition or Sub -Division . Edgewater Gardens
Corner Lot—_X______ Inside Lot _.._ Setback __ _.351.—r._ Sideyard _ 5' & 18.5'
SI Elevation ____ $36.29 __ _I IIGRN86K
Wye Top ,of Footing
DESCRIPTION OF BUILDING
To be Used as: 14' x 4' Foyer 212120'
Dwelling ng_ Front 25' Depth 40' Height 20' Sq. F, 1056CtL Ft.
Ctaragee Front 21' Depth 26' Height 10' Sq, Ft, 520' Cu, Ft 5200'
Type of Construction Frame Fast. Cost _ _.$22 .IQO __ To be Completed Aug . 19 1971
SEWER LOCATION: 74' West of Manhole WATER LOCATION: 84' West of Manhole
Cookie Elev. Approx. 839.29
Permit paid for on building permit #10,961. There was no refund of money for
this one. #10,961 was xx voided.
Provide verification survey before framing. Maintain minimum elevation of 18"
and maximum of 48" over center line of street. Provide a hard surface drive.
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set Wtkoand in compliance with all provision j of
ordinances of the city of Fridley j%/ a /)
In consideration of the payment of a fee of$ P_ A� , permit is hereby granted to Gordon Asnenson
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 andmoving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
Al--
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas beating, sewer or water. Be sora to we
the Building Inspector for separate permits for these hemm
V
(A. ovum . and uAggoetateg,IAC. LAND SURVEYORS
10130 HIGHWAY 65 NORTHEAST - MINNEAPOLIS, MINNESOTA 55433 Telephone
784-5480
Certificate of Survey:
GoRDaN , A2±CN50N.
%^ SIS,
W
W
i
_Rm-22.81
477- 105'°
SCALE Vy - 30
'q DENOTES I KO N
. 2894---154/73_
LEGAL DESCRIPTION:
Lot 7, Block 2,
Edgewater Gardens,
Anoka County, Minn
z
1 HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES
OF THE ABOVE DESCRIBED LAND, AND THE LOCATION OF ALL BUILDINGS, THEREON, AND ALL VISIBLE EN.
CROACHMENTS, IF ANY, FROM OR ON SAID LAND.
AS SURVEYED BY ME THIS ...... Z PO -DAY OF..............Fa r oxy.......•.•••.•.A.D. 19.73......
N. C. HOIUM AND ASSOCIATE(,INC. - LAND SURVEYORS
....................LAA. ��................................................. ...
0'• - P 5
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME : (O/J %s P,' -0 N BUILDER: /yJ
ADDRESS: / i c W ADDRESS: �S.t2-/n F _
NO:. >/ STREET:-
LOT:
TREET:_LOT: 7 BLOCK: ADDITION:
CORNER LOT:INSIDE LOT: SETBACK: �S- 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:
9/0 °
Front:— Depth • Height • C__;14 °
Square Feet • Cubic Feet: o? / /02 D
Front: a?f Depth: , 2 � ' Height • ./0
Square Feet; Z E D Cubic Feet: S o? 0 0
Type of Construction: —Estimated Estimated Cost:_$ r_ZzSZ)d
To Be Completed:
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: a`-C'�- 71 SIGNATURE:
(See Reverse Side For Additional Information.)
Date: March 5, 1971
City of Fridley, Minn.
BUILDING PERMIT
Builder
Address 17 Rice Greek Way N.E. Address Same _
LOCATION OF BUILDING
No. 11 Street 67th Way/X.E. ___ Part of Lot
Lot __ 7__ Bloo N 2 _ Addition or Sub -Division _ E_gewatex Gaxdens
Corner Lot __ XSetback 3-5' _ __ Sideyard 5' 1 R'
JQQk Elevation ____ _ 842-00
Wye Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
Dsael ling nt 33' Depth _261 _ Height –2&!-- Sq. Ft 85.8. ' Cu. Ft. _ _24 94,024
Garage Front 21' Depth 24' Height –IDL!— Sq. Ft. —504' Cu. Ft.. 50402
Type ction Frame Est. Cost _ _ $24,. 0_00 __ To be Completed June L 1971
EWERATION: 74' W. of Manhole WATER LOCATION: 84' W. of Manhole
Pro ide)Veification survey. Maintain Minimum elevation of 18" & Maximum 48" over
centof street.
,-
Sit,
\ In considerationa of the issuance to me of a permit to construct the building described above I agree to do
tli
o Proms 'f twhoe citrk
of Fridley accordanwith the description above set f rth in compliance with a'll provisionsof
In "deratlon of the payment of a fee of $_ _ 54-00 , permit is hereby granted to Gnrdnn Acnp-neon
to construct the building or addition as described above. This permit is granted upon
the rens condition that the person to whom it is granted and his agents, employees and workmen, in all work
done around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fri y, Minnesota ing location, construction, alteration, maintenance, repair and moving of buildings
wI the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said
0 oes.
Xl" Z 24L l P Building Impector
HANK MUNICH
NOTICE
7hb permit does not cover the construction, hutallation for whing, phunbing, gas heating, cower or water. Be cora to see
the Building hmpector for separate pormbs for these items.
•
10
, ,A
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME • ® ® UILDER:
ADDRESS:. / ADDRESS:
NO • . STREET :1JE(/ /
LOT: BLOCK: Z ADDITION:01
CORNER LOT: r/ INSIDE LOT: SETBACK: 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:
Front: Depth: off— fd
Height :
Square Feet: - Cubic Feet:
� L�
2 Ll
qa
-79� . C Front: / Depth• --�2 V Height: /0 <'
Square Feet; ® Cubic Feet: g9
Type of Construction:10,
Estimated Cost: zp-® -e-D
To Be Completed:/ �U�l/e 7
The undersigned hereby makes applicatit)n for a permit for the work herein
specified, agreeing to do all work in sti-ict 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 : ' - //L��'2 ' 7/ SIGNATURE: G�� /✓�%��
(See Reverse Side For Additional Information.)
r *�. yl�£
L`
•
c. C. co�u aid v4ssoe�ates,OAC. LAND SURVEYORS�
10130 HIGHWAY 65 NORTHEAST — MINNEAPOLIS, MINNESOTA 55433 Telephone
784-5480
Certificate of Survey:
GoRDQN ASpr—NSON
// s 'r
7 M
VVAr N
U
7
Q
2
RzZ2.81
A = 105* 30'
SCALE 1"= 30
—9 DENOTES I P O N
2894 —)54/7.3
LEGAL DESCRIPTION:
Lot 7, Block 2,
Edgewater Gardens,
Anoka County, Min
HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES
OF THE ABOVE DESCRIBED LAND, AND THE LOCATION OF ALL BUILDINGS, THEREON, AND ALL VISIBLE EN.
CROACHMENTS, IF ANY, FROM OR ON SAID LAND.
AS SURVEYED BY ME THIS...... 499... DAY OF .............. fe4rl ary...............A.D. 19.71 ......
N. C. HOIUM AND ASSOCIATE. , INC. - LAND SURVEYORS
0.1
....................I..Id.d*........3. '.............................................. ,
ApplcaW for Purer Pkmis and H Cooling. Ve 1a#ionR ReMga n ®nd
Air Co coning S"enis and Devices
PARTIAL MATE SCHEDULE
GRAVITY WARM AIR:
RATIC TOTAL
Furnace Shell & Duct Work ...........................
$10.00 $
Replacement of Furnace .............................
6.00 $
Repairs & Alterations—up to $500.00 ............
.. 6.00 $ ---
Repairs & Alterations each add. $500.00 ...............
3.00 $
CH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace 6.00
Repairs & Alterations—up to $500.00 ......... ....... 6.00 $
Repairs & Alterations each add. $500.00 .............. 8.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 10.00 $
Each add. 200 sq. ft. EDR Steam .. .......... :...... 3.00 ' $
Each add. 320 sq. ft. EDR Hot Water ........ 3.00 $
OIL BURNER—to 3 gal. per hour ... ...... ... .. ..... 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) ..... ........ ':......' .. 8.00 $
over 199,000 RM See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ..... ................ x$ 2.00 $
Additional Fixtures . ................ x .78 $
Gas Range to 199,000 .......... 34 500 $
AIA CONDIITONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS do REPAIRS
$
See ' Fee Schedule
TOTAL FTSE
Dept. of BldgL Phone 880 -MM
1 / _ /_ 'D W/,
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinance:
and ruling of the Department of Buildings, and hereby declares that an the facts
and representations stated in this application are true and correct.
,If � Fridley, Minn_ �� 1p_ d' I&V
Owner t: -p_____` r -
Find of Building
C
Used as
To be completed about
Estimated Cost, $�y
Old Ne Building Permit No. Permit No.�.
DESCRIPTION OF WORK
HEATING or PO PLANTS --Steam, Hot Water, Warm Air—NN90
Trade Name C -'9 Size No
Capacity Sq. Ft. E.D.R BTU H.P
Total Connected Load,—?:7 Kind of Fue
BURNER — Trade Name Size No
Capacity.
(Ru►.rs—OYER)
Sq. Ft. EMR- BTU H.P:
Business Phone
`iffy Of Fridley
Applicafl I for Numbbg and Gat Fem*
Dept. of Bldgs. Phone 9®0-3450
DESCRIPTION OF WORK I / z--7 Jy1
Number, Kind and Location of Fixtures
+ New Fixture. Old OpeningsI Cenever Q
PARTIAL RATE SCHEDULE
PILUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................ . _.Z.. x $2.00 $
Future Fixture Opening ........... x $1.50 $ _
New Fixture Old Opening .......... x $1.50 $
Catch Basin .................... x $3.25 $
Water Heater 'Up to 99,000 BTU) .... x $3.00 $ J �®
New Ground Run Old Bldg......... x $3.25 $
Electric Water Heater .............. : $2.00 $
vAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures x $2.00 $---2 0
Additional Fixtures ................—x$.75 $
Gas Range to 199,000 BTU,. . x $5.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ...........................................$
TOTAL FEE $.,2• Q 2
City of Fridley:
The .undersigned hereby makes application for a permit for the vvork herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that alli the fact
and representations stated in this application are true and correct /
Fridley, Minn- 6 — L/-- 19_J
Owner NU"'-L4<A-V-X
Kind of Building D
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No. Permit No.
Signed
By
Business Phone No
ROUGH
HWATER"N.
ELEC.
Base
1st
I
/
2nd
3rd
4th
• Future Connegion
Ooeninas
+ New Fixture. Old OpeningsI Cenever Q
PARTIAL RATE SCHEDULE
PILUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................ . _.Z.. x $2.00 $
Future Fixture Opening ........... x $1.50 $ _
New Fixture Old Opening .......... x $1.50 $
Catch Basin .................... x $3.25 $
Water Heater 'Up to 99,000 BTU) .... x $3.00 $ J �®
New Ground Run Old Bldg......... x $3.25 $
Electric Water Heater .............. : $2.00 $
vAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures x $2.00 $---2 0
Additional Fixtures ................—x$.75 $
Gas Range to 199,000 BTU,. . x $5.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ...........................................$
TOTAL FEE $.,2• Q 2
City of Fridley:
The .undersigned hereby makes application for a permit for the vvork herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that alli the fact
and representations stated in this application are true and correct /
Fridley, Minn- 6 — L/-- 19_J
Owner NU"'-L4<A-V-X
Kind of Building D
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No. Permit No.
Signed
By
Business Phone No
ROUGH
CITY OF FRIDLEY INSPECTION DIVISION
C� U ,q
Effective On January 1; 1998
6431 University Ave NE J/
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner —
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00 &61
representations stated in this application are true and correct.
(Side Vent — Fill Out Back)
1199f
Gas Piping (Needed with new furnace) $10.00 $
---
OWNER 51, _/�l� �tLC� rC"— C"
Gas Range $10,00 $
,/�
BUILDING USED AS r��,
Gas Dryer $10.00 $
ESTIMATED COST PERMIT NO.
*Air Conditioning —All Sizes $ 25.00 $
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work $
No. of Heating Units / _ Circle One (Steam) (Hot Wat (Warm Air
Trade Name "%�t� Size No.
Commercial/Industrial
BTU HP EDR
1.25% of Value of Appliance or Work $
Fuel ti Total Connected Load
State Surcharge $ .50
Burner Trade Name Size No.
BTU
HP EDR
TOTAL FEE .3 0
_
HEATING COMPANY LP-1Z�Ad
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
Signed IAef Tel No.
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
Approved By Rough—In Date Final Date
*Air Conditioners can not be placed in a side yard without
FILL OUT BACK SIDE F R STACK VERIFICATION ON l o/71®I
written permission from adjoining property owner.
REPLACEMENT FURNACE
CgIlVINEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes (-;�'No ( )
2.
Is free from rust or deterioration
Yes (—)rNo ( )
3.
Has no foreign objects lodged within
Yes (--f No ( )
4.
Is securely supported .
Yes(--)' No ( )
5.
Meets all current Code requirements for size
and total BTU's connected
�' (� No ( )
6
Has total heating BTU's of ��; ✓�
All other BTU'sf
TOTAL BTU's l �=
7.
Has a liner been provided for water heater
Yes (—"o ( )
8.
Has combustion air been provided for water heater
Yes (--- —No ( )
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
SUBJECT
PER
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
3 210 6
r
�' v ------COMMUNITY DEVELOPMENT DIV.
572-3®4
`✓®�
�9
r � � PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/28/01
10B ADDRESS1167th XXX Way NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7
2
Edgewater Gardens SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Carl Nowlin, 11 67th Way, Fridley, MN 55432 763-572-0933
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Window Lite Home Improvement, 8400 89th Ave N, BP 55445 763-425-2227 20039258
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
XQ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
New windows (3)
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 ITMI 1997 Uniform Building Code. Caulking &
flashing for all exterior openings.
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 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
@
$1.25
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,498.00
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
PLAN CHECK FEE
TOTAL FEE
se M.00
$92.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE,
HE PROPERLY VALIDATED THIS IS YOUR ERMIT
I
LOG INS - qA
S-GNATURE OF OVVNER.IF OWNER BUILDER, IDATEI I
wo o 005
NEW® [ J
ADDN[ ] ` �CITY OF FRIDLEY
ALTER [ J ( �j1�0SINGLE FAMILY AND DUPLEXES R-1 AND R-2
l/ BUILDING PERMIT APPLICATION
Construction Address: 11— l am— d/"hj
Legal Description-
Owr
Con
Add
Effe
(763) 572-3604 Bldg Inst
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
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 Hgt/Ground Sq. Ft.
Construction Type Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ .=$
DATE: 20 APPLICANT: ` / Tel.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
$ 3� Fee Schedule on Reverse Side
$ �oh`� .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1150 per SAC Unit
$ , 0 $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
SUBJECT
PERM
City of Fridley
18 5 6
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
`
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r � PROTECTIVE INSPECTION SEC.
1
1
NUMBER
REVDATE
I j5/17/93
PAGE OF
APPROVED BY
CITY HALL FRIDLEV 55432
612-571-3450
910-F15
JOB ADDRESS 11 67th Way NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
7
2
Edgewater Gardens
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Ken Meredith 11 - 67th Way NE
574-7438
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Builders & Remodelera Inc, 3517 Hennepin Ave S, Mpls, ,
MN 55408 827-5481 1100
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
8 DESCRIBE WORK
Soffit & Fasc.a
9 CHANGEOFUSEFROM TO
STIPULATIONS
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 1 HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$3,300.
$1.65
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-
$63,00
Fire SC $3.30
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
License SC
$5,00
$72.95
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
HE RO LY VA ID D THIS IS YOUR PERMIT
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
BLDG )NSP
Oa TE
J
NEW t j
ADDN t I
ALTER t j
Construction Address:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND Dt1PUXES R-1 AND R-2
Building Permit Application
11 -67th Way NE
Effective 3/l/92
*S-9C:r
Owner Name & Address: Ken Meredith 11 NE 67th Way Tel. # 574-7438
Contractor: Builders & Remodelers, Inc MN LICENSE # 0001100
Address -3517 Hennepin Ave S Mpls MN 55408 Tel. # 827-5481
Attach to this applications it Cettificate of Survey of the
lot, with the proposed consituctiotl drawn on it to scale.
DESCI U'TION 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: soffit & fascia
Corner Lot I j Inside Lot t j Ft. Yd Setback
Type of Conshvction: Soffit & Fascia
Approx. Completion Date: May 20, 1993
Driveway Curb Cut 'Width Needed:
DATE:
Ft. -+- 6 Ft =
Side Yard Setbacks
Estimated Cost:
Ft x $
(Cost on Back)
APPLICANT: Tel. #,
L it
PITY USE ONLY
Permit Fee
$ (6 3. b
Fire Surcharge
$ 3.30,
State Surcharge
$ / a 6S�
SAC Charge
$
License Surcharge
$ !�
Driveway Escrow
$
Park Fee
$
Sewer Main Charge $
TOTAL
STIPULATIONS:
$ 29, 75 -
Fee Schedule on Reverse Side
.001 of Permit Valttatl0tl (1/10th%)
$.50/$1,000 Valuation
$700 per SAC Unit
$5.010 (State Licensed lte5idential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Ndces§0i j` t 1 Not Necessary [ J
SUBJEci
P IT NO.
City of Fridley
92787
AT THE TOP OF THE TWINS
BUILDING PERMIT
\
R
_ COMMUNITY DEVELOPMENT DIV.
� PROTECTIVE INSPECTION SEC.
Xle0
r �
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED By
; CITY HALL FRIDLEY 55432
L J\ 612-571-3450
910-F15
7/16/02
111
JOB ADDRESS 11 67th Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7
2
Edgewater Gardens
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Carl Nowlin, 11 67th Way, Fridley, MN 55432
763-572-0933
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Window Lite Home Improvements, 8400 89th Ave N, Brooklyn Park,
MN 55445 20039258
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
763-391-8334
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace 3 windows in 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.
Caulking and flashing for all exterior openings.
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 WORKOR 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
$1.20
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMITUMMM
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-
@
$83.25
Fire SC $2.40
STRUC THE PERFO F CONSTRUCTION
e�
PLAN CHECK FEE
OTAL FEE
$5.0P,4qense
4
$9 5
SIGNATURE OF CON'RACTOR OR-AUTHORIZED AGENT iDATEr
ENP OPER DATED T IS YOUR PERMIT
BLD iNSO
-7-/z
f1ATE
S-GN4TURf Of OW NEA..r OWNER BUILDER, iDATE,
9/95 c4d � sdgtr
n lr�,
NEW [ ] CITY OF FRIDLEY ffective 1/12002
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION C r-1- lO`i
Construction Address:
Legal Description:
Owner Name &fQ
l &b LL) 61 Tel. #f� � J`� 7c7 - ®13 3
Contractor. �tAwn NeK(�6 a G-.. 44 MN LICENSE # 06 � °l a '199'
Address: Suite 460 -6400 -69th Ave. Nnrth - -91-2a7 Tel. #( --7& 3 2 _
Brooklyn Park, MN 55445
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:
tis ems t. .�a-cent �n ,
Construction Type: I Estimated Cost:
o a1��-� e
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: 0 APPLICANT. C/Vh Tel. #
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by'Engineenng
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ . 8'1� STIPULATIONS: