Loading...
PRE 2010 DOCS6 0 Village of Fridley, Minn. 3 0 0 1 BUILDING PERMIT N? 4 .�.� Date: ... ... ......... .......... Ownern.. 7 % .. ..... Builder ....................... . Address %�lJ` ` . - . (� . �... ` ... ! Address .... 1� ®/ ..:./.. ... ..... . _L-OPATION OF BUILDING No. ./l! ,(J .... Street 7. ®Part of Lo ............ . Ax Lot ......I...... Block .... l...... Addition or Sub -Division f/. Corner Lot ........... Inside Lot ... ... Setback 161 J ... Sideyard DESCRIPTION OF BUILDING To be Used- as: Front Depth F!' !.. S> Height,��G� Sq. Ft. / P Cu. Ft. ....... . Front !. Depth °� Height ...... Sq. Ft. .9 Cu. Ft. ........ pe of Co truction ................... Est. Cit .... A�j4�.pa. To be Completed ....�............ i 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. AN f o In consideration of the payment of a fee of $./01 .. 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. /, Inspector NOTICE: This permit does not cover the 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. 01 suBIECT PER City of Fridley 16 7 9 5 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. ' COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F�5 10/1/82 JOB ADDRESS 120 - 70th. Way N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 4 Ostman's 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE F. H. Rudeen 120 - 70th. Way N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings 6331 Riverview Terrace 574-9966 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 Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Aphalt 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 I STALLS I 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 $1,800 $.90 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- STR�ION ORTHE PERFORMANCE OF CONSTRUCTION. $29.50 PLAN CHECK FEE TOTAL FEE F /®/1 L $30.40 SIGNATURE OF CONTRACTOR OR AUT rZEDAGENT F MATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT r� / BLDG )NSP DATE SIGNATURE OFOWNER tIFOWNER BUILDER) IDATEI - 01 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PEF44ITS (REm, Alterations. Additions. or Repairs) OWNER: 9(4 aLCEni BUILDER: _ K<<-AARe® ADDRESS: ,12,o ,0 rA ,0,_ ADDRESS: 4.331 iZ; us-ra v; e-� T -ISP TEL NO: TEL 110: 57? 1( - 9 96 6 Construction Location • STR = NO: f L c7 STREET: '7 A 4/ LOT: % BLOCK: ^ `� ADDITION: OSi`M A N S 3R Q A D ,�, t t" o A/ Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF WNSTRUCTION 2 0 o F Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic reet: Type of Constructions R E P-,, o f - As A (j- Estimated Costa $ f d o © o o Tb Be Completed: Alt. A Alt. B Proposed Driveway width If New Opening Is Desired: $ S SEE PZVER: E SIDE OF SHEET . 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 Delk-kxtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: ���iZ'f Stipulations: SUBJECT MIT City of Fridley _ 0 91 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. F 16COMMUNITY DEVELOPMENT DIV. i tr V r PROTECTIVE INSPECTION SEC. I i CITY HALL FRIDLEY 55432 NUMBER REV DATE 5/5/00 PAGE OF APPROVED BY ' 612-571-3450 910-Fi 5 10B ADDRESS 120 70 WAY NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ] 4 OSTMAN' S 3" ADDITION SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rudeen 120 70 Way NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings Contractor 6331 Riverview Ter NE, Fridley, MN 55432 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 574-9966 4051 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION I] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (27 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with 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 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 $2 360 $1.18 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION e PLAN CHECK FEE TOTA EE �O.AUT.�QE. Licens $5.00 91.79 SIG NATURE OF CON�RAI IGENT IDATE. ENP OPOLIDAT SLOG/- HIS IS Y RPE riAiE S-GNATURE OF OWNEROF OWNER SUiLDERi iDATEi NEW I ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION o�l �6j Construction Address: _ 120 207-1 U✓A / Legal Description: Owner Name & Address: _ u c% �'stl Tel. # Contractor: F i2 Q 4A5 t -i Wig 5 MN LICENSE # �/O .S% Address: 6 3 3 I , U %4�- R c C- ..) Tig:- 12. Tel. # S 2 �( —'7 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: S , Construction Type: Fi4Z 1 YP mom' d- R2,2-ocEstimated Cost: $ 0(3 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 5®� APPLICANT:. Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 83. � Fee Schedule on Reverse Side Fire Surcharge $ 6 .001 of Permit Valuation (1/10th%) State Surcharge $ - /fo $.50/$1,000 Valuation SAC Charge $_$1 100 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 $ 9,1. STIPULATIONS: