PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
• Date: — MARCH 9, 1967
Owner: A • J. HAGEN
Address 133 N. E. 75TH WAY
is
E
FRIDLEY, MINNESOTA 55432
Builder
Address
SAME
'S� 9/; -
No 9154
LOCATION OF BUILDING
No. 133 _ Street .__. 75TH WAY N. E. _ _ _ Part of Lot
Lot .._._10 Block — Addition or Sub -Division - NIS t S ADDITION
Corner Lot --- Inside Lot . _ _ Setback --- Sideyard
Sewer Elevation --- Foundation Elevation —
To be Used as:
FIREPUCE
Type of Construction
DESCRIPTION OF BUILDING
Front _ Depth Height — Sq. Ft Cu. Ft
Front Depth _ _ Height Sq. Ft _ _ Cu. Ft
Est. Cost __ $300.00 To be Completed .—
In consideration of the issuance to me of a permit to construct the uilding described above, I agree to do
the proposed work in accordance with the description above set orth in cin ance with all provisions of
ordinances of the city of Fridley.
11 1 L e
In consideration of the payment of a fee of $ 4.00 ., permit is hereby granted to_ A. J. HAGEN
to construct the building or addition as described above. This permit is granted upon
the express condition that then 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 the city limits and this permit may be revoked at any time upon violation of any of the provisions of - d
ordinances.
CLARENCE BELISLE Building Inspector
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, gas hosting, sewer or water. Be sire to see
the Building Inspector for separate permits for these hone.
AMICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
s�
OWNER'S NAME A U:m.I.DER A NA IE `
ADDRESS IZ2 � t, -E: _S _N 0'O _ADDRESS
LOCATION OF BUILDING
NO. SA M T� 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 Ads
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. Ft.
Front • Depth Height
Sq. Ft. Cu. Ft.
Type of Construction F IRF_ PI -Ar -F— Estimated Cost X300
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 5, Z�% . SIGNATURE / ®�li C
(Schedule of Fee Costs can be found on the Reverse St46).
U
SUBJECT
PERM
City of Fridley
2 0 6 �$
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
R O.
COMMUNITY DEVELOPMENT DIV.
,16
_
L PROTECTIVE INSPECTION SEC.
r ;30
0
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED By
16 612-571-3450
910415
10/18/90
1
1
JOB ADDRESS 133 - 75th. Way N E
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
Niemann Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
A.J. Hogen 133 - 75th Way N. E
5710183
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
KMKXXXX Same
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 Q. ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace Existing Window in Li-ving Area
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I 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
$�
$eSO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
IF
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$25.0.0
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
LAN CHECK FEE
TOTAL FEE
Fire. SC $1.00
$26.50
NTRACTOi;O AUTHOR ATEI
SIGNATURE COE AGENT ID
HEN PROPERLY VALIDATED THIS IS YOUR PERMIT
OL a,_ATURE
OF OWN F R BUIL ERI DATEI
BLDG INSP
MATE
U
NEW [ ] Effective 8/16/90
ADEN [ ] R-1 AND R-2
AMER [ ] Building Permit Application
Construction Address: %� s � (� A,
Legal Description: Lo T /0, A) / ? d7 /4 A-J/U k1j A)
Owner Name &Address: S Tel. # J -71 -0 `,
Contractor: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
'!.
LIVIM AREA: length Width Height Sq. Ft.
GARAGE AREA: length Width Height Sq. Ft.
DECK AREA: length Width Hqt/Ground Sq. Ft.
Corner Lot [ ] Inside Lot Vj Ft. Yd Setback Side Yard Setbacks
Type of Construction: RF- IR L p C \N 1 �➢j Estimated Cost:
Approx. Completion Date:
Proposed Driveway Width If New Opening Is Desired: Ft. $ $.
° Width + 6' See Back Page �v
DATE: APPLSCANT: A -d Tel. #
CTPY Un COY
Permit Fee $ a' C9 d
Fire Surcharge
$ /• O C,
State Surcharge
SAC Charge
$
Driveway Escrow
$
Park Fee
$
Sewer Main Charge $
STIPULATIONS:
Fee Schedule on Reverse Side
.001 x Permit Valuation (1/10Th %)
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
'
SUBJECT
City of Fridley
28122
AT THF Qf=
BUILDING
PERMIT
W4
o
DIV.
` v __ COMMUNITY DEVELOPMENINSPECTION
� PROTECTIVE INSPECTION SEC.
r 1
NUMBER
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
612-571-3450
910415
10/6/98
JOB ADDRESS
133 75th Way NE '
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
1 Numann Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Tony Ho en
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Top Gun Inc. 5014 Parrish Ave NE Rogers MN 55374 428-4559
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
IIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION 5ax REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (26 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
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
2228
1.11
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$74.75
Fire li 2.23
PIAN CHECK FEE
TOTAL EE
I e
.0
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
N p p
A
IS IS Y UR PER IT
D- -
_
S-GNATURE Of OW NERoF OWNER BUILDER. -,DATE, i
BLD INSP
iA�E
NERC
ADDN I ] CITY OF FRWLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R -f AND R:2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owuer Name & Address:
Contractor: 7bP 6(,,
Address:
LIMG AREA:
GARAGE AREA:
DECD AREA:
OTHER:
Construction Type: /t
33 (A
, ph ti )53W
Tel. if
MAT LICENSE #
Tel. # `''
11
W
Attach to this application, a Certificate of Survey of -the
lot, with the proposed construction drawn on it to scale.
AE,SiCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length, Width Hgt/Ground Sq. Ft.
Driveway Curb Cut Width Needed:
DATE: 742(1'19& APPLICANT:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
Licraase Surcharge
Driveway Escrow
Erosion Control
Paris Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
i
FstindatZost: $_ i
(Fee Schedule on Back)
Tel. # ? %
Fee Schedule on Reverse Side
$ -n. '; 3 .001 of Permit Valuation (1/10th )
$ l . $.50/$1,000 Valuation
$ $950 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 [ j
$ 33.09
From: 7637834566 Page: 212 Date: 11/4/200911:33:28 AM
Building PLUMAING Pexm it Ivo.:
Inspections RESIDEUL A iPLICATION Received BY:
763-572-3604 CITY OFFRIDLEY Date_
763-502-4977 FAX , 1Q.M
DATE .Af#V- XiZW7
$35.50.
SRIIC/I.AV
YOUR trMM ADARESS
?X-e_yen /vim ♦ "- a -9w 7&-r �-� ���� • •• •• -'
SITE ADDRM L9 r%
kW r
2 -
—SHOWER
SWDCVMG POOL
— WATER SOFT AMR (M
TMS AMICANT IS:
O OWNER
'XoNTRAcroR
—BACKFLOW PREV. (SM
_CLOTHES
DISHWASA
PROPERTY
NAtvII A
WN
—
—
OWN=
ADDRESS:
7'- N2-
crnr �.D
— STATTz 21P
TWA"
PHONE:
�
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CONTRACTOR
&
/Ai e. -
SUBMIT A COrY OF
SIAM uCENSE #
%�/! P/ldl
W(P DATE
YOUR STATE
L ICI: M BOND AND
STAM BOND o
55—
_ EXP DATE
d
Uu yq
CERTIFICATE OF
,ADDRESS:JZ
Wf-
CITY di-
STATE ZIP
WSU1tANCE
FUME $l p
Z • �S7
FAX
PEST TYM
RIGLE FAMILY
I
O TWO FANAI.Y I
O TOWNHOUSE
TYPE QP WORK: I O NEW
WrA= DESCItIl TON OF WOPX
IM ARE 8A3M ON SI0.001?nt nXrUM EXC:EF'T WIiM NOTED. : (UWICATE TOTAL NUMEFA OF EACH I3kl. n MMM M FEE
$35.50.
SRIIC/I.AV
N=R DRAINS
—WATER PIPINO
—DAM
BATH1i1B
FMG QRD CITY LIC)
—SHOWER
SWDCVMG POOL
— WATER SOFT AMR (M
_
WASHER
_GAS
KITCHEN Sit•►IC
_
WA•TERCIDSET
—BACKFLOW PREV. (SM
_CLOTHES
DISHWASA
^ LAUNDRY •PRAYWATER
MEATIER ($35)
FOR n utIGATION
—
—
3"VVATERMETSR
—OTHER
TWS IS AN APPLICATION FOR A FES NUT NOT VALW UM PROCESSED
I hereby apply for a plumbing permit and I acknowledge that the information above is coaVlcte and accurate; that the warts will be in
conformance with the ordinances and codes of the City of Fridley atd With the lVi mesota Construction Codes;'t'hat I understand this is
not a peloaklit but only an application for
t and work is not to start without a permit aIk site; tat the work will be in accordance
with the approved plan in the case all belch teq ilres reviewand approval of plates. Q
SIGNATURE OF APPLICANT P NAS DATE /- " D!
City Of
Building Inspect
6431 University ,A,veA,ue
FAX:
Department
Fridley, MN 55432