PRE 2010 DOCSAddress ........ �: Address
DESCRIPTION OF BUILDING
Zo Used
Ii't:
.. �
F4 ont "
Depth Ieigiit
..
Sq. Ft . , Gu.. ..
....................
F t ...
Depth ........ Height
Sq. Fi. ..::.. Cu: FL .
Type of Construction
.. .. �":.
Est.`Cost."""�.�......... .
/•
To be Completed ..................
In consideration -of the payment of a fee of . � permit is hereby granted to .....................
...... , . i ... , ....... .. 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 i OM said building, or any, part thereof, shall conform in all mels to the ordinances of
Fridley, Minnesota re oxcling location; construction, alteration, maintenance, repair and moving of buildings with-
in the village; limits d this permit may be revoked at any time n violation of any of the provisions of said
ordinances.
�, l�:.. a . ,.. . �• •, J�s� Buildingector .
_NOTICE:.
This permit des not cover the construction, installation or alterdtion for wiring, plumbing, gas heating,
sewer''orwafter. 9 D sure to see # uliding inspector for separate permits for items.
•
•
Date:
City of Fridley, Minn.
BUILDING PERMIT N° .7287
Address
L C ON F Bl�,�.DING
No. Street = Part of Lot
Lot — —__ Block Addition or Submt��-6
Corner Lot Inside Lot 6Setbackideyard
Sewer Elevation ____ _ _ _ _ FO
tion Elevation
DESCRIPTION OF BUILDING
To jai _ i
Front Depth Height Sq. Ft. ►!r. ,,�� C.
nt Depth igght i q. Ft. Cu. Ft.
4Type of Constructs Est.�� Completed
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 city of Fridley.
�4� lw'A;
In consideration of the payment of a fee of S , 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
within the city limits and this permit may be revoked at t�,�.Jolaqpn / any of the provisions of said
ordinances.
Building Inspector
NOTICE:
Tide permit does not cover d w construction, hataliation for whh & plumbing, gas heating, sewer or water. Be sura to see
d w Building Inspector for separate p4n ft for these ileam
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
U I L D I N G D [DAA I
BUILDING
PERMIT
12468
COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
�
D I v r L R'v,
IT
NO.
NUMBER
910-F15
REV.
DATE
13/29/74
PAGE OF
APPROVED BY
i1 i
.--_ �,,� CITY HALL FRIDLEY 55432
i• 612-560-3450
JOB ADDRESS 361 - 76th Avenue N.E.
1 LEGAL
DESCR.
LOT NO.
3
BLOCK
2
TRACT OR ADDITION SEE ATTACHED
Osborne Manor SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
George Wilder 361 - 76th Avenue N.E.
-7-CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
North Central Builders, 7401 - 42nd Avenue North
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION CR ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBEWORK 1(jid% Reside dwelling with steel siding, install two combination
doors and cover all trim
9 CHANGE OF USE FROM To
STIPULATIONS Caulk all channel to casings
SEPERATE PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBING AND SIGNS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Steel
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ZONING
R-1
SQ. FT.
CU. FT.
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
2.650
SURTAX
1.38
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 P ORMANCE OF CONSTR 14.
$18.00
NA
PLAN CHECK FEE
TOTAL FEE
�- �9
.38
�J SI RE OF CONTRACTOR oRIZED AGENT IRATE
HENROPERLY VALIDATE IS S YO PERMIT
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
APPLICATION FOR RL•SIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF I-1tlLILLY, 'IINNESOTA
OWNER IS NAME:6;E.0
W, 1,4-e,BUILDER:/u
art 4 G,1v7rz(
>30,1d--�s
ADDRESS: 361' 176
`4oc ILII---
ADDRESS: Wol -5/z"d,4ve
/o
NO:. is T STREET:
LOT: BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
bui.ldirig location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
--,Front :
Depth: Height:
,.' Square Feet: Cubic Feet:
—Front: Depth:
,Height:
Square Feet; Cubic Feet:
o�
Type of Construction: Estimated Cost:
/.vsfz// N "'.Zh d wsC a ve-r a r,04
To Be Completed: /%X /, /??4v�
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stticL accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that X11 the facts and representations stated in this application
are true and corrt•ct.
DATE: 3 a 9 %� S I G NATURE :
(See Reverse Side For Additional Information.)
Ay
Yl T ^t
1
`i ..v
1
tsuilamg MECHANICAL Permit NoCa _ oo, a�
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604
CITY OF FRIDLEY Date Recd:
DATE- YOUR E MAIL ADDRESS y! S
ESS
SITE ADDRESS J� - % NC
THIS APPLICANT IS: O OWNER CONTRACTOR
PROPERTY
NAME: S
OWNER/
TENANT
ADDRESS:�(_I - l ip-M A"UP l � CITY fi-1 ku STATE�ZIP 5�3
PHONE: (n15 -'%9S-41-7%
CONTRACTOR
COMPANYNAME: A47 gn L
SUBMIT A COPY OF
CONTACT PERSON: I/ h
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS:�/� S -f. ),V CITY G 0 STATE ZIP 330
APPLICATION
PHONE / �a" 74 -q-oI q5 FAX 7 Y -y_b
PERMIT TYPE
)OSINGLE FAMILY O TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK:
0 NEW REPLACEMENT O ALTERATIONIREMODEL
DETAILED DESCRIPTION OF WORK
Ctlldwl §1A
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
Equipment Installed MFG: MODEL: o('Poy3%W SUWBTU =
MPG: MODEL: 0
SIZEIBTU
MFG MODEL: SIZE/BTU
ZA/C
$25.00 FIREPLACE (GAS) $15.00 GAS RANGEJOVEN $10.00
AIR TO AIR EXCHANGEER $15_FII"LACE (WOOD) $35.00 NEW GAS GRILL $10.00
BOI ER $35.00 5/ FURNACE $35.00 GAS UNrr HTR $10.00
CHDANEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 VENTII.ATOR $15.00
Permit Fee $ Number of fixtures @ $10.00 .- x $1000 $.,
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @ $25.00 / x $25.00 = $ 00
Number of fixtures @ $35.00 _L x $35.00 = $ _:K5. 6Z0
State Surcharge = $ .50
Total = $ G -5D
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
[ hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
:onformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
iot 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
ipproved plan in the rase of all wo whic 1 ew and approval of plans.
�
;IGNATURE OF APPLICANT PRINT NAME �// % U' n{7 DATE �d7
cP
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432 _
763-572-3604
a