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Caity of Fridley, Mi.nn. �°��° a g�
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r�oN Bui�N�
No. � street � .�._ Part or r.nt
Lot r� 81ack / Additiaai or Sub-Div�iaia� / �'/S
e. � o
Coraer Lot Lot �� Setback �_� Sideyard ��
S@W@1 Fd@Vatiaas ..� � � .-. � � IIeva`� [aa ,�„^"f'�— "��---�—
DESCRIPTION OF' BUILDING
To Used • � �.�
Fro�nt _��� Depth ��� Height _� S4. Ft �0�°� Cu. Ft����
Fron �pth I� t_..� Scd. Ft (�i. P't.
Type of Construetlan F�t.�C'o� �,[ To be Completed
OUTSIDE APPEARANCE OF THIS BUILDINa D�`?UST B� O►�
APPROVED VARlANCE WITH OTHER BUILDINGS IN THIS
Bi.00�.
In caa�sideratton of the 9ssuaacae to me of a permit to construct the
the prapo�ed work 9n acxorrlance with the d�a�ritpt3on above set P�r�j e
o�iaancea of the dty of Frldley. ���
l above I to ao
wlth a�l.�aiona of
In caIDSdderatla� of the payment of a fee oP $.��6�._." _ , Pera�it is hereby gi�nted to
to c�onats uct the building or additiari as d�crlbed above. This t is �anted upoa
an
�the egpre� c�nditiau that theperson to whom it is granted and his agenta, employe� workmen, in all work
e in, arotmd aad upaai ssid buildin� or any�rt thereof� shall c�ovform in sII respeets tfl the ortlina�nc�s of
� 'tbe�l�its�� permtt �e�n�stru��alat any tinne up�te�•t� � � �P���s��
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Caty of Fridley, Minn. N° 8 4 2 0
BUILDING PERMIT
��; AIIGUST 30, x965
p�; STAI��EY DVORAK g�� EA�, C. MALM
� 76.26 Arthur-St. R. E. A� 1007 W. C. Rd. B2
rid1� 32. Minnesota St. Pau1 13, Miunesot�:
LOCATION OF BUILDING
N� 7626 st�seet ARTHUR ST. lQ'.$. Part of Lot
Lot � Block 1 Adclition or Sul�-Divisiaa N1EAD06�KOOR TERRAGE
Ca�ter Lot � Insfde Lot X �tback Sfdeyard
Sewer Elevation Fotmdation IIeva13�
DESCRIPTION OF BUILDING
To be Use� ea:
D. Garage �t 30 �� 24 H�t ],0 �. �720 �� 7,200
Front Depth I�e�tght sq. Fw Cu. Ft
�►pe of Constructt� Fst Coet $2�Oti00 To be Completed
In coa�stderat[on oP the 9satiancae to me of a permit to c�sianict the building d�crYbed above I a�ree to do
tt�e ProPosed work in acc�rr7ance wltii the descrlption abave set Porth and in croanpliantae with afl p�aGvlsions oP
or8inances a� the dty of �'i3dley. � �`��6��
Ia �deratl� oP tl�►e paym�t of a fee of $�� . P�rmit fa hereb3' granted to �ARL C. MA�M
to aomstruct the builaiag or additfan ae descrlbed above. Thisper� t is �ranted upoat
the eapre� o�ndit[an that the�person to whom it is granted and his ageute, emPloye� sn� worl�en, in all work
dmie in, ara�md and upon eaid builaling, or anyp� thereo� shall coffiorm in aII r�pe�s to the or�inanc� of
��Y. � lax�t[on, construct[on, alteratlon� maintenance� repair and mcving og b�l�
wI� dty Itmits�� permft maY be revoked at atp► time upon violattan of a�► a� the P�'o��s �
ALLffia' G. 3E1a'3EN 8� �
NOflC&
� � Pan� doa n� a�sr f6e �a�oe, ��ee �1ae. P�e. e� �g. ��� B� sa�a �e as
� � �t �' � P�r �er � 8�s.
�-l�'- � a.�°
APPLICAT'i� FOR BOIL�II�G PBRMIT
; �i�i OF ;FRIDLLY, �SOTA '
owx�'s � �� � .(� v � r�,�� so�n� '�� �� , �:. �� ��,
ADDRESS %� Z.,� , �I' /G� v� J�T ��� ADnRESS /oo' � �L� .��.��
, , S s -�,2 v� /3 /i%i�.-r
%OCAZ'IOAT oF BUILbING s . . . .
NO i STREET , . � I PE�RT OF LOT�
LOT ' BLOCR � ADDI7.`ION OR SDBDIVISION � . .�
CORNER LOfi�;�INSIDE L____r SETBACR SIDE-YA$D .
SEWER ELBVATION FODNDA3''i0ft �'�ATI01�
Applicant attach to this fosm Two Certificates of Survey'of Lat and proposed
buildi�ng locatioa drawn on these Certificates.
DESCRIPTI� OF BDII.DING
To be use� . . �
r �
� Front � � � Depth � �, Hei�ht �/� �
� "`_.- -
_ ,,:.; . .
Sq. Ft. �-� �� �' Cu. Ft. � �
Front De�t � Height�'
Sq. Ft. �� Cu, Ft. . a6_
Type o.� Conetruction���q�,,� + Eetimated Cost �Z cp-o o .
To be campleted �c f" / s T�' '
The undersigaed herebq makes �pplication for a permiti for the work'herein
specified, agreein� to do all work in strict accordance with the City of
Fridley Ordinances aad rulings of the Department of Buildings, atid hereby �
declares thst all the facts and repreaentations �tated in thi�s applica�3,on �
are true and correct. ' �
/ , ' } ���� � • C�'d�%4���
DATE���d� � � SIGNATtJRE
(Schedule of Fee Coste can be found on the Reversa Side).
�� .v � �.
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. . B�DIIJG PERMIT FEE SCHEDULB
�, .. . � "�. ,.. . .. . . .
SECT�ON 2, The Inspector of $ui�.ding� s�iall, before isc�uin� aay permit for
the erect3on of anq�building or stii�iCure,� or for any-�addition to any egistin�
buildin� or strucCure� dr fox anq altexations or repairs to anq enisting
buildiqg or eCructure; upoa spplicatiaa therefore, require the paymeat by the
applicant for auch. �etmi� of_ �feee' �o the �ount .herein below set forth and in �
the manner herein psov�ded to•wit=
2;1� •For any such permit for the erect3on of. any fire-proof buildiag,
othei than a garage, warehouse, factorq-or grain elevator, or for the erection
of any fire-proof addit�.on, fox.eimiZar �cupancy, to any.esieting building,
ehall.be at_tiie.rate o'f �1.40.for.each one thousaad cubic feet, or fraation
thereof, in such cubical aoutente. . •
2.2 �For an�_.such permit for the exection of any fire-proof garage,
warehotsse; €actory or grain e�evator, or for the erection of any fire»proo�
addition, for similar occupancq, .t�i,.any esistiag building �hall be at the
rate of-��1.?3 for each one t�oueand cubic feet, claesified as yfiregroof"
by Section 5.02 of the l�iinneapo],#.a Building Code. � .
fl0!$S
2,3. For any such perm3t ;: �or, ,thR a�re�ation- of any non-fireproaf
building other than a�ara�e, warebouse, factory or g�r8ia elevator, or. ��
any rion-fireproof additian, for �imilar occupaacy, to any e�is�ting;bui,lding ��
permit $1.00 fox each one th�sand cubic feet. ' �
GARAQLS . � " - _ _ _... .
2-_ �gor aay such pesm�tt far th� erectiou of any non-fireproaf garage,
warehouse,.,factory or grain elevato"r, or for_the erection of any noa-fire-proof
addition, fo� similar occupancy; to any asfsting bufidisg or for each euch- � -
buildiug or add3Cion � ninety centa ($0.90) for each one thous.and cubic feet
or iracCiva�thereof, ia the cubical �contents thereof with the minimum of $4,00.
For°the�purpoae of cn�nputing �ees for buildin� p�rmita, the aubical contents
of any building or additioa to a uaiform he3ght throughout by multiplyiag the
gsoimd- area- ravered fram a-point aix (6) in�hea below tha floor 2ine of the
basement or cellar to the average h�sight of the upper eurface or to the average
height of tbe �oof surface of the main gable of a pitcbed ro;o£.
2.5. For re�sire or alterat3qns to.an,euisC�ng st�ur�ure, the fee shaX1;
be at the rate of.$3.00 �er'each_Five Hundred Dollara ($S:kJ.GJ}'or fractioa�
thereof in the costi'of all proposed work. �
2.6. Ia no Gaee shall the fee charged for any permit as aet forth in
Secti 2on be lesa than $4.00. '
STORM Ri:PAiR DAMAGE �?r�s ;
Reaidential; Eati:+�:¢ed Cost of work up to Y5t3�.00 -$5.00
Es�i�a�ed Coat of wo�k ovar 4:iJi�d!?� -$;.Gei?0
Comm�?^��; Estim.ated�"�st of work 3�'fi�o�:SP�?�ba0 -$IO�'°�
_ Eatimated _�st of wo�ic over $SCO. Q0 - $20. J -- �- -�-�
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`y��� A.S. V. , Ccns4ruction IVo.
Ge�ide
rs Iteference Out. Wall Ine. Wall Ceiling Roof Floor ICind
e o e o 19_
U 1 Room Length � Width >'i eight Fl.� Roo 1
Qfindowa and ra—Crackage and Area � Windows and Doors--Cr
WIdt6 HafBht No. of Llneal tt. Area � Wldth Height No
Na o oe o Ilghte ot cra eq. tt. � No. of D ne ot 116
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`'� `' Net exp. wall
Int. wall
Ceiling '
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or aq. ins. W.A. Leader area � ' Requir sq. E. .R. or aq. ina. W.A. der area
i�L.ength Width �°T-�eight �.- �. . a� I Length - �
--Crackage a d Area r� Windows and Doora—Crackage and Area //
No. 01 Llneal [t. Area / Wldth Halght No. ot Lineal !t. A►es �I 0
lithte ot erack ea. t `�� � No. of e oL ne 116�►te ot cra W. tt. ��7
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.R. o[ eq. in�. W.A. ader area ��
Room � l,eagth rR/idth Height �
io»-�:raekaQe aad Ana �
t a lnsal t. Area
� 1! Yb O[ ers p. tt.
��
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��
;,�;��;:
� ��� ��:
�
Requ'ued . D.R. or sq. wa. W.A. r arat �� v
Fl m I I..e idth
Wwdows and Doora--Crackage and i►tea
idce .isbc Na. ot aeal .roa �
No. ot pane ne li� b of e p. tR
D
Glsea
�� .
Net wcp. waD
Iat. w�eil
�.�
�
�, �- ,:.,�..
L '���:. ~ • � � � '► � .
�VY11i�A�7 ��ffl� V�' DViW+i�i7
A\
�' � � �, . � Coaatruction No.
�. r� � �R�ference Out. Wall Iat. Wall Ceiliag Roof Floor Kind
19
< L.engt6 idth HeiSht Fl.� Room � 1
gt6
� � ackage aad Ana R/'mdows and poors—�r�
IIe sAt No. ot I.Ineal f. Area Wldth He16ht Na
of tltht o[ cn k sa. tt. �� No. ot nane et oaee lial
0
k. EDR or eq. ine. W.A. L.eader area ��
� �� w�a� H�U
� u�cn�� goa ana
t Na o! 1.ineal tG Area
o! oaa� If�Ab ot erack w. f�
�
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;a.. w.a l.ea�r area
ngd� Wi�h
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Width �:
n� � Arp . �
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WE[. �,
In6ltradon -
Glaea
F�cp. wall '
Net eup. wall - • _ : ��
In� waU
Ceiling -
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ina. W.A. Lea�r are�
FI.I Room I Lengtli Width �
w�a�,� 8aa n�m--cm��� �a a�
Wldth Hef�t►t a o! Llueal tG Aroa � �
No. ot yans ot pans lls4q o! cnak . tt
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�� ��., - S r�iis.�f W . .��5, +K�:.y �3'+ l'r������L:�
'��`'� � $ "pr�`'�"�fi="'!�':R' g���;�>kz ji..
.�. .�� .. . ����
sua�ecT P •
City of Fridley 2 219 3
, , AT THE TOP OF THE TWiNS g U I L D I N G P E R M I T RE .
r
� � COMMUNITY DEVELOPMENT DIV. ���
� •
' j y �"��'�
r � � PROTECTIVE INSPECTION SEC.
� . �
� ! /'�'1 � CITY HALL fRIDLEV 53432 NUMBER REV. OATE PAGE OF APPqOYED BY
���-�� � �'' 612-571-3450 910-F15 l0/19/93 / /
JOB ADDRESS �626 Arthur Street NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO
DESCR. % 1 N�ado�tioor Terrace SHEET
2 PROPERTY OWNER MAIL AODRES$ 21P PHONE
Ter.ry/Jackie Di,n an 7626 786-3225
3 CONTRAGTOR MAILADORESS Z�P PHONE LICENSENO.
Twin �ity Storm Sash Co 10825 Greenbrier Rd, Mtka 553�5 546-8160
4 ARCHITECT OR DESitiNER MAIL ADDRESS ZIP PHONE LICENSE IdO.
5 ENOINEER MAILADDRESS 2�P PHONE LICENSENO.
8 USE OF BUILDINCi
Res i�den tial
7 CLASS OF WORK
O NEW ❑ ADOITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Re lace sashes
9 CHAN(iE OF USE FROM TO
STIPULATIONS provide smoke detectors as per i7BC 1210 adjacent to all sleeping axeas
3lld ]Sl �.i3SP.IIlP.Tlt,
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBINti, HEATINd, �PE OF CONST. OCCUPANCY dROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL APID VOID IF WORK OR CON3TRUCTION �ONINQ SQ. FT. CU. FT.
AUTHORIZEO IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOFi A PERIOD OF 120 DAYS AT
ANY TIME AFTER WOHK IS COMMENCED. • NO. DWLd. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STALLS GARAGES
AidD KNQW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS � yALUATION SURTAX
AND ORDINANCES (30VERNING TNIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIEO NEREIN OR NOT. THE GRANTING OF A PERMIT $2 � 70� $I..3rJ
DOES NOT PRESUME TO GIVE AUTHORITY TO YIOLATE OR CANCEL THE pEqM1T FEE SAC CHARCaE
PROVISIONS OF ANY OTFIER STATE OR LOCAL LAW RECiULATiNt3 CON- $S4.00 k'ire SC $2. �JO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
I,icense SC $5.00 $63.05
SIGNATURE OF CON7RACTOR OR AUTHORI2ED A6ENT IDATE� NJN PE ALIDATED THIS IS YOUR PERMIT
� f /D'Zv°9��
S�GNATURE OF OWNER�iF OWNER BUILDERt iDATEi � BLDG �NSp � �aTE �
. . _ _ . .... .. ... .. ........ . . ... . . . .
.. .. . ... . _ __ _ _ _ _ __ __
� � � �b��4�
ADDN [ ] CITY OF FRIDLEY
ALTER [ a SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Buildiing Permit Application
Construction Address: ��oa?� _ - i�`.' �%� �, ..
Legal Description:
Owner Name &
Contractor:
Address_
LIVING AREA:
GARAGE AREA:
DECK AREA_
OTHER:
�
Effective 1/1/93
����
� Tel. # %�lP —J��v
MN LICENSE #
_ Tel. # .�j � �%�p(�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construcfion drawn on it to scale.
DESCRiPTION OF IMPROVEMENT
Length Width Height
Length � Width Height
Len�th � '�idth . HgtlGround
Sq. Ft
Scl- F�
Sq. Ft. �
Comer Iat [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Construction: � �� Estimated Cost: $ . � �L�C7 � '
Approx. Completion Date: � � �
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$_
DATE: �f� - %l ' �� APPLICANT: � Tel. #
I 1
Permit Fee $ � �
Fire Surcharge $ - C3
State Surcharge $ . �
SAC Charge $
License Surcharge $ J� D�
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL ' � $ �
STIPULATIONS:
+ .�
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Att "A" or Alt. "B" Above � .
Fee Determined by Engineering
Agreement Necessary [ j Not Necessa�y []
� y.
sue�ecr MIT NO. �
c�ty of Fridley WRECRING - /� ,/
AT THE TOP OF THE TWINS P E R M I T��_ 2°'� �/ 5_��
� _
� i. RECEIPT NO.
� `L _ COMMUNITY DEVELOPMENT DIV. ���
r � � PROTECTIYE INSPECTION SEC.
� _ �
� /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV OATE PAGE OF AoPFOVEO BV
�'"""�'� �'' 612-571-3450 910-Ft5 7/18/96 � �
JOB ADDRESS 7626 Arthur Street NE
1 LEGAL LOT NO. BLOCK TRACT OH ADDITION SEE ATTACHED
DESCR. � 1 Meadowmoor Terrace SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jackie/Terry Dimgman 7626 Arthur Street NE
3 CONTRACTOH MAIL ADDRESS 21P PHONE LICENSE NO.
Brainerd Construction Inc 219 1/2 Washin ton St, Brainerd, MN 56401 829-3983
4 ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
20020035
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION D REPAIR O MOVE �1 REMOVE
8 DESCRIBE WORK
Remove a 30' g 24' Garage
9 CHANCiE OF USE FROM TO
STIPULATIONS
Clean site of all demolition debris.
SEPARATE PERMITS ARE REQUIRED FOH ELECTRICAL, PLUMBING, HEATIN(3, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN BO 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 yqLUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHOR TY TO VIOLATE OR CANCEL THE pEHMIT FEE SAC CHAPGE
PROVISIONS OF ANY OTHER STATE R LOCAL LAW REGULATING CON- .
RUCTION OR THE PERFORMA OF CONSTRUCTION. �LS.00
PLAN CHECK FEE TOTAL FEE
- $15.00
SIGNATUfiEOFCONiRACTOpORAUTHORIIEDAGENT ioarE, HEN PROPERLY LIDATED TNIS IS YOUH PERMIT
S�GNATURE OF OWNER iii OWNER BUILDER� IDATE� DG i f� TE
�r .
CX'�'Y O�' �LE'i�'
643� Unuiversfty qve �E
�r��e}► NIN 55432
572-3604
Job Addrese;
Legal Descri
Ot�71�x' & Addr�a
Contractor:)
Addres s :,;1 � �,
OFFICES
218 829 2830 +4039 P.03
EFFECxxV� 3/,�/96
1V�0'vn�tG o�i WR�CI'�z�TG [ ] �ER�r A�PLZCA�i�N
�Z �
S
.- ,. � Tel . # %�'� �
:
� Te l . �'
State License # p��� �--
DESC�t�'�ON OF $UiLD�TG
HOUSE : Length 1nTidth
GARAGE : 7Gength _� Width �
OTHER : Length �, Width +
Estimated Cost $ �
�
UTrLITTLS
Iieight Sq. Ft .�, Cu . FC .
Height, �� Sq. Ft -� Cu. Ft . ��"�, / a
Hei ght sq. Ft. _� Cu. Ft.
Approx. Com,�],etion Date �'�, '
City WaterjSewex Minnegasco N S P
NOTIFIED�, 571-3450 [ j 372•-4720 [] U S West
`��`� C � 663-6000 [ J
Water Bil]. Paid: Yes [] or Collect 330•,53"pD
[$ ] Signature
Moving Route: �
� .
The undersigned �aereby makes application �foz a permit to wreck/move the building descxibed above, agreeiz�g .
to do all work in str�ct accoxdance with the City O�dinances and rulimgs of the_Building Divis�oa, and the State
Code wh�ich re�uires any wat�r well on rhe prope�ty to be sealed by a Stat� lice�sed water well driller, amd
hereby declaxes that all facts and representations stated in ttuis app]ication are t�ue and coae�t.
�"��" � �
bate S��ature
Moving: Principle Buu�dir�g into Fridley .... $300.pp
Accessory $uilding iato Fridley . . . . $ 42,00
T�rough ar witbun che Caty ...... $ 20.Q0
Move a building out of City ...... $ 80,Op
Wrecking: For eacb� Z,000 cubic Feet ox fraction ..$ i.25
For st�ruchues which wouid be impracNcal
to cube the fee shall be based oa the
total cost of vvreckiqg at ihe rate of
$6.00 for eac� $500,� o�c fraction.
<vc�
�'�� F�: ! �`� ST'IPULATYONS:
� E
N�inimum Fee: $20.00
Minut�tum Tee: $15.00
�
sue�ecr PER _
City of Fridley � � � � 4
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
� � RECEIPT NO.
COMMUNITY OEVELOPMENT DIV. ��5�
� � v � PROTECTIVE INSPECTION SEC. �
r , ,
� _ ,
' �'�'1 � CITY HALL FRIOLE� SJ4$�I NUMBER REV DATE PAGE OF APPROVED BV
�'----� • •', 612-571-3450 910-F15 7/18/96 / /
JOB ADORESS 7626 Arthur Street NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ] 1 Meadowmoor Terrace SHEET
2 PROPERTY OWNER MAIL AODRESS 21P pHONE
Jackie/Terry Dingman 7626 Arthur Street NE
3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO.
Brainerd Construction Inc 219 1/2 Washin ton St, Brainerd MN 56401 829-3983
4 ARCHITECT OR DESIGNER MAIL AOORESS ZIP PHONE LICENSE NO.
20020035
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
.D NEW ❑ ADDiTION ❑ ALTERATION O REPAIR ❑ MOVE O REMOVE
x
8 DESCRIBEWORK 15 Sq Tear-off)
Construct a 30� s 24� Gara e• �eroof House; install interior cabinets
. / S C�
9 CHAN(iE OF USE FROM TO
STIPULATIONS
See notations on plan. Provide a hard surface driveway. Return
agreement from ad�acent property owner on lot line location. This agreement
must he returned before calling for a garage form inspection.
Reroofing permit fees added onto permit on 7/22/9fi.
WI�RHIt�C
�efore digging caN for
ell utility tacations
�54•b002
l�EQUIRED BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, NEATING, TYPE OF CONST. OCCUPANCY CaROUP OCCUPANCV 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 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. 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 CORREC7. ALL PROVISIONS OF LAWS yALUATION SURTAX
AND ORDINANCES GOVEfiNING THIS TYPE OF WOFiK WILL BE COMPUED ` � '
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �13,190+$i�237.SO �6.GO'F'�.()L�
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFMIT fEE � SAC CHARGE -
PROVISIONS OF ANY OTHER STATE OR AL LAW REGULATINl3 CON-
STRUCTION OR THE PERfORMANCE O ONSTRUCTION. �212.25+ $43.0� Fire .S�', �13.19+ $]:.2
PLAN CHECK FEE T07AL FEE' ��
' License SC $5.00 $237.04+$44.86
SIGNATUREOFC �RACTOf70iiAUTHORI2EDAGENT IDATEI WHEN PAOPE VALID TED THIS IS YOUR PERMIT�
i
6 'r' '
S�GNATURE OF QWNER�IF OWNER BU1LDEii� IDA7E� Bl �NSp �aTE
�• �
�.
� N�
ll���
ALTkR
�
��
r`
Conscruccio,nAddreas:
Legal Descripciom:
OFFICES
218 829 2830 +4039 P.02
CXTY OF FRIDL�X F�ifcctive 3/119G
Sli1TGL� JEAN.[�LX A,1VY3 AL1��,Ex�S �i-x AN� R-2
Bui�diz�g Pecmit Application
3Z. �7�
nwner Name & Address:
Comt�actoro �i11�A / IA Oli
Add�ess:
� �, �U ! i�C ��C�
n�����
LIdA11G ,AREA:
G�t+l�RAGE A�,REq;
DECK A�EA,;
O�'�lEkia
�
����L�
MN �dCENSE �1�1`% .5
����r��. � �l�', ..�,� 39�' : �,
Attach to this a�p�pi�cation, a Cert�ificate of Survey o� thc �
loc, with the pm�osed conatxuctiom d,�awr� �on it to scale.
AESC�c IO �' �Oy� ���/�l �
�loZ�. � C��, r'���
�
��� �_ W�dth _�� �eighc Sc�. F�.
I.ength �� Width � J I3eight � Sq. Ft. �7��! 3 2
��8� Widtbt `~
� Hgt/Ground Sq. Ft. _ =/�> /i� Ya
Cor�a �,,ot [] Ins�de Y,ot� Ft. Yd Setback ,��� Sl�� y�d Setbac�cs D�'
Type of Construction I�(% ��a� �t: $ s... D , � / � ��
App�ox. Cornplet�on Date:
(cost on Back)
Ddveway uua��b Cut VVxdth Needed: Ft. + 6�'t � Ft �$ _$
AATE: � % � APP�,ICANT: � �% Tel. � d'' �'� -
�.n �'1
Peaxnat Fee
Fire Surcharge
State Suxcharge
SAC Charge
Liconse Surcharge
�m�veway �SCrow
m�
�rosion conaot
Park Fee
$ � Z�Z�
s 3, i�
$ �
$
� ���
$
�
�SE ONLY
Fee Schedu�e or� R,ev�rse Side
.�x of pe�,mit Valvation (R/lOth%)
$.SO!$1,000 Valuapion
' �.. .... - _ - .-:-�_\� .
� � !�'Gc 5Sc5 - ,
_ �/fl'�%� u �2 c-���e �
. � � �.�-� 5 _
—f u.v�c�.se.� �
$900 per SAC i7nit ` �( o
pr � �
$5.00 (State �,icensed Resxde�at�tal Conaact�rs�- G- - °-��- __ -
AIt. "A" or A�� "$" Above `
' ���..�r_ ',
$450.00 Coaservatioz� Plan Review �
. �, `,R-�-��
S 1Fee Detetxninai by �mgineexiulg ---_._
Sewer Ma�n Charge $ Ag�eeanent Nece,ssar5' [ l Not NecessarY I J �<��o �A-t�
��
�or�,L $ 3 0 � °'~ � � ;rr��'I�l
� .
�'� ��' .
s�rur�►.�xorrs: �b:l � �-��a-�99�
- � _ - �,9.v.�
�� _
�
� , r�8rs -i�y�yi„sznj fcs ,v.E.
�� 1'�-� �,,����z.
�f�- ENGlNEERiNG, INC. .'��,��°,°
sca�kr a so�s
„� �f --- En ineers � Survec�ors ---
.�
` scate o� sss�rve ��: ���'✓�� �o ��s
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� NORT%� �
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✓
I, —�,J Q,f� i� fY � ��. , owner of property located at
_'p���� -�'1�,,��� cj�. �� , agree that the property
line.is at least the minimum distance of (� ft) from the
proposed construction at `��% �--(,� �' ��,,t� �- i� � I
hereby give my permission to construct the ���� without
having the required survey of their property.
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CHIlVIl�IEI' AND STACB VER�C�ITION
„ The undersigned hereby verifies that the existing chim�ey-�r_�stack:
1. Has been carefully examined Yes O No O
2. Is free from rust or deterioration
3. Has no foreign objects lotfiged:�rithin
4. Is securely supported �.: . � .
-- — S. Meets all current .e�e requirements:�fQi size..
and total BTU's conn�cted �
6 Has total heating BTU's of �
All other B�'PU's
TOTAL BTU's
7. Has a liner been provided for water heater
8. �ias combustion air been provided for water heater
Remarks:
List ALTERATIONS~Be� Done:
Yes ( :: ) No ( .�
YesONoO
YesONo(3
Yes()No()
Yes ( ) No ( )
Yes()No()
HEATING CO:
Signed By:
Date: