AF - 43563N° 949
Village of Fridley, Minn.
�UILDING PERMI�
Office of iNSPECTOR OF BUII.DINGS
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Owner �r � �
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Architect Frid2ey, Minn., � �" _�'� , 19 - '"``
Builder � � �irt"'"dr�.J�'�r'� ��.��"�`"� �
LOCATION OF BUILDING
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No. �w � � �`� �T� Street ; �'"��� '��^ ~�� "�-�^' Part of Lot
Lot Block Addition or Sub-Division
DESCR,IPTIf�N OF BUFLDING
Front Depth Height Stories_ I1Zanner of Construction
To be used as ' �' ' To be completed Estimated Cost
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Permit is hereby granted to .�' ��'• "� ..�'"'�"�^""` to �`
the building '�''`•"�"�"'"'" described in the above statement. This permit is granted
upon the express condition tha.t the person to whom it ia granted, and his agents, employees and worl�nen, in all
the work done in, around and upon saict building, or any part thereof, shall conform in all respects to the ordi-
nances of Fridley, Minn., regarding the 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 said
ordinances. ,, :w-�„�
�,'� ' : ,r�
• .-i.�; ,'" .` ' `�' �'' Insnector of Buildings.
AGAEEMENT AND SWORN STATEMENT
, -
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridl�ey of
the above permit, I hereby agree to do the proposed work ixa accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
Subscribed and sworn to before me at Fri ey, Minnesc�ta� thi.s f=��
t i n � � i' � ="� ._, t^
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day of �.-,� M"`
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CITY of FRIDLEY
6431 University Ave. N. E., Minueapolis 21, Mian.
PHONE: S(p0•3i�SZ7
STOP
INORK
REMARKS: PEI�Rt.� F0� �2Emov�N� TNrs TAG
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INSPECTOR �'��(�(�Z��, ' ���%� 1 � '1 ,
DATE �°� ��� �c
SCHAFER'S SPECIALTIES MPLS.
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��Cit� of Fridlev � � 15423
A'T'E`°°°"�Er::'�5� gUILDING PERMIT
� ECEIPT NO.
� ___ COMMUNITY DEVELOPMENT DIV
r � V PRO�EGTIVE INSPECTION SEG
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� � '"� � CITV HALL FRIDLE� 55432 �� vor�eEa aE. oare Pc,,: e� uaaF;;�ec Bv
�----�:' `.� 612-571-3450 9�0-F�5 8/30/79 � � �
ioa nooaess 6425 Baker Street N.E.
1 LEGAL LOTNO B�OGK TRACTORAODITION SEEATTAGHED
oesca 11,12 1 Moore Lake Highlands s"EET
2 PROPEFTVOWNER MAILADDiiESS ZIP PMONE
John Ness 6425 Baker Street N.E. 571-3245
3 GONTRAGTOR MAILA�DRESS ZIP PHONE LICENSENO
Same
4 PRCNITECTOPDESIGNER MAILADORESS ZIP PHONE LICENSENO
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
s useoFew�oiNc
Residential
7 CLASSOFWORK
C NEW ❑ ADDITION ❑ ALTERATION '� REPAIR C MOVE 7 REMOVE
X
B DESCRIeEWORK
Construct a 14' x 14' S d
9 CMANGEOFUSEFROM TO
STIPULATIONS Shed must be tied da✓n permanently or be put on slab. Exterior of
shed must be finished.
SEPERR7E PERMITS REQUtRED FOR WiRfW�
H�Y�Nf� PLUMBJNG �IyD SIGNS.
,,�
TYPEOFCONST. OCCUPANCVGAOUP OCC'JPP^+�'YLOq�
SEPARATE PERMRS ARE REQUIRED FOR ELEGTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR GONDITIONING Wood Frame
TMS PERMIT BEGOMES NULL AN� VOID IF WORI( OR CONSTRUCTION ZONING 50 FT GU.FT
AUTHOFIZED IS NOT GOMMENCED WITMIN 60 OAYS. OR IF GONSTRUCTION
OA WORK IS SUSPENOED OF ABANOONED FOR A PERI00 OF 120 OFVS AT
AN� TIME AFTER WOFN IS COMMENGED NO DWLG UNITS OFFSTfiEET PARNING
I HEREBY CERTIFV THAT I HFVE READ ANO E%AMWED THIS APPLIGATiON 1 STALLS GARAGES
ANDKNOWiNESAMETOBETRUEAN�CORRECt ALLPROVISIONSOFLAWS VAWATION SURTA%
nND ORDINANCES GOVERNING THiS TYPE OF WORK W4L BE COMPLiED $(�O S•SO
WITN NJNETHEA SPEGFIED MEREiN OR NOT. �HE GHANTING OF A PERMIT
DOES NOT PRESUME TO GNE AUTMORiTY TO VIOLATE OR CANCEL THE pERMIt�EE SFCCr+ARGE
PROVISION$ OF ANV O1HEF $TATE OF LOCAL LAW REGULATING GON� $')�SO
STRUCTION OF THE PERFORMANCE OF CONSTAUCTION
P�4N CHECKFEE 'CTa_FEE
$8.��
PEOFG�N'R<;'OAOP>JrHO�2E.PGR�1 ��viE� yyHEN PF10�ERLY VPL�DATEv THIe .5 �'/O�JA PERMI'
��� � �/�lL� � Kil.lL/ t/ �� � i
S�GM1>�U E.^.G,;.� ER.G�^'JrM1EP9UL�ER� ipAiE, B_��. �r
CITY Of FRIDLFY •
ARPLICAfIOP� FOR RESIDEiJTIAL QUILDIPJG PERMITS
(fJew, Altcrations, Additions, or Repairs)
OW�dER: ��;' �, /I��-=:� BUILDER: - .�'�''�"t.
ADDRESS: �`�� � ����k� - �"��� � ADDR[SS:
T[L �VO: - "_ TEL IJO:
Construction Location
STf2hiP.T NO: �� STREET: �' �� E� r��- '� =, � . , - -
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LOT: /�'� /= IILOQ:: � ADDITION: � c'_ s:'..• /' � i^�^s.
Corner Lot: Inside Lot: �! Setback: Sideyards:
I�pplicant attach to this form two Certificates of Survey of lot and
proposed building locatiai drawn on certificates to scale,
DESCRIPTIOW OF CO�dSTRUCTION
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�t���t �� Front: - Depth: � � Height: _
Squane Peet: i� (� Qibic Feet: ��%�� (_`�
Front: Depth: _ _ Height: _
Squarc Feet: Clil�ic Feet:
� i `-
Type of Construction: ��i!,�o; 1 l r'i�
, —
2b Be Nmpleted: ��1� tl '�� ,'
Proposed Driveway Width If New Opening Is Desired:
�_�i
Estimated Cost: $ �'
I�lt. A lU t. B
$ S
SEL•' REVERSF•. SIDE OF SFIEET
The undersigned hereby makes application for a permit for the �.ork herein specified,
agreeicig to do all work in strict accordance with the City of Pridley Ordinances and
ruliiigs of the lleparYment of Buildings, and li�seby declares that all the fact� and
x'epresentations stated in this application are true and correct.
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DATP: ,_,�j �� SIGNI�'PURE:
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Stipulations: � �v 1 �� �,' �� � �-�; _ �' ���- � �� �� �' f� ��-(tja � J �
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CITY OF
FRIDLEY
CI�'IC('I-.,till.Ft • na;l l��lA�F_RtiI-I-1�A�1�. !� I!. I�RII)LI�.I�. A11VVI`,ti(ll�,A 55-13' • PHOhElfil'_1571-345U
July 10, 198G
Mr. John tless
6425 Baker Avenue I4.E.
Fridley, tII] 55932
Re: Electrical Permit k15,658, Zssued 10/19/84
Dear ?!r. Ness:
Several inspections have been made to determine the progress of the electrical
work done at your address for which the above noted electrical permit was
obtained. It has been determined that this work has not as yet been completed.
If an}� further electrical work is done at your address, a new electrical pexmit
will have tt> be obtained from the City.
If yo� have any questions on this matter, please feel free to contact me at
699-6692, between 8:00 am and 9:00 am, Monday througn Friday.
Sincerely,
CL1xENCE D. SORIMA[7
Electrical Inspector
CBJ/mh
Building
[nspections
'63-572-3604
>tiE .aDOaESS / ,; 4
rxis arpuca.r�7 is
PROPERTY OWNER!
TENANT
CONTRACTOR
SUBAQIT A COPY OF
YOUR STATE LICENSE
MITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
Y'OUR E-MAIL .4PDRESS
'ER OCOMRACTOR
-Pi� °'
,'vl � C- �
, . , , -. � ��
.4DDRESS:
STATE LICENSE
❑ 6ASEIvIENT FLNISH
❑ DECK
I�f�VI
CONSiRUCT10N
DESCRIBE WORK BEING DONE: ') C- 4 C/' #-
IMPROVEMENT
SQUARES�_
G.4R4GE5
PROPOSED SIZE:
PROPOSED HEIGHT-.
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
❑ SID[NG
LENGTH
❑ HOUSE ONLY
❑ HOUSE & GAR.AGE
_ EXP DATE
crrv
FAX
SIZE
STORIES
'SHED ❑ V.'INDOWS
❑ DR4IId TILE
❑ OTHER
❑ ATI�.4CHED GARAGE
❑ DETACHED OARAGE
❑Soffn
❑ 7rim
❑ Fazcia
R INDOR'S
IN EY.ISTING OPENMGS OYcs ONo LOCATION OF Ii�INDOWS
OR FOR NEW OPENMGS-DESCRIBE SIZE OF
OPENING CHANGES &
7'YPE OF �1'RJDOW TO BE R:STALLED NUMBER OF��
ALL FEES ARE BASED ON VALUATION, [NCLUDING THE COST OF
(USING THE 1997 U.R.0 FEE SCHEDULE)
TOTAL JOB VALUATION $1�{-7'-�- OCCUPANC
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Chazge
Curb Cut Escrow
Erosion Conhol
Pazk Fee
Sewer Main Charge
$
$ l. �-l'`I
� '%`a
$
Permit No.:
Received By:
i� � .r �:
ATE_ZIP `.J�J tI �J� j
I-IEIGHT
BASEME?.T REMODELMG SUBM17:
I. Existing Floor Plan
2. Proposcd floor plan
3. List of s[ructural mcmbcrs to bc used
Ft.
FOR NEW CONSTRUCT70N MCLUDMG DECKS,
ADDITIONS & PORCHES SUBMIT:
L Sim Plan/Survcy showing Ihc czisung swc4ims
and proposed projcct.
2. 7wo scts of conswction plans
3. Energy Calwlations
AND MATERIALS:
See Back Pape for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1675 per SAC Unit (Plans to n4WCC for determination)
ft+6ft= ftx�21=S
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks uavable to: Citv of Fridlev Attach Stinulations
TH1S IS AN APPL[CATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
1 hereby apply for a building permit and I acknowiedge that the information above is complete and accurate; that the work will be in
conformance with [he ordinances and codes of the City of Fridley aod with the Minnesota Cons[ruc[ion Codes; tha[ I understand this is not a
permit but only an application for a permi[ an "ivork �,,,���'''}}}�����-ot to s[a without a permit; [hat the work will be in accordance with the approved
plan in the case of all work which requires re ,(ey�and �"� val o lans. �--..
C/
SIGNATURE OF APPLICANT "� �� /� PRMT NAME DATE G �'
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