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AF - 43622, . , � _._ _. . _, , .� . , . � ` .,._ ..., V�fl�� o� ��s�il�y, 1��. �iITIi,��l�� .'��19iIT 1�° 414 �3+�c� of �5��+16 ��' ��TII.�YI�IG� Owner � J {,, �. Architect Frid!ey, r,finn., T`�' , 19� Builder �� --!�� L CA'�I�1� OF' �LT�I�Il°1G No. _ Street `j � Part of Lot �ot ' Slock Addition or �ul;-Division �-,�°�L,,,�.�,''�T �.`'i.i �i+ �07�:�� k . iG`rcnt �: �,_„� �e sth : e" F3eighc Stories__ �fi��ner �s Cans2rztction �� 9,�°`�,�;� � � f , A� .;� To be usec� as �ta�'�,�� ..xu� ,�.� �� , .z n �w. n ,�,� ; ` : � �"` o be co .��leted = .$..,.� �� Estimated Cost�� . � ? } yyr �{ � k j� ; .. .` t.. . .� . .i� ... �_.�'�?.�_ 3� . ,� � f.��. a ..�� £ .... ..�.-. , x . F's.� �,p.:;, a, � . . „a+�' a as_.�. �..�.:..K' ...,. � . ` Permit is hereby 'granted t � �. Lne puuaing '"' d�ecribed in the a�ove statement. This permit is granted upon the e�press ,c dition t the person to whor� it ia gra.nted, and hi� agents, employees �.nd workmen, in a.il the work done in, around and upon said buildfng, or �,n;,� part thereof, shwli conform in all respects to the ordi- nances of Fridley, Minn., regarding iche constructiou, alteratzon, m�,intenance, repair 2,nr3 moving of buildings within the city lunits, and this permit may be revoked at any ti�ae upon violation of any of the provisions of said ordinances. ;'` — � � Inspector of Builc�ings. A��.��?Vl�� T��F� 5�,�10R.N S`.a'�.��I4�ENT In consider�,tion of the issue and deli�epy io an�e ��,� thP �'r_^r��cf;or �f ��l.dR� ;y ci Y+'ridle�� of the a�ove permat, I hereb,y agree to do the pro�:o�e� �FaE�rk_ %T� �.ccc��s?.E.nce witE� the descripLion above set forth and accor�ing to the provisions cf the orc�i�?�9z:r^�..nf �°t�ici?e�a, aizd, Y�ean�; first dulv sworn, I hereby �tate and say that the facts s�ated by me a�?d c�n��.irzed i�. ��e a,?�ove �e�mit �x°e true as �therein stated. f °� �' �... �.._..P,. •^`�' �ubscribed an�. sworn to before me at Frfdley; I�7��.n�;:s�t�,-#��s day of-�,�ae�"�_A.D. 19�. '� � ` >. i e I � � � • u i City of Fridley, Minn. �jo 1028 2 BUILDING PERMIT Date: June 13, 1969 Owner: __Joseph L, Schroledl _..._..______ Builder _..__.._.Same ....._...._............_.._.__..._...._......._.._._..___._._.._..__ Addre�ss .....__6440.._Baker....St.�..N�._._E..�......__.-----._..._....__.._. Address _..__._.Same....._..__.____.._--•-.._._._..___._.__._...._..___...� LOCATION OF BUILDING No. _.._.._6440._..._ Street ...__.._........._.Baker..St.;.. N.._E4_._----._ ......................__.... Part of Lot .__...__.._..........._.._. (except the N. 75' thereof Lot _._._..4_._._...._......__ Block ._.._..�2....._.._...._......._--•---------. Addition or Sub-Divisian -.------•__._...P.�S�.Q�.�....L�ke...Hi.ghL�,n.d.s..�— Corner Lot ----•---.........---•----- Inside Lot .....------X Sewer Elevation Setback ..__.._..._ ............._.._........ Sideyard .._....._ Foundation Elevation ....._.._._.. To be Used as: Slab �� __.......--•-•--_..__..._._...._..__ Gar�ge Type of Construction DESCRIPTION OF BUILDING , Front -----..__16 � Depth _..._20 �.._ Height ..1 ��._._._.. Sq. FL Front __ Frame Depth _..._._...._...__ Height ....._....._.._..__ Sq. F't. _.�_..._.. ...---. Est. Cost _...----•-�.49.0.. 00--•-----....... To be Completed (:u. �'L ___.. Cu. FL 0 In consideration of the issuance to me of a permit to c ct the building described above, I agree to do the proposed work in accordance with the description abov� s��forth and in compliaxice with all provisions of ordinances of the city of Fridley. .,,� �J . � In consfderation of fhe payment of a fee of $._._.._ 5.00_.______� pe,rmit is hereby granted to�ose�h L• $�x� Schroedl .___,........___._.._._....._._.__.___.._.._. to construct the building or addition as described above. This permit is granted upan the express condition that the person to whom it is granted and his agents, einployees 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, �1teration, maintenance, repair and movin8 of buildings within the city limits and this permit may be revoked a t ac�,y time upon violatioa of any of the provisions o� said ordina,nces. Building Inspector NOTICE: iMs p�rmit doa not eov�r th� eonstrueHon, In�tallMien fer wirfny. Plumbino. o+s h�Min�, »wK or wabr. !� wn to s� th� Buildiag Insp�eM� for s�parat� p�rmf� for 1h�a ibms. � � • � � • / • �• • • � • � � � i ' A � / ��:__ _ � �I 1 -�_i.�. / �f� �� ,_/ � i A �I' ,�,�. `� � � � � ,,. � ' � ,,. - , � i% � � f�� . , LOCATION OF BUILDING N0 . STRFrET LOT BLOCK ;�. ADDITION OR SUBDIVISION H..t, �� . �`?� ,�' s �,; *� , � :: ' �- � ,,,G> ,1 �i � t: i •_ CORNER LOT INSIDE LOT�_SETBACK � SIDEYARD SE4TEft EI,EVAT�ON TOP OF FOOTING Applica.nt at�ach to this form Two Certificates of Survey of Lot a.nd proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be IIsed Ass � �� -�'t � � � � � �ir� � � �� f � � � � Front < � Depth e�d Height �� _ Square feet Cubic Feet Front Depth Height Square feet Cubic Feet �_ Type o� Constxuction EstimatedY Cost/ 7'�� To Be Completed , �(J � � '— � � � � ^ T— The underaig:ned hereby ma,kes application for a permit for the work herei.n specified, agreeing to do all work in strict accordance with the City af Frid�.ey Ordina.nces a.nd rulings of the Department of Bu�.ldings, and hereby decla.res that all the facts and representations stated i.n thi� applieat�.on are true and correcte DATE � — / � — � � SiGNATURE (Schedu�.� of Fee Coats can be fourid on e Reverse Side.) � .�s ..-�-�'''��_W..._ � �� 4 ` � • � � C � f BUILDING PERMIT FEE SCHIDIILE SECTION 2. The Inspector of Buildings shall, before issuing permits ior the erectio.n of any building or structure, o�r for any addition tq any �xisting structure or building, or.for any alteration or repairs to a.ny existing building or structure, upon application therefore, require the payment by the applica.nt fo�° such permit oi fees to the amount herein below set forth and in the manner herein provided to�-wit: Uniform Building.Code: Type 19 2, & 4-� $1075 for each one thousa.nd cubic feet, or fraction thereof9 in such cubical c:ontents. Type 3& 5- $1.50 for each.one thousand cubic feeto For the purpose of computing fees for building permits, the cubical -_ ��t�nts of �y b'tzi�Cl.i�i�i5�"`a�lclt'tiaes:-� �, utti�'orm hei�`�7Ct"'�l2'�ri.lgYrot� "b�r_... _� multiplying the ground area covered from a point six (6� inches b�1ow the floor line of the basement or the cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alteratio.ns to a,n existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00� o� fractio.n thereof in the cost of all proposed work< In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. NSSSD Connection Charges based on location - Area 1 or 2. • � t r • � �j-C� YR� P �� b vPy r7 o s � /�1 `�, � � � .� �N � 0 � � � � (�'P'r r `?21, `�P v ° � �- �i ,- a f .o • • City of Fridley, Minn. MOVING BUILDING PERMIT Date: •Yuly 8,__1969.._._..__..____.__.__..._..___.._.__� _._. _ose h L Schroedl Same Owner: �...._..P_._.._._�.._....._...__....._._..._.._.._.._.—._ Bvilder _.___..__._..^. Address ....�?.��:Q.. Baker :St -. N �.._E.�_...._..._. __._..._......._.._ Address ._._.._..._.Same ��a� N° 10325 LOCATION OF BUILDING No. ._6440._..._....._. Street .._.----.-Baker Street-. N.—E. -•----------•.---•--•----....._..... Part of Lot ..__.._.._...._._._....___._...._..__._._ 2 Moore La1ce Hd�ghlands Lot_..._.. 4._.__...._....__ Block ._.._.._..._._......_......_.....__....._._. Addition or Sub-Division -.--•-•-•_.._..�..____..y_..__._________.__..___ Corner Lot ----_ ............._......._ Inside Lot Sewer Elevation Setback ._._......._........---._.--•--.--- Sideyard __.._.._ Foundation Elevation ..._._..__. DESCRIPTION OF BUILDING To be Used as: Move...Gara.�e....._.__ Front _..---......_._. Depth ....._..._......._ Height .._._......•_---_ Sq. Ft� ..._---�_._ Cu. Ft ..__.._.._...�........_...,..._..._..__._.._ Front ________._._ Depth _._---.._.-•--- Height ....._........._..__ Sq. F't. _.__._.._........ Ct�. FL Type of Construction _F��e.._._.._......_....__.__.. Es� Cost ....x�100.,_00._.._._--•--_......._ To be Completed _.__.._.._.._.._._ To move garage from one side of the house to the other. In consideration of the issuance to me of a permit to construct the buiiding described above, I agree to do the proposed work in accordance with the description above set forth and in compliance v�nt�} all provisions of ordinances of the city of FridleY• _ n _ D /,� /% .s In ca�sfderation of the payment of a fee of $.___10__._00_......_.., permit is hereby granted to!�ESePh L. � Schro�dl . to construct the buil ' ...___.._....._.._..._.._ .............r._._------ ding 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 a� Fridley, Minnesota regardfng location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this perrnit may be revoked a t any time upon violation of any of the provisiona of said ordinances. Hank Muhich Buildiag' Inspecto� • NOTICE: This p�emh do�s not aover th� eonstrveNoa, in�allalion for wGiny, plumbtne, qas h�atin�, »w�e er wat�r. d� wn to tN th� Buildieg In�� fo� »panh p�rmils for fh� fbms. ,� � r�.• _ _ APP'LIGA�TIO�N FOR M,OVIN�G pERMIT No . _. . _ _ .._ . _ _ . _ _ . _ �idley, Minn., � � 19_._L Inspector of Buildings, 6431 Univ. Ave. N.E. The undersigned hereby makes application for permit to move building as herein specified, agreeing to do a11 work in strict accordance with tlie City Ordinances and rulings of the Department of Buildings, and hereby de- clares that all the facts and representatians stated in this application are true and correct. Lot Block Addition Present Lacation: �y�� X�� N � � � , , , To be maved to: [> �J� `� J� � D f>O �� T�� _ _ _ _ �i'}��R �� o� r��v�� o �! � �� t� 1� �i��R /� �' � , } , Routing : � lYl at� J2 � �/� X� tf ��.�.c,U n�L�3 � � Distance moved ��"�" ft.To be completed about ,��,G �� 19G� Taxes paid?� Estimated cost $>� -�Foundation and alteration permit numberslr � gZ Certification as to cost: I hereby certify that the above designated building is worth at lea,st siz�ty (60) per cent of the cost of a simi- lar new building. n _ � . Approved by: Utilities Natified: � � a � �� Owner or Ageat Water & Sewer I?epartment Minneapolis Gas Co. (date) (Title) Narthern States Power Co. (date) (Title> —Northwestern Bell Telephone Co. (da.te) (Title) • s�gnea .Licensed, Mover (See revezse side for iastructions) City Engineer In the event that the moving permit is to be applied for by the owner or by any other person than the licensed Mover, the following letter must be campleted and signed by said maver: Inspector of Buildings, 6431 University Ave. N.E. Fridley, Minnesota Please issue the bearer of this application, Mr a permit to move builcling from: � � Date �/ �/�.� , 1g— �.��i . i � Signed • �. which I hereby authorize him to sign my name. Licensed Mover GENERAL INSTRUCTIONS The following must be secured before maving permit will be issued: 1. A building perm�it for new location of building to be maved. To obtain this building permit, the follawing is required : (a) The building to be moved must be insp� e�cl��-�- tructural soundness by tl�,e building inspector. hone thi office for insgection. SUnset 4-7470. ��-u-�--.v �9%< �� ,�-�� j��. r�, (b) A surve af lot to which bui�l,ding is ta be moved. This survey must be made by a licensed surveyor. .'r� ��-��- c?�C�,.c�--- (c) The building and moving permit must be obtained at the same time. 2. Tax receipt shawing that all real estate taxes due have been paid. Duplicate receipts may be abtained a,t Anoka Gaunty Auditor. 3. Approval fram, the F'ridley Water and Sewer Depa,rtment showing that bills chargeable against the praperty to be moved have been �aaid and water connections have been discontinued at the curb line or at the main. (See r�verse side af form.) 4. Appraval from Fridley Director of Public Works oiiice approving routing. 5. Notification to, and signature of utility campanies. (See reverse side of form.) (a) Minneapolis Gas Co., 739 Marquette Ave., Engineering Department, F"ourth Floar. (b) Northern States Power Ca., 15 South 5th Street, Application and Extension Department. (c) Northwestern Bell Telephone Co., 224 Sauth 5th Street, Business Office, First Floor. 11 250-8-58 • . - • � � � � sue�ECT PER City of Fridley 1810 6 AT THE TOP OF THE TWINS B U I LD I N G P E R M I T f ' ' RE T N � � � • COMMUNITY DEVELOPMENT DIV. ' j L � r � + � PROTECTIVE INSPECTION SEC. /� 3S/ 1 � � � � /��1 � CITY HALL FRIDLEV 5S43Z NUMBER REV. DAjE 1 ^� PAGE OF APPROVEO 8� �.---'�•� �•� 612-571-3450 910-F15 5��f�5 / / J08 ADDRESS 6440 Ba ker Avenue N. E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. a Of 4 2 Moore Lake Highlands SHEET 2 PROPERTYOWNEF MAILADORESS 21P PHONE Jeanine Fischer 3 CONTRACTOR MAI� ADORESS Z�P PHONE LICENSE NO. same 4 ARCHITECT OFi DESIGNER' MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILOING Residential 7 C�ASS OF WORK ❑ NEW ❑ ADDITION fE7 ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwe]lin 9 CHANGE QF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. SEPARATE PERMI7S ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORI2ED 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TfiUE AND CORRECT. ALL PROVISIONS OF LAWS �ALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED $600.00 �. rJO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFiMITFEE SACCHARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI OF THE PERFORMANCE OF CONSTRUCTION. �ZrJ , OO PLAN CHECK FEE TOTAL FEE + 5 i ruae fC0 T ACT ROAAUIH�RIZEDAGENT �oarEi WHEN PROPERIY VAUDATED THIS IS YOUR PERMI - �( - ' 1��UZ�P C.F.C�� ! I Si NATURE OWNEPiIF OWNER BUILOERI IDAT 1 BLDG �NSP ��a7E � ADDN. pLTER . �J [l [7 City of Fridley � R-1 AND R-2 Building Permit Application Effective k/1/84 Construction Address: lo �d ha�,Ce✓ �-\v� N��• Legal Description: � �'1�4� -� �� ` � g��, 2- ��Orcl L��-�CE �� ,In l. dr�►�� Owner Name & Address : �ea� � � � � �e'�, _ Tel . # Contractor • S�� Tel .# S7f � 7S3 Address: �� -Ec.f CS ��lJ� e r (� u S l�f Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to seale. DESCRIPTIOp OF IMPROYEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. � DECR AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �� e - ��r� � 1,� C� Corner Lot [] Inside Lot [j(] Ft. Yd. Setback Side Yard Setback Type of Construction: Approx. Completion Date: �` 2-� " 8s Proposed Driveway Width If New Opening Is Desired: Estimated Cost: $ � d� • °° � t�gA►e- .�., 0 0 c� c� Alt. A Alt B � $ See Back Page for Explanation � c DATE: __ 7 - << ' �� APPLICANT: Tel. �, Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge r�� STIPULATIONS: CITY IISE ONLY $ �S B v $ $ r �-v $ � � $ , / S: ��I Fee Schedule on Reverse Side 25� of Building Permit Fee �.50/$1,000 Valuation �425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �.� �a�� ^� _ ... 1. LOCATION OF NELL• M�isvi bisnk NfQ ot keown) N0. tounty Mame Anoka Tornship N�or Township Numb�r Rang� NumMr Section No. F�action 4. WELL DEPTN (copl�t�d) Dat� s�aled N E h kof 4 Fridley 30 sr 23 W' 13 NW NW SW , 74 't• March 26, 1992 Numerical Street Addreas aod City of Mell locaCion or Distance tro� Road 5. ORILLIN6 METH00 (if knawn) Interaection 1[J table tooi 4J] Revtn� 70 Drlvan la] Duy 6440 Baker Avenue NE, Fridley ZDNO��awRod 50A1� �Bored ��p Show exut loation of w�ll 3D ��rY �] �ett�d 90 Powe� Auyer (in section grid rith •X") Sk�teh aap of wli tocation 6. OBSTRUCTIONS N Gaf�qe N� Wel l obstevcL�d �y] Yss � No _ � . . . _ ..� � Obstruetlans I�aov�d � res ❑ No If obstruetloos aneot b� , , ' ; ; X 53' 1�" Orop Pipe & '''"°�•', °°"a°t "°" ++ - - - - • -I- � - E Jet fon suilnq. � � ; � T �. �5E ' � � ' � ' + y .K. 1� Oomsaiic � MoMtoHnq � IN�t loop ' ' I 2[� IrMgaLion � Publit � Industry .� . .. _.,... ,. 1 3Q Test M�11 6� Municlpai 1� Comurclal �--- 1 SL--+ ----.. ____ � ._ ._. ,_ 7Q Air ConditlaMny 11� 2. 7ROVERTY OWNER'S NAME Maiiing Addrass if dlffennt than 8. CASIN6(5) prop�rty address Tndtut�d above 1Q Btack 4� Th�aded J(� Barb Volstad zpc��, spw.�a.a 3j] Plastie � 6� Statnless Steel 3. FORWITION �06 COLOR HFpRMATI NF FROM TO 2 a in, to � 1 fL. If not known, Sndicate formttion lag froa new well o� nearby wil, in. to ft. 9. SCREEN �] Sere�ned well fro� 71 rs. eo 74 rc. - (I! known) ❑ Open Hole fro� _ fL, to _ ft. 10. STATIC MATER LEVEL 2 8 fe. � e�tor Q aeor� 3— 2 6— 9 2 t�ed suKau Date Il�atund 11. WELLHEAO COMP�ETION 1� Pitlesa Adspte� � Fouad Bu�ied 2� Basewnt oftset 5� � Melt Pit " 16. REMARKS. ELEYATION, SOURCE OF ppTA - CASINGS REMOYED. CASINGS PERFORATED, ETC. � " . 12. 6ROUTIN6 INFORlNTION 1($j Neat tenent 20 BsntoMt� � , srout material Nt. Cmt. tro. 5 co74 rs. cu. yds 3 k i3. r+��sr sovaces �� cosraaKaria► f 10o r d r a i n cy� feet dlnetlon Mell dlsinfetLed befon st�11ng7 (Xj Yss 14. PUMP � Reeoved � Mot Preseet Type: 1� Sub�erslble � L,S. Tu�bine 50 Rectprocating 2�[ Jet � Cent�lfuyal 6� 15. EXISTING MELLS (Pl�as� sluLCA lotatlons of �bandoned and aetiv� we)ts 1n ��ks s�ctlon or on buk.) � Oth�r unus�d w11(s) on propf�ty7 � Yts � No Abandoned: � Penwnent � Tqporary (] Not staled 17. MATER MELL CONTRJICTORS CERTiFICATION This wil was sealed under ay ju�isdlction and tMs report is true to the best of ry knmvleage �ed belief. MORK WELL COMPANY INC. 02133 � Lteens�� Busin�ss Mu� L1c�ns� No. . Address 7303 1 th Aven e oka � Signed % .�. � ,., ` 3(�26-92 Randv Danielson wa -26-92 iFICiAL ABANOOMEO YELL REWRD (M�y b� us�d for Prop�rty Tr�nsfer) Naw� ot Drti/�r I�T11/Ts PZLB 111STS DE3D STATE OF MINNESOTA DEPARTMENT OF HEALTH ABANDONED WELL RECORD ags � Su9JE�T � � . . . c;ty of Fr�aiey � � 27864 AT THE TOP OF THE TWINS B U I L D� N� P E� M� T r ; � RECEIPT NO. � • COMMUNITY DEYELOPMENT D�V. � J� � tV �� , � �/ r � •� PROT��TIVE INSPECTION SEC. ' ' , ��-�� , �' /��1 � Cirr RI $ NUMBEN REV OATE PAGE OF APPROVEO 9Y �.---�•' `.' 612-571-3450 9t0-F15 9/18/98 / / 108 ADDRESS 6440 Baker Ave NE ' t LEGAL lOT NO. BLOCK TfiACT OR ADOITION SEE ATTACMED DESCR. S� of 4 2 Moore Lake Highlands SMEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Gary & Lori Greiner 55432 571-6725 3 CON7FiACTOR MAII AODRESS ZIP PMONE IICENSE NO Owner Same � ARCNI7ECT OR DESIGNER MAIL AOORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AOORESS Z�P PHONE IICENSE NO 6 USE Of BUILOING Residential 7 CIASS OF WOfiK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Reroof house & garage (14SQ) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCVGROUP OCCUPANCvIOAD SEPARATE PERMiTS ARE REOUIREO FOR EIECTRICAL, PLUMBING, HEATING, VEN7ILATING OR AIR CONOITIONING. TMIS PERMIT BECOMES NULL ANO YOID IF WORK OR CONSTRUCTION ZONING SO. FT CU fT. AUTHOFiIZEO IS NOT COMMENCEO WITHIN 60 OAYS. OR IF CONS7RUCTION OR WORK IS SUSPENOEO OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WOpK IS COMMENCED. NO DWLG. UNITS OffSTREET PARKING I HEf7EBV CEiiTIFY THAT I HAVE READ ANO EXAMtNEO THIS APPLICATION STA�LS GARAGES ANp KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OP LAWS VAlUAT10N SUR'fAX ANO ORDINANCES GOVEFNING THIS TVPE OF WOflK WILL BE COMPLIEO �1,199.00 �.60 WITH WHETHEH SPECIFIE� HEREIN Ofi NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFIITY TO VIOLATE OR CANCEL TNE pERMIT FEE SAC CHAqGE PROV1510NS Of ANY pTHER STATE OR LOCA� LAW REGUTATING CON- �(}O. ZS Fire SC � I. ZO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECKfEE TOTAL $42.05 5 NATU F O AAC10pOpAUTHOp�2EDOGENT �O�rE� p p � DAT MIS IS R PERMIT P' �� / � � r oT E O� OWNEA�� OWNEABU�IDEQ� � �OATE� �8L0 �NSP �� E . � NEW ADDN ALTER [] �� [] ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION `� � Effective 1 / 1 /98 � �� r�� Owner Name & Address: �-� r�i,�i �- `.,� `, �� ,` , �� (� Tel. # j 7 ( �,��5 Contractor: � j � {� � (� MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Tel. # DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground _ OTHER: � p - '� n.� i-�� , �P � ��n c�n�ra f_ .�n, r - r�%� � Construction Type: Driveway Curb Cut Width Needed: DATE: `�—�'�-9� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ �1 9 j� (Fee Schedule on Back) Ft. + 6 Ft = Ft x$ _$ �._.---� Tel. # .S 7 / �0 7a S CITY USE ONLY $ Q• �� Fee Schedule on Reverse Side $ f,� b . 001 of Permit Valuation (1 / l Oth %) $ ��,Q $.50/$1,000 Valuation $ $1000 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 [ ] $ 7� �.�.� sue�ECT PERMI City of Fridley 2 9 0 8 3 AT TME TOP OF THE TWINS B U I L D I� G P E 1� M I T f t � � L ' � • COMMUNITY OEVELOPMENT DIV. � ; �.------ • /y``% r � � PqOTECTIVE INSPECTION SEC. r � . . � � �"'1 � CITY MALL fii101E� SS�32 NUMBEN nEV O�iE P�GE Oc �vvaOVEO Br �'""'�� ,'' 612--571-3450 910-Ft5 3/25/99 / / JOB ADDRESS 6440 Baker Avenue NE t LEGAL �OT NO. B�OCK TRACT OR ADDITION SEE ATTACHED oescR. S� 4 2 Moore Lake Hi hlands sr+eer 2 PROPERTY OWNEFi MAIL A,DOR�SS ZIP PMONE Lori Gar Greiner 6440 Baker Avenue NE 571-6725 3 CONTRACTOR MAIL AODRESS ZIP CHONE UCENSE NO Same a ARCHITECT OR DESIGNER MAII ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDFiESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK O NEW ❑ ADDITION O ALTERATIQN ,(� REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WORK Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. TYP�OFCONST. OCCUPANCYGROUP OCCUPANCYLOAp SEPARATE PERMITS ARE iiEOUIRED FOR ELECTRICAL, PLUMBING, MEATING, VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTFUCTION ZONING SO. FT CU FT AUTHORI2ED IS NOT COMMENCED WITHIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 DAYS A7 � ANV TIME AfTER WOFK IS COMMENCED. NO DWIG. UNITS OfFSTREET PARKING I MEFEBY CERTIFV THAT I HAVE READ AND EXAMINEO THI$ APP�ICATION 1 STAILS GARAGES ANO KNOW TME SAME TO BE TRUE AND CORRECT. A�L PROVISION$ OF LAWS VA�UATION SURTAX AND ORpINANCES GOVERNING THIS TVPE OF WOAK WILL �E COMPLIEp WITM WMETMER SPECIFIED MEREIN OF NOT. THE GRANTING OF A PERMIT . SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CAMCEL TME pEqMtT fEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL lAW REGUTATING CON- �29 � 2)r Fire SC �. SO STR CTiO OR TME PE f RM CE Of CONSTRUCTION P�AN CMECK FEE TOTA� FEE � $30.55 r� SiGtisTUQ OFCON.RACTOQOpAUTHOQIzEOAGENI iO�tEr WHEN PqOPEFlL ALIOATED THIS IS r0 Fl PEQMIT � � SGHaivaEO�OwHEQ��OwtiEQBU��DEp� �O�TEi � �"'� B�0 �ti5o � ' ��TE NEW [ ] ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Effective 1/1/99 � BUILDING PERMIT APPLICATION b � `r� �(� �Ih'1 ConstructionAddress: � � WC� � O� � � �f v 2 �� Legal Description: Owner Name & Address: ` � �ar�, ,� ce ��e (' Tel. # �7 / �0 7aS Contractor: }��,rn�o �� n p�(' MN LICENSE # � Address: Tel. # 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Sq. Ft. Sq. Ft. Sq. Ft. p6 Construction Type: � � � Estimated Cost: $ �' � � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$. DATE: �- a5 - G] q APPLICANT: ..—=--- Tel. #.� 7/ l0 7v� S� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $a,�� $ . �D $ .sb $ $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / l Oth%) $.50/$1,000 Valuation $1050 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 [ ]