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AF - 44808� � � �� V � City of Fridley, Minn. BUILDING PERMIT � .,� �. N° � `� �^ 734� Date: _.,C._.� ~ ` �._' � ___.___...._...._.. _... w ._�..._ _.__. _ ..�..... _. . � ' Owner: .._ ... . ..1..__. __ ._.. Buiider _ .. +._.. .._ ...._..._.._..:_._..._..___------_...._._._....�._...�..._ Address_..._.._..._..._..._._.._..______....._.._......_.. . .._...__......-•---._ ...___.._.._. Address _..._...___.__....._..___.__._.._..._._.__......___.._..._....._....__...___..._. / � .- LqCATION�OF ILDI G No. ...1l�d.�.�_�- Street . . . .... ._ _ .._... .._ _i._._._._ . ...x. .. .�:.rPart of Lot •-----------..�._._____.___._..._....�.__..._ Lot ....._.._._.._--•.._....__ Block ._._.._.........___ �.._......._._. Addition or Sub-Division .....---•_.._.__.. ._.,� - •__.._.._._._._._�_.___.._.___._�.____ r i Corner Lat ....._........_...__._.. Inaide Lot _.._.._.�� ...----._ Setback .._._..� ..._.._....r.... Sideyard _.......�.Q..--__.__..1�_..__._..___.._.�. Sewer Elevatia� _.�..�.� Q.S._.�- ____._......_.._...___._......_..____....-�e�nrlien Elevation ..__.._��.:� � .��.�.._ .._.. �i�r' oF FocT� nrG � DESCRIPTION OF BUILDING T Used . . . ._....._ Front - ' .�..�� Depth �� Height � �.. Sq. F� �1�-..�5d.7 Cu. F�.,�� , _.... _.. ... . ... ....t...._.. , �} _g�_. ...__ Depth _.,f-� I� ight ._�� Sq. Ft. ��.� Cu. Ft,�/� Type of onstruction"�;�`" -.,��... Est. Cos�--�� ... ......_... � .... %�'�o be Coanpleted _..._._._.._._.._..._._.__._._ / In consideration of the issuance to me of a permit to construct the building th� proposed work in accordance with the description above set fo d�n co ordinances of the city of Fridley. ��. / I agree to do provisions of Ea car�sfderation of the payment of a fee of � �� ...._......_.., 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 ordinancea of Fridiey, Minnesota regarding lceation, construction, alteration, maintenance, repair and moving of buildings within the city ]imits and this permit may be revoked at any time upon violatio�f any of the provisians of said OYYIlIIBIIC@8. w � NOTICE: ihis p�rmil doa not eowr fh� eonsfrueNoa, installallon for wirLro, Phnnbin�. �as h�aHn�, »wa or wafar. M wn to sN tl�� euiidiag inspKior for s�paraN p�rmi►s for fh�n ibms, sue�ecT PE NO. City of Fridley o 18 4 2 4 AT THE TOP OF THE TWINS gU I L D I N G P E R M IT r ; � RE N � �y __�� COMMUNITY DEVELOPMENT DIV. 7 r � � PROTECTIVE INSPECTION SEC. ��/ 9 i � � i--_. �'�/"'1,,� CITY HALL FRIDIEY 55432 NUMBER REV. OATE PAGE OF APPFOVED BY L �� 612-571-3450 g10-F15 5/12/86 � � JOB ADDRESS 6021 Benjamin Street N. E. t LEGA� LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED oesca. Part of i,o 8 Aud. Sub. #92 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joe Stevens 6021 Benjamin Stxeet N.E. 571-0300 3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO. Moe/Osum Construction Co. 2650 Nicollet Avenue South, Mpls 55408 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING R:2SIC�GT1'tlal 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTEHATION � REPAIFi ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroo� DHZellin 9 CHANGE OF USE FROM TO STIPUTATIONS Roof can be the 2nd]ayer but not the 3rd. Install ridged galvanized valleys. SEPARATE PERMITS 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 ZONING SQ. fT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOfi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINEO 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 S2�5OO 51.25 DOES NOT PRESUME TO GIVE AUTHORITY 70 VIOLA7E OR CANCEL iHE pEFiMITFEE SACCkARGE P OVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST U TIO OR THE PERFORMANCE OF CONSTRUCTION. �3g.5O PLAN CHECK FEE TOTAI FEE ,�, � /�- .S /.Z —�� $39. 75 S�GNATUfiE OF CON'RACTOR OR AUTHOAIZED AGENT IDATEi WHEN PFOPERLY IOATED T IS IS VOUR PERMIT o ( Q SiGNATUREOFOWNERiIFOWNERBUILDERI iDATE� BLDG �NSP q 7E NEW [ l City of Fridley Effeetive 4/1/86 ADDN. [ ] �R-1 AND R-2� pLTER. [ ] Building Permit Application Construction Address: Legal Description: �J i.UF � � �Sb' a�' cc��,�, �.1 ; e. �6. � Owner Name & Address :�� ST�v'� S Tel .�� -3�0 Contractor : /�DE � 03�lI1 �Ui�� S� v G�7o�J � Tel . # � � � Address: o?�� lJf �OL�� i�'✓E So /�/P!_5 S�yO � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Roo¢' - ��eoGF -RF��E' ao s�t Corner Lot ( J Inside Lot [] Ft. Yd. Setback Side Yard Setback Type of Construction• Estimated Cost: $ O�c,�� Approx. Completion Date: .7 '"o�Z/— �� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ � See Back Page for Explanation DATE: ��a'"�/ APPLICANT: � Tel. �,��/ �`�z Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY IISE ONLY � �� -S� $ � /-�2S $ $ � i��! - 1(i�l;%1'�� :�'� Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] -� . !: NEw Il ADDN [ ] ALTER [ j Construction Address: Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: ��'D.� � �7�� CITY OF FRIDLEY 6431 University Ave NE, Fridiey, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION �� - �� - ti �7'�� rc�� Tel. # MN LICENSE # Tel. # 763 1�3 �''�2/1 Attach to this application, a Cert�cate of Survey of the bt, with the proposed construction drawn on it to'scale. DESCRIPTION OF IMPROVEMENT Length �� Width �-� Height Length Width Height Length Width Hgt/Ground Sq. Ft .�� Sq. Ft. Sq. Ft. Construction Type: �-�'� � Estimated Cost: � ��7� Driveway Curb Cut Width Needed: Ft. + 6 F- Ft x$ _� DATE: � �� .� APPLICANT: Tel. # %�� /'��Z12- Call (763) 572-3604 for Permit Fees if mailing in app ication. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge � � �7� $ $��_ $ <<�- $ $ $ $ $ $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] TOTAL $ � � STIPULATIONS: