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AF - 43046,�., � � �� 28Q Vgl��e �f �rmc�ley, l�iinn. M;,' i'; °,I ► ; �' : n ►I`I; ��i'ice of �TSP�CTO� OF �3T1YLI)II�TGS .�„�'.,� � , � �,.� �, r; �. � ,� �„�,,,,,, Owner .� 1 ' t.�'"t,�,.�� ,rt` � f � / Architect i Frid.�ey, Pdinn., �Y�'"�� "� � , 1� �- Builder �>�.�.�•�""� LOCATIC�l�� OI' BUTLI�ING No. �L�e � Street L�1.A.W $Q� �3„�V ��_Part of Lot �� Block Addition or Sub-Division �'�'�—�c"'"�G ';��,,�," r`• `' :. �L;;�;C'°;-�.F��I�T �r�" F�J'�?�Il'�I� �� . Pront >�Pe,pth � Hei�ht 'A ,�' cto.•ies_� Nan�er af Const:uction , ,. .. __ , : - f, � . To be used as To be conzpleted ' Estima,ted CostTr�a �" ��Yµ .� � �.. � , . ` . , , ,.�:� . . , ,,,_,� . , .: . .., r. , , , ,. , , , ,;..• . ... �, . ..,+._ ., �' w;,.. .,.. ..; ,. , y, ..., .. v ..:,�,��.,.,;r�;l. ' w, �.P „} ,', r +',4��e� ,� i;✓^"`,'�� ,.�"�-n'�,.rr" ,r�'+,,J � ", . Permit is her-gby granted ;�s "' ��,� ... ,aaHG'� 5 , � � t0 I ��+'�''��"�s1.�.�.;`..s'+'ry�,.^p.�,�,"t:�!+''hs _ the building � `"°"�'�'�"'": � described in the above statement. This permit is granted upon the express condition that e person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon saic'i building, or any part thereof, shall conform in ail 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 a.ny time upoa violation of any of the provisions of said ordinances. _ � n „ : �, � � � : �•.t � �'°` � � , ��`: �^"`�. Easpector of Buildings. AGR.EEriEE2�TT AND SW��,N STATEI;��NT In consideration of the issue and delivery to me b�� the �r��ecte� of i uil�in�s of Fridley of the above permit, I hereby agree to do the proposed �� c�rk in �ec�;°e��.�c� with the description above set forLh aaxd according to the provisions o� th2 oY'd�na.nce� of Fricl'ley, �n.d, being fixst duly sworxz, I hereby state and say that the facts stated by sr�e and cantained �a �he above per�nit are true as therein stated. ,� . , � ,,�'�` ' `" . �; � .�� "" � �' �„�..,...- � . : ,�-` - Subscribed and sworn to before me at Fridley, 11�tinnesota, this . �`� daof '�F .� , .,.� � � A.D. 1 x;._ _ �' t � �. ,�� .�}'��..�~-w�.:�,,,,, Y � City of Fridley, Minn. BUILDING PERMIT No s 13 7` Date: �*"".`,. "' ;� _.. ' _._. � _.._.._.w.._..._�... -.. , Owner: , � _..... _ _ Buiider ._. _ . _..�!:..__..........._......__,__.___._...... Address_..._.._.�..._.__........._.._..___........,._.._._._......__..____..._._...___ Addresa ._.._.�.._.__...._._...__.M_.....__.._._.._..._�._.._.__..___..._...___., OCATI ILDING � ,�:�+��'.1.�►�!`��..� . No. � �� Street . ,�#��. art . t Lot _.. ..... _ .__.. w ._._.... Lot ._.._�.�.__.__ Biock _._..r._......__.___...�:_...__. Addition or Sub- i' on _ i.l�..,��,.�� Corner Lot ....._...__.._..__ Inside Lot .___._._............_.._.._. �tback . � . _..� Sfdeyard _.._� ��N._.....�_._.r.. Sewer Elevati� ___..__.._.._._...__._._..._..�..__..____.._..�4�_..__ Founda.tion IIevatian ___._._....._..._...__._._: _._..._... DESCRIPTION OF BUILDING o Usee� : . J�- - ,rtn �.. , t Fro�nt _.�...�.., DeP� _�.�...�� Fieight ...�[.��....._.. Sq. F't. ��.� .. Cu. Ft �.�.4!Lr► _......._...:_ ....................._...._.._ t Depth __ .�..._.. Height Sq. Ft. Cu. Fk • � ._..__�.�r..�.. _.:�m_��.� Type of Construction _.......: ,...�.._. _..._.....__.. Est. Cost .��.+�..�r.�s;✓. ....... To be Com�leted ....._...._._.._. In consideration of the issuance to me of a permit to construct the building described above, I agree to do th� proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. .� � In consideration of the payment of a fee of �.„ _._.., permit is hereby gra.nted 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 m, around and upon sa.id building, or any part thereof, shall conform in all respects to the ordinances of Fridiey, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at ar�y time upon ' "on of any of the provisions of said ordinances. Buildin8' InsPector r NOTICE: This p�rmit doss nof �owr th� eonsMuelion, in�allaffon for wiriao, 'lumbina, �u h�Hin�, s�w�r or waNr. B� wn to sN fh� Buiiding Insp�etor for s�prrah p�rmi�s for fh�q ihms. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY,'MINN&SOTA Owner's Name �.z� Builder ' Address � !��--5 –�( , �� ,.;�„ Address �'u� �� LOCATION 4F BUILDING No. �O �� Street G�c-v--o�--a--� � Lot___�" ._Block Addition or Subdivision Corner Lot . I,nside Lot Setbac SET�R •Part of Lot �_ � Side-Yard � �`�`�`� ' ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DBSCRIPTION OF BUTLDING � , . . . � � . � r . . . , To be used as: �� . �._„" � a �'� V Front � 2 _ ,Depth / �` Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Tyge of Construction -� Estimated Cost `L b d(i � To be Completed � 7,'he undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordaace with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are Crue and correct. DATE — (� 2 SIGNATURE � (Schedule of Fee Casts can be found on the Reverse Side). � . _ ., • • r. _ •_+ 5 uBJ E C T •-i�l'fMf t-1V V. City of Fridley 25 8 01 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � f ; � HECEIPT NQ:"" � • COMMUNITV OEVELOPMENT DIV. r � v � PROTECTIVE INSPECTION SEC. � � i � 1 � /'��1 � CITY HALL FRIDLEV SS4$I NUMBER REV DATE PAGE OF APPROVED 8� �"""'�" �'' 612-571-3450 9�0-F15 2/13/98 / / JOB ADDRESS 6425 Dellwood Drive NE 1 LEGAL LOT NO. BLOCK TRACT OH ADDITION SEE ATTACHED DESCR. Z6 1 Moore Lake Highlands ISt SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Henrietta Olson 6425 Dellwood Drive NE 571-8916 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO First Choice Exterio�s 2405 Annapolis Ln N, Plymouth, MN 55441 553-1918 4266 4 ARCHITECT OR DESIGNEH MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW MAIL ADORESS ZIP PHONE UCENSE NO ❑ ADDITION ❑ ALTERATION �7 REPAIR 8 DESCRIBE WORK Reroof House & Garage (21 Sq) 2nd Layer 9 CHANGE OF USE FROM STIPULATIONS TO Roofing can be the 2nd Zayer but not the 3rd. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, �� VENTILATING OR AIR CONDITtONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OF ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIfV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VAlUAT10N AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1�31� DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEFM1T FEE PROVISIONS OF AN OTH STATE OR LOCAL LAW REGULATING CON- STRUCTION TH ERF ANCE OF CONSTRUCTION. �G.'r�. %S \ , PGAN CHECK FEE SO. fT STA�LS : 'Lic C $5. 0 SIGNATUAE OF CON'RA , OA 0�7 AUTHOAIZED AGENT �DATEI EN FiOP�R VALI NATUF7E OF OWNER i�i OWNER BU�LDER� 1DATE1 ❑ MOVE O REMOVE OCCUPANCYLOAD CU OFFSTFEET PARKING IGARAGES URTAX $.66 AC CHARGE Fire SC $1.32 OT L FEE $52.73 THIS IS�i PERi IT � � `d ricrE NEW ADDN ALTER [l � ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION l�Z�,��f l�/r� ��C�' Effective 1/1/98 ��` a �� S �J � Owner Name & Address: �,., r i��r C� `� �'� Tel. # S� ? j'�� l� Contractor: �; � 5� !� �c��r c�a �x� _ MN LICENSE # c.( �? L,r f� Address: ��I e� 3 �� o LIVING AREA: GARAGE AREA: �� 1X ��ov � Tel. # s� ��3 `� � 1 � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length DESCRIPTION OF IMPROVEMENT Width Width Height 5q. Ft. Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 1, l � ��, - ��'�, r � � _: , ,/� � I 4 .,� •-- Construction Type: K-�� a�( �`�'� `° ` Estimated Cost: $ ._. � �� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: " � � ' �YAPPLICANT: ~ c Tel. # 5�� f � � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ °' � '%�' $ �1 � �� $ �� $ $ �-c'i" $ $ $ $ <�� $ .�,`�x' /� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / l Oth %) $.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 [ ]