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AF - 45273sue�ecT PER . c�ty of Fr;a�ey � i3978 •AT THE TOP OP THE TWlNS g U I t� � I N G P E R M I T r. S � REC . � ; y __�___ COMMUNITY D�VElOPMENT DIV. ^���� 1 � � PROTECTIVE INSPfCT16N SEC. �� �� 1 � i � � �"'1 � CITY HALL FRIDLEY 554�Z NUMBER fiEV, � DATE PAGE OF qpPROVEO BV �___.1l-• •�j s�z-sso-saso 9�0-Ft5 4,/4/77 � � JOB ADDHESS 1329 Gardena Avenue N.E. 1 LECaAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR'. 6 Meloland Gardens sHEeT 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard A. Palmer 1329 Gardena Avenue N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE N0. Sa�nE 4 ARCHITE�T OF7 RE8IGNER MAIL ADDRESS 21P PHONE L�GENSE NO. 5 ENGlNL�R MAILADDRESS ZIP PHONE LICENSENO. 6 US� OF BUtL04NG 'Res#.dential 7 CIASSOf WORK �.�EW ❑ ADDITt�N ❑ ALTERATION ❑ REPAIR q MOVE C] REMOVE 8 DESGt�i$� �iVGiRK - C�nstruc�. a 24' x 26` Garage 9 CHANC#E OF U3E FROM TO ���'��-p'T��� Provide a hard surfaced driveway. Provide `satisfactory- �vidence of common east property line and rgnain 1� tames (-0:� feet min.) away ��om com�non line standard setbaek. S�EPER,A?''� PERMITS REQtJIRE� FOR WIRING, _ HEAT1�iG. PIUMBING AMD SI�NS. SEPARATE PERMITS AAE REQUIRED FOR 6LECTRICAL, PLUMBING, HEATING, TYP6'.Of CONST. OCCUPANCY GROUP OCCUPANCY �OAD VENTIIATING OR AIR CONDITIQNING: WOOCl �'�'3A1@ THIS PERMIT BECOMES NULL kNfl VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AU7HORIZED IS NOT CQMMENCED VdITkIN 60 DAYS, OA IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 DAYSAT ANY T1ME AFTER WORK IS CDMM�$10ED. NO. DW4G: UNITS OFFSTREET PARKING I HEfiEBY CERTiFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GARAGES AND KNOW'JHE SAME TO BE TRUE AND CORiiECT. AL4 PROVISIONS OF LAWS yq�UATION SURTAX AND ORQINANCES GOYERNING THIS TYPE Of WORK WILL BE COMPUED �*t� � 6�,� _ 60 $2. 3O WITH WHETHER SPEGIFIED HEREIN OR NOT. THE GpANTING QF A PERMIT DOE6 NOT'PRESUME TO GIVE AUtHORiTY TO VIOLATE OR CANCEL THE pERMITFEE SAGCHRRGf PROVISIONS Of ANY OTHER STATE OR IOCAI LAW REGULATING CON- $a4,�g6 I`IONE STRUCTION ORJHE PERFORMANCE OF CONSTRUCTION. PLAN� . , :$fi.^�;. T6TAL FEE ' `'' , ' �._., . : Y ; � ! $27. 26 �� __ SIGN TU REOfCO R TORORAUTH AGEn1T IDATEI WHEN PROP R�Y VALIDAT D THIS IS YOUR PERMIT � ����..4�' � � � . , ��AT(JEE OF.QWNkR � �AWNfR BUILDERI ID TEI �BIDG:`INSP " � _-__—i�k� , CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OT�fdER: /G���" / 7 �/�- /�� BUILDER: S�/� Address : ��o� q (�`'G� /(�p! �p%%C� Address : -S G� /�� -�- Tel. No. ��`�'�a �3 130. : � Street: ���qC 2�� . LOTz � BIACK: ADDITION: �i�C'i� /Cc,/7 � �"G��S CORNEk2 LOT: . INSIDE IAT: � SLTBACK: SIDEYARDS: Applicaf�t attach to this form Ztao Certificates of Survey of Lot and proposed building location drawn on these Certificates. . DESCRIPTION OF BUILDING To Be Used As: / 0 ( _ � Front: � Depth: �CQ Height: � « Square Feet: � Cubic Feet: ��� >; Front: Depth: Iieight: Square Feet: Cubic Feet: Ty,pe of Con struction : t,(� QD� �l'�{, �i � Es timated Co st :$ "'7 ��� b�✓ To Be Completed: � �1�. Proposed Driveway Width If New Opening �Gc� �T- �.�/,;_ /'Alt. A Alt. B Is Desired / ' $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a germit for the work herein specified, agreeing to do all work in strict accordance 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 true an correct. See reverse side for additional information. DATE: � % SIGNATURE: Stipulations: ��y`� � �,�,a �� ��, � � ,� ��,.� � �� �:�� � � ���ti �� �� � �� �� , � �'� �� �''f � � � � ��� � ���� �� �m� .. �- G�- � �- 1' :9 /���o`� ' � � � ;� .� � � -. . � �- _��.. _ . . -. . . .. _ . _, ; �. , � _....� , . ,. . .�;, .,� : . _. . _ ; , � : . . � t �-, �3�• r; .; , � - • � : _ � . . . f .� r ; . . . � THE JOHN J. RYAN CO. ' . ; • }���' �=k � BET t dOS $FLBY AYEVY6, ST. PAUt SO104 TELEPHONi� 846•8658 I r y: f� t�:�y . � . , ' � . . . � � ' ' .. � . . ... !i e: 1 x � � ' r' � , � � _ . '3 � �'LAT �� �Q�` � � ��- Y ` � � r3 ������ . . ^ � -. � �.�� •� r y7 . ' . � � � � . . . � . .. . ' . 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' � . • . � . /S : �v.�k�� a��� �- � - � . `a' � *. , . . . • �. . . �. �. . � �' � . �'�r�7� �y � . � . �, � �00 - R Zo : � r .�. `-, : : ` _: `:� � " r �QLG/{�/7� . /7i��' . ' �•:• r''�1S +� E.f CEKTiFICATE . OF <LOCATION.. OF B�LDING . ' . CSR.TIFICATE OF SUBVEY - '.. i�a `Y `�.:, ,- , . � ` . .. .• � • ' p. ��iereby certiip that on � 7'�6 �9_� I hereby Cettily that on lg ��i�ade•a survep�.of the 1QCation oi the 6aitding(s) on the `-""' ' 4ho`e';deaeribed property' and that the lucation vf �aid-,, ,,�.I surveyed th� property described above and that the above ,' F di'ng('s}�`ia cqn sliown`on the sbove p1a�',:; �•'� D�L�1s s correct representatiun oi naid survey, T. ..t „'� : �j , �' , , , , . • . _ . ' . s .� . ��� �. � - �',. � ':' . ' � d��y 2 � • � � � JaHN' J." RYAN.''REGISTER�D SURVEYQR. No. st489 , ^ � . �y}�J� '1� ��,?� PAU4 J. CRANE., REGISTERED SURYEYOR: No. 4449: � y t. ` ?� �' ' '4�i'✓� i , . . . � � .. ' . ... . ' ' ' . r � . . . ��. t.�.. � BtLYWt C.O. t�; � �. ri�� 4 . � ; t , �a , � � :� k ,� r � � . z . '� ' � ,`Y � +f ��.a�.� �� �ix>� '.�,}�A � `.L. � ; � r .�� ",r f t.." _.�.Y� ��.%� '�,., Y �+'� a...: 7 � •�r i '. �..v � '» � 2 S� %� �` 4. �<� S � .�.r � ��� s �.� �� v .✓' 1 .Y: '• t .} ..}..,r l,J.-' 4 ��. . :.2 r . . . . . .. . � , . .. � .. .. � " . � .. � � :�'. ' �� � �• sue�ecT P IT . City of Fridley MO°I� 0 18 20 7 � AT THE TOP OF THE TWINS ������ p E R M I T ; � R CEIPT . � • COMMUNITY DEVELOPMENT DIV. � ; V ������, t, r � � PROTECTIVE INSPECTION SEC. �8L7 y 1 . � � � /�"1 � CITY HALL FRiDLE� � 55432 NUMBER REV. . DATE PAGE OF APFROVED BV �""�" �'' 612-571-3450 9�0-Ft5 9/12/85 � � �oe n�oaess 1329 Gardena Avenue N. E. 1 LEGAL ��T NO. BIOCK TRACT OR ADDITION � 4 6EE ATTACWED DESCR. S. 200` of Meloland Gardens, ex. W25 & 75 of S. 2OO SHEET 2 PROPEflTY OWNER MAIL ADDRESS ZIP PHONE Richard Palmer 1329 Gardena Avenue N.E. 574-1283 3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO. Same 4 AFiCHITECTOR DESIGNER MAIL AODRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE UCENSE NO. B USE OP BUILDING Residential 7 CLASS'bF WORK ❑ NEW ❑ ADOITION ❑ ALTERATION ❑ R�PAIR Z] MOVE ❑ iiEMOVE 8 .. bESCflIBE WORK P�ve gar'age from Northeas�t side o� property to Wes.t side of Dwelling 9 CHAN�E OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR EIECTRICAL, PIUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR If CONSTHUCTION OR WORK IS SUSPENOED OH ABANDONED FOR A PERIOD OF 120 DAYS AT ' ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT None DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CHARGE STRUCT ONSORFTME PERFORMANCE O pC0 STRUC ONEGULATING CON- �•15.00 I3one PLAN CHECKPEE TOTALFEE $15.00 Si T REOFCON' OR AUTHOR12EDAGE r ionTE� WHEN PflpPERL ALIDATED THIS IS YOUF PERMIT— SiGNA E Of OWNER iiF OWNER BUILDERi �DATEr BIDG itiSP aTE Effective Aug. 1, 1981 City of Fridley ��T Permit No . r ' 'T *"�T°r°""ETM"" MOVIiVG PERMIT APPLICATIOiJ , _ � Receipt To. r rL ------� CoMw��tr Ocvt�A�+ENT O�v. � : '110tttTnR N�/lCTiON 0[R. � � ♦••'` i CITr MAII. RAIOLS� �A: ���«��� ��.Np•��p Ma1� . aT[ E' 0/ AM�OvED 6r 10- 21 0 2/15/73 1 1 800 Pro ty Owner Address one �' c.li�.ro� � ��.� �l�I-1 e-r- /.3�3 � �r�l e�r,•�- ��y /��'.,3 resent Lot No B oc No Tract or t on - gal To Be ed To wer ress one icense o. � Prn-� � Expecte ime in or ru r ey gst mate Cost Type of Building S Aouting � �C) � � OtJ S ��"1 � Lu ;' - Approved By: � IItiifties to be l�iotitied and aate Servfces �dsconnectea ��. �� �. H.S.P. Nortta�restern Bell �el. Co. �qr. Dep� Cust. Hus. Ofc. Bus. Ofc. 372-4850 330-554Q 332-4112 Date Date Date lbvi�ag Fees: Movinq Princ�ple Huildinq Into Fridley $ 80.0 I�ovinq Piccessory Buildinq Into Fridley 0.00 Moqing thmugh. viti�in oz aut af City $ 15. QO �io State surcI�arge oa Moving Permits Appzoved By Water � Sewer Department: �All Bills Are Paid Services Are Disconnected The•undersigned hereby makes application for a permit to move the building deacrfbed above, agreeing to do all work in strict accordance with the City Ordinances and sulings of the Department of Buildings, and hereby declares that all facts and representations stated in this application are true and correct. �-� ` � � i' � U// Cont tor � � ' CfZ� D�ate �,� �_ � SUBJECT P . City of Fridley 18208 AT THE TOP OF THE TWINS B U I L D� N G P E R M I T � ; � RECEI . � `L _ __ COMMUNITY DEVELOPMENT DIV. ����� f � � PROTECTIVE INSPECTION SEC. 1 = � � �'��� � CITY HALL FRIDIEV 55432 NUMBER REV. DATE PAGE OF A7PROVED BV �""� � ��� 612-571-3450 910-Ft 5 9/12/85 / / J08 ADDRESS 1329 Gardena Avenue N.E. 1 GEGA� �OT NO. B�OCK TRACT OR ADDITION SEE ATTACHED DESCR, �, 200' of Lot 6 Meloland Gardens, Ex. W. 25' & E. 75' of SHEET 2 PROPERTYOWNER MAILADDRESS SOII�Y1.2YlY ZOO� ZIP PHONE Richard 01 a Palmer 1329 Gardena Avenue N.E. 574-1283 3 CONTRACTOH MAIL ADDRESS Z�P PHONE UCENSE NO. $dlCle 4 ARCHITECT OR DESIGNER MAIL ADORESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Construct a 12' x 24� Three Season Porch.and � 24�.x 12` Garage Addita,on 7 CLASS OF WORK O NEW � ADOITION � ALTERATION O R�PAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WORK See Above 9 CHAN(3E OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR EIECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAp VENTILATING OR AIR CONDITIONING. WOOd FY'dIIl@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCEO WITHIN 60 DAYS; OR IF CONSTRUCTION OH WORK IS SUSPENDED OR ABANDONED FOR A PERIOD Of 120 DAYS AT ANY TIME AFT�9 WORK IS COMMENCED. NO. DWLG. UNITS -0FFSTREET PApKING I HEFEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL PROVISIONS OF �AWS VALUAT�ON SURTAX AND ,ORDINANCES GOYERNING THIS TYPE Of WORK WILL BE COMPUED WITH WHETIiER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT $$ I 95d $'4. 47 OOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTFiER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PEF;FORMANCE OF CONSTRUCTION. $%�i . SO None PL N CHECK FEE TOTAL f EE $18.63 $97.60 . SIGNATUREOFCONiRACTORORA HOAl2 DnGENr 1 ATEI WHEN�PROPER�Y V IDATED TNIS IS YOUR�.PERMIT � S~ SiGNATU FOWNERtlFQWNERBUIIDERI IDATEI BLOG WSP -- � qp � NE%J [ ] ADDN. [ ] AL,TER. [ ] Construction Address:_ Legal Description:� Owner Name & Address: 1 Contractor: �� Address• ! LIVING AREA• �� GARAGE DECR AREA: OTHER: Corner Lot [ ] City of Fridley Effective u/1/84 � AAD R-2 i Building Permit Applieation f a',��•.� = Tel. # S7 °�� . # Attach to this application� a Certificate of Survey of the lot, vith the proposed construction draWn on it to scale. DESCRIPTIOp OF IMPROVEMENT Length iiidth Height Sq. Ft. Length ��_ Width ��-� Height Sq. Ft. � Length ��A '�3G.�-� � oci-C1� Inside Lot ] Width Hgt/Ground Sq. Ft. 014 L:�— 01-0 0 I� ���- Z'��� k�8�3�t 12,15 3�'�0 .'Yi =��- Ft. Yd. Se a '��' Side Yard Setback ��•� Type of Construction• w d�� ��-�`M `� Estimated Cost: � � Approx. Completion Date: � �U��� �� �� Alt. A Alt H Proposed Driveway Width If New Opening Is Desired: � S a See Back Page for Explanation DATE: �IU�X � Permit Fee Plan Check State Surcharge SAC Charge Park Fee Se�rer Main Gharge STIFULAT TOTAL APPLICANT:�Q �� Tel. #S ������ I CITY IISE ONLY � 7'�.� Fee Schedule on Reverse Side ;)g.i.3 � 25x of Building Permit Fee � ��� � �.50/�1,000 Valuation � Eu25 per SAC Unit ; Fee Determined by Engineering S ' Agreement Necessary [ ] Not Necessary [ ] S d a ��� d, �-� _��y� ��� S�- � f�1���1,�i�-- - : Q,�{'' 13 �� , . . , , . _. . _ , � . �,�.� �z�,c� � ' ! ; _,_ � ��2� C �,� � g , � ; Co -� <� 38 �:�..lk. Gx! - .� X �; � ' '� � a- �tJ a�Q.Q� w � 3 � � � � � i - ;._ bi,�' $.�t, W a.I�Qo .. _ _ � 7f i ?( /`l � - . �- / /i � Wl .dt�.�,. , . S� ��,. i � .r� . �� ; �+ . , .. , , . \� �,�,.� _�g ; � � �� ' '� 3-1X - '; _ !�` o, G. 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C�itTIF'ICATE OF SUBYEY . � � ', ` vr;.�'� �� : : , , ' . • • .- �e v • - . ` - ' " . ,�. �`K �'�f hereb certii that on • %/6 to 6 ' �' �,c � Y 7 ---� �• I hereby certify that on__ , 19 • �� -�;�Y�ade a aurvep.ot the location of tbe buitding(sj oa the ,• �= h t '� I surveyed ti►e property dexribed above and thnt the above-' :-- sbo�e' dexribed groperty snd thst the loeslioa ad, said-::�.�. , . , dtng(s) is eo i]town'oa t2ae sba*e pht'.'; `� .� p�t�ts s correct repzesentation of asid survey, .. � �� ,��► � _ . n , •' ; ., • `. . . -- ,• .. . . _ • .. . . .��. � '� :,. {� , .�, :' ... , . ' . .. : . . . �-�. � �� + ���•r • • +-., •i�"j. JaHN'J RYAN. "REGISTERED SURVEYOR. No.4489 � . , ,, 1� � �, ��'�xti�r,:c' `' , .; •i > PAUL J. �CRANE.;REGISTERED SURVEYOR No. .4449. � " '"•' �`• ;:; �`�. ,,. '. ' � ' , • ` _ �!!T'�7!+"�.' � Oi��i � !'.:. `• •t'� �. i � I : � .� �- ' ` . , Y �y. �'��v %ilj �s�tL� Y,t � 1 ';s'' �'•y. . a t. : �� 1 �' � '. `. ' . t • ' ' y . > , • + , �r �� 4y�'!):'A��a�•!� �µ �'C ,'js �* � �•�� • ,� , � `" �• ' .a / ' ' �f j t. ' � ,�.',,,f�,i�.,rc �, T • r yt. � <-ly:1� L, .• � . •�. , . . Y r t � � i ) �� r,.'� . s '.t��. �. .e -� :�: f� '�' - ~ � .. . ' . . . • . . � r'. . r-� i� . _ _ . . -�;�; , sue�ecr PE City of Fridley 219 8 3 ' , AT THE TOP OF THE TWINS g � I L D I N G P E R M I T REC . r � � i ; y_�_��_ COMMUNiTY DEVEIOPMENT DIV. ^� r � � PROTECTIVE INBPEGTION SEC. (� p'�O � � 1 � �'�'\ � CITY HALL FRIDLEV � 55432 NUMBER REV. DATE �AGE OF APPROVED BV �'""'� � ,�� 612-571-3450 9t0-F15 7/19/93 � / JOB ADDRESS 1329 Gardena Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 6 Meloland Gardens SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Richard/Olga Palmer 1329 Gazdena Avenue NE 574-1283 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 AFCHITEC7 OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADDITION O ALTERATION ❑ REPAIR ❑ MOVE � REMOVE 8 DESCRtBE WORK Construct a 22� x 24t Addi,tion to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS $�I� See nptations on plan. WA�����:� � 8efore digging catl for all utility locations 454•0002 REQUIRED BY LAW TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLQAD SEPARATE PEFMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTII.ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITH�N 60 DAYS, OF IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPIICATION 1 STAIIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK W�LL BE COMPLIED $2g�253 $14.12 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL I.AW fiEGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $2.%$,00 Fire SC $iH.2S PLAN CHECK FEE TOTAL FEE 320 37 SIGNATUi7 OFCONTRACTO AUTHORIZEDAGENT IOATEI W R PE VALIDATED THIS IS YOUR PERMIT .(�!'�.a�1./ ' 7 '� �' � Si NATURE OWNERiiPOWNERBUIIDER� �OATEi LDG �SP pp7E . , ..:.i:���.-. i�1EVy ( ) Effective 5126193 �o1a�'b ADDN [ ] CITY OF FRIDLEY ALTER [ J SiNGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Pexmit Application Construction Address: 13 �. � � �e� �ri e /�� I.egati Description: 4vvner Name & Address: �:�I,,e,.►�- d�- 01� U� G f vn Gr Tel. # S7 `�-1 a� 3 Co�ractor: d Gv � e 2 MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Snrvey of the lot, with the proposed constivction drtwn on it to scale. DESCRIPTION OF IIYIPROYEMENT i,.�iING A1iEA: Lengtb � Width o� r �ieight Sq. Ft. SZc� t3�GE AREA: L�g#h Wi�h Heig6t Sq. Ft. DFCK ARF.A: I.eng#b Width Hgt1C�d Sq. Ft. OTHER: Corne�' L� [] I�nsi�de Lot � Ft_ Yd Setback 'FyQe a€ Construction: �a � ��a n-. e, A�roa. Completion l)ate: � �/le Driveway t�rb Cut Width N�eded: Ft. + 6 Ft = Si� Yard Setbacks Estima�ct c�ost: � �8.� � � (C.a�st a� Back) Ftx $ = $� DATE: � �' �.3 APPLICANT: �� Tel. # v %��� 11 ' t � P�mit Fee S 2?8, � Fee Schedule on Reverse Side Fire Suc�charge �,,.,2-�f,'O�°�7o•��-�1 of Permit Vaivation (1/lUth96) State Surcharge $ � l�l.la$.501�1,000 Valuation SAC Charge License Surcharge Dt'lY�jt ESCiOW F.rosion Control Park Fee Sewer Main Charge � $750 per SAC Unit $- -- -- �S.Od (StaLe Licec�ssd Residential Contrac�tors) � $ S S � TQTAL � ' ��� .,�'7 All. ~A� OF t11t. �D� Above Conservatian Plan Review $A�54.IX1 Fee Det,ermined by Engineering Agreem�eat Na�essary [ ] Not Necessary [ ] -__ � STIPULATIONS: �� . � ti s r — , � r-�� a. � � N � i- �$ 1 � _ ��-''g�`- �• w�oo j� } ��ay�~a� \ b�'i�j O � �' r �� � `; •- � �i <�'" ( �\�-�MtQ ��� '�" � . , i—_�--� � � , —� � j__1 ; _.t_ i ' � ' _ � , ._ � . , i_ i I O � f . ,-_ j `'_ ; i �V � i . i�- j � � I �-- �, __ _ �_. M _ i . .' 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No.4489 , , , ' . ' .• ,: y ?kT,r1• �� M �}s,� ' �� ., •s �' •PAUL J. CRANE.. R�GISTERED SURVEYOR No. 4449. • ,' '' ` �`. ;�� ,, _ � �� •M»'��.+,•` •�, . • `�` • • • . . .. . .... . . . . , � . .�, y �.. �� �.�AIS $ `{�a0, �Y�i .�.0.� ,��f,•,' �` 1�.' :�','. •� i r.. � y /.. _ � : ti.' .!:t . }�f . : 1 . ; �y ^Y' s � �+t �. ♦ \ .�, .. �. . . �. ��i���� 7���T"T�,'�'it': �:;�,r�� .ib ;�k i . '•' a •. �r .� '� . ♦ .�r,- ��, - '. '• ,:'y.%.:i' •r+).. } 1. .y3�i� n.c .w• �fCg. 3^!'y., � L .�.+ . � i: ..� .L. � .r �; f � � � • .. : s j •� �'. . s � f`;� jii.i •l. .f . . � .r: . . ~� . . . - . � � r , t•, . � ' , , :�. . . ..' . . . .... sr L � • i �> � � ��� � � � su•�EeT �_ . , . . � � . . c�ty of Fr�a1�y 2 8 6 0 9 ,, 57�=���� T"E Tw�"S gU IL D i N� P E R M I �E�P . . COMMUMITY OEVELOPM�NT OIV. � n� �/ r � y �� PROTECTIVE INSPECTION $EC. 0� � i � � . � i---•�; �'��;•� CITY MALL fRIOLE� SS�.�IZ NVMBEp pEV O�TE PAGE OF ACPROVEO B� t 612-57�-3a50 s�aF�s 11/18/98 � � JOB ADORESS 1329 Gardena Avenue t LEGA� �OT NO. BLOCK TRACT OR AD�ITION SEE AT7ACNE0 oescR. 6 Meloland Gardens SHEET 2 PROPEfiTY OWNEp MAIL AODRES$ IIP PMONE 0 a Palmer 3 CONTRACTOR MAIL ADORESS Z�P pMONE IICENSE NO 20097862 � ARCMITECT OR DESiGNER MAIL AOOqESS ZIP PHONE LICENSE NO. S ENGINEEFi MAII AODRESS 21P PHONE IICENSE NO 6 USE OF BUILDING 'dential 7 CLASS Of WORK � pEPAIR ❑ MOVE O REMOVE � NEW ❑ AODiTION ❑ ALTERATION B DESCF;IBE WORK Reroof house and ara e 30 S Tear-off• Reside house and ara e 9 CHANGEOfUSEFAOM TO STIPULATIONS 0 Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. TYP OFCONST. OCCUPANCVGROUP OCCUPANCVLOAD SEPARA7E PERMITS ApE REQUIqED fOR EIECTRICAL, PLUMBING, HEATING. VENTILATING Ofi AIR CONOITIONING TMIS PEAMIT BECOMES NULL ANO VOIO IF WQRK OF CONSTRUCTION ZONING SO. fT CU iT. AUTMORI2ED IS NOT COMMENCED vy1THIN 60 DAYS. OR IF CONS7RUCTION Oli WOi;K IS SUSPENOED OR ABANQONEO FON A PERIQD OF 120 DAYS AT � ANV TIME AfTER WpqK IS COMMENCED. ' NO OWLG. UN17S OFFSTREET PARKING I HEREBV CERTIFV THAT I MAVE READ ANO EXAMIN�O THIS APP�ICA710N STA�LS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of �AWS yALUATION SUFiTAX AND ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO NEREIN OR NOT THE GRANTING OF A PEfiMIT 7571 3. 7S DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI THE PEqMIT FEE SAC CNAFGE FiiOVISI S OF Y OTHER STATE OR LOCAI LAW REGUTATI CON- S UCT OR T PERfOfiMANC CON (S TiON � �'' re SC, ].5] PLAN GHECK fEE T A� FEE 153.60 5� • UAEO�CON'AAC p0 � THOA�ZEDaGENT iDATE� ME P VALI A 0 TMtS IS VOUq PEAMIT �' L -1 [ j ti�TUAEO�OwNEQ���OWNEpBUqOERi iOATE� . � � g� �pgo � r��1E NEW - + C ] ADDN [ ] A ER CITY OF FRIDLEY Effec�ve 1/1/98 �' LT [] SINGLE FAMILY AND DUP1f�EI�FS R-1 AND R-2 —, r. BUILDING PERMIT AP�aaICATION („p��1,/S . ���n��� ConstructionAddress: ( � Z� � �r�Cr�nc�. � ' L Legal Description: Owner Name & Address: ,���,� �a.,��,� Tel. # Contractor: �G �w �� S�y:, .� � MN LICENSE # 2O p g Q,'�� ? Address: r($�� /�o�lV'o�Ci /` � �i � ti( , til�(/ �,���� Tel. #�5�7— `Ja2Z_ 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 Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Le g Wi th HgtJGround Sq. Ft. OTHER: �C� �-' � l � ` G� � o��l � S � � �.. �r�o ol, �1%d Construction Type: ' Estimated Cost: $ L ^- ���/ / (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: I �� C � APPLICANT: . � L`'► Tel. # �-� � ���Z— CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ l� r%���Fee Schedule on Reverse Side $ S. .001 of Permit Valuation (1/lOth%) $ � $.50i$1,000 Valuation $ $1000 per SAC Unit $ S QU $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 [ ] $ /5���0 STIPULATIONS: • Building MECHANICAL Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763�5�2-4977 FAX EFFECTIVE2-19-09 DATE �U SITE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT ❑ OWNER NAME: ADDRESS: CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: _ YOUR STATE STATE LICEN/� LICENSE WITH ADDRESS: �/1 � APPLICATION ,f PHONE �tn 3 PERMIT TYPE �GLE FAMILY TYPE OF WORK: � NEw x�� DETAILED YOUR E-M IL ADDRESS )NTR TOR < Ci1.K�YlA ,- 1� S�?� ' EXP DAT] � ��FAX ❑ TWO FAMILY ❑ TOWNHOUSE ❑ ALTERATION/REMODEL Permit No.: Received T � AT�' ZIP S � FEES ARE BASED ON $10.00 PER FIXTURE, PT WHERE NOTED. FIXTURES: jC_ TOTA NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: .�lT`��� � SIZE/BTU '� �'� OQ � MFG: _�� �P � 1T� MODEL: ��/ SIZEBTU U ' f A/C $25.00 AIR TO AIR EXCHANGEER $15 BOILER $35.00 CHIMNEY LINER $10.00 DUCT WORK $10.00 MFG: MODEL: FIREPLACE (GAS) $15.00 FIREPLACE (WOOD) $35.00 �FURNACE $35.00 GAS DRYER $10.00 GAS PIPING $10.00 � � � �.� � ,_ :.� y � � ��� � � � �� �� na �� � ,., �� s _ �, . SIZE/BTU GAS RANGE/OVEN $10.00 NEW GAS GRILL $10.00 GAS UNIT HTR $10.00 POOL HEATER $35.00 VENTILATOR $15.00 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an appli tion f a i and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of a wo ch re ires review and approval of plans. ' � Le�the ����-A� /l �D� SIGNATURE OF APPLICANT / PRINT NAME City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977