AF - 45356�
City of Fridley, Minn. � � �.�.�
BUILDING PERMIT N� 7 3 5 3
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Date: �_.. ��. `__.S/�._._. ..... f
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Ovvner: _ . . ._ Builder
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Address........_..._:..._._.._._.._.....___....�..._.._._._..___.__.._...._.._.._..._.._ Address _�__�..._._.__._.___._.___.._..._........_......_........_.._...._.___...._.___..._
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� - LO TION O BUIL ING
Na �'�.� _. ✓� .� -. 1�.��art o t ._... _.��....___._._.. .... ..____
� Stt�eet : . .. ... .. :L�Q,.�:_
Lot ....._...._._.---..._._�: Block ._..�.._..._._._._........._.._..._._._ Addition or Sub-Divisian , _. ,�'�.. _• ---_ ..
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Corner Lot __�_.__.� Inside Lot ....._.. �._ Setback ...��__.._.... Sideyard _---.�.� .._.._�.�5...�....-_
Sewer IIevatian _���.�. `�...__.__._�.__..---------- - �e�on Elevation ..._l�'...-5_'Z...�....!_-�...�._..._.___.__.__.__._...
Ta� 4G �ou Tih/6
DESCRIPTION OF BUILDING
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._...... Frant ���._..��pth ...�.� Height .�� _ Sq. F't. .��! d Cu. F�,��
. _. � eight _..�:C.t_ Sq. Ft. . ' �Ca Cu. ��.�. �
Front p�_..%_ Depth .r.�.- . _ � �..
Type o cti ' F�e� Cc� ��..v�.�.�_-.-�'% be Coanpleted _..._...._...._.__.._._ �_
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In cor�sideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinancea o! the dty of Fridley. ,
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Ea ca�sideratfon of the payment of a fee o! $�-�.._.., permit is hereby graated to_.._....�-_____...-.__._....
to construct the building or addition as descrfbed above. This permit is granted upon
the express condition that the person to whom it fs granted and his agenta, employees and workmen, in all work
done in, ara�nd and upon said building, or any part thereof, shall conform in all respects to the ordinances o�
Fridley, Minnesota regarding location, construction, alteration, maintenance� repair and moving of buildings
wfthin the dty limits and this permit m�y be revoked at any time upari violation of any of the provisiona of said
ordinancea A �
Building Inspecta�
NOTICE:
i6M p�e�nif doa net eowr th� eondruelioe, instail�Na� hr wietno. P�Y. Yu ��W. swv�� or wN�r. 8� wn to s»
f6� WtW1a0 layNetor for s�p��aN p�+eits fo� f6�a hMm.
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APPLICATIt,�1 FQR,: BUILDING PEF�IIT
C�TY'; OF. FRIDLEY, MIATNESOTA
OWNER'S
ADDRESS ,p►DDRESS . �
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.. LOCATION OF BUILD�NC
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No. Street ��� ��._ �art of Lot �
Lot � � �lock Addition or Subdivieion
'�'�' „ 3 -' ,
Corner Lot Inside Lot ��7 � Setb�ck 3' �'" �. Side-Xard � �
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certi�icates .of Surve.y of Lot and.proposed build-
ing locatiori drawn on Chese;Certifiaat+es. �
DE3CRIPTION OF BUILDING
To be used as:
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___,�_,�� � '' Front �/O ��pth �� H�ight�
Sq. Ft. Cu. Ft.
Froat / Depth � ��� Height �C'�
S q. Ft . Cu . Ft .
Type of Construction Estimated Cost 17�0�_ �„
To be Completed ��r�,.� /lr _ � ,y�- �
The undersigned hereby makes application for a permit for the work herein apeeified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances and
rulings of the Department of Buildings, and hereby declares,that a11 Che facte End
represencations stated in this application are true:.$nd correct.
DATE__ �� -- �'' SiGNATURE
�Scbedule of Fee Gosts can be found on the Iteverse Side).
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SUBJECT •
c�ty of Fridley 26977
, , AT THE TOP OF TME TWINS B U I L D I N G P E R M� T NO.
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� • COMMUNITY DEVELOPMENT DIV.
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r � �� PROTECTIVE INSPECTION SEC. a`J
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' � �'��1 � CITY HALI FRIDLE� SS�SZ NUMBER REV. DATE PAGE OF APPROVED BY
�'"°� � ,'' 612-571-3450 9t0-Ft5 8/4/98 � /
J08 ADDRESS �
1 LEGAL �OT NO. BLOCK TRACT OR A�DITION SEE ATTACHEO
DESCR. 2,3 Meloland Gardens SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PMONE
Chuck Croon -
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Steffe R. Lee Contr. 9465 Irvin A 4 4-1198
4 ARCHItECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADORESS ZIP PHONE IICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WOFK
O NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and gara e(15 S)��CXX 2nd La er
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be 2nd layer but not 3rd.
TYPE OF CONST. OCCUPANCY GiiOUP OCCUPANCV IOAD
SEPARATE PERMITS ARE AEOUIRED FOR ELECTRICAL, PLUM8ING, HEATING,
VENTILATING OR AIF CONDITIONING.
TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING S�. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITMIN 60 DAYS, OR If CONSTFiUCTION
OH WORK IS SUSPENDEO OR ABANDONED FOii A PERIOD OF 120 DAVS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTqEET PARKING
I HEREBY CERTIFV THAT i HAVE READ AND EXAMINEO THIS APPLICATION STALLS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VAIUATION SURTAX
AND ORDINANCES GOVEFiNiNG THIS TVPE Of WORK WILL BE COMPUED
WITH WHETHER SPECIFiED HEREIN OR NOT. THE GRANTING OF A PERMIT 9 . O
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAiiGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW iiEGULATING CON-
STRUCTIQN OR THE PERFORMANCE OF CONS?RUCTION 3,] Fire SC . G
` 1 �/� �� PLAN CHECK FEE TOTA� FEE
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SIGNAiUREOFCON�AACTOAOAAUTHOR�2EDAGENT IOATEI WHEN PROPERL ALIOATED THIS IS YOUR PERMIT
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SiGNATUQEOFOWNEAUFpWNEABU�IDERi IDATE� � �p �NSP, narE
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ALTER
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CTTY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/98
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ConstructionAddress: � �� � � �T�"�c �Q,� �,� i�7`�/'-�-
Legal Description:
Owner Name & Address: � Li v`c. jC � v� �� L,., �<s'�-�-) Tel. #�%/-- 4/ 7 y
Contractor. , ST� �.s�.�, %2 � � � MN LICENSE # .� � -��
Address: ,�-/ y � � � Y v � � �l � ���s-�%�i., �e�✓/cTel. # S°�, S' — % l 9�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale. ��
LIVING AREA:
GARAGE �AREA:
DECK AREA:
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Construction Type:
DESCRIPTION OF IlViPROVEMENT
I.ength Width
- Length Width
Height Sq. Ft.
Height Sq. Ft.
Driveway Curb Cut Width Needed:
Ft. +6Ft=
(Fee Schedule on Back)
Ft x $ _ $
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DATE: -- � /��APPLICANT: ���✓� L--e- �C- Tel. # y�Z y— � / �I�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
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$ .��� s
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$ • �a
$
$ �
$
$
$
$
$ •�
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuadon
$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 [ ]
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