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AF - 45165-� � Date Owner Addres BUILDING PERMIT Village of Fridley, Minn. N� 219 8 . .�:��-��`��... ��`��.��.��....... �;�.�:.,�,,�� ,��'� �,�^ ° �.�,... �/} � .t . .'+'� . s • • . . . . . � .": . . ,:r. . . . . . �� .'L � .�.�v„r ... y . . . . . . , ..r .. ................. Builder........................................... Address......................................... , LOCATI� OF BUILDING No. ... �tir:.�. � . Street ... ..�:`.��r�� .':R'n"':'� :. .. .. .. .. ... . .. . Part of t . .. ......... .......... . Loi .... �. Block ................ Addition or Sub-Division .��'."":!�'�� R . �.............. j �.-� �,�`r �'�b �,lf�+" . i%�"'L! Corner Lot . .. .. . . .. .. . Inside Lot . .. .. L�e:�. Setback . ..`.�!`•.'.. . . . Sideyard � , , . .�. . . �.� . � `,,��, . P- ' J'Vr To e Used as: . �. . '� ". . . . ; : t,:�. . �. Type of Construction . DES�CRIPTION OF BUILDING ! � �`'fi ..�. Front . .':': . �. . Depth . . : , ►.�'. . Height . . . . Sq. Ft. . . . . . . . . Cu. Ft. . . . . . . . . �r . Depth . � . . . . Height . . . . . . . . . Est. Cost .....�t,��: �:::�'......... Sq. Ft. ... .. ... Cu. Ft. ........ f To be Completed . . �r:'�� , ; . . , , , , , , , , In consideration 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 alI provisions of ordinances of the village of Fridley. � ................................. ��'.1J� In consideraiion of the payment of a fee of ,,. . '�'� '� �" $. . :'� ""� permit is hereby granted to , �,'�., , , ,. ...::. . .... .. to construct the building or ad dition as described above. This per� �is granted upon .� .ress • ndi on that the person to whom it is granted and his agents, employees and worl�en, in all work done in, around and upon said building, or any part thereof, shall conform in all respeets to the ordinances of Fridley, Minnesota regarding location, consfruction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any e upon violation of any of the provisians of said ordinances. � ��'` �� y,t. .. . .y. �.1r� :'��',�. . . �r:�uilding Inspector NOTICE: This permit does not cover the construction, installation or alteration for wi�ing, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permlts for these items. �. � r. • . � , � 1 S�p��mheg 2S, 3.�162 �� "1�G7 �t �Avent� 1� =�. � , ._ - t+'�'�d��y 2�, I�ix►uES�ta 8es Viol��ian of ;Z�at� 4�rdin�e . • �-�. �stti�ct , Dear Sir: _. It has b�ea x�poreed to t'�i$ c�ffi�e th+�� you :ase 'senti� as apa�tment is: y� fitune t� �►ot�r �fiq. Th� 3� ve�r d�f�e�ee3y ag$iase fi�e City sf F�:dlep's. Zoair�g �di�ce. _ If th�s shon�d b� #.pae case, ywa � ttes�el�g �e�u�s� t� �f.ve notiee t� yQUr seuters b� n�q lster �h�an �tob�r 31, 1962. At �t Ei�me� �ct ins�ti� wi1�. t�e mad� of yo�t_ pr�es, _ . The City af �ti�� c�Sng tinlioa�ee �as�,ts +�e �gmi�g` �113n�,s a�aly itn 8•1 Z�ing. �'i�rs �re•rg _ ts��r, _ At�.EN G. �S� - �ui�diog`�nagec� � AGJ:c�e _ 1 e �� j _ . . _ . . � � _ .. � �'1.9.rta�aruc.��fi�i�rratm��-� � � r� sue�ECT PER City of Fridley ,_ 9 7 2 3 9- AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � f 1 7 � L� . � ; L_ COMMUNITY DEVELOPMENT DIV. � � 4( r � PROTECTIVE INSPECTION SEC. o U�� 1 = i � /�"1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'"""� � �� 612-571-3450 910-F15 9/12J83 � � JOB ADDRESS 1647 Gardena 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. `z � Mattsons SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jesse Win�ers 1647 Gardena 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. T. 3. Roofing #5 Inner Drive � Circle Pines 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 6 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK re-roof 9 CHANGE OF USE FROM TO STIPULATIONS 1. can be the second but not the third layer 2. instali ridged galvanazed valleys TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, as hal t VENTILATING OR AIR CONDITIONING. p THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORQED 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 HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED q TH WH R SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ��239.'+Z 62 DO S NO PR UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PRO SIO S Of NY OT STATE OR �OCAL LAW REGULATING CON- `22 � OO STRU TIO OR T P RFORMA CE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE (Z � 22.62 SIGNATU OFC Ni9AC ROfiAUTHORIZEDAGENT 1 ATEI EN PROPERLY VALIDATED THIS IS YO R ERMIT � K L�� / �� SIGNATURE Of OWNER �IF OWNER BUILDERI IDATEI BLDG INSP �ATE � CITY (1F FItIDLCY . Effective Aug. l, 1981 NPPLICATIO'� FOft RCSIDL'iJTl/'� [3U1LQIi;G PC('v1ITS (t�c�►�. Alteratians, Additions. or Repairs) O��NER:��ss� �'ld � �lTew s AD'JRESS: �,�,�� r�� ieo TEL �0: ST72I�T NO: �, '[3UILDER: � , po�� y� ADDRCSS: � S �,�� a�. �� TEL f20: �, �� e I� i l u��s 1��, Construction Locati�n STItEF.T: L07': Z BLOQC: �_ r`t ADAITION :�� S�� S Corner Lot: Insiiie Lot: SetbacY.: Sideyards: Ap�licant attach to tl�is fozm two Certificates of Slirvey of lot and p=oposed building location drasvn on certificates.to scale. - DESCRIPTIO�� OF COi;STF:�JCTION , Front: Depth: Neiqht: Squanc Feet: (�bic Fcet: _ Front : Depth : Heigl�t: Square Fe�t: Clibic Peet: iype of Construction :��p y^ p p� EstimaCed Cost: $ � 2- ��. �� b Be Cbr�pleted: i � � Alt. A Alt. B Proposed Driveway Siidth If New Opening Is Desired: $ $ . S�� P.EVF:R�I: SIDE OF SFIEET ZSie undersigncd hereby mal;c� appliclticn for a per�it fcz the �:ork herein specified, agrceing to cb .all �.ork ir, stric. or �ith the City of Tridlcy Ordinances a�id rulin�� of the DeZhirtmc��t of Dui2cling a�nd h eby d lares that all the facts and rcprescs��ztiens stated in this applicat'd are e and _rcct. n.��: 12 � � szc�rnzvr�: � _-� SLil�ulations : �•� �� s� � � aa . � � f��i -ZTv"t��" - - . - - The Chief Building OPficial ahall, before issuiag permits for the ereetion of aay buildiag or structure, or for any addition to any eaisting building or structure or for any alteratioa or repairs to any existing buildiag or atructure. upon application tberefore, require the payment by the applicant for such permit of fees to the amount herein belov set Porth and in the manner herein provided to-wit: Sotal Valuation Fees =1.00 to �500.00 ;10.00 (Minimum �15.00) =501 to �2�000.00 �10.00 for the first �50d plus �1.50 for each additional �100 or fraction thereof, to and including a2,000 a2,001 to �25,000 �32•50 for the first �2,000 plus #6.00 for each additional �1,000 or fraetion thereoP, to and including a25,000 �25,001 to a50.000 �170.50 for the first a25,000 plus ��►•50 Por each additional �1,000 or fraction thereof, to and including �50,000 �50,001 to a100,000 a283.00 Por the first �50, 000 plus �3.00 for each additional �1,000 or fraction thereof, to and including �100�000 a100,001 and up �433.00 for t6e first a100,000 plus �2.50 for each additional �1,000 or . fraction thereof Plan Check: 25 Fercent oP building permit fee. DriveWay Depression Escrow: Concrete curb atreets only. Alternate "A": Removal and replacement oP eurb and gutter only - Drive�+ay width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach With 6 inch depth - DriveWay vidth plus 6 feet times �15.75 oerifieation OP oundatioa Permits for oonstruetion vill be issued a minimum of 2�i hours from the time of applieation to allox Por proper reviex of the proposed strueture and of the constructioa site. A Certificate of Survey of the lot� shoWing the location of the touadation once it has been eonstructed will be requfred be£ore oroceedina with the framiag. ., _ ,.