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AF - 45647� � • City of Fridley, Minn. BUILDING PERMIT �� s N° _ 6999 ��: _.�- �-�' � � .� ---- Owner: _�"'t ."!_�Q�L`�� Bwlder ��........_..._...._...._...__.._..._.._.._ Addmas..._......_.._.__._.__._.__..__.......—..._...—.._.._._.._.�. Address __.._._.__...._.._......__....._.._........_.._..._......_.......---....—....._ g /i�/D LO TIO ILDING Na ��naZ_._. 8treet�e'�Z�. _.._ _� e�.�Part oP Lot _... _....-- --._...._... — Lot ....._.�r_.._.___ Block __.._.� .._.....�.._...._._. Addition or Sub.r-,Dfviaia� �� ...�.._..--�-- Corner Lot ---.._..-.--- d7nsi8e[ Lot .__.._��_ Setback ._-c2—�._....__.._ Sideyard ._�Q_..__._�..___.._.._ Sewer Eievaria� �1V r__v.. Q..._.._...__.._..—.._._...._.._.._.._ � Elevatioa ....._..� A 3..� 0—.--_._._..._._ ToP n�= F•or�w• DESCRIPTION OF BUILDING , UEed FYront ��lLd" DePth ..._I�S� HeiP�t �r-��.. S4. E't. F� �� Cu. F't�4,,�Q� _ � t�� DeFfh ..� L� F�TeiP��_ IO s sy. Ft. .�� cu. Ft. `I� �.L!� 7y�pe of truc8on =��--�— -.._...__ Es� C��ar..��i� To be ComPleted _.._._.__._:—...-- In coa�sideration of the 3ssuance to me of a permit to c e building descri d ab , a to tlu propoaed work in accordance tviW the description above an� c .�o� oidinanoea of the edy of Fridley. In conalderat[aa of the payment of a fee of $_�.�L_�-_, permit ia hereby granted to._.._..__. . to conshuct the buflding or addition as deacribed above. This permit is granted upon t6e expieas condition that the person W whom it is granted and his agenta, emPloY�s and workcnen, in all work done in, arournl and upon eaid building, or eny part thereof, shall conform in all respects to the ordinances of Frldley, Minnesota rngattiifng laeatia�„ cronatruction, atterahon, maintenance, rnpair and moving of buildinas within the dty ]imits and tHis pernut m�y be revoked at az�y time ugan violation oE any of the proviaiana of sald ordinanoea �. n /1 _ Bu11d1n8 ��' NOTICE: _. iW pwmh dw eM eowr �M��wn�nuakn, Ime�tle' /sr �YYy, pi�6iy, oa MM(oa, Mvr�r x waM. !� an ro a» IM luHdioY InyMer /er �prN� yw�aNs hr fh�a tr�m. ��i�� ., OW1�R' S •.:�4:...L .; . ; ....� y•il . APPLICATION.FOR BUILpING�pERMIT, � CITX;,,QF FHEDLBY�- MINNESOTA ; ` . , ,;: , AD�1RE$S ' . „ ADDRESS ,. , ... ,. : LOCATION OF. B �I.DING ': No._ �/ �-� . .. . - &treet ParC of Lot Loi�_Slock . .� AddiCion; or Subdilr�sian . � .�. _ ;_ . ' , �� ' . .. .f . Cotnias Lot ,r , _ �naide Lot �—�Setback ��.5 :. Side-Ysrd � 0 rf% , , ._':.;.. , ; ; _ SBWE$ BLBrfA1'I�1 FOUDIDATiON ELSVATION Agp�.,teaqt .�t,tach ,to thie fo;m Two. Certificata¢ of 8�srey of koC ing; loc�t�.on drawn ,on these, C�rCificatea... , , DESa&IPTION OF SUELDING To be used ea: qnd groposed buiYd- _ .:�, ' _. , �rront Dept�i' Height � , _ . ,' gq, Ft. Cu, Ft. . , __ .. ... , __.., Front Depth Height � , , r' _ Sq. Ft. _ Cu:. F.t. Type of ConstrucEiad ,Estimated Coat � , _ . To be Complefed � <. , _ � . : . The uridersigaed hereby makea appllcaEion fos a permi# for the work her�in epecified, agreeing to do all wqrk74a-eCrict accordance with Ehe Citq of l�ridley Ordinaaces and rulings ef Che.D.epartmeat_o.f Build�.nga, and.herebq declares xfi4t a11 the facta and represeatatlona stated in"this application�e�n�e and correFt: �, , _ DATE 5 �(Schedule of Fee Coata can be found on the Reverse Side). , - _ . .s. - � ' ' ' � ' � �r� � l� � � �. ___•__�, �� . �, �� p �� M �� N � �� U N W OG � � a � .jy �I � y � A Y �' 'q N a�� a �� . ��E �3vQ � �� d� �d�a� muw� ��W dy a � � � � � ��«L. r�a� - �Sa� �mQ Q �� '� m q W �� F,'.�� v° M F a�+ N �� U mmm � i i S I �sa8s �C tD tG M N g g ,° � � �� L � � � a � � q �p o� < .� o � � ��e�� W c o, � a a" a" � � ry w tl �� ,� � � a y � � � I � � � a � � �W� � $�� U � I E � d O O m V m zi � 'lY � C3 GG D h W�J W N ssgga �Mm�� . . . . � : : g � g R » � s� ;� W � � 6 W � d �' � � o 0 ��W � � C � V �a'� � ~ C �a � � � � m 6 �� 'a� � � O � � � g N ssss O M � l0 � L M a� p ' ' �x a� aq � W � � � 3 Vi x � � j,w� � o F �' w a a 3 .� a� : S N " " � q x° `� `� dd�� Q 'a` � W W � � �' w" w b �`,� V � D I � � z �a" � � � � B � 8 � GC QJ � � �� a � � � � � � Y � �� U F 8 � � � � � 7 � � d a � �• m� Me m P M F OIC o D 00 1a�1 � � � � a � p oD O O F , � ~ F ~ � � �s�s� p N M N � � � tl �J E a w �� LO �� w � � � .. K .. s��s Q !i Y y v ym � O G � G� � � �C � � e � a � � � ��+ F a�� 9�G � � � 't 4 ��a �a�� n & � � O \ � i O Y � � � � c� �,� � � �� ; , O• z � h � � �L �.i . v+ Q � � � � � � O v :.: •i L v v+ io- •� � 3� Q C d. } � v � _ i�/ � i�i � W �. � C � � � .; m � m Le � V � • � N � _ � m •� t � � V � W � � �v _ v E t � N � �C .� � C t� Y �e 3 0 0 d u c �I o, ti f�" � y � ..�� r. � v � � � � -0 � �l W a '� O � "�C x o � Z � � m a � rn ti v � O U .°io � � �I � ti � " � U 0 U d A � H � d 0 o�'. � � � � 3 � w � y � a C 'N � � � 0 ° � ti �� a � :� 53w; b � '^ �« .,� ^,oa �°�'� ,n N U ;.� � d� a o�"'� o ^� o b �3°y'o `�y a�ro �. �� y O� � "gs� F N a m E •°• ^� .� d�Y � q Uv�..\ q01 v� 91 e i n �' � .� � ��n.o. �ro�� o �. w � o � �CO�,• � U y +a m � e •g .�c% s . ootl, .� ��, .� c �� s� h d � � � •R Q1 � �� U � 3�.�� .� � � � d� � w m �o� ��a �'� s q �.� � an a�� wb � R7 C CQ �� 0 � " o � s +�a N t`` ro U v��'.o�'. ° o � �'g .' ` � ».,y�N ,o •� � ».' � a � � o°, U ��%'�o �[ F .� � .� ,�� q��°m� .� °� � o� � ,� .� ° � fYmCOn° �, n c;; oNs� '$ �n° "' a � r � � 0 ..�°, d � N > i .� �� w � � � �� yClU$ �� '3�O u Aa.'° d � y � y � p � �+ . � � L V � �p � � i W �° � V QN�U i11 �'.'a �a a C'� pp m x � � � i OY � a�••" a � � �o�$ g°� � h1 �eF� e do a �� W � � ;� se`� � ��y �W� „� Y ��Y O .�.�� F �' � d�a � � .. Y� �i � M t� 10 � � V � � w � 8 8 $ 8 � � � a m � � q � _ � — � y �u 8 � : g � g� � °� J �. : � � R � : � � ,� : s . � � s q Q � � � � � Y B S g � °i n. « � '� � y� � � � � A i ��gaya � � � � v � s �� v � � .. a � � �� m � � � � 0 � � . n � r� o R �' m $ � o 5 FO w 8 8 8 8 8. � M IE tD p! � . . . . � d � � O � � a �� a a � .� �� a` a � � z � � � � � y w � @ a" z � � � S. O � II w �i 8 8 8 S O M N t0 tl! b : � $ a a : as y M �y P g g � B w fD d1 �' � � 6� W "� � �Y'i Sf� .� .� � g � � W M � � d�qb ��W� F w w � z � B w 8 0 0 � M Q � ,_� � � � � ? L p � A m � �e M P F � ° � d 00 d b � Q �� d � 0 a � � � Vl r �` � � � .J � � � z � � � � � U � � � � � � V _ d � � o i V Q a � � �, � c; m -� - E3 t o � LL y � W a Q � � $ ti a ^` \ � � O� � O 0 0. F � \ � N � � % p � ra �ii � . � � � ,,_ \ 1 I i�'` _ �. h W m �� Q, � \ � � O � � �W `� � ��F[� � w < � u c� � � � q � � 9 �� s A � � a 0 � ■ � ii � � ��o ��a� � � � S ( � � � ,� � g � C W �I Y � � C.�i' `'r �r � July 12� 1971 Hansen Electrical Contractora f' 6409 Lyndale Avenue South � i<s: Minneapolis� Minnesota 8e: Elecirical Permit Shortages Dear Sire: The foll is due on the followin� electxica2 pezmits: �_ _ 123 Glen Creek Road: $4.25 ! a� 3.00 Due $1�25 b70 - 57th Avenue: $4.25 Paid 3.00 Due $1.25 6725 Renneston Drive: $4.25 ' Yaid 3.04 Due $1.25 Tota1 Due: $5.00 � 18 - 66th Way t3.E.: $4.25 Paid 3.00 Due $1,25 . _ . - .j � : . - . LEOtdARD EICHI3II.LER Blectrical Znspector I.�/mh � � , � ,. z City of Fridley AT THE TOP OF TNE TWINS COMMUNITY DE�ELOPMENT DIV. V� �� PqOTEGTWEINSGECt10N SEC. �"'1 � diY HALL FRIOLEV 33�7= � � �'' 612-571-3450 JOB AODRESS 123 1 LEGA� ��T NO. DESCR. 2 Dean Coleman 7 CONTRACTOR Richard Hasti l RRCMITECiOROES1l MAII Residential BUILDING PERMIT 9t0-F1� � � 7/14/99 �/ Mir No. 29870 RECEIPT NO. �/,39 oF �vrnov[o er / SEEA7TACMED SMEET NO NO NO ��V�� ❑ NEW ❑ AODITION O ALTERATION BpC pEPA1H O MOVE O REMOVE OESCRIBE WORK � Reroof house and garage (21 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS . Underlayment must comply with the State Building Code. TYPE OF C SEPARATE PERMITS ARE REOUIRED FpR ElEC7R�CAL. PIUMBING. HEATING. VENTI�pTING ON AIR CONDITION�NG � � TMIS PERMIT BECOMES NULL AND VOID IF WONK OF CONSTPUCTIpN ZpNING AU7HORIZEO �5 NOT COMMENCED WITHIN 80 �AVS. OF IF CONSTpUCT10N OR WORN IS SUSVENDED OR ABANOONEO FpR A PERIOD OF 120 OAYS A7 .CNV TIME �FTER WORK IS LOMMENCED. NO DWL 1 MEREBV CERTIFV THRT I MAVE AEAO ANO E%AMINEO TMIS APP�IC4TION AND RNOW TNE SAME TO BE TRUE ANDCONRECi. All PROVISIONS Of LAWS yp��qT�p RNO ORDINANCE$ GOVERNING 7M�5 TYPE OF WOFK WILL BE COMPUED WIiM WMETMER SFECIFIED HENEIN OR NOT. THE GRANiINC OF 11 PERMIT $1835 DOFS NOT iRESUME TO GiVE AUTHORITY TO VIOLnTE OR CANCEI THf pERMITFI PROVISIONS OF ANY OTMER STqTE Op LOCAI LAW REGUTATING coN� $66.20 STPUCTIpN OR TME oERFORMANCE OF CONSTRUCTION ., GU � .�.�� 7 � L i S�GN�IUaEO�CON'a�CipoOAW/ aKED�GENf O�i(� UNITS OFF5T1 STR�lS SVRTA $.92 S�C CF Fire �F TOTA $S.AA $7 . CU F1. VARKING G4HnGES Fi] LOAD NEW �[ ] ADDN [ ] ALTER [ ] CTTY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLI ATION Effective 1/1/98 c��b C � �,,a� ConstructionAddress: / L 3 G��N G�E� r� �� I.egal Description: Owner Name & Address: j��,4M Co �F�c.� ,a .v Tel. # Contractor: '��' � G�. /k �p }�� Al6.5 MN LICENSE #�/ d S% Address: (� ,33 / � � J�- 2 v �� T� !Z Tel. t/ S 7�( �� 6-� 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 Length Length DESCRIPTION OF IMPROVEMENT � W idth W idth Width Height _ Height _ HgdGround Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: ,I �A R e�tC V� Z� �� a� Estimated Cost: $�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: _Ft. + 6 Ft =_Ft x$ � DATE: 7 ! APPLICANT: �.�F:�.cl�j/ �°''-°'�- TeL # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $__�$ � 6 � $ $ c�, � $ $ $ CTTY USE ONLY Fee Schedule on Reverse Side .001 of Pemvt Valuation (1/lOth%) $.50/$1,Od0 Vatuation $1000 per 5AC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation PIan Review Fee Determined by Engineeting $ Agreement Necessary [ ] Not Necessary [ ] $ / .3r9W � � � 0 b � c O > :a � W � : � � a 0 � H � O z (n W K w � 5 X LL i� Z m i J a � � O Ill z � Q K � Q W N N O U � � Z Z M � W J � � � g M o ' � � c O F" � K W a �) U � ¢ � 'O y � o � 9 d c m 'o E m W m ,� m a� � , r � � N � y `�' m d � Z ro J C W LL F' � Z � a � O U � m Z O m w � Z � � a v� II( IIIIIII 0 0 0 0 0 0 0 0 0 0 0 o S n v�ri r� r r � o � o 0 0 � w w w v� ea w fn eA en 'n vi v� u� I I I I I I I� I a I z N } � d � � V d � C � V = R' :; LL ; a`� F- a�j m c v v�¢ W C7 d Z� a� c �� o� , � a�i W p) C�N .J >•C � y y a � C � �C C � �- c0 " W .� � �' � m� K k- S 2 N Z` LL N ; � � 3 c�i � E :: :: :: � ° T � � ZOrotOU�fn��U' U' m � z 0 � � J Q O � Z Q � K a Q a = W O o � �' O �. 7 "rO�LL � � w y Z o �a� C � Ip � W � .0 � O � o m0= �� Q.'Q� N l0 0 C L 7 � � m v 0 n ¢ �I N 07 N U � � d m � UJ NI � w w � J F O Building Inspections 7b3-572-3604 763-502-497'] FAX DA7E � �' IS ' I SIlE ADDAESS � THfS APPLICANTIS: PROPERTY OWNER! TELVANT CONTRAGTOR SUBMITA COPY OF YOUR3TA18 L[CFNSE WITH APPLiCATI0�1 MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY YWR E-MAIG D OW7JER �CONTRAC70R COhffiANY STATEIICENSE VHONE PERNIITTYPE �SINGLEFAMILY ❑'IWpFAMILY TYPE OF WORK: O I�EW �REPLACEMENT DETAf1.ED DESCR[P7'ION OF 0 ❑ TOWNHOUSS .LTERATIONlREMODEI. Received ng F6F3 ARE DA4CD ON SlO.W PBR Pl7(TURE, EXCEPT WllERE NOTED. iiX'1'URFS; (INDIGTB TQPAL NUMBOC OF EACH 6(�.OW) FiNp�e�rt Me181kd MFO: 'T!'r n,� MODEL: V'FF {2 i/%ZY $iZFJBTU "r d D•,� su.ao TOAIR E7CCHANGEGR $t5 :.CR 535.00 !RiEY LIN�t SI0.00 A4�Y': i"f0..rrG MODEI,:TIli�O �'r� MODEI,: FIREPLqCE (GAS7 SI5.00 FIREPLACE(WOOD)$35.00 �FURNACE E35.00 GAS DRY&RS10.00 Mumb� of fixtures � j 10.00 _ x$10.00 = S Numberof8xtuns�$lS.00 xS15.00=$ Namba of Sxmres {r� $25.60 1 x 525.00 = S�(% —�� Number of fixtures (� $35.00 � x $35.00 = $ `� � State Snrcharge = $ .50 312EBTU ��D O i: SIZEJBTU w.r�cF/OVSN Si0.o6 'GA$ GRILL $IO.W UFV17' H7R $10.00 �� $.�ii TH1315 AN APPL1CA77ON FOR A PERMIT-NOT VpL(D UN17L PROCESSEO l hereby apply for a building permit and T adcnowledge [hat the informazion above is comp[ete and aocurate; that [he work will be in canformartce with the ordinances and codes ofthe City of Fridley and with the Minnesota ConsWction Codes; that I understand this is not a permit 6ut only an appli n for a permit and wo�1c is not to start witliout a permi� tlmt tl�e wak wilE be in accordar�ce with the approved ptan ia ihe case of I w rk which requims ceview and appro�al of pl�ans. �/ _. SIGNATIIRE OF APPL[CANI' � T�� x�m I\_ _.� i_ I�.. _ 1 _ I I 1 O �1 � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-36U4 FAX: 763-502�977 Wd9LLE£600Z/6ULl a3�0 £!Z a6ed lL££S9S £9G Wa��