AF - 45943City of Fridley, Minn.
BUILDING PERNiIT N° s s o`
Date: __�� � � fe. /..._...---.---.._____
}/ � I °{ p. �
Owrier: . ��d6�L:�L.`.�__�".Z�.(l.e' �L' :t�n��1�i� Builder ._ � _._. _�-..: � _.._�.._ .............._.__._._.::..:..._....__.._,._
Addx+ess --�---...._:....__..__.._...._ —....-�—�---....._..... Address __...---.—.._.._...._....._�....__..._....._......__._...._...._......__..�_
No. ��.r LOCATION Q������„j�VG
-l-�— Street --- ---.__ _ ic..r�r Par�,qf Iqt .. .
�g*�� �j�/ j � �j
Lot .,,2...7�� Block _. .._..�.--.-- Addition ar Sttb-Division f11.�._..- �,�,l'!'� �'� _-
�c'< ��♦ ,
Corner Lot __L.^_"".r._ Inside Lot ....._....._---- Setback LL..---..._._._ SideYard _..t- __!RL_.._.._.._..__...----
5ewer Elevatioa
Foundati� Elevation
DESCRIPT@ON OF BU6LD[A1G
T t e UseS� �,5: r
/ . / �� � �+y
�, ¢c.f-f,f:y.�Lf'. ... Fmnt .d� �........ DePEh _�.��.._ Height �.�✓_..._ Sg. Ft t...'~.�_�r`:._. Cu. Ft ����-'`
- _......._ ........_�.... ,Fr�{ ..__._. Depth ..._ . Height ..��.��- Sq. Ft. ...._.._ (,lt. F't _ ._ ....---
�5 �J �
T�pe of Construction .... ..`�-��.—�.��at1Y��K ..._.. Est. Cost .j_.r_f.. e�i._�_...y�...��.�..~To be Completed ....._.._ ................._.
In consideration of the issuance to me of a permit to construcY the building describe8 above, I a°"- to do
the proposed work in accordance with the desrription above set �forth and in compliance with all� provisiona of
ordinances oE the city oP Fridley, �
In constderation of t6e payment of a fee ot $�_�.._._�, permit is hereby granted
to construct the building or addition as described above. This permit is granted upon
the express condition that the persoa to whom it is granted and his agents, employees and workmen, in all work
done m, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
FricUey, Minnesota regarding location, constructioq alteration, maintenance, repair and moving of buildings
withu+ the.tlty limits and thia pernrit may be revoked at any time upon Natiog.� any of the provisions of said
01d1LaIIC28. /1 _ � r� 1
$Illldln$ In8p2CE0'l
NOTICE �I
76is p�rni� dou nof oovar 1h� oonslnrUion, insbDation for w'ninB. plumWny, Bu bWing. sewer a waik. B� aun ro aw ���.
IM BuiWiaB lo�pedor for a�parats permNt fw }Law iMms. �
�4
APPLICATION F�i BUILDING PF�MIT
CIT3[ OF FRIDLEY� MINNFSOTA
Owner's Neme Builder �,/7�� S%�� MikC/ �S2�/r
�ddresa 9ddresa G ! .F U ('v i Ai C �/ .l�. � �
IACATION OF BIIIIDING
No. ^� Street C�c�: a/ cvr �t of Lot `
Lot �5� * 33 Block H dddition or Subdivision, /P/ lir_"iP Y/f_= 4d /i�/N�
Corner Lot ✓ Inaide Lot Setback 33' Side-Yard /.2 � /O �
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to thia form Certificate of Survey of Lot and proposed buildittg
location.
OF BUIIDING
To be uaed as:
�/-" s/ D�.✓ � x F�ont�Depth _� S� Height ? Ci
Sq. Ft. �/ 2 Cu. Ft. /� 1 f/ 0
F�ont Depth Height
Sq. Ft, Cu. Ft.
Type of Conatruction C�'/`j M.F • Estimated Cost �/ �
To be Completed /� O �.9' Y�
The undersigned hereby makes application for a permit for the work here3n apecified,
a.greeing to do all work in s�'ict accordance with the City Ordinances and ruling of
the Department of Buildinga, an<i hereby declarea that all the facts and repreaentationa
atated in thia application are true and correct.
(A Schedule of Fee Coats cen be found on the Revarse Side.)
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HEAT� LOSS CALCULA710NS DEPAR7MENT OF BUILDINGS '� � f f S� MINNEAPOLiS. M[NN.
Weatheratrips A.S.H.V.E. Construction No. � Insulation
Guide
Windowa Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
IYes—No Yes—No 19_
Fl.� '�� Room Lengt Width Height FL� � Raom Length Width {y Height
Windows an Doors—Crackage d Area Windowa and Doora—Crackage and Area
Wltlth Height No, ot Llneal ft Area Width Height No. o[ Llneal t0. Area �
No. ot pane o[ Dene lighle o[ cr8ck eg. ft No. ot p6ne of pane lig�te of ycrack . eQ. [A �
� 4 �
-�' �' Coef. Btu Coef. Btu
Infiltration U �. U � ]nfiltration
Z tiJ /[ LO I
Glass " �
Fsp. wall
Net exp. wall p
]nt. wall
Ceiling
Floor �, �
Towl Btw
Required aq. h. E.D.R. or aq. ins. W.A. l.eader area
Fl.� Room� Lengt Width /
Windows and boors--Craekage anrl ATea
wtath Hateht No. ot Llveal tt. wreP
No. o[ D%�e bt pane 'Iiehie aI craek ea. tt �-
COC
In6ltratioa ,
Glaaa
Exp. wall
Net exp. wall ,
Int. wall
Cei�ing
Floor (
Total Btu.
Required aq. ft. E.D.R. or sq. ins. W.A. Lea r area
�.F.�t. �f� Room �Lengt � y W�dtN j J
` Wincdmvs and Doors—Crackage and Area
Wldt� Hei`ht No. oI Llneal [0. Area
No. o[ yane ot w�e uene, ot crack ey. f/t.
+
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Infiltratioa � � ( �
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Exp. wall
Net exp. wall ,� � p q I
Int. wall
Ceiling
Floor � a
Total Btu.
Require�aq: Et: E:D�. or eq. itis. W.A. L.es� atca
Glaaa
Exp. wall
Net e:p. wall
Int. wall
Ceiling
tcequaea sq. tt. e.u.rt. or aq. ms. w.n. �.eaaer area
F1.I Room I 1.ength y�. Width �
Windows and liooro—Craekaae a d Area �(
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Glaaa
Ena. wall
Net exp. wall
Int. wall
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Required aq. h. E.D.R. or aq. ins. W.A. Le der area '
FI.� o.:,fioom I Length Widt6 Height
Windowa and Doora—Crackage and Area
Wldt� Hel`ht No. ot Llnenl fA Aret �
No. of pane ot pane Ilphb o[ crnek p. t0. �
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Infikratian (L C �[,� D -
Glase
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Net exp. �
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Ceiling
Floor
Total &u.-
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APPLICATI�1 FOR BUILDING PERMIT
CITSC OF FRIDLEY, MINNBSOTA
OWNSR'S
T
ADDRESS 5�95 G'�.�n1no� S: A%= nnnRess /Y1._ „��,-� �i��-rs 32„
_. _ _ _ _
LOCATION OF SUILDING
N0. .�7 / S STREET l� � E N � c� E S; l(IF , PART OF LOT
LOT�� —3�gLOCK�_ADDITION ORqSUBDIVISION
CORNER LOT�INSIDE
SEWER
e i ..�
ELB�ATIOA
Applicant attach to this form Two Certificates of Survey of Lat and propoaed
building location drawn on theae Certificatea.
OF BUII.DING
To be used as;
_� 2 A 61'' Front Q Fr Depth ,2� FT Height�_
Sq. Ft. Cu. Ft.---����_'�
Front Depth Height
Sq. Ft. Cu. Ft. �
Type of Construction`'Dro(�R�TE /��,cfQ� Estimated Coet� � J
.�-�°�.�
To be completed
The undaraigned hereby makea application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley prdinances and rulings of the Departmeat of �uiidittgs, artd �ereby -
declares that al! the facts and representationa etated in this application
are true and correct,
/ / ���,��� � P
DATE � /(��_SIGNAT[iRE 1 lVu"''� 111 ��
(Schedule of Fee Coats can be found on the Reverse Side).
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sue�ecl � � � PERMI �
City of Fridley � 15 P 4 6
"TT"ET°P°F'"ETW'"S gUILDING PERMIT
;� .
, � � � � RECEIPT N .
� • COMMUNITV DEVELOPMENT DIV. � � � �
� LV ������' r y
r � PROTECTNE INSPECTION SEC. . � . 9�J' 9/ 3
I �
� � �"'1 � qTV HALL FflIDLE� 55432 NurnBER PEV . OATE P4GE OF APCROVED Bv
� ""� � �.J . �
612-571-3450 g�o-F15 6/7/79 / /
JOB ADDRESS 595 Glencoe Street N.E. �
1 LEGAL LOTNO. BLOCK . � TRACTORAOOITION � SEEATTACHED
oesca. 33,34 H Riverview Heights SNEET
� 2 PROPERTVOWNER MAIIADDRE55 � . ZIP GMONE
Dwi�ght Mennenga 595 Glencoe Street N.E. '
3 CONTRACTOR MAILADDRESS . Z�P PHONE � � LICENSENO.
Same
� AqCHITECTORDESIGNER MAfUDDRESS 21P PHONE LICENSENO.
5 ENGINEER MAILAODRESS ZIP PHONE LICENSENO.
- 8 USEOFBUILDING
R8S1CiE:Ittldl
7 CIASSOf WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
X
8 DESCRIBE WORK
Construct a 2p' x 20` Addition
9 CI{ANGE OF USE FROM .. TO
STIPULATIONS
SEPERATE PfRMITS REQUIREO FOR WtRING,
HEATING, PLF1M8lNG A#D SIGNS
�'�I�sr
TE�Epk � � �0�f utNities
REQUIRED �-r�s Et�.
BY LAW
� � TVPEOFCONST. OCCUPANCYGROUP OCCl1PANCVIOAD
SEPARATE PERMITS ARE RE�UIRED iOH ELECTRICAL, PLUMBING, MEATING.
VENTILATWG OR AIR CONDiTIONING. WOOd FTd$0
THIS PERMIT BECOMES NULL AND VOID !F WOAK OR CONS7RUCTION ZONING � SQ. Fi. GU. FT.
�AUTMORIZED IS NOT COMMENCEO WITHIN 60 DAYS, OR IF CONSTRUCTION �
OR WORK IS SUSPENDED OR ABANDONED POR A PERIOD OF 120� DAYS AT �� � 4OO � 4HOO
ANY TIME AFTEP WORK IS COMMENCED. . NO. DWLG. UNITS OFFSTREET PARKING �
I HEREBV CERTIFV TNAT I HAVE READ AND EXAMINE� THIS APPLICATION 1 STAILS GARAGES
ANqKNOWTHESAMET08ETRUEANOCORflECT.ALLPROVISI6NSOFLAWS VALUATION SURTAX
AND OR�INANCES�GOVERNING TMIS TVPE OF WOAK�WI�� BE COMPLIED � $],O�AOO $S� OO
WITH WHETHEF SPECIFIED��HEREIN OR NOT. THE GRANTING OF A PEFMIT
�OES NOT PRESUM€ TO G14E AUTHOfiITY TO VIOLATE OF CANCEL THE pERMITFEE � SACCHARGE
PROVISIONS OF ANV OTHEH STATE OR LOCAL LAW REGUTATING CON� �y`4O. OO
STRUCTIONAR THE PERFORMANCE OF CONSTRUCTION.
. � PLAN CHECK FEE iOTpL FEE
$ 10.00 $55.00
SiGNnTUREOVCON'anC*oeoan�TrvoaiZEOnGEN* � 1DATEi � . yyHEN PROPERLY ALIOATED THIS IS YOUR PERMIT
51 nTUFEO OWNEPUFOWNEPBUiLDERi ��DAiEi� `� BLDG �NS> � �>�
�.
� crTY or r-�tl»�cY .
• /tPPLICAT101! f`Oft RGSIllLilTI�L BUILUIPIG PERI'IITS .
' (j'�L•W, �1LTL"R�T1U(JS, iIUllIT1UWS, OR RC•PA1125)
Oh�2�R:' �wi q�11 L. Mev�Yl�ncja,� ISUILUIiR: �"i�►A't Lc.�e6nV '' �
Address: 575 Glenert Sj�.•t/ F.
�i eI- f�y i►'� n.. 5 S�F3a-
AdAres:, :
2e1. xo.:
No.: 5�45 5treet: (�I¢ri�e�e Sh• N.�. • .
TAT: '!i 3 w� 3`�- }3iACY.: i�
COI2I�LR UJT: 0 IID ITaSZD� I/JT:
RDDTTIOi7: i70 �C % .�
S;:TST�CY.: � 5 � STDL'YI�RDS: . /,? • s�
I+i>Plica'r,t attach to L-his fonn Two Certificates of Survey of Loi- ari3 proposed
building locaLipn dra4m on these Certificates.
DESCRIPTIOPI OF BllILDiI�G
To 73e usea ns: • `Z./
��� (�Orm Front: �O Y% Depth: �Q . Height: _��
Squaze Feet: �Dd Cubic Feet: �tf � �
Tront: Depth: Height:
" Squaie Peet: Cubic Teet: �
• ,Q pkaX.
Type oi Construction: wovP `RAAI/N6 Estamated Cost: �
. ��.6�
To Se Completed: �1fi� /°�`7�J Alt. A Mlt_ J
Propose& Driveway laidth I£ i�ew Opening Is Desired �"� $ $
. (ST••T ItEVERSE fiTD� OP Si;EETi
fihe undersi9ned hereLy makes application for a perr,�it for L-he work herein
specified, agrecing to do all ccork,in strict accarclance with tl�e Cit.y of
Fxidley Ordinances and rulinas of the Dc�artment oi ruildinc7s, and hereby
declares that all thc facts and reyresentations stated in this applzcaYion
are true and correct. See reverse side far additional infozntation.
��: SIGNATU].E:
Stiyulations:
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Q.p � �S,35 ' /o/��,�� �
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�' �dX �I � �o.00 d� '
p.� �a. � � . . .
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� --ENERGY COtdSERVATION SUPPLPML)NT TO BUILDING PERMIT APPLICATION
. � pi,AA]NING AND SNSFECTZON DEPARTMRNT
� � CITY OF FRIpLEY� MINNPSOTA � .
� _ �
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This supplement is provided ta assist the appl.icant in c.c:�mAlxt�tig EXTERIOR �TVELOPE �
AVERAGE U' FACTOR INFORMATION. This information is�xequired so�the LUILllIt3, ,`-� a
�. �
OFFICSAL can determine that submitted plans canply with the ENERGY CONSERVATION � 1.,
DESIGN CRITEREA of the STATE BUILDING CODE (Section 60001• It is the P.PPLICANT'S �
responsibi'lity Lo accurately compute the data; reflect the proper DESIGN CRITFRIA � s
in the plans; submit product specifications, if needed to support the "F." and "U"` �
factors used; and to assure construction is per approved plans.
sos r.o�T2oN_ 59 Glej,Eo-� S7- .✓ �' F�-�Y(�,. %hn, SS�l3.'� �.,__.
�
OWNEFZ/CONTRACTOP.: ��r �a hT � !� eNS�enqQ. , _. �� . . --
�
ADDRESS: �'Q$ ��P.Y�cs<.. S'1� , N� F_ PHONE: '7PL '�FS� S 9 �
q. Det.ermine the Total E:;pcse3 Wall Area �5 foiiows:
1.
2.
3.
4.
5.
6.
7.
1bta1 wall window area
Total door area
Zbtal sl.iding glass door area
Rbtal fireplace wall area
Total wall £raming area(average 10�)
7btal net wall area above f7.00r(ave=age 90�)
Total rim joist area
Subtotal: 2bta1 exposed wall area above floor
8. Total foundation windnw aYea
9. 4bta1 net foundation area above grade
Subtotal: Rbtal �posed foundation area
GRAND TOTAL EXPOSED WALI� 7iREA .
� $4 �r
NA saF�
�/`o.�.�_,
y�v�t.�
5 /�/!78
G � Fr
��
S�
LOC?!� _
B. Multiply the GRAND TOTAL EXPOSED WALL AREA X.17 =
C. Determine i:Yie �atal Exposed Roof/Ceiling Area as follows:
n
10. Total skylight area �C!��
11. Total xoof/ceil.ing framing arca (10€) e�
12. Zbtal net insulated mof/ceiling area �o .T,
GRAND TOTAL BXYOSED ROGF/CEILING�AREA � 'Yd�
Multiply the GRANLI TOTAL EXPOSED FOQF/CEII.TNG EREA X.OS �_
,
a�����_
�•_ � � �� r. f� -
Item z �? � o,�
� I.Ce=n TI o��i�OJ
�E• _S�ot��iine the "0" yalue of each segment (1-9) and multiply by the area as ` �
fo7.lows:
,
' ' - . g nUd =
2. :---- x ��U�� --- , - — `
1..
. 3 �. . x �e�u. � _ .
��' 4� ' X n�n - �
� S. X "U" -
I -
6. X "U" _
7. R nU" _
8. }{ uUn =
9. g ��U�� _ :
ADD 1-9 FOR TOTAL WALL SEGMENTS . = ITEM III
F. Determine the "U" value of each segment (10-12) and multiply by the area as
_____ _.
foiiows: _ _
10. X �'.U" _
11. X '�'V" _
12. X ��U�� -
� ADb 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM iV
G. If Item III is the same as, or less than Item I, you have met the intent
of State Building Code 6006 (c) 2.
H. If Item IV is the same as, or less than It�n II, you have met the intent
of State. Building Cod'e 6006 (c) 2.
2. Add Item 2 � +� Item II . .. . _ . .. -�.
J. �Add Item III + Item IV =
. K. Ii tt;e sum of Items III and IV are less than Items I and I2, you have met the
infient of the Code for total envelope system.
. , �
The undersigned, as applicant for a building permit, hereby affirms the above
information has been prepared and submitted by himself or under his directibn,
hereby ackno�•�ledges the information to be correct and accurate; and hereby
presents the itiforntation with required plans in support of the building perniit
application.
�
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DATE:
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P.O. Box 33026* Coon Rapids. Mfnn, 55433
CERTIF{CATE OF SURVEY: r r�-� F Q��e���
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Mc?EFiY C.fk�i.=T 'F:z' iH't '�: A i k.-�� ati:. �OkRc'_T RsPaL:FN?A-�!QN Qp A iUkVEl" OF iHE BCUNDARIES
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� � sue�ecr � PE O.
c�ty of Fridley _ - 1609
�
ATTHETOPOFTHETWINS gUILDING �PERMIT �
.
o.
� � COMMUNITY DEVELOPMENT OIV.
r , �----- �G� y
� PROTECTIVE INSP€CTION SEC.
� i
� � �"'1 • CITV HALL PRIDLEY SS432 NUMBER REV OATE PPGE OF APPROVED BV
�""'.� � � ��' 612-571-3450 gt0-F15 4/1/81 � �
J08 ADDRESS 595 Glencoe Stseet N.E.
1 LEGAL �OTNO. BLOCK � � TRACTONADDITION � SEEATTACHED
�esca 33,34 H Rivervi,evr Heights sNeer
2 PROPERTVOWNER MAILAODFESS ZIP PHONE
Dwight Mennenga 595 Glencoe Street N.E. 786-4959
3 CONTRACTOR �MAI�ADORESS � ZIP PHONE LICENSENO.
Same
d APCHITECTOROESIGNER MAILADDRESS ZIP PMONE LICENSENO.
5 ENGINEER MAIL�A�DRESS ZIP PHONE LICENSENO.
8 USE OF BUI�DING �
. TiE$ld2Iltl.al
7 CLASS Oi WORK �
� ❑ NEW ❑ ADDITION �7 ALTERATION ❑ REPAlfi ❑ MOVE. �G REMOVE
8 OESCRIBE WORK � .
Install a basement bathroom
9 CNANGEQFUSEFROM � � TO . y`
RI'7
STTPULATIONS �CIJi: �.iiy3�V��. to�i ::<:;81 U{Ifitl@S
use treaterl ��Ittaotto� p�ates TELEPHONE-ECECfRIC-GASEte.
R�QUtRED BY lA1N
SEPERAl'E PERINtTS REQ�11RE0
HEATING, PLUMBiNG ANO g� � WtRfNC,,
� TVPEOFCONSL � OCCUPANCVGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, NEATING. � .
VENTILATING OR AIR CONDITIONING. � . � �
THIS PERMIT BECOMES NUIL AND VOID IF WORK OR�CONSTRUCTIOk ZONING �� SO.FL � CU.FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, QR IF CONSTRUCTIQN � �
OR WORK IS SUSPENDED OF ABANDONED iOR A PERIOD-0F 120-0AYS AT -
ANV TIME��AFTEfl WORK IS COMMENCED. �� NO. DWLG. UNITS � OFFSTREET PARKING
1 HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 � STALLS GARA6E5
ANDKNOW�THESAMETOBETRUEANDCOiiRECT.AILPROVISIONSOFLAWS VALUATION � . � SURTAX .
AND OHDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED �
WITH WMETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $$�0�� .$. SQ
� DOES NOT PRESUME TO GIVE AUTHOFITY�TO VIOkATE OR CANCEL THE pERMITFEE � SACCHARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING LON- �
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.� . S�• S�
� PLANCHECKFEE . TOTALFEE
$8. �Q
SiGNnrUREOfcoN-ant*oaoRa�*MOA¢EO>GErv* ion*E� WNEN PFOPERLY VALIDATED THIS IS YOUF PERMIT
%� ��/ -P'1� , � -✓-a
SIG� TUFEOF NERiiFOWNEP6UILDER� IOAiEI � 9lpG M50. OPLE
CITY OF FttIpLEY •
, kPPLIC/l'fI0'� FOft R[SIDG�dTIAI_ DUTLDIilG PE(U4I7S
(Ne�•r, Alterations, Additions, or Rc�airs)
Ot•lNER: �95— �z_ ,�l"o�y , 6UILDER: . ��->YtE s
ADDRESS: ,�U��,�/.7-� ��u,�J�.cJr' /� IIDDRESS: �
TEL rf0: %86��4ST> TEL td0:
,
Construction Location '
STRtTsT NO: 9S STREET: �p L.��(/�� p�� .'
Loz�: �.3f 3� �r.oac: �( nnniTioy: �c,��2cli� d-�� �6�r�
Corner Lot: Inside Lot: SetbacY.: Sideyards:
Ap�licant attach to tliis form two Certificates of SUrvey of lot and
proposed building .location drawn on certificates to scale.
DESCRIPTIOn 0� C0�•ISTP.UCTIOfd
� �'� I�ront: Depth;
Squane Feet: Qibic Fcet:
Front:
T�Pth e
Squar.e P'eet: C�bic Peet:
Type of Construction:
Zb Be O�r,�pleted:
Proposed Drivee�ay Svidth If New Opening Is Desired:
Height:
_ Height:
Estimated Cost: $ ��� `
Alt. A Alt. B
$ $
SEL•' RaVERSE SIDE OF SHEET
R51e undersianed hereby makes applicaticn for a permit fcr. the t:vrk herein specified,
agreeiug to eb ,all work ir, strict accordance c•�ith the City oi Pridley Ordi�iances anci
rulings of the DeparYment of Buildings, and hereby declares that all tl�e iacts and
representati.ons stated isi this application are true and correct.
DlfT�: �"( O/ � SIGNIITURE::
Stiii�i�lations :
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