AF - 45969�
�
City of Fridley, Minn.
BUILDING PERMIT
�� �63�/
N° .'7325
8,�� __ � _._.. ..... . _.........__.....-----
.��
,r�../� LOCATION�� BUI�LpDING
xa !a.![..V .... streec. ._. _... ac.��#1.._�/-�6-f.._. P oy .__.......__...r.__.__.
,rt� r� -�^ �6 -
_.- -
Lot .7.•J��'..J-� Block .____._._.al_... _...._. Additlon or 3ub-Mvleion . ... .-. - --�.r_
/ ,�1 /
Corner Lot ___��_ 7nside Lot ..—.._..._._._..... Setback ...t.�i�. .�...._... SideY� .....�.G[.._.._..--.--......�..._.—.—
3ewer IIevatla�
Foundatlon IIevatlon
DESCRIPTION OF BUILDING
Used ' /// / � Q
_ Fro�t �� DePth _p��7 Height �.. S4. Ft ,/ �SJCu. F�f�
M__._-.---. -------_ Dept6 _.._� eight �. $q. Ft ._-.-.._.._.. Cu. Fk _.._._._.._
Type of Conatructi� / /}�� '�_
--. --.. Est. C f... .��-.c.[�L��..-.._....._ To be CoanPleted ...__------.-.--.-.--
In consideratlon ot the iasuanoe to me of a percnit to c
the propoaed work in accordence with the dPecription above
ordinances of the dty of Fridley.
Ia caweSderatiar of the payment of a fee oi �
to caaishvet the building or additi
the expresa twndition That the person to whom it is �anted
done ln, arowid and up� eaid building, or any part thexeof,
FrldleY� Minnesota regarding location, wnstruct[on, elteratl
wlthin the dty limfffi and t]ua permit mqy be revoked at aqy�
ordfaances.
. above, I agree to do
wit6 all provlsions oP
ia herebY Breated
� es descrIbed above. 1'his permit is 8ranted upon
and his agente, emPloYeea end workmen� in all work
shall conform in all respects to the ordinances of
�, msintenance, repair and moving of buildings
upo�,violatioa of any of the PTOViaims of said
Bulldia8 Inspecto�'
I NOTICEs
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SuBJECi
�c�ty of Fridley
ATTHETOPOFTNETWINS gUILDING PERM{T
� .
� • COMMUNITY DEVEIOPMENT OIV.
' j V __�__-'
r � � PROTECTIVE INSPECTION SEC.
i :
� '�""1�•� CITV HALL FRIDLE� SSd32 NUMBER nEV D�iE
�""'�' � b12-571-3450 g�o-Fi5 6/llf!
JOB ADDRESS 600 6lencoe Street NE
1 LEGAL LOTNO. BLOCK TPACTOAADDITION
oESCa. 55,56 T Riverview Heights
2 PROPERTVOWNER � � MAILADDRES$ Z�P
Roger Avery 600 Glencoe Street NE
] CONTqACTOR MAIL ADORESS Z�P
M& R Carpentry 1805 Ogden Ave, Superior, WI 54880
a ARCHITELTOFDESIGNER MAILADDRESS Z�P
5 ENGINEER MAllAODPESS Z�P
8
Residential
)F WORN � NEW
BE WORK
Replace windows
9 CHANGE OF USE FROM
❑ ADDITION ❑ ALTEHATION �] REPAIR
v�GE �F
/ /
��:0
J
a�
evnaweo er �
SEEATTACHED
SMEET
PMONE
786-5843
PMONE IICENSE NO.
15) 394-7941
PMONE LICENSE NO.
NO
❑ MOVE ❑ FEMOVE
STIPULATIONS
Replacement bedroom windows must meet Che State Egress Code.
Install smoke detectors to meet the State Building Code.
SEPARATE PERMITS ARE AEOUIREO FOF ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR Alfl CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTNOFIZEO IS NOT COMMENCED W�THIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDEO OR ABANDONED FOR A FER�OD OF 120 �AYS AT
ANV TIME AFTER W�RK IS COMMENCEO. ��
I HEi7EBY CERIIFY THAT 1 HPVE REA� ANO E%AMINEO THIS APGLlGAT10N
ANO KNOW TME $AME TO BE TRUE AND GORFECT. ALL Pf70VI510N5 OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L 8E COMPLIED
WITH WHETHER SPECIFIED MEREIN OR NOT. TNE GRANTING Of A FEHMIT
OOES NOT PRESUME TO GIVE AUTHOFITV 70 VIOIATE OF CANCEI THE
PROVISIONS OF ANY 07HER STATE OR LOCAL LAW REGULATING CON-
STR CiION OR THE PERfORMANGE OF CONSTqUCTION.
R
:����----� � ��-��
\` SiGNnIUREOFCON:nACTOROR4UTHOPr2E0AGEN1 iOPiE�
! S�C.NiT\IR[(li(IwNFR�IGfIWNEABUILDERI IDATEI r
UNITS
1 STAlLS
$6,400
NIT FEE
$124.75
$3.20
4C CHAPGE
Fire SC
JTALFEE
$134.35
40
LO!1D
NEW
ADDN
ALTER
[7
[1
�]
ConstructionAddress:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�fFective UI197
Owner Name & Address: � a G p r � i��i e r u Tel. #�$'b .$ 8' K 3
Contractor: _ �l £ /2 �AR /°6N r y MN LICENSE #
Address: `8°j �r���� `� � wL Te1.11 �Z��� 3�s�- �syi
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
GARAGE AREA: I.ength . Width Height
DECK AREA: Length Width HgUGround
OTHER:
Consiruction Type: �, rt �, o W S Estimated Cost: $
Sq. Ft.
Sq. Ft.
Sq. Ft.
(Fee Schedule on Back)
Driveway Curb Giit Width Needed: _Ft_ + 6 Ft =^Ft x$ —$ ��f O 0,. o 0
1 C
DATE: �- I l- F7 APPLICANP: m..��/ ����— TeL !{�i� � 3! 3� 79 `ir
CTTY USE ONLY
Permit Fee $ a S Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1/lOth%)
State Surcharge $__�� $,SQ/$1,�(IQ Valuarion
SAC Charge $ $950 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Fscrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee
Sewer Main Charge
$
$
Fee Determined by Engineering
Agreement Necessary [ ] Nof Necessary [ ]
TOTAL $ �� ", �
� `�� �` C' �� �� �-
ST[PULATIONS:`_ -----/�- �
l(P%- ��1
� _
,
��.� �as�66
�.....
� City of Fridley
ATTHETOPOfTHE�WINS g�ILD1NG PERMIT
r,
�
� � ��� COMMUN�TV DEVEIOPMENT DIV.
r � V PROTECTIYE INSPECTION SEC.
1
� � /"'1 � CITV NALI FPIOLE� 35�73 NUrlfa NEv
t""�' ,'� 612-571-3450 9/0-F15
IOBADDRE55 600 Glencoe St NE
1 LEGAL �OTNO. BIOCK TRACTORADDITION
�escA. 55 and S T Riverview Heights
2 PROPEFTYOWNER MAILAODRES$
Roger Avery 600 Glencoe St NE
3 CONTRACTOR MAILADDHE55
Norsk Concrete Const. 1115 Osborne Rd NE Mpls.
� Ri1CNITECTOROESIGNER MAILADDRESS
s/1a/oo � /
M[d 55432
31304
RECEIPT NO. �
OF �bOPOVE� Bv
/
SEEATTACMED
511EET
PHONE
786-5843
PHONE IICENSE NO
786-1910 7333
PMONE LICENSE N0.
B USE OF BUILDING -
Residential
7 CLASS OF WpRK
❑ NEW ❑ ADDITION ❑ ALTEHATION x] REPAIR ❑ MOVE ❑ REMOVE
8 DESCHIBE WOFK
Remove and replace steps
9 CHANGEOFUSEFROM
STIPULATIONS
For stipulations, see attached plan.
SEPpRATE PEFMITS aRE FEOUIRED FON EIECTRICAL PLUMBING. HEATING.
VEN7IUTING OR AIF CONOITIONING. �
TMB PERMIT BECOMES NULL RNO VO10 IF WORK OR CONSTRUCTION
AUTMORIZED IS NOT COMMENCED WITHIN 60 DAYS. OA IF CONSTPUCTION
ON WOPK IS SUSPENDE� OA ABANDONED FOH A PERIOD OF 1Z0 DAYS AT
ANV TIME AFTER WORI( IS COMMENCED
I NEREBV CERTIFY THA7 I HRVE REA� AND E%AMINED THIS APPLIC�TION
AND 1(NOW TME $AME TO BE TRUE ANOCOAAECT. ALL PROVISIONSOF ��WS
AN� ORDINANCES GOVERNING TM1S TYPE OF WOPK WI�� BE COMP�IED
WI�M WME7MER $GEGFIEp HEREIN OR N07. iME GAAN7ING OF A PERMI7
DOES NOT Pf1ESl1ME TO GIVE AUTMORITV TO VIO�ATE OR C�NCEL THE
PROVISION$ OF ANY OTNEF STATE OA LOCAI LAW AEGUTATING CON�
STaUCTION'OR THE PEAfORMANCE OF CONSTRUCTION
O�CONrR�pppOA• Oa2ED�GFNr �O�*E�
] I STAlLS
fION
$i,aoo.00
CU
GeRAGES
�1.��
$ACCM.ORGE
Fire SC $2.00
N� � 1 Effective 1/1/2000
ADDN [] CITY OF FRIDLEY (763) 5723604 81dg Insp
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �k �
BUILDING PERMITAPPLICATION �Q }�
Construction Address: %4� ��-s'ry��- -� �7� �`lP-�-�-� �
Legal Description:
Owner Name & Address:
Contractor.
LIVING AREA:
GARAGE AREA:
�
Tel.# ��`6- �s'�
MN LICENSE # ?3.�3
" �r Tel.# ���-/9/T
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
DECK AREA: Length
OTHER:
Width HgUGround Sq. Ft.
Construction Type: �,o,nor� �s�.s� -a��' Estimated Cost: S o9-�� �
Driveway Curb Cut Width Needed: _Ft. + 6 Ft =lFt x$ =
DATE: Ss` - /5�^ � APPLICANT: ��� Tel # �� /`//�
CITY USE ONLY-
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Suroharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Pertnit Fees if mailing ia application
$ � 9�� Fee Schedule on Reverse Side
$ - vd .OQ1 of Permit Valuation (1l10th%)
$ /. D O $.50/$1,000 Valuation
$ $1100 per SAC Unit
$ S. Ud $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.OQ Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [] Not Necessary [ J
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2060 Centre Pointe Drive, Suite 3• Mendota Fleights, MN 55118
(651) 688-7340 • (877) 337-7340 • Fax (651) 68&7341
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