AF - 45976City of Fridley, Minn.
--- .
BUILDING PE�M[IT N° �53zs
Date: .__S¢_="=.L[! "_" _� � --
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Owner: _�.�'.b�+�:EI�,¢� Builder __..__.._... _......._..._�.....�._ ...,...�..1.......---.._.......�...._...._......_._...
Address ....._.__._..----.--.__._— �__ Address - - F!K..� f..�.__....—_..__......_..._
L� � � OCATION � UILD G
No. '. .�{.—_. treet .. . . . . �� _ � ..: Part of Lot _ f _..._.�, _...— ._
Lot �3�� �Block ....- _.._—_— _,i ,ridition or Sub Divisi � -. ..� . ..- � -�A�.
Corner I.ot _._.—..__ Insde Lot r��'�.... Set6ack � Sideyard �� __ ..::.._�.__._—
�...---
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDtNG
To ugea • ; . � � �„j � /'"'�,-•-�,�'` ,,n j^�
� f ,// •�f ' �/= .F.-�..�. _.. 5q. Ft ��. / Cu. Ft j'r y�.���-.`
���,,,;�� -��.f.�� Fmnt .�,;.<..-ECe.._ Deptky:�: �..._ Eieight w" _ _. .,..... . �.._.Y .
. _:. _. __—. . '� _.._. Depth .... -�2-Ieight _.. � Sq. Ft. .. ..._ Cu. F`G _ . . � _ :
4 �p
Ty�e of Gbnstruct�on ..... ... .Y�e�,t''X�� _.. Est. Cost �.��.�,.�d.,�.rR�:, ...... o be Completed .. __ ._... ..�
In coneideration oP the issuance to me of a permit to conshvct the building described above, I agree to do
the proposed work in accrndance with the description above set forth and in compliance with all provisions of
ordinances o2 the dty of FYidiey. _
In conffideration of the payment of a fee of $.�L.rC._:�_, permit ia hereby granted to..__�—�_.—
W construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and worlanen, in all work
done in, around and upoa said building, or any part thereof, shall conform in all respects to the ordinances oP
g'ridley, Minnesoffi regarding location, construction, alteration, maintenence, rnpair and moving oP buildings
Within the citY limiffi and this permit may be revoked at any time upon vi,qlatio�'°�`�°�' of t6e provisions oP said
ordinancea /"1I9. Jl !"� 1 -
Building 7nspector
NOTICE
ih4 pamil doas nef cover ILr� ronakuelion, in��alhNon for wirin& PWmbing, gu. hulfng, swvar or waesr. B� aun /o w.
M� B�ildinp In�p�cfer for nperaf� pwmih for fhue fNmc.
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a�.icaxioN � suuau�a �uT
crr�r � r�.m�x, raxxESare
owner � a xsmei�/�sr��e /N,�c�H-s2�= ,r suil.aer C'f/ �=s �is �P /f?sXc`�.9�s2�3�'
�ddresa !'3 �/7 S/f f S� AJ, /� . Address s'7 4i ! �/ � S S�` Ai.� �
OF BUILDING
oY Lot '—
Lot�� S^ `/ Block � dddition or Subdivision /f �/i' i=�P I"/t°W //E/�f/T
Corner Lot Inaide Lot // Setback �S � Side-Yard /O�� /S� �
SE�t ELEYATION FOUNDATION ELEYATION
�pplicant attach to thia Form Certificate of Survey of Lot and proposed building
Zocation.
DFSCRIP'PION OF BTJIII)7NG
To be uaed as:
�,fiEt� /�Yr�cL/ iLfi� Front�_Depth 7� ?� Height 2(�
sq. �. �5- y c,x. Ft. ,( 9. o._„ � d�
FY�ont Depth Height
Sq. Ft. Cu. Ft.
Type of Construction f/(�/r1/_' _ � Estimated Coat /.Z .�'�
To be Completed f.? d Ii�¢�S �
The undersigned hereby makes application for a permit for the work herein speci4ied�
agreeing to do all work in atrict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representationa
stated in thia application sre true and correct. _
(A Schedule of Fee Coats can be found on the Reverse Side.)
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City of Fridley, Minn.
BUILDING PERMIT
, �es n,._,r.,�_P,�R+�5,�.1 q �Fi9 _---
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N° 10382
8ec, #48596
\
L.yle Saker '
. � Builder _._��_..—. ._. _ .._.. ___.,.-•.--...•.._.._
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�.w..1.3:�� \.� BYll'. - f.� ;i'fTPP 4...+�tur..__ li�iftRB __.Nby�O.__�._._.._.._.....__._..__.�.__..�.._..___� y:
LOCATION OF BUILDING
Na ...,.�..�1i._. Street ._.._G1.encne.�:tree.t-�T.E.-_.—.......___.— Part of Lut � . .
Lot �,._ Bloek _.__..T......._..__.._.._.._....._. Additioa or Sub-Divisi� �,�yq� ,;,�,�•, v�'gl��e--�-��-------
CornM' fA0 ....,,r.-..— Inside Lot ....._....._...X._..._.._ Setbeck __._..._.._..---- SideYarfl .--.--...---....._.�._....-.—.-.--.-
Sewer ��_—.._..__.._...._...._:..__—._._.-._._ Famdatlon IIevation ----�--._...-----.—.---
DESCRIPTION OF BUILDING
To be Usi as:
---Ga?-�? _._--� Flroat _20!_.._ nepth _ 22! Height .�.�— Sq. F't. --A-A�- Cu. Ft _[}Qf10._..
__.-----� FYront __.._..___ Depth Height ._.._-.._..__ 3q. Ft .—.— G�i. Ft -.--.—.-
Frame _._._.. F:st Coat ---.-�1 , 800.00 _.. To be Canpleted __._ MaY.,__�9�R.�
Type of Consh�uction __.__.--------
Ea condderaUon of the isauence W me of a permit to construct the buil ' deacribed above, I agree W do
tlu P�P� work in accordance with the descriPti� abwe set f°� aad fn P�ance with all Proviaions of
ordlnaaoes oP the dty of FYid1eY. . Y / '� �
In ca�sldezattm of the PsY�nt of a fee oP # 7.00 _.._.., permit fs hereb9 �'anted to—I+Y1�._Sake�__
to conshvet the buIIdinB or additf� as descrtbed e6ove. This Permit is Srented upon
ti6e expms conditlon That t6e peison to whom it is 6ranted and h1s agents, emPloyees and worlmten, in all work
�dane in. around and uP� eaid buildin8� or apy P� thereof, s6all confaam in all reapects to the ordinancea of
r'rldler� Mtnnesota regara�ng locati�on, construcGOn. alcerauon, maintenance, repair ana movina ot buuasLgs
within the dty limits and this permit may 6e rewked at any t�me upon violatlon of axly of� the proviaioos of aatd
ordinaIICes.
=--r.�ti.ec�1 13��__ B�il1dIn8 InsPeMrn'
H9NK MUHICH-Buildin� Officaal
� I NOTICE
7Ns pMwie dea nM eewr ih� wuaroeNa�. inM�Mtbn Mr Wriey, obm6iae� Ya� hwNnY� awr w waNr. M wn ro w
li� lviWip Yy�osr /er Mpu�n yumY� fer Mw RMn.
. . . s _ ,�, � _
APPLICATION FOR BUILDING PEftMIT
CITY OF FRIDI.EY, MINNESOTA
owrr�rc �s rr� � t% � SA �!� � suzLngt ��c �'Gt �
ADDRESS (Pla � � ��.� e �,= sT ��l.,� �nxESs
LOCATION OF BIIILDING
NO . ��L _STREF;P l� � %n I C 6 �- S T . �C.� � .
LOT ,5 + — BLOCK % ADDITION OR SUBDIVISION �',�,=,�,) ��f:� �(/�,yk)�5
CORNER LOT INSIDE LOT�_SETBACK SIDEYARD
SE41ER ELEVATION TOP OF FOCTING
App�icant attach to thie form Two Certificates of Survey of I,ot and
propoeed building location drawn on these Certificatea.
DESCRIPTION OF BIIILDING
To.Be IIsed Ae:
- Front (��� � Depth � � � Height /D �
, Squa,re feet �N D Cubic Feet '`�� 0�
Front Depth Height
Square feet Cubic Feet
Type of Construction /'�?/)n,� Estimated Cost �Q/�n °_° ^
.
To Be Completed ��T /5'Jo
The undersigned hereby makes applicatio.n for a permit for the work
herein specified, agreeing to do all work in atrict accordance with the
City of Fri,dley Ordinances and rulings of the Department of Buildings,
and hereby declares that all the facts and representations stated in
thie application are true and correct.
DATE� " SiGNATQRE ��_
(Schedule o Fee Coata can be fourid on the Reverse Side,�
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INOVSTRIAL � .
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� - LAKESHORE. �. . � � '. - � � � . � � . . bHERBURNE
.""TT�"° � L A N D 5 U R Y f Y 4 R 5 °O°"" E8
� ' tt SHOPPING CENTER — WEST MAIN BTRHET
..� � � - . ANOKA, MINNESOTA �
�-"ir�`LJ8 HARRISON 1-6340
Chester Mactaszek �%�"���� Il �� 500-117-72
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1 HEREBV CERTIfY TMAT THIS� IS A TftUE AND QpRRECT kcPRESENTA710N OF A SURVEY OF THE BOUNDARVES OF
THE ABOVE DESCRI6EO LAND� AND THE LOCATION OF ALL BUILOINGS, TNEREON, AND ALL VISBLE lNCROACHfdENTS��
IF ANY, FROM Oft ON SAI� LAND. . �
. AS SURVEYED BV ME THI6 .:�_r.�.�..._. DAY OF _..S1�i1E ...... . . .... ... A.D. 10 _..._61 � . . .
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� c�cy of Fr�aley � 2 211
ATTHETOPOFTHETWINS gUILDING PERMIT
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` COMMUNITV DEVELOPMENT DIV.
� � �' � PROTECTIVE INSPECT�ON SEC. '��,tC-f �
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� � /"9 � CITV HALI FRIDIE� 55032 NUNBER AEV DAiE . P�GE OF �FVPOVEO B�
�""� � �'� 612-571-3450 910-F15 9/16/93 � �
JOBADDRESS 610 Glencoe Street NE
7 LEGAL �OTNO. BLOCK THACTORADOITION SEEATTACHED
oescn. 53,54 T Riverview Heights SHEET
2 PROPERTYOWNER MAILADDRESS 21P PNONE
Frank Spencer 610 Glencoe St NE 780-6140
J CONTRACTOR MAILADDiiESS � Z�P PHONE LICENSENO.
A1-KO Aome lYnprovement SQ90 4th Ave� Lino Ialces 788-5850 1927
4 AACHITECiORDESIGNER MAILADDFESS 21P PNONE LICENSENO.
5 ENGINEER MAILADDRE55 ZIP PNONE IICENSENO.
g USEOFBUIL�ING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WOFK .
RerooE Hause & Garage (20 Squaresj Tear�of£
9 CHANGEOFUSEFROM TO
STIPULATIONS Underlayment must comply with the State &uilding Code. Provide adequate
attic venti.latian, �Provide smoke detectors as per UBC 1210 adjacent to all
sleeping areas and in basement,
SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING. NEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV IOAD
VENTI�ATING OR AIR CON�ITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTPUCTION ZONING SO.FT. CLL FT.
AUTMOFIZED IS NOT COMMENCED WITNIN 60 DAVS, OR IF CONSTHUCTION
OR WORK IS SUSPENDE� OR ABANOONE� FOR A PERIOD OF f20 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. � NO. DWLG. UNITS OFFSTfiEET PARKING
I MEREBY CENTIFY THAT 1 HAVE REAO AND EXAMINED TMIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX .
AND ORDINANCES GOVEANING THIS iYPE OF WORK WILL BE COMPLIED '
WITH WHETHEN SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT �$2 f 89� $1:45
OOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TME pERMITFEE SACCMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- � S4.OQ Fire SC $Z.HB
STRUCTION OR TH PERFORMAN OF CONSTRUCTION. $
PLAN CHECKiEE TOTALFEE
` � License SC $5,00. $63.34
SiCUnTUr+EO� � r�TaPGTOROH� wOAIiEDnGEr+t �oa � yyHE R ALIDATED TNIS IS �OUR PEAMIT
SiGNaTUREOFOWNERiiFOWNEROUILDERi iOAtEi BIDG iN � � �ai�
NEW
ADDN
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ConsWcbion Address:
Legal Description: _
Owner Name & Addn
Cona�actor: ���,
Effective 5/26/93
CITY OF i�RtDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �a�,3
Building Permit Application
IdVING AREA: L,ength
GARAGE AREA: Lenglh
DECR AREA: T-en�th
C!�!!!�
Tel. #���d
MN LICENSE # � 9a
Tei. A /��J��
Adach to this applicatioa, a Certificate of S�uvey of the
(�, with ihe propose� conshnu�ion drawn on ik to scale.
DESCRIPTION OF IMPROVEMENT
wiau►
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Width
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L/J
Heighi
Heig6t
f� I.V i' 1 � 1' 1� " 1. . 1;" . 1 :1/... .
1" 1 1 �.�1 . 1 U ���a%�1��Z� �1/'/I//Ii/ 1 Il,.r il W ��
� �
' 1 1 1 { il 1�1 1 �: 1 � �
{Cost au Back)
Sq. Ft.
Sq. Ft.
Sq. Ft.
Driveway Curb Cut Wi�h Needed: Ft. + 6 Ft = x S =$
%
DA'TE• APPLICAIV'i': � Tet. �
Permit Fee
Fire Surchuge
State Surcharge
SAC Charge
License Surcharge
Driveway Escmw
Fa+osion Control
Park Fee
Sewer Main Charge
TOTAL
S � ,DO
$�
$ �, '�S
S
S S G�
S
S
�
a � �� �
��Iilli'iilY�� .I
Fee Schedule on Revfxse 5ide
.001 of Permit Vatuati� (i/lOt&96)
$.50/51,000 Valuation
$750 per SAC Unii
55.00 (State Liceased Residential Contractors)
Alt. "A" or Ak. "B" Above
Conservatioa Plan Review $450.00
Fee Defiermined by Engineering
Agreement Necessary I] Not Necessary []
__ _,
SZTPULATiONS: '
� --'
sus�ea P
� City of Fridley 2 9 5 0 8
, ATTMETOPOFTNETWINS gUILD1NG PERMIT No.
f
a
� �v��_�� COMMUNITY DEVEIOPMENT DIV. � ^��
� j PROTECTIVE INSPECTION SEC. ��
�
� � �"'1 � C�TY XAL� FRIDIE� 55�72 NuM�EA �EV O�iE o�GE O� �»qpVED !�
�---'� � �'' 612-571-3450 9t0-Fi5 5/20/99 � �
lOB ADDRE55 610 Glencoe Street NE
t LEGAI �07N0. BIOCK TR�CTONADDITION SEEATTACMED
oescA. 53, 54 T Riverview Hei hts 511EEi
2 PROiERTVOWNER MAILADDFES$� 21P PHONE
Brad Weaver 792-4273
J CONTRACTOR MAIL ADDRESS 21P PMONE LICENSE NO
Owner
a AFCHITECTORDESIGNER MAILAOORESS � ZfP PMONE UCENSENO.
5 ENGINEER MAILADDRESS 21F PMONE LICENSENO
8 USEOFBUILDING
Residential
7 C1A550F WORK
❑ NEW ❑ AODITION ❑ ALTEHATION �C REPAIR ❑ MOVE ❑ REMOVE
e DESCHiBE WORK
Reroof house and ara e 22 S T
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comp9y with the State Building Code.
SEPARATE PERMITS ARE REOUIRED FOF EIECTNILAI, PLUMBING. MEATING, T�PE OF CONST. OCCUPANCY GROUO OCCUPANCY LOAD
VENTI�ATING OR AIR CONDIiIONING.
TMIS PERMIT BECOMES NULL ♦NO �OID IF WORK OR CONS7RUCTION ZONING SO.FT. CU FT.
�UTMORIZEO IS NQT COMMENCED WITMIN 80 DAYS. OR li CONS�RUCTVON
OR WORK IS SUSPENDEO OF ABANDONEO fOA A PERIOD OF f Y0 OAVS AT
ANV 71ME AFTER WORN IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING
I MEREBY CEHTIFY TMAT I MAVE READ AND E%AMINEO THIS APPLICATION STALLS GARAGES
ANOKNOWTMESAMETOBETRUEANOCORRECi.ALLPPOVi510N50f�AWS yp�U4TION SURTR%
4N� OFDINANCES GOVERNING TMIS 7YFE OF WORK WILL BE COMP�IED ��885
WITM WHETMER SGECIFIEO MEREIN OP NOT. TME GRANTINC Oi � VERMIT $.44
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLaTE OR CANCEI THE pERM1TFEE $ACCMARGE
PROVISION$ OF 4NY OTMER STATE OR �OCAL lAW REGVI�TING CON-
STRUCTION OR THE PEFFpHMANCE OF CONSTRUCTION $66.20 Fi re SC. 1,88
PIANCHECKFEE (OTAI EE
.�2
SiG�+bUAE0�C0�+'A�CiOAOn�uiwOA4E0�GE�.i iD��E� N R(�D A�IDA �TMi515 Y R PEA IT
��.,� �—�.,--� �� v�%%
S�GN�LVAEO�OWNEA���OWNfABOR�ENi O��f� Bl �N50 pIlf
rrEw � �
ADDN
ALTER
Effective 5/10/99
[ ] CITY OF FRIDLEY
[] SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2
BUII.,DING PERMIT APPLICATION
��0��0
� �^ � ��
ConstructionAddress: �'� v ��rr�n� Sp�- /ti�
Legal Descripdon:
Owner Name & Address: /�r-� ��� �r v P,-- Tel. # ��%' Z– Lf Z% 3
Contractor: r) [,�� y, e,— MN LICENSE #
Address: • Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTfiER:
Attach to this applicadon, a Certificate of Survey of the
lot, with the proposed consuuction drawn on it to scale.
Length
I.ength
Length
11 ' 1' I 1 I 1' � I/ U I ►M
Width
Width
Width
Height-
Height
HgUGround _
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: �'y_ �� _ d– � Estimated Cost: $ / � �'v `�
Driveway C�rb C�t Width Needed: Ft. + 6 Ft = Ft x
DATE:
Permit Fee
Fire S�rcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Fscrow
Erosion Control
Pazk Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT:
$ ,ZD
$�A�
$�
$
$
$
$
$
$
$ �OZ
C1TY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
_$
Tel. ll
$1050 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 [ ]
Y � � �
_ �