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AF - 45984C • l J City of Fridley, Minu. BUILDING PERMIT nar�: Ju1v 7.?26R----- -- �� 7 ��' N° 10324 Owner: --.8,.4��r-.--- ._ Builder _.._Tri-Co Builders`..._....__........__.._..._.._.._ Ad&�esa �.---�-.------...__.._._._.—._.._.._._... Addrees —7..�.61. Van__Buren..._.._.._..._...._. -- --� --. -� LOCATION OF BUILDING No. _b]_L__._.._. street �z1enG.0.�.---..�.---._...._... Pert of Lot ...--.—.-.—.-.---.._---..._.._._..-- Lot .'�-��.-.-.-- Block .�_._S._.._....—.--- Additlon or Sub-Division ..Riverview Hei�hts .___.:._.—._._ Corner Lot __----__._ Inside Lot —...._.IL.--- Setback ---._......__.._.... Sideyard .--------.—.'---.— Se� IIevatlaa ---...=�`�r.�.'2..----------.._..._�#i��d2��K�eb ....._._..._..�828._91'.�1�Prox�— Wve Top o£ footing OF BUILDING To be Used as: _J?.W.L'.l�.kYdg—��--- F�oat __26.'._.._.. DeP� �-�-- Height ._._��.�..._.. Sq. Fk 1026_ C�. Ft _� _.G2ra�2-.�._._.._.._ Fi'oat __.1(a.!._.__ DePth _22!.— Height ....._:).Q!..__ Sq. Ft _;�;%2.-.._.. Cu. FG .-�S�Q_ 1j�pe of Conetttictioa �i.'T.�g�_..—....._.._..._._ Est Cost —.$.18..t.Q40._......_.._ To be Completed- _.._..S2.p.t.._1r--�.5.9 Paved Driveway SEWER LOCffTION: 261' N.E. o£ Manhole - 119' S.W. of Manhole WATER LOCATION: 2�2' N.E. of Manole - 108' S.W. o£ Manhole In consideration of t6e ieauance W me of a permit to construct the building described above, I agree W do the ProPoeed work 1n accordence with the description abwe set forty, ead 3n rnmplianoe with all proviaions of ordlnanaes M the dty of Fridley. // In candderatia� of fhe paymeat of a fee of �� , permit ia hereby granted to—Tri=Co Builders to ca�shvct the buflding or addition as described above. 17ils pernut is granted upam the exprms condition that the person to whom it is granted and hia agents, employees and worlmien, in all work dane ia, around and upan eafd buildinB, �' �Y P� thereof, shall conform in all respects to the ordinencee of F�idley. Aiinnesota rnBarding locatton, c�shvetion, alteratlon, maint�ence. rePefr and mm�in8 oE bufldings wlthin the dty llmfU and thia PeraSt may be revoked at aqy hme upon violatioa of aqy oE the Provlsfona of seid ordinanc�. � NOTICE 1Ms p��eh dep ne1 emnr 11u wn�kiMiee� IrM11Mie� fer �ridny, plumbi�y, o„ M�Ihy, twv�r w w�Nr. M �ur� b s» N� 6o11d1eY VW� � pPW� W��+ fer Ihw hap. � � � APPLICATION FOR BUILDING PII2MTT : CITY OF E'&IDLEY, MINNESOTA OWNEEt'5 NAME� i /� 1�� BIIILDER Tr�l- �0 v�cr ��.P r� S�� i� ADDRES9 � ADDRESS � JS G� �� n,' � �j �r ,� o ��, j LOCATION OF BUII1)ING NO.� / l STREE`P �9�C.l�. �-�C.c��. T �; LOT�BLOCK�g�ADDITION OR SIIBDIVISION � ✓ � � c _ !J � ° '� " '' '� f" �" � CORNER LOT�_INSIDE LOT�SEPRACK ,3 S�/ SIDEY�RD� SEWER ELEVATION TOP OF FOOTING Applicant attach to thie form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BIIILDING To Be Uaed As: -;.� S� N 1 e �M I" �"�Front ��. �� Depth �� Height �/ � � ! 8quare feet � D a. (o Cubic Feet ! i Front J.,_ l� Depth �� Height 'd`'^ 1 C7 Squase feet .3:; 2 Cubic Feet Type of Conatruction Estimated Cost / a To Be The underaigned hereby makea applicatio.n for a permit for the work herein apeeified, agreeing to do all work in strict accordance wi�h the City of Fridley Ordinancea and rulinga of the Department of Buildings, and hereby dealares that all the £acts and representatio.ns atated in thia application are true and correct. � DATE (Schedule of Fee Costs can be fourid on the Reverse Side.� x ` �„ 9� ' � .,J? �o � �f--zD / /-< C % G R ..oS % cT°a � � 1 �'r G. r , � >_ ... _ � �:' � � s �� • � E � � !� C � � .� N � C e 0 � � �/� ` � P P r � A aj � O G7 J � 0 W z � 0 U � � 1"'� � �"'I � .�q� �� d F��i'� O v .+ 3�m °'" w o" ��.s ��.. .c � E �3bq v o�� o'�'a� a� uuoi� r'�N�W �� :� � Q'^ a �x�� ow.O1. 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C3 � ,� p�"y ��C. � d N Z7 �j � � � � � � � � � � d � � � b�y R .O .D p 6i .O Y � q �.�' .,, � O C � w $ � � 0 U '� �vy e •.,,, o w,��,�� ,�a � � ��ow 0.� O .� N C ao ti '�ao � x O .� a � � w � � � .� 0 0 � � � > � I s "� �� SUBJECi ��City of Fridley "TTHET°'°FT"ETW'"S gUILDING PERMIT � �. ; �__�_� � COMMUNITV DEVELOPMENT �IV. r � � PROTECTNE INSPECTION SEQ . , � _-� �"9�,� qTY HALL PRIDLEV � 55432� NuMeee Aev. 612-571-345U gi0-F15 JOB ADDRE55 611 Glecicoe Street N.E. t LEGAL �OTNO. 6lOCK .. TRACTORA�DITION oesca. 3,4 S Rivervievr FLeights 2 PP�PERTV OWNER �. MAII ADDRESS John Th�tas bll Glenooe Street N.E. 3 WNTPACTOR MAILADDRESS Same a ARCHITECTORDESIGNER MAILADDRE55 5 ENGINEER MAILA�OHESS � .16166 �a 36 ° �qGE OF qPPROVEO BV 5/11/81 / / 784-2394 PHONE PHONE SEEATTACHE� SNEET LICENSE NO. LICENSE NO. LICENSE NO. RE31dP.21t131 7 CLASSOF WORK � ❑ NEW �l ADDITION ❑ ALTERATION ❑ �REPAIR ❑ MOVE ❑ FEMOVE 8 DESCRIBE WORK . � Construct a 10' x�7p' Deck onto back of dwelling 9 CHANGE OF USE FROM STIPULATIONS SEPARATEPERMITSAREREOUIPEDFORELECTRICAL,PLUMBING,NEATING, � r�V�yV��V�� vV�� YENTILATING OR AiR CONDITIONING. � � THIS PERMIT BECOMES NULL ANO VOID IF WQRK�QR GONSTRUCTION ZONING SO.FT. AUTHORIZED IS NOT COMMENCEO WITNIN 60 OAYS. �R IF CONSTRUCTION �. . OR WORK IS SUSPENDED Ofl ABANDONED POR A:PERIO� OF 120 DAVS A7 � ANV TIME AfTER WORK IS-0OMMENCED. ' � NO. OWLG. UN1T5 . I HEPEBV CEPTIFY THAT I HqVE READ�qND E%AMINED THIS APPLIGATION 1 �� STALlS AN�NNOWTHESAMETOBETRUEANOCORRECT.ALLPROVISIONSOFLAWS VAI.UATION $ AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COM7LIE� �.�� f.� WITH WHETHER SPEpFIED HEREIN OR NOT. THEGRANTING OP�A VERMI7 DOES NOT GRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMITFEE � � PROVIS�ONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON- �"]�SO STRUCTION OF THE PERFORMANCE OF CONSTRUCTION. � � CU.FT. GARAGES % $.50 JpTAL FEE y �. �� T!� �y •• _ ' _ v� �• � ? ��.! Si NAiUREOFDWNEPIIFOWN B IL F I�AiEI BLDG INSP �*E � .� . .. � .. . � . . . � a C1�Y i1F FRIOLC.Y I�PPLICl1'CIO'd FOf4 P,LSIULi�lTifli_ Bll1LDIi1G PER1dIT5 (Hci•r, '�il terations, Additions, or Repairs) 0�lNER: - �C91�x 1 �a?�rrd ��,�YVi,PS noor,css: (�t1 �;��.C� ��' TEL d0: 1�,`r 7'�`] T 43UILDER: n�w�css: TEL f�0: Construction Location " STRi�T NO : � I STF2EET: � /� �7= � -I-' LOT: --�� •- BIACK: ��— IeDDITIOV: �ii�L LIi�l.�) ��Foiffi, Corner Lot: Inside Lot: �` Setback: Sideyards: Ap,,ylzcant aCtach to this form two Certificates of Slarvey of lot and pzoposed building location drawn on certificates to scale. DESCRIPTIO�d OF COFfSTP.UCTIOtJ - . ��y Fmnt: /� V i�pth: ' �S� Height: �7i Square teet: Cl�bic Feet: _ �ront: �P�= Height: � � � Sqvare I'eet: CUbic Peet: � � ��ti(i0 --- Type of Coxistruction: �G� �Odt -7y� -�' �. � ti t�c�� Estimated Cost: $ � Be Cbnp2eted: 2 �.tJ��xS Alt. A Alt. B Proposed Arives•�ay Width If New Opening Is DesSred: $ $ , SEE R^uVERSE SIDE OF SHEET , 25ie undessianed hereby make� applicaticn for a perrait fcr the �:ork herein specified, a9raeing to da.a11 work in strict accardance �rith the City of Pridley Ordii�ances and ruliugs of the Department of Duildings, and hexeby declares that all the facts and represent.it5.oixs stated an this applicat'on a e true and orrect. A.�TP.: If� SZGNATUI`.c:: ...'_� ' 5t:ipulations : G� �,�� .�wry�i�� e. . t . • � .. . , E. a � T T a � W Q C 0 Z � lil a _ � u� � � �i m � c L � - Y U � m U m r 'L'`' Y . _ U 'p = O � ' � � pt O ; Y � a c � � r9 u� !� o i U Y '� U � !'� L 0 � C U >, Z O W � m � � U � p � 0 g a�� ` � c � Si Ill y � � 6 G i N O °e � � w T � � c � Z U a -S � .6 < OW m°.5� G t D c°�o m `�� iA z �!A m � ID O a�c ffi a � ..�q �_� �. �mom � � d`' � '� W � Z N � � m 2 @ aZ �z Zo� gZ � � 0 W U i"' c.(�j o a `�' _ a. p . •�LL.Z ; � �. . $ ' o. Q •. 2 Z � � O � � f9 H U� __._ �--- - i� Q 2 � m 0 U � C � 0 3 Z m Y `� U O o pbm � W� q{ 7 L d � j � � 3 2 Z � � LL � m } j N C C I'O 0 � �a`� '�s�Z p� N GI V� � LL >Z a .—.4.N naa � tL c�� c � m� Q- O� mc� � �OC"a- � � � w m U� IL tnp 2 lL a (S .... �. .._. °w � � C7 �� m � ` � 0 z F � � W a � � U 0 W ¢ �. � W I I I � � � o g . Q.. O O N.- r � N fA H d! m rn C �a ¢ N �o c7 � n � C7 m N � Q � � c C O r a t 0 U a . � �� a � m � L � � QI � ` � �� Q Q i o o °w � ii vZ � � Z � W v � m y y m 0 C � o � U s Q � a U Q F- _ � x � � � Z = O m � � . F- o�� Z�,m� mm � � ¢ m 2 O � J Y .... � 0 O`o � m m U C Q .� c�S �� '1° o m m m � t o s, a^ i •; � z a� � � U Z m 'a Q L. m _ � �� I � � '� � O U C 4 IC Q ..�. $- W � O c m � � �� 7 m � E � O N U T m O L � 3 a� m � w � a O f- ._m. O c i t W � 0 ¢ a m a > 0 n d' 2 O V H W LL Z � U W a � Z w Q Z O Z 0 Q U � ¢W 9 t� Fa- � � w: o Q� � Z O � y LL Y � m � o'g � a �¢ 7 O L 3 a • m = T a ° 'm � � m C p 'II G. R � a 'c � O � O � C C O U � � C 0 c m o £ r 'O m o � U � � � Q 3 :2�EQ -�g �TI�1$ =0� IJNI.LV�H `� �-itiS�i�Jl:[�31�IC°t:iGA7/\'ityti :s��wag () oi1 ()�A .►aieaq aa;eb m; papinoid �aaq sie uogsnqmoa seg •g �)�11 i)�A �q .�Js� so; papreo.id aaaq raug s seg •� 9� S f 1 S�n.i.g -�ios. � � 4 0 � S.nig �u�o iiv � Q 3o s�f].L,g $II!leaq Iqo� seH 9. _ �) ot1 iA) sa,� _ p��aao� s.f1.Lfi I�lo� pae azts ao; sJaa�namibai apo�;aa.ima � slaaNi 'S � ) o1Q � 5?A Pa�oddns �iiain�as sI •q � i)�1+I �) �� D.T43!e+ Pa$P�T �fqo u�taio3 ov seH '£ () oH (,� sa� uoqraopalap ao �.cn.i mo.g aa.g si 'Z () orI (OV �1C pau►a�eua ,tltnlaie� aaaq se� - I :��eas �o �faumn{a Su►aspca a� �sq� saguan ,Cqaaay pau3is�apun ay,�, s an x a jnu , SuB�ECi ,� cny of Fridley ATTXETOPOFTMETWINS BUILDING PERMIT � � � �� COMMUNITY DEVELOPMENT DIV. � � PROTECTIVE INSGECTION SEC. r , `-._-� �"','� CITY NALL FRIDLE� SS�77 NUMBEN t 763-5713450 9to-P�5 ioe �ooAess 611 Glencoe Street NE 1 IEGAL LOT NO. BIOCN TRACT OA �DDITION DESCR. 3� Q S Riverview t PROPERTYOWNER MAILAODRES$ John & Linda Thomas 611 Glencoe St NE 7 CONTRACTOR MAILADDRESS Same 5 9/10/03 � / / VMONE 33868 y�� uPnpVEO �r SEEATTALNE� SMEEt )610 IICENSE NO UCENSE NO. B USEOFBWLDING � Residential 7 CLASSOF WORK O NEW O AODITION ❑ ALTERATION O_ REPAIR ❑ MOVE ❑ REMOVE 7C 8 DESCRIBE WORK Reside House & Garage (Nova Brick system) 9 CHANGEOFUSEFROM STIPULATIONS TO Install per manufacturer's specifications. SEPARptE PERMITS.CRE REOUiRED FOR ELECTRiCAL, 7LUMBING. NE�TING. '�c vr wr VENTILATINC OR AIR CONDI710NING THIS PERMIT BECOMES NUIL ANO VOID If WOR1( OF CONSTRUCTION ZONING AUTMORIZED IS NOT COMMENCED WITMIN 60 �AYS. OR IF CONSTRUCTION OR WORN IS SUSVENOED OR ABANOONEO FOA A PERIOD OF 120 O�YS �T ANY TIME AFTER WORK I$ COMMENGED. NO DWIG. I HEREBY CERT�FV TNAT I HAVE READ AND E%AMINED THI$ APPLICA710N 1 ANDKNOWTNESAMETOBETRUEANOCORFECT.��PROVISIONSOF�AWS y��VATION nNp ONDINANCE$ GOVEfiNING TMI$ TYPE OF WpRN WI�L BE COMP�IED @� SOO WI�M WMETHER SPECIFIEO HEREIN OA NOT. THE GRANTING OF A PERMIT 'P f DOES NOT VRESUME TO GIVE aUTMORITY TO VIOLATE Op CANCEL TME VERMITFEE PROV1510N5 OF 4NY OTMER STaTE OR LOWL LAW HEGUL�TING LON- SiqUCTION OF TME PERFORMRNCE OF CONSTRUCTION $153.25 �0�*E� S7AlL5 ES $3.75 �CCHpRGE Fire SC $7.50 07ALFEE $164.50 1 LD IO�D NEW ADDN ALTER � j CITY OF FRIDIEY Effedive 1/1/2003 [ j 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (76J) 571-1287 Fax BUILDING PERMITAPPLICATION Constructian Address: � Legal Description: Owner Name & Address: Contractor. � LIVING AREA: Te�. #7�3��8�OCo lo MN LICENSE # Tel.# � .c� Attach to this application, a Certificate of Survey of the lot, with the proposed construc6on drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. GARAGE AREA: Length DECK AREA: OTHER:. Width Width Height Sq. Ft. HgUGround Sq. Ft. Construction Type: �VPc �VCP�, Estimated Cost: 3 7�O° Driveway Curb Cut Width Needed: _ r DATE: _�� APPLICANT: Call (763) 572-3604 for Permit Fees if m call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL +6Ft=_Ftx $ _$ Tel. in appiication. Fax to 763571-1287 if using credit card and we will CITY USE ONLY - $ /�� aS Fee Schedule on Reverse Side $ % S� .001 of Permit Valuation (1/10th%) $ �3� 7S! $.50I$1,o00Valuation $ $1275 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 [ ] $ i l�{/. S?� t. F��I7�I��C�7��11 „,.,, _� _�„� _�___„ ,,,_,. ,From:17637121835 Pa�e:?P1__ Date:611 812008 1 0:35:44AM � �.�.�..�y �� . �.., oy -. ,.. �... �.,... �.....:,.. � am,,: ,�� .._... ..�.---' -�--- 111Sp0Gt10II8 763-572-3604 atrs�unxrss� nns,�retac,wr8: z'srrwi�l' RESIDENTIAL APPLICATIUN OF FRIDLEY ReceiVed ravxsauu.��[y/ = 16.�.r�ip� •��o..,.,+�r . , • :,. rxoM& 6tla-�vs_ �re-a�e� SUBMTfACOPYOF `YfATSLICBNiSBM'o/yt/Ipf H7�DATE��3✓�LOO7 YOUASYATSLICfiNSB I+�:'�RaR” //8'f� Ase cRrCA'<.,.�/..i stw� 3�� A7THp'PPI'�GTtm'T PHO1B 7(e3�/Z-O)57 RAS J43'7/2-iSA[5 �C DB9CRIDB WORB BEIId(3 ��:n� A �� a� � '�'� 9' q I q f: :u i. . . .. :n�u • v: � �� i��..�a r.� - .� , .:�.� �.�:�u.::�.:��r.:�.r.:� L�;7:�21RPIN:I.4L�7 p:�. Plen Review Fca Surchaiga 3ureh�ge Liamme $uroi�mgs SAC C�erge Ctub Glrt Eecrow Sro�ion Co�ro2 Pm�k Fee sewar Mein Cl�arge �� ;�,y, . �,. . .•. �. �- «•io� � r. a90IR OlY� OFosa4 i� 1. Sid�dagFloaPhn i. Pfo�OYPd�OMQ�tO 3. LielofM��nal�ubmroMeaed FORN6W OONSTRUCf1dN BdCLUDRia �fiQC$ �. sloerhof3me�omri�pmsa�gmuau�es 2 irro � m�uC�octbn p� 3. Fs�GhlWlatbre 65f6 of &u1d'mg Patmit Fee .00t t�a t6e ootal job veluatiaa .0005 xPmmit Vaioetion l�mimum 5.50 55.00 (S�oe F.iwosed Residmtiel (:aitractare) 51615 par 3AC iJnit (P1eor to MWCC 6or datarmuatioa) _@+68� Bxi21 -S 5450 Cansacvetioa Plen Review Pae Deoecroined by P��aoa1'vig Agrc�mrt neaeseeq' i) Nm Ne�essazY () APBRMI7' T!(S'f VALID UNT1L PRLX%68� I haraby appiy fa a busld'a�g permd md I acknowledge Uiat tha i�fa[mation above is oomplata end ecawaoe: the2 tha wak will ba in c�formauw wi� the ordiommee and wdm of tha City of Fridlay eod wah the Mimieeote CauWCtiam Codes; �et I �rd�d this is tat a permit htrt only an applieehon yor a parmit and work ia not io etazt withaut a permi� thet tbe aork will be 6i aacocde�ee w6h 8� BPPro�ed pleo in tlu ceee af ell work whirh quires raview and approval of plens. ' /_ ffifINATUREOPAPPLICANf ,��i�� ___ PRINTNAHC�I/ l PsY�L� DATB �/j�[�