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' ." SUBJEQ � . �
'�City of Fridley
�� ATTHETOPOfTHETWINS gUI�DIN�G� PER.MI
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� ` COMMUNfTY DEVELOPMENT DIV. � �
i �L """' � . �
� � � . PFOTECTIVE INSPECTION SEC.
,
� � �"'1 � qTV MALL .FqIDLE� 55�32 NUMBER REV.
��•••� � ,�� 812380-3dS0 � .
910-F15
ioe aoor+es�30 Glencoe Street N.E.
� �GA� LO � � BLOCK TRACTOPADDITION
nescR. � T Riverview Heights
2 PROPERTYOWNEH MAILA6DRESS
Virgil Acker 630 Glencoe Street N.E.
3 CONTRACTOR� � .MAILApDRESS
Same
1 ARCMIiECT�RDE$IGNER MAILAO�RESS
�wnair No. �
° 12315
Co 7y (p
TE PAGE OF RPPRWEO BY
9/7/73 / /
SEEATTACHED
SHEET
ZIP PHONE LICENSENO.
ZIP PHONE LICENSE NO
OF BUILDING ' . �
Garage '
;s oF waRK
�9 NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
:RBE WORK � '
conotruct 22 x 22 garage
B CHANGE OF 1/SE FROM � TO
STIPULATIONS � � �
1. Owners sig�tatuYe on no frost footings (O.K.�
2. Prwide a<haxd surface drive
TVP6 OF
� .. SEPARATEPEPMiTSAREREOUIREDFORELECTRICAL.PLUMe1NG,�HEATING, ��Oa
. VENTILATING Ofl AIR CONDITIONIN6.�. '
. ��THIS PERMIT BECOMES�NULL�AND� VOID IF WORK Ofl CONSTPUCTION �.Zpy�NG
. AUTHORI2ED IS NOT COMMENCED WITHW�80 DAYS, OR IF CONSTRUCTfON �.
OR WORK IS SUSPENDE� OF ABANOONEO FOR A PERIOD OP 12U �AYS AT ��
� . .� ANYTIME AFTER WOAK IS COMMENCED. NO. DW
I HEREBV�CERTIFY FMAT I HAVE FEAD AND EXAMINED THIS APPIICATION
ANDKNOWTHESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWS VALUA?�
AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED�:� �'L���
WITH WHETHEfl SPEC�FIED NEREIN OR NOT. THE GRANTING OF A PERMIT �
DOES NOT PRESU1.lE TO GIVE AUTHORITV TO VIOLATE OR CANGEI 7HE pgpM��
PROVISIONS OF ANV�OTMER STATE OR��tOCAL LAW REGllIATING CON= �
STRUCTION!OR THE�.PERFORMANCE OP CON$7RUGTION �
- ;k`;"���r ��a x .�.' . P�
SIGNATpBfOfCONTiiPQOPORAUTHqHIZ�AGENT IOATEI s /
/If \ r- � .(
. . �. ��16N�ATyq . pERlIFOY/�JER�LDERI
� STALLS GARAGES
� SURTAX
.� 1.�.�
��.� . SACCHARGE �
P€�' '- ror�f�E�io. .. .
.s-.�#�; aa- � -- "� .. -
�
�iElj PROPERLY VA OA� �HIS IS YOUR�PERMIT �
/r ggy�
.rc� � �� � � .�
-
APPL1:;��TION FOR RLSIDENTIAL, ALTERA']'Ii?�',
OR ;iilll]�I'T0�` (iUII.DING PERMIT
C ITY� OE 1 1:l ULi �, �ll �NESOTA
OWNE$"S NAME:_(�/Q( �G r/. �G�£K BUILDER
ADDRES S:��O GL �N C o� S� N•E � ADDRES S:
NO;�_T STREET
LO'�;y7-�/(n'`i7'�D�6LOCK: — ADDITION:X/Ufl�//S.I4/ / �£��CoNTS
CORNER LOT: IYSIDF. LOT:�_SETBACK: SIDEYARll;
ApQlicant attach to rhis foxm 7tao Certificates of Survey of Lot and proposed
buildirig location drawn on these Certificates.
DESCRIPTIUN OF BUILllING
To Se Used As : � /7 (L � (� � � �
� -�'aa .��
� q� ,
Front: �� Depth: HeighC:
Square Feet• � 8 7 Cubic Feet• -T"� � y b�"� d
Front• Depth
Square Feet
ic Feet
Height:
TYP �A% 0 a Eetimated Cost: $�y7 (�0 '��
e of Construction; o
To Be Completed: �— 3 0— 7,3 �' /��• 5 Z
The undersigned hereby makes application for a pexmit for the work herein
apeclfied, agreeing to do all work in stiicL uccoidance with the City of
FZidley Ordinances and rulings of the llepartment of Buildings, and heteby
declares that .�11 thc facts and representations stated in this application
are Crue and �.�rr��ct.
DATE: /- �_ 73 SIC,VA7JRE:�Gt,�cs,� W /`7%�
�(&ee Revexse Side For Additional Information.)
�O G� C" %L G'P � � .+/ � i2S S / F/� �° � �
��� �
�
� r o o��1 7�' a t,e �� 7� ��J
%�,�/� o
560-3450
t,iEc� o� �ridCec�
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE September 7, 1973 FRIDLEY, MINNESOTA 55421
TO WHOM IT MAY CONCERN:
If frost footings are not to be provided under this garage,
at 630 Glencoe Street N.E., located on Lots 45, 46, 47 and 48,
Block T, Riverview Heights Addition, Fridley, Minnesota, the
undersigned agree not to connect this structure to the existing
house.
C
WITNESS
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7EL. ST. 1-8339 � �
� �
SIWEK LUMBER & MILLWORK, INC.
HOME OF KIL'N DRIED LUMBER
2588 MARSHALL ST. N. E.
MIMIEAPOLIS 18. MWN. .
October 26, 1973
City of F4�idley
Inspection Department
6431 Univeraity Ave. NE
Hinneapolis, MN 55lt32
Attention: Mr. Clarence Beliale, Building Inspector
Dear P4r. Belisle:
This letter vill certify that plysrood uaed in the
eonatruction oP the garage at 630 Glencoe NE 16 1/2"
CD Plyxood 32/16 Grade.
Sincerely�
� �
Josegh T. Sirrak, Jr.
6ICE PRFSIDENT
�
pm /� %� --� ! r' � ;' ��
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f' • •---.� S. .. r . _ . . i .. - �' .
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4 i r, U
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TEL. ST. 1-8888
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Bt�il�iir�g
Inspections
763-572-3604
SITE ADDRESS �
THiS APPLICANT I5:
OWNER/
TENANT
gUgMIT A COPY OF
YOURSTAT£
LICENSE WITH
APPLICATTON
PERNIIT T]'PE
MECHANICAL
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL
� G�.gJG�I
❑ OWNER .�.f=ONTRALTOR
T�"!s1/!%�_ �
5:6 3� «�!
� _ � ... 7�
co�nxr NA�:_
CONTAGT PERSON:
SIATE LICENSE #_
TYPE OF WORK: � � �
FAMII.Y
7�LC7L�
��/ � �
■ � i
DATE 7 � � / '
�CITY /�s
o Towwriouse
C�,W,��r ❑,usew.nowxeMOn�.
/�, .....
DETAILED DESCRIPTION OF WORK
Received By:
Date
PER MS 16B.665 the permit fee is a minimum of S15.00 or S°!o of the mtat cost up to 550�.00, whic6ever is greater, for the
improvement, installation or replacement of a residential fixture, excludiag the fixtures. ('I'h�s should reflect only the cost of labor )
Labor cost under 5300 = 515.00. Labor cost between 5300 to 5500 = cosc of labor x.QS =
FOR PROJECTS Wf�RE IABOR EXCEEDS SSOD. FEES ARE BASED ON 410.00 PFR POCfURE� EXCEPi H'�-� NOTED. F�7�1�: (�'�I�T� T�TAL
M1JkffiER OF EACH BII.O�V) �% J/,$'�,�!p����cSU,F�BTU S��
Equipmen[InstalicA . A�ffG: /� �/'�U` MODEI.:�s�—'---
bffG: MODA.: SiZ&BTU
MfG: MODEL: 56FJBTU
AIC 525.00 FIAEPLACE (GAS) SIS.OD _GAS RANGFJOYEN f I0.00
AIA TO AIR EXCHANGEER S15 FIREPLJ+CE (WOOD) 535.D0 NEW GAS GRILL SIO.OD
,-BOILER 535.00 - �'URNACE 535.00 _GAS UM'f H7'A SIO.OD
CHQ.4iEY LINER f10.00 GAS DRYER St0.00 POOL HEATER 535.00
—_ . _ " vF.N77ir\7'OR 515.00
Surchazge
TOTAL DUE
ui .+...yqr,+,.. , . �--�..e�.-.:,�, .«�-.. _.. .:. ..-_ _ ___.
a Number of fixtures Q$10.00, x S10.00 =
S��Number of fixtures Qa 515.00 _ x$15.00 =$�
$ Number of fixwres (a3 $25.00 _ x 525.00 = S
Number of fixtures @ 535.00 x S35.D0 = S
State Surcharge = S 50
Tota1= $��
i7�QS LS AN MPLICATION FOR A PERMIT N07 VALID UNfIL PROCESSED
I hereby apply for a building permit and I aclrnowledge t6at the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and witb the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
app{oved plan in ti�e case of all�w9r� uire re �ew and approval of plan . /J/� %��, r'�/
—y -a�=—�xlNr Nr1MF�--�%� /Y/`�� _ `_ /� �
SIGNATURE OF APPLI .�
_ . . ........ _� -�.. - u �:.:F,:.�..: ..���;ts;�fy.�aa�tt
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977