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AF - 45624� Date: cwner Addres � � Village of Fridley, Minn. BUILDING PERMIT .f._ ` � �y�' % 8 No '�.`_8'i�.�1� �'- oi, �' � . . . . .. . ... . . . ... . . �r�.�G� . .�J,..u.n-�� $��~�d-�G�. �C��.�-�.,�� ...... s .�!../.�9.. ..�4�?� Address .�w.�. �.��c!w�'�f#�P �/ �'� L ATION OF BUILDWG No.�/. � Street'�!�� ............... Part of Lot .....................�� .. Lot .....�...... Block ..l.........� Addition or Sub-Division .C7i��'�'�.°''.......� c , .�`' `��"�/'/� ' / -�,� Corner Lot . . . . . . . Inside Lot . .. . . . . ... . Setback .'� S . . . . . . Sideyard �!�?. .if / /�P.f �i . . . DESCRIPTION OF BUILDING To be tised as:* �� -�� /// . .. ........ . . . . . Front �!. �.'.`� Depth ./a..� .. . Height� Sq. Ft. 1� .�a� Cu. Ft. . .. . . . , . � . . ....�..... Fron �.�.�.. Depth .a�� . Height ....QO Sq. Ft. .�.�d.' Cu. Ft. ........ Type of Construction .................. Est. Cost�/. �.�i.v..�.� be Completed �.-� i . � � / i i � /' . � . � / � �� a��k�r,�� ,unei!o.ajl�o+�-� o�"��°-e'"-' �-- In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description aboce set forth and in compliance with all provisions of ordinances of the villuge of Fridley. . - .................................................... w In consideration of the payment of a fee of $. �/. .. O�it is hereby granted to . . . . . . . . . . . . . . . . . . . . . . . . . to eonstruM the building or addition as described above. This permit is granted upon the e�cpress condition that the person to whom it is granted and his agents, employees and worlm�en, in all Work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding ]ocation, cronstruction, alteration, maintenance, repair and moving of buildings with- in the village ]imits and thi5 permit may be revoked at any time upon violation oC any of the provisians of said ordinances. .� /) . /'"�) NOTICE: � 7his permit does not cover the construclion, installatian or al4eration for wiring, mbing, gas hea4ing, sewer or water, Be sure to see the Bullding Irtspecter fur separate permiks for these items. sue�ecl � p - , Gity of �'ridley . 1253 � AITHETQPOFTHETWINS BUILDING.PERMIT� ' � .. . � . RE � . ' � ��• COMMUNITY OEVEIAPMENT DIV. / � r . LV��' .�i / �/ f �.i PfiOTECTIVE INSPECTION SEQ � � ' � . � • . � � . . . � . � . (-._.� �'��1,'� C17Y XALL FRIDLEV 55432 NUMBER REV. DAiE PAGE O: APVqOVED BV i . siz3ao-aa5o � 910-Ft5 5/1Q/74 �� / / �� ,oe aor,AESS ' 5760 Hackmann Avenue n.E. 1 LE(`i0.L �. � �OT.NO. � BLOCK �. TRACTORA�DITION � SEEATTACHED ��scR: 6 1 Parkview Manor 2nd SHEET Z PRQPERTYOWNER � MAILADDflESS � ZIP PHONE � . � Aan L. Williams 5760 Hackmann Avenue N.E. 3� CON7RAGTOA �. MAIL�ADDRESS � � ZIP PHONE � LICENSE NO. 4 ARCHITECFOBDE6�6NER� �� MAILADDRESS � 21P PHONE �LICENSENO. 5 ENGINEER � � MA{�qDORESS � � ZIP PHONE �-��CENSENO. 6 USEOFBUILDING � . . � 7 CLASSOF WARK � � � � .. O� NEW ❑ ADDITION ❑ ALTERATION �] REPAIR . ❑ MOVE ❑ REMOVE S � �DESCRIBE WORK � � _ � . � . 9 CHANGEOFUSEFROM TO � � �� . STIPULATIONS . . � : SEPERATE PERMI7S REQUIREO F4R UVIRING, FiFATIN.G, PLUMBING AND �1Gd�. �� - TYPE�FCONSL � ' OCCUPANCYGROUP� OCCUPANCVLOAD SEPARATE PEl±MITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, � � . VENTILATING OR AIR GONOiTIONING. TMIS PERMIT-eECOMES��NULL AND VOID IF WORK OR CONSTRUCTION ZONING � .� � SO.fL � GLL FT. AUTHORIZED IS NOT CpMMENCEO WITHIN �0 DAYS; OR IF CONSTFUC710N . OR WORK IS SUSPENDED OP ABANDONED FOR A PEAIOD OF 120 DAYS AT � ANY TIME AF7ER WORK IS COMMENCED. � ' NO.�� :DWLG. UN1T5� OFfSTREET PAflK115G I HfiREBY CERTIPY 7MAT I HAVE READ AND EXAMINED THIS APPIICATION � STALLS GARAGES ANDKNOWTHESAMETOBETHUEANDCORFECT.ALI.PROVISIONSOFLAWS VALUATiON � SURTA% � AND� OR�INANCE$ GOVEPNING THIS TVPE OP WORK WILL BE COMPLIED ,C� � � .WITN WHETHER SPECIFIED HEREIN OR NOT. iHE GRANTING OF A PEFMIT TF)O�� O�O � . SO . DOES�NOT PRESUME�;TO GIVE AUTHQRITY TO VIOLATE OR CANCEL THE pEHMITFEE �� ^� SACCHARGE . � PROYISlONS QF ANV OTMER STATE OR LOCAL LAW REGULAiING CON- �6.OV . �� : 6fAUCFipN OR THE�PEflPORMANCE OF CONSTRUCTION. � � � - � �� . PLAN CHECKPE£ � � - TOTALFEE � $6.50 S� �ATIIqEOFGON�"A�TORON� �UTyo�R¢�ED�AG_ENT I�ATEI N P 9PE -� V ATEO THIS IS VOUR P�RMIT � /yy��il�' GC�t.LC�t Q//'iw .5�/d 9 C�L � .5�� Y �GNn:.L EOFOWrvEP�60wNERBU�LDER� ni6 B�DG irvSP na1E l G� APPLICATION FOR RESIDLNTIAL, ALTERATION, OR AllllITION BUII.DING PERb9IT CITY OF FRIDLEY, b4INNESOTA OWNER'S NAME: �YYni ^ • (�CJ�BUILDER: ��i/YYt.AJ ADDRESS: � 7�P 4Cfi9� ADDRESS: NO : . � �I � O S TREET :�/ / l%�-�12? Qirir✓ (.tiC�.t . -/ / .l� LOT:�_BLOCK: � ADDITION: %�Q.c�.�. C/� ///Q/lZ-F-C/ �� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form 7tao Certificates of Survev of Lot and proposed building location drawn on these Certificates. UESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height Sguare Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction; ��y,� Estimated Cost: $ (p �%(y � To Be Completed: 07'o G� Q�,J The undexsigned hereby makes app�ication for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that a11 the facts and representations stated in this application are true and correct. DATE: ____�� SIGNATURE (See Reverse Side For Additional Inform � �� ,1�,�- �- �� , soe�ec* PERMIT NO. City of Fridley s� �� 3 ATTHETOPOFTHETWINS BUILDING PERMIT i• � � RECEIPT � • COMMUNITV DEVEIOPMENT DIV. ' j y_'""'"' � r � pqOTECTIVE INSPECT�ON SEC. i i---.� � "'1,•% CITY NALL FHIDLE� 55072 NUMBEH nEV OnTE c�GE Ui ♦P Bv L 612-5��-3450 910-F15 9/29/95 / / lOB ADDRE55 5760 Hackmann Avenue NE 1 LEGAL �O�NO. BLOCK TNRCiORRDDITION SEEATTACMED DESCR. ( ], Parkview Manor 2nd sHEET � 2 PROPERTVOWNER MAILADDRES$ ZIP PHONE Ann Williams 5760 Hacl�ann Avenue NE 571-7016 J CONTRACTOR MAILAODRESS ZIP PMONE LICENSENO. Randy Beers Construction 4208 6 St NE, Col H ts, MN 55421 860-7076 6551 a ARCMiTECT OR DESiGNER MAIL AD�RE55 LP PHONE LICENSE NO 5 ENGINEER MAILADORESS Z�P PMONE UCENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � ❑ NEW ❑ ADDITION �7 ALTERATION ❑ REPAIR ❑ MOVE ❑ flEMOVE 8 DESCHIBE WORK Construct new egress window in basement 9 CHANGE OF USE FROM TD STIPULATIONS Window must meet the State Egress Code. SEPARATE PERMITS AFE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPEOF CONST. OCCUPANCV GROUP OCCUPANG� LOAD YENTI�ATING OH AlR CONOITIONING TMIS PERMIT BEGOMES NULL A.ND VOID IF WORK OR CONSiRUCTION ZONING SO. FT. CU. iT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENOE� OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY TIME AiTER WORN IS COMMENCED. � NO. DWLG. UNITS OFfSTREET 7FFKING I HEREBY CERTIFY 7HAT I MAVE REAO ANO E%AMINED THIS APPLICATION STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yq�UpTION SUFlTA% AND ORDINANCES GOVERNING 7HI5 TVPE OF WORK WILL BE COMPIIED WITH WHETHEN SPECIFIED HEPEIN OR NOT. THE GRANTING OF A FERMIT OO •SO DOES NOT PRESUME TO GNE AVTMORITV TO VIOLATE OR CANCEL TME pERMITFEE SACCNARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON� � STRUCTION OR THE VERFORMANCE OF CONSTRUCTION Fire SC . �O �� ^� AN CHECN FEE TOTAL FEE a 9Gwt vCOH'e<CioaOAau*MOa¢EOnGEr+T ioarEi WHEN PROPEHL ALIDATED THIS IS VOUR PERMIT S�GNATUAEO�OWNEPi�IOWNEPBWLDERi iD11E� BlD �NS� -J%'L�•� �> >E �^� NEW ADDN ALTER [1 �1 [) Construction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application �, Effective 8/t/95 -�3677 Owner Name & Address: /l,1.9►.7 W. Ll.: A,,,> > Tei. �/ cS�%%— % b� Coatractor: Q� ��1� Lcr J C,.��.s ivuc,�- -o ti? B�• _ MN LICENSE A �o SS� ( Address:�c��(<�" .� f N , C"> . Ce9 ( �-i'f'S � � S'^�'�dLTel. # 8 �j0 - %��_ Attach to this appfication, a Certificate of Survey of the lot, with the proposed conslruction drawn on it to scale. LIVING ARfiA: GARAGE AREA: I.ength I.eagth DESCRIPTION OF IMPROVEMENT DECK AREA: L.ength OTx�:R: G►l�?� � Corner Lot [] Inside Lot [] Ft. Yd Setback Type of Conslruction: Approx. Completion Date: I�- I,�}—q Width Height Sq. Ft. Width Height Sq. Fi. Width Hgt/Ground _ Sq. Ft. • ��-✓G•G/ fLl IEJ�.a�✓•��i �, 7 S� C1i�G�l� Side Yard Setbacks �� Fstimated Cost: $�v� '1��Ny`9�� (Cost on Back) Driveway Cutti C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ 9�.�; �u„� �� DATE: q' �'��APPLICANT: TeL !{ %� � i 0%�o Permit Fee Fire Surcharge State Surcharge SAC Chazge Licease Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge mrni, r � S� � , �u $ � �� S� U tJ $ $ $32,70 �_ � �L Fee Schedule on Reverse Side .001 of Pe�mit valua6on (i/1(Jth�%) $.50/51,000 Valuation $850 pea SAC Unit 55.00 (State Licensed Residential Co►u�actors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determineii by Eagineering Agreement Necessaiy [ ] Not Necessary [ ] STIPUi.ATIONS: .�.. _r Sue�ECt City, of Fridley �1 �� ? 4 5 ATTHETOPOFiHETWINS gUILDING PERMIT ' � RECE�PT NO. � • � _ __ COMMUNITY DEVELOPMENT OIV. . /'7� r � V PROTECTIVE INSPECTION SEC. �S�J[ 1 ' �� —'1 � GITV HALL FRIDLE� SS032 NUMBER AEV O�TE aAGE O� 4v�ROVEO eV i"'"� �' ,'' 612-571-3450 9i0-F75 6/6/96 / / JOB nD�RE55 5760 Hackmann Avenue NE 1 LEGAL �OTNO. � 6LOCK TRACTORADDITION SEEATTACHED �ESCa. 6 1 Parkview Manor 2nd SHEET 2 7ROPERTYOWNER MAILADORES$ ZIP PHONE Ann Williams 5760 Hacl�ann Avenue NE J CONTRACTOR MAILADDAE55 ZIP PMONE IICEN5EN0 Same d ARCHITECTOFOESIGNER MAILADDRESS ZIF PHONE LICENSENO S ENGINEER MAILADDPESS ZIP PHONE LICENSENO 6 USE OF BUIL�ING Residential 7 CLASSOF WORN � ❑ NEW ❑ ADDITION ❑ ALTERATION II REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WORK Repair chimney; flashing and face brick 9 CHANGEOFUSEFROM TO STIPULATIONS SEPARATE VERMITS ARE REOUIRED FOR ELECTPICAI, PLUM8ING. MEATING, TVGE OF CONST. OCCUPANCV GROUP OGGUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT 6EGQMES NULI ANO VOID IF WORN OF CONSTRUCTION ZONING SO.FT. CU.FT. AUTMORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PEPIOD OF 120 DAYS AT ANY TIME .4FTER WORN IS COMMENCED. NO. OWIG. UNITS OFFSTHEET PARKING 1 HENEBV CERTIFV THAT 1 MAVE READ AND E%AMINE� THIS APPLICATION 1 STAlLS GAPAGES ANDKNOWTHESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWS VALUATION SUNTA% AND OFDINANCES GOVERNING THIS TYGE OF WOPN WIIL BE COMPLIED �,2,ZO w.SO WITM WHETHER SPECIFIE� HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TD GIVE AUTHORITY TO VIOLATE OR CANCEL TME pERMITfEE SACCHAFGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- @ @ STRUCTION OR THE PERFORMANCE OP CONSTRUCTION. p21.00 Fire SC .y.ZZ GLAN CHECKFEE TpTAIFEE $21.72 �a*uaFOCCON:AnC*or+oAno*no onGEr+r � �TEi WMEN PqOPER AlID 7E� THIS IS YO�G RGE L( ��1!.-�i�--�� - �y�'� � ^ �- $�GNnTUAEOFOWNEPn�OWNERBVILDEPo i�RTE� >B �NS� OLIf NEW ADDN AL'TER [l [l Il ConstrucdonAddress: I.egal Description: Owner Name & Address: Contractor: Effective 3/i/96 CTTY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 Building Permit Application ,/ v Tel. # MN LICENSE li Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the pmposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECB AREA: OTHER: DESCRIPTION OF IIHPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. �2�� Comer I.ot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $'L20 � Approx. Completion Date: � �� (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ DATE: � APpLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Fscrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: CiTY USE OIHLY � _$ _ Tel. #��j �%� 3/ .� $ 02/. �d Fee Schedule on Reverse Side $ • �2 .001 of Permit Valuation (1/lOth%) $ • SZ� $.50/$1,000 Valuation $ $900 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservarion Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary ( ] $ al • %� a -, sue�ECr � City of Fridley i) r� ;3 � 3 pTTHETOPOFTMETWINS gUILD1NG PERMIT f � . ` _ _ COMMUN�TV DEVELOPMENT ON. r � �' PIiOTECTIVE INSPECTION SEQ � � � � � �-'9 � CITY HALL FRIDLE� 55a92 �+uMBEn eEv L---'� � ,'' 612-571-3450 9t0-F15 JOB ADDRE55 5760 Hacl�ann Avenue NE 1 LEGAL LOTNO. BLOCK TRACiORADDITION DESCR. E1 1 Parkview Manor 2nd 2 PROPERTYOWNER MAILADDRES$ Ann Williams 5760 Hackmann Avenue NE 3 CONTRACTOH MAILADDRESS L J Roofing 10151 Foley Blvd NW, Coon Rapids 6 ARCMITECTORDESIGNER MAILADORESS Residential iOf WORK O NEW 8 DESCRIBE WORK Reroof House & 9 CHANGEOFUSEFROM MAIL MNII 4/14/97 � / / ❑ AODITION � ALTERATION �] REPAIR (28 Sq) Tear-off RECEIPT I rp 0 ncPnovEO ev SEEATTACHED SHEET LICENSE NO LICENSE NO. LICENSE NO. O MOVE O REMOVE STIPULATIONS Underlayment must comply with the State Building Code. SEPAPATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUM8ING, HEATING, TYPE OF CON VENTILATING OR AIF CONDITIONING. THIS PERMIT BECOMES NULL AND VO10 IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NO� COMMENCED WITMIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OH ABANDONE� fOR A 7ERI00 OF 120 DAYS AT ANV TIME AFTER WOFK IS COMMENCED. NO. DWLG. I I HEREBY CER7IFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 ANOKNOWTHESAMETOBETRUEANOCORRECT.ALLPROVIS�ONSOFLAWS VALl1ATION AND ORDINANCES GOVERNING THIS TY7E OF WORK WILL BE COMPLIED �'2�310 WITH WHETHER SPEGFIE� HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANLEL TME pERMiTFEE� PROVISIONS OF ANY OTMER STATE OR LOCAL LAW RECULATING coN- ��4.75 S�RUC(ION OR THE PEFFORMANCE OF CONSTRUCTION. I � � PLAN CHECK %\ �i L' s f�' S�GNAip FCON:RPGLORORAU*NpR�1E0�GENT IOATEi E � � STALLS �GAFAGES $1.15 1C CHAFlGE Fixe SC $2.31 )TALFEE $83.21 NEW ADDN ALTER [ ] Effective i/1/97 [ ] CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII.DING PERMIT APPLICATION ConstructionAddress: � 7 �P D ��c �v�. a � � �' � Legai Description: Own�r Name & Address: . n n �', t(�q,.,� Tel: #_ Conhactor: _ 'C �o � +n� ,._MN LICENSE# �a3� Address: [° l 1( I� l� � �, ( u� Tel. # 767 -/.T p 7 LIVING AREA: GARAGE AREA: Attach to this application, a Certificate of Sruvey of the lot, with ihe pmposed conshuction drawn on it to scale. I.ength L.ength DESCRIPTION OF Il1�StPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground _ Sq. Ft. OTHER: �-9 Sc fi k� af�- fi✓'a<o� �� Construction Type: ��w� o � -� fcrom � Estimated Cost: $ — �� ° � ��d -' �. (Fee Schedule on Back) Driveway (�rb G�t Width Needed: Ft. + 5 Ft = Ft x$ _$. DATE: y � i� APPLICANP: ��C C`�� Tel. # 7 6�-/rs7 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Fscrow Erosion Control Pazk Fee Sewer Main Chazge TOTAL STIPULATIONS: $ r �.7� $ a. r � �. l; $ $ ��D�� $ $ $ $ ��.� � C1TY USE ONLY r��;sr � , � :z�r�?��ra .001 of Permit Valuation (1/lOth%) $.50/$1,000 Vatuation $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Gonservation Plan Review Fee Determi�d by Engineering Agreement Necessary [ ] Not Necessary [ ] L � CINOF FR[DLEY ( � �- � s g9 � FRIDLEY MUNICIPAL CE1V1'ER • 6431 LiNNERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-128'7 May 17, 1999 Anne Williams 5760 Hackmarf�Ave. NE Fridley, MN 55432 Re: Final plumbing inspection at 5760 Hackman Ave. NE Contractor: MN Water Treatment Dear Ms. Williams: A plumbing permit was issued on April 5, 1998 for the property located at 5760 Hackman Ave. NE for a new water softener. According to Section 30.5(a) of the 1991 Uniform Plumbing Code a final inspection shall be performed on plumbing systems. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (612) 572-3603. Sincerely, /�� `C/. /G�' Barcy Riesch Building Inspector m O1 W a J C � C � v > � � W �_ , � ~� � � � 0 Z O � W a W �% Z Z Y Q � a � N N LL j Z LL C � � � � � � � PJ ;O N U m �i �i m O � m� � � � C d N O N L � � G y O � ('y V \ �1 3 � � V ` ( t U �p d ^ « 01 iQ Q 1 ' � Y V ,� \ � t y C � � }� r '3 d ,� � E v `m � N U U 3 - \ a c d � R � T W Z � a � � U N C � F C U d O O u1 t � � � � W � 'O V �J � Ti c a � a � � � a c c � � ' O N Y � r Y � 'j � � Y � 3 o c � � E � rn � y �°o `o � r 2 r � m c a � O1 m o u� � c « m ¢ O C � �• N N � N �y �I� N U Ci m d � � d � y m c � '` y c io `m m m � a 3 � �in � .c o_ c c � H m m O m w a � � I II I�II 0 0 0 0 0 0 0 0 0 0 0 o g W o 0 0 0 0 0 0 0 0 0 0 0 F, r: e�ci r� i: r: n d i: o o� o in Q �n ta vi w en vi. w in � in in w vs ¢ z � z I N W i V � d Q d W � Q � R U * � X Y LLl lL C '- � N « . 3 � a °1 N W �a a m X Z d c � m c' arn �� N lL �pl C�y� C J,� C N N �% d C Z ��C �- m W d: N d N N � 4i 3 (� L� p_ N�[� R� H= 2 ltl �` � W ? d a � O m � � � � % i0 � � � F-T n. zommc>¢ v�333csc7m � , u � O z J W F � � � ?d = I o� N � �"1 � i � w LL ' i � I U I N I C Q • [�y � `� I ` � 1 N 1 0 � c E � , m U � Q a ¢ `o w � ll 0 m � � O N N � O c I L 01 7 0 ¢ m v > 0 a a Q N � N m � L U � � d « h � � � w w LL � F 0 vi W _ U Z O � O1 W N y � � � z i G I m w m f- O z ¢ ¢ a 0 N Z � H U W N U � � ¢ w a 0 w � > O ¢ a w m J Q i � Q Q z O F � � � O U i �o �� N � � � � � 0 � W � 0 z 0 � �W �� a�Z� �� ,�,. b0i£9'd LbLYS£9SS9 � � � � hW- � a �� m a�� _ � � m ��. .� �. �� W a � � N ¢ 3 J �� 0 � � Ililllfllll' S 8 S $� �$�$ g a o n v �ei r= n n r: � n o 0 0 N W 6Y N! d! M9 Ni � N W N N � � °o vi � z° (� I I I I I I� I I� I ri � � � a � � Y � � XS m m �555�� .��Y � a �� .�� .� �� Ol A31QIcY� �D J.lIJ WOtlj N � �� O o $ fll � � hl � N � � � �� a� � �� w � a� � �> :� � � 9£:£Z c'90c'-bZ-H3.� W 0 � � � z � � � � � 0 �d � a � � U � � a 0 � a � � N OC O � � sue�ecr � � . . � � � .. P O. � City of Fridley 3 2 4 7 3 . , �Tr�Et°°°°TME'W'NS BUILDING PERMIT qEC �P „ � � GOMMUNITY DEVELORM(NT DIV. . � ° � PROTECTIVE INSPECTION SEC. /� � r � � i.--- A�'° `-� CITY HALL FRIOLE� SS�Ji MUMSE9 �EV D�TQ P�GE O� �FVNOVED Bv L �� b12-571-3450 910-F15 3/25/02 / / lOB AODRESS 5760� Hackmann 9venue NE � 1 LEGAL ��TNO. BLOCN �-� . TRAC70RADDITION SEEATTALHED oescA. 6 1 Parkview Manor 2nd Addition SHEET t PROPERTYOWNER � MAILAOORESS Z�P PXONE Ann Williams 5760 Hacl�ann Avenue NE 763-571-7016 7 CONTqACTOR MAILA�DRESS � , ZiP PNONE UCENSENO Renewa2 By Andersen 350 73 Ave NE, Fridley, MN 55432 763-502-4777 20130983 � ARCNITECTORDESIGNER � 'MAILADDRESS � � � ZIP PHONE LICENSENO. 5 ENGINEER MAILAQORE35 . 21P VMONE UCENSENO 6 USEOFBURDING Residential 7 CUSSOFWORK ' p NEW ❑ ADDITION ❑ ALTERATION t�] REPAIR O MOVE � O REMOVE 8 OESCRIBE WORK � �� Replace 14 windows within existing openings 9 CHANGE OF USE FROM TD STIPULATIONS . � Provide smoke detectors in all sleeping rooms and on a1Z levels of the dwelling per Section 310.9.1.7 of the 1.997 Uniform Building Code. permit insp�a�� Cards Will Be Mailed To Homeowner To Pos# � � � tYPEOFCONST. OCCUPANCVGROUP OCCUPANCVLOAD SEVqRA7E PERMITS ARE REOU�REO FOR ELECTRICAL. PLUMBING, XE�TING. VENTILATING OR AIR CONOITIONING. � � ' THIS PERMIT BECOMES NULL RND VOID IF WONK OR CONSTRUCTION ZONING � SO.FT CU FT. AUTMORIZED IS NOT COMMENCEO Y(ITMIN 60 OAYS. OH IF CONSTRUCTION + . OR WORrc I$ SUSPENDEO OR ABANDONED FOA � PERIOD OF 170 O�VS AT � �. ANV TIME AiTER WORN I$ COMMENCED. ' . NO. DW4G. UNITS OFFSTREET P�AKING 1 HEAEBY CERTIFY TMAT I NAVE READ AND E%AMINED TMIS APPUCATION 1 STALLS GARAGES ANO MNOW TME SAME TO BE TNUE �ND LORREC7. �Ll PNOVISIONS OF LAWS yAlUAT10N � SURTAX AN� ORDINANCES GOVERNING TMIS TYGE OF WORK WI�� BE CpMP�IED @ WITM WHETMER SPECIFIED HEREIN ON NOT. TME GR�NTING OF � PERMIT w9,535 ' $4.77 DOES NOT CRESUME TO GIVE AUTMORI7Y TO VIOU7E OP LANCEL TMf pERMITFEE� SALCMARGE GROVISIONS OF ANY OTMER ST�TE OR LOCAI LAW REGUI�TING con� �181.25 Fire SC $9.54 SIRVCTION OR TME GEAfONMANCE OF CONSTFUCTION � . PLAN CNEGKFEE TOTALFEE 'ce e SC $5.00 $Z00.56 SiGa�ruwEO�COUra�CiOpOA�arwOa4E0�GE�+� �0�*Ei EN pRpvERLV VAUOATED iHiS IS OUR PE�,MI � S�GN�*pFEO�OWbEA��OW�+EABUROEA� � � �TG pG �r�5o � � �<<F v �? �[ l ADDN ALTER Effective 5/10/99 [ ] C1TY OF E'RIDLEY (] SINGLE FAMII.Y AND DUPLEXES R-i AND R-2 BUII..DING PERMTT APPLICATION ConstructionAddress: 5�-lon �^1ac.k.rnn�nn'Aua'ti.E,. Legai Description: Owner Name & Address: '�nh �j; ��•, QmS 'i Tel. #�3 • S� I•�'O 1 lv conua�cor:;'�,��,,,o:, 3u A�� Nn�r r:��c�s� # aor3o9$3 Aaaress: �-�3�d �,.e n� �. �•dlt� � mtu 5.94�a Tel. # �(o3•soa•v��- Attach to this application, a Certificate of S�vey of the lot, with the proposed�i:onstruction drawa-on•it to scale. DES.CRI�d#)N'OF I1�TFR�.l��1VT . . , LIVING AREA: GARAGE AREA: DECg AREA: OTHER: �: � Wi3th � wiacn Length Widtli Height xeight Hgt/Grou� _ Sq. Ft. Sq. Ft: Sq. Ft. consuvction Type: Estimacea cosr. $ 9, S 3 S°� Driveway (;5ub C�t Width Needed:`^Ft. + 6 Ft = �Ft x $_ _ $ . _ DAT'E: ot l�C'i�n�n.0�; APPLICANT: ��,.ti Tel. ��a• 3ys. (� 0�(�- Permit Fee Fire Surc�uge State S�rcharge SAC Charge License S�rcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �$i a5 $ °I `.�N $ �i�� $ $ . �°-. $ $ $ �6't—° CITY USE ONLY Fee Schedute on Reverse Side .001 of Permit Valuadon (1/lOth%) $.SU/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Gornractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determiced by En�incering Agreement Necessaiy [ j Not Necessary [] STIPULATIONS; 3�5`'/�Z. ADDRESS PIN LEGAL DESC PERMIT T'YPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UIVIVERSITY AVENUE NE FRIDLEY, MN 55432 �"/L-36U4 N'AX: : 5760 HACKMANN AVE NE : 243024230037 : UNAVAILABLE : LOT BLOCK : BUILDING : RESIDENTIAL : ADDITION/ALTERATION 571-1L8"/ PERMIT O.: 004-01041 DATE ISSUE : 6/2004 VALUATION : $ 5,500.00 NOTE: INSTALL SOFFIT & FASCIA. INSTALL SOFFIT VENTILATION TO MEET THE STATE BUILDING CODE. STATE LICENSED CONTRACTOR 1 APPLICANT NOR'I'HWEST EXTERIORS 6500 WALKER STREET ST LOUIS PARK, MN 55426- (612)926-8663 OWNER WILLIAMS ANN L 5760 HACKMANN AVE NE FRIDLEY, MN 55432 BUILDING PERMIT FEE FIRE SURCHARGE STATESURCHARGE,VALUE LICENSE SURCIiARGE TOTAL AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if constrvctlon or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and lmow the same to be true and correct. All provisions of laws and ordinances goveming this type of worb will be wmplied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulatiug cons�ruction or the perfom�auce of co�strii�etio�. � SEPARATE PERMITS REQUIRED FOR WORK OTf�R THAN DESCRIBED ABOVE. 125.25 5.50 2.75 5.00 138.50 FlPR-141'�e�PY1 SS�82 NEW [i � fl FROM CITY OF FRIDLEY � p17 S►F Pf�IEY 843t UnP�f/lyl AYS WE. PfuasY� 14�i ANo � �aui� ae�� Tioa gy�gg5yg� P.01/�2 OffecUvs 417120D4 (7� eT2�904 � �P ��`l -(j l0�% Go+�rudionP�dd�� , •� — - -- - L�I D�arlPlio�t; T.i. �e7C ?- 4-5 � Q�' N�na�� rn! 1 �.-t. c1��rfh ¢ we tiioaS Ir11d LICEN8E1� ��--�- � . T01. # �1 �-- RR"y ��Lb-3 A�I�w� q� �p �+ ' At�ch to Ude �.p�p,.11�oa1tion� a Cartlfisate oi swvaY at ths O VO'LLhWESE GJI�E'G�041 �� iht p1Gl+r.'."' �n� � Ofl n SO 7FOSI�. 65�0 Waiker St ivlµ�s, AAN 55426 b�IP'rlof►OFIIY�o�EMEN7' I.IYYIO�M�A; Le�tOlh�-- Width H�t —. SQ� Ft. oARASE/1R�A: Lenp�f,..�.—._ w�w ��'---�- �' �"�— GEQKAk@A; L�r�q�1 Wldtl�..�----- ��,.^_.."- Ssl.rt., Orfi� � ��,� S�. ,�-r � f�a-�-c• � EetUrw�ed Coot S3 -�(r � -_._ Drpie�Yy Gitb Cut YMldth N�ed9d: Ft r 8 Ft �„�,�t x$.. �.._-.- `3 GA't'� A�LIC�Y= TN� � CaM i�i 671�l6041br Ptl1Mlt Wa if mMlplp In eppl�crtlon. I�nc to Pbi�871-19191( wtnq cAdDk e� wd vro wYl eaN yoqtoRWdnqoA�[. � � �Y. � � $ / � $ �_._._— �� F�e �hedufa on it�vereo Sfde 6656 cfi F'erml4 Fee .009 of F'armit Voluatbn (1/10th9`) 5.5�!$1,000 Vel�tlaz $1380 pe�' SAC UnR 55.00 (State LJoanaad ReNd�'+�I ConVm�rs) Curb Guk Esaqar S Aa. °A° or nrt. -n° nrna+ra B�alon Gat�rol 5_,_._,.,__._ �'►50.Q0 Co1�► Plan Revt�w Park F.s �.^ Fee Detom�lned by EnDineerir�p SeNNfIr AAoln Chql�pe $ Agreem6nk t�x�N � �� Nd�eseoN I mr�►. s �.�cg - �d � I0 39Cd S?JOI2131?S3 1S3MHla0N 89659L6LS6 EO�ZL b9BZ/L0/L0