AF - 46191r�- - �
J
i
Date
Owner
Address
� �
BUILDING PERMIT
Village of Fridley, Minn. No
✓� .7. . -.-58 . . . . . . . . . . . . . . .. . . . . . . .
//�,�,�/ �����y��Builder
..f�.t�..:.. ... .......
SO /. 0, , . ���")`�!�!�!�dsc�. . . Address
2983 �
I
_ I L��/� . � _.e- - ' /`-
3.'..�./�::-...3�.. �..1�'..��,
e LOCATION OF BUILDING
No. �o ./. o. . . . . . . Street . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . Part of Lot L. ��</� • •"'.: • . �(O
/�%/�.� � � \ � ��� ' ;
Lot ..��......... Block ......./......... Addition or Sub-DivLsion ....WN!Y.!.�!�'..... ....�4�=�Otii
�- � /� � ` �.B
Corner I.ot ....... .. Inside Lot . � . Setback .. �.. ..... Sideyard . .. �Y..�l�{
DESCRIPTION OF BUILDING
To be Used as:
i �L/ / p%
. . . . ... . Fmnt . T. .kt. . DePth � v... C�eight �� 39. FL ��. /.W. Cu. Ft. ....... .
G%'�� �Front .�(. �. . . DePth .� �/Height . . . . . .. . Sq. Ft. a 4. !! . Cu. Ft. .. . . . .
. ..
Type of Canstruction��/.r,�•'^"�� • • Est Cost . ./ � ��. B .. . . . To 6e ComPleted . .. . �?. . .. ... .�. . s�
�.,� # �6a �
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 above set forth and in c�npliance with all provisiona of
ordinances of the village of Fridley.
................................................
o-� /�
Ea consideratlon of the payment of a fee o$. .. ., permit is hernby granted to .!�ir. �.. ... ....... �.�
....................... to constntct the building or addition as described above. Tlus permit is granted upon
the express condition tLat the person W whom it is granted and his agents, employees and worinnen, ro all work
done in, around and upon said buffding, or any part thereof, shall conPorm in all respects to the ordinances of
Fridley, Minnesota regarding location, conslructlon, alteration, maintenance, repair and moving of buildings wIth-
in the village luniffi and this permit may be revoked at at�y time upon violatlon of any of the provisions of said
NOTICE: �
This permR does not cover the construction, installation oa�alteretion for wiring, plumbiny, yas heaUng,
v
, sewer or water. Be suro to see the Building InspwSO� for separaYe permks for these ihma. '
sua�ecr � PER NO.
City of Fridley ^�[ 16 7 6 9
ATTHETOPOFTHETWINS BUILQING PEI\MIT
! � � � � ECEIPT .
� � ' COMMUNITY DEVELOPMENT DIV. � +++����/ 1/_�
i �L """' . WC/
r � PROTECTIVE INSPECTION SEC.
�
� � ���'� � CITY MALL fRIDLEY 55432 NUMBER AEV OATE PAGE OF RPPROVED BV
�""'� � ,�� � 612-571-3450 910-F75 / /
9 17 82
J08 AODRESS 5818 Hackmann Avenue N.E.
1 LEGAI �OTNO. BLOCK TRACTONADDITION - SEEATTACHED
OESCR. 17� � ¢ Parkview Manor SHEET
2 PROPERTYOWNER � � MAILADDRESS ZIP PHONE
Richard Vidlund 5818 Hacl�ann Avenue N.E. 571-2183
� 3 CONTRACTOR MAILADORESS ZIP PHONE LICENSE NO.
$dID0
< ARCHITECTORDESIGNER MAILADORESS LIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSENO.
8 USE Oi BUILDING
Resi enti
7 GLASSOFWORK
O NEW ❑ ADDITION ❑ AITERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
e DESCRIBE WONK �
I f
9 CHANGEQFUSEFROM TO .
STIPULATIONS
Install as per Code as discussed with Darrel Clark.
SEPARATEPERMITSPREREQUIPEDFORELECTRICAL,PLUMBING,HEATING, TMPEOFCONST. pCCUPANCYGROUP OCCUPANCYLOAD
VENTILATING OF AIR CONDITIONING. � . �
TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING SQ.GT. GU.PT.
AUTHORIZED I&NOT COMMENCED WITHIN 80 DAYS, OR IF CqNSTRUCTION
OR WORK IS SUSPENOEO OR ABRNDONED FOR A PERIOD OF 120 DAVS AT -
ANY TIME AFTER WOHK IS COMMENCED. � NO. DWLG. UNITS OFFSTREEi PARNING
I HEREBY CERTIFY THAT I MAVE REAO ANO EXAM�NED THIS APPLICATION ]_ � STALLS GARAGES
ANDKNOWTHESAMETOBETRUEANOCOHRECT.ALLPROVISIONSOFLAWS VALUATION � SURTAX
ANO OROINANCES GOVERNINCa THIS TVPE OF WORN WI�L BE COMPLIED
WITM WHETHER SPEGFIED MEREIN OF NOT. THE GRANTING-0F A PERMIT %,�j. � �S.SO
DOES NOT PPESUME 10 GNE AUTHORITV TO VIOLATE OR CANCEL THE PERMITFEE SACCMAfiGE
PR�VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON�
_STRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. ], � O
PLAN CHECKFEE TOTALFEE
$7.5. SO
� SiGNA* EorL NTRnL� py,THORIj� pGENT n �DAiE� Y�° WHEN PROPERL VALIDATEO TMIS IS YOUR PERMIT
� � / //�. // q
T1� I-�%-gZ� / �2_�
NPTUREOFOWNERi1FOWNERBU�LDERi iD�TEi BLDG iNS� �p E
CITY OF FRIDLEY Effective Aug. 1, 1961
APPLICf1T10f� FOR RESIDLNTIl1� BUILDIiJG PEfG41TS
(New. Alterations. Additions� or Repairs)
OWNER: �lC{-j/{/Z j� (/l OL U,U D BUILDER: ��
ADDRESS: ✓��g HAc(C�yAN� A�� N. E• ADORESS:
TEL R0: �7/ — 2( 8"�j TEL H0:
STRI�T NO: O � °u
i.o'P:
Construction Location
sT�r• a� I`{� ��HA�/,�/ /a 1!G ti: G.
BIAIX: IIDAITZON :
Cosner Lot: Insiac Loi: Setback: Sideyards:
1►p�lfcent attacA to tl�is fozm tvo Certificates of bl�rvey of lot �nd
pzoposed building locatian draWn on certificates to scale.
OESCRIPTIOit OF OONSTRUCTIO�i
�tt�fh►J�y/ FmnC: Depth. —
T'—
Sguane Feets Wbic FCet:
Front:
Depths
Heiqht:
Befght:
Square Feet: p�bic Feet:
. �
Rype of Corstruetion: Estimated Costs $/ S`
9b Sa Wr.�plete8: � mp'�J �
7►2t. A Alt. 8
Proposed Drive+ray iiidth If New Opening is Desired: ;' $
. . SEE 7�VER;E SIDE OF SHF�T
15ie undps signed hereby makes applic�tion for a permit foz tAe work herein specified,
agreeing to cb ,all work ir� strict accozdance with the City of Fridley Ordivances end
rulin4s of the Depaitment of Duildings, and heseby declares that all the faets and
repros�t�ticns stated 3n this npplfcation aze true and M�+-�ot.
a��: �� l7— 8" Z sicNnlv�:
Stipulatioas:
� �� � S7�
.
/`�� y. .�
� (�J
. sue�Ea . PER NO.
�City of Fridley o �g463
ATTHETOPOFTHETWINS gUILDIN.G PERMIT
� • � RE EIPT NO.
. •
� COMMUNITV DEVELOPMENT DIV.
rv � �� PROTECTWE INSPECTION SEC. �.
r ,
� � ;
� /'�'\ � CITY MALL FRIDLE� 554�2 NUMBER REV. �4iE P�GE OF AnvP0VE0 Br
4""� � ,�� 612-571-3450 910-F75
S/30/86 � �
lOB ADORE55 5818 ���y Avenue N.E.
1 LEGAL �OTNO. B�OCK TRACTORADDITION SEEATTACHED
oescR. 16,17 4 Parkview Manor SHEET
2 PROPERTVOWNEH MAILADDRESS ZIP VMONE
Richard Vidlund 5818 Haclnoan Avenue N.E. 571-2183
3 CONTRACTOR MAILADOXESS ZIP PHONE LICENSENO.
$dID0
0 ARCHITECTORDESIGNEH MAI�ADDRESS ZIP PMONE IICENSENO.
5 ENGINEER MAILAODRESS ZIP PHONE LICENSENO.
e USE OF BUILDIN6 '
Residential
� cuss oF woaK
❑ NEW ❑ ADDI710N ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK .
Reroof Dwelling
9 CHANOE OF USE FROM TO
STIPULATIONS
Rpof can be the 2nd layer but not the 3rd. Install ridged
� galvanized valleys.
TVPEOFCONST. OCCUPANCYGROUP OCCUPANCVIOAD
SEPARATE PERMITS ARE HEOU�NED FOR ELECTRICAL, PLUMBING, MEATING,
VENTILATING OR AtR CONDITIONING. � .
.TNIS PENMIT BECOMES NUII AND VOID Ii WOPK Oii WNSTRUCTION ZpNING SQ.FT. CU.FT.
AUTNORIZED IS NOT COMMENCED WITNIN 60 DAYS. OH IP CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONE� fOR A PERIO� OF 120 DAYS AT
' ANY TIME AFTER WORK IS COMMENCED. � NO. �WLG. UNITS -0FFSTREET PARK�NG
I HEREBV CERTIFV THAT I NAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
ANOKNOWTHESAMETOBETRUEANDCORRECT,ALLPROVISIONSOFLAWS ypLUATION SURTAX
AND ORDINANCES GOVERNING THIS iVPE OF WOFK WILI BE COMPLIED
WITH WNETHER SPECIFIED MEREIN OR NOT. THE GFANTING OF� A PERMIT 5962 $• SO
DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCHAFGE
PROVISIONS OF ANV OTHER $iATE OR LOCAL LAW REGULATING CON-
STRUGTION OR THE PERFORMANCE OF CONSTRUCTION. $I,%. SO
lAN CMECKFEE TOTALFEE -
$�.8. ��
siGN>TUREOiCO nOA TNOnRE GEr+r ioniEi WMEN PROPERLY V I ATED THIS IS YOUR PERMIT
s-30�s'6`',. � --
5'�GNATUREO� NERJ OWNERBUILDEPi �O�Tb lDG �wSP p�i
NEU [ J City of Fridley Effective �/1/8G
ADDt7. [] � R-1 AND R-2 �
pLTEA. [ ) Building Permit Application
Construction Address: J �/� �/+Cc�f�%A�/'V /Q U� /V � �i �
Legal Description: LOT �6 `�/'7 l�LOGlC �' nA�KV�su.I F1AAJniC
owner Name s Address: �«' �R D Y/ DLV Ail� Tel. � S 7/-2! b' 3
Contractor: "�7 /a �'i C Tel. #
Address•
LIVING AREA:
GARACE AAEA:
DECR AAEA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, xith the proposed construction draxn on it to scale.
DESCRIPTION OF IMPROVEl�NT
Length Width Height _
Length Width Height _
Length Midth Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [} Inside Lot [] Ft. Yd. Setback Side Yard Setback.
%�S%�ffALi
Type of Construction: �E /e00 Fl.�G Estimated Cost: E g` 2? r
Approx. Completion Date: �—�5���
Alt. A Alt R
Proposev' Driveaay Y:idth If New Opening Is Desired: E S _
See Back Page for Explanation
DATE: � 30 ^�6 APPLICAhT: i��Uk���k�� Tel. 6 �%/—Z� ��
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Se�er Nain Charge
TOTAL
STIPULATIONS:
CITY OSE ONLY
$ �% �SZ Fee Schedule on Reverse Side
+ 25� of Huilding Permit Fee
S S� S•50/�1,000 Valuation
S EM75 per SAC Unit
° Fee Determined by Engineering
$ -
Agreement Necessary [] Not Necessary ( J
� /�.Od
� � sue�ed* � � � � E .
City of Fridley 2 9 9 81
ATTMETOPOFTNE7W�N5 g�ILDING PERMIT
� • � . . . T NO.
� .
� � ._� COMMUNITY DEVEIOPMENT D�V. , /��/
r � �' PROTECTIVE INSdECTION SEC. �j�
�
� � �-"\ � C1�Y NAII FPID�EV SS{32 �40Eq AEV O�tE �tGf � �POAOVEO sr
�'"'"� � �'' 612-571-3450 9t0-F�5 8/3/99 / /
JOBAOORE55 5818 Hackmann Avenue NE
1 LEGAL �OTNO. BIOCK - TR�CtORAD�ITION SEEATiAGNED
oescn. 17 4 Parkview Manor SMEET
1 PROPERTYOWNER MAILADDNES$ Z�P PMONE
Richard Vidlund
3 CONTqACTOR M�ILADORESS EIP VNONE UCENSENO
Pennin ton Const. 4347 Central Ave.
� ARCMITECTORDESIGNER MMLA�ORESS ZIP PHONE LICENSENO.
5 ENGINEER MM�ADOPE55 � Z�P PNONE LICENSENO
8 USE Of BUILDING
Residential
� cuss ov woAK
O NEW O ADDITION O ALTEFATION � REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WONN
Reroof house and ara e 30 S Tear-off
9 CHANGEOFUSEFROM TO
STIPULA71pNS .
Underlayment must comply with the State Building Code.
TVPEOFGONST. OCCUPRNCVGROUP OCCUPANCVLOnD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PIUMBING. /IEATING.
VENTIIATING OR RIR COND�TIONING.
THIS PERMIT BECOMES NUI� AND VOID IF WORN ON CONSTRUCTION ZONING SO.FT CU FT.
AUTMORIZEO IS NOT COMMENCEO V�!ITHIN 80 OAVS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OV1 ABANDONEO FOF � PERIOD OF 120 OA�S AT
ANY TIME AFTER WORK IS GOMMENCED. NO DWIG. UNIiS OFiSTREET PARNING
I HERE6V CENTIFV TNAi I HAVE FEAD ANO �%AMINED TXIS APP�ICATIpN St�LlS GARAGE$
AND KNOW TNE S�ME TO BE TRUE AND CORNECT. A�L PROVISIONS OF �AWS yALUATION SURT�N
AND OPpINaNCES GOVERNING 1M15 1VFE OF WORK WILL BE COMP�IEO
WI7N WME7HER SPECIFIEO HEREIN OR NOT. iME GRANTING OF A PERMIT $2622 1.31
OOES NOT PRESUME TO GIVE AUiH RITV TO VIOL�TE OP CANCEL TME pENMITFEE SA�CNARGE
PROVISION$ OF 4NY OTMEA $TAT R LOCAI lAW RECUl4TING CON-
STRUCTION OR TME PERfORMRN CONSTRUCTION 83.25 � Fire SC Z �L
� VUNCHECKfE TOT♦ EE
1 �
S�GN�LUAEO� �A�f.10AOF�UtwOA�ZED• M � �O�iE�
EN OP ALIDAT TMIS �5 R PEAMI
�
$AN�fUFEO�OWNEA��iOWNEABU40ERi �D�tEi BL G NSP' �iclf
NLw - L l
ADDN [ J
ALTER [ j
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: , �j � �
I.egal Description:
( v �=-
EfYective 1/1/98
�A�����
� �
Owner Name & Address: �Sc� ��! � t �-�q r0( V �` d! G�, c� Tel. #�(o?S ��a1�3
Contractor: �(� � r,� � �t� `fZ9 e� CO k$'F� MN LICENSE# aOI Ei 9�j�
Address: � 3�-( `� (��? h-Ft�9 � i`t ci�' /i�� Te�. # E 1�1 i�'�Y��'9
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK � Length
QTHER: . � ,�,
DESCRIP'fION OF IMPROVEMENT
Width Height
Width Height
W idth Hg /t
r4G2"FI"tn� SP �
'J
Sq. Ft.
Sq. Ft.
Sq. Ft.
j �� r /
Construction Type:����«i� ��(4titi�Estimated Cost: $ �(o� �-
�
(Fee Schedule on Back}
0
Driveway Curb Cut Width Needed: _Ft. + 6 Ft =_Ft x$ _$ ���� �
DATE: �`s-3- �l9 APPLICANT: ��.�,� �• n Tel. ��'ra gi�6�o g
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License 5urcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULAT'IONS:
$ �3. ��^
$ � �°Z
$ /. 3 i
$
$ S•U�
$
$
$
$
� �.19
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1000 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 [ ]
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