AF - 46195Date:
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City of Fridley, 1Kinn.
BUII.DING PERMIT N°• 3352 j-
...9..-. ./.�....,�'�....... ✓
..K•��H.�!1!.....VQ.l7.�.$QN Builder .........../........ � ....................
7
aaa� .,� ..��'.,f%!�/lC...M.AN..... naa�e .............................................
LOCATION OF BUILDING
No....C.Ge.�.R. Strcet ./•iJatCM'7/SN ................... Part ,o{t� Lot ..'../. ....../..j.�.. ..........
Lot ..�..... Bkock ..� ............: Addtdam or Sub-Divisiam /l:�.!/�F�.QLtl..f.!/.A:"!:e:7.....
� x.oc . .. . . .. .. .. . � i.a . x... ... s�n�x . 3.c�=.Q`` s�ae,�a . �.� :'-CL . " . .. .. .. .. ....
To be Used as:
ffa��.�.QDiT.%o .N
Ex,�sri,�,�o. M E . .. .... .
lype of Constructlon
DESCRIPTION OF BUILDING �'3�
Fcont .�e�-/j% ��� �ei-�4 11H�t r06�oI«
t9.. �. �. �yy.. �. �.�-. .
� .so.'� a�-�'� � �.c�,�.•�,�T�.-... c� �. ........
. . . �r�AM � ... s�t. cosc. . �p'��.... ..... To ne c�i�ea . . . . . .. . . . .. .. . .. ..
/a �d �� X / a ' a " u�.e:,.Lc- .t�. -o �x . .�.�c�s-� ,/�e
, /��.!
In comideration of the issuance W me � a petmit W construct ffie building deaibed above, I agiee W do
the pmpmed work In acoordnnce with the d�criptioa above set forth and in cwmp7iance with all pmvisiaos of
ordinancea of the city of FYidley.
�(,%�:�,v. �;��,e-� , rz����-,�
In wmdderation of the payment of a fee of . . /.. �� . � P��t is hernbY 8ranted to . ...... .. .. .. . . .. . .
......................... to construct �e bullding or addiRa�n as deecribed above. This permit is Sranted upon
the e�rnas condiUon that the peisam #o wham ft 1s gi'anted md ms s8ents. emPloYeee and woxivnen. in all work
J d�e in, around ead upon said building. or aqp part thereof. shall oonform in ell respecFs to the ordinancea of
FY3d1eY. M3nneaota regarcUng locatioo. conshivctlon. alteratton, tnalntenance� TePair and moving oP bulldings� with-
��ty ltrnits and this permit may be revoked at �y time upon vio � o� f the provlaiona �oP aaid
:...W./....... BuildluL InsPector
NOTICE:
This pertnit does nM cover the construction, im[a1laUon or alte�ation fo� wirin�mbiny, yas hsatiny,
sewe� o� wate�. Be wro to ax the Buildinp Inspecto� for separste permib fo� the�e Itams.
SueJEGT
City of Fridley 16223
;`
ATTHETOPOFTHETWINS BUILDING PERMIT
RECEIPT NO.
� � �� _ � COMMUNITY DEVEIOPMENT DIV.
� Y�• PROTECTIYE 4NSPEC�ION SEC. � 3 a� �
r ,
�
`---_�' �""l,� CITY HAIL FRIDLE� 55432 �+uuaeA AEV oarE vnce o� ncvaoveo er
ti � 612-571-3450 gt0-F75 6/4/81 � �
J08 ADDRE55 SS37 Haclanann Avenue N.E.
1 IEGAL �OTNO. BLOCK TRACTORADD�TION SEEATTACHED
OESCR. 5 3 Parview i�3ilOi SHEET
2 PROPERTVOWNER MAILADDRESS ZIP PHONE
Vernon Johnson 5837 Hac]�ann Avenue N.E. 571-8930
3 CONTRACTOR MAtLADDRESS Z�P PHONE LfCENSENO.
$dMC
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADORESS ZIP PHONE LICENSENO.
8 USE OF BUIIDING
Residential
7 CLASSOFWORK
❑ NEW ❑ ADDITION C� A�TERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 OESCRIBEWORK
Reroof Dwelling
9 CHANGEOFUSEFROM 70
Sl`IPULATIONS �yg g�f can be 2nd but not 3rd root. Eastall ridged galvanized
valleys.
SEPARATE PERMITS ARE HEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TVPE OF CONST. OCCl1PANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONIN('i. ASjJI]d].t �
THIS PERMIT 6ECOMES NULL AND VOID IF WORK OF CANSTRUCTION ZONING SO.FT. CV.FT.
AUTNORIZED IS NOT COMMENCED WITHIN 60 �AVS, OR IF CONSTRUCTION ��
OR WORR IS SUSPENDED OR ABANDONED FOR A PERIOD Oi 120 �AYS AT �
ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS � OFFSTREET PAqKING
I MEREBV CERTIPY THAT I HAVE REAO AND EXAMINED 7HI5 APPLIGATION 1 STALLS GARAGES �
ANDKNOWTNESAMETOBETRUEANOCORRECT.ALLPROVISIONSOFLAWS VALUATION SURTAx
AND ORDINANGES GOVEFNING TH15 TYPE Of WORK WILL 8E COMPLIEO
WITN WHETNER SPEGFIED HEREIN ON NOT. THE GRANTING OP A PERMIT $636 . $. SO . �
DOES NOT PRESUME TO. GIVE AUTHOPITY TO vIOLATE OP CANCE� TME pERMITFEE � SACGHARGE
PROVISIONS OF ANV OTHER STATE OH LOCAL LAW REGULATING CON- ..
STRtlCT10N OR TME PERFORMANCE OF CONSTRUCTION. $�J. SO � �
� PLANCHECKFEE TOTA�FEE
$8.�0
$IGNPiUREOFCONTN>GTORORPJTHOR4EDAGENT I�hiE! V/HEN PROP Y VALIDATE� THIS IS YOUR PERMLT
kA "
�%�...c.zr� 6 — <L— �' / �
SiGNFTUFEOFOW E IFOWNERBUILOEPI IOATEI 0�0G �NS� Pi
OtdNER:
ADDR[S5
T[L tr'0:
CITY Of (�I2IULGY
APPLICJlTIO'd FOR RLSID[idTIP�L 13U1LDIIIG Pf(U�T7S
(tVcrt, Allerations, Additions, or Rcpairs)
�E�UO� �f ONIV`Se �% L'UILDER: - � �
: S$3 � N g�-K M.4 R� a/ AdC�UDRESS:
,S 7/— $`% 3 o TEL 120: '
Construction Location '
sTru�x r�o: �! Ti3 7 s��:r:T: fl� �4c� /C M A � d i� v e
Lo��: ur sLOac: 3 r�niTZO.r= Pa �/C v i e w .�'l ��v o�,
Cornex Lot: Insicle Lot: SetbacY.: Sideyards:
Apilicant attach to L-his form two Certificates of Survey o£ lot and
proposed building location drawn on ceYtificate5 to scale.
DESCRIPTIOiv' OF COFlSTRUCTIOiJ •
��-�alF Pront: Depth: —
Squane leet: Qibic Fcet:
Iieight:
Frontz Depth: lieiglit:
Sguare Pen_t: GUbic Peet:
Type of Construction: ��� �SI-��f}L% Estimated Cost: $� 3(e � a
Rb Be Oor.�pleted:
Proposed Drivee�ay Width Zf New Openinq Is Desired:
Alt. 1� Alt. B
_ $ $
S�Ii RF.VER>L' SIDB OF SHEET
19ie undersigned ]iereb�� ma};es applicaticn for a permit £cr the ti:ork herein specified,
agreeing ta c?o .all wor}: iri strzct accordance �ritli ttie City of Pridley Ordinances znd
rulings of Ctie Deplrtment. of Buildings, and hereby c�eclares that all the iact-s and
x'epresentaticns stated in thi, «pplication are true anel correct.
A,^.TP•,: `- � �j'/ SIGNA•ror,�:
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SUBJEC!
� City of Fridley 2 7 314
ATTNETOPOFTHETWINS gUiLDING PERMIT
i •
♦
� � ��� COMMUNITY DEVELOPMENT OIV. � I /
r ��' � PROTECTIVE INSPECTION SEC. � Y/_
! KJ
� � �"'1 � CITY NA�L FRIDIE� SSA2 NUMBEa REV n�TE o�pE Of �arROVEO B�
�"""'� � ,�� 612-511-3450 910-F15 $/20/98 l I
JOB ADDRESS
5837 Hacl�an Avenue NE
1 LEGAI LOTNO. BLOCK TRACTORADDITION SEEATTACHED
oescA. S 3 Parkview Man r SMEEi
4 PROPEHTYOWNER MAIIADDRE55 Z�F PMONE
Tom 6 Kara Ruwert -
9 CONTRACTOR �MAILADDRE55 Z�P FHONE LICENSENO
Builders b Desi n -
� AHCHITECTORDESIGNER MRILAD�RESS 21i PMONE LICENSENO.
5 ENGINEER MAILAODNE55 ZIi PHpNE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASSOf WORK
❑ NEW ❑ A001710N ❑ AITERATION � REPAIR ❑ MOYE ❑ REMOVE
8 DESCRIBE WORK
Construct a 14' x 18' addition
9 CHANGEOFUSEFROM TO .
STIPULATIONS
See notations on plan
WARNIN6
Before diQging cail hr
oll utitity locations
45A-OOQ2
REQUIRED BY LAW
�SEPARATE PERMRS REQUIRED �pR
YViR►NG, HEATING, P(.U41iLBlAIC�;qyp.g�g.
TYPEOFCONST. OCCUPANC�GROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REQUIRED FOR EIECTRICAL, PLUMBING. XEATING.
VENTI�ATING OR AfR CONDITION�NG.
THIS PERMIT BECOMES NULL AND VOID ff WOPK OR CONSiRUCTION 20NING SO.FT. CLL FT.
. AUTHOR12E0 IS NOT LOMMENCED WITHIN 80 DAVS. OF IF CONSTRUCTION
ON WORK IS SUSPENDE� 017 ABANDONED FOR A PERIOD OF 120 OAYS RT
ANV TIME AFTER WORN IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I MEREBY CEFTVFY THAT 1 MAVE READ ANO E%AMINED THIS APP�ICATION STAlLS GARAGES
AND KNOW TNE SAME TO BE iRUE ANDCORRECT. ALl PROVISIONS OF LAWS yALUATION SURTA%
AN� ORDINANGES GOVERNING THI$ TVPE OF WOfiK WILI BE COMPLIEO
WITH WNETHER SPECIFIED HEPEIN OR NOT. TME GRRNTING OF q PERMIT �i�LOOO ZZ.00
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLRTE OR CANCEL THE pERM�TFEE � SAC CHAPGE
PAOVISIONS OF ANY OTHER STATE OR LOCAL LAW flEGULATING CON�
STFiUCT10N OF TME PERFORMANCE OF CONSTAUC710N. �4H�L.]S F3 .SC. 44.00
PLAN CHECKFEE 70 LFEE
N<iUREOFCONT P �DAGE i � ��E� Lice . 5. 5.75
EN R v V LIO E THIS IS Y H P MIT_
S�GN<iUNEO�OWNEHJiOWNEABUIlOERi ip�TEi g� �rysp �clf
avEw . : • [ ] :
ADDN
ALTER �j
CTTY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 5�3� %�i/}C I�CMAnJ ./�-�j � iJ
Legal Description:
Effective 1/1/98
a
��� a�
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Owner Name & Address: '-(-�y,nn � �cqr,ZA �v.w�v� � Tel. # S7Z - ? I �v
Contractor: "(�i.�� �c�4„-s `tl.� fl4s; u�'�,n�. MN LICENSE # r� �� c-�S
Address: ��j,�1lp?, '�.�L �T t� t� 'y� Ivu.Tel. if �{3y-O(�3 J
Attach to this application, a Cert�cate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DESCRIPTION OF IhIPROVEMENT
I.ength � Width % � Height �,_
Length Width Height
DECK AREA: Length
O'THER:
Width Hgt/Ground
Sq. Ft. Z � Z
Sq. Ft.
Sq. Ft.
Construction Type: _�Q��;-};o,,� Fstimated Cost: $ �-I�i ,�C�c�d •c�U
(Fee Schedule on Back)
Driveway C�rb C�t Width Needed: Ft. + 6 Ft = Ft x$ _
DATE: 10 APPLICANT: �.,,,, C�� �'1� Tel. H c.G'�U -C��,?, I
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surchazge
Driveway Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ .7�
$ "/, �G
$ ZZ_�
$
$ �, �
$
$
$
$�
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuadon (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 ( j
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� City of Fridley
11TTMETOCOFTXETWINS g���DING PERMIT
,,
� �
� ������� _ COMMUNITY DEVELORM�NT DIV.
r � iROTECiIVE INSPECTION SEC.
i
�
� � �'�'1 � C�TY XALL FRIDLEY SS�Jt MUY�EN �EV
�""� � �'' 612-571-3450 9t0-P�5
108 ADDRE55 5837 � Hackmann Avenue NE
1 IEGAL �OTNO. BIOCK � TRACiORAD01T10N
oescn. 5 3 Parkview Manor
Tom Ruwart 5837
Pel1a Windows & Doors 15300 25 Ave N STE 100, P
� ARCNITECT OR DESIGNEN MAIL ADDPESS
5 ENGINEER MAILAODRE$5
8 USE OF BUILDING
Residential
7 CLA55OFWORK
❑ NEW ❑ ADDITION ❑ ALTEFtAT10N
8 OESCRIBE WORK �
Replace 15 windows within
9 CHANGE OF USE FqOM
70
cnm� � nv. '��
32566
IECEIPT NO.
aHa�
D�iE ��GE O/ unnpvEO !v
5/7/02 � �
SEE�iTACMED
SNEET
763-572-2150
ZIP vXpNE IICENSE NO
NIN 55447 763-745-1400
IIP PNONE UCENSE NO.
20165884
�7 REPAIR ❑ MOVE � ❑ FEMOYE
STIPUTATIONS .
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code.
Permit Inspeciion Cards
Will Be Mailed
To Homeowne► To P���
SEPARATE PEAMITS AHE REOUIRED FOp ELECTFICAL, PLUMBING. NEATING. �� � w��
VENTI�ATING OR AIR LONDITIONING
TMIS PEFMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING
AUTMOq12ED IS NOT COMMENCED 1j�ITMIN 80 �AYS. Op IF CONSTRUCTION
OR WORN IS SUSPENOEO ON ABANpONED FOA n PEF100 OF l�p DAYS AT �
ANY TIME AFTER WOFK IS COMMENCED. ' NO. DW4G. l
1 NEFlEBV CEHT�FY TMAT 1 MAVE READ AND E%AMINED iH15 APP�IG�TION 1
ANO KNOW TNE SAME TO BE TqUE AND COAAECT. ALL �ROVISIONS Of UW$ �yAIUATION
ANO ORpINANCES GOVERNING THIS TYPE OF WOPI( WILL BE CpMPt1E0
WITN WMETHEA SPEGFIEO MEAEIN ON NOT. TME GRANi1NG OF A PENMIT �J�7C)1�
DOES NOT PpESUME TO G��E AUTMONITY TO VIOUTE OR CAMCEL TME pEPMITFEE��
PROVISIONS O: �NY OTMEA STATE OR LOCAL L�W REGULATING CON�
STRUCTION Op TME vERFORMANCE OF CONSTRULTION $],HI.ZS
SIC�N�IUAE O� CON'PLClOA OA �U1MOA�LEO �GENI IO�ff i
ST��LS G�RAGES
SURTA% —�
$4.88
� S�CCH�pGE
Fire SC $9.76
tO7��FEE
.00 $ 0.89
A�IpA TMIS I$ YOUpf�(f{ PMIi 2
/��A � CJ ��O
�w [ ]
ADDN
ALTER
Effective 5/10/99
[ ) C1TY OF FRIDLEY
[] SINGLE FAMII.Y AND DUPLE7C�S R-1 AND R-2
BiJII DING PERMTf APPLICATION
.� � ��� ��� :., ', . . �
I.egal Description:
owner xame � Aaaress: Tom tZ�,.wo,t �- 'C Te�. #��3 .s�a �a�so
contraccor:.
Address:
Auac
lot, v
LIVING AREA:
GARAGE ABEA:
DECg AREA:
01'HER:
PELLA WINDOWS & DOORS
15300-25TH AVE. N. STE. #100
PLYMOUTH, MN 55447
'763-745-1400
LICENSE #20165884 � � �
__.. � .: to scale.
Nua �cExs� # .
LenBth
Length
I.ength
� �� ss� a � �,�;�_,:e s:���i
Tel. #
Width Height Sq. Ft.
Width Height Sq. Ft:
Widtli H8tlGroupd _ S4. Ft.
Cj —j ` O
CODStNCtlOI1 TyPC: F'mateyi COSt: $ ` � T� 1 O
Driveway C�tb Ctit Width Needed: Ft. + 6 Ft =�Ft z S =$
nax�:o�S•�(i1•p� APPLICAIVT: � �T Tel. � 95a•3`ls-(q0y�
Permit Fce
Fire Surcliuge
State Surcharge
SAC Charge
License S�rchazge
Driveway Fscrow
Erosion Conirol
Park Fee
Sewer Main Charge
TOTAL
STIPiJLA'TIONS:
$_�1 a
$ . �'l9
$ 4•$�
CITY USE ONLY
Fee Schedule on Rtverse Side
.001 of Permit Valua6on (1/lOth%)
$.sa$i,000 v�„�uon
$ $1050 per SAC Unit
$ ;�•�U $S.OQ (State Lacensed Residential Gontractors)
$ Alt. "A' or Alt "B" Above
$
$
$
, . �� �•
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
�����
l