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� MINDFR ENGINEER�N(�'r CO. INC. . ^
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� ENGI tVE�ERS AND SVRVEYORS
L/.ND eucivflv�NO . SOIL� TE3TIN0 ��
GWtL � d. MUNIG1PAl. ENOIN&ERlNO � LANO PLANNIN!!
6�418�SrOTM AVENUE `N. '
a°� � � MINNEAPbL�S -2T. MINN.
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W� HE0.EtiY �.ERT1fY _TNAT TN1S IS A TRUE IW� CO�tR�GT REPR�SENTATCON OF A 5i1RVEY OF T1iE' 80111�1OAR1E5 OF THE •�
4pN0 pgQVE ; pE5L�21gEp AND' O�TNE LOCATION Of AL4. �UIIDINGS, IF lW�f , 7KEREON , At�10 �u- ��SlBLE ENCROACHME�ITS, �,�
,F ,�„r; FROM bR0�1 SP►lCt L�►t�1D. M.►NDER ENGINEEt��NG CO., INC. �
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IIA,iED .�M�s � Ol��f oF A"9!',/f.. •�►.�.i�5� E1�161*IEER$ ANO SURvEYORS
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Date
C�'i„', -T.�'i,
Addres
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BUILDING PERMIT
Village of Fridley, Min.n, No
. ...�.... f�..,l���...........
. . �e,�,•�y�����'>'y��°��. . ���!!�°� . . . . Builder
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s �� � /. . . �� ��9/.�??: �. ? i�F�� Address
292�
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LOCATION OF BUILDING
No. �� f. . �. . Street . ,� ,,.�'�,�3 .��. ���. . !-, . . Part of Lot y� ��fl� `�
� %� �`� c l�l" / iv�*rc� %FJ�� �' � �,� �
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Lot . . �. . � :�� Block .� . �. . . . . . . . Addition or Su Divisio ��,��t�'���' . . . . �' '.
� �_� ` fC �� � ��'��
Corner Lot . . . . . . . . . . . . Inside Lot . . . . . . . . . . . . Setback ��. . . . . . . Sideyard /. /� . . .� . �/.:�✓. : . . . ��
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DES�RIPTION OF BUILDING
T� be Used as: a
���:t��i�.�`� . Front �ler. � Depth �][ � �:�IIeight ����
�
.................... Front ........ Depth ........ Height ........
Type of Construction� �4.'�. . . . Est Cost / � 4'. .�.� .`i•.f . . . . . . .
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Sq. Ft/��5. w Cu. Ft. ... .. .. .
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5q. Ft. /. ��l.�.. Cu. Ft. ........
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To be Completed . ..�.�..�..�`.` .�
In consideration of the i�ssuance. to me oP a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set fo an ,� in co�fpliance� all provisions of
ordinances of the village of Fridley. /� !� A
Tn consideration of the payment of a fee of $. .�� :-� permit is hereby grant to .� :�:`�..`."�.;:'.��`:"'::`.-
. . . . . . . . . . . . . . . . . . . . . . . to construct the building or addition as described abo e. This pern�it ia �°ranted upon
the express co�dition that the person to whom it is granted and his agents, employees and worlmzen, in all work
done in, around and upon said building, or any pa.rt thereof, shall conform in all respects to the or�inances of
Fridley, M3nnesota regarding location, construct3on, alteration, maintenance, repafr and moving of buildings with-
in the villa.ge limits and this permit may be revoked at any time upon, violation o�ait� of the provisions of said
ordinances. ���
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"� �r�� �; . �. � �� �Building Inspector
�°- � 7l_�f � _
NOTICE:
This permlt does not cover the const�uCtion, installatlon or alteration fo� wtring, umbing, gas heatfng,
sewer or water. Be sure to see the Butlding Inspecto� fo� separate permits fo� these tems.
,��,
SUBJECT
c�ty of Fridley
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
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� � ' COMMUNITY DEVELOPMENT DIV.
� ��: ------�
r � � PROTECTIVE INSPECTION SEC.
1 �
� _ �"'1 � CITY HALL FRIDLEY 55432 NuMeER pE�
�""'�'� �'� 612-571-3450 910-F15
JOB ADDRESS 5899 Hacl�lann Avenue NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 6 2 Pa.xlsS�iew M3ri0�'
2 PROPERTY OWNER MAIL ADDRESS
John Oden 5899 Hackmann Avenue NE
3 CONTRACTOR MAIL ADDRESS
Viking Hqme Improve�ent Co. 4832 2� Street NE
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAIIADDRESS
DATE �AGE OP
9/1�/91 � �
2�.072
RECEIPT .
/ 7 %�
APPROVED BY
SEE ATTACNED
SHEET
571-5506
ZIP PHONE LICENSE NO.
572-1820
Z�p PMONE LICENSE NO.
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Resident.ial
7 CLASS OF WORK
❑ NEW 0 ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WOHK
Reroo� Dwelling (22 Squares� Tearof�
9 CHAN(iE OF USE FROM
TO
STI PU LATION S
Undexlayment mus.t be_in compliance with State Code �or ice and water shiel .
— TYPE OF GON51.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATIN(i,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTHUCTION
OR WORK IS SUSPENDED OR ABANDONED FOH A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �-
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,144
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMiT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $29.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. _ __^ ^"
SIGNATURE OF CONiRACTOR OR AUTHOp�ZEO AGENT IOATEI
iDATE�
SQ.
STALLS
NCY OROUP OCCUPANCYLOAD
CU. FT.
EET PARKINC
IGAFAGES
$.57
SAC CHARGE
Fire SC $1.14
TOTAIPEE
$30.71
D THIS IS YOUR PERMIT
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R-1 PiI�ID 1�2
Siilcling Piermit �ipplicatian
Ct�t�ction Add=�s: J�g% � ��fi"/jf�/��LIs4,r/�� /�l�
Effective 1,/1,/91
�1 �'��' �
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OW!'12t Na�e i Add1�e5.S: fi� �/G�C/��2 �.� 11et1. # S��- .S-� d�
�i3G't+0�: / ��C. //L��% ��(J�.�% E' l� ��/C�C/�/,Pofl'ID�t7 �1. # �/ Z_��Z �
Aaa�: ��8�� Z /�/ l= � %� S7�
Attadi to this applicatian, a Ceztificate of �vey of the
lot, with the p�vpa�erd drawn an it to scale.
�CStIPrI�T � II�AOVH�l�
7.TVII� 71i�: Leryth Wia3th �e,it�t Sq. F't.
� lIT�►: IeTn3th W3dth Heic,�t SQ. F't.
D�C'lt 11�: • •
a�: � /� �I � _ � C� �� �/� � S��aaa .i sq _
Cbrner Int [] Ir�si�de Int [] Ft. Yd Setback Side Yazd SetbacJ�s
Zj►pe of Qo�truc,fiia�: Estimated Oost: $ %���
Appzox. �letian Date:
PropoEed D�ive�ray Width If New Openv�g Is Desireci: Ft. $ $
f�� Width + 6' See Back Pag
DATE : l " I ��- � I APPIS('ANT: �� !ICP � ���'`� Z�el . � S � Z - �� �0
P�*,�+i t Fee $ .�? �, �� e
Fire S�u�d�zrge $ /. % °�
State S�md�arge $ . � %
sAC �arge S
D�iveWay ��vw $
Fark Fee $
sewer MaSn a�aYqe S
. �.
s�z�zza�s:
li
$ -� C? % �
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11ee Sd�ec�ule an I�everse side
.001 x P�mit Valuatian (1/lOth $)
$.50/$1,000 Valuatian
$650 per SAC thiit
Alt. �A" Ot Alt. pB" Abvve
F1ee De�tei�*+� by �i „�.-; r�
- -�
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�e �ief Building Official ehall, befcre 3ssuing pe�mits for the erectian of any
bui.lding or st�uc4ire, o� ic� any aclditian to anY ��9 ��J ��, or
for any alteratian c�ar repair tc any e�d,stirrl bu,ilcling c� st�e, i� aPPlicatiaai
tAerefa��e, require the PaYm��t bY tbe applicarit fa� eudz peimit of fees to the a�o�a�t
M+-Din �'�Q�i 6E� f�l aT� �Tl �IE.' marn�o.r �,� �3� �A-�it:
'IOI�II. VAIIJE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
i���
$15 (lSini� F1ae �6 $15 P1tg �e)
S15 faar first $500 plus $2 for � adciitiac�al $100 or
fr�ctian theseof, to eryd itycludit�g $2, 000
$45 fo� fi=st $2,000 plt� $9 for each edditianal $1,000
C� iractirn thereof, to at�d includitr� S25, 000
$252 fa� fitst $25,000 plt� $6.50 foz each ac]ditiC�zl $1,000
C►r fi�CtiGl� theieof, to erld itlGluding $50, 000
5414.50 fcr fixst $50,000 plus $4.50 for eacii additia�nal
$1 � OQO os fractiCn t2�eseof, to arid iticlu�dil'x3 $100, 000
$639.50 for fi=st $100,000 plus $3.50 for each edditional
$1,000 or fracticn t2�ereef, to and ir�luding $500,000
$500, 001 to $1, 000, 000 $2039. 50 far ti�e first $500, 000 plus $3 for ead� add.itianal
$1� 000 ar fractian t2�ex�ecf, to et�d includit�g $l, 000, 000
Si, d00, 001 and t�a $3539. 50 for the fiist $1, 000, 000 plus $2 foZ each additio�al
$l, 000 o�r fractian ti�.reof
� �Pl�BZQ�1 F8C=iO�W
(Oonct�te Qni� Stre�ts QilY)
Alt�rnate nA�� : Re�oval afld �eplaoe�el7t of �t�'b and guttrer mly - DY'ivehray taidth plus
6 feet t3mes $13.50.
Alt.ezr�ate "B" : l�oval at�d replao�e�t of wrb at�d gutter ar�d insta].1 a 3 foort wide
approach with 6 ii�c� denth -� iv+a�ray vidth plus 6 feet times $15 . 75 .
• :�- .- ., .. ., -. �� �.�� .
P��mits for c�ar�tn�C-'tian will be 3�sued a minim� of 24 2�auis fi� the ti.me of
applicatian ta atlow fa� pa�eQer ieview of the pxaQo�ed sttvct�ue ani of the
�.ian site.
A Oertificate of Stiuv+ey of the lot, showir�g the locatian of the famc�atian ac�oe it has
ft i�as beeT aocisttvcted will be required before pz�oeedir,g �rith the fia�irig.