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AF - 46249� City of Fridley, Minn. BUII.DING PERMIT ��: ....y. �..3-��-�,......... � N° 3813 � . ... .. . ... .. .... .. .. :. . . .. . . . . . .. .. ..... �. ��.,.�..r�� ��, .y�...�..� AAdnaea...................................... Address ............................................. LOCAT OiV OF HUILDING . � No. �0��... Street ... . . �"tw..... Part I,at ....... .'� J.j� �. ../. �fy .. .. ..... Lot . �...... Block ...... ........... AddiHon or Sub-Dfvi�aPn . � ./.Y.LQ.. �!�-�� . .. ..... c�„�r �c ............ �ae i.oc �........ sew�x ,..�":.'�.. swer�a .1.Q..`Q.`! ............... DESCRIPT'ION OF BUILDING 1b U ' . • f a .. . ... .... �t f��?.;� � a�:� H� �. .�",sq. �. ./.s.Q�'..5"�. �.%9..�!`.r�5" �./.J . . . � �s!.P "�� ��-a �pt. {l'.a.--o s4. �. .a.. �Y. �. �.a�:v.� Type of Cons chton ................... Est Caet..l..3 ../..1..�.. To be ComPleted ................... Ia �nsideration of the is�ance W me � a permit W oonstruct the buiiding desribed above, I a�ee to do 8v2 PmP�� Work in aocordance with the deseiiptioa a6we set fo and in compliance wlth all provislons ot ordinances of the tity of Fridley. .!1 ... . . ... ........ ... . . .. .... O�b � In conefderatton of the PaYment of a fee of 5.4���, Permit is herebY �ted to ................... ......................... to construct the buildin2 or additiam as described above. This permit is granted upon the exPreea condition that the Pexson to wha�m ft !a gi�snted and ida aBenrA emPloYees and worl�en, in all work done in, eround and upon said building, or aqy�part thereof, shall conform in all respecYs to the oidiaances of PY�id1eY. Minnesota regarding location, construction, alteration. maintenance, mP�' end moving of buildinge wtth- in the city limits and this permit may be revoked at mtiy time upon vtolation of any of tbe proviaioas of said ordinances. ��A_��� NOTICE: This permit dow not cover the conslnxklon, inslallation or akeniton for wirinp, � sewer o� water. Be wre to see the Buildinp Iropeoto� for eepants perm(t� fo� thae y � �r pas heaUnp. �� i Y � � � � � � >o o� �C � � N �� . � �C T. O � C� a �� � �a � � .� � �' � � m .$ a � � � J � � eu U N H � J a � a � a Y C� �� d�� � F y .�.� F�� a ,,� �w m ���s .,� � � w� � � �d zs'� 1 �q�Am y Z ou.��� � � � ���� A��a `°5.�°a �xu� � � &°g�� � �Q�.� d� �a xs&� �mi.��� � N M p �LIO�� ���� �� � O F � � S Q o n � ae n e cV � � O.`C V a � a � � 0 g � S w b ; o a �;� ���� � � � � �at � � W W ►� .�0+ .y � 1 . � � � � � � U b � � � � �7 E°+ °o °o g $ °m ad C6 �ti vi w � . : : 8 g : � g � : : � � � � ; � � � � � � � ����� �� � � � � � � ������ �� �'�� � z � � 0 0 � A z � z � � � � 1 � z c d iC F o $ n � o ed a6 ci ea n �a B . � � � . x x � � : �i� :� �' g 3' �°o o � "p S S V] �i �lQ� � � �;���� 'e �S �Pl m � F d � g w o�m s��p�� � � E� f� R� � : � ;m : y � � ; �� m� 3 `� � � P 0� M Q x � ro ; � �a z a w y s � v � � U F a , o n ri .: �F � a � 00 O . � �� � °J u .4 $ �C j a7 a O � � � 09 a � x� � Z o � � tN � ¢ ; xsa,� c� .� '4qxX= 'o � ° m v O c �^� � 1 y � n S ^` 6 J ~ �� � � � � � � � � • � � F ,�q F i a �� ���� � � � � o n n m � � � o ij F U w a � E 4 � 4 :� � � sue�ec* � � . ��City of Fridley 14836 AT iHE TOP� OF THH TWINS � BUILDING PERMIT RE�E��NO. � • COMMI}NITY-DEVELOPMENT DIV. � � j 4 � � ' % A - � PROTECTIVE INSPECTION SEC. � �` � /�"l • CITY Hi1LL FAI�I.E� 55/32 NUMBER NEV. ��TE � PAGE OF APPPOVED BY `����� I ,•� 8123GP3150 . ... . . 910-F15 8/2/78 � � � JOBAD�RE55 1021 Hacl�an CiYCle N.E. t LEGAL LOT NO. BLOCK TRACT OR AODITION � SEE ATTACHED DESCP. ' j 1� Parkview H01QYltS � SHEET 2 PROPERTYOWNER MAILADDHESS ZIP PHONE W. R. Sta�walt 1021 Hackman Circle N.E. 3 CONTRACTOR - MAILADDRESS 2�� PHONE LICENSENO. Salitros Roofing & Siding 5233 - 6th Street N.E. 560-5940 4 ARCHITECTORDESIONEA MqILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILAODRESS ZIP PHONE LICENSENO. 6 USEOFBUILDING Residential 7 -0LASSOF WORK . ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBEWORK Reroof structure 9 CHANGEOFUSEFROM 70 ' S7IPULA71oNS install ridged galvax�ied valleys. Roof can be second but not third. 9 SEPARAY#�P§�MITSAREREOUIREDPORELECTPICAL,PLUMBING,HEATING, ryPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAO VENTILATiryq QR AIR CONDITIONING. � TH1S PERMrr Q€COMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SO.FT. CU.F7. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DA�S, OR IF CONSTHUCTION OR WORK IS SUSPENDED OR ABAN�ONED FOR A PERIOD OF 120 DAYS AT � � ANY TIME AFTER WOHK IS COMMENCEO. NO. DW46:: UNITS OFFSTREET PARKING I MEREBY CERTIFV THAT 1 HAVE READ AND E%AMINED THfS APPLICATION - 1 STALLS GARAGES ANOKNOW7HESAMETOBETRUEANOCORRECT.ALLPROVISIONSOFLAWS yp��p7�0N SURTA% �AND ORDiNANCES GOVEPNING THIS TYPE OF WORK WILL BE COMPIIED �S'Z.�fjOO $Z.BO 4YITN WHETHEP SFECIFIED HEREIN OR NOT. THE GRANiiNG OF A PERMIT �OES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL 7HE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. $1a.00 STRUCTION OR TXE PERFORMANCE OF CONSTRUCTION. � PLANCHECKFEE TOTA�FEE ���� � � $19.30 �S�Gr+AtUR@OFGONTpAGt PORnUiHOR¢EO�GENi IDnTE� ' WHEN PRO RLY VALIDATED.THIS IS VOUR PERMIT .. � `' _ . . �—�' �� ' SIGN�TIIREOFOWNERUFOWNERBUI�DEAI IOITEI - BLOG iNSP OPiE C1TY or- ;=1tIllLCY APPLICA'f[Ot� FOR R�SJI)Et,TIAL �UILDING PERI�IITS (�L"W, �LTL"R�Tl01VS, �IllllIT10(dS, OR R[f'�IItS) owi���: (.J , R. S-�i� c. � a1-F ' nuiLU���: $.ri�:�„ s�oo� ; n9 -� S� c� � n9 �,�a=�5�: lo�l N.E. Ka��11K►.l� �"�ce.Ie naare::s: 5133 �f11. S�. �lL �.,�M � I S. , T�i. r�o.:��o-59�fD 1do. : �� � � 5treet: LOT: � RIACY.: `L ADDITION: f W�-�W/�J � CORNER LOT: INSIDE IAT: S:iTR11CY.: SIDBY7IRDS: C�7 Applicant attach to L-his fonn �4�o Certificates of Survey of Lot and proposed bui.lding location drawn on these Certificates. DESCRIP7IOPJ OF BUILDIfdG f F3e usea I�s: � �. �d � Fsont: Square Teet: Depth: Cubic Feet: I'ront: Depth: Height: Height: Square I'eet: CUbic Feet: �•pe of oonstruction:�e�s o�� �emi� f Ce4laee Estimated cost: S c`iloaU.00 7.to Be Completed: APQoX 8�do�7� Ftlt. A Alt. B Proposed Driveway l�Tidth If I�ew Opening Is Desired $ $ (SP.� R�VERSE SIDE OF SHEET) The undersi9ned hereby roakes application for a permit for the work herein specified, agreeing to do all caork in strict accqrdance wit}� ti�e City of Fridley Ordinances and rulings of the De�artment of Buil.dinqs, and hereby declares L-hat all thc facts and representations stated in this application are true and correct. See reverse side far addit-ional infornzaCion. UATE: 4 SIGNI�TUP.E: ��L T �p�� Stipul atio�ts : � Ig;�� ( � L���� � a � � a � w � � Z � Z � 3 F= Z � N Z U `� O w � O ��'� UO ;�` � �a ,� � Z v� � � � � � ��'=� � \ei 2" } ,'.''l� v � tA . � z � �Z 2� _ gZ ��1J U ¢ O Q a_p 0 Q LL Z 0 O a U � 2 Q ¢ 7 � 0 U d N w , Z Z } ¢ �W � � � N LL m z �. LL. C � O 07 mco ;a � U � �i � r, m 0 a � �� � �m� � to`� '_ Y U °° ^ 3 �� v m U m � `_" L _ U � L � � \ � � � V V Y � Q C � �6 `\ ,c � �a m � � U � m: '� U II p R � t6 � V` m O �a�r � Y u� m nc�.Y c Q tll � � Q Y� C � 3 o m A O Q c a � v m r c $ L pp =D � C0 3 y m C � W N O � �r. $ a p c C w N m � �p � m m ro � Q FL- f¢e � � e OV H 4! dT � . _ � .�� O . O ¢ O O M .- H H . .. I � C Q 3 C m Y 'Z � R 3 � � m = m � � � � � 3 � � IL lL � C � � 0 � E � � m ? 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Y F a o ¢Z w w o' aq m U S W Q � �g LL 2 _ O v � W W � Z � � W a � Z W � O L 3 a • '� c�, � o �m � Q m c p � d � W Q C �O a o "� c � C O U � O C N ° �E r a m o a U � a 3 �� �U� .T l�Yf�CIC �✓I Grv� ��.�. �. r�1�.1�� �E�M 1SSll1� To �vr �J1s CF�v IJ�l�1� l�it � GoM ��� SS�� Q �J 11�,� S� p� o� I�E l�v us� ��1 cr N� lI� ���. �' /� _ ,�1 � / � � /03l fl��X;��/�N" C1�'CCE /J� � SS432 �� ) d� � � � l� �1 ( C�i �--J - � �7 �-- �-o � o 0 . C �.� d � � I�� , � �_ io�� ��r�w,��� �,� � �� ��! � e_ , � � ,. ; �- U �� � �����z) s�: - �?��� 95 a � t U m` � o` 0 �!g z W i0'd 1C101 F � 2 W a C3 2 � N Q � 0 Z � O 2 m i � a � O LL 2 O F e U J a C � O 2 F W a w N Z Z ry`j < oN, o � H � � 4 � � � O �t c m }O � m o� 1-- � � N U m �i � � 4 m d � O W < x �. m W � �¢ W ¢ � r x � O Z m � J a A � m m H _ m m � r � � O V L � � _ 4 CI V i � \' ^ 0 � ` y m O = U \ � r m a .r � m m � m U U � r o c m � � � ti m E� � O ^ (Vl m C O Q m O L � � Yi 'p O SS'! a �a c c a x .m°- 5 m o` @ 3 ° '`` E � a w v � T � C m � o � � � � o` c � q m 9 � m O � m � L � c m �-�, a a m m 4 � d � c 0 � a ' , 3 m d m o v a � F�' m m q � O r i + � M v � 1 � M m A N � a 2 LL � � F I m a U � a Z � � m 'a � j m (y J a IlNllflllfl � 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o O o o O o 0 o O o p h P YI 1� r ri^ O� O O O {ff M M N N N N N p!0 N N YF y ���� I I I� I� I�Z I N m Y a m o a '� � � c X y R V * � tL C � 3 � � 4 m �s m Z v ua w� m� u` c @ c W 1 i � m � m m C m Q G'� m C N O i � a` x m` �°e � m Q 2� m o W`0 03 �y a � O -.. F i 2� a m !1 9 m a� 3�`! �d � m m � Y�'�` zomm�jar'n333o c7� � � � �! m O c i m o' ¢ � � �� � o z � d !q Q � � P,1 �I �{ �I M� M N z � ¢ w � Q � U Z a Q '_ N a ¢ Q Q = u ° o ¢ m O j � y Q LL m Z 'o � 4 � O Q � W � Q = O C 0 � ¢ ¢ � w w � LL � L ~ o � � N � � W S u Z � � ai w N �J � � � z � K i m W m F 2 a < < � Z O F U w � U � � W a O W � > 6 a w m J Q 2 y 4 ¢ 2 O � N � O U • _ /�Ax �n � ��/� �� y _ �G9-1833 CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612157L3450 • FAX (612) 57I-1287 January 30, 1997 Attn: Vicki Oakley National Equity Inc Re: 1021 Hackmann Circle NE, Fridley, MN Dear Ms. Oakley: I have been asked to answer questions concerning the above referenced residence. I was asked if the following conditions are in violation of the State Building Code. 1) Lack of a fire stop around the chimney used by the hot water heater. 2) A stainless steel flex gas hose connecting the dryer to the gas supply. 3) Lack of a backflow preventer on the water supply for the washer. 4) Possible asbestos tape around joints in the heat ducts. The above list of conditions would be in violation of current building codes for the City of Fridley, however we do not require Code compliance for the sale of properties. Zf you have any further questions concerning this matter, please feel free to contact me at 572-3603. Sincerely, / , _ �/ B RY RIESCH Building Inspector BR/mh suuEa P c�ty of Fr�a�ey 8 9 3 7 �� �TTNE�OPOFTHE7WINS gUILDING PERMIT ; j FECEIPT NO. � � ._. GOMMUNITV DEVELOPMENT DIV. f ��'� � PNOTECTIVE INSGECTION SEC. � T � . i---.� �"'�•� LITY M�LI FRIDLEY 55132 NUrBFP nEV O�iE ��GE Os �W ED �v ti 612-571-3460 9t0-F/5 2/2G/99 / / JOB ADDRESS 1021 Hacl�ann Circle NE 1 LEGAL LOTNO. BLOCN THACTONAODITION SEEATiALMED oesca. 3 1 Parkview Heights SHEET 2 PROPENTVOWNER MAILAOORES$ Z�P PNONE Daron Cox 1021 Hackmann Circle NE 572-0614 ] CON/RACTOR MAIL ADDRE55 Z�P PNONE LICENSE NO Same � APCXITECT OR DESIGNER MAIL ADDRESS Z�P PHONE UCENSE NO. 5 ENGINEER MAIIADDRESS ZIV PMONE LICENSENO e USE OF BU�LDING Residential 7 ClAS50FWORK ❑ NEW ❑ ADDITION � ALTEHATION ❑ REPAIR O MOVE O REMOVE B DESCRIBE WOfiK Kitchen Alteration e CMANGE OF USE FROM TO STIPULATIONS See notations on plan. TvPEOFCONST. OCCUpANCYGNOUV OCCUPRNCY�OAD SEPARATE PERMITS ARE REOUIRED FOR ELECTNIGAL, PLUMBING. NEATING. VENTILATING OF AIR CONDITIONING. TNIS PERMIT BECOMES NULL AND VOID IF WORK ON CONSTN�JCTION 20NING SO.fT CU Fi pUTHORIZED IS NOT COMMENCED WITMIN 60 DAYS. OA Ii LONSTRUC710N OR WORK IS SUSPENOEO OP ABANDONED FOR A PERIOD OF 1p DAYS AT ANY TIME AFTER WORI( IS COMMENCED. NO. DWLG. VNITS OFFSTREET PARKING I MEAEBY CERTIFV TMAi 1 HAVE AEpD AND E%AMINED TNI$ APPLICATION 1 ST���S GAR�GE$ ANDNNOWTNE5IMETOBETHUEANOCOFpELT.RLLPRO�I510N50F�AWS yALUATION SURiA% AN� ORDINANCES GOVERNING TMIS TYiE OF WONK WILL BE COMPLIED @ WITN WHETMEN SPEGFIED MEREIN ON N07. THE GRANTING OF � PERMIT �SOO w.SO DOES NOT PRESUME TO GIVE AUTMORITY TO VIOlA1E ON CANLEL TME pERMITFEE SACCMARGE ��qOV1510NS OF 4NY OTNER $TATE OA IOCAL L4W REGUI�TING CON- STRUCTION OR THE OERFORMANCE OF CONSTRUCTION �ZI.00 F1T�0 SC �.SO GI,ANCMECKFEE TO@TALFEE w22.�0 S�GM1fUAfO�COM'a4t;tOAO U1�0 E��GfNt ID�T(� WMEN PROPERI� VAl10ATED TMISIS YOUR PEpMIT �a,�s,-� �� s c �, y 4 � '$�GN�TUAEO�OWNEan OWNEAB ER� r O�IE� BIOG �N50 rµff NEW ADDN ALTER [l �� Il CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �ConstrucdonAddress: 10�1 Na k,KaN,�r C;cc�p N� Effective 1/1/99 Legal Description: ro,�� f}a� n.a.,r�r Clrele /UE x Owner Name & Address: �aroa �'�oz i1a� Tel. # G t} 571-06 �y Contractor: MN LICENSE # Address: Tel. t! Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: XOTHER: Construction Type: DESCRIPTION OF Il�iPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. I.ength Width HgUGround _ Sq. Ft. �lTCi'4'° � �P...�nlPl Estimated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: _Ft. + 6 Ft =_Ft x$ _$ lb0 �DATE: ��`I I R� APPLICANT: Tel. #�ai� S7.Z b61 Y Permit Fee Fire Surchazge State Surchazge SAC Charge License Surcharge Driveway Fscrow Erosion Conuol Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � Ge7 $ • '� $ , � $ $ $ $ $ � CTI'Y USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residentiat Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 132 -,.- I 0 W2730 DISH. 24" � S642ST -�� - � _ i�+*'� _ _ _ �' � U1890 33L REF TF 24SS yy337,124 i 30R W3030 ROB30 � �� � � �� E6 Q �I bor= a �a� F£� ��, �5 ti a ys �t� ��,k�e ; a � Ft� � % �x.��.9� 5 � �a 3DB O Q 815L 12 W�2 W3015 W�531 30R L � � 37 �za Dealpn: tM398 NNnemkroidntlaeiG� Thkk�naiDinMASWnudmwt ��� �:318'�T Dab :OfHWW yNwiwwWK.leewMwtknm � nolWrdsssda�pieEUnks DARa1COX � �6nntbfRl� �fashMW1Ri'VaMbl� 102111M•10INNCR p�pnM . Ff21DLEY.Ml66tST . _ � suuccr - � � PERMIT NO. City of Fridley 3 0 7 71 ATTNETOPOFTNEIWINS gUILDING PERMIT � + � � RECEIPT NO. � �� �� COMMUNITY OEVELOPMENi DIV. r ��' � PROTECTIVE INSPECTION SEC. ��� D � � � j �-'9 � GTY MALI FRIDIE� 35�32 MUYlE� �E� ORTE ��GE 0: �nepvEO �r �°��� � �'' 612-571-3a50 aiavis 3/29/00 / / !OB ADDRESS 1021 Hacl�ann Circle NE t LEGAL �OTNO. BIOCK iRAC70RA001TION SEEATiAC11ED oescn. 3 1 Parkview Heights Addition SNEET 2 PPOPERTYOWNER MA�LADDRESS 21P VNONE Daron Cox 1021 Hacl�ann Circle NE J CONTRACTOR MAIL ADORESS ZIP VHONE LICENSE NO Krueger Construction Inc 3416 75 Ave N, Brooklyn Park, MN 55443 566-2179 � ARCMI�ECT OR �ESIGNER MAIL AO�NE55 ZIP PXONE UCENSE NO. 8941 5 ENGINEER MAILAOORESS . IIP PMONE UGENSENO 8 USE OF 8UIl01NG Residential 7 CLASSOFWOFN O NEW ❑ AD01710N ❑ ALTERATION �7 REPAIR O MOVE O REMOYE e DESCRIBE WORK Reroof House & Garage (25 Sq) Tear-off 9 CHANGE OF USE FqOM TO STIPULATIONS . S Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTNICAL. PLUMBING. MEATING, TYPE OF CONST. OCCUPANC� GROUP OCCUPRNCY IOAD VENTI�ATIHG OP AIN CANDITIONING. - TMI$ PERMIT BECOMES NULI ANO VOIO IF WOAK ON CONSTPUCTION ZONING SO. FT CU FT. AUTMORIZED IS NOT COMMENCED V�!ITMIN 60 DAVS. ON IF CONSTRUCTION OR WORK IS SUS�ENDEO OR AB�NOONEO FOR A PER100 OF 120 DAYS AT ANY TIME MFTEF M'ORN IS COMMENCED. NO DWLG. UNITS OFFSTNEET PARKING 1 HEREBY CERTIFY TMpT I HAVE PEAO AND E%AMINEO TMIS APPLICATION 1 STA��S G4FAGE5 .CNONNOWTXESAMETOBETRUEANDCORRECT.ALLPROVISIONSOf�AWS yALUATION SURTA% nN0 ONDINANCE$ GOVERNING THIS TYPE OF WORI( WILL BE COMP�IED @ @ WITM WMETHER SPEC�FIEO HEREIN OR NOT. TNE GRANiING OF A PERMIT `P2�1HS � WL.OI OOES N07 PRESUME TO GIVE AUTMpR1TY TO ��OLATE OP CANCEL THE pEAM1TFEE SpCCH�RGE PR ISIONS Of ANY OTHER STATE OA LOCAL LAW REGl1LATING CON� @ STH TION OA TME V FORMA �OF CONSTRULTION $$3.25 � Fire .SC. p2. 19 PLAN CHECNFEE TOT LFEE 3 oZ9 vrf" Licen C$5. $91.53 S�GN uAEO�CON- �f. O u*�OAi2ED�GENi � iD�*Ei � HE p VA • p TH151 OU AMIT /��q/� — , �LL(L S�GN�iU4EO�OWNEa���OWNEABURDCA� � ��Ei q� �ryg0 � rf NE1N [ ] ADDN [] ALTER [ j Construction Address: Legal Description: _ Effective 1/1/2000 CITY OF FRIDLEY (763) 57236U4 Bldg lasp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION LIVING AREA: E # Cl �y� # 5�6��//� Attach to this appliqtion, a Certficate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length �� Width ?>� Height Sq. FL GARAGE AREA: Length DECK AREA: OTHER: Widfh V�hdtti Height _ HgUGround S .Ls Sq. Ft Sa. Ft Construction Type: c� r--n�' ��T Estimated Cost: $�9� —��c�� Driveway Curb Cut Width Needed: _Ft. + 6 Ft = Ft x$ _$ DATE: 3'.29'-�ro APPLICANT: �%t����_„ � �c.�e,ef' l'el.# ,S.�o2i � CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Call (763) 572-3604 for Pertnit Fees if mailing in application $ �.�5� Fee Schedule on Reverse Side $ �- � 9 .001 of Permit Valuation (1/10th°!o) $ �• O� $.50/$1,000 Valuation $ $1100 per SAC Unit $ S- n15 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Att. "B" Above $ $450.00 Conservation Plan Review Park Fee $ Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: $�.3 SVB�EC� C,ty of Fridley 3 3 5 6 3 ATTNETOPOfTMETWINS BUILDING PERMIT i � RECEIPT NO- � ` COMMUHITY DEYEIOPMENT ON. � � y PROTECTIVE INSPECTION SEC. r , � � � �---� � CITY NALL fRIDIE� S5�3t MuMeFa MEV O�TE e�(,E O� �P/qO�EO !Y �----� � �'' 763-571-3450 e�aF�S 5/28/03 l 1 lOB ADORESS 1021 Hackmann Circle NE I LEGAL �OTNO. BLOCN TRACTOR�DDITION SEEATTACHEO DESCR. 3 1 Parkview Heights Addition 511EET Y PROPERTYOWNER MAILADDRES$ Z�P PNONE Joe & Nicole Brothers 1021 Hackmann Circle NE 763-502-7943 J CONTAAC70R MAIL ADDRESS Z�P PHONE UCENSE NO Same 1 ARCMITECTOROESIGNEN MAILADORESS Z�P PMONE LICENSENO 5 ENGINEEA MAII �DDNESS 2�P PMONE LICENSE NO 8 USEOFBUILDING Residential 7 C1A550F WONN ❑ NEW � ADDITION ❑ ALTERAtION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORe Construct a 28' x 18' Deck 9 CHRNGEOFUSEfROM TO STIPULATIONS See notations on pian. ��I�tNIN� SEPa►��-"� P�M�i Before digging calt for REQUIRED FOR: all utility locations WlRINC�. HEAl1N� 4540002 PIUMR��►f aNa �EQUlR�D BY LAW TYPEOFCONST. OCCUP�NCVGROl1P OCCUPANCY�OAD SEPARA7E PEAMITS ARE REOUIRED FOR ELECTFICAL. iLUMBING. MEATINCi. VENTI�qTING Ofi AIR LONDITIONING TMIS PERMIT BEC�MES NUII 4ND Y�1� IF WORK OR GONSTAUCTION ZONING $O.FT CV FT AUTHOR12E0 �5 NOT COMMENCE� WITMIN 60 OAYS. OR IG CONSTPUCT�ON OP WOHK IS $USPENDEO Ofi ABANOONED FOR � PER100 OF 1M OAYS AT ANY TIME AFTER WORN I$ COMMENCED. NO OWLQ UNIT$ OFFSTqEET PARNING 1 HEREBY CE0.TIFY THpT 1 NAYE READ AHO E%�MINED TMIS APPLICI�TVON 1 STA��S G�p�GES ANOKNOWTMESAMETpBETqUEANDCOFFECT.ALIPRON51pN50F�RW$ yA�WTION SUATA% ANO ORDINANCES GOYERNING THIS TVPE OF WORN WI�L BE COMPLIE� WIiM WME7MEp $PECIFIED MEAEIN OR NOT. TNE Gi7AN��NG OF 11 PEFMIT �6,259 $3.13 DOES NOT GRESUME TO GIVE AUTHORITV TO ��OLATE OA CnNCEL TME pEAMiiFEE � SaCLHwRGE PR041510N5 OF �NY O�HER STATE OA LOCf�I lAW 0.EGVLA(ING coH. �139.25 r'1T2 SC $6.26 $TRUCTION OR TME PERfORMANCE OF CONSTRUCTION P�AN CHECKFEE TOTq�FEE $148.6 SiGw�ruAEO�CO 'a�G*OAO �a�NOAiLEO�GE�* ����E� EN DROPERLV V4u0ATED TMiS i5 Y UR �E IT �G i�qE O� 0 w .�/ OwwEnBw�OEAi �O�iF� �OG �n5^ ���t NEW [] CITY OF FRIDLEY Effective 1/1/2003 ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572�604 B dg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1 x BUILDING PERMIT APPLICATION ��'7 Construction Address: Legal Description: Owner Name 8 Address: Contractor: LIVING AREA: GARAGE AREA: DECK AREA� OTHER: � � C� vt Te�.# 7(a'�-�ib2-7cI�13 MN LICENSE Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width HeigM Sq. Ft. Length Width Height Sq. Ft. Length `�� _ Width �_ HgUGround � SqfFt. �'� fnc�6'iv �8`�,`G2 � ��v �� s�Fk/.S� ,r 1,� ��� /o7J�/��� Construction Type: �UCt� �� Estimated Cost: $ T U�" Driveway Curb Cut Width Needed: _Ft. + s Ft =_Ft x DATE: � 0 APPLICANT: S0� L. ���Yl Te�. # 71��-9�2� 14'l3 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Corrtrol Park Fee 5ewer Main Charge $ 3� $ °•�� $ 3 , i3 $ $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th°k) $.50/$1,000 Valuation $1275 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 [ ] TOTAL $ 7 Q• �9� STIPULATIONS�