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AF - 46615� Cit of Fridle , Minn � Y Y BUILDING PERMIT N° 414 6 Date: .............�.^.........l.....�........ � `..�.......---------- -- Owner: Biulder ', �•� � . . ..... ...............- ..�....�_....��i/��'1..-------�..... Address ............_....-----•-----�--- -------�-�--- -- Address ................................� -------....--�-- �--- �---��--� OCATIO OF B ILDING No. ...��V. .�.. Street .. •.� .... ............._.... _..------ . .....C��i7�'!v..... � ....._. Part of Lot .._...... - ._ --...- - ..---��-- - -- - �--........-• - ••--- Lot ......... ��........._..._.. Block ...._......__�� .....__........... Addition or Sub-Division � ................. ._.... -' _ . -- i�I�.+.�D`7------- t '� 1 ,, Corner Lot ._ __ - .........__....... Inside Lot _�........ - .......... Setback .��..��.�.:_�...... - . Sideyard fQ.....:�i..._...... - -- - _...-�-----� Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To � u�a �: .............. ............ ..� ............. Front��:...d � Depth 3 �..:.`y Height �.9:._Q. y Sq. Ft. 1�� Cu. F� ��t.7.`�� ... Front�.�..�4 ~Depth ..a�..—..� Height 4.: t!� �,� . ... l _ �. Ft. ya �. �u. �. ..ya.a � �j'pe of Const ction ..........__........_... ......._ ................... Est. Co��d _3..7L.. �"'�' To be Completed ...................._......_.. ......._.._.... In consideration of the issuance to me of a permit to construct uilding described above, I agree o do the proposed work in accordance with the description above set or and ' compli �ll pro ' ns of ordinances of the city of Fridiey. � x�- . .... � ........_.....-�-�--- ��-- --------�------ �--�------------ -�- -•-��---- -�----�------ In consideration of the ayment of a fee of �� P $-�- ._....----------, Permit is hereby granted to •-.--------.-.---•---.- ......................................_.......... ta construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, 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 lceation, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of an� of the provisions of said ordinances. . . / Building Inspector NOTICE: ihis psrmit does no� eover the eonstwefion, insbllalion for wiring, plumbing, gaa heafing, sswer or water. !� wn b sM fhe Building Inspector for separafe permits for these ifems. 4 _ � =r ' � • � ��' City of Fridley, Minn. �T° 9 3 0 3 BUILDING PERMIT Date: ._._ June 9, 1967 Owner. Gordon B��r A. B. C. Blacktop Co. . ____..____ ..._..._.. _._....__..__.---.......------ 1104 Hackman Circle 1308 Ma.in St. N. E. Address_._._._...._._..� ---� Address ____ _.—._.._..__._.._.._._._..__...._..._.__�__. LOCATION OF BUILDING No. �..10!±.___. Street _.__ �acl�nan Circle _�___� Part o! Lot ..__� Lot _._.._ 8 —__ Block _._..._.__..... _� . _. _. Parkview Manor ... . ......__. Additi� or Sub-Div3sioa ._�� Corner Lot ��_.._ Inside Lot ....._.._._...._.._.._._— Setback _._ Sideyard � _ Sewer Elevatiaai --___.._____._...._.. � Foundation IIevation .....__ — DESCRIPTION OF BUILDING To be Used as: ____ F�ont _.._..____ Depth Height � Sq. Ft. Cu. Ft _._.__ Front _ Depth — Height � Sq. Ft _._ Cu. FL Type of Construction _B�.l.�ktOp D.�.�.Ye_ Es� Coat __ 178.00�.__...... To be Completed �July 5, 1967 In consideration o! the issuance to me of a permit to cor�shvct the building described abave, I agree to do the proposed work in accordance with the description above �et io�th�a d-in compliance with all pravisiona of amdinances of the dty of Fridley. �j ,� � --�---� Ea canaideration of the payment of a fee of � 5• 0� , permit is hereby gi�anted to—A. B. C. Blacktop _Co�_� to construct the building or addition as descrlbed above. Thia permit is granted upori the express condition that the person to whom it is granted and his agents, employees and worlanen, in all work done in, around and upaai said building, or any part thereof, shall oontorm in all respects to the ordinances o2 Frldley, Minnesota regarding location, constructia�„ alteration, maintenanc.�e, repair and moving of buildinga within the city li�nits and this permit may be revoked at aqy time upoa violati� of aqy oi the provisiana o! said ordinancea. CLARENCE BELISLE B�� NOTICE: iNs p�esM doa net eowr 1b� w�aeoelio�, inhl�Hon fer rri�i0. PW*�Y. fas MNip, ww�r or wNrr. M awr to sN da duiidip Is�eFer for a�p�nh pwshs for fhu� i1Mn. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 1 . OWNER' S NAME �p �Q � Q/!� BUILDER L%. �. C.�G��%rp� G� Z�_ � ADDRESS ��(j y- �/-� GK/I� i¢ � Ci/�PC L� ADDRESS �� O�� I%J�'/I� 5� OV �� LOCATION OF BUILDING N0. % I D� STREET �A�m�rl! G�/�PG �� PART OF LOT � LOT g BLOCK � ADDITION OR SUBDIVISION��n,�� 7i�-a-.%�-e-1 CORNER LOT INSIDE LOT SETBACK SIDE-YARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form two cer[ificates of survey of lot and proposed building location drawn on these two certificates. DES�RIPTION OF BUILDING To be Used as: -- Front Depth Sq. Ft. Cu. Ft. Front Sq. Ft . Depth Cu. Ft. Height � Height Type of Construction j�j�.�GffTd P�R>rJFU>g Estimated Cost �f %c� °—° . � To Be Completed c.� L�j $, / Q'(, 7 The undersigned hereby makes application for.a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Qrdinances and ruling of the Department of Buildings, and hereby declares that all the facts and representaCions stated in this application are true and correct. DATE �UruE S /9( % SIGNATURE " �� , • � . (Schedule of Fee Costs can be found on the Reverse Side). � �� _.._.....,.�__„___ �, �'` _ G- , G � �J __._. � .. .� ... t � �i � City of Fridley, Minn. BUILDING PERMIT Date: _._.__—� August ;�41_ 196> �o � ��r � 9394 Gordon L. Ova_..______ g��. Plywood Minnesota Remodele�s Owner: _.__. .—_.... 1104 Hacl�ann Circle 6200 Wa zata Address __.._�_._____.�...__..�..___._.__. Address �3L_.. �lYd - LOCATION OF BUILDING 1104 Hackman Circle No. ____..._....____. Street .—__..v_�...__.�_ __�___.—.— Part of Lot .._ Lot _._..g $._.._.__ Block _.?._._____..._._..�._.�. Addit3� or Sub-Divisian : Parkview Manor Corner Lot __ Inside Lot Sewer IIevatiaai Setback — Sideyard —� Foundatian Elevation ..—� DESCRIPTION OF BUILDING To be Uaed as: Alterations �t � �p�, Height , Sq. Ft. .._ C�. Ft .�.�.____� _.._...._ �Yont _.___...�.. Depth � Height — Sq. F� — Cu. FL Type of Co�nstruction _.._......_....__...___..._.___r. Est Cost —.�00 . 00 �--_.... To be Completed — 9 15f 67 In consideration of the isauance to me of a permit to construct the building described above, I agree to do the proposed work in acaordanoe with the description abave aet forth and in eo�npliance with pravisions of orriinances o! the city o! Fridley. �i /�7 � In caos[deration of the payment of a fee of � 5. 00 ��t � h��, �� Plywood �[inn . Remodelers to construct the buflding or addition as described above. This permit is granted upan the express oondition that the person to whom it is granted and his agents, employees and workmen, in all work dotte in, around and upa� safd building, or aqy part thereo� shall oonf�m in all respects to the ordinsncee a� Fridley, Minnesota regaiYiing location, construcho�, alteration, mamtensnoe, repair and mo�vinS of buil within the dty limfts and tbis permit m�y be revoked at sqy tia�e upan violatioa of any of the provisians ot ordinanoea CLARENCE BELISLB g�� NOTICE: '1Ais p�r�it doa uM eewr 11» eesNrncltoa, 6qh6Nto� ix �riri�Y. P�Y. N� �Y. sww or vrN�r. M aon M a� fla luiWieo htp�qor for s�paah p�eshs for fha� A�. s - n" •�^. 'C1 7`s� �" A�? �,�c:�;a.��:a ��,,:� �!a�i,D.��;c :°:�_s��2 Ci.�`+i 0: i�:i:J:�^�� ri�I�:i�Stn.TA : , �� OWNER' S NAME - � � �'�� A`:;tt.�LR ��«--� /d , � � � � ADDRESS �i0 �� Q��L.�..:..�-L- �-�n t l/�` A��',ESS G 2 Q o�� ...r� il'i`'-*---#' • L�JCA�T.ON QI' BUILDI,'G �� N0, � STPwET �"`"`� PART 0'_� LOT � / , LOT____,� BLOCK � AD�ITION dR SUBD�VISIOV O�'z-�t-v--cakr %?�c�--�e''�- CORAtER LOT iNSIDE LOT � SETBACK SIDE-YARD SEWER ELEyATION FOUNDATIEQN ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. . DESCRIPTIO�T OF BUILDING To Be Used Aa: _ . - _ - -� � --�-C�+t-2_ Front Depth Height � � ` Sq. Ft. Cu. Ft. Front � Depth Height _ Sq. Ft. -Cu. Ft. � e� Type of Construction Estimated Cost �� }�__ To Be Completed __�� i� � �� The undersigned hereby makes appiication for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the IIepartment o€ Buildir�gs, and hereby declares that all the facts and representations st�ted in this appiication are true and correct. DATE SIGt3ATURE (Schedule of Fee Costs can be found on the Reverse Side). 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K K sg�s M H � � � � � : �� : : x x : � � � y � �8 � Z g + w a� d1 '�' � � �' C� A �� .� � �' N��g� o�� x d � b b o�W�� x W 07 � z � � � B 0 iri � � � � � � M s :� :� �t�� 1 : �w o ~ � o �� m a � � °� oG o � D �a a 0 z � � � �II- �) s � `\ � � 3 � z° � S a� � I � � H s� �� o� � � �i od F� ,�,� M M M �g�� X M M �i :� ::: . �: � : : w . : � o� : � �� , � . " ..� M� ��s a'''�t�� v h �I �� M O � � � �� ..ac� � w v n ��. D � � � a .o� � ��o„ �p�� o ��4 � a o� $ � � � S � � � O4 � � , � 1 x ` o � � � s 0 1 » � . < � . �a �� City of Fridley, Minn. , % � 6431 University Ave. N. E., Minneapolis, 1Ninn. 55432 BUILDING PERMIT ��; _ Sevtember 6, 1972 Ov¢1me;: - Gordon Ova Builder - �wner �.__....___._.._.._..�-------- �_ 1104 Ha�ann G j rc 1 e N. E. Address _._.._._.__.....__.____._ LOCATION OF BUILDING Na 11T_ S�t wHackmann Circle N.E. _.._._ � p� og �t Lot � Biock 2 Addition or Sub-Division _ Parkview Manor _. C�n� Lot Inside Lot Setback _.:_ _ Si�eyard �5evver Eteval3an Foundation IIevation DESCRIPTION OF BUILDING 9ro be vsea as: Stucco Repair �At ..... Depth Height . Sq. Ft. _.__.._ Cu. Ft Front ___w__`_ Depth Hei�ht _..._. Sq. F� _-----.._.� Cu. Ft Tj►� cg C�struction �,�ucco Renewal �, ��,�,Z0.00__ To be Completed _�-�-72 In consideration of the issuance to me a� a permit to constru�� din�� aboye, I agree to do '� proposed work in accordance with the description above a� ia plian w�d�/ all provisions o! �dinances ot the cit3' of Fiidley. l� ,. In consideration of the payment of a fee of � 5• 00 + S O C� pe�x � hereby granted to..._...�..�er to construct the building or addition as described above. This permit is granted upoA the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, sh�ll conform in all respects •to the ordinances oi` Fridley, Minnesota regarding location, construction, alteration, ma.intenance, repair and moving of buildinga �� city lixnits and this permit may be revoked at any time upon violation of any of the provisions of said .�.._ Building InspeCto� CLARENCE BELISLE NOTICE: + i � This p�rmit do�s not eove� th� constrvetion, installatioa for vrirL��, plumbiag, pas h�atieg, s�war or waNr. B� sun, to sw th� Building Inepoetar for separate p�rmits for thu� ihms. APPLICA�ION FOR RESIDENTIAL, AL��RATION, OR AllllITION BUILDING p��yIT CI�Y OF FRIALEY, MINN�SOTA � OWNER, � S NAME : ��GL . BUILDER : ADDRESS : C �- ADD[tESS • �t0:. � % � �I STREET: / 1 . \ � �� ^ '�T LOT : � BLOCK : ,-��° ADDITION t ��'+ �' � � �/ % - . �-� ,�� e� �;" e ��w w� CORNER LOT: INSIDE LOT: SETBACR: SIDEYARDS A�......_...- Applicant attach to this fo� 1�o Certificates of Survey of Lot and proQoB�d building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: � 4 �'' C G � # \ �' � t' ' :�' Frant • Depth • lieight • �....__. . Square Feet: Cubic Feet: ' Front: Depth: Height; Square Feet; Cubic Feet: p� � 7.j►pe of Constructi Estimated Cost: $ O�G�. �� To Be Completed: � /S The undersigned hereby makes applicativn for a permit for tt�e wqrk �ex��,A specif�.ed, agreeing to do a11 work ia sttict accordaace with the Ci�► o� Ffi�,d�ey Ordinancee aad sulings of the Department of Buildings, and hexebr d�cla�es that all the facte aad repreeentationa stated in this app114�1��4� are true aad correct. �� c C/' ��l�f�l � �1�� G-��(% �� AT�: %� SIGNAT[1RE • � z. �? -,,,�--- (See R erae Side For Additioaal Info o - ^�� ,�� .�" �:� Y �' ,r:� � . .��- r� t� � . j., �> � h� � � � , � � , � � � f ' -x-. � � _ �.:. � ,�.,; .. �. : . : sue�ecr . PER . c�ty of ��:��y fi : AT THE TpP OF T1iE TV�t{NS �� I L D I N�- P E R M I T � � - : ECEIPT NO COMMU1+1ttY Df#ELOPMENT DIV. � L PROTECTtVE:1NSPE�710N SEC. r ; ---- ; ��_ , � � , , r'�'1 � CITY HALL FRIDLEV 55A32 NUMBER �-REY, DA7E' � PAGE OF APPROVED BY �.._.h-' �•� e,z-sso-saso / / 9t 0-Ft 5 9 4?5 �Qe i�v��ss ,�,104 Haclaoann Circle N.E. a� L�� `'CQTNQ. fllOCK TRACTQRAODITION SEEATTACHED DE$GR.. � .,$: 2 PSr�CV12W MdIIOr SHEET �'y(jy�y�g �� MAILADDRESS ZIP PHONE GQrc3o� Ova 1104 Hackmann Cixcle N. E. ' 3` t30NTRACTOR ' MAIL ADORESS � Z�P PHONE LICENSE NO. Kuled e Construction 1 24 B ' w 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE UCENSE NO. 5 ENGINEER MA1L ADDRESS ZIP PHONE LICENSE NO. 6 :USE OF BUILDING ' Residential 7 CLAS50F WORK D NEW � ADDITION � ALTERA710N � REPAIR ❑ MOVE ❑ REMOVE 8 OESCff18E WORK Ins�all drain til�e 9 CHANGE OF USE fROM TO STIPULATIONS SEPERA't'�E PERMITS REQUit�:ED F0� WtRING, NEATING, Pl.UMBiNG AND SIG�lS. SEPARATE PERMIT&ARE REQUIRED FOH ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIFi CONDITIONtNG. THIS PERMIT BECOMES NUI.L ANO YOID IF WORK ,OR CONSTRUCTION ZONiNG SQ. FT. CU. FT. AUTHORIZEDIS NOT COMMENCEO WITHIN 60 DAYS, OFl IF CONSTRUCTION OR WORKJS SUSPENDED OR ABANDONED FQR A R€R#qD'Of 120 DAYS AT ANY 71ME AFTER WORK IS COMMENCED. NO:` DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AN� EXAhAINED THIS APP�ICATION STALLS GARAGES AND KNOW THE SAMf TO BE TRUEANU COflRECT. ALL PROVISIONS OF LAWS VAUlAT10N SURTAX AND ORpINANCES GOVERNlNG THIS TYPE OF WOHK WILL BE COMPLIED WITN WHfTHEEi SPECIFIED HEREIN OR NOT. THE CaHANTING OF A PERMIT $350.00 •�JO DOES NOT PRESUtiE TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMiT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S .�Q N.OR TkfE PERFORM N OF CONSTRUCTION. $rJ.00 1- �� PIAN CHECK FEE TOTAL FEE �^---- 5. ,J SIGNA7URE"DFCONTRACTOHORAUT� ZEDAGENT - IDATEI WHEN PROPERLY VALIDATEO THIS IS YOUR PEFMIT . .y .: .,� ��t..e � C'l��r�i g � ' �: SIGNATURE OP OVJN. R IIP OWNER BUILDERI IDATEI � BLDG INSP � DA E � � APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMITS CITY OF FRIDLEY, MINNESOTA � OWNER'S NAME: ��'C,Oti ��¢ BUILDER: /� Gf ��j-r'� ��K S� ' ADARES S : //C7 � �/� �i>t,¢i! �/ ; ADDRF.S S': �/� � ��C !/i r tJ L�.? DIO: STREET: ��it�I�/i2(i� _ � .LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:� � Applicant attach to this forri, �ao Certificates of Survey of lot and p�oposed building location drawn on these Certificates � DESCRIPTION OF BUILDING� To Be Used As: ��^�,�� .� /�/ Front: � Square Feet; Front: Square Feet: Type of Construction: To Be Completed: 0 Derth: Heiyht: Cubic Feet: Depth : Hei.ght : Cubic Feet: Estimated Cost: � (�[� The undersigned hereby makes application for a perm�t for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. � � DATE . • . . �fcR�'yl�T �.OG � 7'J�' • S'Z� � J� C� . J ,�� SIGNATURE . t � �� . � . �,,�,.,.,,,._�,.�._-�,...,n . �.. _ � � � - � � SUBJECT � � ER . � c�ty of Fr�aley � i36o5 ' AT THE TOP OP THE TWINS B U I L D F�� P E.R M I T � � ` IPT NO. � . � ;�w. COM1vFUNl'fY DEVELOPMENT DIV. �'�� i°-!'�`° - pR@��'t?�� iNSPEGTI9N SEC. �f+ _t � . �., ,_ � : � - i�� '��x""`��-, GITY NACL� � FRIDLEY �� 55432 NUMBER �REV. DATE PAGE OF APPROVED BY L » _ ' s�2•56o-sa5o� � . � 910-F15 6�Z3��6 � � . �oe aooa�ss 1�04 HdGkindn C7rCle t IEGAL LOT N4. BLOCK TRACT OR ADDITION SEE ATTACHED oESCA. 8 2 Parkvi ew Manor sHe� 2 PROPERTY OWNER MAIL AODRESS ZIP PHONE Gordon Qv� 11U4 Hackmann Circle N.E. 3 CANTRACTOR MAIL A�DRESS 21P PHONE IICENSE NO. Viking Horae Improvements 4832 2 1/2 Street NE d ARCHLTE�C�Fp�ORE DESICaNER MAII ADDRESS ZIP PHONE IICENSE NO. 3t1�7G 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUI�.DING - res9dential 7 GLASS OF kVORK ❑ NELV ❑ ADDITION ❑ ALTERATION x7 REPAIR ❑ MOVE ❑ REMOVE e o�sc�� cover soffi t and �asci a wi th al umi nun 9 CHAN(iE OF USE FROM TO STIPULATIOkS S�PARATE PERMITS ARE REQUTAED FOR ELEQTRICAI, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD ' VEMTILATIMG OR RIR CONDiTIONING. a��flj�:n� THIS PERMIT BECOMES NULL AND VQID fF WQRK OR CONSTRUCTION ZpNINCa SQ. FT. CU. FT. AUTHORiZEO IS NOT COMMENCED WITHIN $0 QAYS, Qfi IF CONSTRUCTION OR WORH IS SUSPENDEO OB ABANDONEb FOH A PEflfOD OF 120DAYS AT ANY TIME AFTER Wt)RK IS COMMEAtCEfi. :'' NO. D1hlLG.' UNIT$ OFfSTREET PARKING 1 HEREBY CEATIFY THAT 1 HAVE RERD ANiJ EXAMINED tHiS AAPUCATION STALLS GARAGES AND KNpiN THE SAME TO 8E TRUE Al+FD CORREGT: ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORO{Ni�NCES GOVERMNG THIS tYPE OF WpRK Will BE COMPUED a�� .5O WITH WMEiNEfl SRECIFIED HEREIN QR.NOT. THE C�RANTING OF A PERMIT �9 DOES NOT ARESUME TO GIYE AUTHORITY TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIpNS OF ANY OTHER STAT.E OR LOCA� LAW REGULATING CON- 6.00 STRUGTION QR �HE PERFOflMACJCE QF CONSTRUCTION. t' �.- ` �/� PLAN CHECK FEE TOTAL6 E5O � � � 'dE S�GNATURE O. C�/�� / OR OR AUTHO IDATEI �_. HEN PROP VAIIDATED THIS IS YOUR PERMIT Y.3 ,(� ,.: � � � �- SIGNAT�pE F'OVIEtd£POF OWNER�BUIEOERI IDATEI �� Bl G. tN aTE _ . � . . ,� � � / — v APPLICATION POR RESTllENTIAL, AL1'�RIaTIO?�;, OR AllllITION BUILDING PERMIT CITY OF PRIDLEY, MINNLSOTA OWNER' S NAME : ( %O/` �/�1 �1 O V� BUILDER • (/�(�ir/�i /`�v�� .� ��al/i�o�✓�f ' .�lv y ,y.< „ ADDItCSS :�� C%(��ill�i✓ �//�(�/ � ADDRESS : ��3L- - 2 Z� ST`�fi.�� NO • ��U � S TREET • � �v�� ' LOT • BLOCK • � ADDITION :---��/' ��^/ � CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form �tao Certificates of Suxvey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION CF BUILDING Front: Depth: Height: Square Feet; Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: � .�� e� �,�G�<� ��U�l Estimated Cost: $ ��O �� To Be Completed: � The undersigned hereby makes applicati�n for a permit for the �aork herein specified, agreeing to do a11 work in st'rict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: G � � 3 � �(p SIGNATURE• �� _ (See Reverse Side For Additional Information.) `��.,`/�`' r �' � .u. `'� �� ~ � G� `��.� . suB�ecT P NO. City of Fridley 210 7 AT THE TOP OF THE TWINS g � i L D I N G P E R M I T ; � IPT NO. � � COMMUNJTY OEVELOPMENT DIV. � � v � PROTECTIVE INSPECTION SEC. �/ 7 7�� i----� �/�";,, CITY HALL FRIDIEY 55432 NUMBER REV. DATE PAGE Of APPROVED B� Z 612-571-3450 910-Ft5 � � 9 19 91 J08 ADDRESS 1104 Hackmann Circle NE t LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHEO DESCR. $ 2 Parkview Manor SHEET 2 PROPERTY OWNER MAIL ADpRESS ZtP PHONE Gordon Ova 1104 Hackmann Circle NE 571-8373 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Viking Home Iznproveznent Co, 4832 2� Street NE 572-1820 4 ARCHITECT OR DESIGNER MAIL AOOFiESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PHONE IICENSE NO. 6 USE OF BUIIDING Residential 7 CLASS OF WORK O� NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof Dwelling (20 S:quare�:i Tear^off 9 CHANGEOFUSEFqOM TO STIPULATIONS UnderlaXment zttust meet State Code for ice and water shield. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAI, PIUMBING, HEATING. VENTIIATiNG OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONiNG SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OH WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WOAK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION ]_ STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SUiiTAX ANO ORpINANCES GOVERNING THIS TYPE OF WORK W1LL BE COMPlIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT $Z�OSO $•52 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OFi CANCEL THE pEpM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIOtd OR THE PERFORMANCE OF CONSTRUCTtON. $2 %. OO Fi re SC $Z . OS PLAN CNECKfEE TOTA�FEE 28.58 S�GNATUREOFCONIRACTOAORAUTHOAl2EDAGENT IDATEI WHEN PROPE Y A A ED IS IS YOUR PERMIT .x� � SiGNATURE OF OWNEA �� OWNER BWIDER� �DATEi INSP q4TE � I7 �� [ J �� [ ] R-1 11t�ID �2 aiilding ilesmit l�pplic�tian a�tr�a� aaa=�ss: ��"e�� l�.�lQ �l�C��%Ie% EffeCtiv�e ],/1/91 � �� _ ow� x� � �: ��a�Do�l OvA — /lD� �f�elCt,��/� C�/�l� �, # S7l—g3 �3 oontrac�: li I l� r.v� 1-�o,n �. � M p,�o v�,•,.�,-t- c v, Tel. #� ��: �g 3 � �l � �- v S �" �- � 2 _ � �zo �ttadl to t3�is applicatian, a Qettificate of �^v�ey of tt�e lot, with t2ye p��apot-.ed draa�m an it to scale. �CSiIPTL�T � �lB�T� 7�VII� NtPJ�: Ier�gth Width Heic�t Sq. Ft. � Illi'FJ�: Ienc�th %Tidtii 1de��tt Sq. Ft. �C'R 11RFA: L�x�tii Width Sq. Ft. o��t' `�.e � -� � d Ro14 J.� � . Do�rner Lot [] Insi,de Iot [] Ft. Yd Setbac,k Side Yard Se�tbacks ZYpe of OorLStn�ctian: Esti.mated ae�st: $ — IC�S C> Approx. O�letian Date: PY�q�osed D�iv�way Width Zf New Ope�ninq Is Desired: Ft. $ $ / idth + 6' See Back page nATE: � / %� % �iPPLICANr: T�1. � �5 7Z - l �Z � P�ermit Fee $ � % � G' Fire S�rhazge $ % - D `� State S�rci�arge $ . S SAC Q�azqe $ I�iveway Esc�vw $ Fark Fee $ Sewer Main Charqe S . ��__ s'i'�'i'Iat�S: � S �?c� , �� 1N ��_---��•_ ,� Flae Sd�edule an Re�e�zse Side .001 x Permit Valuatian (1,/lOth �) S• �/Sl, o0o vatuatian $650 per' SAC Lfiit �lt. "A" C�' l�ilt. "B" l�lbov+e j� i�aMer�ni� bY ��1 �� YY [ ] � ��' [ ] l "r"k� Building Inspections 7. 63-572-3604 DATE �f —// srrE twDxESS _, TMS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERNIIT Tl'PE MECHANICAL RESIDENTIA.L APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS D. � �1/�' ❑ OWNER ADDRESS: C� PHONE: �� 3 � S% � " �"'�� COMPANY NAME:_ CONTACT PERSON: Permit No.: "�JU ' Received By: Date Rec'd: �' '�� STATE LICENSE # ' ADDRFSS: _ STA'I'E ZIP PHONE F� TYPE OF WORK: I � ��' E FAMILY ❑ TWO FAMILY �LACEMENT DETAILED DESCRIPTTON OF WORK � TOWNHOUSE ❑ ALTERA770N/REMODEL PER MS 16B.665 the permit fee is a minimum of $15.00 or 5°/. oithe total cost up to $500.00, whichever is greaier, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS Wi�RE IABOR EXCEIDS 5500, FEES ARE BA3ID ON 510.00 PFR f1XTURE, EXCEPT WHERE NOTID• FIXTLJRES= (II'IDICATE TOTAL NUMBER OF EACH BELOV� MODEL: C�KIU 7EI�1-�l S�Tt'I� Equipment Installcd . MFG: �� SIZFJBTU If/ JviFG; MODEL: �?}Z- MFG: MODEL: SIZE/BTU FIREPLACE (GAS) 515.00 . _GAS RANGFJOVEN 510.00 _A/C 525.00 T1EW GAS GRII.L SI0.00 AIR TO AIR EXCHANGEER S15 FlREPLACE (WOOD) S35.00 _G� �.r HTR 510.00 _BOA.ER 535.00 �FiJRNACE 535.00 CHIMNEY LINER S10.00 _GAS DRYER SI0.00 POOL HEA'I'FR 535.00 DUCT WORK S10.00 GAS PIPING 510.00 VENiILATOR 515.00 — z ..,... �.� �.;�,,�;.��..�..�.,c;:.... �.,.. _-.-_: __.._. _. ._. _ _ _ Permit Fee � Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures Qa $15.00 x$15.00 =$ TOTAL DL)E $ Number of fixtures @$25.00 x$25.00 =$�S�UD Number of fixtures @$35.00 x$35.00 =$ '�.O o State Surcharge = $ 50 Total = $�p_o TH1S IS AN APPLICATION FOR A PERM�T-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge that the infortnation above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota �Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT ,��%��J PRINT NAME !?I�I-� �)�� DA'TE �P OfO City of Fridiey Building Inspections Department 6431 University Avenue NE, Fridley, MN 55�32 763-572-3604 FA,�C: 763-502-4977 PLUMBING RESIDENTIAL APPL,ICATION City of Fridley � . ua� r.ri ��fi�p'G'�i� P ber _�t � NOTE: !F PROPERTY tS NOT OWNER/OCCUPIED- A UCENSED CONTRACTOR MUST OBTAIN THE PERMiT. DATE U [i SIT6 AQDRESS O 7HE APPLICANT IS: (CYtCI.� ONE7 YOUR E-If,q� �a��,l ;� �E � �vt , Gvd L r--�.n. �o�Rr► ow�w ,►��ss •- �� CRY STATE�t� aP..�3?- w,o� a G 3, .5 73 . 3-ib'3 � �':��°�r Citv S��at P��t�l, �!��. ucerrsE� � nou�ss �� iVaain St. N.E.. uite 3� -- - - -__ - --- cmr_ , Fridley. MN 554�`sTw� � � � PHONE � 7�-c�� PERNNT TYPe nr� oF wowc ./ o N�w DETIULED �Sl�IP'TION OF WiOWC � FE�S ARE BASED WI 510.00 PR.It FD(T[lRE. EXCEp'f WFERE (rpTED FtXTUIlEt�: (INDlCATE TQTAL NUMIBEit OF EA�H} Y�.+ �� «� .�� sr►TM s�twuv Ftoors oR�s sHOwett wa�tt �� snmrue t�►s w�a �ne.d aty taoa�ael � Poo� wa'r� so�+� �sss� CLQTNE$ WASNER KITCHEN SINK WATER CLOSEi �(RLONV PREV. (j15j DiSNWA3MER LAl/NDRY TRAY � WATER Nilt {�j FOR tRRIGATION • WATER ME7ER 4THER Permit Fee $_ �G MiNiM1fM: 518.00 pr 3'r. of cost o! the improvameret-whichever is Plan Review = greater on work less than � Surcharge i ,50 TOTAL DUE S Z S� . U Malce cfiecka payable to: City of Fridley - ---- �— ---- . .. . ......�.. ..... . ...... ��n..� � — inr � rw�wi un � � �KV4ESSED I heteby apply ior a plunbk�g ptrnlit and I acknowledge Ihit the iniotm�tion above is oortK�lele and aot�rat� Ihdt the work wiN 4o In oonf0imanoe wah tne aroinanoa and oodes of m. eIb ot r-ridley ara wia► Ihe binnesota (�xatruction eoesx a�ac � ur�de�sbntl aas is not a permit buc oMy an appliCation for a As� �d vMoAc is not b st�t wilf�+out a penrMk tfiat the wak w;Y Ds in a000aSanoe wi9� ttw �pprproed pien in the easQ d aM work whirl► requirea revlew antl epproral of pians. NAME OF APPUCANT ar SIGNATUFtE OF APPIlGIVT OV1TE 't�% -� � •, - a