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AF - 46793BUILDING PERMIT Villa.ge of Fric�ley, Minn. N° 2 0 91 Date . . . �� f • ��w;�• � . . . . . . . ' f^'"""'v Builder .��/. V�.-. �. �iQ�.�... . Owner . ��"'I��s . . . . . . . . . . . . . . . . . . . . . Address .�. f .� .. . .� ��j).� . • f� � (i . . . . . . . Address . . .,�•�� •��R... . . . . . . LOCATION OF BlJILDING "� r No. ...�.�..J..... Street . .. ��Part of Lot ....................... Lot . . . . . . t. �. . . . . . Block . . . . . .��. . . . . . . Addition or Sub-Division . . �,,,�,�,..,� / �' • � Corner Lot . . . . . . . . . . . . Inside Lot . . . . �y,,,.r: Sptback . . . � � .�. Sideyard . . . /� � . . . . . . . . . . . . . . . . To be Used as: �°�., #r . 1J�-�>r'f.•A;..�a.,r.4w .. � ,� _"� Type of Construction .. �ES�CRtPT10N OF BUILDING r' � . Front y „.". Depth _;' ' . . rieieht . r -- Sq. Ft. . .... .. . Cu. Ft. ... .... . ........ Depth ........ Heig:;t ......... --.. t.�,:�;.5t� Est. Co ' �;�� . . .. . . . . . . . Sq. Ft. ........ Cu. Ft, ........ To be Completed . , . ..! �; ,/. i . . . . . . . . . E!j 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 compliance with all provisions of ordinances of the village of Fridley. . . ... �1��.�".�.,�„.y�• �•!+' f • • .`. G�.�Gi.-Y . `�•, In consideration of the payment of a fee of $. : i� permit is hereby granted to ...�„�(�. .��Q�„� ... . . . . . . . . . . . . . . . . . . . . . . . to construct the buildin�of� a� ition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and worlrnien, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of �'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. , NOTICE: �i Inspector This permit does not cover the construction, instailation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see tfie Building Inspector for separate permits for tfiese items. � sus�ecr PER c�ty of Fridley 16 6 4 6 AT THE TOP OF THE TWINS B U I L� I N G P E R M I T r � � � � • � �,v _ .__ COMMUNtTY DEVELOPMENT OIV. • �� r � � PROTECTIVE WSPECTION SEC. �� /�"L � CITY HALL FRIDLEv 55432 NUMBER REV. OATE PAGE OF APPiiOVED BV �----�: ,.� 612-571-3450 9� 0-F15 6/18/82 � � JOB ADORESS 173 Hartmarin Circle N. E. 1 LEGAL �OT NO. BLOCK TRACT OFi ADDITION SEE ATTACHED oESCR. 1g 2 Sandhurst SHEET 2 PROPERTYOWNER MAI�ADORESS 21P PHONE A1 Hartman 173 Hartmann Circle N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Const. 6331 Ri.verview Terrace N.E. 574-9966 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAtL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residenti.al 7 CLASS OF WORK ❑ NEW ❑ ADDITION �7 ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Re-mof DweTling 9 CHANGE OF USE FROM TO STIPULATIONS Rpof can be 2nd but not 3rd roof. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENT�LATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OFi CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING i HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA��S GARAGES AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL PROVISIONS OF IAWS VALUATION SURTAX AND OROINANCES GOVEFNING THIS TYPE Of WORK WILL BE COMPLIED �`1�%OO $.8S WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �� `28� OO STRUCTION OR THE PERFORMANCE OP CONSTRUCTION. � PLAN CHECK FEE TOTAL FEE �� 6 ra� �L Sas.ss � S�GNATUREOFCON7RACTOFORAUTH ZEDnGEK� IDATE) WHEN PROPE Y VALIDATED THIS IS YOUR PERMIT � (Ql�8 SiGNATUAE OF OH'NER 11F OWNER BUI�DEAi IOATEI LDG INS . qAT CITY �F FRIDLCY Effective Aug. 1, 19s1 APPLIC/iTIO:�! FOft RCSIDL"i�(TI/tl. [3UILRIiiG PL(L'�ITS (We�•r, Alterations, Additions, or Repairs) ONJNER: A� /�a�fiMAN [3UILDER: (�.�� H e O l�-As�� 6 S ADDRESS: !�3 /�R2��v�K Ci�<<� ADDRCSS: 633 ( t�'iv��2v«> � �'�� TEL �VO: TEL f�0: S? �^99L b Construction Location • ST1t��T NO: / 73 STREET: ��4 2� M a�r/ C� ti'c L� i.oT: !`l sLOac: Z �,nnzTZON: .�1� ND yu,e s� Corner Lot: Insic3e Lot: Setback: Sideyards: Ap�licant attach to tliis form two Certificates of S1.irvey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOid OF COFJSTRUCTIOW � Front: Depth: Height: Squane. Fee�: Ctibic Feet: Front: Depth: Height: Squar.e� Feet: A�bic Teet: Rype of Cor,struction: (?� (Z�o F Estimated Cost: $J 7d o Rb Be Cbnpleted: % f!�� Z Alt. A Alt. B Proposed Drive«ay Width If New Opening Is Desited: $� $ . . SE� Re^.VERSE SIDE OF SHEET . T'iie undersigned hereby ma3:es application for a pezmit fcr the �:ork herein specified, agreeing to do ,all work ir: strict accordance y�ith the City of Fridley Ordi��ances aiid rulings of the Dep��rtment of Builclings, and hezeby declares that all the facts and represer�tatiens stated in this. application are true and correct. D��: SIGNATURE : Stipulations: � , . - ws�c�� . . . c�ty o� Fr�a�ey � � AT TNE TOP OF TNE TWINS 6 U I L D I��,./ P E R M I T r � � � • COMMUNITY DE�ELOPMENT DIV. � •V�� . . . . f � �� PROTECTIVE INSPECTION SEC. i . , i.___� ��" �.� CITY NALL fRIOLEY SS�32 NuMSEn L 612-57�-3450 9�aF�5 JOB ADORESS 173 Hartman Circle t LEGAL �OT NO. BIOCK TRACT OR ADDITION DESCR. i9 2 S�II�}lUTSt 2 PROPEfiTY OWNER MAIL ADOR�SS Connie Lane 3 CONTqACTOR MAIL AODRESS American Bldg. Contrs. 12247 Nicollet Ave 4 AFCNITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 8 USE Of BUILDING Residential 7 CLASS Of WORK NEV O�TE P�GE O: 11/1/99 / / ZIP ZIP 1—V1, PMONE _6g5� PHONE �ERMIT NO. 30465 EIPT NO. 6403 roRpvED Br SEE ATTACHED SMEET LICENSE NO �169383 UCENSENO LICENSE NO O NEW O ADDITION O ALTEFiATIpN �c REPAIR O MOVE O REMOVE 8 �ESCRIBE WORK Reroof house and garage f30 Sa) Tear-off 9 CNANGE Of USE FROM STIPULATIONS TO Underlay�nent must comply with the State Building Code. TYPE OF CONST. SEPARA7E PERMITS ARE REOUIRED FOR ELECTWICAI, PLUMBING. HEATING. VENTILATING OR AIH CONOITIONING THIS PERMIT BECOMES NULI ANO VOIO IF WORK OR CONSTRUGTtON 20NING AUTNORIZED IS N07 COMMENCEO WITHIN 60 OAYS. OR li CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOii A PERI00 OF 120 DAYS AT ANV 71ME AfTER WOE1K tS COMMENCED. NO DWI,G. UNITS I HEpEBY CEi;TIFV 7HAT I MAVE REAO ANO EXAMINEO TMIS APPlICA710N AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of �AWS yp�UAT10N AND ORDINANCE$ GOVERNING THIS TVPE Of WORK WILL BE COMP�IED �2622 WITH WMETHER SPEC�FIED HEAEIN OR NOT. TME GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTMO:iITY TO VIOLATE OR CANCEL THE pERMIT FEE RO ISIONS Oi ANY OTMER STA7E OR LOCAL LAW REGUTATING CON- R CTION OR TH RfOfiMA E OF CONSTRU TIO �H3. ZS PUN CMEGK fEE - Licens C S�GNATU E O� CON'QACTOp O�UTHO KEO �GENt �OATE� EN P( S�GH�TUAE O� OWNEp��f OWNEABU�LDEA� ��ri� BL �N4P ' OCCUPANCVGROUP OCCUPANCV�OAp SQ. PT CU fT OfFSTREET PAtiKING STA�LS IGARAGE$ 0 $1.31 SAC CHARGE Fire $2.62 / TOTA� E $9 .18 )ATE HIS,IS VJJW P i� ��afE . NEV� [ } � �ffective 5/10/99 ADDN [] �l Gj�' CITY OF FRIDLEY ALTER [] � SINGLE FE#MILY AND DUPL�X�S R-1 AND R-2 BUILDING PERMIT APPLICATION ' ' Construction Address: Legal Description: e � (�� ; 3� r\� , �V � Owner Name & Address: C�,1�1e �.� ��,..�.; Tel. /t �/—O/.!�? Contractor: �.a,,.4 ,,.; �,,,,,, ,Q�;/c%, � �',;��,,.s MN LICENSE €/ �/� ��g-� Address: /�y��/.�-a/�� .e �S' i�.f.�r�.��/�e �'trJ �:5.�7 Tel. l� 6i� ��? 6 9.s� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DC.SCRII'TION Or IMPROV�M�NT ' � LIVIl�tG AR�A: Lengtli Width Height- Sq. Ft. GA.RAGE AIZ�A: Lengdl Widch Height Sq. Ft. DECK AR�A: Length Width Hgt/Ground Sq. Ft. OTHER: �O �o�� Construction Type: /e e—��,� �"'� G�'�cEstimlted Cost: $_ `�'Z�'Z Z' -�----, , Driveway Curb Cut Width Needed: Pt. + 6 I't =__Pt x$ _$ � DA'TE: 0— S— i APPLICANT: Q;t��'� " Tel. # — ,/ / f ��/ .57�'� CITY US� ONLY Permit Fee Fire Surcharge State Surcharge SAC �harge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOT�1L. STIPULATIONS: $ v3 �� $ �_ �� $ /� � � $ $ S -� $ $ $ $ $ Z•f : Pec Sclicdule on Rcverse Sidc .001 of Permit Valuation (1/lOth!) $.50/$1,000 Valuation $1050 per SAC Unit � $5.00 (State Licensed Residcntial Contractors) Alt. "A" or Alt. "II" Above $450.00 Conservation Plan Review Fce Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 0 . ,, �