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AF - 45448� City of Fridley, 1VIi.�.. � BiTILDING PER.N�M'� N° 318 5 Date: . . . :'. . � . /.°.�. . °?� . . . . . . . . . . . . . . . .� Owner ....................................... Builder ...: „ .................. ................. � � ��R�� Address ...................................... Address ............................................. � LO�ATI N OF' BUILDIIl14� � �, No. . .��.. .4� � . . Sireet .�t ..... P Lot . . �, ... . .. .. .. o . e ...... .... .. .. . .... .. � . . . . . . dition or Sub-Division�. . • . • . � .� Block .......... . .. .. . . . . . . Lot......... . .. .. �,. .�� c .o. . . ..... Coraer Lot . . . . . . . . . . . . Inside Lot . . . . . . . . . . Setback .� � . . . . . Sideyard . %' � . . . . . . . . . . . . . . . . DE�RIPTION O�' �UILD6l\!� To e Used as: � `� 0 (� .. . .. .. . . . .. . . . . . Front . �. � DeptY� .�� . Height . . . . . . . . Sq. Ft. .�. �. J. Cu. F� . . . . . .. . ... Front ........ Depth ..... Height ........ Sq. Ft. ........ Ft. ........ Type of Construction ................... Fdst. Cost.l.�o.�.!�....... To be Completed ... ..��...... �� / ' ' J� r � �� y y �� ,r - ,� In considera.tion of tlie issuance to me of a germit to construct the building desribed 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 city of Fridley. .................................................... � Q -�� In consideratioa of the payment of a fee of $� �. �..., permit is hereby ted to ..` ............... ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the persoa to whom it is granted and hfs ageats, employees and worl�nen, in all work done in, around and upon said louilding, or any part thereof, shall conform in all respects to the ordinaaces of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit ma.y be revoked at aay time upon violation of any of the provisions of said ordinances. . � � �� `. �`�`"�!�Bui.�'ding Inspector NOTICE: This permlt does not cover the construaklon, inatallatlon o� alte�atPon fo� wlring, pt�nbing, gas heating, sewer o� wa4er. Be su�e to see the Building Inspe�to� for sepa�ate permlts for these ttems . . B�oc�-2 P�iP•f'YrEVV f�E��/t�"s' �fpo/r/aN ; , '"'°"�""` C. E. C O U L T E R � N PUTrINO " �BtN� LAND SURVEY�R F�a�e suevers � � CiTY LQT9 ' • LAK68HOR6 � °' ToaoaR�NIC MAPPINCa �`' (tE6IBT6RED UNDER LAWS OF STATE OF MINNESOTA �uDtctwt. � LiCEN88b BY ORDINANCB OR CITY OF MINNEAPOLtH 3300 LYNDAL� AVE. SO. MINNEAPOLIS 8. MINN. � , � TAYLOR 4-0370 � � . SvRvEY FaR ARV10 E��.9rPlsoiY �.�N.�vc. �aror,gnr'a �Irri°i�ca� _ _ . - - % 7 - - - _ — s'GA L E' / �-�D � 0� �� Orainay+� s� L/fi%i5'tr E�s'��f ` Q � \ i � � � b , ., ti � . ; f � � N . V � � 36 � P�'opo scod' R�sid�n�� , � 3� � � . ,, � � /O� � I hereby aertify tbet thie ie � : i 8 true and eerreet plst of a aurvey of : , � � Lot Thiar ty-t�ro i 32 ). sioak 'i4ao (2). PARRVIEW BEIaHTS ADDITI�i; �oka Cauniy. Mlnnasota. . /O � As eurveyed by me thi� 30th dey of Julyr 19rj8, A. D. . , � � o� t/ � � /� t� � � 9igned� ��G�G�.- _ � /Q°,� • ., � , L�inneso�a Re�istration _.3.p 4_�?s , I �� No. 2584 �f'--�927/� '" ' - 396=- -_ _ _ � %/- �,q - ��,� �V,� �' L A lV � _ �..� �, - , , ,_ � _ 5283 . � n r"� � City of Fridley, Minn. ,�. �/9�� 1 I ' ' 1 � ,,, .:_ / / / . . /� %�; `� � - -=;J s � �.��<,/ �'..�.�. : � /� � , „ , /— – -.. CATION O�UILDING No. _ ;��- st�eet � r �ot � I�ot _..� _ Slock � A tion or Sub- visf � Coraer Lot — Ina3de Lot �� -6e�tback � Sideyard -� — Sewer IIevation — — Foimdat3on Elevation DESCRIPTION OF BUILDING T �t �� nep+a� .� H�gnt �� sq. �. 5 2 a�, �.t, .S � Front Depth � fTeight Sq. Ft. C�. F't. �j►pe oY Constructfon �7G�� Est. Cost _� To be Completed In consideration oP the isauaace to me of a permit to construct the building described above, I agree to do th� proposed work ffi acc�rdance with the description above set forth and in complisnce with a11 provlaions of ordinaaces oP the dty of Fridley. � � .� � � �-- In camsdderation of the �yment of a fee of $�-- , permit is hereby granted to to canatruct the buflding or addition as d�cribed above. This permit ia granted up� the expr� condition that theperson to whom it is granted and Yus agenta, employees and worl�nen, in all work done in, around and upon said building, or anypart thereof, shall conform in all respecta to the ordinance� of Fridley� Minnesota g location, conatruction, alteration, maintenance, repair and moving of builciings wlthin the dty Ifmfte�s d�thia permit may be revoked at any time upon violation of any of the pruvis�tons of seid ordinance�. /1 n fV ,�'') Building Inspector Nonc� 1Ys p�emh doss ao� eovar t6s eoml�vcNoe, ImtallaHon for wIrU�9. P��9. 6as 6aHne, sewa� or wNer. 8� suns io ss� du Butldte8 les�or hr aparab � for f6� hmn. � � APPLICATION FOR BUILDING PERMIT CI�Y OF FBIDLEY, MINNESOTA 06�ii' S NL�ME.��.�f ___!�s�.� BUILDER,��/t��li � ��.g'.� �� '��/�'�' ADDRESS�� .�� ,��,o� � ann�ss /'D� �z ,�s�s�,��.�� C�� , LOCATIOPT OF BIIILDING No . � �� treet �� . Lot �Z Block ''L, Additiou or Subd: �� Corner Lot Inside Lot � --� ion SEWER ELEQATION FOUNDATION �.E0AIZOIQ Part of Lot � �� Applicant attach to this form Two Certificates of Survey of Lot and propoaed build- ing location drawn oa these Certificates. DESCRIPTIQN OF BDILDING To e� used . as : � ,� s� f/ �- Front�� pth Z Z Seighe �—� S q. Ft .� S'� Cu . Ft . °.�2-. �a Sf � Z Front Depth Aeight Sq. Ft. Cu. Ft. Type af Construction �JZ,g �,� Eatimated Coae �'� c—r� T� be Completed %%,Q �/' /,j �T The undersigned hereby makes application for a permit for the work herein epe�ified, agreeing to do all work in strict accosdance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that a11 the facte and representatians atated in Chis application are true and correct. DA� � `� ,_SIGNATtTRE -�=�� %'f �--��. (schedule of Fee Costs can be found on Che Reverae Side). � � T� .�-'�.". -� - � _ ._ .. C BUYLDZNG PEIiMIT F8E SCBEDULE Se�tion 2. The Inspector of Bu3ldinga shall, before ieauitag eny permiC fc�r ehe erectian of aay buildiag or structure, or,for any addition to any ex�ee- iag bui.lding or atrucCure, or for any alterations or rapaire to any e�is�ing building or structure, upoa application therefor, requira the payment by the appl3.cant for such permit of fees te the emounC herein below set forth and in the manner herein provided to-wie: Z.1. For any such permit for the erectioa o.f any f9.re-proof building, other than a gaia�e, warehouse, factosy or grain elevator� or fcr khe erection of any ffre-proof addition, for similar occupancy, to anq esistiag building �hall be 8t the rate of $i.40 for each one thousand cubic feet, or fraction Chereof, in such cubical contents. 2.2. For any such permit for the esection of anq fire-proof g�rage, warehouse, factory or grain eLevator, or for the erection of any fire-p�oaf adlditioa, fos similar occugancy, tb any exiating building shall be at the rate of $1.25 for er�ch one thousand cubic feet, clsesified as 01fizeproof" bq Section 502 of the M:Luneapol3s Buildiag Code. � �OUSES 2.3. Fos any euch perm3t for the erectiaa�of. any.nan-fireproof building other than a garage, wareheuse, factory or �rain elevator, or aay noa-fireproof addition, for similar occupaacy, to �ny existing building - per�it $1.00 fos each one thousand cubic feet. GA�AGES 2.4+,. For any such permit for the erection of anq non-fireproof garage, Ea4sehouse, factory or grain elevator, or for the erection of any non-fire.�roof additi�, for.sim�ilar occupaacy, to aay esfsting building or for each s�ach build3ag or addition - niaety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minim,uffi of $4.�, Fos the purpose of campu�i.a,g fees for building perm9,te, the c�abical contente of aay building or addition to a uniform beight throughout by multiplying the ground area covered from a point six (6) inches below the fleor line of the baaement or cellar to the average height of tha upper s�arface or to the averege height of the roof surface of the main gable of a pitched roof. 2.5. For repaira or alterationa to an existing structure, the fee shall be at the rate of $3.00 per each Five Hwadred Dollare ($500.00) or frsction thereof in the coat of all propt,sed work. 2.6. In no case shall the fep.chargad for any perm�[t as set forth in Sectiaa 2 be less than $4_00. �_ �, �� _ __ 7� I� a...' :r,�.�.��. . -- _ ' --�',� G SUBJECT City of Fridley AT THE TOP OF THE TININS g U I L D I N G P E R M I i � � � i • COMMUNITY DEVELOPMENT DIV. � Ly �'�� f � � PROTECTIVE INSPECTION SEC. � _ �"'t � CITY HALL FRIDLEY 55432 NUMBER REV. DATE 1..--� ' �•� 612-580-3450 910-F15 6 1 �. JOB ADDRESS ggl Hathaway Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 32 2 Parkview Heights Addition 2 PROPERTY OWNER MAIL ADDRESS John Piecek 991 Hathaway Lane N.E. 3 CONTRACTOR MAIL ADDFE Milton L. Johnson Co. 13 Central Avenue N.E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 8 USEOFBUILDING Residential ZIP ZIP ZIP PAGE OF � � J 12154 RE �� APPROVED BY SEE ATTACHED SHEET PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. 7 CLASS OF WORK � NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reside Dwelling - Aluminum trim and new gutters 9 CHANGE OF USE FHOM STIPULATIONS TO .� ;��r � ��n� 1e��'� Fc�R t'�A��l�`1r .��'� � �r *. TYPE OF CONST. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. A�.LtIR. THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R��. 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 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $1 rjOO.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $9 � OO STR CTION OR THE PERFORM E O CONSTRUCTION. � �'] � PLAN CHECK FEE 'd �y — / /"" SIGNATUREOFCONTRACTO O AUTHORIZEDAGENT IDATEI WHEN PR IDATEI SO. STALLS GROUP OCCUPANCYLOAD CU, FT. OFFSTHEET PARKING GARAGES SU RTAX .75 SAC CHARGE TOTALFEE $9.75 TED THIS IS YOUR PERMIT APLICATION FOR RESID�NTIAL, ALTERATION, OR AllllITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � �.� %� OWNER' S NAME :�,% 4� 1 ft� i L C. �� fti` BUILDER: j �-`Z` o� �. ��✓ �f �So .J L-� ADDRESS : �R� �A7� �+ cu�- y � � � ADDRESS : a � � 3 l, e � ; ��-� N.� NO:. j�f STREET 7>-( eq w A-� � f1 i✓ Z� LOT: o� �--- BLOCK: � ADDITION: � , e - CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: '�- Applicant attach to thia form Zwio Certificates of Survey of Lot and proposed buildiag location drawn on these Certificates. To Be Used As: HESCRIPTION OF BUILDING Front• Depth: Height: Square Feet: Cubic Feet; Front: Depth: Height• Square Feet; Cubic Feet: "�" �� ¢ �o 1�pe of Constructioa: �,u��-e_ `� ��v� Estimated Cost: $ JS"40o To Be Completed: �� S�� The underaigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordiaances and rulings of the Departmeat of Buildings, and hereby declares that all the facts and representations stated ia this application are true aad correct. . DATE : � - ! " ' 3 S IGNAT[JRE . ' � y �O (See Revarse Side For Additioaa.l Informatioa.) � � �v � � �S � (, � �j �J � A , BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to a,ny existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein pravided to-wit: UI�TIFORM BUILDING CODE: �►pe 1, 2& 4-$2.15 for each one thousa,ad cubic feet, or fraction thereof, in such cubical contents. �pe 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point aix (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average.t height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any peanit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the coastruction site. A Certified Survey af the lot, showing the location of the fouadation, once it has been constructed, will be required before proceed r� with the framing. CERTIFICATE OF OCCUPANCY Applicatioa for a Certificate of Occupancy shall be made ten (10) days prior to the uae or occupancy of any structure for which a building pemnit has been issued; aad said etructure shall not be uaed or occup3ed until a Certificate of Occup�cy has been issued. • t .� � � t. sue�ecr PERM City of Fridley 130'73 ' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RECEIP . r � `y _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. ��'� i' i ' ___•� �/��'� CITY HALL FRIDLEv 55432 NUMBER REV. DATE PAGE OF APPROVED BY z s�z-5so-aaso 910-F15 / / JOB ADDRESS 991 HATHAWAY LANE N.E., FRIDLEY, MINNESaTA 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 32 2 PARKVIEW HEIGHTS SHEET 2 PFOPERTY OWNER MAIL ADDRESS ZIP PHONE JOHN PIECEK, 991 HATHAT��,Y LANE N. E. FRIDLEY MTNNE50TA 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. YDS iiOME IMPRO T 4911 — 4TH ST. N.E. MINNEAPOLIS MINNESOTA 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILAODRESS ZIP PHONE IICENSENO. 8 USE OF BUILDINO 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK NEW ROOF 9 CHANGE OF USE FROM TO STI PU LATION S TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS AHE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOFK OR CONSTRUCTION ZONING S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 OFFSTR�ET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNIIdG THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFiITY TO VIOIATE OR CANCEL THE pERMI FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN EC EE TOTALFEE �� i1.C£�i� . L�R�Co� � 7�° A.�� SIGNATUREOFCONT � C OROHAUTHORIZED IDA7E1 WHEN PROPERLY VALIDATED TH S IS YOUR PERMIT SIGNATURE OF OWNER IIF OWNEH BUILDERI IDATEI BIDG. INSP ��A� e . - • . . . � ` ' . .APP'LICATION rOR RESI'DL'NTIAL., ALTI::RATION, � OR AllllITION.BUILDING P�RA�IT • CITY OF FRIDLEY, h1INNESOTA • � 1 1„�' �� `' �'� _-iy ' ' /..� _,� �� ,.,J.lL�� / � � �� , f ♦ .....�.✓�,.., '�� /�%./._, � ��. NO:. � STREET• � LOT: BLOCK• ADDITION: GORNER LOT: INSIDE ZOT:_____ SETBACK: SIDL'YAFD: Applicant 2.ttact�a to this forn. Tcao Certificates. �f Surve ..of Lot and.pxoposed . building location drawn on these Certi.ficates. � Ta Be Used As: HESCRIPTION OF BUILDING � Front• Depth•� ' Height: ,- . Square Feet: Cubic.Feet: � Fxont: _Depth: Aeight: . . Square Feet; Cubic Feat: � � ° Estima.ted Cost: $ !�, G%D � ��'/ Type of�Construction: . To�Be Completed; � ' ' . • The undersigned hereby makes applicatinn for a penuit for the work herein speci�iec#, agraeing to do all worlc in stiict accordance caith the City of Fxidley Ordinances and rulings of the Department of Buildings, and her�by declares that all the facts and representations stated in this application axe true and correct. � � • DATE: _, ? /� SIGNATURE: � . (See I�everse S de Fox Additional Information.)� � U O �� 1�� . . � � �Z 1�.�.c� . . • � �. . _ � _ . � � �-=z� � � , � . �� , � � . 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'pu� axn��ru�s pasodozd a� �a Mai�az xadoad .zo� Motjs o� �uoz�s.�ZtddB �o anrc� a-� uzox� sznoq t�Z �o �rnuiuitu ��panssi aq jZZM uot��nz�suo� zo� s�zutxad �$.LON a ,� �iOIZdQNI103 30 NOIZI��I3I2i�A . •00'S$ u�� ssaT . aq Z uo�C�aag u� u��o� �as s� �im�zad �Cu� �o� pa�z�q� aa� au� Ttsus as�� ou uI 0 , •xzoM pasodozd lla �o �so� a� ui �oazau�. uoi��8z� ao (00'OOS$) s��jZop�pazpuny,atii� q�Ea zad 00'£$ 3a a��z • au�. �� aq IjEus aa� aq� �azn��nz�s �ui�sixa uE.o� suoi��sa�t� �a s�ZSdax xog . . � � . •�ooz pau��zd s�o aZqE� uz�u au� �o a��zns �ooz.aq� �o ��iaq. �a�Eaan� aq� o� ao a�s�,zns zaddn au� �o s�q�iaq a�saan� au�•o� zsjta� a�� xo •�uautassq au� �o auzZ zooj� au� r,oTaq sau�uz (g) x-�s �uzod s uioz� pa�anoa � Ea�a punoa� au� •�ui�iZdi�.jniu fq pautuzza�ap si � uoi�-cppE zo �uzpTZnq �ius �o . s�ua�uo� t��iqn� aq� °s��tw.zad �uzpZznq xo� saa� �uz�ndiuo� �c, asodand aq� �03 . . , . . HO I Zd6�RI03Iv I'I�iNOI.L I QQti . . . •�aa� �iqn� pu�snoq� auo q��a •.• ��3 S8'Z$ - S'4 £ ad� •.s�ua�uo� ZB�Zqn� q�ns uz �3oax�u� uoz��z,� zo :�aa; a�qn� pussnoq� auo q�Ea zo� ST'Z$ -�I '3 Z`I �d� ��QO� ��IiQZIl1g L�2I03I1�II1 ' � • : ��cy-o� p�pinosd uia�.ac; xauut�u aq� �� pu� u�zo� �as Mojaq utaxaq �uno.ue aq� o� sa�� o �iuuad u�ns xo� �u��tidd8 aq� �Cq �uauceCsd aq� a,zZnbaz �aaos�.xau� uoi��zZdds uodn �a.zn��ni�s xo 3uipZ-cnq �ui�s�xa �Cus o� szi�d�z zo uo��a��Z� �Cus .zo� zo �a�n��nzZs so �uipiinq �u-��s�xa �Cus oa uoi��pp� �tu� xo� a�o �axn�anz�s xo suipjinq �CuE 3o uo��axa at�� zo; s�-�m�zad Su�nss� axo3�q 'ZZ�eqs s�u�pZ�nQ 30 �o�aadsul at�y •Z L�OYy��S .� _ � . _ �, . . - . • �- � : � ��rnrtcrtr�c :r�.� r Tr��rTa ��rrr��rTna • � . ' ' ' ' - �.. � G�� .�11�-�.� BIVANICH JAMES MARTIN 891 giATHAWAY LN NE � FRTDLEY MN58432 R24 30 24 82 OQb2 � PARRVI�VP HEIGHTS ADDITION CITY OF FAIDLEY L4'� 32 BL8 2 PARRVIEW HT9 ADD-3UBJ TO 6 FT DBAINAGE Fi iJTIL EAS� ALOIdG N LINE- 02t}�07 � � FOR THE PURPOSE OF OBTAININO THE HOMESTEAD CLASSIFICATION AND UNDER PENALTIES PROVIDED BY LAW FOR MAKINO A FALSE STATEMENT I DECLAHE THAT I HAVE YOU ARE RECEIVING ONLY ONE HOMESTEAD CARD OWNED AND OCCUPIED THE PROPE TV DESCRIBED ABOVE CANTINUOUSLY ... WHICH WILL BE USED TO PllT THE HOMESTEAD CLA$S SINCE R^ �� 19�qND ON JAN 2. 1�91 ON ALL (�1 PARCELS YOU OWN. ALL OWNERS WHO OCCUPY THIS PROPERTY MUST S113N AND FILL /N THEIR SOCIAL SECURITY NUMBER BELOW - FAILURE TO DO SO WILL MEAN THE LOSS OF YOUR HOMESTEAD CLASSIFlCATION. IF SOC. SEC. NO. lS /N ERAOR PLEASE CORRECT BELOW. ` NATURE �� SOCIAL SECURlTY NO. ' . 471 48 8336 00514269 I I DATE: PHONE: IF THIS PROPERTY IS RENTED OR NOT OCCUPIED PLEASE CHECK HERE ❑ AND RETURN TO SENDER �: 20 2 4��000 4�: 0 � ��' 30 24 3 200 5 2��' c�ty of Fridley S�B�E`T �R� � �.�, AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. ' j L ��-, °'7��i('%' r � � PROTECTIVE INSPECTION SEC. � � p � � /"'1 � CITY HALI FRIDLEV SS432 NUMBER REV DATE PAGE OF APPROVEO Bv �"""� � ,'' 612-571-3450 9�0-F15 6/30/97 � � JOB ADDRESS g91 Hathaway Lane NE � LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. 32 2 Parkview Heights Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Sivanich 991 Hathaway Lane NE 574-0548 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same A ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WOHK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House (16 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PEfiMITS ARE REOUIFEO FOH ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR 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 ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1�320 �p.66 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �,[�,S . 7S Fire SC � 1. 32 STRUCTION OR THE PERFORMANCE Of CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $47.73 � NATUREOFCON'RACTORORAUTNORIZEDAGENT IDATEi WHEN PNOPERLY LIDATED THIS IS Y UR PERMIT ^ �% r4r�n d! �0 �a 3� 9 � � � �. i NATUFEOFOWNEAUFOWNEABU�I �RI IDATEI BlD �NSP qp NEW ADDN ALTER [1 Ll [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICAT�ON Effective l/l/97 '�,! � � ConstructionAddress: y% �'/,g ��1� G . �_ � G � � Legal Description: C�Z?% .�� `` � , � / G� /Lvr � �-c� r <�f�i`3 0 � - Owner Name & Address: o��%i�i�,.$ Si d� ,t/,�' �'/�►- Tel. # 6/Z f72 �'-oJ' �� Contractor: MN LICENSE # J"�%-C��"4r,� Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPi'ION OF Il1qPROVEMENT �n8� �� P Width �_ Height Sq. Ft � `\ Length �! . Width Z 3 Height Sq. F.-�fCa J'� '� � w�i� th Hgt/Ground Sq. Ft. - .� – �!�c�-� s � /� S — � Construction Type: ' � ` �,�, ��ated Cost: $ ��C-y � � (Fee Schedule on Back) Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ —$ . ,� A �. DATE: .30 % APPLICANT: Tel. #.ir� y� S� �f CI1'Y USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � S SJ $ �� e �� $ $ $ $ $ � $ �- � �� Fee Schedule on Reveise Side .001 of Permit Valuation (1/lOth%) $.SO/$1,000 ValuafiOII $950 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 [ ] [iUILD[NG PERMiT NEE SCHLDC�Lt? `I'hc Gliief Bui(diag Official stiatl, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing buiicirn� or structure, upon application therefore, require the payment by the applicant for such permit of fees to tlie amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $�O1 to $2,OOfl �?,001 to $25,000 $25,(}O1 to $50,000 �50,001 to $100,000 . $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEFS $21 (Minimum Fee is $21 plus surcharge) $21 for first $SQO plus $2_75 for each additional $100 or fraction thereof, to and including $2.000 $b2.25 for fust $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including �25,000 $349.75 for first $25,�0 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $SO,OOD plus $6.25 for each additionai $1,000 or fraction thereof, to and inclu�iing $1�;000 $887.25 for first $1(m,Q00 plus $5.00 for each additional $1,(�0 or fraction thereof, _to and inciuding $500,(l00 $2887.�5 for the first $500,0� plus $4:25 for each additional $1,� or fraction thereof, to and including $1,(�O,OUO $50:12.25 for t�e first $1,QD0,000 plus $2_75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW {Conerete C}urb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Drive�vay width plus 6 feet times $13.�0. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus b feet ti�nes $15.75. VERIFICATION OF FOUI\TDATIO\ a'crmits for construction will be issued a minimum of 24 hours from the time of application to allow for proper �vie�v of the prop.osed structure and of the construction site. •� Certificate c�f Survey of the lot, sho��c�ing the location of the foundation �+nce it has it has hcen.construc�_:+. ��+': '�� reyuired h�fore j��-<�cecdin`� ��itt� the framin�*_ . � 0�� '�'.