AF - 47101�Cit of Fridle , Minn.. �
Y Y
BUILDING PERMIT N° 4 3'7'7
Date: .....��~ -� ._-�_�_.... �- �� - ...- --
Owner: �� Builder -� �- - � -- - -� - -.......- - ---- - -�---- -....
- - �--- - - . - -- -- ...... ..._.... .
Address- - - ._...- - ��- �-�- _.-- ....... . ....................-------�----�----------------..... Address .._..._... - - -- - - - - - -........ - ... --- .................._....----.......
LOCAT OF BUILDING
No. - -(l/ � � � Street - ��-... .._ ---- ----�-- - — -- ............ ... Part of Lot ..-- - -- ...- - --- - -- -- - � -- ----
Lot ...........� ............ Block -- _ .G�...:_. _... __...._.. Addition or Sub-Division/� . . . -�� - - - --!%�'�"yp�i
Corner Lot .. --- ._ ....... ...... Inside Lot ._.<l___ --- - -__ __ Setback .. _-----__._.._..._...--------... Sid�
Sewer Elevation
Foundation Elevation .....
DESCRIPTION OF BUILDING
To be Used as:
ac/� ... ..... ... ............ ._ Front �s�_:,'ODepth o�7..�...� Height ..�d.. _� Sq. Ft. ��..d. Cu. Ft. .�-_�A 'd
. _....._ _ .. - .. Front .. _ Depth _ _ __.... Height _ ... . Sq. Ft . ...... . ..... Cu. Ft. . . --
Type of Construction __ .._ _._.... _ .. __ Est. Cost _._��o . / _._....... To be Completed __ ..... .. .
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 se�€a�th and in ��ia�ce with a r�ons of
ordinances of the city of Fridley. �/ () , ,
In consideration of the payment of a fee of�..�,J__._.._...._..__, permit is fiereby granted to___ ........................
....._ ................_...._....._......__........__....._.............. to 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, aroand and upon said building, or any part thereof, sha11 confdrm in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisians of said
ordinances. i ��
Building Inspector
NOTICE:
This permit does not cover the eonsfrudion, insfallafion for wiring, plumbing, gas heafing, sewer or water. Be sure to see
the Building Inspector for separate permits for fheze ifems. �
4
SuBJECT •
City of Fridley 2 61 14
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
� � RECEIPT NO.
COMMUNITY DEVELOPMENT DIV. � �, //
r � v � PROTECTIVE INSPECTION SEC. "�! (O
� �
1 = �
� /"'1 � CITY HALL fRIDIE� SS�3� NUMBER REV DATE PAGE Of APPHOYED BY
�""� � �'� 612-571-3450 9t0-Ft5 6/1/98 / /
JOB ADDRESS 630 Helene Place NE
1 LEGAI �OT NO. BIOCK TRACT OR ADDITION SEE ATTACNED
DESCR. $ 9 Donnay' s Lakeview Manor SHEET
2 PROPERTV OWNEii MAIL AOORESS ZIP PHONE
Crawford Foraker 630 Helene Place NE 574-9389
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Same
a ARCMITECT OR DESIGNER MAII AODRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PNONE IICENSE NO
6 USE OF BUILDING
Residential
7 CIASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION a REPAIR ❑ MOVE O REMOVE
%
8 DESCRIBE WORK
Reroof House & Gara e(17 S) Tear-off
9 CHANGE OF USE fROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPEOfCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PENMITS ARE REQUIRED fOR ELECTRICAL, PLUMBING, HEATING,
VEfJTIIATING OR AIR CONDITIONING.
TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU FT.
AUTMORIZED IS NOT COMMENCED WITHIN 60 OAVS, OR IF CONSTFiUCT10N
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERI00 OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIfV THAT I HAVE REAO ANO EXAMINEO THIS APPLICATION I STALIS GARAGES
ANO KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS yq�UAT10N SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED $1,584 �.%9
WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING Of A PERMIT
DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �S 1. ZS Fire SC � 1..SH
STRUCTION OFi THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE TOTA FEE
$ 3.62
NATUpE O� CON'RACTOA OA A rH a� �AGENT �D�7E� EN OPE ALIDATED HIS IS YO R PERMIT
_ ��� . -� _9
SiGNATUFiE OWNEFl� WNEABUILDEAi 1 A ipgp qsTE
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CITY OF FRIDLEY
SINGLE FAMILY A�YD DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: � � �j ��.p l � � /b�a-c...2�
Legal Description:
Owner Name & Add�ess
Contract�
Address
Effective 1/1/98
� � �1��
�
�
�
� I-ci. l c. � r-� �, �'v r �c -2 y� Tel. #�J��I`�� �T
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIP'rION OF Il1�IPROVEMENT
�+��� �.�� '���
�•- �-- � �,•��- -
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: ��_ a d ,� �� o � �f -� 1. .��s .- �-Q 1'-e � i S`�21� �- -e "
Construction Type: U S - a� .2 Estimated Cost: $ ��c,�
-�ar � � (Fee Schedule on Back)
Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$
_$
DATE: �� , APPLICANT: �� Tel. # eS`�� �'��T�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� �"/� �S"
$ �- �
$
$
$
$
$
$
$
$ �� . �a
CITY USE ONLY
Fee Schedule on Reverse Side
001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ )
.._-�-_
sue�ecT PERMIT
City of Fridley 9 0 91
, �T TME T°P °F t�E TW,NS g U I L D 1 N� P E R M I T R o
r
� �
COMMUNITY OEVELOPM�NT DIV. /� �J/�
r � L � � PROTECTIVE INSPECTION SEC. ���
i •
j, --_. A�'�' �'� C�TY HALL FRIDLE� 56��2 NUf��fN f1EV O��E 9AGE O� A9P11pvE0 9r
` � � 612-57�-3a50 s�o-F�s 3/26/99 / /
J08 AODRESS
630 Helene P1ace NE
t �EGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACMEO
oesca. g 9 Donna ' s Lakeview Manor SNEET
2 PROPERTY OWNER MAIL AOOfiES$ 21P PHONE
Crawford Foraker 630 Helene Place NE 574-9349
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
BWE Construction 47 r R Lak MN 5 014 484-8410 20058969
� ARCMITECT OR pESIGNEF MAII AODRESS ZIP PHONE LICENSE NO.
S ENGINEER MAIL ADORESS 21P PMONE LiCENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADOlT10N � ALTERATION p REPAIR p MOVE O REMOVE
X
8 DESCRIBE WORK
Reside House & Gara e
9 CHANGE OF USE FROM T�
STIPULA710NS
Call for building wrap inspection before covering.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunda�.
TVPE OP CONST OCCUPANCY GROUP OCCUPANC� IOAD
SEPARATE PERMI7S ARE REOU�fiEO FOR EIECTRICAL, PLUMBING, NEATING.
VENTILA7ING OR AIR CONOITIONING
THIS PERMIT BECOMES NULL AND VOIO IF WOfiK Oii CONSTiiUCT10N 20NING SQ. FT CU fT
AUTMORIZED IS NOT COMMENCEO WITMIN 60 OAVS. OR IF CONSTRUCT�ON
OR WORK IS SUSPENDEO OR ABANOONEO fOA A PEFl100 OF 120 DAYS AT
ANV 71ME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFfSTREET PAiiKING
I HEREBV CERTIFY TNAT I HAVE REAO ANO E%AMINEO TNIS APPLICA710N �' STAILS GARAGES
ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PpOVIS10NS Of LAWS yq�UpT10N SURTAX
AND OROINANCES GOVERNING 7MIS TYPE OF WORK WILI 9E COMPl1Ep
WITH WHETHER SPECIFIEO MEpEIN OR NOL TME GRANTING OF A �ERMIT �S � OOO �2. SO
DOES N07 PqESUME TO GIVE AUTMORI7V TO VIOLATE OR CANCEL TME pEqMIT FEE SAC CNARG
PROVISIONS OF ANY OTMER STATE OR IQCAL LAW REGULATING coN- �99. %S Fire �S . OO
STpUCTIp 7ME PERfpRMANCE OF CONSTAUC710N
PLAN CMECK FEE TOTAt, F E
,,r L' S $5. 12.25
Si •TUpEO�CON'NACTOAOpAUTNOp�2E0�GENT ID�TE�
/ EN P P T �UR p �T
�
S�GN47UqE O� OWNEp��� OW�+EpBU�IOEtii IO�TE� BL�G � SP - ���'TE
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ConstructionAddress :
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�..�,._
c,c
Effective 1/1/99
D�,
�(� ��o
�
Owner Name & Address: C�^�. w �� �o �� ��c� ✓' Tel. # S 7�' �.3 4/ q
,� C...►. � �crc-�s T v�-�• ��� MN LICENSE #�0��7� 6 �l
Contractor: �
Address: �76 �x.�. �-�a�r� �c� - �� l ,,,�•s „�Soi�/ Tel. # ��' `�c�`-�' �`�/ o
� Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECS AREA:
� i� �
DESCRIPTION OF IlVIPROVEMENT %Y E'�' S' �' ^ y
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
�E..,u✓� c� !G` S%��rv /'2D�c�t ...�- / Y1 N�° •-✓ IVd S��'
✓
v s e.. p[ y u� c.. y L
Canstniction Type:_%'(�� �'���- �� Estimated Cost: $_ �, ���� �J
(Fee Schedule on Back)
Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DA1'E: 3�G� S f� APPLICANT: ��✓�� G-��'s �N Tel. #�s /- �/d°y -7Y2 �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATTONS:
$ ��_
$ � � C�v
$ a- �.�
$
$ s - vd
$
$
$
$
$ l�. �?S�
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1 / lUtt� °b }-
$.50/$1,000 Valuation
$1050 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 [ ]
�
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