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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 NEW ADDN ALTER [l [l L] 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 �•,a�_°'�'� NEw ADDN ALTER [l [l � 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 [ ] � ,� --