AF-W - 47127�._ � ,.
SUBJECT � P •
Ciiy of Fridley W�cKrNG 21790
AT THE TOP Of THE TWINS X��l���� P E R M i T
; � RECEIPT NO.
� �
� • COMMUNITY DEVELOPMENT DIV. / / �
r � L � PROTECiIVE INSPEC710N SEC. � ���
� � �./
� �
� � /'��1 � CITY HALL FRIDIE� SS43Z NUMBER REV. DATE PAGE Of APPROVED BY
�"""� � �'' 612-571-3450 910-Ft5 4/14/93 / /
JOB ADDRESS 660 Helene Place NE
1 LEGAL �OT NO. BLOCK TRACT OH ADDITION SEE ATTACHED
oesca. 5 9 Donnays. Lakevi.ew Manor SHEET
2 PFiOPEFTY OWNER MAIL ADDRESS ZIP PHONE
Robert Sennek 660 Helene �lace NE 571-6223
3 CONTRACTOR MAIL ADDRESS Z�P PMONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS Z�F PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ,L� FiEMOVE
X
8 DESCRIBE WORK
w.reck 22� x 16� Gara e
9 CHANGE OF USE FROM TO
STIPULATIONS Clean Site o� all dempliti,Rn debris.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD
SEPARATE PERMITS ARE FEOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCEO WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GAHAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAI(
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $1S.QQ
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECKFEE TOTALFEE
$15.00
NATUFEOFCON'AACTOAOA HOR�ZEDAGEN �DATEi yyH PEf3lY VAU TED THIS IS YOUR PERMIT
p�. �-�-R-�- 4-"i �-'`�3 , ' � ��'9" "�.3
- SiGNa�i�REO�OwaEA��FOwNEpBUit.DERi iDATEi L G�N P f)FTE
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cr�r o� �mr�t
�ovn�c � � �r.ic�,zza�t
e�ehe Pc4�e �� �ndl�
�gal t,�escriptian: on n�a N S L�`,c.e J� eul
c�wr�er & �ress: Rober +
L-• �cr.ne f�
M anar �o�c� •
MN ��3Z
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�"s :� °b ac�dc�}rel . # �J' '7)-b2Z3
�onttactor • S a M Q. ckS O-� r�� i �.#
Ac�dress: State Lioense #
. r_ «• • .;- :_�1r � �..
Living Area: Ler�yth Width iieic�t Sq. Ft. ('u. Ft.
i
Garage Area: Ielx�th 2Z Width �_ Heic�t $ Sq. Ft. �Z c�. Ft.
Other: Iength Width Height Sq. Ft. CU. Ft.
�t�� Cost °f Wr�Ckin9/Movin9 Approx. Cktt�letion Diate
� � �:,ti • :�- • • ���
City Water/Sewer I�ls. Gas Oa�Qany Northern States Pow�r Northw�stexn Bell T+el Co.
571-3450 [ j 372-4720 [ ] 566-9120
[ J 293-0665/293-1319 [ ]
Water Bill �aid: Yes [] Amaant Zb Be p�llect.ed [$ ] Initials
Mwing R�oUte:
FEES
Moving: Principle Buildir�g into FYidley .... $ 80.00
Aooessory Building into FYidley .... $ 20.00 x;*+;�*�, gee; $15.00
�rou�, within or out of City .... $ 15.00
Wrer,Jc.ing: For each 1, 000 cubic feet or fractioaz .$ 1. 25
For structur+es which would be inQractical to cube, the fee shall be based on the
to�tal oost of wreckinq at the rate of $6.00 for each $500.00 or fraction.
���i9i� �y n�akes applicati� for a permit to wnec,J�/n�vve the buildir�g described
aUove, agreeincJ to do all w�ork in strict avcon�anoe with the City Ordinanoes arzi rulings of
the Bu.ildincl DePa�exit, ar�d the State Gbde which requires aryy water w�ell on the PropertY
to be sealed by a State lio�nsed water we11 driller, and he.r�yy c3aclares that all facts ar�d
rePresentations stated in this applicatioaz ar+e tn�e arri ,
._ U a `'' •
PER�QT FEF' •
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8R'IPOIATI�S:
-._:� t .,�
Date
Owner
Addres
0
BUILDII�G PERMIT
� Village of �pidley, Minn. N° 2 4 91
....... ( �.�•...�', ...��� 7
��%� Builder . . . . . . . .',rGfs�,!�'':z�'� . . . . . . . . . . . . . . . . . . .
. . . . �^�-`.-:at�A:rL,��G : . . . E��.l-�.�. Y?��. .
s . . . � .�� . . .����t'-!i! .�!W�iG� Address . . . . . . :�%��--C.✓ . . . . . . . . . . . . . . . . . . .
LO ATION OF UILDING
�
No. . . . . . ���. . Street . . . �. . . f . . . . . . . . ,��'�•C.-�.,�. . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . .
Lot ................ Block ................ Addition or Sub-Division .......................................
Corner Lot ............ Inside Lot .....4!..... Setback ............ Sideyard ..........................
To be Used as:
DESCR[PT101�! OF BU{LDtNG
' F < �
, , r.
Front . . r'. s . . . Depth .., . �Iieight . . . . . . . . . Sq. Ft. : . . . . .`. . Cu. Ft. . . . . . . . .
. .. .. .. . . . . .. .. . . . . . Front . .. .. .. . Depth . . . . . . . . Hei�i�t . .. .. . . . . Sq. F't. . . . . . . . . Cu. Ft. . . . . . . . .
� .� -,�� �
r . �
Type of Construction : . . :': : r :^� : � : : � Est. Cost . . . . . r. .k `: �: . . .'`:'. . . . . . . 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 set :orth and• in compliance with' all provisions of
ordinances of the village of Fridley. _ �� �f�`:r
^ ��
/�.� Y �4'i/'i..+ �� ��/ �� � �
$ P y granted to «C.�:- . .
onsiderati of the payment of a fee of .�ti✓ .�. , permit ' hereb .....>.
.. to construct the building or ad ditio s deseribed above. This permit is granted upon
the express condition that the person to whom it is grantc�and his agents, e�ployees and wor�r►en, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
F'ridley, Minnesot3 regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any timo upon violation of any of the provisions of said
nrdinanceS.
��,�J ��
•�1 t . .Gr�:�`..• .. . !:�:-�r:�:���✓. Building Inspector
NOTICE: "
This permit does not cover the construction, instaliation or alteraEion for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.