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AF - 45805�,� � < � City of Fridley, Minn. BIJII,DING PERMIT �te: . .��.-..� . :-.. .:�� .. .. . . .. .. . . ... Owaer....................................... Address ...................................... �;'''�} N° 3581 � �. Builder . 1��- .✓,r�r��2` ' " " " " "' ' '�I �_.1��?�' �. Address ............................................. , �-O�C�►TIO1V OF BUILDINC � �% � No. . . �� . : � Street . .�!'�i�''�.i��1 /'�/ . . . . . . : . "� :�. . . Part of t . . . . . . . . . . . . . . ,� - . . . �f Lot . . � � . . . . Btock . . . . �. . . . . . . . . . . . ��on or Sub-DfrrIsion . . . f �' v,��». ; ki'. . � � �'� . .�t�, "� . . . . . ............ .... . -� , • Corner Lot . . . . . . . . . . . . 7nside Lot � . . . . . . . . . Setback �� . : � .. Sidey*ard .�� : . � . . . . . . . . . . . . . . . . . DESCRIPTION OF BUILDING T be Used as: � �:�utl(�l�!�°: ��.. � �-a .. ° � q � � . F�com '� DeP� •-: .�.� � �xei t � ; .� '' � � � `�. '' • • S�► Sq. F't. ��%.�.a . .� Cu. Fk� . . . .. .. .. .... .. .. .. . .. I+'ront . .. .. .. . • •Depth . .. .. .. . He�igh,/t Sq. F't. ..... .. . G�. Ft. �, .7'. . .• . �� . . . . . . . . . Type of Construction ................ �st. Cost..�.G�, .. �....... To be Completed .......... ... In consideration oi ffie issuance to me oP a permit to construct the building desribefl above� I agree to do the proposed work in accordance wlth the des�rlption above set forth and 3n compliance with all pr visions of ordinances of the city of Fridley. � . " ' .(._: . '� . �� ... In consideration of the payment of a fee oP $. �. .. ... .., permit is hereby gran�ted to . .. .. .. .. . . .. . . .. . . • • • • • . • • . . . . . . . . . . . , to construct the built]ing or addition as described above. This permit fs granted upc>n� the expreas condition that the person to whom it is granted and hia agents, employees and worlflnen, fn all work done in,, around and upon said building, or any part t;hereoP, shall conform in all respects to the ordinances of FridleY, 1►2innesota regarding location, construction, alteral3on, maintenance, repair and moving of bu3ldings with- fn the city limits and this permit ma.y be revoked at any time upon violation of an� the provisions oP said ordinanc�. �; : -. . . �'.��G'� . B di�g�Inspector � NOTICE: Thls permlt does not cover the conat�uatlon, In9tallation o� alie�aiion for wl�ing, � sewer o� wate�. Be su�e to see the Bullding inspeato� fo� sepa�ats permits fo� these s� K� gas heating, ; � BLOCK / OSTro��'s THi�o /�/��Pi'OGN � � '"°°°'�'"'- C. E. C O U L T E R � ""�""° I BUBIN688 � . � �I1QM BYRYir6 i, CITY LOTB � LAND SURVEYOR . u�uaHORc TOPOORAPtI1C M1IPPIN6 �+� RBGIBTERHO UNDER LAW8 OF STATE OR MINNBBOTA JuDteuL �, � LICENBEO BY OROINANa: OP CITY OF MINNEArOIIS �. /�% 3300 LYNDALE AVE.' S0. MINNEAPOLIS 8. MINN. ,r�' TAYLOR 4-0370 0 � SuRY�Y �aR BUfl BE��Y : ,s �a�gnr'B (Q�r�ra�r Se�R[ �'�' / `".�t?' I� 3�- ' � � � I ' I N ~ - �.; ,o , � � !I � ^, \ N � I �. 22.2 � i � ro;F -o , _ /��n I � � - �_� _—_��-/�� f �. � '� S - � � � . �' � � �� , • /0� \ � r. � � Q f � � , 1 � � � ��' . � � � � �� a D �� - ,a ; �w_, _ d�� °� a� �, � °0 �� `� v �, � � � O � �,� � � � ' � ' � .�s o ;� � �I � �1 � � � `� ��o.r - -�¢37� = - �ron' ! � ' � � � ; I � � I . I hereby certify that the above is a true anci correct plat of a survey of � ,, Lot Thirteen (1� ), �lock Cne (1), OSTP.�AN'S THIRD f�DDITION, Anoka County, i�iinnesota. - � As surveyed by me this 19th da�r of November 1958 a.D. �, S i gned . i( �, , i,� P '; � ��' �--`"+�' ,,. �I . ,�►inn�sota Registration No. 2�84 - - - - - - - - -- - - --_-- - - --- - - - - -- _ _ __ - - - - -- - -- - - __- —.�_ _� �_ __.��,_�--_.„ _ _ _ _ _ . _ '� � I � � �,, ° . . 545/ w� S3/�6 . - � �+ o° � � � � � � � � � � � Y �� O �� Kz � � � a � .,��i � � o � � � � � � I� m � � m � � � � � � �� ° r M � � � o c � � � � �' � �' � `q � � �, o� R' o � 'e1 C �y o° Cr � ��' � �� . . � . . . � . : : � : : : � : r en C O o � �� o w � �� I � � �, � z � � � � r � � ,V� b � � � � ^ � � � � � � o � � o � � � b R' � a p�''. 0 0 � � � � �� e�+� � � ►! ' � � � � � ,� � � � M � � � �x �� i � p R� t� � � � � � � � � � & � � � � � � � � ' � � o o � � C e� � � � � � o � � �r . � o� �� l.�: ��. O � � r � ' ' ~ � . O S' p� � ; ; � p O � o : : : � i� : : : ' : o� � t.� w o0 O O O O O � � ro � � � � b � 0� x �° o � M � � � � � � a O � I �� A � .� � � aa ro � � o � � �� 0 � � W � g P e� w o� n� o0 Cn C G G O O O O O O e �� , ►+ c�n � � � � � � b � �� o � � � � � � � � � � °� � pp,, ° : . r O . � � � . . O � . . O p . . O ' ' • ��o�� Cn O G O O O O O � , H � � �. �'. a� � � b �� y M �E � d�� o�. ��° `° � � � � �� '� � =� m�� 0 � ��5'� y y � �� py�� m �► �°'op � �y� f�• �y �� 'a � �� W� ��q � t+ ►+ � C7' m m �� - � v , � � � � m y _ m C r- m e � � ! a � b � � V 0 . � �. � :.. � --�C'� � � �� O � ao •� � �� Q �a �� y� � �� d� °� e, �,. �� 0 � � � � �. �i 0. � � �� . �- � ��-� - ' o c� 3 - /'�-��'°� �� ,� u�� Z�..�B �IEAT LOSS C�LCULATIONS DEPART�IIIENT OF BUILDINGS Weatherstrips A.S.H.V.E, Constructioa No. Guide Wiadows ( Doors Reference Out. Wall Int. Wall Geiling Roof F7oor Kind Yes—No Yes—No 19_ �_ �- � / Fl.� �.�Q J� . Room � Length /� Width i/ Height � / Fl.� �i�%,,,e� Raom � Le Windows and Doors—Crackage and Area Windows and Doors—Crac �Vldth Helght No. o[ Llneal L. Area Wldth Hefght No. a No. � ot pane ot Dane lighte oL crack eq. tt. No. ot pane ot pane tlght �� Z �y . �/'> � a-� � J�� / 2�N 2H'' 2 D I7.o `2.D Coef. Btu Infiltration /), o f g�j>• Glasg H D. � H /� 7� �p. W�� :D X x Net eap. wall y ,2 >/ /� �p Int. wall y }� � Ceiling �3� I � d � � �loor �y � Total Btu. Required sq. ft. E.D.R. or aq. ina. W.A. I.eader area F7.� �j % Room � L.ength Vi/idth , Windows and Doors—Cracicage and Area Wldth Helght No. o[ Llneal [L Area No. of Dane ot pane llghts ot craok ep. fG �! Coef. Btu Ia6ltratioa / . � �- � �� ,Y9. yi 3 �c Eap. wall � a � v � Net esp. wall S� i/ D Iat. wall y X X X Ceiling (p / 2 Floor � p� o' Total Btu. c� a 3� �qnired aq:�t.E.D:R. or aq: ins. W.i4. Leader area �� . rJ . R�m �� w�a� �� H��be Windows and Doora—Cracicage and Area Width Aelght No. ot Llneal ft. Area No. o[ vgne ot Dane !lg6ts oL cnck eq. ft. x/vl a r � v ��i� �� o�. � Coe£ Btu Infiltration __ _ � 7 � ff � � Glaaa Fap. wall Nec esp. wall Int. wall Ceiling 1� loor Tbtal Btu. �� OO �, m �� _��l� �� ft. E.D.R or aq. ina. W.A. L.eader ana 1n51tration �� Fap. watl .ap Net eap. wall In� wall Ceiling Floor 1'otal Btu. � FRIDLEY, MINN.`� Insulation How th e� Widt6 �' Height � and Area neal tt A 'crack eq ,y � � 1 :oef. Btu 3 sr / a �� X x � !i D k xx /a- a �o /�/ /2.3 D k. E.D.R. or aq. ins. WA. Leader area / Fl.l �i %, Room � Length �i Width /o Height.Y� Windows and Doors—Crackage and Area Wtdth Hefght No. o! Llneal ft. Area No. ot pane of pane Ughts of creck eQ. tL 2� / 2j� � .� �+ 3�' za 1_ �,s� i�� a. Sr � Infiltration 7 � � D Glaaa 2-D y y�0 2- �. w8v � � u Net esp. wap � ! / � �o Int. wall t/ Y N Ceilin8 p Z �� !S Floor // � . / � �p Total Btu. � . Required aq. k. �.D.R. or aq. ins. W.A. I.•eaader area - I Fl.��,�f 41i Room I LenSth 2d Width 3 Height � Windowa and Doora—Crackage aad Area Wlflt6 Helght Na o! Llneal iG Area No. of pane ol.pane Ifg6ts o! crack sp. tt i �'�Y' �'�s' />�.- �c.6 �� Coef. Btn In6ltration � 3 � � � Glaaa y�. y �� Esp. waU 2 X v X Net esp. wall �� In� wall y �e �,c Ceiling �� yb Floor / / 7b 1'ocal6cw �. c �_ Required aq. k. ED.R. or sq. ias. WA. l.eader area ,�-- - � � �? � ' �P� U� .✓ ' " �z-��L.vy�-�/ .�'/ �--� � � � . , il � IYJ6 z. .�e / � ti HEAT LOSS Ci1LCULATIONS DEPART�IVIENT OP BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E, Coastruction No. Insulation Guide Windows I Doors Reference Out. Wall Iat. Wall Geiling Roof F7oor Kind How Applied Yes—No Yes—No 19— j Fl.� Z./:✓j ` Room � Length ,�/ Width /�-Height �'f, Fl.� Room Lengt6 Width Height Windows a Doors—Crackage and Area Windows and Doora—Crackage and Area \Vldth Helg6t No. ot Llneal [. Area Wldth Halg6t No. ot Llneal ft Area No. ot pane ot Dane lighte of crack eq. tt. No. of pane ot pane lighte of crack aa. it. � / `G °' .3"'G �• �s�it j � � i o Si L�i T/� �,2... D o. 9 3= G' fI vo,• �' A• p o, a Coef. Btu < Infiltration � �j � � G G� lnfiltration �88� �e � y � S o` �8l8 �p. Wal� � �. Wau Net exp. wall (.� // / � d Net eap. wall Int. wall V � � InG wall Ceiling Z - / � 1 � Ceiling Fioor - � / ..i � Flooi - Total Bcu. Z� Total Btu. Required sq. k. E.D.R. or eq. ias. WA. L.eader area Required sq. ft. E.D.R. or aq. ins. W.A. I.eader area / F7.� �,�,� � Room � Leagth i,� Width /� Height 8'• �.� Itoom � Length Width Windows and Doora—Crackage and Area Windows and Doora—Crackage and Area Wldth Helght No. oL Lloeai Lt Area Wldth Helght No. of Llneal it. Area No. ot pane ot pane Ifghte ot craok eq. fG No. ot pane of yane IfBb� of crack eq. tt. � �� s^J6 �� CS'7rlT �b' � �s '4 � B `' � �L `' �e'y,i �s'Il, f1' /.�.3 Coef. Btu Infiltration � £� 3,� / a D Glaaa 3/s � d// 2.5'd Eap. wall �-/� u X � Net esp. wall ,� / I D Int. waU X k X Ceiling �� / 2 �l_// G Floor �d /, Total Btu. Reqaired sq. k. E.D.R. or aq. ina: W.A. Leader area FI• j� B�Q. Room � Lengt6 s' Widt6 S' Windows aad Doo�rs—Crackage and Area Wldth Helg4t No. ot Llneal [t Area No. o[ nane ot aaae Uahta ot creck ea. it. Intiltration � U v n Glaaa v �. Wau ,, N�� . Wau Int. wall y �,e Ceiling �� 2 Floor � ' Tbtal Btu. Required sq. ft. E.D.R. or aq. ws. W.A. L.eader ana �� BiU � x �,c v � u � � � � Infiltratioa G1aaa Eap. wall Net eap. wall Int. wall Ceiling Floor ' Total Btu. I�equued aq. k. E.D.R. or sq. ins. WA. I.eader area FI.� Room I Leagth Width Windowa and Doora—CrackaAe and Area In6ltration Glasa �. W�u rr�t ��. W�t Inw wall Ceiling Floor Total Bta Required aq. h. E.D.R or aq. ins. WA. 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N, : � ' N . �: ° o t' ; oa oa ea " �o oe x x �e �e � : 8 � 8 �8 � $ � $ � 8 � 'd► y :A bf &► f/► M � OD O N O I O � o � � s� I I r � � � � m � � m v � m * a �o. w i., �. pp 9C `� � a la � � a�i � o � �i � � ' � I� � � �� J❑ I i � o ° �' � � � Q � � � a � $ � � ti � x � a � �� n e bj � A G�.� !b � a '~ a y � �' ' p�p � w t�A M Umi �" ro �' g c�'. yy x �'. � •p � tD L3 (D � � O cr t� � (~D W � � o � � p� � � N � �, `,� O� � I C �I r � , p I h I a�asRs ua�w►�s r►rH TUK 61►4t11i SINKS ww� �� ORINK. FOUNT. SFIIYRS. RIOOR �� U� �� Auro W� GAS � � �� ,. ! • c� � � m A � � �o.�� ~ � � �� Rtl p� O E� W � � � �' `e � N � � v� � 'd C. � � � ro $� �� mo � �� o � M M Q. Ct A � �. � � � �� .�� o �� A x 3� � � � t7 � � O �x �°n p � M � � � � 0 � � � � � � rt ��i. � m O � O A � �C t� �� m i � � � N \Fl � � ADDN. pLTER. [ ] � � � City of Fridley R-1 AAD R-2 Building Permit Application Effective 4/1/64 Construction Address: 7 r% 0 3 i L��0' �,_v__ �� • w / Legal Description: �►O% f 3 ,�dt�_Q�.� �'s f�..�.►� Gr ��/► ti s�H- Owner Name 6 Address : r�� R L�'S ��v Tel .#�"7,�.► /.3 ` Contractor: S �. f � Tel. � Address:� D D 3 �► �/� O l� `. �i /� _ Attach to this application, a Certificate of Survey of the lot, With the proposed construction draWn on it to scale. LIVING AREA: Length DESCRIPTIOp OF IMPROVEMENT Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECR AREA: Length a► O+ Width 1 3� � Hgt/Ground � Sq. Ft. . OTHER : 1 � r� ��. !� r•.r .�,�, �1 a�. � c Corner Lot [] Inside Lot [�] Ft. Yd. Setback Side Yard Setback Type of Construction: �p e�.�� a� �j,�.�o� Estimated Cost: $�SO. ll�� Approx. Completion Date: �� +�1 O_ _h /� S Alt. A Alt B Proposed DriveWay Width If NeW Opening Is Desired: � $ See Back Page for Explanation DATE: .�� f G—�1'.S� APPLICANT: M R[ [''�-�.� L. �1 � 1� V Tel . 4 S�7J �„Z )3"� 1 " Permit Fee � Plan Check State Sui�charge SAC Charge Park Fee SeWer Main Charge �� STIPULATIONS: $ S � � $ � S CITY DSE ONLY Fee Schedule on Reverse 5ide 25i of Building Permit Fee �.50/�1,000 Yaluation a�125 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BIIILDIHG PER!!IT FEE SCHEDIILE The Chief Building Official shall, 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 building or structure� upon applicatio n therefore, require the payment by the applicant for such permit of fees to �he amount herein beloW set forth and in the manner herein provided to-xit: - Total oaluation i1.00 to �500.00 5501.00 to �2,000.00 a2,001.00 to $25,000.00 �25�001.00 to �50,000.00 550,001.00 to $100,000.00 �100,001.00 and up Fees �10.00 (Minimum Fee is �15.00) � �10.00 for the first �500 plus �1.50 for each additional �100 or fraction thereof, to and including �2,000. �32•50 for the first �2,000 plus �6.00 for each additional �1,000 or fraction thereof, to and including �25,000. �170.50 for the first �25�000 plus a4.50 for,each additional �1,000 or fraction thereof, to and ineluding a50�000. �283.00 for the first �50,000 plus �3.00 for each additional �1�000 or fraction thereof� to and including �100�000. �433•00 for the first �100,000 plus �2.50 for each additional �1,000 or fraction thereof. DRIVEHAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A°: Removal and replacement of curb and gutter only - Driveway Width plus 6 feet times a13•50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot xide approach With 6 inch depth - Drive�ay Width plus 6 feet times �15.75 q VERIFICATION OF FOUNDATION Permits for construction Will be issued a minimum of 24 hours from the time of application to allo�a for proper revie� of the proposed structure and of the construction site. A Certificate of Survey of the lot, shoWing the location of the foundation onee it has been eonstructed Will be required before proceeding with the framing. h sue�ecT PERMIT NO. ' City of Fridley o, 18144 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � �y------ � � j � PiiOTECTIVE INSPECTION SEC. � � �� i � ' /"'1 � CITY HALL FRIDLE� 55432 NUMBER , REV. DATE PAGE OP APPROVEO BY �----� • •`� 612-571-3450 910-F15 8/2/85 � / JOB ADDRESS �003 HickoYy Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ],3 ], OStID7S1�S 3rd Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE C. Haley 7003 Hickory Drive N.E. 571-2156 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Brovold/Larson Builders Inc. 1161 -- 79th Avenue N.E. 55432 780-4533 4 ARCHITECTORDESIGNER MAILADDRESS 21P PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION �7 ALTERATtON ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 8 CHANGEOFUSEFROM TO STIPULATIONS gpof can.be 2nd layer but not 3rd. Install riged galvanized valleys. SEPARATE PEFMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. 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 CERTIFY THAT 1 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 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT yS`I. ZOO �`.GQ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- T TIO OR THE PERFORMANCE CONSTRUCTION. tiS`ZO. SO P AN CHECKFEE 70TALFEE �� , �%�Z-�.� $21.10 SIGNATUREOFCON�FACTOfiORAUTNOHIZEDAGENT IDATEI WHEN PROPERLY LIOATED THIS IS YOUR PERMIT L/ZP1 �I C2/ �' � SiGNATURE OF OWNER�IF OWNER BUILDER� IOATEi 1�BLDG iNSP q7E .,� N�► L l ADDN. [ ] pLTER. [ ] Construction Address: �� Legal Description: '-br /: City of Fridley R-1 AI�TD R-2 � Building Permit Application �fifH-v �i-ii/� ��.�,� 4�s�, / Effective u/1/84 � _ Ownez Name � l�iiress : C� � Tel .#✓ 7`' �� Contractor: �y-�v�/d �/�r.sa� ��,-� .1sa� • Tel. # 7��ys � Address: s/li 7�f� .�%r,ro� ./i/-�. �,�/s .S5'��- LIVING AREA: CARAGE AREA: DECR AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, With the propcsed construction dra�an on it to scale. Length Length DESCRIPTIOA OF II�IPROYEMENT Width liidth Height Height Sq. Ft. Sq. Ft. Length Width Hgt/Ground Sq. Ft. .�'�9�a�� SC�isae�.P� f� //�� r'ft5.�6a� Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback Type of Construction: �D�ir✓� Approx. Completion Date: � 8-rl'.� Estimated Cost: $ d��-r � Alt. A Alt B Proposed Driveway Width If Nera Opening Is Desired: a $ See Back Page for Explanation DATE: � ,�-,�a APPLICANT { ��1� /V- ��,� Tel . 0 7�D- �-� �� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sever Nlain Charge TOTAL STIPULATIONS: CITY IISE ONLY $ aD.�� (� G � $ S � 'a/.i<.>j Fee Schedule on Reverse Side 25`X of Building Permit Fee �.50/E1,000 Yaluation a�25 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Neeessary [ ] °° � _ � BIIII.DING PERMIT FEE SCHEDULE The Chief Building Official shall� before issuing permits for the erection of any building or structure� or for any addition to any existing building or structure, or for an} alteration or repair 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 provided to-Wit: - Total Yaluation a�.00 to �500.00 �so,.00 to a2,000.00 �2�001.00 to a25�000.00 �25,001.00 to �50,000.00 �50,00,.0o to a�oo,000.00 �100,001.00 and up Fees a10.00 (Minimum Fee is �15.00) �10.00 for the first �500 plus �1.50 for each additional �100 or fraction thereof� to and including �2,000. a32•50 for the first a2�000 plus a6.00 for each additional �1�000 or fraction thereof� to and including �25,000. a170.50 for the first a25�000 plus �4.50 for,each additional �1,000 or fraction thereof, to and including �50,000. �283.00 for the first �50,000 plus �3.00 for each additional �1�000 or fraction thereof, to and including �100,000. 5433.00 for the first �100,000 plus �2.50 for each additional �1,000 or fraction thereof. DRIVEiiAY DEPRESSION ESCRO�ii (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driver�ay width plus 6 feet times �13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approacr raith 6 inch depth - DriveWay Width plus 6 feet times �15.75 VERIFICATIOA OF FOUNDATIOH Permits for construction Will be issued a minimum of 24 hours from the time of application to a11oW for proper revieW of the proposed structure and of the construction site. A Certificate of Survey of the lot, shoWing the location of the foundation once it has been constructed Will be required before proceeding with the framing. f � � sue�ecr MIT N � City of Fridley 2 7 4 01 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RE T NO. � ; v �_�__ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � � ' � �'�� CITY FIALL FRIDLE� SS43Y NUMBER REV OATE PAGE Of APPROVED BY �----� � �'� 612-571-3460 910-F15 8 26 98 � � JOB ADDRESS 7003 H 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 � SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PNONE Bill Hale � 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Norsk Concrete Const. Inc. 11 Os 4 ARCHITECT Ofi DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION � ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOHK Block off door to room under ara e slab - Fill & Com act area - Reinstall garage floor 9 CHANOEOFUSEFROM TO STIPULATIONS Stipulations as per inspector after inspecting site after removal of garage floor. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV (iROUP OCCUPANCV �OAD VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION IONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED POR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMEIYCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINE� THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yq�UATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WOFK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GAANTING Of A PERMIT SOOO 2. DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OFi LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 9 � PLAN CNECK FEE TOTAI FE '�' � ��`' � °��'"9� License 5.00 112 25 SIGNATUAE OF CONiRA OA OR AUTMOA�ZED AGENT �OATEI p pER IDATED TH IS Y R P IT S�GNATUAE Of OWNEA��F QWNEp BU4DER� IOATEI BLOG NSD qpT NEW"" ' c [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress : Legal Description: , r�dr-� �ir � ��-�,�� '�-` Owner Name & Address: �� Tel. #� 7/- �/�,G Contractor: �� (� � � �� .�-nC • MN LICENSE # 733,3 Address: �//SJ ��slm� p{�cP � � �� hj Tel. # 7 �"�/ 9/a Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECB AREA: OTHER: DESCRIPTION OF IlVIPROVEMENT Length Width Height Length ��f Width �D Height Le Width Hgt/Ground C'� U�) (� 'Z� l2C�c� ` Sq. Ft. Sq. Ft. Sq. Ft. �C �� c� �' � �� €� — � i.cJS <� t� Construction T e: �.� �Y� Estimated Cost: $ 3 4� '°9 yp �-n� �l � `r' � �� °� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ .��'e�. �� C��=��1�� rt�-��c�/2 t DATE: g'�- ;►.6 -�� APPLICANT: ��J�� ,� �.��"� Tel. #� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � s� $ .��. C� C� $ o • �1� $ $ .�. C� $ $ $ $ $ /la.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 [ ] ,� BUII.DING PERNIIT FEE SCHEDULE The Chief Building Official shall, 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 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 provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,Q01 to $25,000 $25,001 to $SO,Q00 $50,0{)1 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1, 000 or fraction thereof, to and including $1, 000, 000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet tunes $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet tnnes $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. sua�ecr City of Fridley AT THE TOP OF THE TWINS � U I L D 1 N� P E R M I T t � � � `y _____ COMMUNITY DEVELOPlNENT DIV. r � •� PAOTECTIVE INSPECTION SEC � i . , i.-•.�� "' �,� CIFY NALI FRIOLE� 33132 Nu�eEn t 612-571-3450 910-F15 JOB ADDRESS �003 Hi ck r Q' ' t LEGAI LOT NO. BLOCK TRACT OR ADDITION DESCR. 13 1 � 2 PROPERTV OWNEFi MAIL ADDRESS REv 1TE VAGE OF 6/15/99 / / ?9689 . P� � �� ROVED 8Y SEE ATTACMED SNEET J VVIY 1 AAV 1 V11 MAII AUUFIt55 tiP PHONE LICENSE NO Metro Bldg. & Ptq. Co. Inc. 4738 42nd Ave N Rob6insdale 554�2 536-0977 �� 5 4� e ARCFIITECT OR DESIGNER MAIL ADDpESS ZIP PMONE LICENSE NO 5 ENGtNEER MAIL ADDRESS 21P PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION gD( REPAIR p MOVE O REMOVE 8 DESCRIBE WOfiK Reroof house and garage (25 Sq) Tear-off 9 CHAN(3E OF USE FROM STtPULATIONS TO Underlayment must comply rvith the State Building Code. SEPARATE PERMITS AqE FiEQUIRED FOR EIECTRICAL, PLUMBING, HEATIN(3, ' rrc vr vv VENTI�ATING OR AIR CONOITIONING 7HIS PERMIT BECOMES NULL AND VOIO IF WORK Oq CONS7RUCTION ZONING AUTHORIZED IS NOT COMMENCED V�!ITNIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOR A PERIOD OF 120 DAYS AT ANY TIME AF7ER WORK IS COMMENCED. NO DWLG. I HEREBV CERTIFY THAT HAVE READ ANO EXAMINEO TMIS APP�ICA710N ANO KNOW TME SAM BE RUE AND CORRECT. A�L PqpVl$IONS OF �AWS yp�UATION AND ORDINANCE OVE ING TMIS TVP pF WOiiK WILL BE COMP�IEO WITH WMETME PECI 0 MEREIN OT. TME GRANTING OF A PERMIT ��LZHJc OOES NOT P SU TO GIV TMORI7Y TO VIOLATE OF CANCEL TNE pEAMIT FEE PROV NY OT STATE OR LOCAL LAW REGUTATING CON• CTI 7ME ORMANCE Of CONSTRUC710N $83. Z�j �PLAN CMECI ' ��^" Li C S�G TUpEO�CON•A4C qyTNOpi2E0aGENt �DAiQ� M S�GN4TUNE O� OWNEA iiF OWNEQ BU�LDER� _ �DATE� p� SQ. S7A�LS CU FT. OffSTREET PARKING IGARAGES ` $1.09 SAC CMARGE Fire SC $2.1 TOTA E � / / sr LOAD � • M r�w � � ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R 1 AND R-2 BUII.DING PERNIIT APPLICATION Construction Address: /(� �, j �- I C/C d� �l' ,�� l�/, Legal Description: �� d � �p ,�- Owner Name & Address: .�� a �1 ��cs� � /�Jd�� L/ Tel. # � �/ -- �- � � Contractor: ��o �� d� 6 �' �% �a �� NIN LICEN5E # ��''� Address: g 7 3�—� Z.✓� �✓� /Uj �i,� �,,�sm�� Tel. #�/ 2 s 3��- 0 2 � 7 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. ��S - Construction Type:/'2��r� /�'�L4�� d tr Estimated Cost: $ Z S �� Driveway C�rb Cut Width Needed: Ft. + t= Ft x$ _$ . DATE: �� /� �% APPLICANT: Tel. # �i / Z �3 ,6 dz�7 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPiJI,ATIONS: $ � �S $ � /� $ . C� $ $ � $ $ $ $ $ /. �.3 Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.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 Nec��ary [ ] � BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, 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 elcisting 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 provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,�0 $25,�1 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up ��x.� $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,0(}0 plus $7.00 for each additional $1,000 or fracrion thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,0� $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete G�ub Streets Only) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 fe�t tunes $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION 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 construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has ��n ��tt�d will be required before proceeding with the framing. * /*\ l/ O � � � O z �� 2 r r � m v � O S v 0 � m � C � n � m n � O z � 0 A D b Z v D m r m � i D � z 3 C � � N m c� � D z � :_ � O � -n m m � � m � c � � w to m J � � r � � O .� '~ � '�► � � � �m D � p� Z cp -n Q A � � N c � 7� °o � D � v � v � - D � v � m � O z � � � 0 R� o O o� D (n � Z `m o Q m ;� � � � ° cn � i 1 IV � � � �� z� �w � ,�"'.A o c m� r �7 Z � o �' ,� o � » R� � � � � � �� 1 V � -� °�' f°tA tmo P3 � Qi C N� W�� (D ,. o � n. �� o� c� c� m��, o 0 0� O � 7 � � � � � � � N fD � � * � � m ; z, � � A�i m �� m � r N y f� N ' < � � � � N � (D 1 � rt 'n m � -i � � � � � � � 7 '11 n � C � � m a m � °Illillllilll bn � 0 0 �� t� � t� � y t�► tn tfl t�t b a t� O O O v O V�I V V tn A V 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 � 'v m oo p C � �• � � a � � � �' � Z �- C G) n N O y � � a � � N D � — � O C � ? � � � v m � � � z 0 � � '��, ^T ` 1 J � U'( � O G � � i i � � c �� L �' � � � i � � � I L1 � � . � � � � �� : 3 w � m . 71 . C1 � '� . a .� 0 � 0 . �, v m 3 . � � O s � ,� 0 � � � � � v C � 07 Z i% � � � m � � Z O � m -i O r � O 00 v v � � � Q O �1 � � � � n n� a w � � m � � � � .�p Z m� 'Tl � y 0 A � T N C "� � Z � __ Z m � � n � � � O � Z � � < �Cr � 0� � m S� < m O � L w � c su �. 1 � � BuYlding BUILDING Permit Ivo.: a��6 Inspections RESIDENTIAL APPLICATION xeceived B: 763-572-3604 CITY OF FRIDLEY vat��e�'ct� 2010 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE '"� � " r YOUR E-MAIL ADDRESS �%• �CY9�` �L�ClS� ��SI �� /T=° �i'�h/�'J. .0 . �c.s SITE ADDRESS � a 4� / `� l ' � ��d � �i �� THIS APPLICAN'I' IS: ❑ OWNER �ONTRACTOR PROPERTY OWNER/ NAME: /� r% � `/ TENANT ADDRESS: � � � . C � f � i'� CITY %`�� 1 � �! STATEr�j�LZIP PHONE:_,'�., � " � Qca� — �� CONTRACTOR NAME: rC �/L�s�. N� v�� SUBMIT A COPY OF STATE LICENSE # rZi �/ ��'�� EXP DATE YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS:� D�O� I c�C�� 1'�J'� CITY�� vL=/` STAT�//�i. ZIP �S`.3� ' INSURANCE PHONE � --�% a C . �%C i -�-Ct�'�"iLSG FAX -' ��L/- �/� PROPERTY TYPE ❑ SINGLE FAMILY/IVEW CONSTRUCTION SIZE 0 TWO FANIILY/lYEW CONSTRUCTION STORIES PERMIT TYPE � �DITION ARAGF/SHED ❑ WIAIDOWS O BASEMENT FIIVISH O ROOF ❑ DRAIN TILE O DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: O NEW HOME CONSTRUCTlON ❑ ADDITIOid O MAINTENANCE/REPAIIt ❑ REMODELING DESCRIBE WORK BIING �NE: 1 i4_ I1 ' I�I�L -'- ��'n iC � SIZE OF IMPROVEMINT LENGTH c� � WIDTH ��' � HEIGHT � S FT ��C� ROOFING l7 HOUSE ONLY BASEMENT REMODELING SUBMIT: NUIVBER OF SQUARES � HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE:�� ,�"bETACHED GARAG�y 3. List of structural members to be used PROPOSEDHEIGHT:�� j,�v�S ` '�luc� SIDING �'� FOR NEW CONSTRUC170N INCLUDING DECKS, inyl OSoffit �(� �X �� 9 ADDITlONS. & PORCHES SUBMIT: O Aluminum ❑ Trim �'" �� 1• Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia � I�`{- ` j� and proposed project 2. Two sets of construction plans WpvBOWg 3. Energy Calculations IIV E3CISTlNG OPENINGS DYes �IVo LOCA'�JN OF DOWS FOR WINDOWS - PROVIDE U-VALUE AND V OR FOR NEW OPENRVGS-DESCRIBE SIZE OF �Ca SC o MANUFACNRE STICKER ON WINDOW. OPENING CHANGES & �ry TYPE OF WINDOW TO BE INSTALLED ��'NUMBE�OF WINDOWS ALL FEES ARE BASED ON VALUATION. INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALC Permit Fee Plan Review Fire Surcharge Swcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge (USING 1'HE 1997 U.B.0 FEE SCHEDULE) g ► 4 � OCCUPANCY $ � $ $ $ $ ✓ See Back Page for Fee Schedule 65% of Building Permit Fee .00I times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (Sta.te Licensed Residential�Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make c6ecks oavable to: Citv of Fridlev Attach 7'fIIS IS AN APPLICAT[ON FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of r ic req ' e eview and approval of plans. ' SIGNATURE OF APPLICANT ' PRINT NAME �� li o ��i� ` '�-6� DATE � % ' � � Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, 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 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 provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1� $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1� $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional$1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Departrnent 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 s" 0 . � � � � � � � �� --� �� .�--� � d� ," Z' � � . 1 � � � � � �� r� /* i . ;�0 V � \ I ts� � � 5 � � � � l �� ° �� _ � Z• `� � � ' � � A � ��' I. � � � � � � _ � _� M . S � ,,., �� Z _ z' � Z' , E �� u'! � '1e,° _� Z ' C, �-p � _ ,� z _ �j � ��'�,= °- -� � _ 1 � C � � � � � _� � � � � �,'1 „ �_ i� � �` �� 8� �' � �� J' � � � - � �i!�. i►. • - - � . � ► '. '� x Y � � �� , � _ , � . � -� � � . a . ; �. � �. � , r . :,� � �'° � � � � 1` :;: w \. `�j Y �� Rt N °/ � : � . :► -�;� . � r r �i � w m � E.. �" �,. c�` �, -► �. r � s ,. �" r,. '''' ro -* �..� -� �� ;.� � m � ,-n �� cn "'� �� —� � �m�� m�� A � � � M�� , � W � � � � �y r � � � � � � � °t 1d `'+� rn'�, -n �- c.. xaW� r=r �y� �� ` �� r �"�'�°m �� / � �D, , r � � a �� 4 -, �n � O � 9 0 � �, � 3 � �- � o C 9Y I � � T � ��^7 } � '� � � l � n � � � � �n / `` � � �� @ � � � r � . .1 � �, � r � � r i i � : � � f� '�`� � � !� M �Z• � , �- � � �- 1.� � . �� z � � � � �4 , � � � � � � � �` e � � ,� : �. =-� � +� �' �-� `..i v � -� . ►� � • ^ - v � Z� � � � � � ''p� '� � I e - ,' � n � � �- 1 � 1� Q "� � � —i� �� ' � l �' M � ��A � v B/1 � Li` � - � .«,..,.._ . .. ,,>.,. � r 1 �� m G �- a� � � _ � -�� , �- � � 'r' � �� r � � � � � �) � .�� 4� �J .y�,y ✓ �s � a# � T-- � jt � j> � ;�`' � � � � � � � � � � , � ci � `� �� i� : �� r''� �°'" `.n � �mn'� ' ^�...+ �, � G I, �' �~F1 � � � a � a , n � G�L �C��.' / (JST� "%.� f'�� _ /,t1/k; D iad �-': 7":'GN . INDUSTRtAL � 1 C. �• C O U L T E R BUS�NE38 � �! � � LAND SURVEYOR ' CITY LOTS � -� 7orocRwPH�c Ma►+PtNa �� REG}STERED UNDER LAWS OF STATE OF MINNESOTA j� � LICENScD BY ORDIYANOE OF CITY OF MINNEAPOLIS ! ,�3300 LYNDALE AVE. 50. MItJNEAPOLlS 8. DAINN. :�%`� TAYLOR 4-0370 I r J1:,�F' 1�: Y�Gl� U;Jv ��=;<'f'Y . I �S , �IIPUi1t B �lPl"ttflt�P � . ' v �-� 3�X '— 7, �� a I � r, `� I .� a� E�i` 1 .•, ��- - � L,4� \ .` �Y � Q -�.,.. �� . 4;,J �`�-- �� ._) ,-.. .� , . , /�, ,. .. , � _ � ' .• \ _—!'�sCli, )� �. .. .._. .. "_ . _... .. _ . . _' ' "" _ � . .. � � I t I i j �'7 :�s" ;�- _: ------ �A� ._ _ _ f �/% 'G•�// � I ; r � � _• /��; _/1;_ — __._......_...._.. � PurnNo PARM SURVEYS � LAKESHORE � JUDICIAL ,'I �� S_� ! -,.�, , �. ��-- I��=.� I � ir'.:,r i.. I ' � Y � J �/'O/l , � ( ,� � � � he��i;y c�rtify t��at ti�e � k�o�✓e � s a true an�+ ccrr�ct ;�la'c of a surv�y of � Lo� 1 f:lr'�:u�Tl (1: �� -'loCk �.ne (1 J� U:�T..�..�''.'-� THii'.J .iDi�IT�;.;i'•'.� I�.r.oka Co�.�nty, , :innn�_ �-�:. . .".s surveyed by me this l�ti�l d�:•,� ef i�ovem}�er 1958 h•� • �� ? qi1�d -'� ., '`� • ;,� ,� �f. - A'�,?. , �-'�inn�sota :tegist?'2tion I'�:o. �58� �� ".9 � I u,�^ �i ,�:%�.� License lookup ` License/Certificate Detail Here are the details for the license/certificate you are currently looking for: License name: License doing business as: License address: City state zip: License number: License type: Company structure: License status: License original issue date: License expiration date: License print date: Qualifying person: Continuing education hours required to renew license: Contractor's phone number: Enforcement action: Another Lookup? Page 1 of 1 WOOLHOUSE ALLEN R ALS CONCRETE MASONRY CONSTRUCTION 10813 180TH AVE NW ELK RIVER, MN 55330 20130822 RESIDENTIAL BUILDING CONTR INDIVIDUAL PROPRIETORSHIP ISSUED 4/21/1998 3/31/2012 4/19/2010 ALLEN R. WOOLHOUSE 14 763-2740133 No https://secure.doli.state.mn.us/licensing/licensing.aspx 9/27/2010