AF - 46389BUILDING PERMIT
Village of Fridley, Minn. N° 2 5 6 4
Date '�."'� .� f.�j.'"".` .c.�. ;� . . . . . . . . . . . . . . . . . . . . . . . . .
Owner � b ��� ����1�' �' � �lder �;�-*: �' : . . . . . . . . . . . . . . . . . . . . . . . . . .
Address .��.�,65 . .,+�:'�y.�rr..,.t�r. . . .,Gt.:.�s�. . �+� Address . . . . �. . �' : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LOCATION OF BUILDING
No. . ��� . . . . . . Street . �.,d'.,�,�� . . . G-a�.f: . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . .
Loi . . . . . . . � . . . . . . Block . . . . . .�?. . . . . . . . Addition or Sub-Division ��� ..�ff'✓�*"��Is%#�:*.tri''�
r ,
Corner Lot . . . . . . . . . . . . Inside Lot . . .�,.` . . . . . . Setback ��""' � : Sideyard . �f'.(.f. R�r . . . . . . . . . . . . . .
DES�RIPT[ON OF BUILDING
To be Used as:
.��. �/ . Front .���. . Depth .�.yf � . Height ��.� ,�. . . Sq. F't. . ."�": �� Cu. F't. . . . . . . . .
���F��� � n � �r
. .. . . .. . . . . . . .. . . . . . Front . . . . . . . Depth . .. . . . . . Height . . . .. . . . . Sq. Ft. . . . . . . . . Cu. Ft. . . . . . . . .
Type of Construction ' �,,�,;�.�,,,�. . . Est Co��l.�,,�,Qp� . . � . . . . . . . . To be Completed .,,,� . .�G�.
�
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 forth and in compliance with all provisions of
ordinances of the village of x'ridley.
...................................................
In consideration of the payment of a fee of $. .��„ ., permit is hereby granted to .��y�� .�:'�.. .
o construct the building or ad dition as clescribed above. This permit is granted upon
.���� �tio� the person to whom it is granted and his agents, employees and worl�nen, in all work
done in, around and upon said building, or any part thereof, shall conform in a11 respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limifs and this permit may be revoked at any time upon violation of any of the provisions of sa.id
ordinanees. ,�� �1 .�K. f
�.�,'������ � -�-�.f � _ � - •
NOTICE:
This permit does not covea ih� construction, installat9on or alteration for wiring, plumbing, gas heating,
sewer or wate�. Be sure to see the Building Inspector for separate permits for these items.
�
�;:.� �
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Date:
Owner
Adclres
� � � � �
�ity of Fridley, 1Vlinn.
BUII.DING PERIV�I'I'
.: � �.� ./.. �°�.� .............
v � ��
Builder
s .��.�.� . .���� �: .�^a. . . . .�d i°���ddress
11T° 3143
�u��y �e P .
.......... ���. e.� ....................
LO�CATIQN OF BUILDII�G
No. �� �. �" Street � `.i�. .�..�ra..�.......�� r�.... Part oY Lot� . . .. .w .... �(�'�*!!-� �� e
.. . .
Lot .....b...... Btock ..� .............. Addition or S b-Division ............ r.....................
� .. .
. . . Inside Lot . . Setb . ��� � Sideyard � . . . . . .
Corner Lot ......... .......... 'T ..................
� DE�RIPTION OF' �LdILaDiI'�C
be Used as: p � � e �
. . . . . . . . . FTOIIt ��. DC�1 /R � . `. He.lp�lt . . �°. e . SQ. �. � � � i,`lL '�. � � � � . .
J' .�r , �/
. . . . . . . ont I.� °. .�:'. . Depth . %� Heigl� ,�. �. . . Sq. Ft. I �. �. a � Cu. ' Fk . .
�r-�� . . . . . ,� "°�. . . . . . � � . .0�' �
Type of Constru 'on Est. Cost� �� a. To be Completed t. 'e.
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s7�r-� � � ° Q� � � �Or
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In consideration of Yhe issuance to me of a permit 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.
���- .�1.4z�� . � � . . . .
.�,7� -
, In consideration of the payment of a fee of $. . . . .A, : ° . . ., permit is hereby granted to . . . . . . . . . . . . . . . .
b,�l�� .. ... to construct the building or addition as described above. This permit is granted upon
the express condition that the persoa to whom it is granted and his ageats, employees aad worl�ea, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of huildings with-
in tlne ciiy limits and this permit may be revoked at any time upon violation of any of the provisions of sa.id
ordinances.
�
Li��������� ���s � �uilding�Inapector
NOTICE:
This pe�mlt does not cover the const�uctlon, installatlon or alteration fo� wl�l
sewer o� wate�. Be sure to see the Building Inspector fo� separate permlis for t
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ttems.
gas heating,
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sue�ecr PERMIT NO.
City of Fridley 2 0 4 6`
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � .
� �` __ COMMUNITY DEVELOPMENT DIV. °1�� �� � «�
� v � PROTECTIVE INSPECTION SEC. �� �
r , ,
� i ,
� /"�1 � CITY HALL FRIDLEY 55432 NUb18ER REY. OATE PAGE OF APPROVED BY
�""� � �'� 612-571-3450 910-F15 7/9/90 � �
JOB ADDRESS 5073 Hughes Avenue N. E.
t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 8 6 Carlson's SIlICILC�l't 1�dYlOr SOl1tY1 ACZd1'tlOri SHEET
2 PROPERTYOWNER MAILADDRES$ ZIP PHONE
John Tregillis 5073 Hughes Avenue N.E. 572-9438
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
D& D Home Improvement Inc. 7401 Central Avenue N.E. 784-7543
a ARCHITECT OR DESIGNER MAIL ADORESS 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 Q REPAIR O MOVE � REMOVE
8 DESCRIBE WORK
Reroo� Dwelli�.g (Tear--off� 17 Squax�es
9 CHANGE OF USE FROM TO
STIPULATIONS
Qn all new rpofs or tea�•nffs and repl�cement roofs,
State Code requires th:�t � la��e;s af 15 tb. felt,
mopp�d tQgether, be ;nsfa;F�d to a poent 24 inches
up from exterior wal! tine, cr fh� use of other
approved underla;�r��nt mLm'.;ariL.
TYPE OF CONST. OCCUPANCY OROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATIN(i,
VENTIIATING OR AIH CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OFi CONSTRUCTION ZONIN(3 S0. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOO OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $85O SeSQ
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A:PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OFi CANCE4 THE PERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING. CON- $23 � OO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PIAN CHECK FEE TOTAL FEE
$23 .50
SIGNATUREOFCONTRACTORORAUTMORIZE�AGENT IDATEI � W�.,EN PROPERLY V LIDATED THIS IS YOUR PERMIT
. y� �
SiGNATURE OF OWNER�IF OWNER BUILDERI IDATEI BLDG INSP fl TE
� [ ] Effective 1/1/90
� L ] R-1 AND R-2
�T� [ ] Building Permit Application
Consttuction Addr+es.s :
Legal�Description:
Owrter Na1oe & Addres.s: U d`J�/ //�E'.9/lf/S 'I�e1. #�%2r�'�38'
cor�tractor: �e�-7� .7�z��!l7�� �'�ivJ�,� c�T `�'C Z+e1. # ��7SS%.3
Addres.s: 7YU� �i'� i�� /t%�.
Attach to this application, a Certificate of Suivey of the
lot, with the proposed c�nstxuction drawn on it to scale.
DrESCRIPPI�1 OF II�VII��TP
LNII�TG AREAs Length Width Height Sq. Ft.
C�R� AREA: Length Width Height Sq. Ft,
D�CR ARF��: Ie,rx�i Width Hgt/Gro�u�d Sq. Ft.
OTi�it:
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Se cks
Zj�pe of Construction: O Estimated Cost: $ ���
Approx. Cca�letion Date: l,�iq,�
Proposed Driveway Width If New Is Desired: Ft. $ $
idth + 6' See Back Page
DATE: �l � APPLICANT: �],, #
Pexmit Fee $ � �%
State Surdhaz9e $ .�
SAC Charge $
Driveway E��crc�w $
Park Fee $
sewer Main c�arge $
. �.
srz�ur.�a�xs :
$ � ,��
CITY IISE ONLY
Fee Schedule on Revexse Side
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Abave
Fee Determined by E�gineexitxJ
Agreelnent Nece.ssa.ry [ ] Not Nec�ssaLy [ ]
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E:,i�������. a:�:+��y �+�+- ;:«:i��_�i -
The Q�ief Building Official s�all, before ?� �i� penaits for the erectiaaz of ar�y
buildirg or stnicture, or for ar�y addition to ar�y existing building or stnicture, or
for any alteration or repair t.o any existix�g building or structur+e, upon application
thexefore, requir� the payment by the ap�licant for such �.�++;t of fee.s to the amount
herein belaa set forth and in the manner herein provided to-wit:
ZO►�1L �Ti�IIJE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
a��.
$15 (Mininaam Fee i.s $15 plus surcharge)
$15 for first $500 plus $2 for each acklitional $100 or
fraction thereof, to and includirig $2,000
$45 for fisst $2,000 plus $9 for each additional $1,000
or fraction ther�of, to and including $25,000
$252 for first $25,000 plus $6.50 for each additional $1,000
or fraction thereof, to ar�d includirig $50, 000
$414.50 for fixst $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and includirig $100,000
$639.50 for first,$100,000 plus $3.50 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2039.50 for the fiYSt $500,000 plus $3 for each additional
$1, 000 or fraction thereof, to and ir�l�l.irig $1, 000, 000
$1,000,001 and up $3539.50 for the first $1,OOO,U00 plus $2 for each additional
$1,000 or fraction thereo�d�
M .
DRIVE�iY i1E�@T F5C[tOW
(Coricrete Curb S�x�eets On1Y?
Alternate "A": R,emoval and replacement of curb arid gutter only - Driveway width plus
6 feet times $13.50.
Alternate "B": R�aval arid replac�nent of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
l�i�+;i�a����+��i;r•�ia.,�i��� : M •»l
Penmi.ts for constxuction will be issued a minim�un of 24 hours frc�n the time of
application t� allaa for proper review of the proposecl structure and of the
oonstrvction site.
A Certificate of S�rvey of the lot, shawing the location of the foundation once it has
it has be�n constructgd will be required before proc�eding with the fiamirig.
. �