AF - 46575sua�ecT PER .
City of Fridley : 13'752
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � R EIPT NO
� • COMMUNITY DEVELOPMENT DIV.
� �y-------�
r � � PROTECTIVE INSPECTION SEC. �3 �D
1 = �
�` /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROYED BY
L•�-�� � ,•� 612-560'3450
s10-F15 9/13/76 � �
JOB ADDRESS 550 Hugo Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oesca. 47, 48 H Riverview Heights SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Herb Hanson 550 Hugo Street N.E. ��'` 9�� 3 -s
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Ockwig Construction Co. 10016 3rd Avenue South
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION � ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Change roof line of house from flat roof to pitched roof
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPER�1'�E PE�MiTS REQUiRF.� �'OR ��:
HEi1T�Nti. P`UMBING� �Ai�tl�' S�G�S�.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIOfdING. WOOCI FraIIle
THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, Ofl IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R �-
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I 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 GRANTING OF A PERMIT S2� OOO yC+1.00
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $�.�.•OO
�� PLAN CHECK FEE TOTAI FEE
� +��E..r"�� � �_ $13.00
,Jt-e,.�; °,
SIGNATUREO CONTRACTOIiORAUTHORIZEDAGENT `IDAT 1 WHEN PROPERLY VALIDATE THIS IS YOUR PERMIT
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�
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL ALTERATION,
ADDITION, OR REPAIR BUILDING PERMIT
�% �
OWNER'S NA�-fE:����. �/ i�2 BUILDER: �
ADDRESS : ��v e P�. ADDRESS :,�I B� l� �� G�
NO : . c � J`� �7 STREET :��
� / �/
LOT:�_��BLOCK: y4f
ADDITION • --c>`��'
CORNER LOT: INSIDE LOT: � SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and propo�ed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
� X
/� ro�,t • Depth • Height •
� , X��'.
Square Feet: Cubic Feet:
_ Front: Depth: � Height:
Square Feet; Cubic Feet:
��
�pe of Constri:ction: �Z��.�+ Estimated Cost: $�6�8
To Be Completed: o��O` ��
The undersigned hereby ma.kes applicativn for a permit for fihe work herein
specified, agxeeing to do all work in stiict accordance with the City of
Fridley Ordinances and xulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
r
DATE : �� '' 7 P S IGNATUI:E :
(See Reverse Side Tor Additional Information.)
� �
Z�Ooa �C 6.�f'�000 = ,�.�d "I�Itm�f
2, r�o� �t
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13UILDING P�RMI'l'� I�1�J: SCIIL'llULL'
SECTION Z. The Inspectox of Buildings shall, before issuing pennits for the
erection of any building or structure, or for any addition to any existing
building or structure, or for any alteration or repairs to any existing
bu.ilding or structure, upon application therefoxe, require the payment by the
applicant for such permit of fees to the amount herein below set forth and in
the ma.nner herein provided to-wit: ,
iVEW CONSTRUC�ION: Sing],e Family Fiomes and Garages: $�.00/1000 cubic feet
PLAI.V CHECK: 25 percent of building permit fee.
ADDITIONAL INFOhMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches Uelow the floor line of the basement
ox the cellar to the average heights of the upper surface or �o the average.:-
height of the roof surface of the ma.in gable of a pitched roof.
For repairs or alterations to an existing structure, the fee sha11 be at the
rate ;�f $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
In no case shall the fee charged for any permit as set forth in Sectian 2 be
less �Chan $'�.50.
VERIFICATION OF FOUNDATION
NOTE; Pex7nits for construction will be issued a minimum of �14 hours from the
ti.me of application, to allow for proper review of the proposed structure and
of the construction site.
A Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be required before proceedin� with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for cahich a building permit has been
issued; and said structure shall not be used or occup3.ed until a Certificate
of Occupancy has been issued.
6
i
' c
�
SuBJECT P
City of Fridley ��ING � � � � 7 � ,
AT THE TOP OF THE TWINS P E R M I T
f '
� �
, � RECEIPT NO.
� • COMMUNITV DEVELOPMENT DIV
r � v � PROTECTIVE INSPECTION SEC.
� �
� � /°"1 � CITV HALL FRIDLE� 55432 NUMBER AEV DATE PAGE OF APVROVEO BV
�'"""� � ,'' 612-571-3450 910-F15 10/28/94 � /
JOB ADDRESS 550 Hu o Street NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. L�.],48 H Riverview Hei hts SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Fridley HRA 6431 Universit Ave NE -
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Ra Anderson & Sons Com anies Inc -
4 ARCHITECT OR DESIGNER MAIL ADDHESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW � ADDITION O ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Wreck House Onl
9 CHANGE OF USE FROM TO
STIPULATIONS
Clean site of all demolition debris. Cut sewer & water lines at
property line and inspection required by City.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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
ANV TIME AFTER WORK �S COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING
I HEREBY CERTIFV THAT I HAVE FiEAD AND EXAMINEO 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 8E COMPLIED
WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT -O-
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTFUCTION NO F2@ �O�
PLAN CNECK FEE TOTAL FEE
-0- No Fee
SIGNATUAEOFCON�AACTORORAUTHOAIZEDAGENT IDATEI WHEN PiiOPE Y VALIDATED THIS IS YOUR PERMIT
~ �r/ � �r� 'Z�`�
S�GNATURE OF pWNEA UF OWNEA BUILOERI IDATEi �. 1NSP qpTE
1
��`�'�t' �� F�Y�1.�'�
t�O�IR('�'x � � �}R W�FC;I�[1VC'i ��,P}p�,ICt��'I�I�!
Je�k� Address° ��� �� ��
Legal Description: �`°T`-' �� ��`o� �'f $ i �I�G� '`� �� � R(`�l�i�v �Q.cci�;-�S
�wn�r & Address: ��l���C ��" T�1. ��_
�on�racto� m � � � ✓►I �� �''�G � T�1. #�i� � Z��f�
Address : �`� ���`"�"� �'� - State License �
�}, Gvl� �'lt� lo
DESCRIPTION OF BUILDING
Living
Area: Length � Width ��
Garage
Area: Length � � i -
Other: Length � i h
Estimated Cost $
Height �� Sq. Ft. Cu. Ft.� ��
Height q. . . .
Height 5q. Ft. u. . �
Approx . Completion Date � ����f
UTILTTIES TO BE NUTIFIED
City Water/Sewer Mpls. Gas Compa y Northern States P wer U S West
571-3450 [Vj� 372-4720 [� 566-9i20 � 663-6000 [�]
��
Water Bi11 Paid: Yes [] or Collect [$ ] Initials
Moving Route•
The undersigned hereby makes application for a permit to wreck/move the building describ�d above, agreeing
to do all work in strict accordance with the City Ordinances and rulin.gs of the Building Division, and the State
Code which requires any water well on the properiy to be sealed by a State licensed water well driller, and
hereby declares that all facts and representations s�d in this�pplication are true and correct.
Pe�—�7—��
Date
Movirig: Prisiciple Bui.lding into Fridley
A�ssory Buildirx� inta Fridley
�rou�, within or out of City
-' Signature
. . . $ so.00
. . . $ 20.00
. . . $ 15.00
�
�in;mim Fee: $15.00
Wrecking: Fbr each 1,000 cubic feet or fraction ..$ 1..25
For s#�tures t�ich would be im�ractical to cube, the fee shall k�e based oaz
the total c�ost of wrecicing at the rate af +$6.00 for eac�i $500.00 or fraction.
P�T FI�: ` I,Q�Gt� V�Ir�4 i�� �
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