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AF - 47368Date Owner Addres � BUILDING PERMIT � Village of Fridley, Minn. N° � 2 917 C . ' . . ..�. /..��":� ...... .. .. .. ... .... .. ........ ..�/ .-'��+��'G�. Builder ................ .......................... � / D p ` ;t,� ,--... s.. . . ... . . .. . . . . .... Address ......................................... LOCATION OF BUILDWG No. 1p. � �. � . . . . . Street . f.��.���.�,�,��'.!! . . . � v �' . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . G�,(% - � •r Lot .....�....... Block ......t% ........ Addition or Sub-Division ... ... ... ..... .. ............. ?J r r Corner Lot . .. .`�. . . Inside Lot ... . . .. .. .. . Setback ...J.l� ... . .. Sideyard .��!��!�,j. %Q. �h"'�'1°" �i DES�RIPTION OF BU{LDING To be Used as: . . ./�LGG"c.��'j`'e�. . . Front . . . . . . . . Dept.h . . . . . . . . Lieight . . . . . . . Sq. Ft. . . . . . . . . Cu. Ft. . . . . . . . . ...............'/... Front ��.� Dept � � Height ?�' !.� . Sq. F't. .�� �Cu. F't. ........ �'1. � �ZF (/ Type of Constructio�����i. • r�' • . . . . st. Cost . . . . ./,,�} .�. � d . . . To be Completed . . .�. . . . . . . . . . / In consideration ef the issuance to me of a permit to construct the buiiding described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions oP ordinances of the village of Fridley. Tn consideration of th2 payment of a fee of $. .,�.: ��iernut is hereby granted to ........... � � . . • . • . . . . . . . . . . . . . . . . . . to canstruct the building or ad dition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work done in, around anfl upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Nliruiesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of'ap,y of the provisions of said ordinances. � , % �, m� NOTICE: This permit does not cover the construction, installation or alteration for � sewer or water. Be sure to see the Buiiding Inspector for separate permits for Inspector gas heating, SUBJECT P . City of Fridley _ 17 412 AT THE TOP OF THE TWINS g U I L D I N G P E R MJ T r � � R • � • COMMUNITY DEVELOPMENT DIV. � ' j y _ �' � � � � PROTECTIVE INSPECTION SEG � 1 � � � � ����1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ` ���'�./ �.J 612-571-3450 910-F15 2/21/84 � � JOB ADDRESS 6300 Jackson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED pESCR. 8 8 Q1Y'1S'tl@ Addition SHEET 2 PROPERTY OWNER MAIL AODRESS ZIP PHONE H. H. Egler 6300 Jackson Street N.E. 574-0855 3 CONTRACTOR MAILADDFESS Z�P PHONE IICENSENO. Miltan L. .Tohnson Co. 2513 Central Avenue N.E. 781-9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 OESCRIBE WORK Install aluminum siding and re-roof s,tructure 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 6U RAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD Of 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKINCa 1 HEREBV CER?IFV THAT I HAVE FiEAD 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 WITH WHETHER SPECIFIED HEREIN Ofi NOT. THE GRANTING OF A PERMIT S8�OOO =i.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER S O CAL LAW REGULATING CON- STRUCTION OR THE PERFORM NC O C NSTRUCTION. $74. SO PLAN CHECK FEE TOTAL FEE � �/ � $78.50 sGNaTUaE FCON�RACTORO r+ F4 RIZEDAGEN� fDA e� WHEN PROPER VALIDATED THIS IS YOUR PERMIT .. - ° �` � �t SiGNATUREOFOWNER�IFOWNEROU�LDERi �DATE� BLDG WSP PTE � � CITY OI' FItIOLCY kPPIICATIQ� FOit RCSIOCiiTl/`�� OUiLDIf;G Pc('�iITS (t�c�•�. Alterations, Additions, or Repairs) o�;r�Ftt: N � /-� , � �C ER ADJRESS: �0300 ✓AC�Css.•���`•NC.. TELRO: 57�-085� Effective Aug. 1, 1981 �t3UI LDER : � i L j'-D �J � . �o-y,use .� �, ADDit[ss: o?s�,3 C. �ti i�•Q ��� E TEL 120: �8/ �'� y � Construction Location STJiI�T RO: �� � O STTtEF.T: � G� S Q..1 �%,�� L07': `� BLOC7C: � 11DAITIO;i: � Corncr Lot: Insic]c Lot: ,. Setback: Sideyards: Ap��lic.v�t attach to tl�is form tw�o Ce=tificates of S1�rvcy of lot and p_opo:.ed building lecation drawn on certifi�cates to scale. OESCRIPTl4�� OF CO��STF:UCTION _ Front: Depth: Height: Squarc Feet: C1�bic Feet: Front: Depth : Heigl�t: Square Fe�t: Cl�bic I'eet: '.7�pe of Co:,�truction :�JlU M��a: N `�" ►�l O o R� Be Cbr.�pleted: � � cp G�,�% 7•----- Estimated Cost: S�� O 40 �� Alt. A Alt. B Propos�d Dzivc�+�ay Hidth If New Opening Is Desired: $ $ . . S�� P.F.VF:ILL' SIDE OF StIEET ZSie un8ersioned hereb:� m�1;c� APplic�zticn for � pes-rzit fcr the �:ork heYein spccified, agreein� to clo .all �:ork ir, strict accordance �ith the Ciiy of Fridle}• Ozdii�ances a�ici ruli�i�� of tlie Department. of Bui2dings, and hereby decl�res that all tl�c facL� and represc�t.itiens stated in this applic�:tion are true and eozrp,ct,� DT.T�: a'.Z /- 6 j�' SI(�1)1TU �: �til�ulations : � � � � � �� � �,, S �� � , , - sus�ecr P City of Fridley 27931 AT TNE TOP OF THE TWINS g � I L D I N G P E R M I T � � � , � �o� i • COMMUNITY DEVELOPMENT OIV. � LV�� f � � PROTECTIVE INSPECTION SEC. � � � � �"'1 � CI7Y HALL FRIDLE� SSIJ2 NUMBER nEv O�7E P�GE OF AVPROVED OY �----� • •'' b12-571-3450 9t0-F15 9/22/98 / / JOB ADDRESS 6300 Jackson St t IEGAI ��T N0. BLOCK TRACT OR ADOITION SE£ ATTACNED DESCF. $ 8 Christie Addition S►IEET 2 PROPEaTY OWNEA MAIL AQDR�SS ZIP PMONE Joan Egler 574-0855 3 CONTqACTOF MAIL ADORESS ZIP PMONE IICENSE NO Paulson Construction Inc PO Box 247 Anoka 55303 427-0033 6329 l ARCMITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII, ADDRESS 21P PMONE LICENSE NO B USE OF BUIIDING Residential 7 CLASS Of WOHK O NEW ❑ ADDITION D ALTERATION � REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Reroof house & garage (22SQ) Tear-off; Replace entire garage roof 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOfCONST. OCCUPANCVGROUP OCCUPANCV�pAO SEPARATE PERMITS ARE REOUIRED fOR ELECTRICAL, PLUMBING, MEATING. VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION IONING SQ. fT CU FT AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONEU fOR A PERIOD OF 12p DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWIG. UNITS OffSTREET PARKiNG i HEREBY CERTIfV THAT I MAVE READ AND E7(AM�NEO TMIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS OF LAWS VALUATION � SUR7AX, 2� 4O AND ORDINANCES GOVERNING THIS TYPE QF WORK WI�� BE COMP�{ED �{HOO � WITH WNETHER SPECIFIED MEREIN OR NOT. 7ME GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OF CANCEI THE pERMl1 FEE SAC CMARGE PROVtS S Of ANY OTHER STATE OR IOCAL LAW REGUTATING coN- $99.75 Fire SC �1F.8O TRUC I OR T E PERf ANCE O CONSTRUCTION PIAN CNECK f EE TOTAI FEE License SC $5 0 $111.95 S�cwru O�CON'AACTpFpR�U�MOa�ZEO�GENT iOarE, WMEN�PEpL��TED THIS IS YOUR PE�T i �- S�GN4tUQE O� O�NNEp ��� OwNEp Bui�DEAi �D�TEi� B�0 �NS� � ��<<E NEW ADDN ALTER [l [] [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 ����3� ConstructionAddress: � �d � �G� ��'d ti �� Legal Description: � 7�//�g'S.S Owner Name & Address: c�C9ct r� �q �-e,� Tel. # G Contractor: �� �S � „� �.� ,U ���` �� � MN LICENSE # ��3� % Address: � � , /,��� ,� 02 �/ `? /�� Tel. # �la �o0 3 � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type:_ Attach to this application, a Certiiicate of 5urvey of the lot, with the proposed construction drawn on it to scale. Length Length ���� �I Driveway Curb Cut Width Needed: DESCRIPTION OF IlVIPROVEMENT Width Width (Fee Sc Ft. + 6 Ft = Ft x$ _$ Height Height H�t/Ground Sq. Ft. Sq. Ft. SQ. Ft. DATE: �l 2-s-(�I k APPLICANT: Tel. # L�.2 ?D� � 3 Permit Fee i% �S $ Fire Surcharge �� $ State Surcharge o� ��$ SAC Charge $ License Surcharg���$ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL � �l� �S $ STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.� (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary [ J SuB�ECT City of Fridley AT THE TOP OF TME TWINS g � I L D I N G P E R M I T r � • � � � • COMMUNITY DEVELOPMENT DIV. f � ~ � PROTECTIVE INSPECTION SEC. , . . . � � �"'1 � CITY NALL FRIDLE� SS132 NUMBEN nEV D�TE �"'"��� �'' 612-571-3450 9t0-Ft5 5/6/99 10B ADDRESS 6300 Jackson Street NE 1 IEGAL �07 N0. BLOCK TRACT OR AOOITION oescR. 8 8 Christie Addition 2 PROPERTY OWNER MAIL AODRESS Z�P Joan Engler 6300 Jackson Street NE 3 CONTiiACTOR Northland S a ARCNITECT OR DESIGNER 5 ENGINEER 8 USE OF BU1lDING Residential 7 CIASS Of WORK ❑ NEW MAIL ADORESS Z�p & Insulation 18461 Cedar Dr, Cedar, Ml� MAI� AODRESS Z�p MAIL ADDFiESS O ADOITION O ALTERATION 8 OESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM STIPULATIONS TO OX REPAIR ERMIT NO. '� 29413 as,z� PAGE O� APVROVEO !r � � SEE ATTACMED SNEET PMONE 574-0855 PMONE LICENSE NO Call for building wrap inspection before covering. PHONE LICENSE NO. 4158 PNONE LICENSE NO O MOVE O REMOVE 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 Sunday. TYPE OF CONST. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING. MEATING. VENTI�ATING OR AIR CONOITIONING TMIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION 20NING AUTMORIZED IS NOT COMMENCEO WITHIN 60 OAYS. OR If CONSTqUCTION OR WORK IS SUSPENDED OR ABANOONE� fOR A PERIOD OF 120 DAYS AT ANV TIME AfTER WORK IS COMMENCED. NO DWLG. UN17S 1 NEREBV CERTIFV THAT I MAVE REAO AND EXAMINED TNIS APPLICATION 1 AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of LAWS VALUATION AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIED $8 3OO WITM WMETHER SPECIf1E0 MEREIN OR NOT. TME GRANTING OF A PERMIT � OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OFi CANCEL TME pEqMIT FEE PROVISIONS OF ANY OTMER ST 7E OR COCAL LAW REGULA7ING CON- S R THE PERf NCE OF CONSTRUCTION $149.75 PLAN CHECK f EE Licen C NAIUQE OF C N"AA ,TQA OA AUTMOQ�ZED �GENT IDATE� MEN PR< S�GN4TUQEOFOWNEA��FpWNEpBU�LDEp� ���TE� r G �NS� OCCUPANCV GROUP OCCUPANCV SO. FT CU FT. OFFSTREET PARK�NG STA�LS GARAGES SURTAX $4.15 Fir SC $8.30 OT EE $167.20 TNIS IS VOUF1 P MIT r �.�.� � fltif NEW [ ] ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [] SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 BUII.,DING PERNIIT APPLICATION f �-�, Construction Address: � � ;� G�(.Q /�C p iC/ =-� / /�� Legal Description: _ ��� � �� � � Owner Name & Address: ��4¢� ��L G E S� Tel. # �%'� " � � �'� Contractor: ����;��� r ��P MN LICENSE # �/J`�� � � Address: /���� l ���.y � ����, ��i,�• �,�/� Tel. # �i3 �Sl� 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: OTI�R: Construction Type: Length Length DESCRIP'I'ION OF IlVIPROVEMENT �Sr Width Width Width Height � Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ (y3��% Driveway Curb Cut Width Needed: Ft. + 6'Ft = Ft x$ _$ � DATE: � APPLICANT: � Tel. # �3 � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: $ /�9, �� $ C�•3d $ ��s" $ $ `-� • DU $ $ $ $ $�,�� e CITY USE ONLY 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 Necessary [ ] Building Inspections 763-572-3604 763-502-4977 FAX DATE f "- �CJ '- SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ NAME: TENANT . ��.,. BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-08 ?6 3 — YOUR E-MAIL ADDRESS ,.o o�' .t� � CITY Received By: Date Rec'd:� ' �(� ATE ZIP �5 N 3 � CONTRACTOR ADDRESS: �SJ a o� �-..r�. �(J CITY STATE �IP J�_ SY�� SUBMIT A COPY OF pHONE � �` 7 7`'f.S F,4X 76 .3 -�T �' 2.S ''f S YOUR STATE LICENSE STATE LICENSE #���0 lJ�00 l7 EXP DATE �' 3/'/O PROPERTY TYPE PERMIT TYPE TYPE OF WORK: $"SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYMEW CONSTRUCTION STORIES ❑ ADDIT[ON ❑ GARAGE/SHED INDOWS ❑ BASEMENT FIN[SH ❑ ROOF DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MA[NTENANCElREPAIR .� R6MODELING DESCRIBE WORK BETNG DONE: SIZE OF IMPROVEMENT .O�-wvc A�+, � LENGTH � HEIGHT ROfjFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSEA HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: � Aluminum ❑ Trim 1. Site Pian/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction ptans WINDOWS 3. Energy Caiculations IN EXISTING OPENINGS �es �No IACATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WMDOW TO BE INSTALLED �- NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �LJSING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ � � OCCUPANCY TYPE _____ Permit Fee Plan Review Fire Surcharge Surcharge , License Surcharge � SAC Charge Cwb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due �� � �� � � � � � � � �r'/ji See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the totai job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) $+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION 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 Minn truction Codes; that 1 de tand 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 a ordance e ap ove 1' ase of all work which requires review and approval of plans. SIGNATURE OF APPLICAN PRINT NAME �D �'E R� y' a K� DATE�"a�'49 APPROVED BY DATE