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AF - 47419City of Fridley, Minn. BUILDING PERMIT No � 0 4 Date : ... ..............--�--•�---.. ..�.�w �/ .._�...-- -/,,--_/�.._....---•-�•-•- ...............•• � E�'� �� Owner: .. Builder ......... --- , ........---.... ........ _ ..f. ... ..__,_...... ......................................._.....- -_..........,...........----�--................_.--� -............ Address ........---. Addre� .......�..�.... ._� ....... ......... .. ----:�.,.�.eG�!�!L!/ � � � ; f CATIONa�'', UILDING No. ..._' .. ........ ........... Street ....-- - ,..--�................�r....................... P of Lot ............ ...................._. . ... ........ ...... ... . .....r...... .... ------........-•--•-••--�-•-- ..._. Lot . __...- .__----. ----..._ Block ................�.._........_..............._ Addition or Sub-Division ...--- .. .. ..._...... . . .._..--- � �~.-....... Setback ...-..��. ,,�.^_�.......... Sideyard ....��_...........,��...�.........--��---......... Corner Lot ....._ ........... ........_..--- Inside Lot ...__............... �' Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Used as: � � � . . Front ..T_..�....... Depth � � . Height ..,�r'..Q--. Sq. Ft. ��.�./..��Cu. �.,��v ... . . . _.......__. - t......._._... Fro �,,,,� ............. Depth d`_-� ei�t .._�G/...... Sq. Ft. .r.�.. �.� Cu. Ft p�...��_� Type of Construction .�_. ._.-- ..... ._ ... .... Est. Cos��. ��.-- �*�"".�. 'ro be Completed ...................._..............---.. �»y _. _ u"`� � ,� �� „ ,,.. ,-; . . _ .____._._ _.___ - ; _ �` � ��i' ?!Z� Vi0! :4T- . , + �:r'"ti�!��'J l-S ,1��ID . ._ , . ,. ,:, In consideration of the issuance to me of a permit to construct the building described above, I agree to do the propased woa�k in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. .� .........................�---------.....-•----.......-----........._..----........----.........--•-••••------.._..----.....__............ In consideration of the payment of a fee of, $�4.. ...'_"'"�....., permit is hereby granted to .................................._..........._............... ••--.- .....................::........•-.--......--:---............---.._.. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is gral�ted and his agents, employees and workmen, in all •work done in, around and upon said building, or any part thereof, shail conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city ]imits and this permit may be revoked at any time u��olation"$f any of the'provisions of said ordinances. `- � �.►,��i!�rg'�I,.""'•�7'�Js,� � � _ � . ,: M . , NOTICE: This permit does nof eovsr fhs wnsfruelion, instaflafion for wiring, plumbing, gas heafing, sewsr or w�Nr. B� wn fo a� the Building Inspeetor for separafe parmits for fhese items. ., . .. � `�°" � , _ � � \ APPLICATION FOft BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA �� Owners Name Bui]-der aaares8 _ __ _ ___ naarsss � ?�'� L��!��" L� � � : GC-'r ; � LOCATION OF BUILDING •` No. � Stree� Part of Lot Lot Block / _ Addition or S�b.Div. / " ��'�T�� %'�� Corner Lot Inaide Lot�,�Set Back �j �/ Side-Yard�,,.,Q1�,,,�, ^�--�-� 1 �_.._ SEWEft ELEVATION FOUNDATION ELEVATION � U ^ , Applicant attaeh to this form Certificate of 5urvey of Lot and proposed buildin� 1oca.tion. To be used as: \ DESCRIPTION OF BUII�ING F`ront Depth Height Sq,. F't. Cu. Ft. Sq. Ft. Type of Constru To be Front Depth Height Cu. Ft. ted Cost The undersigned hereby mak� application for a permit for the work herein specified, agreeing to do a1Z work in strict accordance with the City Ordinances and ruling of the Department o� Buildings, and hereby declaxes that all the facts arid representa- tions sta.te in this application are true and corre �� o � - DATE SIGNATURE � (A Schedule of Fee costa can be found on the Reverse Sicte.) „ . . • � ., . . , � / � � �D � App�icaf'ion foi' P�awer Ptants and He�ating, Cooling. Ventilation. Refrigerettion t�d Air Conditianing Syste�ns and Device�s PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $ Replacement of F`urnace ............................. 5.00 � Repairs & Alterations---up to $500.Q0 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. $500.�0 . . . . . . . . . . . . . . . 2.50 $ MECfI. WARM AIR Furnace Shell & Duct Work to 120,000 BTU . . . . . . . . . . . . each add. 60,000 BTU ....................... Replacemeat of Furnace ............................. Repairs & Alterations--up to $50U.00 ................. Repairs & Alterations each add. $500.00 .............. 8.00 $ i 0 0 �.00 ¢ 5.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM F�zrnace Shell & Lines—to 400 sq. ft. EDR Steam .:.... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EBR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURNER—to 3 gaL per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up ta 400,000 BTIJ) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ -;�D GAS FITTING FEES: NO RA'tE TOTAL lst 3 Fixtures . . . . . . . . .—� x $1.50 $ /�, S� Additianal Fixtures .:............... x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . . x 2.p0 $ AIR CONDITIONING R FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM - � ALTERATIONS 8c REPAIRS TOTAL FEE $�`� REMARKS: � � Depi. af Bldgs. Phone SU 4-7470 � w �� City of Fridiey: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, 1Viinn �r.G ?� Z-- , 198� � Owner �� 45�� , 195— Kind of Building —� � Used as To be completed about � Estimated Cost, $ Old- e�. Building Permit No. � DESCRIPTION OF WORK 195— HEATING or POWER FLANTS-�team, Hot Water, Warm Air—No._L— Trade Name_�.Li� d' O�-� Size No U •L � �/ Capacity Sq. Ft. E.D.R �/� B1U H,p. Total Connected Loa� 7-� ��,3 Kind of Fuet � . BURNER — Trade Nam �' Size N !!>'�G�� Capacity Sq. Ft. E.D.R.�'a//� BTU H.p, SUeURBAN NERiiNG & SHEET METAL Signec� 841� CENTER DRIVE N. E. MINNEAPOLIS 2l �l1Ild, By ,�`�'�P�!��,. � � i l pOST t M- i 2-s8 Business Phone No- �v ��/� �� G�� D36 '. , a z �.:.;:.'f,.. . HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS 3��c,�,�j FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Conatruction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof F1oor Kind How No I No 19 J /b � �'_ „ F'l.� ` Room � Length p i Width � � Height 8/ Fl.� Room Length � Wi tE► Windows a Doors—Crackage and Area Windows and Doors—Crackage and Area tVidth Hetght No. ot L1nea1 tt. Area Wldth Helght No. ot Lineal ft. Area No. ot pane of Dane lighta o[ crack eq. ft. No. ot Dane ot Dane Ilghte ot erick eQ. tt. � � �' Z � � %i.,..n �/nt/ �//_/%N i¢ =i 'fn n In6ltration %O, 02 a D Glass Exp. wall Net exp. wall ,�, Int. wall Ceiling � D C? � �O Q Floor Total Btu. 9 Required sq. ft. E.D.R. or aq. ins. W.A. L.eader area -Z� I FI. oom � Length yZ/ Width q/ Height 8'/ Windows and Doors--Crackage and Area Width Helght No. ot Llneal tt. Area No. o[ Da�e ot pane Ilshts o[ crack �p. tt. Y 2� �/0 22•6 /S� z� v ,� l li.on0 7�4�1 /_/.�A' �G �% l�iA1 lnfiltration , p �' Glass . Z Exp. wall � Nct exp. waA Z�,6 �p Z�, Z Int. wall Ceiling �D � Floor Total Btu. � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. /l� Room � Length , j� Width �� Height �� Windows and Doora—Crackage and Area Wldth Height No. oL Llneal tt. Area No. of Dane ot Dane Ilghta ot crack sq. tt. ?/ Z Y �•?� /a v � y , y, Coef. Btu Infiltration 3 , O j� Glasa �l, � � Exp. wall � � o Net exp. wall / , D lnt. wall Ceiling �� ,p }� loor Tbtal Btu. ,� Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area Heighe �/ � Coef. Btu lnfiltration ,36 Glaaa , � Exp. wall ' D�p Net eap. wall � / %S � Int. wall Ceiling — Q O Floor Totai Btu. Z Required aq. ft. E.D.R. or aq. ina. W.A. Leader area � FI.) Room (1-ength � Width - / Windows and Doors—Crackage and Area Wtdth Hefght No. o! Lineal [t. A�ea No. ot Dane oL Dsns ll�hts of crack sp. tt. z- 3 y 3 / z/,y /. Inhltration Glasa Exp. wall Net exp. wall Int. wali Ceiling Floor Total Btu. �ht S� / FI.� Room I Length / Width / Height / Windowa and Doora—Cracicage and Area Width Hel`ht No. of L1nea1 tt. Area No. ot pane o[ Daos lights ot crack M. tt. Z , � Infiltration Glaas Eup. wall Net exp. wall Int. wall Cei�ing Floor Total Btu. �uired aq, ft. E.D.R. or sq. ins. WA. [.eader arra Btu �./,Fb City of Fridley App�ic�ation for P'lumbing and Gas Fitting Pern�it Dept. of Bldgs. Phon� 4-7470 DESCRIPTION OF WORK Number, Kind and Lxation of Fixtures 3�1�.1<�I�l?13�10� Base V� ' ist 2nd 3rd 4th • Fuiure Coanectioa Openings * New �ixfure, Old Opeaiags N K � pL Z � W W ? ah p � Z Q= � U' Z �=i, oo t�� <3 �°t �U' � �O � PARTIAL RATE SCHEDULE WATER HTR. � r R N GAS ELEC. /l City of Fridley: 1� Q� . ,� � � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application re true and correct. Fridley, Minn. / / , 19 �"� Owner � Kind of 3ewes � Used as Ceupool � PLUMBING FIXTURE RATES: NO, RATE TOT�Ai. � O _ �o Number F`ixtures ............ ..........� x $1.50 $ Future Fixture Opening � x 1.20 $ �' U New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 20�,000 BT� . . . . . . �x 2.00 $ � - v U New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $ GA3 FITTING FEES: NO. RATE TOTAL ist 3 Fixtures ........................:.� x $1.50 $ �• -5 � Add3tional F'ixtures ..... ..... .......... x .5U $ Gas Range to 200,000 BTLT ... ........... x 2.00 � AEPAIRS & ALTERATIONS—Refes !o Cods Description..................................... .........$�G TOTAL FEE $�-L---- � To be completed about Estimated Cost, $ Old—New. Building Permit No. `� � Per NO• f G Signe �'" �`" „ By Business Phone No � �� ROUGH (s+ - o� Z � � � FINAL az 4M 7-59 i � • City of Friclley, Minn. BUILDING PERTVIIT nat�: _.._ � z5, i9b5 �� ri'� '7555 Ovvner: Tc�m FiFistad _ Builder $Z�St...?II�a._._._.__.__.._:.___...�.__.._.� Adaress . bbll ,d8ckson St. �i. $. ._�...._� Aaaress �l Gentra]. Ave. N.. L. LOCATION OF BUILDING No.�?�..__�.____ Street J$Ck80A Stl'68t, Nz_�..__...••---_.._._._.._.._._ Part of Lot Lot �Q._____._...__ Block _.��_._.._..----.___ Addition or Sub-Division �BdOT�T�11d8 Corner Lot __._.._._._._ Inside Lot ..__---_.._.. _ Setba.ck �____..�._...._._.._ Sideyard Sewer Elevation _____�__._.._______._.�.._..,__�.�__..__ Founclation IIevation ..�....� DESCRIPTION OF BUILDING To be Used as: _.. Front ___.. Depth ._.._ Height .�.. . Sq. Ft. Cu. FL _._.._._._.�....�..__ Front ...� Depth _w Height ._.._.._.__.__ Sq. F't. _ Cu. Ft Type of Construction ..r__.._...__�.Y _.. Es� Cost �— �-QQ..�._._..__.. To be C�pleted _._.. Storm Damage Repair In conaideration of the issuance to me of a permit to c� th8 prop�sed work fn accordance with the d�scription above ordinattces of the city of Fridley. described above, I agi+ee to d�o riPliance with all Pro�vLsfons o! In co�siaerati� ot the payment of a fee of ��•� ...�...._..� permit is hereby grantea to �*cE? ?AC. to c:onstruct the buflding or addition as described above. This permit is granted upai the expree�ss c�dition that the person to whom ft is granted and his agents, employees and worlunen, in all wc�k done in, around and upo� said building, or any part thereof, shall conform in all respects to the oriiinances cf Fridley, Minnesota regarding location, construchon, alterahon, maintenance, repa.ir and moving of bufldings within the dty ]imits and this permit may be revoked at a�y time upoa viola.tion of any of the provisions ot eaid ordinanc�s. Buildin8 Inspeeta� � �� NOTICE: ihis p�naif doa nof eewr th� eonstrueNon, in�allNion fer rrlds0. P��o. Y� ��Y. �ww or wa1w. d� wn to sN 11n luiWino I�tp�ebr for s�paalr paa�ils for 1h�a i1Nm. . � � .. t � � A.PPLICATION FOR PERMIT ; CITY OF FRiDL�Y,.�NN�30TA OWNER` S NAME U� �iic/ S'Ti9-1� BUILDE1t .�i�� ._.._-..,, � .. .,r. - ADDRES3 � �?L !� �1 s��Y,� AUDRESS � Z., � l ��?�C,�$-L .,.,;_ ,T,�. � �� LOG/kZ"LON OF $�INC No. � �� ....._, ; St��etE.:.�fG�"��-�'�J �att; of T.�# ._____,..,, Lot��_ Biock � dditiot�r or Subdivisian ��,��(.,r�,��,�.��,� . Corser Lot Inside Lot __;.,�et�s�k Side-Yard. SSWER BbE�TATIQN �OUNAA�ZON BL$V`A'SIOI� +�'�� - r �► .+rri � � � . Appliea�t attach to thi� fosyq Two Certificates o#. ,Survey o#' �o� . and prupc�sed'�w� `- ing locatioa dY��wn ot� these ef�tificat e ��.�-Fare s,� . *!f , ww�i� / 3� ��. � . .,,,_ � �'2-c�� ,; � ESGRIPTiON OF B �ING �� _��;�- �` �" , e used �s: , � �'resaC DePth � He�� • � . �. " :lq. Ft. , Cu. Ft. _ _ - Front Depth Height S�. Ft! � Cu. Ft. ' � , _�,,,.... . Type of Construction Estimated Cost ��/�'�• � -...�.-b�, �o+mplete;d . _� 4 . The undersigned hereby mxkes application for a permit for the work he�Cein apecified, agreeiag �c� do a�,l work ii� atr�.ct accordaace with the City of Fridley Ordi�ances and rulings i�� e�e Departra�ct' �of Buildiags, and hereby deelsres that all ti�e fscts aad - rePrese.ntatioas stated in this application �e pF}�e and correct. �i - f, : w �; . `r�� i�r. �_f . �le.of Fee Costa can be found on the Reverse Side). . r.� -' .4.. • 1 �� b d� � ' � )�O� � � � � � � � a w a C � .; � O m L � � � � fl. � N i�. � s V �. O V � �' _ °o t� � L � a �_� = a •� a .°- o t •� L C a v+ � � •� y L L � } 3 � N - O � y L } � o v ,� �- .�. z � � %1� � � � 'a W � O O. = t� � • � � � 0 d oC � d o � ;� o ,� � � ,� � o � � � � � � � � � � .� a 2 .s � •°r � � � . d � c� � � � I 1 � � O � � � o a 0 �� I � � � ► � � � � d � � o � U �' � o � � U � � �o 0 x � � a OO a � 0 U � � � � �� ti � � � � � � � '� 0 0 � � � � �.� � � oti� � �� N .N��o � ..� ,.� w .«- � �� '��a:° o U +i � 0. .� 'N U •N ° �� o"i�� N � '��o� � o � '�� ,��. � a�'~ d�°� �°',�� oUi�'�g ;� � . � � �� o� �� o� o � � �� •��°► �� o�� .��ffi �� o� �� .s �� ffi � � R' ° o �o �� .� � � �� d o �� ,s �n � �,' .c o. �� o� � o � N � �� .��'��'o '�H� �� a o � •� .�,��o�,� > � .��o� � Cl ��'� O N � w t3 �':�' a � O t:,� � �v°�a y y sue�ecr POERM12 �93 Cit of Fridle AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • r ; � ` RECEIPT NO. � `L ___��_ COMMUNITY DEVELOPMENT DiV. � r � � PROTECTIVE INSPECTION SEC. � . � �l � /'�'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY `.��i �•1 � 6�2-5so-3a5o g10-F15 11/5/74 � � JOB ADDRESS 6611 Jackson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 Meadowlands Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Ma.rvin Greefveld 6611 Jackson Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. H 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUIIDING 7 CLASSOFWORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR O MOVE [J REMOVE 8 DESCRIBE WORK Install aluminum soffit and facia 9 CHANGE QF USE FROM TO STIPULATIONS SEPERATE PERMIT� RE��IREQ FQR �NIR�NG, NEAT1f��, PLUP�BING AN� SEGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTI�ATING OR AIFi CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIfVG 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 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 tij`700.00 .SO WITH WHETHER SPECIFIED HEREIid OR NOT. THE GRANTING OF A PERMIT 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- �`(.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE / 7 . 50 �'�+ '� SIGNATUREOF- iRAGTORQ / THOR12E N7 n7E� ROPERLY VALIDAT HI I YOUR PERMI V SiGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLDG INSP �ATE � APpLICATION FOR RESIDENTIAL, ALTERATION, • OR AllDITiON BUILDING PERMIT � CITY OF FRIDLEY, MINNESOTA OWNER�S NAME:�%d�i� //iN (/J/vp.vrGllw� BUZLDER: ADDRES S: f_f // �T ��s'6,v fr' /Y, f, ADDRES S: /3 �i f� 7 �3 �sG. �� .��.. �� v- � N0 :. � / I S TREET : � fi CKS 0/lJ S% . LOT Z 7 BLOCK: / ADDITION s��a��+0�-cJ L-r7�DS l�v/�� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot aad proposed building location drawn on these Certificates. ; -� DESCRIPTION OF BUILDING To Be Used As: SO ��'i f �' ��►[ /.� Front . Depth : Height : Square Feet: � Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: • . Z�Pe of Construction: S��'��,( �C, cJ Estimated Cost: $�,�G `-�- . To Be Completied: - The undersigned hereby makes applicativn for a permit for the work herein specified, agxeeing to do all work in strict accordance with the City of' Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application axe true and correct: DATE : _�%l S _� � � S IGNATtTRE • , . 7-- "(See Reverse Side For Additional Information.) G, ra � � �-� a 5 � � �-� S � � �--�� ' � r r . . . . . - . . . � ... . �i • S�d ._.. __._.. .. _ . : _. ... , _ _ ___ _ -�� -. sua�ECr E R M City of Fridley � 17 413 � ATTHETOPOFTHETWINS gUILDING PERMIT ; � EIPT N • COMMUNITY DEVELOPMENT DIV. � � ti: ------� a � q y� r � � PROTECTIVE INSPECTION SEC. � � / � , i , � �'��1 � CITY HALL FRIDIEV 55432 NUMBER � REV. DATE . PAGE OF APPROVED �BV � i""'� � ,�� 612-571-3450 910-F15 / / 2 23/84 JOB ADDRESS 6611 Jacks.on Street N. E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 MedC3,OW1aT1C�S SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Charles Mann 6611 Jackson Street N.E. 3 CONTRACTOR MAIL ADDRESS — ZIP PHONE LICENSE NO. George Johnson Contr. 411 - 70th Avenue, Brooklyn Center 566-2351 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 ❑ REMOVE X 8 DESCRBE WORK Reroof Hs�use and Gara e 9 CHANGE QF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys if necessary. TYPE OF CONST. OCCUPANCV GROUP �CCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOHK OR CONSTRUCTION ZONING 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 I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAfiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED �1�1SO c�� .r�H WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT Y OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- c�2O. SO S UCTION OR THE PERFORMANCE OF CONSTRUCTION. '+' PLAN CHECKFEE TOTALFEE $2�.. �8 � SIGNATUREO N� OROF7AUTHORIZEDAG r ion7E� WHEN PROPERL IDATED THIS IS VOUR PERMIT a �,� SiGNATURE OF OWNEFl IIF OWNER BUILDERI IDATEI � BLDG INSP DATE � CI7Y OF FItIDLLY l+PPLICI1Tla� FOtt RCSIOL'i�TIPw I3UlLQ1��G P�i'viITS (Nc�•�. Alterations, Additions. or Rcpairs) Otisr�ER• ��l G�Y � � �o��:ESS: � � �/ J�Hs� � �l� . S TEL K0: Effective Auq. 1, 1981 � (T�J �P � �Jl��l S��% I3UI LOER : noaz�ss: �ll � 2ll�i -� J�/ �f1 �'�/1 TEL 110: �� Construction Location ST1tI�T J10: ��P �� STJtEF.T: dG� C��1 S� /'' `�- � i,p��; BLOt9C : ]1DAITIO:i : Cozner Lot: �! Insiiic I.�ts � SctbacY.: Sideyards: , Ap�lic�v�t attach to tl�is foxm ta.�o Certificates of S1�rvcy of lot and p:oposed building location dzawn on certificates to scdle. DESCRIPTIO�� OF COilSTf:�JCi10S� Front: Depth : Neight: Square teet: dbic. Feet: Front: Depth: Height: Square FeAt: Ctibic I'eet: . 'a7�pe of Co:,struction : ��lf � � �� EstimaCed Cost: S �/ . y�� 7b Be mr.�pleted: �►lt. A A1 t. B Propos�d Drivc�+•ray Hidth If New Opening Zs Desired: $ S _ , S�E PiVF.R;s' SIDE OF StIEET . liie unclersioned hereby m�1;c;� nrpliclticn for a penLit fcz the �:vzk he�ein specified, agrcein3 to c�o .all work ir, strict accord3nce �ith the City of Pridle�� Ordi��ances tiid tuling� of tlie Delk�rtment of IIui:dings, a�d hereby decl�res th�t all tl�e facts and represc�titiens stated sn this applic�tion aze true and cozrect. DT.7'L• :p�, oC� v� SIGNl►TUI'.°.: �,�=— � �� - � ' £til�ulations : c� � .S-� � � ° -� � _. ._.. .. (.o°o �_ ._. � �� s � . . sue�ecr P • c�cy of Fridley 2 6 3 3 0� AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r ; ` iiECEIPT NO. � • COMMUNITV OEVELOPMENT OIV. �� ♦V'�� r � � PROTECTIVE INSPECTION SEC. i = � � �"'1 � CITV HALI FRIOLE� 55432 NUMBEF REV DATE PAGE Of APPROVEO BV �""�' �'' 612-571-3450 9�0-Ft5 6/24/98 / / 108 ADDRESS 6611 Jackson Street NE 1 LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. 9 1 M2SdOWIS11C1S SMEET 2 PROPEHTY OWNER MAIL ADDFESS 21P PMONE H. Rheem 6611 Jackson Street NE 3 CONTHACTOR MAIL ADORESS ZIP PHONE LICENSE NO. Halek Roofing 6258 Ea le Lake Dr, Ma le Grove MN 55369 535-8835 5010 4 ARCMITECT OR DESIGNER MAIL AODF;ESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING � Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % B DESCRIBE WOFK Reroof House & Gara e(26 S) Tear-off 8 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMiTS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AU7HOR12ED IS NOT COMMENCED WI7HIN 60 DAYS, OFi IF CONSTRUCTION OF WORK IS SUSPENDED OR ABANDONED FOR A PER100 OF 120 OAYS AT ANY TIME AFTER WOFiK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. A�L PROVISIONS Of LAWS VALUATION SUIiTAX AND OROINANCES GOVERNING TNIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �2a168 �I.OH DOES N RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROV IONS OF ANV OTHER STATE OR IOCAL LAW REGULATING CON- @74..�5 Fire SC �Z. iG STR TION OR THE P FORM NCE OF CONSTRUCTION W PLAN CHECKFEE TOTALFEE Licens $�'. $82.99 S�GNATU�EOFCON�AACTOAOAAUTMOFlIIEDAGENi IDATEI PRO VA�IO TMIS IS V R P RMI / S�GNnTUFE OF OWNER iic OWNER BU�LDER� �OATE� DG �NSP � iE NEW [ ] Effective 1 / 1 /98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ��j�� q J r,�� 3� ConstructionAddress: �Q ( � l4,!•�SUI'1 S T !��'� I.egal Description: Owner Name & Address: �//��% 1��e�`�-' Tet. � Contractor: f�-� � MN LICENSE #��'o � � Address: �0 2 5 $ �64 �. �'�-�- �i+ � ��I� �/''�"`'�'r Tel. # .S�S �g3S • Attach to this application, a Certificate of Survey of the � S�lo9 lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length DESCRIPTION OF IMPROVEMENT Width Height Width Height �idth � HgdGround c � /� � /_ _C'� , % � k�i Sq. Ft. Sq. Ft. Sq. Ft. � t �, � - v Q A. Construction Type: � Estimated Cost: $ `� °� �� U (Fee Schedule, on Back) Driveway Curb Cut Width Needed: F�..�6 Ft = Ft x$ _$ DATE: " o?`� . �I �S � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Etosion Control Park Fee Sewer M„�in Charge TOTAL STIPULATIONS: $�� %S_ $ �� $ I. dS $ $ �. va $ $ $ $ � � g Tel. # 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 [ ]