AF - 47529� 9�� y
Caty of Fridley, Minn. N° '7 9 9 3
BUILDING PERMIT
r
nate: ..._June Z�, 196�
Owner: _ Builder S�dale Builders�Ia�.
Adc]ress ._..�______.T � Ad�ress �fl1Z��1�G �4e _ SQ -
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LOCATION OF BUILDING
xa ?63� ._.._ s� dack�Em St. �. E. ._..__._.___._. part ot r.ot
Lat _� _._.__ Block � AdBitiaa� or Sub-Divisio� .�e.���3.QT; h�d•
Corner Lot .__ Inaide Lot _.._. Setback _._._ Sideyard _..
Sewer IIevatiaai
Fo�mdatlai Elevatio�n
DESCRIPTION OP BUILDING
To be v�a �:
vwe7.lin� F'ro�t neptt► Height &i. Ft. ca. Ft.
Fi�t Depth Height �.. S9. �. C7u. i+'t.
Type of Construction � FlelriB Est. Caat _....�16��:� ___ To be C.�npleted _:_..
i -�� .,
Ea co�sideration o! the issuance to me of a permit to construct the building described above, I agree to do
th� P�oPoaed work in accordance with the descrlpt3oa aba►e eet lorth and in compliance with all/�ons oi
ordinanoes of the dty o! FridleY• i/ /l �. �7 �
In cams[d�ation oi the payment of a fee o! ���!� , Pe�'mit is h�+eb3' Sranted to Ho�e BuildeT'8.
to oonstruct the building or additfar► as deaeribed above. This Permit is granted upau
the exPress c�ditiari that theperson to whom it fa granted and his agents, employees and worlunen, fn all work
done in, around and upon said buildin8, ��Y Part thereof, shall conform in all resP�� to the ordinances a�
Frld1eY, Mi�nnesota regarding locatio�, constructi�, aiterati�, maintenanc�, repair and movin8 of buil
within the dty linoits and this peiznit may be revoked at aqy tiine upan violation of aqy � the Provisians of s�d
ordinancea
Allen �er�een � �
NOTICE:
76k p�mit dws �et eewr Nw eea�/roeNea, �tlMien �er �rkNY. P��Y. s� ��Y. swr�r ar w�Nr. !� sen fo sN
th� lvtW� M�qor fer »p�rN� p�neb� 1er fla» th�.
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, , APPL�CATiON FOR BUII,DIDIG ;PBR�'4I� . � �� 1 � �_ I �
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CITY OF FRiDLEi�, -MINNES�TA , , . . � M . � `
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OWNER'S NAML ��BUILDER,:
, ,. _ . . .
ADDRESS �, . � �: - ADDRESS.
.. . �
� . . . �� LOCATION F � �UILDING _ _ . _� . � _;
No.. �c% , Stxeet . $as;t cf Lo��_
Lot ' Block �� Addit� or• Subdivisi�on
� Corner Lbt � �aside Lot��Setback c� �. 3ide-Yard -
--T----. ..
SEWER ELEVATION FOIJNDATION ELEVATION •� ��
ApplicanC attach �o thia foran Two Certificates of Suzvey o.f , Lot . a�d grop�sd. bui].d-
ing location drawa oa Cheae Cextifi,c�tes. _ ��
DESCRIPTION OF BUILDING _.
;°}� :~�
To be used as: �
����Front , � Depth Heigh� . ,�' v��
� . Sq. � Ft. . ��� � Cu. Ft v�,f3.��,�C � -
� FronC � Dspth ` Height
. gq. Ft, Cu.:Ft.,
^ ..�._� .
Type af Constructian � Estimated Cost �� ,.
To be Completed --- l,7 � .
The undersigned liereby makee, epplicaticfa.;for ,a pei�naft fo�c the work�hei�ein s.pecified,
agxeeing to do all work in strict accordaace with the City of Fridley Ordinances and
rulings �f the-Department.of,Build3ngs, and hereby�declares that aIl the facte and
represenCat�ons stated in �his applicatioa are true and cor�ect.
DATE SIGNATURE.
�'Schedule of Fee Costa caa be found on the Reverse Side). �
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City of Fridley, Mi.nn.
BUILDING PERMIT
na�: _..a�� t ?�.}.:�.� _
�3 ��� �
N° 8975
Own�er: ___. R] rh�.rd -T �,�g±•._ha1 ...... Builder _ ��n►p ..__.._.._.._.___.._..___..___
Address w._._..7_�2.���cksQn �tre.�t:_..�i......E.,,_____ Adciress ._..__ Same_ �.._.. .r.
LOCATtON OF BUILDING
No. __.7.�.��-.�..� Street ._._.._.,T.�.k�.QA.._5.���...II.....E..______...._..._ Part of Lot
Lot _.._.._....�..___....__ Block _._._2..._.._.._._.�.._._._ Addition or ub-Di�� ._.Me],.ad.}z._D�auor. G.rh eAAi r; �,,,
�oceted on
Corner Lot _..__..._..____ Inside Lot _._..X.... _._ Setback Lsx�.._.St�3ze..y_ Sideyard __ .�%�-_3....f�.et
Sewer IIe�vatian .._.__.._____ __ Foundation Elevation ._._.. �
DESCRIPTION OF BUILDING
Ta be vsea as:
r._....�a.ra e _____ Fr�t 24 � Depth _24' Height ...�..Q� __ Sq. F't. ..�Z�._ Cu. Ft _.SZ�.
_.._.._.__...y...�.�._._....� �ont Depth � fTeight ._._.. Sq. F't. _ Cu. F't.
Type of Construction __.Gcx�'.,3g.�..� ..... E�� Cost __.$1.5�.�JD..Q�,.._.......___ To be Completed _:_. R••� 7
Ia cansideration of the iasuance to me of a perrnit to construct the building described abawe I agree to do
the propoaed wark in accoidance with the description above aet fo�t�h and in oompliance with a�l pmvisions of
ordinances of the city of Fridley. �, -( 1 n,�. _ n(1
Ea canaiderat[oai of the paymeat of a fee of $.�....._..__.., perrnit is hereby granted to
the exPrc�ss condition that the�person to whom�it� granted and his agents, employeea an$ worlunen� sll �rk
do�e in, around and upon eaid building, or anypart thereof, shall confarm in all respecta to the ordinancea . o�
Fridley, Minnesota reB locatioo�„ conatructfon, alteration, matntenaace, repair and mavin8 of builaings
within the dty ]i�nits and�a pernnit may be revo�ed at aTMy time upor► violation oY any o� the parovlaioa�s o� o�id
ordina�nc�.
rl �ren�� R�1 i cl p gy{� �
NOTICls
i6b pwwte deM �at eevw fiw wn�haalloa, �en ta vrkM�► P��/► �a MNMy, srw�r a wMK. M w� h�
IM lutWiuo lep�er fer MpnaN p�Ns for fh�a thml. •`
APPLICATION FOR BUII.DT.�iG PERMIT
CITY.OF FR�DL�Y., MINNBSQTA
OWNER' S Nt� ,� 1 G� A t" d CJ •�� YY1 �l. A� BUILDER cS /� r1'1 E�.
annxsss '7 � 3 �[ ��1 ckso n S�- M. �. annx�ss SA rS� �,
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LOCATIOAI OF BtIiLDI1dG
N0. %(� y 5TREST Cl !i C ks o n.��. n'' . �� . PART OF LOT .,
LOT �j BLOCK '� ADDITION OR SUBDIVISION �� �a ��r I�1 r� no r�(��' ��il'(0 v�
Lo �,�-f� d �n .F
CORNER LOT INSIDE LOT�SETSACK Lo� SUhYEY SIDE-YARD ��] ��E��t'�
SEWER ELEVATION FOUNAAI'ZO�i EY.EVATI01� �.
Applicant attach to this form.Two Certificates ot Survey of Lot and proposed �`
building location drawn on these Certificates.
DBSCRIPT�ON OF BUiLDIRG�
To be used asa
. � , � ,
_� !�?r R � E Front�_Depth� �`Height /D
Sq. ,FC. �V', -] � . I Cu. Ft. .� �%6d
� r- - .
Front Dept �� Height
Sq. Ft. Cu. Ft.
Type of Construction ��� r� G� Estimated Coet�1�(� ); 6 C�
To be comp3eted� _ �� � 7
._.,.._._-..
The underaigned hereby m�kes applicatioa for`a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and ruliags_of Che Depar.tmeat.of Buildi�gs, and hereby ,�
declares that all the facts and representations 8tated in Chis application
are true and correct.
DATE c� " c� �`� `� G SIGNATURE ,
(Schedule of Fee Costs can be found on the Reverse Side).
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SUBJECT
c�ty of Fridley � �� � T�,� ,
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
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� • COMMUNITY DEVELOPMENT OIV.
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r � � PROTECTIVE INSPECTION SEC. f/
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( � �'��1 � CITY H ALL FRIDLE� 55432 NUMBER pEV DATE PAGE OF APPROVED
�'""�" �'' 612-571-3450 9t0-Ft5 6/2/95 / /
�oe nooaess 7634 Jackson Street NE
t LEGAI �OT NO. BLOCK TRACT OR ADD1TIOh SEE ATTACHED
DESCR. S 2 Melod Manor 4 Addition SHEET
2 PROPERTV OWNER MAII ADDRESS 21P PHONE
Mary Zembal 7634 Jackson Street NE 786-2548
3 CONTRACTOIi MAII ADORESS Z�P PHONE LICENSE NO.
D& D Home Im rovement 7401 Central Ave NE Fridl MN -
4 ARCHITECT OR DESIGNEf± MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO.
6 USE OF BUILDING
Residential
7 CIASS OF WORK
D NEW ❑ ADDITION ❑ ALTERATION O� REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reroof House & Gara e(24 S) 2nd La er
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be Che 2nd layer but not the 3rd.
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTHICAL, PLUMBING, HEATING,
VENTILATING OR AlR CONDtTIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 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 COMPUED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � 1� 32O . 66
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERM1T FEE SAC CMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTI R THE PE RMANCE OF CONSTRUCTION. 33.00 Fire SC 1. L
PLAN CHECKFEE TOTALPEE
Z License S
s��Nn E F CON � RACTOA OA AUTHOR�ZED AGENT � ATE� �yyHEN PfiOP lY VAUDATED THIS IS YOUR PERMIT
Gr/ U�` � �
SiGNATUREOFOWNERiiFOWNERBUILDERi IDATE� G iNSP � �1 7E
NEW
ADDN
ALTER
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C�TY OF FRtDLFY
SiNGLF FAMILY AND DUPI.EsXES R-1 AND R-2
Building Permit Application
ConstructionAddress: ��3� �/'�'�SG�/l� �5'� i2'/��
Lega1 Description:
Owner Name & Address: f/�f�j'C�[ __�c���
Contractor:
D b D Home Improvement, Inc.
Effective 1 / 1 /94
��-�i�
Tel. � i��"'���g
MN LICENSE # 4 8 4 0
Address: ��01 Central Avenue NE, Fridley, MN 55432 Tel. � 784-7543
Attach to this appiication, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTtON OF IMPROVEMENT
LMN(3 AREA: Length Width Height ' Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: 1.ength Width HgtlGround Sq. Ft.
� .,
Corncr I.ot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Constivction: �..�`� ,�� � Fstimated Cost: $ %
Approx. Completion Date: � ��'�'�� " v2� a��4��C,�S �i� s��°,Q
{Cost on Back)
Driveway Cut Width Needed: Ft. + Ft = t x S =$
DATE: APPLICANT: Tel. � �g�—j,��/�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
I?riveway E,scrow
Erosion Controt
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
s �, DU
$ / ��
� ,
$
� �: v�
$
$
_M '
Fee Schalule on Reverse Side
.001 of Permit Valuation (1I l Oth %)
�.SO/$1,000 Valuation
�800 per' SAC Unit
$5.00 (State Licensed Residendal Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservatian Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ l Not Necessary [ l
I • r
sue�ecT PERMIT NO.
c�ty of Fridley 28444
,,57,2sT���P�F TME TWINS g� �LDING PERMIT
, � RECEIPT NO.
� ; V �
COMMUNITV OEVELOPMENT OIV.
r � � PROTECTIVE INSPECTION SEC. 7�a a
� � �
� � �"'1 � CITY HALL FRIDIE� 55�32 NUMBEp nEV D�iE VAGE Or AViROVED !�
�""�"� ,'' 612-571-3450 910-F15 � /
10 28 98
lOB AODRESS
7634 Jackson Street NE
1 LEGAI �OT NO. BIOCK TRACT OR ADDITION SEE ATTACNED
oescR. 5 2 Melod Manor 4th Addition s"EET
2 PiiOPERTY OWNEFi MAIL ADORESS Z�P PHONE
Richard Zembal 786-2548
3 CONTRACTOfi MAIL ADORESS ZIP PFIONE LICENSE NO
Ea leview Const. Inc. 2 3 Ln An -
� AqCNITECT OR OESIGNER MAIL AOORESS ZIP PMONE LICENSE NO.
5 ENGINEER MAII ADDFiESS ZIP PHONE IICENSE NO
8 USE OF BUI�DING
Residential
7 CLASS OF WORK � REPAIR p MOVE O REMOVE
O NEW O ADOITION O ALTEfiATION
B DESCRIBE WORK
Reroof house and ara e 26 S Tear-off
9 CHANGE Of USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE Of CONST. OCCUPANCV GROUP OCCUPANCV IOAD
SEPARA7E PERMITS AqE REOUIREO FOF EIECTRICAI, PLUMBING. MEATING,
VENTII,ATING OR AIR CONOITIONING
THIS PERMIT BECOMES NULL AND VOIO IF WORK OF CONSTRUCTION 20NING SO. FT CU FT.
AUTHORIZED IS NOT COMMENCED WITMIN 60 OAVS. OR If CONSTRUCTI�N
OR WORK IS SUSPENDED OR ABANOONED FOR A PERI00 OF 120 DAYS AT
ANY TIME AfTER WOFK IS COMMENCED. NO DWIG. UNITS OFFSTREET PARKING
I HEFEBY CEFTIFY THAT I HAVE AEAO ANO EXAMINEO THIS APPIICATION STA��S GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VA�UATION SUpTAX
AND ORDINANCES GOVERNING THIS TVPE Of WORK WIIL BE COMP�IED
WITH WMETMER SPECIfIED MEREIN OR NOT. TME GRANTING OF A pEAM1T 222$ ].. 11
OOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOLATE OR CANCEI TME pEqMIT FEE SAC CNAqGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING GON-
STqUCT10N OR THE PER�ORMANCE OF CONSTRUCTION %�F.75 Fire SC �2.23
PLAN CMECKfEE TOTA�FEE
�����'���-� `;' L' nse C 83.09
N�1UpE �CON'AA(;TOQOpAUTMOQ�2ED�GENT iD�r � WMEN PROPEpI ALIO EO TMIS IS YOUp PERMIT
!/V/ �.��� V ��/ / I/
S�GNSTUAE O� OWNEQ��� OwHEpBUi�DEp� 1♦TE� Bl �hSp �1�TE
K J
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [) SINGLE FAl�1ILY AND DUPLEXES R-1 AND R-2 �t%�
BUILDING PERMIT APPLICATION �� �y
ConstructionAddress: p~ � 2j --f� t�' J' ��
7 �
Legal Description:
Owner Name & Address: �'�a�� G� �- Tel. # %�lo— �S�/8
Contractor: �<M-l-� . � � MN LICENSE # �c�Yl �o `f�
Address: a�� 3� � � y/�`= ��( Tel. # ��- �� 9
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
I.ength
DESCRIPTION OF IMPROVEMENT
W idth Height
Width Height
Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
�-- �� �
Construction Type: �1rt� .x l�yiv� ���..�u � Estimated Cost: $ , 2��
�'�`�� (Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
�
DATE: �?�' APPLICANT: Tel. � 7'� 5�5�� �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ y�
$ Z.23
$ . �i
$
$ `�� `'•�
$
$
$
$
$ 3-�I
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1 / l Oth %)
$.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 [ ]