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AF-W - 47564SUBJECT Clty of Fr�a�ey WRECKING AT THE TOP OF TME TWINS P E R M I T i� � � ' • COMMUNITY OEvELOPMENT DIV. f � � � PROTECTIVE INSPECTION SEC. � , � . � � � �"'1 � CITY HALL FRIOLE� SSIJ2 NUMBEfi REV ! �'""'�" �'� 612-571-3450 9�0-F15 J08 ADDRESS 554 Janesville Street NE 1 LEGAI LOT NO. BLOCK TRACT QR AQDITION DESCR. �FH,49 F Riverview Heights 2 PiiOPERTY OWNER MAIL AOORES$ Dwayne & Dawn Myrvold 554 Janesville Street NE J CONTRACTOR MAIL A�ORESS Same 4 ARCNITECT OR OESIGNER MAIL AOORESS S ENGINEER 6 USE Of BUILDING Residential 7 CIASS OF WOiiK 8 DESCRIBE WORK Remove fire 9 CHANGE OF USE FROM MAIL 3/2/00 ZIP PAGE OF � � 30695 E IPT NO. f �� y vqOVEO Br SEE ATTAGMEO SHEET PMONE 865-8837 PHONE LICENSE NO PMONE LICENSE NO. PMONE LICENSE NO O NEW ❑ ADDITION ❑ ALTERATION O REPAIR O MOVE xO REMOVE ed house & garage TO STIPUTATIONS Disconnect water and sewer lines at property line and call for inspection of capping. All demoliton debris, including foundation and slab, sha11 be removed from site. 7YPE OF GONST. SEPAFiATE PERMITS ARE REOUIREO fOR ELECTiiICAL, PIUMBING, HEATING. VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL ANO VOID If WORK OR CONSTRUCTION 20NING AUTMORIZEO IS NOT COMMENCED NJITMIN 60 OAYS. OR IF CONS7RUCTION OR WOfiK IS SUSPENDEO OR ABANDONED FOfi A PENIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO OWLG. UNITS I HEFEBV CERTIfV THAT I MAVE REAO AND EXAMINEO THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVEFiNING TNIS TYPE OF WOfiK WI�� BE COMP�fEO WITH WHETHER SPECIFIEO MEREIN OR NOT. 7ME GRANTING OF A PERMIT � OOES N07 PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pEqM17fEE PROVISIONS Of ANY OTHER STATE OR LOCAI LAW REGULATING CON- STqUCTION OR TME PERfOFiMANCE Of CONSTFUCTION �ZO.00 P�AN CNECKfEE 3 � aa �S�GNAiUQE Of CON'NA ,TQAO �H A�2ED sGENi f0 TEi M Pq D��. � �.�-�� -�� occ CU i OfFSTREET PARKING STAILS IGAAAGES V r lOA Credit AL FEE �ZO.00 TMIS�V `�psaD CITY OF FRIDLEY 6431 University Ave NE Fridley MN 55432 (763)572-3604 Job Address: � s � Legal Description: L o� S Effective 1/1/00 MOVING [ ] WRECKING [�Q PERMIT APPLIC�TION � � � � �r4-/v�s Vl !(� sf. /� I- � -e �� 'f � �' � �1��(� � �� ve,rYie� �e�qG�fS Owner & Address : � f� w�Jy� � Contractor: S � � � d�-�ss Te1. #(�[��(�58��'7 Tel. # Address: State License # DESCRIPTION OF BUII:.DING C� /� HOUSE : Length 3� Width � Height i d Sq . Ft .'� Cu . Ft .�/ v2d " GARAGE:Length � � Width ��f Height 10 Sq. Ft. �D Cu. Ft. �� OTHER: Length Width Height Sq. Ft. Cu. Ft. Estimated Cost $ Approx. Completion Date 3`� s"d � UTILITIES City Water/Sewer Minnegasco N S P NOTIFIED: 572-3529 ['� 372-4720 [+�] 330-5500 [ �J" �� - � � Water Bill Paid: Yes� �r Collect [ $ 'y � � � � ] Moving Route: U S West Business-603-6000 Home-244-1111 [�] Signature ,%n The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and correct. ALL DEMOLITON DEBRIS. INCLUDING FOUNDATION & SLAB. SHAI.L BE REMOVED FROM SITE. 3 - � - � �' ��-� Date Signature Moving: Principle Building into Fridley .... $300.00 Accessory Building into Fridley .... $ 42.00 Minimum Fee: $20.00 Through or within the City ...... $ 20.00 Move a building out of City ...... $ 20.00 . �, � qa� = / �< .s-�' Wrecking: For each 1,000 cubic feet or fracdon .. $ 1.25 X For structures which would be impractical to cube the fee shall be based on the Mmimum Fee: $20.00 ' total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. PERMIT FEE: �� ' � � STIPULATIONS: � - �- ° ° � 1/� � ^�� (Cl d � �'`l` %'/7��G ,l%� �2� fi �%! �v.�' ,v � � ,� S �f ,T.��--ts ��'!/e �T y � , T ff-� � , %zS T �J,� /z.T d � � �/� �/� �2 � o� � � � .',�� T h' � �� - /� �- / � � /l� f/ � � S %'� r� CT ! O'�� 1��tLT � (/I.� p� ti /.� L. , � /�f -� �.�f /� �1 � s � �rd''`i %Q l� � !/-l� 7^l�Q C, d� G�`` rt- �p ;��- a� �� T, ' L T�,�� c,aa�-� � � l'' • �'jr �7',� /z 7'�/�7"� �.' t,vd � /� L�s�- �-t 7'�i�-e � Q'r c /�°� T"G' �-� � O v-� � � � C 7`/.� � �� /L-� ui.t �/�C o ��y�� y,� �o �,� , �r�� o� Z � _ � . . NOTICE OF FIRE TO: B�lf�i�i� IN�PECZ�OIV� ASSESSING WATER BILLING FROM: RICHARD H. LARSON, DEPUTY FIRE CHIEF DATE: 2/23/00 SUBJECT: FIRE DAMAGED STRUCTURE A fire has occurred at: Date of Fire: 554 JANESVILLE � 2/23/00 �'y �r`� V.. � , � �: ` � , � r � �� .. -.� �t -.� -� .�.--- � .�- _� _ --_ �I�r�`�-- , 1" ; �, �' • � h I � t �� C �„� �' . . , \ � �,� ��;: � ��, t � � - 4- - � t M1- i � ,-- � ��+ - �--. . . ��- � . ,�1: `i��- . � =�� ;. -��`"�:a�.,'G � , , �; :, � � ._ � - ��,. .+ r�` �' �� R , .�� A 1 . 'jy : i� • !.�� .. sYj I ! . _.•�. 'i.� ' II � � + + , � �R— � r r; �'• / y i . ..�� ` _� +n�l . �la'di i . (, r ` �' �/�. ti' f_ _. 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R i1 �i� ,i -� � ,, y:r , �;. , , i �� ; `, �. .k..A f('�y� _ � ,,,...- r �v.;�.� .-- _ _ CtTYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 February 29, 2000 Dwayne Myrvold 554 Janesville Street NE Fridley, MN 55432 Re: Fire Damaged house and garage at 554 Janesville Street NE Dear Mr. Myrvold: On February 22, 2000, an inspection was conducted after the fire to determine whether the above noted buildings were damaged to the point of being a hazard. Per Section 102 of the 1997 Uniform Building Code, which states in part, any structure that constitutes a hazard to safety, or health, or public welfare by reason of disaster or damage, shall be considered unsafe. All unsafe buildings shall be declared a public nuisance and shall be abated by repair or demolition as referenced in the Dangerous Building Code. Section 302 of the Dangerous Building Code states that any building or structure which has any or all of the conditions or defects herein described shall be deemed a hazardous building, provided that such conditions or defects exist to the extent that the life, health, property or safety of the public or its occupants are endangered. The following items deem the building dangerous; 1) Whenever the stress in any materials, member or portion thereof, due to aU dead and live loads, is more than one and one half times the working stress or stresses allowed in the Building Code for new buildings of similar structure, purpose or location. 2) Whenever any portion thereof has been damaged by fire, earthquake, wind, �od, or by any other cause, to such an extent that the structural strength or stability thereof is materially less than it was before the catastrophe and is less than the minimum requirements of the Building Code for new buildings of similar structure. � 3) Whenever any portion, member, or appurtenance thereof is likely to fail, or to become detached or dislodged, or to collapse and thereby injure persons or damage property. 4) Whenever any portion of a building, or any member, appurtenance or amamentation on the exterior thereof is not su�cient strength or stability, or is not so anchored, attached or fastened in place so as to be capable of resisting a wind pressure of one half of that specified in the Building Code for new buildings of similar structure, purpose or location without exceeding the working stresses permitted in the Building Code for such buildings. Dwayne Myrvold Re: Fire Damaged Structures at 554 Janesville Street NE February 29, 2000 Page 2 5) Whenever any portion thereof has inracked, buckled or settled to such an extent, that walls or other structural portions have materially less resistance to winds or earthquakes than is required in the case of similar new construction. 6) Whenever, for any reason, the building or structure, or any portion thereof, is manifestly unsafe for the purpose for which it is being used. . 7) Whenever the exterior walls or other vertical structural members list, lean or buckle to such an extent that a plumb iine passing through the center of gravity does not fa�l inside the middle one third of the base. 8) Whenever the building or structure, exclusive of the foundation, shows 33 percent or more damage or deterioration of its supporting members or 50 percent damage or deterioration of its nonsupporting members, enclosing or outside walls or coverings. 9) Whenever the building or structure which, whether or not erected in accordance with all applicable laws and ordinances, has in any nonsupporting part, member or portion less than 66 percent of the strength, fire resisting qualities or characteristics or weather resisting qualities or characteristics required by law in the case of a newly constructed building of like area, height and occupancy in the same location. 10) Whenever any building or structure, because of obsolescence, dilapidation, deterioration, damage, inadequate exits, lack of su�cient fire resistive construction, faulty electric wiring, gas connections or heating equipment or other cause, is determined by the Fire Marshal to be a fire hazard. 11) Whenever any building or structure is in such a condition as to constitute a public nuisanc� known to the common law or in equity jurisprudence. Per Section 403 of the Dangerous Building Code, you are hereby ordered to demolish the entire structure, including the garage and foundation and clean the site of all demolition debris. Demolition shall be started within 20 days from the date of this letter. A demolition permit is required and the utilities must be disconnected at the property line. If you have any questions concerning this matter, please feel free to contact me at 572-3603. Sincerely, DAVID JENSEN Building Inspector DJ/DJ CC: Dick Larson, Fire Marsha{ Ron Julkowski, Building O�cial Barb Dacy, Community Development Director � r� U • City of Fridley, Minn. BUILDING PERMIT Sept. 21, 1967 Date: _�.__...._�__._ � � �� _� N'� 9�s� p�r. _� Van Dale L. Ranten g�r _� �, Same ,..._.,__.....,,__._,_� �,d� _. 554 Janesville N E ___�,�, Addreas � ..Same._._.___. LOCATION OF BUILDING No. _.___.__..554 .. Strcet .�.._._.._Janesville N. E. __.____.._.._._._. Part o! Lot _ � 48,,49 50_ glocic _.�._ F_.�____ Additi� or Sub-Divisi� ._._.&i. Coraer Lot .___..._._.__ Inaide Lot _._._...._...�.._..._.._ Setback �____..._�_._.._ Sideyard -- Sewer IIevatiaiai Foundation IIevation DESCRIPTION OF BUILDING To be Used aa: ` �arage _�� t _.24� _ Depth _.._.._24� Height ._ 10�� . F•t, �576 �, �, 5Z60 __.__.___..__�_._.._�.., Front �_ Depth _ __ Height __._._..._� Sq. F't. _._.. Cu. Ii't. Type of Construction _ Frame Es� Cost _.__.._�300,�00 .._...._.. To be Completed _.._ In consideration of the issuance to me of a permit to coz�struct the building deecribed abave I agree to do the ProP�d work in accordance with the descriptfon above set forth and in c�omplianoe with o! ordinances oi the dty of F�idley. � �/ j�� %�� In ca�sideration oi the payment o! a fee o! �.� 9. 00 .., p�t is hereby granted to._._ Ya� �ale L_ Ranten . to construct the building or addition as described above. This�permit is granted upan the express c�►dition that the peraon to whom it is granted and his agenta, employees d workmen, in all wo�rlc. done in, around and upon said building, or anypart thereof, shall conform in all reapects to the ordinaticee o� Frldley, Minnesota re8�8 lacation, constructtfi�, alteratlon, maintenance, repair and mavin8 of build�n�e within the dty limits and this perinit may be revoked at ar�y time upon violation of aqy of the provLi�s o� aeid ordinancea CLARENCE BELISLS B�8 � NOTICE: Thk pMnit doa not s�nr fM eoua�oaNee. te��IlNien hr wtrinp. P��mbinW Oa IMaNno, awK er wMw. !� wr� te � �� duildiay Imp�ebr for s�paraN p�nnits fw fh�a iNms. F� �;' • � t'\Th 'nT-T•�/^ P_��:C 1`�'�.G::i <<i;.t :3T1'�i,D.,�.� ..._<_�_t.T Ci.`� �J� i��;a:;�:�:'�-� ;i��:uSC±A 1 0��11�IEP.`S NAi�1E � F)jJi.,�.UY� �%�.✓! `°— ADDKE S S � � � y` ` � - rt�:�l%� � � 4._,�._.A�7?.E S S �%?` /,? �__-. � , � ��. ` . : �,�c�1:sc�v o� �v�j�:��_::� . �/ . ;_ - , I�fl . �� I Sxf E� i��,' -1-��--� ��". � P�1RT 0� Lo'r Sv�'r"�Fi9s i�� o,�i►Je R � LOT-��-'�� Bi�OCK AD�I�iON OR SU�,D':.VIS1flN � � �----- . CORI`;ER Lfl2 INSiDE LOT� . SET�ACY. �`g �J��G � � SIDE-YARD -� �� SEWEF �i,EVAT�ON . _� FOUNDAT�.Oi� ELEV��Qi� / ��!'✓GlyGS. ' ApgiicanC a�Cach to this forn T�ao Ceztificates ot Survey of Lot and proposed building location dra��m on these Certificates. . . DESCRIPTIC;1 0� i3UILDIhG� ,. ,_ : . _ . . _ , .. To Ee Used As : _, . ,_ F"ront bepth � Height � Sq. Ft. � Cu. Ft. . Front e��f��c-%�Depth a� �� eight,^�"�� 'r . ` � ' _.Sq. Ft.�� . Cu. Ft. ,��-�� _ t� o o,� Type of Canstructior. ��%�/�L°- �Estimated Cost -�d �� p�US �Rr�J�i�� -.-� � N.g ✓t;, To Be Campleted � � j� �. f� � - . _ _ . - . _ % . The undersigned hereby makes a�p�ication fo� a permit far the work herein specified, �greein� to do a12 u?ork in strict accordancF Frith the Ci�y o€ Frid�ey Ordir.ances and rul�ngs of th2 Departm�nt af Bui�dir_Us, and hereby declaxes th4t a}.1 the facts a�ri �,px��:seritations st2Led in this appiicat�on are true and correct. - ; x . . _ .. , DATE O � SIGrtATtJRE �� {5ch2�ule of Fee Gosts can be found o:� ttie F.evarse Side) , s' �� •: . . .. . . ` `,.^ ✓ fv: , r.. . - . . ... .�� .. � ....._ _... . .. . . . . . . _ .. . . . ... . .. .. _ .. ... ....... � ,� � . X .`� . . .. � �. . ; . .. . - � - �._. �.�: . _ . .. . . . . .. . . . _ . : . � .. . . _� ._�. � �� . . . . ._ . . . . �... ...• �-� . � � - . .. . . .. .. 1 ..�. .. .... .� ... .. .. . .... , . . .. . �. .-.� .. . ... . . ..._ . _... _._.._. _. . _ _._._. . . . . __. . �. , . . . _. _.. . . . � . . ..� .... . .. �..- . . . . � ... . .�. .. ....� . . � - �. � BUILllINC Yf:Ri�1IT `r'��E SCHI:DULE SEC1'�C�id_2.. The Inspector- o£ Euildi.ng:s shal_1, bef.ore issuin� ge.r�xiits for the . erection of an� buildin� of. structt�r�_, or for any addition to any existin� building_ or structure, or for atry alt,�ration or repairs t:o any existin� bui.ldin; or structure, upon applicaL-ion theref�.re, require the gayment by the appl�cant for such per�nit of fees to the amuunt hereitt belo�•r set forth and i.n the manner herein provided to-�:-zt: - - �� r Uni�orm b't11I.C�1R� Code: Type 1;2, & 4- $1.75 for ez�ch one thousai�d cubic f�et, or fraction �:hereo�, in such cubical conL�ents, 2'ype 3& 5-$1.50 €oz ear� one .housand cubic feet. For the purpose of cemputin� fees��or �ui_1di_ng permits, the cubical contents of any buildin� or additici� to a uniform :�eioht throu�hout by multiplui.ng �.he ground area covered fror,i a point six (6) inct�:es belo�, the floor line oi *he baser�,ent or cellar to the aver�.ge height of the upner. surface or to the averaoe hei.�ht of. the roof surface of the main gablr� of a picched roor. . ��'or repairs or alteratiens to an exist_r:� structure, the fee shall �e a� "the ._ - �., ,.. .-.._ � : : .. ;_ � , .. _. -_ _ , _ _ `, L��E ui ��.v� �ez eaci� r. �ve rivaaxea i,oixars �;��iiC1.uU} oz' Zract7:on tner�ot in the cost of a11 proposed �aork. In no case shal.l the fee charged for any permit as set forth in SecCion 2 be less than $5.00. ' " _ NSSSD Connection Charges based on 2ocation- Arsa�l or 2. - � 6*/ �--.�! __ . � � .. _ <, � _ -- - ,�� _ �_,, � �. . � }l /.� , � � �� _,��,_ �7 `F � s � ! v\ ��y . � � � i - y. . _ � i _.. � � _ . - • ,� __ , - . .�__ .. ��,: ,. , : - , , _. SUBJECT E R . City of Fridley � 17023 AT THE TOP OF THE TWINS g U I L D 1 N G P E R M I T ,' � RE . � ' COMMUNITY DEVELOPMENT DIV. �� / � `a: ----- r � �� PROTECTIVE INSPECTION SEC. 1 � � � � ��'�1 . CITY HAIL FRIOLEY SS43Z NUMBER REV. DATE PAGE OF. APPROVED BV �----�: `.� 612-571-3450 910-F15 / / 6/ 28/83 JOB ADDRESS rJS4 �TdT12SV11�,E Street N•E. 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED �ESCR. 48,49,W�50 F Riverview Heights SHEET 2 PROPEATY OWNER MAIL ADDRESS ZIP PHONE Paul Insley 554 Janesville Street N.E. 784-7675 3 CONTRACTOR MAIL ADOFESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR D�SIGNER MAIL AODRESS 21P PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelli & Insulate 9 CHANGE QF USE FROM TO STIPULATIOI�S TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOFK OR CONSTFUCTION ZONING SO. FT. CU. FT. AU7HORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION �' STAILS GARAGES . AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $9�0 $.SO WITH WHETHER SPECIFIED HEREIN 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- �`]_Fj.00 STRUC R THE PERFORMANC OF CONSTRUCTION. G PLAN CHECK FEE TOTAL FEE $16.50 SIGNATUREOfCONTRACTORORAU ORIZEDAGENT (DATEI WHEN PROPEfiLY VALIDATED THIS-IS YOUR PERMIT _ ��s�/� SiGNATUREOFOWNERUFOWNERBUILDERI IDATEI BLDG WSP DpTT~ CITY Or FttIDLCY tif'PLIC/1TI0'd FOft P.CSIUL'i��TII'�� (3U1LDIi�G PcRifITS (tie►v, Alter.ii:ions, Additions, or Repairs) O1�NER: Q,c�i� . ADJRESS: TEL n0: 7��T %� �S Effective Aug. 1, 1981 [3UI LDER : � 11DDRESS: TEL f10: ConsLruction Location STRIiGT NO: S STItEF.T: . . I,07.': P�i �F 1i� .�'0 BLOQC: ADDITION: - Corner Lot: Inside Lot: �e _ SetbacY.: Sideyards: Applicant attach to this form fx�ro Certificates o� Slirvey of 1ot and p:oposed building location drawn on certiiicates to scale. DESCRIPTIO�� OF COi�JSTR�JCTIOW _..�._ I'ront: Depth : H eight: Squarc FeeL: Qibic Feet: Front: Depth: Height: Squar.e Fe�t: Cubic Feet: ',�pe of Construction : � Estimated Cost: $ /�i i�. Zb Be Ot�r.�pleted: vG e�o�� %5y,3 Alt. A Alt. 8 Proposed Drive�iay kidth If New Opening Is Desired: $� S S�� PEVF:R�I: SIDE OF SHEET . 95ie undersianed hereby mal;e� applic�ticn for a persait fcr the ♦:�ork herein specified, agreeinq to do_all work in strict accordsnce ��ith the City of Pridley Ordinances and rulings of the Deihzrtmei�t of Bui2dings, and hercby declares that all tl�e fact-s and represen�Ztiens stated in this application are true and correct. D.'.T�: oZ� .� SIGNATUItt: �ti��u tions : � ��,�o .�� , �v � SUBJECT P E City of Fridley _ 17 7 61 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r ; � RECEIPT NO � • COMMUiJITY DEVELOPMENT DIV. � . �,; --- -- f �0 r � � PROTECTIVE INSPECTION SEC. � � � ' A� �� CITY HALL FRIOLE� 55432 NUMBER � REV. DATE PAGE OF APPROVED BY � ��_�J \iI �•J . 612-571-3450 910-F15 10/10/84 / / JOB ADDRESS 554 Janesville Street N.E. lOT NO. BLOCK TRACT OR AODITION 1 LEGAL 48..SO F R1VGY'V1EW HiEl Y1tS SEE ATTACHED DESCR. = g SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Pau1 Insley 554 Janesville Street N.E. 784-7675 3 CONTRACTOR MAIL ADDRESS ZIP PHONE �ICENSE NO. Same 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 C� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE QF USE FROM TO STIPULATIONS Roof aan be second layer but not 3rd layer. Tnstall ridged galvanized valleys where necessary. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIiiED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK 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 PERtOD Of 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPUCATION �- STAL�S 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 $$�0 �S` . 5O WITH WHETHER SPECIFIED HEREIN 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 LOCAI LAW REGULATING CON- �`1rj�OO STRUCTION OR THE PERFORMANCE OP CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15.50 N REOFCON'RA O ORAUTHORIZEDAGENT ionre� , WHEN PROPERLV LIDATED T IS IS YOUA PERMIT. �� ..�V ��1��..' �� / (i'.� . iGNA7UREOFOWNERpFOWNERBU1lDE � iDATEI � +-�.y BLDG �NSP DAT � NEMI [ ] City of Fridley Effeetive 4/1/84 ADDN. [ ] �R-1 AND R-2 pLTER. [ � Building Permit Application Construetion Address: Legal Description Owner Name & Address Contraetor Address• S S LIVING AREA: GARAGE AREA: DECH AREA: i�.^�• OTHER: 5� � �� . Attach to this application, a Certificate of Survey of the lot, with the proposed eonstruction drawn on it to seale. DESCRIPTION OF IMPROYEMENT �.�.� c� �— � Tel. # 7 " '� ?.3— �. •. Tel. # Length Width _.r. Height Sq. Ft. Length Width _ Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. � Corner Lot [] Inside Lot [ 1 Ft. Yd. Setback Side Yard Setbaek Type of Construction: Estimated Cost: $ � � � Approx. Completion Date: Alt. A Alt B Proposed DriveWay Width If New Opening Is Desired: $ $ See Baek Page for Explanation •DATE: I 6 �b� c _ Permit Fee Plan Check State Sureharge SAC Charge Park Fee Seiter Main Charge TOTAI. STIPULATIONS• � � APPLICANT: ��- � Tel. � CITY IISE ONLY � $ �.:;,� JU Fee Schedule on Reverse Side � 25'X of Building Permit Fee $ S� �.50/$1,000 Valuation � �425 per SAC Unit � Fee Determined by Engineering � Agreement Necessary [ ] Not Necessary [ ] $ 1.�. �7� � � ti sue�ecT P �• City of Fridley 2 0 4 4 5 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T i � RECEIPT NO. � � � � COMMUNITY DEVELOPMENT DIV. , �,: ----- . .� � �� r � � PRO7ECTIVE INSPECTION SEC. � � � � /"'\ � CITY H ALL FRIDLEV 55432 NUMBER REV. DATE �AGE Of APPROVED BY ��' �'' 612-571-3450 s1aF�5 6/27/9a / / JOB ADDRESS 554 JanesvilZe Street N.E, 1 �EGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 48, 49 F Riverview Heights SHEET 2 PROPERTV OWNER MAIL AODRESS ZIP PHONE Russell/Sylvia Parker 554 Janesville Street N.E, 786-8004 3 CONTqACTOR MAI� ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAt� AODRESS ZIP PHONE LICENSE NO. 6 USE OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW �1 ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOFiK Construct a 17� x 14t Addition 9 CHANGE OF USE FROM TO STIPULATIONS Proyide smoke detector outside hedroom area. See notations on plan. On all ne�r roofs or tear-offs �nd cepfacement roofs,� VVARNING Stafe Code reqp�fes fhat 2 layers of 15 Ib, felt, Before digging �atl for mopped together, pe irtstal;ed to a point 24 inches all utili�y locations up from exterior wall Iine, or the use of other 454-0002 approved und�rlaymer►� mema►ane. REQUIR�D BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOFK OR CONSTRUCTiON ZONING SO. F7. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OfFSTREET PAFKING I HEFEBY CEflTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1- STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORi;ECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS ?YPE OF WORK WILL BE COMPUED 12 OOQ $6.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRAN7ING OF A PERMIT $ ( DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OH CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $�-3'�].OQ PLAN CHECKFEE TOTALFEE $141. 00 SIGNATUREOFCONTFACTOROAAUTHORIZED�AGENT IOATEI WHEN PR P AL TED THIS IS VOUR PERMIT ' , � �� /"� / � S�GNPTUREOFOWNEA��FOWNERBUILOEA� �DATEI BLOG INSp f)ATE N�1 [ ] Effective 1/1/90 ADDN [ ] R-1 AND R-2 ALTER [ ) Bu.ilding P�ermit Application �. . •�,. � . � � � � S�' . �-- v� � S Legal Description: Owner Name & Acidress : �1S UISC e.. �` IFi `� �� `� ��A N . � � ��-� ✓ Tel.. # � �O -- �� CbntractAr: 'rel.. # Address: Attach to this a�lication, a Certificate of S�axvey of the lot, with the prcypo��ed construction drawn on it to scale. D£SQtIPt'I�i OF II�IPROVE�TT LIVII�IG AI2E�i: I,erigth � Width � Height _� Sq. Ft. e23� GARAGE AREA: I,ength Width Height Sq. Ft. DF�CK AREA: L�x�gth Width Hgt/Gra.u�d sq. Ft. OT�g3t: .. f � S0. �. 2 � Corner Iot [) Inside L�t � `Ft. �Yd Setba�� O� Side Yard SetbacJss [4�gry'' �%� 'I�pe of �nstxuction: �oor� j�c�4 i�-i o Y� Estimated Cbst: $ �`�O i Z..� Approx. �iletion Date: yJ • Praposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page �/ OATE: (C� �' -�o Cf 0 APPLICAN!': Tel •#�',%� r.%� 0 y` P�ermit Fee $ w State Slarchan�e $ SAC Charge $ Driv�way Escrow $ wa Park Fee $ Sewer Main Charge $ • v� •. CITY USE OTTI,Y Fee Schedul.e on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Detezmined bY Engineerinc! Agr�st Neoessary [ ] Nat Neoe.ssazy [ ] .� , �'� . �, 1 : , i 1, �� . . . ._ - i Z, OOu a �u�— �,Od t o,�5 �io a� - �3 �. ' � � �'` .►,, g �� ' � �� ``�"i a � � �� - l� � , . � �\ ��[l � � I 1� �\ � �� ` �� / J � � I 'f,�i��„ � i '�.� � , �. ,� / . � ��.,i ..� 'i ti� V�� R_�� N� i� ��,a,� � � ��'r � 14'� � SpQ.�- r_�_n,� 6�4`�'`� �,�p � �� d �' � , � : ,�,�.� i�' ��-�"' sue.,eci PERM O. City of Fridley , n�� ; 2 AT THE TOP OF TME TWINS g U I L D! N G P E R M I T � r � . , � RECEIPT NO. � ` COMMUIJITY DEVELOPMENT OIV. r � v � PROTECTIVE INSPECTION SEC. ��3 i � i _ 1 � �"�'t � CITY HALL FRIDLE� $5432 NUMBER REV DATE PnGE UF APPROVE� Br �""�' �'' 612-571-3450 9�o-Ft5 6/30/95 / / J08 ADDRESS 554 JANESVILLE ST NE t LEGAL �OT NO. BLOCK 7RACT Ofl ADDITlON SEE ATTACHED DESCA. �FH,49,pt 50 F Riverview Heights SIiEET 2 PFiOPERTY OWNER MAIL ADDRES$ ZIP PHONE Dwayne Myrvold 554 Janesville Street NE 785-6033 3 CONTRACTOR MAIL ADDRESS Z�P PHOME LICENSE NO Same 4 ARCHI7EC7 OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDfNG Residential 7 CLASS OF WORK O NEW � ADDITION C] ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 14' Addition to rear of dwelling 9 CHANGE OF USE FROM TO STIPULA710NS See notations on plan. Footing inspection was completed on 9/17/90 from first permit. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYIOAD SEPARATE PERMITS ARE fiEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VEN71(.A71NG OR AIR CONDITIONING- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AU7MORIZED IS NOT COMMENCED WI7HIN 60 DAYS, OR IF CONSTRUC710N OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEF± WORK IS COMMENCED. NO. DWLG. Uk17S OFFS7FEE7 PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEQ 7HIS APPLtCATlON 1 STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORiiECT. ALL PROVISIONS OF IAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEAEIN OR NOT. THE GRANTING OF A PERMiT LO ZH6 S.O9 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE Ofi CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION IZG.00 Fire SC O.IH PLAN CHECKFEE TOTAIFEE �7i C �?`j � - ��- / � ATUFlE OF CO ACTOR OR A AGENT iDATE� WHEN PROPER VALIOATED THIS IS YOUR PERMIT _ c � �� S�GNaiUF7EO:OWn�EAiiFOWNERBU�LDEAi iDA7E� BL �NS� qFtEr—'�— -�'a� Effective 1 / 1 /95 NEW [ ] � ADDN [ J CITY OF FRIDLEY i�� O ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � 3� Buildmg Permit Apphcat�on Construction Address: � 5 � ,> R�-�S v, �/�-G S T �'. � �f� .,O�ey� /�iv S�S�3 � Legal Description: Owner Name & Address: �� R v�v �d Tel. # 7�' �"�0 3.� Contractor: S�/� I� MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale: DESCRIPTION OF IMPROVEMENT � � A Length �_ Width �_ Height �_ Sq. Ft. � Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Tyge �f Construction: Estimated Cost: $ ,L� �1�" ,6�� Approx. Completion Date: �-e�T 9� t��7�� /l��C,, �v / (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. # Pennit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: �ITY USE ONLY oo� �; �c. � "�'1- 90 � � � $ 1�.�' �-� C� Fee Schedule on Reverse Side � $ � �j � .001 of Permit Valuation (1 / l Oth %) $ � . Q�Q $.50/$1,000 Valuation $ $850 per SAC Unit $ • $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review � Fee neterminea ny Engineering $ __ _ Agreement Necessary j] Not Necessary () �� $ i �� r ! • � ��i � J �,�.� 5 �' l�L , .��5 0 M l� ao � +� ' S �, . � � �� DO; r;.� � + �'_ � � 3�� . e i ` � 0 _ �4, �� 4 ; , .� � 0 � � 7.r/� 5 � ,� � rC} � � x � � � � /� �sf'� , ��t,� �,� �� S�� 1 G G' � � ��,'�} Ja,' S �`S � �" ' � �'�'c '` ��,�r t/��5 � �° . , �. ,� /�� •►'?° �v�o �y'�f�'v�' �".' � _ , � _ _- _ " � � _ _ _ --- -__ ___._ ;: C� ,.._ � �i � � v� �rs — _ � _-` -- __ _ - u �� ~ � _ _ -- -- a� � � _ __.. --� _ � .__ _ r--- � _ � ^�-_ .� . r .--_ ^ _._. ___.� _ __.. �y� r�� l ��T U� N v� � E S �, ` I�o X � � �w�5ici� d�n^�y'S�n..�s 2.x (o" F�arr,� W�l15 �{' � S 1 e�, � C or�c r e'�2 f � oo r�n�� '/� ,1�.�Sa%T,`a�t/ f�/.fj�.° .S'X��J S'�I2��,vt1. cs� .�J� /rj%� . �. �; 15'Eo.r.ce �F row� �propa5e� ��, �/fl t15 T� EXIS�-�r.�Y �Ar� J� �i°o,v�E +fl ea�e,� > � -�- a s �de � Lo� � �'��. ��fl.�. L � �e_ -� o Mt�� e..�-, E X � s�-i �� Nor�-I,.S��e. r oo f Wes� `r oo� L, �e (,v,' i� ,► n �� cx �s� � ��y WeS� s �'de I�o�� S j�}e.. �' o c r�a..d hZoo-� t� ru5s 2- X`� M k�er ic�.l s $' S tG� e wa-1l �n/ood9 r �� r, �-1` o.� i'z.�c.►J-} o- I ' � a� s td�'rg �. X Co 1'rea.'1-c�, t3o`�'e►.... i'►0�.�-�, ca�,rs� � 8loc.K �t i � 6 ' l � � � L.� �,c� N; � � r , , , �'_ �` _ ..'=- .-- , �_ . �,\Yflr �lf'_',c�'��,'';- ._;v.�`�p�VISI�h,J � � x is i- �N G {-�o rv� C � „ I 30�' � o o � ,� � � 0 � � � � � x � , , � �, ..t � z"� - � o � A� ,-�n. d .� 0 0 � � � CJ c.l .� � �� ^ ;� .. �`p�� `� �,� ��o _� � �� b�oS� GI ��r o0'M , 1(0� X �y `22 � SQ-�� S/yJU,�`� /t/��7��-3 .,�.- ��' J. �,,� . , . � I �r Zok�+ sr�. d , �„ r. s, o, r � ! . . ��,1.., � .., � . � � I t `� � �= He�at Vent °? SQ = ��-E �t x(o �� W o oc� � r-a�►�• � tN A- I IS � 3 e12��rtGa-� nu� �e.�-S �= l. is1.-� Swi�L� �= L�s�.�lea, Ce��l�:.� �fl► CITY QF FRIDLEY lNSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 _ � � APPLICATION FOR POWER PLANTS AND HEATING, COOLINC, VEN7ILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residenfia( Furnace Shell and Dact Work, Burner - Also ReplacemeM Furnace (Side Vent - Fill Out Back) Gas Piping tNeeded with new furnace) Gas Range Gas Dryer '*Air Conditloning - All Sizes Rate ' TOTAL $ 30,00 : $ $ i0.00 $ � �U.VV � $ 10.00 ' $ $ 25.00 $ �, .� All Others/Repairs & Alterations (UST ON BACIn 1% of Value of Appliance or Work � �.� d��-#' t a�,-E-0 3�ed re:o��.�- l�-�1 d-�-hv�w Commercial/Industrial _ _ . 125% of Value of Appliance or Work � State Surcharge TOTAL FEE . $ �..5 '"% .' �_' $_—.. � �. Z�5 5� MINIMUM FEE FOR ANY HEATING COOLINGNENT�tAT10N REFRIGERATION/AIR CONDITIONING PERMIT IS $25 00 PLUS THE $.50 STATE SURCHARGE � � REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without � written permission from adjoining property owner. � :. Effective On August 1, 1955 JOB ADDRESS �5 `f ��t.-v�, e 5 U + I ( � v ��, /t�� V' r � /-�� ; The und�rsigned heveby makes application for a permit for the work herQin specified agreeing to do atl work in stric# accordance with the City Codes and rulings of the Buildi�g Division, and hereby declares that all the facts and representations stated in this application are -tru,Le and correct. � � �%3� l' % ,1995 owNER �w�iN.e l�t N�' I/ o Gcl —./�cl ) rJ �-� �f i�-�; �'r" e T� BUILDING USED AS�-e:S r o(�n C--� ESTIMATED COST PERMIT N0. r�-�� t� �, � � •. • .._ � •: : : No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade.Name Size No. ~BTU HP EDR Fuel Total Conneated Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY__sz►��'' ��-�-L Signed By� 1 Tel No. � p s l� o� 3 Approved Rough-In Date Final Date �' '� FILL OUT �ACK SIDE FO STACK VERIFiCATION ON �� REPLACEMENT FURNACE sue�ec* PEFiMIT NO. City of Fridley 3 05 8 0 AT THE TOP Of THE TWINS g � I L D 1�1 G P E R M i T r i � � � • � • COMMUNITY OEVEIOPMENT DIV. ' j V �� '�� r � � PROTECTIVE INSPECTION SEC. � � � � �"'1 � CITV MA�� FRIOLE� 5SI�2 NUMBEP pEV O�TE vAGE O� APPROVED B� �'""�� '� 612-571-3450 910-F15 12/13/99 / / J08 ADDRESS 554 Janesville �Street NE 1 LEGAL �OT NO. BLOCK TRACT OR Ab01TION SEE ATTACMEO oescR. 48,49 F Riverview Heights SMEET 2 PiiOPERTY OWNER MAIL ADOR�S$ ZIP PMONE Dwayne Myrvold 554 Janesville St NE 785-6033 J CONTRACTOR MAIL ADORESS ZIP PHONE UCENSE NO Same � ARCHITECT OR DESIGNER MAIL AODRESS ZIP PMONE UCENSE NO. 5 ENGINEER MAI� ADORESS 21P PMONE IICENSE NO 8 USE OP BUIIOING Residential 7 CIASS OF WORK ❑ NEW ❑ ADDITION �] ALTERATION ❑ REPAIR O MOVE O REMOVE 9 DESCRIBE WORK Repair 8 sq of roofing; extend eaves on entry 9 CHANGEOFUSEfROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Underlayment must comply with the State Building Code. See notations on plan. �� Bef�re �'r; �n�: ; ;�+ fior �PARA�'E PERM a1► ut;;.�y',;:;��<i��s WtR1N �S �FQU;RED •FpR ��.��L,�;;�, �. H�aTl�vr,, PL��t��G AP��p �`EQUlR�i� ��Y LAW � ��s: TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAO SEPARATE PEFMITS ARE REQUIREO fOR EIECTfiICAL, PIUMBING, HEATING, VENTI�ATING OR AIR CONDITIONING THIS PEi;MiT BECOMES NUII ANO VOIO If WORK OR CONSTRUCTION 20NING SO. F7 CU fT. AUTMORIZEO tS NOT COMMENCED Vy1THIN 60 OAYS. OR iF CONSTRUCTIpN OR WORK IS SUSPENOED OR ABANDONED FON A PERIOD OF 120 OAVS A7 ANV TIME AFTER WOpK IS COMMENCED. NO DWIG. UNI75 OFFSTFEET PARKING I MEREBV CERTIFY THAT I MAVE READ ANO �XAMINEO TMIS APPLICATION 1 STA�L$ GARAGES AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of IAWS VALUATION SURTAX AND ORDINANCES GOVERNING 7HIS TVPE Of WORK WIIL BE COMP�IEO @ WITH WMETMEfi SPECIFIEO HEREIN OFi NOT. TME GRAN7ING OF A PERMIT �y2�OOO �L.00 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOIATE OR CANCEL TME pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR IOCAI LAW REGUTATING CON- STRUCTiON OR THE PERfORMANCE OF CONSTRUCTION ��9�2�F Fire C�Z.00 P�AN CMECK F TOTA� . Z1F S�GNOTUQE O� CON'AACTOQ OA �U�MOp�ZED �GEN1 �D�rE, EN P O E IO T IS IS � R PERMI � -� � S�GanivaEO�OwHEQ��OwNEABw�OERi �D�iE� � BtOG �So - � ��<<t • � NEW [ ) ADDN ALTER Effective 5/10/99 � l CITY OF FRIDLEY � l SI�i 1GLE FAMII.Y Ai�1D DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �'�� " \ V� � C � 1� Construcdon Address: _ �S �- J ,��.�s 1/, 'l/ � T � �', �, j,� � �� -�-,� � Legal Description: Owner Name & Address: ��,r��, � y� va LD �j"� �r�.�sv, %t �� #��?- 7�5- 60 3 3 ' / - �6� -- �837 Contractor: MN LICENS�� Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: DECK AREA: DESCRIP'rION OF IMPROVEMENT Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgtlGround Sq. Ft. OTI-�R: �NT l� y � �,' � ,G,( e � �i �, �� ,. � � � �7��d € v�s Construction Type: ,� - �0�� Estimated Cost• $ � �B�YT � �� l� Q9 ��a�� a� Driveway C�rb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ . DATE: �2 - / 3- �� APPLICANT: � /�� ,v.� � V/z I�a L,� Tel. # �/02 -�''�� -�'��% Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: �� $ $ o $ % :, $ $ $ $ $ $ t�a�1� 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 Residendal Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �� . -� .� ; ri ,` 1 ! .. .�`,` . . . \� .,'1 .'i •'• ••11 .,._.:....y„'. r-�; \V � � �` � � � � Q\ l a� n r l� � � d' � � �� a�.� Cp-� '� '� � T � . . l d �� a� � �� O`� �� . _ '�t � � � � � c � .. c�. -� � � � �o . � � �n � _, _• � � � � 4 Z �� °� 0 � .-_. � � � � �` � .I . � , . � I t ►. l � i � I i � ; _� � � . ' � \ I � � � '�/ 1.' /J S r� (� � s ... � N < .� ••" I( /IiI.S �)CC11 �� /�l�. L. / � a�-�- , � r r �`'� �� / • 7'f/QS (/ N� � � � Y.