AF - 47693V
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City of Fridley, Minn.
BUII.DING PERMIT
Date: . . ��!. . .�. � . � � . �. _ O . . . . . . . . . . . . .
Owner.......................................
Address......................................
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N° 3.5 U 3
Builder . . . . . . . . . �.-L'"p�t� . . . . . . . . . . . . .
Address.............................................
LOCAT[Ol�t OF BUILDING
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No. .r�. .�Q . . Street . . �rt . /.�-Lri11� . Part of Lot ::';�. . . . . _ �_ " �
Lot . . r.,i' . . . . . . . Biock . . . . . . . . . . . . . . . Addition or Sub-Division . . . . . �'9�4' . . �t-U Y L!
Corner Lot . . . . . . . . . . . . Inside Lot .� . . . . . . . . Setback .�i.1. : f� y. . Sideyard � Q. : ���� . . . . . . . . . . . . . . . .
DESCRIPTION OF BUILDING
To Used as • � �
� . . . .� . . Front .7. /� � Depth �°f, ,•�.r. : . .lO. .+ Height �9' 6. / Sq. F't. ,l. �!`S. � (,ii. Ft. °.�.'� � �a��
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.................... Front ........ Depth Hei ht ........ Sq. Ft. ........ Gti. Ft. ........
Tjpe of Construction . . . . . . . . . . . . . . . . . . . lie� ���� ! .� l. . �. . . . To be Completed . . . . . . . . . . . . . . . . . . .
In consideration of t'he issuance to me o! a permit to construct e �l ' ed above, I agree to do
the proposed work in accordance with the description above set f ce with all provisions oi
ordinances of the city of Fridley.
J3.... ........ .. .................................
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In consideration of the payment of a fee o $ �1. . :�� . , 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 whoan it is granted and h3s agents, employees and worlunen, iri all work
done in, around and upon said building, or any part thereof, shall conform in ali respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
.'r. /.✓$�'!,!I .✓. . . . � . . Building Inapector
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NOTiCE:
This permit does not cover the construCtlon, instaliation or alteration for wirinp, plumbinp, �as heating,
sewer or water. Be sure to see the Buildiny Inspector for separate permits for these itoms.
.+ '
City of Fridley, Minn.
BUILDING PERMIT N° 4 s� 7 1
Date: ......'�w`_....a.s:�'1.---�--�-0-�---- - -
....---• ... ...........�-•--••----�---� -•
,.:. � '
Owner : ... ..... . ....t...... �..-�... .L....:.✓.....��......_...- �--� -� �- - -......... Builder ��"� . �,..�.�----...._........
- � . .........................._...._ .-- . ...._..
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Address . -{.� �Q..�r-•. ..........-- -- ._ _.... .._.. . �;� . : ...c... Address ��� ��„�....- --_.E� . ................-........
....._.... I
LOCAT F 14DING
No. .....��L,l � - .. Street ...-,,���,�'f�!'%rL.. j�,F .. .... ... .... . ... ...�..........:. Part of Lot ......._.... .................-: -----......._...---�---�--.......----�--.....
Lot ....�„>�' � .............. Block .........�......................--.--.... Additaon or Sub-Division -�
.. .
. .. _ .... .--.• -- ....._ -�----
CornerLot ..__.........__ ................. Inside Lot .........._..__...._......:........ Setback _..........._................- ......... Sideyaxd .........�._................................... ...__..._...--
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
T be
.
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. .... - -� ...... ... ... ..1t_...' Front �-� �-- Depth ..:�� . Height .._(.� -. Sci. Ft. ..�`-'-"'-.� Cu. F't..���
................... .... ...................... ._.. ]F'� ................. .... Depth ... ...... ........-- eight ....._...� Sq. Ft. ..._.............:...... Cu. F't. .................. --
Type of Construction .. ..._.�j_... ,� f
..�r-v�..�.... Est. Co .... :���f�.._........... To be Completed � ---- �----------•---- ............._..- -
�.�,�����'�
TH;S PEF2�411T DO�S �'��?T �,UTHCRtZE V40�AT.
�Y i';<�`,J;,,-fE L_;_'`'� COVENANTS AN�
IGP� GF= P.;� � ,;•
: � �; E��.'.�.
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In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed 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 $ ... ....:...:....................., 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 granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall confomm in all respects to the ordinances of
Fridley, Minnesota regarding lceation, construction, alte�ration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked a� any ti u�pon violata'oi of any of the provisions of said
ordinances. � l�/I l .
Buflding Inspector
I
' NOTICE:
This permit does nof eover the wnsfruclion, insfallafion for wiring, plumbing, gas heafing, sswer er wabr. !� sun to s�s
�, the Building Inspeeror for sepawN permifs for thsss iNms.
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APPLICATION FOR BiTILDING PER1�iIT
CITY OF FRIDLEY, MINNFSOTA
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LOCATION OF BUILDING
No. Stree� Part of Lot •
I.,ot �.7 Block .�- Addition or Sub.Div.,�_sG���'.--u-----�'�`� '
Corner Lot�Inside Lot� t Ba.ck Side-Yard _�„_ �, ,,,.__
SE'W�t ELEVATION FOUNDATION ELEVATION �_,�„
AppTicant attach to this form CertiPicate of Survey of Lot and proposed building
locat�on.
DESCRIPTI016 OF BUILDII�G
To be used as:
,� F�ont i ( � Depth �, �. HeiBht.���. ..._,�
�
Sq. Ft. ���°�__�__- , Cu, Ft. .
Front Depth � Hei.ght �
5q. Ft. Cu. Ft,
Type of Construction �i`���� Estimated Cost ^O �D D
...�_
To be completed � r � __ :.____ - -
�he undersigned hereby makes application for a permit for the work herein speaified, �
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declaxes tha.t all the facts and representa-
tions stated in this application are true and correct. G�✓°" �
DATE��%y�� ` � . - �, G� _SIGNATiJRE •
(A Schedule of Fee coats can be found on the Reverse Side.)
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BL'JC}i �,.DDF�: �I �D ���� /G�I�. VALUATION �%�,,�0 � �._._
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ADD. � mv�F,. �'.�A!�a..- ---
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Property Line .
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City of Fridley, Minn.
6431 Univereity Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
�OvDnex: R� � 1rS� R?aLdette Builder .�.s'�.�_._........__.__..____._..._..__.:._..-•---_..._.
gdd�ss _ 740 Kerinastc23]„�L�� N-�.. Address 5.�..me�.._. _.
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LOCATION OF BUILDING
Na 740 Street ...�..K,�?�..S�.4n__X2.�i..�e .�.�.___..T_...._._.__..._ Part of Lot __
Lot �_ Block 2 ____. Addition or Sub-Division .__$�ocZkview Ter�'�ce „
Corner Lot 7nside Loi X � Setback ._..__ _._�W Sideyard _.._._...�.._
Sewer IIevatfan ___..._ Foundation Elevatiqn ._..._. .__._..
DESCRIPTION OF BUILDlNG
To be vsea as:
Gara�e Front __ 23' _ DePth 28' Height ,_. 10 �.._.. Sq. ]Ft. _._....644' �, �, 6440'
_._... Front .�.__W_._ Depth Height .�._..._.___ Sq. F� .-•-----...._...__ Cu. F't .—.
Type of Construction �.F?'�mP Est, Cost .._.._._....._$2�..QS�Q...Q_c2._. To be Completed _._..Aug.._..:].a�].
Elevation Minimum: 18" above centerline of street. Maintain minimum of 5 feet
between combustible ma.terials of dwelling and garage. Provide a hard surface drive.
In consideration of the issuance to me of a permit io construci the building described above, I agree to do
'the proposed work in accordance with the deseription above set #o and in compliance 'th all provisions �
Ordinances of the city of Frid2ey. , ��
�
.
In consideration of the payment of a fee of $ 1�.�Q� ._._, permit is hereby granted to Ri rhard $psanrlc�tt@
to construct the building or addition as described above. This permit is gran.ted upoA
the express condition that the person to whom it is granted and his agents, employees and workmen, in all wor$
done m, around and upon said building, or any part thereof, shall conform in all respects •to the ordinanc� of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildirig�e
��� city limits and this perniit may be revoked at any time upon violation of any of the provisions of Said
��G�� � T _..�_. � Build'u►S inspecta�
HANK MUHICH
NOTICE:
This psrmit does nof eover the construetion, installation for wiring, plumbing, gas heating, sewer or waler, Be sun to a�
th� Suilding 1»speetor fo� separate permits for these items.
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APLICATION FOR RESIDENTIAL, ALTERATION, ' •
OR AllllITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NA1rII3 :,�rC/�A2D �Fa�f7T BUILDEtt : f c i�/�,q � D �fAu ,o F/ E
ADDSESS s_% �� /��'.U,f/,�ls?�o� ,p�� d� /V-�ADD�tESS : 7 �/D LlE.�,vA.� �o�rJ
NO : . � G ' STREET : �.�'i1/.C%��Sl��% . �,�lU� /U � �
LOT: S BLOCK: � ADDITION: �n� �,��,,,� �F�? /?AC"E
CORNER LOT: INSIDE LOT:�SET&1CK: SIDEYARD:
Applica�p,t attach to this form Ttao Certificates of SurveY of Lot and proposed
building location drawa on these Certificates.
HESCRIPTION OF BUILDING
To Be Used As: i .
�
��gQ� Front • � a�- Depth • � $� Height • r �
Square Feet: Y Cubic Feet:
Front: Depth: Height•
'. Square Feet; Cubic Feet:
�, 1�pe of Constructiaa: ,C/<�� Estimated Cost:_ $��
` To Be Completed: �U�iU�T /- /��/ '
._.
The uaderaignad heraby makea applicativn for a permit for the work hereian
, epecified, agraeiag to do all work in sttict accordance with the City of
Fridlsy Ordinaacee and rulings of the Department of Buildinga, and hereby
declarea that all the facts and representations stated in this application
are true and correct.
DATE : � � ' �� - %/ ' S IGNATURE : � t�. s���-��
(See Revarse Side For Additi�l Iaformation.)
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Permit No. � �f Q�,�, ,[�,,� S�� ,�;
Do NoT
Lath or Cover the interior of this Building until
the following inspectors have ma.de their inspec-
tion and signed this card.
Inspectors comtnents: � b� T �'`-i �' �o S�
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• /kS D�c�io,y
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Bldg. InsP•�` � ��( ' . � � � `' ,�— 1 L �(
Footings
Rough In
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CI'1'I' OF FRIDLEY
560-3450
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En9ineerin9
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ENGINEERfNG, INC.
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En9ineers � SurvecJo�s — :�
370Mississi�iSfNf. �
Minraea�lis 2/,
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SUnsef 4-6066
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This is o t�uc ond cor�ec� repm�rntafra� o%'o su�retJ arfhe bo�daries e��e �o�d obare ����do�o�'l%P/otofian o`ollbuildinys,
,�'any, therea� , ond a// risrb/e enu�achme�s , i�'oay, �om w• on sord ,Wr�s. �rn s��ey ls modP �n/y �n uv,nectien witfi q mor�f9� /an �aw
b�einy pl�d m the prop�rfy a�G �n liobi/i y if olwincd �x�e�t 10 ihe fwlde� o�'surfi morfyoye or o��y a}h�� inferes� otr�urird by tIx rtbsm �
s��h �rfyaye . lf is undersfidd arnd a��eed nn manc.mrnts fare !xm �✓acd �'r /fie �v�pos� a�csfob/sh�9 /of Lvxs a-fioun�avr� ar�u's.
Qafed fhis S�' d� �' _ ti'�� f �" A1�/9�'' . SUBURBAN ENGlNfERING, /NG. .
t En rne�rs o�1d Sarre yors
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CITY Ofi FRIDLCY -
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t�PPLICJI�I�I�;� FOR RESIUEi�TII',�_ 6UILDIi,G PGf�t�TTS
� (fdeti�r, Al terai;ions, Aciditions, or Repairs)
041fdER: �c�i.� �� ���'�� � � fT/� ___._, [3UI LDER : _� �i� r � -
ADDP.ESS : 7�/Q �r� �.�.g.s ro � ��z �DDRCSS; -
TEL �10: � 7i— ZZ ��Z. TEL IdO: �
� Consiruction Location '
STR%�i:T NO: ? YD S7.'REET: ��r�Usl/.S�S' l`c� ic/
Lo� : � BLOC7c: <� �vnzTZOrr:
? c�.� ��,� �� ) i F,�,�f ) c
Corner Lot: Inside Lot: SetbacY.: X' Sideyards:
Ap�licant attach ta tliis form two Certificates �f Survey of Iot and
proposed building .tocation drawn on certiiicates to scale.
DESCRIPTIO�d OF COPJSTRUCTION •
1
. �� �� � I'ront: �� I�pth: /�.� Height: � �
��� 'r,�'
��d�1�J Squa�e. �eet_: � !�� Cubic Feet: ��V
Front: Depth: Height:
Squar.e� I'eet: Cubzc Feet:
• - �'�±
Type o£ a Construction :�-�m �- Estimated Cost: �°`'' _i
2b Be Cbr,�pleted:
� Alt. A Al�. B
Proposed Driveway Width If New Opening Is Desired: $� $
� . S�� R�VERSL SIDE OF 5HEET .
Ztie �indexsigned hereby n�ake� application for a perniit �'or the work� herein specified,
agreeing to c� .a17. work in strict accordance ��ith the Ci�y of I'ridley Ordinances and
rulings of. the DeparUnent. of 73uildings, and hereby declares that all the �acts and
x'epresen t,ztions stated ;n this application are true and correct.
' � � �_�--�_
DATE: �' 25 .� SIGNI1TUFtE: c.c:-����-. �' cc.0
Stipulations : `t' �.(_.U�� ��� �r `t-�-+2 � � r=--l�c� �J�c �--�sc, �- - ��Qi 77U�
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� v .�� � � (�-C�- �J � � � i � � � ti �v i c�.�� (� ` . • ��{-S � /I� � ti i •
d°ic"�„�. , ' ,
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SU8JEC7
Cit of Fridle
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AT THE TOP OF THE TWINSy g U I L D I N G P E R M I T °z rr
f
; � NO.
� ; y___�_�_ COMMUNI7Y OEVELOPMEN7 OIV �/� ,/7
r � PROTECTIVE INSPECTION SEC. r �� � j
� � O L
� � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV OATE PAGE UF APPROVED B�
�'""'�'� �'' 612-571-3450 9t 0-Ft 5 5/ 1/95 / /
JOB AODRESS
740 Kennaston Drive NE
� LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACNED
DESCR. 5 2 Brookview Terrace NE SHEET
2 PROPERTV OWNER MAII ADORESS Z�P pHONE
Richard Beaudette 740 Kennaston Drive NE 571-2262
3 CONTRACTOR MAI� ADDRESS Z�P PHONE UCENSE NO
ualit Contractin 11600 Louisiana Ave N Cham lin MN 55316 427-7733 7035
4 ARCHITECT OR DESIGNER MAIL ADDi;ESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS Z�P PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WOF;K
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WOFK
Reroof House & Garage (28 Sq) 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd but not the 3rd layer.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAO
SEPARATE PERMITS ARE REOUIRED FOR ELECTFICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT.
AUTHOFIZEO IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 1Q0 OAVS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING
I HEIiEBY CERTIFY TNAT I HAVE READ !WO EXAMINEO THIS APPLICATION ]. STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUpTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1,540 $•77
DOES NOT PRESUME TO GIVE AUTHORITV TO VtOLATE OFi CANCEL THE pEqMITFEE SACCHARGE
PROVISIONS Of NY OT R STATE OR OCAL lAW REGULATING CON-
ST C710N O THE P /MANCE O ONSTRUCTION $3%.0� Fire SC, �1.5�F
�/ PLAN CHECKFEE TOTALFEE
��f � License SC $5.00 $44.31
S�GNATUAEOFCON'RACTOA0�7AUTF�0�71zEDAGENT io Ei WHEN PfiOPERL ALIDATED THIS IS YOUR PERMIT
`SiGNATUAEOFOWNEAi�FOWNEABU4DEA� �DATE� "'g� INSP � �� TE
NEW [ �
Effective 1 / 1 /95
ADDN ' ( ] _ . CITY OF FRIDLEY. .
ALTER . [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit APPlication -
Construction Acldress: l � � ./�� L" �� �c �h � � '7�D c� . .
. : I.egal Description:. .
Owner Name �
Contractor:
.. Address: ll�o � �
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER: '
,. .
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�r �. _V � c9. u-9`f/'Q�-'i'�/� � � N[N�LICENSE # "�D �: S
� � � i �w� ,�1 �� r . �!'/..� . Te1. � -�{Z 7 -. 7 � 3 �
Attach to this application, a Certificate of Survey of the
lot, �with� t�e� proposed construction : drawn � on it to scale. .
DESCRIPTION OF IMPROVEMENT �
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width � � � Hgt/Ground � �Sq: Ft. �� . . . .
�.r ✓` O O '� jf7�a� �-c S �P � � v� � q �F o% � 3 S � ..iv� � ��r ft�`
Corner Lot (] Inside Lot [] Ft. Yd Setback
Type of Construction:
Approx. Compledon Date:
Side Yard Sett�acks
Estimated Cost: $^ �5��
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 t= Ft x$ =$
DATE: 5'� � 9� APPLICANT: Tel. ��.Z 7- ? 7 3.3
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPUL,ATIONS:
$ � ,�
$ /- �
$ ,��
$
$ �, c�c�
$
$
$
$
� �3/
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1 / l Oth %)
$.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 Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJECT
City of Fridley 2 619 6
AT THE TOP OF TME TWINS g � I L D I N G P E R M I T
r
� ` RECEIPT NO.
� • COMMUNITV DEVELOPMENT DIV. �� h�
r � L ��� PROTEC7IVE INSPECTION SEC. �j
� _ �
� �"'1 � CITY NALL FRIOLE� 55132 NUMBER � REV � OATE PAGE OF APVROVED Br
�""� � ,�' 612-571-3450 9t0-Ft5 6/10/98 � �
JOB ADORESS 740 Kennaston Drive NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMED
oescR. 5 2 Brookview Terrace SMEET
2 PROPERTY OWNER MAIL AODRESS 21P PFIONE
Beaudette 740 Kennaston Drive NE 571-2262
3 CONTRACTOR MAIL ADORESS 21P PMONE LICENSE NO.
Renewal By Andersen 350 73 Avenue NE, Fridley, MN 55432 502-4777 20040630
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS 21P PMONE LICENSE NO.
6 USE OF BUILDING �
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION O ALTERATION C� REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Replace four windows in home with pocket insert windows
9 CHANGE OF USE FROM TO
STIPULATIONS
Replacement bedroom windows can not reduce the clear openable area to
be less than what was existing or 5.7 square feet. Install smoke detectors to
meet the State Building Code - on each Ieve1 of house and in each sleeping area.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO
SEPARATE PEFMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING S�. FT. CU. FT.
AUTHOHIZED IS NOT COMMENCED WITHIN 60 OAYS. OR If CONSTRUCTION
OR WORK IS SUSPENDED OFi ABANDONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW TME SAME 70 BE 7RUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL 9E COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �2�275 �1.13
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC �L.27
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECKfEE TOTALFEE
License SC $5.00 $83.15
SIGNATUAEOFCON'RACTOi70RAUTMORI2EDAGENT �DATEi � WHEN PROPER ALID TED TNIS IS Y UR PERMIT
./
SiGNATUAE OF ON/NEA iiF pWNER BUILDEAi � �DATE� Bl �NSP ` f�iT
NEW [ ]
ADDN [ ]
ALTER [�
ConstructionAddress:
Legal Description: _
Owner Name & Address: ��� n( p�p /7_C�p �.������� Tel. # 5'� /—�(oa
Contractor: MN LICENSE # a(��D(p3Q�
Address: — — Tel. # 500"�—�%%%
Effective 1 / 1 /98
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �� � O
BUILDING PERMIT APPLICATION - _ : ��_ .� �
- �
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a�ertificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRit''Y'iON OF IlVVIPROiTEyIE�T'Y'
Length Width Height ��^ Sq. Ft. _
Length Width Height Sq. Ft. _
Length Width Hgt/Ground Sq. Ft. _
� � �-�-vZhC�..O'ul b..J . - - �
Construction Type: Estimated Cost: $ o�o� ��j �
(Fee Schedule on Back)
. .
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: ��05�� $ APPLICANT: a. � Tel. #$��/ � a.SS�
CITY USE ONLY
Permit Fee �$ �� Fee Schedule on Reverse Side
Fire Surcharge (�-a `1$ .� ?,� .001 of Permif Valuation (1%IOth%)
State Surcharge $ � l,3 $.50/$1,000 Valuation
SAC Charge $ $1000 per SAC Unit
License Surcharge $ ,�60 $5.00 (State Licensed Residential Contractors) "
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ . Fee Determined by Engineering
. . . .
Sewer Main Charge $ Agreement Necessary, .[] Not Necessary [] �
TOTAL $ 3.�
STIPULATIONS: �'
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