PRE 2010 DOCSVillage of Fridley, Minn.
BUILDING PERMIT
N? 867 Office of INSPECTOR OF BURMINGS
Y
Owner—L.1 6? -
Architect Fridley, Minn.,
Builder
LOCATION OF BUILDING
NO. street —Part of Lot
Lot Block— Addition or SCb Division
p. &--,,;&,1?ESCR1PTION OF BUILDING
Front—'-,— Depth t? Height— stories -.v: �""- -Manner of Constructi
To be used ast"� To be completed Estimated Co
Permit to hereby granted to
the building described In the above statement. This permit Is granted
upon the express condition that the person to whom It is granted, and his agents, employees and workmen, in all
the work done in, around and upon said building, or any part thereof, shall conform In all respects to the ordi-
nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings
within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
--Mrispector of Buildings.
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
Subscribed and sworn to before me at Fri*y,
day of.,,4',,._.
Minnesota,
City of Fridley
SUBJECT
PE O.
17 013
AT THE TOP OF THE TWINS
BUILDING PERMIT
r.L _ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.fl
CITY HALL FRIDLEY 55432
612-571-3450
REC
NUMBER
910-F15
REV.
DATE
6/20/83
PAGE OF
APPROVED BY
JOB ADDRESS 129 Logan Parkway N: E.
1 LEGAL
DESCR.
LOT NO.
7
BLOCK
1
TRACT OR ADDITION SEE ATTACHED
Oak Creek Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Rose Marie Johnson_ 129 Logan Parkway 571-4604
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Don Michnowski Construction 4423 Reservoir Blvd. 788-4726
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 12 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install sheetrock in bathroom, add escape window
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR WIRING.
HEATING, PLUMBMIG AND SIGNS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$1,000
SURTAX
$.50
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$17.50
CHECK FEE
TOTALFEE
JQM_2LAN
_I Q ,
E=a4t:j , _
$18.00
SIGNA E OF CONTRACTOR OR AUTHORIZED AGENT (DATEi ®
WHEN PROPERLY V LIDATED THIS IS YOUR PERMIT
a `
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
F�
CITY OF FItIDLCY ' Effective Aug. 1, 1981
APPLICATI91 FOR RESIDENTIAL BUILDING PERPrITS
(Herr, Alterations, Additions, or Repairs)
r
OWNER: V"' IL.=
ADDRESS:
TEL NO: gr
BUILDER: L--�
ADDRESS:��®�_� 1
TEL 110: —) f �-- �f 7 A G
Construction Location
• STREET NO: STREET:
LOT: BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIOR OF CO-USTRUCTION
L4-7GaOtb
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet: _
/0a0.ra
Type of Construction : _ .�. /1 ✓ Estimated Cost: $ S
'Ib Be Oornpleted:
Alt. A Alt. B
Proposed Driveway width If New Opening Is Desired: $ $
SEE FEVF.RSE SIDE OF SHEET .
Zlie undersigned hereby Makes application for a permit for the %:ork herein specified,
agreeing 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
representitiens stated in this applicati are true and correct.
/Y)
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D.':TE: ^' SIGNATUI c
Stimulations:
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