PRE 2010 DOCSO£ CIAL PUBLICMON
a o H
EOUCB is hereby given that the Board of AppeaLs of the City
eg Fridley will mmat in the Cm=il Chambers of the City Hall at 7030 o'clock
P.M., Wednesday, October 20 1963, t* consider the follaulng matter:
Ba pest for a special use Permit under Section 45019 of
the City Codes of the City of Fridley for a meetimg place
for Alcoholic Anonymms on &9ts 13 through 16, Block 6g
Spring Brook mark, Anoka County, Himiesota, 300 Block on (Building is 301)
Longfellow Strut northeast. (ttquest by Emb b )
800 Pandora Drive N.E.
Fridley, Minnesota 55432
Amyone desiring to be heard with reference to the above matter
will be heard at this meeting.
paablish o September 18, 1963
September 25, 1963
q /
APPLICATION TO THE BOARD OF APPEALS AND CITY COUNCIL FOR
VARIANCE ITT R TUIRL .ANTS OF CERTAIN ORDINANCES OF THE CITY OF
FRIDLEY
(Applicant to complete items 19 29 3)
y
1. Name Vnddress, ANiQan�.' fP
2. Legal Description of property (also general location9 such
as: "northeast corner of 64th Avenue and 5th Street" or
116415 Fifth Street")
0
P AL_�LC -
3. Describe the variance requested. (Attach plat or survey of
property showing location of proposed building9 etc.9 al-
so adjoining properties and ownership within 200' of said
property)
z
111MWAM AM
4. Comments by administrative official denying original re-
quest for building permit or other permit. (To be com-
pleted by administrative official. Appropriate ordinances
and sections of ordinances to be cited.)
3.3
.d Q_
- 2 -
5Notice of Hearing appeared in official newspaper on the
following dates:
(must be at least once 10 days before meeting --copy of
notice to be attached)
6 • Board Members notified of meeting by •
(List members, date notified and 'Yes" or "No" for plans
to attend hearing)
Name Date Plan to
Attend
'< Person making appeal and the following property owners hav-
ing property within 200' notified:
Name Date By Phone Notified
or Mail by (Initial)
Y• `ine following Board Members and interest -3 parties were
present at the Hearing!
Board Members
_ 3 _
Other Parties:
Nano.
Addr e s s
9. Opinions and recommendations by Board of Appeals:
10. For above Recommondations Against Recommendations
11. Action by City Council and Datc: +
SUBJECT
PE
City of Fridley
E13345
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
REC.
• COMMUNITY DEVELOPMENT DIV.
------
�y-�
r � � PROTECTIVE INSPECTION SEC.
Y
1 = ,
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L ' 612-560-3450
910-F15
1/2/76
JOB ADDRESS 301 Longfellow Street T.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
13,14
6
Spring Brook Park SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
TambertPeterson 1973 Old Highway #8
4 ARCHITECT OR DESIGNER MAILADDRESS 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
8 DESCRIBE WORK
Fire Repair to Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
1. Bring fireplace up to meet present Code. 2. Unit Heater vent
must go through roof on separate vent. 3. Brace rafters.
4
SEPERATE PERMITS REQUIRED i ,J' : dir<l �il'a,
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. 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 I 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.
$3,900
1.95
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-
$24.00
STRUCTION OR THE PERF NCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
CKAL. — 7(a
$25.95
SIGNAT_ F CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
n
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME : BUILDER:,,-,� Z
ADDRESS:ADDRESS:,/,51;!F7O�
NO • . 36 ( STREET:
113,
22 l Ly ,
LOT: �1, I L/ BLOCK: ADDITION: C4.1 26131-leatij
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and propose
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
jLe dAs: ront : Depth: Height:
Square Feet: Cubic Feet:
Front:
Depth:
Height:
Square Feet; Cubic Feet:
Type of Construction: � Estimated Cost: $
&K
To Be Completed: 1 ?�
The undersigned hereby makes application for a permit for the work 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 representations stated in this application
are true and correct.
DATE: _ j/�i �'� SIGNATURE : `04
(See Reverse Side For Additional Information.)
A
i'
Iff
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for the
erection of any building or structure, or for any addition to any existing
building or structure, or for any alteration or repairs to any existing
building or structure, upon application therefore, require the payment by the
applicant for such permit of fees to the amount herein below set forth and in
the manner herein provided to -wit:
UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
or the cellar to the average heights of the upper surface or to the average,
height of the roof surface of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
In no case shall the fee charged for any permit as set forth in Section 2 be
less than $5.00.
VERIFICATION OF FOUNDATION
NOTE: Permits for construction will be issued a minimum of 24 hours from the
time of application, to allow for proper review of the proposed structure and
of the construction site.
A Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued.
A
9
Cii yo of Fridloy
_ Appliacsrian for Plumbing rend Gas F ajlTlj Pest "
... - Dept. of Bldgs. Phone 3450 '
DESCRIPTION OF WOrMon U
Num`�ar, Kind a.�d Loer_loa of Fixtures I"O�ti
• Futuro CcrnacL--z ODanirrs
t 14aw Futuro. Old 0;,st ns
v—
PARTIAL. RATE SCHEDULE
So-war 0
Cc=pool C]
City of Fridley:.
The undersigned hereby makes application for a permit for the- work her ei
specified, agreeing to do all work in strict accordance with the City Ord narce
and ruling of the Department of Buildings; and hereby declares that all the fad
and representations stated in this lication ��true and correct'
Fridley, l ✓ _lL lg�(`
Owner
Kind of Building"
Used as
To be completed about -
Estimated Cost, $
Old—New. Building Permit No. Permit
P LUMBING FIXTURE RATES:
NO. RATE TOTAL
C
/ _
�22 x $--�s=.---
Signed
Number Fixtures ................
x...00.
N
x $1.50 E , _.
wATE4 MTA.
.0
�••
�
_
�
yy
0 �
a I�
ik
g���
5<
7<
7
r
++
GAS
ncc.
N
ROUGH
New Ground Run Old Bldg.........
x $3.25 $
Electric Water Hester .....:........
_ $2-W $----------
FINAL
ZAS FITTIaG FEES:
NO. RATE TOTAL
1st3Fixtures ......••••••••••••
x$2.Ca $
Additional Fixtures ......
x $ .75 $
Gas F nge to 199.000 BTU ............--
x $5.00 C
.
State
Surcharge
P.i.•?A:AS 3c ALTERATIOIds—Pater to Cods
.50
i19 at
•
TOTAL r= v
.
I st
P.
2nd
3rd
4th
• Futuro CcrnacL--z ODanirrs
t 14aw Futuro. Old 0;,st ns
v—
PARTIAL. RATE SCHEDULE
So-war 0
Cc=pool C]
City of Fridley:.
The undersigned hereby makes application for a permit for the- work her ei
specified, agreeing to do all work in strict accordance with the City Ord narce
and ruling of the Department of Buildings; and hereby declares that all the fad
and representations stated in this lication ��true and correct'
Fridley, l ✓ _lL lg�(`
Owner
Kind of Building"
Used as
To be completed about -
Estimated Cost, $
Old—New. Building Permit No. Permit
P LUMBING FIXTURE RATES:
NO. RATE TOTAL
C
/ _
�22 x $--�s=.---
Signed
Number Fixtures ................
x...00.
Future Fixture Opening ...........
x $1.50 E , _.
By
x $1.50 E----
Businrss Phone No
New Fixture Old Opening.....:....
Catch Basin ....................
x $3.25 $
Water Ifeater 'Up to 99.000 BTU) • • • •
x $3.00 E �•
•
ROUGH
New Ground Run Old Bldg.........
x $3.25 $
Electric Water Hester .....:........
_ $2-W $----------
FINAL
ZAS FITTIaG FEES:
NO. RATE TOTAL
1st3Fixtures ......••••••••••••
x$2.Ca $
Additional Fixtures ......
x $ .75 $
Gas F nge to 199.000 BTU ............--
x $5.00 C
.
State
Surcharge
P.i.•?A:AS 3c ALTERATIOIds—Pater to Cods
.50
............................5
•
TOTAL r= v
.
01
SUBJECT
P E R M I
City of Fridley
re-' 4309
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
- COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
�'�
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
---- 612-560-3450
910-F15
8/22/.77
JOB ADDRESS 301 Longfellow NE
1 LEGAL
LOT NO.BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
13, 14
6
Spring Brook Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Gregory St. Hilcire 301 Longfellow NE Fridley, 1N 55432
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Custom Weather Control Prod. 6021 Lynclale S. '8617252
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Residing house and soffit system.
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Altuninum
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 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
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,
$2;145, 00
$1.07
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
PROVISIONS OF ANY O ER STATEOR LO LAWCTIOREGULATING CON-
$15.00
$35.00
STRUCT) O THE RFORMANCE OF NSTR N.
PLAN CHECK FEE
TOTAL FEE
$51.07
ATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
EN PE LY VALIDATED THIS IS YOUR PERMIT
/�
V�
BLD6 )NSP I DA E
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
01
• CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
/ a N
OWNER:.. .ft- BUILDER: a t ®
Address ! ® 0`1� A-Ai"Address :
Tel. No.:
G'�Street: �. ®!tel
No.
.
.LOT: LOCY.: (� ADDITION: ,
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach 'to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: - Estimated Cost: $
To Be Completed: Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work 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 representations ated in this application
are true and co rect. See reverse si &rr a tional inform
e2 -, � j -
DATE: SIGNATURE:
Stipulations:
0
/400
TE
O
City of Fridley
SUBJECT
PER
14624
AT THE TOP OF THE TWINS
BUILDING PERMIT
t
R IPT
I `L COMMUNITY DEVELOPMENT DIV.
�1J1�
r PROTECTIVE INSPECTION SEC.
I
1 =
CITY HALL FRIDLEY 55432
,`J
/ d�
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
14/7/78
JOB ADDRESS 301 Longfellow Stmt N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
13,
6
Spring Brook Park SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Irvin T. Halvorson 301 Longfellow Street N.E. 784-5608
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE 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
—T-CLASS OF WORK
❑l NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 24' Garage,
9 CHANGE QF USE FROM TO
STIPULATIONS
Provide a hard surface driveway. Call for inspection of forms.
Provide anchor bolts 6' on center. Provide treated bottom plate.
SrFERATE PERMITS REQUIRED FOR WIRING,
WARNING HEATING•, PLUMBING AND SIGNS.
ifore. digging call local uiilifiev
EPHONE - ELECTRIC - LAS EW,
QUIRED BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Frame
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 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
ISTALLS GARAGES
AND KNOW THE SAMETO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED,
$4,170
$2.08
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
QA
PLAN CHECK FEE
TOTALFEE
$25.12
SIG ATUREOFCONTRACTORORAUTHORIZEDAGENT (DATE)
°�
WHEN PR PERLY VALIDATED THIS IS YOUR PERMIT
-- /- fi -7f
(C�J'j --/-7-g8
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
9
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PEIMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNUR: ZRviy T BUILDER:
Address: 3c'I Address:
Tel. No. z fl y/,p0 r.
No.Street: L dFWig�O« tvVo1 45 T /L• i .
LOT: BLOCK: �_ ADDITION:
CORNER LOT: /1/r% INSIDE LOT: k4!& SETBACK: SIDEYARDS:
Applicant attach 'to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
6'i9AQ'►J� Front: Z C/ Depth: 2 y Height:
d
Square Feet: ,574 Cubic Feet: 2'.c 70 G
Front: Depth: Height:
Square �" Feet:
A Cubic Feet:
(ry
Type of Construction: rA414L Estimated Cost: $
To Be Completed: ! & Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work 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 representations stated in this' application
are true and correct. See reverse side for additional information.
DATE: 7 -7900' SIGNATURE: J0,00- VP
Stipulations:
.3.
tot -*
G' ox..
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection
of any building or structure, or for any addition to any existing building or structure,
or for any alteration or repairs to any existing building or structure, upon application
therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.
PLAN CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
Alternate A: Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x $14.50
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6 feet x $17.20
I: 1 1 �j:L1l 9JV 4
For the purpose of computing fees for building permits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inches below the floor line of the basement or the cellar to the
average heights of the upper surface or to the average height of the roof surface
of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost
of all proposed work.
In no case shall the fee charged for any permit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge.
VERIFICATION OF FOUNDATION
NOTE: Permits for construction will be issued a minimum of 24 hours from the time
of application to allow for proper review of the proposed structure and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
':1
Application for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a building permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
SUBJECT
PERMIT
City of Fridley
1647
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RE6&IPT NO.
COMMUNITY DEVELOPMENT DIV.
INSPECTION
r PROTECTIVE SEC.
31
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATEP
AGE OF
APPROVED BY
612-571-3450
910-F15
1/18/82
/ /
JOB ADDRESS
301 Longfellow St. N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
13,14
6
1 Spring Brook Park SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Irvin Halvorson 301 Longfellow St. N.E. Fridley 55432 784-5608
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Owner
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
8 DESCRIBE WORK
Close up bathroom window and enlarge door.
1!
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
wood frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. 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
R-1
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$500.00 $.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$15.00
PLAN CHECK FEE TOTAL FEE
$15.50
pSIGNATUR E OF CONTRACTOR OR AU HORIZED AGENT (DATE)
WHEY PROPELY AWADIS IS YOUR PERMIITToc
A4,
® 04O-e.0
�''+''�
BLDG INSP DATE
SIGNATURE OF OW NER IIF OW NER BUILOERI IDATEI
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additioni, or Repairs)
OWNER: XIVAIy 7 . Nir%G ve$goA.--f
ADDRESS: 3-o% Ze-Me F440W 97- APr. ,
TEL NO: 7 a/— 56ar C-'
BUILDER:
ADDRESS:
TEL NO:
Construction Location
STRITyT NO: �'ivI STREET: k -i~ V7-
LOT:
T
LOT: ��1 /y
BLOCK: if
ADDITION: df�:'
—z
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.
DESCRIPTION
OF CONSTRUCTION
CGosA P90 AV—w
Froon :
Depth:
Height:
'0f'VCjV7'*y„ Square.Feet: Cubic Feet:
? Front: Depth: Height:
Square -Feet: Cubic Feet:
Type of Construction: e!T_4 A Estimated Cost: $ X047 "6
'Ib Be Completed:
Proposed Driveway Width If New Opening Is Desired:
Alt. A Alt. B
SEE REVERSE SIDE OF SHEET .
lite undersigned hereby makes application for a permit for the work 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
representations stated in this application are true and correct.
DATE: 'P- $7!. SIGNATUF:E: r
Stipulations:
PA,V.t IS' o o
So
—741___/6•SO
_..