PRE 2010 DOCSDate: — r
Owner:
Address
City of Fridley, Minn.
BUILDING E T
5:7
Builder _
Address
YCAAION OF BUILDING
No. Street j�ee Part Lot
Lot1.
__ Block Addition or Sub
Corner Lot ._ Inside Lot Setback _ _ _ Sideyard_—
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
UTTtl
Front Depth al r—W Height Sq. Ft Cu. Ft. .
Front Depth Yeight - Sq. Ft Cu. Ft.
AA
Type of Construction Esto he Completed
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the desamption 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 $ alt ,, 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 conform in all respects to the ordinances of
Fridley, Minnesota regarding location, 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. , A A , ,-I
Building Inspector
NOTICES
This permit does not cover the construction, installation for wiring, Plumbing, gas heating, sewer or water. Be sure to as
the Building Inspector for separate permits for these Items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name Builder L
Address
�,r
% LOCATION OF BUILDING
No.
/ 0 �' Street `� DA4,'' Part of Lot
Lot G Block 3 Addition or Subdivision''`'
Corner Lot Inside Int Setback 3S Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and,proposed building
location.
DESCRIPTION OF BUILDING
To be used as: b,4L,¢ �f S3 � `
Front_________ DeDepth Height
Sq. Ft. Cu. Ft.
Front Depth..._Height
Sq. Ft. Gu. Ft.
Type of Construction Estimated Cost
To be Completed
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and.ruling of
the Department of Buildings, and hereby declares that all the facts and representations
stated in this annlication are true and correct. i
-(3-(o
(A Schedule of Fee Costs can be found on the Reverse Side.)
k
City of Fridley
AppIcation for Plumbing and Gas Fining Porn*
Dept. of Bldgs. Phone SII 4-1
DESCRIPTION OF WORK / �4 o9A � --7
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
116
x'
Z[�z�
zra�
pZ
Future Fixture Opening ................
5O
1
�U'
(9
�U'
z
S
`
WATER HTR.
$
Water Heater (Up to 200,000 BTL) ......
x 2.00
$ - o
New Ground Run Old Bldg. ............
x 3.25
b
$
GAS FITTING FEES:
NO. RATE TOTAL
(00
Q�Z
V
<3
d
4a
(�90
F
N
GAS
ELEC.
Base
1st
2nd
3rd
4th
t—t
• Future Connection Openings
Connected with
Sewer �
New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
116
',,6 c)
Number Fixtures ......................
x $1.50
$
Future Fixture Opening ................
x 1.20
0
$ .
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ............................
x 3.25
$
Water Heater (Up to 200,000 BTL) ......
x 2.00
$ - o
New Ground Run Old Bldg. ............
x 3.25
b
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
x $1.50
$
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
RFPAIRS & ALTERATIONS—Refer to Code
Description................................................$ d
TOTAL FEE .
City of Fridley:
The undersigned hereby makes application for a permit for the work hereil
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated is this application are true
,and correct.
Kind of
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No
FINAL
4 2 2141
Business Phone
�1
0
ige—'I
Application for Power Plants and Heating. Cooling, Ventilation..Refrigeration tind
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL,
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU ........................ 2.00 $
Replacement of Furnace ............................. §.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 ....... :...... 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam- ...... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
OIL BURNER—to 3 gal. per hour ........................ 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS FITTING FEES:
NO RATE
TOTAL
1st 3 Fixtures ......................
x $1.50
$
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
TOTAL FEE
.$
ROUGH
FINAL
Dept. of Bldgs. Phone SII. 4-7470
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley,Minn- ����� , 19
Owner a-� J ,
Kind of Building ,7� -
Used as
To be completed about /
Estimated Cost, $ 5
New. uilding Permit No� Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No.—_,z�
Trade Name �� �%�i �" ��'���X Size
Capacity-�fSq. Ft. E.D.R � BTU H.P.
Total Connected Load ! 44 Kind of Fuel
BURNER —Trade Name Size No
Capacity Sq. Ft. E.D.R. BTU H.P.
(REMARKS—OVER)
S PA - 4® .
p By a
42 7M 7-59 Business Phone No- "`< —' ® z
HEAT 'BOSS CALCULATIONS DEPARTMENT OF BUILD
Weatherstrips A.S.H.V.E. Construction No.
Guide
---
Wows I rs Reference Out. Wall Int. Wall Ceiling Roof
JM0
jFe;jN—o 19—
Room I Lenath..1l`� Width A e Height " II R -10'
-
Windows ah Doors—Crackage and Area
-
Width Height No. of Lineal f . Area
No. of pane of Dane lig is of crack sq. ft.
iz .2r
A9 I k m G
a e5AA r'iUl 16,3
Net exp. wall
,o
Int. wall
Coef. Btu
Infiltration'
Ceiling
Infiltration
a
Floor
Glass
Total Btu.
Exp. wall
<
Exp. wally
E.D.R. or sq. ins. W.A. Leader area
Net exp. w
FI.I +g ems,'
-
Net exp. wall
Int. wall
Net exp. wall+
Int. wall
119a
;Hrtoo.r,
Ceiling
Ceiling
�l
Floor
.
Floor
allW
Total Btu.
Required . A.D.R. or sq. ins. W.A. Leader area
Room I Length , Width ® Height l
Win ws and ours—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack I ..ft.
Glass
-
® Zi
Exp. wall
a e5AA r'iUl 16,3
Net exp. wall
,o
Int. wall
Btu
Infiltration
Ceiling
Infiltration
a
Floor
vo
Total Btu.
Exp. wall
Required s
E.D.R. or sq. ins. W.A. Leader area
Net exp. w
FI.I +g ems,'
Room I Length Width
Height
Windows and Doors—Crackage and Area
-
® Zi
Width HeightNo. of Lineal ft. Area
No. of pane of pane lights of crack sq. it.
A& / > 0
a e5AA r'iUl 16,3
Exp. wall
,o
Coef.1
Btu
Infiltration
Iat. wall
Infiltration
Glass
vo
Floor
Exp. wall
Total Btu.
Required sq ,ft.
.D.R.,or sq. ins. W.A. Leader area
Net exp. w
Fl::,.;t 1
0
66
Int. wall
Net exp. wall+
Ceiling--Ilq
119a
;Hrtoo.r,
ai
Ceiling
ttata ztu. m �/
Iiz'q'uired sq. ft. E.D.R. or sq. ins. W.A. Leader area -
No. 1 of
" FRIDLEY, MINN.
Insulation
r Kind How Applied
Room I Length / — Width ' Height
d Doors—Crackage and Area
Height I No. of I Lineal ft Area
of Wane lights of araak
I I I I I I Coef.1 Btu
Infiltration
-
® Zi
Glass
A& / > 0
a e5AA r'iUl 16,3
Exp. wall
,o
Net exp. wall
! /0
Infiltration-
Iat. wall
Infiltration
Ceiling
vo
Floor
Exp,. wall,;
Total Btu.
Required sq ,ft.
.D.R.,or sq. ins. W.A. Leader area
Net .exp. wall/'
Fl::,.;t 1
Room I Length i/' Width I 00
HeinKP
Windows a d Doors—Crackage and Area
and Area
Width Height No. of Lineal ft. Area
No. of pane ofpane lights of crack ' sq. ft.
A& / > 0
a e5AA r'iUl 16,3
Coef.
to
Infiltration-
Btu
Infiltration
Glass
o
zst
Exp,. wall,;
Net .exp. wall/'
APO
Int. wall
Net exp. wall+
Ceiling��`ljf�%
Int. wall
Floor
Ceiling
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I R-1.. i Rnntn I t -neth Width . e Heig
windows
an Doors--Cracka
and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
a e5AA r'iUl 16,3
Coef.
Btu
Infiltration
o
Glass
Exp. wall
Net exp. wall+
Int. wall
Ceiling
.
Floor
Total Btu..
squired sq. ft. E.D.R. or sq. ins. W.A. Leader area
13 412 YC -"-
City of Fridley, Minn. N° 8950
BUILDING PERMIT
Date: AUGUST 8, 1966
Owner: JOHN PIERSON Builder SAME
Address 1020 LYNDE DRIVE N.E. Address
FRIDLEY, MINNESOTA 55481 21
No. 1020
Lot 6
Corner Lot
Sewer Elevation
LOCATION OF BUILDING
Street LYME DRIVE N.E. Part of Lot
Block - 3 - Addition or Sub -Division _ — LYNDALE BUILDERS
Inside Lot __._ x Setback — Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
6th ADDN.
To be Used as:
DET. GARAGE Front 16 Depth 20 Height 10 Sq. Ft. 3 2 0 Cu. Ft. 3,200
Front Depth freight Sq. Ft. Cu. F't.
Type of Construction FRAME Est. Cost _.1z1 000.00 To be Completed
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the proposed work in accordance with the description above set forFh and compliance with ail provisions of
,,,,=
of the city of Fridley. I
In consideration of the payment of a fee of $4.00 , permit is hereby granted to JOHN PIERSON
to construct the building or addition as described above. This permit is granted upon
the expcxndition that the person to whom it is granted and his agents, employees and workmen, in all work
,,re,w
,thce
CLARENCE BELISLE
Building Inspector
NOTICE
Uh permit don cot cava tin comnuetioe, IastaQa = for wiring, phmhiae, Oa hsatiag, awn or water. Be smo to ssa
tin BWM h* Wsped" for aparaM pamhs for AM ham.
OWNER'
ADDRES
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY MINNESOTA
s
r
S NAME C BUILDER
S I ADDRESS
LOCATION OF BUILDING
N0. Zo 20Y401�,�ASTREET d t PART OF LOT
LOT BLOCK -3 ADDITION OR SUBDIVISIO
CORNER LOT INSIDE LOT_YSETBACR SIDE -YARD
SEWER ELEVATION FOUNDATION ELEVATION
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 2-0 Height o
Sq. Ft. , Cu. Ft. ® a
Front Dept h Height
Sq. Ft. Cu. Ft.
Type of Construction_ C % Estimated Cost / 6 cc . 0C)
To be completed L -
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 SIGNATURES
(Schedule of Fee Costs can be found on the Reverse Side).
SUBJECT
City of Fridley
17204
AT THE TOP OF THE TWINS
BUILDING P E R M I
.
rT
176
NO
L ______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1
`CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
8/18/83
10B ADDRESS
1020 Lynde Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
6
3
1 Lyndale Builders SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Cathy Benson 1020 Lynde Drive N.E. 574-0028
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Leo Sanders 7813 Jackson Street N.E. 786-2860
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
X
8 DESCRIBE WORK
Install drain tile
9 CHANGE QF USE FROM TO
STIPULATIONS
Electrical extension cords can not be used as part of the power source
to the pump.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED 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 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
$1.05
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
On
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PER ITFEE
SAC CHARGE
PROVISIONS ANY OTHER ST E OR LOCAL AW REGULATING CON-
TTION THE PERFORMA C OF CONS CTION.
$35.50
PLAN CHECK FEE
TOTAL FEE
®�
$39.55
IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) v
WHEN PROPERL %VALI THIS IS YOUR PERMIT
BLDG )NSPj F! E
SfGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
OWNER:
ADDRESS:
CITY OF FRIDLCY Effective Aug. 1, 1981
'
APPLICATI94 FOR RESIDENTIAL BUILDING PEIU41TS
(Neer, Alterations, Additions, or Repairs)
r!SM
BUI LDER:
ADDRESS:
TEL NO: �7�_ Iia TEL NO:
Construction Location
• STREET NO: STREET:
LOT: CP BLOCK: 3 ADDITION: u (rte25 �j
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 C0NSTRUCTION
Front: Depth: Height:
Square Feet: Cubic Feet:
Front:
Square Feet:
Type of Construction: �i2r> ✓�yU
Zb Be Ooripleted:
Depth: Height:
Cubic Feet:
Proposed Driveway Width If New Opening Is Desired:
Estimated Cost: $
Alt. A Alt. B
SEE MVERSE SIDE OF SHEET
9Sie 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 Deikzrtment of Buildings, and hereby declares that all the facts and
representitiens+ stated in this application arse true and correct.
'/7
DATE:
Stipulations:;,
r
SIGNATUIE• v
NEW [ ] Effective 1/1/98
ADDN [ J CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 16P0 ,(�%d A/1-
Legal
2-
Legal Description:
Owner Name & Address: fj AJ046 - Tel. #
Contractor:MN LICENSE # -1200 5-0 777
Address: Tel. # 79 /-W5'0
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
LIVING AREA: Length Width Height Sq. Ft. _
GARAGE AREA: Length q Width a2 4 Height Sq. Ft. _
DECK AREA:Width Hgt/Ground q. Ft. _
OTHER: �t lb0C E � k. (s_ l� �x��
1.9,,4Iace o Id s/%�9/e-
Construction Type:�WM6u2 6 i Estimated Cost: $,
(Fee Schedule on Back)
Ft x $ = $
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
DATE: a APPLICANT:a&ZL/Z Te1. # 25l#10C)
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.501$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
$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
$
. STIPULATIONS:
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Ly® �-
ConstructionAddre
Legal Description:
Effective 1/1/98
X00
Owner Name & Address: &L� -�C/z Tel. # 2'
Contractor: /-)/. ;l &&, &7&7de�&15 MN LICENSE # a2050-77;2
Address: �j &IC $7— Tel. # Jz�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER: 4 -pm ayl- &id Allild Aea,, 4a4,rzq A—
Sq. Ft.
Sq. Ft.
Sq. t.
Construction Type: XLec J Estimated Cost: $ 15, OCX-'
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: cl, 7'Yvi
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT: aA nAK Tel. # ?El
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/ 10th% )
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
.� ) v
Land P/anninq(91
6B%S-N�hway fC's uE.
Mimme wl3 V.
Lad suwy nyM�nesafa
Sodskstmy EN G I NEE R I N G, INC.
civil & Mu;Kipa, It 71
En9ineerin9
— Enyineers C Survecyon, —
certificate of survey
r' -.1-•I F.M DE.VELDPMENT C,o:
1 L�NoE
rev,
I
O
M
N
7
—5.35 — •-_
Yap �r
�UNo vs
4
__ r
_ CW—i ,
5'UTILITY ft ORAIr+AbE EASEMENT
2
4'
Loo -r Cl ) Lo C. k 3
W5.0 l P / e76
L -e N DALE
<oT—" ADDITION
—7 5.Z
s
/I//a* W14 Iso #16 is o fwa and mrad reprrsenfafion ol'o ft"e'
�'1Ix 6aw�dories q�'ilr weir dsri�►Grd /aad,a�d
oFl /acal nn gl poll biwwldm9s ,1 axrn vchmarfs , qr,� • ow an toed /and. As surrryed by w 11a�
A40 r C A A.D. drQ.9. SUBUR8" ENG/NEERING , INC.
En9ii rs fr Suri r.$ _
Dahl Builders and Remodelers
ENGINEERED TRUSS DESIGNS
AND LAYOUTS SHALL BE MADE
AVAILABLE ON THE JOB SITE
FOR THE FRAMING INSPECTION
Trusses 24" o.c.
Alu Soffit and Facia
Vinyl siding
1/2" sheeting
2x4 16" O.C.
Replace existing Garage 14x20 with a
M treated 2x4
Galt' Straps
or 1/2" Bolts Slab on Grade
new 24x24 garage
7d'
Barb Notch
1020 lindy Dr.
151b felt
25yr shingle I
1/2" sheating-
m
Utility door and wind
on west side
01
SUBJECT
-
PE
City of Fridley
_
27751
AT THE TOP OF THE TWINS
BUILDING PERMIT
�00
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
NUMBER
fRE7
DATE
PAGE O:
APPROVED BY
l "','� CITY HALL FRIDLEY 55432
_--•�
L 612-571-3450
910415
9/14/98
JOB ADDRESS 1020 Lynde Dr NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
3
1 Lyndale Builders, 6th Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Barb Notch Same
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Dahl Builders & Remodelers 451 Maple St NE Si)rinjz Lk Pak 55432784-4830
20050777
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
1 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Remove existing garage from site; Construct a 24' x
Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Provide a hard surface driveway.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
MOT.
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 COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
ISTALLS
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
$13,000.00
$5.47
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAWREGULATING CON-
$174.75
Fire SC $10.94
STRUCT OR THE ERFO NCE OF CONSTRUCTION.
PLAN CHECK FEE5
T07 FEE
�J
0
Licen SC 0
$196.16
SIGNATURE O CONTRACTOR OR AUTHORIZED AGENT IDATEI
N R P V LID THIS I UR PE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
13LW INSP
FATE
01