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PRE 2010 DOCEDate: 4 — z Owner: Address City of Fridley, .Minn.. BUILDING PERMIT N° 4006 Builder`� . , Address LOCATION OF BUILDING No.Street .. -.. _._ ._...._............. _.... .%7.....6:........... Part of Lot ......................... ........... _.................... .... �—� Lot ..........Z .................... Block -•------.... -----------------------..._..------ Addition or Sub -Division _.. --...----------------._ ...... _.. ... Corner Lot .................................... Inside Lot ..... -.......................... ...... Setbac"...a57_'�.—....o..-Sideyard..Z. ........... --4--/i....:..._ ............. ... _. .. Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Q ............_ ..................... Front Depth Height /........... .. Sq. Ft./ Cu. Ft. Za .................... _.............................. ........ Front .........-----•----_.. Depth .................... ... Height ....................... Sq. Ft. ...................... Cu. Ft....................... Type of Construction ................. .............. .................. _. .. Est. Co�f.../a21..9. To be Completed ....._............. _ ...................... ......... In consideration of the issuance to me of a permit to construct the building cri e,I agree to do the proposed work in accordance with the description abov se forth and inc lian��4bov thall provisions of ordinances of the city of Fridley. , In consideration of the payment of a fee of $...,2iL.o...®_d...,ermit 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 thsions of said ordinances. � / d d Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. City of Fridley, Minn. BUILDING PERMIT ° 4911 Date:....._.. ` i` - ._�_, Owner: __.. ... __ ` . .._ -'' Builder _................... Address _. Address — I __ LOCATIO F BUILDING No.q __.. Street _..:: t r:_._ �......_..... P LotLot ............._........ Block _.._.._..._ _. Addition or Sub-Divisi n 'f=+a"�P!- C,fe .-- _ �0 Corner Lot .......- :................ _........ Inside Lot ....._..._.......... hack .. Sideyard_................. _............ ........ . Sewer Elevation .......... ....... _....... _..__ _..___.__..__.._.....__...._. Foudation Elevation ................. ........ ... _... _...... DESCRIPTION OF BUILDING TZu- s f.,..�.. �..._ Front ,....._. Depth f-. Height Sq. FL ...__ Cu. Ft. '�/o .......................... '.-_..••.. ,...... ........ .................... Depth ................ . H ig Sq. Ft....................... Cu. Ft. ..... ................. zw Type of Construction ..__7 r:`S"-....._. Est. Cost---�.--�% �._. 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 forth and in compliance with all provisions of ordinances of the city of Fridley: to 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 conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, r and moving of buildings within the city limits and this permit may be revoked at anytim pon ola on any of the provisions of said ordinances. w ,d Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. , A, Ii `(nom IOra I�r4r;: , ZE VIOLAT- �'_. --- mow= S A;N1O APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 111?r 011,7ner 1 Name Builder Address /Y 6A) It S1, A), P—,. Address Slt�1 LOCATION OF BUILDING No. ( 93(� Street, ___�art of Lot 5.6 c k Lot Block Addition or Subdivision1jSbAb.C2i4roN BROO,K- -vrcw fie-KKR[e_ Corner Lot Inside Lot,+�Setback 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: `r A - }t O Front , J S F F. Depth �� F � Height %��� Sq. Ft. % / � - Cu. Ft. �, / 6 0 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction ��/`r� 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 application are true and correct. c DATE____Z SIGNATURE (A Schedule of Fee Costs can be found on the.Reverse Side.) r I ®+ -7s, W, a PD81city of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT jj3 ` ` r .____ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. , CITY F V 432 `� i gyp L RECEIPT NO. NUMBER 910-F15 REV DATE 3/21/03 PAGE OF APPROVED Y JOB ADDRESS 6836 Monroe Street NE 1 LEGAL DESCR. LOT NO. 2 BLOCK 7 TRACT OR ADDITION 1 Brookview Terrace 3rd SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS Richard Lund 6836 Monroe Street NE ZIP PHONE 763-571-8436 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 7 CLASS OF WORK O NEW 0 ADDITION O ALTERATION j] REPAIR O MOVE O REMOVE B DESCRIBE WORK Reside gable ends of house & garage 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 SO. 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 ISTALLS 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 `@@ P500 SURTAX $''50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PERMIT FEE SAC CHARGE PLAN CHECK FEE TOTAL FEE $24.50 OF COUTrIOaq D GENT IOATEI 3 a a WH PROPERLY VALIDATED THIS IS YO R PER IIT LxSIGNAT�TRAC:TOR TuBUIL E IOATE �p ryAr NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-4287 Fax BUILDING PERMIT APPLICATION Construction Address: b e�3 �p 1-7 vA) 0-o L -S -r N Legal Description: - Owner Name & Address: c_�� Ari r,)N L { N 1� Tel. # 7. Contractor. MN LICENSE # Address: Tel. # 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 Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: I e- 1'3 112 t k6 LeL �y b S o t' N S f— q- G A Ami w 1ft1 v y l a® Construction Type: U I N L Estimated Cost: $ _ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 3 - c) i - O 3 APPLICANT: Tel. # -763 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ :;?3,5-6- $ 3�a TOTAL $ 2 • S 0 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ]