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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMITN 6 211 Date: Owner: ' o Builder Address Address LOCATION OP B WD�IG No. Street art f Lot Lot _Block clition or Sub-Divisiotwta � Corner Lot _ Inside Lot —40!!� Setback '? _ Sideyard I" i Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Fro Depth> I t ,g= Sq. Ft. Cu. Ft. Type of Construction ____ Est.' Dost 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 ZI provisions of ordinances of the city of Fridley. 94 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,, 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. .00"� _.O d% NOTICE ih b permit does not cever`ft e consimco , hrstailatien for rdrino, phrmbieg, gas heathrg, sever or grater. Be sure to Seo the BWMb* Inspector for separate'permhs for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Address /4/12- Obi ®17 a r. a%Y' „Add s uyy d®-� .5' - LOCATION OF BUILDING No. ��� Street O&O-W 0 0 CA Part —Q Lot BlockAddition or Corner Lot Inside Lot SEWER srpSide 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; aa -A 4a-L,4v Front A6 Depth Height Sq. Ft. _ -7 .// �-- Cu. Ft. � Front Depth Height Sq. Ft._ Cu. Ft. Type of Construction Estimated Cost ��®® To be Completed ® ' c 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. (Schedule of Fee Costs can be found on the Reverse Side). sueJEcr PEE R City of Fridley 15115 AT THE TOP OF THE TWINS BUILDING PERMIT//. NO. ;,CEIPT ______ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. r l o�- �`/"•'1 CITY HALL FRIDLEY 55432 JI ,'� NUMBER REV. DATE PAGE OF APPROVED BY "•••' 612-660-3450 910-F15 4/11/79 JOB ADDRESS 1482 Onondaga Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 28 A. S. #129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Anne McCusker 1482 Onondaga Street N.E. 784-2223 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 Residentia.1 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE x 8 DESCRIBE WORK Construct la 24' x 24' Addition onto House 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 576 11,520 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $8.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $17,650 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. $46.08 NONE PLAN CHECK FEE TOTAL FEE $11.52 $66.43 SIGNATURE CONT A TOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER (17 OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEMITS NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: NVQ T 5 R BUILDER: Address: Address: ---..__ - ------------ __ - . Tel! No:: No.: l L1,8 -z- Street:� � , 10 . � , LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach 'to this form Tao Certificates of Survey of Lot and proposed building location drawn on these Certificates DESCRIPTION OF BUILDING To Be Used As: f 20 Depth: q 1 Height: �O2 Square Feet: j%% Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ TO Be Complete 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 st ted in this application are true and correct. See reverse side for additi nal information. DATE: I�p�R� 1973SIGNATURE: --- - ---- --- - - _ Siipulations: 576;e 9q S (fin,„, �- I�s� x �{�o•v - 46.0' sueJEcr City of Fridley THE TOP OF THE TWINS BUILDING PER MCEIPT _15.651AT rR rt- NO. • _____ COMMUNITY DEVELOPMENT DIV. - INSPECTION SEC.�- r PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/9/80 JOB ADDRESS 1482 Onondaga Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2$ Aud. Sub. #129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Anne McCusker (Hanson) 1482 Onondaga Street N.E. 784-2223 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Don Hanson 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Finish Addition - Renewal of Building Permit #15,115 8 CHANGE OF USE FROM TO STIPULATIONS FOR wilumma— PER(�tt RE QUIRED ,��P��aTF �� pNfl S�i�'N.3o Pl-uMBl N�EAYI�IG. 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 40 $4.42 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ 32 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. 32 $23.04 NONE PLAN CHECK FEE TOTAL FEE $27.46 OFC N. ACTOR ORAUTHORIZEDAGENT (DATE) WHEN PROPERLY LIDATED THIS IS YOUR PERMIT ±S1 �-@'+_ BLDG INSP GATE SIGNATURE OF OWNER II OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERIMITS (New, Alterations, A(lditions, or Repairs) OWNER: ))� Vv) \� °� v5�2 z (��v�v�s�► ADDRESS: S� TEL NO: Z ZZ STREET NO : `{ �{j Z STREET: GUILDS ADDRESS: TEL NO: Construction Location '5, LOT: BLOCK: ADDITION: O(A �y Z Corner Lot: Inside Lot: ✓ Setback: Sideyards: Z j Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIO14 OF CONSTRUCTION Front: �;z t P Depth: Z-/ Height: Z v Square. Feet: S7 T Cubic Feet: C Z� Front: Depth: Square -Feet: Cubic Feet: Type of Construction: 1.b Be Completed: Height: Estimated Cost: $ 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 accord�vice with the City of Fridley Ordinances and x-Lilings of the I)epariment of Buildings, and hereby dec ares that all the facts and representations stated in this application are true an correct. DATR : � wSIGNATUM3: Stipulations: .it fin. a3.0�4 X27.'/ � MUTUAL AGREEMENT Donald W. Hanson/City of Fridley This agreement made and entered into this /s day ofc-�-,1984 by and between Donald W. Hanson, hereinafter called the "Owner" and the City of Fridley, a Municipal Corporation of the State of Minnesota, hereinafter called the "City". WHEREAS, the Owner has requested and received City Council approval for a Lot Split of Lot 28, Auditor's Subdivision No. 129 and Outlot A, Jim Lund Estates Addition to allow a new residential building site. IN CONSIDERATION of this lot split approval, the City and the Owner, do hereby agree as follows: 1. The City shall construct half of a street extending West of the existing 732 Avenue to approximately the West line of said Lot 28. 2. The Owner agrees to pay all assessments relative to the utility and street extension. 3. The Owner shall be responsible for the maintenance and snow plowing activities of this street until which time the street is widened to City standards. 4. The City shall take over total maintenance of the street at the time the street is widened to City standards. IT IS MUTUALLY AGREED that the provisions of this agreement shall be binding upon and enforceable against the parties hereto, their successors and assigns and all subsequent owners of the property here described. This Instrument was Drafted by: City of Fridley 6431 University Avenue NE Fridley, Minnesota 55432 , U7. C)V-X>Q MUTUAL AGREEMENT Donald W. Hanson/City of Fridley Page 2 IN WITNESS WHEREOF, the parties hereto have hereunto set their hands this day of , 1984. William J. Nee - Mayor City of Fridley (Seal) Nasim M. Qureshi - City Manager City of Fridley State of Minnesota) ) ss County of Anoka ) On this day of , 1984, before me, a Notary Public within and for said County, personally appeared William J. Nee and Nasim M. Qureshi, to me personally known, who being each by me duly sworn they did say that they are respectively the Mayor and the City Manager of the City of Fridley, the municipal corporation named in the foregoing instrument, and that the seal affixed to said instrument is the corporate seal of said municipal corporation, and said William J. Nee and Nasim M. Qureshi acknowledged said instrument to be the free act and deed of said municipal corporation. Notary Public Donald W. Hanson - Owner State of Minnesota) ) ss County of Anoka ) On this /3 _ day ofSe i� , 1984, before me, a Notary Public within and for the County of Anoka Jnd the State of Minnesota, personally appeared Donald W. Hanson, to me known to be the same person described in and who executed the foregoing instrument, and acknowledged that he executed the same as his free act and deed. vw.•.. i� CLYDE V. 0.rORAVET2 Ser MLUC - =09SOU otd Publ i c ANIOKA COUNTY a�2WMJW 07,1= !' SUBJECT MIT NO. City of Fridley 2 3 1 1 4 AT THE TOP OF THE TWINS BUILDING PERMIT r T NO. �• COMMUNITY DEVELOPMENT DIV `v------ r I PROTECTIVE INSPECTION SEC. y� �J NUMBER REV GATE PAGE OF APPROVED BY '---5 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/23/94 JOB ADDRESS 1482 Onondaga Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 28 1 1 Aud. Sub. #129 & Outlot A, Jim Lund Estat"EET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Deryle & Judy Schliep 1482 Onondaga Street NE 780-4576 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Top Notch Exteriors 218 L ndale Ave, Maple Plain MN 55359 479-3838 5224 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 D ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE XX 8 DESCRIBE WORK Replace 12' x 16' Deck in Rear Yard 9 CHANGE OF USE FROM TO STIPULATIONS See notations -on plan. 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 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 1 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 $.78 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,564 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $1.56 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $37.00 PLAN CHECK FEE TOTAL FEE License SC $5.00 $44.34 ATURE OF CONTRACTOR OR RAZED AGENT IDATEi WHEN PROPMLY VALIDATED THIS IS/jYOUR PERMIT ZT OG iNSP � DATE $iGNATUREOFO RIIFOWNE DERi IDATEI !' NEW [ ] Effective 1/1/94 ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R -Z Building Permit Application ConstructionAddr(w: 14132_ ®nV j;>A Ca A- ' � _ Legal Description: o o� r e� �.r� ®"f�� S �,.r, 1 r a i� < �-- L �' Owner Name & Address: E �q I- �o�y ,� �L ep Tel. #—Z 45'7(® Contractor: 16P l,1 arch E)r--pr oz.s ' MN LICENSE # S5 � L% Address: Z C F i..-yxya &L9- ACJ Tel. # X1-79 — 3 7-37 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 / Z Width 16 ,ggt/Ground 7o Sq. Ft. 19 7, OTHER: C A (ri r %0. h/1 1c'A TT �r V Corner Lot [ ) Inside Lot [q"� Ft. Yd Setback Side Yard Setbacks Type of Construction: -r'(a &tf ru „� a zj, Estimated Cost: $ 15 00 Approx. Completion Date: c3 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 1 0 f¢ APPLICANT: Tel. # -7 e3.4- j -74, �USE ONLY Permit Fee $ , Fee Schedule on Reverse Side Fire Surcharge $/, L ..001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ti , $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 $ y STIPULATIONS: Ae SUBJECT PE. City of Fridley 9 AT THE TOP OF THE TWINS P, BUILDING PERMIT RECEIPT NO. Ir COMMUNITY DEVELOPMENT DIV v PROTECTIVE INSPECTION SEC r NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 1/9/95 JOB ADDRESS 1482 Onondaga Street NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt 28 Auditor's Sub. #129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Schliep 1482 Onondaga St NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Top Notch Exteriors 218 L ndale Ave Maple Plain MN 55359 479-3838 5224 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 ❑R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Soffit/Fascia; 9 new windows: window wraps 9 CHANGE OF USE FROM TO STIPULATIONS Bedroom windows must meet the State Egress Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING 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 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 $6,500 $3.25 ATE OR CANCEL THE DOES NOT PRESUME TO gIVE AUTHO Y TOrLCAjW PERMIT FEE SAC CHARGE PROVISIONS OF ANY ER STAT R L REGULATING CON- SC $6.50 STRUCTION THE FORMA OF ION $90.00 Fire PLAN CHECK FEE TOTAL FEE License SC $5.00 1 $104.75 slG T OF CONTRACTOR ORAUTHORIZ NT IDATEiN OP VALIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNER OF OWNER BUILDERi iDATE� BLD 0ATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddre Legal Description: Effective 1/1/94 4 SW Owner Name & Address:D�/� ,S �. � `c j� f e e Tel. # Contractor: T/vim ¢, V, MN LICENSE #_,� � �t Address:if L) Tel. # T 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: tt-)i �d.f S Corner Lot [ ] inside Lot [ ] Ft. Yd Setback ' ,,Aide Yard Setbacks Type of Construction: �e r s ,f-4-���� �,�.�lstimated Cost: $ SC.X�;, Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft + x = $ DATE: LCAT:PINTel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 0, ()6 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $ 850$1;000 Valuation $A 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 [ ] F SUBJECT NO. City of Fridley 2 8 42 q� THE TWINS BUILDING PERMIT 57Z® COMMUNITY DEVELOPMENT DIV. ------- PROTECTIVE 1 T PROTECTIVE INSPECTION SEC. r NUMBER REV OAT E PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 10/27/98 JOB ADDRESS 1482 Ononda a Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Der le Schliep 780-4576 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems 9199 C717-0700 20093698 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 O NEW O ADDITION O ALTERATION Qc REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage - Tear-off: Re lace gutters and trim 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 ZONING SO. FT 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 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 5192 $2.60 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 $112.25 Five sC $5.19 PLAN CHECK FEE AL FEE Licens S$5.0/ Z125.04 SIGN ATUBEOfCONTRACTOR ORAUTHORIZED AGENT IDATEI EN R P VALI T THIS IS YOUR PERMIT /P S,GNATURE OF OINNEROF OWNER BUILDER) IDATEI 8LOjf INSP Z )ATE F ADDN ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & A Contractor: AddressA I qq LIKING AREA: GARAGE AREA: DECK AREA: OTRER: 0 MUC=ve. ""Ns LUL Sv .� MS MN LICENSE # c280 36 M � YCL l P'Ve, � E 'bl d- i ng, S% 3Lj Tel. # rll r7 — O r760 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlvIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. �rccx� �44v� Construction Type: -111 0 Estimated Cost: $ 5 q �� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: i b - Z APPLICANT: Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ 125� 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 [ ]