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PRE 2010 DOCS0 e BUILDING PERMIT Village of Fridley, Minn. N° '2R50 Date ... �� �.�C1 ... .... . ................. . Builder ..e, Owner .. ........ ........... .... .... ... ... Address .. 3. ....... .. � J v .. Address ' `... ... . LOCATION OF BUILDING No. .... Y3. Street .............� .. ........ Part of Lot ....................... Lot ...... ! ....... Block .... ;:� ........ Addition or Sub -Division ... . ....... ... ... . Corner Lot ............ Inside Lot ... Setback ............ Sideyard .......................... DESCRIPTION OF BUILDING To be Used as: `. .. . Front Depth .e�':! ... Height !� .. Sq. Ft. `1 fit; j 4. Cu. Ft. ......... ...... Front..' . Depth .. 0 '..Height a °a�— Sq. l+�t. da.1.6 . Cu. Ft. ........ 1 Type of Construction . Fite .. Est. Cost ..... j.� ........... To be Completed r ..... . 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 village of Fridley. In consideration of the payment of a fee of $.1.. I e j 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 they conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alt ation, rnaNfenance, repair and moving of buildings with- in the village limits and this permit may be revoked a any time up n viola y of /� fie provisions of said ordinances. A .. .1? Building Inspector NOTICE: ' This permit does not cover the construction, installation or alteration 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.'7600 BUILDING PERMIT Date: May 27s 1965 Owner: Furl Miller Builder Retro Builders t t Inc. Address 600 Washington St. N. E. Address 2909 Nick et eve. go. LOCATION OF BUILDING No. 4330 __ __ Street _ Xmhkgton Street N F�� Part of Lot Lot 6 _ Block Addition or Sub -Division Christie Addition Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation ____ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Construction Est. cost o O00. i _ To be completed Storm. Damage Repair In consideration of the issuance to me of a permit to constru g described above I agree to do the proposed work in accordance with the description above set and ' compliance with a'll provisions of or Of the city Of Fridley. m _ In consideration of the payment of a fee of It 1n— W_ _; permit is hereby granted to Atl'n R111 1 dens t Inc * 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 anyctipoanrt thereof, shall conform in all respects to the ordinances of Fridley,within limits Minnesota and permit n3 bye okedalat � t' lceati not aay of the provisions hof said ordinan NOTICE: Ub pecan does not serer tho construction, huhMsdon for trines, phmbtng, gn heating, sewer or water. B• sure td:"'"o the Butfdb* Inspector for aparato permhs for these Nene. APPLICATION FOR BUILDING PERMIT CITY OF •LEY, MINNESIOTA OWNER'S BUILDER/L.'.lL.a ✓/� ZgL'/� e f LOCATION OF BUILDING No. 4� 3 - 0 Street, - rt of Lot LOT. /1' BLOCK ADDITION OR SUBDIVISION e ' �.< (_,4 Corner Lot inside LOT Setback Side Yard SEWER ELEVATION -FOUNDATION ELEVATION Applicant attach to this form Two Certificates of survey of Lot annd'proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. 'Ft. Type of OotructionEstimated. Cosh O00 a To be completed Q 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 applieat4ou"are true and correct. DATESIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). sueJEtTT"IF, NO. _ City of Fridley 29� 5 3 AT THE TOP OF THE TWINS P. BUILDI N G P E R M I T r RECEIPT NO. `v COMMUNITY DEVELOPMENT DIV. ______ PROTECTIVE INSPECTION SEC. I; 1 . . NUMBER REV DATE PAGE OF AvvROVED By CITY HALL FRIDLEY 55432 ' 612-571-3450 910415 71299 JOB ADDRESS 6330 Washinaton_5±x_jpet NF 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR.SHEET 6 3 lChristie 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Karen Woods 523-2970 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 B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION X® REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK r Reroof house and garage (21 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be 2nd but not 3rd layer 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 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 $1378 $.69 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- $50.95 Fire SC $1.38 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $53.02 SIG ATU E OF CON-RACTO AUrhl i D AGE iDATE. H PERLY VALIDATED THS IS YOUR PERMIT / S. OF OWNE aF O E BLDG INSP DATE NEw r ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY 0ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 q BUILDING PERMIT APPLICATION Construction Address:j�® f f�- Legal Description: •n• • ' MN LICENSE # Address: 24"- :S7' ME Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Len Width Hgt/Ground P Estimated Cost: $ Sq. Ft. Sq. Ft. Sq. Ft. ,a/n Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: I APPLICANT: " -1) Tel. # CITY USE ONLY Permit Fee $®� 9s Fee Schedule on Reverse Side Fire Surcharge $ 1,33 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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 [ ] S-3, TOTAL $ STIPULATIONS: