PRE 2010 DOCSBUILDING PERMIT
Village of Fridley, Minn.
N° 2001
� Y'
Date ...... af, .... .
jBuilder .......................................
Owner ....
Address:. ess .......................................
LOCATION OF BUILDING
No.. ,Ire, Street n : .. ... Part of Lot .......................
Lot ........... Block ................ Addition or Sub -Division ..
Corner Lot .. .... ... Inside Lot :... Setback t.... Sideyard7. ..... !.............
DESCRIPTION OF BUILDING
To be Used as:
1. Front .. Depth Height.
........... Front ........ Depth ........ Height .........
Type of Construction Est. Cost .. .. ...
tl �
Sq. Ft......... Cu. Ft. ........
Sq. Ft......... Cu. Ft..........
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 village of Fridley.
In consideration of the payment of a fee of $. > permiis's� here granted to ........................
•.. to construct the build in addition aN 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 with-
in the village limits''and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
....... Building Inspector
."+ —7 app
R
NOTICE: lb! IL
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.
Date:
Owner:
Address
N® 7125
sc i
LO 1 OF, "WILDING
No street r W Lot
Lot __ Block Ad ion or Sub -Di on �C
Corner Lot _ Inside Lot _ _ _.._..........back Sideyard
Sewer Elevation F dation Elevation
DESCRIPTION OF BUILDING
T sed
f Front Depth ,pHeight _Z Sq. Ft. Cu. Ft 4Zi92
Front Depth .
Type of Construction Est.
_ Sq. Ft. t.
Cu. F
�'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. ir
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 Zbull
done in, around and upon saidFridley, Minnesota regarding lwithin the dtylimitsandthist may be revoked at any time upon violation of any of the provisions of said
ordinances. r"A
NOTICE:
Yids permit doss not cover the construction, tnstaMon for whdng, phnnbing, gas heating, sower or water. Be sure to as
the Building Inspector for separate permit for these hems.
APPLICATION FOR BUILDING PERMIT
:CITY.,OF FRIDLEY,..MINNESOTA
OWNER'S. OS v BUILDER � °^-7, /,,e „5 A
ADDRESSSW/® ADDRESS
LOCATION OF BUILDING
No. (SS -1.0 Street, /'fideo` Part of Lot
Lot -41 Block . 41 Addition or: Subdivision_ e�
Comer Lot Inside Lot-4�—Setback Side -Yard:
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach.to this form Two Certificates of Survey of.Lot and proposed build-
ing location drawn on these .Certificates.
DESCRIPTION OF BUILDING
T/o/ be// used as
d`J�C✓r` `® h id �%aFront �i �% Depth. HeiB1�t
Sq. F,.t. Cu.. Ft.
Front Depth kei ht
-Sq. Ft. Cu. i't.
Type of Construction . F�n� Estimated Gast "@
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 of Fridley Ordinances and
rulings ef.the_Department of•..Buildings,.and hereby declares that all the facts and
representations stated in this appiication are true and correct.
DATE e- -PO - e C/ S
jSchedule of Fee Costs can be found on the Reverse Side).