PRE 2010 DOCSBUILDING PERMIT
Village ®f Fridley, Minn. N? 2264:
DateIVIi................................
Owner
4 .1
Builder...........................................
Address'W P r Address
LOCATION OF' BUILDING
No. ..... Street ....�1✓�'r r ........................ Part of Lot .......................
Lot . Block Addition or Sub -Division ......................
Corner Lot .. ....11 Inside Lot ............. Setback .. ..fie' Sideyard .1.6. "`'��
I
DESCRIPTION OF BUILDING
To be Used as:
:{ .. Front :., . Depth pr*f. Height �r Sq. Ft......... Cu. Ft. ........
.. Front moo, ... Depth . .. Height f Sq. Ft......... Cu. Ft.
Type of Construction �' f, Est. Cost . i+' .. To be Completed ., .... �, . .
i,
In consideration of the issuance e 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 $ permit is hereby granted7t.. . t to construct the buildin addition as described above.i40
a upon
ti� 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 tegarding 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.
wilding .Inspector
ill �J,.ti�
NOTICE:
This permit does not cover the construction, installation p o , nista anon or alteration for wiring, plumbing, gas heating,
sewer or water. 'oe sure to see the Building Inspector for separate permits for these items.
`_J
SUBJECT
P IT NO.
City ®i Fridley
26714
AT THE TOP OF THE TWINS
BUILDING
P
I T
P
s ,
R O.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
e
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i
� 1 � CITY HALL FRIDLEY 55432
�.J 612-571-3450
910-F15'121198
JOB ADDRESS 6017 2nd St
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
20 — 21
7
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Mike Skru ec
571-1344
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Disanto Construction 26103 Verdin St Isanti MN 55040-
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 O ALTERATION X7 REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 26 S Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
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
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
2168
$1.08
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-
STR C ON OR THE PERFORMANCE OF CONSTRUCTION.
$74.75
Fire SC $2.16.
PLAN CHECK FEE
TOTAL FEE
�r
License SC 15.00
82.99
SIG NATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
_17WH PROPERLYf+� LIDATED THIS IS YOUR PERMI(TC��pf��
SLOG iNSP
GATE
SIGNATURE OF OWNER OF OWNER BUILD ERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: QQ�
Legal Description::?
Owner Name & Ad ess:>�� j /`/'��? „��� Tel. #
Contractor: ;" MN LICENSE
Address:_ 4: '/ Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF MIPROVEMENT
LIVING AREA:
Length
Width Height Sq. Ft.
GARAGE AREA:
Length
Width Height Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground Sq. Ft.
OTHER:
C
Construction Type: �ja1-Qe4r
— I�'�j'}�p
' Estimated Cost:
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE:APPLICANT:
_ z& Tel. #
CITY USE ONLY
Permit Fee
$
�� S�
Fee Schedule on Reverse Side
Fire Surcharge
$.
.001 of Permit Valuation (1/10th%)
State Surcharge
$
/. D G
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
06
$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: