PRE 2010 DOCSSUBJECT
PER NO
City of Fridley
18455
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
CEIPT N
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
y 7
r 1
1 �_J�
`
CITY HALL FRIDLEY 55432
'•�
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
.__..11.'
612-571-3450
910-F15
5/29/86
JOB ADDRESS 5807 - 2'i Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
17,18
22
1 Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Mary Young/Miguel Sud 5807 - 231 Street N.E.
571-4203
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
❑ NEW ❑ ADDITION ❑ ALTERATION 1 REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK
Reside Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
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
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
1 ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VAL ATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FE5
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$15.00
LAN CHECK FEE
TOTALFEE
$15.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
Z?l��� �!'4
WHEN PROPERLY
LDG INSP
LIDATED THIS IS YOUR PERMIT
D
OA
If SiGNAT RE OF OW ERII. WNER SUILDE I IDATEI
NEW [ ] City of Fridley Effective 4/1/86
ADDU. [ ] R-1 AND R-2 j
ALTER. [ ] Building Permit Application
Construction Address:
Legal Description:
lv"-4�-
Owner Name & Address: L? ,Z L5� Tel . # J /— yid✓?
IV
Contractor:- cko Djb--� Tel. #
Address:
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: / -- ,
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback
Type of Construction:
Approx. Completion Date:
Side Yard Setback
od
Estimated Cost: $
P ei . 0 0
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
S
? /J V-203
DATE: t
APPLICANT:
Tel.
#,S-
3Y7- J 7 7 G
CITY
USE ONLY
Permit Fee
$ ��yU
Fee Schedule on Reverse Side
Plan Check
$
25% of Building Permit Fee
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$475 per SAC Unit
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
TOTAL
$
Agreement Necessary [ ] Not Necessary
[ ]
STIPULATIONS:
1
SUBJECT
PERM I
City of Fridley
19742
AT THE TOP OF THE TWINS
BUILDING PERMI T
' '
R
° ______ COMMUNITY DEVELOPMENT DIV.
v
INSPECTION SEC.
r PROTECTIVE
9
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
11/3/88
10B ADDRESS 5807 — 2� Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
17,18
22
Hyde Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Lyle Janz 5807 A Street N.E, 571-0208
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
❑ NEW X7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 121 x 71 Addition to Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway. Maximum XX04 height of 14 feet.
SEPAL Y� p�R ITS REQUIRED MR
WOMt�,n�
dN®E�EC�tC�
WIRING, HEATING, PLUMBING AND SIGNS.
��
UI
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
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
'HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
ISTALLS 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
$12O6e24
$.60
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$29,00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$29.60
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
„' .
WHEN PROPER VALIDATED THIS IS YOUR PERMIT
BLDG wSP rATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATEI�
1
NEW [ ] City of Fridley Effective 5/1/88
ADDN [ ] R-1 AND R-2
s_ r51,
(construction Address
Building Permit Application
5-7t0`1 Q i
Ile
Legal Description: _lot� 7,1 � ,I'.��. � � HcAA2 ) tg rK,,
Owner Name & Address: f-L41C -,)C�Xvz -5sn,� 9 % Jt Tel. CD -0401
Contractor: ���`e 3q V% f- Tel.
Address:
Attach to this application, a Certif icate of Survey of the
lot, with the proposoed construction drawn on it to scale.
DESCRIPPION OF IMPROVEME2U
LIVING AREA: Length Width Height sq. Ft.
GARAGE AREA: Length "- Width 2)2�—"7Height Sq. Ft.
Gbrner Lot I ] Inside Lot I ] Ft. Yd Setback =
Type of Construction: t -
Approx. Completion Date:
id St]. Ft.
Estimated Cost: fx
I -L 6(,
Proposed Driveway Width If New Opening Is Desired: $_
�A[ f yJ/per//n Width + 6'
D aiE: I 1
V APF+l,ICAI�:
ocl��
CITY USE ONLY
Permit Fee
State Surcharge
SAC Charge
Driveway Escrow
Park Fee
Sewer Dain Charge
TOTAL
SPIPUI MIONS:
Alt. A Alt. B
$
See Back Page
Tel. # 6^7 l'0)-20�
$ e 040OFee Schedule on Reverse Side
S .IGS $.50/$1,000 Valuation
$ $550 per SAC Unit
$ Alt. "A" or Alt. 'B" Above
$
Fee Determined by Engineering
$ Agreement Necessary I ] Not Necessary [ ]
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