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PRE 2010 DOCS1 0 BUILDING PERMIT Village of Fridley, Minn. N? 246 Date /kn- ,/77 ...................... Owner �. .1? 4,Q�!lr(/ Address /V.4 P_ .. A.4!2'.../..�/............. . Builder........................................... Address......................................... LOCATION OF BUILDING No. .. :( ! .... Street . a :.I,... , .......................Part of Lot ....................... Lot 147. ... Block ....7 ......... Addition or Sub -Division ................... Corner Lot ............ Inside Lot ............ Setback ............ Sideyard 1y7eio�'-............... DESCRIPTION OF BUILDING To be Used as: ...... Front A'�... Depth 7%c7f... Height/p,51'..... Sq. Ft. Cu. Ft. ........ .................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft......... Type of Construction _9?.. Est. Cost .� �� ........... To be Completed 6. �%& —! -FZ ... 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. ............. co eration of the payment of a fee of $. f .... , e t is hereby granted to ...............: ........... to construct the building or add on as described above. permit is granted upon the express condition that the person to whom it is granted and his agents, employe 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. /i? .a n 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. SUBJECT PERMIT NO. City of Fridley 1P63 0 AT THE TOP OF THE TWINS BUILDING PERMITRECEI r NO COMMUNITY DEVELOPMENT DIV. SEC.9 P/ r PROTECTIVE INSPECTION F � NUMBER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/21/82 JOB ADDRESS 6000 - 2h Street N.E. 1 LEGAL LOT NO. BLOCK TRA CT OR ADDITION SEE ATTACHED DESCR. 14,15 7 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russell GjAa.rd 6000 - 21j Street N.E., Fridley, MN 574-9189 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 E� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Kitchen Alterations 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING HEATING, PLUMBING ARID SIGNS« 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED5,000 $2.50 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- $50.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $53.00 IGN RE OFCPNTRACTO ORAUT ZED AGENT (DATE) _ AT WHEN PROPERL ALIDATED THIS IS YOUR ERMIT GNA E OW F OWNER BUILDER) (DATE) BLDG )NSP SAT ADDRESS: TEL MO: CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATI94 FOR RESIDtNTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) BUILDER: ADDRESS:, TEL NO: Construction Locatio - STREET NO: STREET: 6000 LOT: . I V. -L �� BLOCK: _L ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square.Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: LL60k LEstimated Cost: S To Be Cbrapleted: 4 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: SEE REVERSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the uork'herein specified, agreeing to do .all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representains stated in this applici DATE: SIGNATUM : Stipulations: 51• so Z.Sv S'3. a o .M ------- 0 3FXEGA Yom' at1'e. STOR rl ! i 1X8 oAKclAp Y2WA1.1 Wl$ 5PV'3F5.eBbc 4 AIErM M�lA1 2a \ , _;� T, _ 0 0 CC Z{F O :�� REF WALL 39'#46,4 y�NfADER �• +f .1N F- I { ° ►XBCrAIC PA ►Ja41 4C[IL'G .' f ,g VINYL � a g SP1ut.�See Q" ap 1 t� HDSL `r 10 +N - * v1NYL. '_ Ate;.. a se c tit J — DW 'I� 27'A1ft*Ac ,y-- SW 03 Bow PIRECrArr NEW SASP DBLst°LI j jl1 r --I - 12� 9p'' 8L3yz 7,j R Mo�JE� P c, a No'rE 3 : 14 F IMECPAFT D4.L. GLAZ UNITS z) UNLINED WALLS ARE NEIN Cd)STFax"- ai FLRG IS SOLARIUM+a9427. MQ1cNEs@ 9 a 4 r- " . -- - . i(--- - ---- �xlsT►N� TLR 'PLA _ N F6 IIS MQS• RISS GtV-Ar-AD brio0 !VE - 2 1,1 Sr Fet, LEI , MN < unneE IMP. 'J" 7 CO FwIrRAM - 24 -"- E -Lc ---- FAST 10 i4cANR 15D _Mik --I\CIL SAN �K --- PK-- SUBJECT RM IT City of Fridley 1710 7 AT THE TOP OF THE TWINS BUILDING P E R M l _ . r 0. • -------- COMMUNITY DEVELOPMENT DIV. � 6L r PROTECTIVE INSPECTION SEC. t I � I CITY HALL FRIDLEY 55432 ,.J NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 I I 5/4/83 10B ADDRESS 6000 - 21i Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14,15 7 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russell D. Girard 6000 - 2i Street N.E. 574-9189 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 ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct an 18' round above crround swimmincF Pool 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on letter dated 5/3/83 from Environmental Officer. vi kv%0� utwities it►g Cal1,oca1 GPs Vtc- 'at 01e SEPERATE PERMITS RE"IRED I=DR WtWNG, IE�EpHpNE �� �A� D HEATING. PLUMBING AND SlGNS6 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 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 $882.00 $.50 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. $16.00 PLAN CHECK FEE TOTALFEE $16.50 SIGN TURE0 CQN 'ACTO ORA RIZEDAGENT (PATE/ PER VALIDATED THIS IS YOUR PERMIT qy s / 7J /s IzaCR,0�1 V,/ 193 rTA E GN TURFOF OWNER IIF OWNER BUILDERI IDOTEI CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOA RESIDENTIAL BUILDING PERMITS (New. Alterations. Additions. or Repairs) OWNER: BUILDER: ADDRESS: —Loo,,!,2 _ %% Lo ADDRESS: TEL 110: TEL NO: Construction Location • STRICT HO s 6p 00 0 STREET: LOT: '�� r � _ er�oac: _7 ADDITION: T Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOR OF COMSTRUCTION Front: i� a ` Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction:Estimated Cost: $ . oo Tb Be Cbr.-pleted: 4:j-93 Alt. A Alt. 8 Proposed Driveway 'Width If New Opening Is Desired: _ S SEE REVERSE SIDE OF SHEET sire undersigned hereby makes application for a permit for the work herein specified, agreeing to do ,all work it, strict accordance with the City of Fridl dinances and rulings of the Department of Buildings, and hereby declares tha 11 the facts and represent,atiens stated in this applicatio are true corre Dx1TEt SIGNATURE• A Stipulations: G� L cr— %CW'OOI C11 tot t� Mal 10 44� Qt, CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. Russell D. Girard 6000 - 2� Street N.E. Fridley, MN 55432 TELEPHONE ( 612)571-3450 Re: Swimming Pool Construction at 6000 2' Street N.E. Dear Mr. Girard: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, one (1) inlet of approved design for fresh and/or repurified water will be provided. 3. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6 - 8 hours. 4. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the city. 5. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. w Mr. Russell D. Girard Re: Swimming Pool Construction May 3, 1983 Page 2 8. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface and 18 feet straight line distance from the waters edge. Al alternative is to bury said lines. 9. The pool fill spout must be protected by a vacuum breaker or air -gapped. 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 111 times the pool diameter and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, STZftN J. OISON, R.S. Environmental Officer SJO/mh amp O 138 Osborne Rd. Fridley, Minn. 55432 Phone: 612/571-1366 TO U�C� Ir //. i�Q��d DATE AL.9p2- ADDRESS pzADDRESS (H) PHONE (—�j CITY Zt STATE ZIP (0) PHONE i�y- SHIP TO DATE ORDERED REFERRED BY DATE REO'D NO. PRODUCT ESC /�R ION PRICE OF LGt44L.-- t.0 ebL-'*L SI< i o.I , K ; � CA_ pk ,a j %.- COMMENTS: SUB TOTAL: SALES TAX: CURB DELIVERY: 41?5-LTOTAL: DOWN PAYMENT: K9 2- C.O.D.: C.O.D.: BALANCE Ck ��` %1•JC� • • •w[w J *.Lat- —ts T IT, -01 SUBJECT NO. City of Fridley r218811 AT THE TOP OF THE TWINS BUILDING PERMIT RECEI COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. �� POP 1 PROTECTIVE 1 i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APP ROVED BY 612-571-3450 910-F15 3/5/87 JOB ADDRESS 6000 - 2h Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14,15 7 Hyde Park SHEET I 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russell -D. Girard 6000,- 211 Street N.E. 574-9189 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 151 x 12' Screen Parch and Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS WIRING, HEATING, FOR PLREEUIIRED AIVI G AND SIGNS. Before digging call local utilities TELEPHONE. ELECTRIC _ Eta. REOLI���p �� �cAs LAW 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 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 VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2 500 $1.25 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE r a 1.6 $49.38 N U EOF CTOROR UTRORIZ AGENT IDATEI L W ENP O E Y V D ED THIS IS YOUR PERMIT SIGNATURE OF OW N_ER IIF OWN ER BUILDERI IDATEI DG INSP r)ATEr -01 NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: leVA- K/J sc /CA sr! lVLe - Legal Description:Lei s !` �s 22= 7� Owner Name & Address: JG o QC �2 i Tel. # Contractor: 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: Lengthl 5 `5 ` Width i Hgt/Ground — Sq. Ft. _ �® OTHER: �' a Corner Lot L'(a Inside Lot [' Ft. Yd. Setback Side Yard Setback Type of Construction: _JA20nc Estimated Cost: $ - - Approx. Completion Date: - Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: 1 Tel. #�" CITY USE ONLY Permit Fee $ :322K•s Fee Schedule on Reverse Side Plan Check $ q.(03 25% of Building Permit Fee State Surcharge $ i. $.50/$1,000 Valuation SAC Charge $ ^ $525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: 2'u 38.5 �41-- C) IR QUOTATION From TO li�i: i rte' We are pleased to quote as follows. Your inquiry Inquiry No Date Terms Prices quoted are F.O.B Delivery Quantity Description Price Amount itI606 CID W 601k IF . - . r G%%� By TOPS FORM 3448 LITHO IN u s A. SUBJECT City of Fridley 23073 AT THE TOP OF THE TWINS BUILDING PERMIT 'f ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. � L � PROTECTIVE INSPECTION SEC r � , NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 "'j 612-571-3450 910-F15 11/7/94 JOB ADDRESS 6000 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14,15 I 7 1 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russell/Barbara Girard 6000 2 1/2 Street NE 574-9189 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ ❑ NEW El ADDITION % ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK an 18' x 8' Awning over patio Install 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 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 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 $266 $ •50 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 $.27 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $15.00 PLAN CHECK FEE TOTAL FEE $15.77 ?u EOFCO RACT0RflRAITHORIZEDAGENT DATEIWHEN,PJRIOPER VALIDATED THIS IS YOUR PERMIT • g INSP g�f f1ATE SIGNATURE OFOWNER OF OWNER BUILDERI IDATEI NEW [ ) ADDN [) CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: I e_ Effective 1/1/94 Owner Name & Address: f�V 5$,_l j q fimba2ti Ctr4jz� Tel. # SN' IIII Contractor: :5 e-1; MN LICENSE # Address: 15 -em f- Tel. # . 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. FL --�— DECK AREA:Length f_ Width Hgt/Ground Sq. Ft. OTHER: PAS® CJ ciZ_ C AwlNt&wd - - Corner Lot �4 Inside Lot [I Ft. Yd Setback Side Yard Setbacks Type of Construction: W vv Estimated Cost: $ Approx. Completion Date: // (Cost on Back) DrivewayCut Width Needed: F + 6 Ft Ft x $ = $ Irb DATE: /! APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ S Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Newry [ ] ' SuBJECT � O. City of Fridley oe 2 9 7 4 4 AT THE TOP OF THE TWINS BUILDING PERMIT r NO. COMMUNITY DEVELOPMENT DIV. Z��� _____ r PROTECTIVE INSPECTION SEC. I I � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/22/99 10B ADDRESS 6000 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DEscR. 14,15 1 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Greg Darcy Luppino 3 CONTRACTOR MAIL ADDRESS Burnsville � 55I7 PHONE LICENSE NO Four Seasons Roofing & Rem. 2107 1/2 W. Burnsville Pkwy, 890-1899 20138780 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 Mc REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house (17 Sq) Tear-off 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 CON T. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1486 $.74 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- Fire SC $1.49 STRUCTION OR THE PERFORMAN OF CONSTRUCTION $54.00 PLAN CHECK FEE TOTAL FEE 9d License SC $5.00 $61.23 SIGNATURE OF CONTRAC TOP OR AUTAORQED AGENT IDATEI WHEN ATED THIS IS YOUR PERMIT FIR EKOG INSP o4it S4NATURE OF OWNER,IF OWNER SUILDERI IDATEI NEW[ l Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 0 Construction Address: Coes -2-'1-2- K�F. Legal Description: Owner Name & Address: (,_�, ®� ,may L uD Tel. #_ Contractor:�G ,, 11-4-k�- MN LICENSE # Address: Li, $,� n^ 5 c�'�L� Ig -Li Y 5-5-4,31-7 Tel. # �'(2 9 i e — l 8 r `i. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Q.tr o r-Q-ro®X LP' � & u $ S • 00 Construction Type: Estimated Cost: $,_' Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Z 9 APPLICANT:LQL=A. Tel. # C/ -a- �'? 0 � 9 9 CITY USE ONLY l/ Permit Fee $ S • 00 Fee Schedule on Reverse Side Fire Surcharge $ 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 [ ] TOTAL $ STIPULATIONS: