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PRE 2010 DOCSCity of Fridley, Minn. BUR DING PERMIT Date: 4-7.&74 ...................... owner ....................................... Builder ....� Address ...................................... Address 1:3. ... .�.. N° 3272 1. ! ................... / LOCATION OF BUILDING No. ;`t; Jq. Street . ....................... P f Lot ..... .... ......... Lot ....... Block ...... Addition or Sub -Division ......... �✓ Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To be Used as: / — V, �� s , . rJ�,Q�..... Frout � ...... Depth ..: "... Height . � .... 5q. Ft. � `!.... Cu. ............. l...... ont ........ Depth eight .... ... Sq. Ft. ........ Cu. Ft. ........ Type of Construction .� 1.... Bst. Cost.. �� L ..� To be Completed ............. "..... . &--TAT �i e p— - '/-/ _ � In consideration oeF the issuance to me of a permit to construct a buildingdealbed above, I a to do gree proposed work t accordance with the description above set fo and in compliance with all provisions of ordinances of the city of Fridley. A.................................................. a -'V In consideration of the payment of a fee of $. 7�:z .....:. 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 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 city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. r . ...... ! ... _ .. ,/. _," [Ing Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbinj; gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. SUBJECT P IT NO-. City of Fridley h 16574 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � i CITY HALL FRIDLEY 55432 l NUMBER REV. DATE PAGE OF APPROVED BY _--•� �����;•� L 612-571-3450 910-F15 15/11/82 JOB ADDRESS 4939 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5,6 4 1 Carlson's Summit Manor South SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Arnie Elmquist 1420 County Road J Shoreview 784-4861 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548 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 X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair Flat RooF 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 1,200. OO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .6O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STAT OR LOCAL W REGULATING CON- 20.50 UCTION OR THE PERFO AN OF CONST CTION. i 1, P PLAN CHECK FEE TOTAL FEE 21-10 bIGNATUREYI C NTRACT R THORIZEDAGENT IDATEIWHEN PR PERL ALIDATED THIS I 91-" RPRMIT • 1 1 62,4' - � BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) CITY OF FRIDLEY Effective Aug. 1, 1961 APPLICATIM FOR RESIDENTIAL BUILDItIG PE•R141TS (New, Alterations, Additions, or Repairs) OWNER:�} k N % Or- ADDRESS:- TELNO: . STRICT NO: 7 9 t �- 117.1 IF kv - s BUILDER: ADDRESS: / TEL NO: -7 9 J— V X Construction Location STREET: '� ^► f 14 W E LOT: , BLOCK: 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: � / S Type of Construction: h� lq Estimated Cost: / C 2b Be Completed: 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 work* herein specified, agreeing to do ,all work in strict accordance with the City of rridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and corrrgct._ r DATE: — t / - o % SIGNATURE: --ybI Stipulations: '-0 From: 6122270808 Page: 1/2 Date: 9/19/2008 4:32:40 PM QBuilding BUILDING inspections—moll APPLICATION 763-572-3604 763-502-4977 FAXIT'Y" HALEY d,.Y•acr.r,vv I..f_AC E-MAIL ADDRESS SITE ADDRI3S !�1&A - i5 '� THIS APPLICANT IS: 0 OWNER TWANT 1 AI7I7RL'S ZS +� lC�'... t~IrY CONTRACTOR ADDRESS: SUBMIT A COPY OF PHONE VAX YOUR STATE LICENSE STATE; LLCENSIr 1/ PROPERTY TYPE D SINGLE FANALY1Nl?.w CONSTRUCTION 51ZE C TWO FAMILYINEW CANSTRJ.tt.TION STMJ 13 BASEMENT FINISH F M DECK I? IDINt. O NEW HOME CONSTRUCTION O ADDITION C MAINTUNANCizfWAIR © RLNIODLLINO 011SM11h 16%" BEING Ni1M8tiR ON SIQUARES• ` 12 HOUSE ONLY 13 HOUSE & GARAGE Ste Bads Pogo fbr Foe Sdtoilulc O ATTACHED *ARAGtd PROPOSED NzIk 0 DETACHED GARAGE PRfM5D HKlGHT: ,,, __ 13 vtay[ OSotra O Almninam a Trim C Other [3 Fascia -am x Farmit Valuatkm Minimum $.50 t: IN ST—MGOPENINGS 1IYea CINo LOCATION OF WINDOWS OR FOR NEN! OPENINGS-13=91ft SIZE+ OF OMING CHANGES & $ THE 1997 UBC FEIN SCHEDULE) Permit NO.:����/ Receives Bl ..... _..• '-SEP-2 -2::200! STATE11n CITY .� STATi Cas -L.- �7 .� EV (SATE �3 � x G GRAIN TILE r-rAl zikdt F1LIiriMT 9fa b'd .•�• , BASE'ME'NT REMODEL• INC Std t#fl : 1. aitating•Floo Plan 2. PtepmedJ1ewplat► 3. Lint ofaNreet�aal ro hu us�sr. r'CSR Nldw CONST•It•UC7'Jt�t 1N�.1/Rirroli Ji;.i'4; :, • • ADDITIONS. & PDRCIJ ILS :AI1TdlfaL L Site 71aw3urVey almaing rhe *mNrhip, ,true�n +d•r and ptopmsad•.ptaject, ' 2. Twos tofc0mMa*anplans 3 F.nerRyCalealath�mc ;•�". permit Fee - - - $ Ste Bads Pogo fbr Foe Sdtoilulc Plan Ravlow 65% of BuiltUng Parmit Fee Fire Smhargc ....� $ _001 timet tiro tout job valuation suuftw $ -am x Farmit Valuatkm Minimum $.50 t: Lieco w Surahargc ffi Lk $5.00 (State Liaatsod Residential Contractors) SAC C6aW $ $1825 per SAC Unit (Pines to MWCC for dtstotminatien) Curb Cut Fwerow $ fF + 6 it - it x S2l $ , erosion Control $ $450• Consorvadon Plan Raviow Park Fee $ For. datarmimW br Engizooring Sower Main (Imp $ Aroment Terry ( ) Non lug ) •' Told Due tot Giv•orFgft Attaeb..5ti 6 is ;� •' ' ' THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I bemby apply for a building p mi4t and I aelmmiedga that the i fimmi above is eonlplda mW *mate; That the wotir will be in mfttl = w4h of Tito Chy of Hdd* and will) 1118 Mules Carer Cade+: dot umkmuw Etch b not a 1muft but only an arppBcd[on for a pewil and *(16 (-)wI +L11 -414r, i'.*. permit an ft that the work wl1[ ba in wills rovod is the ease 0411 wwlc which tsq:oirax eeviQw and aplmma of Plamr. ; SIUNATURE OF APPLIC �'" --.–� PRINT DAME APPROVED BY 1' DA ; -TWPM0 'Arty . t, '•:; ... �' ; From: 6122270808 Page: 212 Date: 9/19/2008 4:32:41 PM %3-0�- o"i o 0 E -x. 1 sj"n �, a(a,nS TOTAL P.02