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City of Fridley, Minn.
BUILDING PERMIT N® 3943
Date: .... 6-. 4 .. r,6— �.........
Owner .......................................
Address......................................
��F✓'G/
Builder... ... .. .............. .. ........
Address.............................................
LOCATION O/F/F BUILDING
No. I:f —�1 `� �treet ....... /. P ...... Part of t
.... ...... .. ... ......... .. ........... .
.ry.. 7 .. ock ..... f �jK .. .. '
C7C ,
Lot .... Addition or Sub -Division � .. ......
. Inside Lot ... Setback �: "�i.'. Sideyard . �.� .:. �...............
Corner Lot ........... ... ....
DESCRIPTION OF BUILDING
T be U ed as:
Front Depth .'+ . Height �:.�.� Sq. Ft /Q al. !6 Cu. Ft.' 7
................. Front ........ Depth .. ... Height ........ Sq. Ft. ........ Cu. Ft.
Type of Construction ................... Est •0 ®Og� To be Completed ....................
In consideration of the issuance to me of a permit to construct the building desribed ve, I agree to do,
the proposed work in accordance with the description above set lo and in complian th all provisions of
ordinances of the city of Fridley.
............. .......
In consideration of the payment of a fee of $07/ . CPO ., 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.
g jnspector
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.
City of Fridley
SUBJECT
14049
AT THE TOP OF THE TWINS
BUILDING
PERM I T
�
r
COMMUNITY DEVELOPMENT DIV.
L
R �TNO
�
r PROTECTIVE INSPECTION SEC.
1 = �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
5/4/77
JOB ADDRESS 5353 4th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
27 28
14
Hamilton's Addn. to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
David L. Hart 5353 - 4th Street N.E.
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
John Mezzenga
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
fel NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 26' x 24' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS provide a hard surface driveway. Door of garage is not to open onto
alley.
SEMATE PERMITS REQUIRED 'FOR {HIRING,
HEATING, PLUMBING AND SIGNS,
local utild�res
n call
Before aigb� ELECTRIC' GAS Etc.
TEIE,PHONE
B �YV
REQUIRED t
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
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.
$2.30
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$4,617
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.
$24.96
PLAN CHECK FEE
TOTALFEE
$27.26
CTO EDAGENT (DATE)
PROPESkLRLY
VALIDATED THIS IS YOUR PERMIT
XSIG�EOFCONT
�yW�N
(�C>K.!✓\i
CBLDG
SIGNATUREOF OWNERIIF OWNER BUIL DEPo (DATE)
INSP
DATE
PERMI
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OW14ER:
Address:
BUILDER:
Address:
Tel. No.
No.: �� Street: —// / lfj f A
LOT: BLOCK: ADDITION: HGL%72 / Z /%1-2 !_S /7 �' /U
r e.- G L/ i C -s- v Ile
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: (p Depth: �?` Height:
Square Feet: Cubic Feet:
Front: Depth:
Height:
Square Feet: Cubic Feet:
Type of Construction: L'(O�Q�' f� Estimated Cost: $ / i G� /
Q'
To Be Completed: Cif?� Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired$ $
(S E R`EVERSS� SHEET)
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 of the Department of Buildings, and hereby
declares that all the facts and representations stated in this applica 'on
are true and correct. See reverse side forditional inform ion.
DATE: SIGNATURE: v� "��yc ,s ?
Stipulations:
0,/L I d T 7% 6,0ir,,10
d"Ou 4e-. f
. # .2 V/ -f 4
a.3o
AGREEMENT
I0' , owner of the property
located at S2 Z7 �!%_-S f ly F^ ` ,9h' ave no objection to the
City allowing the construction of a Cy.C�.�1L to be
O v
located at _,<-3 `I A/& without the required
certificate of survey that the City ordinarily requires for all new
construction.
Wi'fness
Signature
-,- y 7 AIZ
Address
6Z 12�;7
D e
10
...�=nom.':. --- •-• •. � -' _ i
'1�' 1 � . Y- _.-+• �.:`�'l.. e � � `�.• 1� t'. �_� W r ` .+oY' �+^.✓^ ,.' .. J➢M'-�Y . J �t � .'
jjj2
low _STREET
SURVEYORS
_ ' � � ,
--_: f i .� � -•MINNEAPOLIS MMNESOT?►---'r,
-_..c 4 i�'•S�a _ x �.....a-'..�.. •'e''- AeY�i
CERTIFICATE OF SURVEY
For B. & M., INC.
/Ropy —
)30.8'— /Rot/
1
( o
" -
2'�f.
70 M
t`f
30' -- ° '
OL
Q
ca
f
f" t
4m," --;
4 C.I
DESCRIPTIO14: LoT 28 & Le? 27, _ BLOCK 14, U
HAMi.TON18 A091T#0M TO MECHANi OVILLE.
SCALE: I" _ 301
We hereby certify that this is a true and correct representation of a survey of
the boundaries of the land above described and of the location of allbuilding$
if any, thereon, and all visible encroachments, if any, from or,on said land.
Dated this 25TH day of MARCH 1959. EGAN, FIELD b NOWAK
,,Surv,eyors
F i le No 5298 RB..k Nd ,465-.30 by
suB.lEcr
MIT NO.
City of Fridley
29497
AT THE TOP OF THE TWINS
B U I L D I N G
P E R M I T
RECEIPT NO.
`y ______ COMMUNITY DEVELOPMENT DIV.
SEC.
C'q95J
r "� PROTECTIVE INSPECTION
1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
5/18/99
JOB ADDRESS 5353 4th Street NE
1 LEGAL
LOT NO. A I I
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
Pt.27., 28
14
Hamilton's Addn. to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Curtis Lindberg
612-571-4936
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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
O NEW ❑ ADDITION ❑ ALTERATION 6X REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house (11 S Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
yALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$942
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$.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,
$38.75
Fi SC $.94
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOT L EE
.19
SiGN4TUAE O�CON7pAeORAAUTMOpiZED AGENT iDATEj
C.NE
HE P
AlTHILSI S V UR P BAIT
k�G
G�
NAruAE O ��� 0 En BwIDER� �DArE� '-
BDG INS
nAft
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
,rte,
Construction Address: _ /���2. /�Z �✓ S ���{ -
Legal Description:
PO 4q7
Owner Name & Address: ��� Tel. #(1y) S-7/
Contractor:�.,,�� MN LICENSE #
Address: Tel. #.p -
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EM PROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Ft x $ = $
DATE: APPLICANT: Tel. # :S�- Z S
TOTAL
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ , Sly
$.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: