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PRE 2010 DOCS!e i City of Fridley, Minn BUILDING PERMIT Date: ....._.. _ ._.....^._.._............................ Owner: Address N® 4084 Builder .....�/...._...L✓�'r��. _...._.__.. �_._ Address................ .......................... _....._..........---.._....._......._......._......._..._.._.._._._._ a yy77 TION F BUILDING No..(;..Q.-..[.._1....s street ............... ......_... _. _........�.r. ................ -.............. Part of Lot _..._......._.--•-4�1 _...._......._...._....__.._ Lot o�.''=?! .. �Idck ...---.................. _................. Addition or Sub -Division /� .� .. ................ •--.-............._................... _........... r 1+ e ti Corner Lot ................. ...._........ Inside Lot X.............................. Setback—.....��............... Sideyard .. ... ....._.........._............. ...... Sewer Elevation evation ..-.._.©�.....-------•---------- -........................... FeawWwat Elevation �y...l...�r._.7./. _..... ............. _.............. DESCRIPTION OF BUILDING To be Used as: Front . .-0 Depth .`..� Height I f s® Sq. Ft. l...>� 49.q Cu. Ft. 4f_..0. ....�.�0 Type of Construction7Fnt .... .............._....... Depth .................... _.. Height ...................... Sq. Ft. ........................ Cu. Ft......................... Est. Cos ...�� j'ar...'..To be Completed .................................................. 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 city of Fridley. t..1............ __..._.._...__._.. ._.._._..._._..._.... In consideration of thea � p yment of a fee of $._�%.....t .......... .. permit is hereby granted ..... __.............. _.......... _............. ........................ 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 9 City of Fridley, Minn. BUILDING PERMIT N° 7236 Date: Owner: 49T" -f ddL Builder I j �- Address Address LO T N OPUILDING No. Street Part f t — Lot _ ___ Block - ,,2_ — — Addition or Sub- . � Corner Lot _ Inside Lot _ _ Setback Sideyard Sewer Elevation -- F014dation Elevation DESCRIPTION OF BUILDING n as: Front Depth Height Sq. FJA Cu. Fro t Depth2_;i ihtt Sq. Ft. Cu. Ft. AW TYPO of Construction, Est. � To be Completed 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 pliance with a& provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of I /I , 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. /7 A 111 NOTICE: This permit dose not cover the construction, hnlaluHoe for wWng, plumbing, gas heating, sewer or water. Be am to as the Buildhrg Inspector for separate permits for thea item. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME A BUILDER ADDRESS �1 / - `'I� +.�` ADDRESS LOCATION OF.BUILDING No. Street Part of Lot Lota SL Block !� ddition,or Subdivision 4,t-' �k Corner Lot' Inside Lot Setback x Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two`Cert4ficates of Survey of Lot and proposed..build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING Zbe used as; ;LtL�,� ( Front_ Depth _Height / d Sq. FtCu. rt. . 1. Front Depth Height Type of Construction Sq. Ft. Cu. Ft. Estimated Cost g To bel V Completed 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 application are true and correct. DATE_ /L � ' _(Schedule of Fee Costs can be found on the Reverse Side). 0 SUBJECT PE O. City of Fridley 8 AT THE TOP OF THE TWINS B U I L D I N G PERMIT(F�3 Ir , COMMUNITY DEVELOPMENT DIV z. PROTECTIVE INSPECTION SEC. r , CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 9/21/94 JOB ADDRESS 6071 4 Street NE 1 LEGAL I LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 28, Ni 29 3 I Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walt Rakie 6071 4 Street NE 571-5264 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Thurs Construction 5717 113 Ave N, Champlin MN 55316 424-5624 9346 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PRONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 0. REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (26 Squares) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 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 $1,430 .72 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- $35.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Fire SC $1.43 PLAN CHECK FEE TOTALFEE License SC $5.00 42.15 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PROPERLY V IDATED THIS IS YOUR PERMIT /HEN d I/y, P ff/ SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BIOG I P BATE NEW [ ] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: &0 % / Fa u" --'l\ srP Legal Description: Owner Nance & Address: -W%± b o 7l Fov �t��/�� Tel. # �5`7 l Contractor: %fit u rs C© h s MN LICENSE # J16 Address: 5 7 i 7-) 1 3 `- }[„-e lLv . Coq �D %•`. S-� �) Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed constriction 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: re_ reap 1r- v * .-- ►--0 a dL-lk o�� 107 Corner Lot [ ] Inside Lot (] Ft: Yd Setback. Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: ,�Q�9.,, -�� Tel. # Permit Fee $ CITY USE ONLY Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ 9,2 $.50/$1,000 Valuation SAC Charge $ $$00 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: