PRE 2010 DOCSVillage
ING ' PERMIT
of Fridley, Minn. N° 2375
Date.. .......,....... ............
Owner ....... ..T.........
Address J1.tet........ ....
Builder...........................................
Address ... ...... ..............
LQC�4T ON OF BUILDING
No.... Street- .... ',� .......... :
..................... Part of I.ot .,.....................
Lot ........ Block .... ...Ij,..... Addition or Sub -Division ..�..'�"T........................
.
Corner Lot ..... Inside ILot .'i . , .. Setback ... Sideyard . ...... .
DESCRIPTION OF BUILDING
To be Used as:
* I w
V oto
...: ........ ... . . Front ... .... '', Depthoto.. , ...Height ......... Sq. Ft. ... .. Cu. Ft........ .
.................... %nt ..... Depth ........ Height ......... Sq. FL . . Cu. Ft.... .....
Typeof Construction .......... JJ
1sL Cost l.J ........4............ To be Completed �..��............
e
j
�i
1'
In consideration of the issuance tome 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 vMage of Fridley.
... <.. ...............
/J� �fl
the pa astrtlet fee of $:. ..... , permit i hereby granted to . - 7 ..............
'r �'�i'� e dingg or addition as described above. This tis granted upon
the express condition,that the n to who it is granted and his agents, einployees, and workmen, in all work
done in, around and upon said buil , :or y part thereof" shall conform in all respe&ts to the ordinances of
Fridley, Mimiesota regarding location, co etion, alteration, maintenance, repair and, moving of buildings with-
in the village limits and this permit may, lie revoked at any dime vio on of any,of the provisions of said
ordinances. f i
f: ..
Building Inspector
NOTICE:
This, permit `bots not lover the 00
sewer or water. 'iia sure to. see the M
5
istructlon, Installation or aiteratlon� for wjring, plumbing, gas heating,
aiding inspeotor for separate; perml4ifor these Items.
SUBJECT
PE R0949
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
COMMUNITY DEVELOPMENT DIV.
SEC
7_0 7,�
PROTECTIVE INSPECTION
1 ; �
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
5/18/00
JOB ADDRESS 5600 5 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1 14,15
3
Hamilton's
Addn to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Stone 5600 5 Street NE
571-4454
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
LaFrance Exteriors 2022 N Ferry St, STE 3101, Anoka, MN 55303 763-712-1090
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (18 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 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 80 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 1 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
$.79
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,573
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.
$57.05
Fire SC $1.57
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
�
�_ILI
PLAN CHECK FEE
TO FEE
Lices $5.00
n
$ 4.41
SIG:_0fGRYdF CONTRACTOR OR AUTHORIZED AGENT iOATE,
MEN ROPE=ALIOATHIS IS YOUR PERMIT
FiL DG NS DA iE
S,GNATURE OF OWNER„F OWNER BUILDER, ,DATE,
NEW[ ] EMIlive 5/10/99
ADDN [ ] CITY OF FRIDLEY .
ALTER Dd SINGLE FAMILY AND DUPIM:ES R -X AND R-2
ry
BUILDING PERMIT APPLICATION
Construction Address:.J � � � ' � ,S j AJ JC .
Legal Description:
Owner Name Rr A.
- - - Contractor: ��•-purr c �
MN LICENSE # 4Q Q
Attach to thio annul-st;nn ft!`...�:�..... a n._ �ii
■ 4 I ■ ■ • .0■www a YiL1my of ft . ..._ �. - .. _ .....-. .
lot. 3;kLh the ,pnpgm- -A P.nmtr C21wa w•ywu
i
DESCRIPTION OF UvWROVEMENT
LTY G -AREA � _
L_i nit■uu1
Construction Type:% Estunated Cost: �� T r y a
Driveway Club Cut Width Needed: Ft. + 6 Ft = Ft x $ = S.
DATE:/ OO APPLICANT: e 77)—O�rmce Tel. # 743 -7% - /6 90
Permit Fee
$ -57,o-,5
Fire.,Surcharge
$ $6,
State Surcharge
$� . 71
SAC Charge
$ --
License Surcharge
$
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Cbarge
$ ^
TOTAL
$
STIPULATIONS:
Z0 -d V98£ ZZb
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.501$1,000 Valuation
$1050 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 Necessary [ ]
SNO I 2131X3 30Nti21d161 Wa 9 T: Z T 0002-6 T -AVW
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