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PRE 2010 DOCS• • City of Fridley, inn N9 964 BUILDING PERM %- Date: March 22, 1968 Owner: Gale V. Mealhous a Builder Arden J. Hovland Address Address 4242 Quincy St. N. E. LOCATION OF BUILDING No. — Street 7n"'� - E • 15 3 1�--4 ax--� Part of Lot Lot __ _3 ___ Block 4 __Addition or Sub-Divigion .._.__ Oakhill Addn Corner Lot -- x Inside Lot Setback 35 _ _ Sideyard 10' Sewer Elevation x 885.78 -� _88.8.78 DESCRIPTION OF BUILDING To be Used as: Dwelling Front 44' Depth 27 � Height ____20' Sq. Ft 1188 Cu, F�L 23,9 0 Front Depth _ _ Height — Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _ $16 000 ..__ To be Completed Sewer Location- 11Y" is off 53rd Ave.- 74' East of Manhole Water Location- to be tapped 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 io�6 and in� comiffigrice with ons of ordinances of the city of Fridley. u 2, L ` � J� � -/," 1 - �4 $100.00 Sewer Connection Charge a In consideration of the payment of a fee of $ 36.00 , permit is hereby granted to Arden J. Hovland 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 ordhmcedlsngof Fridley, Minnesota regardingtthis location, may be revoked a t anrfine upcvo ar"i4a� oof the prepair and rovisions of said of within the city limits and / ' Y ordinances. Official NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, ga heatias, sewer or water. Be sure to Seo the Building Inspector for Separate permits for these Moms. APPLICATION FOR BUILDING.PERMIT q TY SOF FRID I MINNESOTA . 3 OWNER'S NAME ADDRESS- - Af-e � . nREss:�f�y�-� %%e, aelkrLOCATION OF 'BUILDING' 140. �/ STREET LOT. �;_ BLOCK 7 ADDITION OR SUB6IVISION/4 ' we CORNER' LOT'_ i� �IAiSIDE I;Of " SETBACK � j SIDEYARD. `� SEWER ELEVATION TOP OF FOOTING plicant attach to this form.TGro Certificates of Surveil of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front y Depth 12 Height 0 J 37/0 Square feet / 8` Cubic Feet Frost Depth H eight Square feet Cubic Feet Type of Construction Estimated Cost 101 To Be Completed3 r 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—-— _ __ _SIGNATURE'`s �- (Schedule of Fee Costs can be found on the Reverse Side). a Ae 31 Lverfff T*caft W. J. LVNDSTROM LAND SURVEYOR -MINN. REGISTRATION rap 'of r 1511 NEwrom AVL N. MINNEAPOLIS, MINN. �*E L E mom& -A L. 7209 6_017 9 = y I ,9.iat off' a s✓�r�y Jr Lar ..� a B/ock -� , � ' j ns s% -Payed ley �e Phis day or ,�ovl No_.1//4 sw'•i1sR. �'" „; 6_s• .:.6. -... .p i .t< r, ti h; .....' ..st'""` ,�.d v-ke�. At ti. .. 41, _Cr k M. 1 �s!y i i 77 ea.,. I i ,9.iat off' a s✓�r�y Jr Lar ..� a B/ock -� , � ' j ns s% -Payed ley �e Phis day or ,�ovl No_.1//4 sw'•i1sR. �'" „; 6_s• .:.6. -... .p i .t< r, ti h; .....' ..st'""` ,�.d v-ke�. At ti. .. 560-3450 C[f'y Ogriilety U ANOKA COUNTY 6431 UNIVERSITY AVENUE NE FRIDLEY, MINNESOTA 55421 July 31, 1968 Mr. Arden Hovland 4242 Quincy St. N. E. Columbia Heights, Minnesota Re: 501 53rd Ave. N. E. Dear Sir: The City Engineer is requiring that you lower the front yard grade at the intersection similar to the existing grade at the Southeast corner of the intersection. Our ordinances require that there by no obstruction of traffic view within 20 feet of the property corner at all intersections. If you have any questions in regard to this matter, please do not hesitate to call us. Your prompt cooperation would be very much appreciated. Yours very truly, CLARENCE BELISLE Building Inspector CB/bks cc: Mr. Gale Mealhouse,owner Mr. Nasim Qureshi, City Engineer Application dor Pourer Pkaft and Heathigs Coof ncj. Ventilation. Rema n and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAV3TY WADI AIB: RATE TOTAL Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ............`..... 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AM Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500A0 .............. 5.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. FDR Steam .... .$10.00 $ Furnace Shell & Line --to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 ' $_ Each add. 320 sq. ft. IDR Hot Water . . . ........ ... 3.00 $ OIL BURNER—to 3 gal. per hour . . .:... ... .. ..... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 198,000 BTU) ........ ........... . ... 8.00 $ over 199,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ x$ 200 $ 1=12— Additional Fixtures . ............... x .75 $ Gas Range to 199,000 ........... 8.00 $ AIR CONDITIONIIfG $ FAN HEATING SYSTEM See Fee Se>sednle VENTILATING SYSTEM $�— ALTERATIONS & REPAIRS TOTAL FEE $7— ROUGH Dept. of Bldgs. Phone 880-3490 City of Fridley: The undersigned hereby makes application for a permit for the work herein. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn 1& — Owner _c=''`C'�v z v 6 sr__1 ©� mus 1161r_lplc_� Kind of Building ' Used as To be completed about Estimated Cost, $ 5 ' Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS- 6team, Hot Water, Warm Air—N Trade Name Size No Capacity Sq. Ft. ELI) R- BTU H.P- Total Connected Load Sind of Fuel BURNER —Trade Name Size No Capaci Sq. Ft. E.D.R BTU H.F. FINAL (REMARKS -OYER) Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule 7 GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2A0 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone 560-3480 Location _z—o /"r ,r City of Fridley: The undersigned hereby makes application for a permit, for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, M;nne " 16 ., 19�� Owner Kind of Building s Used as To be completed aboo�sspLg, ut CG v A Estimated Cost, $ �,(✓J Old -0. Building Permit No. 1 I Permit No. r DESCRIPTION OF WORK HEATING or PO PLANTS—Steam, Hot Water, Air—No Trade Nam Size No _'9f /3 Capacity A3 , Sq. Ft. E.D.R BTU H.P. Total Connected Load &2!!-® Kind of P BURNER —Trade Name Size No Capacity Sq. Ft. E.I)Jtll�_ n7 -ft . do 44 MYTr c She °" a By c41100. ae Business hone No 4? Z L9 ff_�_ O (REMARKS—OVER) *.� HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E, Construction No.Insulation Guide Windows Doors Reference Out. Wall I Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19— J' Fl. .=--,r Room I Lensfth ®� Width/ Height A? 11 Fl.l �°;.� Room Length ,/Width Height Windows a Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft* Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. fo jo T C oef.j Coef. Btu Infiltration2,0 � 109,01 6 0 Glass f Exp. wall Exp. wall -6 o Exp. wall Net exp. wall 2-1-0 lol /®l Z. % o Net exp. wall Ceiling Int. wall 1611' 49 3 214r Floor Ceiling, Floor Total Btu. I/./' a -.5" 0 Requir T.W.R. or sq. ins. W�„Leader area T—F1.1 0' -W, -,AV -"Room I Lenstth4,0 Width 77 Height Win ows and Doors—Crackage and Area Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft* Width Height No. of Lineal ft. Area No. of pa a of panA lights of crack sq. ft. 1 C oef.j Btu Infiltration Infiltration � Glass Glass f Exp. wall Exp. wall -6 Net exp. wall 2-1-0 lol /®l Z. % o Int. wall Ceiling lz4r 1611' 49 3 214r Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader a of Fl. Room I Length /, Width Windows and Doors—Crackage and Area Width Helght No. oL Lineal ft. Area No. of pane of panpe� tights of crack sq. ft. /{ 2.® 8 ® /0 L Height Btu Infiltration 75 Glass ;�'Lf Exp. wall Net exp. wall Int. wall"" 1, —p 2 7 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows an Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pa a of panA lights of crack sq. ft. Coef. Coef. Btu Infiltration 144077,0 Glass Glass f Exp. wall Exp. wall -6 Net exp. wall Ir7 lol /®l Z. % o Int. wall Ceiling / / ��•� Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader a Fl.l oom I Length ® / Width .-- Windows and Doors—Crackage and Area Width Helght No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 14-2— 2 l) 1— .3 3 1212 Height Infiltration „3b Glass Exp. wall Net exp. wall Int. wall Ceiling ZZI Floor Total Btu. Required q. ft E D.R. or sq. ins. W.A. Leader area, A Fl.l &j Room I Lenszth / 7,, Width/ 0 Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass f Exp. wall Net exp. wall Ir7 /,577D Int. wail Ceiling Floor Total Btu. 10 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley, Minn. N° 9676 BUILDING PERMIT ql?07 Date: April 18, _ 1968 Owner. Gale Mealhouse Builder Same Address 501- 53rd Ave. N. E. Address __ _ Same LOCATION OF BUILDING No. 5q1__ Street — 53rd Ave. �..._.._. Part of Lot Lot _ 3 Block 4._._..__ Addition or Sub -Division ._.__ 0A- hid, Addn- Comer Lot — Inside Lot — — . _ Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 30' Depth 24' Height 10' Sq. Ft. 720 CtL Ft 7200 Front Depth _ _ Height Sq. Ft. Cu. Ft. Type of Construction __Frame___ Est. Cost _5 _ :� be completed _ No Y - 15 . __1968 In consideration of the issuance to me of a permit to construct the building described above I agree to do the prnposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 11.00 _,permit is hereby granted to._.._. Gale Mealhous a 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, its 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, pair and oving of buildings within the city limits and this permit may be revoked at,ea�y time uponnviolatiof any of to provisions of said ordinances. / // Official — Buildings an Gas rland FNOT�10-:.rmit dossnot cover the construction, houllatien for wiring, pl�h+8, gas h�9. cru or water• Be sun to see Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MIk=SOTA OWNER'S NAME � OtLDER� ADDRESS_. ��i~ ? —ADDRESS—.- 04,01'. DDRESS-ONOF. $MtD G , LOT 1_:f BLOCK _ ___A DITION OR SUBDIVISION Ci�"iC�,�/ CORVER LOT INSIDE LOT SETBACK $IDE7tA1tD ,:: SEWER ELEVATION-, � 'y`. t.XQP OF FOOTING '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 A8: o Front Depth. Height Square feet Cubic Feet Front, Depth Height- Square eightSquare feet Cubic Feet Type.,of Construction, stimated Cost(0- To To Be 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 trued correct. �J DATE _SIGNATUREp.�-v�/ (Schedule of Fee Costs can be found on the Reverse Side). Original PERMIT for Power ants and Heating, Cool- ing, Ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of / Heating Plants to b i!Alle ltered—repaired Make Oil fired ; Coal ed , Gas fired_; Gas Authorization No. Remarks lzva.4 a Approved by Final Inspection Date , 19_ Inspector o�00 -. Permit �, 4435 Fee $ I�- � - Office of the Inspector of Buildings City of Fridley City of Fridley, Minn..- Owner � .4e Location Kind of Buildin How Occupied Work to be Commenced—A ,19-0 To be Completed 0�l' ,19 1, -ri Estimated Cost, Old -New, Building Permit No. Permission is hereby granted to 'V- to install--erect--use the material and devices described in the above statement. This permit is granted upo the express conhition that the person t whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein n1entioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specificg4ions set forth in the approved application for this permit on file in the office of the Inspector of Buildings. ..�� 6/� ��' , Inspector of Buildings .01�42 2M11 -67V U City of Fridley Application for Plumbing and On fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Location So �'" ��(.C.E.e�- Number, Kind and Location of Fixtures N ca C Number Fixtures x $2.00 $ Future Fixture Opening ................ x $1.50 Y New Fixture Old Opening .............. C Z 8n S� < (�9°d w 0 Z �p f F N WATER HTR. GAS ELEc Base z $2,00 $ GAS FITTING FEES: NO. RATE TOTAL Q 1st 3 Fixtures ..........................Z x $2.00 $ �• Additional Fixtures .................... —x$.75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 1st 2nd 3rd 4th • Futu:e Connection Openings 1Sewer e New Fixture, Old Openings J Connected with Cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTYV Number Fixtures x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $_z__T Water Heater (Up to 99,000 BTU) ...... x $3.00 $ 31 New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater z $2,00 $ GAS FITTING FEES: NO. RATE TOTAL Q 1st 3 Fixtures ..........................Z x $2.00 $ �• Additional Fixtures .................... —x$.75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ....................................... TOTAL FEE $ �• City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this applicationare true and correct. ,Q� Fridley, NGnn is' a°� 19 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old New. Building Permit No 9� / Permit No.�� Signed a By Business elvo' ROUGH -,/-; y- 6 t FINAL Original PERMIT for Power Plants and Heating. Cool- _ _ ing. Ventilation. Refrigeration and Air F. t 7.0 0 N® 4723 Conditioning Systems and Devices Office of the Inspector of Buildings DESCRIPTION OF WORK No. of Heating Plants to be installed-altered—repaired Make , Size ; Oil fired ; Coal fired—, Gas fired ; Gas Authorization -1 Approved Final Inspection Date '19— Inspector City of Fridley City of Fridley, Minn. , 1920 Owner Location�`� - ✓�- �-� Kind of Build�-� How Occupied Work to be Commenced—, 19— To be Completed / �-- ,19_ Estimated Cost, $ & 1 (0ew, Building Permit No. Permission is hereby granted to (cn • Iy .Q JC_.Q–fes to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set fo th in the approved application for this permit on file in the office of the Inspector of Buildings. I w 1 .- n n :- - ) i f . n . W� ZJtLX,41-CX-t,,nA ,JInspector of Buildings 2M11 -67V CF SUBJECT PJP41T NO. City of Fridley -167- 11 AT THE TOP OF THE TWINS BUILDING PERMIT _ r NO. 1 L _ COMMUNITY DEVELOPMENT DIV. [1RQCEIPT r PROTECTIVE INSPECTION SEC. �® ' /'-'1 CITY HALL FRIDLEY 55432 A / ,'J NUMBER REV. 18/5/82 DATE PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 501 53rd Avenue N.E. 1 LEGAL LOT NO. 3 BLOCK 4 TRACTOR ADDITION SEE ATTACHED Oakhill Addn SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gale Mealhouse 501 53rd Avenue N.E. 572-9214 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 ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 3 season porch 21'6" x 12" 9 CHANGEOFUSEFROM TO STIPULATIONS -EPERAT'E PERMtTS , RQUIRED RX HEATING, PLUMBING AND SIGNS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY ROUP OCCUPANCY LOAD 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 258 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALL 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 4,250 2.13 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERM%? FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- rj0.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 12.63 64.26 SIGNATURE OF CONTRACTOR C�RPJJTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS Y �I 4 15,717 v_6 - Ys���T BLDG INSP QATE SIGNATURE OF OWNER OF OWNER BUILDER)_____ (DATE) CF CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PM4ITS (Keri, Alterations, Additions, or Repairs) OWNER: ��h � l kjv-o 0 5 - ADDRESS: ADDRESS: .S D J - .` 3 /du e_' TEL NO: 7 Z - 9 BUILDER: _ V1 R 0 I)qk D ¢ RAI - ADDRESS: TEL 110: Construction Location • STRMT NO: STREET: / 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: aZ / ! (o !� Depth: Height: Square. Feet: Cabic Feet: Front: Depth: Height: /°�Jy� Square -Feet: Cubic Feet: S-0 ®,�7 ,(]� (r S'9 Type of Construction: Estimated Costs $ Tb Be C,rapleted: Alt. A Alt. 8 Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Tile 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 Delwirtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: ;ir--S^ Vr SIGNATURE: -` 19--6 _Z&:e= Stipulations: P"J I 'l - U3 �Y 2J�