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PRE 2010 DOCS•�` o'40 - BUILDING PERMIT Village of Fridley, Minn. N? 2 R 5 4 Date�' .............................. Owner e h !1.4'�h ... ! L ...... Builder ... n ... .1. c9.• �. �......... . Address [.1.� g? .... ���-R ` x . �? .. Address . ®� ...... 0. .... C. !^.. LOCAQT�IO,N� OF BUILDING No. . ..... Street ... ...� 6 .............. Part of Lot Lot ................ Block ..... .(P ...... Addition or Sub -Division ... /�? �..... ®► ve" Y.......... . Corner Lot ............ Inside Lot ..... Setback ............ Sideyard .......................... DESCRIPTION OF BUILDING To be Used as: �f Front 3.�.. Depth . ..Height �: ... Sq. Ft..,R�..I Cu. Ft. ........ .................... +Front ........ Depth ........ `Height ......... Sq. Ft.... ... Cu. Ft......... Type of Construction .. 1: Rf!'!;r . Est. Cost ....t � p !I 0.......... To be Completed ...(. e -y- tAr ...... 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 village of Fridley. Inco deration of the payment of a fee of $. 71cPpermit is hereby granted to ... ):1!1 .x .. .: y.R...... .... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at a upon vio atiou of any of the provisions of said ordinances. D� ... Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. lie sure to see the Building Inspector for separate permits for these Items. n LJ City of Fridley, Minn. BUILDING PERMIT Date: OCTOBER 4, 1965 Owner: RICHARD VIDLUND Address 248 - 58th Avenue N. E. Fridley ;21, Minnesota No. 248 Street Lot _ Block Builder Address SAME LOCATION OF BUILDING 58th Avenue N. E. part of Lot Addition or Sub -Division Corner Lot — Inside Lot Setback __ _ Sideyard Sewer Elevation ____ _... Foundation Elevation To be Used as: D. Garage DESCRIPTION OF BUILDING Front 16 Depth 22 Height 10 Sq. Ft. 352 Front Depth Height Sq. Ft. Type of Construction Est, Cost _ 1 056 To be Completed NQ 8506 Ca. pt. 3,520 Cu. Ft. In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in com Hance with a& provisions of ordiaances of the city of Fridley. 4 ����i� �% In consideration of the payment of a fee of4$ • 00 , permit is hereby granted to RICHARD ��UND 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 bulldinss within the city limits and this permit may be revoked at any time upon violation of any of the provisions of d ordinances. ALLEN G. JENSEN Building Inspecto NOTIC& M PeMM doss sot corer the aondrWOoe, hutaliation for whing, plumbing, gas house, ower or water. Be sun to as the Building lnspeder for aparato ponnhs for thm hNm. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME R lC W AP - 0 V1 ©L -L' N� BUILDER 5A %Z C ADDRESS -zy -�-.ssTO Ave No EE,- ADDRESS LOCATION OF BUILDING NO. STREET PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK R eA tl� SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this forth Two Certificates of Survey of Lot and proposed building location drawn.on these Certificates. DESCRIPTION OF BUILDING To be used as; A C� Front_ Depth 77-Z- Height v Sq. Ft. 3,57-� Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 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 true and correct. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). Building $ a 2� BUILDING Permit No.: m Inspections $ RESIDENTIAL APPLICATION Received By: i 763-572-3604 $ CITY OF FRIDLEY DateWEg: AUG `Z 0 200 763-502-4977 FAX $ Erosion Control $ Park Fee EFFECTIVE 1-1-08 Sewer Main Charge DATE YOURE-MAIL ADDRESS $ e— SITE ADDRESS 14 �np G THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: IfIlf' ADDRESS: GI��%'S z L 2 CITY i/C� STATE�IP TENANT PHONE: `' NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE Ii EXP DATE PROPERTY TYPE 68INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH-t!tROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used, PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SID ING SVinyl ADDITIONS & PORCHES SUBMIT: EI ❑Soffit 1. Site Plan/Survey showing the existing structures O Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �®®QJSING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ � t U:) OCCUPANCY TYPE Permit Fee $ a 2� Plan Review $ Fire Surcharge $ Surcharge $ 1_05 License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ e— See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) —ft +6 ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in acgae *ce with t¢e Rproved plan in the case of Al work which requires review and approval of plAns. SIGNATURE OF APPROVED BY ��✓ DATE DAT—./O