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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. Date........... j...... Owner ..... ... .... • ... Address !W �" .... .......... . No. .... Lot......... . Corner Lot .... P—, To be Used as: .. Type of In consideration the proposed work h ordinances of the vil N° 2376 Builder........................................... Address......................................... LOCATION OF BUILDING Street .� ..��� . ! .. Part of Lot .......... ..... . ae Block../ ........... Addition or Sub -Division .!`I®�` .. � �'' 3 d .... Inside Lot ............ Setback 44701!C. s01!C. Sideyard 17l�.'.....r.......... DESCRIPTION OF BUILDING Front �'� .. Depth ' eefeight /I ..... Sq. Ft. 814' Cu. Ft........ . Front ........ Depth ........ Height ......... Sq. Ft... ... Cu. Ft .... ` .. Est. Cost .�"' ! ", . .......... To be Completed r�. �.... . VW f- 4P. 0 if the issuance to me of a permit to construct the building described above, I agree to do accordance with the description above set forth and in compliance with all provisions of ,ge of Fridley. o iate' n f.the payment of a fee of $........; 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 pon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota ro g location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits t d this permit may be revoked at any time up= violatioq of any of the provisions of said ordinances. .. .,:� .. .... Building Inspector NOTICE: This permit sewer or water. a not cover the construction, installation or alteration for wiring, plumbing, gas heating, sure to see the Building Inspector for separate permits for these Items. City of Fridley, Minn. �._....a BUILDING PERMIT N° 5228 Date: Owner: '' Builder - Address _______ _ Address r/7 N O B ILDING No. f Street " P of Lot Lot Block ._ _ Addition or Sub-Dyisio Corner Lot _ f Inside Lot _ _ fatback 22�•=�Sideyard _ Sewer Elevation __- , Foij7dation Elevation DESCRIPTION OF BUILDING TeU,das* r, � � d" /, r,K -- y Front �_ Depth Height �' Sq. Ft. Cu. Ft. 1- ..r,�::.,,,'� 6 Depth ht Ft. Cu. F't. Type of Constructin _ - "" etAett- Est. cost.. ' _ 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 grdinances of the city of Fridley. �t 4 g In consideration of the payment of a fee of $ � , permit is hereby granted Co— 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 >�{on violation of 4ny of the provisions of said ordinances. ' ` 4„ Z? `' A Inspector NOTICE This permit 'does not cover the construction, installation for wiring, plumbing, gas heating, Sewer or wafer. Be sure to see the Building Inspector for separate permits for these Items. I /0/- 11 0/- I 11 _Z'07'/41 0 �a k rk 1e Q �1 4 Owner's Address APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEYi MINNESOTA LOCATION OF BUILDING No. Street Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard_,= __ SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location: DESCRIPTION OF BUILDING be used as: Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction /' -,e,- ,��� 1 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 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. 17 (A Schedule of Fee Costs can be found on the Reverse Side.) i C SUBJECT ERM) City of Fridley (-0 16 5 7 AT THE TOP OF THE TWINS BUILDING P E R M I T r ECEI NO. COMMUNITY DEVELOPMENT DIV. g r PROTECTIVE INSPECTION SEC. 7 i I � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 670/11/82 JOB ADDRESS 1065 - 63rd Ave. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 8 1 Moore Lake Highlands Third SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Martin Burditt 1065 - 63rd Ave. N.E. Fridley 55432 571-0417 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Kilgore Siding Co 6393 Highway 65 Fridley 55432 571-9715 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW M ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside and insulation 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Asphalt/Vyn 1 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 R-1 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $4,000.00 $2.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $44.50 STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION. y_ PLAN CHECK FEE TOTALFEE s $46.50 � SIGNATURE OF CONTRACTOR OR AUTHORIZED GEN )DAT PROPERLY VALIDAAED IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) )DATE) CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PEIU41TS (New. Alterations, Additions, or Repairs) OWNER: /V'11 �d ADDRESS: TEL NO: STRIZST NO: �gr BUILDER: JJ Ji c ADDRESS: �� C' 3— �_ &/ C) TEL NO: t� ��V /0 //L 5 %/—�P%1 Construction Location STREET: �� LOT: BLOCK: % ADDITION: oV-V C ` 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: Square Feet: Depth: Cubic Feet: Height: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: 1 d / 1V'Astimated Cost: $ B To e Completed: . ter. Alt. A Alt. B 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application re true and correct. DATE: � r/ � SIGNATURE. Stipulations: 61-q.So s- so suB�Ecr IT NO. City of Fridley 26 8 6 3 AT THE TOP OF THE TWINS BUILDING PERMIT 'r , -REeEfPT NO. _ COMMUNITY DEVELOPMENT DIV. i L PROTECTIVE INSPECTION SEC. pay 1 . I OY NUMBER . REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/28/98 JOB ADDRESS 1065 63rd Ave NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 1 1 1 Moore Lake Hi hlands - 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Dahl 707-0100 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. AAAmerica's Best Inc 2400 Interlachen Dr 4222, Spring Park 20139703 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 55384 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR ❑ MOVE ❑ REMOVE 5 DESCRIBE WORK Reroof house and garage (24 S) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 50 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 I 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 8747 $4.37 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $149.75 Fire SC $8.74 xPLAN CHECK FEE TOTA EE 1 /,a,- f Licens 5.0 67.86 SIGN VRL-OF CONTRACTOR OR AUTHORIZED AGENT 10 TEI N ROP L ALIDAT • BLQ47NSP Or D NIS IS YOUR APERMIT S.GNATURE OF OWNER OF OWNER BUILDER$ IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Tel. # -7 r4 Ct Contractor: 1 ��. {=�, , �„ ��.'� \��a_.k MN LICENSE # �) 0,� 3 j '4 c Address: Jr- Tel. # q -o Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE -AREA: Length Width Height Sq. Ft. DECK AREA: LenWi/dth Hgt/Ground ' /S P. OTHER: C) � le Ale ���(7�: •/ _�7��/ 00 Construction Type: Estimated Cost: $ V (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: (-- Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ / `� ��� Fee Schedule on Reverse Side $ O - �]� .001 of Permit Valuation (1/10th%) $ -37 $.50/$1,000 Valuation $ $1000 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 [ ]