PRE 2010 DOCS•
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City ®f Fridley, lib m.. X? 8581
BUILDING PERMIT
PTV_ ,..7-_,,.-
MI
LOCATION OF BUILDING
No. _1559 street 75th Axex ne Part of Lot .So+ 11- of X- 75 1 of—* of
Lot—11Block ___2____ Addition or Sub -Division . S.pY'in Take ake Park lakesmde
Corner Lot — Inside Lot _ __ X Setbackrii( 'L_— sideyard 5 t nn Ga?-.---31--an—home
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: with 2 x 16 jog 1, 056 19, 008
Nouse & G=sge Front ,Illi. _ Depth 24 Height _ -8 sq. Ft. IXM Cu. Ft. tuft -
Front IS Depth 22 — Height _ X10 sq. Ft. 396 Cu. Ft. 32M. 3, 960
Type of Construction I'rwna Est. Cost W 6.. G00.-00 __ To be Completed Jan. 20, 7 Ah6
Approved by Council on October 18, 1965
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 fo and in com with a�l provisions of
ordinaaoes of the city of Fridley.
In consideration of the payment of a fee of $�23 -00 , permit is hereby granted toDelberg Inc.
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 workfnen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinanceclisngof
Fridley, Minnesota r�;ardtng ton, ctialat�agy time upon vio esti n oEraay of the�Provl�ons of said
within the city limits and this
ordinancs3s.
NOTICE:
Tho perma den not cover the coaatrocthm, lnatage&w hr whb& phnnbing, en heads& ewer or water. Be nun to as
the
WHO* ingm for for separate pwmita for these Nan.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S
ADDRESS / i — / ,- ADDRESS
LOCATION OF BUILDING
NO, STREET PART OF LOT
OT BLOCK ADDITION OR SUBDIVISION '416,
��
CORNER LOT INSIDE LOT ± SETBACK SIDE YARD , �"f`�� �� `''� l401�
SEWER ELEVATION FOUNDATION ELEVATION
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 as; fln�
:r�
Front _Depth ��__'H"eight r
Sq. Ft. e -f g9 /6' 5-6 Cu. Ft. / 0 r
Front Depth_,,,.2,2— Height 6
Sq. Ft. 34 Cu. Ft.
Type of Construction Estimated Cost
a
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 Z SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
�� e
01
SUBJE&
KIMIT NO.
City of Fridley
30673
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
R O
'
` COMMUNITY DEVELOPMENT DIV.
-------
r'r
INSPECTION SEC.
�PROTECTIVE
F • ,
Ia.
�r���,•� CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L J` 612-571-3450
910415
2/23/00
JOB ADDRESS 1559 75 AVENUE NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
PT. 11
2
Spring Lake Park Lakeside SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Janet Chesenski 1559 75 Avenue NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Greg Wills Exteriors 4246 Royce St NE,
Mpls., MN 55421 788-0529 20037840
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 652 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Aluminum soffit & Fascia
9 CHANGE OF USE FROM
TO
STIPULATIONS
Install soffit ventilation to meet 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
SQ. 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 I 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3,550
$1.77
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 -
25
Fir/SC $3.55
TION
TIONPLAN
A;9;
CHELice
$5 0
$107.57
'RAGTORORAUTMORi2EDAGENT DATE,/
E PR P VALID E THIS IS V UR PERMIT T
B96 IN$ DATE
$,GNATURE OF OWNER, -F OWNERBUILDERI IDATEi
01
NEW
ADDN
ALTER
Construction Address:
Legal Description:
Owner Name & Address:
Contractor: 6
Address: 4111� q L
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
-�7S9 7 5 � Z;,/-- '�
Effective 1/1/2000
(763) 672-3604 Bldg Insp
73
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft
y�
Ct �! l �9 lflYl ..� D��' � 'y—/q <:�-/
Estimated Cost:
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: Z
APPLICANT: Tel. # 170101
CITY USE ONLY -
Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee
$ , Fee Schedule on Reverse Side
Fire Surcharge
$ 3 .001 of Permit Valuation (1/10th%)
State Surcharge
$ i. $.50/$1,000 Valuation
SAC Charge
$ $1100 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
$ /02, 01 /
STIPULATIONS: