Loading...
PRE 2010 DOCSN® !ANN Village ®f Fridley, nfamn. Office of INSPECTOR OF BUELDINGS Owner's Y � Architect Fridley, ,Minn., �' �°�� � 19) R Builder i L®CATION OF BUILDING No. ° Street -D2!tt A Part of Lot Lot '^ ~` Block .dam l Addition or Sub -Division DESCRIPTION OF BUILDING �. Front Dep h -!.– Height—4--j. StoriesManner of Construction To be used as.To be completed +, Estimated Cost i �••rr i Permit is hereby g,,anted to I.^4— 0•fr the building"" `" '�' ` described in the above statement. This permit is granted upon the express ;co' dition tb4 the person to whom it is granted, and his agents, employees and workmen, in all the work done in, round and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Mm., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limns, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Com=°inspector of Buildings. �j AGREEMENT AND SWORN STATEMENT In considers ion of the issue and delivery to me by the Incpector of Buildings of Fridley of the above permi , I hereby agree to do the proposed worl. in accordance with the description f above set forth d according to the provisions of the ordinances of Frid eJ7, and, being first duly sworn, I hereby Mate and say that the facts stated by me and contained in the above. permit are true as therein sated. Subscribed an sworn to before me at Fridley, Minnesota,, this day I ii Arebitect, Frimey, Minn• �ry p '�1 d • Builder i ° s J i•'*eIJ ' LOCATION OF BUILDING, No. ' Street Y Past of Lot "� Loi Bloc Addition or Sub -Division 04 DESCRIPTION , OF BUILDING i , FrontlaI49LL_ Der 1th f11eightStories, Manner of ConstructionL To be used as- L.1To be complete((_„ 1 « :J� Estimate& Costas I ,J! Permit.is hereby ted to ,. the buuft - described in the above statement. This *mit is granted upon the express c midition that the person to whom it is ;granted;: and lii8 agents, employees "and workmen, in all the work done in, around and upon said ;biAlding,, or any part thereof, shall conform In all respects to the ordi- nances of NVidley, Minn., regarding the coinstruetion, alteration; maintenance, ` repair and moving of buildings within the, city lin its, and this permit way j be revoked at any time %Xm violation of any of the provisions of said ordinances. --Inspector of .Buildings. AGREEMENT SWORN STATENiENT In consideration of the issue and delivery to nae by the Inspector of Buildings of Fridley of the above perimit, I hereby. agree to, do the proposed work in accordance with the description above set forth and according to the provisions of the ordinance^ of Fridley, ,and, -berg first duly t;. sworn,` I; here state and say that the, facts by, me' 'and contained -in the a e permit are trde as therein ted. A Subscribed and sworn to before me, at" Fridley, Minnesota, day oL ltbis � �'� r _ A.D. 19 d . ;. f # f t d. F 1 u A Application dor Power Plants and Healing, Cooling, Ventilation, Refngerahon and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ &00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 5.00 $� Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam .... 8.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water :. 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone SII 4-7470 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. Owner Kind of Building Used as IPA To be completed about Estimated Cost 19 _ Building Permit No. Permit No. =)-y t DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—Nom 3 Trade Name Size No L d — / Capacity Sq. Ft. E.D.R H.P. Total Connected Load Kind of Fuel.- BURNER uel BURNER — Trade Name Size No Capacity 76- ' rSq. Ft. E D R BTU H.P. 6 rDH& (REMARKS -OVER) Signe By 4 2 zM Business Phone No- `9-" of Date: Owner Address .......... City of Fridley, Minn.. BUILDING PERMIT N® 3141 N.....- .............. Builder .......... ......................... . .:' ...:...... ...........1 ......ess ............................. . LOCATION OF BUILDING No. . :40 itreet .. .. . Invision .............. Part of Lot Let ............ =leek .... ............. Addition or Sub -Division nlf Corner Lot ........L ... Inside Lot ...`.':- ...... Setback''. „1' AtSideyard ..`.'':. DESCRIPTION OF BUILDING To be Used as: ,+,r ......... Front ......... Depth . . Height ....... Sq. Ft. "� f Cu. Ft. ........ ................... � Font Depth ..... '' Heigh -6 ..... Sq. Ft. ........ Cu. Ft. .... . Type of Constructio Est. Cost..." .5!:,:'""�^ .. To be Completed ................. In consideration �f the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work ' accordance with the description above set forth and in coommp�hiaoce with all provisio of ordinances of the city of Fridley. ... , .... .. ........... .... In consideration Of the payment of a fee of $.. � . ....... permit is hereby granted to ....ate... .. .. to construct the building or addition as described above. This permit is granted upon the express condition at the person to whom it is granted and his agents, employees and workmen, in all work done in, around and u on said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesotare arding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits an this permit may be revoked at any time upon violation of any of the provisions of said ordinances. X® NOTICE: This permit donot cover the construction, Installation or alteration for wiring, plumbing, ,Q sewer or water. Bi sure to see the Building Inspector for separate permits for these Items. • 0 Inspector K City of Fridley, Minn. BUR DING PERMIT ;� Date: ..../�..`........ ............... Owner Address N® 3328 Builder :' ...... .......................... Address ............................................. LOCATICW OF .BUILDING No.-.....°....... Street . ...�;"".. ,,, � 4�'9' �' �......... .. .�. ..,... Part of Lot ............................... Lot .......,..... Block .................. dation or Sub -Division ....................................... Corner Lot ... ........ Inside Lot ............. Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING be Used as .� „i q, � .... Front . �. �.�.... Depth . ��. Height ....��.... S Ft. . Cu. Ft. — , ont ........ Depth ........ Height ........ Sq. Ft......... PL Ft. Type of Construction ..:........' Q.®. lbt. cost. % : :........ To be Completed -i ' 13-10 gee' d deration of the issuance to me of a permit to construct the building desribed above, I agree to do ed work In accordance with the description above set forth and In compliance with all provisions of ces of the city of Fridley. -3 '9-2 q Y® .... .=.... .. :: ...................... ue In consideration of 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 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 city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building_ Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plu Ing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these ms. City of Fridley, Minn. BUILDING PERMIT NA .7098 4 A. .P Date:"� Owner:Builder Address Oq Address If L,OCAT�I�1LDING No. �.�St,.r�eet �`°�_ Part V;"& Lotal�e= > Addition or Sub -Division . Corner Lot — Inside Lot` � Setback __-_ SiOr I d Sewer Elevation Foundation Elevation 6E.%RIPTIQN OF BUILDING T 8=Front Depth Height Sq. Ft. Cu. Ft. Front •__—_-- Depth eight Sq. Ft. Cu. Ft. Type of Construction Fst. Cosi —"_--Oro 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 ordinances of the city of Fridley. In considerationof 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, ffi all work done in, around anfl upon said building, or any paw thereof, shall coffiorm in all respects to the ordinances of Fridley, Minnesota ,regarding location, conatructtTon, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _ .�! .r^► Building Inspector NOTICE fhb Psi don not corer the ,conatruadon, huf dation for w1rho phmibing, gn hating, Bawer or water. Be sun to as the Budding hmpsetor for aparato pumho for thea hone. APPLICATION FOR BUILDING PERMIT CITY OF F'RIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS 0�� i�-�� JC ADDRESS LOGATI OF BUILDING No. �5s�/�G" Stre Fart of Lot -�� O^Block � Addition or u divisi Corner Lot'' Inside Lot / Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach.to this form Two Certificates of Survey of Lot and proposed build- ing locatioa drgw% on.these Certificates. DESCRIPTION -OF BUILDING To be used as: _ Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft.� Cu. Ft. Type of Construction Estimated Cost To be Completed_Ze'22�� 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 ef.the.Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. M Schedule of Fee Costs can be found on the Reverse Side). 0 0 rJ City of Fridley Application for Plumbing and Gas R ing Permit DePL of Bldgs, Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ......................� x $1.50 $® Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... x 3.25 $ Water Heater (Up to 200,000 BTU) ......, x 2.00 $— d New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE City of Fridley: tee//S; .03 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 application are true and correct. Fridley, Mine /7 — -Z 0 c 19 Owner% Kind of Building Used as To be completed about Estimated Cost, $ Old New Building Permit &41A /�c� 7 ROUGH FINAL d2 G Business Phone Z Z C N �� 2 p= w (9 Z • R f N WATER HTR. GAS ELEC. m Base 1st 2nd 3rd 4th • Future Connection Openings Connected with I Sewer (� New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ......................� x $1.50 $® Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... x 3.25 $ Water Heater (Up to 200,000 BTU) ......, x 2.00 $— d New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE City of Fridley: tee//S; .03 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 application are true and correct. Fridley, Mine /7 — -Z 0 c 19 Owner% Kind of Building Used as To be completed about Estimated Cost, $ Old New Building Permit &41A /�c� 7 ROUGH FINAL d2 G Business Phone CitY of Fridley, Minn. N 8 9 7 8 e BUILDING PERMIT Date: AMOK A. 1966 Owner: RAMM BAMMS Builder Sam Address SM UIMRSI[rf AVSM N-E,Address MDLRT. MUMSOTA 35411 LOCATION OF BUILDING No.S8f►� Street MUVERAM AIMM N -]L Part of Lot I,pt 2 i add 26 �� a '2 it Addition or Sub-Divisio.. _ . $ gA Corner Lot _— Inside Lot e Setback — Sideyard Sewer Elevation Foundation Elevation . DESCRIPTION OF BUILDING To be Used as: POACH Front a. Depth ..� Height �._ _ Sq. Ft. Cu. Ft. Front Depth Height Ft. Cu. Ft. Type of Construction IBM 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 �'oposed work in accordance with the description above set forth and in o nopliance with ani provLions of aadiaances of the city of Fridley. In consideration of the payment of a fee of $ 6.00 , permit in hereby granted to UYMMD RARgIS to construct the building or addition as described above. This permit is granted upon the express condition chat the person to whom it fa ted and his agents, employees and workmen, is ell work. done m, around and upon said building, or nay thereof, shaII conform !n all respects to the ordinaac:ea oR Phil a�� iia i nand a� t ti mainteaeace, repair sad maviag of buildfaga ordinan= ty tang thea permit may be revok any upam violation o! any os the provLicns os aald CCB DELTSi z Building Inspector NOTIM ihb ponds don sof gnu do gandmadee, WARR lee for whine, phmbbY• on hWhw awn or water. Be an to M tin soiWbo Intpnlor for apwata 1 1- fw dna Sam% APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS_,] —DRESS . LOCATION OF BUILDING N0. '/ b STREET %, , )11> PART OF L�0't LOT 5 H � BLOCK / ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION E%EVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front `Depth _ Height Sq. Ft. Cu. Ft. Front Dept _ Height Sq. Ft. Cu. Ft. Type of Construction Vy. 6-0 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 0"-- SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). • IL � � a � � �� �' �. L L_Ar t SUBJECT PERMIT City of Fridley 1413 AT THE TOP OF THE TWINS BUILDING PER T t RECEIPT NO. •COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 If ---- �.J 612-560-3450 910415 6/7/77 JOB ADDRESS 5840 University Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 25-27,Pt. 8 21 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Crystal-Robbinsdale Roofing 4001 Regent 533-4172 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 C2 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Duplex 9 CHANGE OF USE FROM TO STIPULATIONS Install ridged galvanized valleys, New roof can be the 2nd roof but if it is the 3rd, one roof will have to be removed. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 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. $7OO $.5O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME T AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE STATE OR LOCAL LAW REG IN CON- PROVISION TFME $7.50 STRU N E ANCE OF CONSTRUCTION. 1PLAN CHECK FEE TOTALFEE � / �. $8.00 AT RE CON CTORORAUTHORIZEDAGENT (DATE) WHEN PR PER//LfY�V,A,LIDATED THIS IS YOUR PERMIT > s BLDG )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) L L_Ar t CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: BUILDER: Cl� �/ 4 / Lc(f Address: Address: Tel. No. No.: ® Street: U Slr 41C—C. /0- LOT: o�� - �% �� BLOCK: I ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be U ed As: r Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction:Estimated Cost: $®® To Be Completed: p� WEE, -5 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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 co rect. See reverse side for tion nformation. DATE: SIGNATURE: Stipulations: /A April 16, 1981 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 i Mr. Charles Haussler 5684 Jackson Street N.E. Fridley, MN 55421 TELEPHONE ( 612)571-3450 Re: Second Notice Pertaining to the Installation of a Hard Surface Driveway and Parking Stalls for the Residential Rental Property Located at 5840 University Avenue N.E. Dear Mr. Haussler: In September of 1980, the City notified all of -hers of rental residential housing units of the requirement to provide a hard surface driveway and parking stalls in accordance with Section 205.065, 4; of the Fridley Zoning Code. This improvement is required to reduce street and storm sewer maintenance due to sand, rocks, leaf litter and miscellaneous material washing into them; and for pedestrian and vehicular traffic safety due to the skidding and sliding on material from unpaved driveways. Since our previous notice, we have not been informed of your plans to complete this work. Therefore, this letter is being sent as a reminder of the requirement to provide and maintain a hard surface driveway and a minimum of two off-street parking stalls for each dwelling unit, located at the above listed address. Since the 1981 construction season is commencing, it is advantageous and appropriate for you to now schedule the accomplishment of this necessary work. Your positive response to this needed improvement will assist us in evaluating your application to renew the rental license for the upcoming year. We request that you provide the City with your plan to complete the subject work. Please return your response no later than May 1, 1981, to the attention of the Code Enforcement Department. We are confident of your cooperation in this matter. If any questions or problems arise or if I can be of any assistance, please feel free to call me at 571-3450. Sincerely, STEVN J. OLSON, R.S. Environmental Officer SJO:mjh OO69A/1297A 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432 TELEPHONE ( 812)571-3450 September 12, 1980 Mr. Charles Haussler 5.684 Jackson Street N.E. Fridley, MN 55421 Re: Hard Surface Driveway at 5840 University Avenue N.E. Dear Mr. Haussler: You have recently received your 1980-1981 license renewal application for the rental property located at the above address. The City has completed a recent field inspection of this property and noted that you still do not have a hard surface driveway. City Code Section 205.065, 3A, states "A properly maintained hard surface driveway and parking stalls are required for each dwelling unit." Therefore, this letter is to serve as notice to you that we are requiring your driveway to be hard surfaced by the expiration date of August 31, 1981 for your 1980-1981 license. Your cooperation in this matter will be appreciated and if you have any questions, please feel free to call me at 571-3450. Sincerely, d STEVEN --"J. OLSON, R.S. Environmental Officer SJO/mh 0069A/0717A �`. April 11, 1983 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Mr. Charles Haussler 5684 Jackson Street N.E. Fridley, MN 55432 Re: Change of Address for the Rental Property Located at 5840 University Avenue N.E., Fridley, MN Dear Mr. Haussler: Our department has been asked by the Police Department to change the address of the above property to allow for a quicker response time by emergency vehicles. We are changing the address: FROM: 5840 University Avenue N.E., Fridley, MN 55432 TO: 5839-41 3rd Street N.E., Fridley, MN 55432 We feel this is a necessary change since the property no longer has access off Univerity Avenue. We are enclosing a copy of the City's form letter showing the list of companies that we notify of the change. We hope this will not be a great inconvenience for your tenants or yourself. If you have any questions on this matter, please feel free to contact this department. Sincerely, 't O&W DARREL G. CLARK Chief Building Official DGC/mh ENC: 1 April 15, 1983 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Minneapolis Post Office Department Superintendent of Delivery 1st & Marquette Avenue Minneapolis, MiV 55402 Re: Change of Address Dear Sirs: TELEPHONE ( 812)571-3450 We are listing the following change of address in the City of Fridley; NAME: -Rental Duplex FROM: 5840 University Avenue N.E., Fridley, MN 55432 TO: 5839-41 3rd Street N.E., Fridley, M 55432 LEGAL DESCRIPTION: Lots 25, 26, Block 21, Hyde Park Addition We have notified the occupant of this change and we would appreciate it very much if you would change your records accordingly. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CC: Minnesota Gas Company Northwestern Bell Telephone Northern States Power Company City Water Billing Department City Assessing Department City Voters Registration Homeowner Minneapolis Star & Tribune CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 1983 Mr. Charles Haussler 5684 Jackson Street N.E. Fridley, MN 55421 Re: Repair & Maintenance of the Residential Rental Property Located at 5839-5841 3rd Street N.E., Fridley, MN Dear Mr. Haussler: As indicated in this department's letter dated April 21, 19839 Which brought to your attention the need for routine maintenance of the above listed rental property, a reinspection Was conducted on May 13, 1983 and again on May 25, 1983• The inspection determined that those items listed have been corrected to the satisfaction of the City. We Wish to thank you for your cooperation in this matter and the City is confident that in the future, any maintenance items will receive prompt attention. If any questions or problems result, please feel free to call on me at 571-3450. Sincerely, Z. ST J. OLSON, R.S. Environmental Officer SJOlmh CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 65432 1983 ries Haussler ckson Street N.E. , MN 55421 571 (r," TELEPHONE ( 612)571-3460 Re: Repair & Maintenance of the Rental Property Located at 5839-5841 3rd Street N.E., Fridley, MN (SECOND NOTICE) Dear Mr. Haussler: Enclosed please find this department's letter dated April 21, 1983 that brought to your attention various housing maintenance violations in the rental property located at 5839-5841 3rd Street N.E. A subsequent reinspection on May 13, 1983 has determined that the following items continue to be in need of corrective action: EXTERIOR• 1. Enclosed you will find a copy of the State energy retrofitting requirements that were adopted by reference by the Fridley City Council in March, 1982. Please note that the os' res that all exterior windows, doors, rim joists- joints and utility openings be effectively caulked and weatherstripped to seal off drafts and reduce energy losses. Also, please note there are six items that are listed and that must be brought into compliance by July 1, 1983. Although these are manditory requirements, it is the City's hope that each property owner will realize that the money and energy savings and the increased comfort to the occupant, would more than compensate for the cost of doing a permanent quality job of sealing up these openings. 2. The painted wood surfaces of the windows and doors are chipping and flaking and should be scheduled for refinishing during the summer of 1983. There were no deficiencies noted during this inspection. There were no deficiencies noted during this inspection. 3. It Was observed during this. inspection that the cellar Was being used as a bedroom. This area is not approved for use as a sleeping room and this practice must be discontinued. If you wish'to convert this area into a bedroom, please contact the City Building Inspector as to the requirements. f-,7 jU We are confident in your cooperation on these matters and if any questions or problems arise, please feel free to call on as at 571-3450. Sincerely, STEVEN J. OLSON, R.S. Environmental Officer STO/mh ENC: 1 April 21, 1983 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY. MINNESOTA 55432 Mr. Charles Haussler 5684 Jackson Street N.E. Fridley, MN 55421 TELEPHONE ( 612)571.3450 Re: Repair & Maintenance of the Residential Rental Property Located at 5839 - 5841 3rd Street N.E., Fridley, MN Dear Mr. Haussler: In order to insure the quality of the residential rental housing within the City of Fridley and to prevent its deterioration, the City Council adopted a housing maintenance code in March, 1978. As part of the City's comprehensive housing program, an on-site inspection was conducted of the above listed property on April 18, 1983. The inspection on that date found the following list of deficiencies which are in need of corrective action. Any repairs or improvements must be completed in a workmanship like manner.` It is the City's hope that similar or other deficiencies that were not noted will be corrected as needed. EXTERIOR: 1. Enclosed you will find a copy of the State energy retrofitting requirements that were adopted by reference by the Fridley City Council in March, 1982. Please note that the ordinance requires that all exterior windows. doors. rim joists, Joints and utility openings be effectively caulked and weatherstripped to seal off shafts and reduce enerrzv losses. Although these are manoitory requirements, it is the City's hope that each property owner will realize that the money and energy savings and the increased comfort to the occupant, would more than compensate for the cost of doing a permanent quality job of sealing up these openings. r /3_,P) V-5- 2. The painted wood surfaces of the windows and doors dr`-AYiip"ping and.— flaking and should be scheduled for refinishing during the summer of 1983. S --13--6-.s r( aa�.^ � � � =sj /' G• , - i - 2o -e INTERIOR: 40T FLOOR: There were no deficiencies noted during this inspection. Mr. Charles Haussler Be: 5839-41 3rd Street N.E. April 21, 1983 Page 2 P-. INT HIM FLOOR: 3. Repair and maintain the hot Water faucet in the bathtub. /J -P74" � 4. Provide and maintain a handrail for the cellar stairs. /-?-R-> 6 k 5. The heat ducts that run into the crawl space are not insulated. This is resulting in an excess heat loss. Efforts should be taken to reduce the heat loss in accordance with the State Energy Code. y.7-J*'3 /C- 6. Repair and maintain the deteriorated noise eliminator for the furnace. ?-/.1 017 a4 7. The coil of excess wiring that is coming out of the main circuit box must be disconnected and removed. y�J3 v*k- 8. It was observed that the smoke detectors for this building are battery operated. The City does recommend that all smoke detectors be hard wired to the electrical system. If the existing detectors are not replaced, it is the owner's responsibility to insure ,thhaatt, working batteries are provided at all times. The City is confident in your cooperation and if any questions or problems result from this letter, please feel free to call on me at 571-3450. To determine compliance with these items, a reinspection will be conducted on or about May 16, 1983. Failure to abate these violations may result in this matter being turned over to the City Prosecutor for his legal consideration. Sincerely, STEVEN J. OLSON, R.S. Environmental Officer SJO/mh ENC: 1 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 5 (?3 New Fixtures $ 7.00 9Z 00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 1991 Sump/Receiving Tank $ 7.00 A010 Water Treating Appliance $10.00 Owner. Water Heater -Electric $ 7.00 Water Heater - Gas $10.00 Building Used As Gas Range Gas Dryer $10.00 $10.00 po Estimated Cost -&-aa /v0 PERMIT NO. UY041L Back Flow Preventer Required ( )Yes () No Type $5.00 PLUMBING COMPANY Reinspection Fee $30.00 SIGNED BY TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 0 1 % of Value of Fixture or Appliance �0 / / / 7- 7/ Ilk Approved By Rough -In Date Final Date State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE 44�— PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures I $ 7.00 1-00 Old Opening, New Fixture Water Closet Urinal Bath Tub Shower Wash Drink. Sink Tray Fount. Floor Catch Drain Basin Auto. Washer Gas Gas Ap I. Range Misc. Fixt. Water Heater Stories Gas Elec Basemen Water Heater -Electric $ 7.00 Water Heater - Gas $10.00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer Required ( )Yes () No Floor 1 $5.00 KlrW&-Q S, OK- WAS, wASrEVC-3T - gaLLGy - i,J oN�•� Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I % of Value of Fixture or Appliance 15.00 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures I $ 7.00 1-00 Old Opening, New Fixture _ $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader _ $ 7.00 SumplReceiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas $10.00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer Required ( )Yes () No Type $5.00 KlrW&-Q S, OK- WAS, wASrEVC-3T - gaLLGy - i,J oN�•� Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I % of Value of Fixture or Appliance 15.00 State Surcharge $ .50 TOTAL FEE $ 15-50 JOB ADDRESS SB 3'� 3R.n 5T - NE - The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner AL' gATE5 6- 1-I , 199Z Building Used As___E E 5 k P STI A L_ Estimated Cost 1 a 00 ©o PERMIT NO. PLUMBING COMPANY- -1 Ou(4L`TF PLuM6111)G , Tj1C- SIGNED BY _-�6ee dam. TELNO. Approved By Rough- n Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT City of Fridley 22088, AT THE TOP OF THE TWINS P, BUILDING PERMIT -ReGEWT140-- Ir COMMUNITY DEVELOPMENT DIV. 1 -------- r PROTECTIVE INSPECTION SEC. NUMBER REV GATE PAGE OF APPROVED BY { CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/2/93 JOB ADDRESS 5839 3 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 25,26 21 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michelle McNeil 5839 3rd Street 571-3934 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 Reroof (10 Squares) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors as per UBC 1210 adjacent to all-sleeping areas and in basement. Provide adequate. attic ventilation. 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1000 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $25.00 Fire SC $1.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE -- Q— r-� $261.50 NATO EOFCONiRA T RORAUTNORIZEDAGENT (DATE) WHEMOPELALIDATED THIS IS YOUR PERMIT s ___1 BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND 'DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: ���m (1A � c In 4,1 `'e— . a— 1 • TMMM Effective 5/26/93 << :5 �P3 C( Contractor: ( j� MN LICENSE # Address: ct — .�� d- Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF H"ROVEMENT LIVING AREA: Length . Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft_ OTHER: 5qV-0- a 'r Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ TOTAL $ STIPULATIONS: (Cost on Back) Driveway Curb Cut Width Needed: FL + 6 Ft = Ft x $ =$ DATE:' Z – APPLICANT: Tel. # zV'V Permit Fee $ 2: s I 'ILMX Fee Schedule on Reverse Side Fire Surcharge $ , 0 .001 of Permit Valuation (1/10th%) State Surcharge $ a,50 $.50/$1,000 Valuation SAC Charge $ -- $750 per SAC Unit License Surcharge $ — $5.00 (State Licensed Residential Contracto Driveway Escrow $ Alt. "A" or Alt. "B" Above • Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: '01 SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT29830 RECEI 16 COMMUNITY DEVELOPMENT DIV. _ r PROTECTIVE INSPECTION SEC. X11 1 1 NUMBER REV DATE PAGE OF APPROVED BY ; CITY HALL FRIDLEY 55432 612-571-3450 910-F15 t 7/6/99 JOB ADDRESS 5839 3rd Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 25,26 21 1Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Steve Stixrud572-2426 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO B & B Roofing 6760 Madison St i571-0249 Qf)42 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 O ADDITION ❑ ALTERATION XX REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof (11 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd layer 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 60 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 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $722.26 $.50 DOES PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO 510N OF ANY OTHER ST TE OR LOC L LAW REGULATING CON- 32.65 72 ST UCTIO OR THE PERFOR CE OF O TRU 710N Fire SC . 11 PLAN CHECK FEE TOTALFEE ettsense SC $5.00 38.87 SIGNATURE OF ON"RACTOR OR AUTHORiZEO AGENT OiTlio W N OPERLY BLDG 'Nsff VALIDATED T IS IS YOUR PERMIT OATE S.GNATURE OF OWNER,,F OWNER SURDERi iDATE, '01 NEVO[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 3� Legal Description: Owner Name & Address:5 % �� S / / X E U D Tel. # J 7-2 Contractor: MN 2�z�i i�G - MN LICENSE # Address: 7&e Tel. # 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: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: // ---) 6P (1�/O? %fes Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ P 1 DATE: %- 2— G' APPLICANT: 3. � . Tel. #.5716A57 - Permit Fee $ A-2 6S^ Fire Surcharge $ State Surcharge $ , S� SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ • 6� STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$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 [ ] SUBJECT PER City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 3 412 � RECEIPT • __ COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 10/15/99 JOB ADDRESS 5839 3rd Street 14E I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 25,26 21 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Stixrud 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Polar Window, Door 4 Siding 6276 46th St N Oakdale 55128 429-7492 20183512 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 M REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside 2-story house 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $10,000 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5.00 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $181.25 FireAC $10.00 /I PLAN CHECK FETOT F E (cam. �C��-t/ !0 �� Licens SC $5. 0 1.25 SIGN TUBE OF CON TPAC TOP OR AUTHOPIZED AGENT 1 ATEA _ ENMROVALIDATYWTHIS IS YOUR &EiT /� I�� OA ti S-GNATURE OF OWNE A, if OWN EA BU4DEPi DATE, NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FANHLY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 6'p 14 Construction Address: 3 S .3 ��, �J a . 20 Legal Description: �c-� / Owner Name & Address: c��� c�7`i`v v Gc r� Tel. # Contractor: ®Ie ,drAN LICENSE # Address: 62-74- 4�Y-2:- Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: (/. `� <cXB r Z �y Estimated Cost: $ l �, Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANTK�ade-X 7- 4e X 517 r e -J Tel. # e09'- 7 i9,;:� CITY USE ONLY Permit Fee $ X81. a✓� Fee Schedule on Reverse Side Fire Surcharge $ /D, Do .001 of Permit Valuation (1/10th%) State Surcharge $ aU $.50/$1,000 Valuation SAC Charge $ — $1050 per SAC Unit License Surcharge $ �S7 p U $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 $ l STIPULATIONS: SUBJECT City of Fridley :11D114 AT THE TOP OF THE TWINS BUILDING PERMI((f r • _ __ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. NUMBER REv DATE PAGE OF APPROVED Br CITY HALL FRIDLEY 55132 612-571-3450 910415 1 / 12 / 01 JOB ADDRESS 5841 3 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DIE 25,26 21 I I Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Stixrud 5841 3rd Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO D & B Home Improvements 4901 105 Lane NE, Circle Pines, MN 55014 784-0922 7773 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. , 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential Duplex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Front of House (6 Sq) Tear -off 9 CHANGEOFUSEFROM 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 60 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 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 $614 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOC L L REGULATING CON- $29.60 Fire SC $.61 STRUCzMRM OF�CO RU TI N N � PLANCHECK FEE TOT FEE VW kkl� Fire $5.00 — $35.71 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENTV IOAtEI HE PROP Y VALIDA ED THIS IS YOI/R PERMIT INSP ogAiE J` S-GNATURE OF OWNER.IF OWNERBURDERI IDATEI NEW [] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & A Contractor: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Effective 1/1/2001 (763) 572-3604 Bldg Insp Tel. # MN LICENSE # Tel. # :2n- C?C�?D 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 Length Width Height Sq. Ft. Width Hgt/Ground , Sq. Ft. Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ - DATE: �` ` APPLICANT: Tel. # u CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge kf911 111 STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $� �o O Fee Schedule on Reverse Side $ 9 / .001 of Permit Valuation (1/10th%) $ �S- 0- $.50/$1,000 Valuation $ $1150 per SAC Unit D U $5.00 (State Licensed Residential Contractors) "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] ^ SUBJECT City of Fridley 31 994 AT THE TOP OF THE TWINS BUILDING PERMIT t COMMUNITY DEVELOPMENT DIV. 572-3604 RECETPT O7 I �/ r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/16/01 JOB ADDRESS 5839 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 25,26 21 1 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Potvin Construction Co 2401 93 Way, Brooklyn Park, HN 55444 763-493-3745 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5158 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Ij ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Construct a 10' x 10' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for all Utility locations 454.0002 REQUIRE® BY LAW 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 60 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,100 $.55 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- STRUCTION OR THE P F RMANCE OF CONSTRUCTION $41.80 Fre SC $1.10 PLAN CHECK FE T AL FEE Lice $5. $48.45 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN ROP VALI AT 8 L D9F IN P - D THIS I UR PERMIT r)ATE SIGNATURE OF OWNER.IF OWNER BUILDER1 IDATEI 16 / NEW I l Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 1/01 Construction Address: _ - � 3� 3ro 3j. /V F- Legal Description: Owner Name & Address: Tel. # Contractor: ro ril tw &/i1S ,1 r,, c MN LICENSE # S/ 6-8 Address: 24101 / 93 ro W A y 8 P /i'IN. SS�/�/� Tel. # 743-4/,93--g-71/5 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width /6 Hgt/Ground M4" Sq. Ft. / B 0 OTHER: Construction Type: CriiiE— J r.Cq*.rp Estimated Cost: $ // Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ -=$ DATE: 7-9 `O ( APPLICANT: V all e&"- - Tel. #-Z% 3' V93- ; 7ys' CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ '�-//, 80 Fee Schedule on Reverse Side Fire Surcharge $ / .001 of Permit Valuation (1/10th%) State Surcharge $ , s!�' $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ 60 $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 $,4 STIPULATIONS: i 3(..`{ )w.' t — L% wok t*% /2_ Z it 10, • �Z�dM L /1 X S�5 D it M 44 ' � l� M/ ,rQcf ,az/a 2 `.,/� 0, C 4�n VeAe fJASK- 019 rexr //S • C c ✓K i2 C ! t � ���.�3 �QLJ / FOOT ea. K J So ••ems iLArj PLAN APPROVED SUBJECT TO FIELD i� taw li O r ' J "I of i 4k-% 4o J Y � i i VeAe fJASK- 019 rexr //S • C c ✓K i2 C ! t � ���.�3 �QLJ / FOOT ea. K J So ••ems iLArj PLAN APPROVED SUBJECT TO FIELD �oWtle L, ,Q o "rC RG. Of 3r -o FA M. i L, & 7i o%a SUBJECT .. RM-I�03; City of Fridley 3 4 3 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910415 111/19/03 JOB ADDRESS 5839-5841 3 Street NE 1 LEGAL I LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 25,26 21 1 Hyde Park Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Steve Stixrud 5839-41 3 Street NE 763-572-2426 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Loon State Construction 1600 Co Hwy 10 S -Pring Lake Pak MN 55432 763-780-5666 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20282972 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential Garage 7 CLASS OF WORK NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Construct a 24' x 24' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. 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 60 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 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 $12,735 $6.37 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- STRUCT OR THE PE FOR NCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE �t t�103 Lic nse SC $5.00 $247.36 SIGN A TORE OF CON 7RAC TOR OR AUT-ORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS ODUR$� ERMIT S-GN4TURE OF OW NER,IF OWNER BUIIDERI IDATEI LOG '-T-SVATE NEW [ ] CITY OF FRIDLEY Effective 1/1/200 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 BI ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fa BUILDING PERMIT APPLICATION y \\� Construction Address: �6�d1 - Se61-( 1 rI, � ST V-) �1I'bLtt lxo :isg3 L Legal Description: Owner Name & Address: 57✓c. SSI x4✓ 0 4101 ' E Tel. # ?rod '5_7Z -'Z2 zL Contractor. S7-rff Co­tVs'T►e- UC -T_` cr— MN LICENSE # Address: ) C o OO c-1 �1 ti w y 10 S p r ,-, L�_ PK r �0 ` ti -Tel. # '7&2, 7(L0 -5_&6G Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Z q t Height Sq. Ft. , � DECK AREA: Length OTHER: Width Hgt/Ground Sq. Ft. n. - .a....a:..-. T....... AkP— A -r c cc+imn+crl r`nc+• It � 0 --,? I. �_s� Driveway Curb Cut Width Needed: I b Ft. + 6 Ft = (0 Ft x $ ` = z DATE: I 1 D APPLICANT: Tel. # Call (763) 572-3604'for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $c�3 - 2�`Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1275 per SAC Unit License Surcharge $ ,60 $5.00 (State Licensed Residential Contractors) Curb Cut 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 $ 1 STIPULATIONS- AKANSON 4NDERSON ASSOCIATES, Inc. -J.0 professional engineers and surveyors nc-e �¢ Anoka, Minnesota 55303 612/427-5860 CERTIFICATE OF SURVEY Survey for: Bullick, Inc. S Survey of: In -Place foundation location. DESCRIPTION: Lots 23 and 24, Block 21, Hyde Park, Anoka County, Minnesota. Subject to easements of record,'if any. 3� z 128.98 0 LL) z UJ F_. ....L O W W 45.4 0 z O ''� O _ W Z ! oo 0''( �o Uo J 0I a Z u Q �i s _ 45.4 ` _ — r 24.0 tv IN NI 128.97 t Scale:__ Bk. 29 Pg. 70 Sec. 2= T. 30— R. -�-- o Denotes iron monument I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under. the laws of the State of Minnesota. 44 63 .2i�B/ 262./0 Rea_ NO. Date Job No. i, 0 ;rq (Door HomW 13.-. so 16-0 (Door Ft X4'x9(rStuds 10.41 $D 2 amhg Stud Schedule Totals 104 "60f Tru;lis tlaill" TI:". $0 ;rq (Door HomW 13.-. so 16-0 (Door Ft 2 $0 7-01 (Window H 9 2 $0 $0 WWdmA)oor Header Sdw" Totali. "60f Tru;lis tlaill" TI:". 13- Tdw. aamft 0 "O"B" Total FiooT sknile squwa F66tage (t). TOW POO Ccpxt Roofing Cad Per Cost Square Foot Tow WsitntriaU Le n, Cr 326° Span, *12 Pitch 13.-. $0 "60f Tru;lis tlaill" TI:". 13- Tdw. aamft 0 TOW POO Ccpxt Tow WsitntriaU Le n, Cr T TOW Laridscape W Square Footage (t) 39.434 Lardscape W CW Per Square Fed Total Landscape Lot Cost $0 Page 2 ° . ! Col i na► square footage Cod" First Floor Square footage (t) Total Square Footage (t) 666. Construction Cost Per Square Foot $0.00 Total C atrudion Cost $0 7-0'x30 3'-0" Double Hung ... - ---- ----- ? � $0 , -'- - —._ Window Schedule Totals .: 2 . , $0, � I 1 .._ ... -'r•?v� .. � ~. v,� �. , . •�"t�+� �(G �'����rr+rr`�.}�., ,-k.,�e<a e.,.a�'� a. . _. _ v4r x $0. - IV -0" x 6'-fr Garage Overhead 1; - $0 $0 Door Sof�dule Totals: 2 lw Ria totals :. o 0. Llghdng Scf>ad & Totals 0 1 } , i 1 I { tJ � to _ � - ___.�-.'�?— k �b.F.#-y ivar az+-• r�; F� y, ,"`��'(T��?{���i�ww -_..._ ..._.._ f P��e CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 57L-3bU4 YAA: ADDRESS 5839 3 ST NE PIN 233024230045 LEGAL DESC UNAVAILABLE LOT BLOCK PERMIT TYPE DRIVEWAY CURB CUT PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DRIVEWAY CURB CUT VALUATION LINEAR FOOT 16 APPLICANT STIXRUD STEVEN M 5839 3RD ST NE FRIDLEY, MN 55432 OWNER STIXRUD STEVEN M 5839 3RD ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp 571-1287 DRIVEWAY CURB CUT PERM N0.:2004-01089 DATE ISSUED: 07/12/2004 TOTAL PAID WITH CHECK # 4404 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 320.00 320.00 NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION '\'/Construction Address: 3T JE Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1 87 Fax 41 Legal Description: Owner Name & Address: S"t 1)C Q U Q Tel. # Contractor. L-cz,, S(Ci Ci p, OC(/DA) MN LICENSE# Address: ! Lf ()o (.Ciff &-a5L t2 D FR 0021 PP Tel. #(6 t z) S'D`I -5rl$c, LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 55V3 Z 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. Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: LFt. + 6 Ft = __kFt x $�� _ $ � DATE: APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing In application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] TOTAL $ STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 PERMIT NO.: 2004-01112 DATE ISSUED: 07/14/2004 ADDRESS 58413 ST NE PIN 233024230045 LEGAL DESC UNAVAILABLE LOT BLOCK PERMIT TYPE ELECTRICAL PROPERTY TYPE : DUPLEXES CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. WIRE GARAGE. # INSPECTIONS 1 APPLICANT AEM ELECTRIC SERVICES 1600 CO RD 10 NE SPRING LAKE PARK, MN 55432 C11,1JO 04 {7 STINRUD STEVEN M 5839 3RD ST NE FRIDLEY, MN 55432 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 8043 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.