AF-W - 45032CITY E�F FRIDLEY
6,�31 University Ave NE
Fridley MN 55432
(763) 572-3604 FAX (763) 571-1287
Job Address:
Legal Description:
Owner & Address:
Contractor:
Address: /;
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MOVING [ ] DEMO [ PERMIT APPLICATION
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State License #
DE5CRIPTION OF BUII.DING
REC'D J (1N 14 2010
Tel. #
Tel. # 5��� o��-7fG
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HOUSE: Length Width Height Sq. Ft. Cu. Ft.
GARAGE:Length Width Height Sq. Ft. Cu. Ft.
OTHER: Length Width Height Sq. Ft. Cu. Ft.
Estimated Cost $ ^�, � Approx. Completion Date
��` �� s�
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALI+
UTILITIES FOR DISCONNECTS BEFORE WRECKING/MOVING STRUCTURE.
Moving Route:
APPROVAL(S) REQUIRED PRIOR TO ISSUANCE:
: NOTIFICATION OF INTENT TO PERFORM A DEMOLITION � YES () NO \\v
�� � �� ��`.�C-+� S — �/5����� p�n�'�D -� � � \�
j�l� Wat �11 Paid : Yes [ ] or Collect [ $ ���� � � ��`—'j Signature �. �
■ �j� �? �,L4��
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Fire Mars
•.--
Conditions
�l�l�d (s.��).
Conditions
'�c� �-�l%G
Conditions
�
B OFFS�T,
i
The undersigned hereby makes application for a pernut to wreck/move the building described above, agreeing to do all work in strict
accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the
property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application
are true and correct.
., t rr.+w r�T rTl�wT TT.UDiC n.Tr�� rmnvr_ Fntnvna�ri[��v xt Ci.AR_ SHALL BE RE1V�,OVED FROM SITE.
�
signature
Moving
Principle building into Fridley . . . . $300.00
Accessory building into Fridley ... $ 42.00
Through or within the City ......$ 20.00
Move a building out of City ......$ 20.00
REC'D J UN 1'7 2010
�u1(; �����a�
Wrecking
For each 1,000 cubic feet or fraction. .....$1.25
For structures which would be impractical to
cube, the fee shall be based on the total cost
of wrecking at the rate of $6.00 for each $500.00
or fraction. . __ __
j�-� .�, � � /
PERMIT FEE: l� �� "�� MINIMUM $20.00 Office Use Only: v 5AC-D form completed
Effective 1/O1/2010
..9 � . ... . . � k . , . � .. • � .
T
� Cand:.Planrting ' �,��}1����� • �±6835 Highway No.65 N.E.
•.ltrnd Svrvar.►ng . . 7, •Z ���/� `•` r�y�n : . Nl,jrneopolis�
So�Es .�Festin�.. . • .i �`1�G•C/�•'�i�'2/� J �"IC .`i•. . • Minn. 5.5432
; :C`iwil Ergineering . . ' _ _ '� � ..: .. `� � . . Telephone 784-6066
Mtinicip�oF,Engineering _, � • , ,• • . . Arer� Code 612
. . . -En,�inQers & Surveyors
. , . . �.� � � . . . . � , .. ..
� Certifica,te. o�` Survey� for �r..J� �� GA'Q��E Q.
���(� • i '� = 30' . �' . . . . . . . .
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�.'.F=harebycert{fy that ii�is is d trve and correc? representafion of o survty of fhe bovndaries of tFe abavc
dascrihed lansf� antl.•of thr }ocot;nn of all buiidings, theroor.,. and aIf visibfe �nsroachments� if any, from ar or.
suid land. As svrvey.�d by ma this day af �!J�'::/�A.D. 1911..
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of Lot
Front�_
To be used as.
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fieight� Stories_ Manner of Construction �ti:i!J _'�'},"� :�s`I -� ,1�.�'�
�'�`'��� To be com leted ,�� r���. + .�
"�_�ij '> P —��=''�=� Estimated Cos�tg
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= 9 ,. �. g'�-a �--` `°" - - - - - —
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descri in the above statement. This permit ia granted
tion that the erson to whom it is granted,. and his agents, employees and workmen, in a11
und and upo said building, or any part thereof, shall conform in a11 respects to the ordi-
nn:,, regardfng the construction, alteration,,` maintenance, repair and , moving. of buildings
and this permit may be revoked at any time upo violation of any of the provisions of said
� #�� '
,
spector of Buildings,
' AGREEMENT AND SWORN` STATEMENT
� of the, issue and' delivery to �ne by the Ins�ector of Buiidings of Fridley of
liereliy agree to do the, proposed woi k in . accordance �rith the description
according to the provisions of the ordinances of Friclley, and, being first duly
te and say, tha� the facts stated �y me and contained in the above'permit are
;d. -
�:a ��� �
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►orn to .before me at Fridley, Minnesota, this
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� �a A .D. �19 ��
_ �� Ma�'�t'�" � �m° r'�y�„��,,��v.�;
lr�,,.�y��,,a�t}Y � ..
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City of Fricll:ey, Minn.
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
��; _ April 11, 1972
_ �s�9
^ 374 .
p��; Bob DeGardner Construction Bu�der ..... Same_
Addresa _ 7950 Eas t River Road N. E. _,.,,._ Address Same ����,_�,� �� _
786_1 0
(Da� 0 LOCATION OF BUILDING
N0. -� w7�QQf'. ..__.C1LiLG1.J.....nL�__AY.w.A:t.�---_._..._..._._...---.....•-------•--------- Part of Lot _..._...---__.
Lot � Biock _.____.2�.._...r_._....._..__ Addition or Sub-Divisian ._.__A1 Rose Addition ._
Corner Lot ._..�.._.....�...... Inside Lot ____.._�.._._..�_ Setback •----•-•••35..�_____.--•.. Sideyard -•---__.,.25.� � 14 �
� IIevatian _.._.�..824 (1/ _ ��� ___.__.82.$�.Q4.. (A��rox�: ) �,'�'�etback
WY_e H Top of Footing 827.04 (Approx.) 35' Setback
DESCRIPTION O� BUILDING
To be vsea ss:
�'`�—:�.311g . . _ Front 48 � Depth 26 � Height __20 �...___ Sq. Ft. _._1300 � ��.. F� 25, 740 �
1'a�g.�...______ Front 20� 5� �p� 30' Height •-_L� �•___ Sq. Ft. -------6_15 � Cu. Ft .W._7, 38� �
'Pype of Constxuction ....._.Fra?t?e. Est. Cost ..�30�9_16.�00.__ To be Completed _._._.. 6_months
Stipulations: Provide a hard surface drive and verifying survey before capping.
Request gas $�xz service - streets in 6 weeks.
In consideration of the issuance to rne of a permit to construci the building desc 'bed above, I agree to do
'ihe proposed work in accordance with the desc�iption above set forth ax�l in c�npl�ce with all provisions oE
Omdinances of the city of Fridley. �, �l/ „i/ /
In consideration of the payment of a fee of $__fi2._Q2._.....__, permit is hereby granted to Bob __DeGax'dner Const.
to construct the building or addition as described above. This permit is granted upori
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 o�`
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildirig�i
vyithin the city limits and this permit may be revoked a t any time upon violation of any of the provisions of Said
a�rdiiiances.
���� ��-��.� Building Inspector
CLARENCE BELISLE
NOTICE:
This permit does not cover the construcfion, installation fo� wiring, plumbing, gas hsating, sewer or water. Be sun to sw
fhs Building Inspeetor for separate permits fo� these itams.
�
APpLICATION FOR RESIDENTIAL, ALTERATION,
OR AllDITiON BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME :�� � Q� �_> [�f�., BUILDER :
ADDRESS : `7950 c_-�.0 /.�.c,�.ce�� �c�. ADDRESS :
�a� a %8� -i�� o ,.
NO•. STREET:
LOT:_�_BLOCK: �_ADDITION: ' � � � 4 S `� �'
CORNER LOT:�"-� INSIDE LOT: SETBACK: SIDEYARD:_____��
,.,
Applicant attach to this form Ztao Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
�ESCRIPTION OF BUILDING
To Be Used As:
�� �`4 f: Front : L� ,�S Depth : f,. M.� C.�> Height : ,� U
x
Square Feet : L; �.1 Cubic Feet : ? Ci ^� y�,�
--► .--•-
� �: ;y Front: Depth: � G Height: ��
Square Feet ;� � `� � Cubic Feet :_ � �, '�f �'�
Type of Construction: ����yy(� � Estimated Cost: $
�„
To Be Completed: � �i � � �
The undersigned hereby makes applicativn for a permit for the work hexein
specified, agreeing to do all work in stiict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hexeby
declares that all the facts and representations stated in this application
are true and correct.
DATE: SIGNATURE•
( erse Side For Additional Information.) / t-. /�
See Rev
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Application for Power Plants and Heaiing. Cooling. Yentitation, Refrigerarion 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,OOU BTU . . . . . . . . . . . . $10.00 $��
each add. 60,000 BTLT . . .. ........ . ..... . . .. . 3.00 �
Replacement of Furnace . . . . . . . . . . . . . . . . . . . . . ... . .. . . 6.00 $
ftepairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . 6.00 $
Repairs & Alterations each add. $500.00 ... . . . . . . . .. . . 3.00 $
3TEAM 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. EDft 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 199,000 BTU) . . . . . . . . . . . . . . . . . . . . . . 5.00 $�
ovei 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE�
ev-
lst 3 Fixtures ...................... x$ 2.00 $ �
Additional Fixtures ........... x .75 $
Gas R.ange to 199,000 .... x$ 5.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL �% � l / � � �
i--�—
See Fee Schedule
� '
TOTAL FEE �__��/Zi�'�
�S �
Dept. of Bldgs. Phone 560-3450 �"� `� �
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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 Ordinance.
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 ���L-
Used as —�� �������
/
To be completed about
Estimated Cost, $ ,,L,/ ��/-�r
Old—� Building Permit No. Permit No. ��� ��
DESCRIPTION OF WORK
HEATING or PO A PLAN15—Steazn, Hot Water, arm Air No. /
Trade Name ��. ����-'. Size No.
Capacity !d �� ��� Sq. Ft. E.D.R. �~I G`�"� BTiJ H.P,
Total Connected Load Kind of Fue S
BURNER — Trade Name ���. �,��i �''� �. Size No.
�
►
Capacity �o Sq. Ft. E.D.R. BTU H.P.
%�:it1. GSG'°C - %��%' %�� ` �Ta.c.l� — �i9f�l �c� Gr�
���o G��� - �Y N, WELTER HEATIN� Ca
Signed _ A 6 3 7 61 FTB,4n ^- ,
MINNPsAppL�g 7� 1N�NNESOTA�
By
.z Business Phone No_ 4/!1 �s� �v
4f l
(REMARKS-OVER)
53-8�-�}915.51
City of Fridley
pU fvr Pf�ad�q a�d G� Fitti�q Par�#t
_...,,,�.. D.prt. o! Bldv�. Phon. 560-34�D
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���CllE�'[i0lt OF WORt
Nu�be�� Kia� �d Locaf#oa of F'lxtue�� °
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PARTIAL RA7E SCHEDULE
�LOMS1lIt°. F6xa�iEiE l�+lliES: li�L Al►1'1� 3'���
NurrebeF a�Yxseaee� . . o . . . . . , . . . . . . < s�.� : �.00 �
l�tut� Ftx�ur� ���enen� . . � Q . • . � � • m -- x il•60 t -
New !'ix4ure Old Opening . . . . . . m � o s . x :1.50 =
Catc!� �aait* . . . m . . . . . . . . n . . e . . . . : �3.�6 f
Wa4er Nerter "�'� to 99,000 HTU� .•.• x Xi.00 i
New+ �round Run Old Hlda. . . . . . . . . x :3.25 S
Ebetric w.t�r H«ar . . . . . . . . . . . . . . s �2.00 :
GAf FITT2NG FEES: NO. AA?L TO?AL
Ist � Fixtures • . . • • . . • • • • • • . . . • • : �ZOO i
Additlonat Ft:tuees . . . . . . . ... . . . . . : i .76 i
�3at Raa� to 19P.000 BTU . .... . . . .... : :6.00 i
• State Surcharge S_��
ILEt11t113 � �L1'FJt�Ti011L--ll�t�r ls Ced� -- -
Daerlvtton . . . . . . . Install. Gas+ Lo�.... . . . . . . . .... � 5.50
TO?AL 1EE f�-5' S�
�.� 62�0 �r F, A ldan ��ray �
Ci� �ff itidllj�:
Tds� ��ez�i�asec� h;r?s�� �tahe� ap�lies�ian tor n gser�nit fcs� 'b� vsoa°}s A��'s
speci�cc�. r�aYeina Ga dax �II wo� in strlct aecor+a�irnct tadRie t�e� �� S�s��c�
�d .' c�f the 13�p�rta�ent of Buildiasss 3Eid hts�eb'i d�Beee� t�x� �Y4 thr �aet
and � tatloaa �4a4ed lmm 4iiia applica4ion are Lrtae aaae3 so�rect
�lridlep. Hi�a l.—� �" p�.--�
�,�� Le?tiri_s Anderson
Kirid of BWldia�
Frame
U� � Res.
To be compleled about 1-�-%�-7?
f�tirreated Coat, E 1C.00
�New. IIuilding P�mit Na. �'�� �O_ � �a
' � .
By MINNEGASCO
Business Ptw�e No
_� �
�tu. /la •- z 2 - ? y/
�� *��. SUr�arSe sSU
SUBJECT . IT NO.
City of Fridley 2 6 2 7 6
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
� � RECEIPT NO.
� �
COMMUNITV DEVELOPMENT DIV.
r � v � PROTECTIVE INSPECTION SEC. ��d �
� �
� � /'��1 � CITY HALL FRIDIEY 55�32 NUMBER REV DATE PAGE OF APPROVED BV
�""'� � �'' 612-571-3450 9�0-Ft5 6/18/98 / /
JOB ADDRESS 6260 Alden Way NE
1 LEGAL LOT NO. BLOCK TRACT Ofi AOOITION SEE ATTACHED
DESCR. L} 2 A1 Rose Addition s►+eer
2 PROPERTV OWNER MAIL ADORESS 21P PHONE
Bill Shimilevich 6260 Alden Way NE 572-1024
3 CONTRACTOR MAIL ADDRESS ZIP PHONE �ICENSE NO.
Same
4 ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII AODRESS ZIP PHONE UCENSE NO
6 USE OF BUILDING
Residential
7 C�ASS OF WORK
� NEW ❑ ADDITION O ALTERATION �7 REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Replace brick veneer on Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for inspection of anchors before covering.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PIUMBING, MEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITMIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTFEET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFiAGES
ANO KNOW THE SAME TO BE TRUE AND CORFiEC1. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED
WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �1,196 $.6O
DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEFMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- �40. 26 Fire SC � 1. ZO
STRUCTION OR TNE PERFORMANCE OF CONSTRUCTION,
PLAN CHECK FEE TOTAL FEE
$42.0
si ATUAE OF CON'RACTOR OA AUTMORQED AGENT �OATE� P OPER V DATED THIS YOUR PERMIT
� /�l�l�- �i,g - �'/l =9c�
Si E OF O R UF OWNER BUILDEAi �OATEi g iNS� pGTE
J� 1 �, �q�g
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NEW
ADDN
ALTER
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CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: Cp o2 ip
Legal Description: � � �
_ _ --
Owner Name & Address: `�j s ���Ut � ��; (� J t`C � C�� � �� ��
i
,,
y 1�I �cl�
/�
Contractor: (L� �j Iti�`� � 2 C`� {� MN
Address
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTI�ER:
Construction Type:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length W idth Height
Length Width Height
Length Width Hgt/G ound
—�
�✓ � T� r �'GGL - ��X��'
Effective 1/1/98
��
.��,�
a a�
�
Tel. # ���^ L D � t-(
;ENSE #
Tel. #
Sq. Ft.
5q. Ft.
Sq. Ft.
s
Estimated Cost: $ 1. � 9 �v ______ _ _ ____
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
,.
DATE: 0( '��—q �' APPLICANT: Tel. # 5?�� ' t O a��
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ �d- ��n Fee Schedule on Reverse Side
$ l, �O .001 of Permit Valuation (1/lOth%)
$ �C.� $.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 [ ]
� ���
_ . � .
�
Building
Inspections
763-572-3604
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
DATE �,�f ��%� � G t%�% � YOUR E-MAIL A
STTE ADDRESS 6�� �CI ,��,�8�9 Gt :�t �/ �Y�
THIS APPLICANT IS: �i'OWNER �OCONTRACTOR
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
Permit No.:
Received By: �
�
Date Rec'd: � _ O
ADDRESS: r�i ��0 +9((J.�� EtiCLU� C1TY /�%`l��+��' _STATE��IP���°
rxorrE:?d� - 5 7�— 3B�i 9 C�!l GIz -�i�-�tGy
NAME:
STATE LICENSE # EXP DATE
ADDRESS: CITY STATE_ZIP
PHONE FAX
� 5'I�IGLE FAMIL /NE
❑ TW LY/NEW
❑ ADDITION
❑ BASEMENT FII3ISH
❑ DECK
CONSTRUCTION
� ❑ MAINTENANCE/REPAII2
DESCRIBE WORK BEING DONE: ��i. � w'
SIZE OF IMPROVEMENT
ROOFING
NUMBER OF SQUARES � �
GARAGES j �
PROPOSED SIZE: �/ ��
PROPOSED HEIGHT:
SIDING
p Vinyl
❑ Aluminum
❑ Other
VF'1NDOWS
IN EXISTING OPENINGS ❑Yes �No
OR FOR NEW OPENINGS-DESCRIBE S1ZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
� ROOF
❑ SIDING
❑ SWARvIING POOL
LENGTH _
❑ HOUSE ONLY
❑ HOUSE & GARAGE
O ATTACHED GARAGE
O DETACHED GARAGE
❑Soffit
❑ Trim
O Fascia
LOCATION OF WINDOWS
❑ DRAII3 TILE
❑ OTf�R
� (.iL �a.�U I' / ki�� �b'
WIDTH f 05? HEIGHT
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
o✓r
Ft.
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
1. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee $ � See Back Page for Fee Schedule
Plan Review $ 65% of Building Permit Fee
Surcharge $ ,/ (.0005) times the total job valuation — Minimum $.50
Fire Surcharge $ .001 x Permit Valuation (1/10%)
License Surcharge $ $5.00 (State Licensed Residential Contractors)
SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft+ 6 ft= ft x$20 =$
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ . Agreement necessary O Non Necessary O
Total Due $ o-- Make checks payable to: City of Fridley __ Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge 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; that the work will be in accordance with the approved
plan in the case of all work which requ' s review and approval of plans.
�/ �j�r �{�
SIGNATURE OF APPLICANT '""",� � � PRINT NAME Gr � C�lt?%�"^�� DATE /11L��'. I� .�L�-��
Page 2- Building Residential Application
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shal1, before issuing permits for the erection of any building or
structure, or for any addition to any existing building or structure, or for any alteration or repair
to any existing building or structure, upon application therefore, require the payment by the
applicant for such permit of fees to the amo�a.nt herein below set forth and in the manner herein
provided to-wit:
TOTAL VALUE FEES
$1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge)
$501 to $2,000 $23,50 for 15` $500 plus $3.05 for each additional $100 or fraction, to and
includin $2,000
$2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and
including $$25,000
$25,001 to $50,000 $391.25 for iS` $25,000 plus $10.10 for each additional $1,000 or fraction,
to and includin $50,000
$50,001 to $100,000 $643.75 for ln $50,000 plus $7 for each additional $1,000 or fraction to and
includin $100,000
$100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to
and includin $500,000
$500,001 to $1,000,000 $3,233.75 for the 15i $500,000 plus $4.75 for each additional $1,000 or
fraction to and includin $1,000,000
$1,000,001 and up $5,608.75 for the 15` $I,000,000 plus $3.15 for each additionai $1,000 or
fraction
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to
allow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
F�: 763-502-4977
�
_
C17YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432
(763) 571-3450 • FAX (763) 571-1287 • TTD/TTY (763) 572-3534
April 13, 2010
Randy Yajcherthao
6260 Alden Way
Fridley MN 55432
Re: Fire damage at 6260 Alden Way, Fridley MN 55432
Dear Mr. Yajcherthao:
On April 12, 2010 an inspection was conducted to assess the damage caused by the fre. The
house sustained major damage to the roof, interior and exterior wails. The damage is severe
enough to deem the structure a hazard.
MN Rule 1311.0206 States in part "Any structure that constitutes a hazard to safety or health, or
public welfare by reason of disaster or damage, shall be considered unsafe. Atl unsafe buildings
shall be declared a pubiic nuisance and shall be abated by repair or demolition as referenced in
the MN Statutes Section 463.15 to 463.26."
The above noted building is a hazardous structure and will be posted as a hazardous buildin�
per MN Statute 463.17.
You will have 20 days from the date of this letter to respond in writing if you are going to repair
or demolish the structure. If you are to repair the structure, plans will be required prior to a
building permit being issued. If the structure will be demolished, proper permits will also need to
be issued.
If you fail to respond to this letter, the City of Fridley will proceed with the demolition per State
Statutes 463.151.
If you have any questions concerning this matter please feel free to contact me at 763-572-3602.
Sincerely,
� I (�r
Ron Julkowski
Building Official
cc: Scott Hickok
Community Development Director
�'
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Page 1 of 1
Fit�; Mar�
� �C�� -�� ����� � ���c����
From: Hara, Sandra
Sent: Thursday, April 15, 2010 11:22 AM
To: Fitz, Mary
Subject: FW: Structure Fire Report
Attachments: 100410 City Fire Report.doc
Mary,
Just to give you a heads up on the attached address's water/sewer account. They are VERY
delinquent, if/when someone tries to pull a demo permit they will have a lot to pay before
hand. They already owe us $431.86.
Sandi Hara
From: Messer, Ralph
Sent: Thursday, April 15, 2010 11:10 AM
To: Assessing Div.; Inspection Div.; Burns, Bill; Hara, Sandra; Julkowski, Ron
Subject: Structure Fire Report
Here is the official report of the fire which occurred on Saturday morning.
I am sorry for the delay in getting this information to you.
Thank you
Ralph Messer, Fire Marshal
City of Fridley Fire Department
4/15/2010
CTTY t��' FRI�LE�'
�`�R,� T�EPAR.TMEN'�'
�IRE MARS�IAL'S OFFICE
D�P�RTMEI�iT C�F FIRE PREV�I"�TTIi31�1
To: Building inspection
Assessing
Water Billing
City Manager
From:
Date:
Subject:
NOT/CE OF BUILD/NG F/RE
Ralph Messer, Fire Marshal
April 15, 2010
Fire Damaged Building
Location of Fire: 6260 Alden Way N.E.
Date of Fire: April 10, 2010; 1004 hours
Other pertinent details:
The residence involved in this fire is on the corner of Riverview Terrace, N.E. and Alden Way,
N.E.
The fire began in the attached garage on the west end of the home and is believed to have
been caused by utilizing a propane barbecue grill inside the garage. Neighbors alerted the
resident that the garage was on fire. A wedding celebration was underway in the residence at
the time of the fire. It is reported that approximately 20 guests and family members were
gathered in the home when the fire began. Fortunately, there were no injuries to guests,
family members or firefighters who battled the fire. Smoke from the fire was visible from the
Minneapolis - St. Paul International Airport.
The house is believed to be a total loss along with four vehicles, one in the garage and three
belonging to guests parked adjacent to the garage. Another home, located at 6211 Riverview
Terrace, N.E., also received some damage from radiar�t heat, smoke and embers from the
Alden Way fire.
The American Red Cross assisted the three adults and finro children living there with
emergency lodging. Residents in the home on Riverview Terrace were able to return to their
home following inspection and air monitoring tasks performed by departrnent personnel.
All utilities, including natural gas, electricity, City water and cable television were disconnected
or terminated during the fire.
If you have any questions regarding this fire, please contact me at x 3621.
PUBLIC HEARING
BEFORE THE
CITY COUNCIL
Notice is hereby given that there will be a public hearing of the
Fridley City Council at the Fridley Municipal Center, 6431
University Avenue N.E. on Monday, June 28, 2010, at 7:30 p.m. for
the purpose of:
Consideration of demolition of a home at 6260 Alden Way, in
accordance with State Statutes Governing Hazardous Buildings.
(MN Rule 1311.0206, MN Statute 463.15 to 463.26).
Any and all persons desiring to be heard shall be given an
opportunity at the above stated time and place. Any questions
related to this item may be referred to Scott Hickok, Community
Development Director at 763-572-3590.
Hearing impaired persons planning to attend who need an interpreter
or other persons with disabilities who require auxiliary aids
should contact Roberta Collins at 763-572-3500 no later than June
21, 2010. The TDD number is 763-572-3534.
SCOTT J. LUND
MAYOR
Publish: June 17, 2010
�� ���P��,�-
City of Fridley
(Official Publication)
PUBLIC HEARING
BEFORE7HE
CITY COUNCIL
Notice is hereby given that there will be a
public hearing of tlre Fridley City Counci� at4, .
the Fridley Municipal Center, g,�31
University Avenue N.E. on Monday; �une
28,.2010, at 7:30 p.m. for the purpose of;
Consideration of demolition of a home at
6260 Aiden Way, in accordance Nrith Sfste
Statutes Governing Hazardous Buildings.
(MN Rule 1311.0206, MN Statute 463.15 to
46326).
Any and all persons desiring to be heard
shall be given an opportuniry at the above
stated time and place. Amr quesUiins relat-
ed to this item may be referred to Scott
Hickok, Community Development Director at
763-572-3590.
Hearing impaired persons planning to attend
who need an interpreter or other persons
with disabilities who require auxiliary aids
should corrtact Roberta Collins at 763-572-
3500 no fater than June 21, 2010. 'f'he TDD
number is 763-572-3534.
SCOTTJ.LUND,MAYOR
June 17, 2010)F2 home demolition
�� �� _��
RESOLUTION NO. 2010-36
RESOLUTION ORDERING THE REMOVAL OR REPAIR OF A HAZARDOUS
BUILDING PURSUANT TO MINNESOTA STATUTES SECTION 463,
LOCATED WITHIN THE CITY OF FRIDLEY, MINNESOTA
BE IT RESOLVED by the City Council of the City of Fridley, Minnesota as follows:
In the matter of the hazardous building located at 6260 Alden Way:
Legally Described as: Lot 4, Block 2, Al Rose Addition, subject to easement of record.
TO: Randy and Youa Yajcherthao, and any tenants, occupants, or other persons
claiming an interest in the above described premises
Pursuant to Minnesota Statutes, Section 463. ] 5 to 463.61 the City Council of the
City of Fridley, having duly considered the matter, finds the above described
building to be a hazardous building for the following reasons: the Chief Building
Official of the City of Fridley and the City Fire Marshal have inspected the
structure and has determined that the essential structural items ofthis facility such
as walls, and rafters have been compromised by a fire inside the structure.
Section 1300.0180.2000 MN State Building Code, states in part, "any structure
that constitutes a hazard to safety, health, or public welfare by reason of disaster
or damage, shall be considered unsafe. All unsafe buildings shall be declared a
public nuisance and shall be abated by repair or demolition, as referenced in the
MN. State Statutes Sections 463.15 to 463,26.
The above mentioned property was posted as a hazard in accordance with MN
Statute 463.17.
2. The Council further orders that unless such corrective action is taken or an answer
is served upon the City of Fridley and filed in the office of the clerk of District
Court of Anoka County, Minnesota within 20 days from the date of the service of
this order, a motion for summary enforcement of this Court will be made to the
District Court of Anoka County. Enforcement of this order shall include, in the
City's discretion, the option of razing the structure. The Council orders that all
personal property or fixtures that may unreasonably interfere with the razing and
removal of the building shall be removed within 20 days, and if not so removed
by the owner, and the City then determines to raze the structure, the City of
Fridley may remove and sell such personal property or fixtures at public auction
in accordance with law.
3. The Council further orders that if the City is compelled to take any corrective
action herein, all necessary costs expended by the City will be assessed against
the real estate concerned and collected in accordance with Minnesota Statutes,
Section 463.22.
Resolution No. 2010-36
4. The mayor, clerk, city attorney and other officers and employees of the City are
authorized and directed to take such action, prepare, sign, and serve such papers
as are necessary to comply with this order and to assess the costs thereof against
the real estate described above for collection along with taxes.
PASSED AD ADOPTED BY THE CITY COUNCIL OF THE CITY OF FRIDLEY
THIS 28TH DAY OF JUNE, 2Q10.
ATTEST
Debra A. Skogen, ' Clerk
�����
Scott J. Lund, Mayor
Page 2
UT470I01 CITY OF FRIDLEY CXLIB
� Account History - Combined Inquiry
►
Custp�mer ID: 128665 Name: YAJCHERTHAO, RANDY
Location ID: 450120 Addr: 6260 ALDEN WAY NE
Cycle/route . . . . . 01 88 Amount due . . . . . . . . .
Initiation date . . . 3/29/02 Pending . . . . . . . . .
Termination date .. 4/10/10 Customer/location status ..
Type options, press Enter.
5=Display
Trn Trn/Due Description Trn/Prv Refez
Opt Type Date Cancel Comment Amount Date/
FB BILL 4/27/10 FINAL BILL 59.86 4/28
DR PMT 4/27/10 DEP RFD : FIBILL 40.00-
BL BILL 3/24/10 CYCLE BILL 113.08 3/2�
SP ADJ 1/27/10 SEWER PENALTY 15.16 12/2?
WP ADJ 1/27/10 WATER PENALTY 6.12 12/2?
RP ADJ 1/27/10 RECYCLING PENALTY 1.83 12/2?
GP ADJ 1/27/10 STORM WATER PENALTY .93 12/2?
BL BILL 12/22/09 CYCLE BILL 114.93 12/2?
F3=Exit
F10=Change view
F5=Adjustments F7=Pending F8=Charqes
F11=Payments F12=Cancel
6/14/10
14:13:55
451.72
.00
F
ence Running
Num Balance
/10 451.72
391.86
/10 431.86
/09 318.78
/09 303.62
/09 297.50
/09 295.67
/09 294.74
More...
F9=Print history
F24=More keys
t
A
14-Jun-10
City of Fridley
6431 University Ave. NE
Fridley, MN 55432-4383
763-571-3450
Special Assessment Search And Statement of Charges
TO:
On all that tract or parcel of land lying and being in Anoka County, Minnesota described as follows to wit:
Parcel No: 15-30-24-43-0013 6260 ALDEN WAY Lot: 4, Block: 2, AL ROSE ADD
LEVIED SPECIAL ASSESSMENTS
This is to certify that I have examined the records in the office of the Clerk, City of Fridley, Anoka County, Minnesota, and for
such search, certify that the following special assessments appear unpaid with respect to the above described tract or parcel of
land:
Term Certified Initial Interest Remaining Current Current
Proiect Number Proiect Descrintion TYPe (I'rs) Date Amount Rate Balance Princinal Interest
9100-0000-00 OOREG SA(Water/Sewer 3100 15 12/31/1960 $65.60 5.00% $0.00 $0.00 $0.00
5000-0105-00 00 W/S/SS 3230 20 08/14/1972
6000-1972-01 OOST 6400 10 09/10/1973
Amount Certified to Anoka County for Current Year Taxes Is:
$1,371.92 7.50%
$1,096.22 7.50%
$0.00
PENDING SPECIAL ASSESSMENTS
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
For the purposes of this document, the City of Fridley has determined that an assessment is considered pending after the City
Council passes a resolution ordering the improvement, the approval of plans and the advertising for bids. This is prior to the
City Council adopting the fnal assessment roll. If you seek further information, you should do so upon your own independent
inquiry. Any amount given as to pending assessments is informational only and may or may not be the amount ultimately
assessed.
Term Initial Interest Estimated
Proiect Number Proiect Descriation (Yrs) Year Rate Pending Amt.
6000-2010-00 00 2010-1 MilUOverlay 10 2011 6.500%
MISCELLANEOUS FEES
Descriution Status Date Fee Amt.
$1,500.00
$1,500.00
NONE
UTILITY CHARGES
You shall be responsible to verify the status of any outstanding utility charges. To check utility charges
( water and sewer) contact Fridley Utility Billing Department at 763-572-3529.
The records referred to above are public and may be inspected by anyone during regular business hours. The search of these
records was made by the undersigned as a public service on request. The undersigned certi5es that t6e above indicated
searches were made and are believed to be accurate, however, the undersigned or the City of Fridley does not insure the
accuracy of the above statements and does not assume liability for errors and/or omissions.
The above figures are good through November 15, 20
Date Prepared: Monday, June 14, 2010 By
Page 1 of 1
a
FRIDLEY CITY COUNCIL MEETING OF JUNE 14, 2010
�
.
•. �
The City of Fridley will not discriminate against or harass anyone in the admission or access to, or treatment, or employment
in its services, programs, or activities because of race, color, creed, religion, national origin, sex, disability, age, marital
status, sexual orientation or status with regard to public assistance. Upon request, accommodation will be provided to allow
individuals with disabilities to participate in any of Fridley's services, programs, and activities. Hearing impaired persons who
need an interpreter or other persons with disabilities who require auxiliary aids should contact Roberta Collins at 763-572-
3500. (TTD/763-572-3534j
PLEDGE OF ALLEGIANCE.
PRESENTATION:
Fridley '49er Days Festival (June 24-26, 2010)
LEGISLATIVE UPDATE.
APPROVAL OF PROPOSED CONSENT AGENDA:
APPROVAL OF MINUTES:
City Council Meeting of May 24, 2010
NEW BUSINESS:
1
2.
Receive the Minutes from the Planning Commission
Meeting of May 19, 2010 ................ 1- 4
Special Use Permit Request, SP #10-08, by
SML Electrical, Inc., for an Electronic Gas Pricing
Sign, Generally Located at 7680 Highway 65;
and
Resotution Approving Special Use Permit,
SP #10-08, for SML Electrical, Inc., on Behalf of
Lloyd Ring, the Property Owner of 7680 Highway
65 N.E. (Ward 2) -
............................. 5 15
APPROVAL OF PROPOSED CONSENT AGENDA:
NEW BUSINESS (CONTINUED�
4. Approve Contract for Administrative Services
between the City of Fridley and the Metropolitan
Council for the Section 8 Housing Assistance
Program .................................. 17 - 32
5. Approve Cooperative Project Agreement for
2010 Water Main Rehabilitation befinreen the
Cities of Fridley, Golden Valley and
Hutchinson ................................. 33 - 44
6. Claims
7
Q
0
............................. 45 - 64
Licenses .................................. 65 - 66
Estimates .................................. 67
AD(�PTION OF AGENDA:
OPEN FORUM. VISITORS: Consideration of items not on
Agenda —15 minutes.
NEW BUSINESS:
9. First Reading of an Ordinance Amending
Chapter 30, Lawful Gambling, and Chapter 603,
Intoxicating Liquor, of the City of Fridley City
Code Defining Licensed Organizations to
Conduct Lawful Gambling .............. 68 - 71
3. �. . r ;,�;�iia" �.`�'��; � 10. Informal Status Reports ................. 72
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�2�=� �118�t���:�{ARWki�d �} -.:�c.� ��:�
ADJOURN.
MCES SAC-D
� M�tropolitan Council �� u�a��a: � uiaio9
Environmental Services
Service Availability Charge (SAC)
DEMOLITION DECLARATION REPORT
Local Government Unit ��;� U`� ��"�V l.l..
Reporting Period (month or quarter) �(,(,�,i�. Year � i V
Attention: This form is for reporting all SAC-related demolitions to be plac�d on record as potential SAC credits.
� All demolitions must be reported within 30 days of the end of the calendar year in which the demolition occurred.
,� Attach MCES SAC-C or Determination Letter for all commercial, institutional/governmental facilities in order to show how the
number of credits were calculated.
� Attach a Determination Letter for all industrial facilities permitted by MCES.
,� Reduce the SAC Units of credit for apartments by 20% and public housing by 25% in order to adjust for previously reduced
charges.
� Affidavit of Vacancy (Form Affidavit-C) may be requested by MCES along with copy of sewer bill showing earliest absence of flow
based sewer fees.
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*Type of Use:
S= Single Family Dwelling M= Multi-family Dwelling A= Apartment P= Public Housing
C= CommefCial (attach MCES SAC-C) IG = Institutional/Governmental (attach MCES SAC-C) 1= Industrial (ariach Determination �etter)
w�vw. metrocounci I.org
390 Robert Street North • St. Paul, MN SS101-1805 •(651) 602-1378 � Fax (651) G02-1030 • TfY {651) 291-0904
An Equal UpporlitniN Enrployer
Page 1 of 1
Fitz, Mary
From: Christiansen, Tammy Marie
Sent: Wednesday, July 14, 2010 11:35 AM
To: Fitz, Mary
Subject: RE: 6260 Alden Way
UT bills are paid in full — zero balance
Tammy Christiansen
City of Fridley
Acctg/Data Processing ClerklCashier
763-572-3528
From: Fitz, Mary
Sent: Wednesday, July 14, 2010 11:16 AM
To: Christiansen, Tammy Marie; 8enson, Jeannie
Subject: 6260 Alden Way
Hi there! I am processing a new house permit for the above address and need to know if there is water
billing due? And park fee due? Please let me know. Thank you!
Mary Fitz
Building Permit Technician
City of Fridley
6431 University Ave N.E.
Fridley, MN 55432
763-572-3605
763-502-4977 FAX
fitzm@ci.,fridle .y mn.us
7/14/2010