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Villuge Og Fr�tlle�, Minn.
� BIIILDIN6 PE�MIT . .
N° , 69� .: ,
(i�ce of IIITBPEOTOR OF BUII.DIIV'G8
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Oarner��°=�'' �_
: Archit�ect �,, P'ridley, ;3Sinn � • � 19 =� �
Builder ��� �
LOCAZ'ION :QF BUILDIl�Ti� .
No. %•���i i9tr�t ��3L�i`v � P�,rt of Twm* .
T.ot � Bloek °�" Addition or Sub-:Rivieloa `�'� ����'`�``�
- DE.,SC�'TION OF BUILI)ING
� .�j ,', %--� , < ���-*°+�':...�,
Front �$ b De "pt�.^ Height � �tori�s_�r. M�nner of Conatructio�tk _
e
To be nsed as � � b' ` = � > � � �°�'�' To be compiete �d.� • � 4 � �`� ` x Estimated � � ��
' ---
�� ��_� . ., _ .
: .Perarit ie here to " L � : �*�=�";�-� ,�� � (.��+�� �„� `�`�.�`Y' ,
� � �'� ---� �` _ .
�1e �,�,� ���- g . a�ri�a � r� � �r��. � �t s� �ea
,�pon the eapr�s c�n81t4�► ti�at t�e pe�aon to Whom i� ia grantea, aaa bie a�ea�� empioyee� aaa wor3rmen, sn au
the work done in, srolmd ead upon safd i�uild�g'. or aap :part ther�P� shait conform ffi ali respecte to tbe oraii-
aancea -of b`rldteq. Minn., regardiag the consttuction, slteraxfon. ma9atenaace. rePair ead movin� ot b�ldiaga
witbin the dty ]imite, aad thie perauii.maq be revoked at aay;time upon violatton of any of the provlsione of eaid
ordiaances.
� �`� � � '� r of l�uildiags.
AG�iT ARTD S�VORl� 5TAT�TT
Ia con�idera,tion of the iessue and deliverp to me by the Inspector of `�uiid'mgs of Fridley of
the above Permit, i hereby, agree to do 'the proposed work in a�ceordaace with the de�scription
�bove set forth and accordmg to the proviaions of th� ordinaa�es of F'ciclley, and, being first duly
�worn,>I herebq state' aad say that the faets �ted bq me and contained in the: above permit are
` true as therein atated.
s ,r` � ��
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t�g � p t,tii
and eworn ta before me at FrYdley, Minn ta, *H» �-
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day oL.._.� A-D. 19::�. �
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�NtIGINA#t�R.-DETACH AND REfA1N r_..._ ., �, ��� � �
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OF��CIAL NOTICE
CITY OF FRIDLEY
PUBI,IC HEARING
BEFORE THE
BQARD OF APPEALS
TO ta1H.OM IT MAY CONCERNo -
NOTICE IS HEREBY GIVEN THAT the Board of Appeals of the City of
� Fridley will meet in the Council Chambers of the City flall at 7:30 P:M. on
Wednesday October 30, 1968, to consider the following matter:
A request for variaace of Section 45.24, reduction of side yard
' requirement on a corner lot from 35 feet to 17 feet 6 inches to
� permit construction of a garage on Lot 3, Block 2, Elwell's
Riverside Heights.Addition, Anoka County, Minnesota, the same
being 7551 Alden Way N. E., Fridley, Minnesota ( Request by
William Campbell, 7551 Alden .y�lay N. E.)
— Anyone desiring to be heard with reference to.the above matter
may be heard at this meating.
0
PUBLISH; October 23, 1968
Octobex 30, 1968
DOATALD R, MITTELSTADT
CHAIRMAN
BQARD OF APPEALS
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pUBLIC SEAB�G
I SOflx ,���C N�_G'ERN;�ni
�'`���:3U P,in. uA vrcu.�-- .�
at 7. _
ber,T 19�. to �nnsider the iollow'�
tqg' atter:
requesL for narlance at 3ec-
�oa 45.2! reductton o! sidr
�� ....+.iramwf�t on a �[t!!�
Iot from 38 feet Eo' 14.. iee�6
inches to aermit' consEruction
oY a Ba�CeBe ot► . Lot 3. Slocle
2, E1weU,'a RlVeTSide �ieirtht�
Additloi►; Auoksi . Coarrt,v'., l�in•'
nesota.. t�he same beii►g 786t
Alden WaY 1�T.E., Frldley Min;
�� neanta �lReaimst 'bv' V4►�i�1I 1 �SID
Dt
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31�IIg�tO �C hC8l1i W�t
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& �, 1888); Z'C
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APl'��CATit�t T� .�� ; HOARD: E� AE�B�� AND CfTY C�T�
1�"O8 S�C�L U� . PE#�9IT., �il�1t�ANGE � BL,�1�T3 OP'
CERTAIYQ O�DI�A1�fiCES OF TI� CITY OF FRIDI�$''iC .
;.
tA�iplic�at td i�offip�et� items 1, 2, 3j
1. �ac� aad Addrese df Applic C�
�
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2. LegaX Descriptior�t of I�op�rtq �also g�ieral lacatiouA gu�eh ees�'aorth-
eaet co�ruer of 84ti� Avenu�a an±i 5th $ti��et°� o,� b41.§ �f�th SEreat")
a /, /�� � �9.J`�i,r,ta` .�
- _....._......._
3, Desc�ibe tbe va�ianc� requesttad. lAttacb 1�Iat dr Surv�y� of Frapertq
aht�witig locatioi� of pxoposed buildi�i�, etc., �il�o adjaitiing progertiee
aad ownership w�ithin 200' of satd proparty.)
��� "' ��..�--,_-1
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4. CammenCs n officisl denying o�iginai �equeet for buildin�
permit or o er pe . be campleted by adm�lnistsative oificial.
A1pro es and aec �of ordinaneeis ro be cited.)
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5. Notice o£ Heasiag agpeared in Official Newspaper on the following
dates;
(must be at leset ance 10 days before meeting -- copy of notice to be
attachad).
6. Board Members avtified of �eting by .
(List Membera, Date Notified, aad "Yea" or "Nd' for plans to attend
hearing). �
Name Dat� Plan to ACtend
7. Persoa making appeal, aad the following proparty owners having property
within 200' notified;
By Phone ATotified by
Name Date or Mail (InitiQl)
�
8. The Followin� Board Membere and interested gartiee were preaent at the
flearing;
BDARD N�ERS
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O�ER PARTIES s
P�iP�
4
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ADDRESS
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9. Opinions and recommendations by BOARD OI+" APPEALS;
�1 @� IU _n �OIX� Jl_4.X71 1 @�L1 5� � Iv � � �n . I `9 /�7�
10. For Above Reco�ndations A� Recammendations
11. Actioa by City Council sad D�te:
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PIJBLIC HEABING
BBFORS T�E. .
BOASD OF APPEl�,g
�0 WH�+! IT MAY CO�NCEBP: '
NOTICB IS H88E8Y GIVBft TBAT the Baard of Apgeals of the City of
Fridley will meet in the Covacil Chambers of the City Hall at 7;30 P.M. o�
iledneaday Octobex 30, 1968, to cooeider tha followiag matters
A request for variaace of Sectioa 45.24, reductioa of eide yard
requirement on a coraer lot fro� 35 feet to 1T feet 6 incb;es ko
gezmit conetruction of a ga�rsge on Lot 3, Block 2, Bl�nnll'a
Rivereide Heighte Additioa, Anolca Cquaty, Mianescta, the sama
being 7551 Aldea iiay N. E., Pridley, Mianeecta ( gequeet by
William Campbell, 7551 A1den.Waq N. g,)
Anyoae desiring to be heard w�th refereace eo the ayove matter
may be heard at thie �eeting. �
� 8� .
POBLISfl: Octobar 23, 1968
�ceober 30, 1968
DO�Ai.D 8. MIT1'B�.STADT
C�AT�'N1AN
BQAABD OF �,$PF.ALB
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$ F � aR �'�c�d����,Cd...r 4ra 6..
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` BOAAA 0� �IPPEALS — OCTOBII3 �0� 1968 ° FgGE 2
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MOTTON by Mi,nieh to �rant the requeat for the followix�g re�sons, -"t�hicla are aI�►
stated in the October 16, 1g68, minutes.
1. All other buildings i.n the 900 block of Oeborne Road are 60 feet
from the street except Woodarest School, which ie 40 feet from
the street. Therefore, the building site is conaistent with
other atructures.
2. There was no one present to offer oppoeition.
3. The buildin� will be an improvement'in the immediate area.
4. The proposed atructure offers na obstruation to traffic on Oeborne
Road. Trucks, autoQ, etc., leaving the premises have full view of
Osborue Road traffic in either dixection.
Sacondaci by Harris. II�on a voice vote, there beixig no nays, the motioa carried
�animously.
Applicant or a representative wae not present to present the propoeal.
MQTIOPT by Min�eh to close the public heari.n�.
Secox�ded by 0'Bannon. IIpon a voice vote, there being no nays, the motion car�ied
uxla�nimoual,y.
MOTION.by O�Barmon to table tY}ie reques� until�,the November 6, 1968, meetin�, to
give Mr. Ceulpbell an o,pportun�ty to attend, ar�l. to tie hea,xd wi'�h reference to the
above meettex. ` �: �
Seconded by Miniah. IIpon a voice vote, there beix� no nays, the motion aaxried
ux�saimous ly .
Tl�e Boa,rd feels that they oould not gxant the request'until they could talk tq
Mr. Campbell.
5. A REQ'�T FOR V,ARI�NCE OF S�TION 45•362, RIDIICTI�N OF
'�' G� DIF�'ERFNm ZOATING DISTRICT FR 35 F�'E,'I' TO 3
�-`-�_'� <�
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,
�oARD 0� APPEaLS - NOVII��t 6, 1968 • PAGE 2
. Bill Campbell was preaent to present his proposal.
OTION by Ahonen to cloae the public hearing.
' 3eaoxided by O�Bannon. IIpon a vpice vote, there bein� no �aye� the motion
carried unanimously.�
3•
4•
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MOTION by Ahonen to approve the request with the exaeption tba,t the side yard
requirement be amended to read from 35 feet to 24 feet miriimum froat giakard
Road instead of the 35 feet to 17 feet 6 inahes originally requeeted, to permit
the. �rking of a car between the propoeed garage and the lot line. This will
etill allow the minimum dietance of 5 feet between the houee the the garage.
3eaonded by Harris. IIpon a voiae vote� there being no nays, the motion oarried
uneaimously. � � _ —
Mr. Pete Lindberg wae present to preaent the pro�sal in behalf of Bob Sohroer.
MOTION by O�Bannon to olose the public heariag.
Seconded by Ahonen. IIpon a voic�s vote, there bein� no naye, the motion oasried
unanimouely. •
MO►1`ION by O�Bannon to grant the request with the following conditione;
1. The ieland'prevent any ri�ht hand turne at esit of oer waq�.
2. The Counail hae reaolved the intereeation of M3.sgiesippi Place and
Ee,st River Roed. ' •
3. There was no one preaeat who objeoted to the request. � .
$econded by Ahonen. IIpon a voioe vote, there being �o nays, the motion osrried
unanimouely. � , .
It is the general• opinion of the Boexd members that the�e will be a problem of
s queue of care, outeide the property. on Miesiesippi Plaoe.
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City of Fridley, Minn. N� 10 0 21,
BUILDING PERNIIT
Dats: Nov. 15 , 1968 D
p��; _ William Campbell �� S�me
� 7551 Alden Way Ad� Same
LOCATION OF BUILDIWG
N� - 'j551 SLreet Alde:n Way Part oE Lot
I.at � Slack � Ad�3itton or 3ub-Divlsd� Elwell' a Riverai�e Hgts . Plat 2
Corner Lot Inside Lot Setbaek Sideyard
Sewer II�►attam Fotmdatton nevatlon
DESCRIPTION OF BUILDING
To be vsed as:
_ Ca_ra�e Fraa�t � Depth 22' Hei�tat l�' �, �, 52s cu. � 52eo
�t �� �r�t � sq. Ft. cu. Ft.
Type of Constructia� Frame �, �_ $1600.00 To be Completed
the pro�ed work ffi ac�rdance w�ith the �descrip�above��forth and in �described above I agree to do
or8lnancxs oP the dty oP Fridley. P�ce with a�l provisions of
�.�/1-c�/J
III t�dB18t[oII OP th@ �qIIlEIIt Of a fC@ Of � s� nn _ per�n{t is hersby gPBIIt�Cd t0 jpji l l i a.m ('.�mnhgl].
to c�nstruct the buflding or addition as d�cribed above. Thia t is granted upon
the enpreas cronaitioa that theperson to whom it is wor
dame in, around end ��ted aad his agents. emPloy�s kraen, in all work
upon said build9ng, or any►g thereo� shall conform in all r�pects to the orclinancee �
Fr1d1eY, M�ta loc:at[a�, aa�oatruction, alteration, maintenance, rePeir aad m�in� °� b said
wlthin the dty limits�i� permft may be revoked at any time upa� violatt� of atgr � the provlsions oP
NOTIC�
1Ys p� doa not w�r da asn�eu�a, �m hr �ns. P�e, e+� �. sw�r m w�er. B� wns to a�
�� I�or ior �m � far thas Uem�.
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.�PPLICATION FOR BUII,DING PERMIT
CI�itY OF FR.IDIaEY, MINNESOTA
s ��� ���a
ow.� Ps N.ar� ,' J.� (�� B�z�,nn�. ,
ADDRESS �,� J�J � �Q� �JU �-J .9DDR.�SS
LOC.�TION OF BIIILDIPTG
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COR.�'!'ER LOT t.� � INSIDE I�OT SE°I'BAC� �Y �t i-. SIAE�'aRn
SEWER ELEYATION TOP OF FOCTING
Applica�xt attach to thi� �orm Two Certificates oi Su�vvey oi Lot ax�.d
proposed buildix�.g locatioa°b drar�. on thes•� Ce�tificateso
D�CRIFTiON OF B[I'ILDING
To Be IIsed gs:
„�,� Fro�.t �}' DPpth 2�. Height % ��� o
�quare ieet Sa � Cubic Feet Q
Front Depth Height
Square feet Cubic Feet
Type of Con�truction E�timated Cosst ,� ��D?
To Be Completed
The undersi�ned hereby ma.kes application for a permit for the work
herein specified9 ag�eei�g to do all work in strict accordance with the
City of Fridley Ordi.nances and r.u.lings of the Department of Buildin.gs,
and he�eby decla,�ea that alI the iacta and representations stated in
this application are true and correcte
DATE �I" l � � � S3GN�TURE, 1�1�1a,.«SC�! �&���
(Schedule of Fee Cost� casa. be ious2d on the Reverse Sideo)
6.+ y�_,..,A
49
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BUIIsDING PERMIT �'EE SCHEDUI,E
SECTION 2o The Inspector of Build3.ngs shalls before issuing pernits
for the erection oi any buildi.ng or structure, o� ior any addition to an.y
exi�ting stru.cture or buildirlg9 or ior ar�.y alteration or repaira to axiy
existing building or st�ucture9 upox� �.pplication therefore9 �equire the
payment by the a.pplic�si.t for �uch permit oi f�es to the amount he�ein.
below �et io�th and in the ma.nn.ex hereixa. provided to0wit:
Uniform Buildi Codeo Type 19 2, & 4-$1075 for each one thou�and
cubic feet, or fraction thereof, in such cubical c:ontentso Type 3& 5-
$1e50 for e�.ch one thousand cubic feete
For the purpose oi computi.ng fees for buildi.ng germits, the cubical
contents of any building or addition to a uniform height throu�hout by
multiplying the ground area cove�ed from a point six (6) inches below
the floor line of the baaement or the cellar to the average hei�ht of
the upper suxface or to the avera.ge height of the rooi �urface of the
ma.in gable of a pitched roofo
For repairs or alterationa to an existi:n.g structure, the fee ehall be
at the �ate of $3s00 per each five hundred dollars ($500e00) or
fraction thereof in the cost of all proposed vaorka �
In no case shail the �ee charged for any per°mit as set ?orth in. Section
2 bE le�s than $5a00o
NSSSD Connection Cha.rges ba�ed on location - 9rea 1 or 2e
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BOARD OF APPFALS
1b W80M IT 1�AY C�CBBN:
NOTICB IS HBBBBY GIpBN TgAT the Board of Appeals of the City of
Fridley �ill meet in the Council Cbembere of the City Sall at 7;30 P.M, on
Wedoeadsy pctobe�r 30, 1968, to coa+sider the fol],owiag mattor;
A request for variance of Section 45.24, rnductioa of eide yard
requiremeat on a coraer lo� fro�n 35 feet to 17 feet 6 iaches to
permit cooetruction of a garage o�n Lot 3, Biock 2, Slwall'e ��.,Qaz-�,
8ivesside Seights Additioa, o ouaty, Minnesota, t e same
being 7551 Alden iiay p. g,, gZy,dley� ��eO� � gequeet by
William Campbell, 7551 A1dea.Way N. $.)
Aayone desiring to be heard wl,th refareace to the above matter
�Y be heard at this meetiug.
DONALD 8. MITTB�STAD'r
CBAIBMAN
BOARD 0�+ APPB�AI.B
POBLISfl: October 23, 1968
Oct�er 30, 1968
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CITY OF FRIDLEY
APPLICATION FOR HEATING REPLACEMENT
CHI�dNEY AND�STACK VERIFICATION
THIS FORF4 MUST ACCO�lPAt�Y STRND4RD APPLICATIOP� FOR lIEATIP�G PERMIT fORi�1.
LOCAT I ON ,�5�� OATE (a — /a -8'�
OWNER � ADDRESS � G�. �J
The undersigned t�ereby verifies that the existing chimney or stack:
1. Has�been carefully examined
2. Is f.ree from rust or deterioration
-- �''�
�
3. t�o foreicn objects are lodged within _ �/
4. Ttat it is securely suppo�ted !�
5. That it meets all current Code requirements
far size and total BTU connected !/
6. Total Heating BTU
All Other BTU
TOTAL
REMARKS
7.5,000
NEATING PERMIT #
SIGNEO
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by ��
Addres s /� ���.��7�.��;/� .
Telephone %✓ ] �,�pp
Fridley City License �
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_CIIL Ti�ELL ABANDOI�IlNENTS
F08 ANOBA COIINTY
LISTED BY CITY
NOI�RICALLY BY ADDRESS
FOR THE CITY OF
*** FRIDLEY ***
��' CD . ������ v
6431 DNIVERSITY AVE. NE.
B.I. M[t. DARBLL CLABB S� 1MIIt. DON �ARRIGAN
574-3450
NO PERMIT FEE OB INSPECTION
DRILLER SIZE OWNER-CONTBACTOR SITE ADDRESS DATE SEALID
T08GERSON
E.H. RENNER
MORR
MOBK
A-T�TELL
E.H. BENNER
E. H. RII�IlIER
TORGERSON
E. H. BEN1�lER
E. H. 8EN1�1ER
E.H. �
E. H. BEN�IER
E.H. �
E.H. BENNER
E. H. REN1�iER
E.H. BENNER
E.H. �
E. H. BE�II�IER
DOH STODOLA
MORR
LUDIiiIG
E " • RL�iER
1�
2
3
3
4
2
1�
3
1�
1�
2
2
3
3
1�
3
3
4
Z
2
l�
BORDEN
SHARON AI�IDERSON
ANOBA C0. COI�I. ACTION
ANOBA C0. COI�i. ACTION
ELI.EN KARI
FRIDLEY SCH. DIST �14
HARLIN Ss MABINE SIIND
Robert Bnudson
LOIS HLAVINHA
LOIS HLAVIPRA
OHAN COBP
ONAN CORP
JERRY McSNIGHT
SYL9IA McGIIIRE
SYLVIA McGQIRE
BINCRI�IER BUII.DEBS
TIM FAH�S
TIM FASS
ENEBECR CONSTRUCTION
CLARENCE GRAVES
CARI. CSRISTENSEN
AliORA CODNTY PARgS DEPT.
i
260 Longfellow.St.
380 Longfellov St.
400 Osbor�Rd .
401-76th Ave. HE.
511 Ironton St. NE.
611 Mississippi St.
776-63rd Ave. �iE.
1322 Hiilcrest Dr.
1500 Osborne Rd.
1500 Osborne Rd.
1600-71st Ave. HE.
1600-71et Ave. NE.
4607-2nd St. �E.
5928 Oakwood Ave.
5928 Oakwood Ave.
5980 Stinson Blvd.
6105 �Toody Lane �:
6105 T�loody I.ene ���.-
6222 Old C� Rd.
6229 Sunrise Drive �
6509 Esst River Rd.
6666 East River Rd. '-
Jan.
May.
Sep.
Sep.
Mar.
Sep.
Sep.
Jul.
Apr.
Apr.
Jul.
Jul.
Nov.
Sep.
Sep.
Apr.
Feb.
Feb.
Aug.
Oct.
Jun.
Jul.
88
86
87
87
88
87
87
88
88
88
88
88
87
87
87
88
88
88
88
87
88
88
0
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E BEN1�iE8 1� RICK MAIAC�R 7136 East xiver Rd. Aug. 87
E._. REN1�iER 1� BOISE C�SCADE CORP/BARR 7300 Block � Old Ceatral Aug. 84
E.H. BE�Il�iER 13� BOISE CASCADE CORP/BARR 7300 Block � Old Central Aug. 84
E.H. RELIIIEB l� BOISE CASCADE CORP/BARR 7300 Blocic Sc Old Central Aug. 84
E.s. � i� BoisE cASCAnE cou/sa� �30o Biock � oia centrsi �ug. a4
E.H. REIaiER 1� BOISE CASCADE CORP/BARR 7300 Block � Old Central Aug. 84
E.H. BE1�1ER 1� BOISE CASC�DE CORP/BARR 7300 Block � Old CeDtral Aug. 84
E.H. RSa1ER 1� BOISE CASCADE CORP/BARR 7300 Block � Old Central Aug. 84
E.H. � 1� BOISE CASCADE CORP/BARR 7300 Block S� Old Central Aug: 84
E.H. BEI�IIJER 1� BOISE CASCADE CORP/BARR 7300 Block � Old Central Aug. 84
E.S. BENNER 1� BOISE CASCADE CORP/BARR 7300 Block � Old Central Aug. 84
(10 WELLS..FP7, FP10, FP18. FP11, FP13, FP9, FP1, FP8, FM8, FP3 I.ess T6an 30')
[ALL OF 1'HE ABOVE 10 %IEELLS FOR NATIONAI. POLE � TBEATING SITE/I�DTRONICS SITE]
E.H. BE�IliER l� JA1�S L. SCHLEY 7512 East River Road Sep. 87
A-WELL 2 JIM 8AM �7551 Alden Way PE. Jun. 88
ANOBA/018
END NOVEI�ER 16tb, 1988
NO1�E8 OF WELLS SEALED IN THIS CITY TO DATE: 35
�
�,_.
2
Building
Inspections
763-572-3604
DATE I � li'i
STfE ADDRESS _
THIS APPLICANT IS:
PROPERTY OWNER!
TEN�ANT
CONTRACTOR
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-�vIAIL ADDRESS J �'I SO ��
1 � (.d � hi � !��l n1 �
0 OWNER �CONTRACTOR
N,�; S I S S �
,�D�ss: ���5 � A � �e -
PHONE: '�J�p � — 5 % � — � I 3
wAwt�� M�Tl�o c%
SUBNIIT A COPY OF STATE LICENSE # G� 3 � b_b�0
YOUR STATE LICENSE ADDRESS: ($ � �� J(�
WITH APPLICATION pr�ro� �l� - Zlo� - ?/
TYPE
PERNIIT
TYPE OF WORK:
._�� � r... ��
EXP DATE 3' 3 �— D
'�-C �� crrY
Fax %�C3 ' Z �3 - (p i
� BASEMENT FINISH �ROOF O DRAIN TiLE
❑ DECK SID1NG ❑ OTHER
O SWD�ArIA1G POOL
DESCRIBE WORK BEING
SIZE OF IlVIPROVEMENT
G /
NUMBER OF SQUARES Za
GARAGES
PROPOSID S1ZE:
PROPOSED F�IGHT:
SIDING
ov�
� Aluminum
0 Other
wnvnows
W E}QSTDJG OPII�JGS OYes OIJo
OR FOR NEW OPENIIVGS-DESCRIBE SIZE OF
QPENING CHANGES 8c
`�
❑ HOUSE 8c GARAGE
0 ATTACHED GARAGE
❑ DETACHED GARAGE
oso�c
� Trim
O Fescia
LACATION OF WINDOWS
Permit No. • �
.�
Recervea By:,�
Date Rec'd: 11�--
i
l6 �$ v� s�rn� zt� SS3� �I
I�
WIDTH HEIGHT
BASEMENT REMODELING SUBNIlT:
1. Fa�cisting Floor Plan
2. Proposed flour plan
3. List of shvct�u�al membess to be used
F�
FORNEW CONSIRUCTIOld I13CLUDII�IG DECKS,
A.DDITTONS. & PORCI�S SUBMIT:
1. Site PlanlSurvey showing the existing strucd�res
and ProPosed P�o.)ect
2. Two sets of consWction plans
3. �y c��teao�
TYPE OF WWDOW TO BE 1NSTALLED NUMBER OF WAiDOWS I '
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USIN� THE 1997.jJ.$C FEE SCHEDULE)
TOTAL JOB VALUATION
Permit Fee $ �� , a� See Back Page for Fee Schedule
Plan Review $ 65% of Build'mg Permit Fee
Fire Surcharge � 3.( .001 times the total job valuation
Surcharge $ . f� .0005 x Permit Valuation Minimum $.50
License Surchazge $ .W $5.00 (State Licensed Residential Contractors)
SAC Charge $. $1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft+ 6 ft= ft x$21= $
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary () Non Necessary () a
Total Dne $ I�'�. O Make checks payable to: City of Fridley Attach Stipulattons
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a build'mg permit and I acl�owledge that the in.formation 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 Conswction Codes; that I understand this is not a
pertnit 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 a11 work wh' requires re �'ew and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME U ���'A � � a/k rn1 � DA.1.E Y O-(o " O�
0
�
Page 2- Building Residential Applica.tion
BUILDING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before issuing perm.its 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 amount herein below set forth and in the manner herein
provided to-wit:
VERIFICATION OF FOUNDATION
Permits for consttuction will be issued a minimum of 24 hours from the time of applica.tion to
allow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the loca.tion of the existing founda.tion 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
Fax: 763-502-4977
Building BUILDING Permit Ivo.: ?.�%�
Inspections RESIDENTIAL APPLICATION �teceived sy:
763-572-3604 � � CITY OF FRIDLEY Date�� APR 0
763-502-4977 FAX EFFEC'I'IVE 1-1-2010
DATE N I 12. I �� YOUR E-MAIL ADDRESS �� S � ss c�N �3 �� S�i/ . GO�)
SITE ADDRESS � ss ���-� kiAy 1�.�• E. /(� ��L�v%
THIS APPLICANT IS: �OWNER �CONIRACTOR
PROPERTY OWNER/ N,�; V Is7 �, S! SS��
TENANT ADDRESS: 7SS� A�D�.J' r,J�ty �1�: CITY r� STATEJ°�ZIP �'S�13 Z
Pxorr�:_ 7b3-S 71- yQ 3�
CONTRACTOR Nq�:
SUBMIT A COPY OF STATE LICENSE # EXP AATE
YOUR STATE LICENSE
AND CERTiFICATE OF ADDRESS: C[TY STATE ZIP
INSURANCE pHONE FAX
PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE 2y X 14av12 J- Z3 d G+�
❑ TWO FAMILY/NEW CON&TRUCTION STORIES f
PERMIT TYPE ❑ ADDI7'ION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FIIVISH ❑ ROOF L7 DRAIN TILE
0 DECK �'SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: � NEW HOME CONSTRUCTION ❑ ADDI1'ION
�'MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: ����� S i�i�p6 S cT +�F'4sc�
SIZE OF IMPROVEMENT No�cs�. — 4(0 °(� Z3 LENG1'H NdO� Z' �rx ^ �► � iGx�r - Z 3(0 8 s�r
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE 8c GARAGE ��NT REMODELING SUBMIT:
1. Existing Floor Plan
GARAGES ❑ ATTACHED GARAGE 2. Aroposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used
PROPOSED HEIGHT:
�S� G FOR NEW CONSTRUC7'fON INCLUDING DECKS,
�Vinyl D�offit ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum C%Trim 1. Site Plan/Survey showing the existing structures
❑ Other ['�Fascia and proposed project.
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND
OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW.
OPEMNG CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBBR OF WINDOWS
ALL r'E1;5 AKL BASEll UN VALUATlON,1NCLUll1NG THE COST OF LABOR AND MATERIALS:
(USII� THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $'ZdOfl' OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ ��� See Back Page for Fee Schedule
$ 65% of Building Permit Fee
$ .001 times the total job valuation
$ .0005 x Permit Valuation Minimum $.50
$ $5.00 (State Licensed Residential Contractors)
$ $Z100 per SAC Unit (Plans to MWCC for determination)
$ f}+6ft= ftx$24=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary ( )
$�7��'%� Make c6ecks uavable to: Citv of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all wor ich equires rev and approval of plans.
SIGNATURE OF APPLICANT h/°���_ PRINT NAME ���� ��/ SSG�! DAI'E 7/ ��l ��