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AF - 34935i � � � � � � Village of Fridley, l�Iin.n. N° 2 5 5'7 nate �':�..'��"'_'.'"'. �i .�, .' . . . . . . . . . . . . . . . . . owner . . . . ,�,.'. � . • suilde,�°` . .�°''��f�`. !''��.!�! .1��.��. .�. . .�'��- • • Addresa �.�.+�s3� ..��i��.iri4rG.'�! . . ... Address . ............. . ................... LOCATION �F BUILDING .F No. ��e�.. ... Street .: i " f'�.. . � ..�... .. .. . . .. . Part of Lot . ... .. . . .... . . . Lot . . ......... Block ........ .... Addition or Sub-Division ............... ..................... .. ... ��; , . Corner Lot ............ 7nside Lot ............ Setback .........:.. 5ideyard �� .............. DESCR[PTION OF BU[LDING To be Used as: . . . . . . Froni ��' . Depfih � . . . Height /l�d: .�! . . Sq. Ftt�!�� . Cu. Ft. . . . . . ............... . . . . . Front . . . . . . . . Depth . . . . ._. . . Height . . . . . . . . . Sq. Ft. . . . . . . . . Cu. Ft. . : , . . . . : . . To be Com leted �. .`f:�!�� . Type of Construction.�t��. . Est. Co�.��. .9� �. . . . . . . . . . . . p In consideratfon of the issuance to me of a perrnit to construct the building described abave, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of or�livances of the village oP F"ridley,, �� { �� P� �� i� " '�1 � :n -+�... ii a � , in c ider tion of fihe paym�x►t of a fee of $. permit is hereby granted to ."�fe� ...�.. �..., ... .. to construct the building or ad dition as described above. perxniit is granted upon th express oondition that the person to whom it fs granted and his agents, employees and worl�en, in all work done fn, around and upon said building, or any part thereof, shall conform in all respects to the ordfnanc�es of F'ridley, Minnesota re�arding location, construcl3on, alteration, maintenance, repair and moving of buildings with- in the village Iimifs and this permit maY be revoked at any time upon violation of any of the provisions of said ora�n�. ..�''� .� � /�l.a�-° , suilaing Insp�cor , . NOTICE: This pe�mit do� not cover the construction, Installa'tion or altera#ion for wiring, plumbing,�,gas heating, aewer or water. Be sure to see the Buitding inspe�tor for separate pe�mits° ��9� these �iiema - - �� . - � _ �� r�- r � � ._` �� ' �� a �- � o � w x � m � o � � � � �� °�° N�� o.�: � o�: � : : � : : �� i � m H � �, � � � x : � � � Q N � � � O O O � O ti� 4A �A � � � � � � m Ed � � � 0 a 0 0 � � r � � N U � � � � � � � � o � ts I � � � fD � � Gi � °s o � e � � �. � � � � � � 0 O W � � � F�o F% � � b � � �' �' � � y � � � o �� x �� No�� W�oo�� °� ��° ,�� s� o � ��.� � m � �� ° � ° $ � c � : � ar � : �� ;�� ?�S: � .. � : �: �� 8`�': : Q � : : : � � g : : : � $, : : : o � : : : : � � : : : � � : : : : ' : : : � : : : : : : w n� t� ao 0o n� eA en ea go O O O O O O O O O O �A � � i 0 � z° � 0 � � � � � n � .F't � � O 0 � � �. � � � � � , � � � � I �. m � � ' `�� R � � � : � S $ : : $ : : : ��a��y o °o °o �b !�J 0 � A �� y� � � t� �a ►'�i ,�„ c� � °� � � p� � � :4 �i'��p' �� H �� p- ��L � � ��p ��° �i m �� } � �. ��M �� o � � � � �� D � r'D� � m y _ m C n�n � � � � � pa J g� Q A A O � � � � � � � � �i � ♦ I � � � � � � r �� d �, i � �, �� p �. � O : � . µ • N : o . � . m � : � . � . N • O � w � � "� � � c� � � w � `° � � � » o • o • g : � � . x 0 N 60 N N 1�-� � O Q O � O � O ,� � � . t� � ��m�-�z� a � " e � �' � � � m � � � �f � : O � � � : � ,� �° � � '� � ,��," W � • � � • N . � . 00 0 : : �� : . : : � . . . . : � : : : : . o N CC CC N id N W N W F+ i-+ N � C�if p t�7� o O O � �! fA �P/! O � i'� O a x �o � � eao 0 � '�'� � � � m N n m C r m ....' ' : ��1 , : ��1 � � ■■■■, � � ■�■, �� ;: ��1 � � $ M a � ° � � � � �. i m � � � � a � bd � � a � C � �' t � I � � � � w��e � �� Tuss e��s siaKs W,� TRAYS ce�aK. FouNT. sr+wRS. FLOOR DRAINS GTCH B115INS �uro WASti@! GAS MPL � � GAS OPENINGS � • 2 • � L � � � �. ¢ � � �� b P, e� w � o � p, � ►i � � �� a�' � ��o� � � 5' � e �a ��'�� m �� cD o " �' b �p�np �� a.�w � �� , a� � 8 �'�"�� M x� �� ao � � &� � � M �M � � �: � ` : � O m � C 0. � m � �� M � �! � o � m � A � e m � � . O N ��,: .:.•._F- ��' � �G ` � � : � �.,�' � �� ;;, '�`� � � � � , � o a ro I 3� � - � i 8TATE OF MINNESOTA DtrARTMtNT 0/ NUMAN S6RVICeB 444 LAl�AY�TT� ItOAO �m ^ p/� �� ST. rAUL. MINN680TA 60101 P I Date Citv of Fridley Zoning Authority 6431 Universitv AVe. N.E. Street AddreB� Fridley, MN 55432 City State Zip Code �� nes-2�22 (9-es) PZ-02722-02 /O- 7-�� —�: --?4NI#G NO'�'�=�C-�4'i'3E3A�v�r�,nr-��-Tn^-. ;zzTg:: ��p�--L��.'�N-S�-JR�- - -- - ---- - Sub ject: rn 0�,� � Type of License: Name of Day Care 8ome A plicant Family Day Care x 5�7`s �� Grou Famil Day Care Street Addresa p Y � � �� Licensed Capacity 1 � City � State Zip Code Phone No. 'S 7�� R� 9 D This is to inform you that we are in receipt licensure under Minnesota Rules, parts 9502.0300 Rule 2), Family Day Care and Group Family Day Care this license is subject to compliance with the Statutes� Sections 245.781 to 245.812 and 252.28, the Public Welfare Licensing Act and the rules of Services. of an application for to 9502.0445 (formerly Standards. Issuance of provisions of Minnesota subdivision 2, known as the Department of Human You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use.of property for the pu�poses of zoning. �ubdivision 4 of the same sect�on indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi-family residential use of property for purposes of zoning. If we do not hear will consider the your local zoning Sincecely, from you within above-mentioned code. Licensing Wo er � Street Address 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL SERVICES DEPARTMENT COUNTY OF ANOKA COURTHOUSE, FOURTH FLOOR Name o ency Organization City State Zip Code AN EDUAL OPPORTUNITY EMPLOYER ____1 suerECT PER City of Fridley 19 6 5 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � ECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. ' j L �"�.', r � � PROTECTIVE INSPECTION SEC. ��°j j � � � �i � � ��"� � CITY HALL. FRIOLEY 55432 NUMBER REV. DATE � PA6E OF APPqOVEO BY / �� •_"�• � 612-571-3450 910-F15 9�1�88 / / �os nooR�ss 5325 Altura Road N. E. ` 1 LEGAL �OT NO. BLOCK TRACT OR ADDIT�ON SEE ATTACHED DESCR. 3 % C3r�.SOd1 $ilIIllp].'t ,Me3X10L' North Addition SHEET 2 PROPERTY OWNER MAIL ADDRES� 2�P PHONE Harold/Marles Geiser 5325 Altura Road N.E. 572-94`70 3 CONTRACTOR MAII ADDRESS Z�P PHONE UCENSE NO. 5ame � 4 ARCHITECT OR DESIdNER MAIL ADDRESS ZIP PHONE LICEN3E NO. 5 EN(i1NEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDIN(i ' Residentia�. 7 CLASS OF WORK � NEW O AODITION 0 ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reshingle House (11 &quares) 9 CHANOE 0� USE FROM TO STIPULATIONS a'� On all new roofs or tear=off,s and replacement roofs. State Code requires that 2 la�rers of 15 Ib. felt, mopped together, be installBd to a point 24 inches up from exterior wall IiOe, pr the use of other � approved underiayment metmbrane. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBIN(3, HEATINO, �PE OF CON3T. OCCUPANCY OROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NIN0 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Ofl NOT. THE GRANTING OF A PERMIT $550 +�.50 OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAHGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S�.%.00 LAN CHECK FEE TOTAL FEE $17.50 SiG TuREOFC NTRACTOAORAU RI�DAGENT IDA7E� WHEN PROPERIY VA TED THIS YOUR PERMIT �y � e l SiGNATUREOFOWNERiIFOWNERBUIL0ER1 IDATEI BLDG INSP � TE 1�a1 [] City of I�idley EEfective 5/L88 A�T [ ] R-1 AI�ID 1�2 AL�R [] Bu3.lcling Pernai.t Ap�al. icatiC� Q�nstr�ckion Address: � �o?J � %/�F Le�l. Descriptian: 3 �LoC jy�� O�mer Namae & Ac�C]ress: �A�DfG�' � 9� /l�l�2l�°S /Y%• c.° l S ey' Tel. ��%��d Qontr actor : + a,�--�Yl � Tel. # � l Ac'�ress: /� Attac� to this appl ic�tion, a Cert3f icate aF �uvey of the lat, with the propo�ed v�nstruc�i� dra�m on it to scale. �:,ti �• r� ��;� •;� i. �� o�; a LI�ii11� ARFA: Length Wi�h �BBGE ARE�'As LeM�Yi W3[itYi p�iS�BEa:. Len Width � �EB:. � ° � � Q�rnei �ot I] Insi� Lot [] Ft. Ya setback siae Yara set�►cx� ��D, Type of Qonstrt�ctian: � Estimated Cost: 8 Approx. Qwa�letion Date: Al� A Al� B Proposed Drive�vay Width If New� Opening Is Desired: S 8 Wi+�h + 6' See Back Page D�17.'E: � �� _ AL�PLICANNl': � i�% ��'�/!/ TP1� � �/a�`�� Hei�1t Heic�it �t/Groua�d s�. nt. 3�. E't. 9q. I�t. P�it Fhe State Surc�arge SAC CY�arge Driveway Escro� Park P�ee Sewer �1ain (1�arge mor� -� ��,��-t+�to;,� $ . � �� $ S S S 8 /'7•�D C�Y OSE �.Y �ee Schedu].e on Reverse SicAe $.50/81,000 Valuation 5550 per S�,C Onit Att '�" or Alt. '�° Ab�ve i�e Determ�r�ed by F�gineering Ag�e� Nea�essary [ ] I+� Aleaessary [ ] AaD x M :,1�, � 1�. ';��<�t4 ;��" -M:i��_I� The t�ief Building Official ehall, before issuing permits for the erection of any building or �ructure, o�r for any acY]ition to any existing buitding or structure, or for any alteration or regair to any existing building or structure, upon application therefore, require tbe payme�t by the applic� for suc� permit of fees to the amount herein belvw set forth and in the n�n�er herein provided to wit: � 10T.AL VALOE S1 to $500 5501 to $2,000 �2, 001 to 525, 000 825,001 to �50;000 550,001 to 5100,000 �100,001 to $500,000 i—,� � ; $15 (Minimtan �ee is Sl5 plus surcharge ) 815 for firat �500 plt� �2 for each aclditional �100 or f raction thereo�► to and ir�cluding S2, 000 �45 for f irst �2, 000 plus �9 for each additional �1, 000 or fra�ctiaai thereof, to and ir�rlt�ing 525,000 $252 for fir� 525, 000 pl� �6.50 for each additiona]. Sl, 000 or fraction thereof, to anal ir�luding 550,000 547.4.50 for fir� 550,000 plu� �4.50 for each ac�ditio�a]. �1,000 or fractiaai thereof, to and ir�c].uding 5100,000 5639.50 for first ��00,000 plus $3.50 for each additianal �1,000 or fractiaai thereof, to and ir�l.�ding $500,000 5500,001 to 51,000,000 52039.50 for the first $500,000 plus �3 for each ac7ditiortal $1,000 or fractian thereof, to and ir�luding 51,000,000 51,000,001 arnd up $3539.50 for the first �1,000,000 plus �2 for each adc]itional �1,000 or fractia� thereof D�VF.�IAv DEPRF�UN � (Concrete Curb Streets Only) Alternate "1�1°i Renwat and replaoement c�E curb and gutter only - Driveway width plus 6 feet times �13.�0. Alternate °B": R,�noval and replaoement o� curb and gutter and 3nsta1l a 3 foot wide approach with 6 inch depth - Driveway width pl� 6 feet times .�15.75. VEiZ _tMQ�ION �F P�J1�DA_mmc� - n , P � Permits for construction will be 3ssu�d �a <�p�.ninitmi � of 24 hours f rom the time of application to allow for proper rev�tew c�; th��pro�osed atructure.�l,of the oonstruction aite. . --�,: . . . '' . ,. � �,. ' ` _ ; �`?,'.�c. i 1Jf�': v ; ` ' .�.,._, "' :' • ' ,. , A Certificate of S�uvey of the lat, st�wing the �loc�itia�` of'.:�,h�.:'��alation once i� l�as been constructed will be required before prooeeding wi�h 'the �:��ng. :�)�;. a� � � ?' m � � Z � o � � � � m Q' n � -« ,-� 3, � o N. � Z N � � m -�. c� m 3 � � ,�r„ V 0 o m o �� S � A � � fp � � O � � �' � �� 0 � �' � fl. � s 0 � � 0 `�e� p� � °, �. � � �a O N m_ v °= ai � � b. O x o � a � r � rn � � � oa cD 4f► �GA � �� o °v m -(--.0 "1 � � N � � �• � � m� c � ❑. �°,Q-� �': � a �'. �fD�� v, �c_c,� � _ �°' � ��o� Q- a = o o `�a- .,�, � °� 3 ? N�� • � N a � �'o-�� A � � � =± � �c°� � � cu a � -� � � ° o ��' -, d � � co o�. ^* `° 3 �- g � ai � '+ o .+ �. �. ��,�o —�h �.�m �- <D Ci �D �� o N o' �, a � � � fl. y f�D � _. � � O � S < � � � N � � � °. � � N. �' a c�i m c� � O �-_�+, �o � N 7�C" I'�"' � -� 0 Z n n � D � a 5' � v_ � � N � � N � m -� � � N ►-+ cn o o° °o 4A {a9 {s9 �� C � � m � � � n. m z � 3 � 2 � N m z 0 �• � �ao-�z m -i� -o — C � o � � 3 � m = � oq � � _ � O � C) � n c� � O � > > � fp c� �. ^ m � a �� r ni n' ar"Z3 v � � 2 °. a�i � m v 3 D ... m � D c vi N N o � a � 'v � � a1 e� � 't?, V? m � �; � ��d o- -� < � � �'��.�� N � �Q. � Q � � � —c v � O� � �' �- �` �' � 3 � oo � o � � � � v �v � � � d � cAD � � 0 0 0 b9 � � W (Ai o a °o o° � m �69 �69 0 D �� r � � n � m � O � � -v m z � Z O � � a � 1'rf N c� _ m v C r m c � o` � v � o z o G� X7 c m � � m ��v u CJ� �'1 d� (7 N C. W � F+ � � � � 0 ��•� z c� � ts� N. o � �c m W D "� N c<D z zN m '� m � O Z � � � a � -o z � r n�ii a m �. �Z m .,� A� -� � O � Z� Z� v .� as � ON vz .� v os , za �Z �n �� " Z a� v< v �'' �� n � N O z � � m O � � � � � n� � N O O O � s� -�� COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION � — ��!`� � �"� When realacins� an exi�ting furance, the undersigned hereby verifies that the �� venting has been examined and is free from rust, deterioration, obstructions, � and is securely supported and firestopped where required. Yes () No () The venting system is plasticlPVC and meets all current codes and manufacturer �� specfications including sizing, length, number of elbows and termination. Yes (} No (} The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existina combustion air is sized and installed to meet the cuRent codes and manufacturer's specfications. When required to install a new combustion air. it will be sized and installed To meet the current codes and manufacturer's specifications. When installin� a new venting system, the undersigned hereby verifies that it is a listed assembiy and meets the current codes and manufacturer's specfications. This does include AGA-GAMA Category I Central Fumace Venting Tabl�s for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes No ( ) Yes No ( ) Ye No ( ). Ye��tVo ( ) Yes( )No( )�� Aapliance Tvae and Size/Common Vent and Vent Connector Information Appliance #1 Type � BTU Input � Fan Assisted or Nat �"°'° Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type �� BTU Input � Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height _L� Diameter,�_ inches Appliance #1 Vent Connector Height �� Length ft Diamete in Type A liance #2 Vent Connector Hei ht ft Len th ft Diameter in T —�� PP 9 � 9 Y� Appliance #3 Vent Connector Height �ft Length �ft Diameter in Type � �►LTERATI�NS� (D�scril�►�1 I.tl� 7� � ..� D/��./�� ,/�l�_�. �' �ii��'�S �� i�l��•� ��, � � � � � �� ' �.�,.��' � .s��'r—,� ,�� i ��-�' � � � - -- , a_. _. _. _ � � . . . � _ _ . .r�= � - ' . _ . _ . -, � �. �