AF - 44877City of Fridley, Minn.
BUILDING PERMIT No � 2 g g
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Date: ..%_..!���'...�.�._�-...�Gr�. _.._.__.._._.._....__..._............
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Owner: __ ._ .__. ..� ._ Builder .._. .....___.—.._ .... ............_......_....._......---.._.__._._..._._..._.---
Address....._......._:........_.._._.___.._..._._._.._.._..._._.._ ................._...._..._..--•--.._. Address _.._......._.._..__....._._._......___.._.._.........._....._.._.---.._.._.__..__.__....._
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' CATIO OF BUILDING
No. �2;,j..-.�'��z........ Street .� . ..._=��a-----..��'........ Part o t•---•--
,_. ,
Lot Z.��....f�_.�.� Block .__.__.._......�._•-----....._.....__--- Addition or Sub-Division ..... .. .�_._... ..._._ . _... __
✓/
Corner Lot ....._..---•---��Inside Lot ----•---:'...--•------_.._--.------ Setback ---,�.:5.--...-----._.._..--_--- Sideyard ._....... __.._�...�._.�-�..�_._......
Sewer Elevation _.C�� �'...�_�_-_._.._..___..___._......._...._......_ F'�tlan Elevation .....0.._.�.1_-.-...�..�...___._......_...�.
%a/� oF � oTi�l�
DESCRIPTION OF BUILDING
T Used : �
- _._. __..... ......_ Front _.j�...�.6�L...u. DeP� •...p�L...�?' . Height ..,�.�.. Sq. F� �.�� Cu. Ft����
_.._._....._.�..._..._._..._. _........__ t__.___........__ Depth .....__._..... . H�ight ._..�..l,.s..__ Sq. Ft. _.._..__.._. Cu. F� _.._
^�'...'. To be ComPieted _..._..._._..__..._.__..._......_._ .
...
Type of Constructio ....... : ...... .. .. ..-.._........ Es� Cos ��--.L.� �._....
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
th� proposed work in accordance with the description above set fo and ' compliance with all provisions of
ordinanoes of the city of Fridley. "______,�
.� '�
In cousideration 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 worlunen, 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
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinancea _ _ „ �,
Building I�ospector
NOTICE:
Yhis p�rmit do�s no1 eowr th� eonstrueHoe, inshllNion fer wieieo. Plumbino. �u htatin�, swvK or wabr. 8� wn fo tN
th� Buildia8 Inp»eror for s�panh p�emit� for fh�» ibms.
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APPLTCATION FOR BUILDING FE:.�iIT.
CITY OF FRIDLEY, MINNES�TA
OWNER' S NAME BUILDER �/yFST�IP ���'{i!- S ZF.�'
ADDRESS ADDRESS �_/' / �(/ � ST �/,�`�
LOCATION OF BUILDING
. � � �
No.__ �� � _ �j Street /} /�/�/'��. Part of Lot -
Lot� �'J �-�3 Q Block 5: Addition or Subdivision� g/QOV,cr ,�rA,DlV-/ d�v.
Corner Lot e/ Inside Lot Setback �.5� Side-Yard /�' /Sr�
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this foxm Two Certificates of Survey of Lot and proposed bii3d-
ing location drawn on these CertifiCates,
DESCRIPTION OF BUILD�NG
Ta be used as;
_ S'/�'6 �� /�Cr/r�'��/N � Frout � ��_;th � Height �Q
Sq. Ft . J% �</ Cci . Pt . �.,i� G.� �
Front Depth Aeight.
Sq. Ft . Cu . $t ,
Type of Construction Estimated Cost f,�� 0�`'� _„
To be Campleted gr li /�,r� {�' s'
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances and
rulings of the Department of Buildings, and hereby declares that all ehe facte sad
representations stated in �his application are true and correct.
DATE_ % C� .2 �—� �
�(Schedule of Fee Costs can be found on the Reverse Side).
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SUBJECT MI .
City of Fridley � 13612
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T '
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� � RE .
� ; L__�_� COMMUNITY DEVELOPMENT DIV. I� �
r � � PROTECTIVE INSPECTION SEC.
1 ,
�4 � r��'1 � CITY HALI. FRIOLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �
"""� � ,'� 612-560-3450
910-F15 6/28/76 � �
JOB ADDRESS 6595 Anoka Street N.E.
1 �EGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. 29, 30 5/ Oak Grove Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Ra.y Janey 6595 Anoka Street N.E.
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Western Construction Co. 6950 Wayzata Boulevard
4 ARCHITECTOF DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGiNEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAlR ❑ MOVE ❑ REMOVE
8 DESCRlBE WORK
Construct a 26' x 24' Detached arage
9 CHANGE OF USE FROM TO
S7IPULATIONS provide a hard surface driveway. Variance approved on side street
setback to 19 feet. �----
C.,�, U�;��
s�pFRA r
-IMPORTANT-- NEAT��� p �R���S
NOTIFY THE FRIDLEY ENGR. Cu�$��Ct�► ����,R�j'3 F
DlViSiON REGARDING CURB �� �i�� � W��
REMOVAL AND REPI.ACEMENT
A7 DRIYEWAY QPENINGS,
SEPARAiE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOOC�{ Fic�@
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUC710N
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKtNG
I HEREBV CERTIFY THAT I HAVE READ AND EXAMINE� THIS APPLICATION �. STAL�S GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VAIUATION SURTAX
AND ORpINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT $4�617.60 yS2.3O
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $ZZ.00
�!`� ��`� PIAN CHECK FEE TOTAI FEE
� �cs�L r
z,�� ��da $14.30
- SIGNATUREOFCONiFACTORORAUTHORIZEDAGENT IDnrEi WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
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SiGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLDG WSP DaTE
��'k'LICATION 1�OR RI:STDEN'TI/1L, AI.T1�ItA1'ION,
OR /llllll'TION 13UILDTNG P�RAIIT
• CITY OR FRIUL�Y, htINNLSOT/1
� OWNER' S. NAMC : � BUILllrR : �%�/ L���1`�"� .
ADUR�SS :' �S ~ S� � � ADDRESS : �� l_P/
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No: _( � ys- s�rT: ,��x�� -�,
LQT : ,,� � ��� O SLOCK : S' ADDSTION : �aQO��s�� � � �.�
CORN�R I�OT:r � INSIDr LOT: SETEACK: SIDL'Y.AI'.D:
Appli.cant attach to this form Ttao Ccrtificatc.s of SurveY of Lot and proposed
building location dra�an on these CerL-i�icates.
UESCRIPTIO:I OF 1�UILDING
To Be Used As: �
� Fa-ont:�_� Depth: �� Heiglit; .
Sa,uare Feet• �02 � Cubi.c �eet:
Fxont:
Depth:
Squax� 2�ee�; _ Cubzr Feet:
He i,s�,h i: :
0
'lj�pe �f Constxuction: (, ,,� � Estima�ed Cost:_ $ ��-r» � .-
To Ba Gomp7et.e�i: � �'��� � �
Ttie undersigned hereby malces applicati�an £or a permit fox the raorlc Iierein �
s�>ecified, agreeing to do al.l work :in sL-x�ct accordance witl� �he City of
�'xi.dley Ordinances and lulings of tlie Department of Buil.dings, and ��ereby
declaxes Lhat �lI the facts and representaLions statcd in this applica�ion
ttze true and corxect. � .
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, � D�iT� : ,� -- oZ .� �. % � SIGNATUIZE : � � .
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(�ee Reverse 5ide For AdditionaZ Informati.on.)
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Address =' ��" �'��'
Name ��~� f . GL''�z-:
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Tel�phone��%��`°�y-'�'fJ Office
CEMENT TICKET
WESTERN CONSTRUCTION
Permit Obta+ned $y ��'°�.'�'��" `�� ��•
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Date Promised �'��'�
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$olesman `— ���J'� 1�'`/
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Cement Man `'��---�---�'—"
Cement From � � '
Filf from ��/��� '•
�ate � ��f�'�
Garage Side�ti' X �'� X�f Apron
� Detached ❑ Attcched
�� Wiremesh ❑ 1/2" Rods �'Conduit Ripe
Overhead Door Size ��1 Offset ����" �•���'/
Service Door Location e`� -�i f�'��' ' f
Uld Garage Removal By '—"
Otd Cement Removal By �j`� -1
4L.-'lC. 3i.�ia2c!�(' � � � �'f�K �%W �l�!i^-�(i .
Driveway �� �' ��.. L��'�7. �s���%j�c.����
Blox $iz�and Lacation V—`—
;
Waterproaf � --- Bockfill -�'"
Ezcavation By �
Gradu I Steep
` Grade Flat Slope�.� 5lope
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PLOT PLAN DETAIL
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sue�ecr PERMIT
City of Fridley 2 2119�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i � RECEIPT NO.
, �
� • COMMUNITY DEVELOPMENT DIV.
� � ti: - ----�
r � � PROTECTIVE INSPECTION SEC.
� ' �'��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE Of APPROVEO B�
�'"'"� � ,'� 612-571-3450 910-F15 9/20/93 / /
JOB ADDRESS 6595 Anoka Street NE
t LEGAL LOT NO. BLOCK TRACT OR AD�ITION SEE ATTACNED
oESCR. 29, 30 5 Oak Grove AC�{C�il'tl.Ori SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ray Janey 6595 Anoka Street NE
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Richard Hastings Contractor 6331 Riverview Terrace NE, Fridley 574�-9966 4051
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION � ALTERATION C� REPAIR � MOVE O REMOVE
8 DESCRIBE WORK
Reroo,f Hfluse (25 Squares) 2nd Layer
9 CHANGE OF USE FROM TO
STIPU�ATIONS Roo�ing can be the 2nd layer but not the 3rd, Install adequate attic
ventilation, �royide smoke detectors as per UBC 1210 adjacent to all sleeping areas
and in basement.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VEN71LA71NG OR AIR CONDITIONtNG.
THIS PEFiM1T BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AF7ER WORK 1S COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEFEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS O� LAWS VALUAT�ON SURTAX
AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO �`2�000 $�.eOO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR I.00AL LAW REGULATING coN- $45.OQ Fire SC $2.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE 70TAL FEE
� �,�'a � � �J.�c.�,�. � 20 �'3 License S $5. $53. 00
SIGNATUAEOFCONTRACTORORA HOR12EDAGENT iD TEi WHE OP R LIDATED THIS IS YOUR PERMIT
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SiGNATUREOFpWNEAi�FOWNEABWLDEA� i�ATEi BLDG �NSP �)4TE
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Effective 5126i93
CITY OF FRtDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,
Building Permit Application
Construction Address: l S�s � t'�o� � S f. �Y•,�',.
Legal Description:
4wner Name & Address: ��A�/ � � Tel. #
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Contractar: ��i2 D �A S7` %�r.G'S MN LICENSE ��vS
Address: (2.�j� ,�v� � �,1 7"'F�' Tel. # S� ->'9��
Attach to this agplication, a Certificate of Survey of the
lot, with the proposed construction cirawn on it to scale.
LIVING AREA: Le�gth _
GARAGE AREA: Length ;
DECK AREA: Length _
UTHER:
DESCRIPTION OF IMPROVEMENT
Width Height
Width Height
Width Hgt/Cn��nd
Corner Lot [] Inside Lot [] Ft. Yd Setback
Type of Construction: j� F� o o�
Approx. Completion Date:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Sq. Ft.
Sq. Ft.
Sq. Ft.
Side Yard Setbacks
Estimated Cost: � Z D o a
zs s,�.
(Cost on Back)
Ft x $
_$
DATE: �2 v y' APPLICANT: E���.�� /��..�� Tel. # s� `�' `�16C
Permit Fee
Fire Surcharge
State Surcharge
5AC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
S � a �> ��
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$ %. 0 c�
�
$ �.cd
$
$
$
$
$ ��.0�
t�
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/i0th%)
$.SU/$1,000 Valuation
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Conservation Plan Review $450.00
Fee Determined by Engineering
Agreement Necessary [ J Not Necessary ()
STIPULATIONS: