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AF - 34965suerecT PERMIT NO. City of Fridley AT THf TOP OF THE TWINS g U I L D I N G P E R M I T ' 12 � � IPT N COMMUNITY DEVELOPMENT DIV. ~ � PROTECTIVE INSPECTION SEC. � � �6�� r ; . i : � 9a� �� "'i � CITY HALL FRIDIEV 55432 NUMBER REV. � DATE � PA6E OF APPROVED BY ��«� � ,•� 812-580-3450 910-F15 � � JOB ADDRESS Fif27 �101i8, Stl"EBt N.F.. 1 LEdAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2Q� �t. ],9 2 08k Grove Addition SHEET 2 RROPEHTY OWNER MAIL AODRESS ZIP PHONE T�alter Maciaszek 2727 R3ce Creek Terrace N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECTORDESItiNER MAILADDRESS ZIP PHONE LICENSENO. 5 EN(i1NEER MAILADDRESS ZIP PHONE LICENSENO. 8 U5E OF BUILDINO 8eside�tial 7 CLASS OF WORK CIIC NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBEWORK �onstruct 40' x 32' Dwelling and 18' x 22' Gar$ga 9 CHANdE pF USE FROM TO STIPULATIONS pronide a hard aurface driveway. Provide a verifying survey before capping. SEW�ii. Lt)CA�"ION: 186' N. of Manhole (T.x�,v. 887.42) Wye Elev. 888.22 Tnp of Footing : 891.22 Min3.mt�m WATER LOGATION: 12.1' N. of Sewer Service SEP�R�TE PERMITS REQUIRED FOR tNl�l HEATIMG, PLUMBIN� AND SIGNS. ��A SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBINti, HEATINti, TMPE OF CONST. OCCUPANGY GROUP OCCUPANCY LOAD VENTILATING �R AIR CONDITIONING. �ijppd Fr8ffie THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONIN(3 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION R�1 lO�{ OR WORK IS SUSPENDED OR ABANQONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET RARKING I HEFiEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROYJSIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WDRK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINQ OF A PERMIT $7-9, 628 9.$], DOES NOT PRESUME TO dIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW HEGULATING CON- �47 � O� $275. OO STRUCTION R TH6 PERFORMANC F C NSTRUCTION. � � �///�� PLAN CHEGK FEE TOTAL FEE '[ 3�..81. N REOFCONTRACTORORAUTHORI2EDAGENT r�oar HE PROPERLY VALIDATE THI YOUR-P�RMIT � a SIGNATUREOFOWNERIIFOWPIERBUILDERI IDATEI BLDG INSP pATE .� Walter Mac�aszek a_ ` � : . _�. �.�__ i �— � � ; � -�— � i , . _�' ! I �- � � , ; . ; � � �` 'i ► � ...� � � � ;� i 1 � I � ' � �_ � � ,�-- � E: Q ; � . �' � � � i. � !a � � .. _ .. . .� ��{� � �, ° '-/ �,� ^84 - /r� � �°' � t� __t, � L�„� d 3_ � , � _ �-� . , _ _ _ . �.'� , � _ ,, � � � . , , Lv � � �_ R� . � �. .�� F .. . � C ' , • � •�. . ��.� ��1. ' " `$'i 1� �,�1� - . _ � ,� �'/z._-5-�� _ . .. . �1��_�� a �( � � _ .. � , , � �� : - . � � � . _.� �,�_.� -��r � , . o . . c _ 1_?,�.4� M��s. � ,i � _ — � c� �' , � . ` � { � 5'c��.� : �� - �� 1 � � i � -dta�c�o-e�s��t._. - � � ;,� . ., � � .. ---0 � � . � 1 �.� .c�`� ��. _�° , . l 2�.� P�.w�. _ _ . _�J��.��_�-- � ---- . � . Lot 20 and th� North 1/2 of Lot 19, Block 2, Oak Grove Add�tion, •. . � , � �, Anoka County, M3nnesota �- � � . g� �� 4�nai thi� ��, n1an, oP reporr , . � ppeg�s'esi b� me or uaxder my direct super- , • �ion �sl �at. I atri du�y �2e �'stered . Land ; � . ��' o¢ �e St�te of lddinri= • 0 . { �¢�---- � � "�� .1V0._ � � � , � � . _ -- � � , � ,_, . `'� � . �tai<J�� AIV D -- - --- . � � � a �.1.�'� S-�. ;..�..8�lC,-._- � _ - � _ _ �. �Nl� � �J s.! ��1 ��3� "_ _ , ' G� � � �� , �� . � �s� �- P . � Z.°c� e �' �� T�o nJ /�� t �r d � i�� C.�',� � �� ' �� : l�� . °— ��- � � . Y.� Gc�� -^ l d �� `� �to — � S� � � / �2 ��,�i/rt v.�� j �i/ `f �rr ��o � � � �� . 2 2 ��7' � ��-. �� %�.. J s � d � o��,� � � � �.� o :n �� e � � �� , T� C , t � APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA �9: OWNER'S NAME: `' BUILDER:� ,�<i,7`F��d� c��af�L-,�i ADDRSSS : - ADD1tI�SS :,�'7Z� ,� �,/C'�' CaPL=/,/� J'��,�'� No:��_ s��:_ .�� Q/�d� PS'�^. LOT:� O'* Na� /%BLOCK: ` ADDITIOAT:__� ��' n f��,�� d' � �/_ CORNER LpT; INSIDE LOT:�SETBACK:� SIDEYARD; .�� Applicant attach to this form �vo Certificates of SuxveY of Lot aud proposed buildiag locatian drawa on the8e Certificates. DESCRIPTION OF BUILDING To Be Used As; � � ^ Frout :_�! Depth : Q /�/-Ha • ight. Square Feet: G9 y� Cubic Feet: �'? /' Front:_�� Pth' �. 1. Height; . Square Feet;��Cubic Feet: (> � Type of Gonstruction: Estimated Cost; To $e Cotapleted; � I � � � �� The underei�aed hereby makes applicativn for a permit for the work hereia �peeified, agxeeing to do all work in sttict accordance with the City of Fridley prdin�ces �nd rulings of the Depa�ment of Buildings, and hereby declares that all the facts aad representationa stated in thia application are true aud co�rrect. •. . �T�. � szcru�� : � � � (See� ers Side Faz Additioual Iaform,ation. ) Q �'� . � ,� 4,;,�' � , �; � � S > � S � � , � ,.�- �� ^ �, ,�, 7 - ` � c� �.--� � -� � 1�-t' °-� �`' ' , I ' �__.__-__-�� -� �'� � � ----_ � � � � � P `� � BUILDTNG PERI�II� ��E SCHEDULE SECTION 2. The Inspector of Buildings s1�a11, before issuing permits for the exection of aay building or structure, or for any addition to any existing buildiag or atxucture, or fox aay altexation or repairs to any existing building ox stxucture, upon application therefoxe, require the paymeaC by the applicaat for such permit of fees to the amount herein below set forth and in the utanner herein provided to-wit: � tTNIFO'RM BUILDING CODEm Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. �pe 3& 5_- $1.85 for each one thousaud cubic feet. - , � ADDITIONAL INFORM�.TION �'or the purpase of camputing fees for building permits, the cubical con�ents of aa� building or addition, is determined by multiplying the ground area covered fram a point six (6) inches below the floor line of the basementt o= tl�e cellar to the average heights of the upper surface ox to the average heigl�t ot the rvof surface of the main gable of a pitched roof. For repairs or alteratioas to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in � the coat of all propoaed work. �� A� �;� .,1 R � Ia ao case shall the fee charged for any pe�cm�.t as set foxth in Section 2 be les� than $5. 00, � °" ,, �,. ��'4 �'° , � �� ai_o , � �- . � � 'n� ' � �� aE` �:, V�RIFICATION OF FOUNDATION NOTE: Pexmits �or eonatruction will be issued a mi:t�mim of 24 hanra from the time of application, �o allow for propex �review af the proposed structure atsd of t.l�e coastructi.on site. A Certified Suxvey of the lot, showing the loeation of tiie foundation, once it has beea co�structed, will be required before proceeding with the framing. CERTIFICATE OF OCC�JPANCY Applieation for a Certificate of Occupancy shall �e m�.de ten (10) days prior t4 the u�e ox' occupancy of any structuxe for �hich a building peraait has been issued; and said s�xucture shall uot be used ox occupied until a Cextificate of Occupaucy haa beea is�uad. , •-�. _ � ,, �-� Walter Ma�iaszek �i �.��.�_. Q � — -.. , , � 3S' `-O , . _ . C�_. �, l� � , - , . �� , � ,� ;� . , i � � f` � , ; ; � q, � . � .�. I � �� 0 �'/i=S-S �4��4� � � _1"�..� .�_b�L�Y �e 1 ��.�� s, : 1 �� 0�3`�' ��. i Z�.O i��.��'. ' ,� , i3Y. '�'�:, � �' �y � td G�i� � A�II , . tl.;d� � .�� - _- �� . � Z, . �e �� ! � � `s �C��.i� : � ° � � �� Y �� °° t�� 1��. � � -�t��-��5��._,. ...� -- ---� �,� � . � 4{ � � __ �r I Lot ZO and the Nov�th 1/2 of Lot 19, �lock 2, Oak G�ove Addition, �,. .Anoka County, Minnesota �- � a . Y � o�affY that this �a�v�q. Plaa, or retx�rt . � H�'�ed by xs�e or uaader my direct super• _ � visaoaa �naei �a�. I a�a dcaly Registered I.anc' Snaawey� aanci e � o¢ t�ae St�te of 1!/liu�a- . . e��. �j . �� + � + � 6..7 ��} 1\� � �L r,� -.,�.. ��,i�. . � ' , '�— ,o�, ��/ . . . . .._.. ._.. — --�---�� - — � • � � - � . !`dC?/Cll�3'9 P1/1f0 �`�.�i�'[�S_� �,'�:� .— - �.�� S��t�*Od��.._ - � . ___., ..�.,.: _ . . �I � �.t - � • • 560-345Q � . ��L O �NIGi�LG � . � ANOKA COUNTY � 6431 UNIVERSITY AVENUE NE �� 25� �,974 FRIDLEY, MINNE547A 55421 WA�.tiEY MB,C�SS2G�:G 2727 83.ce Cre�k Terrace . New Brighton, Minaesata 55112 0 Re: Verification Survey Dear Mr. Ma.ciaszek: . According to our records, your home being built at 6627 Aaoka Streat N.E. on Lot 20, Pt.19,B1ock 2, Oak Grove Additi�n has not beeu resu�rveyed since your foundation was completed. If you have a copy of this required survey in your file, will you plea.se forward a copy to us. _ If you have no� yet hacl the survey made, please l�t this be a xem3nder . to yvu that these verification surveys are a City requirement and that they are essential to meeting the City Code. .• We hope that this mattex can be �aken care of within the next }:5 days 'sd that more drastic steps wil]. nat have to be taken �o gain compliance. I£ y�u have any questions, please feel free to call me. � Sincexely,. �� \-__-.� . �� ' �L G. CI,A].ttC Cv�unity Development Adm. DGC/mh � � . � � � � �� 1 N G� I � �. � � s � �� O � � � � � � � � � W � � � m � �b g � �� : �� : �� . . . . � � . . . � . � . . ' . ' , ' • � � , � . �; gi' � �° O t� �� r� � o . � 00 � � \ � x 8 � � � � � � .� �� O - �r+ r � � �� a��x � 1 � � � � " � o � � � � � �' ,� � R� � � � � � � � � � ��: $'� ��:� M M. � �+* � � �� ; �. � • _67 � . - . � � � y!"�. ; � N �A . . � Q. • ' ' � � � : ; • � � . .- � . . . �. . � � � Q � 8 8 � 8 8 � � � � � � .� � � O �� m � `� ' � a � � �� 0 Q � � � �� e �� " � � ��°� �� ° �.. �� .� � � � �8 �. � � . � � � : � � � : � � � . : �$p� � . . � �� . . . T' �- . . � � �. : . ' Q � . . � � . . . . . . . � �.��o, 8.88�8 0 � � o � � G a � � � � � �� ~ j�� C� '� . �t�' , �, �' � � � � b g. � x O � a � � � 8888.� � � � I � �.� � �� s � � 5r � � _A_ ��s�. b �.�°�, pp��! � ��,�. � � �� - O" eA+� �y �m � �.. p �� .�� '� � .. �� . � � �, � � A � r � � O I � � � � � � � �4 � � � � � �. � �� s .� � �� ' i�ii�tip ��L�lir.AT1�1115 - IfII11W1�6 Yti"'1}�11e1�IU auwe� �eu.�sr� r�,u�►.. : ` Weathe�iRs G�d�E Const�uc�tinoi.�,b. Ir�ula�an � YVi�ows Qaors eference Out Wad It�t: Wall CeiFin� Roof Floor Kind How llpplied Y�-Na � Ye.�-Nio 19 . SF�T �c R�m ( ler� � �d� _$` Height $ � fl. I r ,� Ro�n � length Width Height Windows an� Doors--Crac e arni IUea �lindows artd Doors--Crackage and Area ' Width Heipht No. of Lineel 1. ,/lree �d1b HeigM Ne. oi Lirteal /ltep . No. of Pene oi Pe►ro fi M� of araek . s4. ff. No., oi P+►nA of pairo li hb oi erack n1. ik ,�- 1 t� l � `� _ • � f r " � . �-- �o . � .. Coef. :, Btu Coef. Btu_ 1�'iltration y� h�ifitration 61ass ` . : � . - _ �� Exp. wa[[ S" , ^A Exp. waH 4 Net exp. wall ' ;Net.exp. wall " . �, ,.�� ; ' Int watt , : _ IM. wall �lo�: � -� ; w _-- -,_._ _,, _ FlOOr -- - -- , _ _ .-_. ---- _ . Ceit. : , Geil. ` � �„ Q „ TotalBtu. � Total 8tu. � Required'sq. ft: F�D.R. ar sq. i�. WA Leader area . Required sq. ft. E.D,R. arsq. i�. W.A. Leader area �� I f C� � Room !`Length Z Wid#h S Me�gM � FI. (-- �`� Roam Lengdt Width .� Height �ndows artd O�rs-Crackage and Area ��ows am! Doors-Crackage artd Area Width' He�gh�No. of Lineet ft.TArea �dtA Heiq�t�-No. [sf Lirtaal if. /lroe No. oi pen� of Pane li Af� � o/ nack � eq. i!. �yr .� No. oi peae of e� t' liqhfs of crock s4. i!. Ep f 3 - �� r � �-.� :' ;;.� �.,: � , _ . ,. �Coef. 8tu Ccref. 8tu Ir�ittration L.�S� llll I g� U Irtbltratioa : 1� � i�� :� .� � Giass . �" Glass � � .Z' �p. wall ,A�, , �.6� � Exp. wall � �' Net exp. walt �,-.� _ �; .�-� �- Net exp. wali L � ls�t. wall . IM. wall � Ftoor .�;� % �` � � �' �"�; FIQOr Cei{. CeiL , / � � 0� . � .. TotalBtu. ____ ' ,__��__ - <: -- , `� . _, . TotalBtu. -- ; _ . _ _ _. _ � -._. _ Required sq. ft. ED_R. or sq_ rns_WA Leader uea ` Required sq. ft. E4�.R. or sQ. ins. W.A. leader area ( FG I j5 �:,C 1 Raom � Lengtfi.� � �dth � Height ` Tl Ft. + k` � Room � Length ' Width �� Height Windows and Doors--Crackage and Area indows and Doars—Crackage an ea W�dth Height No. oi Linesl tf. � Area Width Hai No. of Linea! N. Ama No. ' of pane of pane lighf� oi c�sck, .� aq. fi_'. • J,;: �, No. " oi pane oi De iplMa of crock sq. k. ' � �. t �y :z_ / c ,, � -. .� . y �.s;,. �.� a P, ,. �Y1 :d � `�' �' �� • � I ti � <� � � � ; � �i � `+ � � , ; Coef. Btu Coef. Btu IM'iltration ?: r^ �. � IM'iltra�ion _ � f ,,�: l'.; Glass � .�� Glass , ,�i. ; . • ;; `Exp. vaall d. � i�. �- �;,'3 Exp. �tl '� '( : �� : > .� � ` �.� Net exp. wall "� (�' �:� �"� .l Net e�. rval! - , @ p ,; � `e� ,� � int wall � � : Int wall � � Floor . Fl�r Ceil. � � � r' °�''' h ;''a CeiL � ,.,� � . T�tal Btu. Total Btu. : . . � �.» Required sq. f#. ED.R. o� sq. ins. WA Leader area ; Required sq. ft: ED.R. or sq. ins. WA Ceader area ( M� �AT ��SS CAit�tA�iO�s ��8 DE�w�if�N1' � � rrl�r�r� r��. � q A.S.H.Y.E � Con�b�N� Insulatiai t.. ; � , Wsa�tastri� Guide � � �� eference �. W� il�fi. Wail Ceil' Roof Floor 1Gnd Haw Appli� j Xi�-t+to - Yes---No : I�._ Fi. � �'° , Rawn � length 4Yidth (,, Height Fl. � R�n Ler�th � Width Hetght Windows and Doo�a-Cracka arid Area � Y�indows arai O�rs--Crackage a� Area Wid1A Hai4 1 No, of Lineal Ares No, ��,� ot pen� li�his of�craek w. A• t�o. ot Pe� � Pens li hh ot crocli sq. it. ��/ I �� 3 . �' � �- O � �f , g� . Coef. $tu (fi`iltration S , I�filtration 61ass � � ` Fxp. waii Exp. waU �et exp. wall ; ^ � Net exp. ww�Q ' !M: waii I�. watl � ' , -ftoor=��-- = - - - -- _ - F�` - - - - _ - - � 'i CeiL d'` .t�L Eeil. totat Btu. : TotalBtu. Required sq. ft. E.D.R. Ur sq. ins. W.A. Leader area � Requirdl sq. ft. ED.R..or sq. i�. W.A. L�der area ��. � � 'Room !.lengt6 Width HeigM Fl. �. � A, Room J Length Widt� Neight Wind , s and Do-o;-rs---�-C�rackage and area = ��ndows a�d Doc�-�Crackage a�d Area VY'�th HeiBnT I rie. ot Cieeel k.T/►eea � tlVidtA lie�—TNo. o linee H. /vee No. of pane of ve liphfs � ot creek : �q. N. Na of Reiro of � i I ht� of eraek W. ft. � Z � ' . f � Coef. ' Btu Coef. Btu tafiitration � �°" ?..$� infiltration Glass � Exp. wall , � Exp. well Nat exp. wa 1 %�g C� Net exp. wall tat wall Int. wall • , Hoor I firar . . CeiL Ceil. , . Y� � _ _ _ Total-8tu. , �. - - • -_�_ �_��.. r-- .�: r,: Joiai Btu. : -� , . _ , . � _, _ : Required sq. ft. ED.R. or sq. ins. W.A. Leader area Required sq. ft. ED.R. or sq. ins. WJl eader area � FL � ---Room 1 Length r Width � Height - FI. � Room � Leagth Width Height � Windows and Doors—Crackage ar�d Area Windows and Doors--Crackage ami Area W�dih' Height No. of lineel 1f. : Aree _ WidtA Height No. oi 4ineel H. Arse No. of pane of pamr ii hts of croc4 s. ff. No. ot paAe of peee liphb oi erack W. fi. t � Coef. Btu � Coef. Btu I�iltrati� Infiltra#ion ' 61ass Glass . I Exp. wall ` fxp. vrall . � . , Net exp. waU ' Net exp. waii !: I�. wall , InL mall Floor ; , Ftoor : Ceil. . CeiL ; Totai Bte. Totai Btu, " Required sq. �' � D.R. or s�. i�. W.A. teader area , Reauired sq. it EO.R. er sq. ins. W.R. leader area 1 ._.,_----�_ _ sua�ecr PERMIT �City of Fridley "�17 3 5 3� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �� RECEIPT NO. � ; L _ COMMUNITY DEVELOPMENT DIV. //� �� r � � PROTECTIVE INSPECTION SEC. ' i ' , r�� CITY HALL FRIDLE�' 58432 NUMBER REV. DATE PAGE OF APPROVED BY �'"""� � �� 612-571-3450 910-F15 12/13/83 / / JOB ADDRESS 6627 Anoka Street N. E. � 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. P't. �.9� 2� i Oak Grove At�C;l.'k1011 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Myron Marquardt 6627 Anoka 5treet N.E. 571-7265 3 CONTRACT ��SeS MAIL ADDRESS ZIP PHONE UCENSE NO. M. B. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO. B USE OF BUILDINO Res�i.denti.al 7 CLASS OF WORK ❑ NEW � ADDITION � ALTERATION O REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Install a Class. "A" Chi.�nne for a wrood bux�►ing st�ve 9 CHAN(iE QF USE FROM TO STIPULATIONS Install combusti.on ai,r i� existing furnace room area. rnstall fire ala�nns in basesnent a,rea.. � EPE�ATE PERi�I�S �Ep�IRED �OR �dIR4�; � HEf�i1NG, PLU��3iN� �� SIG�.� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TMPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCEO 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. OWLG. 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 OHDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR NOT. THE ORANTING OF A PERMIT $l�OOO y�`.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW RECaULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $17. 5O PLAN CHECKFEE TOTALFEE � I Z ""I �_ p- .00 SIG . UTHORIZEDAGENT tDnrEt WHEN P OPE LY V ( A: TH S YOUR PERMIT �� SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI P nATE � CITY OF F�IDLCY , Effective Aug. 1, 1981 /+PPLICATIai fOlt f:CSIOCi�T1P:� SUILDli�G A�PwiITS (I�c�l. Alterations. Additions. or Rcp�irs) Ot.r�ER: � �� v �� ADDi:ESS: � C 2 ? �� S� �I�,� TE� �0: 5 7 ( �7 Z � � �6UILOER: � � - G��`'��r�s eg I1Da'tCSS: f7 �S— Ldd 3 �� TEL 110: % �G ` `�' e C Construction Locatian STJt�T NO : � � � r STJiEF.T: �N-6 � �''t �� ' `/� yp9�: �' ��BLOOCs e� ADAITIO.i: _�� Q(�r�� 1-��/l� --�----- Corncr Lot: _i Insiile Ipt: _ Setback: __ Sic7eyards: Ap�lic�v�t attach tfl tl�is fosm t�.�o Certificatcs of S1�rvcy of lot anci p:oposed building locstioa drawn on ceztificates to scale. DESCRIPTIO�: OF C0�lSTF�JCT10t� Fzont: Depth: Height: Squarc t'eet: Wbic Feet: Front : DePth : H eigl�t: Square Fc+�t: CUbic Feet: . �%�-�S � � `� C�-�-�-nC e � . ..� �%� � C�� ' a t: �lO�rv� '.7 pe of Co....tructian : '"'�. �� Estvnate Cos S � (.2�DOD , rJ � �.c � 1b Se mr.�plcted: �►lt. A 1►1 t. 8 Propos�d Dravc�aay Midth If New Opening Is Desired: $ S , , SL� Ps.VF.R;L' SIDz OF Si�E�T , 9i�e undersioncd hereb:� m31;cs applic�tica foz a perrcit fcz the �:ork hesein sp�cified, agzeein3 to �.all �o:k ir� striet.aceozclsnce �aith the Ci:}� of Tridley Ozc]ir�ances titd rulin�s of the Del�.�rtme��t ef Dui:c7inc,s, and hereb} decl�:res th�it all tlu facts and zeprer�c��itiens stated :n this applic.�tion azf tarue and coszect. D.`.TE: L � �� a � SIQJATUIv: /%/!�`��%L�'� �—_-.--- Stil�ult+ 'ons: ��, J?r , J� � ---� -�� . ( (� C� , ; � i�� ' �' , ,, i , (. . . � �, �, � - �� / �� Y" - Tbe Chiet Building Otticia� shall� pefore iasuiag permita for tbe erection of any building or atructure� or for any addition to any ezisting buildiog or structure or !or any alteration or repaira to aay e:i�ting building or atructurs� upon applicatioa tberefore� require the paymeat py tbe applicaat tor aucb permit of tees to tbe amount bereia bela+r set tortb and in tbe sariaer bereia provided to-vit: 'lottl oaluation �1.00 to =500.00 Fees =10.00 (Miaimum =15.00) 5501 to =2,000.00 =10.00 !or tbe lirat =50o plus =1.50 � tor each additional �100 or fractioa tbereof, to and including =2�000 =2�001 to =25�000 =32•50 for the firat �2,000 plus =6.00 tor each additional =1,000 or !'raction tbereof, Lo aad iacludiag =25,000 =25,001 to =50�000 =170.50 for tbe firat =25 � 000 plua =�•50 for each additional =1�000 or lraetion thereof� Lo aad including i50�000 i50�001 to �100,000 =283.00 for t6e firat =50, 000 plua =3.00 for each additional �1�000 or fraction thereof, Lo and including =100�000 =100�001 and up =433.00 for tbe tirat �100�000 plus =2.50 for each additional =1�000 or . fraction tbereof Plan C'bsek: 25 percent of building permit lee. Driveva� Depressioa Escrox: Conerete �urb atreets oaly. Alteraate ■A": Removal and replacemeat of eurb aad gutter only - Driveway vidtb plus 6 leet Limea =13.50 Alteraate "8": Removal and replacement of curD and gutter and ,install a 3 toot vide approaeh vith 6 inch depth - Drivexay ridth plus 6 feet_times =15•75 . . �. Permits for construetioa rill be iaaued a minimum o! 24 hours trom the time of application to allox for proper reviex ot tbe proposed structure aad ot LDe construction aite. • Certificate of Survey of tbe lot� aboWing the location of tbe fouadation oaee it bas Deea constructed will be requfred �efore oroeeedin� rith the framiag. ,. ° � , �-� ..� : - � � sue�ecT PERMI City of Fridley 2 2 0 9 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r . � � R NO. � ; v � _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � ( �� . � l--_- � ��'�h,, CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROYED BV � '� 612-571-3450 s�aF�S 9/l0/93 � � JOB ADDRESS 6627 Anoka Street NE t LEGAL LOT NO. BLOCK TRACT OFi ADOITION SEE ATTACHEO DESCR. pt ].� � Aj 20 � Be1.00�C 2� Qak Gxove Addi.tion SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Diane Hai.da 6627 Anoka �txeet NE 571-8472 3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO. J A Hunter Construction 1009 42� ASre NE Minnea oli.s MN 55421 781-79 0 8 8 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICEN3E NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDIN(i Resi.dential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION O REPAIR O MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 16� x 12 `. Three �eason �orch Addition 9 CHANdE OF USE FROM TO STIPULATIONS See notati�ons on plan. WARNIHG � Befare digging call for all utitity locat+ons 454-D00? REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBINCi, HEATIN(i, �PE OF CONST. OCCUPANCY (iROUP OCCUPANCY LOAD VENTIIATING OR AIR CONDITIONIN(3. THIS PERMIT BECOMES NULL AND VOIO If WORK OR CONSTRUCTION ZONINO SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 8Q DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLti. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I MAVE READ ANO EXAMINED TNIS APPLICATION �' STALLS GA{iAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ypLUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $Fj�(aOO S3.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINO OF A PERMIT ` DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER TATE OR LOCAL LAW RE(3ULATINO CON- 8]_.00 Fire SC yfi6.O.O STRU ION HE PERFOR NCE OF C N3TRUCTION. $ � PLAN CHECK FEE TOTAL PEE �' c,�l,t s j- �b... 3 License C$5 0 $95.00 SIG TUREOFCONTRACTORORAUTMOAI2EDA6ENT IDATE� WH R VALIDATED THIS IS�UR PERMIT �� SiGNATURE Of OWNER �ii OWNER BUILDERI �OA7Ei -� Blpfi INSP nATE caua�ct»vua�s�z r � N� [ � • Fi�e�ttVe s 1 AnDN I I Gq'1�Y 4F FRIDI�Y ";��✓ ALTER (] SING€LE PAMII.Y AND �DUPLEXES R-1 AND R 2 � L" P !�" �d�ng �m�t A�c�On � Can�n�ction Ac�ress: � 7 �l ,,� .�N o K/� S� ��.� I.egal I�riPtion: � Ur�' Name dt Address: ��+� E�� Tel. � S? I- �3� 7Z. ��: �. A � � ��.C.��,�; �x �accExsE # 000sa8� Ac�dress: l o Oq � a�� ,�• Tel. � � Sl 796c� Auach to tbis application, a Cectificate of Suzvey of tt� l�, with the pro�d con�ruc� drs�wn on it to scale. DES{:RIPTI4N OF IMPROVEMENT idVII�IG ARBA: i�gth . Width Height Sq. F�t. CiAItAGE AREA: �gth �V'�h He�ght �. Fi. D ��A�� Po�I'�gt�` /�' � vV'�h ►�` �Tgt/t�ro�md �,�„ sq. F�. 1 9 a C�ner Lot i I � I.ot � T�t. Yd �k Si� Y�d S�I}�acks Type of Constivdicm• l•l� oo� Estim�tted Cc�t: $ °'r�°�'� `� �Q�. ��tiLil/il �. �� s iC� t�n Back) Drivev�ray C�urb Cut Wic�h N�d: �. + 6 Ft -�= Ft x$ _$ � �DATE: �' `! -�1 � APPLICANT: ' Tel. # �c�i -7�� , , c �� ' � P�nrit Fe� S �.0� Fee �le on lteverse Sic� `� � ��w��' Fire Sin�charge $_ C� ;f �.001 of Pe�mt Yaivatimt {1l1� � I � Sl�te �rcharge $ � (� C7 $.SQ/$1,000 Valuation � �� (�/� SAC Cha�rge � �'l� p� SAC Unit ��__ � _ --�--.�.,.�. __ � -� _--�.� ��..�___�_.`ti License Swc�arge $ �• E? C� $5.(IO (State Licensed Resid�ntial Conb�cto�rs) �lIYCWSy ESCiUW $ Alt. "A� t�' Alt. "B° AbOVC � �1T01 $ COnS�di►81'!OII PISti �CVIB�1/ $4�Q.� � � $ F� � by Engineering Sewa M�e Cfiarge � A� ATece�ry [ l Alat Nece�ary I] T4TAL $� -��. C� STIPULATIONS: I � _ � � . �� BUII.DI1�Tii PF�IMIIT FE� �CHEDUI.E . �: r- The Chief Bnilding Official shall, before issuing p�mi� for ti�e �ection of aay buildiag or strudure, or for atry addition to aay existing bmlding or sbructare, � for a�+ alt,�ation or repair to any existing building or s�ruGure, upon apPlication ther+efore, reqaire the �nent by the applicant for such permit of fees to the amonnt h�ein l�low se,t forth and in the mam�er herein provided to-wit TOTAL VALUE $1 to . 5500 � $501 to �$2,000 $2,001 to $25,U00 � � $'L5;001 to $50,000 . $50,001 to $100,000 FEES $15 {Minimum Fee is $15 plus sincharge) $15 for first $�0 pMs $2 for each additional $100 or fraction thereof, �to and including $2,000 � $45 for f�rst $2,000 pius $9 for each additional $i;000 or fraetion th�eof, to and including $25,Q00 $252 for first $25,000 pXes $6.50 for each additional $1;000 or fraction thereof, t�. and i�lnding $50,000 - . $4�14.50 for f� $50,OOU Plus $4.50 for each additional $1,000 or fracxion the�neof, to and includiag $100,000 _ $1�,001 to $500,000 $639.50 fo� first $100,00Q plus $3.50 for each additional� � $1,000 � fraction the�eof, to aad including -$500,000 $500,001 to $1,000,0� $1,000,�1 and up $2039.� for ttie fir� $500,000 Plns $:i for ea+ch additional $1,000 or fi�bion thereof, to and including $1,000,000 $3539.50 for the f�rst $1,000,000 plos $Z . for each additional $1,000 or fraction �the�eof ° DRIVEWAY DEPRESSION ESCROW �co� c� sr�� o,�y) Alteraa�e "A" : Removal and replaceme�t of cmfi attd gut� only - Driveway width plus 6 fe� times $13.50. � Alternate "B": Removal �nd r�laceme� of c�rb and gutter and install a 3 foot wide. appraach with 6 inch depth - Driveway width plus 6 feet times $15.75. 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 the proposed stivctiu'e and of the construction site. A Certificate of �urvey of the lot, showing the lor,�tion of the foundation once it has it has been constructal will be required before proceeding with 1�e framin8- �z. - d � r' ` LJ ��.�. ��r� �i�D �� '��. �� (� 10130 CENTRAL AVE. �V.E. (Hwy.65)—BLAINE,MINNESOTA 65434 l.,_J 712 SOUTH MAIN 3T. — CAM�RIDGE .MINNESOTA 65008 : MORTGAGE LOAN CERTIFICATE: wALT�R 'YIACIASZEI� ;; � Y• ScA� � I"=30� �.326- �95 73 H � � O Z. Q � �: ��i �� IzB, �tiME� 129.0 Pw-r, 3�.6 40,35 O � . t�0 8•35 -- . � �4-2.9 , � 32 i . � �' � { %Z-S-� w/ c R. . (i29.o . � iZ $.07 M A5. � �- L6cA�. De.SCR��-iorv : LOT ZO A1�10 THE �IORT1-i �I'Z O� LOT 19 � �L.OG1< `�� OAK GROVE At�p1T10N � �NO� COU tiITY �(1� 1 h1 N ESOTA . CIVIL ENGINEERS LANDSURVEYORS Telephone 784-5480 689-4798 �� a }� � � � �,d'�.. .o z a _ o � o o Z tD v } W � J d THIS IS A 1tAT SMOWINd TH! OOUNpARIES OI' TH! IAND AdOV1 DtSC81BLD ANO O� TH! LOCATION O� Alt IUIlOM10S, I� ANY, TMEkEON, ItND AU VISIBI! [NCROACMNtENTS, II' ANY� !'a0M OB ON dAID IAND. NO llAitUTY 18 AbbUMt� LXtE�1 TO TMf MOLCl� uF A MORTCi�GE LOAN NOW iEtNO �UCEp ON THI �BOPlRTY OR ANY OTH[R IHTlRtST ACQUIRED �� TM! RlASON O� 6UCH MOkiGAGE, iT IS UNPERSTOOq AND AOREED NO MONUMWTb NAVI itEN �IAClD �OR TN/ �U#rON O� lBTMLI5HW0 lOT UNtb OR dOl1NDARY CORNE�S. DATED TMlS ,.,�.�,,.N�.... DAY O� ...............��,.!.l.�l'..........�.......�.»..........�� A.D. 19�� . N. C. HOIUM AND ASS TES, I C. �: � ...................... � � ' � . t�-t�GN,h Mlnn..oto R•Ql�trotlon Na. ...� . ..4tf7 ..........................�...�................................... .�.�.. L � . , _ _ _._ _ �.=� - _ . _.._._ _ -- ----- -- ---- -- - _. _ ------- ---- --- — -- — - --- ---.._ _ _ . .. 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BLOCK TRACT OH ADDITION SEE ATTACHED oescR. pt 19, Al 20, B.lock 2, Oak Grove Addition SHEET 2 pROPERTY OWNER MAIL ADDRESS TIP PHONE Diane Hai.da 6627 Anoka Street NE 571-8472 3 CONTRACTOR MAILAOORESS ZIR PHONE UCENSE NO. J A Hunter Construction 1009 42� Ave NE Minnea olis MN 55421 781-7960 808 4 ARCHITECT OR DESIGNER MAIL ADORESS 21P pHON� LICENSE NO. 5 ENGINEER MAILApORES3 21P PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW �D ADDtTlOtV O ALTERATION � REPAIR q MOYE O REMOVE 8 DESCRIBE WpRK Construct a 16� �t T2' Thr�e Season., Porch Addition 9 CHANGE OF l7SE FROM TO STIPULATIONS 5ee notations on plan. � � � � waR� � i�� l� Before digging cai� for �� aH utilit� locations � 454-0002 j�E�n �v �c�.�as�z�� '��f;�5a w�� REC�UIRED BY L�W S'Qr:r..� , 19�Y , SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTtLATING OR AIR CONDITIONING. THIS PERMIT 9ECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SQ. FT. 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' . ; I " . �. ' .i .; � f " ;'�• � �.�. �; ��- ,. k1....� . _ ..� "'�.�v� �. 3 , ?-7�, .. .a'°""r"" ��i �L, ��'� ' '�'-� 18 - - �- - --- - - .. - ' "--=--. _ _._. _ ___. Cr.'�.�' i ir: • , y V ,�• • �;-' ' y't!�. ��CQ%•-k' � _ �;�.•�TfL.�&?'��:+rr .,41. _%�}_. - �--- - --.. . ... (�- (?_� �3 � � - � . . _;_ .;.l�- -. .. � F��.�� _. . .i .� _ ._ ....._ ._ , . �.� . ir, � �---_; �, --�' ; .1 . . �'� � =� ' 1 � - � �' . : ;� 11 r �.l � '�;-,U f� ��-7L�-� � �; : �! -. � � ��n� t? .� � �- �� , , � .1 . �, �,�. , �- `'` � � CI�IY�F FR! DLEY �R[DLEY MUNICtPAL CENTER •(�i31 UN[VERSITY AVE. N.E. FRIDLEY. MN SS�i32 •(612) 571-3�50 • FAX (612) 571-1287 November 22, 1993 J. A. Hunter Construction 1Q09 42 1/2 Avenue NE Minneapolis, MN 55421 Re: 6627 Anoka Street NE, Fric�ley Dear Mr. Hunter: JbN g:3o �-g �a.11�� l�-I� �3 � �,. �o �.� a � S�.,c� � � M1 .�: �. �,��,a f�r i 4 � � � -�6s�- c�n.°``� . �,V N��' The City of Fridley Building Inspection Division was called to perform a final inspection at 6627 Anaka Street. Upon review of the construction we noticed that the floor joists on the dwelling cantiYevered beyond �the four�dation. wall. � Upon review of construciion documents siz�mitted with your application ta construct a 12' x 16 � three season addition, �he cantilever conditi:on was not shown. ' Based upon what was observed at the final inspect�on we �must require additional footings and.a beam to support this cantilever design load. Other items observed include the fallowing: 1. Grippable handrail for one side of stair complying with UBC 3306(1). 2. Open side of stair to be enclosed with guardrail/handxail spacir�g of less than 6 inch openings. 3. Provide mechanical strap connectians between post and beam. Should you have additional questions or wisri to diseuss this communication, please call me at 572-3602. Sincerely, .9/'/`� ` �,� / :r . THOMAS BLAZINA Chief Building Official TB/mh CC: Ms. Diane Haida, Homeowner � � � d ` e @� � 0 .� � � �. VJ � v ,_ � W �1 a � O � � 1 � \� a'i. � r � � ,.U. r � 3 � �C �w-� � U�S t�,.�c�',v �� J� �V .J j•^ L � �� i ?� � ��r I � I � Q 2 � m a � m � J � f 0 C � v �. ir' : � " z � �. m � 0 � � 6 � � Q � � - �� + � t �' �i�lF� r �^: �■ I D. -� m Vt ° � Z rt • f-�-, fA. N F_ � m A � `�V � Z � � � .- " ; '" r" m �" � � O � � � -� �. n � o � � ,. w � � , . � �- �ri a 0 n m p .m n � r y � � � O { Z ._. f 's w� i � r�' � � � M ; r � r O G� � ' � -� � i � �-` � � � � � -� w � � � � �a 6� � �r � � � � � � �� D $ m � C � 0. � '. {0 � c �,, � " l0 ° � r � � I � I �' � � o�, � i-- b � w . . � ' � .s _ CI�IYOF FRIDLEY FR[DLEY MUNICIPAL CENTER • G431 UNIVERSITY AVE. N.E. FRIDLEY, MN SS432 •(612) 571-3450 • FAX {612) 571-1287 November 22, 1993 J. A. Hunter Construction 1009 42 1/2 Avenue NE � Minneapolis, MN 55421 Re: 6627 Anoka �treet NE, Friclley Dear Mr. Hunter: The City of Fridley Building Inspection Division was calYed to perform a final inspection at 6627 Anoka Street. Upo�n review of tY�e construction we noticed tY�at the tloor joists on the dwelling canti�evered beyond the foundation wall. � Upon revi�w of construction documents submitted with your application to cons�ruct a 12' x 16' three season addition, �he cantilever conditian was not shown. Based upan what was observed at the final inspection we must require�additional footings and.a beam to support this cantilever design load. Other items observed include the fo�I.owing: 1. Grippable handrail for one sid� pf stair complying with iTBC 3306(j). 2. Open side of stair to be enclo�ed with guardrail/handrail spacing of. less than 6 in�h openings. 3. Provide mechanical strap connections. between post and beam. Should you have additional questions or wish to di�cuss this communication, please call me at 572-3602. Sineerely, f� ,,. • f_�� . �' �=' � ,, TiiOMAS BLAZINA Chief Building Official TB/mh CC: Ms. Diane Haida, Homeowner sueaecr p , City of Fridley 2 6 5 61 AT TNE TOP OF THE TWINS g U I L D I N G P E R M I T t i L O. � `v � COMMUNITY DEVELOPMENT DIV. /�� ^ r � � PROTECTIVE INSPECTION SEC. �y � t � � i--_- i ��"','� CITY NALL FRIDLE� SS432 NUMBER R6V OATE PAGE OF APPHOVEO BY L �� 612-571-3450 staFls 7/13/98 / / J08 ADDRESS 6627 Anoka. St. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. pt. 19, al 20 2 Oak Grove Addition SHEET 2 PROPERTY OWNER MAIL AODRES$ ZIP PHONE Dianna Haida 571-8472 3 CONTRACTOR MAIL ADDRESS 21P PMONE LICENSE NO. Midwest Sidin & Roofin 18979 Gladstone Blvd Ma. le Grove MN 55311 416-4$04 4 ARCHITECT OR DESIONER btA1L ADDREBS . IIP PHONE LICENSE NO. 2001�2�� S ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDINO Residential 7 CLASS OF WORK � NEW 0 ADOITION O ALTERATfON �1 REPAIR ❑ MOVE � REMOVE B DESCRIBE WORK Reroof house and ara e 24 S Tear-off 9 CHANt3E OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REQUIRED FOR EIECTRICAL, PLUMBINd, HEATiNG. �PE OF CONST. OCCUPANCY (iiiOUP OCCUPANCY LOAD VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(i Sf�. FT. CU. FT. AUTHORIZED IS NOT COMMENCEO WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABAN�NEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DVYLd. UNITS OFFSTREET PAqKING I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED TMIS APPLICATION 1 STALLS GARAGES ANO KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNIN(i THIS TYPE Of WORK WILL BE COMPLIED a WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT ZOOL 1.OU DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TNE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW RE(iULATING CON- S !! ION OR THE PERFORMANCE OF CONSTRUCTION. ]/+. %S Fire SC L.00 1�PLAN CHECK FEE TOT E ' �°" � �3�� icense 5 . ?5 SIGNATUfiE OF CONTRACTOR OR AUTMOR12ED AGENT IDATEI E PR Y VALIDA HIS IS YOUR PERMIT 6 - � ' � 1 S�GNATUREOFOWNER��iOWNERBUILDERi IOATEi B �NSP qaiE N� [ l ADDN [ ] �°�-� Il Eff�tive 1/1/98 ��. : ;.: CITY.OF FRIDLEY SINGLE FAMILY -AND DUPLEXES R 1 AND R 2 �(p k`3� _ . BUII.DING PERNIIT APPLICATION �p_ . �_ . . .. . ... _ .,, e _ '� ._ ConstructionAddr�ss: (v �a� % Jg �G�� S � • . , , Legal Description: Ovvner Nazne & Address: �►"�'v�il� �4. � Tel:. #:-�7/- � �� Contra�tor: �� w�s �, si�ir�l� �� o� �� 6 MN LICENSE # v�D/ o� 7� Address: _�� lac�'�'es�ast{ J3%r�� %'l�� (r�� v� �'�l% Tel. # C!/(9 - �/f1'ca� � ��` Attach to this application, a Certificate of Survey of the • lot, with the pro�sed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECB AREA: 01'HER: DESCRIPTION OF Il1�IPROVEMENT Length . Width Height Sq. Ft. -' Length Width Height Sq. F� Length - Width �� Hgt/Ground Sq. Ft. /�v�P d- �-ri �� Construction Type• `� % �� / ��-U �iEstimated Cost: $@�,�'�rJ'�� -- � � � �- , (Fee Schedul e on Ba ck) � . Driveway Curb G�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �-/�� APPLICANT: � v�J Tel. �{ �1l(, -�-/�f Permit Fee Fi�e Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL ST�ULATIONS: � $ � S $ `C��- $ /.1� Z� $ � �� $ $ $ $ / � �. ° CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.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 Deternnined by Engineering � Agreement Necessary [ J Not Necessary [] _ �. � � n a , . ' � . BUII.DING PERMIT FEE SCHEDULE � The Chief Building Official shall, before issuing perntits 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: AL 000 000 000 0 0 oa cti sed Surve ore -- _- TOTAL V UE $1 to $500 $SOl to $2,0� $2,001 to $25,000 $25,001 to $50,�0 $50,001 to $100, $100,001 to $500, $500,001 to $1.�0. $1,000,�1 and up FEFS $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 � :1 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,�0 $574.75 for "first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $1�,0� $887.25 for first $100,000 plus $5.� for each addi�i�nal $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $5�,�0 plus $4.25 for each addirional $1,000 or fraetion thereof, to and including $1,000,000 $5012:25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Rem val and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Rem val and replacement of curb and gutter and install a 3 foot wide appr ch with 6 inch depth - Driveway width plus 6 feet times $15.75 . VERIFICATION OF FOUNDATION _ Permits for constru on will be issu� a minimum of 24 hours from the time of application to allow for proper review of the propo structure and of the construction site. A Certificate of y of the lot, showing the l�ation of the foundadon once it has it has been constructed will be required bef proceeding with the framing. �.. - �. M SuB�ECT City of Fridley AT TNE TOP OR TME TWINS g U I L D I N G P E R M I T i � � � � ; L �� COb1MUNITV OEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. i--_-� �"'�'� CITY MA4l fRIOLEY y,S1J2 NuMBHR L 612-571-3460 s�aF�s �oe nooRess 6627 Anoka Street NE t LEGAL LOT NO.P,t � 19 BLOCK TRACT ON ADOITION oescp. A11 20�t 2 Oak G�ove Ad 2 PROPERTY OWNER MAIL ADDRES3. ON DESIGNER S MAI� AOOIiE38 MAtL AODRESS R8V OATE 9/1/99 ZIP / / PE . 3015' RECEIPT NO. ��e APPROVEO BY SEE ATTACMEO SMEET PFIONE UCENSE NO z�n �n��itiR� PMONE LICENSE NO. PMONE IICEN3E NO Resi�,ential � CLASS OF WORK O NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE � REMOVE 8 OESCRIBE WOIiK 0 9 CHANGE OF USE FROAA STIPULATIONS TO Ca11 for building ear�a.p inspection before coveri.ng. SEPARATE PERMITS ARE RECUIRED FOFi ELECTRICAL. PLUMBING. NEIATING. �pE bF i VENTILATING OR AIR CONOITIONINO. TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NIN(i AUTMORIZED IS NOT COMMENCED WITHIN 80 OAYS. Ofl IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO FOR A PERI00 OF 1T0 DAYS AT ANY TIME AfTER WORK IS COMMENCEO. NO. DWL I HEfiEBY CERTIFV TMAT I HAVE REAO ANO EXAMINED THIS APPLICATION ANO KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of L,AWg yp�UATI� AND ORDINANCES GOVERNING THIS TVPE OF WOFK WILL BE COMPLIEO �'4000 WITM W T ER SPECIFIEO MEiiEIN Oii NOT. TNE GRANTING OF A pERM1T DOES OT RESU E TO GIVE AUTMORiTY TO VI ATE OR CANCEL TME pERMIT F PpOV ION O Y OTH ATE OCA EGULATIN(i CON• R CTIO E PER �TMAN�'i�Of O � N 97�'L t l f F % � PLAN CMI _ � l � .� � Lic S�GN4TUNEO�CON•iiACiOpOfi UTN qIjED4 IDATE� S�GNATUAE O� OWNEp�� OWNEp BU�LOEp� IOA/E� o� 0 UNITS STALLS �RVUr pGGUPANCYLOAD CU. FT. OFFSTREET PARKING IGARAGES SURTA)( $2.00 f�6 .� NEW � � ADDN ALTER Effective S/10/99 [ ] CITY OF FRIDLEY [] SINGLE FAMILY AND DUPLEXES R 1 AND R 2 BUII,DING PERMTT APPLICATION Construction Address: � � � �— Legal Description: _ �� ; Y,\ � � �� Owner Name & Address: ��V'� � Tel. #�� r- � � Contractor: n � � MN LICENSE # ,�� /� P ;' Address: ' � �Tel. # �� r–( �3--�'�� Attach to this.agglic�ti�,�y�:C�cate ef.Survey o the lot, with the progosa� constructian drawn��on it to scale. LIVING AREA: GARAGE AREA: A: O �. Construction Ty�: Length Length DESCRIPTION OF IlYIPR4VEN�NT Width Height Sq. Ft. Width Height Sq. Ft. �idth H�tlGround Sq. Ft. Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x =$ . DATE: ` �� APPLICANT: ��'�l = Tel. � ✓`�'�J�� "�� . . CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharg� Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL 5TIPULATIONS: $ �S°" $ • !� $ o?--t� c� $ �_ � -<�� $ $ $ $ �� Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $S.QO (.Siate Licens�d:l�tesidential CornractQrs) Alt. "A° or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Nece.ssary [ ] �, • - .a BUII.DING PERNIIT FEE SCHEDULE The Chief Building Official shall, 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_ paymen� :by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $5� $501 to $2;(100::: � $2,001 to $25,000` $25,001 to $50,000 $50,�1 to $100,� $100,001 to $5�,000 $500,001 to $1,000,�0 $1,0�,�1 and up FEES $23.50: ` $23.SO.for first $504:pius $3.05 for each additional $100 or fraction:thereof, to and including $2,000 $69.25 for first $2,Q00 pl�s $14.00 for each asiditional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,0� plus $10.10 for each additional $1,0� or fraction thereof, to and including $50,000 $643.75 for first $50,�0 plus $7.00 for each additional $1,000 or fraction thereof, to and. including $100,000 $993.75 for first $100,000 pius $5.60 for each additional $1,000 or fraction thereof, to and including $5�,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,� plus $3.15 for each additional $1,0� or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement a� curb and gutter only - Driveway width plus 6 feet times $15.50. Alternatc °B": Removal and replacemen��of��urb and gatt�r and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. 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 the pmposed structure and of the construction site. A Certificate of Swrvey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. . 5., _� 0 �.C. �OIU�� A�D ASSOCiATES, I��C. � a10130 CENTRAL AVE. N.E. (Hwy.6S)—BLAINE.MINNE�TA 66434 712 SOUTH MAIN ST. — C,AM�RIDOE .MqVNESOTA t53008 MORTGAGE LOAN CERTIFICATE: WAL•r•ER MACIASZEI� � � � Sc�►� : I "=3p� 4326 —19s5 73 �: 3�.6 � 0 � � O Z �4-2: 6C � - � ��. �, � IzB. �aME�,ss, 129.0 Pu�-r) 3Z �a i %Z—S—F W� GAR. - '129.0 ��,A,�-� I28.o� MEAs. LE4A� De.sc,r��vrio�► : Lo-r 20 AI�IO THE No�r�t �/Z oF La�- 19� �1..00.K Z� OAK GROVE AOp1T10N � �NOKq COtJ I�ITY � 11� 1 N N ESOTA . CIVIL ENGINEERS LAND SURVEYORS Telephone 784-6480 669-4T88 C, � �.- !0 � � � �� 0 0 t0 � Z a 0 0 � � TMIS Ib A►LAT BMOWWO TM! OOUNpAIti@S O� TFi1 LAND ADOVI DESCfU9e0 ANp O� TM! LQCATION p� AU �{Jl�pp�ab, ��r, TMEBEON, AND All V1516t! RNtROACHMENTS, I� ANY, �ROM OII ON 8/UD tAND. NO WUlLiT11 ��MtO IXC[�T TO TM� MO101� P�F A MopTGAdE IOAN NOW �dNO ILACED ON TMI NtOPeRTY OR /WY OTNlR INTtR18T ACO{/IR�p �Y TN/ qASON O� WCM MOfITGAG@, iT 15 IiNpEqgTpp� AND A{ift� NO MONIJMWTb MAW �) rLACtp �OR Ti� WR►Ob O� 18T/WJ�10 �OT 1M/d ON /OUNOARY CO�. pATW TIpB ,F�... OAY O� .............,,��..�1,�L'........................�......... AA. 19,7'r,. . N. C. HOIUM AND '�g, G . °��. � ` M�/111HOff1•R�9��10}�OII,NO� �u� u��in��....� .............�....�........�.�..��................��. W � Q