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AF - 34980n � C3ty of Fridley, Minn. BUILDING PER.IVIIT .1. -. -��.- . •.: �..�_ p�; C�st�r Maeiag� g�� Same Ad�ress �1A L�ng:fei i ow�T.F_ p� �S.�me. ��1�� 11�� 9923 LOCATION OF BUILDING Na —��... Str+eet �oka� S't��et Part of Lot y� 26-5� 27 gl� 2 Addition or Sub-Div�fsioat Oak G�ove coraer Lot _ Instae Lot _.._� setba.cl� ._._.�..' _.... sifleyara �?-22,�—� gewer Elevatton ...8.�2?� �Pn� c�f'�nnf�rg A DESCRIPTION OF BUILDING To be vs� sa: _„]ltaPl �;�q,�; Front �— Depth —�.� Seight ?Q' Sq. Fi � Cu. Ft 22, 000 Front Depth Height Sq. FL Cu. Ft TS►pe of Construction Frame �, � 1,��..00 To be Completed 120 Days SEWER. LOCA'L'ION: 127t South of Manhole WATEEi LOCATION: 194' South of Ma.nhole In eonsideration of the fseuancx to me of a permit to construct the building deseribed above I a�ree to do th� ProPosed work in acxordance wlth the d+escrlption above aet f and ce wlth a'11 provis4one of oniinanc�es of the dty of Fridley. � . ewex onnec ion In c�sideration of the �yment oP a fee of $��, �� , permit 9s hereby graated i� Chestex Maciaszek to c�nsia uct the buildin�' or addition as d�crib� above. T�ia permit is �ranted up� the exPr�s condition that the P�n to whom it is �anted and his agents, eanploye� and workmen� in all wark. done in, around and upoa said building, or any� thereof, shall oonform in all esre pecta to the orainanc�s a�f Fridley, Mina�ota lacat[on, construct�on, alteration, maiatenance, repair and moving oP buildin�a wlthin the dty ]imiffi� peraait may be revoked at abY ti�r►e upon violal3� of aay of the P�'ovlstons oP ea�d ordinan�. _..-� : ,� Of�icial Building � No'nc� 'fld. ps� aoas no� � ths �mtroaioe, t�a�toe 1�sr wi�, p�umidee. e.. 6e�g, � o► w.t�r. e. wr. to ... tlro enildio� I�ar �er � P� hr dna It�. �i APPLI��TION FOR BTJILDINC PERMIT �ITY OF �'B.IDIsEY9 MTN1vESOTA ow� Ps N� �N�sT,�� /�IA��+�z,�X B�zr�� S� M� • ADDRESS .� � o d d N�- r' F�c < 0 w �V. i: � �D�R.ESS , r LOCATIOIV OF BUILDIl�?G 1V0 a % % ,� STR�I' /� �D � l� S /. t LO � BLOCK a A�DITION OR SUBDIVISIO�T D/�/C �li�0 wx' . COR.�,'EE� LOT I�TSIDE LOT // S�?I'BA�� 3�— SIDEY.ARD JU a.2 �'z SE"WER ELEV'ATION TOP OF �'OCTII�G Applie�.t attach to this �o� 'I'�ao �'e�tificates ot° Su�v�y oi Lot a:nd propo�ed buildi�g lo�atio�c� dra�n. or� th�� Ce�ti�icatesa �ESCRZ�'T.iON 0:�' BU�LD:LNG To Be �s�d �se �� "� � p�v �.t<i �w 6- Fr^o�.t �'%'� D�pth °y!� � Height .2 0 �quare ieet �/ 0-� Cubic FE�t e2 a_o-o-G � Front Depth Height Squ��e �eet Cubic Feet Type of Con�truction j�G61j /�=�i4{�j�r . Estimated Cost /S� 4-oa °� To Be Completed f�? 0%��4 i S• The undersigned hereby ma.kes application for a pex^mit ior the raork here�n speci�ied, agreeixa.g to do all work isa �trict accordance wri-th the City oi Fridley Ordizia.nces a.nd rul�.xags of th� D�partment o� Buildixbgs 9 a:nd hereby decla,rea that alI the iacts ata.d r�p�eser�tations stat�d i�. this application a.re tr-u.e �nd correct o D9.TE S� d� � G�J I6 b' SiG�TA'.i'UR.E � (Schedule oi Fee Cost� car' be fouxid on the, Reve��e Sideo ) ^p�/t�,�� r�� 3 3 � /.+<GL� ��' xl.�S.��,,'� � ��'6 \� � a ' . c� i� °� �j �G r''''� � ,. _ � . BUI7�lDING PIl�NiIT F'EE SCHEDUIaE SECTION 2o The Inspector of Buildings �hall, before i�suira.g pernits for the erection of any build.� or �txucture, ov° ior an.y add.itiox�. to a�.y existing �tructure or buildi.ng, or for any alteratiox� or repaire to a.ny existi_ng buildi:n.� o� �trv.ctur�y upoxa appZication therefo��, �equi.re the pa,yment by the applicant for �uch permit of fees to the amount he�e�a below �et fo�th a.n� i.n. the ma.�.ner here�a. provided to�wit: IIniform Build° Codes Type 19 2, & 4-$1075 ior each one thou�azid cubic feet, or fraction thereofe � such cubical c:ontex�t�o Type 3& 5- $1050 for each one thoueand cubic �eeto For the purpose of computing fees for buildi.n� permite9 the cubic�,l contents of any buildin.� or addition to a un.iform height throughout by multiplying the ground area covered from a point six (6) inches below the iloor line of the basement or the cellar to the avera,�e hei�ht of the upper �urface or to the average hei�ht of the roof` �urface of the ma,in �a.ble of a pitehed roof e For repairs or alterations to an existix�.g structu;�e, the fee aha.11 be at the rate oi $3a00 per each iive hundred dollara (�500000) or fraction thereof ixa the cost of all proposed worko In no case sha.11 the fee eharged. for a�a.y permit as aet iorth i.n Section 2 be less than $50000 NSSSD Co.nnection Cha�ges based on location - Area 1 or 2e � � �_ � . _ . � � 0 aszek i . � �� .� �� V � � � � y i� {� i� � , � ;� �o.' � ___,_. _ ._ Y/. �_ � � '�'�CPfil..�• � - ��--_ � �`� ��-' I'�� %o� < < �� ____ � i.� � � . =�r�o�-__. _ D � . � � . r ' � Lot 26 and the South 1/2 of Lot 27, I h�by c�ffy that this survey. plan. or report B1 oCk 2, Odk Gv'OVe Addi $i On , , �• wss prepared by me or under rny direct super- � vision � that I am a duly Re�istered Land Surv�yor unde e la ff�e State of 14�iaa�- Anoka County, Minnesota �� . � �� . ' . � ` � A�tp ��'� eg• N �' _ � �. - - (r''1 : ..�.._.C�.%7�0/l/,�VI. flNL� /�',��DG�iiES;T.,NG.--- . , .. � � -- ..._.._...___ ,._. .. _ � _��..__. _ .:_ L�t,v,� _ ,��cw��ca��:�.��__ _____�___ _._. _ . . = -- — — .��. _.. ,. w,�. �,.,a�-� ..��,F �...�.�._�. . .�.....�.s�.,.�...�......�..�... � � R 0 g � � � � � O- � � . � �. �� p A �� r o M�� x � x � � � � o FP � � � ��Q � H � � � . 0 0 �� 3 � Z�^ �, � n D 'i �go � �, Z N � _ a m �� :o �� ; N Z O � � > a � �� M � �a�� o��y�� : �� : : $ � : : : � : : : : �'' : : : : �. • I I I m � � � � x � ,� � o � � 8 � � � �� o 0� b0 I � � � 0 � � :\ � 0 r a � C � y O w �W m� �� •� � � : � . � = �o • � : �. : � � � � � o w � � � � � � �fff�� 3 M a �� W �� ,� � � � � °. Od �' � � � o ° z 0 I� � \ 0 b � �� a a O O �� o� � � � � �� n N �° x � o m '� � �� o�0 � ',� � � �g' �3 � w W o 0 � 8 � � �� ° ,� ,� � � ��l�(��' �' F' ti (p Ol �y. � �� ° s� � � �p $ � �. . � �. a, � � Q s' a � ' : � �Q . ; � $ • o � : : : � � � � � W o � � � � � �, � � 0 . 0 0 O � H Q � ¢ o y � �o ¢' p' ce �a y � e�1 O f�A M e � � � bd � � � � 5 � � g � � h d z � 6� ° L, 1 0 °x o � � 0 � m � � ,�� S �� m � � � �� a"'�� ° � " �° � go�� p � � � ° . �, a � � � a �' . . o : : � o . : °c� $ : : $ : : : A W � � o � 8�8�r� � 0 � a.aA � `� �j ,� � O � �� M ��'�� Q .. ��. ��°� a�� °O�. � ��b � oN�� m � �a�p 1T p �� o � � a��D a a�� F"� �F! �� M � � � �. D � � � -� T H _ T v T � Mf � x � � � � � � � � O � �� _ � �' � 3 � � � d � � � S. � � � � 90 � � � � � O. s . R � I� � � � `�� p � � e�� `-� ' „��r� �� . HEA? LOSS CALCULA'fIONS DEPARTMENT OF INSPECTION � NIDVNEAPOLIS. MINN. � Weatherstrips �ae Construction No. Insnlation Windowa Doors Reference Out. Wall Iat. Wall Ceiling - Roof F1�r K,ind How Applied Yes—No.. ` :Yes—No 19— " r Fl. '�� ' Room Length Width '�°� Height � ,' F7. ' . Ytoom Length ` Width Height � ��` Wiadows a rs—Crackage and Area Windows and Doors—Crackage and Area Nldth Helg6t - No. ot Llneal f. Aeea Wldth Height Na oL Lfaeal it Area No. of pene o[ yane IlBbte o! crack eq. ft . No. of yane of paae lighte � o! crack eQ. f� � � . ��,;, � , ,� �`' ,� �` � � `.� � .� �"al �" � � � -- .,� � �' Coef. Btn Coef. Bcn Infiltration �a �� c'_� Infiltration '� �,�,�^"� Glass �,d�"' �"`e� ca�' " �a�"r_'� Glass �� i$ r �� W� � .LL�` . . �i. W� . Net eap. wall !� � � Net eap. wall � /� ��' �- �' - Iat. wall In� wall Ceiliag �<� Ceiling Floor .°�"��' ��i .�� Floor • Total Btu. �� c�'�;� Total Btu. Required s. ft. E.D.R. or sq. ias. W.A.'Leader area " ��''' Recryired . ft, E.D.R. or sq. ias. W.A. Leader area F1.� Room Leagth �,/' Width ' Height �`"" ��► FI.I Room I 1.en�th �� Width � Windows and Doora--Crackage and Area k��' Windows and Doors—Crackage and Area WtQth Helght Na ot Lfaeal ft Area WSBth Hetght Na o! Ltnesl tt. ' Area Pio. of.pan�r ot pane, lighte o[ craok ea. ft• . No. ot ysne of Dane lighte o! crack ep. tf� � �� ,� � � � � � � � �. Coef. Btu � In6ltration f � +�' � � .P� In5ltration �: Glaaa �° �"` �-� � Glasa �� Eap. wall '� � Fap. wall �•: Net eap. wall '�/ .d`� �� Net esp. wall ,: �. In� wall Ceiling � Floor � �.: TOtal Btu. , - _ .�,,� Required sq. ft. D.R. or�sq: ins. W.A. der area ' Fl. �_� m � Lengt6 Width -.,� Wittdows aad Doors—Crackage and Area Wfdth Helght; No. ot Ltneal It. Area + No. ot ya,ne - ot pane ligb2e ot crack s9. It . e .� . 1 % � � .io . /"�s In6ltration I � � � Glaas Eup. wall ;�' _ - Net tacp. waU '` - t ` Int. wall , � Ceiling � � , Floor - - � ' '�� 'fotal Btn. . '': Requina sq. ft. E.u.R. cr aq. ina. w.A, lsa►def area � - II Fl�r �:. .: ,----��I� �� . :. �� -� A �� .� s �. Total Btn. Required sq�. ft. t D,�R. or aq. ins. W-.A:1 eader area ��%�.� F7.� � Room I I.ength , Wfdth , Windowa and Doora—Crackage and Area 'Widtb Height Na o[ Llneal tt Area Na of ane of paAe Ilghte ot crack sQ. !t. � � �� e" � �+"' � p r°7 c� � ' Infiltration Glass '.� - : . Exp. wall Net ezp. wall Int wall . Ceiling Floor a�� _ � �� r F.. � �: � B� r� � �+ �"I � �� IIRequired sq. k. E.D.R. or sq. ins. W.A. I.eader ana � ' � G � � � � � p � � o . � . � • M . O . � . m � : � . � � v V A ro � � � � Q � �• � � � � � � x � � p � A � � � 8 � Q' � Gf �'� ��' �� b � °� �.: �°�: �:� a � , � � ' ' bd �o : °° : � : . � O . . . � O : : : : � : : : : O O N N N M iG C! iE CC �4 4d � � � �8 �3 � � � � 8 � �� 0H e H Q� o o � � o � � � � � � 1'D" � T y n _ m C r 177 O a � 8 � � � � � �. � \ 0 ' ■..�' � _ ..�.' : _ ��a� � ■■�, � � ��Q� : �� ..� p❑ I � `� �' � � � � � � � � b � � �' � � I � . WATER Q06ET5 uwwnis e�rH Tt�s �,� SINKS ww�r+ rnnvs DRINK. FOUNT. SFiYYRS. FLOOR oaaNs um+ s�siNs nuro w�me cns �. «sas wwce GAS OPENINGS �. Z. � � � r� � o. a'� � �� ,,�, a O f�D QC �� o � �' �° � �a � �� bd � � �� . � � o` �� p��o p � �.�o ��" �� ° � � �.��.� �� .��" �� a �� 1� 3 � � °� � °� F � � � d �� ao � �i3 �M p � w� �� 'b �: � � � n � �o ''' � � � � � � �M � � � w � � � , �-`�- C,ity of Fridley, in�n $431 University Ave. l�. E., Mnnneapolis, �inn. 65432 BIJII�DING PERMIT . ��: - Mav 19 � 1972 �•• _., u� :.�: . .�•. �i�a :��- ,� .. ;�.. � �.� :��- >,-��'� �� .� � LOCATION OF BUILDINC , N� 6675 s,�t Anoka Stxeet N.E. P� ��t yp� 26. S'�27 g�� 2 Addition or Sub-Div9siaa Oak Grovw Addition Ga�aex' I�oi Inside L�t X Setback Sideyard �ewer �+ai3an Fouadation IIewation DESCRIPTION OF BUILDING To be IIsed as: , Gara.ge Fraa�t 24� DeB� 28' I3eqgt,t lU' Sq. F� Cu. Ft � Front Depth Height Scl. Fk C�. Ft. Tyi�e of Conai�uctton _..a'do.o� Framp F1si. Cost -s,,3e 0�_ 16 To be Completed ��.j►.�r � -- Stiplations: Provide a hard aurface drive. Provide frost footinga. In considerai3on of the issuance to me of a permit to construci the 'bnfidiag descxibed above, I agi�ee tq do $he P�P� work in accorda.nce with the d�arlptton above set forth and �n c�mpliaace with all provisions og �anoes oP the city of Frtcuey. ,�,� �1 �l ./� _ � _ In ca�ideration of the payment of a%e of $��.U__; permit is hereby graated to Rona.ld B jorgo to construct the building or adclition as described above. T6is peranit is granted upoa the expre� cpndition that theperson to whom it 9s granted and his agents, emplayees and workmen, ia aII work doa�e in, around and upon said buflding, or any part thereo� shall conform 3n all respects •to the ordinanc� oE I�'rYcIIey, Minnesota reg locaiion, construction, alteration, maiutenance, repair aad moving of . buildin,�e ;ayl�� diy limits an� permit maq be revoked at any time upon violation of any oE the provisions of ��tid Buildin,g Inspectar . ['.T.ARF.N('.F. Ri+'T.TST F NOTICE: ffiis pemnhh does aot eove� tl►e eonstruetion, hu�aUefion fo� wiring. plumbia9. 8as heaMng, sewer or water. Be wn to tas dts Buildiag laspe�for fo� separate permhs for th� items. � - r, d' _ " ± APPLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING P,�RMIT CITY OR FRIDLEY, MINNESOTA � �' ' � �/ � • :rL � •.� �� :1 �, i � � �_ 1<[_ � - I �� . . �� !' �� ' � ' NO•. STREET: , :,. LOT: o�(o�,.S�BLOCK: oZ, ADDITION: � G�, ��j/J c�Q, �, +� CORNER LOT: INSIDE LOT:�SETBACK: SIDEYARD: �°' Applicant attach to thia form �o Certificatea of Survev of Lot aad proposed buildiag location drawn on these Certificates. � To Be Used As: DESCRIPTION OF BUILDING Front: o?S! � Depth: oZc� ' Height: ��' Square Feet ;,_,_ � Cubic Feet : (p %2 (� , Front: Dep'th: Hei�ht: Square Feet; Cubic Feet: Type of Construction: ��/�CBA'Y10.� Estimated Coat: $ o�,�O'�/�►. /� To Be Completed: (.�,,Q � The uadersigaed hereby makes applicatinn for a permit for the work hexein specified, agreeing to do all work in sttict accordance with the City of. Fridleq Ordinances and rulings of the Department of Buildings, aad hexeby declarea that all the facts and representations stated in this application are true and correct. ��: 9 S�G��: � (See fleverse Side For Additional Information.) ' e . ' f � '�'l t � � BUILDING PERMIT FE� SCHEUULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for aay alteration or repairs to any eacistiaag building or structure, upon application therefore9 require tfl�� p�.3�a��t b� tiae applica.nt for such permit of fees to the amoaax�t herein be1�Qa �et f��th �d iaa the manner herein provided to-wit: UNIFORM BUILDING CODE: 1�pe 1, 2& 4-$2.15 for e�ch one thousaxad cubic feet, or fraction thereof, in such cubical contents. 1'3rpe 3& 5-$1e�5 for e�.ch one thousa�d cubic £eet. ADDITIONAL INFORMATION For the purpose of camputing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floo�c line of the basement or ttae cellar to the avera�g heights of the upper suxface or to the average heigi�t of th� roof �uxface of the m�in gabl� of � pitched roof. For repairs or alteratiuns to an exicting stPUCture, the fee shall be a� the rate of $3.00 per each five hundred dollara ($500.00) or fraction thereof,in the cos-t of all proposed work. In no case sha11 the fee charged for any permit as set forth in Section 2 be le�s than $5.00. VBRIFICATION OF FOUNDAI'ION NOTE: Permits for construction will be issued a miaimum of 24 hours from the time of application, to allow for proper review of the proposed structure aad of the construction site. A Certified Survey of the lot, showing the location of the fouadatioa, once it hae been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupaacy shall be made ten (10) days prior to the.use or occupancy of any strtxcture for which a building permit has beeA issued; and said structure shall not be used or accup3ed until a Certificate of Occupancy has beeu issued. � ' `S ��.�. ��°� AP�� '�`��'� �, I��. 10130 CENTRAL AVE. N.E. (Hwy. 65) - BLAlNE, MINNESOTA 55434 ' ' . " CERTIFICATE: R4NALD B.�ORGO : i 1�= O � :� . � x O � l, � � 35;� � h 38.9 � � . � �. t2�.0__.-�L�E'i =- —1 28�a_.1 't �AS -- 40,o r � T�= � �__-- - u� 5To�t� � � � ��7 5 _. . � . � �.� - - � �128 ,�7 1`'� EA5 � ! 2�, 0 . pI-A'C _- . � 35;0_ . �.=5=� ,�l0(055 //%// . � '��- .n � 0 � ., l s \ / ~4i , ��' CIVIL ENGINEERS LANDSURVEYORS Telephone 784-5480 � . � � . w � � � 0 '� ..�SCA��; i�'=3J_' Z 33�3.- 12�-7�:-. ._ � ��? 1?�t�oT�s l#�ON � J � � r` � :.� LR ` � m ' LEGAL DESCRIPTION: Lot 26 and the South 1/2 of Lot 27, 61ock 2, - _ Oakgrove Additian, Anoka County, hlinnesota. 1 HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE ABOVH DESCRIBED LAND, AND THE LOCATION OF ALL BUILDlAlGS, THEREON, AND ALL V151BLE EN• CROACHMEN�S, IF ANY, FROM OR ON SAID LAND. ASSURVEYED BY AaE THIS....1.1..�.......DAY OF ._....! �1:�Y ..........................A.D. 19..�..�.f.'....... � N.C. HOIUM AND ASSOC{�i7ES, INC. � , �� ,• : t'!'�„-.!-:��Yi�t ..................S..J.. .. .. . ...........«........................... ��i � Minneso4a Registro4ion PRo. ...�: +�`.Evs�..... . U , r . : � � . - ' � • � �r • . . i��., -,z . . . - — - �.;. .� ;��';R �� _,� � �.�.,; .;�y C[ZYOF FR[DLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 • PHONE (61?l 571-3450 F�ebruazy 24, 1987 Ronald Bjorgo 6675 Anoka Street N. E Fridley. 1�N 55432 RE: Street Inoperakale Vehicles Stored at 6675 Anoka Street N. E. Dear Mr. Bjorgo: � On February 17, 1987 it was oonfinmed b� an orrsite inspection that you are maintaining a 1973, Maroon, AMC statio�ragon, with expi red 1 icense DOX 444. Ct�apter 123 of the Fridley City Co3e requires that all vehicles in the City be currently lioensed a� in a street operat�le �ndition An alternate is to store said vehicles within a building or at an approved location, e. g. a 1 ioensed j �mk yard. Rt�erefore, the City must require you to r�aove said vehicles f ra�a this property or bring then into oamplianoe with the City Qaie by either lioensing a�7 putting the vehicles in a stree� operatale oondition, placing then within the mr�f ines of a building, or renwing then to an aPPraved location A reinspection will be oonducted on or about March 9. 1987 to determine aompl ianoe. We are oonf ident in your aooperation and desi re to make Fr id1 ey a better ao�mn�ity to live in If any questions or prohlens result fro�n this letter, please feel free to a�ntact me at 571-3450. Failure to abate this violation may result in this matter being turned over to the City Prosecutor for his legal oonsideration Sinoerely, Ridiard W. Wiersaa Cflde Enforaenent i�aW/ltm� C-87 79 SUBJECT City of Fridley AT TME TOP OF THE TWINS g U I L D I N G P E R M I T i• � � � `y _��_� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � 1 ; . i-.-.� ��"' �'� CITY MALL FRIDLE� 35132 NUMBER � 612-571-3450 9�aF�s 108 ADDRESS 6675 An ka S r 1 LEGAL LOT NO. BLOCK TRACT OR AODITION DESCR. 26 Pt. 27 2 2 PROPERTY OWNER MAIL ADOREB$ d MAII ADDRESS j 141�1 ; MAIL ADDRESS MAII ADDRESS 8 USE OF BUILDIN�i Residential 7 CLASS OF WORK O N EW 8 DESCRIBE WORK Reroof house and qara 9 CNANGE OF USE FiiOM STIPULATIONS 7/99 21P / / PMONE � 29629 NO. �� APPROVED er SEE ATTACMED SMEET LICENSE NO 393� LICENSE NO. LICENSE NO O ADDITION 0 ALTERATION X(f� REPAIR O MOVE O REMOVE Qe (2� Sa) Tear-off TO Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE flE0U1RED FOR ELECTRICAL, PLUMBIN(i. MEATIN(3. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NIN(i AUTHORIZEO IS NOT COMMENCEO WITHIN 80 DAYS. OR IF CONSTRUCTION Of1 WORK IS SUSPENOEO OR ABANDONEO fOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. I HEREBY CERTIfY TMAT I MAVE READ AND EXAMINED THIS APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS yA�UATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $21H5 WITM WMETMER SPECIFIEO NEREIN OF NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL TME pERMITfEE PROVISIONS Of ANV OTMER STATE OR LOCAL LAW REGULATING CON- R C710N OR TME PERfORMANCE Of CONSTRUCTION $H3.25 PLAN CHECI i.'1 C S� •TUpE O� CON •i1ACTOp Op 4UTMOp12E �OATE� SO.FT ICU.FT OFFSTREET PARKING STALIS GARAGES SURTAX $1.09 SAC CMARGE Fire C $2.1! rorn� E 5.00 9 3 R �onr / is is�u� p�i J NEV� [ ] � Effective 5/10/99 ADDN [ CITY OF FRIDLEY ALTER � SINGLE FAMII.Y AND DUPLEXES R 1 AND R 2 % BUII,DING PERMIT APPLICATION Q�� . � �� Construction Address: �� ' � � � � � Legal Description: Owner Name & Address: � �1� � d � � G, s' 7��° � L Tel. # �' � % � -- 1 �� 3� co�cor: j�i� s�� _� d I= �� ra ivnv r�c�vsE #�� 3� Address: �e fs l �f�C��, � iU G(% ��j 553� � Tel. # 7S'l� -- 70� � LIVING AREA: GARAGE AREA: DECB AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IlVIPROti'EMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. i r°� v o)= �% v� �� o 0�%1��t s P�- �' ��° a � -�- construction Type: Driveway Curb Cut Width Needed: ��a co�c: $ �l�S ^ � Ft. + 6 Ft = Ft x$ _$ � DATE: �o �~ 7� 1�/APPLICANT: Tel. # 7�G - 7� o d CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ � v?5 $ _�9 $ �Q Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $ $1050 per SAC Unit $ �. Q Q $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" A�ve $ $450.00 Conservation Plan Review Pazk Fee $ Sewer Main Chazge TOTAL STIPULATIONS: Fee Determined by Engineering $ Agreement Necessary [] Not Necessary [ J � �S� � • - �• BUII.DING PERMIT FEE SC�iEDULE The Chief Building Official shall, before issuing permits for the erection of any building or siructure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, u�n 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: TOTAL VALUE $1 to $500 $501 to $2,000 $2,�1 to $25,000 $25,001 to $50,000 $50,(�1 to $100,0(�? $lOQ,001 to $500,000 $5�,�1 to $1,0�,000 $1,(�0,001 and up FEES $23.50 $23.50 for first $5� plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69:25 for first $2;000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,�0 plus $7.� for each additional $1,000 or fraction thereof, to and including $100,Ot� $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,00� or fraction thereof,-Yo and including $1,00O,OOQ $5,608.75 for the first $l,a}0,000 plus $3.15 for each addidonal $1,000 or fracrion thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Penmits for co�truction will be issued a minimum of 24 hours from the time of application io allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been �onst�t�d �+ill be required before proceeding with the framing. APR-27-20H4 11 ��4 F kUM L 1 I Y UF- N Id 1 W..tY T r G -Ci a � � 0 m O � � � � � � � Z O Z � � � � 2 � � � � m � 6 � 0 c -4'�ys m � d m c"o � W \ d �� A Q � � o � � 0 � � �� aa = �a � 0 �� ' 'o sr' 7 @ � � 8� �� a� � `� �� m � O C r+ �. � � � � � � m � m � 0 Z m � w 0 g g � � . � P 0 a r m m � c'� N A 3Y � N c � 3 ° 'n � � � c,Wn �' g°' � o � C) � 3 0 A, � �� a rt � �' a�o �� v I, � � � � .a ' o, � � . c < ,m�� m ' ��v � ^ d � a t� . � �b o . � � � � a' R � ' ��o� � N • �, � �t fl. o �. � � � � � .. � ' °° � 0 ..� x� � � � � o � d 0 G � �� O �' , � � v � w � V � V 1 o� N O N _ �an s co -� -• � � c. � �� - c� o''� � W � W �;��. �� o � N ►� n O � � � � O4 �SQ� � 0 �� o � �d m'� � � !�7 � '�G 7 � A � r� .= a c� °: � A m � �z��s t�r��''� a � � ��r � � � , � `° 3 r�o� � � � " a ? 3' o � o � � � � � � n � �`' �cso� x n � � � � � � 7 �� m � x 'D N � z �° a S a. � � � � A lu � � � G m � � c� � � � aa z � c � �, b tD � � � p O O 0 0 p O � � � � , cW�� cv c °°,n, �, c� _ z; ��co c Q�� ` � n � � .�=�o � � _ .. � �2 � � � a = 0 rr � � � z r, 0 � 3v � 'f�'fb'f101 � � � � � �' v, o+ �, � � . � � ,�. �a T � � m^ � o x m m � � � � W �� O � � � � � -{ a � � O N c� a v°�� i O I O O -� � � � 0 � � - � � � a � O � � � .c � c � � • Z r.ni�e� .. V -� VJ � � � � � � � ��6 N g � O Gu a � 'n � � � �� C N �p S�'c m ..m< rn �D w � N � � O � z � � � � . � . Z 'ml"1 Z7 � � � � m � � �z �'z o n� z -v � y—'' m . ` � � C3 -� - Z � oz I � O y' Z z � v v� _ . ' � � m z � � � O �' z � � v z ,,p. v � < � G � � � � � O � Z � � �P \./ a.' .• RPR-27-2C�64 11 ��7 F fdUf 1 C i TY OF FR i DLEY TO 75 lb'rb 1 h' . b�/b� d' O ""� � . : a� � - � :JtB pauB�g . �i0�55 1�i `�I�tg �i�i �A� 'Ii�� Z95£T �O� JNIlb�H � o�s��x� a�x� sHloa�� ( � oN . . ,.� �• �., �- 4 �� , • 7 � l . �f �q!a��O �SNOI1b2i31�t �• �. � ad�tl w .�a}ew�eip �} y;6ua-� � ;y6taH lo�auuo� �uan � e�uei�ddy �� acU(1 u� ,�—ae�awe�p �'�"" 4�ua� �'�' �yB�aH loy�auua� �ua� � aauei�ddy � adRl ui-"�= ae�awei0 }�'"'�'" t�}Bua"I �}`� �46iaH .ro}aauuaJ 3UaA 6# a�uepddy saq�tn `� � �alra�ip - � � }y6iaH �uan �.. l � �1 �uaA uowwo� . . ar��' �d�i ��8 I��l �� sa�ueild�d l�ol �eN �o pa�ssy ue� '—"—;ndul fl.l8 �l £# ��Jddy �}�� ao pa}s�ssb ue,� cT"E 3nd�l f118 � edl�l 7� a�ue��ddy --�,! T— 3�IV �o pa3siss� ue� o�! 3�dul f118 �+' � �l 4# �ue�ddy uor�e o�u� ao uuo�;ua/� pue;uan uowwo�razis pue e 1 eaue�� y (� sa� •sapc� 3uaLn� �ad se �C�a��edas pa�uan pue;uan uowwa� �� wo�} panowa� ueaq s�t� ar�uei�dde ue �a�e ��aua� pa��}sw pue paz�s s�o�auua� �uan pu�e �uan uowwo� ay� s� i) oN �) se� •s�ueydde �P le,�n��u pue ��sisse ue� �o� salqel eu!3�aA aaewn� �e��ua� � l�o6a}e� yy�y�-y�y epn�►n saop sn� •suoi��ads s,�a�naae�nut�w pue sapa� ;ua�r� au� s�a�aw ptre �t�qwass� pa�,s� e si �t ;ey} sa�uan �qa�ay pauBis.iapun ay3 w uqua� nnau e ui��r�sui uayM () oN (�j sa� . •suo��ads s�aam�a�nuew pu� sapa� 3uaun� ay� �aaw o�. pa��e�sui pue paz�s eq ��uv► }� ��e uo�snqwoa i++►au e ��e;sui o} pa�mba� uay/N ( } o� - ( ) oN ( ) o� tY � se�- . _- •suo{�!e�y��ds s,�a.m��nuew pu� sapoo }uaurr� ay� �aaw o� pau�sui pue pazls s� �ne uo�}snqwo� uqs�xa ay,l � ) sa� •sa�uei�dde �}eap �ean�eu pue pa�sisse u� �o� sa�q�el 6w�uan a�ewn� �ei;ua� I tio6a�� yWy�-y�y apn�ui saop s�yl �suoi��ads s,�am�ae�nuew pue sapa� �uawn� ay� s�aaw pue �(�qwass� pa�si� e si �un }uawa��da� �� et�} sa,�uan os�e �oau6is�a�pun ayl � ) sa,� -uoi�euiw�a� pu� snnoq�a �o .�aqwnu 'y�6ua� `Buiz�s 6uipn�ui suoi}��s �am�e�nuew pue sapco �ua�m ��e s3aaw puie ��p��d si wa�s�fs 6ui�uan ayl () oN �} sa� . �pa�mba� ala�{nn paddo}sa�t� pu� pa�,oddns �f�a�n�as s� pue 'suoi�ru}sqo 'uoi�r�oua;ap �;sru wa� aa�} s! pue pauiwnxa uaaq s�y 6ui�uan ay� ��u� sa�uan �tqaaay pau6�saapun ayl a�ewn; u�sixa ue u�oe� a� uayhll OIl�/�ldRl3/t ?�M N(�i1Sf19W0� aNV a01.�3NN0� 1N3A 1N3A NOWWO� S11Wa3d 3�IVV�I�ddd JNIN21f18 '13f1� 1N3W3��d3a b0� ll'13131dW0� NI �'ll� TOTAL P.02 ADDRESS PIN LEGAL DESC PERNIIT TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 57Z-36U4 H'AX: : 6675 ANOKA ST NE : 133024140067 : UNAVAII.,ABLE : LOT BLOCK e PROPERTY TYPE . CONSTRUCTION TYPE . HEATING RESIDENTIAL ADDITION/ALTERATION 571-1287 PERNIIT O.: 2004-01353 � DATE ISSUED: 08/17/2004 S ` VALUATION . NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRI'I°TEN PERNIISSION FROM ADJOINING PROPERTY OWNER COMBUSTION AIR SHAI�L BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A FURNACE (WARM AIlt, RWD, 50,000 BTUS) # A/C UNITS 0 VALUE OF APPL OR WORK 0 # FURNACES # GAS RANGES APPLICANT CENTERPOINT ENERGYMIINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- OWNER BONESTEEL RICHARD R& ROSE ANN 6675 ANOKA ST NE j FRIDLEY, MN 55432 1 # GAS DRYERS 0 VALUE (FOR NID�TIMUM CALC) HEATING PERMIT 1��TIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONII�TG FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 5954 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correc� All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of const�uction. B�� i SEPARATE PERNIITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 0 2100 0.00 35.00 0.00 0.00 0.00 0.00 0.50 35.50 C�/�ti Minn sco ADDRE3S N'Q,� OCCUPANT B9 i L HEAT LOSS Y� _„ DATE HTO. INST. 30LD BY Dectrk;al Work Bv M � TYPE OF HEAT FA ,� 8PACE HTR. HOUSE HEATING TEST RECORD APT � FLOOR CRy � OWNER P�OSC c Q��,�,�P C�Qe�. INSTALLED BY Qas Llne By UNIT HTR. OTFiER / � �" �� . - . e �� . ��3r� ) . " .s�';��'r�,�.�t��'' �:r'`� . • :! � =t.• � .> > conm�o�.s He�t Plug �— � �� v Fan S Pilot Type K C PBot AAelte PUot Mod� P�tTfm�nn � S�G Pressure � � Percent CO2 O r�p� � �$`� O� Per�nt Oz -�9 . � S�dc 7'emn. % 7° Pero�t CO._,�/� /� NONE"'^ Draft Hood �'�►� E�u c P0� Regulator �� S�e J� xa Sx � N„� Chirrpiey LocaUon Ir�ide p��e Chimney Construclion i �%S�� T �� V T�t Tag Ughttrtg Ir�t De� Teated �l- / -0 Company T�ting Name of T�ter /� `�iOE / , ADDRE5S PIN LEGAL DESC PERNIIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENLTE NE FRIDLEY, NIN 55432 s�z-36u4 r�Ax: : 6675 ANOKA ST NE : 133024140067 : UNAVAII.,ABLE : LOT BLOCK : ELECTRICAL : RESIDENTTAL : ADDITION/ALTERATION 571-12iS7 PERNIIT NO.: 2004-01354 ��/< � ,� DATE ISSUED: 08/17/2004 VALUATION . NOTE: ELECTRICAL PERNIIT BECOMES VOID 12 MONTHS AFTER PERNIIT ISSLTE DATE. INSTALL A FURNACE. # INSPECTIONS 1 APPLICANT CENTERPOINT ENERGY/MINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- � `.I�! ' BONESTEEL RICHARD R& ROSE ANN 6675 ANOKA ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if consiruction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant D� Bldg Insp Date ELEC PERNIIT FEE - MIN (RESn STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 5954 � SEPARATE P�KMI"1'S li�(lU Ltt�U rvK W Ulc1t u � tlr�x t t�u� L��.n�ts�L r+nv v�. 20.00 0.50 20.50 rrom: roo �ao y,sny rage: u i uaie: iu iar�uuo i:�4:ao rrvi ...�... .... ...... ...�...��_ �� ........ ... �, ..... ........ ............ r-- Building PLUMBII,1� Permii No.: lnspections RESIDENTIAL APPLICATION Receivcd By: 763-572-3604 CITY UF FRIDLEY D��;°�:E �� 76�-5�2-��7� F� EFFECTIVE 1-1-OS DATE,..,�__ YQUt2 Ti-MAiI.ADpItF,89 lerrbroC�comcast.Ll@t S1TCAUUIti�S__�675 Annita Sf _ js7 . ` ......._._ . THI$ APPLiCANf IS: ❑ OWNER �pNTR/�CTpR -._ PROPERTY NAME� D3Il 0' Brien TENANT '��S� 6675 Anoka St. N. E. F+-i �e 7,EZ+[Tt - zIP CITI' 3� STA 55439 PHONE: 7h 3_ S�� C�NTR4�OR NAMC: 7.P Vahn Rrn,a _ SIJBMIT A Cl1PY �C $TATE LICEVSE # 58645—PM � YOt1R STATL EXP DATE 12-31-09 LICEN$E, $OND AND STATE BUND fi 70083364 EXP AATE 5-30-49 C�RTIFICATE OF ApD��: 12700 Bass Lake Road �1�, Maple Grove $TATE��'• ziP - lNSURANCE pHONE 763-551-8990 - - FAX PERMiT'TYPE �SWGLE FAMILY p 1W0 FAM[LY 0 TOWNHOUS� TYPE OF WORK: Q NEW t� RBPLACEMENT DETAILBD DESCRIPTTON C1F VIIORK x re lacavnent will a wi.th cred3.t card ' PER MS 16B.b65 the permit fee is a minlmum of $15.00 or 5% of the total cost up to $500.00. whichever is greater, for the 3mpravement, insialtation or replacement of a residential fixture, excluding the fixtures. {This should reflect oniy the cost of labor } Labor cost under $300 �$15.00. Lai�or cost between $300 to $500 = cost of labor x.OS = ptus .50 surcha�ge OR �OR PROJECTS W13ERE LA80R EXCfiEDS $500, FEES ARE BASED ON $lO.OQ PER FI7CT(TRE, EXCEP7' WHERE NO'CCD. FIXTURE$: (INDICATE TOTAL NUMBER OF EACH BELOW). MIMMUM FEE $15.50. _ BATH $INK/LAV _FLOOR DRAINS SHOWHR WATER PIPING D�►THTUB GAS PIPINO (NEED CITY LIC) _ SWIMMINC3 POOL � WATER SOFTNER ($35) _ CLOTHES WASHER � KITCHEN SINK WA7EEt CLOSET � BACKFLOW PREV. ($ I S) _ DISHWASHER _ LAUNDRY TRAY �WATER HEATER (�35) FOR IRRIGA7'[ON ,_ WATER ME TER OTHER . . . . .. . .. . ._ — :•��.��` . ' :..,,.e„ �:�' .. . • -::� :•......_._._...�:.:..::... ,� , . � .. .... .::.. , .. � ..._. . . . . . .. .. .... . .,.; �, .....:::... .:•.�•:,.:�.: ....s�: ,:•., .:... ..,a..,.-.`..::•'= : . ...::: . : <•: . _..,.,:::±...>..,:::��:..._ ......::::..:..:::.... ..... . .;�$ .. � PI�O S� t��f�R S� . Permit Fee $ Number of fixtures aQ $20A0 x$10.00 =$ Surch e .50 Number of fi�ctures @$15.00 x$15.00 =$ TOTAL DLIE $ OR Number of fixtures �$35.00 x$35.00 �$ MINIMUM $15.50 State Surcharge ° $ .50 NIMiJM $15.50 Totat = S THIS IS AN AFPLICA'fION FOR A PERMI'C-NOT VALID UNTIL PROCESSED 1 fiereby apply for a ptumbing permit aad I acknowledge ihat the inforntaiion above is complete and accurate; that the v�ork will be in conformence with the ordinances and codes of the City of FridIey and with the Minnesata Construction Codes; that I understand this is not e permit but only an application for a pemi and work is not to start without a permit on site; that the work wi21 be in accordance with the appraved plan in the '' f a11 wo hi � req�ires review and approval of plans. siGNn�weaF P cn �A� Loren Le Vahn DA.re 2 15- 8 APPROVCD BY DATE � ..... .. . .. ,. . _ . .,.. .. . , ., .. . • �. . . . . _ _ . . ... . ...,_. . , , . . . , , . , - . . . .. . . .... . .. . .. . .,.. , . , ... . . . .. ... _. . ... . �... . . .. _:.. . . . . . . . .. , .. . . City of Fridley Building Inspections Depar#ment 6431 University Aveaue NE, Fridley, MN 55432 763-572-3604 FAX: 763-542-4977