AF - 34982�
Citp of Fridley, Minn.
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Na ��°.s-�,�Street ��� a • m Part f
Iat � Block t� Additian or Sub-Divlsi�
co� r.�c �ae r.ot � s�t�k ..�r�-.�. siae�a /� �' 3�O
sewer IIevatta� �v �� �� v� �� Fwmae,ttoa nevation
/V1� ff. r p r. =$ 89� 7�
DESCRIPTION OP BUILDING
To vsed � ��,�y
F'rant __;� DeP� Height � Sq. Fi. ,e! �-F� Cu. F�
� t Depth H t�_ ScY. Ft Cu. F't.
Type of CflnstntteH � Est.^C�� '�To be Completed ..
In ca�sideratton of the issuanc�e to me of a permit to conatruct tve building described above I a�ee to do
th� propcsed work in acxardance wlth the d�crlPtion above set forth and in compHaacae with all provlai�na of
qrdtnanaes oP the dty of F`ridley. � .
In camsdderai3on of the P�t of a fee of $�..' , P�t 9s her8l�i' granted tc�
to cro�atruet the building or additia�n as d�bed above. Thia�mi t is granted uPaa
the eapreas t�nditian t}►at thepe�on to whom it is granted and hfs agents, employ�a an� workmen, fn all work
8ome in, arotmd and upoa said buildin�, or anY� thereoP. staall o�nform in all r�pects to the o�inances of
�Frl�ileY. Minnesota lac.ation, c�nstruct�an, alteratiam� maintenance, rePair ead mavin� of �
within the dty limita�+� permit may be revoked at any tinae upan vtolatton of aay a� the P��ons oE
a�dinances. r, ,� �+ �1
SuflcHnS IasPect�
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_ 71d. p� aoe. � asw t6. m�, ��Or wWea n�e. s� �. •anru �.rafu. e. am. to .«
tM gaildio� Im�� ter ap�ra�a P�ib fer f�a �a.
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CERTt�iCATE OF StJRVEY:
�oseph Maciaszek
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Anoka County, N�i�n��ota = �� �
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I NERfeY EER►ifY THAT THS IS A 7�UE ANO CCRR[CT R�kt1ON Of A SLIRYEY QF THE 10�1l10�'Qf ���� =�
DESCR�ED WiD, AND tHE lOG►110N OF ALL WIlWNGS..THER60N. AND ALl VISI�LE �KRQAC�S, !f At�tY.-�O�t C#�.�~�F �.a,
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4th March ,......��t9 64 --'�
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Caty of Fridley, Mirm.
BUILDING PERMIT
��: Sept. 23, 1968
p�; Ortwin H. Ries g�� Sussel Co
p� 6680 Anoka St. N. E, p� 1850 Coma Ave
St_ PaL1
LOCATION OF BUILDING
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N° 9946
Na 6680 g�t Anoka Se . Part oP Lot
Lot 2 _ Bloek 1 Addition or Sub-Divisian �ce Creek School Addn.
Corner Lot Ins3de Lot Setback Sideyard
Sewer Elevati� Foimdation IIevation
DESCRIPTION OP BUILDING
To be vsed as:
Gara�e �t 24' �� 24' g�t 10' gq, �, 576 �, g�, 5760
Front Depth Height Sq. F't. Cu. Ft
Zj►pe of Constcl,iction �r�e ��_$2190.00 _ To be Completed
In considerat[on of the iesuanc� to me of a perrnit to construct the building desaibed abo�►e I a�ree to do
th� ProPosed work in acc�rdance with the descriptlon above set forth and in c�rapBanc� with a�l provIafons of
ordinanc.es of the city of Fridley.
In con�deration of the I�yment of a fee of $ 9.00 ��t ��by �� � Sussel Co .
to conatruct the buflding or addition as descrlbed above. Thia permit ia granted upon
the exPre�s c�nditian that thepereon to whom it is graated and his agente, emplo� yees and workmen, in all work
daae fn� around and up�n said iuiliing, or anq thereo� shall conform itt all respects to the o�dinanc�s oR
F'ridley� Minnesota r�l�th9s permi�t ma�crevbe o���ed at at�y tiaAe upon�o a�tton o�f �� ons�oP sa�d
wlthin the dty ]imits aad t a
ol�dinaIIC�s. .
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Clarenee Belisle
NOTIC&
'IYs psemi! does eot �ar t6s �, dataMNea �ee �. P�S. 6� hattog, awa� e► rrMa�. B� wn te sN
Nn eoilding I�oi fo� pparah �� thas h�.
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APPLICATION FOR BUILDINC PERMIT
GITY OP FEIDId�Ys P'[INNESOTA
OWl�Tgi p� NAME ���cri..�, �� C'3 BIIII�1?ER � v� s e� �
.�D��' (� � O O f7� /10 �.� �'fe' ���c� �� eS O L' O e-v! f� %�.u..Q�
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LOCATION OF BUILDIl�TG
NO o �'I'R�I'
LOT BLOCK AA�DITION OR SUBDIVISION �
COR:�'EE� LGT II�TSL�E I,OT SETBA%I?: �IDE`�ARD
SE4TER EI�TATIOPa TOP OF �'OCTL�TG
Applicarit attiach to thz� �°or� T�ro C��tificate� o�' Su�vey oi Lot a.n�.
propo�ed buildirsg locatio�s drs.�n ors 'che�•� Cert�iicates o
�F�CR�FTiON �F BIIILDING
To Be Use�. .�s e Q� � a c.� ���-wo- �-
� Frort � y Depth a�i Height ��
�quare ieet � Cubic Fe�t �r 7� C5
Fxont Depth Height
Square $eet Cubic Feet
Typz of Conatruction ��-- E�timated Cost �/ $o ° o"
To Be Completed
The undersi�n.ed hereby mak�s application for a permit for the �aork
he�eira speciii�d9 a�eeir� to do all work in strict accordance with the
City of Fridley Ordinas�.ces and rulings of th� Department o� Build�.gs9
and hereby decl.aaes that alI the iacta axbd. rep�eser..tations stat�d ita
this appZicatzon a.�e true �.rad coxrect o
DATE c�e�"7� a� - 6 g �
(Schedule oi Fee Costs cat� be fou.�i.d on the Reverae Sidea �
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SECTION 2o The In�pector oi Buildin�s shall, beiore issuing perr.ait�
for the E�ection oi any building or �tructlare, o�° for axiy addition to any
existing structure or buildingy or for a;.ny alteration or repa.ir� to a:ray
exieti.x� buildin.g or staueture9 upon applieation therefo�F, �equi.re the
pa.yment by the �.ppl,icant for such perm.it oi fee� to the amoun.t herei.�.�a
below �et io�th a.nd in the ma.�n.er here�xa. provided to�rait s
Uniform Build ° Code o Type 1 9 2 9& 4-$'d , 75 f°or each one thousa.nd
cubic feet, or fraetion thereofe �. such cubical c:�ntent�a Type 3& 5-
$1050 for e�,ch one thousand cubic feete
For the purpo�e oi coffiputin.g fees for buildi.ng permits9 the cubical
contents of any building or addition to a uniform hei�ht throughout by
multiplyi.ng the ground area covered from a point six (6) inches below
the floor line of the basement or the cellar to the avera.ge hei�ht of
the upper �urface or to the avera.ge height of the rooi �ux°iace of the
ma.in �a,ble of a pitched roof o
For repai�s or alterations to an existix� structuze, th� fee ahall be
at the rate of' �3v00 per each five hundred dollars ($500000� or
fraction thereoi in the co�t of all proposed worka
In no case shall the fee cha:�ged. fo� any permit as set iorth in Section
2 be less tha.xa. $5 0 00 0
NSSSD Connectiox� Charges ba�ed on location - Area 1 or 2e
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ADDRESS
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City of Fridley
AT TNE TOP OF TME TW�NS g � I L D i N G P E R M I T
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� � COI�AMUNITY OEVELOPMENT OIV.
i •V ��...�,
r � � PROTECTIVE INSPECTION SEC.
l..-.� �"h'� CITY NA4L FRIOLEY yS132 NUMBEN nFv
L 612-5��-3a5o 9/GF1S
JOB AODRESS 6680 Anoka Street NE
t LEGAL �OT NO. BLOCK TiIACt OR AODITION
oescR. 2 1 Rice Creek School Addi
2 PROPERTY OWNER MAII AOORES$
Kristi Sorbo
3 CONTRACTOR MAIL ADDRESS
Own�r
4 ARCMi1TECT OR OESICiNER MAIL AODRE88
S EN(iINEER MAIL AOORESS
8 USE Of BUILDINd
Residential
OATE
11/18/99
21P
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'� 30527
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Of APPROVEO Br
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SEE ATTACNED
SMEET
PMONE
1-5116
PMONE LICENSE NO
PNONE LICENSE NO.
PNONE LICENSE NO
7 CLASS OF WORK
❑ NEyy ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE
B OESCRIBE WORK
Reroof house and garage (27 Sq� Tear-off
8 CHANGE Of USE fROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITSARE RECUIRED FOR ELECTRICAL, PWMBING. NEATINti,
VENTILATING OR AIR CONOITIONIN(3.
TMIS PERMIT BECOMES NULL ANO VOIO IF WORK Oii CONSTNUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WOHK IS SUSPENOED OR ABANOONEO FOR A PERIOO OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS
I HEREBY CERTIFY TNAT 1 HAVE REAO AND EXAMINED THIS APPLICATION
ANO KNOW TME SAME TO BE TFiUE AND CORRECT. ALL PROVISIONS Of LAW$ VALUATION
ANO ORpiNANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED
WITM WMETMER SPECIFIEO HEREIN OR NOT. TNE GRANTING OF A PERMIT $2360
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pEqMITfEE
PROV�SIONS Of ANY OTMER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR TNE PERFORMANCE Of CONSTRUCTION y�S3. ZS
PLAN CNECK FEE
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7'RACTOp Op 4UT ED AGENT IDATE�
--�. , I -1 �``�
wco.�t nwuLO Nu11 �EN� �DATE�
l
STAILS
OCCUPANCV�OAO
CU.FT
f PARKING
GARAGES
$1.3:8
AC CMARGE
Fi SC $2.36
OT L EE
.79
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1VER% [ l s�
ADDN
ALTER
Effective 5/10/99
[ ] CITY OF FRIDLEY
[] SINGLE FAMIIrY AND DUPLEXES R 1 AND R 2
BUII.DING PERNIIT APPLICATION
Constxuction Address: 111 � � � � � �`�
� _ . . _ � � _,--
Legal Description:
Owner Name & Address:
,, Contractor:
Address:
Tel. #
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NIN LI #
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Attach to this application, a Cer�cat� fl�.�ue�:of th� .. _ ;.�
lot, with the proposed constructio� d�a�tc��fit��:�ale .. .
DESCRIPTION�O►i�IlVI�'iiE3�+��� ;�.
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Widt,# �� Hgt/Gronnd; _ Sq. Ft�_
01'��ER:
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Construction Type: � � Estimated Cost: $
Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �
. ` �./�
DATE: s �� APPLICANT: �'� Tel. # � r � ��� �'(�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License S�rcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ � -�
$��
$ /, /
$
$
$
$
$
$
$ ��-
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation {1/lOth%)
$.soi$i,000 v��hon
$1050 per SAC Unit
$5.00 (State.I�icensed Residential Co�ctoxs�_.:.�
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
T � � '
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, l�fore issuing perm�s for the erection of any building or structure, or for any
addition to any existing building or structur�,,: or for any alteration or repair to any existing building or structure,
u�n application therefore, require the� pa�ent by the applicant for such permit of fees to the amowrt herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $5(�
$501 to �2,000 � �:
$2,001 to $25,(�0
$25,001 to $50,(�0
$50,001 to $100,000
$100,001 to $SOO,OOQ
$500,�1 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23 .�0 for first $5�. plus $3. OS for each additional $100 or
fraction thereof, to and including $2,000 _
$69.25 for first $2,OQ0 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 t�ereof, to and includ�ng $50,0�
$643.75 for first $50,000 plus $7.� for each additional
$1,Q00 or fraction thereof, to and including $100,000
$993.75 for first $100,OQ0 glus $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
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,� or fraction 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": R�moval and replacemen�.o� curb a�d; g�er and instali 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 pro�r
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 covstructed vvill
be required before proceeding with the framing.
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COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When realacing an existlng furance� the undersigned hereby verifies that the
venting has been examined and is free from rust� deterioration� obstrucctions,
and is securely supported and firestopped where required. Yes�j No ()
The venting system is plasticJPVC and meets all cuRent codes and manufacturer
specifications including sizing� length, number of elbows and termination. Yes�j No ()
The undersigned aiso verifies that the �eplacement unit is a listed assembly
and meets the cuRent codes and manufaaturers specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The existins� combustion air is sized and installed to meet the current 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 manufacturers specifications.
Yes � No ( )
Yes ;� No ( )
Yes � No ( )
When installin�a a new ventinsa system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specfications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances. Yes (�No ()
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 cuRent codes. Yes (�i) No ()
Aapli�rece Tvae and Size/Common Vent z�nd Vent Connector Infortnation
Appliance #1 Type C�Sr��� BTU Input ' Fan Assisted or Nat
Appliance #2 Type '�� �ac.•� BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances 5�;�`;� Total Btu Input
Common Vent Type �%� C�� C Vent Height /� Diameter �° inches
Appliance #1 Vent Connector Height �,z ft Length �� ft Diameter,�in Type �
Appliance #2 Vent Connector Height i!!� ft Length �. ft Diameter ,�in Type C." ,
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Desc�ibel
HEATIN� CO:
Signed �y:
m� �,��-'- � i� � �a!