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AF - 34984� �"1 i� City of Fridley, Mi.nn. BUILDING PERMIT ��; Sept. 6, 1968 p�; Chester Maciaszek g�� Sa.me �� 210 Longfellow St.ft, E. Ad� Sam� �T° LOCATION OF BUILDING Na 6683 s�t Anoka. St . N. E. Part of I.flt Lot R• a°f 27 _ B�k 2 Addition or Sub-Divisi� Oak Grove Addn 4 Corner Lot _ Inside Lot X Setback 35 � Sideyard 10' / 22 Z' �W� �BVB� 889.27 892 .27 Top of Footing DESCRIPTIOIV OF BUILDING L�'"��� 9922 To be Us� as: Dwei ng �t 27'�, ' �p� 40' g��t 20' gq, �, 1100 �, p� 22, 000 Front Depth Fteight sq. F't. c�ti. P't. � og ��� Frame ��_ $15, 000 To be Completed SEWER LOCATTON - 56' South of Manhole WATER LOCATION - 45' South of Ma.nhole Ia c�sideratton of the issuaac�e to me of a permit to c the p�opo�d work in accordance with the d�cription above �dinances of the dty of Fridley. .00 Sewer l above I a�ree to do wlth af l pro�dsione of Ia oon�deratton of the �yment of a fee oP $ 33 00 ��t ia hereby graated to Chester Maciaszek ��� �e builaing or additton as d�cribed above. Thiap�mi t is granted upo� the exAre� oondition that theperson to wh� it ia graated and his a�ents, emplo� yees an� worl�sen, ffi all work daa�e in, around and upon eaid buildin�, or any� thereof, shall conform fn all r�pe�ets tfl the oivlinsnces oR ��Y, Minn�ota locat[on, construct[on, alteratlo� maintenance, �pstr a� movlag of buildin�8 v�I�� dty ]imits��� � permit may be revoked at�a�� t�upoa violation of aay � the provJsions o� said � Official �S � n NOTIC& Tid� peeade does rrot eowr Hro �, �Hon P�m9. 6+� �. a�rer er wat�. B� auw ts a� tlro Bu�ee let�a� fer aW*+t+ Pumtb hr 1Ma h�uu. .� •: - APPLICgTION FOR BiTILDINC PERMIT �ITY OF F'EIDLEY9 MIN�IESOTA OWNEEi @s N�ME (JH,ESTi=R M�S+cIAt?tX �z�� f�F�l� • e Ann�s_a�o Raa�Fp,r� a w sr.v.��. .sr,�x�sss ,� LOCAT�ON OF BUII,DIITG Noo -Cl. �3 s�r AAia�A s�- - Lo�� BLOCx � .A3)DITION OR S�'BDTVISIO?V oA�f ��or� �,opiT�u� - COR�'�TER LOT I�TSIDE LOT (/ SE'I'BA�,R�SID�� /D ��2�? �� SEWER ELEVATIOri — TOP OF �OCTIIlTG — Applicatat attach to this £o�a! T�ro �°e�tificate� o�' Su.�vey oi Lot ara.3 propo�ed buildirr.� lo�atio�� drs.�n ors thee� Ce�tifieateso DE�SrR��'I' i Ol�' OF Bl7ILDING To Be ���d .9.� e f /,v6,�.� 8rv�.tt i�v � �'x�o�at � � � D�pth ��� Hei�ht .� � �quare feet //0?� Cubic FE�t �2_ Db-b� F�ont Depth Height Square �eet Cubic Feet Type of Construction /,vo �,p FeP,4MF. E�timated Cost /s d'�� °= To Be Completed f�? 0 D�� S. —� The undersig�ed hereby mak�� application for a per^mit f°or th� work herein. speciii�d9 a.g�eei� to do all work in strict accord�.nce with the City oi Fridley Ordina�.ces and rulings oi th� Departmexat o:� Buildi� 9 and hereby deela,res that all the facts and. rep�et�er�tationa stated in this applieation are tx�ze �nd correcto 1 DATE SF/°T� lv , l°I 5r ��.G�TgTORE (Schedule o� Fee Cost� caxn be fourid on the Reve�ee Sideo) ��2�-e� ��� �/33°= � � t � `�i/V�v.✓ � ?. � � ♦ �,c.t c L t� �� 6 lCi,ga 3.�. � �� � � J., • BUILDING PERMIT FEE SCF�EDIII,E SECTION 2o The Inspector of Buildings sha119 �aefore issu�ng per�it� for the erection of any building o� stzu.eture s or ior a:r�y addition to ax�.y e�ist� �tzu.cture or buildizig9 or ior ariy alteration or repairs to any exieting building or structure9 upon application therefo�e, :�equ�e the pa,yment by the �.pplie�.nt for such per�i� oi fee� to the amouta.t here�a. below �et forth an� in the ma.�.ner hereixs provided to�wit: IIniform Build° Codea Typ� 19 2, & 4-$'io75 ior each o�e thou�and cubic feet, or fraction thereoi, iza sucY? cubieal c�ntentso Ty,pe 3 8e 5- $1050 for eaeh one thouaand cubic feeto For the purpose of° computi.�g fees for buildi.ng permite 9 the cubic�,l contents of any buildi.n� or addition to a uniform hei�ht throu�hout by multiply�.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 oi the rooi surface of the ma.in �a.ble of a pitched roof e F'or repairs or alterations to an existing structu�e, the fee sha,ll be at the rate of $3s00 per each iive hundred dollars ($500000� or fraction thereof in the cost of all proposed worko In no case sha,ll the �ee char�ed ior an.y pe�mit as set iorth in Section 2 be less than $5o00a NSSSD Connection Charges ba�ed on location - Area 1 c�r 2e �- - . ..�-�- - . (''w1 � , �. � Walte� Maciaszek �. .�_ �_� Q �� . � i � � � �, � i � v' ;�. i I � . � `� � i C� ,' � � � , �. �o ��� � "'1' � � � �_" 'c-'�.. �'— ' (�C�.��-. 0 . . � '. �� � �.�s�t. . �=. � . � ' sa.� �� � . _ � �`� , � �,.t��' . _ .� � � ��+ . �_�-�E �i 5 . -- �.. �� ,i-� 1 � . I : �... ,7 • � n � : y ' , ,� _. �C.��.fe : �. = . _ � . � 3- �OJ�" � ����0� � � � �r _.`._ ..� � L9 :,1 -� � �N c� -� t��-- �_ - � � � ' � _��Ro N— ___ . . � � � , � . - - - - �� . . ���. ��-���, �-, , , i��.�-1����: �._ __. 1•' �: , ,. - � � .� � . .� „ `;�� Lot 28 and the North 1/2 of Lot 21, .: ���e�eb . . , y cex��g► �hat this survey, plan; or re�rt . . wa� prepared by me o�,under my direct super- . B1 ock �2, O.ak GD"OV� Addl t1017, , vision aixd that I am a duly.l2efiistered Land . ��e�or �er �aws, o e S�.te e�f 19�i�x}- Anoka County, Minnesota � , - . . , � •�''�� �� ' . , ,' Ih��-� ' "�� � ��, N � t ,� _ � . � � - . .. /� �. % fOeu+4Vi A�dD �i(�'oCa����,; �NC. _ _: .. . r'"� . . _ .�: --- _ _ ._ __�_�-_ _ ,- - -- ._. _ , . __ -_.- ��9R9D ' �i$�ii�Y�9�5 -^ : -_ _._ . . I � � � � � � :i � p � - O : � :�y� . M • O . � � � "� � � � � � � � � � � x x �� W (i � "1 � 8 fD g �i �„ � � � m � ��j � ���.��� ,... . � : O � � � � � b a' � � � S : : � a ° � � � : � �: : ��: �: : . . . OII � : : : : : : : : � : : : : � : o 0 � : PE 6C CC M �C CC CC �0 C� �! ��8���8���8� �� � � � � � V o �. y , � e� � A� m u � O A x � � 0 � � � � � m �^ `I T v � m O � a � � � � � �' � � � 0 1� ! m � 0 v � 0 `� b W g � > � � ■�i�l _ .�■1 , : ��1 � � �■■�, � „ ■��, ,: .: ���i� � �� � a � � ps � � WATER C'LOSLT'S URIWALS s�ni TuBs a�es SINKS W,� �� DRINK. FWNT. StiVrRS. FLOOR o�►�� UTCFI BASINS AUTO Y/AStfER GAS APPL � RIWGE � oa�iHCs ,. Z. � � � A � � � � A' � �' � � � "� o �� � � � �, a � � � � .. ��a�,' � � � � � � � � e �a ���� � b��� � � p� �€� �p��o p � a' o W ���� ' �. m �� � �' � � � ���$ ���� � o � or � � � m � �� 3 � � � � � �� � � a0 R� &Q �°n R � M � � � � � � � • I � -�i, � � � � � �+ ��. � � ro � o � � � � �� ��� G� � � � ���� p � � Q � � � O � �� � ti � �.� � �: ���.0 �y�• �� �� � �. �' �. � � � �a�,�� ���,��� ����� � s� �� �s� �, � �� �� � ��� �' � ,� o ,� �� � � �: � �. o �. ��� � ��� � �' � �'� � �� � �� � . s ���� . ��� � � �� � ��' s ���. �� �.��� �A � � � � � � y � , �b � � „� � �' co �.�'� �' n. �� � a��� b��,� o� � o � ����• �M�� �' �n�.� � ���� � � o�'� � ��� � � ��'�.�' � s Y � � � � 'ti � O � ,� � � � � � � � � I I_ � � I l� � Q 0 �. . O eor � � � � d" m 0 �O i�. � �� � 0 � c� �. � V� � � � � � � � � � �' � � � i � v. O �'�i � � � � � w O o n � iJ � 0 r v n � ti � � � � - z 0 0 � � �. � �• a n O � � � � � � � . � . °� � � � � � A � � � �, � � A �� �' � � � � � � • c� � �v �`° o . �; t � — • ' —� s� �: o , � � a : � ; o y. �o � 3 �� ��s oe�� Q�� e° � o. S. � _ � � y o- a�i a�: , � �' on � �� �r � O ;, � �' � w� s , co � l' � n (^1 City of Fridley, inn BUILDING PERMIT ��. Ma.y 6, 1969 p��; R. L. Ca11et� g�� Miles_ L�her crp. �. � 6683 Anoka St. N. E. Ad� 4500 Lyndale Ave. N. LOCATION OP BUILDING No 6683 g{�t An_oka St _ N_ ._ P� op � Lot �• ao� 27 -?�lock 2 Addition or Sub-Div9si� Oak Grove Addn . Coraer Lot Sewer IIevation Instde L�t �etback Sideyard Foimdati� IIeval3on ��� �� N° 10220 DESCRIPTION OP BUILDING To be vsea ss: Garage �t 24' �� 22' g�t 10' gq, �, 528 �, � 5280 Fra�t I?epth ITefght Sq. Ft Cu. FL Type of Camstrucl3�t Frame �� r$2, 000. 00 To be Completed ���k �ofa �iesu�aaae�� � oa f�a permit to c ordinances of the dtq oP Fridiey. P�on above ag descrlbed above I a�r+ee to do co�pliaac:e vvlth a�l pra�+Isious of Ll t�4der813oII oP tYle pSym�IIt of a Yee of .� 8- Q�_� pe177u1t 98 h@Teby �aIIted to Mi 1�a T.�rml��r CO . t0 Co7letnlCt th@ bt�ilaiII$ OT 8ddil:fOII 88 dBBCCib@d &bOVe. Tl�iBp� t is gran'ted upoII the espx� cwnaition that the�e�on to whom it is graated aad hfs aget►ts, �ployees an� worlunen, ia all work floae fn, around and upon said building, or anypart ther�of, shall c�onform in aIl r�pects to the orrlinaac�s of Fridle3►. Minn�ota lxation, c�nstruction, alteration, maintenancse, repair aad moving of buil wio�a� dty limiffi��and�th�s perrmit may be revoked at any t�ne upon violation of a�► of the 8��� oP� � Official r � Henry . Muhich NOTIC6 1Yt psr� doa uet cerer �6s �, � hr �rhto�, P��B. e�+ �9. a�rv ��rdar. B� wro to su Wa � i�aetar tor ppum � �or f6as hw�. 2 a � � �� 9� .APPLIC�TION FOR BIIILDIIVG PERNlIT • � C�TY OF FRIDL�Y, MINNE.SOTA. . . ,:, _ O�t 'S NAM'� l� < e BIIILDER , .� s �c� � �� � �� � �� . A�DR�B �� � �°� � .�o�- ��. � . /`".�v o % � ,.S''t /r%� , ADD�S �'{�`+a,D /V' �0�� � . � � � � , ., r..,..�. I,OClTTON � OF BIIILDING NO . � � � S'7,'R�E�1.' � ,,�..�.�.,,,�.r� � �? �i ��' • � t� , . �— L0�' N K x?BI�OOK ��-- AUDITION OR SIIBDIVISION �� �:�ro dP f�� � t CORNER � L(Y�.' ZN'STDE LOT .t SE°1'BA.CR SZDE�C$RD —T -..........-.;� SEWER ELEVATT.Q� TOP OF FOOTING Applic�.t attat�h �o this �orm Two Cer�i.,fiQates of Survey of. Lot and prqpoeed b�nild�,Ag.loaation drawn on theee Certiiicates. DE,SCRIP'I�ION OF BClILDING To Be 'II�ad �e._ _ - , . , . , "�i r � _ � F�ont - � j� . Depth 1 °L Hei�hi / o , 6quare fe�t �s. 8' Cubic Feet Front Depth Hei�ht � 5quaxe feet Cubic Feet Type of Qpnstru¢tion Estimated Coat 1�-���� � ,� , � To Be CQmpleted �� c�e ��. � , .� The und�xei�q,ed h��eby maltes application for a permit for the work � herHi�a, t�pecs�.�ied, a�eeit� to do all work in strict accordaxr.ae w3,th the City of F°ridley`Ordi�na�ces and rulin�s of the Department of Buildi.�ngs, and he�eby deolar�e �hat all the facts and representatio�. atated in this appl�,a�,ti.oxt �re true and co�rect e DATE , �/ ( / 6 �' � SiGNATDRE � �'� . � . (Schec�ule of Fee Co�ts can be fouYid on the Rever�e Side. ) �� � � `� � �� � �� �� . ? 9 � . .. �. —� —t°��—� � pc /�1� . ` 1 ' ~ ' � I I � �<<� = � � : � p r�� _ ' �L�1��+ �� :�a�s o� .� SECTION �.� The ip,sp�ctor of Buildin,�a aha119 before is�uin� permite for the e�eat�.o� of any building or etructure9 or for any addition to any mxi.atis� s��tature ox buildix�� or .for any alteration or repa�� to ��y; � exieting buildir� or structure, upon applYCation therefore, requ3,re the pa�u►ent by the �pplicant for such permit of iees to the amov,nt hsrein.. below set forth a�d in the manner herein provided to-wit: IIniform $uild.in� Code: Type 1, 2, & 4-�1 075 for each one thpusaaa.d � � �_ � �� � aubie feet, or �action thereof, in such cubical c.nntents: T� �& 5, $9 .50 ;for ��.ch ome thousand cubic feeto - �;_h For the purpase of computix� fees for buildin� permita, the aubival - ctsirt�s�'t$ o�`-�yy��ct�i�d.�.i-t;�a� u�i�'orm Yiei��au��'r"'gsy--�- multi,plyin� ;�1�e <�pund area covered from a poirzt ais ( 6)�.n.ch�� be�aw - the floor lfne' of the basement or the cellar to the avera,ge h�i¢�ht of the upper surfaae or to the average height of the roof sux�ace of.��#Q maiu gable o� a pitched roof. " For xepa.i:�s` or alterations to an existin� structure, the fee et�a1J. b� at the rate of $3.00 per each five hundxed dollaxs ($500.Q0) ox fraction thereof in the cost of all propoaed worko ' Iu na case shal�, the fee char$ed for any pesmit as set fo�th �n Seo�ion 2 be �ess than $5.00. NSSSD Coru�.ection Cha,��es based on location - Area 1 or 2. '.._: _ b _ . . . �- - � ` ! � °1 P � � - � ° ��' �' . _ . ... _. : . . .. . �. -- -- -- -- -- - -_ � : � � ' _ - .�__-_ _- -- - . . _ - � ; J I�al ter. Maci aszek . , A ��� o,�_. , • • ( � '. , � � _ � �' ...� i �' � � -- ' _- � � , � �� �� � �;� . ; 1 e_ .; �� � .� � . � � � � � "rl :2 �l � � ��� � ._�5.�4� O \ (..�aY� C�— ,.. eY� S,o�l� �r � � D �� �� �� � .�.�ti�.�:� �% `7��°� a �► ��� :� � , {^� �--' 4 I ,• - ����� � l`�� y .- � - / � ��� . r, .t�,e.Rt\•��. `�,�� •. � . �� ' ' � !�I � �. . _. � L�a�v'.s 4:.� �,�i! , .- _ . � �� • . rw.�n..+.,.+..r.... � / ( f :,,,:o . �, � �.le++'. ►•�.6�V.��G��'ri. � � � �'�� ,y i ( � , . � • � � �.� a • � � l � � � Z � �'�c�ti� .� 1- 30 �, ; ... � . � � _ . I� � �- 20��=- 4 ��i�CnG� � • .o - � . ' � � � � J � ��CSG�'����, . ; : �....�..._... �--' i ' • - - -- � � ' �� '� - _���Ot3__�- � � � �. `�„'� . • a i �.: ,���� G.�� .. ��'..-- -.�..,�•-�, ,� . . � �., ' €f �-�„� � � t�. ' ` . .. t�;:�.� n�.�,� . , . �, 0 ` , . � � . � . — -- ---- .. U ��;�. Lot 28 and the North 1/2 of lot 27, .� � � ., I�e�eb� c�ify that this §urvcy, pl�n, or retx�rt � . B10Ck �2 Odk GY'oVe Addi $10t1 ' R'a'� p�n$r�d by mc or,undcr my dirc�;t sui�cr- , • ,,. _ vision aad th�t I am s de:Iy Re�isrered La,:u Surveyo; •n��:`F' �_ lzws, � e St�ite �f Ni:.x}- � Anoka County, Minnesota : ��- .�f � ; ,� � `' • • �i �,. /' a _ . I .or'z � v:!'�� / - a .. : , ' . . � ' Y3�t�� ` � "��^ � ��, N ` � � �' :� .t / �'+ � . w : ' ! 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C U � Q � �� O O N v U � � THE BELOW MUST BE FILLED IN WHFJV REPLACING FUEL BURNiNG APPLJANCES OR THE APPLJCATION WILL BE RETURNED CflMM�N VENT NT BNNECTnR 4ND _�MBIISTIC�N A1R RIFICATIAN �V{ien ��� i^Q a��a ����°, the undersigned hereby verifies that the vertting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (� No () The venting system is plastiGPVC and meets all current codes and manufacturer speafications induding sizing, length� number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the cument � and manufacturers speafications. This does indude AGA-GAMA C�tegory I Central Fumace Venting Tables for fan assisted and natural draft"�ppliances. � eY_j��e.�,e�•_�en �i� is s¢ed and installed to meet the current codes and manufac�uurer's spedfications. V�i1�1 fBQUjf� tp inetall a n�w _em6 �c+ien air_ it wi11 be sr�ed and installed to meet the current codes and manufacturers speafications. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) �� in+llino a�w ��A��, the undersigned hereby verifies that it is a Gsted assembly and meets the current codes and manufacturers sp�ifications. This does indude AGA-GAMA Category I Central Fumace Verrting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an app�iance has �en removed from the common vent and vented separately as per currerrt codes. Yes () No () Aneli� ance T�y �nd S'v��Cemmon Ver�t and Ven4 Connecter infermatien Appliance #1 Type BTU Input Fan Assisted or Nat AppGance #2 Ty� BTU Input Fan Assisted or Nat App�ance #3 Type BTU Input Fan Assisted or Nat _ _ Total Appliances - — - Totai Btu Input -- -- -- -- — --- — --_ - Common Vent Type Vent Height Diameter inches Appltance #1 Ver�t Connector Height ft Length ft Diameter in Type Appliance #2 Verrt Connector Height ft Length ft Diameter in Type AppUance #3 Vent Connedor Height ft Length ft Diameter in Type � �. HEATING CO: d 1'�� ��'C C_ / C� 1 / Signed By: Date : �T� � "