AF - 35108�
t
City of :Fri�ll�y
AT THE TOP OF THE TWIN3
i �
� �
� ; u�_�� COMMUNITY DEVELOPMENT DIV.
f � PROTECTIVE INSPECTION SEC.
� 'i ;
� �""1 � CITY HALL FRIDLEY 55432
�•"•�'� ,`� 812-880-3450
JOB ADDRESS
SUBJECT
BU ILDING PERMIT
NUMBER REV. QATE
910-F15 �n,
5805 Ar'thur Street N.E.
1 LEOAL LOTNO. BLOCK TRACTORADDITfON
DESCR. P�t �<j Auditor's Sub. #92
2 PROPERTY OWNER MAIL ADDNESS
Frax�k VQth 3741 Coon Rapids Bflulevard
3 CONTflACTOR MAIL ADDRESS
.�@
4 ARCkITECT OR D
5 �NOINEER
B USE OF BUILDINC
1�@8].CZP.Il't.j
7 CLASS OF WORK
8 DESCRIBE WORK
MAIL ADORESS
MAIL ADDRESS
PAOE OF
/ /
� ° 13835 �
RE NO
��� ��
�APPROVED BY
SEE ATTACHED
SHEET
427-7400
PHONE UCENSE NO.
PHONE LICENSE NO.
PHOIdE LICEPISE NO.
NE1A1 O ADbIT10N ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
� v 7G �
' x 23'6"
..v.�rT (FfE ���i
QtVIS(QN �E
CHANdE OF USE FROM ' A� ,A�� OCn� ��,
MEATtN�, P1U11�IWG AN� S+ � AT pRNEWav n rw
STIPULATIONS p��,� a hard surfaGe driveway. Provide sod in the front and side 9��
Y��• Provide a verifying survey before capping. Provide triple 2° x 10" girder
in basement. Provide Ci.ty with c:opy of truss design. Prc�vide vapor ba;rrier in
ceiling.
SEWER LOCATION: (Approx. 7' �ep} 110' North of Manhole (Inv. 9�5.45)
WYE ELEV: 945.87
TOP OF FOOTTNG: 948.87 P�I.i.nimum •
WATER LO�ATION: 47' Soufili of property line, appmx. 10' north �XS �����ice.
� dlY 4F �y Dp�g NOt �u� �
�C�t�t+►C�r o� ut�unr �otanpMS u� �Ar�.:��... •�,.;
tH►s O�tTi► �s FpR u�p�� p�,� 8efore digging t�li tocal utifi�EQ�
�� R �� � �RMAtlpN ZEI�PMOIV� -ELECTRiC • GAS Etc.
� REQIlI�ED BY LA1IV
SEPARATE PERMITS AAE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, � Trt �r cvnsi.
VENTILATINQ OR AIR CONDITIONINd. jR1(�O� Fr�e
THiS PERMIT BEGOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R I.
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG.' UNIT;
I HEREBY CERTIFY THAT i HAVE READ AND EXAMINEO THIS APPLICATION �.
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINAtdCES flOVERNtNG THIS TYPE OF WORK WILL BE COMPLIED.
WITH WHETHER SPECIFIED NEREIN OR NOT. THE GRANTINO OF A PE►iMIT $ 45,840
DOES NOT PRESUME TO OIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
STRUCTIONSORFTHE PE FORMANCE OF CO STRUC pNEGULATING CON- $113.89
�� PLAN CHECK FEf
� � $28.47.
SIGNATUREOFCOWTRACTORORAUTHO EDA6ENT �DATEI WHEN PR
��� �� �� l�/�a�� � ��'l� �
832 +46D
STALLS
CU. FT.
28,472 Total
iREET PARKINd
IGARAGES
AX
$22.92
�HARGE
$350.OU
L FEE
$515.28
5 IS YOUR FERMIT t�
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CITY OF FRIDLEY
APPLICATION F�R� ('.ESIDENTI�L BUILDING PEF2MIITS
�NEt�, ALTERATIONS, ADDITIONS, OR REPAIRS) �/�
. + ��� ,.,
/
� �c .uL 1 � -:.i����....�,,.�� _
� �
�' " I/�ilir%� ii1'!iti ��iw� s� � .�
! 1 ' ` � �/, � i %� 1� � , � - /��'� �i,�[ � / �l
/
NO:. STREET:
(4^'�' � �T :�,��BLOCK • ADDITION • (��.��� d c��. ��—_
GOI2NER LOT: INSIDE LOT: ,�SETBACI�: �s� SIDEXARD:_L.�� /c�'
Applican� attach to this form Two Gertificates of Survey of Lot aad proposed
building location dra��:n on these Certifica�es. �
D�SCRIPTIOiV OF BUILDING
�o Be Used As:
f�,'s e- ,/_
_ i7`o �%� � Front • �� Depth • o� � Height : 02�
�Square Feet; /"%/� Cubic Feet:
�,�q�� Fxont :_ �i Depth :-- 0?3 � Height : �
.
Squaxe Feet; Cubi.c Feet:
Type af Construction: �On� ��'^,.,�, Estimated Cost:_$ �7�0 Da
�To Be Campl.eted: ��Z ^/�'-- � �
�,
��� Th� undexsi ned hereb� makes a licativn for a
� S pp permit #or the woxk herein
�'
specified, agreeing to do all woxk in stxict accoxdance tvith the City of
Fxidley Ordinances and rulings of tiie Department of Buildings, and hereby
declares tliat all the facts and representations stated i.n this application
are true and corxect. ��� /� J�� .
��L (�
DATE: �'C.31/'s�/ � � • STGNATIIFE :
(See Revexse Side For Additional Information.) � STiOl.[L�'Tld)+% S
j�-�' �'i�3, s9
� �a�4,c as, y�
� s� � �z, gz
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� �i,�, � 8
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oc
�q,s��nE.� �--
�,� �ed� � o� e cr� � � �a c�o� y �
?�2uss o � � `�� •
�) �.Q ad �/� � J•�Mer� �Q,1,� t� � N
�Ei�� .� �
�BUILDING PERMIT FEE SCHL'DUI.E
SECTION 2. The Inspector of Buildings shall, before issuing permits for the
erection of any building or structure, ox for any addi°tion to any existing
building or structure, or for any alteration or repairs to any existing
building or structure, upon application therefore, require the payment by the
applicant fox such permit of fees to the amount hexein below set forth and in
the manner herein pxovided to-wit: •
NEW CONSTRUC�ION: S3.ng].e Family Homes and Garages: $�l.00/1000 cubic feet
PLAN CHECK: 25 percent of building permit fee.
ADDITIONAL INFORMATION
Fox the puxpose of computing 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 floor line of the basement
or the cellar to the avexage heights of the upper surface or to the averaget
height bf -the rQnf surface of the main gable of a pitched roof. �
For repairs or alterations to an existing structure, the fee sha11 be at the
rate of $3.00 per each five fiundred dollars ($500.00) or fraction thereof in
the cost of all proposed woxk.
Ta no case shall the fee charged for any permit as set forth in Section 2 be
less tha.n $7.50. •
VERIFICATION OF FOUNDATIO�
NOTE: Permits for �onstruction will be issued a minimum of 24 hours from the
time of application, to allo�a for groper review of the proposed structure and
of the construction site.
A Certified Survey of the lot, showing the location af the foundation, once it
has been constructed, will be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCI'
Application for a Certificate of Occupancy shal,l be made•ten (10) days prior
to the use or occupancy of any stxucture for which a building permit has been
issued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued.
�
� _ ' ._
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�'�•�,��� � � ' i � i
f! '� �� ' � �(; � �: ?�', � _ �, � � �
REG/STEAED PROFESS/ONAL • LAND St/RVEYORS
Ts1a�o+►s 561-Z505
a
SUITE �B
VILLAGE NORTH PROFES5�DNa►i. BLQG
74�0 UNITY AVENI�E NORTH
BROOKLYN PARK, MINNESOfA 554�3
��r�t ��i��t� � of �� r��y
Pe���r�r o� Franx votn
d�scri�ad as tol loars � parcel No. 2 a The north 80 feet of the sauth 160 feet of
the west 210 feet of Lot 49� Auditors Subdivision ATo, 92� Anoka County�
Minnesota. Sub ject to an easement for ra.od purpos�a over the west 30 feet
.._.__ ........ ....... _.. . ........ ... . . _
thereof. Said south 160 feet being measured along the west line of sa�.d
Lot 49 . $�o .� �� �� �
� 1��� �
.-.iM t}RTANT ta�� t� �� ���r �o� �a�r Gva��
,�----��1� ACCUt'tAC�( OF lDTtll'i'! LOCATIONS AIdD EL�bATI�Fv:..
� .� TNIS ��TA 4S PO� INF �U�IDnVERIFI( PTHE �17�1FO�RW�AT O�1
CU�� R �
�Y�§��� � P�U EMEN`P, PERSONS USIW� R 5�t
Q€��Y�� �(�p ON THE SfIE
fi �� ��'Y' w��.ppE tNGSa �j
• : ��T� //rl� G ��✓�ii�rf� ��oD �7, ����
� "' /$o. oo ' t.
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Sefore digging cati local utili
TELEPHOI�E - ELECTRIC - G�.S
REQ�I.IRE[� �Y �A
t� � �. � -
� � � /80.oa .
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60 �^ j � �.
r
t hirapr cart�fr fbot lbis swvey, v�eR, or ►opwt was On�or*d �r nro or
und►r n�y d�roct soparvist� ond tAof 1 om o dnlr Roqist�►ad Lond Surnsyor
und�r ih• lows of tAa � Stot� of M�nn`sota� � .
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160
RE�ULAR COUNGIL �EETING OF OCTOBER 4, 1976
PAGE 3
DISCUSSION REGARDING POSSIBLE FIEETING OF CITY COUNCIL WITH DISTRICT PJO. 14 SCHOOL BOARD
0 S ITEMS OF C PERAT 0 D OP9P1 N INTERE :
Mr. Qureshi, City Manager, stated that there were a number of areas wherebq they are
cooperating with the school board and school administration and perhaps a meeting of the
City Council and school board to explore the areas of further cooperation and future
pol9cy direction would be helpful. Councilwoman Kukowski then sugaested a meeting
date swnetime in Novernber. Councilman Fitzpatrick stated the meetin� dates of November
4th and 18th would be acceptable. .
,--P90TION by Councilman Fitzpatrick directin� the City Mananer to forward the letter to
Chairman Sangster of the School Board. Seconded by Councilwoman Kukowski. Upon a voice
vote, all voting aye, Mayor Nee declared the motion carried unanimously.
� RECEIVING THE MINUTES OF THE PLANP�ING COPM1ISSION MEETIPlG OF SEPTEMBER 22, 1976:
E. R. SbdANSON; ZOA #76-03, 73RD AVENUE & CEP�TRAL:
t
MOTION by Counc,ilman Starwalt to set the matter for Public Hearing on November 8,
1976. Seconded by Councilwoman Kukowski. Upon a voice vote, all voting aye,
Mayor Nee declared the motion carried unanimously.
I CENTRA! TOWNHOUSE ADDITION; P.S. #76-08, E. SWANSOP�
� AND
TOWNHOUSE DEVELOPMENT PLAP7S, T. #76-03:
•MOTION by Councilman Starwalt to set the matter for Public Hearing on November 8,
1976. Seconded by Councilwoman Kukowski. Upon a voice vote, all voting aye, Mayor
Nee declared the motion carried unanimously.
��. E. MADSEN; L.S. #76-06, 246 RICE CREEK BLVD.:
i -•
� {Nr. Sobiech, Public 4Jorks Director, stated that this was a request by Mr. Madsen to
split existing parcels of property at. 250 Rice Creek Boulevard. He further pointed
� out that the reason for the request for the lot split is to better describe the
'. property line in its relation to sor� existing dwellings. The Planning Commission
recommended approval of the.lot split request with the stipulation that an agreement
be provided by the property owner. Mr. Sobiech then asked if there was a represe�tative
present, and Mr. Madsen stated that he had nothing further to add -- only that it is
a muivally agreeable situation between Mrs. Murphy and himself.
MOTION by Councilman Hamernik to approve the lot split. Seconded.by Counc9lman
Fitapatrick. Upon a voice vote, all voting aye, klayor PJee declared the motion
carried unanimously.
F. J. VOTH; L.S. #76-07, 5801,�5�5809 ARTHUR STREETS:
Mr. Sobiech, Public Works Director, stated that this was a request for a lot split
to port9on off a large parcel of property in three building sites, and the Planning
Cor�enission did recortrnend approval.
� MOTION by Councilman Starwalt to approve the lot split, allow the building permit on
� lot two and after he works with the property owner and prospective buyer to resolve:
j•' (1) the garage encroachment, (2) t,he 20 foot street easement, and (3) the ownership of
, the shed on park property, then allow the permit on lot one. Seconded by Councilman
Fitzpatrick. Upon a voice vote, all voting aye, Hayor Nee decldred the motion
� carried unanimously.
I CONSIDERATIQN OF APPEALS COMINISSION PqINUTES OF SEPTEMBER 15, 1976:
M. MAYER; 7431-7433 AQLE STREET:
i
MOTION by Councilman Hamernik tq concur with the recommendation of the Appeals
� Commission and grant the variance. Seconded by Councilman Fitzpatrick. Upon a t
voice vote, all voting aye. Mayor Nee declared the motion carried unanimously.
� MOTION by Councilman Starwalt to receive the minutes of the Planning Co�ission meeting
of Septgnber 22, 1976. Seconded by Councilwoman Kukowsk9. Unon a voice vote, all voting i
'� aye, Mayor Nee declared the motion carried unanimously.
�` i , � �1
, �r
.
-�,_ �____ .___ _ -_ _ __ _ __ .�. - --- ..� ___ _ . ' ... ------ ---- - - - . - ,
�f
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1ft�.
REGULAR COUNCIL MEETING OF OCTOBER �, 1976 PAGE 4
CONSIDERATION OF ACQUIRING TAX FORFEIT PROPERTY ADJOIMIMG NORTH INNSBItUCK PARK AND
NSFE RI G PARK PROPERTY OfVG RICE CREEK EAST F CENTRAL T AP�O' COUPlTY:
Mr. Qureshi, City Manager, stated t7�at.on the pr�posal for the property that is east of
�Centra] along Rice Creek. basically the amount the City is asking the County to pay for
is what the City's cost for the property is, which works out to be $Q,062.79. Also,
on the acquisition of tax forfeit properties .next to Innsbruck Plorth Park� the proposal
is to acquire all the property except only acquire 12 feet access easement on Lot 1,
Block l, Carl Peterson Addition.
t Councilman Sterwalt indicated maybe we should acquire that lot also and then later make
a determination to sell portions of Lot 1, Block 1, Carl Peterson Addition, also Lot
42, Auditors Subdivision #92, and also acquire all these lots outright so that any of
these properties can be sold, especially these two lots.
� Mr. Qureshi indicated that once the property is acquired; there miqht be some resistance
from the people to sell these properties because they would think the City was disposing
� of some park property, even though the City is buying these properties with the intention
� of selling it, and this route might be financially better for the City to follow.
i
t
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MOTION by Councilman Starroualt to approve the Memorandum of Understandin� with the
addition of Lot 1, Block 1, Carl Peterson Additiun, and the amendment of the assessment
figure to $9,318.82. Seconded by Councilman Hamernik. U�on a voice vote, all voting
aye, Mayor Nee declared the motion carried unanimously.
CONSIDERATION OF AN AGREEMENT BET4IEEN THE MI
Of NATURAL RESOURCES
TEM APlD "rISHING PIER
AT MUOKE LHKt:
MO1"ION by Councilman�Starwalt to approve the agreement. Seconded by Councilman
Fitzpatrick. Upon a vaice vote, a1T voting aye, Mayor Plee declared the motion carried
unanimously.
CONSIDERATION OF A REQUEST FOR FUNDS TO SUPPORT THE NORTH SUBURBAN FAMILY SERVICE CEPlTER:
MOTIO�d by Gouncilwaman Kukows.ki to table.the matter until the next meeting. Seconded
by �ouncilman Starwalt. Upon a voice vote, all voting aye, Mayor Nee declared the
motion carried unanimously.
CANSIDEI2ATIOM OF REQUEST BY COUNCILMEMBERS KUKOWSKI AND HAMERNIK TO ATTEy� THE NATIOP�AL
LEA6UE OF CITIES 1976 COP�GRESS IN DENVER, COLORADO, MOVEMBER 28 - DECEMBER 1, 1976:
MOTION by Councilman Fitzpatrick to approve the attendance of both councilmembers at
the conferenc�. Seconded by Councilman Starwalt. Upon a voice vote, all voting aye,
Mayor Nee declared the motion carried unanimausly.
• t RESOLUTION N0. 104-1976 - SETTING AN ELECTION FOR COUNCILMEP16ER - WARD II:
• MOTION by Councilman Fit�patrick to adopt Resolution No. 104-1976. Seconded by
Councilwoman Kukowski. URon a voice vote, all voting aye, Mayor Nee declared the motion
carried unanimously.
�
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RESOLUTION N0. 105-1976 - DESIGNATING POLLINC PLACES AND APPOIPITING ELECTION JUDGES FOR
HE N0 Eh9 ER 2, 1976 G NERAL E ECTIOP�:
MOTION by Councilman Starwalt to adopt Resolution No. 105-1976. Seconded by Councilwoman
Kukowski. Upon a voice vote, all voting aye, Mayor Nee declared the motion carried
unanimously.
MOTION by Councilman Starwalt to amend the pay for election judges to $3 for head judges
and $2.50 for regular judges. �Seconded by Councilman Fitzpatrick. Upon a voice yote,
all voting aye, Mayor Nee declared the motion carried unanimously.
�
�
I
,
�
RESOLUTION NO: 106-1976 - APPROVING HHD FINAL CONSTRUCTION PLAMS FOR TRAFFIC NOISE ;
TTE U TORS; I.694 FROM MAIN STREET TO TH STREET: �
MOTIOAf by Councilman Fitzpatrick to adopt Resolution No. 106-1976. Seconded by Council-
• woman Kukowski. Upon a voice vote, all votinq aye, Hayor Nee declared the motion carried '' �,
unanimously. s
. 1
I
560-3450
���y o %''E��QL�
V C!
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE December 29, 1976 FRIDLEY, MINNESOTA 55432
A9r. Frank Voth � . -
3741 Coon Rapids Baulevard
Cbon Rapids, Mn. 55433 �
Re: F3.na1 Inspection at 5805 Arthur Street N.E.
Dear Mr. Voth:
A final inspection was made on December 28, 197C of 5805 Arthur Street N.L.
and the�following items were noted which must be c�npleted before the
structure can be finaled au�i
1. Provide anchor bolt nuts 3.n garage by January 20, 1977e
2. Provide joist hangers over basem�snt stairwell by January 20, 1977.
3. Provide house numbers on structure by January 20, 1977.
4. Provide sad i.n the front and side yards by Jiuie 23, 1977.
5. Attach ch�.mney flashing properly by June 23, 1977.
We will expect the above items to be completed by the scheduled dates when
xainspections will be conducted to detezmine compliance.
If you have any questions on these items, please feel free to contact me
at 571-3450. �
Sincerely
RONALD E. HOLDEN
Building Inspector
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City of Fridley 16 0 7 5
,` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' R IPT NO.
r '
� �v ___�� COMMUNITY DEVELOPMENT DIV.
r j � PROTECTIVE INSPECTION SEC. O� s� 3
�
i1 i �
_-_-� �����;•� CITY HALL FRIDLEV 55432 NUMBER REV. OATE PAGE OF APPROVED BV
L 612-571-3450 910-F15 3/26/81 / /
JOB ADDRESS 58Q5 Arthur Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. P'�. Of �� AL1CI. 511�. ��2 SHEET
2 PROPERTYOWNER MAILADORESS ZIP PHONE
� Gordon Backlund 5805 Arthur Street N.E. 574-0369
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
$8IDG
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICEN5EN0.
8 USE OF BUILDING
RBSl.Ci@Il'tld�.
7 CLASS OF WORK
� NEW [� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
S DESCRIBE WORK •
Construct an 8' x 23.6 � Additi.on to sa.de of ar e, A Y�use addition of
14� of 11.6' and a 14' x 30.6' Addition)
9 CHANOE QF USE FROM TO
STIPULATIONS yari.ance a mved on
gp garage additi.on January 13, 19�81. North wall
� constructed to a fire resistance of one hour with no w:tnda�,rs or doors.
Overhang to be vantained within the property.
� ����
SEPERATE PERM�TS� REQUtRED FOR �fRl� Be�e di�ging �� � tl���
p�� . ELECTR4C - G� ��
HEATtNG, PLUMBt�IG AND SIG�. T� �E� gY t�`
RE(�U1
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPEtdDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO.. DWLG. t�NITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �' STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2Q��0 �`],O•=�S
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMtT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW RE(iUTATINO CON- �`126.00 N�TE
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
$31.50 $167.95
�Si N UREOFCONTRACTOR A HORiZEDaGENT IDATEI WHEN PiiOPERIY VALIDATED THIS IS YOUR PERMIT
� � '�� J � � � a. � B
SiGNATURE OF OWNERtIF OWNER BUILDERI IDAT�1 BLDG INSp fJA
.
.� -
f�
O
CITY (lF � �itIDLCY •
0
APPLICA7I0:1 FOft ('.ESIU(:i��TI/ti_ i3U11D1i1G PCRi4ITS ' � •
� (tJe�r, i�l L•erations, Additian�, or ftepairsj
� dt•lt�ER: �j0�?vON I..3i4CK[.c�/t/�7 [3UILD�R: �O�QDD�✓ .�,9cKLU�vv
ADDP•ESS: S�4S /�,27/�'u�e ,S'T' i✓�' /1UDRCSS: .�8c�s'" /.�,o2TH v�2 ST'�vC
TCL �0 : ,S"� y— 03 �t� TEL ta0: S� y= v�3 G y
0
Construction Location '
• STItI�T P]O: .S S�O,Sr STREETc Ai2%/YU/! .s j/�/E
' N•8c>� oF S. i�o' vF r,�. ��0� •, .
r,oz�: .� F ��_ sr,oc�: �. �nnzTZO�r: �9 vi� S��c3 N v�,� �
Corner Lot: � Inside Lot: ✓ SetbacY.: Sideyards:
Ap�licant attaEh to this form tcvo Certificates of . S�,irvey of lot and
_ proposed building location drawn on certificates to scale. � .
0
DESCRIPT�Oit OF CQi•JSTR�JCTIOW -
(�Pi'"%� , fi't �ti �7 a I'ront: �' �
Square.k'eet:
i c.�o
�S�- � A �1 • S�'ront: 1�' ]
� Square• Fe�t: -
Drpth: �� . � � Iieight: l0 �
Ctiibic Feet: - I
� /5� ' X �0 � (o � J� � J
�ePth : � ( . (� . . lit:
Cubic I'eet: ��'
. . 'L a, gOt1
iype of Canstruction : �.�/v� � y�4 � c: Estimated Cost: $�
Rb $e Obr.�pleted: ��'S T% �U L f �9E3 /
. �---
' . _ � Ait. A Att. B
Prop�sed Drivet•ray iv`idth If New Opening Is Desixed: /V�� . $' �$
. , ., S�E RF.VERSE SIDE OF SFIEET .
7�iic undexsigned hereliy ma}ces applicaticn for a permit fcr the tnrk� herein specified,
�grceing to co ,all �ork in strict accord3nce t�ith the City of I'ridley Ordinances and
rulangs ot the De�hzriment of Bui�.dings, and he::eby declares that all the iacts and
zcpresrn�ztiens statcd :n this application zze true and correct.
D.3T�: 3 -•2 `/- fl � SIGNATUF.E: � ��
J,a�.� rl NC �, f}p P 2oJ�4 0� � f1-2�-7 �'., t�+D �� /- i3 -� �• �t1o2•Tr-� u1l��C.
SLi��ulztions: s��- C.o��US'iie.e.�c�� Tv A- Fi��. ,Q�S�STA�vC�. OF o►J�. f-/��.c2 W�Tr�FF �(Jo
(�J �� Do�IJS o 2 JoOQS - o v� r-1 r?ru6 �.��. ��u � �S1E � CxJ � T11-� ti1. 7�-�,'
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c+f .u�y 1�ui.J.�l.iiu� ur :,t::.-uct:tu�, �r. Tc,�: �,�i�� ��dcli.i:ic+n �.:o e�uy ��:i;;i:i.��q lnii2clinc� ��:'�;L•zucLur.r_,
ci�' l:ar aiiy ���.t.�x.�t�i�,» or. r.cl,t�ir.:; L•o •any c::i.:t:in�,� hui.l.di.�r.) ar sL•�ucturc, u��c,n ar�1�li.c:atS.ot�
thr.r.�ior.c, r.equ.ir.e tl�c }�r,ymci�t: )�y t1�c ap�,�].i.cat�t: f:c�r. s:uch per.Mi.L• ol: fcc.^, to tlic �n���nt-
hezci�i bcl.cn� sr.t ��r.th �u�d i.0 1:hc �nannez l�c:icin ��rovi.cic:cl t•�-a:it: •
)3}7� GOI,15`I'1;UCTIOtJ : 5ing].c Fami].y llotr.cs and Ga�-acres : ; 4. 00/J., 0�0 cul�i.c tec:t..
llJJi � CIII:CI:: 25 ��erce»L- t�L lrus.lclincJ �'e�7ni� iee. ,
U1tI\�Tl•iA�' llEl'P.i:SS�Ot:: (Cancrct-c G1ixb ;i:rcets Onlyj �
• J,�.1.C1'))�R1=C A: ltcmoval ai�d repl�zccment of concrete curb and
guLter only; l�riveF�ay ��idth plus 6 feet r. 115.75
N.i:crn�L-c II: Remaval and re����ccm�•nt of concrete curb �nd .
, ' guttcr and inst�ll a 3 fo�t ��ic?e ap�roach ���ith �
• . � 6�nch depih; Drivev�ay ��ic:th �plus 6 feet x$17.85 '
. � . ,..j�DITI�i�AL II�OR��11lTI0P � _
Tor the purrose oi compu�ing tees for building �rMits,- L•he cubica� contents of any
buildi.ng or addition, is detexmi_ned by rnultiplyir�g ihe graund area coverecl Srom a
p�a.nt sir_ .(G) inchcs below the iloor ]_inc of ihe basea-aent or th� cellar to thc
averuge hcights of-the •upper sur.face or to the average height of the roof suriace
of L-he raain ga}�le of a pa.tched rooi. ••
For re�ai.rs or a�teratio:�s to an existing stnicture, the fee shall be at the xate
.of $3.00 r�r. cac2i fi��e l�undred dollars -($500.00) ar frac�ion 'J�er�af_ i.n the cost .
of all proPosed wor.Y._ . -
In •no case �ha�1 the fce charged fdr any pP�►nit as set iorth xn Sectivn 2 be .less - _
tZ�n $7.50 p1.us $.50 state Surcharge. � � � .
- � VERIFICl�TIO�! nF FOU��tD�TI0f�1 ; ;
.NOTE: Permits �or construction will be issued a mini.mim of 24 hours� from tlie time::
of apnlicatioi2 to allotv for proper review of the proposed sLucture and oi the .
construction site. � ' �� �
; _ _- . • .
?� Certificate of Survey of the lot, sho�ring the loca�ion of tiie foundation once it
has been constructed �.*ill be requiret� bef_are pr_oceedinq crith the framsng.
�RTIFI��TE OF O��UPI�t�CY � �
' D�plication ior a CertiiS.cate oi Oceupancy sh�ll be mad� i:en (10) dags prior io th�
use or accuFsncy oi any sti-ucture �ar �.*iiich a l�uilcli2ic� perr,►it l:as been issuc�d; and
s.-�id structure : hal�. not lae used or. occupi.ed �:iit-i.l a Ceri:i�i.cate of OccurZncp has
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CNERRIER WINTER & ��SOCIATES INC.
REG/STERED'ROfESS/OMAL � LAMD SURVEYONS
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VILLAGE NORTFI PROFESSIONJ►L BI
74�0 UNITY AVENUE NO!
9ROOKLYN PAiiK. MINNESOTA �
Cert if icate of Su rvey :--.
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��� • � � . .. , i . . .. - �.,� :e. ; -�-�:,
. Frank. Y,oth ��, �r����w�r +
da�crfbad os foi lows � the north 80 feet of the south 160 feet of t�i,e rreet� ��
210 feet of Lot 49. Auclitor� _Subdivision No__ _92� Anoka Ce_ �,_ �3��_, �_„�;�� �'�
Said south 160 feet beir�g�measured along�the west line of eaid Lot 49. ��
! Sub ject to an easement . f or roadway purposes over the west 30 feet thereof.
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Y11d�1 rny Oincf •�wrrision ond fhef 1 on� o�1� Rp�st�r�0 LoM S��w�rvr
und�r tM lows ol�A� Stot� ot M���zota. �, .
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CN�LI
CIVIC CENTER • 8431 UNIVERSITY AVE. N.E.. FR(DLEY. MINNESOTA 55432 • PHONE (812) 571-3050
CITY COUNCiL
ACTION TAKEN NOTICE
Gordon Backlund
5805 Arthur Street N.°E.
Fridley, MN 55432
March 19, 1985
On March 18 1985 , the Fridley City Council officially approved
your request for a ot sp i y resolution
with the follow�ng stipulations:
A certified copy of the resolution is available so you can record your lot
split with the County.
If you have any questions regarding the above action, please call the Planning
Department at 571-3450.
Sincerely, ,
� �'�1 �j'. l��'j�L% �til�- � � c.��
JAMES L. ROBINSON
PLANNING COORDINATOR
JLR/de Please review the noted stipulations, sign the statement below and
return one copy to the City of Fridley.
cc: Jacob Wiens
Concur with action taken.
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Scale: 1" = 30'• � �
o Denotes Iron
Bearings Are Assumed
Backlund
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i✓o,-�h /:n e cf fhe s'ouf�i !6'D e o� Cof 49
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DESCRIPTION
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�dr'�ors Sa6d. �� f,o� N. 9�
The Pyorth 80 feet of the South 160 feet of the West
210 feet of Lot 49, Auditors Subdivision 1Vo. 92,
Anoka County, Ninnesota. Said South 160 feet being
measured along the West line of said Lot 49. Subject
to an easement 'fo�e roacl purposes over the West 30
feet thereof, �
and . .
the North 40 feet of the• South 200 feet of the 4;est
210 feet of Lot 49, Auditors Subdivision No. 92,
Anoka County, Niinnesota. 5aid South 200 feet being
measured along the ti•7est line of said Lot 49. .
Subject to an easement for road purposes over the
t�est 30 feet thereof. .
�
We hereby cenify that this is a true and correct representation ot a survey of .
���Z' � the boundaries of the above described land and of the location of all buildings,
�N� cq��,y����� y��� if any, thereoR e�d all visible encroachments, if any, from or on said land.
7801 Sunnysid� Road & Hwy.10
Niinaeapolis. Minnesota 5b432
TeI: (612) 786-6909
As wrveyed this ��'Y° day of• FeGruCt/'v �gg�,
. '
Land ; u e�a� Minn. Rey. No. /09
��
Job No. �o -t� 0ook - PeQe 2� /3
SUBJECT PERMI
City of Fridley 18093
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
�
� � RECEIPT NO.
i �L ����� ,
COMMUNITY OEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. �J��
1 � i !
( � r"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�'"'"� � ��� 612-571-34b0 910-F15 �
7/1/85 � /
JOB ADDRESS 5805 Arthur �'��fl't N.E•
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. P't. 49 A11C1. �UI7. �92 SHEET
2 PROPERTY OWNER MAIL ADDRES$ 21P PHONE
Gordon Backlund 5805 Arthur �treet N.E. 574-0369
3 CONTRACTOR MAILAODRESS ZIP PHONE LICENSENO.
Same
4 ARCHITECt OR DESI(iNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENOINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDIN� �
Residential
7 CLAS3 OF WORK
� NEW ❑ ADDITION 0 ALTERATION � REPAIR O M.OVE ❑ REMOVE
8 DESCRIBE WORK
Construct an 18t Di.ameter Above the.Gxound �001
9 CHANOE OF USE FROM TO
STIPULATIONS
See lette�; dated 6/28/85 �ox ths.s.tipulations. I.f pool area is not
secnre a£ter installation, then the awner will i.nstall an appraved fence.
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBINQ, HEATINO, TMPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD
VENTILATING OH AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(3 SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED ON ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND E%AMINEO THIS APPLICATION ]. STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX
AND ORDINANCES (30VERNING THIS TYPE OF WORK WILL BE COMPLIED $��� $, 5O
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NO7 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S1.rJeQO.
PLAN CHECK FEE TOTAL FEE
$15.5Q
sicr� REOFCONTRACT RAUTHORI2EDA6 r �onrei WHEN PROPERLY LIDATED THIS IS YOUR P MIT
G�2✓v' % /-�-�� e � � �
S A 0 O NEP OWNER BUILDER� iDATE� BIOG �NSP �AT
i
NE1eT [ ]
ADDN. [ ]
�r,T�t. I ]
Construction Addres�:
Legal Desaription:�
City of Fridley
�R-1 AHD R-2
Building Permit Application
,.58 a.� /�%Try �2 _ S% �G'
� �-_.• . �' �_ '�l
Effective 4/1/84
Owner Nmme & Address : y d o2dd>✓ .L3ificK[. uw� Tel .# s�y d� 6f�
..s�Q o.i � �21'/i'v2 STvYr
Contractor: Tel. #
Address: �osLau�✓ .%�«� u.,��
,S -8u.r �r2Tf1 v� S%ir/t
Attach to this apglication, a Certifieate of Survey oP the
lot, with the proposed construction draWn on it to acale.
LIVING AREA:
QARAGE AREA:
DE_:
OTHER:
DESCaIPTIOB OF IIKPaOYEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
a.• T�
� ..�.t
1 � a
9s�e u n � �%60 /� fI /�' I�e T/ O/1
Gv v t-r.
Corner Lot [] Inside Lot [v]' Ft. Yd. Setbaek �O � Side Yard Setback %� ,�'O<ep�
•� TF ���c� � `''� � ��� � Estimated � Cost : �� P d �
Type of Construction: � - --- $
Approx. Completion Date �"� �� ✓� /y g� - � • h � �-�.,, �,c� �. // 5��� �� �-
% !I �t�l� /J ���Iw.rtiil S�i:� ��l%�Er .%!R fv w�aCCdW CG t
�� oa,w flJ �i lf�- e,.� c% h4 �^a.. u� �%,�y�.•�.., •✓ a.� J lr�.►e��t � Alt. A Alt B
�j0 A T'r <% /Jri j� t �/i ✓� / rl �: f
Proposed DriveWay Y i d t h I� NeW Ope n ing Is D e s i r e d: $ $
See Back Page for Explanation
Sq. Ft.
Sq. Ft.
Sq. Ft.
/'k ` �/ia •..a �
DATE: ����} APPLICANT: �a�L�v N,%J/t c/rCG v.vr Tel. t� `r�y'�J3 ��
CITY IISE O1�LY .
Permit Fee $ ��� Fee Schedule on Reverse Side
Plan Check $ ��� 25� of Building Permit Fee
State Sureharge $ � �.50/$1,000 Yaluation
SAC Charge $ $425 per SAC Unit
Park Fee $ Fee Determined by Engineering
SeWer Main Charge $
- Agreement Neeessary [ ] Not Ideeeasary [ ]
TO�AL
STIPOLATIONS:
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BUII.DIl�G PERMIT FEE 3C�DIILE
The Chief Building Offieial shall, before issuing permits for the erection of any
building or structure, or for any add3tion to any existing building or structure, or
for any alteration or repair to any euisting building or structure, upon applicmtion
therePore, require the.payment tiy the applieant for such permit of fees to the amount
herein below set Porth and in the manner herein provided to-Wit: �
Total Yaluation
�1.00 to $500.00
�501.00 to $2,000.00
$2,001.00 to $25,000.00
$25,001.00 to $50,000.00
$50,001.00 to $100,000.00
$100,001.00 and up
Feea
$10.00 (Minimum Fee is $15.00)
$1Q.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and ineluding.
$2,000.
$32•50 for the first $2,000 plus $6.00 For each
additional $1,000 or fraction thereof, to and
including $25,000.
$170.50 for the first $25�000 plus $u.50 for each
additional $1,000 or fraction thereof, to and
ineluding $50,000.
$283.00 for the first $50,000 plus $3.00 for each
additional $1,000 or fraction thereof, to and
ineludfng $100,000.
��33.00 for the first #100,000 plus $2.50 for each
additional $1,000 or fraction thereof.
DRZYEiTAY DEPRB.S3ION 83CRaii
(Concrete Curb Streets Only)
Alternate "A": Removal and replaeement of curb and gutter only - Drivexay width plus
6 feet times $13.50
Alternate "B": Reffioval and replacement of curb �nd gutter and install a 3 foot wide
approach With 6 inch c3epth - Dr3ve`ra� e�iclt� plus 6 feet times $15.75
YB�iIFICATIOH OF FOONDA�ION
Per�mits for construction Will be issued a minimum of 2� hours from the time of
application to a11oW for proper review of the proposed structure and of the
conatruetion site.
A Certificate of Survey of the lot, shoving the loeation of the foundation onee it
has beea eoastructed will be required before proeeeding With the framing.
�`
� _
;'
e.
CITYQF
FRIDLEY
CIVIC CENTER • 6-131 UNIVERSIT�' AVE. N.E. FRIDLEY. !�11NNESOTA 5543� • PHOI�TE 1612) 57(-3�1i0
�
June 28� 1g85
Mr. Gordon Backlund
5805 Arthur Street N. E.
Fridley � l�N 55432
Ae: S�,rimming Pool Construction at 5805 Arthur Street N. E.
Dear Mr. Backlund:
This letter is to make clear this department's requirements for the aiaimming pool
construction at the above address.
1. As indicated, one (1) skimaer apprwed by the National Sanitation Foundation
xill be pravided.
2. As �indicated, one (1) ialet of approved design for Presh and/or repurified
xater will be prwided.
3. The filter ar.d pump shall be approved by the N. S. F. and be of sufficient
capacity to prwide a minimum turnover of at least txo (2) timES in 24 hours.
This department recommends a turnover rate of 6- 8 hours.
4. A deck of at least three (3) feet vide, measured from the pool xaters edge,
shall be prwided Which extends completely around all private residential pools.
Above ground private residential pools may be prwided xith decking of a minimum
size of 4 feet by 4 feet at pool entry points and pravided that such decking has
the aFprwal of the City.
5. Fencing or other effective meaas including but aot libited to Walls or
buildings, acceptable to the City, shall be provided to positively control all
access to public and private residential swia�ing pools. Fencing ahall meet the
folloaing criteria:
(a) The fencing shall prevent the entrance of children and be �►ithout hand or
foot holds that �ould enable a person to climb over it.
(b) The feneing shall be at least 6 feet high and entrances shall be equipped
xith self-closing and self-latching gates capable of being locked.
(c) Self-closing and self-latehit�g deviees shall be placed at the top of the
gate or other�ise inaccessible to �all children.
(d� The opening bet�+een the bottom of the feace and the ground or other
surface sha21 be not more than four inches.
June 28, 1g85
Nr. Gordon Backlund
Re: 5805 Mthur Street N. E.
6. Au autiamatic ehl.orinat� should be prrnrided With a suitable test kit.
Page 2
7. All e�lectrical and pluabing installations ahall be inspected and approved by
the City Inspection Departmeat.
S. All overhead electrioal lines must be a minimum of 10 Peet horizontally from
the pool surface, and 18 feet straight line distattce from the Waters edge. An
alternative is to bury said liaes.
9. The paol fill spout must be protected by a vacu�mn breaker or air-gapped.
10. Suitable saPety equipment to include but not limited to a ring buoy and rope
that is 1-1/2 times the pool diameter and shepherds crook pole must be provided
and maintained With the pool at all times.
F�rthermore, these and any other requirements must meet the provisions of the
Fridley City Code, Section 115, Sy+imming Pools. �e building permit is approved
coatingettt on final inspections and approval of the City.
If any questions or problems arise fram this letter, please feel free to contact
me at 571-3�450.
Sincerely,
DAR . CL ARK
Chief Building Official
DGC/mh
I _
�`:
C� I I OF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
August 9, 1990
Gordon and Linda Backlund
5805 Arthur Street N.E.
Fridley, l�T 55432
RE: Property at 5805 Arthur Street N.E.
Dear Mr. and Mrs. Backlund:
On July 1, 1990, the City of Fridley began a new program called
Systematic Code Enforcement. This program is designed to provide
fair and equitable code enforcement, improve the City's appearance,
and maintain property values by creating a more attractive suburban
environment. Under this proqram, all properties in the City will
be inspected approximately once each year to ensure that they are
in compliance with the Fridley City Code.
A recent inspection of your property revealed that not all Code
requirements are presently being met. Listed below are item(s)
which do not comply with the Code:
1. Observed vehicle (488CQP) parked on grass beside driveway.
Fridley City Code requires that all vehicles must be currently
licensed/street operable and kept on a hard surface parking
area, or Btored in an enclosed structure.
Your prompt attention in correcting this problem would help us in
our effort to improve the City. A reinspection will be conducted
on or about August 23, 1990, at which time compliance is
anticipated. Please call me at 572-3595 if you have questions or
wish to discuss this further. Thanks for your cooperationl
Sincerely,
Steven Barq
Code Enforcement Officer
SB:ls
C-90-561
-==
N _
- `�:�
C[TYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
September 27, 1990
Gordon and Linda Backlund
5805 Arthur Street N.E.
Fridley, NIId 55432
RE: Final Notice of Noncompliance of the Fridley City Code at
5805 Arthur Street N.E.
Dear Mr. and Mrs. Backlund:
On September 20, 1990, a final inspection of the property at 5805
Arthur Street N.E. confirmed that the followinq item still does not
comply with City Code:
1. Observed vehicle (488-CQP) parked on grass beside driveway.
Fridley City Code requires that all vehicles must be currently
licensed/street operable and kept on a hard surface parking
area, or stored in an enclosed structure.
An inspection to determine compliance will be conducted on or about
October 15, 1990. You should arrange to complete an approved plan
for compliance before that date. Should this inspection confirm
that this deficiency still exits, legal action will be approved.
If corrective action cannot be completed by this time, contact me
to coordinate a schedule to complete this requirement.
If�you have any questions regardinq this matter, please contact me
at the Fridley Municipal Center, 572-3595.
Sincerely,
Steven Barg
Code Enforcement Officer
SB:ls
C-90-797
� �,�
SE[�GWICK HEATING & AIR CONDITIONING CO. HEATING �oB n�o 7�� � �
8910 WENIWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 7'ES7' RECORD
�.,r-'"
ADDRESS S�� �P'�R�d' S f CI�Y �n�2� -
OCCUPANT G d A a c� g� K�w+ (� OWNER �
SOLD BY �C c� w� c� C INSTALLED BY '�
MAKE � �Yw" � , MODEL 3 � � !�l/1 � B �!.$ � � < < _
SERIAL NO._�4`�_�-0���� INPUT �t� a ��
THERMOSTAT T� Q � � �
VALVE f,�r li �c � C �/ /
LIMIT �i1oc �
LIMIT SEITING `� dO� v
FAN SETTING T r c f `
PILOT TYPE �o.� er
IGNITION MODEL h ,��
PILOT TIMING S St c
PRESSURE ?-�% ��LL f� PERCENT COa � gG
WPUT CFH �ld PERCENT 02 �O 76
STACK TEMP. S��� PERCENT CO d�P
roaea zis ��v. »res�
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VENT SIZE
TYPE OF LINER �—vG' �
LINER SIZE 1C ° �
FILTERS: SIZE �d� 4�c S`�-' `� NUMBER �
t
WIRING Kli�'`^.� • •
TEST TAG �
LIGHTING INST. �
DATE TESTED �`��' � 9
COMPANY TESTING S�� a w.e K
NAME OF TESTER ��'�t �^� l�. e=
WRAA DISTRIBUTiON: WHITE COPY - JOB FILE reu..ow caav - cm
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������NOTE: �1 through �8 required,when ,using a side vent furnace.
�6/�t�ir►� �2�<�ncl � �
�"��S l' r-�uv o.S� 2.� F R I���-` �
�EY STACg VERIFICATION
The undersign� heneby ve�ifies d�aat the eaisting chimney or stack:
1.
2.
3.
4.
S.
x� � ��uy ��a
Is free fi'om n� or det�ia�ation
Has no foreign objects lodg� wit�in
Is securely supported
Me� all c�ar�t Code n�qair+eme�t� for size
and totai BTU's connec�ed .
6 Has t,atal heating BT(T's of �fl, � u o
All otlte� B1'U's 3 s, v a Q
TOTAL BT[J's !� 3� a � a
7. Has a liner be�a provid�d for � heat�
8. Has combu�stion air be� provided for wat�r he,ater
. . ���� .�.
Yes (� No ( )
Yes �[) No ( )
Yes (�C) No ( )
Yes (� No ( )
Yes (� No ( )
Y��No()
Yes �) No ( ) - -
.
y : - -y-�...�. _ � �.� . ��' _��,a.s:
HFATING CO:
Signed By:
nate:
��d1p. �,r.. t,`'' �'':�1�' �3�;�:
° � . i �.�. �� ` 1� �_�:
�� 1
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a
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sue�acr �
City of Fridley 2 9 5 2 7
AT TNE TOP OF TME TWINS 6 U I L D I N G P E R M I T
i �
� �
COMMUNIri DEVELOPMENT OIV.
J j� � PROTECTIVE INSPECTION SEC.
, . �
l--��� ��"' ��� CITY MALL FRIDLE� SS132 NUMBEN
L 612-571-34b0
e�aF�s
JOB AODRESS 5805 Arthur Street NE
� LEGAL �OT NO. BLOCK TRACT OR ADOITION
DESCR. Pt. q.g Aud Sub 9
2 PROPEiiTY OWNER MAIL AODRES$
Gordon Backlund
S
�
8
MAIL AODFiE88
MAIL ADOAE38
REv
5/24/99 � /
O�
/
PiiONE
�3��6
PPAOYED BY
SEE ATTACNEO
SNEET
LICENSE NO
3� 3,2
LICENSE NO.
LICENSE NO
OF BUILOINti
idential
i8 OF WOIiK
� NEW O ADDITION � ALTERATION $]( REPAIR O MOVE O REMOVE
;RIBE WORK
o0f h0use and aaraae (�9 Cnl Toar•_nf�F
9 CHANdE OF USE FROM
STIPULATIONS
TO
Underlayment must comply with the StateBuilding Code.
SEPARATE PERMITS AqE iiE0U1RE0 FOR ELECTRICAI, PLUMBING, MEATING, �PE OF i
VENTILATING OH AIR CONOITIONING.
THIS PEpM1T BECOME3 NULL AND VOID IF WORK OR CONSTtiUCT10N ZONING
AUTHORIZED IS NOT COMMENCEO WITHIN 80 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDEO OR ABANDONEO FOR A PER100 OF 120 DAYS AT
ANY TIME AfTEq WORK IS COMMENCED.
NO. OWL
I MEREBY CERTIFY TMAT 1 MAVE READ AND E%AMINEO THIS APPLICATION
ANO KNOW THE SAME TO BE TIiUE AND CORRECT. ALL PROVISIONS Of �AWg yp�UAT1C
ANO OROINANCES GOVERNING TMIS TYPE OF WORK WiLL BE COMPLIEO
WITM WMETHER SPECIFIEO MEiiEIN OR NOT. THE GRANTING Of A PERMIT �1$HrJ
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pEfiMlTfl
PpOVISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATINa CON-
TRUCTION OF E PERFORMANCE OF CONSTqUCT10N $66.2
PLAN CHE
say, �;
3 N4TUAEO�CONtAACTOpOpA OA�2EOeGENT IOAfEi
S�GNYTUNE O� OWNEp i�� O�NNEp BWLDEA� IDAT�i s,
UNITS OFFSTAEET PARKING
STAL�S GARAGES
SURTAX
$.94
SAC CMAqGE
F' e SC 1.88
fEE AL FEE
C 0 4.02
� � j 0 TMIS IS�p pEq
I
/ r I
NEW [ 1 p Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY �
ALTER [] SINGLE FAMII.Y AND DUPLEXES R 1 AND R 2 �a.
BUII.DING PERMIT APPLICATION nU �
Construction Address: ��o� �t%hv� ,s � ��
Legal Description:
Owner Nazne & Address: ��,,, ����,,,,� Tel. #✓�%%-a369
Contractor: /1%m�w �oo� —�1���.8 11%aaw.,ev NIN I.ICENSE � o?0�9SG3�
„ -
Address: _�7p q e/'�m� ir� /l/a. Tel. #..�33 -�3�3
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION. OF IlVIPROVE�IT
LIVING AREA: Length Width Height- Sq. Ft.
GAItAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: /�,,.a�o � ����.o a/ � �' �
0
Construction Ty�: �e�is,. -O7"� � �eiloot Estimated Cost: $ �� %C1C��
� --
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$
—$ .
DATE: _ � �l/-99' A,PPLICANT: Tel. # S33�1o✓��03
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ ��,.��
� /� v� 6
$ �y
$
$ � - C9 0
$
$
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ J Not Necessary []
$ ���
.� -•�
BIJILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or strucnu�e, 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 pernrit af 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
$2,001 to $25,�
$25,001 to $50,�
$50,001 to $1�,�
$1�,(ml to $5�,000
$500,001 to $1,OW,(�l0
$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,(m0
$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,�
$643.75 for first $50,� plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $1�,000 plus $5.60 for each additional
$1,(�0 or fraction thereof, to and including $SOO,OQO
$3,233.75 for the first $5(�,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,�,�0 plus $3.15 for each additional
$1,000 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": Removal and replacemevt 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
Permits for construction will be issued a minimum of 24 hours from the time of application to 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 t�een constr�ted vvill
be required �fore proceeding with the fiaming.