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AF - 35109Ci.ty of Fridley, Minn. BUILDING PERMIT .: - � � ,� � • �' 1 . ... ./r� / �i./..(..�i / �r�-r ,�r1 • � . F' � � - '� �!1.�;/� a /�" , � ��.�.��.. ° F�4991 •i" � . . "' ;�r , .,i�',�' , LO TION O UILDING ivo. 4"�� street ��...._ .: _..L_. Part ad Lot Lot ._._.._.........._�..._..__ Block .._....._......._...._.__._.......__._ Addition or 5ub-Div3sion __._.....__..._---- Coraer I.ot ....._............_...___..... Inside Lot ....-- ............._..._.__........ Setback -.-----....._.__....__............ Sideyard ...__.._._.....-- Sewer IIevation _..._..._.....___.�__.��..__ _...._..__. Foundation Elevation _... ..._.._... DESCRIPT`ION OF BUILDING T sed : � �� , � _��G......_ FroIIt . �. _�.� Depth ..'�s�._.. Iiefght ..,�.,�.'...._.. Sq. Ft. •-•.,�.� � � .��.----. •-----.-•----------- Fron _.__.._...._ Depth ..._..._ eight . Sq. Ft. .__.._.._.�. - • 'Type of Conatruction --�..._..._.--_- _�-..�..--.... Es� Cos -.•/�-� I.A__�..._.._�._ To be Completed Cq. Ft�e�� Cu. Ft ___.___..._ � In consideration of the iasuance to me of a permit to construct the building described above, I agree to do the proposed work in accorda.nce with the descxiption �bove set forth axid in compliance with all provisions of ordinances of the dty of Frldley. � .__..._...._..._ _____. �p Ia considera.tion of the payment of a fee oP $.��'�'_"_"".�, perrnit is herebY granted to.....__.__.___•_---�....�...._�_ to cronstruct the building or addition as descrfbed above. Tbis permit is granted upon the express condil3on that the person to whom it is granted aad his agents, employees and workmen, in all work done in, aroimd and upon said building, or any part thereof, shall conform in all respecta to the ordinances of Fridley, Minnesota regar8ing location, construction, alteral3on, maintenanoe, repair and moving of buildinga vVithin the dty► limits and this permit may be revoked at any time upon violativus any of the provisiovs of said ��. ��,� �� _ - - Building Inspector NOflCE: This permtt doas eot eover t6e eonatrucNon, installeNon for wirieg, plumbing, eae heaNag, �wer er wafer. Be sure te � the Buildfng Inspecto� foe separafe permhs for tl�se items. �"g`� ° i'"` -.�� $ � �dtiT�B Ho � .. �'y ' : i � 1 1� " ia'i �!� I MIi ��,�„�:�:�t v: -_..,.,� o�' I�t yot ��k hddition cr �b.Div. _ �--� i Corn�r Lot,,,,__,Tne3ds I�t___, �� Back S3de-Yard ' � S�ATION. FODNDATION I:Lfii�TION � . App].icant attsch '� this fox� C�rtoi�i.ca'te of Survey of Lot aad propos�l building locatioa. DF�IPTICI�3 OI� HUILUIl�t3r To ba sd ae s . �`ront Depth^ �3�t ��_,,,...:__ Sq. Ft.� Cit. Ft. � . i�ont l�ptAh �e�.ght � 3q. I�. � Cu. Ft. Type af Conafiaruction I�stimated Cost . To � co�leted . ° - � The vnders3.�aed hereby a�Dces applic�tian for a permit for the s�ork herein �pe�if"leds - �eeing to do ea.�.�rork ia �triQt accordance with ths Cit� Ordinances and ruling cf `"�- the Depart�nt of B�3il.d�a�s, and hsre�y declares tY�.t eil the Pacts and representa- tioas stst�d in th1.s application are tru�+ and c:orrect. , � L� Si�iLY1�1� � r��w��r�� (A 3ahedule of lPee costa c;�n be fo�md on the Reverse Side.) f� y -�_ °" � e '� �a ��a ��i r, � ,. .�% : i r 4 r ��,�r � �� , :i�� ,�r �ct�.o�,n 2.. The ItusFeetor ot' �iild3n�s shall, before iasuing any' Perm�.:t ` Yor `�Cht ereatioa of �ry building or structure, or � for at�y addit3on �'ta • -- �ax�y,e�is'tiu� 1�u�7.d3.n�:..or Btructur�, _or far a,ny altsratione or repair� : to .a�y e�dst3.� buildi.ug or struoture, upon applicat�.on th�refor; requ3re the payment bar the e.pplicant for auch.permit.of.fees to the am�unt herein be3ow aet Farth arni in the manner herein proei.ded'to-wit: _ .. 2.T: � For ar�y s�n.ch permit for the erect�.on-of-aoy #'i�.e-p�cfof �buildin��. ot�er� th+eua a�a�ca.�e, warehou�e, fact.ory or gra3n elevator, or for the , ereotion oP ,en�r' f3reproof additiDn, �for s�.mi].ar occ:upaneari to �ax�+ ex�st3.n� �i.lding - .. ,. ,_ . .. a}�11. be st the:. ra� , Qf .�]..l,A for each one thousand cubic feet� or f�action thereof, �.n �cfi cubii�.i� .00ntents. - � . . . �.2: Fc�r a,n�r euch permi�� for �he er6cti�vn aF �� fir-eprc�of .gaxa;e,�,e�re"' � bouse',fae.tory or gr�.in.elevator; or for the ereation of any:firepraof addition for s3milar occupancy, t,o any exiating build3n�' e2�a1]. i� at the rate of' �]..25 for each one thoueand cub3c feet, clasaified aa "ffreproot"� '. - by 3ectica 502 of the Minneapolis Building Code. -� �-� ''' a . 2.�..: Fqr a� �u+oh permit for the srection of an� nor�-fireproof building other tl�en a�arage, warehouse, factory or grain elevator�.or a.r� aon-` `.. fireproof add3tion, for eitn�].ar oacupanc�r, to an� eu3stin� bui2d�tag. ,. . Permit �7..00 fojr eaah oae thousand cubic feet. .. .. _ . _.. __. G G� .. 2.4. For an�r such pernmit for the erection of �sny non-£ireproo� �are�ge,� • �rarehauee, fa�tory or �ain'.elevator, or for the erection of anq non-�-,., f9.repraof addition, for similar occupanc�►, to ana► existiri� buildir� �r. f�r ea.ch auck� bu3lding or .addition. _ Ninet�r Genta for each one thouaand cubie feet or f�a,ction thereof, in the cub3aal eontents thereof urith e mtni�m�m af ' �1,..00. - � � • . _ . , . �`For 'ths -pw�pose of computing fees for build9.ng permita , t,�� cubica]. conten#�s �, ,. of au„y buil.ding or addition to -a uniform height thraa�haut by multip].�ring. .' the �round aree covered f�om a point six.(6) inches below the floor line oP �� tlae�tt�.sement or .cellar, to the avera�e height of the upper surface or to the �- � average hei�ht of the roof surface of the main gable of a pitched roof: ""°"" � � 2.5. For re�irs or alterations to an exiating structure, the fee shall be at the rate of �3.00 for each Five Hundred Do11a� ($SOOr00), or i�actior� thereof 3.n the cost of all propoaed work. . 2.6. In rto. -case shal]. the Pee chargecl for any pera�.t es set forth in �ct3y�-2" P�e leas than �..�. ' � � �w � � �.>.. � � � N y r p o M o �� o 'j �� L� � � � � � m b � w � �4 � i�a � � x w a� ro� c a' m ►y-� fA ' � " �n tWi '� � � e � � � 6a p K" y � �► � W y �' � ►1 O M :i' r W �1 2 '� O�'' W �W i6 �"'� n �j O� ro � n*9 M � �* o w m 0o t�" � �a � � � a y �°oM � � � � � " �t x o �►- �' a '*� n 5 n y� � � w � � o �.�''�., °o �° y � a' � � �Q� � � � K p a � r� �b � > D K � 0y° � ' 0 5° M—�.� AR �i �p Q W � �--� Q � o o� � � �� • � . �..� . , rn . N zm � C O t--� n•� ee sa x x ae x x x x x k aa N • y tA i? !! N N N N tp F+ N N N tb y M N{fl O F' W ' t7� . U� V O(7� t!� N N W f o° °n °o o a °o °o °o °o °o °o o° a °o y � .. . • _ N i/! Vi N N N N tA, QA fN� N N fA. N VD N a .y � � � � � ❑ � � � � � � � � V • � p � � e � �� N M �� `� .� � :° . �. � y � � H . � � � � � �C . ° 'r ^� F' Storte� .r. `a a�' w w n a a " � � Closet9 E UrinalS w � � � Sath 11ibs n � � Basin� a � Sinks � � Wash Trays � Y. Drinkinq `R � � ' Fountains Showers � Floor nr mCatch 0 � sasins 7,,, m Autwnatic "o a` L9asher r ' E ►+ � � Appl_ A . � Misc. Fixt p . z Gas Range. "rt . m � 0 �* � �7 � K OCher .II l7 '° a � � � r(p � r�s � � q � G�7 O � • •� O � � � � . � � � � � S � ° �� y� � � � � � 0 . � . 0 . • ' a �" _ � d � �, •-• ••• N � ��0� ~`�b � —1 � a�►µn� ako� w • z � �w� ��, � � �� °' � � K � m •fl . _ � �,� m ��o m � - . p. o►t ►� w t+ ra �i M � N� � � � H . M � W � F�+ "'� . � �� o � m � �� 0 O�r � �R~o °� �*ro�►m� • ha�+ W � 1+ ►ro+- � a r � ►�- . D w� � . 5!�- rt � N � : .T m O .� • �► ��" , � �K�� .. o�� n~o � r�K �� °� • . o �� m � K � 7C g �S 4 � p � � • � �.�.1� �� ui�+� ��: �; �+�l=.;�. : ;+ Mr. Gilstad, 930 Haclanan, stated he wanted to put in a driveway in ' e future and asked haw this proposed relocation of the access road w uld affect his property. Mr. Qureshi stat�ecl his p�operty woulcln't be aff cted and by mwing this acaess, he would h�e a better c�anae af getting o o Old Gentral Mr. Git stad f urther stated he f elt if speeds were reduaed on Sic� y 6 5, it would be helpEul. I�1r. Qureshi stated the City is on record r uesting a rec�ction of the speed limit on both Hic,�ways 65 arid 47 throuc� e(�ty. Ms. Nanc,y Jorgensen, 5730 P�lk, suggested Polk Street be de -ended. She felt this woutd relieve the a�ngestion at the P�lk/Haclanan i ersection. 1�9r. Qureshi stated Ms. Jorgensen's suggestion would el te one of the exits, however, the traff ic eve�ually gets to this dest tion and f e1t it was better to p�wide t�wo exits rather than o�e. 8e , at this point, the traffic you are dealing with is loc�l fram reside in the area. A lady in the audienoe stated she lived next cloor t the house which they propose to renave. She stated her only probl is getting out on Ol d pentral because a� the tra�fic fram the rr�rth. . Qureshi stated he felt traffic by her haane would be reduced becaus vehicles would � using Hillwind. Mr. Qureshi asked Mr. Jahns�n, awner Qf the acant property on West Moore Lake Drive, if he had any cominents regar ng these proposed plans. Mr. Jahnson stated he would like to reserve c�oaanents for s�oanetime r�ext week. 1�DTI�1 by Qo�mdlman Fitzpatridc to cl the public hearing. Seconded by O��cilman Barriettre. Upon a voioe v e, all voting aye, Mayor Nee c�eclared the motion carriecl unan3mously anrl putalic hearing closed at 10:10 p.m. 3. . HDTIOi�1 by ��cilman Sdu�ei to waive the seoond reading of Ordinance Ido. 827 and acbpt it on the se reading and order putalication. Seconded by Qo�ci].man Barn�ette. Opo a voioe vote, all voting aye, Nlayor Nee c�clarec7 the motion carried us1y. 4. 5. a _ i � by �� Sctu�eider to waive te seoor�d reaclin9 of Ordina.noe � N0. 828 and adopt i on the seoond reading a�1 order publication. Seconded by Gouncilman F patrick. Dpon a voice vote, all voting aye, Mayor Nee dec,larecl th otion carriecl unani�mously. by Councilman Fitzpatrick to nominate l�aaynard Nielson for -9- ° '� � � d � 6. . «�_ 1�.•�� ±?� ��. • �+�=.:�. !� ;� �I�I.� reappoi ntment to the Env i ro�anental Qual ity Comm i s s i on. Sg�o nde d by dotmdl.man Barnette. / Z�ere being no further nominations, the follawir�g action w taken: MOTION by �taiatlman Sdu�eider to cast an �animous ballot for e reappoir�tment of Maynard Nielson to the Envirornnental Quality Gomm sion. Seconded by O��cilman Barnette: Dpon a voiae vote, all voting e, Mayor Nee decla�ed the motion carried unanimously. l�i'I�T by m�d].man Sdu�eider to r�uninate Ri d SWanda for reappointment to the Enviroimental Quality �aaisssion. d by Qa�ailman Barriette. Ztiere being no further mninat3ons, the f awing action was taken: MOTION by Qotmcilman Fitzpatrick to cast an us ballot for the reappointment of Richard S�anda to the Erivirorm�ent Quality Commission. Seconc�ed by do�cilman Goodspeed. Opon a voioe v , all voting aye, Mayor Nee declared the motion carried ur�animously. ,M�I�v b,�'� ��dlman F'itzpatrick the Hunan Resouroes Oamnission./ �here being no further nomina�te Harold Belg�nn for appoirnnent to the fallowing action was taken: MOTION by Cotmcilman Ba nette to cast an unanimous ballot for the appointment o� Harold B g�nn to the Hunan Resouraes �enission. Seaor�ded by Councilman Fitzgatric . Opon a voice vote, all voting aye, Mayor Nee declared the motion ried unanimoualy. 1�DTI�i by ��mdl Sci�rieider to table the other appontment to the H�nan Resouraes Oo�mnissi . Seaorided by Gouncilman Fitzpatrick. Upon a voice vote, $].l voting e, Mayor Nee declared the motion carried unanimously. Mr. Flora, ic Works Director, stated this storm drainage utility fund establish a special f�md to deal with stoan water drainage and allaws the City to llect fees f raa those properties that contribute to storm water rimoff, sed on the type a� developnent. Ee stated this ordinance would establ a quarterly fee, to be incorporated with the sewer and water bill , at a rate of $1.75 per resic3entatal �uzit and $5.25 per acre. ON by Co�cilman Fitzp�trick to waive the reading and apprave the o iianoe upon f irst reading. Seconded by Gouncilman Schneider. Upon a oice vote, all voting aye, Mayor Nee declared the motion carried tu�animously. ; �.«_ �N��; �:�_ „��! ,+k_: �;° 4;�_ � ; �t� � �:� v�v • ± �+� - �� • ; �l i_; �1_ �� . 4_ ; ��: ��-�_ � ;_��_ �1 �1_ �.�P 4S�-� � 1='� �� -io- � u� s i� i QOUNCII� I�ETIl� Ota I�Fd1ARY 4, 1985 � :��;- ��.ij�� 1Kr. Flora, Pu41ic Works Director, stat�ed this is a request for a lot split to split 40 feet fram the �operty at 5809 Arthur Street and add it to the p�operfiy at 5805 Arthur Street to eliminate a var3ance for the side yard aetback. He stated the lot spl it does precl �e the spl itting of the 1 ot to allaa two building sites. He stat�ed Mr. Wiens was aQaare af this situation. �anission has recommended this 1�pT�ON by ��cilman Schneider to concur with the recommendation of the planni� Omnnission ar�d grant Lot Spl it, LS �85-01, with the stipulation that the survey be recorded with the Gounty. Secon�ed by Councilman Barnette. Up�n a voiae vote, all voting aye, lHayor Nee declared the motion � tulanimously. �� u r, ,� h `! I' _� :� •; �:I �! 1; : 11, i�'�M « ��, �;�� N� : V ��f`� �. l� �lT��:l� - - _� � � � "- _ _--_ _ - I�lr. Fl Oo�mn the P recycl ra, Public Wor`ks Director, stated the Envirornnental Quality Lon, the �oamn�uiity DeveloP►►ent �nnission, the Erlerc� �anission, ancl �nning Commission all recommend the establishment of a curbside 49 Pr�� in the City. Mr. F'lora the aotmty FDT�1 by i O��c3lman the mation tated a resolution is before the �tmdl to adopt the concept of suc� a p�ogran, arul setting into motion the means to contact i�etropolitan O�undl for funds to support this progran. � btai man Sdzr�eic3er to acbpt R+es�lution No. 11-1985. Seoondecl by Goods . iJpon a voioe vote, all. voting ayer MaYor Nee declared earried ously. 7C. Mr. Flora, Pu41ic Works Di ector, stated the H�anan Resources Oommission reviewed several organizatio involved in the field of hLmnan services to receive �com�ity Developnent ock Grants. He etated it was recommended that 15$ of the total mmo�mt a� e grant be used for htunan service needs and for the following organizatio to receive funding: North Subburban Faanity Servioe Denter, $2,960s Gentr Oenter for F�mily Resouroes, $5,000 f Ale�mndra House, Inc. $3,200= aryd Anoka unty Gommunity Action Progrma, $6.129 for a total af $17 ,289. 1�1rr. Flora stated the Plannir�g �►ission has r d f unc7ing a proj eet for an el�ator to be installed on tlze east s3.de o� e City Hall in order to make both floors of the builcling totally acaessible o the handicapped. 1Krs. L�llian Meyer, 7868 Atden Way, a board menber o� the y L3fe/Niental Health Oenter, spoke to the Gouncil regarc]ing the Center' request for f�ding under the Oa�aunity Develogaent Block Grant progran. �� k�. !t. � ��+��M��. �� ±= ,. .: �+ � • . �' � Mrs. Meyer stated when the Family Life/�iental Health denter was establ ished aver six years ago, there was not a facility in Anoka ��ty o�fering mental health programs. She stated, 6efore this time, persons in Anoka Co ty had to g� to �ennepin or R� aoimties for such serviaes. 1M11rs. Meyer stated the denter is located in Anoka and provi�s se ices to peopte a� all ages in the areas of psychiatric evaluation, psy ological disturbanaes, c7o�nestic problens, etc. She stated the oenter p� cles these services to 150-200 patients each month about 30 of which re Fri.dley resfclents. She stabed many free hours of service are prwide to persons residing in Fridley. Mrs. Meyer went on to f ur ther expl ai n the pe r sonnel on th r staf f. She felt it would be appropriate for $2,000 0� (� funds to be wided to the denter. Mrs. Lucy 141icJanan, peyci�iatric nurse practitiorber of the nter, stated she would like to address a few issues which were of «�rn to the 8u¢nan Resourves O�nission. She statQd the Center sees t 325 new patients eacii morith and sinae the first o� the year, 28 reside s f ram Fridley have been served by the aerlter. Mrs. 1Ki.clauan stated one caf the requirenerits of setve lower inooane people. She stated 64$ of �der $7,000. Mrs. Miclanan stated their Ce Suburban Family Serviae Oenter and the Oentral beca�e they are a psydiiatric model. and se � patients. the is that these funds th i r cl ients have incomes it r differs f ram the North nter for Family Resources ore of the chronically ill Q��cilman Goodspeed askeal what r�ew servi or increase they were planning. Mrs. Miclar►an stated they have expar�ed se ices by 30$ resulting in a 20$ increase in new clients, and are exp�andi g the staff an+d looking at sodae new Px'o9rmts. Councilman Goodspeed stated one the menbers of the H�nan Resources �nnission quest�toned whether or this denter fulfilled the requi reqnents for �JBG funciing. Mrs. Mi�lanan stated she believed the requinaents to obtain (�BG funds is to eith have an extension of services, or new serviaes, and she felt they ar cbing this at their oenter. O��dlma�n Schneider que onec7 their source of func3ing. Mrs. Mickman stated it is all private their charges are reimbursable through most insuranaes. She state their pol icy is not to turn anyone away for financial reasonss, if ey cb need he1p. Cb�mdlman Sci�nei r asked if the Oenter had requested f uncling f roqn Spring Lake Park. She ted she believed they will receive funding f ro�n Coon �pids arid di 't 1QCO�w, as yet, if they would reoeive assistanae fram S�ing Lake Rark. s. Miclanan stated the City of Blaine has been ftuiding then for two year understands they will rerrw this f�ding. She �:ated they are a�ly f or tbe f irst time to Anoka and getting a grant f ram then. -12- '-' �.--. . rurm a�u �� i�L ' • r_..... w.^.�...v. .� ��.�' �a—�..� Miaacaots Uaitorm c:onveqancing Slankt ��t� ��'9 rylade thas............30th ....................................day of....A��.�mb.��:......., X97..7....., between.........1��y..sa�. k:x.�sU,.s�r....a..�oauz�.��R��....�o��a��k�.�n ....................:.... ...... .................................._....................._.. ..i.� :iiii.: • �IGA'8fj��07�7�1L[�T t%L8 I�ILW�R Of tlt8 SEltt6 Of........k��1�4�� ... ........... ..:..... .......:, �ici;rtrJ of tlae ftrst rt and ...................»........r�a�4�? .P,» ��.�:n�...�4�....�sIIWls�....D.s...Wi�?�.$s...�?usb�„and,wif�..�.... .........._.......................� .......... ......:. . ... . w«��Hw.��«�w�r�r�r�ww��w��w��««.rw.��.��«..��H.�w��w��h��.�.��r..�.��.�.��a�.��.M�r«�«�� N��.�.w��.u......�uH.�«��ii.��iMit«��w�.��w..�..�«��w��.M��.��w�rw W ofthe Couaity of ................A�n,oka.....»..............................................and State of.........Minnesaza:....::,.............., pdrtiea of the second �aa.rt, • That t�cs saicl pcarty of the fcrst pccrt, i� aonsideration of tlze sum of..., tnd other Qood and VA� ltA�]� P_ consi derati nn_�.,.._..�__�_____ -- --- ---- -- --- - - - - - --- -----•-•-•-• .............»..._._................ �o��v� to.it in hand �cict by t�is said pccrtics of the second part, the reeeipt whereoj' is fiereby aeknowZedged, does �reby 4rant, B�a.in, Qui�olai��a, �nd Convey icnto ihe said pariies of the seeatacZ pczrt as joint te�nts and not as t�an�ar in common, t%eir cc�aigns, the surviuor of sc�id parties, arcrZ il'ae heirs ccnd assibn�.of tha survwor, Forener, att the traot.........or parest.........of ldnd l�inb aazd Sein9 in th.e County �f ...................... ... . »».,.........�tQ.�� ............. .....................ancZ Stato of JJfinnesota, desaribed as follows, taurit: ........ The South 5 feet of the East 180 feet of the West 210 feet of Lot 45, Auditors Subdivi— sion No. 92, Section 24, Township 30, Range 24. ' � � l� �T r �_i � � i �r � t, . ! \ �a �abe an� ta �aID t�je ��me, To�;�ther witlz ull the hereditar►Lents and ccppurtenan�es th,ereunto belonbing ur in anyuisfe apper�aining, to the eaid part»ies............ of the sec�►n,d part, their assigns; tlr.e sur�- u�or of sai,d parties c�nd the heirs and assi�ns of th e suruivor, Forever, the 8ai,aL partiee of the second part taking aaz joint tendnts ar+d not a� tes�,ants in eoma�ton. ,, ', �ftc �e�tfmotrp �jerea#. 2'fze said fZrst party has acazr.sed t7tesa �. presents to be e.xeouted in its oorporate name by its.......�._�Y9.�..»..... , � and its......��4�Y...G�,s�7K� .....................aru� if.s oorparate aectl to � � � be hereusato cafJ`E�d the day and yemr first above writien. � - / � CITY OF FRIDLEY ....................By.....Gr 4!.��.. ...-'..... ...._.........................._ • ,Fte....Ma3�nr ...............��r3i�EX . �IC:.,""'.�"..��...��.. Ar.+.��"Al��1"�i�!*�••_. Ita,,,,, City,,,,Glerk ,,,..,..,,„.. x0. isae—sw ot s� cx��a 195a). �,��LSp.o,�y�s �o.. br��,+POUs � BI]LL OF SALE . I � �noia �Ii �en �p tfje�e �re��tt�, That ................................................:.............................................................. � ......... Jacob.. g'... Wien� , and.. Emma.. D... Wiens.r....husband and., wif e.: ........................................................................................� � . . .. . ....... ...... . ....... ......... ...... ......... ............. � . •of-ths County of ..................Auoka................:.:......:........................and State of_... Minnesota..............:...........,:m..., par�iea � . af the fdr�t part, ira caneideration o� the aum of....0ne...Do1Tar....($1.00}.: and other �ood and vakuabl� ...... consideratian:..—.."' ...... ..��_ ........... ...� . . ----"---�--�..-.` . . . to.....them .:......... .:inh�and �Ci,dbt,�.. C��p..of Fr3.c�leY..+�.. a..mu4riic�;pal, corpo�;atioA..unr�� tl�e law�: .... of the State of �;Iin�te�ota:..� ... .. .....- . . . . .......: . - � � -. . . . . . . . . . .. ... ................ ........... ... . . ._ _._. ____ . _ .. t . _. ..� --- _ _ _,.... _ -- - _.. _. . _ _ ._., ••r~ ;:� - � - - . _ _ . _. _ � - � . part..�'...of �the seeoruL ��; tJ� re�eipt �liereof, ae hereby �aoh»,�wtet��ed,= tZa......... her�y �rant, �ar�a��; �-' ' _ � g suceesso�s .. .. . ... . �.. - - -.SelL and Co� unto ihe part..Y.�.,.. of -tke: �ona� part,_.._. ._. - . - .. . u,nd,.t��n�, " : - .. fo�ev.er, th�. j'oLlawin�d,esortb�.t�aods; Chcitt�%�ccnd.PeraoiaaLProyerty� to-�iit: . :.� �.. _ ' _ _ _ _ � _.. A� 12 -�cot .by 2f� foot woo�ea .shed,--said-=ah�d is.-�ocated- .as--fol3�ows: The- �auti�st . ._ :, .. _ . . corner..of .sai.�: �hed is appro�tely.b..5 f.��.N�x�l�.�ancl �ppxoxdmatel}�_:].�.fee�.�a.�� ._� - --- oi the No�theast_ corner of the West .210 feet of _ Lot 49, Auditars Subdivis�on No. � : _ � - -- _ -__ _ ., . ._ _ -- _ - - _ - : - - - -- _ _ -.. _ �`iii� �if - . - _ � __ .,. -- � s • � �-� � s-_� �.. �Q'�. �-s:- - - - -- - . ,_ _.. :_ _- �. � ��.OA �7+'..- T�it� '�11 �IS11B8[L�B.. .-� :.:.,.,.�_ __. .:_._... _ ...�..__ �.. . :...-. . _ y. _ - _ --= - _ :_ --�.�,..< _,�._ _ _; a_.. ,,,�. :_-.,..e--^ _--�--�- -..�..�.:�._ - • �' . - -• - - . •_ .. . _ . . . _ . _. __.... , � ,,,t-;°..-._-t..n�. <:.: _ _ - - _ - - -- - `:--� - - - _. � _ _ . , _ _ .. _ �:.� - - -- _ - _ . =� - - ° = �. . _ . .., .. . ... _ - .r_ . ..- -�- - __.__ ., , _ . . ,. . - , . .- , _. . _ ._ .. _ - - --- _ __ . _ . ._ . . -- . - __ _ � __ _ - 1 - _ _ .---� � . . _ . . .- . _ ._ _ _ .. . - - � ---- - - . _ . �� -- - --. .. ., - . _ . . -.-- ,�: .;.:' . ' r ��, .... . . . .. . . . -.r . .. . .. . .. . . . . . . . . - _ . � '_ _ � . . . . . . , . _ , . �. .. . �� ._.. . -. . --.. �� . ... -. � .� . .. . ' . � . . _ ._ ., _ . . � . _ - . � its successors �Co �� t0 �9At t�e �Atlt�. U nto the aaid jr�rt..Y.....:. of the �eeond part, ..... nd assign�, Forgver. .Bnd the said pari............ of the iiret part for t....h...�!...., . t.h. eir.. heirs, exeou- tors c�nd a,dminiatrsztora,-eo�emm�t....... and agree...: io and i��ith tke said part.Y ............... ... of the seeond-part, x . .. , • ..... . . .... . �� . �� nd asaigne ihat .. t.h..e�'.,. .are .............. the Zawful owner of �aid. G�ooc+�, Chattel,� and Pereoncat I'roperty, and h. a�e. good right to setl the aume as aforesaid; that the same are free from alL inaumbrtanoea, and. the said part. ie8. of "`the �£rst part zvilt�warrdnt anad `defend the Sale of � sa�id C��es�`��Br�T� Y Personcct Pro�rt;y�hereby m,ade unto �tha suid part:Y..:..:.. of th,e second .part, ...... .:...... -•• , �and assig'ns, againet cttt and ener� p�reon and persons.,avycosnsoever, lazvfutl� eiaimin�B or to claim the wkole or an;y pur� th.ereof, suZrjeet to�inourrrnbrances, if any,: h�ereinbefore :mentioned: �. �lt[ ZB:es�tfntottp �ije�reof, . 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O O O O � a � � � � � o > O � � � �� . w � C r • 0 � �� ;;� � �� ' og' � � �$ � a ��$'$ r �� r w � r s a�s � � r �► < ► 4 ? a ► � ., �a Q � � � Z :Ow.. � � r�, � _ � 3." • p � � n�� • a. • A � 4Q� a �M rt i � • e � d , � w O ~ � � � O A . °o�:�� A S M �'4 � 9 »�: W Y � w r � I� �r � pQ w � � � � � . � � � O v �° '��o r � f1 i = � � r o T � O � a a rv � D O N x o f$ � O � a � =2 N C� < � H � P1 = O v. r O � O �G <� � _ w a = 0 $ . SR7 � � � �- � : � � s � v n � � O T .Z7 g r r+'I � 1 , : ) � _ sue�Etr " - -. — c�ty of Fria�ey ' 3os 12 AT TME TOP OF TME fiNINS � � I L D I N G P E R M I T , � COMMUNITY DEVELOPMENT O1V. IPT NO. ; �L_ Dq1 f � � PROTECTIVE INSPECTION SEC- 1 � � � �"'1 � CITY MALL fR10LEV SSI$i NUMOER p6v o�TE v�GE Or �6PnOVEO Br �""� � �'' 612-571-3460 91a-F18 4/11/00 / / 108 ADDRESS 5809 Arthur Street NE t LEGAL LOT N0. BLOCK TPACT OR ADOITION SEE ATTACMED oescp. Pt 49 Auditor's Subdivision 4�92 SNEET 2 PROPERTY OWNER MAIL �AQORES$ Z�P pMONE Bud Dauphin 5809 Arthur Street NE 571-0963 3 CONTRACTOR MAtL ADORESS �P PMONE LICENSE NO Midwest Cedar Timberoof 216 N River Ridge Circle, Burasville, MN 55337 4 ARCNITECT OR OESIGNER MAI ADOiiESB ZIP PMONE LICENSE NO. 808-1149 20147336 S ENGINEER MAiI AODAESS � Z�P PMONE UCENSE NO 8 USE OF BUILDINd 7 CLASS OF WORK p NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof House & Garage (37 Sq) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE RECUIREO FOR ELECTRICAL, PLUMBING, ME/RTINfi, rrPE OF N T. OCCUPANCV (iROUP OCCUPANCY LOAO VENTILATING OR AIR CONOITIONINti. TMIS PERMIT BECOMES NULL AND VOIO If WORK OR CONSTRUCTION ZONINd SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED V�tITHIN 80 OAYB. OR IF CON3TRUCTION 01i WORK IS SUSPENDEO OR ABANDONQO FOR A PERIOD Of 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DW�G. UNITS OFFSTpEET PARKING I HEREBY CERTIfY TMAT I MAVE READ ANO �XAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW TNE SAME TO BE TRUE AND CORiiECT. ALL PROVISIONS OF LAW$ VALUATION SURTA7f ANO ORDINANCES GOVERNING THIS TVPE OF WORK WI�{, BE COMP41E0 @ � WI7H WHE7MER SPECIFtEO MEREIN OR NOT. THE GRANTiNG OF A PERMIT �p3,233 �1.62 OOES NOT PRE$UME TO GIVE AUTMORITY TO VIOLATE OF CANCEL TNfi pEqM1T FEE SAC CMAiiGE PROVISIONS OP ANV OTMER STATE OR LOCAI LAW REGULAT1Nfi CON- STRUCTION OR 7HE PERFORMANCE Of CONSTRUCTION $9% . Z.r7 Fire aSCi �3 . 23 PLAN CMECK FEE TOTAL FEE nse C $5.00 $107.10 S�GNATUpEOiCON:tiACTOpOpeUTMOpIZEDpGENT iD�iE� yy N PiiOPERIY VALiDATED TNiS IS VOUR PEpM T /� S�GNOiUAE O� OWNEA�iF pWNEpBWLDHiii � AfE� BLOG �NSP ' ' 6�E � - � \ \ �[ ] ADDN ALTER [] � -�� Cofls�uction Ad�ress: m ooc�s3 Effective S/10/99 CITY OF FRIDLEY SIl�IGLE FAi�.Y AND DUPLEXES R 1 AND R-2 ��., BUILDING PERMIT APPLICATION O� �� Oq �r . �-. 1�� . . . . . . - .. � , Legal Description: Owner Name & Address : � � � 91 � � Tel. # ^(� -5'1 � - Qq�� con��tor: � ic�u�+ L�c�.,r Tl.rnh�rc�-� Nnv �cF.ivsE � a01�-(1 �340 Address:_ _� I l_o I1i . RI �E'_.r �`G� . i',r r� � .� Y � Vo� I le. Tel. # C.01�— $C�K 1 I °l LIVING AREA: GARAGE AREA: DECS AREA: OTI�R: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. . ��.5�'�'iOl�i O�+' �ItOi�'��P+1'T Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. - 3a 33 , oc� Consauction Type:�a,r o� �- r��ro� ��t�a cost: �� Driveway Curb C� Width Neede�d: Ft. + 6 Ft = Ft x$ _$ . DATE: APPLICAIVT: �� ,.< <, m. c�it� Tel. #�o I� �St�-� �� Permit Fee �are Star��arge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STII�ULATIONS: $ ��L • �25 � ✓ e2� $ i , (.oZ $ $ �•00 $ $ CITY USE ONLY Fee Schedule on Reverse Side .001 af PeYmi� =iT�ttatioti �;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 [ ] Not Nec�ssary, [,] $ �b1��C� � v BUIIrDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or.stcucture, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000: $25,001 to $50,000 $50,001 to $100,000 $r00,001 to $SOO,U00 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 -- $69.25 for first $2,40Q-plus $14.00 far�ach addition�l $1,�4- - - - or firaction 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 $50,0� $643.75 for first $50,0� plus $7.00 for each additional $1,000 or &action thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to aAd including $5�,000 $3,233.75 for the fust $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 $1,000 or fraction thereof _---D��i�Y DF�'�SSIQN ESCIt9�Y -- (Concrete Cbrb �treets 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 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 constcuction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has lxen constructed will be required before proceeding with the framing. � ,r � C[ZYOF FR[DLEY FRIDLEY MUI�TICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 May 6, 2002 Erwin Dauphin & ME Schaaf 5809 Arthur Street NE Fridley MN 55432 Re: Paved Driveways Dear Property Owners: In 1997, the City Council adopted an ordinance declaring gravel driveways a public nuisance. They were deciared a public nuisance for a number of reasons, such as: they can cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the City's storm sewers and detention ponds. When gravel driveways were declared a public nuisance, the City Council gave property owners five years to have their gravel driveways paved. The five-year deadline is quickiy approaching, which means all gravel driveways within the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002. If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at the Anoka County Courthouse. A misdemeanor citation is a criminal offense and is punishable by up to 90 days in jail and/or a$700 fine. If you've already paved your driveways, Thank you! Please call me at 763-572-3595, so I can update our flles. For your convenience, a brochure on the City's loan program has been enclosed. You can use this loan program to acquire financing for your driveway improvement project. Please call Jim Hesnik at 612-335-2651, if you have any questions regarding this program. Thank you for your cooperation! As you successfully complete your driveway improvement project, please call me at 763-572-3595, so I can do an inspection of your property and update our files. if you have any other questions, please feel free to call me at the above number. Sincerely, Stacy omberg Planner C-02-53 _ _ �� FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UrTIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 July 2, 2002 Erwin Dauphin & ME Schaaf 5809 Arthur Street NE Fridley MN 55432 Subject: Paved Driveway Reminder Dear Property Owners: This letter is a friendly reminder that all driveways within the City of Fridley need to be paved by December 31, 2002`. As you are aware, the City Council adopted an ordinance declaring gravel driveways a public nuisance. They were declared a public nuisance for a number of reasons, such as: they can cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the City's storm sewers and detention ponds. When gravel driveways were declared a public nuisance, the City Council gave property owners five years to have their gravel driveways paved. The five-year deadline is quickly approaching, which means all gravel driveways within the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002*. If you've already paved your driveways, thank you! Please call me at 763-572-3595, so I can update our files. For your convenience, a brochure on the City's loan program has been enclosed. You can use this loan program to acquire financing for your driveway improvement project. Please call Jim Hesnik at 612-335-2651, if you have any questions regarding this program. Thank you for your cooperation! As you successfully complete your driveway improvement project, please call me at 763-572-3595, so I can do an inspection of your property and update our files. If you have any other questions, please feel free to call me at the above number. Sincerely, Stacy omberg Planner 'If on December 31, 2002, your driveway hasn't been paved a dtatlon will be issued and filed at the Moka County Courthouse. A misdemeanor ataUon is a criminal offense and is punishable by up to 90 days in jail and/or a$700 fine. C-02-83 � _ CtlYOE FRiDLEY FRIDLEY MUNICIPAL CENTER • 6�131 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 •(763) 571-3450 • FAX (763) 571-1287 December 13, 2002 Erwin Dauphin 5809 Arthur Street NE Fridley, MN 55432 Subject: Last & Final Paved Driveway Reminder Dear Mr. Dauphin: This letter is your last and final reminder; all driveways within the City of Fridley need to be paved by December 31, 2002. As you are aware, the City Council adopted an ordinance declaring gravel driveways a public nuisance. They were declared a public nuisance for a number of reasons, such as: they can cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the City's storm sewers and detention ponds. When gravel driveways were declared a public nuisance, the City Council gave property owners five years to have their gravel driveways paved. The five-year deadline is quickly approaching, which means all gravel driveways within the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002. If you've already paved your driveways, Thank you! Please call me at 763-572-3595, so I can update our files. The City Council has agreed to allow an extension until June 15, 2003, to those of you who haven't paved your driveway and/or can't get a contractor to do the project until spring. In order to be eligible for this extension, proof of a signed contract from your concrete or asphalt contractor stating that they will pave your gravel driveway by June 15, 2003 must be filed at the City by December 31, 2002. You as the property owner will also be required to sign the statement on the next page, ensuring the driveway will be paved by June 15, 2003. Failure to do so will result in a criminal citation being issued on Januarv 3. 2003 and filed at Anoka Countv. Thank you for your cooperation. If you have any other questions, please feel free to call me 763-572-3595. Sincerely, Stacy S mberg Planner C-02-150 Building T11�Ct10riS 763-5�12-3604 763-502-4977 FAX DATE !� SITE ADDRESS � THLS APPLICAIdT IS: CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE BUII,DING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFE("fIVE 1-1-09 YOUR E-MAIL ADDRESS , -r� �� uE OWNER OCONTRACTOR NAME: 9 � ADDRESS: � PHONE:,,�in.3 — ��— �(p � NAME: STATE LICENSE # EXP DATE Pernut No.: Received By: Date ADDRESS: CITY STATE ZIP PH FAX ,. PROPERTY TYPE INGLE FAMIL ' O ��NEW PERMIT TYPE 0 DITION EMENT FINISH � DECK CONSTRUCTION TYPE OF WORK: I❑ NEW HOME CONSTRUCTION 0 MAINTENANCE/REPAIR DESCRIBE WORK BEIlVG SIZE OF IMPROVEMENT ROOFING NUIvIBER OF SQUARES _ GARAGES PROPOSED StZE: PROPOSED HEIGHT: SIDING O Vinyl ❑ Aluminwn ❑ Other wnvnows IN EXISTIl�iG OPENINGS ❑Yes �1Vo OR FOR NEW OPENMGS-DESCRIBE SIZE OF OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLED ❑ ROOF ❑ DRAIN TILE ❑ SID[NG ❑ OTHER 0 SWINIMIN(3 POOL ❑ HOUSE ONLY ❑ HOUSE &c GARAGE � ATTACHED GARAGE ❑ DEfACHED GARAGE � BASEMENT REMODELING SUBMIT• 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural membeES to 1� used FOR NEW COAiSTRUCI'ION INCLUDMG DECKS, D��t ADDITIQNS. & PORCHES SUBMTf: 0 T� 1. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project 2. Two sets of construction plans 3. Energy Calculatior�s i.�ATION OF WINDOWS NUMBER OF ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: ,� „ ��iJSING THE 1997 U.B.0 FEE SCHEDULE) n � TOTAL JOB VALUATION Permit Fee Plan Review Fire Surchazge Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due E�i • ►� �:� $ $ $ $ $ � ANCY See Back Page for Fee Schedule 65% of Building Permit Fee .001 times t�ie total job valuation .0005 x Pemut Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Aavable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate; that the work will be in conformance with the ordinances an codes of the City of Fridley and with the Minnesota Conswction Codes; that 1 understand this is not a permit but only an application for permit d work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all wo whi quires review and approval of plans. SIGNATURE OF APPLIC _ ___ , PRINT NAME 1 L7�c_ I,..t ei'1 DATE '� " 7 Page 2- Building Residential Applica.tion .r" v . _ ; BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to a11ow for proper review of proposed structure and of the conshvction site. A Certificate of Survey of the lot, showing the location of the existing founda.tion will be required before proceeding with the framing. New Houses Oniv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 76� �?�� Fax: 763-502-4977 � �i��w �� 0 � C J Building PLUMBING Permit No.•� Inspections - RESIDENTIAL APPLICATION Receiv �,;� 0 763-572-3604 Date R�c�'d:" CITY OF FRIDLE� DATE YOUR EdviAIi. ADDRFSS SITE ADDRESS �e.wt� ar.s C74+�►ta/ • THIS APPLICANT IS: ❑ OWNER �ox�acrox Toby I,ien PROPERTY N,�,�_ 5809 Arthur Street Northeast OwNER/ ,�D�S. Fridle NIN 55432 ATE zt� TENANT Y� • PHONE: � 82 CONTRAC°TOR N�: . SUBMIT A CpPY OF STATE LICENSE # C% Ei� DATE YOUR STATE ADDRESS• n� i� / CITY .' � i,f STATE�LIP ��0� LICENSS VVITH . PHONE %— y033 FAX " � APPLICATION � PERMIT TYPE �SINGLE FAMII.Y � ❑ TWO FAMILY -`�O TOWNFiOUSE �trE oF woxx: � �w .. . �j��c� � DETAILED DESCRIPTION OF WORK • PER MS 16B.665 the permit fee is a mintmum of $15.00 or 5% of the total cost up to $500.00; whichever is greater, for the �� improvement, installation or replacement of a residential fixture, excluding the fixtures. (Tbis.shouldreflect only.the cost of labor ) Labor cost undcr $300 =$15.00. I.abor cost between $300 to $500 = cost of labor x.OS = ..: >.FOR.�RO]EC`f� WEIERE LABOR EXCEEDS�500>�FEFS ARE BASID ON $10.00 PER FD�'[TRE,'IXCEixfW��EN(t7�..�F�;..(,Q�DIC�T'& TO�TAL '. NUMBER OF EACH BELO� • BATH SINK/LAV FU)OR DRAINS SHOWER _ WATER PIPIIVG — gp'1Nf(JB GA$ PIPWC3 �m cm'uc�rvsE) SWM�IMWG P�L WATER SOFI'NER ($35) CLpTHES WpSI3ER KITCHEN SWIC T WATER CLOSET BACKFL()RI PREV. ($1� DISHWASHER '�LAUNDRY TRAY ,LWATER HEATER ($3S7 FOR IItRIGATiON — � WATER METER _ OTHER p� g� $� Number of fixriu�es @$10.00 x$ I0,00 =$ Surchar e ..50 Number of fixtures @$15.00 x$15'�00 =$ �� TOTAL DUE $ Number of fixtvres @$35.00 � x$35.00 =� 3S o0 . . . . ... . , State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERR3IT NOT VAi..ID UNTIL PROCESSED ' I hereby apply for a building permit and I acknowledge that the information above is complete and acctu�ate; that the work w�ll be in conformance with the ordinances and ct>de.s of the Ciiy of Fridley and with the Minnesota Co'nstruction Codes; that I understand this is not a permit but only an appli ' tt for a permit and work is not ta start without a permit; that the work v¢ill be in accordance with the appmved plan in the case o w' ires review and approval of plans. � SICiNATURE OF APPLICANf PRINT NAME J E..'C"� Nv/�IOi�:/! DATE �I I5 IO � . City of Fridley � Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 753-502-4977 I�