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AF - 44268� City of Fridley, Minn. �� BUII.DING PER,MIT N° 3 6 7 6 Date: . � . �. . / � .f . . �. � . . . . . . . . �� Owner ....................................... Builder � ..��......................... � Addre�ss ...................................... Address ............................................. (� .� y� , LO�C�►TI OF BUILDING • �� /. No��i�� : i .:!, Street . . . . . . . . . . . . . . . r�.`. .� Part Lo . . . . . . . . . . . . . . . �� a 3 `�:��. s��x . . . .�. . .. . . . . . . . aaa�on or sub-n�v�on ��.a�� . . �� . . . . . . . . Corner I,ot ............ Inside Lot ..�........ Setback �"'��.. Sideyard ��. e�..�.. .............. DESCRIPTION OF BUILDING To be Used g� a t � p G P� � . . . . . . . . . p . . Froat �P. .'°� Depth �. � , Height /.�.—. .'r°�. .� Sq. F't. !. . . . . Cu. Fk �� f. . . � .............. .... Front ........ Depth ........ Height ........ Sq. Ft ........ Cu. Fk ........ Type oP Construction . . . . . . . . . . . . . . . . �st. Cost. �.��.�;�e� . ,�,'�, , , . . To be Completed . . . . . . . . . . . . . . . . . . . In consideration of tihe is5uance to me oP a permit to construct e building desrib�d ;, above, I agree to do the proposed work fn accordance with the description above set and in comp ,c� with all provisions of ordinances of the dty of Fridley. ,�i !� .� ./........ ........................ � In consideration of the payment of a fee oY $��......, permit is hereby granied to ................... ......................... to construct the building or addition as descrlbed above. This permit fs granted upon the express condition that the peraon to whom it is �anted and �xia agents, employees and worimien, fn all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintena.nce, repa3r and moving of buildings with- fn the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. �ri ...... Buflding Inapector NOTICE: This pe�mlt does not covar the constru�lon, In�Eallatlon o� alte�ation to� wl�ine, plumbing, gaa heating, sewer o� watar. Be su�e to see the Bullding inepeotor for sepa�ate perml� fo� thess Itema -� �' � '�� 1� �.., r �l.` ��' .� � � � � � � '� � `� � ae ' a �� •� � a � •— � � �, ' o oa � C � m A � H �y� C � � C _ ,� �� O f� � V �a � �. � W � H � W � � Q� J � � Q � � _. `C� �_ . . � � �c � 1 �� B�� U `� �� '��b ��A� o�� a�� o�� .� .� a �' ;� �� w �� y�.� F �� d � .� �� A�� WC � �.� � � � ��o� � � � ��' � �� E � � �e000 aoo� �1 CO 1[J LL� N W R : : : o : : g o 0 • • °o � ' ' � d . . � aa � ° `� � � � � '�'i °� � � � � � ��o�� r�� a�a � � � � � � w ., ., ,, I � � � � 0 � .� � � N � � � �o� �� °o o °o, � �°n 00 N �O LL'� N � � � � o o : ; $ $ o . o . : o �, �� .°„ : ,S �a � � : p, �O o° � a '� 0 � � � x3 T1 � °� � °� � Y�a� d � � � d � � � � 3 " a � � �� F .�8 � � � � E� �� I z � � a �� o `� � �I �z � � W O � � `�l � � � � . o � �.z � z � � �° ° � \ � � � ca � � '� � w �� x x �` o � � � � A � � G '� � � � �� " z f ' (Qa � a � a - '� � `� z � I x �� a� U Ei f� °o o �°n �°n GC 0p CV C�7 � � W � � ° � �� o� 4 � � : � �� V� �,' � � m � N d�i �� ww c 0 �!! : � : � : � : y : � � � .� � � � � � M � .� o � M � � � °o u�a �� 0 0 0 d �d � v � � � � � o a� � e� i3 11� � � � z a � L � � m � � � � � W � .�/.+. ❑ � � � � 2 w J � � � � � � � � � �� o � a � � � � �� t�- O t� � z z � � � J 0 a w z Z � t a .� a � P4 � h � � 0 ., � .� k S �� f /1 n ] �f � �6s 4� 6� � � �i1 � @ �A L;.• � `r. ,� '� �y cJ "' P`J �i't � 0% rr? � , �• ' °a, + RORM.$DS APCO HFAT LOSS CALCULATIONS ��,' '��; � BUILDING DEPARTMENT A.S.I�i.V.E. � � , -'-- �Featherstrip� -- Guide � � - Constmdion Na. 4� r.—�r q �• .�' � -- �r'r�� --� �, ~ ' R.��- MINN. � InsWatioa `" � ��Ji . ws . Doors Reference ' Oiit. Wall -- In�. Wa�lll Ce�in� Roof Floor I�.ind I�ow es No - 7les—No 19_ � ' Fl.�tt� l��s yr A�°°Room � Length a.�.Wedeh `�',.� I�eiSht � Fl.� z- ,-��,�,,, l�aon�a Len�ch !.�Width Wiac�owa and Doore—Cr�ckage and Are� Wind¢ws ,a�l Doors—Crackage and Area' Width Hetght No. aP Llneal Y4 Area ' QPldth 8eight i�io. oL Llneat fL Area No: of pano of paae 7lvhte ot crack sq..Eb No. of pane oE yane llghta oY craok e�: YG - -- - ' - - t� � . � _ �:' `.'P �r ' � . -�' � "`` s /� ° ! - ��'_ _�� ,�i�� ,; , : , � f !� � ;,; � �.�• �,�' -- - ' '- _''- - �,� _.:� • : , � . _ _ . _ - __ _ _ _ __ Coef. Btn - Co�f. Btu i Infiltsatioa _ �-_ __ - _ �-'� .� �� +" Infiltratioa - - �� +�� :_� - - - -_ _ . ,�r �aI�83 � �j _ � � '_ �. y��°� W� � . e�� pfi'"� _; _ F�p` w� ,� ,� _ �!"', _ Eap. W8II ��' ! � ',_ � � Net egp. wall -- - .i /. - � �' � � �let e$p. vvall -- - -- - . , : � , � �,,. `ine� w.aH _ _ - - __ - - - ..�. . ___ _ . ;_ _. _ ;. - _ _ . _ _ _ _ _ . ._ . _ _ InG wall_ Floos_ _ ' ' ' - - �� ,l� �`'� Floor _ �' " �� _ -_ - , _ _. .,. , �' , ` . - Ce'sl.- � . �� _ _ � �� t � �d � �`� Ce�1._ ,l� � yt C •,�' ' - - ' - �Tot�l$tw .. �� - �"� y � Taital B�e. , , _. - _ - ; i 1$equired'sg: #t. E:D.�. oa sq. ins. W:A. Leader area Reqvaed sq. #t.,E.D.R or aq. ms. WA. Leader ar�a � �` Fl t ,�_: �` _ Room ( Len�- ' Fl.� �'�, ,`�' Room ( �ngth' � � _ �. . � ��i/idti� , Hei�ht �- �' Width � Hei�ht . ,,..� Windows �nd Doors—Crackage and Aaea Wiudows and Doors—Crack�ge at►d A7re� ''`�`' �, --Whlth Height No. oE Lineal it. - Area '" " Wldth 8eight �.No. ot Llneal fG Area 'Na __ oY!pane� of Pane lighta of oraok _-�. it. _ Np,, o! Dane oY pan0 It$PtLe , oY crack s4. fQ �- �__ !�t� , '°, / � �� ,. ,� . � - _ , - <_. - - - -- - � '- - - . ` _ _. :-_ ; _ - _�- _ :. . �_ _ . ,.y _�-. ;, - - - _ �� , ; , � ,_ ` - _ _ - x .- _.- _ _ Csef; - - �u `- _ _. _. ' ::. _ Coef. T ' Beu ' . _ Infiitration - _ - ; - '� ' , - - - -Infiltratioa . - . , _ , :,.�r � � � � Glass_ _ - - ,�► ,��; - �� -- - , �lass ' � ' . �� _ _ _ ,� �_ Exp.-wa�l o .� � - �P• � �S Net ssp..wall - '� .,��' ��'t� Net exp. zvall . ' ' In� waIl - - _ - - -. - '-- ' - In� wall . _ - - - - - ,�e Floo: y�' � � ��_� �,. - - Floor �, ~ ''' Ceil.-.--, _ _ _ ; �_ � 4-'_"�°`_ Ceil, , / e,� --- - -_ _ . -: - �-, -; . , : , , ;, � -: �. : . . 4 . , - �ataD-Btu. - - - - , E Z'ota� Btu. '� ' Required sq. ft E.D.iS. or sq. ias. W.A. Leader area ' :=; ' �eyc�ired sq. ff. E.D.lZ. or sq. ins. W.A. Leader area - -- Fl. _ _ ��; Htooffi � Len�th � �'„ �V'Ydth - �� ,.�Heig6t - � ,��. _ �f.� ' ' Ro�m I �.ength ",t� �Width ,�,.Height �"",,.. -- -'��l'mdorivs and Doora-Crackage and �4rea _ _ Wiadows Doors--Crack��e and Area Wlslth Height No. oY' 7.ineal ft_ _ Area ' ' Wldth Height Na of Lineal Pb Area - No.- of yane ai pane Iighte of araok eq. tQ Na o� pane ol,pane ��e�r,� ..r emctc sa. f!. - f _ - _ -- . �t' ._1,�_ � � - � •' ; - ' � �: � - �,_. - �" 7s, _ ; - _ o � - -. _ _ _ - - _ . -- - - � �'� - - - ,- - :I _ Coef: - -&n _ _ Yn5ltratioa �" . _ _ � ^ _ �� - InGlcre�tioa � : - � Glass �� _ Gl�ss �. wall ��• �' � � F�cP. wall � � ?e -� � - _ - _ _ __ _ 1Vet_exp.wall:_ __ � /� _ . � e�' . � ; . Net e�. wan �' � InG �a►ali In� wall: - - ,- - . _ _ - �a Floor . � ��_�_ � �'C��_ _ �'; ,; r � Floor .�..�f-�a x � , �,lrC.�� . _. .. .—. -� � "'? p °I��.'�., . _'_°G� �-�?' 4.* �9' o � r3�� ,`:'. � � fi � � . Toeal Btia. _ s_. - - -- !_ t,�'' ' '�.G�' , . Tot�al Btu. : Required s�. f�. E.D.Ei. or sq. ins. W.A. I.eac'�r arest ISey�ir�d sq: fG F,D.R.�ar sq. ina. W.P►. I.eader area - _.._.-- � -- �� ' �'' "03 J e m�, "l� . � �,�\' �� \ m �i 0. � ,,'1 C a�� . � � �� o � >` a ;q � � Q a � � � O � � ; U � � �� .� ,� '� � � � � � �. ` t� w � o O �,� � . 3 0 O� ' � za O ,d a� �� a � z � � 0 � �� .� � � � Y y �U�+s �� o .Yy � v � � ad �,� � � � � � w° F�+ .� � q�zs� ��a ,g 0 �� a � `�,�� a � � �� ° °� A��.� a�'i �� s� a .� p � m .F� •��x� v � � � N . wo � ��' �� P�9 ' � o � � � � O � � , �� 6I z 1� � �� o � � � � a U � � � e°� � . � .� .�� C-°� r� O W J � W _ H W � J Q � a x � a 4 0 F � �s v� � � 1� l[� N O .�N O N µj rl .� .-1 Ch N Cq V} �a ia �a �a oa oa G z : : : : � : : : � : a � : � : o ;� : � .� : o f�l � : � d . N b � . �,g� :�O � � O � a o : � � � � � � � � � � � � d � � � � V' � a�i � c° a$i � z w� z �� z oa � a z � � E ��n, ��n, °o � N � � � O x ; : � • o : � O a a : � � � .� Lw q � 0 M T� �� a O � � : � . � : H b � t� ; M � m : � : d� • o � H : � o 4 � a ail � � A � City of Fridley, Minu. , BUIL�ING PERMIT No 4 s o 5` nate: ._.._ �° � � , � "r _ �.+ f� °' � � Owner: .----� -- -- -. ..� __:., ... _ � Builder ----•:�°-_'``. °1`�,`�. �f . � � � .�. /� Address _ �.._ Address .:��-�•� •• •� •, �� i LOCA�N OF BUILDING No. �,�--1••�.... Street -�i�----.��"a---_...------__.._._.. Part of t.....__ ._�..._......_..___�._..._._...�.... Lot ...�sk----.---�•---.. Block .---•-•.�" .�.._ .................•-.-.-----.--• Addition or Sub-Division ..... .....4�.�..:. ... ��...---.___..._._ Corner Lot ....._ ......... .................. Inside Lot .--•--�•---........_......._...---.. Setback ....._............_..........---_...._.. Sideyard .... _.� ....----•----�---............_...---•-�--._.__. Sewer Elevation Foundation Elevat3on DESCRIPTION OF BUILDING To Us - ., ..t._ Front .�.�. Depth .�_� Height ....__l..� . Sq• F� -�..�.. �...,�.�" Cu. Ft. �.�._..r _�...�%�•" ...._.......-•--��--�•-- •-�--�- ....................... Front -�--�----.......---. Depth ................_.. ight ,.....,.......�� Sq. F't. ....._......_....._.. Cu. F't. .._._......._......_. ...,�+' Type of Construction ...��,,,,��.;�`..�-. Est. Cost....:._. �.,�� .-.�:"--�..._........ To be Completed ..---------_.._...__._.._. In conaideration of the issuance to me of a permit to construct the building described above, I agree to do tt►e proposed work in accordance with the description above set forth and in cvmpliance with all provisions oP ordinances of the dty of Fridley. In consideration of the payment of a fee of $._.��_....-----...._..._...., permit is hereby granted to....._......._...._.._.......---- � _�_�..__.�.__... to construct the building or addition as described above. This �rmit is granted upon the express condition that the person to whom it is granted and his agents, employees attd worl�en, in all work done in, axound and upon said building, or any part thereof, shall conform in all respects to the ordinances of Friclley, Minnesota regarding location, constructio�, alteration, maintenance, repair and moving of buildings within the city ]imits and this permit may be revoked at any time upon violatioa'of�ny of the provisions of said ordinances. ,�,� �17r � " l Inspector �, NOTICE: � �I This permh doea not eove� �he eonstrueHon. inatalladon for wiring, plumbing, gas heafieg, sewe� ar water. Be sure to eee I' the Building Inspeefor for separafe permita for these Hema. 4 �� '"�. _ w.'�4�. eV _ _ a� Ownere ATa�ae Address APPLICATION FOR BUILDAdG PFRMIT CITY OF FRIDLEY, MINNFSOTA ,�� +_( l� � � (�is' �,�. ._ � __. o o.._ • LOCATION OF BUILDING No. � Streei� � e r� �. r,=�'=-L� P�'t_of Lot �� y�t glo� Ad.dition or Sw.b.Div. � Corner Lot= side I�ot i�„ Set Back Side-Yard S° � SE`WE� ELEVATION _ FOUNDATION ELEVATION ., ,�_.� lpplic�nt attach ta this form Certi�ica.te of 5urvey of Lot and proposed buildiag location. - � DE5CRIPTIOI� OF BUILDTNG To be used as: � � � � � _� `ront � � Depth � �- Iieight__�..�— ...�.�. Sq. Ft. _`�,-f e, f� Cu. Ft. �/ y o f� Front Depth Height -- � - � • Sq. Ft. Gtii. Ft. - - Type of Construction �s '� �-� Estimated Cost /� �� To be 3'he undersigned hereby makes applica.tion for a perm3t for the work herein specified, agree3.n� to do all work�� 88t�dtherebyddeclareshthat a1l�thdfactseand repreaenta� the Department of Buil g, tions sta.ted in thi-s aPplicat3on are true and correct. DATE�/ 6 G SIGNATURE �� (g Schedule of Fee coste can be found on the Reverse Side.) :..�. - n � r�, . .. � - BIIILDING PERMIT 1rEE SGI�DIILE Section 2, The Inspector of Build3ngs shall, before 3ssuing ang permit for the ereotion of any building or structure, or for any addit3on to any exist3n� building or structure, or for any alteratione or repairs to any existing building or atructure, upon application therefor, reqtiire the payment by the applicant for such perm3.t of fees to the amount herein below set forth and in the manner herein grov3.ded to-wit�, 2.1. For any such permit for the erection of any f'�re-proof building� ather then a garage, waxehouse, factor�r or grain elevator, or for the erection o� any fixeproof addition, for s3.mi].ar occupanc�, to any existing building aha11 be at the rate of �1./.�0 for each one thousand cubic feet� or fraction thereof, in such cubic�7. contents. 2.2. For an�r such permit for the erection of ang fireproof garage, ware- housp, factorg or grain e].enator, or for the srection of ax�y f3reproo'� addition, for similar occupancy, to any exist3ng buildin� ahall be at the rate of $1.25 for each one thousand cubic feet, cla.ssii'ied as "f3reproof° b�r Section 502 of the M�nneapolis Buildiug Code. HOIISES 2.3. For any such permit for the erect�ion of any non-fireproof building other than a garage, warehouse, factor3r or grafn elevator, or e.riy non- fireproof addition, for simi].ar occupancy, to any existing building. Permit �7..00 for each one thousend cubic feet. GARAGES 2.L�. For any such permit for the erect3on of anX non-fireproof �arage, warehouse, faatory or grain elevator, or for the erection of any non- f3seproof addition, for similes occupancy, to a.r�r exi.st3ng buildin� or for each such building or addition. ATinet�r Cents for each one thousand cubic feet or f'raction thereof, in the cub3cal contents thereof with a minimum of �4.00. � For the pt�rpose of computirig fees for bu3.lding permits the cub3cal contents of any building or addition to a uniform height throughout by multiply3ng the ground area covered from a point s�c.(6) inches below the f7.00r line of the basement or cellar to the avera�e he3ght of the upper surface or io the average height of the roof surface of the main gable of a pitched roof. 2.5. For repaiss or alterations to an existing structure, the fee shall be at the rate of �3.00 for each Five Hundred Dollars (�500.00), or f`raction thereof in the cost of all proposed work. 2.6. In no case sha11 the fee charged for any permit as set forth 3n Section 2 be less than �/..00. !p'1 �, � �. �9 � _ � �..� , i i i � ; � . � d z .� � � N Q � ..... � l.L. � 2 � � O � � � u 3 d 0.' O � Z O H V .. ---d—. o. ¢ `� � � e ■ 0 � � . � . ��;g �u. I �� iu�. - e'� ��yE � . M � 4 � � ysv� � ��e'oi ' �Q� Y N F C .~i w;5! � M C ~ S � a�•� • .p�.�� II ± � O • � � � �M yO C V �r � O e � Y € �g�5 � c ° a 'S .. 5 0 ��o ag.." M .� U1 +� M O 'O pvv e �r e y Mw� w pe� a Ir �r t ;o: ��e C(JF � - ++� � O ri �� z � � w o � .°+ e s°., s =��0 � O aBY4�j f!j s 3xj3 '�� 4 ..t�� 5 � saycvM ��eIDC3rY � su�cvg � 4�'3�� j*� =�ti . 8 fsawotlS sn�vavno� g g t11ij7jYjiQ � C tIC1�L �1l1 � �iS � a'i o �� o � va.s 8 � sT�s� � �' e�..on E � ... ... Y �j - 1� .�i. � v s1S2cis � � 1�1 • �� 0 $ i�1 � _ � � � � � M � � � � � � 1�1 � 1 F � O ► �C � P � � � � M � � 8 O� � Z � a� � a fi� � � 6 ` � t• 0 � p �! A 1! b q M••• M M� q W H pi <I� oC = Z c� N FW-� � H w o� � � � f�C N. co Z � .i � 0 0 0 .� N N •+ F M � m o. � M � m u O.' O. tA �. � � EE ON wo 41 N � � �_ E o-=i N �a �a 0 0 0 0 0 0 0 0 0 0 0 0 0 O �R N O O O O O O O O O O . • • • . � . • • • . . . IR P1 rl f �fl U1 Y1 Ifl 1fl P Y1 O O �0 .� .� O� R�i M M M M p q q M W h W �11 V/ M M t i Z U [+ O M O N o o�i � � i .�+ � oNi .�i � �C 4 00 C'i • � � M � o � MM O y � Q � M�1 M � a M � .� 8 M .� - . i v � ° � i �~ �N • Z M C �� ► p M O w • ` M • +� • .y +� C � � O O � a . . . a � • .+ • � M N C� a.Ci M� � r O � O c a�i �„ C■ M � i+ ..�i � M j • M .��i 0 e� o � � � :• o, o o° s a o� i°►A, �� ~ O� M t�1 C M 4 O s �� p C i M V • H+.A 0 ■ �1 M � � � i ir O O � i� i � m i m t7 t0 �.� � c � sus�ECr PER City of Fridley ° 16 5 6 6 , ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �E�PT No. � � • COMMUNITY DEVELOPMENT DIV. , ; � - �/� r � � PROTECTIVE INSPECTION SEC. � � � _ � � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BV �----� • •�� 612-571-3450 910-F15 5/10�82 / / JOB ADDRESS 6545 Arthur St. N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 &�a23 4 Oak Grove Add. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE D�nald Uecker 6545 Arthur 5t. N.E. Fridley 55432 571-5587 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Owner 4 ARCHITECT Oq DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING RL'S].C72ri't13�. 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOHK Construct an 18' X 12' redwood deck 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY l.OAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC� FL'aI110 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�. ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT yfil�1.00.00 $. rJS DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR �OCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $19.00 PLAN CHECK FEE TOTAL FEE 4.75 $24.30 SIGNATUREOFCONTRACTORORAUTHOR12EDAGENT IDATEI N PROPE VA D T IS YOUR PERMIT �-� �i C�-�� '1�.�� - �— �° � d°-� SIGNATUREOFOWNERIIFOWNERBUILDEPI OATEI � BLDG WSP �pTE � CITY OF FRIDLCY Effective Aug. 1, 1981 APPLIG/1TI�J FOf� RCSIDC(�TIAi_ E3UILQIi�G PC(i��iI7S (f�c�r, Alterations, AddiLions, or Repairs) ONJI�ER: � u9 �;,�c� G�tQ �'�� , l3UILDER: ,�e• - - � � - ADDRES S : � y' �s� <',. �,� �z � .�� ,�� TEL N0: ��f �-,��s°,�� ADDRCSS: �:•� TEL f�0: Construction Location • STItITT NO: G;°�, STItEET: ,/�/� �� r S� ��°�� LOT: . � � `� � z �,a BLOCK: __�_ ADAITION: �'�'i� ��-�£ ,��' ' � . Corner Lot: Insicie Lota (/I S�tback: Sideyards: Ap�2icant attach to this fora two Certificates of S�rvey of lot and prop�sed buildinq �.ocation 8rawn on certificates to scale. DESCRIPTIOfs OF COI�STP.UCTIOP� /�°xl�� ',�O ��' - . — Front: Depth: Heiqht: Square. Feet: � Qibic Feet: _ Front: Depth: Height: Squar.e• FePt: G�bic Teet: ��'$�� Kj�i Type of Cor,struction : /�� '� • Rb Be Obr.�pleted: �� a � � � . �,-= -�- . �lo�`.� Estimated Cost: $ Alt. A Alt. 8 Proposed Drive��ay k'idth If New Openinq Is Desired: $� $ � , , SE� REVERSE SIDE OF SHEET . T'iie unc3ersigned herebl� ma3:e� application for a permit for the t:ork� herein specified, agreeing to do ,all work i:, strict accordanec with the City of I'ridley Ordinances Paid ruling� ef the Department. of Builc3ings, and hereby declares that all tl�e facts and represe�Eations stated in this application are true and correct. w D.1TEs �3 %j� � �� SIGNATUI�E: �� at'� ��Z Stipulations: � (� ' r�-� � �, �� s� ��.�� _� BUILDING PERMIT FEE SCHEDUI.E The Inspector of buildinqs sha"11, before issuing permits for the erection of any buildiag or structu=e, or for any addition to any bxisting buildinq or strycture, or for any alteration oz"repairs to any existinq buildinq or structure, upon application therefore, require tbe payment by the applicant f or auch permit of fee.s to the amount herein below set forth and in the manner herein pzonided to-wit: TOTAL VALUATI�T $1.00 tio S500.00 $501 t� S2.000 S2,001 to �25,000 $25,001 to $50,000 550,001 to $100,000 FEES 510.00 Minimum Fee $15.00 plus surcharge $10.00 for the first $500 plus S1.50 for each additional 5100 or fraction thereof, to and 3ncludinq $2, 000 $32.50 for the first $2,000 plus $6.00 for each additional $�,000 or fraction thereof, to and including $Z5, 000 $170.50 for the first $25,000 plus $4.50 for each a8ditional $1,000 or fraction thereof, to and including $50,000 - $283.00 for the first $50, 000 plus $3. 00 for each additional $1,000 or fraction thereof, to and including S100,000 ¢100,001 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN C�IECK: 25 percent of building permit fee DRIVF�IAY DEPRESSION ESQtOW: Concrete C1irb Streets Only Alternate �A°: Removeal and replacement of curb and gutter only Dri.veway width plus 6 feet x$13.50 Alternate "8": Removal and replacement of curb and qutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 feet x$15.75 VERIFICATION OF FOUNDATION Pez�its 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 Suzvey of the lot, shawing the location of the foundation once it has been constructed will be required before procee8ing with the framing. 11 �v �� - � �� I�� y,o� � � � � . � C � � � � � a _ � . � � ��N�. T �� a. ._�. � - ..__�.. -- �,- �� _ ._. .- __.�.� . . _ .,, _ s. _..._ _- :. . - ._ ,- _ . ,= , _.. _ � � t,� c, � - s - ° ,- - • • v , s'* , . ' . ��_. � . � :�� . � � .' � � _ . .�._'. ". ..� _' _ "�__. , -_ - '. . �. � � x � ' . _. _. _._ 1 ._ _ -______ .... -__ � �-- - Y I / i ,_T___._ .-- - ' �' � � . � ' � � ; $o � . I� � ' c. � I . • � � I ° o � - . � \\�C-� `� �� - . � ,�l { D`� C \ \' ._ �, I . � � '� -,, �c �� \ �j \ ,� ,.�� . �, :;�; —�- - �--- - — - � - � ' . 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BLOCK TRACT OR ADDITION SEE ATTACNEO oesca. 22 & S$ 3 4 Oak Grove Addition SNEET 2 Pqpa�E,OT, OWNER MAIL ADORES$ 21P PNONE l: 1 � Uecker 6545 Arthur St 571-5587 3 CONTRACTOR MAIL ADDRESS ZIP PMONE IICENSE NO. Owner 4 AHCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRES& ZIP PHONE LICENSE NO. 8 USE OF BUILDINCi Residential 7 CLASS OF WORK � qEPAIR O MOVE O REMOVE O NEW O ADDITION ❑ ALTERATION 8 DESCRIBE WORK Reroof house 16 S Tear-off 9 CHANQE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PEF;MITS ARE REOUIRED FOR ELECTRICAL, PLUbIBING, MEATIN(i, �PE OF CONST. OCCUPANCV aROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(3 SQ. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WI�L 8E COMPLIEG WITH WHETHER SPECIFIE� HEREIN Ofi NOT. TNE GRANTING Of A PERMIT 1334 . E)F) DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE pERM1T FEE SAC CHAiiGE PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATIN(i CON- STqUCTION OR THE PERFORMANCE OF CONSTRUCTION. /{ .],rj Fire SC 1. 33 PLAN CHECK FEE TOTAL FEE 47.74 � Si�EOC�ACTORORAUTNORIZEDAGENT �DATEi FIEN PROPERLV ALIDATED THIS IS�QUR PERMIT :9 �/ / �/ � vv S�GNATUREO%OWNER WNERBUILDER� IDATEi BLDG S� itiiE ��. � $ [ ] �ssa�aH �oN [ ] ��ssa�aN �uamaa.�d $ �ur.Taain�ug �q pautuua�aQ aa3 $ naatnag ueid uop�niasao� pp'OS�$ r7 anoq� uSu '3� io udu 'lt�i $ (sio��v�uo� i�t�uapisag pasua�lZ a��iS) �' S$ $ ��n ��s �� 000t$ $ uo�l�niEA 000`i$/OS'$ �J' ' $ il�Ol/I) uoi�En�A l�ad 3� I�' r��O $ apis asianag uo ainpaq�s aa3�� _��y $ 1�'ll�IO �SR �J.I� : �Sl�iOI.Ld'If1dI.LS 'Id,LO.L a�.�q� ui�y� �aMas aa3 x�d jOIlIIO� IIOiSOI� MO.I�S� �EM2AIIQ a3.nq�ins asaa�iZ a��i� �dS a�.req�ins a��s a��q�ins an3 aa3 atmuad �.�SS—/L�'# �ias �/'�� . �S,��I'Idd� — Z° — ��.L�'(i $ _ $ x 13 = �d 9 + 'i3 �PaP�l�i �PIM ln� q�n� ��nc�anuQ lX��g uo arnpar��s aa,3J ��- � �� :lso� palE�ls� � :ad�Z uot��nz�sao� � �y'� � �� • -° i� �P r � � �rr�i � � `. ,..g � .d .{':� � - •�3 •bs punoiJ/�H �PiA� II�I '�3 'bS iq�taH �PjM �IIa'I — �� 'l3 'bS �, �R.� - � �..ss # 'ias # �Sls'� �q�iag �pIAA �IIa'I J.I�i��AO?IdL1II 30 I�TOIJ.dI2I�S3Q '2iE�S Ol 31 IIO IIML'� IIOIl�N3SII0� p2SOC�Odd 2L� ij�IM `�oI aq� �o �anins �o a��t�a� E`uopE�tidd� siqi o� ��d . �: � ��v' �I��Q ��_ _�J��9 ��2i� �I�AI'I :ssaippd ��xtuo� ,3-� _ � � # •ias 1�U , :ssaiPPd a8 au�N iaun�p ( :uot1du�saQ jE�aZ )j� � � o��' � � 86/i/i antl�a�g � S �?� � �� .S :ssaiPP�ot��nusuo� uo�d�riaad .r.u�xaa �ruarung Z-?I Ql�i� T-?I S��'Idf1Q QI�i� A'IIL1i�3 �'IJI�IIS 1��'I�?I3 30 �i.LI� [] [l [l �� NQ� n�t f �� BUII.DI�i TG PERMIT FEE SCHEDULE The Chief Building O�cial 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 �uilding 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: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 FEES $21 (Minimum Fee is $21 plus svrcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 �� $62.25 for first $2,000 plus $12.50 for each additional $1,0� or fraction thereof, to and including $25,0� $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction �hereof, to and including $100,000 $887.25 for first $Il00,�0 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 � $500,001 to $1,000,000 $2887.25 for the fust $500,000 plus $4.25 for each additional $1,000 or fraction thzreof, to and including $1,0(30,000 $1,000,001 and up $5012.25 for the first $1, 000, 000 plus $2. 75 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 $13.50. 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 $15.75. 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 been constructed will be required before proceeding with the framing. ��, r.� �. h � �, �r�—r�t �� de--��-�� . �-� . �/� l°��9 vYELL OR BORING LOCAT1oN MINNESOTA DEPARTMENT OF HEALTH Mmnesota Well and Boring �� County Name WELL AND BORING SEALING RECORD MinnesoNa Unique No. H ANOKA Minnesota S[atutes, Chapter 1031 or W-series ivo. ILeave blank A not known) Township Name Township No. Range No. Section No. Fraction (sm. -s Ig:) Date Sealed Date Well or Boring Constructed FRIDLEY 030 24 13 �E WVE'� 10/07f99 Numerical Street Address or Fire Number a� Ciry of Well or Boring Location 545 ARTHUR STREET Depth Before Sealing � fl. Onginal Depth h. Show exflct locatlon of Krell or boring Sketch map of well or boring ApUIFER(S) STATIC WATER LEVEL in section grid with'X'. location, showing property Single Aquifer ❑ MultiaquAer lines, roads, and buildings. ' N' I WELUBORING Measured ❑ Estlmated Wa[er Suppiy Well ❑ Monit. Well _T_ _T' __r_ '_�__ ❑ Env. Bore Hole ❑ Other �'0 fl. �] below ❑ above land suAece W --i-- -i-- --I-- - -- E � CASINO TYPE(S) -Y- ---- --i-- --i-- � .' `�;� sc�i ❑ Piegu� p r�ia p ou,a� GALVANIZ�D T8�C � � � � u,wa e�°� cnsuro --�- --i-- -�-- --�-- � � � � Diameter Depth Set in wersize hole. Mnualar space initially grouted? S � 2 in. from � to �LS� ft. ❑ Yes �[] No ❑ Yes ❑ No ❑ Unknown � �� PROPERTV OWNER'S NAME in. (rom to fl. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown UECKER CAROLJ. Propery owrrePa mailirg address tl dHerenl then weU lacatlon addrass indicated ebove. in. hom co � n. ❑ ves p No O ves ❑ No ❑ unrnown _ 6545 ART`HUR STREET SCREEWOPEN HOLE �i2��L�, MN 55432 screen rrom �fL to k. Open Hole from ro ft. OBSTRUCTIONS WELL OWNER'S NAME qpds/Drop Pipe ❑ Check Velve(s) ❑�bris ❑ Fill ❑ No ObsWCtion w.o �r8 � aaa.� n�n�� a� �nr �ra eaa� ��a �e. Ty,� m ot��g (o��ua)�MOVED 54' X i.25" DROP PIPE 8� JET PACKER__ _ Obstructlons removed7 �] Yes ❑ No Descniie PUMP T,,� DEEP IfVELL JEI' PUMP � 4� GALLON TANK... OEOLOGICAL YATERIAL COLOR �DNESS OF �OY TO Removed ❑ Not Present ❑ Other 1 FORIIATION ��{OD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASIN�S, OR CASIN� AND BORE HOLE: If not Wqwn. tr�mOa eafhnated formatian bp fran rrearby well or boring. � No Annular Space F�cists ❑ Annular space grouted with tremie pipe � � Casing PertoratioNRemoval in. hom ro ft. ❑ Perforeted ❑ Removed In. from ro N. ❑ Perforated ❑ Removed Type of perforeWr ❑ OTher GROUTINO MATERULL(S) _ a�ow�e nn�te.+� NEAT CMT tror� � ro.5 n0.0004 y� � ENVIROPLUG � .5 �o� ft0.0444 Y� �� hom to n� yerda ba� from ro ft. yerds beys A�IARKB, SOURCE OF DATA, DIFFlCULTIES IN SEALING OTHER WELLS AND BORINGS LL LOCATED IN PUMP ROOM ON NORTH p�ryer unsealed and wused we0 or boring ai properry7 ❑ ves �7 No How meny? IDE OF BASEMENT... uc�seo oR a�ois�Reo coHrw►croR c�n�c�noN EASURED FROM TOP OF CASING 5� ��s well or boring wes sealed in axorda�e wtth Minnesote Rules, cna�e� a�zs. n,e Nro�ana, oo��ea m n�s �� ELOW GRADE LEVEL... wa eo ma � m mr ��. Malenke Water 27600 ConUador 8usiness Name .� fi.+� ��="-`� L6oe�e or Regk6aEROn Pio. Myron Malenke J �,'��', ,'N� �� p��'�� ...,,,,� 90/07/99 3 030 24 14 0088 A��P�� iss9 y� Name of Person Seall� Well or Boring ��AP� H , HE-0143404 8/98 R