AF - 47006C�
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City of Fridley, Minn. N° 10367
BUILDING PERMIT
Date: __.Au_gust.��_�2� _.__._....w..______.._...._
Owner: _S:�g����.�a_r�:�.�._.._..._..._._.��� Builder _.._....M; l e�� T, �t�nbe:c.:._..._.__.._..__..__..__.�
Adaress .. 6645 Arthur_S�t;ree�� _.��T.�._.___..----_..._� adaress ��00 L�m.c��_7.E-,...A.`:'.�;::':^�.'�Torth
LOCATION OF BUILDING
No. _..��...__._.. Street __.A.ic..th.l�..aS�Sea�...�..E.._.........-•- .................__._..... Part of Lot _.�._._..
Lot 22_-�_2�_..._ Block _. �...___..__._..._.._......_._. Addition or Sub-Division ...Q�.k� Sx�.�...�.�s�S1._.._
Corner Iat ___......_....__._ Inside Lot _..._.._.._...._.._._-----._ Setback .---.__._....----.._._........... Sideyard .__._._._....__._.. �
Sewer Elevation __......_.___.._.._.__._._._._._�.._.._.._..____.._ Foundation Elevation _..____.._
DESCRIPTION OF BUILDING
To be Used as:
A��:�.C.h�d..-G�Y•�.� F�'ont _..22! _.� Depth _2�.! .� Height .1.�. g........_ Sq. F� _�$.L_ Gtil. FL r t
_.__._..____..__._,.__....____._ Front _.._..___..�_ Depth _.._...__.._ fieight .___........_.__ Sq. Fk _._ Cu. F�
Type of Construction _.......H_':::_�.:..';�:.�__.._.._.__..._..___ Es� Cost ._.�.�-..Q�?�i.,�.C.,�1__..•--....... To be Coanpleted .... Fl1 �1=�i:�
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
th� prnposed work in accordance with the description above set forth and in compliance with all provisiuns of
ordinances of the dty of Fridley. � /
(o .
In co�sideratfon of the payment of a fee of �_.._.__.;..rpQ...._._.., permit is hereby granted to�Miles Lumb,�,�
to constxuct the building or addition as described above. This permit is granted upon
the �express condition that the person to whom ft is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinance� o�
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city linafts and this permit may be revoked at any time upon violation of any of the provisians of said
ordinances. �
��
T'QRF?�TCE BELI E
NOTICE:
'1Ms p�m�it dea no� eowr tlu eonstrueNon, in�allalion for w�ino. PWmWne. oas h�atin�, »wK w wN�r. !� sw+� te s»
Ih� Buildia0 Insp�e�or for apanh p�rmils for f6�a ihnK.
` � � �,
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLE`Y, MINNESOTA
OWNEEi 'S NAME J %Ld /�/= .�' , �/I /� /Y/��j � 110 BUIL•DER !� ..k�
ADDRESS (o �o �-1 5 C�/2,(��� �1/ L ADDRESS SI J v a ���,�-Qw,� l�o
• -z.---
LOCATION OF BUILDING
NO e(� W S STREET C,(�/:(.Fta-w /V I�
� �'�` G -� f' �'/ "'''` �
LOT BLOCK �,/ ADDI'PION OR SUBDIVISION-�-�1--P--=` �C
CORNER LOT INSIDE LOT �^SETBACK SIDEYARD
SEWER ELEVATIQN TOP OF FOOTING
Applica�.t attach to this form Two Certificates of Survey of Lqt and
proposed building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
" '/ � d �� ' Front � �
_ � Depth a � Hei�ht ,� l�
Type
To Be
Square feet S�'8 Cubic FEet S� �� 0
Front Depth Height
�quare feet Cubic Feet
of Construction Estimated Cost ��OO, @�
Completed �v a �,�
The undersigned hereby makes application for a permit for the work
herein specified, agreeing to do all work in strict accordance with the
City of Fx�.dley Ordinances and rulings of the Department of Buildix�,gs,
and hereby declares that all the facts and representations stated i:n
this application are true a.nd correcte
DATE /� � SiGNATURE � �
� �-�,�� _
(Schedule of Fee Costs can be fourid on the Reverse Sideo)
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CITY OF FRIDIEY INSPECTION DIV.
6431 Universiry Ave NE
Effective On January 1, 1991
Fridley. MN 55432 APPLICATION F7R POWER PLANTS AND HEATING� COOLING, VENTILATION�
572-3604 REFRIGERATIO'� AND AIR CONDITIONING SYSTE!AS AND DEVICES
RATE SCHEDULE
Residential
Fumace Shell and Duct Work� Bume� -
Also Replacement Fumace
Gas Piping (W�eded with new fumace)
Gas Range
Gas Dryer
R<<te TOTAL
$ 20.40 S
s,o.00 a
a �o.00 s
$10.00 S
"Air Conditioning - All Sizes S 10.00 �
Alt Others/Repairs & Alterations (LIST ON BACK)
19b of Value of A�liance or Work �1����e� a
5t-�ck �
Comme�cieUlnc�strial
19�6 of Value of Applianoe or Wo�ic
State Surcharge
TOTAL FEE
S
� .50—
a j5,5d
MINIMUM FEE FOR ANY HEATiNGiCOOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS_�15.00
PLUS THE 5.50 STATE SURCHARGE
REINSPECTION FEE 530.00
' Air Conditione�s can not be placed in a side yard without
written permission f�om adjoining ptoperty owner.
JOB ADDRESS �O � 5 �� �'t 12- � _ /��
The �ndersigned hereby makes ap�ication for a permit for the work
herein specified agreeing to do all work in strict accordance with the
ciry codes and ruling of the Building Division, and hereby dedares
that ail the facts and representations stated in this apptication are
true and correct. �c,� f�v ,1991
OWNER ��`N' �ea�`rso� .
BUILDING USED AS �e5 �c�ev�C �
ESTIMATED COST (�` �' �' PERMIT NO. f�����
DESCRIPTION OF FURNACE AND OA BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EOR
Fuel Total Connected Load
Burner T�ade Name Size No.
BTU HP EDR
HEATING COMPANY
Signed By �1 tel No. S 7/' 7 3 y 9
!S'zo - 6� 3g
Approved By_t��� Rough-In Date Final Date ���� ���
FILL OUT BACK SIOE FOR STACK VERiFICATION ON
REPLACEMENT FURNACE
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991
6431 Universiry Ave NE
Fridley� MN 55432 APPLICATION FOR PLUMBING AND GAS FIITING PERMIT
572-3604
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Water Baih Wash Drink. Floor Catch Auto. Gas Gas Misc. Water Heater
Stories Closet Urinal Tub Shower Sink Tray Fount. Drain Basin Washer Appl. Range Fixt. Gas Elec
Basemen I
Floor t 1 _ I ��' .
Floor 2
Floor 3
Ftoor 4
PLUMBING F{XTURE RATES: NO. RATE TOTAL JOB ADDRESS G��S �"��- St �F __
New Fi�ures
Old Opening, New Fixture ?
Beer Dispe�ser
Blow Off Basin
Catch Basin
Rain Wate� Leader
SumpJReceiving Tank
Water Treating Appliance -
Water Heater -Electric
Water Heater - Gas _�
Gas Range �_
Gas Dryer _„1,,,_
Back Flow Preventer Required ()Yes () No
Type
� 7.00
$ 4.00
a s.00
a 7.00
a �.00
$ 7.00
a �.00
a10.00
a �.00
$10.00
�10.00
$10.00
�5.00
The undersigned hereby makes application for a permit for the work herein
J 2� �° speafied agreeing to do alt work in strict accflrdance with the dty cfldes
and rulings of the Building Division� and hereby declares that all the facts
and representations stated in this application are Vue and correct.
OC� t G' , 1991
Owner �� �ea✓so�n
��
iC
�—
Reinspection Fee 530.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
19�6 of Value of Fixture or Appiiance
State Suroha�ge
TOTAL FEE
S .50
a��'
� �.. � �
__----�
� .__ �-� '_ �� L'
Building Used As �5'`���` c-�
Estimated Cost PERMIT NO. � �� �� �� �
-.
PLUMBING COMPANY
SIGNED BY
TEL N0.
. !
Approved By -.� �„�- Rou�- n Date Ffnal Date �' - 73
MINIMUM FEE FOR ANY PLUlABING/GAS PERMIT IS 515.00
PLUS THE 5.50 STATE SURCHARGE
CITY OF FR(DLEY
APPLICATION FOR PWMBING AND GAS FITTING PEWi1T
n .+ u
N T H '0 U . f( N WdCI•[
Y �1 .+� � pC H � O 111Yw��� � m EA�.. p�', f.. P HudCeC
•� Y •C L +1 Ji .0 � C '� O U�•�i p G � U � O
aU a � � w � O r.�. ��il r. U�� 3 � s� c3 O;as 'lec
lrt
?nd
lyd
�th
(a) � F�uWr� Conn�ction Openinq Connect�d with Sewer
(•) � Nw �L�cWr�. Old Op�ninq Mater
RATE SCNEDULE
PLUMBING FIXTURE RATES:
N�v tlxtur��
�utut• �l:tuc�s
Old Op�ninq, M�v ►istur�
���r Di�p�n��r
�low O[t �a�le
Catch ���ln
Raf� Matsr L��d�r
Mydrrultc Valv�
Su�p or R�c�ivinq T�nk
N�t�r Tr��tinq Appll�nce
Mot Mat�r N��t�r
G�� p�nq•
G�• Ory�r
NO.
RATE
S 5. 00
S 3.50
S 1. SO
S 1.00
S 5. 00
g 5.00
S 5.00
S 5.00
S 5.00
S 7.00
S 5.00
g 10.00
S 10.00
Back Flov pr�v�n 4r Ibquared. .. Yes () 100 ()
rype _ S 5. u0
TOTAL
S
S
S
S
S
S
S
S
S
S
S
S
5
5 !"-i � v�ji
Ef f ective �+lay 1, 199Q
/�/ �}2i�n,u�2 �1
Job Address �b`f � � ,�-{ ; 1� E
Departmcnt of Buildinqs
Ci�y uf Fndley
Tel. �571-]I50
The undersiqned hereby makes application for � p�rult for tha wrk hera/n
speclfied agraeinq to do all vork in atrlct •ecordane� wlth th� Clty Cod�•
and rulinqs of the Departnent oE Buildinga, �nd h�r�y d�clar�� th�t �11
che faccs ��d reprasantations s utsd Ln thi� appllcation ar� tcu� and oorr�ct
Pridlty, Mn. �ZC I��(,� , 19 ��
OMNER �PSr^�� �, �e�V�S aY1
KiNO or euii.oinc __ F�?o-w.-2 — S��il�e. ��vt lres«@�e�-.c�
USED AS �pY+^�
�rn eE ca+QC�eo uearr Fe b 1 sf .
ESTI MATED COST � rI S• �
OLD - NEM BUI[.DING PEAMIT NO. PEiYII! NO. /�� /�
ROUGII I NSP .
Oate
Oo�piny
siqo.a ey __��c,J . �.ti-a.
T.1. ►�o. � 7 2 - 8��'Z
FINAL INSP. r7 � IV �'
Dato
APPRONAL FOR PEfUIIT �
ALL OTNERS AND/OR REPJIIRS AND ALTERATIUNS
1• o[ Valu� ot� F stuc• or Appli��ce s �1►NLf1U'N Fli[•: FOR ANY PLUMBING PERMIT IS s15.00
,,,,,�n,,,,,, _n� �� PLUS TIIE 5.50 STATE SURCHAkGE
���i�� « St�te Surcharye $ . Su
Wrins��ectlon F�e S ,
1515.00) TOTA4 FEE S%S S
.:�- t
'�
,�; �,��� ��-z�yzt= -� .<<U STATE OF MINNESOTA DEPARTMENT OF HEALTH
' ��;\ ` f� � ���"
a-�,�_� n�-�''�� ABANDONED HELL RECORD �1,�by
3. �OCATION OF MELI. MINNESOTA UNIQUE WELL N0.
• (leav� plank If not known)
County Nawe . . . . . .
Township N�ne owns p Nua6er Range Nuaha� Sectton Mo. Fractton 4. f1ELl OEPTH (capteted) O�te staled
���:E.�,. ; 4 4 of k
FR I DLEY ,,, y:�,,.,,,,, �� y.�,: rc.
5 13 �,NWSENE 85 aV_ 29 199
Nunerlc rtet Address �nd C1ty of Well louNon or Qtstanee t"" Raad 5. �RILLSN6 METH00 (if knwm)
�secNon w 1�Cable tool 1� Rtven� 7[J Or1wn 1� Dug
�
6 6 4 5 ARTHUR S TREET �'"� ��� �] Nol tor Rod 5[] Mr ep eorsa t�Q
Shor exaet toeation of rell
3Q Roc�ry 60 Jetted 90 PaMe� Auge�
(in section grt h�X•) Sk�teh �a il 1outlon
TT 6. OBSTRUCTIONS
• Ntil obstruCted Q 1ef � No
. t.. ._._� Opstructloas n�ovM � es � Nu If obstructioas eannot be
' ' . � ' raiowd. eontat MDN
M _ : ' ' _ E b�ton sealing.
��- � �1
; _ . : _ � T 6645 ��� �. �E
' � ' � ' � y „�, 1� Da�tstic {] lbnitoMny � Ilqt loop
/�
. _�. . . ... _ .�.. .... . I 2� I1-rigatlon 50 pubiit 9� Iadustry
� ' S' 1 3[) Tast Wil 6� MimiNpal tap co�Ki.i
r--1 �t�---a 7QMr CondlHa►iay 11[]
2. PROVERTY OWNER'S NAlIE 11�111ng Addnss if different than 8. CASIM6(5)
prope�ty addnas lndic�ttd abow 1�61�ek �Thnaded 7Q
GRACE RT.�1, HOX 358 zOs+i�• SOw��aa
I NGELL S NELS ON � PUst1e EQ Stainless sce.t
HARDNESS F 4 in. to 8 2 ft.
�. FORIMTION lOC COLOR FORM0.TION FROM TO
If not known, indteate fon�ation log frw� neu w�11 0� narby w�ll, in. to tt.
9. SC EEN
0 2 0 �s�,�..,,ea ,..t i rro. 8 2 rt. w 8 5 re.
- (I° knam)
❑ Op�n Nol• fro� __ ft. W _ ft.
10. STATIC WATER IEYEI.�
O EE � INK 190 215 6� �ana��uriace� �oa�u�►+e�:ared ai�:s�so
� 215 235 li. w��u�o car�.ErtoM
1[] Pitle;s Adapt�r � Found Bu�1ed
�Basea�ht offs�t �
3[� Mell Pit
16. REMIIRKS. ELEYIIT[ON, 3WRCE Of 6ATA - CASIN65 RENOYEO. GS1N6S PERFOMTED. ETC.
12. GROUTIN6 INFORlNT20N
Neat Ce�ent 20 Bentonit� �
GEOLOGY TAKEN FROM WELL AT:
CENTRAL AVS. & MISSISSIPPI 5T. �
Grout �et��1�1 PORTi.�Ai�. _ep t, cu, y s
FRIDLEY, MN. NFAm rttnuT _ _
WATER LEVEL I N THE ABOVE WELL � 9 5' 13. NEAREST SOURCES OF COM711NINATION
DATE WATER LEVEL WAS TAKEN: 3-22-46 18�8— f0°c y� ai�ccio� a�=� �.... ..,,. crv.
Ikll distnfsdted be}on saling? �Yes
14. PUMP �&e�oved � Not�Pres�nt
Type: 1[I Subaenlbie � L.S. Turbine � Reciproeating
..,_.......____.... ?�Jet �CentMfugal 6�
��
NOV 2 9 1990 15. EXISTIN6 YELLS (Pleu� skKeA {oeatio� of �Wndoned and
�ctirt wells in rey�ks seetton or on b�ck.)
Otber unused rwll(s) on prop��tyt � Yes �tlo
• Absndoned: [� Penwn�nt � Te�porary � t sealed
11. MATER MELL CONTRACTORS CERTIfiGTION
This weil was s�aled under ry�urisdietion and thls report
is true to the best of aiy knowtedge and bellef.
. According to MN State Regulations t e�S l esnse .
. - • - aaare::
u,,,, 5 s,s�ea , oaee 1I-30-9
STEVE LI D au —
FFiCIAI ABANDONED YELL RECORD (May b� us�d for Prop�rty Transfer) Maw� of D�I11��
�a�r�'t rjra' wir� � TODD DIETZ/REVIN HOPPE
sue�ecr PERMI
City of Fridley 2 0 6 8 9
AT THE TOP OF THE TWINS g U I L D! N G P E R M I T
i � RECEIPT NO
� �` _��� COMMUNITY DEVELOPMENT DIV.
r � ~ '� PRO7ECTIVE INSPECT�ON SEC. � �
i �
1 �
� � /'��1 � CITY HALL FRIDLE� 55432 NUMBEP REV. OATE PAGE OF APPFOVED BY
�'""� � ,'� 612-571-3450 910-Ft5 12/10/90 / �
JOB ADORESS 6645 Arthur Street NE
t LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED
�esca. 22,Pt. 23 3 Qak Grove Addition SHEET
2 PROPERTY OWNER MAII ADDRESS
Jim Pearson 5608 - 6th Street N.E� Z�P 572E8642
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAII AODRESS ZIP PHONE UCENSE NO.
5 ENGINEER MAILADDFiESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Res idential
7 CLASS OF WORK
O NEW O ADDITION �7 ALTERATION O REPAIR O MOVE O REMOVE
6 OESCRIBE WORK
Remodel kitchen & B,ath.
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on �lan4 �rovide.smok� detectors.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PEiiMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTI�ATING OR AIR CONOITIONING.
7HIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION
OH WORK IS SUSPENDED OR ABANDONEO FOR A PERI00 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION �- STALIS GARAGES
AND KNOW THE SAME?O BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX
AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPI.IED $ 2� 200 $]_ . ZO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES N07 PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMITFEE SACCHARGE
PFiOVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING coN- $54.00 Fire SC $Z.ZO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
P AN CHECKfEE TOTALFEE
$57.30 .
SIGNATUREOFCONTRACTOR AUTMOR12EDAGENT IDATE� HEN PqOPERLY VA T D THIS S YOUR PERMiT
���., �, � . �� + ~ /
G ATUAE �F �WNER iiF OWNER BUiLDER� �OATEI BLDG �NSP n TE
NEW [ ] Effective 8/16/90
ADL1N [ J R-1 AND R-2
AL'I�2 [ ] Buildir�g Pe�mit Applicatioai
Construction Ac�r3ress : zr� � � �-'�i't U.� �S�-i ;
Legal Description: Lc�t 22 Pa.Nf Z3 [3 !. 3 C�i K G�vc
owner Name & 1�dress: �[� �P�.rsa� S�� �--F�. Sf. N� �, # 5� 2-8�1a
Contractor. � ��^ � Z�el . �
Ac�drzs.s •
Attach to this applicatiaai, a Certificate of S�vey of the
lot, with the prc��osed oon.structic�n drawn oaz it to scale.
LIVIIdG ARF�: Ireng'tlz
�lRl4iGE ARE�i: I,ez'�gth
D�CR 1siREPi: Le,rigth
„� «• .: . -
Width
Width
Width
Heic�t
Height
�/�
�-
�1-
�I•
F't.
Ft.
F't.
ORi�R: R e�nn a� e\ K i� c!-.e�. �6 i3o�.�1..
tbrner L�t [] Inside I.nt [] Ft. Yd Setbaak Side YaYd �
Z�pe of Construction: Fstimated fbst �� o O
Apprax. Ooanpletion Drate: mo�r L� I sf 494 l
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
Width + 6' See BacJc Page
€�Ai'E: �2- I ta (4b APF�'LICAt�F1': �� Qj�.-c-�o•- 'I�el. # 57 Z- 8��f�2
P�ermit Fee $ f �
Fire Surrl�arge $ 2 � 20
State Surrharge $ �.) Q
SAC Charge $
Driveway Escr�ow $
Park Fee $
s�wex Main cY�arge $
� s �i���
CITY USE �Y
Fee Sc�edule oal Reverse Side
.001 x P�ermit Valuatio�'i (1/lOth �)
S.5o/$1,00o valuation
$600 per SAC Unit
Alt. °An oY' Alt. °B° Abo�Ve
Fee DeteYmined bY �1�r�1
��t Nec�sa�Y [ l rto�t Neoessa1Y .[ 7
�• ..
� � �„ +►, �
� � �.� � t��+��!',� w� �.: � � � �
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Z`�� �
a.ova— �I�,dc�
�� � �
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y^� � �a•�
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,
,� ,�,� �� s � w � �'� � � , , ,� ,,� � � ,�
�' m
sue�ecr P ��
c�ty of Fridley 2 2 2 �
1 , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RE� I T NO.
r
� �
� • COMMUNITV DEVELOPMENT DIV. /�
r � v � PROTECTIVE INSPECTION SEC. �t7 t�
� �
�•---�;/'��;'; CITY HALL FRIDLE� 55432 NUMBER iiEV. DATE PAGE OF APPROVEO BV
� � 612-571-3450 910-F15 10/2 8/93 � /
JOB ADDRESS 6645 Arthur Street NE
t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
�esca. 22, Pt. 23 3 pak Grove Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jim Pearson 6645 A,rthur Street NE 571-7349
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Construct a 14� x 18� 4^Seas.on Porch Addition; remove existing porch
9 CHANGE OF USE FROM TO
STIPULA710NS ��e notations on plan. Variance apprqVed for rear yard setback.
wAR����
gefore diggiog call for
aN utility locations
454-0002
REQUIRED BY LAW
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS AFE REOUIRED FOFi ELECTRICAL, PLUMBING. HEATING,
VENTI�ATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOF 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 EXAMINEO THIS APPLICATION 1 STALLS GARAGES
ANO KNOW THE SAME TO BE TRUE ANO COHREGT. ALl PROVISIONS OF LAWS VAlUAT10N SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED $lO.. I.00 $S�OS
WITH WHETHER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT �
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL �AW REGUTATING CON-
STRUCTION OR THE PERfORMANCE OF CONSTRUCTION. $1.26. OA k'ire SC $ZO. ZO
PLAN CHECKFEE TOTAIFEE
$141,15
S�GNATUAEOFCON'RACTOFORAUTHOA�2EDAGENT . IDATEI WHEN RL LIDATED THIS IS YOUR PERM17
SiGNATUREOFOWNER�ifOWNEf:BUILDERi � �DATE� � B G W ��pT�E
x�w �
ADDN
ALTER
Il
[l
i�
CITY OF FRiDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: �n �o �l �/� �� u r Sf IvE.
Legal Description:
Effective 5/26/93
�3��7
Uwner Name 8t Address: �i vti �eo��rs o� Tel. # 5'71-73y R
Co�rtractor: S ��e
Address:
MN LICENSE #
Attach to this application, a Ce�tificate of Survey of the
lot, with the propased amstructioa drawu on it to scale.
Tel. �
ESCRIP'fIUN OF IIKPRAVEMENT
�,��{}�U�
LIVING AREA: �gct� �� vv�acn /� x�� I� sq. F�. �� �
GARAGE AREA: Length Wickh Height Sq. Ft.
DECK AREA: Length Width Hgt/Gmuad Sq. F#.
OTHER. re�u�e 8 X t S� e,�c:s-��T c�, .� �re p la c e �..�� ►+� X� S� DOn-c �
Corne�' Lot i I Inside Lot Q� Ft. Yd Setback Si� Yard Setb�cks
Type af Constivction: E;stimated Ca�t: �� .
��
Approx. Completion Date: �/q� /�l � �� .�
(Ca�t on Back)
Drivevvay Curb Cut Width Needed: Ft. + 6 Ft = Fi x� _�
DATE: q APPLIGANT: � t-a�•o-�--- Tel. #�'i/ - i 3�%
Permit Fee
Fire Surcb�rge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Coutrol
Park Fee
Sewer Main Charge
TaTAL
S
$
�
$
�
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$
S.
�
MM ' � .__ _
/ a�, 4 L� Fee Schedute on Reverse Side
/d- / 0 .001 of Permit Valuation (1/1(kh%)
S, L'SJ $.50/$1,U00 Valuation
$750 per SAC Unii
$5.00 (State Lice�a.ced Resideirtial Contractors)
Alt. "A" or Alt. "B ° Above
Conservation Plan Review 5450.00
Fee Determined by Engin�ring
Agreemeat Necessary [ ] Not Necessary [ ]
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SuBJECT
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M i T
r
� �
� �
� ; L______ COMMUNITY DEVELOPMENT OIV.
f � � PROTECTIVE INSPECTION SEC.
i.---�'��"';-� CITY MALL fRIOIE� 55�32 NUMBEN REV O�TE P�GE O:
L 612-571-3450 910-F15 4/30/99 / /
�oe nooRess 6645 Anoka Street NE
t LEGAL �07 NO. BLOCK TRACT OR AODITION
DESCii. 21 , 22 , 23 2 Oak Grove Addition
2 PROPEiiTV OWNER MAIL ADDRESS
Jim Zondlo 6645 Anoka Street NE
3 CONTiiACTOR MAII ADDRESS
Same
, AqCHITECT OR OESIGNEfi MAIL ADORESS
5 ENGINEER MAII ADDRESS
ZIP
29367
CEIPT NO.
��u � �
APPROVED B�
SEE ATTACMEO
SMEET
PHONE
502-0807
PHONE IICENSE NO
PMONE LICENSE NO.
PMONE LICENSE NO
8 USE OF BUILOING
Residentiial
7 CLASS Qf WORK
�] NEW O ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Construct a 28.5' x 8' Deck
8 CHANGEOFUSEFROM TO
STIPULATIONS
See notations on plan.
SEPARATE PERMITS ARE REOUIREO fOR EIECTRICAI, PIUMBING, HEATING, 'r� v• vv•v
VENTILATING OR AIF CONDITIONING
THIS PERMIT BECOMES NUIL ANO VOIO IF WORK OR CONS7RUCTION ZONING
AUTMORIZED IS NOT COMMENCEO WITHIN 60 OAVS. Ofi IF CONSTpUCTION
OR WORK IS SUSPENOED OR ABANOONEO fOFi A PERIOD OF 120 pAYS AT
ANV TIME AfTER WORK IS COMMENCED. N0 DWLG. UN
I MEREBV CERTIFV THA7 1 MAVE READ ANO EXAMINEO THIS APPLICA710N 1
ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VA�UATION
ANO ORDINANCES GOVEiiNING TMIS TVPE OF WORK WI�L BE COMPLIEp 2 lO2
WITM WHE7MEF SPECIFIEO MEREIN Ofl NOT. THE GFANTING OF A PERMIT � �
OOES NOT PRESUME TO GIVE AUTMORITV 70 VIOIATE Ofi CANCEL THE pEqMIT FEE
PROVISIONS OF ANV OTHER STATE OR IOCAL LAW REGUTATING CON- $74.75
STRUCTION OR THE PERfOiiMANCE OF CONSTRUCTION
E OF CON' .TOp •UT p�2ED • T ID�iE�
�3o-�q
O�OWNEp��� NEABUi�DEA IOATEi
OCCUPANCVGROUP IOCCUPANCvlOAO
SO. FT CU FT.
STAlLS GARAGES
SURTAX
$1.05
SAC CNARGE
Fire SC $2.10
TOTA�
/ �7 .9� �
r�tiE
T
T
NEW [ ] Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY /A
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ���% %'�� Y��
BUILDING PERMIT APPLICATION t � �-a �g �
�
ConstructionAddress: �j p �� r' �1 � `�� � l; N � �t�, � � �-� � M � ss �% � o�
Legal Description: '
Owner Name & Address: � ry� �c� � d � c� Tel. #��a � 02— Jr0 c� — �g�7
Contractor: MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length ,�j � Width � Hgt/Ground /5��� Sq. Ft. Z��'`
�OTHER:
�
Construction Type: Estimated Cost: $
(Fee Schedule on Back)
Driveway Cbrb Cut Width Needed: Ft. + 6 F� Ft x$ _$
� ` / APPLI
DATE: "� c
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPUL.ATIONS:
� 'jy 7�
$ � /U
� 1-��
$
$
$
$
$
$
$�=`.�.�
22
. IL
Tel.��� — ��
CITY USE ONLY
Fee Schedule on Reverse Side
. 001 of Permit Valuation (1 / l Oth %)
$.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 Necessary [ ]
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D si n#� 49367 ''� 4/27/1999
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��� Take this sheet to the Building Materials desk to purchase your materials.
You have selected a 8' x 28'-7" deck 2' off the ground.
Green Treated Framing Material Below is a section of the railing style and
Norizontal Decking options you have selected for your deck.
S/4" x 6" 6reen Treated Deck 6oards
36" SPindle �tailing
2" x 2" x 42" sreen Treated Spindles, 6eveled 1 End
4" x 4" x 48° 6reen Treated Utop Notched Railing Posts
Poured Footings 8" Tube 3'-6" deep
6alvanized Phillips Nead Screws
2" x 8" Joists
2" x 8° 6eams
40 PSF deck load
Illustration ma depict oQtions not included
(See above picture or en railing style with options.)
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For:6uildin��Material's use only :
� Selection Code : 09634302401020 6030000040420200000001
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Toda 's cost for �materials estimated in this design with options: $1089.53
�*The b�se price m�y include: 40 PSF dect lo�d, horizonhl deckinq, 2x6 qreen �e�ted decT� `ba�rds, �reen tre�ted ir�min� m�terial, no stairs,
3s" 2x4 riili��, 9reen tre�led nilin� pa�ts, znd �lvani�ed box nails. *�gpSE price): $938.70
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1917 8912
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the ashier io purcbas�
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Post and Beam Dimension Sheet
Desi n#:49367
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Illustration may depict options not included.
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