AF - 35520City of Fridley, Minn. �
BUILDING PERMIT �p 928,1
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Date: """`
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Owner �'._�;,'.f . .. .,�!,,6 �� f_4��.. M,s�L/ Builder . ....__ _ � _.._ .. --- ... . . .............. ._. .. . .. .
`
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Address . _ 4�.� �'r' ....._..(,�„d.�_' : r......�,-:::._.....---..._ Addmss .......... ..._..:_......:....._.�-<:9��_�...._......_......_......._........
L TION O UILDING
/� f,�G .. ,r~ ,
No. ..&' Z'...tc'--.i... Street .:..._L,�c:�f""�.:.� �'�..,,� ' ��. �� �.�'��:_ Psrt E ... ... . .....
Lot ..1%� "j� f�'Block %.� Addihon or Sub Divisio ... ...�� „�.��
.�^"� .. ....
Corner I.ot ..____.. ........ Inside Lot __...._�-"'"'"��___. Setback ...,�.,� ......_..... Sideyard . :- __... � ..__- -- ._..
Sewer Elevation
Foundation Elevatfon
DESCRIPTION OF BUILDING
To,�b`e iJ
C L �Y4..',%... Front .,�.�....... DePth ._.'�^- . .. Height ��'...... Sq. Ft ,,�,� � ��.. � Cu. FL ,�'.�/�....a��
_
_-
��r �/ h a7 / /�
Front ........ DePth ._.f .� _E Height 4i.. Sq. Ft. �-.I�-� Cu FL f-� ��G:'�'
...�r,.,.� ,. f�, .
Type of Construction _.__ ....�„r%,/j'.�'%�Est.�Cost ��_.��G/ . ....._..._... To be Completed ... .. _ _.:_.. __._._
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed wo�k in accordance with the description above set forth and in compliance with all pra�isions of
ordinances of the city of Fridley. ,_ �
In consideration of the payment of a fee of �:.::`�_.._...__, rmit is hereb
Pe Y S�ted to.._._ __.___ ..............
_.._..._.......___..---......._._...... to constsuct the building or addition as described above. T7iis permit is .granted upon
the expresa condition that the peison to whom it is granted and his agenis, employees and workmen, in all work
done in, around and upon said building, or any part thereof, sl�all conform in all respects W the ordinences of
FYidley, Minnesota regarding location, construction, 8lteration, maintenance, repair and moving of buildings
within the city ]imits aad this permit may be revoked at any time u n violatio any of the pmvisions of said
o�. r; �°� ' �
Building Inspector
NOTICE:
This permil daes nof cover qw conslruclion, inolal4Nen for wiring, plumbi�g, Ba� hesfinB, sawer or wafer. Be suro fo sas �
fhe Building Inspe<ror for separaM permils for thue k�me. .
. . . �d . . . . .. . . . .
;
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Village of Fridley, 1V�inn.
j�_�BUILDING PERMIT �°• 17 9 3
�`;. =
Date: � ..���. v!��..�6 ..............� n
Owner ................................. /
. . . ... Builder . .. af. '. . . .. . 0��. .��. . .. .�. . . � . . . . . ... . .. .. . .
Address . Address ...�0 .�.7.�.� .......... ..... ..............
..................................... ^. ^
� �L�OCA,T�ION OF BUILDING
No. . . � :yS�.J... Street .. 4�`-'`e-1 �?�,!........ Part of Lot ... .. . . ... . ...
..........w. � � ..
.....
.. p
�t ��. Y „ �.'Z. Block i.�� � � � � • • � •_ Addition or Sub-Division . .. � • • • • • � • • • • �+' • • • • • • • • "" " "
... . V
. / ���y,
Corner Lot ...........
Inside Lot ......... Setback ..`.;�?..... Sideyard ......I�.......�'G•�........
DESCRIPTION OF BUILDING
To be Used �S: 9 1
�w-� %/�.�F�.... Front .5?. �.. Depth . �'7.. Height . ��.�:"�. Sq. Ft. ........ Cu. Ft. ........
..................... Front ........ DePth ........ Height ........ Sq. Ft. ....�.... Cu. F't. ........
, , ,ra,!!�. ,�.�.'... Est. Cost .�'2"� �� • • � • • • To be Completed ��7• � •
Type of Con�truclion � .
In consideration of the issuanee �to me of a permit to construct the building described above, I agree to do
the proposed work in acwrdance with the description above set forth and in wmpliance with all provisions of
ordinances of the village of Fridley.
ve
• ... .
� y �. , ...... ..
Tn consideration of the payment of a fee of $. �. .... .. permit is hernb anted to
. to construM the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all wark
done in, around and upon said building, or any part fhereof, shall conform in a11 respects to the ordinancea of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village lixniffi and this permit may 6e revoked at any time upon violation of any of the �provisions of said
ordinances. � %��
_,,...,._.... . .� . . t. . . � li �. . • c • • • • • • • • . . . . BuildinB InsPector
NOTICE: V
This pe�mib•d'ooi...1}Qt cover the construction, inStallation or aileration for wiring, plumbing, gas heating,
sewer or waEer. Be sure.#o see the"�;Jecpector Tor separate permits for 4hese items.
�� ��l;' : i! 1 i;.. ..s' t.
•' ' U �11... 1""� 9 .
IACATION OF BUILDING
No.,�,;;�,��_Street ��4��=�� �.u.�-Q . Part oY Lot ,�
-�
Lot ��;�[�,F.87:ock � � Additian cr $tthdiviaio ,
Corttei'• Lot �Iqeide Lot 1�'` 3etbsck �i � 3ida-Yard c�J�
SAdER= �I�Y1i�T,�J - , FOiliIDk�I01�t EL�itATT�i,
Rpp2igan,� at't�,t► to Lhia fora Cart�ficate of Surva3r .o�' Iat and Proposed buildinB
1ooa,t�,an.
DESCRIPTI� 0�+' HftIIDING
ro � �
.,
—'vf �-.-""'
T I� �
Typa oP Gonatructioxi_-
s�•
r�. �.��
�rrvu� ,'L �� ���+royws�oeign� � ��� v
sn. �. f ,� � c,�. Ft.
�„�2 a—��20 Eetimsted Coe � B o
To be' Ci�anplet,eci.
The m�deraigned herebq malcae_application 8or a germit for the xork hereia epeciYied,
agreeing to do sll srork irt strict accordance �cith tho-Gity Ordinancea and ruling of
the Deper�tment of Buil.dinga, and hereby declares t1�at all the faata and repreeeatationa
etated in thia application are true and correct. /)
T11�.° 1. `�, , �"-j.`. �� r..e%.�� I.'I .. . aT�v�mimID� ..�..0/ /J ��Ji�ilJi�.,/l � .. _.
F
(A Sr>hedt�le of"Fee Coste onu he found on the Reverae Side.)
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Cit�� ef Fri�y;
�� AT TH� TOP OF'THE TW1N5 ;
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r � ��� GOM#fUNIFY f3�VkLORMED
�� i .��� � �� - PROTECTIVE {NSPECTION
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� �' �"T"-1 ���i �ITV HALL GH4DLEV....,
1...,..t�..< <.., d}z_��t-aa5o
ion nvt+��ss 6425 A�h�a�n' Avet
� 1 LEiikL ` 6 T-Ntf. . . � ` �6LOC .
OE$GR: �..Xt12 L3
2- PqOPEFlttOWqER � ' -��MAILAp01
L�nard Laraon 6425
3'fANTRACTOR"°` � � � :. MAILAD01
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$UBJECT'��
BU flff���� PEI
Y.
� NUUBER � - q . Q 3`( �
9t0-Fts g/�7j 79
N.E.
CPOAA9DIT�ON � �� ���
?ridley Par1�
ZIP
xton Atitenue N. E.
ZIP
5 EMOtFiEER � �.MAIL AODPESS � � ZIP
4 USE UF @ii,l{. N6: �� . . . . - .
.. 7 EL`#fiSOF .. K � . . .
� � , . . C}- NEW � ❑ ADDITION ❑ A4TERATION � � ❑ REPAIR
x
� &'^� � � EW69�[ � .� � .
�
� 6 9 CHX}}GEOFU$E�FROM � - � TO � �
..� � S7fPULATiOfi1S � .. . � � � .
���7'� �'FRMFiS REQUtRED FQ}� W�
� ��.�Ai�ilQ: PIUM$iNG AND StGM RiflEQ,
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' ` .. ' .,..� , � �� � :. : � iy .GD: 7. � � �OCCUPAI
S�PAAAfifPEflMITSARE REqUIRED�iOf�'£4ECTRICI4{.; P�,UMBING, HEATINCi. � .
� VEH71L�7IN6'bRAIR CONDITIONING. � ' �,-..' �
� - TMIS PEBMrt BEC;p4AES NULL �RND VOID IF �� A G4NSTAk1CT�ON��� �� SO. F7.
AUTHORFZcn ic unn n �r.0 ucorc�...��sw., � �.��.e ..... � ...�..... . .. ..
. � OR NfORKS.
.. ANY TftdE:
` 1 HEAE6Y.;
ANO���
RN
SWT 6YFtiF
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.TN��NEPiIi�W= ��4t�
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#XAk111iED 7Ni$�.APPUCATION
BCT;-7�LL PROVISIONS OP 4AWS
OF WORK WtL4. BE COMPLI€D
TIiE� GRANTING OF A PERMIT,
TO.VIOLATE OR CANCEL.TNE
iCAL LAW REGULATING CON-
VSTRUCTION. .
jFENT ,.�IDATEI
� .. �, � STALLS
1A�16N
5500
aIT FE�'
V$ H+C��
\ WH ERIY /�q��
��S.e
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MIT - . tsa�
pE1PT,N0 � .
CQ i_ I_ i
vnGE Of . APGROVEO BY
/ /
SEEATTACHE
SHEET
PHONE
571-3598
� PHONE � LICENSE
�PHONE'� 'UCENSENO.
�❑ MOVE-� O REMOVE
CU. F7.
STFVEET PARY,ING � �
IG'l.flAGES ..
TAX
$. SQ
CHARGE
ALPEE
�8•:QQ
ItS�IS YOUR PEFMIT �
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OWP�ER:
ADDRES
TEL �JO
CITY OF FRIDLEY
AP-PLICATION FOR RESIDENTIAL BUILDIP�G PEftMITS
(New, Alterations, Additions, or Repairs)-
o� a-� { � d�a�.�
S : (o �f � � �,�`o�, �'`-'
�7/- �r9s�
BUILDER:
ADDRESS:
TEL N0:
Construction Location
STRE�+T NO: � a� STREET: l �f�J � l�N; i�I�,� .
LOT: JI � a I�. BLOC[C: �/ 3 ADDITION: � �� .
Corner Lot: Insicle Lot: V Setback: Sideyards:
Applicant attach to this iorm two Certificates of Survey of lot and
groposed building location drawn on certificates to scale.
DESCRIPTIOW OF CONSTRUCTION
�
Front:
Squane Eeet:
Front:
Depth:
Qibic Feet:
Depth:
Square Feet: C,Ubic Feet:
ca �1
7ype of Construction: (� �
7b Be O�mpleted: �� C�`�-�.�J�_
Height:
Height:
Estimated Cost: $ �Q-UU
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desised: S S
SEE REVERSE SID� OF SHEET
The undersigned hereby makes application for a permit for the r,ork herein specified, +
agreeing to ck� all work in strict accordance with the City of Fridley Ordinances and
rulings of the Department of IIuildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE: /1�2� SIGNATURE:
--t-'
Stipulations:
(��� �_s�
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. . . .. . .sueaecr . . � PE� . . .
E�City o£ Frid�ey - � 7 � 4
^TT�E.oPaFTHE��NS gUILDIC�� PfRMIT AE �
i � COMMUNITY DEVELOPMENi �IV. ,[ �/
� :��"""� PRO7ECTIVEtN3VECT1£iN':SEC. . � �� .. 97 /�-� �. .
� . . - . �,.. . � . ..
� ��1 >���1 • CITV HAIL FflIDLEy ��55�32 NUMBER� REY t��ATE `� PAGE OF APPPOVED BY .
�'.`°�`• •,� 612-571-3450 9�0-F�5 Sf16/83 � �
ioannu�sss 6425 Ashb�n Avexnie N.E.
. � �E��� LOTNO. �� BLOCK � � TRACTORADDITION .� SEEATTACHED �
oESCq: 11,12 13 FYidley Park sMeer
Y PpOF!¢.YOWNER . .. MAILADURESS � . 21P PHONE . � . . .
;•JeY�y {Tnglaub 6425 Ashton Av�irue N.E. 591-8116
� � �. 3 �CONTHACT�R� � - � MAILADDRE85 � � ` ZIP � PHONE LICENSENQ �
. � � $$108� . .� - �
d ARCNITECT DR DESIGNER � MAIL AD�RE86 ���21P � PNONE �� LICENSE NO. : .
5 EN6INEER' �-� � � � FfA1LADDRESS � '�.ZIP PMONE . LICENSENO. � �
. 6 �,USE 6PHU}4R)NG . . . . . � . .
' &esidential
7 c4nss oF wcm+i
. • . "❑ �NEW ��� ADDITION f� ALTERA7IQN ; O AEPAIR ❑ MOVE ❑ REMOVE
� 8 D59�ji1BEWORK � . . . � . .. . � - ��.
In#ta�il masonry chimney
� 9 CHANOEOFUBEfAOM . � . . T� ` � . � . . ..�
sriau�anoHS '
� ' � . � �� �" - TYPE6¢,.N6F.������ pCCUPANCVGROUP .� OGCUPANCY�LOaD
�
� . SEPARATE PEPMITS��flE HEOUIRED fOfi EIECTHIGAL, PUlA1$INO,. NEATING; . � �� . . � .
- VENiiLATING OR AFj±.COM01TI0NING � � � � � � �
THIS PEEiMtT� BfCOAlES NULL. AND V01D fF. Wfi�l14. OA � CONSTk1UCTION zqN�� �. 'r- gp. FT. � �� GU. FT. �.
�AUTHOR2EO�tS�.NOTGOMMENCE&.WITEilN84!'k�1�8{.OP1f�.CORIS7RUCT10N � � . �
hS
i�# WORK IS SUSPENUED b9+p1A4'��RM4,4�3'�t7f1';:A 1��{1IP,!� OF� i$0 DRYS AT .� � . � �
AµY FIA�E APT�I�WQRK!&COMIi1kTFl$�. ' 0 OWLG UNli6� OFFSTflEET PAR151NQ � �
� 1 HERE6Y CERTIfM. TMpT I NAVE FiE+1D RffD �EXAMINED THIS APPLICATION ,,;:. , ��TALLS � GARAGES � '
� �. AND KNOW THE 9AME TO B�TRUE ANOCORRECT�. A4l PROVISIONS OF LAWS VALUATIQH � SURTA% . . . .
AND OROINANC�S.. GQVERNMiG. THIS TYPE !�f WORK WILI BE COMPLIEO �� � . �� �
. WITH WHETHfRSREGIFfED1iER��N��OR NOT. THE GRANTING�OF A PERMIT S8�O .�. SO - �
� . ObE& NOT PFESUME�TD'��YE��AUTMORITV TO VIQIATE OR CANCEL�THE pEpM{7FEE �� . . � � .� SACCHARGE �. �. �
' PROVISIpNS OF ANY OTHER $TATE OR LOCAL LAW. REGULATWG CON- � ���.,c`�j.S�DO � �
� � � $TRUCYIQN' OR.iME PENL+t)RMANCE OF �CONSTRUCTION.
� ��. � � � �� . � PLANCNE KF ' TOTApLFEE �
. .. � . � �y15.�J0�� .. � � �
GNUTUREOFCONFPPC AOPAUT�OARFG GENi .I�PTEI � �W#{�N P� O ERL� LIDATEO THI$ I$ VOUR PERMI?
��
� 1 NRt11RE0 �M1'kEAdiQWN &UILOERi ATEi � ��8 p .� SP ��- �A� �
. .. - . . . . ..
.. �`.. . . . � . . .
utr or iBrDltr ::reect�e �►�g. 1, 1981
APPLJUTIQi FOJt RfSID[HTll4, SUII.OIi�6 PL•IWITS
(kczv. Altcntions. AOdition3, or Repain�
ObtNER: ��IZI�I� ��/�iq�yT� dUIL�R: _ /yI� �1•g
ADDP.ESS: � y 2 S A,� /� ro„� �. v� n, - ADDRCSS:
TEL M0: ' � 71 � � � � ' TEL t�0:
- Const�vction Loution
. ssRSr �o� f�y�_ arr�e�r:
�'�'_ _ � �. � a- � si.oac: `�� u,rarnos:
Cozner I,ot: iacidc Lot� � ietb�ek: Sid�yazds:
J►p?lieant aitacA to t)iis fono bo Certificstes ef SLrvey oi lot and
pzoposed buildir+g locatim dravn on tertiiicates to sealc.
� OESCRIVTIO�� Of COHSTRUCTION
�� fsvnt: Depih:
---_.____._.w_
Square F�ett__�� p�bie FceL: `
Neiqht:
Pzoni: DeptAe 8eight:
---_�
iquare Feet: Wbic Peei:
• � � QttiZ- �— ,J � yry�.� �;
'lype oi Cbr,ttruetion: _ C )� i /w/ /y�!'y �stimated Cost: _: ��
7� ie p�r.�pleteEz f p p�Y
711t. J► 1►lt. B
Tropes*E Dziveway t;idth If Ncv Openiny Ie Desireds :� _
• - . SES R'iVER;E SIDi OF SHfFT
1S�e unaersiqned hercDy �a1;es a1+plfeetioa foz a permit fcr the e,orl: rerein speeifiea,
•9��eirq to �,all work L� st:ict •ccozd�ce with tl�e Gity of Fridley Ordinances aad
�l�'%L �f ��A�=��t of Dui2dingc, anA Aereby Qec]a=es that all the facts end
rcpzssont�►ticns stated 3n t,Ais applieation are true and cosreet.
a�as= -�l1%�,..r f G____7 83 au��ru�:
stipulations:
C�
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/�,� �
.-
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- sue�ecr . pE �
City of Fridley ^( , 18288
'' �TTNETOPOETMETWIMS � -$U�LDIM-�,� 1 �1\�I 1 �� -
� i ; s�s�
� ��:, � �
F"" � ... ..�.r�.._; _.COMMUNIN OEYEIOPMENT DIV. . . . . p �+1
� PROTBCTIVE INSP�CTION�SEC. / �O 7+�'—
� ,.� . r � , . . .
,( -.�; �"��,�• CITY HALL FRI?)LE� •� 5S�J2 � MUMBER� RE4 W,T[ .� 6�GE O� �PVROVEDBY� ��
L,� .!\ •� 612-571-346a ���:. aiaPis i]r�,',7/ss / � / .
io#� ap 'pl�gss 6425 Ashton A�etxue Di.E, �
,� .
� LE6AL� , C,OT� O. � -BLOCK ���� TktAC�ORAODITION � � � � SEEATTACHED � �
q�sca� 11,12 13 Friflley Park sHeer
• ? �� TVGW{�fR . . MAt4... OREB�� . � �.: 1P. PHONE .
Jerry.,Unglaub 6425 $�hton Avenue N.E. 572-8116
. . 3 CtQNTi�1.CTliH .�� MAIL�AqD1iE66 � .21P � � Pl10NE UCENBENO.
:Sa3ae . - ' - . � . - . . . . . .
. d �A �Hki CY'OROfiSIONEN,e� - � M1Al�AOQRESS�� � � . . .'�IP PMONF 110EN3i � �.
�.: �: 5 �. 1!(�ER � � � A4AILADDRE88 � � - ' -' � � �� 21P PHONE UCENSENO. �
. . B..�U6EORlUKDINQ.�� .. . .. � . .
Residential
7 CuwSff: FW4P1K:� .+ µ&W ❑ qpDITION ❑ AL7ERA}'ION :� q� pEPAIR ❑ MOVE ❑ REMOVE .
�
. ,. � . . . . . . . �
, ;` . 8 �9C �. 9E W01�K . . . , . � . ;. . ' "
GO�is�svct a 32' x 24' 7�ale �Type'Uti,lity Shad
.
, �s .
-� -
-- Y CMANOE'OFUSEFNQM � � 70 - � � .� � �
' r�..:�'..- �� .. . . .
, y
r
� . � STiPULATIOyS . �� � . .'' . . .
' ; Maxa,tgum height is 14 feet fran ridge to ,gYade: Use treated. poles
he3�w grade,, 5pecial ISse Pezmit #85-11 appTav2d-y�p�iLiex 21, 1985.
4 ,..
, , ,. WARNING ;
�" r 5�,��,�.�F ��R�i�� �� Before digging call local ut�hf �s
TELEPHONE-fLEGTRlC-��� '=
, HEATlIVG QI1113�b , .:- r . ;'
�M1+tR#t+1G �'OR �
, PLUMBiN �R�C�lIs��. � „^:?
G AND S1GNS.
i. ,¢EPARATEAERMRSRRE RES94�RED FOR F,bEC7qICAL, P},UMBING, NE�TINO, TYPE � 8�.� " O CUPANCY GROUP � OCCUPANCV LOAD .
�. ,X61lTiLAT1N¢AR Alq. CONDIt10NIN�+. WGOGl � . � � , � .
:�� '?M/S PEqA�tF.$ECOMEB N11t4:�ND- VOID �F WW}I(. pIi.GONSTflUET10M�. ��y�y�y . g{y. FT. � . . CU. RT.
AUTptpR'ILE016 NOT.COMb1ENCE0 WITHIN 80 D/y'(8, IDN IF�CONSTRUCTION � � ��
� �OR.WQRK �S 6USPENDEO'�iR ABANDONED FOR �1�6qIqU QF 12f1 �AYS AT��. �' � �
�: l�NY TIME:�1tETHq WOBN 16 COMMENCED � . '�� NO tNNLG,� UNiT9' � OFFSTA6fT��PaRKING � �
�- 1 �fEqE6Y�.:QEA7IF.V TMAT I Ml�YE�READ ANQ EXA4I�NE0. THIS AGPLICATION �� 1 � STALLS � ��� GnRAGES �
+: i�ii�'Y'�IWTMESf�METOBEtRIi�#NOCORAECi:ALLPfiOV151ON50FLAW8. yALUATION� . � SUR A%. ' � �
��- x110 �R$INANCE5-60VERNING�THI3 TYPEbf_�jttQ(iK V91LL BE� bOMPL1ED� $2�SOO � � $��.25 � �
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City of Fridley
R-1 AAD R_2 I
Building Permit Application
Effective 4/1/84
Construction Address: lo N�S ��'�/ToiV �V� NL
Legal Deacription:��'S I!—! 2— /3 Lo G h / 3 F/z �� c� �-�i PA�4 ��
Owner Name & Address : � � �' ��� rr� K � Tel . # �7� J b
Contraetor• Tel. #
LIVT.� ARSA:
GARAGE AAEA:
DECB ARBA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction dravn on it to scale.
DBSCRIPTIOA OF IMPROYBI�NT
Length width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width HgtlGround _ Sq. Ft.
�2�_n„ Y.2v 2t��_.s�� (,l ? iL..��v S'�,�'I�I I
Corner Lot [] Inside Lot [] Ft. Yd. Setback
Type of Constr�etion: �Dd'Q .l�%2/�%y%E
Approx. Completion Date:
Proposed Driveway Width If Nex Opening Is Desired:
DATE: 3Q gs APPLICANT:
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sever !lain Charge
$ 3�•��
$ "� '
E i. ?►-�
a--�
$ "'��
s
� A.��
ONLY
Side Yard S tback
�o
Estimated Cost: $
Z�ov �T
Alt. A Alt B
$ �
See Back Page for Explanation
Tel. # �7z—OI �lO
Fee Schedule on Reverse Side
25i of Building Permit Fee
E•50/81,OU0 Valuation
E425 per SAC Uni�
Fee Determined by Engineering
Agreement Necessary C] Not Necessary [ J
fOTAL $
STIPULATIONS: ���,q.(, �S� <T ��'�I �I�f�Oi/�dJ O�- °2! �8S
�qry �T � s � t( ��r��w+ R� �. t,'v RAai►
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t'il'IC' c'I.tiTlik •(�1�1 UNIVIiRSITY AVE. N.E. FRIDL[?Y, MINNES(YfA S5y3? • PII<>Nlt ir,l `� �?1 ?�i>n
f,ITY COUNCIL
ACTION TAKEN NOTICE
On October 21, 1985 , the frid7ey City Council officially approved
your request fora Special Use Permit; SP �85-11, to allow the construction
of a second accessory building, a 24' by 32' utility shed on Lots 11 and 12,
Block 13, Fridley Park, the same being 6425 Ashton Avenue N.E.
with the following stipulations:
None.
if you have any questions regarding the above action, please call the Planning
Department at 571-3450.
Sinterely,
James L. Robinson
°lanning Coordinatcr
J!_R/dm
PI?ase review the noted stipulations, sign the statement below and return one
ccoy to the City of Fridley Planning Department.
Concur with action taken
i
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pre,.: �a«a �,a s.a�
� ARLEIG�H` C. �SMI'TH
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OF PROPpi— '
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CEpTlFICATE OF LOCATION pF apa,p�Q � i
, . . cenr�c,►re or saevcr
.__ � eereby e�+s�tr eLat an� �//' %.�
.I� aude a survey M tb� p----� H-- -- 7hereby cerlifY th�t mi��e , IY�6 :
D�d location ot t6e I nweyed tEe Pa'oP�Y described �bove �+d Ih�t
luildin� on tbe aboce desvibed DroD�7 �ad that tae above ylat is a mrrect
the lxation o! aaid buildins is �yr�e�w, y�py � teDresen4tion M rid f
tAt �Dove pLt � �• f
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ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCfION TYPE
C1TY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
�63) 572-3604 rAX: (763) 571-1287
ItEPRINTEU ON I I/16/2004
: 6425 ASHTON AVE NE
: 153024410020
: UNAVA[LABLE
: LOT BLOCK
: BUILDING
: RESIDENTIAL
: ROOFING
I VALUATION : $ 2,000.00
NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE.
STATE LICENSED CONTRACTOR 1
APPLICANT
HARRIS-UNGLAUB JANICE D
6425 ASHTON AVE NE
FRIDLEY, MN 55432
OWNER
HARRIS-UNGLAUB ]ANICE D
6425 ASHTON AVE NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
autharized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
1 hereby certify that I have read and examined this
application and know the same to be true and cortect. All
provisions of laws and ordinances goveming this rype of worl
will be complied with whether specified herein or not. The
granting of a pertnit does not presume to give authority to
violate or cancel the provisions of any o r state or Iocal law
regulating �onstrucHon or the peyforma�of conswction.
Dat��
PERMIT NO,: 200402079
DATE ISSUED: il/16/2004
BUlLD1NG PERM[T FEE
FIRE SURCHARGE
STATESURCHARGE,VALUE
LICENSE SURCHARGE
TOTAL
PAID W[TH CHECK # 8926
, �
SEPARATE PERMITS REOU[RED FOR WORK �TNER
69.25
2.00
1.00
5.00
7725
New
AUDN
AGZER
-,�„✓ ��
Q� CITY OF FRIDLEY Eftective 4l1/2004
O '��'�'�6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bidg Insp
[ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMITAPPLICATION ���sj
/`,j� N �Ja6
Construction Address:
Legal Description: _
Owner Narr
Contractor.
Address: Tel. #
LIVING AREA:
GARAGE AREA:
Attach to this application, a Certificate of Survey of the
b'�, with the proposed construction drawn on it to scale.
,
DESCRIPTION OF IMPROVEMENT '
Length Width Height Sq. Ft. ___'C��U
Length Width Height Sq. Ft. �
DECK AREA: Length
OTHER:
Width HgUGround Sq. Ft.
Construction Type: Estimated Cast: S �� o00
Driveway Curb Cut Width Needed: _Ft + 6 Ft =_Ft x S = S
DATE:'��� APPLICANT: Tel. # - ���
������
Call �763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we wili cali
you for card number.
Permit Fee
Plan ReYiew
Fire $urcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
l09 Zs
$ ��
$
$ � �_�
$
$
$ .� . ov
$
$
$
CITY USE ONLY -
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuatiort
$1350 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$45U.00 Conservation Plan Review
Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Necessary [
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� 77-a.�
STIPULATIONS:
�7� as ��i�oy
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