AF - 35706N° 380
�il�a�e �i F�ne��g�, 1�Iimn.
+�" � ��i .`�"' l q .. �i' `t �9`, .'
Q�in�a of ERiSPE�OR� (^rF SgJLI.BDII4IGS
Ocmer���� ,��W:"�.�se..+l��v'sua+l
Axchitect ��+�•�f - '��Y{��+�dif��i��! „��_
Builder �iy� �
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Frid'ey� Minn.� ..?'t,t�i4 , 16% �'.
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LOCATIOhT OF BUILDING °;
hhh��� .�,` �% ,..,,'
No. �� Street ���v'�J Part of Lo � r=' <�tl : r� I�:... .
p ,;. " F.��d �{?,r�
Lat '��-: �'��" f�•�.�`i/� Block ��� �Additfon or Sub-Division {¢-
f
a7!?>C^I�'iT_CF7 OF BTJILLIlSTG
��/ � .f� ,
Front.�_f^s Depth %ef#� Hei�ht�� StoLies � ?3eane of Conet*uct�on °'`'�^`¢4' __
rf/` �,.+ NG!
To be used as� s�t(r3. � To be cov�pteted ,`f l� Eatimated Cost �='`�7-+""�
�
Permit is hereby granted
the building l� .' described fn the above ststement. Ttue permit ia granted
upon the expree3 condition that the person to whom it is granted, and his agents, employees and workmea, in all
the work done in, around and upon said building, or �sny part thereof, shall conform in all respecta to the ordi-
nancea of Fxidley, Minn, regarding the conatruction, altEration, maintenance, repair and moving of bvildings
wtthin the city limite, and thia permit may be revoked at e,ny tirse upon violation of any of the prov3s5ons of said
ordinaaces. � . ff
r-':�*'!#gy.t�er,�!�° ��� '�> Easpector oP Buildings.
AGREF:MF•N'i� ARTD SWORN STATEMENT
In consideration of tha issue tuid delivery to rae b,-a the In��ecto^ of &uildin�s of Pridley of
the above permit, I hereby agree to do the pro_sosed �vor?c in accordance with ihe description
above set forth and according to the provisions c±f. t??e ordinanees of Fridle,y, �nd, being &rst duly
sworn, I hereby state and say that the facts stated b,y me a.nd contained in ihe alaove permit a�e
true as therein stated.
Subscribed and sworn to before me at Fridley, Mv
day of L .D. 19�.
�..��
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' � �� sue+ect � .. � PERMIT N .
City q�` Fric�ley� � 0 19466
� "T�'���`'"��"'"$ gUILD1NG PERMIT �
� , ,�F�
;, � ���� GOMt�UN)FP DEY�PMENT DIV. . . . � ECEfPTN �.
ia
_ �� � `�`,�"•. �� �+y�ci}±r�.lasr+�ctroro s�a: �
� .� . a ��y
'f , , �;' , a ti �c� � �
q� ic�L (*' +6IT'R�Yi1LL. FRIDLEV•. 55132' HUMBER 9EV. DeTE v1GE OF nP>ROVEO BY .
' �"".���'�'�� 612=s7t—�450 �° �taFU� � 5/12/s8 � / / �
�" aoe ' e 6457 }lsbton Avenua.N.E.
� � � fi��� L67 _ , � : BLOCK � TRACT OR ADDI710N � � � � - . SEE nTTnCHED �
� oesCn. ' 7,g , : i3 E'iidley Park sHeer
Z AApRERTYOW - � MAIL�G�RESS, : � - ZIP PNONE
Ed�tazd.Shaffe� 6457 Ashtc3n Avexnie N.E. 571-3701
- 3� ONTARC R�� � MAIL ApORE$S ZIP .� .-.. PHONE k,ICENSE NO. ,
American Remodeling 3700,.AnnapoLi,s Lane, P�ymuuth, i+II�I 55447 553-002b I
- 4. ARGHITECTpR$�SM.NER MA&ADDRESS � � , ZIP �� � PHONE UCEN5EN0. � -
5 EN6tN6EW � � � � �MAILAUDRESS " . . LP � PHONE LICENSENO, ..
� 8 `U84DFBt1iLDING."-. . . � � .
Rea+�d�t�31
' ' , �r cc��8 wanN -... . . �. ..
. :� O NEW�� . ❑. ADDITIOPt � � ❑ ALTERATION --. � �1 REPAIR ❑ MOVE ❑ - REMOVE �
.. . - B DESG!'�8 WORK° ' _ . .
.&�S2[i ,.. 3hi@�.�.1RJ . . . . .
, � 9 G}f,/�ll(4� OK USE FROM . � .. . � . �- TO � � _ � ..
� S7IpULA710N3 �.. . ,. . � .. . . . . . . � .
:i
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�� 9�pAAAi(��P�pMITSARERE0U1RE0'fOR€LECTqIQp�,.pWM81NG,HEATINO,� TMPEOFCANST � OCCUPANCY.aqpUP. OCCUPANCVLOAD
� VEMTILAi9Hp QR��AER90NbIT10NING. � � � �
� THIS YEIiM1T BECOME8 NULL AND VOID IF W(�p� (�q`ppNSTRUCTION ZONINO � SO.f7. � CU:FT. '� ��
�� � &U71iQRIZEd �8 NOT f`,OMMENCED WITHIN 80 QAY�, Ql9 IF CpNSTRUCTION � �� �
. �: QR NJORK IS 6�3PEN�IiEO�OR �BAN�ONED FORl��P�RfQib OM'�.120 DAYS�AT :. ' �. .
�� � kNV iIME AFTER iM�qlF IS COMMENCED. - � NO. DWLG.�UM4TE�� � OFFSTREET PARKING �
�� � T HEREBY.-0EATIFY?Mk3 1 HAWE.�qEAD AND E%A411NED. THIS APPLICATIOM � '1 � . STALI.S `� GARAGES
. ANDKNpW:Y-j1EiAME.�OBETRUEANOGORRECL.AL6PROWSIONSOFLANiS yq��qTION.: � �� � SURTAX �
- AND-0R6INANGES;OOVENNIM6 TMIS TYDE OF WqHK WILL BE COMPUED $�, 452 �� . �$2.23
�W1TN�1l�7NQq$PECIFIEpNEHE1N�pRWOLTI4E�GRANTINOOFAPERId1T � . � � � �
`'�F'�}NfM%7Y�PNE&UME TO GIVE AUTFOHITV i0�� VIQ4ATE OR CANCEL TME �pEyMITffE � � �� 3ACCNARGE � � �
F pMY,#17k� R 5T � �. OR LOCAL L flEGULATING CON- � . �
` '�.l� � ,, . N O Tk& . RF � �.� i � � N�,. .. � S%Z . OO �. ' �. . .
`�' PL N H GK E �� T0T0.1 FEE � �
r ..fri� 4 ,�,. S�4.zs
N 7UM60F NAClonO UTHOn¢EOnGErvT � ioaTEi � _.E .P �PERLY � IOATED?Ht5 IS VOUR PERMti'
�'
5� � A 0. N N"lIfOWNER9UiLDERi. � � f�{i - ��IDG��N V� � ��i .
i�Ia [�����
AmN []
� AT."�RR [ l
City o� Pridley
R-1 11@ID R-2
Building Pe�it l�pglication
' �l18tLl1L�j.Q1 �I@882 (O 7�� �iy/�'J�/ /�GP' �/.C.
EEfective 5/LBB
Isga1 Deecriptian:
Q,ires Naae i� Address: �'�•�O S fE,� Tel. # S7/-.��o/
tbntractor e—/�'/j?.E�EiPrC�.� ��., e�„� Te].. # 5�.�-�o
_ _ .
l4dcirress:
Attad� to this app�licstiay a Certifi�te af 8utvey of the
lot, vrith the proposoed cunstruction drewn on it to e�le.
ffiSQtIPrION OF Il�ROfIH�'1�
iSYiN'i.�L I�en9th WitiYl Heic�lt &1. Pt.
r:::�n' :� . -
�;�r; : :�y: -
�IY:Ia;
Widtt► Heic�lt &I. Pt.
Width Hgt/Grotnd _ 8q. ft.
Q�IIIEL I.Ot I I II18��7E LOt I I Ft. Ya SEtbHdC
ljrpe c� donstr�ctian: �s.o%i�
Approx. �ptetion Dnte: �- �o-P�
� Proposed Driveway Width If New Opening Is Desired:
� �; �{-.(� • �d�
Side Yatd SetbaCks
Estimated Cost: 8� S�sa °—° '
Alt. A Al� B
S S
Width + 6' See Badc page
APPLI�; � Tel, �ss'.�oeaa
(:QY DSB Qi.Y
Peait llee i, 02 �d2- l�e Sche�le on Reverae Side
State Stl[d�arge S 8.50/51�000 Va1l�ation
SAC Q�arge S �'Z� . 8550 per SAC Unit
Driveway Becrw S Al� 7�• or Al� '�" A6ove
Pnrk Ppe S Fpe Determnir�ed by Aiqir�ering
Sewei !lain Q�ei9a S �3 Agreener�t Neaessacy I] Nok Neaess8ty []
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ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENLTE NE
FRIDLEY, MN 55432
�.yr�i,lii s �► ���
: 6457 ASHTON AVE NE
: 153024410018
: UNAVAILABLE
: LOT BLOCK
: ELECTRICAL
: RESIDENTIAL
: ADDITION/ALTERATION
FY� e rk:�
PERMIT NO.: 2004-00024
DA1'E ISSUED: Ol/08/2004
VALUATION .
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE.
INSTALL 100 AMP SERVICE AND 8 CIRCUITS
# INSPECTIONS
# 101+ pNip CIItCUITS
APPLICANT
SHERWOOD ELECTRIC
1211 OLD HWY 8
NEW BRIGHTON, MN 55112
OWNER
SHAFFER EDWARD M& ANN M
6457 ASHTON AVE NE
FRIDLEY, MN 55432
f��: ��II DL7:\ & 1 ZN I:Zflq Y C.`l
0
AGREEMENT AND SWORN STATEMENT
T6is permit becomes null and void if work or construction
authorized 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.
I hereby certify that I have read and examined this
appGcation and lmow the same to be true and correct. All
provisions of laws and ordinances goveming this type of worl�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating conshvction or the perFormance of construction.
Bldg
ELEC PERMIT FEE - MIN (RESI)
ELEC AMP SERVICE FEE
ELEC CIRCUIT FEE (0-100 AMPS)
ELEC CIRCUIT FEE (101+AMPS)
STATE SURCHARGE, ELEC FLAT
ELEC PERMIT FEE - MAX (RESI)
TOTAL
PAID WITH CHECK # 2773
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
8
0.00
30.00
48.00
0.00
0.50
0.00
78.50
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 iTNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3WW N'AX:
: 6457 ASHTON AVE NE
: 153024410018
: UNAVAILABLE
: LOT BLOCK
: ELECTRICAL
: RESIDENTIAL
: ADDITION/ALTERATION
PERMIT NO.: 2004-00267 ���
DATE ISSUED: 02/25/2004
VALUATION .
NOTE: ELECTRICAL PERNIIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE.
WIRE FURNACE
# INSPECTIONS
I:\» 11 [N\�M Y
SPARK ELECTRIC
2114 WASHINGTON ST NE
MINNEAPOLIS, MN 55418-
(612)781-6200
OWNER
SHAFFER EDWARD M& ANN M
6457 ASHTON AVE NE
FRIDLEY, MN 55432
1
AGREEMENT AND SWORN STATEMENT
This pernut becomes null and void if work or construction
authorized 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.
I hereby certify that I have read and examined this
application and lmow the sazne to be true and correct All
provisions of laws and ordinances goveming this type of wor}
will be complied with whether specified herein or not. The
granting of a permit does not presume W give authoriry to
viotate or cancel the provisions of any other state or local law
regulating construction ar the performance of construction.
Applicant Date
Bldg
STATE SURCHARGE, ELEC FLAT
ELEC PERMIT FEE - MIN (RESI)
TOTAL
PAID WITH CHECK # 39377
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
0.50
20.00
20.50
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
VALUATION
CITY OF FRIDLEY
6431 IJNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-36U4 N'AX:
: 6457 ASHTON AVE NE
: 153024410018
: UNAVAILABLE
: LOT BLOCK
: ELECTRICAL
: RESIDENTIAL
: ADDITION/ALTERATION
571-1257
PERMIT NO.: 2004-01554
DATE ISSUED: 09/08/2004
���1
NOTE: ELECTRICAL PERMIT BECOMES V OID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL AIR CONDITIONER.
# INSPECTIONS 1
APPLICANT
SPARK ELECTRIC
2114 WASHINGTON ST NE
MINNEAPOLIS, MN 55418-
OWNER
SHAFFER EDWARD M& ANN M
6457 ASHTON AVE NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
Tlils permit becomes null and vaid if work or construction
authorized is not commenced witin 60 days or if construc6on
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined t6is
application and lrnow the same to be true and correct. All
provisions of laws and ordinances governing this type of wor6
will be complied with whether specified herein or not. The
granting of a pemut does not presume to give authoriry to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg
ELEC PERMIT FEE - MIN (RESn
STATE SURCHARGE, ELEC FLAT
TOTAL
PAID WITH CHECK # 40298
.�a.a �uv�iu ruivvaii o nca�ullcnu rvA W V1CR V 1riCK 1 tIAN UCJI.:lClkShll AISV VL".
20.00
0.50
20.50
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say�ui �a�aweip ;y6iaH;ua�
ad,tl;uan uowwo�
_ . __ � _-------_�_
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;ndul �38 I��l sa�uei�ddy �e;ol ---
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pa}uan pue �uan uowwoo ay; wa; panowaa uaaq sey aouei�dde ue
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O saA •saouei�dde ue�p �e�n�eu pue pa�sisse ue; �o; sa�qel 6w;uaq
a�ewn� �e�;ua� � tio6a;e� yyyy�-y�y apn��ui saop s�yl •suoi�eo�aads
s,�am�e;nuew pue sapa� }uaLn� ay; s3aaw pue R�qwasse pa�sg e si �
3e43 �B!� �9a�4 I�u6is�apun W3 ` �4AR
O sa� •suoi;eo�ioads s,�am}�e;nuew pue sapa> �uaLn� ay} 3aaw o3
pa��e�sui pue pazis aq ��un �i �ie uoi;snqwoa Meu e ���su� o; pannba� uayM
( ) sa,t _ •suoileo�oads s�a�n�e;nuew pue
sapo� �ueLn� ay; �aaua o; pa��e}sui pue pazis si �ie uoi;snqwoa u�sixa ayl
() sa� •saaue,ydde ue�p �e�n;eu pue pa}sisse
ue; �o; sa�qel 6ui;ua� a�ewn� �e�;ua� � l�o6a;e� yWy�-y�y apn�oui
saop siyl •suoi;e�yr�ads s,�am}�e}nuew pue sapai 3ua�rr� ay� s;aaua pue
�(�quaasse palsg e s� �iun;uawaoe�da� ayl �ey; sayuan os�e pau6�s�apun ayl
O sa,� •uogeuitwa� pue snnoq�a;o �aqwnu 'y�6ua� '6uizis 6uipnpui suoi}e��oads
aam�e}nuew pue sapo�;uaLn� ��e s;aaw pue ���i�se�d si wa;sFs 6ui;uan ayl
() oN () sa,� •pannba� a�aym paddo�a�y pue pa�oddns �t�a�n�as si pue
'suoia�na;sqo 'uoi;e�oua;ap ';sru wa; ae�} si pue pawwexa uaaq sey 6uguan
ayl �ey; sayuan �qa�ay pau6is�apun ay; 'aaewrg ul;s�xa ue uiae� ai uayM
N011b'�IdIa3A aIH NOI1Sf18W0� aMl 2101�3NN0� 1N3A 1N3A NOWWO�
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ADDRESs
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
163) 572-3604 FAX: (7631571-128
: 6457 ASHTON AVE NE
: 1530?A410018
: UNAVAILABLE
: LOT BLOCK
: HEATING
: RESIDENTUU.
: ADDITION/ALTERATION
PERMIT .: 200401595 ,
; J
�-..-*- ,.
DATE ISSUED: 09/14/2004
VALUATION : $ 2,881.00
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
INSTALL AN AIR CONDITIONER.
# A/C UNITS 1 VALUE OF APPL OR WORK 0
#FURNACES
#GASRANGES
APPLICANT
STANDARD HEATING & AIR COND CO
410 WEST LAKE ST
MINNEAPOLIS, MN 55408-2998
(612) 824-2656
[p`:/�1 �I :7
SHAFFER EDWARD M& ANN M
6457 ASHTON AVE NE
FRIDLEY, MN 55432
0 # GAS DRYERS
0 VALUE (FOR MINIMUM CALC)
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or consh�uction
authorized 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.
I hereby certify that I have read and examined this
application and lmow the same to be true and correct. All
provisions of laws and ordinances goveming this type of wori
wiil be complied wittt whether specified herein or not. The
grauting of a permit does not presume to give authority m
violate or cancel the provisions of any other state or local law
regulating constrjiction or the performance of construction.
Bldg
HEATING PERMIT NfINIMUM FEE
FURNACE SHELL/DUCT WORK
GAS RANGE FEE
GAS DRYER FEE
AIR CONDITIONING FEE
IIEATING REPAIRS/ALTERATIONS
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 11551
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
C
2881
0.00
0.00
0.00
0.00
25.00
0.00
0.50
25.50
Building
Inspections
763-572-3604
763-502-4977 FAX
S1TE ADDRFSS _
1T-IIS APPLICANT 15:
TENANT
CONTRACI'OR
S[JBMIT A COPY OF
YOUR STA1E L[CENSE
BUII,DING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
O OWNFdt —�C.`dNTRAC'I'OR
STATE LICIN3E
O SINGLE FAbID,YMEW CONSTRIJLTION
�1WOFAMQ.Y/NEW CONSTRUC17pN
❑ BASEIuIDVi' FAIISH ❑ ROOF
❑ DECB 0 SIDING
TYrE oF woRx: I o r�w Ho� cor,snetrcnorr ❑ �mm�or,
o MnQn'H+A[�rCF/xsenIIt ❑ x�onn.¢.�
nescxmsvNOiucsmrcnor�: '� (4 plc._x� �l
s� oF a�eova.�arr �nrv�rr� w�rH
ROOFING o HousE orn,r
NUI�IDER OF SQUARHS ❑ HOUSE & GARAGE
-°r� ❑ ATTACiIID GARAGE
PROP03FD 31ZE: O DETACIim GARAGE
PROP06� }II�]Gfif:
SIDING
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❑ Faacia
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Permit Fee
P1an Review
F've Surcharge
Surcharge
Lioense Surcharge
SAC Chazge
Cuifi Clit Escraw
Erosion Conlrol
Park Fee
Se�va Main CLarge
;�! .:rY �17
(USING T9E 1997 UBC FEE SClIEDULE)
■ �.. . �
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x�»�a
;I:�Y��7�.�y ; a,.,�i� 7_ i t �; „i
FOR NEW CONS7RUCTION INCLUDING DECKS,
A�DTI70N _ & POR�� MIT:
�. s�r�ds��.�u��e��m�
� P� P�i�
2. Two sels of canswcfion plmis
3. Fmrgy CalcWmia�s �
See Back Page for Fce Sd�dule
65%ofB�tilding Pamit Fee
.001 times the Uotal job valustion
.0005 x Permit Valuati� Minimwn $.50
55.00 (State Lic�sed Residential Contractors)
51825 p� SAC Unit(Plans m MWCC for deteimi�tion)
ft+6ft= ftx$21=$
$450 Conswvasi� Plan Review
Fee Detera�ined bS �8�n�8
Ag�ment necessary i) Nan Necess�Y �)
Tfa3 tS AN APPL[CATION FOR A PERMIT-NOT VAI,ID UNT[I, PROCE4SED
I�' aPP�Y fa s building permit end I aclmowledge iht tl�e infavmetioo e6ove is complebe a�d e�e- tlret �he wo�k will be in conformance with the cedio�ces aod cades
of tlie City of Frid(ry � with 1Le Mmneeota ConslmcUan Cod�s; th& I �mdaNmd Mis is � a pamit b6 �ly an applicrtim for� a pamit a�d wmk is mt � s�t without a
permit on �te; tl�ffi the wak will be in 'daua with t6e spproved plm in Ihe cax of ell wak wfiid� reqis�es mricw aod �wal of �s.
SIGNATIJREOFAPPLICANT� _ RINTNAME ��L✓lY1KS i,.� I�r�Stilh na�t�: 1�� ��•U�
APPROVED BY DATE