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l��, �ct hts �ta. � a� �ve�rie�; . ix� ati '
tl� �ovork Q�B #1a, sr�'Otmd aAd upt� aeefd �il�g. or sut�r Part ther�fi; �r8sI1 c�t+Drm is a�i �apects f,o 1`1� g�-
�sueea of 8'r�3'. Mia�q„ rega,�g tt� t��na�tetion, aIteratioa, muSattene�tn� t�e�sa#r etnd nta��ag; o�
�W,ia the c#tj� �lmi�,s, auci t3� pet�it aaay b� revaked at am3' time uPo�n vt�l� ot atty oi fhe ��. ot �
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AGRE�'�'T A1�TD S�V4R3�t S�',Ai�T
Ia con�id�ration af the �tt� _�ud de�i� ta ' ttie by the I�s�ctor of 8�1��t of =�� c�f
the abv�j ,� h �ree �o dc� t�e pr�apo�ed wor� in acca�ia�c�*, w�h #� 'd�ip#�
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�bove s�t f�i�and �o����ing xa ��ae p��ris�}o�s �i �e �rd�aaces vf i'�rid�ey, and, being' ��ty
�ro�t, I h�tby �ate s�td sa�r that the �acts sts� by m�e �►d eaa��d : ia ti�e atxrve pr�it are ` !
tru� a� t:he� �ted." ;
�b�ribed `�►or�.ta 1��re me at e , � .
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. Reportsd by;
4. Name of Violator:
7. Nature of Complaint;
S. Coaiplaint rtceiv�d by;
H E A L T H C 0 M P L A I N T
CITY OF FRIDI.EY, MINNESOTA
. Addreas:
5. Addresa:
—� � ��' y 2 �'_
9. Caapl�int Rsferred to;
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No.
6 Phone No.
. D�te
11. Report of Action Taken� (Specify date of action)
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12. R�port M�d� by;
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3. D�te
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ty
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June 2�, 1970
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; �� Q�Gtt��il'�
' ` 6�#7 $a��' 5�7�`i:�� �i. �;.
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� � -.�' F�id,ley, M9Ln�tesot�t
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V i�,r� S i�r :
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� f ; i W� ar� r�evi�i.�- crnnpl��.n�s an tk�� sw�m� �r 7.ow are�s fn the r�� of th�
� F :; h�� i.n thie ar�. Ttte ��e�x was als�+ call�d �o �h� e�tenCic�n ca� WCCti-TV
}� ;�Act#.on Ne�as. It is � p�obl:� a��a. �Tc�ev�r, ic shbuld rtot he �s�a s� �
s ` � du�p by �t�e�*an�s .
t`
�.���;
I nntecd �vine ma�ex'i�i pil�d albn� �h� �c3ge a� th#.s ��ea it� t'he r�ax c�f
�' �_; Your hous�. All flf ��i�s u�t�ri�l neecl� tn ba r�mo�ed, Yr��x�r c�og�r�e�ic�n w�ui.d
� b� appxeciated in ��mravfn.g this �ra�exi�l .
�___� you m�y cc�nta�� 56f1-34S(1 if th�re ar� a�xy que�taor��.
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Pu#7.i.c I��al�h 9�nitari�n
sue�ecT P f NO.
City of Fridley '
ATTHETOPOFTHETWINS gUILDING PERMIT ��$7�
f
; � RECEIPT NO.
� • COMMUNITY DEVEIOPMENT DIV. ' '
� j ti �'���'� � � .�
r � � PROTECTIVE INSPECTION SEC. i �' �
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� � /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED B�
�'"""��� ��� 612-571-3450 910-F15 6/17/91 / /
JOB ADDRESS 6347 Baker Avenue NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 7 2 Moore Lake Highlands 2nd SHEET
2 PROPEF;TY OWNER MAIL ADDRESS ZIP PHONE
Robert Bard 6347 Baker Avenue NE 571-3394
3 CONTRACTOii MAI� ADDRESS Z�P PHONE UCENSE NO.
Home Enhancers 8609 Lyndale Ave S., Bloomington, MN 55420 884-6106
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP pHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW �7 ADDITiON O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WOFK
Construct a 12' x 18' Addition and a 12' x 5'' Deck
9 CHANGE QF USE FROM TO
STIPULATIONS See notations on plan, Electrical service may have to be relocated.
W�I��'���
Before digging call for
all utifi±y locations
454-0002
REQUIRED BY LAVI1
TYPE OF CONST. OCCUPANCY GROUP OCCl1PANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPIICATION �- STALIS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIEO $5, 350 $2.6H
WITH WHETHER SPECIFIED HE �IN OA NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORIT'Y TO VIOLATE OR CANCEL THE pEFiMiT FEE SAC CHARGE
Pft@WStQNS OF ANY O�HER TATE OR�OCAL LAW REGULATING CON- 81.00 Fire SC $rJ.3rJ
STRUCTIOIU bF THE PE �RM CE OF NSTRUCTION. $
� PLAN CHECK FEE TOTA� PEE
� ~ � ' -T_ `f '
' $89.03
SIGNATURE OF CONTRACTOA OA AU HORIZED AGENT IDATEi WH N PR PE V LID THIS IS VOUR PERMIT
S�GNnTURE OF OWNER�iF OWNER BUiLDERi iDATEi ' f �� �O�'��C� �
` BLDG �NSP q� A7E —
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IB Jdl DeSa'1�1C�1:
Owr�ei Name &
Oo�1t2"dCtOY': <i a c .
1�1 AND i�2
w,; i cling Permit Applicatiori .�
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EffeCtive 1/1/91
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��E'SS: �i �: � y t (�� t� �. [!-� � - Y'� '�,' _ '� � , G- '� i.• �: ' , -� "� � ; 1't=� ^,— _ � �i 'j� G �'
I1VaIG ARF:A:
C�R� Ait'@�:
n�cx �,:
a�:
Attach to this application, a Qertificate of S�vey of the
lat, with the propos�ed oaLStn�ct.ior� drawn on it t.o scale.
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width ��
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' i `. � � fi \.,
Corner Zat [] Inside Iort [ J Ft. Yd,� Setback � � Side Yard Setbacks -.
Zjrp� of C�o�nstructi�: _� `�', -[� ; „�� ,�=' � ; � ;, �;r �- �-Estimated Oost: $ /��'`'i�"' :'� ;� . �i.'
.- t�
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Approx. CY�g�letiaaz Date: _ �� ��� �, i'� �'�� ST,
Ptro�.�osed Driveway Width If New Openir�g Is ired: Ft. $ S
� �:
C '�_'� Width + 6' See BacJc Page
. � } _, :
I]ATE: < - �' APPLIC�INT:' ( - `�;r.. �� � � �; .��-C�,�--.�.\ Tel. # � � ( ` � -� v <-.
Permit Fee $ , � � , � r; �
Fire �zarge $ � � -� � '�
State S�1rc3�arge $ `;� „,!
SAC C��arge $
Driveway EscrYxa $
Park Fee $
Sew�er Main �azge $
CITY UB8 �Y
Fee Sci�.�le on Iieverse Side
.001 x P�ermit Valuati� (1/lOth $)
$.50/$1,000 Valuatiori
$650 per SAC Utiit � �� f� ;
Alt. �A�� OZ' Alt. �B�� AbOV2 "�-��;`��� �:-- �`�. �•,� �� r i
�ee D�2terallned bY �gir�eeriixl �� -�_ : --?r=
�- 1 .
Agre�erYt Ne�ssarY [ ] Nat NeoessazY [ ] _/
t,% � . . �
TO►�1L $ ; �. ! ,1 �� �
� ;_i�__ ".;:a,;1;_
STIP[JIA'I'I�dS: � __.� - � �--_::
� 9���-� s �
C �� ���e� .�� ����. ����;��.
C�-1
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P��� �-1 � �.,► �c, � �6i.,
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I���c�C�i''�
: �1� � ��_ t-1�•r�,l. ':11: : 4:I:d� �
Dle Chief Building Official shall, before ��*!� �*�+++;ts for the erection of ar�y
buildir�g ar stnycture, a� for any addition to any existing Yuildin4 or stn�cture, or
for atiy alteration ar repair to ariy existirg buildir�g or s�, u� aPPlication
therefore, require the PaYmes�t b!' � aPPlicarrt for ax�h permit of fees t;o the ama�mt
2yez�ein belaw set forth ar�d in the manrier herein prwided t�o-�ait:
ZOTAL VAI.LTE
$1 to $500
$5oi to S2,000
$2,001 to $25,000
$25,001 to 550,000
$50,001 to $100,000
$100,001 t.o $500,000
��J�
$15 (Minim�an Fee is $15 Plus a�arc�e)
$15 for fizst $500 plus $2 for eadi additiona]. $100 or
fraction thereof, to ar�d iricludi.t�g S2, 000
$45 for first $2,000 plus $9 for each additio�al $1,000
or fractic� th�reof, to a1'ri includir�g $25, 000
$252 for first $25,000 plus $6.50 for each additional $1,000
or fractioci thex�eof, to at�d i.i�cluding S50, 000
$414.50 for fiYSt $50,000 plus $4.50 for each add.itional
Sl, o00 or fraction tr,ereof, to ar,a ir�cluair�g S1oo, o00
$639.50 for first $100,000 plus $3.50 for eac3i additional
$l, 000 or fraction t1'�reof, to ar�d irycludir�g $500, 000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fractio� thereof, to and including $1,000,000
$1, 000, 001 ar�d uq� $3539. 50 for the first $l, 000, 000 plus $2 for each additional
$1, 000 or fractiotz ti�ereof
niIVE�Y D�PRFSSIQd EBC��C'JW
(ao�rete � S'treets Only)
Alternate ��p,�� : R�ooval and re�laomo�nt of curb and gutter �ly - Drive�ray width plus
6 feet tiioes $13.50.
Alternate "B" : Removal ar�d re�laoesnent of airb arxi gutter ar�d install a 3 foot wide
approach with 6 ir�nc �le�ptii - Driv�e�,ray width plus 6 feet times $15.75.
� �+• r ... . .,- -. n �� . .
Permits for c�tn�tioai will be iss�ied a�+� n�*�m+ of 24 haurs fran the time of
applicaticci to allaw far proper review of the propos�ed stnLC�ture arri of the
o�tructian site.
A Oertificate of S�uvey of the lort, shvwir�g the locatioai of the fauxlati� oa�oe it has
it has been oocLStn�ct.ed will be required before prooee�ciir�g with the fra�irg •
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SUBJECT
c�ty 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 DIV.
r � � PROTECTIVE INSPECTION SEC.
,
l.__-����'"'1�,� CITY HAII FRIDIE� 55132 NUMBER
L 612-571-3450 9t0-F15
JOB ADDRESS
6347 Baker Ave. NE
t LEGAL �OT NO. BLOCK TRACT OH ADDITION
DESCR. � 2 Moore Lake H
2 PfiOPERTY OWNER MAIL ADDRESS
Bard
3 CONTRACTOfi MAIL ADDRESS
Gates Roofin� 4640 Ximines TN Plvmouth t�r
d ARCHITECT OR DESIGNER MAI� ADORESS �
5 ENGINEER MAIL ADDRESS
6 USE OF BUILDING
Residential
7 CLASS OF WORK
REV I DATE
I PAGE OF
98 � /
26615�
�
RECEIPT NO.
�� ��
APPROVED BV
SEEATTACHED
SHEET
ZIP PHONE
Z�P PHONE UCENSE NO
5.5.0-0.01�.3 6 7 93
ZIP PHONE LICENSE NO.
Z�P PHONE LICENSE NO.
O NEW ❑ ADDITION ❑ ALTERATION �J REPAIFi p MOVE O REMOVE
8 DESCRIBE WORK
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF
VENTI�ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VO10 IF WORK OR CONSTFUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PER100 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DW
I HEREBY CERTIFV THAT I HAVE iiEAD AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATI
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHE7HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERM�T 191E
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T I
PAOVISIONS OF ANY OTHER STATE OR LOCAL LAW fiEGULATING CON-
STRUC ON OR THE PERFORMANCE OF CONSTRUCTION 62 � 2�
PLAN CF
�'� ` s� " icens
�GNATUf:EO�i3ON7RACTORORA pRIZEDAGENT �DATEI
�SiGNATURE OF OWNE:7 iiF OWNER BU�LDER� _. IDATEI _
UNITS
OCCUPANCYGROUP OCCUPANCVIOAD
SO. FT. CU. FT.
OFFSTREET PARKING
STALLS GARAGES
SURTAX
.96
SAC CHARGE
Fire SC l. 2
T07ALFEE
VA�IDYITE THIS IS YOUR PERMIT
�+��i
__ r)F7E
NEW
ADDN
ALTER
[l
[]
[J
CITY OF FRIDLEY
SINGLE FAMILY A1�1D DLJpLEXES R-1 AND R_2
BUILDING PERMIT APPLICATION
ConstructionAddress: �' 3`� � �,�a �c.--� � ,, �;
Legal Description:
Owner Name & Address: �•a " �� Tel. #
Contractor: ��;�k e-� �. ��-,.C':,; MN LICENSE �
Address: �4`f�-� ?�-� �w .,�� > � � ,.�_.. Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIP'TION OF IMPROVEMENT
LIVPi 1G AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
Effective 1/1/98
� �� �
��C �� 3
�e`7 �t-�
s"'.��� � <: -� �
Sq. Ft.
Sq. Ft.
Sq. Ft.
OTHER: •
�.3� x 3 ��
Construction Tyre: ��``� �`�' ,2,�- iC,�: -�' Estimatcd Cost: $ � f'-� ��l �'! !� b
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � ^ � 5 APPLICANT: - Tel. # �� � � � � � l
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� 1��.�5'
�_ /F �'y-
$ e �
$ /�
� �;, .. �U
$
$
$
$
$ ��./3
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ) Not Necessary [ ]
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pal����o� uaaq s�u �t s�q 1T a�uo uoT��puno� au� �o uoiae�ol ac� �uinnous `loi a� 30 �an.�ns 3o a���t�i�a� d
•aats uoil�rulsuo� au1 �o puE aln��n�s pasodoid ac� �o nnaTna.z
iadoid io3 nnoji� o� uotl��tidd� 3o auitl a� uioi3 sinou �z �o wnunuiui � panssl aq itin� uot��nilsao� io� sliuuad
I�tOI,L�Ql�If103 30 I�IOI,Lt��I3RI�A
'SL'Si$ saun� �aa3 9 snid q�pinn �emanuQ - uldap u�ui 9 u11n� u��oidd�
apin� �oo� £� ti���i pu� ialln� pu� qm� 30 �uatua��idai pu� j�notuag :,,g„ a��uialld
'OS'£T$ saun� �aa� 9 snid u�ptn� ��manuQ -�Ciuo laun� pu� qm� 30 �uama��idai pu� i�notuag :,,�„ a��u.ia�id
(�jup s�aails qln� alal�uo�)
M02I�S� I�IOISS�d�Q ��M�AI?IQ
�oa�at�1 uop��i� io ppp ` j $
j�uoi��pp� u��a io� SL'Z$ Snld 000`000`t$ 1sn� au� io3 SZ'ZIOS$
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I�uopipp� u��a io3 00'S$ sntd 000`OOi$ 1s.zg io3 SZ'L88$
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i�uoT�ipp� t��Ea .to3 SZ'9$ Snid 000`OS$ �sig Io3 SL'fiL�$
000`OS$ ��pni�ui pu� ol `3oala� uoi����3 io
000`i$ I�uot�ippe q��a io3 00'6$ Snid 000`SZ$ is.z3 io3 SL'6�£$
000`SZ$ $utpni�ui per� o� `�oaia� uoil��.y io
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lo OOi$ t�uoi�ipp� u��a .�03 SL'Z$ Snid OOS$ 1sn3 io3 TZ$
(a�.�Eu�ins snjd j Z� si aa3 uintunny� I Z$
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005$ o� I $
anzdn �dioi
:lim-ol papinoid uiaiau iauu�ui a� ui pue yuo3 1as �oiaq utaiau
lunou� au� ol saa3 3o aTUUad u�ns io3lu��tidd� au� �q luaui�Ed aqt aitnbal `aio3alar.� uot�E�tiddE uodn `ain��ruls
.IO v°IIIpliil� v°LIT�STX2 tCIIE Oa .IIEC�2.I 10 IIOIjE321j� �uE .IO� 30 `2.ITlj�?LI�S 10 �LIIj�ITTiC� �IIilSTX2 �CLTE Oj ZIOi�TppE �IIE
io� io `airu�ruls io nuipJinq �a� �o uoTa�aia a� io3 s�tuuad �tnnsst alo3aq `IJEus I�i���p �uipling 3aiu� aq,I,
�'II1Q�i�S ��3 ZII^I2I�d JI�Q'IIflg
. _ ,, �
c�ty of Fridley
AT THE TOP OF TME TWINS
r
� �
� �
' ' COMMUNI7Y DEVELOPMENT DIV.
r j y � PROTECTIVE iNSPECTION SEC.
� ,
�
l_-_.����"" �'� CITY NA�L FRIOIE� SS�J2
L 612-571-3450
SuB�E
�UILDING PERMIT�
NUMBER REV OATE � v�GE OF
910-F15 10/18/00 / /
�oe nooaess 6347 Baker Avenue NE
t LEGA� LOT NO. BLOCK TRACT OR ADDITION
oescR. 7 2 Moore Lake Highlands 2nd
2 PFOPERTY OWNEH MAIL ADORESS ZIP
Robert Bard 6347 Baker Avenue NE
3 CONTqACTOF MAIL ADDRESS 21P
Pederson Construction 7790 Main St NE, Fridley, MN 55432
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
5 ENGINEER
6 USE OF BUILDING
Residential
7 CLASS OF WOqK
MAIL ADDRESS
O NEW �7 ADDITION
ZIP
❑ ALTERATION ❑ REPAIR
8 DESCRIBE WORK
Construct a 21' x 13' & a 12' x 5' Deck; Remove existing deck
9 CHANGE OF USE FROM
STIPULATIONS
See notations on plan.
�E���A�� �ERMITS
REQUIRED FOR:
��uM$� �c �, ansi��s
TO
P E R M,__I,L,[�40.-.,
_.�.-. �=
3 i �96
R E C E I P�`"�V�"�
lo � ��
AVPROVEO BY
SEE ATTACHED
SHEET
763-571-3394
PHONE LICENSE NO
221-1707 20100361
PHONE UCENSENO
PHONE LICENSE NO
D MOVE O REMOVE
�� � �
��for� dig�€r�g calt fr�t
ail utility i�cations
4540002
�������� �� �.A�
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAI, PLUMBING. HEATING, TYPE OF CONST.
VENTILATING OR AIR CONDITIONING �
THIS PERMIT BECOMES NULI ANO VOIO IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS. OR IF CONSTRUCTION
OA WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS
I HEREBY CER7IFV THAT I HAVE READ AND EXAMINEO TMIS APPLICATION 1
AND KNOW 7HE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF �AWS VALUATION
ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED ��g�y��
WITN WHETMER SPECIFIEO HEREIN Of: NOT. THE GRANTING OF A PERMIT 9�-9�� �3 s�OO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PFOVISIONS OF ANY OTHEA STATE OR LOCAI lAW REGULATING CON-
TR C, �O, R T PERfOfiMANCE OF CONSTRUCTION �9� . ZS
,
PLAN CHECK fEE
OCCUPANCVGROUP �OCCUPANCV�OAO
FT
STALlS
License $5.00
SiG UQE O� CON'aaCTOQ OR 4UT'+OpiIEO eGENT iDATEi EN OPE LI
4TUAE O� OwrvEA ��F pwrvEQ Bui�DEQ� iD�iE� I B�D itiso -
CU FT
OFFSTREET PARNIN(
IGARAGES
�URTAX
$1.50
AC CMARGE
Fire SC $3.00
OTAL EE
$ 06.75
HIS IS VOUii PEiiM1T
r �� '�(� �b
ricfE
NEW [j
ADDN []
ALTER [ j
Construction Address:
Legal Description: _
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
6-� �`7 � wk,
Effective 1 /1 /2000
(763) 572-3604 Bidg Insp
�n'
Owner Name & Address: _ ��-a- �c�t-a Tel. # ��' � ��--33�1y
Contractor: ��.�o� C��JC�--ru.-C.�� MN LICENSE# °�l�d.3C/
Address: � ��a�W ,S c¢,Q�- h1 - Tel. #�%�vto2� 1747
/� � 1� �. �_e,� S ����
7G�- ..s�=7$ao
/ Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length a� Width I '
`� �_ HgUGround g Sq. Ft.
OTHER: 'f'
� . . l
c.a�� ,�a�4.¢CY O� � 300 3
Construction Type: �`e�o�ct�l o�- ���,wyt.�ee.c�,Estimated Cost: $ �0�7
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: Io-CG -�� APPLICANT: � �
Tel. # 6�-•221 /107
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
$ �, o�J� Fee Schedule on Reverse Side
$ r� .001 of Permit Valuation (1/10th%)
$ � 0 $.50/$1,000 Valuation
$ $1100 per SAC Unit
$ � $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$
$
$
$a,s
$450.00 Conservation Plan Review
.Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing pernuts 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:
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
$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 $2,000 plus $14.00 for each additional $1,000
or fraction 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 $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for iirst $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $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
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets 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 minunum 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 loGation of the foundation once it has it has been constructed will
be required before proceeding with the framing. New Houses Onlv
The Home Depot #2802, 5650 MAIN ST, NE, FRIDLEY, N�T 55432, (763
Mon Oct 16 13:17:46 2000
The materials in this deck will cost $2335.98
File saved as: f:\dn�decks�A160BAB1.DEK
3D View
The Home Depot #2802, 5650 MAIN ST, NE, FRIDLEY, NIIJ 55432, (763
Mon Oct 16 13:17:46 2000
File saved as: f:�dn�decks�A160BAB1.DEK
Deck Dimensions for Deck 2
_____
_ _� .
Joist Spacing = lE
Railpost Spacing =
Stair 1: Rise = 7 in.,
Run = 11 in.
ng Height =
The Home Depot #2802, 5650 MAIN ST, NE, FRIDLEY, MN 55432, (763
Mon Oct 16 13:17:46 2000
File saved as: f:�dn�decks�A160BAB1.DEK
Post Layout for Deck 2
_ _____, �
- BasePoint�
�
The Home Depot #2802, 5650 MAIN ST, NE, FRIDLEY, MN 55432, (763) 571-9600
Mon Oc� 16 13:18:08 2000
File saved as: f:\dn\decks\A1606A61.DEK
Construction Specifications
Deck 1:
Construction Method = Beam on Top of Post
Footing Type = In-Ground
Live Load = 60
Dead Load = 10
Decking Spacing = 0.125 in
Joist Spacing = 16 in
Beam Spacing = 132 in
Post Spacing = 74.375 in
Decking = 5/4X6 .40 Treated Southern Pine No. 2
Bea s= 2X1 .40 Treat'�outTiern�ine No. 2
oists = 2X10�0 TrQ��Pd So hern Pine No. 2
Posts =�60 Treated Southern Pine No. 2
Deck Heig�if = in
Diagonal Bracing = No
Deck Skirt = No
Joist Overhang = 12 in
Beam Overhang = 12 in
Decking Deflection Factor = 360
Joist Deflection Factor = 360
Beam Deflection Factor = 360
Pref Deck�in Size =
_�efi� ista-.`�SiZe = �xi�3 �` � k (� k����
l�re eam Size = 2x12
'pref Post Size = 6x6
Railing 2: ' //�
R�ailin�. H.e.i_ hc�t = 42 i �(�i �CfJ �. ,[�
a u�er Spacin�=�ia----_..__�___�_._.__..__.___._. � �%�/ � /J���S'��� ��"//V j('
Post Spacing = 96 in ��,�
Railing 1:
Railing Height = 42 in
Baluster Spacing = 3.75 in
Post Spacing = 96 in
Railing 7:
Railing Height = 42 in
Baluster Spacing = 3.75 in
Post Spacing = 96 in
Railing 6:
Railing Height = 42 in
Baluster Spacing = 3.75 in
Post Spacing = 96 in
Railing 3:
Railing Height = 42 in
Baluster Spacing = 3.75 in
Post Spacing = 96 in
The Home Depot #2802, 5650 MAIN ST, NE, FRIDLEY, NII�T 55432, (763
Mon Oct 16 13:17:46 2000
File saved as: f:\dn\decks�A16OBABI.DEK
Deck Dimensions for Deck 1
M
�
Joist Spacing = 16 in. o.c.
Railpost Spacing = 96 in. o.c., Baluster Spacing = 3 in., Toe Spacing = 3 in., Railing Height =
The Home Depot #2802, 5650 MAIN ST, NE,
Mon Oct 16 13:17:46 2000
File saved as: f:\dn�decks�A160BAB1.DEK
Post Layout for Deck 1
13'
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FRIDLEY, MN 55432, (763
�
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The Home Depot #2802, 5650 MAIN ST, NE, FRIDLEY, NIl�T 55432, (763
Mon Oct 16 13:17:46 2000
File saved as: f:�dn�decks�A160BAB1.DEK
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THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
[:nMM(�N VFNT� V NT .nNNFCTnR AND CnMBIISTiC)N AIR VERIFICATION
When � la _in� an exis+in� furance, the undersigned hereby verifies that the
venting has been examined and is free from nast, deterioration, obstructions,
and is securely supported and firestopped where required. Yes ( 1 No O
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes ( I No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The pY�� � a comh�,�t�on �ir is sized and installed to meet the current codes
and manufacturers specifications.
Wh@n f@qUI�Ed t0 inc all a n-w _omh �ction air�it will be sized and installed
to meet the current codes and manufacture�s specifications.
Whg� jpS�jjjDa a new ventin� cvc _m, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
speaflcations. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
Yes ( ) No ( )
Yes ( ) No ( )
Yes t ) No ( )
YesONoO
Yes ( ) No ( )
! � • . � " • ' . � • ' • 11 11 • � ' � . � � ' � • � � ' N • � • � 11 � • �
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
- _—'�ofaTAp iances _ _ --- ----_ _--
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type __
� r � •► .- .:�
HEATING CO: �
Signed By: Date :