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AF - 44786--------------------------------------------------------------- 7- �p-7Z # �� r' e �, 4 C� �'Y OF FRIDLEY �� - _ 4 0 0 Application for Installa,tion of Water and Sewer Service This form to be completed before a tap is made to any existing water or sewer line. / Lot -----�� ---------- Block --�-�-----�------------- Addition .�..�$�!4-----C�l�/CS-----�Q,dN �pCa.�-f------....��.�:�'.f.%✓Y%/�.....-�L.2��:.% _.....�`.�.�--------.._...-- Address _..._ .. � � Owner �-�-----...��.r��-�.�'f�'��;°d` �;�,r�w�`!- �.'a, ..--------�--...-�------.. Plumber ...__��,2��...----��J!.�:.�.........�..... (this portion of form to be completed by person requesting tap) CHARGES TO BE PAID BEFORE TAP IS MADE — WHERE ASSESSMENT HAS NOT BEEN LEVIED AGAINST PROPER,TY Sewer Water Connection fee .....................�-........_...---�-�-�--._..$20.00 *Street patch ....._.......--��---....-------•-•---......-�--�---....... 6.00 $26.00 Connection fee ....................--�- - -��---................._ -$10.00 Meterdeposit ....._ ...........................�---......---�-�--.... 25.00 Materials used .- �-�---........----•• ............................ 55.00 *Street patch .--•�--�--.........--�---........_ .......................... 6.00 $96.00 * Where applicable The above applies far all regular residential size services J � ' 7 �"` -i--- IF LATERAL ASSESSMENTS HAVE BEEN LEVIED AGAINST THE PROPERTY, THERE WILL BE NO CHARGES OTHER THAN CONNECTION PERMITS AND METER DEPOSIT The City will furnish materials for water service and the plumber will bill the City for sewer, not to exceed $3.00 a foot or a maximum of $60.00. ASSESSMENTS TO BE LEVIED Water Lateral $ ._� ..... ................_........ Credit for material --------...---------.._,-.----..... Total assessment $...� ....................................... Sewer Lateral $....t ......... ..............•-----� -... Credit for material 60.00 Total assessment $ .............�---......-.....----�---...... Clerk's signature s..� �� ..-, �-----......��:x--...-�--- ............... I hereby authorize the above tap lst copy—Public Works Director of Public Works �� :� �� '��. �� Ai 7i-SE T9P OP THE TY!IE�'� , ( ��-, , � � . � j �,+-""--� CO�r�tU4iTY D��'�Lth'�[S�T .n.l�<. � � � rR6i �CTtV� t+d9�.'CTItSO C�'�Y. �` � �•""6 i CtTY !�4diLL F#'.'IG:7}Y $�fi.3w &.....�,.� �.J �'•�°&t�0'3ei69 Job Adc'ress � „ /' � ContX3�tDr -� !�� a �1I1C1 p�= ' 1tl�lllo Gornp�etion �ate � i � G: � �u � C a � �u . O � .-; i� i C, i C i� i A' ��i .: t, � z) I��`��I � J � � `�:, , , R —__ �___ ,, � � � v. <�� 3 � � � a�n;c�a� �� --� sv�j � ± •,�� I � sd��, i �� --- - •X�� I 'D5lW� 'sao,� � � 'n�N�ra� i s�,�.�e�--� 1 N2n.Y7� � � SNlN`3Ct � � � L'Obl�� saarnoHg�� •tNnoj� ' � � ; ?IldIL�J) � SAVL'1� `I � sx��is SH�sdai� santf HiY6� s�rnttan �' � �\I 51356'77 I + � t931VM'O� I � u - -- � �-- � � ��, ��,: �, o :: "" �- �1 C� � ,.�', c� � ... co v� :� � � - �s ��,. � v� , G � � � '� � I �, � �� '�: �=, 'J c� I � � n C) r:. �� V II � a� � �� v z�. O U �J�dLG� Per.mit PIv. �'1_��';��i;`�G P�f��iIT ,�?F'PLICf,TIJid !t�'L`.�iteFS;.� . Rr'd. pA7E PACE _( n�Z_,n, �,_r,1. g�'� 0 ?.�5 1� 1 �� Ad ress A TeSS �� G U f�/_��T � Cp� i 1 . Use � stimatec. ost 1 j 800 P one P one G . �T�P�' �'�-i° P lumh i.r,� �'iic t.ca � e Ra te s; N0 . �tATE TO'TAL Number Fi�i:ures � x $2.00 �� a. � Futu.r_c: Fi:�tures _�_ x $1.50 w�� r3ew TiYture�Oxd Open. � x $1.50 Catch Ba,:,i.n x $3.25 � Water Heater-99,000 BTU � x$3.00 3-� Ground P.u�1 o�a $�.a�. X $3.2s Elec. tJa� er H�a.ter x$Z.00 ('�S �+I.tt111 ; i'eF„'S ; Ist 3 Fixtures � x$2.00 0?.� .A.dciitional Fixtur�s _ x $ ,75 Gas r,�±nge-199,000 B'T�J __ �= �5.00 Reflairs & Alterati_ons I See ' Descrip*ion: Code I State Surchax.-c,;c� .50 �oTaz. rEE $ o?a . r-� T1��z sinder.signed 1�ereby makes appTication for a permit ��or t;he -a�?_k hnrein specified, agreeing to do a11 �;orlc ir, strici �ccoxd;�i�ce with Lne Ci.t_y Ordiz�ances and rulin�� o:c i�he Dc�partmez�t of Buildingsy a�.1d hereby declare that � all i:he f.acL-s and represen;.atians stated in this �� pplicat�.or. a7-i:. truc: and correct. . . _ �___!� —_�._._� f + J"7.�?:i?� 3,� E' � ��liC ; .: a..� � . �� sue�ecr PERMIT NO. City of Fridley 4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � ECEIPT NO. COMMUNITY DEVELOPMENT DIV. d r � L � PROTECTIVE INSPECTION SEC. �� 1 i ' _�; ��; � CITY HALL FRIDLEY 55432 �NUMBER REV. . DATE PAGE OF APPROVED BY � --- •� 612-560-3450 7/16/73 910-F15 � � JOB ADDRESS 6011 Benj amin Street N. E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. H 1 Amber 01�CS SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mr. Robert Gillitzea 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Amber Construction Co Inc. 6070 Stinson Blv� 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING dwelling 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Construct House and Garage 24x37 house x garage 9 CHANGEOFUSEFROM TO . STIPULATIONS Front Setback 45' minimum Provide a verification survey Provide a hard surface d'r.ive TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC� frame 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 ABANDONED FOR A PERIOD OF 120 DAYS AT �i�iS S � OOO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1. STALCS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX WITDH WHETHERE PECOIF EDNHEREINIOR NOTOTHE GRANTIING OF AOPERMIDT l.H, 675. S% yi.39 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FE � Q SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCA� LAW REGULATING CON- �%S.00 STRUCT N OR THE PERFO ANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE �-i/� y�32%.39 , GN E OF CONTRACTOR OR A O I D AGENT DATEI � HEN PR E L ATE THIS IS YOUR PERMIT � ��SiGNATUREOF NERIIFOWNERBUILDERI ✓ ID� �" BL � �uAit � J BRUNSWICK�AVE. S. LOT SURVEYS COMPANY R�;"'°o HO AVESNCH LDEN VALLEY, MINN. LAND SURVEYORS BROOKLYN A1KFiK.��1N. '� MINN. REG. NO. 4741 MINN. RE¢.-i�tb. 6743 ) lE6I/'lLBED •IINDB1t LAWB OP 8TA?E OP YINNB�OTL LICENeED SY OBDI1tA1tCL OY CITY O! ][INNEAYOLIS '� J 5747 W. Broadway 533-9922 INVOICE NO. ``�g�$ — INDUSTRIAL — JUDICIAL Minneapolis, Min�esota 55428 F.B. NO. 11'�'3'��41 COMMERCIAL — TOPOGRAPHICAL � CITY LOTS — PLATTiNG �urbeporg QCertf�uate SCALE 1" = 3 Q �'�;�B�H �JNSTRUC:�ON COMPANY p Denotes Iron � � �� 7� _- � �" � �'� � �. � � � _r > .,�.._ �! � �.) .c. y _,. . _. . . _.� ' r 1 �� `` � �� 1f� ," �� n ; ' ___ _ ' /� .(`�i . A D �� Q (. � � � �Q�/ � � � . � �. _ _ _ .� � I - - ---- - ___ _ _ _–�-- ' �� _, '�,�.,. �. '� ,�" _...__ _._._ ,—_ � _ ___ -- ___ _ � ---- .- - �--------- --- - /�L�. /�- �� , � �� r' -5-f� /, i 4 #��a, 7�• S Il� �� J e _—, -y� r�� P.y� � ' a 0 � i t "� � --.�- �.. q � � � � Lot. ��, Block 1, AP��B�R QAKS and that part oi' Lot 1� F31ock 1, �10RREL'S �1�JIi'TUN iyinh North of a line drawn parallel ��ith and distant ']0.00 feet South, as measured �t right ar►gles, fro;n the [Vorth line of said Lot i$, Block 1� "+'fi3ER �)AK:�, accordi:�; to tr,e plats thereof on file and of record in t:,e �ffice c�f the Re�ister of Deeds in and for Anoka �ounty, Minnesota. o � ` �� We hereby oertify that this is a true and correct representetion of a auryey of the boundares of the above desr.ribed land and � the It�ation of all buildings and visible encroachments, if any, ` frorYt or on said land. /,�� / �� 1�% Signed j � � Surveyed by us this_,�.�.Si�y of ��C emher is,z� LOT SURVEYS COMPANY �.�' �� a- t'' c� v -�' „S$_ ...�d GJw S �c,v �� r' �d G.p7-� a� �i'.�, �y� ' t /D' �l/e o1= �%�, ��v � �'� ��Q � �'�� , � 8 �� $ 9��5,� ' �i -�. ,��s�,c S- S D ,3 ? --' _____ ---�.. �r��.�5 �-�2 d �_ 1 � '� � � � � �� 3 � � b _ _ .___ _�_� � 5�z, � ^/� T /,y� /�� / ' � V �" � �V a I � y ^G ✓ ! lG� / " �/V%!!iU/i% � �,�,� � � l�- � � � �i^/ O !l.% 1 / �' ,�, � F �' ��h� . . � T APPLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: ;�R �OdEv-�r �i�,��r ,.--.::y BUILDER:_ _ /%�''IS1E� �9i1r57 T/V C - ADDRESS • AUDRESS :�� T/.�/sa ��t � �= ' / C� � �v�' �7 � g o � �� --- ?' � N0 : . S TREET : �? -�� .. 6i�� LOT : � � BLOCK: � ADDiTION : }�,�,,,, fl,.� ��,,,� _ CORNER LOT: INSIDE LOT; � SET$ACK• 3� SIDEYARD; l� !/! � Applicant attach to this form �ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. �ESCRIPTION OF BUILDING To Be Used As; � Front t L I��th : 3% Height : °��1 �{' Square Feet:-__��-�"��"-�"�' ` Cubic Feet: Front: 2 L Depth: 2� Height• %'� Square Feet; ��f Cubic Feet t l� '4.� ;`-' :� Type of Construction; - Estimated Cost; $:Z ?� dct� �� / , -.� To Be Completed: U ' l`> /'4 7 � � , , . l � r , , '�� l . , The undersigned hereby makes applicativn for a permit for the work herein apecified�, agreeing to do all work in sttict accordance with the City of Fxidley prdinances and rulings of the Depar�ment of Buildings, and hereby declares that all the facts and representa�:�.ozcs stated in this application are true and correct. DATE: C � _ SIGNA��,.� �, �i (See R vexse Si.de Far Additional I�ormation.) r , 1f ' � ��' '� / � A � S � �� G� � � ,,} �1 �ti. .y�, ;�' � � �� >. � �, {..y� � � . ��.��. - -; � �. � `r , .v i � �' °� �� ' 1 � _,,.....- � � t4 ' �t_ �t "-`"'�'"°r P �� -# � ��°- k _� / .?n� a � � �;��; � �� / f ' c � `` ,,i%' ; .A. ,� . t� �� ;.`��. '�K�S ��f�..�i',�� / 9 k � •� �� apy � �� ,� :="�� ._.4 :r �3s.�°:'lk-�s � ;r�. �'��'�� s �l1f� �qn. �, i .� ,. j 1'iN � - }-� - < �? . _ ,�,.0 .. m e-b.'`; a s."mn., s.. s n:_ �, w s�r�� .s°.'�'.., `'�*4..t1!�'1'X ��llil►! 1#YR; �a�: `�°��1 �'�asace Sheti de Dvct '?;":':�°�, . . . . . g��.t� � ��plscement �4 ..�.� �.E� �— ;w'��HT[ � r?i4�ratio�s----��k;� � � �':^�,��.�� .�b`? �-_..... . <-;��i� � �'.3�ra2f�ns �,�t �So �c�� 4k: : . � _. .. a>a . . .s u.�' .�__ _--- - _---- :�'?�°��3. 1��.R�4 1iIlt '`�.arnace �hell d� �ri '�or% io 1:0,000 �°�°4J . .�P�.��S`�D ;— �wch add. 60�000 �TtJ . . . .. .. . . ... . . . . . . :;.� � R.eplu.�raneat ot Flirnace �.OD �t �eepsirs ae Alterations--up to �.i' 00.00 �.00 ; �cy�eirs & Alteratioos each add. =500.0� 3,0� j ;,;'�`�`.�sM or HO? WATEA sY3TE1[ ";., ^ssace Shetl dc Lines—to 400 �q. ft. �'.i}gi Steatn �1�.00 S------- �anace She�) &�.ine—to �40 sq. it. EDR Hot Water 1�.00 S-- Each add. �00 aq. tt, �DR Steem 9,tN1 �._ ______ �ach add. 3�0 sq. 1t. EDR Hot llpater 3.00 �._ OIL EIIRNER—to 3 gal. per hour �.Op � __ over 3 Qal. per hour—See !°eF Schedale �118 �QR1fER cup to 199.000 B"1'U) 6.00 ; over 199,000 BTtJ � Fe� �cl�sdul� G11S F2ITING FEEa: 110 RA1'E TOT11L lst 3 1�lxtures x= 2.00 =.____— Additional P9xturea x ,�6 = Gas Range to 199.00G s= 6.0� a — J1IR COIIDI'R011i110 F11It ilEA7'I3�0 �TSTE1t v��►�nwa svs�w ALTtAATIOlf3 � RHPAilIS ROiJ�iH �wu.1 �'��3 - �c� � 3�s !N Seh� � ?OT,i. tii `�� _: �r $ .5'?` 0 I�t. Ot BIIaq6. l�Q!PG� .R6�-e� � �/ �J J City o! lridley: V Ti;e aan��a a�-��rs �aea�aty rsa�ks�s app�ica4i� �e�� g�nnit i�* '�:_ ��rr� �a�>�� specii'sec�, �:�s�;;„� t� �rc �;� �v�v�k in strict ��c�a°��a� wn34s �:°e � ry �°��;:€:^.;;a attd 3ezli�� a�� RP�� 7��a�t�ers8 oi �esildin��, aa�ai h��y a3�.�'��..,a�� i�� $. ,.r.� �_�. amd re�resentations s4ate�i in tA�s applicataota ue gs�aa¢ aae& ��3. FYidley, Minn ___- C� � �—.�—, �, g�„� Owr�er _ �__ _�_ Kind of Huildin� .___ `� _ e—.— Use� 9� . __. _ — — i�'� _ � To be completed about ____.�_____._ � 1 Estimated Cost, s_.�� _---- -- O! N�w tuldin� P�rmiS Na. _ P�rmit No._ .�'�� . �rrrow or woar � i�!►TING ar POWLR te�m. Hot Wster, Warm .Ur—No 15rade Name g�y� f Capacity—_ Sq: �'t E.DA gTL)_��L�i��. HP To41 Connected I.wd��a.�-�� lUnd oi llie / BURNER — 1Yade Na� Siu � Capaciqr 3q. !t EDR BTU I�p (tlMARKf—OYtR} s c�U��ReqH A� �H��OC►�, DR1VF �� b. _ H� rhar �- �� sus�ecT PERMIT City of Fridley 19 4 4 5- AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � R IPT NO. � • COMMUNI7Y DEVELOPMENT DIV. ' j L � r � � PROTECTIVE INSPECTION SEC. ��9 Sr � 1 � � �.--- �; r'��1,,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV J\ 612-571-3450 910-F15 5/5/88 � � JOB ADDRESS 6011 Benjamin Strest N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION / part Of LOt �. � Bl . I. � SEE ATTACHED DESCR. 1$ �. A111�Px Oaks/ Worrel' s A(3C�iltlOri SHEET 2 PROPERTYOWNER MAILADORESS 21P PHONE Gillitzer 6011 Benjamin Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP pHONE LICENSE NO. Sather Co/Patio Village 7920 Powell Road, Ho kins, MN 55343 938-9213 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAI�ADDRESS ZIP PHONE IICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW �C7 ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Constxuct a 14� x 14' Three Season Porch Addition 9 CHANGE QF USE FROM TO STIPULATIONS �#�� '�5� See nota�ions on plan. • Before digging cali tocal ,uti;it�� TELEPHONE - ELECTR4C - GA� tt` REQUlRE� BY i.A � SEPARATE P�RMITS REQUIRED FOR WIRING, HEATi#VG, PLUMBING AiVi� ::.,��S. SEPARATE PERMITS ARE fiEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, Ofi IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PARKING i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $C��].00 S2.OS WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHE STATE OR LOCAL LAW REGUTATING CON- $SO. SO TRU TION O RM NCE OF CONSTRUCTION. PLAN CHECKFEE TOTAIFEE \ — ,S, (Q . �� $12.63 $65.18 S+ OFCOtiT ACTORORAUTt�ORIZEDAGENT IDATEI � , ,,\yyHEN PROPERLY Vg.r1�pATED THIS IS YOUR PE,MIT % � - � D . .�D��,� - - � � SiGNATUREOFOWNER�IFOWNERBUILDER� IDATEI DG INSP a� NEW [ ] ADDN. AI,TER. ] Construetion Address: Legal Description Owner Name & Address: Contraetor • �� Address: LIYING AREA: GARAGE AREA: DEC� AREA: OTHER: Corner Lot ( ] City of Fridley �J R-1 AND R-2 ` Building Permit Application � �i /�%/�? Effective 4/1/86 /�/� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel�. � Te1. # /•�f�- la/-� Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. / �/ X � <! ' I h ne c . ��Jo �-�- _ � rc-� i� `� ��. � z ��`�%1� �� ''`� �� U u Inside Lot [] Ft. Yd. Setback Side Yard Setbaek Type of Construction: F�r � � Approx. Completion Date: �'-f� Estimated Cost: $ /�'-'d� �ij e-� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: N°� �$ $ See Baek Page for Explanation DATE: -��' �O APPLICANT: Tel. # ��-�O7/3 CITY IISE ONLY Permit Fee $ � � � Plan Check $ � � � �� State Surcharge $ � L� 'S SAC Charge $ Park Fee � Sewer Main Charge $ TOTAL STIPULATIONS: $ �� r�.,� � , C� d �� _._10 � : � � Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $ ��Q per SAC Unit Fee Determined by Engineering � Agreement Necessary [ ] Not Necessary [ ] . . �/ 8 d , �Q or ,� 3 �4� � y...-�..-. sd �� GERALD T. COVNE 30C1 8RUN54��ICK AVE. S. GOLDE!� VALIEY,MiNN. MINN. REG. NO. 4741 INDUSTRIAL — JUDICIAL COMMERCIAI — TOPOGRAPHICAL CITY IOTS — PLATTING LOT SUdtVEVS COMPANY LAtiD Sl'R�'F.l'OK.� 1E42iTL1ED ONDES I.A�iE 02' i?�TE OT ][INIiS�O?A 2.ICE2isED SY OSDI1R4lICE O! CITl O! ][IIINE�YOLIB 6747 W. Broadway 533-9922 Minneepolis, Minnesoca 55428 �urbeporg �Certi�icate ��i9�R �ONSTRUC:IOh �.,�N.r'A�,'Y . �L. � � '�/ � V � � !� ..�� L � � �� l � « � � � � � L! _} 0 � � - _= _� �— , � ' , ', � ►. .s 4 � �� :, j � — -- � �- _ �,5 a-. _ � — �: \ 1 _. 'r- � 1 T� �_� ` �, ; 4 "' ---�C.i � . -� � ^ �1 RAYMOND A. PRASCk 6917 �DAHO AVE. N. BROOKLYN PARK, MINN. MINN. REG. NO. 6743 INVOICE NO, �� a F.B. NO. i1+i-4 ? scA� ,�� - 3 �, p Den�tes Iron � � � � .,.,- � 'o � � I > ., -� � ., . c -► -c �'_� � � . , � /��1 1 � :... ,� . � --- � - �� - !� ✓�- /6 - , .� �� /Y..�.. -----=�------ �,� � �'y � , t� "� • I------- —r------ - , _ � ;��-s�F #�'�J`i' � � � �\ 1 t � Lot 1$, Block 1, A?�•'�:,R OAKS and that part of Lot ?, Block 1, �lORP.E�' � ADDITION lyin�, Nor�h of a line drawn parallel with and distant "1�.':0 feet South� as neasured at right angles, from the Nort:� line of said Lot 'lg, Block 1, '��ER OaKS, accordi:� to tt-:e plats thereof on file and of record in trie of fice of the Register of �eeds in and for Anoka County� Minnesota. �eviseu te sho;� founda�i�n location r; "i,`?� W� henby Certify thst this is a true snd Correct reprosentation of a turvey of the boundsr�es of the sbove desc.ibed land snd the tocation of a11 buildings and visible encroachments, if any, from o� on said Isnd. Surveyed by us this��y of 1%E C eff.^ P r �g�� 1 / , /�/ /✓/ / � Signed l(�` Ir .r .ir �-� • r�.l3 J- �L. LOT SL'RVEYS COWIPANY w 0 � v lGIQ� ,� � / / .J r� ��iCH /��DITION �For 'Tl-IE GiLLITZE�i �iE51t7E1�lCE (�I1 �ENJ/aMl(� S►REET NE F�i1pLEY ��---- HE/�D�.P� iq'-0" � 3 FUU_ NCaTH D � ) LE HE1� EF�S �2� 2X12 - DOUG Fl�__ #Z , �_---� � � � L� . r � TF�'rED 2X �o W/,1oi5T � .'� � � W�NGEPig � � � �� c� � � 4 XG iF,�,TED (�STg = BE1�P1 � I� =0" *-CONCFiETE FOOTi�lC,S — 12� x 42" U/��E F1..l�iiED TO {8�' ___1 � � � � � � C.n 'o _' _,� � NI�� sue�ecT PER City of Fridley 2 0 4 6 8 AT THE TOP OF THE TWINS g � I L D I N C P E R M I T i � R . � �• COMMUNITY OEVELOPMENT DIV. , ; L -.--- � 3� � y9 r � � PROTECTIVE INSPECTION SEC. � � �"'1 � CITY HALL FHIOLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �""�' ,'' 612-571-3450 910-F15 �/�/90 � � 108 ADDRESS 6011 Benjamin Street N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 7-8 1 Amber O�CS SHEE? 2 PROPERTYOWNER, MAILADDRESS ZIP PHONE Robert Gillitzer 6011 Benjamin Street N.E. 574-0479 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUIl01NG Residential 7 C�ASS OF WORK ❑ NEW O ADDITION O ALTERATION �] REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Re�oaf Dwelling (20 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd la�ex but not 3rd� lhstall ridged �alvanized valleys. On aii new roofs or tear-offs and replacement roofs, State Gode requires that 2 laye;s af ?5 Ib, fe1t, mopped together, be instafled to � pc;nt 2� inches up from exterior wall line, or the use of other appr�v�d underlayment membrane. TVPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR Alii CONDITIONING. THIS PERMIT BECQMES NU�L AND VOID IF WORK OR CQNSTRUCTI�N ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE FiEAD AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WfLL BE COMPLIED $1 � OOO $. rJO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $2cj� OO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE• $25.50 SIGNATUREOFCON�PACTOAORAUTMOA�2EDAGENT �DnrEi WHEN PROPEfiLY V LIDATED HIS IS YOUR PERMIT w� SiGNATUREOFOWNERUFOWNERBU�LDERi �DATEI � BLOG �NSP —_ ��Q NEW [ ] Effective 1/1/90 ADDN [ ] R-1 AND R-2 ALTER [ ) Building Permit Application •. � _ • • :... .A Legal Desc.7iption: Ow�ner Nam�e & Ac�dress : Contractor: -., �s: � � 'I�e].. # .� '!f� !9 f/'�'�' Te1.. # Attach to this application, a Certificate of Survey of the lot, with the pro�OSed oonstruction drawn on it to scale. LIVII�IG AREA: L�x�gth GARA�E AREA: Ier�gth DDCR AREA: Iength OR�t: 9rC .; «• ., . � �• -.. � � ��, Width Height Width Height Width Hgt/Graund � Sq. F't. Sq. F't. Sq. Ft. Corner Iat [] Inside Int [] Ft. Yd Setback Side Yard Setbacks Type of Construction: ,� Estimated Cost: $ ��d . v� Approx. Coa�letion Date: �l.= , _ ?/� � _ s Proposed Driv�way Width If New Op�ning Is Desired: Ft. $ Width + 6' DATE: .� Perm.it Fee $ � . � State Surchan�e $ , $'� SAC C�azge $ Driveway E.scrow $ Park Fee $ sewer Main c�an�e $ . �• s�rz�n�,�oNS: �a�.�� CITY IISE �Y $ See Baa]c Page Tel• # Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Detexmined bY �9i�'�9 Agreeme.nt Necessary L� Not NeoessarY I 7 ,_ � .- /t�o v �� t /S�'.C� � 2S c�u CIIY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridiey, MN 55432 572-3604 RATE SCHEDULE Residentiai Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes G �� li� � TION FOR POWER PLANTS AND HEATING, COOUNG, VEtVTIIATION, �iA710N AND AIR CONDITIONING SYSTEMS AND DEVICES All �thers/Repairs & Alterations (LIST ON BACKj 1% of Value of Appliance or Wo�k Commercial/I ndustrial 1.25% of Value of Appliance or Work Rate TOTAL $ �o.00 $� $ 10.00 $ $10.00 $ $10.00 $ $ 25.00 $ $ $ State Surct�arge TOTAL FEk ,__ ---____. Effective On January 1; � ssa JOB ADDRESS '� �i I � r� n� f��-t- �(i The undersigned hereby mak�:s appiication for a permit forthe work herein specified agreeing to do all wark in strict accordance with the City Codes and rulings of the Building Divisiori, and hereby declares that all the facts and representations stated in this �;pplication are true and correct. �`� l�' -� �7 _ 1 � ,1998 � OWNER'�(�b� n �� t 1 � � '� �� - BUILDING USED AS�.�� '� .�-�'� Y-yL� ,�l � t Y`� � ESTIMATED COST _� q��. �j (� PERMIT N0. � �� DESCRIPTION UF FURNACE AND OR BURNER No. of Heating Units t;ircle One (Steam) (Hot Water) arm Air Trade Name'T�('�n o_ Size No. BTU�� (`�('�� HP EDR Fuel Total Connected Load $ .50 Burner Trade Name BTU � MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owne�: Size No. �P EDR HEATING COMPANY�� S ��-�- � � � � i Signed By , Tel No.�`� � �- �j ) !-�'+ V� ��Approved By Rouyh-In Date Final Date FILL OUT BACK SIDE FO STACK VER4FICAT{ON ON REPIACEMENT FURNACE sue�etT ERMIT N . C;ty of Fr�a�ey 3 0843 AT 7HE TOP OF THE TWINS g � i L D 1 N G P E R M I T r ; � REC O. � • COMMUNITY DEVEIOPMENT DIV. � ; V �� , ^ f � � PROTECTIVE INSPECTION SEC. � �( � � , C%1v � i•---�; �"' �'i CITY MALL FRIDLE� SSIJ2 NUMBfp AEV O�iE P�GE Of •�naOVED Br L 612-571-3450 91Q-F15 4/18/00 ! � 108 ADDRESS 6011 Benjamin Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED oesca. 18 1 Amber Oaks SHEET 2 PFOPEi;TY OWNER MAIL ADORESS Z�P PMONE Robert Gillitzer 6011 Benjamin Street NE 574-0479 3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO Deck and Door Co Inc 11632 Akron Ave E, Inver Grove H ts, NIN 55077 5457 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO. (651) 850-2515 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO 6 USE OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION O ALTERATION O REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Construct a 14' x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan . - WI�RNING SEPARqTE PERMITS Before digging cali for ali utility locations REQUIRED FOR; 454-0002 WIRING HEATING RE�l11RED �Y LAW PLUMBII�G ANQ SIG�YS TYP60FCONST. OCCUPANCYGNOUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTR�CAL, PLUMBING, HEATING, VENTI�ATING OR AIR CONOITIONING THIS PEAMIT BECOMES NULL ANO VOID If WORK OR CONSTqUCTION ZpNING SO. fT CU fT AUTHORI2ED IS NOT COMMENCED WITHIN 60 OAYS. OFi li CONSTRUC710N OR WORK IS SUSPENDED OR ABANOONEO FOFi A FER100 OF 120 DAVS AT ANV TIME AFTER WOfiK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING I HEREBV CEFT�FV THAT I MAVE READ AND E%AMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECi. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING 7HIS TYPE OF WORK WILL BE COMP�IEO �1,579 $.79 WITM WHETHER SPECIFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFiTY TO VIOLATE OR CANCEL TNE pEpMIT FEE SAC CNARGE Pf70VIS10NS OF ANY OTHEFi STATE OR IOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE Of CONSTRUCTION �S%.05 Fire SC �L.SH ' �i ' P�AN CHECK fEE TO A� FEE �� Lice e C $5 $64.42 S�GN4iUAE OF CON'AACTQF AU��Op�LE01GENi IDATE� ME PRO VALI D THIS IS V A MI� � I ` S�GNn7UAE O� OWaEQ�� OWrvER BW�OEfi� iD�TEi 8� G�ti5� � ��<<E i . NEW [] ADDN [] ALTER [ ] CITY OF FRIDLEY ) 572-3604 Bldg I s� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � ,%,/ y �� BUILDING PERMITAPPLICATION �4I a Construction Address: :� �� / / /�'/� �� fAr-� � �y s �'��.� �/p � �� Legal Description: Owner Name & Address: ��ai3if�i /i « ► ; ,,Z �C �o // /3��.T,�ari,,r Tel. # d/L -� � b y �� Contracto��i� l�t�: �� i�►.r✓r� .Vao �- i/�c MN UCENSE # v�f �) Address. //�.3 L.�s�i�� /� r.�, i�v�✓rxiz l-,�rv�g� l�� y��✓ v� d7� Tel. # 6iz -d� a-�-�Tiv �rzu,� Gri- �.��- � >y � lvr�i�) LIVING AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: OTHER: Length /� Wdth �� Hgt/Ground � Sq. Ft. �6 ,`�,�� 7� � Construction Type:_ Nru/ Estimated Cost: $ �3��v — Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _ � �� DATE: � y - �J APPLICANT: . �- �% Tel. # �� - �-v-/ y �i /� � /�/i=.�s�✓/�d�' % G i z- l �.. CITY USE ONLY - Call (763� 572-3604 for Permit Fees if mailing in application Permit Fee $�.�'% 6S` Fee Schedule on Reverse Side Fire Surcharge $ r- Sg .001 of Permit Valuation (1/10th°lo) State Surcharge $ • 7`� $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ � $1100 per SAC Unit $ �, dd $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULA710NS: � . O. G G�(Y J J O �V. 9 ,- �M] , .R� .�. ♦ ,. .� s k. x Y. w'1 M 1'7 :. N. � n. � � � lV. C�,l � .< � M. .✓. 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Broadway b339922 INVOICE NO. ��'" �� . s IINp11STR1AL — JUDICIAL � Minneapolis, Minnesota.65428 . p.8. NO. 14'3�41 � COMMERCIAI—TOPO(3RAPHlCAL . ••., 3O� ' "* "` � `� ` Ci1"Y LOTS �-- F�LATTING ' ' SCALE 1 �� .� . �urbeporg. �ertti�cate .;�, .. � . i� �AMHER CONSTRUCTION• COMPAIVY � O D�notes Iron ' f t: � t � �� k. � 1 �:� . . , ^ _ . i.._. .. I F�y . � �J ., I . l : � 1 // �,,� � {k3 .. , '. � ,: .. _ . _ . _.._.._._. `p3"'"`. • _ . _ _ _ _ ,s,m,- S _...�;�-. .. _ ., � � Y"' �' �� i"�.,��, � �� 3 . . � , w ,, ��r ��.� � ��. ` ' v kc`` ,. �• . _ , �+!; ,�„ , ., . , � : �: �" �s� . a� � ... ...:_ � . + : + y �- �� x,i �, �i _,�/� s ;- � � . � ' I . . A �O�a/f"'__A � . . .): � l.'.''` �' I ��- � ... `� .. �,� �. 7/ J�iJi� . . I . 1 �l�':� n - JW y` . . � .!. * � . . . ` � � - �/., ' � � 4 � �nr' { . .. ` i. � '` _ � � . i� � � . .. . . I � \� � O . . . . z � (�' �> , k� � .a�, ,' � � - , ., a p � � . _ _ • 1 . � .� . N C �`�` �`� � � �.: 0� � � 7, � � �4 � _ � � . . � "� # ;`� � " ' ;�..,,,; 0 9 �5 �. ,.�� ``� p � �� h -� , � � � • .� ' ' �� .�. w � � ,,.�+ , 1 ' tj � � �� • � > ' �, ,.�� . / ,....,:..... �s-- � -- , � F� . � '" 3 � � � � � y� ' -```�' �` � n � .�,� � y' , � �� ;�� - �ss. �6=��" ._ .� , �, � . + : . ,., ; .�.�.J. `� , ` �.1. s �� . ,�� .. . * , � , , ,� , , � � � � r � � `'' � � 5��5�` � � r �� . # i ;. tf'� Y . . . . � �% . • . w'ty {t' .k�.G� / •� � � . * � Z+.� �� k �a ,`°. .. . . .. %✓{ "(" $ h.. �'`� � , � , , �.� .. . ..� : . � , . ,�; F.:Lat � l$; ��Block..l, AMBER OAKS and that � part of I,ot 1, Block 1, WORREL' S •"': �u�ApDITT'ON lying Nqr.th af a line drawn para11e1 wit� and di.stant 70.00 �;feet South, as measured at right angles, from the North line, of said '°t `:Loti '1$�`'�Bloc:k" 1, AMBER OAKS, according to the plats thereof on fi�.e ; ar�d of- record in the office of the Register of Deeds in and for Anoka �. x� County�, Minnerota. . Z � �:��.v 'r:' �..Y. •.., .. ' � . � .. � Rev'ised to �show foundation locatian F�/7/7� �.� �� . . � .,�,ry 4 V� � �45.,� . . . ,. ' . . �•. � � .• � k r;� ��u�1py:�pertitY that tMs is s true s�d correct reprosentstio� . � `' cf �:wMy of.`�he. bounderie� ot th� above desaibed land end , ��r � �;� tt��loC�tiot� of �it buildings and Ki:lble encroachments, if any, ' � nQro o� �n ��d i.no. �:% .- � . / ,Q�� `' _ " :.' � , ,< , ' . Si�ned ' . 3uiv�ybby us;th�_��e�Y ��pc P h.r 19.22. LOT SURVEYS COMPANY t . " �� , . -- _ _ Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE { � � �i ` � YOUR E-MAIL ADDRESS SITE ADDRESS (�sO) l �gr��n; n S'�: /�� THIS APPLICANT IS: ❑ OWNER PROPERTY OWNER/ N�: TENANT pDDxESS: PHONE: CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: _i,__._ . _ . CITY Permit No.: Received By: Date Rec'd: ATE_ZIP N.�: = t� fi �r.�L - STATE LICENSE /�L °�i6S0 'i �(r b EXP DATE /�i.r� � f, oZ� C•C� (�� ADDRESS: fi iv �o M lYl'i"i c.¢��Icy �1=.+/> �l.i' CITY�' STATE,�iP J�f —�vc/ Y/NEW TWO FAMILY/NEW CONSTRUCTION FAX ❑ BASEMENT FWISH �OOF ❑ DECK O SIDING ❑ SWIIviMIN( ❑ NEW ❑ ADDITION u DESCRIBE WORK BEING DONE: (�:,,v- � c,� L<h.�� +f ¢.. — J� � SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES e2 � GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Afuminum ❑ Other _ WINDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED _ ❑ WINDOW3 ❑ DRAIN TILE ❑ OTf�R LENGTH WIDTH HEIGHT �IOUSE & GARAGE ❑ ATTACHED GAR.AGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER OF WIIVI BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site PlaniSurvey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES A.RE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: 7�%7 (USING THE 1997 U.B.0 FEE SCHEDULE) � TOTAL JOB VALUATION $..S�O(� •�` OCCUPANCY TYPE Permit Fee Plan Review • Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due i��. �r�� I• a lAl�tait' See Back Page for Fee Schedule b5% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1l10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acla�owledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and appro of plans. SIGNATUREOFAPPLICANT��-_'= `� � PRINTNAME �I i%�� l�t� _�i "T DATE�/��_