AF - 439286�
Ca.ty of Fridley, M;� � 1.� � 2
6431 Univereity Ave. 1�. E., Minneapolis, Minn. 55432
BUILDING PERMIT .
��: - Au�ust 24� 1972 788-8213
Leo �. Nelson
p�; $�� Hank Duevel Construction
�� 6065 Central Avenue N.E. Ad� 9307 5th Street N.E.
LOCATION OF BUILDING
�o� 6065 s�t Central Avenue N.E. � p� of Lot
yoi $ Slock 2 Addition or Sub-Division Moore Lake Hi11s
Cflrner Lot T�ide Lot X Setback Sideyard
$evper Eleval3an Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as:
Garage �ont 28' �p� 22' H��.� 10' sq. � 616 �� 6,160
Front Depth Hei�ht � Sq. Ft Cu. Fi.
►j+ype pf CpngtruCtqpn Fram _ l�. Stn __o �qt, Cps� .��Fi00.00 To be Completed OCt. 15� 1972
.
(2,790.48)
Sideyards approxima.tely double requirements, no survey aeeded.
Stipulation: Rau►ove window and in8ta11 one hour fire door.
In consideration of the issuance to me of a perxnit to construct the building described above, I agree tq do
�he proposed work in accordance with the destxipiaTon above set forth and compli with all. provis�tons oE
prdibances oP the dty of Fridleq. �
��,3s)
In consideration of the payment of a fee of $��.�_, permit is hereby granted to Leo E. Nels on
to construct the buildfng or addition as described above. This permit is granted upan
the express condition tha.t the person to whom it is granted and his agents, employees and worlunen, in all work
done in, around aad upon said building, or any part thereof, shall conform in all respects•to the ordinance� oi
Ir`ricaey, Minnesota. regarding location, construction, alterati.on, maintenance, repair and moving of built7ingB
��� city limits and this permit may be revoked at any time upon violation of any of the proviaions of said
NOTICE: �
This permft does eot cover the construetfon, installaHon for wlrGng, plumbing, gas heatimg, sewer or �erater. Be wro to �a
t6s Building Inspeeto� for aepa�ate peemits for these items.
AP.P�ICATIO� �OR RESIDENTIA�, A�T�RATION,
OR Allll�TiON BUILD�NG P��MIT
CITY OF FRIDLEY, MINN�SOTA
ow�t � s � � �� � /c %Y� /-lo Gi BUILDER: /�%r � k ,l7 �r e v� / � �s7:
. . ,.,�. _
anDx�ss : � O (.� �°�h l`v�/ �1�� N/� an�ss : % � 0 7 — � � .1'y; /Y. � ,
�or, ��� � s�E�: �ey7�4/ /�v� �Y�
I,0'r : O BLOCK • � ADDITYON t�o o/- c� �q � e��i ��� 5���,
CORNER LOT: INSIDE LOT: /\ SETBACR: SIDEXA,Rpt�
Applicaat attach to thia form 1t�o Certificates of Survey of Lot and pro����d
building location drawn an these Certificates.
HESCRIPTION OF BUILDING
�
To �e Used As : . � j�
C � G' �t �, Front : �� � De th • °�o? / Height :r�f�P�,,� � d i t�� /�
� „ , „ _ ff�P ��� .
Square Feet: Cubic Feet: -`' '
, ,.,.,, �
�! � �
' Front: Depth• Height:
Square Feet; Cubic Feet:
'.L�rpe qf Conatruction: ��a�ee ���Ceo Estimated Coet: 3� Q� �G
�o �e Campleted: � C'� �� � � — �% � °7 � �� �°�
The undereigned hereby malces applicativn for a pes�p�it for t�e .wc�xl� �i�i�+��
�pec�f�ed, agreeis�g to do all work in attict accordaaca witt� the C��i A�
�7��,d�.ey► Osdinaaces and sulis�ge of the Department of Buildings, aad be�r�bT
de��la7�ee that all the facte aad representationa stated in tbie ap��i�����
a�� tzve and correct.
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__ _
(�ee Reverse Side For Additioaal Iaformation.)
. �� � �.����
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$UILDING PER�IIT FEE SCHEDULE
aEC1'ION 2. The Tnspector of Buildings shall, before issuiag penai.t$ fox the
exection of any building or structure, or for auy addition to any existi.n$
buildiag or structure, or for any alteration or repairs to any ex�stiag
bu3,ldin$ or structure, upon application therefore, require the payme�t by �h�
appl�.caat for such permit of fees to the amouat herein below set foxth axid �
the manaer herein prwided to-wit:
UNIFORM BUILDING CODE: �pe 1, 2& 4-$2.15 for each one thousand cubi,c
���t, ox fraction thereof, in such cubical contents. 1j►pe 3� 5-$]..�5 �or
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for buildiag pe=mite, the cubical contents
of aay buildiug or additioa, is determined by �ultiplying the graund area
covered fsom a point aix (6) inches below the floor line of the baseaient
o= the cellar to the average heights of the upper aurface or to the average�
height of the roof surface of the main gable of a pitched roof.
�or repairs or alterations to an existing structure, the fee shall be at the
sate of $3.00 per each five hundred dollars ($500.00) or fractioa thereof in
the cost of all proposed work.
Ia ao case shall the fee charged for any pesmit as set forth in SectiA� � b�
less than $5.00.
VERIFICATION OF FOUNDATION
�pT�; Permits for eonatructtoa will be isaued a mini�um of 24 hours frolp Ctc�
�ime of application, to allow for proper review of the proposed structure and
of the conatruction eite.
�i Ce7ctified Survey of the lot, ehowiag the location of the foundat�0�u�, VRA� �C
haa been coastructed, will be required befo�e proceedinA with the f�camingf
CERTIFICATE OF OCCUPANCY
Applicatioa for a Certificate.of Occupancy ehall be made ten (10) days px�.�7C
�c� the use or occupancy of any structure for which a buildiag pernit has ���
isaued; and eaid structure ehall not be uaed or occupied until a Certific,aC�
o� Occupancy has beea iseued.
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6
CHIM�dEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1. Has been carefully examined Yes (�)
2. Is free from rust or deterioration Yes O
3. Has no foreign objects lodged within Yes ()
4. Is securely supported Yes ()
5. Meets all current Code requirements for size and
total BTU Gonnected
6. Has Total hea ting BTU's of
All other BTU's
TOTAL
Rema rk s
No ( )
No ( )
No ( )
No ( )
Yes ( ) No ( )
Com pa ny
Signed By
Da te
CI�Y 0� FRirn.e�
APPLICA710(V FOR HEATING REPLACEMENT
CHIf4NEY A��D STACOC VERIFICATION
THYS FORt� MUST ACCOr;PNJY ST�t�D4RD APPLICATIOf� FOR IIEATI��G PERMIT FO�Pt.
LOCATION � S �%�l�-����/a°� �� DATE � `Z 7 �'�` �
OWNER I Z��- lZ iL. ��1�' S� l-� ADDRESS S�fZ �
The undersigned hereby verifies thst the existing chimney or stack:
1. Has been carefully examined �
• �
2. Ys free from rust or deterioration
3. flo foreion objects are lodoed Nithin �
4. Ttat it is securely supported � .
5. That tt n:eets all current Code requirements
for size and total BTU connected �
6. Total H:ating BTU G� G� `�
All Other BTU �l' �G �'
TOTAL �� , � � �'
RENIARKS
s
SIGNED �,ea�°�. ��
� licensee
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�
Addres s �S i%CE+�/��� ,�� �
Tel ephone _ � ,�� -° f �'� �'
HEATItiG PERHIT 9
Fzidley CiCy License
�
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STATE OF MINNESOTA DEPARTMENT OF HEALTH
�� � � 5 �, �� �'�, � ABANDONED IiELL RECORD ��
1. IOCATIOM OF YELL MINNESOTA UNIQIIE WELL N0.
(leave Dlank if not known)
County Ra� ANOKA �"�
To�+nshlp Name Tawnshlp Number Range Number Seetlon No. Fractlon 4. WELL DEPTH (completed) Oate seeled
FRIDLEY � O" E h'' °f k ,
30 5' 23 wr 24 NENENW 150 rt. JiA�i _ 17 � 199
Numerical Street Address and City of Yell Loeatton or Otstance from Road 5. ORILLING NETH00 (if known)
Intersectton 1�Cable tooi 4� Reverse 7[] OMven la] Oug
6 0 6 5 CLNTRAL AVSNUE N. L. 3p tto� tow aod 50 A1 r e� eored ��p
I IICa�t 3� Ratary 60 detted 90 Prnrer Auger
Show exact lacallon of re11 •
(in seetion grid rith 'X') 7� Sketch mep of well laeation ��
N ' �3 � 6. OBSTRULTIONS
�1� Yell obstrutted Q Yea No
_ �__ ,_,_� S Obstructions �oved res � No If obstructions cannot be
' ' � � removed. eontact MDH
M _ : _ ' ' � _ � before sealinq.
-�----I-- E ���o�
, , � , T 2 �. use
- ' ' � ' � ' ' � �y ,,,�. W 1�Domestie 4a Monitortng 8� Heat Loop
' 11
. ..� _ _�_ _ � _.:.. I 2L] lrrigatlon 5� Publie � Industry
' S' 1 �J � 3� Test Yell 6❑ lkmielpal 1� Co�erctai
�� 1,.;,�_� � 7[jA/� CondtNoMng 1][j
2. PROPERTY OWNER'S NAlIE Mailing Address if diffe�ent than 8. CASING(S). �
ROGER Droperty address indicated a0ove l�Blaek �'Throaded 1[]
6065 CENTRAG AVE. N.E. z]]���. S�Yalded �
HANSON FRIDLI3Y� 1b.Y. 55432 30 Plast/c � statn�ess stee�
xaaexess oF 4 tn. to 130 tt.
3. FOIiNATIOH LOG COLOB FORMATTOM FRaM 70
If not known, indieate formation tog from ner eell o� nearby well. in, to ft.
MUCK LAC 0 15 9• SCEN
❑ Sereaned rsll from ft. to ft.
(If known)
CLAY ED i5 30 �o�n ►ioia t�-30 rt, to150 tt.
SANDY CLAY RO 3 0 1 1 5 io. STATIC YATER LEVEL .
SAND RO 115 130 85 tt.�be�or ❑ etio�e a�s���3
land su aca Date Measured
CLAY- LAC 130 142
11. YELLHEAD COMPLETIOII
10 Pltleaa Adapte� � Fpund Bnried
?�Basement offset 50
3� Hell P1t
16. REWlRKS, ELEYATION. SOURCE OF CATA - CASIN65 REMOVED, CASTNGS PERFORATED, ETC.
12. GROIJTIN6 INFORMpTION
GSOLOGY WAS TAKLN FROM THE WSLL AT : �Meat Cement 2p eentontte 9 BAGS
N.E. MOORE LAKE � W. Of OLD CENTRAL AVE Grout materi�iORTLAND ��URFyt: cu, yds
NEAT GROUT
WATER LEVEL IN THE ABOVS WSLL: NA --
13. NEAREST SaURCES OF CONTAMEHATION
165teet L atrection a::: se� ra:� tyPe
Yell dlsinfected beforo seeling7 � Yes
� 14. PUMP �Removed � Not Present
Type: 1[1 Submeniple 3� l.S. Turbine � Reciprocating
• �Jet � Cent�ifugal b[j
15. EXISTIN6 WELlS (Plaasa sketch loeaLlo�n of abandoned and
��H �� � aetiva vro11s 1n remerks seetlon or on back.)
� Other unused w�tl(s) on prope�ty? � Yes No
-' Abandoned: [] Permanent � Temporary � �seeled
17. VATER MELL COKiRACTORS CERTIFICATI019
, This aell was sealed under my jurisdietlon and this report
1s true to the bast of my knowiedge and 6e11ef.
. RENNER � SONS INC. 7101
According to N State Regulations . l��g� ��� ST. N.�:�Se N�.
aaa� I .55330 427-610
, Signed e 6-1 8— 9
�� � oate fi-16-9
FFIC1Al ABAt70pNED YELL RECOitO (llay be used for 7roparty Transfer) Neme o Hll�r
zwaaRan�rr: FZLS XITH D�D MATT/KEVIN HOP�E
_
CITYOF
FRlDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
July 25, 1991
Mr. Paul & Ms. Lori Stine
6068 Woody Lane NE
Fridley, MN 55432
�,�� i�� L
Re: Address Change for 6068 Woody Lane and 6065� Lane
Dear Mr. & Ms. Stine:
Thank you for your letter dated June 29, 1991, with reference to
two address changes; yours from 6068 Woody Lane to 6065 Central
Avenue and your neighbor from 6065 Central Avenue to 6067 Central
Avenue.
6Ve agree that the changes would be better for all parties, however
we can not institute such a change until we receive a letter from
the owner of 6065 Central Avenue asking for a change in their
address.
We will wait until we are notified by 6065 Central Avenue as to the
date of the requested change.
Please feel free to contact me at 571-3450 if you have any
questions on this matter.
Sincerely,
.
D L G. CLARK
Chief Building Official
DGC/1nh
CC: Mr. Roger Hanson, 6065 Central Avenue NE
m
."
_
UIYQF
FRI DLEY
FRIDLEY MUNICFPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 •(612) 571-3450 • FAX (6l2) 571-1287
March 20, 1992
Mr. Roger Hanson
6065 Central Avenue NE
Fridley, MN 55432
Re: Address Change in the City of Fridley Effective April 15, 1992
Dear Mr. Hanson:
We are changing the address of your home from 6065 Central Avenue
NE to 6067 Central Avenue NE effective April 15, 1992 which is the
day after your sale closes. This change will allow the dwelling to
the south of 6065 Central to have an address off from Central
Avenue.
The City has notified the companies and departments listed on the
enclosed letter.
If you have any questions, please call me at 572-3602.
Sincerely,
�
,) �
, p
_�- �, 1 ,`
DARREL G. CLARK
Chief Building Official
DGC/mh
ENC: 1
, ' �
_
d •
CITYOF
FRlDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(6l2) 571-3450 • FAX (612) 571-1287
March 20, 1992
Maurice & Diane McInerny
3416 4Qth Ave S
Minneapolis, MN 55406
Re: Address Change in the City of Fridley Effective April 15, 1992
Dear Maurice & Diane McInerny: _
We are changing the address of the home you are proposing to buy
from 6065 Central Avenue NE to 6067 Central Avenue NE. This change
will allow the dwelling to the south of 6065 Central to have an
address off from Central Avenue.
The City has notified the companies and d�partments listed on the
enclosed letter.
If you have any questions, please call me at 572-3602.
Sincerely,
4� � ✓� �,;
�
D L G. CLARK
Chief Building Official
DGC/mh
ENC: 1
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NOIld�1�1213A ?11H NOIlSff8W0� �Nt/ 2101�3NN0� N3A lId3A NOWWO�
Building
Inspections
7. 63-572-3404
DATE � �
SI'i'E AD
TH1S APPLICANT IS:
PROPERTY
OWNER�
TENANT
CONTRACTOR
SL7gMIT A COPY OF
YOURSTATE
LICENSE WITfi
APPLICATION
PERMIT TYPE
�rYrE o� woRx:
.r_
MECHANICA p _
IAL APPLI ���
RE5IDENT
CITY OF FRIDLEY
YOUR E-MAIL
■ . �•
Pernut No.:
. .,��t���- . :
�, - �- .
COMPANY NAME.—
CANTAGT PERSON:
STATE UCENSE � DATE �Q. U L01� )__STA'fE��rLIP
ADDRESS. ,S �l� S CITY�
PHONE ` Z FAX °—' �S ccvv���
�INGLE FAMILY ❑ 7'WD FAMILY ❑ TOWNHOUSE
o �w �i.a,c� ❑ aJ-,�u►nowx�onn,
DETAII,ED DESCRII''TION OF WORK
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost np to 5500.00, whichever is greater, f�r the
improvement, installation or replacsment of a residential fixture, excluding the fixtwes. (T1iis should reflect onty the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor
x.05°
FOR PROJECTS Wf�RE 1d1BOR EXCEEDS $500, FEES ARE BASED ON $10.Q0 PIIt FI?CTURE, EXCEPT WI�RE NOTED. FDCTIJRES: iII�IDICATE TOTAL
TIUMBE1t OF EACH BELOWj MODEL: SIZEBTU _
EquiPment IrsstaUed . MFG: ,__� SIZFJB'N -
MFG: �_ MODEL: SIZEIBTU
MFG: MODEL:
FIREPLP.CE (GAS) $15.00 GA5 RANGFJOVEN 510.00
A/C 525.00 —��pLpCE (WOOD) $35.00 IJEW GAS GRILL $10.00
AIR TO AIR EXCHANGEER S 15 —.F�ACE $35.00 GAS [JNIT HTR $10.00
BQII.ER $35.d0 _GAS DRYER $10.00 POOL HEATER $35.00
�����II�9�EY L1NER $10.00 GAS PIPING 510.00 VEi�TTII,ATOR 515.00
DUG7 WORK $10.00 -- __ � _..� . �' • _ _ .:_�
� •�.��. • :�.: >� �
, • _.,. >.. . . . .
Pernut Fee ��•�� Numher of fixtures @$10.00 x$10.00 =
Surcharge $ .SO Number of 5xinres @ $15.00 x $15.00 = $
TOTAL DUE $��U Number of fixtures @$Z5.00 x�25.00 =$
� Number of fixtures @ $35.00 x $35.00 = $
State Surchazge = $ .50
Total = $
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTII- PROCESSED
I hereby apply for a building permit and I acknowledge thaz 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 1vlinr►esota �Constniction 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 wh'ch requ' es review and appro��al of plans. n /� �
�-v� _ 1� _� �.. _ � vvn.rriae� 1 `�I �C `�2�' ��DATE�� d
SIGNA'NRE OF APPLiCANT
City of Fridley
Building Inspections Department .
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FaX• 7��-502-4977
��-
RE,Q�JiRED INFORM/�,TION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC �
❑ NEW HOMES/ADDi�IONS ❑ EXISTING HOME ❑ M�E-UP �R
REQUIRED FOR I�EWlEX1STING HOMES
1, Coinbustion Air (See note below) •
a. Oil or solid fuel ]MC Chapter 7 with MN ���ents
b. Na�.vral Gas or Propanef�'GC Chapter 3 with MN Amendments •
2. Mak�up Air (See note below)
a. IMC Chapter 5 with MN Amen.dments
3. Venting
a. Ga.s appliancss 1FGC Chapter S with MN Amendm.ents
b. Fuel other tban gas Il�lC Chapter 8 with MN Amendm.ents
REQUtRED FOR NEW HOMES
4. Heat loss & coolin.g load per room
a. Required on new consttaction IMC 1346.0312
5. Ventilation . �
a. per MN F.�aergy Code 7670 or 7672
6. Duct Desiga Per IMC 1346:0603.2
a. ACCA Manual D
rTQTE: Centerpoint Energ� Mechanica.l Code Guidelines software may be u�ed �or
comb.ustion and make up airr calculations