AF - 44026_ ,�-�---�—
r"'^� � � - ...
��i��1�1�N1�t ' �11� 1�IYi
Village of Fridley, Min.n. �� ���5
Date �1�.. �I.�. ���.� . .. .... .... .. .. .
Owner 1� �.�a...��! .�� ................. Builder ... ��..:°"..... ��'l�10�:�.......
Address .�� � . . 4�� . . . . . . . . . . . . . . . . . Address . . �.� �.�.�. . . . .
. . .o...........
LOCAT N OF BUILDING
No. .����. . .. . . . . ..� .. . . . . . . . . . . . . . Part of Lot . � . �� �. . ` .�� ���
Street . „ „
Lot . . . . . . . . . . . . . . . . Block . . . . � . . . . . . . . . Addition o r Sub-Division . . . . . . . . . . . . .
Corner Lot . . .� Inside Lot . . . . . . . .. . . . Setback . J �� . . . . . Sideyard . . . � , . . . . . .. . . . . . . . . . . .
DES�RIPTtON OF BUILDING
e Used as;
' � � 2�. �� �%
• • - Front . :.%. .. . Depth . �. . . Height .��!a�:'!': :�:, Sq. Ft. . •�t�.�. Cu. Ft. . . . . . . . .
• . Front . .l (�. . . Depth . �.� . . Height . I� Sq. Ft. .3�. Cu. Ft. . . . . . . . .
Type of Construction ���% �% �. Est. Cost . . %p�, .� ..��. . . . . . . . . To be Completed . . ��� o . . . .
� �.
Irl con�ider�tien of the i�suance to m� of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
tl�dingnces oi the village of Fridley.
/ °'
... ... ...�. . . .. . . ......
• �In censideration of the payment of a fee of $.� ,.,,, permit is hereby granted to ..�
• • • • • . . . . . . . . to canstxuct the building or ad dition as described above. This ermit fs � � � � � � � � � � �
P granted upon
the express condition th�t the person to whom it is granted and his agents, employees and worl�nen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesot� regarding loca.tion, construction, a,lte maintenance, repair and moving of buildings with-
in the village lunits and this permit may be revoked at �e upon ��/ I�� the provisions of said
ordinances.
� .-. . . . � . . .� :� �..:". .-.`.°�"� Bnflding Inspecior
NOTICE:
Thls permit does not cover the Const�uction, instailation or atteration for wiring, plumbing, gas heating,
� sewer or wate�. Be sure to see the Building Insp�tor for separate permits for these Ptems.
�
I1e
V
�
o,
�
��
�s
���
a
�. � �
c a �
� � �
�
� °
�` � a �
� � A
�
LL
� C
�
U
�
�
��
�
•e�
� �
� �
�w
O o
3e
O�
o �
H �a
�
��
a
�
�
�
��
�
�
0
�
� �� �I
��� �
���
e��
� � �
w +�+ �i � �
r� � °v (�)
��.� � tl�
�
CL U ,:Q �
� �N
Ri
q.�,� � .s:
aS��
���a
� �' " �°
II
��
���� �y
a a
`°,�� a
� � � � �
� °`�� �
��
,� � � .� �
�b�� ��
���� o
� ��,�
� � o �
ou
� a,
H� � �
��� o
F J
2 w
�
i �
�
� z
• Y.
SJNIN3d0
SV:)
3°JNVN
��
"IddV
sv�
�HSVn�
o�
stvis�e
FD1VJ
sNivaa
aoo-�
•sanws
•.wno�
'JINItIa
SAtlNl
HSlM
91N15
SNIS�l9
�ti.
HJ.Ve
s�vNian
�
t131tlM
�
�a
v
�
� �
v
��
�
�J
�
P�9
o �
� �
�
� �
m
��
� �
� �
O O
� �
� �
w
m
� w �
� b �
W � c�i c�n � • �r
�
�
�
°
�
�
�
�
E-oi
�
a
��
o �
d �
� z
��
O
1.1.1
�J
�
�
_
U
N')
I11
�
J
�
�
�
a
�
a
.�
�
�
� �
� `
E �
s� rs� �r �sr atr
1� t� N O N O N
[�
aj � 'N �-I M N M
pC C! k dC id 94
O ,�
z
: � ' � � '
: : � : o �
bA • � �
O
� , N �
� ' �g' �O
� � � b . � �
d � � � �i
� � � N '�
Y
� � � � x �
(' � � w � �
�zw�z��z
�
a
�
E
vs v� �
�lfJ �19 O
V} �
N N N
�
� : �
. o
: � O
O
O
O
. CN
� � �
� � 9��p
O �4
� M � �
����
�
�
�
�
�
0
�
�
�
� �
. V
. H
bQ �
C7 :
m :
w .
�a •
� ;
0
� �
0
��
�
� �
v� A
a
�
� ��'4 `
��.�1�.�:�
�
�
�.
�
a y
� � v
• ,d,
� �
� ; �
c a �
� � �
� o �
A � a
� '0 A a
LL `�
O c
� �
U �
�
��
�
� �
O. �
Q �
�
Oo
3b
o�
oa
a�
��
,n, N
�
z
� �
� �.�.
� r
_�%.
� p �
.� �
���
���
����
� � � o
� � .� �
� �.� �
�.
�
� � .�
a�.��
���o
����
� ��
��� �
� F��
0 0
�� �•�
� � �
� �
� a�
w�
� � .��a �
� ��bo�
� � ��
a ����
o �,
U m�c�
a �
� w
W
a
3 �
s z
• n.
S9NIN3d0
��
3'JNVtl
SV9
'IddV
sv�
113HSVM
o�
SNISVB
HJ1tlJ
srvivaa
aoo-�
•satiws
•�.rvno�
'�INIMO
SAVN.1.
HS1M
91NI5
SM�SdB
��
Htve
� I � I �� I
� � �
-���� �ryl
� � � � �
�
�' �' �� � o
e� � �
� � � �
�` �� ��
� _ �� a r�
� � J�p" I z
.�°'- . a 1
� � �
� � a
� � � ;�
\ � � � �
� �
�
a U°
� o �
� o `� � � z
� � �' .a
�
� E°-� w o
mg
� �"
� �
V
������ " ,.
�`���
.�■■■ • •
,�■■■ i •
���
': sivwian �
� �
N31.VM � e
m
s�a�o33 � ,a ,� x
W � N M �W • �F
N.L
..J
�
W
_
�
W
�
J
Q
�
a
�
O
�C
�
G
�
�
c�
�
Q
�
��
�
� �
H �
i'� U
�s- r�r rtr v� �s v�
� tt� N O N O N
pq � ri .-i r� c�i c+�
aC >C i4 >C >C i4
: � : ' p�q :
� ' tw ' o° �
: $o � o P4
f/� .� � �` ' . N 'tJ
� ' d O ' Y Q
�' � � �
� � a� o : � �
�� � � � �
� �
�! � � � � �
R+' � � ,s7 y
� � B � � B
zz�z�E�z
�
a
0 `� �
l�
.
��
o�
E�
� es� ee
� � � o
� N
� � �
�
x
: : �
' O
, � �
: r� o
N
ui �' �, .S
����
o�
t-r�i M ^.��'
����
�
�
�
�
�
�
0
:
�1
vs �
. �
. H
�
C�
.a
m :
� '
f/1 '
0
H '
� O
aE
4 �
� �
R
�
�
n
�
City of Fridley, M,�
BUILDING PERMIT
Da�; May 11, 1967
�r: Paul H. Parris Builder Same
6391 Central Ave. 1V. E. Same
,Adciress _ Addrese
�o
� �� C� �oZ
9234
LOCATION OF BUILDING
6391 Central Ave, N,E.
No. Street .._.. ..—... Part of Lot
� 15 �_ glock 2 _._._. Addition or Sub-Divisian .__Spring Va1�ey Addn.
Corner Lot � X Inside Lot Setback r._ Sideyard _
Sewer IIevatian � ...._ Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as: �i
Garage Front ��'' Depth 24' Height . 9� Sq. F't 480
Front Depth � �Teight Sq. Ft �
1�►pe of Construction Wood Frame �� �$2000.00 __ To be Completed
� �4320
C:u. F'k
October
In con�tderation of the isauance to me of a permit to construct the building describ2d above I agree to do
the proposed work in accordance with the description above aet forth and in compliance with a'll proviaions of
ordinancea of the dty oP Frfdley. �� ��� � ��
r..����
In conafderation of the payment of a fee of $ �• 00 , peranit is hereby graated to Pa'u1 �. Parris
to construct the building or addition as described above. Thispe rmit is grented upon
the expr�s condition that the person to whom it is graated and his agenta, employees and workmen, in all work
dane in, around and u�n said building, or any gart thereof, shall conform in all reapecta tfl the ordinances of
Fridley, B4inaesota regarding local3on, construct►on, alteration, maintenance, repair aad movYng of buildinga
within the dty limits and thia permit may be revoked at any time upon violation of aay of the provisiona oP eaid
ordinancea
CLARENCE BELISLE g��g �r
NOTICE:
Tlds psemb d�s net eovsr �hs �oedwcMee, tastaUaHoe }or wirine, plumbiee, ea heatiee, saw�r or wnsr. B� sun to ss�
fha Bntldta� Iespeetoe for �peraM parmtia fer f6� itfms.
,.
r
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESDTA
OWNER' S NAME ��,1� H�E,�t'j,� BUILDER ��;��
ADDRESS 639Z Gc��:l��'�?.J A4� ?;�.� ADDRESS ;�,�`T
LOCATION OF BUILDING
NO. C�9I STREET (;c�,'�►�;� ,��,�� dT��; PART OF LOT 7'�
LOT 25 BLOCK r ADDITION OR SUBDIVISION��.�z.,�Y ����
C4RNER LOT �` INSIDE LOT SETBACK SIDE-YARD '�`
SEWER ELEVATION TOP OF FOOTING ;��.��
Applicant attach to this form two certificates of survey of lot and proposed
building location drawn on these two certificates.
DESCIPTION OF BUILDING
To be Used as:
G��,g°'��� -- Front :�n ��,�� Depth ����., -,.� Seight_�F�,�.,.�
Sq. Ft. ��p Cu. Ft. �?�n
Front � Depth Height
Sq. Ft . Cu. Ft .
Type of Construction .; poc�1 Estimated Cost �t�ppCl ��G
To Be Completed 0�''GpTi��'
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Qrdinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
,,�� ,
DATE T`��.�+,�' II T��7 SIGNATURE �.---� _
(Schedule of Fee Casts can be found on the Reverse Side).
n;.�; "`
J �-
.� �-'
�
� - i'�'�� _ - -
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for the
erection of any building of structure, or for any addition to any existing
builda.ng;or structure, or for any alteration or repairs to any existing building
or structure, upon application therefore, require the payment �y the applicant
for such permit of fees to the amount herein below set forth and in the manner
herein provided to-wit: ,
Ur..iform Building Code: Type 1,2, & 4- $1.75 for each one thousand cubic feet, or
fraction thereof, in such cubical contents. Type 3& 5-$1.50 for each
one thousand cubic feet.
For the purpose of. computing fees �for building permits,.the cubical contents of
any building or addition to a uniform height throughout by multipluing the ground
area covered from a point six (6) inches below the floor line of the basement or
cellar to the average height of the upper surface or to the average height of the
roof surface of the main gable of a pitched roof.
Far repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof
in the cost of all proposed work.
In no case sha11 -the fee charged for any permit as set forth in Section 2 be
less tha�. $5.00.
NSSSD Conne,ction Charges based on location- Area 1 or 2.
' � �_
�.
�� F V
�
_ � � . . �
..�� �- ;. ��� , - -� �.�_
� / '/ �� _ � .�. � - _
. � � -
. « -
�. : ., _ _ _
� s _, ,
� , . ,:
' ` a+ . �' . _ 2 • '. .
# .
575 e � � � •• -
� ��/,� _ . u � . _ . _ _ - _ ,, � ; ._ _. ; ., . �
�� = = ��;�
��� �
� _ �� � `�_ . � �
- , ...
_ � �� � �� �
,
-
� �= - :
_ - � � � r
� � � �� � ' -
� � � ��: �" � �; � ,_
:��� � _- _ - �
,�� �" �,�� _ � ��� �`�,�� � _
: . = = _ - - -_ �r _ _ ; , - _
-_ �
_ �,.� �.=
_ _ _ - - - �_ _ ��
_ _ _ ;�` �
- �a - - �
� _ .
_ _ - $��� �
� � _ _ - �-� - �
_ - _ � " � ��""� -
� �� � � � �
�=
_ � ��'��
- - - - �.��� . �- _ --
- - _ � ��.;���`�.` -
_ � �, ,_ �� Y _
;, �� -` LL;� -
- - � � �� _
_ , _ : �. , , r
_ _ . ,.:�
__
*, . _ ... - - -
�.
,- - , .. . -. . _: ' .� . . . �'_ , ._ . : A ' � . _
' - _ ' , - _ ?s - . � -
�- . .. . , .._ . .._. . , -. . ^
;
� ' ' �':.. .. � ::: ?�. ... .. .�." . _ --
, _ .. � . . � . -
� .: . � � . . ': . ' '
_ . . � . .� �� . T".
: _
.. :e . e . .,. . �i ._ . .: -, t .' "".•d�.,y5sr
-�. �. ':- ':. '� � .:
f'`s
r -
,��~���'. - '
�.�/� i- ��R' .... .
i}��'
'r`c.+'uwx y�--��•.-�� � Z 'T ��
.. _- ...� . """iD4�
�'� ,
��� � .�
� -
y� >, u �: �
y u b � �+
p --� L
� V u o
a a � �
�t o �
u ►�
� o
• L G ra L
p y U b
y ..� a
s -o c
y o
B v � " ti
y C m d '
o a ta n �. ,
4 q m �
1.1 t �-I �
4 °o v a�. �
y,� U C d
O b d
- y m
y _�
� � P Y �
_ � w c
y ai ,.+ c
— � m C -� �
u �+
O � C �a v m
a"� p7q a�i v� .
�.d
� � a.. a�i ' tr
• � o o a G- �
0 3 y q
�O x .-� c c . �
d � � �
� ° � P+
�, O s� d �
� ,q L
a I3 p, e
O� m
C ~ Y Q a �=-I
a o
v �C Q, o tr
�-t L
� p ..C� a1 �
63 J+ C O fa
9 V
V �-1 v7 �.�1 ia C 'd
p t7 v m G+ C
e. � � y� O m 4
O ts L t O �
O C W.-t b tJ C a
� Ea,� y-.�i.�-r o
0
�O af O� v 7 4 �
4 f+ o'a ►� w 4;
17 Qa L�-f E+ m� c Z
' r-�j ' O U H• 0 4� �
• ♦.
q
= sr o
- o ..+
❑ L Q
� i O
rl
1.(�
�
1
�
�
N
�
r
� •
4-1 m
�
O
Z
N
�
�
A
0 4
0 0
Z 41
Y �
� _
.
N I
� C �
z �
l•J
M �V
Z
W �
z i
Z
� �i �I
V Q �
b 2
0
. Z � � � ; .
� _ E U �n N
►a
� - -
H w
O¢� �
4 � '
Z
I-/
O �
w E+ a
HW vf ►+
.-1 � a
U H Z -
u.t . � �
p� H a
Ey W O
r.a�o o �
� 3 ir
O d
vbcre�[ s2� �" 3
��,�-r3 .�S-�y{
.�
'jddX s� � ..ui
s
3' �[5 ¢H -I� v
oF�e::n;n�i R! ' �°,
cu�sYg � o
�� m �
pt {� U
1�a1Q 3ooI3 "eb
slanacjg rr�'i �
su�a�uno3 ,�� ,� c Q,
'bu��sQ � � Ti� � c ..�i
s.Cps,L qsQH h-J c, °
O 0
c
. s�i5 � - . o v
� O
_ v
� su�srQ • • m o
� � q� fr
tQc1L �3Qa ' ' C/ �
, , , x
� w
=I�Tsn. , ,� �
� � �
■�� .o() � �
T�LL
u a , v _; :
N ' :. , 4 � ""
• yJ (] O IS • �i : f`� n V. .
- � ' _ C _ _ __ _ _ '_ _- ._.
a
lJ7
Z
� N
C7
�
d_
. � � - _
n
m.
. . . _ � - �.{
� . H _.
- _ . �„�
. � � . .
W
_ � � a �.
V
Z
�
_ -I
� G'
� � $ ~ �
_ d � d
0. O
- 4.
0.' tr]
O w
w �+ y
N a
H > �
�
� � H
a. �
w 4 �
J
d
E"'
' F
f/1 Vf H N V► tA �/► V► fn
h o'1 0'►
�n Q
. �
�
y VY N A
W o 0 0 o t� o 0 0 0 0 0 0 0 0
F-. a a o o b o 0 o a • o 0 0 0 0
� e7 c'r ['H uY u7 �O ['r N �n Pf .-1 O �n c`�
Vl V► H Vi H H 4i V► N V1 H ri h Vs
� H
x-x x x x x x- x x x x x-
{� . .
� z° .
A .
_
U � .
4J• � .
� _• .
� C
-t1 0
� � �
4 ,- • �o g
� � a°
.-. ti1 p. . o o H � �
� E+ •� o� -�i o m ..�i a� Z
� � +Gi o a:.-�i � y r o O o
►+•
o 0 o F"
p.p 0
w o+
� • O � a' ~ O Z �W u � � a
. H ° i�i � �� u � o is' • o� `� E"' G o
TC � 7 � � �1 C � Y fr 6. Q � �,�'{i►
►.� a� u.0 � u o o. • a t7 � �'
4. Y 4 � Y O �•► bt� 2 / Y rt O
�� W L. L �1 O�. p 7 � I"'� � O C � N V
y x a� s o �n y e�
►��+ d M G. JG M rf M Ll a1 ►a � a�J d 4' y i
� �� i� ? u ✓ toi 1 o K u v+ r � 1~a u
� :G � � � 3 . 2 X W � � �C � . W � a
q _ � a
0
�
4
s
►�. m
H w
o �u
� �
SUBJECT
City of Fridley
AT THE TOP OF THE TVNINS g U I L D I N G P E R M I T
i �
� t
� `L ___��_� COMMUNITY DEVEIOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
� �
i1 = �
--N� �/"',,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF
L 612-560-3450
. 910-F15 9/20/77 � �
JOB ADDRESS 6391 Central Avenue N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
oesca. Pt 15 2 Spring Valley Addn.
2 PROPERTY OWNER MAIL ADDRESS
Paul Parris 6391 Central Avenue N.E.
3 CONTRACTOR
S�B
OR DESIGNER
MAIL ADDRESS
MAIL ADDRESS
MAIL ADDRESS
ZIP
ZIP
PHONE
PHONE
PHONE
PHONE
APPROVED BY
SEEATTACHED
SHEET
LICENSE NO.
LICENSE NO.
LICENSE NO.
ADDRESS HOUSE HEA�'�NG TEST RECORD I
6 � NEe Old Cet�tral A�re� •
OCCUpqNT -
HEAT LOSS e APT. _�pLOOR
SOLD gY ���ATE HTG. INST. �wNER �—C�n�SUBURB�'ri `�
M1C1Clt' �SCp ,
Eleetrical Work By
TYPE OF HEAT �NSTALLED BY �
GA � FA —H� —STEA c7Og Line By
GAS DE51GN M�SPACE HTR. � t1NIT HTI�.
MAKE .Autocr�.�
Mode� �s--OTHER
Serial ,� �. �� �' ►NAKE OF BURNER CONVERSION
INPUT �del
Max. BTU Reting
�NAKE OF FURNACE
THERMO T CONTROLS �odel
Valva �� Heat Plu�° -
Limit Vent Size �� �}
KIND OF LINER ( ��
Limit Se»ing
Fa� Setttng �ra� Hood SIZE
�� Fi Iters ��� NON E-_
Pilot Type Size Ragularor
Pilot Mako �imney Locction um�er
Chimne ��sjde
Pilot Model Y Construrtion �� OW'side
Pilot Tlming
L, yy. Smoke Bomb
Cut Off
�raft Wiring
Prassure s�, � Door Pressure Test Tag
�rtput CFI-� �� Percent Cp2
Pereent p �ate Tested Li9htirtg Inst.
Staek Ternp, '' % ' � 7
F�+ 235
Pereent Cp� COmPany Testing
Nom� of Tesrer
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMI
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK 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 CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �
�3C� $1, 000
$7.50
SAC
AL FEE
$8.��
(DA7Et WHEN PROPERLY VA�DATED THIS IS
P / .
• CITY OF F(tIDLEY
�
m
' APPLICATION FOR RESIDENTIAL BUILDING PERI�IITS
� �NEW, ALTERATIOf�S, �DDITIOtJ.S, OR REPAIRS)
OWf7SR: ��� `- � ��f2�1 � BUILDER: ��ld't4��. • .
Address : C,�� �. ) �' i , �� Address :
Tel. No.
No. ��� � Street: �G'��,�-C_
LOT: BLOCY.: � ADDITION:
CORNER LOT: INSIDE LOT: SL�BACK: SIDEYARDS:
Applicant attach ta this foxm �ao Certificates of Survey of Lot and proposed
building location drawn on these Certificates. .
DESCRI PTI ON OF BUI LDI NG � �
To Be Used As: . '
R� ��eat= Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height,:
� Square Feet: C�ibic Feet:
Type of Construction: Estimated Cost: $�I��
Zb Be Completed: Alt. A Alt. B
Proposed Driveway Widt� If New Opening Is Desired $ $
(SEE I2EVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herei.n
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and 'nereby
declares that all the facts and representations.stated in this application
are true and correct. See reverse side for additional information.
DATE: � °� �°� '°� SIGNATURE:
Stipulations:
IJ X �/uV � = �
�1 � %2 �`'v't L °�
�
r1 ��--��
��
._ ,
�0 ti � !
��,
..._ `�� �
��'z �lC��,�
f��t ( G L°\ ' Cl'
�
,/� �
�� �� � �/� � i'�`�s�" G
��� ��
BUILDING PERt�1IT FEt SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection
of any building or structure, or for any addition to any existing building or structure,
or for any alteration or repairs to any existing building or�structure, upon application
tnerefore, require the payment by tlie applicant for such permit of fees to the amount
herein below set forth anri in the manner herein provided to-wit:
NEW CONSTRUCTION: Single Family Homes and�Garages: $4.00/1,000 cubic�feet.
PLAN CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
Alternate A: Removal and replacement af concrete curb and
gutte'r only; Driveway width plus 6 feet x$11.75
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6 feet x$15.40
� 11 � p � 1' � �
For the purpose of com,puting fees for building permits, the cubical contents of any
building or addition, is detertni.ned by multiplying the ground area covered from a
point six (6) inches below the floor line of the basement or the cellar to the
average heights of the upper surface or to the average height of the roof surface
of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost
of all proposed work.
In no case shall the fee charged for any permit as set forth in 5ection 2 be less
than $7.50 plus $.50 state surcharge. •
; � • � � ►1� �j
NOTE: Permits �or construction will be issued a minimiun 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 5urvey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
i : � 1 •'►
Application for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a building permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
�
=�
April 4, 19?8
Mr. Paul Ruud, Cour�ty �ng3n�er
- Anoka County Courthous��
A�cioka, NII�i 5 5 9 0 3
Re: Grading of Drainage Difich; 63�91 Central Av�. NE
Dear Pa�.l,
Pl�ase be advised the Caty of Fridley re�e�.ved a call
from Paul Parie, 6397. �e�tral Avenu� NE ind3catir�g a
concern with the grading of the drainage ditch �.long the
f�ant property line of his res�.den�e.
Apparen�ly some regrading was done last ysar which re-
sul�ed 3.n side slop�s which P4a+. Paris indicates are qui�e
da.fficu]�t to maintain.
Could you pleas� rev�e�a �he si�uation and eomment wl�e�her
addi�ional grading or� landscap3ng could be done to allow
N1r. Paris tA con��aua�.ly maintain �Cl�e propesty in the
�uture? �e indica�es wit�► the slope on the ditch seetian
he cannot operatc� his equi�ment like he eauld in the past.
I wQUld'appreciate any help yo� could give in this situation.
Thanks.
YouPS very �rulys
Riahard �I. Sob3ech, P.E.
Public Works Direetor
RNS/jm
ee: Paul Paris
l. � � �'` `� ,�� :��
�°t�� �;��° �
4
''A�
sue�ecr PERMIT
� City of Fridley � 16 4 9
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
�
� � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV. ���/
i �y__.'__-�
r � � PROTECTIVE INSPECTION SEC.
1 = �
� /"�1 � CITY HALL fRiDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�----� • ��' 612-571-3450 910-F15 3/2/82 / /
JOB ADDRESS 6391 Central Avenue N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDIFION
DESCR. p'�.5 2 Spring Valley Addition SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Tom Mitchell LaVflnne Bacchus 6391 Central Avenue N.E. 636-8501.
3 CONTRACTOR MAIL ADDFiESS ZIP PHONE LICENSE NO.
Vinewood Builders Inc. 1508 Ferndale Avenue N.E. 571-0311
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION � ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 OESCRIBE WORK
�.iving Room Atterations
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPER�4T�� ���°���9�"� ��.�a������"�;a ��y�� ����.: .
F-�E�TtN�� P�,l����de��C� A�� � ��d _��' 4�►�r���,,�ar.
�������q
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OP CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOOC� Fl^aIILE
THIS PERMIT BECOMES NULL AND VQID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OF IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $rj �QOO $`2. SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
OOES NOT RE ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISI S OF NY OTHER STATE OR LOCAL LAW REGULATING CON- �`SO. rJO
S RUCTI N O HE PERFORMANCE C ST CTION.
� PLAN CHECK FEE TOTAL FEE
s
$53 .'Q0
Si Na REOFCONTRA RORAUTMORIZEDAGENT �onTEi WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
SIGNATUREOFOWNERIIFOWNERBUILDERi IDATEI BLOG INSP ATE
CITY OF FRIDLCY Effective Aug. 1, 1981
APPLIG/I7Ia'J FOf� RCSIDEi�TIlli_ [3UILDIttG PCRi�iITS
(f�c�r, Alteratians, Additions, or Repairs)
/� �� ,
,-
Ol•JNER: _ ��. / �_ _� �� t3UILDER: �—�.e_
�
ADORESS: _� � j � ��^����� �� AODRESS: S� � � �, G.
/ � •
TEL N0: (� `5 �° � �� % TEL fJO: _� %% � %�
Construction Location
• STRITT NO: � 0 STItEET:
a �
�T= � BLOCR: ADAITION:
Corner Lot: Insicle I,et: �_ Setback: _� Sideyards :
Ap�licant attach to this form two Certificates of Stirvey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIOtd OF COIJSTP.UCTIO�d
Front: Depth: Height:
Square. Feet: Ctibic Feet:
_ Front: Depth: Height:
Squar.e� FePt: Cubic I'eet:
� �"�'..� s ' .�
Zype of Cor,struction :�!� �� G��;�� Estimated Cost: $,��c�
� . -- ,.---
Rb Be O�r.�pleted: r'�(� � . ����
Alt. A Alt. B
Proposed Drive��ay Width If New Openinq Is Desired: $�_ $
. . . SE� R�VER;E SIDE OF SiIEET
R�ie undessigned hereb�► ma3;e� application for a permit for the work� herein specified,
agreeing to do ,all work ir, strict accordance ��ith the City of I'ridley Ordinances and
ruli»g� of the Departm�»� of Buildings, and hereby declares that all the facts and
repres�tations stated in this application�re true and correct.
D.3T�: �% o� �c�� SIGNATUiiE:
Stipulations:
(,.�/�� � � • �
v a
� ���
3.-�0
BUILDING PERMIT F�EE SCHEDULE
The Inspector of buildinqs shall, before issuing permits for the
erection of any building or structnre, or for any addition to any
bxisting buildinq or structure, or for any alteration or repairs
to any existing building or structure, upon application therefore,
require the payment by the applicant f or such permit of fees to the
amount herein below set forth and in the manner herein pronided to-wit:
'1'O'TAL VALUATION
$1.00 tc $500.00
$501 to $2,000
52,001 to $25,000 t
FEES
$10.00 Minimum Fee $15.00 plus surcharge
$10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and
including $2,000
$32.50 for the first $2,000 plus $6.00 for each
additional $�,000 or fraction therepf, to and
including $25,000
$25,001 to $50,000 $170.50 for the first $25,000 plus $4.50 for
each additional $1,000 or fraction thereof, to
and including $50,000
$50,001 to $100,000
$283. 00 for the fizst $50, 000 plus $3. 00 for
each additional $1,000 or fraction thereof, to
and including $100,000
$100, 001 a�ci up 5443.00 for the first $100, 000 plus $2. 50 for
each additional $1,000 or fraction thereof
PLAN CHECK: 25 percent of building pexmit fee
DRIV�.WAY DEPRESSION ESQtOW: Concrete C'�rb Streets Only
Alternate "A": Removeal and replace�nent of curb and gutter only
Driveway width plus 6 feet x$13.50
Alternate "B": Renoval and replacement of curb and gutter and install a 3 foot
wide approach with 6 inch depth
Driveway width plus 6 f eet x$15. 75
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours froan the time of
application to allow for proper review of the proposed structure and of the
construction site.
A Certificate of Suzvey of the lot, showinq the location of the foundation once it
has been constructed will be required before proceeding with.the framing.
.S �O�
Zo�G�.
3�c� =
r
�_� �� C3�
!�-ov
��� � �
n
T
1
-1
�
m
�
iJ
�
w
�
F-
�
• W
d
c�
z
�
r �
� N
A sL
..� t�
�
IL A
Z
lA� a
O C7
z
��
�
C� �
�
O
�
z
O
H
a
:.i
..
a
d
¢
„�.
�
,�
�
c�
1
\
.�
c � � ��
x H' 6 �I
� ,�
x �s, a+ r� rn
$u�m �
����
W M m �
� 3'O �
� C m ��
U ✓
� � r
C .p�1, �v� �
o V � � a
.� I '�
� � � � �
�'� �y �
� m mb�.�i
�W .i +'I M �py 41 �
f � yl �
� ��o� � �
m iJ y
. � o � -°.� r.
�
$�°o "�� � �
m �
� m°$� -�
`'
�
i r
� -�
� �
� �
7. �
W �
a
�
��
i
f
� o r, � �
Q� � � .� �
� �
� � �
Z
y� � N E
� � � a
'a �o ° °' °i �' I � �i
d�a. �'ia�7M � C�
' w .��i u�i ..�'i ►mi O 'CO -�
m � +�i � M � N N �
m c w.+' v� �o e -�
,y �wuni �.�i."i.i �
a a�o: m��'w a
.a ay � �y+ y°y p �
h O UE � a� i0�
►ap'� rv p � U {q
a1 � O �
o � 8 � �
�� � E '
5 � r� o
� s� �
3 x
IB�Q f� 1�
y
abus� et� � v� 3
�
'�3 •as� �
•taa� se� _ �
.a
=aKsgM 3
oF�e�o��►tr � �
sv�seg n �
4��J � �2
�e=Q =ooT3 � tg
a
eaar,oug �
su�8��3 � �
buFxu�rsQ 1 r
sd8sy qse�y R'.
s
S�FS o �o
.�
O
�sge �
0
S� ti38H tg �
� w
Bi�F=A
syeso� w� z
c e
°„�° � w � °` :
saFs°�g � v
�
M
�
u
� ao �
� � �
�
�
N
�
�
H
W
a
W
�
�
`o
.
�
�.
�
�
�
V
.�
C�
h
B
�
O
0
O
.-1
N
N
H
E
N
�
aw
x�
N
�
U
a v�i
a� w
�da
OG N
W�o
O
w vs
ww
�N
Ha
�a
�' c �;
� � � o `-�
o Sf � �; � \
h N N N N N N f/► y y q q y y N N N
0 0 0 0 0 0 0 0 0 0 0 0 0
E c�n �n o 0 0 0 0 0 0 0 0 0
ui ai ri a� ui ui �ri ui vi • • • •
� n �n o o w
� � m w
N N t? N N y N 4L y N tl► N N W �
a a
� o � � °
e z H m �' H
C m
V E +�+ �
y � �1 •� a+
W 4 a v,
� � R
m � M
w o
" x [ N ,�.
� N p .•pi � aai
F � E a
� • m m o e°' �.„+ g
� b o,�'� m a°" y�
� w � o .�i o .i ..�i a � � o $
X m•a+ d+ a ro o a� ��� m °y
�..� W N 4 m Iq +1 M 41 y 'a1�' � C
�"' +°+ a a m w ro.�+ ..°a °� w m a o v� e ,�
� �.MI dl LL Q O �� 7 O � rt A M �� �
z �" '' o � � w a a� o Ex w
..
� s aai �e m o aU+ .�i b e a�i a� m m O" ° a
m ti.� m.� ro�e �. a ro o ro ro s ''
a � a o aa co u a m m a m� c� �,� r�
4
0
���"°w �/� �
� C] Community Development Department
- �� G DIVISION
� City of Fridley
DATE:
TO:
FROM:
September 17, 1993
John Flora, Public Works Director
�Scott Erickson, Assistant Public Works Director
Barbara Dacy, Community Development Director
SUBJECT: Potential Purchase at 6391 Central Avenue N.E.
Lavonne Kowski contacted me on September 16, 1993 as to whether the
City would be interested in purchasing her property for a storm
water pond as part of the 64th Avenue storm water improvement
project. Attached is the Anoka County Statement of Property Taxes
Payable in 1992 and a location map. I have told Ms. Kowski that
we need at least ten days to evaluate whether or not the City would
be interested in purchasing her property. Please notify me as soon
as possible when you have some type of indication from your
consultant.
BD/dn
M-93-541
I�y+` �
�o �
��
�
��
� PP
1�`�
�
a `s I
� �°���5
J�
�
;� �o v� �,��
� �
�° �
r4�,, �`'�
��
, �
'a
5�^ �9 7
a��
��'
�
��
,
�S
�
Edward M Treska, Divis�on Manager,
_ •�� ANOKA COUNTY Property Records and Taxati�n -
ANOKA COUN'fY 325 E. MAIN ST.,
STATEMENT OF PROPEF�T�f TAXES PAYABLE IN 1992 ANOKA, MN 55303 /�2j-L�']6O, ext. 1153
Taxp ayer:
MITCHELL L T& KOWSKI L F
6391 CENTRAL AVE-NE
FRIDLEY, MN 55432
�,�- i 7� �
Owner:
9999 KOWSKI LAVONNE K
6391 CENTRAL .AVE NE /�(v�-
FRIDLEY, MN 55432
EX E 199 FT THEREOF SUBJ Property Class:
TO EASE OF REC New improvements
Market Value:
1. Use this amount on Form M-1 PR to see if you're eligible for a property
tax refund. File by August 15. If box is checked, you owe delinquent taxes
and are not eligible . . . . . . . . . . . . . • . • • • . • • • • • • � •
2. Use this amount for the speciai property tax refund on schedule 1 of Form
M-1PR .................................
Y O U R P R D P E R T Y T A X And How !t Is Reduced Bv The Sfate
3. Your property tax before redUction by state paid aids and credits. ....
4. Aid paid by the state of Minnesota to reduce your property tax ......
5. Credits paid by the state of Minnesota to reduce your property tax:
A. Homestead and agricultural credit . . . . . . . . . . . . . . . . . .
B. Other credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. Your property tax after reduction by state paid credits .•..••••••
WHERE YOUR PROP�RTY TAX DOLLARS GO
7.County ..................................
8. City or town . . . . . . . . . . . . . . : . . . . . . . . . . . . . . .
9. School district . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.Special taxing districts . . . . . . . . . . . � . . . . . . . . . . . . . .
10A. Tax Increment . . . . . . . . . . . . . . . . . . . . . . . .
106. Fiscal Disparity Tax . . . . . . . . . .' . . . . . . . . . . .
11.Total property taxes before special assessments . . . . . . . . . . . .
12.Special assessments added to this tax bill . . . . . . . . . . . . . . .
13.Your total property tax and specfal assessments
14.Pay this �a�nount no later than May 15, 1992 : . . . . . . . . . .
15.Pav this amount no later than October 15, 1992 .........
BEFORE OCT 15
PLEASE INCLUDE PIN NUMBER ON CHECK
RES HSTD
N/A
77000
�
874.68
2377.15
692.91
:�• .
� ��
. .
. ..
270.04
136.16
427.65
40.83
N/A
N/A
874.68
310.20
..
.� ..
t�'1
PLEASE INCLUDE PIN NUMBER bN CHECK
P�N� R13 30 24 42 0046 HNA 00535521 P�N� R13 30 24 42 0046 HNA 00535521
MAKE CHECKS PAYABLE TO: ANOKA COUNTY ' MAKE CHECKS PAYABLE TO: ANOKA COUNTY
325 E. MAIN ST.,ANOKA, MN 55303 325 E. MAIN ST.,ANOKA, MN 55303
PAY THIS AMOUNT 6 4'� �'� 9 PAY THIS AMOUNT � 6 4 7. � 9
MITCHELL L T& KOWSKI C F 9999 MITCHELL�L T& KOWSKI L F 9999
6391 CENTRAL AVE NE , 6391 CENTRAL AVE NE
FRIDLEY, MN 55432 FRIDLEY, MN 55432
0�5355212000064719
005355211000D64719
00535521F000129438�
INDICA7E ADDRESS CORRECTIONS ON BACK INDICATE ADDRESS CORRECTIONS ON BACK
S �/2 S�"C. /3, T 3p
, � 24
C/TY OF /�'R/OL EY
� 14
, � �J 31 �
EHTE�
� '� �� �,�F� � �'�� .���� �a�� --:��.-�—� `��_ _ I I , �I �, L
�� u
�� � .ee - CII`eu.....
ir � �i . Bt o.�� �,r � e Q`� �) P%fi% I/T� �f .ir .ri ._r �r —�'(�i$ � "�, ' �r—' _
.9 (� �� la wse.s: : 1 Z� 3 ' : � �a (� " a.r ar a' o:
.0 I My �U++z N �. (� : W r�t> (e> r) ; �s I''�-�° +l
� 8 i R e.o � :�it = c h� ill n rr @'�irl
--� ,�+ � .�, a...m� : ' " � �l . �S i ,m �.
� I
R � � 4i � .. . � > 2�d� a� �yr� Ca `�'w: ara�. ; /� :i y 7 :! .3 %i.,� f�=�f+
� � A SU M, �� N: ° �. NO ,,.v o
o I .l!�.�� ; z�� ° � �,:,�♦ 3 ,e cA� N « "°� �j ,.°••
. Z r�rrJl� ' �� c B ; � `� . s �.o 1�,�
r
�:� } s°i:G'a J e�flµ�l � � �(W t � u..'��6� � � � .. ,
A i Q 'e �.s.� .i YJn���.��,° �� ° (� «� : ` �y �i�� 6 W ��� t�) ��) �� � (A ��� �i lQ�s � ii
_ :. *y, is.n � � q�" ' pO A �Z l 7 (Bl U �� � . �. . � �`f /� , u , j �� 4 2 � . . � � �6 W - l�
"�' �C9 �A /6 , (J� O � .. ; .7 - - e�'.a
� = l 1 J a Za�e c�'� W� ��,� _• , d(:') a/tt) (u) '� ! o� �;� ' t�°., w�� . rc
h-0 � .� - - d <:.�.a< . , , -�"_ - .�, , '� l� o �,,
Z II/5�y0 REz ; o ; 2 s( 4�° 9�`Q P �� 4� . A(, ` T HI A V E N � .. ..r �+'�, v l, � p, Q'° ,� q
� ; �a /¢ 3 W� ' $ 2� o � �a ,iN� ro� o ir� Lw) �'�i �� �Hj . n �s . . N ' M ' S '' �' `�9 �.... p� n
�. µ� � �a�
i� ' F �3L KE4�° < zi�'• �Aw� ���fi� , ��;� �� � -.._ w) . i3 ' 9� � �n" a ,,.H e� % � w'MeY .�
:.i Q , � fi�) � �7/� ; '�
°ji y 1 �/2 5 � " � `Q.�o: /c� .+ ' ! b•� g ' <•- •/ ` ,'• h ; °n 1--.. � I CN i. lS ' �p a�`� l� t� .
�- � C aa�'• .r' �
o � � ` °, i,� s h� S-'�- i7 � a. �;c. d� = � � i a�..;,,
�
--��-� �//G LdN � °j - 2 �. + ' -- -- � -
, � ,� .o�., �
. a ' ; .��� �. __ ra
�3; M ..,.' .. (b,
e �
X fl )s ' ' . •
� .•r�r. l�/a � (�' � r.m �� � ¢\�"� t. . TE RACE rP ; �B•(°) ,� rn i'o h'� ,41� (F� (� C� ,i�<
� w .u� (N � aim 5q �ay . A 1
i : _. ' G i.r. . .
' ! l�'9 • B l�� r4° . a. � � � . �� C+�J : �¢ Z� • � /O y 6 4 ` - �� r
.
v o ._ o,,.., , .-. /�, iQi ' :, 7: v%�..l,^v. � __ j t i1
. .
�.` � � �. '.3�: --�' � �E°`° ° `°.c ' O l�ar) ni � '---- � �. � /� ` ' . .s'�...«. t Cb ryp � Cp) 9
�il �"-- � , � rt ... p_. � -- � ; .} — - a ' �a,�
i . .,.. q � _ • �,� � •—�t _ : „
I y C,J '° �'- V d °' ° � �"' �.. �
~�;•o.c,e �. �� • �� �
� ,6 Qij � F °4,d � n i . .�;.. ; ' -��.
� � . A� NJ � Jt � • ' OE, J `°�' �.D'c j 7�yp e. i. � � loni � "d'a ��• I ,, � '�5 . � � �. . ..r."^
i FI r � I �C�U �(eyJt.-'��H1 e�
� � y �, ; ,�- - _., . A� 3 � ��� �.. � � � �/1 \ � � �i' � � �'' ` � ` • �Q � .
��' o I GJ rn a
8, I � ��r�/ i An' M /! �
� i � "•.,, c.. i z ���3p ,�,� �' o.�ea.�� ��' i j +� rl�J i fl �.. i=�' �„M, IOi�
{�Y y� ` .t�5 ANi�eh i � �6 I �S :I ....��t�l� �N� � � y� t� (��3 i/)a
� 1 � ! � � ` � � � ... u.1 t 4 . " . i
� `8 - a` /�) � � � a ' yA d sH�° � e � � e .. t 1 � ! / � f Y''' � �
;�.�°,',�� I AUDITORS SUB. �a`�� c_� N A Qa�VE .i cw 6� �_ '���':
� 1 6 f' '�`° 0'�' l`" / � U Q� ( rz% i p E ��� "(� ( ro R s i
�.�° � ., .. .fi, �, v � I ....• � r Q ° t '� .
� N0. $g �ti 9J �' •,��t� fa w L �„ �ro� �„ �, ; �
C. �.-r���' ^s, i ,� Ca� t''v �" � �bJ '4 > a
r°�k100RE — LAKE ��s +, ";• B 20 SUB. i a ' ha � Y o i �
I i: " ., � 8' _ i . " ° ' 'er� i � ervl � ,v , A�s av�
� � .;�.� ,. «g . � a� � pe Q -
b� � I �' •ODv 3 4(»;" 5� s;'. '� �,"r � A' R IR.' taJ eco Y "�_...;
. I , o � � "�t' � `' � A i wa , ra? �-�'i.. '' ���i �, �,� � � 41 ^ e2 * a<rl � s} i p � �+
� i �i� :i.': ✓ �• ts7 �"'� "�:�� r r�'°� _ � 9 � U1 � :
' ' � � _ � � , :t� 5�. P�a s- . -�� � �:, ,� �,� �,�� _ • W� .._ ��_.
I . . • ; • :s. n = s -. �.. � : -
°� � '�dS �.r 1 ' ` , _= p , , .. @a ;n, • / rJ � � ?'e �� 6 �o`Cm �" � �
. �� , . . � =� - � � v� � y� �.
16 RL.S.� � ,,'f , ' ,,, � ._..i6,�9s.'^7J.' � J° 2�,e.� 0� E � av � ; �.. � a / ir t � �� PN�
F�N 4 , n t l _ a.c c ' � m . +,� � , , � 6 , y� �e' � � Q
, �s � � , . % � i ... �' `5 ad. WppD�( LA- z "�.: � ' A(�/ • 1 � �`eI a (nJ• ,' N� �
-:r''2'� � �'�'rACtr`` ° •• , a� e � 4 1'(eJ �? 4n � b-_.e, � �-�-^„ . p, a�.� rro_ Nu F� !p I` � f � ,.,
n.�r.ri 1es�o - � �o ' � '. � %, � +:�.` ¢ Q o ;j b 5� ¢ 3 � ` ij .r (9 i�. � p � 0/ �� i � ia
� ' .,. ` � B � t 4 J
c�p ... h o i + '� .,. r,-
s/�'I�' , • r
--� s c.ia y/ � � �---� _...._
34 43
24
, Building
Inspections
763-572-3604
763-502-4977 FAX
DA'
SITE ADDRESS �
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
AND CERTIFICATE OF
INSURANCE
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 1-I-09
YOUR E-MAIL ADDRESS
E jr�.c✓%S/
� OWNER �CONTRACTOR
Permit No.:
Received By:
Date � : JUN �
N�: Na �t'T � c�. Y, �, 7 �
ADDRESS: 6�%/ ��O/f� I i��� �C CITY% STATE 1'�i1�ZIP SSy3�
PHONE: � S��°�% S— �� 7,�,..3
Mel� C�nS'-f'r�,��•G,, ,��,�
STATE LICENSE #� 0 t� % 02 Ci �''j � EXP DATE
fwnx�ss:9�6q -��°�f."sc R� crrsr H��'r.f STATE�i�ZiP So:�.;�
PHONE p SI '% 7.S " r�d y FAX
❑ SINGLE FAMILYMEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
❑ ADDITION ❑ GARAG
❑ BASEMENT FINISH y�ROOF
❑ DECK ❑ SIDING
0 SWIMM
❑ NEW HOME CONSTRUCTION � ADDITION
�iVIAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:_ _( e f U D'F
ROOFING
NUMBER OF SQUARES _ a�
GARAGES
PROPOSED SIZE:
PROPOSED I-�IGHT:
SIDING
❑ Vinyl
❑ Ahuninum
❑ Other
WINDOWS
IN EXISTING OPENMGS ❑Yes ONo
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF. WMDOW TO BE INSTALLED
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
OSoffit
❑ Trim
❑ Fascia
LOCATION OF WINDOWS
NUMBER
❑ WINDOWS
❑ DRAIN TILE
❑ OTHER
F'1'
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS_ & PORCHES SUBMIT:
1. Site Plan/Survey showing the existing swctures
and proposed projecL
2. Two sets of construction plans
3. Energy Calculazions
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(US N THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ %��p OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surchazge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ �`0, L 6 See Back Page for Fee Schedule
$ 65% of Building Permit Fee
$ .001 times the total job valuation
$ .0005 x Permit Valuation Minimum $.50
$ G�(} $5.00 (State Licensed Residential Contractors)
$ � $2000 per SAC Unit (Plans to MWCC for determination)
$ ft+6ft= ftx$22=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary ( )
$ I(�'1,'� Make checks payable to: Cityo uf Fridlev Attach
TFIIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby �apply for a building permit and I acknowledge 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 on site; that the work will be in accordance with the
approved plan in the case of all work �tich req ' es review and approval of plans.
� (� ,ry� 6//b/v'
SIGNATURE OF APPLICANT PRINT NAME 7✓�J f� 1"�� �' DATE_
Page 2- Building Residential Application
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits 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:
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to
a11ow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Oniv
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977