AF - 36116II�
�
�' �I
�:
l�ic. t t �. � ° Lou�blin
5387 Altanc� 8oad
Fridley, t4i.�n. 5S�a32
Juae 6, 197a
G� �-�Z
��S `
L 3 ldaive� o�` the Requirement to Hook Onto
the Sani.tary Se�er mnd AZl�a3n� �c�ns�ruction
of a C�espool
Dear I�o 0' Lou�h].in s
,,
;�,��
The� City Council., at tkie �eti.ng of J�e 5, 1972, authori�ed
the tv�i�er of t�ae require�at of hookiag on of your p��perty, L�t �,
8e�t��ct Land Susve� 2do. 3 ne�r C�atral Aveaue aad b9th A°�e�ue ar�a,
to th� a�it�ry s�er and allo�3.sg conatxuction of a cesr�po�a �a�Clx ��
golla�i$ etipnla�i.ane:
1) Tlaie waiv�r is temgorar�+ tmtil thQ �d�oining ere� ie
ready, to receive the sa�rer sereice.
2) dnce fihe C�tv propo�ea to prtnride a��we� �ezv3ce in tia� ��ea,
� that the pssperty owr�r �ou1d not opgoge th� imprmvem�mmt and woulcl be
willing to accept their proport3onats share of t�h� cast of �he i�rov�---
�nt as �n aesessmaat aad �rS.11 coanect to the asa:itr�ry eewer wh�t made
availabl� next to the property.
3) ?he tempor�rq cesepooY �sa�d �e �r��rly maiata�.n�� �o �vcaid
aay goeai6ility of gollution into the tiice Cre�k.
4) The property would book onto the waterline oa �h� W�st ��dle
of Ctatrsl Avenue when the house is con�tructed s�n this propast�.
1'�•�
Yvmarg very truly
� - �' ' ' I �`� ' . , -
P1A3T�i M. QU��HI, PoEe
Cit� &agine�r-Dir�ctos oi Fl�iag
City of Fridley
r aT TNR. TOP Oi� TME TNrIMi
�
� �
,
�.L ---___, co�wN+irr oEVS�on�xeNT av,
� � � n�aTCCr�v� we�scTroM oar.
� .---- � cm ruu.� raa.Ra ���
�._....�..• Z.� �nt-sso-s.w
Job Addxes�.
/� �' � I ,:^ � i��.. ,. �. .e
Contractor -' �o
Kind of Buil ing �
Completion ate
�O i '°J 7
►i �IWI I i i
i
i
�
I m
w
� H
!p o
i� o
�0 pu
�O �f
i� �
'A a�
�
.
��
�
_ �
.�
�'
0
w
.�
W
�
I
...
�
�
�
.�
GT
PLUMBI�If, PERP1IT APPLICATIOi�d
1 R�v. p�T[ ►�YE
- 2 is 3 i � i
L� �
Ad ress �
A ress �
�Y" s I °' � �
Use o
, ��a�9
one
�jt�
r,sLimacea cost -
—_ _—____... _.�� ��- —�----
e
�1 Plumbing Fixture Rates: N0. RATE TOTAL
! Number Fixtures %� x 2. 00
{ S ,�y�C
i� Future Fixtures �_ x $1.50
�� New Fixture-Old Open. x 1.SQ
{ S
f Catch Bastn x $3.25
� '---
� Water Heater-99,000 BTU �_ � $3.00 �.G`C�
I
� Ground Run Old Bldg. x$3.25
-�_
� Elec. Water Heater _� X $2,00
� Gas Fitting Fees:
�
lst. 3 �ixtures �T X $2.00 �l- Cs �
I - ��_,
� Additional Fixtures X $ ���
� --- _.�
Gas Rang�-199,000 BTU __ x $5.00
Repairs & Alterationa
See
Description: Code
State Surcharr�e _50
�
TOTAL FEE $ � �..� �
�The underei ne
, g d hereby inakea application for a permit
f�ox fihe work herein epecified� agreeing.to do all work
in strict acco�da.nce w ith the City Ordinances and rulinF
of e Department cf $uildinge� and hereby declare that
1��t �aets and xepreae�Catione atated in thia
a pli ion are ru and correc .
� �
'S �Lgnature ate
----`�l
� �S �- a ,3 - �. s�
�
t I.
.
53-�-s-9i5.51
City of Fridley
r aT rNe ToP o� r� TwiNv
�
� �
rL-------� cow�wN�sr �vcw�eNr o�v,
� ' � M►qTECT�vR wf�scrlpN OL��r,
�
� pTr �IA�.� nuOLRY �Mi�
l i---- �
1......1`.� `.J W-bfO-�MO
�b Address
Contractor
Kind of Bu
Comc� e ian
b851 Old Central NE
Theodore Klohs
Minne�asco
12
� I W I I � � I II
� .� � il
� — -- --';
�I 'I
3° I i I � ' �i
sva
4VD
i I •saa�
I•enN�va
m
y� SNISV9
� !+�+ HO1VD
K
ia w eN��ao
;o 0
aooia
�3 0
�� V I saaMa+gl
i��
,o
��q '1NflOd
d HN�aa
'ti
�A � SAYNlI
MSYM
�89iN18
' I
►uva
asivM
�
na
�
.�
0
0
w
�
'a
i�
�
I I W
I �
— �
I
�
� � �
I
�
� � � �• �
�.,�
� � � � �
�o-��-�s ��
(
i
I�
i
PLUMBI�Vr, PERf1IT APPLICATI��d
� 1 OA I V 1 L/ 1.� f
Ad ress
Same
A ress
733 Marquette Av�
Use
1
one
� �i�
10.00 •
Plumbin Fixture Rates: N0. RATE TOTAL
Number Fix tures x $2.00 ��
Future Fixt�rres x $1.50
New Fixture-Old Open. x $1.50
Catch Basin x $3.25
Water Heater-99,000 BTU—T x $3.00
Ground Run Old Bldg. x$3.25
E1ec. Water Heater x $2.00
Gas Fitting Faes:
lst 3 Fixtures 1 X$2.00 2.Ofl
r
' Additional Fix tures __� x $ .75
! Install (1) Gas R n e �,pp
Gas Range-19���00 BTU x $5.00
!
Repairs � Alterations �O�
See at�e
Deacription: Code ��`C`
�5,�
State Surchart�e '�'P� .50
�
, ��a�
ITOTAZ FEE .� �s5�
!The undersigned hereby makes application for a permit
for the wo�k herein specified� agreeing to do all wark .
in atrict acco�da,nce w ith, the City Ordinances and ruling
of the I�paxtment of �uildinga, and hereby declare that �
a11°th� tacta and repreeentatione atated in this
app�afii�,�true�an orrect.
r . „�,�
�% c�' aZ_
��v� �
'Signature � te ,
.
t
.
0
�a - � - ���-��
53-8Z�-s-915.51
�����.
Number Fix tures x $2.00 ��
Future Fixtures x $1.50
New Fixture-Old Open. x $1.50
Catch Bastn x $3.25
Water Heater-99,000 BTU x $3.00
-_�
Ground Run Old Bldg, x$3.25
Elec. Water Heater x $2.00
Gas Eitting Fees:
lst 3 Fixtures x $2.00
r
Additional Fixtures �_ X $ .75
Gas Ra,nge-199,000 BTU __ x $5.00
Repairs & Alterations
Install D er See
Description: � Code 5.d0
State Surchart�e ��a� �q� �urcharge .50� .50
TOTAL FEE $ 5.5�
The under�igned hereby makes application for a permit
for fihe work herein specified� agreeing to do all work
i�n strict accorda,nce with the Gity Qrdinancea and rulin�
af the Department of $uildinga� and hereby declare that
a11'the tacta and representations atated in this
application are true aad correct.
►
t
, � __._ _ -- ---. - .� - _ _ __�__--Z
SUBJECT
PER
City of Fridley 12226
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T •
i �
' � R
COMMUNITY DEVELOPMENT DIV.
' � t: ------ �/ (% 1 ��
r � PROTECTIVE INSPECTION SEC.
i �
� _ �
� /�"1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED 8Y
�'°'� � `�� 612-560-3450
910-F15 7/1�0/73 � �
JOB ADDRESS 6851 Central Avenue N.E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. Tract E R.L.S. �3, of Lot 1, Aud. Sub. �10 Rev. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Theodore Klohs 6851 Central Avenue N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Capp Homes 3355 Hiawatha Avenue
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
gesidential
7 CLASS OF WORK
�] NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK �onstruct 23' x 54' Dwelling and ``tl' x 22' Garage
�3
9 CHANGE QF USE FROM TO
STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before
capping. Owner agrees to stipulations of letter dated June 6, 1972
sent to Mr. 0'Loughlin by Mr. Qureshi.
NO SEWER OR WATER AVAILABLE (See Above letter) Copy of letter attached
SEPERAi
E PERI�I�S ��Qt11�E� F�QR 1NIRI�i�,
��T�NG, �'�.U��1�1G �l�D SI��S.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOOCl ET�B �'
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. GU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-I.
ANY 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 $32 691 $],6.3L�.
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $69.00 .SL]S.00
�y PLAN CHECK FEE TOTAL FEE �
��.d��e �Q ., �'-1 � (� ,Y $360.34 �
SIGNATUREOFCONTRACTORORA THORIZEDAGENT IDATE) WHE PROP RLYy i1% ATE fTHIS IS YOUR PERMIT
� *
� , ,��,� / `� : .���� ` � � ��' '� �
SIGNATURE OF OWNER tlF OWNER BUILDERI IOATEI BL'� . INSP qATE
i1(
/
� . - � _
: �. . -
�.a..:�.��._:�,...-a-.e_.o.�w - - .__� . I,.�, T .��.,...��-
- .'�r' �-��.i'�� 3'-F � . <,� 1' , n r
�'.'' ...,"�-�,�.,..�, t �� � �� � Sg r� . ��, :��-��
•,� � -;�� � ' ������� ����� ��� ��fi�:k � 2i,��['vT 1N: �, �'�:1T �1'iT i�[ .
� � � _
-' �.�,•�c. � `� i .V�Q T!�13' 14e�j-t J3�7 �r ; �t 7v7+r �'? ' "� �
. . . . , � ..� , . .c �p3._ i;:`. .
""' ( + .�3� N{31��3�?tr11.:VtT,�37t7r?`, �P ; T
_ ,
, >
-� �� ��r�'�
� -----Y- --- -- -
� i � . ... � ., g �:
� � +�-- F,_._......_ . 9 t . t
_.._...:._ _ � Y. ...._ _.
,a q�u, ,^�1a, rD 3�Aa ;rr.o �_,�_T.r�F � �: �"t�JV� �EF+i:� Y3JGtFi; � 1,1-' Y°;h7 P e. �,,9 e�,
t l,
• \ �\ � j 0'Nt 0'4�-CPd ,.�. �..
�! } � ������.� � �� �.,s.�: � �p R �
. ., - . . � � •tii�.e� �.�3'3`��Y3 �:L��.��:.�scJ� r�',i.�'�: �iS'.���Q%6 �C31'--
� , .,. , .. ... � . . '. . .'r'_
...�.i .._. �_..._-._'_ __'_._� "" __'_" � . . _'__� .. . .
����f�sT n3�2 &i;�rr+r,c3�kt?L��:i�zAT! :��r,sg ��ti�s. �e����l t
' ,
" 4��Ftz .V9� �.,1�?u .��1`t�i .�33i��,� t.� 1i3.�� �''f:. �'`�.�i ..`�s.•,�.•f� � :t�iy�.4�3�3C1. `'
�
:. �
_...�_.�°_�.... __� _ _ _ _ _. _ — _—___ _ --.,� ._ � _� .-. .: -.r.. -- —__ ----. _. _._-,.._.,��. _ �. _ � _.
� � ^,c':Hti 9i5 � Z23�Q`t:A;13kfi9 i'��T1�81�`'Z`�P�3tifJF19� S
. � ��- �... ��v� -�s��F��� :���� ����a.� ��,����a�' -- _
�_�_-- -_________--------------- . _------ -- ---------- �_� ._ __ -- -
h .�� �as���:..� _.t�,�_�, ar�. az��ao,� �r:��� � �� ����uo r =��. ::
� _ _�_� �,�;��..9 �r������i ���� : ���u ���
„�__-- __.. �_`�---�-�----- --- __. _ .�- __ _ .,�.�..`.�_
.'.]4t„z?t93i:J'i� -�.�c1Hti �r c���S;i3i��'IfA�9 fix?V(c"t1'�,'�Q�kt�?��7'ri�t')filt A�
__ -�-- -- _-- ---- ...___..___. __—_------ __ :._._._ __:_ _.__._ __� _'_ _.__ _ � - _ _,,.�...w_._
�)� �el'1�:it : 3vM1f.riR �ii5 2.23t�it^t.7 � :iif� 9 6"u�l�iic�•6�� ':� .
.F
: _ -------"----- ----- -_-- -----� ---- — - -
. — — -__--- , . - .._ ._ ----- �' " �:.<,I��iL'� �t? �r`�s�; `$' ,
-.�������
� . � ; ,
,'"" .�_.- - - ------------__•__— --__—__. ._._�_�_r "" _°...,�'_ "_"_"•sN�F3W�P�.73 't'°: ,..
��is��#�' + i � 3�tf;�li�7N! ; -, f4f�l.4�'�d L, I�QiFlkF3,�??'J�a � l�i4F'4lQflA _ • �e�1�6�1 +�
,� ` - . —__-- - . ---�-- — --- �-..�~.-,-,-^<'— _
_ `,__�._ .:..> r _____— ,�._ _ _ � . _ _ _ .
_ :����z�� '•S� :� ���` � '��__�:?��� °a� � �°;�� �:������ �r�r+����� e
- ;.: ; �, _ _
. ___ _ _.__-- ----- -- — -.--_-- __ ___-�—__._ ....t.��..::._. -
,,
- -- - - __�_.�._,
� .�..�..�.c-:_�-.�--- —�. : �_=r.,_.----_-------__._._._____`.^.:..�_._,..»...t .�_;_._ ,
!��r' . n,rt��r� ��u �� ��t�t,r�� e .
� " .. -`.' -�_ ' _ .'. __ , �'. : - . _ ._ ..-. �� -: j�/� -A�['}�, y��s .
. 3yyl����.:�'�+�/Y���� ';(�s#.'+._��.���V &i'��i���.�r� •��a����.i�� .lYW.i..b.Mi� .�ri�3^FC��iF'+- ���;5!_�.-� �' ��Y1R1��!?i�4i"•�}�S�i' •� .
:����-_�e���..s>��st, ��a °��,3�f �c� ���?-;��;�ss��3� e:� ���.� ��.�� g���� '_
,,a
��. . � ,.�,-. ,-. ., � , � _ . .:.' �-� .
..;:���,�5�` .s�� "�Ci t`�.�;.�5���3�s::�°�'D .� o� �����
' :: _ '
����w ��� ��:3:���. -�� �.q:cs� � x���9� ���.�;� ��?� µ���� �:��� `F �:�� r��9 �"�.��� ''�fi
; :
R�� ���� �� ������;� ��'��`���' , .
3� ��"����i��
;.
. ���i� �1#�� ����������
�, ..
� ���
,
�Af.b;�R7b4Fatl...;Ca '�tiC.i�i7 V'.-lIAAbU�i:.� � .T�L?1Cl'f �i7 ��Y�' . � ,
3c7U1FTA�k1'.ciNleiii�AU_I�? Jh'!r^.T�� 1� iY4� ��#�111i�-� ° R� `: 7�11}�q3TGf�kq�.G
T
��,,"�".�,'� ;�2GG�� F: 5 v1�+';3v'r �� (k f4v �3�ii7d��i�i�sT:'
.T7.�i}� ------- - ---'fi.R c�.MiLiS"5 ' �fCiit ) IRl'2VItY'.� 'cl(3 f�RC}'^1 d4 '�71f3L' QV�A 11+-� ?�tAJlis.��$g 41�(!fi'� 4PH3 '
µ 4"C?Sl Ufi"21Ai1',! �Y fifl .:Vnt4 D� t1!'-ail1M �1�>`"34I�.iNMPt ;`�t7t11 EI ii.�51F1Gi-{T�1s1
,� f�i id %;� AC�. C�F ?O QQbfi,�G. A SdO� � 3v1��tj��fls� }'�C �� irl�"�u? .'S 'rti=lf y� t4'.�
�-----° --- — .
�� 'v4,1'vi�AA 1'�3�F1'2�;C� ____�_r-J}�ll �,J�.,..--'il.'1; ir3�i�i�fbfii.t�3� 1 y��=t%�� f�3*-�L �P ' YVl`A;
�
�: t."r.A�'A�� c1JA�2� a, 11C71Tli;.l�.i'i9A c„HT p3VIIMr�.X3.tlY1A O�!,�F� 1VHt-t t TSWY Y�+ ��:.dt33R3#-i�:l',`
� � '° iA'�AUZ� - � ��3lF��)3AV ��kUA�'O_�1AC, �EV��t�l3,a T��3f� ��t.���iA?ti���� ui�'^.tAr �M7�#+ut^�iFS1��s ,
i.�
�,. s�'�� ,t�`� ��'�, ��1-19h�10�'�8 J:�lS�r1 il�7C1L1f �ti 39Y1` ;`IHT r�"A:tt+1N� �L=l 3�� ^A.l+��fli� '�:!IA _
t .. 7{�lil_? F, �fl r��'f!T�S�Ar� �HT ?Ob4.FU `+t�Y1�M,Q..i�I��42 G��ti7,�k� �-t�lY�. �;
����A.?{_.�sz ---- � - ;i���.?dfi1�q "3hi� J�J`.�.aJ Rfi aTlt.}4tV,Ci�=YtIR'.�}iTUA 3'.'fr'� -,. 3adj�?�fF�l'�S71A+3,�i7�S ,
� �
•, ' - -�t.n� �uiiTlsltre7�fl- WA 1a�0a �r�?.�Yr7�, Fi3�a�x� 1'�CP .9fl 2i1C�a�ti�;3� � '
, Q�:��'��? �a ��� d�c:-rau�Tac;c�a �� 3;r,awn���:a 3F;r �o «�it�ti�z. :
._�:,r__�___ _ _� __
- � � ai; �`` ".`_ ,��n., =�i�a�� � . ' f:
� � y�1_ �� ., �. `� � ` � f :�,�,} t �;�-� .l�t�€� r i c�� � t� '�"' -
v
z , • F�
� � � � � ��� � �a� . ( 4 � ��[;i � - � � � A �? �
� � z:.� ��� �- ,—� °' \_�� �' � _ .. . �_._ � — �`
� - �.,�� ,...._. �ac,..+.... ___.s..
�
. :: �.;��h, ..� � ' , ir r.k " ',�. _: . � (.� _ - - {Fr�A�f c Fti� f � rxz}�(+ c b�—+.�
�,` � .:�s .. , ._ . . . . . .. . . . . �•. _ .... , . ... �.��_. .. . -,.. . ... � ... � - � .. .
_. , - �- i .. �
.
�_� 7
� �c�::S ,h;-r�,-: �... ._ .�:�. . � . . �' :. ...� � . .
�1 a �,1C ' �`�'� -C�y��
�_.____----
A�.PLICATION FOR RESIDENTIALe ALTERATION,
OR AllDITION BUILDING PERMIT
CITY OF FRIDLEY9 NlINNESOTA
OWNER' S NAME •'�.. e acQp �-¢� �� BiJILDER :_ C 1� R� �,nn P S
ADDRESS • � � ( � �cQ C' e �v��'R '� 1 i� . �. i'
ADD�SS • `3 3 S� t^F S�1 i,.o �9--�-�, �A � U�.
N0: . ���j '� STREET:_ i`il eX f paJ �`�L tA-�,o,�-► �Q q'�J �
�LtatT—
�• � sr,ocx: aDDZTZO� : �� 4D Lr� s V ��- 3
,�
�� �-� 1 fl-�r c� A�� s., b U o I C� R�v ,
CORNER LOT; INSIDE LOT:�g�����; a,374'J. SIDEYAR.D;
APp�F
Applicant attach to thia form �io Certifica�es of Survev of Lot and
buildiag location drawn on these Certificates.
� � �� �. c� �"'� � � �-� r--b � u � � /�. -�_ /c � � �:�� � �,
�ESCRIPTION OF BUILDING
To �e Used As:
praposed
,�-.
�- � � '� � � '��, , �'�
� � �� � w Front :_ � � Dept,h r S ��,Height ; S� e S� '
�' S
Square Feet: Cubic k'eet•
��i A-c1�.�Q � ��,Froat: Depth• `Z '� Height• �O �°�
Square Feet; Cubic Fe�t:
Type of Const�;uction; l,.to�� ���,.,,�.�e Estim,ated Cost; �S"
To Be Crnnpleted: �1 ,(�o� a 1 1 Q� y �-�; ��'�'
---,
The undersigned hereby malcee applicativn for a permit for �he work herein
apecified! a�xeei�$ to do all work in stfict accord�nce with tk�e City of
Fridley prdina�aces and rulings of the Depar�e�t of Buildings, and p�ereby
declares that all the fact� and re�resentag�on� �ta�ed in thia application
are true and co�rect,
a
DATE : � � � � % � S IG�tATt1RE t � J . (�
(Ses Rever$e Side Fox Additional Tnformation. ) i� � ", .�� �� .�� �,� a �,, f � �`�
:-� ° :
'-� ' � �°';� � ,� � „ - � �
�
� � "' q M � ���' p#�� � - � ,,� (('
��° �` �1 , � �.. �� � .•¢ � ( ���'�' � F'--
/,� ��� w
_ — �� �-- .
� � 4� �d �
e.
.
�
BUILDING PERN[IT F�E SCHEDULE
SECTION 2. The Inspector of Building� sha119 before iasuing permits £or the
exection of any building or structure9 0� for any addition to any exist3ng
building or structure, or for atay alteration or xepairs to any existing
building or atructuxey upon application therefore, require the paymenf by the
applicaz►t for such peranit of fees to �he a�ount herein below set forth and in
the nqa.nner herein pravided to-wit:
U1�TIFORM BUILDING CODEm Z'ype l, 2& 4�$2.15 fo� each one thousand cubic
feet, or fractioA thereo�� in such cubical contents. Type 3& 5-$1.85 for
each one tl�ouaamd cubic feet. .
ADDITIONAL INFORMATION
�or �e puxpoae of comguting fees for building pea-n►ite, the cubical contents
of aYa� building or addition, i� determined by multiplying the ground area
cov�red from a point six (6) inches below the floor line of the basemen�
or tk�e cellar to the �ve�age heights of �he upper surface or to the average
heigY}t of the roof surf�ce of the main gable of � pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the
rate of $3,00 gex each five hundred dollars ($500.00) or fraction thereof in
the cost of al], pxopoaed work.
T.n ao ca.se sha.11 the fee chagged for any pe�°oait as set €vrth in Section 2 be
less thaa $5.00,
VBRIFICATION OF FOUNDATION
NOT�; Pe�nita Eox eon�stxuction will be issued a minimum of 24 hours fram the
time �� applicatian, �o aII� £or proper xeview of the pxoposed structu�e ax�d
af tY�e cox�s�ruct�.on sit�.
A Certi�ied Survey of the 1ot, shocaing the 1o�atioa of tlze foundation, onee it
has Ueen cor�structed, wili be required befoge proceeding with the fxaming.
GERTIFICATE OF QCCUPANCY
Appli,a�ttiort foz a Cextificate of Occupancy shall �e �aade ten (10) days prior
to t'}ia use ax occupancy of any structure for �hicl� a building permit has been
iasued� and said ���ucture shall not be used ox occugied until a Certificate
o� Occupancy haa beean iasued.
.. �
�
�
�
�
� , �-r� � 3
�
S.
- ��
. .
June 6, 1972 ,
Mr. E�+ett F. 0•Lougblin
5387 Altura Bnad - •
Fridley, Hinn. 5543Z �
Bet pafver of the Requiremeat to Hook Oato
the Sanitarp Sewer and Allowing Constr�:cticn
o! a Hesspool
Dear Hr. 0'Loughlint
The City Couacil, at the meetin� af Jvae 5, 1972, authorized
the waiver of the require�at of hooking on of youz property, Lot E,
8egiatered Land Survey No. 3 near Central Avenue and 89Lh Avenue area,
to the sanitary sewer and a1laWing construction of a cesepool with the
follawiag stipulatione:
1) Thie waiver ie temporary �til the edjoining area is
ready to receiv,e the sewer service.
2) Once the City proposes to pravide sewer aervi�e in the area,
that the propezty owner would aot oppose the im�rovemeat and would be
willing to accegt their proportioaate share of the cose of the i�prove-
m�t as an assessment and wi1.1 conaect to the sanitary sevs�r when raade
available next to the property.
3) The temporary cesspool would be properlp maintained to ae�oid
any poesibility of pollution into the Rice Creek.
4) 1he property would hook oato the waterl3ne on the West aide
of Central Avenue when the house is canatzuFted on this propertp.
Yoars verg truly -
�'��-• ' � ' ��:�,,. .•'..-
' NASIM M. QURESHZ, P.E. '
City Engiaeer-Director of Planniag
I� a ob
. � ----
- �� �:��:�� � F 1� �.� �
t
a
` R
b I
"� I
i
�:i� .
�: ry
�� � .
� .
�
s �
�'^ (v , —"" r7 Y G ! � C,�L / [� • L • , � •
�-- --r----�— ---T----—�-----� 66.02�'°
50 ���� � i I � I �
�� -��. � . i t I �;
1 . � I � I 4�
� `� � I� � I � � �"��
0 o f �� � i �,; ,� �:
V p ' � � � � � : :� � i :r i ^. •"' I � � �
� . � � (11 I • y: � . _. I i �. : .. � . j f ~ •~ t � � ( -
� 1
° = I l I :. , � �
o � ' I I � � - `�� � i . � � ��" � � ��
. � � W I t..�p,o'�- _ I �
. h �; � I I I � �' I `� � �'
.
I �
.���� � i� I . ! � : �,.
, �,
� � ... � •-�5T6 �%��•� �r .. � i��.s
, . . , ;
,� �r� ::°:�� . ;u.!. ;�,�. �.^:I �i)r: •. J .� �
�� ; �"D.o2 `�' - 31 S./4� �s : ,, 20g.07' ', �
� . .
h ,,,- �, � c o o y ��� i
o � �
� �.� , 88 � ���vs � 3 j � �l '� , � �� . ��.
. , • .
� '�, j1� ��� s, ;'�' i ~ ;•i6.02•;
� i' ,'� �-�--� � �' 2 O 8 . 07 � ' ;
Q s' • E . ,, • �
w ° F �, '
� N t
V �
d , " , . Rn � °�
.
h � . t
d � �� g "� i ' � 6T.03' � .
3 '
�
,
�
0
V �
.
0 � B
al ��
y,
� �
h �
� �
�
�
V
;
�
ao
d-
;
� �� se oi �.%-
�
6--..a -
_ •.
A
' N
,
N.
�
i
.
.
.??3 .
.,
.� • .
� ;' .
.
r,
..
,,.
--- 526.17�--
.�
�
- :;.
F ,,
. - - 6/
. ?�
�� _
a
ilos,
� 6-
�,
i � ':_ : cc n�'
��
��
:
.. i � .•- 4c•�i ... ,:.. �
.� i
50- i '� � Lin� Para//c/ 1�i��i /I/oi'�� L�i�� a f L
I B�o I nereoy certify that in accor�'iance witr *he provisions o` Char."
�/ 3�' amer�ded, I:":a✓e surveyed the following d�scribed tracts of lanc� ��
�
♦� N!innesota to wit: Tne West b42 feet of Lot Une {1), kevised Auditor'.s
Minnesota, accorc3in� �o the r�.ap or p:.3± thereof �n file and Oi� record
in and for Anoka Courty, i�'innesota, except�:r.� those portior.s described� as fo
South of � line drawr�' parai ie� with the tior`l: lir.e af said Lot One (1 } and �5
line of said Lat Ore (1), fr�m 4he IJorthwes�. oorner �'' said Lot One � 1) ,d and
East 66 feet of the tJorth i?4 feet tiiereof .
Subject to an easemen* for public road purp�ses over the followin� dc-�cribed
(,1) described as foilows: Com.mencin� at a�oint on the East, line of Gdest �2
_ . _ .. _ , . .. � � ,_ _ "'_ _.� ,.c ...... 7 '.?�,n+ r'!!.: �'..,.+ ... ...., ..i ! �.,+ ! 1 \ b'�
� - �
_ _ ,,
i�
-
�I
�
I
7°'f� °' e
�o �s vc� � -s� � 7, e
I � _
� , d� � ,
�
I _, �� .� � �-� /,d � ,� � � y ��i, o a .
�
Ii �vrcE„� ��p�X"�j/,�� �
(�U °� -
1--_ — -
�� ---
�
�__ : �ro � � � ss, .? �
�
� / �'y .�2� y S"1, � �
I . _ � , / �
�I�
� C�
;I
��
I �
Ij
�—
�i
;,
;�
;;
�
,�
,�
� _
�!
��
,1' �, G 7
/� �%
i
O
�� •��
id, ov
�'rS,ea
�', �n � �' �� �f�+
_ .� -r� �. b� � ��:�8
' —
_,,� a � � , � �-- ---
_ �4-�, 3
�aJ�. � —
yrrr� • s a
���
�.�/1. � �
3, :� � �
, —
G
�-
�o Oa, 7a
-r----�---�--� - -
` �
� ��
i `�; �,.,
�
��� ���, �T��.
»{ �, ,�,� , � � ;
�s �.--4 Y � 5. '. }�. ."�p.:
#�X. � • �p `� y q -
�� �r� � �;� ��� ��i �►�s+�s ��
��. ��� _ , _ _ �s�"�
�� �'� �� �
"1t`at_ . �_x' � :F, y�,9� ���e=. x '.':.�a ��3-i. ;a x.��� , .r:. .
- , ,- .._�- L ag. ::�.. . q . .. �. � r..a .
Ye s . . . , .. r a - . . ., . �
. ,:� � .. . , ii a e..:t . �.�. .;.s.. .,
r = i .�} .�; .
"' ' o
_ _ � ' � fi�' .� � '.,e ♦ s ".'x: �, ' :,a ,a,: � x-.#�. �; � f�� -.x€�
. ��f r F e 9 i � .1 s . 4 § _ �..�k :.i� -�ai.�: ��. Y.� � p
Y[4 � �;. - . . 3 i �'. s � . ie ���.M � t '�';. �y :; ��� , . -. . �. ..� * y.�.. . , ..# ...; � ' . R
.. . .. ... ' . S � i i ��,.t . '.A9� `:Y.
3' ..:.' s. .t%. ' �.':: "i �.:. ; .....{C s �iS�..: .:.. . �.. .:.. #.,� � _ '
... . �. � �, w ..
': $ S;' a i t�.t....}...
, .. ., Yy ....: adi .-l.C'.p�4 ;<' i !"�:,: ,3F:A��#c .k ..�.�.:lh .. a.., �*r ... � .8r6 , :4, i f. !�@ .
��
x p<
�.as$� 't: , '� ..fF 8f-i .�: ro : ... . ..
i. $ .'. b R. : i �'- g
" _ � . . .. .... � . .. � !t $� .#>y t .-.{' s'*^'. S.��jy' .f(pe;;
� �i;�.. q:8. ' i>� .s.� , � �. .
.ei': � d 3 _ T8 r > aei � .;3 � a, at '' `� ;f-d�� : .. � . -.
. . ... , .. s -� .#�: ,Y ' �-..-- � k
..AY i ._' '�_S�' AA 9xd-; . ,.� , "
'. ' � ` . .. �`_' 3 ,'rt i �� .. �..i s r r � ��
.;�.' ��:r: ��� ��.. .8 Y�:,. , , - .. M1...
_ ._. _. ._ .:, , . . . .. _
+� _ . . ��� ,_ , , _:
€ ."a =+e � ., �_ _ _ _
a:s k a � .r
s a�
�' - , €�
��� * ,
x s� a: - �r, :
G� ` . 22 _ _ / S'? 3
. ��`�`�' �
�/
; � .
l ��`� ���
+` , �
�t��t��t �, 'i9%3
I if�+d��� �Y a Fli �%f3� s� 61
� � ���t ���3U� �. � y
�f ��"� �i!'iA� 9 �'���t?� ��� � �
�� P' C��'. � +�� S
� �,
� '�"
� �
i'.,a �
�� .
�, r �.
�. a-- ' "�
ld
��r�a��� #� � �� ����� � �p��i�"������� ����t�;� �ta�ri�� �i ���s
��'��am �f � ��y��� ��� � ������1 ���� �� b� ������d at ���1 4�d �-°'"
C�r��.r�1 �v�, ��^f�i�,�� �� �,
�r �v�+� ��' '��� ���� ��d �p��i������ ��i�� ���� � f�]i���n�
�z�d�t°t��r�� ��f������, �a�*�+��'���� ��i/�� �f��,g�� �:� ���a��r;
� • '� i������� �� �i� ��p��� ���� 1�°�� �'����� �� dr��r� �i�1�� ��
r°e�a�g� fi.v,/p°va��a�� �� �a b� �r��'��uc�pC1 +�� '�� ��t +�r �r� ���
�����l�� �9 � ���• ��� �.����i �� #Y��'�� �7��''7��9 ��l���C��b
�� 1 A �a�e �t ����� 3 ��, h���� � ��^� v���r �r �� � �. �ra3r �1 a�� �
����, ��t�d ��° ��r�,� �� tf�� � . ���� ����-��� �� �%� 1��.
L ♦
3.
�.
��t�'���d ���r� ��d ��e�i�P1������as ����rd�� °�� ��p��� �a��,
��������#t�� b��� ��°�� ����c��9 �� Pt�� � � �ss�d �t� i� �h� ����
������e� �r� �. � ���:���d �� t��s c�f�'i��.
,
���1t�� ����ii� �e�ard��g � dr��f� �'���d �r�� �� �°���� to ���g�
��d ��d°�� �f ������ ����� ��t#�i � ;� � s��P ��r����b �� ���i��
�a b� ta��� �+ ����� ��i� dr�f � �f�+�'i d ��� � �!i r� ���r��.
����� �� �� �v���� p�r�ia�i�� �� 4 �1r�u�� 115 �+��r� ���
e�f ����r����� ���1d �� ��3� ��� ��dt�. ���:����� ��� b�dr�
�a�s�$ t����"��� �45 ����r� ���� �fi ab��r����� �����d f� ,. ' d
� ���h�� �� �r�v�`� �� €���� ��� �#� �v�� �� � >���^e� �h��
���r, ��u� pl��� �t���� �� ����� a� �r����7 � ��� �i���t�
���a� �� �� ����, ���a��� ��� '��s� �r������i�d
c����l�� �� � �� ��a�� �i� ���+� b����. T����� � 6 �q �r���
�`��� �� ��������� ���� �� ���� �� �� i���'� ��t ��' Z ��t �r�d�
���r��. Y��� �����. i������ � ��� ��' �5� �€�u��� f�'� �i� Q���rt ��ei€�,
w����+ i��v�� €�;� ��spr�����,� �� �F��� a�` d����a
�AG� �
�. P'���s� ������t�a v� s�p�i� ��� �i�r�� ��� �� ����� �� ��1�
1� �g b� �f�s`�11� ��d � �t �3i b� �d$ r�d�`ly ���s���I� �r
�h� ���t��<���� ��►d �i�� v� �1��+� w��c� �#'�1 �e��r #� � � t��
� ,yeaw ���r�va1.
�� ,y�� h�� ��,y �u���9�^ts ����r�a��ag ��� �,��t��� �r �� t� t�� � �� �.n�r
�r�� �� � �►t��, p1 �s� ���� �a�� � c�� 1 �� u�.
�
�;
e������
+��: ��a,���a ������, I�a�,
����3� ����^�
�1��
�1
{�
�� ���y�
,� ,���,,�t � ���l����
�
� ���� � b ���
P�sb� f � E��'�'� ��►� ��� ��
I- � - � . . . _
I HBAT L033 EgTIMATE , . • Y'- .
FOR.y( 132-4121 Clty or Villoge c
�I ADDRESS � � / d -
o �
� ��E Floor � Z Dafe��,�
IM� ^e► Phone
Heating bill to be paid by ' � Contractor
FIRST NAME
Make of GWA INITIAL LASi NqME
Plant ❑ �W,� �+a FHW S V UH
�/ � � � ❑ SPACE Firepot.
Boiler No. � Size
TYPe of Domestic Gos Equipment: . Installed Rodiatio�
— Gas Ranges W. Htrs. Onput
Remarks:_ �� � ��� �rYers ___Hot Plates
Dcte Rec'd.
Heat Logg /' �� 9' t-� Checked By
to be �
Installed by-z��
Sold by �
Cen, No.
—_=---- On
Mcin Size ��
� OK
Service Renew
�I �
I �
���x���
�, m
� � y �
� � � �
• M
a�
7 p
��
�
�
�
o �
Y � � � � �
b� z
O �
�a o
�
�� a
m�� z�
y° � �� � �
� M � � � � � � �
�� � � x
�, � � 8 a �
� � � � €�
� r .�
�
h
�
',I � I I I i I I I I I I � ''
�
g
� �
�
[[���] �
O <
x �. Ij
z
� � � � �.
� z
�
�
�
�
�
0
� m
� �
� 0
�
� � � �
o � A
-----
---------
4 -------------
C'- �� OF FRIDLEY
��� �� -
�� ' -433
APPli�tion for Ins1�Da,�on of Water an$ Sewer Service
This form to be completec� before a tap is made to
sew �hqe: _ � Y existing water
'-��' � � •°� �
o •------- ....�,.P""__ Block ...____..-•---__..._.. Addition
�a-�- �-----------:-..�1� �.
Aadre,ss ._._��`s,-- ---
-- _..---•---- __......_
-�-•---•--•----- ----------------- ...:�.._
.._ .._.. _........_. .
Owner -------- �.s � _ . 1% _ ,
----
Plumber ----------- ,-Q-�zr.,o._.--
_�_-_ --- - .--- _� ._.. _
('this Portion of form to be completed by pe
CF.rA1�GFS TO BE PAID g �luesting ta.p)
ASSESS �RE TAP IS MADE --.
�NT HAS NO'1' $El;• N' jrE� AGA TN.cCm U$ nr��E
Sewer Connectioa fee
�Street Aa.tch _...
Water Conriecl3on fee
Meter deposit
Materials t�ed
�Street patch ...._
�, / `
� Where applicable ��•�
The above applies for a11 regular residential size ��c
THE P1�p�p,�E�,E� � �NTS HAVE BEEN �D�G �N
� T.��RE WILL BE NO CI3AR,GES O
The City vvill �TS AND MF,°!`ER DEPOSIT
f�aish materials for wa,ter serv�ce and the plumber
will bill the GYty for sewer, not to exc�ed $3.� a foot or a maadmum
of $60.00.
�S�SMENTS TO BE
Water Lateral �
Credit for material
Toial assessment
Se
a�� . 9�
wer Lateral $_____..._._._......__.._..._.
Credit for material 60.00
Total assessment $_�------�_
Clerk's signa,ture ���--�.�,,��C; � �/ �
I hereby authorize the above �a,p ��� �� �`�
�t �PY—PubHc Works �"" j�jp�tOp Of pub�C WOTk$
�
,��� �"
�� . "��.
��,���
O�t��r 71, 1974
�9r. T6°i�d€ar� �i. t�lr,�» � T� �
6�51 Ce����1
�ridl�y� E�9�r�n�sat� �5��2
L��� r1r. �l��s :
�g�f���n�� i� m�d� to ,y��r r�eque�� �f J�� l�oi��€ (Biu�grsss Car�s�r�cti��
Cr►�R��ayj r�gar���r� �n�or�ati��t c�nc�rning �� ��w��e fa�c�li���s i�s��l9ed
a� y�ur r�s�d�nc�.
The �����e �����i��es �ervir►g �F��s ��id�r��� e�e�sis� of �h� ��p�ie
�ank$ }�t�n��1�� s��`�1t�n� d9s�r9bu'��o� b�x and t�le ���id. Ti�� s���ic
���k is a 1,2�� gallv� fiberc�'I��s �an� �ar��factur�d by �b��, T�+c. ar�d
-is 1���t�d �p�t�xi��el� 1� �eet e�st vf �� eas� end o� th� t���s�,
i'�� se�,�ic ��r�k �is ��p��i���iy 14 ���t i�n�. "fh� ptm���� s���an
is i�c�i�d a�aproxic��t�e'!�€ 4 feet �ast �� °�6�e s�p��e �ar�k� �r� i�n� �tii��
t�� ��ptic ��r�;� ��d i� �r+ovi�ed �i�h � sub�r�si�l� �ur�p, T�� purs� v�a�
�r3 �i r��i ly ��i For �pg�r�ac� rraaa��ly ] t�Q ga11 �� pu�pi ng c�c1 es ���� i c� 9 s d�1 s-
c%�r�ed ����� d�is�r�ibu�i�r� i�a�, Th� distr�but�9an bax ti��� r�a�uf��°�ur��
�.y ��ff�i+� �la�ks �ne. ar�� is lvc�t�ei ap�rox3c�at�ly lt� ���t fr� �he �n�
�� ��� s��►°�3c �a�k �nd a��r�x�i�at�ly �a f�� �o �Fie nort�+. ib��
effiu�r�� �r��a �h� d���r��utf�n bv� is d�s��°�but�d t� ��a �i1e� iin�s. i6�e
ti 1� i i r�es �n ��rtf���^l,� fr�n th� di s�r3bu�ic�n box, Th� t� i�"t 1 r�@ �r�ne���
�� ��pro�im��el,y 3�+��� �rid� ar�d �� ��e� ler�c� pr�av�idi�g 3s�� sc�u�re fe��t
a�f �3���r��ie� �e��. T�� m€��� ��s�eri,� �91� line �� loc���d �g��r�o�i�ate��
lA ���� �+�st �� �iz� ��s� p����,� 1��e �nd �� �r�t�riy► ��1� 13n� irs 1�c���d
apprr�����tely ��vcn �-�igf�� ���� ��s� of t��� ��s��rly ��le ii��. T�� tile
�r�r��i�es �ere c��tr�sc��d �r9��i ��1-� ���ia�s of gr�a�i l�e�l+�� a��r�Carat�+d
pl �s�i C df s�ri b�ati �g ��i �� and �ri tt� �+� � t���+� �� r��ts pi ���d �b�d� �h�
pi�. Ur�tr�at�� bu31dinr� aa�r �ra� �1�c�d �cr ��a v� �� r��k �n� ����n a��r��9�
m���i� ��-� inc%�s �f �ar��n cove�* r�a�e��ial.
1'6�� �ys�em, ���;d�scr���� aGc�v�9 t3r�� ��s��c�ed by a r���s�r�ta��v� a�
�#i�1s ��p�r��ra�: an� a� far as t�uld �� d�terr��i��d �t ��i�� �it�� cvr�p't�i�d
�ubs��r��i�7iy .���h ti�� r�cor€��d�d �tand��ds ca� ��� t=;ir�n�s��a �p�r�n�
o�' �i�al�f�.
T�' �ota h�v� �r��r ��r�h�� qu�sti�ns con��t�ti�� ��fs �tt�r �t° if I�ni�ht b�
c,� �ny+ �ervi� �g �o�, p1eas� �'��1 fr�ee t� �il mn �.
89J�'�l9�liit7
�c: �uildin� Ins�ee�+�r
��veryr �r� ,
�,��� - '�` -�
���'i�4 r �.� /.�7� .
D� ���Qr m ��v� t�a�n�a���� ��r�r� ces
.� . , . . . , <z, ..._ < �,�- _
,:_ � - , _ t .:� ,y „,' �� �,�
- . . -. � � . � �,. a d � . � �
-� �� ��� _ ' � , . r °
.�� ' � - �. ' � -� .. - � �
`� ��'tl � 3 . .. - Y"
aa�%
1 � � t'� .
. '3s'- � s � � — '
�
��. ���
�r-� a �. 4 ' � _ .
"'� � - ' . . _ � _ . .
_ . .. - ���"d
_ � .. .. ` . - '. ..
".�i�r ij�e��. -;s,r�:��.':' . _ .
- ' - i � � � ��.,�:�`,�� . �F �� �`� � . , ��`
, _ _ �� ���� ��
_, � : ' '< .:. ���� �'�'����`�. ��,,�'����. .
_ � - — �
_ .,� _ _ _ _ _. _ �-_--
._..
�_ . _ _
_ .. _ .
° �
e ���- ��� ���
��8������ ����€�`�� ���� �� ��:.;������� {�.��� � -��; �� ����,��
�� t�� ���������� �����: ���� r����� ��r���'�€���� �� ..; . �� � �. . �
.��. �� °�� ��
������ ��� �� ������ ������� ����':����� �.������ �.���� ��°
������ �s��' . ��'��'� �� �a�'���� �-�a ° �.���'�����j� � �'��..:.��-���� .���
i��� .a�� ���� �.�;-� �����'����:.�f� ; ��f����� r��F��- ��f_f ;�, �� �
. ���� ��� i�� ��� �������. ��� -���� ��� t�i ��>�������' : �������:- �_ -
a��f.���� ���� �� .���. ��� ������'�� ,.� �i� ��` ������;:��� `
r��° �� �s��� f s�'s � ���� � ���,�� ���-'� .� ` ��� � �:��'��'t.��� �s����f :. �
�� �s€� �`7 .��� ��.���"t : �-.� �?�$� ���� �r �►� ��� ������ . �
—� F� � � r�� ���c� � ���� ��:� _ r����� �� ��"�a�,����r��s °� �� ��� � � i���� `
�������� ��� ��� ����°������� ���� a ���������. � � ���a��
���; � �� �� ��� ��' `�:�����_��� � �� �� � . �'� � �� � �� ��� ���
� .��_� ��� �� ����� �� ��� ,��� �� �€�� ���� �� '�
��` .��� € ���:� � �� ��������� �� �� ������� r� �3` �'� . ���� � �
����` ��#' �fi�� ��' ,�c� �i������: ��'� r�3 s�T����� ��� ��:.r� ����
���� �� �� ������ ��� ��� �� �� �� �� �- ��������r�� �_�
$/�j qJ1(�t�g��e[�.�{yg$��{L(¢jpqy��'�*{�,,�yq�g''�j��,�yje�!�}@f��j�¢ �+.,Y��} �y
��Eid;�ftiLi'�t1?1' t�S6iAT� 4�"fNTY�f ��y_������ Si�9! iJtlR... �j����' 4 Mil%49 ��YI •-�!/9V YR4�g��Ci�-l'Sk7 Y�
� �° .,�,,�'v.qy� ��'`�,. � �:��'#7� �`-�.� � � - .` ��� �` ' -
$.��3�� � "_�� � ' ��p F�' "�_# 6 a� ; ��� ^ .
���� :� n�� -,�,��� ������ �..��,rt� : ���: �e��-"r�-� ���` r�--S�����`��� ,
�����*��� � ���'�� �`��� �� ��� ���'` ��.� b���t����► ��.�� ��r�
�� ��� ���� ��' �� �� �� �� � � .��a ��� � �� ����� ��
«, �'����� F3s�t� ��� � � �'� 'E7�� � �� ' ' '''�.��� . ����9� -�„�'��� a!��'� '
� ��� u � #_ � � ��l ���� '���,��
� ,�� _
�{ �m - _ '
Ii
�i'U �1�#`���i���. � '��'�'���� �`��i $�� ������� ��`�i �F���'i�� '���
������� ����r �� "�� : ' ; �'� p��`�� � ��� �� �� 3���-�::���� ���
� M, p '
�s����� ���€����� �� �� �� ;. �_. ��� mc� ��t�� �iE-�c.��a�����.
. [,� � ��.
�.:��i`� I �� �a ��`� �.��` ���� ���2�€s� �� ` ��� ���. �r�s� ���, �-� � , -
s�A F� ��� '�� ��:. .�'� .����. �i� R �'',�z ��' ��`-t�'a � � A`�=--
�� _
s� .
_ .,.a.`�s.�������_ ����'� n ��- . .
���. R .
�
� ���
� .� �� ' ��
�.��;
�` . �` '
�'��°�� ������ . �
�; � �
, .
�� :;�� -
� ;, �
�Yt , . _.. . ,.,—�.-- �-- �-, �� -
�.;�... .w,.±�i-.��� 4° �-.�' . . . . . .. .
' , '-' _ _,_ _ '^-.- , �,. Y
. r .> . .,�.. ..� . ..
r.�..�. . .��
� _ ,
� � ANOKA�COUNTY COMPREHENSIYE HEALTH DEPARTMENT \Page . �of�
i : ENVIRONMENTAL SERVICES `� "
� e_� . � ' � .
.BUSINESS NAME '�� EST. N0. " TYPE �
� �USINESS ADDR o" .� �p-. � �� , ,� .
� - • � MCPL. �-�. ,_� -�-,! � �
LICENSEE , r , j • ^ �,
� a �e �=� �
, . ' l`� ?IME ,��`�l" �' �s DATE—� � 'i A.� � ��
SUBJECT: Conttnuation of Inspection Form ❑ :; 'Other �` �8�-��� ��'a' ;� oA, , � �� � ^�,�� ,�� �-4� �� �� ,;� � �
1
REFERENCE
,
- r��° �*�a,r �� cf; .� �e qp F I
d A � � p " ��r - j� � v'��' � _ . j y ' . '
� � i�� ' � � „� .
.. .. n�. � �=�- � r`�- � ='C�¢� . s.f�i<,!L."s�"_... ��I
. e'
o!b ` ,`� �,�,�' �a � � ~.,�.L'_�' . ✓�' � �
.�` .�"a_ -�� E�'�� '�,�r�� ,;ii�� ��� ,;� ��� fP..<+ ,`^'�.'a��,-� �+ `��` 3.:�,';!`�,�
� � ,� �-- � . i�$ ,� , � , $_.- t
`� ^i � .f1'�-:.7t�' ��`F7 a �.�D c�r" r' ,ID'''==�_�q�.� ,^�.2`y ,,�:l�s" 9 ,�sr� � _ f �-� ��-.�: gr�.� - -+"�' �,�.�3 ,.
� , -. _ F-- 4 r� �?.��° .> ��">'�.
� .P ¢ .��� .+'�l�p'..i_ v r`7 f-1 ('� ��, .. ,i � ^ `§'� ���;;�' ) o . . _ . .
� , �
. . . � r� . � / ` �+�.� _ � f . � . . � ..
. . ti ��a'+ A� � ��;�� � a2�� �°`�A -fi^ -^r f'.�7 � .� 7`�.�li: . ;i,`� ,.�v._�i,' tR"':6d ,,.��, - . , . I
. . .. � .a_ ' � - .` � "� ��' i .
. . _ . _ ./ .. 6� - f`: �>: F .d.. Q s� f' �, _ �"�� � �t+t�� - - _ .'� `�..,E'� f�9_ �'1.,�.a � � ���- ..'� ..� `` r _ . �
- i, �� " �� . - � - � � � , � .°�.. _
. . . tt{ � y _ � ^ . . . .
. '` ..'s _ . .q�,' . �-.°,.FI_'.t �F � P�� "!�� �� a':°�".. _ -°"F � �s� ��.r^ i a'�r-r`� .v ,-�� �T-a � .
. d .. . . _ ._.
,f.� �, , � /{ ,:� � �� �" .� f a .�.�- 9
a = ��' �`�'=`'- at. 1' � P_, 9 � - �"°t� i fl � � .d ?a �'a �
_ - . . A` .,m' , .t ,. _ ' !'2+.s-°' ^ , � a �.y �°%<_.
�� � � ..F�. _ � -f `��'�r - . �' 3 'r � �� �� ' �!i� '" � 6 .. I,
a a r ,"_;.� °y �� d�r2='� �`�'� �_. lr � �� i (� �d e, o � � t` ��- ;4d
� ' .< '�'R
. . - - J ? �r ° � -
�� ,,� .� ^ Y,' , . . .
- - - � �` <-; A �_.r.s°..F r'a- , . � � ��. ' ,-TI' � .�{ 7 �rJ..�h ;,. . .
, . . .� . .. _ . . _ .
�
. . � � � - � � y � i
- . . � - . . - . . i
_
�,� � - � _
� N�' �
�
g
��,�
��
�� �� .
r .�
- `--'-.
t, __�;>-
-- :
R
( J� _
_ � .
� �- ,
# �
_ . �� -- - '
F ��� .
� . � � . . . . . ; - - . . - � {�,A,. � . - . . � .., �. . ..
� - ... . _ . . f, t . . .
r
. . . . . . F � �� A�� �� � . � , � ,�_J _ ' -. �
y�c
_ .. � .E�� � . . .. . .. . - � � ���� � � ,
_ . - _ - . . _ � . -. - _� - � ,d.` � -�� - .
� r f �' .. -.�..n----.-,•_-r-.�°"*-. _^----•^:,�'---".r_"= �
- _ . . . . . . . . �. ,..^���.�.. _. _.,�. . _ � .
_
. . � `i ' �.rti. .._.-...a,,;.,_ � � . . . . � � .
` � .F.-. --.- .�.T...�. . � _Q��
4
�1..����' � ��....e.;.=.,___ �-_-.--�__._..•. �`---� ---�-.
`�'7"" D 9 _r:--1�, � _s� __ �:: � �_,�. �a �a
- c �: b - -�r �_'���.r, �.Y�
_ �, _ _
e�
{` , ,
ReceiYed by 'r� ,�'` ���i' ' Health AuthOtity r '':` �� �-�.. '`�� � ` � �-�_
..�-> - °
C� `'� g' ��� �`j���
�
T����
�
c�-��-
UTILITY AND DRAINAGE EASEMENT
THIS EASEMENT is made and granted this 13`� day of October 1999, by and between Donald
H. and Julie Findell, husband and wife, Donald H. Findell husband to Julie Findell and Julie Findell wife
of Donald H. Findell, owners of the property at 6850 Siverts Lane, City of Fridley, County of Anoka, State
of Minnesota, (the "Grantor"), and the City of Fridley, a public body corporate and poliric, located at 6431
University Avenue NE, City of Fridley, County of Anoka, State of Minnesota, (the "Grantee").
RECITALS
The parties recite and declare:
A. The Grantor is the owner of certain real property commonly known as 6850 Siverts Lane,
City of Fridley, County of Anoka, State of Minnesota, and more spec�cally descnbed as:
Tracts C and F, Registered Land Survey Number 3, according to RLS thereof on
file in the office of the Registrar of Titles in and for said County of Anoka, State of
Minnesota.
(hereinafter called the "Servient Property")
B. The parties hereto have detennined that it is in their best interests for the Grantor to grant and
the Grantee to accept easements for surface water drainage and for utility purposes in, over
and across that portion of the Servient Property descnbed as follows"
The North 10.00 of that part of Tract C, lying westerly of Tract F, all in Registered
Land Survey No. 3, Anoka County, Minnesota
(the "Easement Tract")
The parties hereto mutually agree as follows:
1. Grantor hereby conveys and quit claims to the grantee perpetual, exclusive easements, under,
and across the Easement Tract for the sole purposes of sanitary sewer installation,
maintenance, repair, replacement and operarion thereof.
2. The Grantee, or its representatives, shall have the right of free access to the Easement Tract
for the purpose of the installation, maintenance, repair and replacement of items described
above.
3. The Grantee agrees that the Easement Tract shall be used in a manner as not to cause any
damage or destruction of any nature whatsoever to, or the interruprion of the use of, adjoining
lands owned by the Grantor and others.
4. The Grantee agrees that the Grantor shall have the right to grant other easements in over,
under, and across the easement tract; provided, however, that any such other easements shall
be subject to the easement hereby granted; and provided, further, that the Grantee shall have
first consented in writing to the terms, nature, and locarion of any other such easements
which consent shall not be unreasonably withheld or delayed. It shall be deemed
unreasonable not to consent to any grant, which does not interfere with the rights granted
under this Utility and Drainage Easement.
6. The Grantor hereby reserves the right to modify and change the location of the Easement
Trac6 providing that such relocated Easement Tract shall be in the same character and subject
to the same uses as herein described in favor of the Grantee and equally suitable for the
purposes pursuant to which these easements were created.
7. All rights, title, and privileges herein granted including all benefits and burden shall run with
the land and shall be binding upon and insure to the benefit of the parties hereto, their
respective successors and assigns.
8. The easements granted herein shall not be deemed a public dedication; the use of the
Easement Tract shall be restricted solely to the uses set forth herein.
9. The Grantee shall cause any improvements constructed in, over, under, or across the
Easement Tract to be maintained in good condition and repair.
IN WITNESS WHEREOF, the parties hereto have caused this instrument to be duly
executed as of the date first mentioned above.
GRANTOR:
Donaid H. Fiudell
� I' / '� �i �-
Julie Findell
, i� , ; /
/ .• � .i� .� �
�
Attest:
The foregoing instrument was acknowledged before me this 24th
day of October,2000 by Donald�H. Findell and Julie Findell,
marr persons. Don ld H. F dell husband to Julie Findell and
.Iu e F wif ot� al . F ndell_
13y:
�� ��„� : .�<-�. �.
.eS P� �y �! d . TV!trR.ltt�'w`.�.....r��•'11e.�
.I� .. ���",� �B. '��^,j�1ySi�y • �
����t ,�
r �� �iNlJSSlQ� �l��S ,'
�.�, .,- . ��IfA.Ry 3t � IY,
� �� ��'^1Ph2 ^ wr'\�n.�.C,�,� �� Y
��"Mw.rsO•�v�
�
This instrument was prepared by the City of Fridley, Minnesota,
or 6431 University Avenue NE, Fridley, Minnesota.
. � ,�. � � : �� �.:�� i.:� : . ;. : . I : .
. . . . �. :. . : .. ,.
.,: � . � � . r :. : - : - . .
: � . : � . . � � � : : : :• . ,
. : .. : �: . � .. . : � . :
: � : � . � , o � . � . �
�. � �' : a . r
[ . � : . : � jr• • �• I : , � : � j . . : l. . 1 ,
, . . . � - . . � : � �1 . �Q . � � ,
. . � � . . . . . . . �: . . �..r � . , f .
• �. ' .
. . . • �: �� . . . � , .
. � . . . . • . � . �� . � . • .
: . ' �: r � . ,� � � .
. �; � (,! . : • a .
� : : . . : � .
0� • � ' •> .
� � • . . f
. . :tp'
��
. . �€ .
'= p� ;.
. . �: . ;a . .
�Ji : Q� • . . •
' . : . • ' � �; : �
. . . ��.
. 0.: : . . .
. , �: . . !
� • . f--� I � .
, , � ,. ... . .
. ' ' . ' ii; ; .
. . � � o� � � �
. . �: . . . .
�: . �
� . w: .
.. . ir= . ; .
. : : . ' '�: ; ° ; :...i: : ; : � � � . � . •
: : 'b�;1r $ . ' .
' :: $0�'£�`��� : ��'�
. . ..1.8:: :
. . . . � �
� � . � . : . . . s � � . .
, : , � : � . . . :1: : :� ' . . � : , .
' - : : �Li � . �
; . . , ' L] ( i� ' . i
. E
. Q • �
. i .
� ,
. . . . � ' . ' � :i S, c . . • .
_ �:
. � ' Q �7 E` �
, . . .o.
� . : . r � . :�
. �. . :, l�,'� . . .
� . : a:: ':o:;: : .. . .
. . : ' ° � :� . . .
. . . . . . . : a;: :'��?` . :. � :.
� ... � : :: a:�:�:: .. �� : �
.. .. . � . .�;: . .
� :i: � � � � . . �
. : � . : . ::�: `: : � a.: �: . . . W!
. . : : ?� . < : �,� : ; . : ; ' .
. . . : . :�; ::. `�f . : .. .
-- . . : rr . : , _ .
. � N . .. :.: �` :
.. . . '� i:• �� ' , • � ..
• . • :� . .. . • ,
: • . : :� �. �... '•
. . . . , � : ; . •
: • _ . � : � . • • . .
� � . . • • ---• . __ . . . �
� . • . . . . � H . , .
. � � X . . � '
� . • . : � ' � . •
. . � ; � ' ` :
, : • :,. • - .__
,��
r`�':'=;: �};:
P`Y,�l?����-�'� ���K
� .
� ` t K�%
' - Ji-l• � �5' �.?...�n.
'a;'c-: �� `;�N^ ..r.
�r.' ,;.!i�
; :t�
_ .,�„
,.z..,E�2:-,''�-�.;; ;�s._
K, o • r ,'n:>>. :_. �
_ �.�-4:..°;_''fi;.,• . � ?:;�.'
�3'.
�ta.,, Y,`;
� i �
; •,�.`. ,v��
Y ":t
r E � �
� Y:.
r �'
w_
.5a. �l. �.,:
. =d. �
:'f e
W,. r
�'�+z '
:,'w'3';; :�r '.
:: ��-
' �S"� � i>,w:a
::aY.� i�
`� -'
F� '
-r.cs Xl:
.� �`S's � '.
r:r; ���
� 5;'; f�
.T;a�i.;"
' K'i' �
���
�
_
�
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UMVERSTTY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
Theodore Klohs
6851 Central Avenue NE
Fridley, MN 55432
Dear Mr. Klohs:
October 19, 2000
Recent changes in State Rules and Met Council requirements required that all
individual sewage treatment systems (ISTS) in the City of Fridley be inspected, properly
maintained, and meet the State criteria for conforming treatment systems. As a result
of these mandates, the City of Fridley amended Chapter 402 of the City Code regarding
Water and Sewer Administration to reflect these requirements. Public hearings on
these changes were held by the City Council on August 28, 2000 and again on
September 11, 2000 prior to approval.
The changes in Chapter 402, as pointed out in the City's letter dated August 15, 2000,
require that you have your sewage treatment system inspected by November 1, 2000
and then biennially after this initial inspection. To date, we have not received an official
inspection form for your system. If you have not had your system inspected, please
have a licensed inspector do so prior to November 1, 2000.
If you are uncertain as to the effectiveness of the treatment of your existing system or
conformance to the current system requirement and would rather forego this inspection
and connect to the City sewer system, please sign the attached "Intent To Connect To
City Sewer" document and return it to the City by November 1, 2000.
If you have any questions or concerns please call me at 572-3593.
Sincerely,
� �jvV
Paul Bolin, Planner
C-00-191
INTENT TO CONNECT TO CITY OF FRIDLEY SEWER SYSTEM
�, , property owner(s) at , request
(please fill in your name(s)) (your address)
that the City of Fridley waive the requirement of an inspection of my Individual Sewage
Treatment System. I request this waiver as I will connect to the City Sewer system by
August 1, 2001. If I fail to connect by this time, the City may proceed with all actions
allowed for in City Code to make said connection to City Sewer system.
Signed this day of , 2000, by
(date) ( month) (Property Owner(s) signature(s))
SuB�ECT
c�ty of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i�
� �
' ' COMMUNITY OEVELOPMENT DIV.
' j L �.���
r � � PROTECTIVE INSPECTION SEC
i._--� �"' �,� CITY HALL FRIOLE� 53�32 NuMBER
L 763-571-3450 910-F15
�oe nooaess 6851 Centra�. Avenue NE
t LEGAL LOT NO. BLOCK TRACT Ofi AODITION
oesca. Tract E Reg Land aurve
2 PROPERTY OWNER MAIL ADORESS
Ted & Linda Kl�hs b851 Gentral A.venue
3 CONTRACTOR MAIL ADDRESS
Luudberg R.emodeli�.g Coastrtiction 1oi32 heni�
4 ARCHITECT OR DESIGNER MAIL ADDRESS
GINEER MAIL AODRESS
PERMIT NO
�
� ��
NEV DATE PAGE Of APPROVED BY
6/27/03 / /
SEE ATTACNED
y��� of Lot l, AS �i�10 Rev SHEET
Z�P PHONE
� 763-571-9488
Z�P PHONE LICENSE NO
�
ver, MN 55304 763-323-�
ZIP PMONE LICENSE NO.
20039932
Z�P PHONE LICENSE NO
8 USE OF BUILDING
Reside���ai.
7 CLASS OF WORK
O NEW �7 ADDITION � ALTERATION � REPAIR p MOVE O REMOVE
�
8 DESCFiIBE WOHK
_Cons�zuct a 21� x 10'8" Addition to n�P��s,�o
9 CHANOE OF USE FROM
STIPULATIONS
See �zotatior.s on plan.
S REQATE PERMiTS
VIIIR NG H�A1�R�
�LiUM�IN� a�a � ���
u
TO
��R�1�'�
��ft�� �i�g� j�� �11 ic��
�il �iiT�ty� Im���ir��s
454-0002.
R����I��'� �`� ���V
SEPARATE PEFiMITS ARE RE�UIREO FOR ELECTii1CAL, P�UMBING, HEATING, TYPE OF CONST.
VENTILATING OR AIR CONOITIONING.
7HIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING
AUTHOfi12ED IS N07 COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AF7ER WORK IS COMMENCED. NO DWLG. UNITS
I HEREBY CERTIFV TNAT I HAVE READ AND EXAMINEO THIS APPLICA710N 1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of �AWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK W�LL BE COMPLIED �n
WITH WHE7NER SPECIFIED HEREIN OF NOT. TME GRANTING OF A PERMIT W3S�OOO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pEFiMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION ����, �rj
PLAN CMECK FEE
OGGUPANCY GROUP
SO. fT
OFFS'
STALLS
LicEn e SC $5.00
SiG U)��C„(') -'p�TeqOAAUTHOAIjEDAGENT 10ATEi �.,,� EN PROPER�r o
A .� /% f�
IOATE�
UPANCVLOAD
CU FT.
GAFAGES
$17.50
SAC CHARGE
Fire S � � � 5 , 7i�
TOTALFEE
$549.75
D THIS IS YOU PERMI
l.J�� ��
q�rE
NEW [
ADDN ]
ALTER [ ]
Construction Address: �v�
Leaal Descrintion-
CITY OF FRIDLEY
6431 University Ave NE, Fridley, MN 55432
.SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1 /1 /2003
(763) 572-3604 Bldg Insp
(763) 571-1287 �
r l F �,; � � ``P
��°� �
r � . ,1 .
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
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 � g` �� Height _�i� Sq. Ft. �
Length �dth Height Sq. Ft.
Length �dth Hgt/Ground Sq. Ft. �
Construction Type:�jd�r1 A O�d:t'�,� _ Estimated Cost: $��� �
�
i
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � a APPLICANT: �U � Tel. # 3��_ (� �
Call (763) 572-3604 for Permit Fees if mailing in application. Fa 763-571-128 if using credit card and we will
call you for card number. ,
CITY USE ONLY -
Permit Fee $ f �Fee Schedule on Reverse Side
Fire Surcharge $ �C� .001 of Permit Valuation (1/10th°/a)
State Surcharge $ . $.50/$1,000 Valuation
SAC Charge $ $1275 per SAC Unit
License Surcharge $�. �l� $5.00 (State Licensed Residential Contraators)
Curb Cut Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Necessary []
TOTAL $ , � STIPLILATIONS�
BUII�DING 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:
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,�0 �
$500,�1 to $1,000,0�
$1,000,�1 and up
FEFS
$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,�0 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 ea�h additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,0� or fraction thereof, to and including $100,000
$993.75 for first $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
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined
rate.
Permits for conslruction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the. proposed structure and of the construction site.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Onlv
�
r�'�� x :
� r�^
s�''w �' ��" ,
� �'
3;.
t�o: '
,�-a* `_ +�ye�,
�,�� '��; +a'i ��
�� ���
e � � `�'
�r s";`�±' : • , , 'v �
� . � �t A
---------u- ,9' � ,�....1_.._.__��.______.._ �.}. , ---+--
�� I
. �.� ��:� • .: ,i , ,-�� � . . . �. �
� � Ib`w�µ
z� c>o �'�t-a�
_._,� .� .�.,.._ � �:
- � 1 1 _ I ia�aE�TQ� � � .. .c �.,... ...1 y y� ��L CN � �� �
�*4 „�;
, . `, � �
. f.. - --
, ' ��C'". f�r~'tot�14 aL.%
, . '' �;9►Zi": f�riC��'[G.l•
' . ' ,' ' - f *Q � �t.tcr.���G��Df�'t�*�s�a.
' . ' � • � `,,: {G ,�i,1..I L'S pAL 6r
" � ° �CHea.�tra�
. , .
. N • Z,• `cor+c. S�a�
' ' N. e^a a. . �
. � . yr:
� �� ,; I . tNSUt. F�-.. Q �
. i. s• I .¢• ;p � —
N �1 N
; 6' . ' �) _, VsH'T.SPAGFr
-' � i, �. � � .
' .f 2�� . I . .
� ' ii
. _. _ yy ..
_ . . .• . .. .' .,' . ..' � . I�*j , �,.�q '� _
+si �' .. � � _, .. .
{ ��:,i1` " .. ., , �t r: .a.� : �� ' �0 �` A� 4 . .; .
�� � .
$ ! . � a 7 w � 2! . -. . ht ��,.. _�,.�..,_._�
� i�'��Y, � `y ; :. : d , � !y S � °J, �,. t' ir'�.3 +e�'�+!k.^ �� �,a�' p�` ab'¢c.�, 7� �� }_ _ . .."_ "
�� �.d:a�''ti" r ' � � ..s : ' t P.e2 �� ; �''p. ? tJ, S � � i �` .c, �eA^ '?} y`
L ,w � •a �'• � 5. � v .•i,.. � •-,'�'n"r��. _. �f.%ti-- —
��'-�,-'3.� � �;U .^�ndt� �wo ,:i � '�'��i �s✓� ��. ,"•a . �_t., �f��• M � r's'a --
. ... . _ a...�: ... ; .� , , �r,`�. �5 „ -� . � .. .. .
aj � ti���t
Z�I" Q L
�P 1
c ��_-�s'� ✓
� � � � �{1�1.� �
�-1�t1D L{ds�.16a�-��-
� � Zx lo bL3B�taSc.�ta
�i- -� • 1r4bG�C �
�[' pN,� '��;-� «l�FI�'°�i ✓
c
, , . ; ,
�
���/
�
.
C
,;?, !/ _ �',�7'�� "
. �
- �
� I�i
� �"
' -i
P �
� �t �
,r .�.Y.µ:.w
d
�.a s,�i•��-
�„r.•,��
6
_ �
�
�
I�
�._
Z.Fr1'j•fil�Cr� 1:Up^S�C-�
uvu56t.{g-dp
6u��.Tp.��E swiyy
Zx b 'a"jUDS IL"oC
'�;-��a _4+�s�x. y ive
� �z.� �y�s �p.ac.�C-
�.
(HSui,:.#�rssL �
�'1{"� d� p.�q'p.
�-�Qp v�MT-��
r(�Ta,L v4��.�-i-� �
�'�,Sy�h,c.� as p-�c►��,
I� .
t� �
��Z o �f �' "��..��11C,��`, C1�1�M)
i4'I� 6utiL.Ct��C.-� r�-�-� 1
\ I�Z� �"�A 4-G7�F i'J1���`�
'�-.00��-��.u'Y��S z�l"c
•5,
`�. c fls�,�� �� sup. �
, ``~..
�--9y iHSU��}�ve� �-�`. d,� cyu
�t�
'__ � ���w,�,�%:�..
,
'S/8, `,�L�C-i'a � �ca c.�, . _ ...-�
___�_'_' '_'_ ___—'.'_ _".. Zi�=_ f'i" _
IZ.'- Z". o�r_ �,N
zxLl '� �u��� Ilo" f�C
��Z" �t.�FE � �oc �
3/�y« �
Z.xto
P�.'G y �� g��. C� -# ��)
• `y.i�'f�rs}�,.K,��C?C . , �v-:T k , ,;,;
�"'�P��rPx�.
_ _ :�� -_Q�- �
-�--l1 ... /.S�
.!/
�
� 3u1" T�c-, cSg.su�F��,
��'T� •''�11..L � 5�4� --- Z+��o FL.ji. JS'�S {�" 4�,
n6�'A�. A�tcyo�S --- N�---- -- � u 11:.->=� -�_..-�I _� _��-- ll U' l: IJ
_ �. < �, r
�x�s'T. N�t�T��) f//iJ�' �
��,iz��coH'h�.� p. o R�c.,�e F 6 �
p�°° % �� Y �
Z" Goiy�� �SLS�y
2ox8 cot�►c.FT�t• — _-_-__--- �_—____a
/oE %f��iL!l��. ��4z'r�,�+�'T�.- !
- �� �C.���9.¢ ��Z G�.S�-���araFx 1 �
'Pp�po��D aflu, j �o�
.w�SPde.� zz� SF
Il-t �LOG�P- _ 22 N S i�
�-Y ` :
L I 1 M n ii GR-r-, �--%
r
From:RUM RIVER LU�BER 763 862 7359 06124/2003 13:34 #433 P.001
N�Tcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck software version 3.0
CC)UNTY : Anoka
STATE; Minnesota
ZONE: 2 .
CaNSTRUCTIQN TYPE; Single Family
DATE: 6-2�-2003
DATE OF PLANS: 6/24/03
TITLE; iClohs Addition
PRQJEG°T INFORMA,TIQN ;
224sf 2story addition on crawlspace foundtion
OOMP�' INFORMATION;
Lundberg Remodeling&Construction
COMPLIANCE : FA,SSES
Require�d UR = 53
Your Home = 51
3.3% Better Than Code
�
I
I j
� Permit # �
� I
I �
� Ch�cked by/Date �
1 I
Area or Cavit� Cont, G1aziMg/Door
Perimeter R--Value R-�`alue U-Value UA
---------------------------------------------
CEILINGS: Rai�sd Truss 229 49,0 0 0 g
WALLS: Wood Frame, 16" Q.C. 232 19,0 2.0 13
b�ALLS: Wood Frame, 16" a.C. 61 � 10,0 2,0 5
GLAZING: 6dindows or poors, �►bove Grade 60 0.340 2�
CRAWL: Concrete 42" ht/ 34" bg/ �2" insul. 112 10,0
-----------------------g-----g----------------
-----------
CG]�LIANCE STATEMENT: The proposed huildin desi n described here is
cansisten� with the building plans, specifications, and other caiculations
submitted with the permit application, The proposed bui].ding has been
designed to mest the requirements of the Minnesata Energy Code.
Builder/Designer C�'� 1T'��...
Date � Z� V
LfVING SpACE
RESIDENTUIL. Pl.At�I�ING & DESIGN
10141 WOODCRESTDPIVE NW
SUiTE 1d0
OOON RAPI03, MN 55d33
(763) 767-�0500
i '� +`
�
� �.
"t �:
,�
�' �
:.�a� :,.
�
�
—►� � ��,s�
� 1 t�� - 'ka"
"'1 \ � n M
1 C.7
asq�t z�
� N
����
G�E{-' j�L'�L.,^� \
�\
, ,� �:;�,�.
° � a , ,,..
,,
,4 , � �
�.:� -��;,� .
�d:
� � ��
� :�� �
, . , ,���! Yry
�� � � : ,s
, �t�. �� ,aA
,,^_� ��
x ��,: � �
„b� x
`���u
�'
� r� '
¢x
M/
.� ������� �. _ _ __ r,_
� n �, �
--1.� o � -
/�
U . �.
�,
• A / � S'�.
\ � ��'
�--�- ` _ __ � �1
_ � Q • r/,"
� � `-�,.,c.e
� ; �._ /
� —1�AU�{,Q�.
� �V/M"�'1..� .
_ ,,r`
,
f �
:� ' � l � \�
�_ - � � _„
, -- - -----
, � �,I � ---- -----
. �
� .
= N , \f
i/ .
. .
.,
,,
��- ' \
z --�_; _L // -- ��---
�l r!r �ll,/ �� ----- �
I � �
� � � .
-- _..1.. _ . .._ , _. /V- -- — _ _ _--
? �? �� �� p _
� ���
cQp-4p��o, ,�ti�l��� oN
� b
a I ';
,
N -''
�`,
y �' si
N S�`a" : �?
i � s�
N , :" F,, '�+
v �;;i �
�,
��',��::
� � �.�' .�9
� 1
-�\ �
,
. N � ' � '1
� I � ��r
� ?
`�
I\ .. �:',- .. .6 . ..�.:�4. . . ���
�
��-��,
. - - - -- - --�`
Iz�' cor�c, g��
£, cartt.� �t,1.
�- � u : D �" c�Ar� t.1s�a..
�
, �
� W
�.:.1i.-,Pnc. - .,
C F}FsA� Fh� v
! tUH<. eL4� .
� ��..P... �s-t.�
�� a�
---�=- ,,_
�.,� �-x,�7,�.,�,
, ��e-- � ��K.
��1����'14T�H
- v-..u�_�PAC �
tD�-8"
5�- l�" 5'- 2"
__,..�_._ ��
� c.e z�, �y� z y
- - - . .�-
_ ,.-__
; ,. �
- C. _ �
a _ �.,�
, � _ _ _- . .,
� � � � �� �� �
N r � � u� �'��
�� Q °� � �
N! � '� S�Tu�n `', u �%
N ; 9 ( C°�+-'PoT �_ . N . � .\�
i ' �
� `
i
. __.,,_.
�
i �
i �. ,� Z x�� F� p.. v �-r. ��
� . ,;
; � �. N ea c
I � � � ��
� ;..
I� \\ �/ �
� ',�. j / '..� .,,.
. ,,
, ��, �, ,.
.
I � � � , � \\
` � i � � n '� ��—
^ � � ` .\ TT—_ _TT—'
\
� \ ? �/ `. ` '.
— — _ --_-�---�--
_ ,.
—��( �.�..�1 ��� �� �
�� P � i���_��.
\ ,
C _ � � �`vc
�� Z / 4 X�a
� ����
, __..__. ?11��v � r-1 t r��.cZ�i-t�� 1.� tit-��a�..�� �
►
� .
���� .��P ���
, 11��` a 1'- a. �•
8u��orp. ��s v�P�'FS w..�. Gtitit�rt�z
�4", :
�
N
� _ � . , . • . . r , �� % t,n � ; � r _° j.r ..�- ,_: fi�,1 �r�k •i`�`s �` '�"'7 'f�° `��y�� '�t �e` ��°�
s i: r k4 � s: 1 y P. F S '��sY�4';3 '� *
, _ . r � ` . � "� e` t ��� °r �>' ,pt �i ?� �%n�
� e
� l'y � sA� � p-° ? -��Y o ��� � �S�
d .� q di f% . a. �,+°�.. �.�.
' ' '"� ' � . _ .1. � ' t �.s �. .. �° �aR .,.y'� '�S .tG 4: ti� .
_ M . '' .r ?' . j a ��a . }� � -� e.,•�� ��' °.�d: s
1 �,. �, a A ` `y*,.� p .. v �.; r . d� i � , � �h.
� h
. . � ♦.n . . �, � .1 -' �n {g ; ' tk . . � _' , a
.. � ' . efy� . Y. ^����' 'Yfi.: '�2.`, M Y: •
;`/y P . .- - . , ' � �� .� F �.
. . ' .y ! .Ti s '��.• � �� y 'y-y e- :rt
, � . �rf 1 � '�`�SI'i
" , . '• � �` ' , ,, ��; ��° "t9 ''. `y , �
. 1 ' Ny ���/ 4 �.v '�.Y-� .- l�+
..at'$Y� ' r Qr�it � ' S !
\ y 1 S � ♦
, . ' . � �t ; . F � ,��r�� � �, s.
� . .. . � n r',�, ..'^� � I - *a yr:`�� �i< R �d . i t
. .. �, � d�, 7 n � r.
e a�-,
_ P : � � a6 ., .�� '� ,� .:s %� ,,,y ` � .
� y � i � ,,�a , � y,t, l �' . �
. . �.+� J w�. -� � ' � ' .. a +qs. y,Jtr p ��'F . -
.r� s
S � _ _, � . t � .�,� 1 '�! A �. , ^ � .
',�� �.. ,� .�s ,��
Q � � � � 1 e ��� k .
' * .���� � ���� ry r ''! i .
N' �.. � � ,, . �,. - `° jr � '�
; �,� °��£ -��`,, �
� � 1 � . , , ��°.i. ' � �'; ,•� ,• �y 3. � yp' ,�'.a �� ,f�1 f4 3s P; �p a. � ..
�' �q .. `�� a"� . .��, r , rd {�, �� � , '�'q-
r• �� i�:. '-.�.r ♦ ... � b kRi' ,p .,:�( -N�: .
� J���t/��O . •y� �, , �`;� ;�, �',� , � k •"��,�, "�,� ,r = '
/ ` � . . . f � r� .� ,y � ^� �� �
� .. �r � G
r y � �� �� � , �
.�,'2- °�`/t� LVL .. " , .e ��' ,�, & R 9
a � � ;`A? ' . . e.. 's ,i,r,t q'�:��' �k+ �i 'N
. N e'v . �r s.,:�t° ` �n�s�a L ; � : F+.
��_� � �; � �� s � '4�` d . r � .
�C ,..,'�' "� E.. � s
N• " � % � s`$Ir'°� �,``*� � `'E'' '�I
, • � , �. - ... .. '� - . `:i-'. * ;T: .} d . i `•-
� � � ..f K$•� �' ) f' ,.
, 1 � . . , . p k � FM ��� � �.
, . . �t�, � . - � � � �i �� '� � '��� �-
e ' �t'
♦
�'�:dk '1 �. y'. 8-
, x ' 1` a ,r��' ., '-�3
• a�: R ;
. . a^ ��°E: � ` �a� .�°A.k. . , i
, � �
—� [ . . A ,x , �.�, ,
.. - . �+�71 ^�+*ti�s•e.�c�g-�tays�+��:� ���4�:�?+�'�� '"'''"'$ �.n
� ��� ,. � _ . _ w
�Q. � � .� . '1 �� � . . . . ; , >. b r t�`.yd, � � �'�.�k , h
.J . • u' ,�a ',n � �y,r_y v � ' a . :
�� � �
. �'m �r. . r''K!' P � ,. ..- i �,.`t 'Y�t ��� a� ; 4 i. .' �
' r a 1 r
y,, ys +�:t
, ' �9� � f?I � � ;. : . , * A w �` t4�k �t� � � ^ .'�ro. ¢. i
i� .Nu rs � ' /"��i��s.� �'r S�y ss`: i
'$� • _ . .. .. - . � . . _ • .F' nY �� 5 ti . � ,�,F: l � t�, i* ,� z , �i
. � m.+ 't �t. w n d. t Pdf �� w�� E� FH ti ' ,. .,
. ��u ��; �• .. . . �'a a !;'�' �,�j, �' � � w �. r +t� r�,�, 'u '� �
��1�g, - • ` A� t./ +a�£� h .-° vti%� a si � a�, r r i
. . � � � � l�^1 �f.a% �a✓�y�. � . .� . . . �� °L.'} .� na:e a� 2,'` > . ,•�
,1� ' - ���p�Ciasp�{�1 S+�a���� �,r � �,r M . .
��� I I.�G1, f.��1i�%/;�# ro ..3 � �/tiM 1��� n.6 ?f "� m, ���� �' a�
,
�ra.' , . . . •n.� , •,P r :..s�. ., �. , r � sry;r M t t i .�, ��'-� �' a � "'w ,�.
S_A _ . .-.. a � _ .c , . . _ . a, . .-A � s';� �".� "L`�:.
a. a ,
:.c� v?'��.
Z.a �oMG�+�' ,
t.� cc+nc,�Tc�. �
Rt�.�tD F�1►Ha�a,
. _ .� .. . _ ' . ` iqt, y f. "?°� +k. � .�;y� , �...3�,�J i
. . , . .. . o "` t >; weH't r �.4,��. ° .i.•
- � � . L., � Q � .. . 7 .' � * � y � ,'II� .'.
�ra.' . . �� p1 � ` � :
. . , - . a .�. ,- ; k��; x :� _,
i • . � . . � . � � '� �' '.... (N' � t�k ,� � ..'t' y ,S, Ji+F'�4r'� �
;; . � . , � „ .°
,� �s � v y �g�
� . , , , , , ' -�
� ' � t 'Y3 .fi� !
� i � � �- � � Sti ^fi
�e c -4 ; 7 1 .:
�rl L. JpM�� � ' . . . ' . ,_ e . . 3 } y' .6� � .R
�l � .. . . � ' ' r F t� Y �r:. ,�i,,� a
:��.'�6d� y, —:3" 5 s!'- t+ t �
:011C. SL4�y � � ; , . � � �a �n+ m'� �,, � f ..
; �.� e , , x . . . . . � � . .n y i a, � i.,. '+��.. a [' . :
. ' y a �r� � � .^�° 7 .
} � ' � . , � • a �" �v� �x � ' �+��r- t +�.F ;�
('+ . . i , . . . + . 4��, � �,. �,. �°.f ro ^.,d4�+ �m
{�t, � . �.. � ,�_ e �,-+d' . y
�i..� :
'���� �
� y
,�acs�
�r ,
,��� �.� �'.
�Q �
/
N
.`' �
��,�'
., .� ; . . . . ,n. • . c d �' ..,k � .�. . : � b .
_ . � �.a * � .� �+ ;33 0
� � � • � ` 3 { a.c° , d� `4� �i
• • . - , - ` r, Ns � t : -.. .� � �
, ' . N m k }�+� ,�+� �i`� �
` � ... ' "�le. . . " ' � ti"�' 4 4�(r� �� .pn'A 4! .k��kG4 f�
, _ ' .. ,y��" f �; P�� ,y�i :_ . ° . %�; y�
. , • ' • � u j ; . . ` S' a"` ,� b �ti r�' l-°a t � . i �' �
_ . . � � ? � ,� ` i r. t� � �
' - ` � . " ��:. ��'s� f- �d � �>�, �i
' .' " , . - 4 i,�� ,.�^ + p �;p'4.r *�, x '
. � ; • ' . fi ' >",Py�' ��"s`�� ; ��
. -� . . p a ro, 6 _���j y'
� _��►�""1+'+.v.�'al���� . Y a�.r5 �" �y�b+t} F ��9'S.� ,
���{ a „4' � w. �� •� ` ' �';y,,. TV
' � ' .� ' t r'. ... �`�, .f�. , R r�P,� a c�. a �.�` �: R,
�.7'$% f� _.�.,^ • . . ti b'..:. $ �t4 i f � � t � �i. ; 3 � � .
°-, .v . , , • nt ,'� 4�9��� � t �k �� e .< . . �h*� �- aa� A,pk`�a � g ,� �,� ,.'" .
t '� ' � � k Y,1+ t � 3 � ; a�. i . :r � adtii Y<ci�`?b � �D,'R' A9 � �' . , � Y �,y'i
��:r ' .. . . ' t i -n ti.� �S„ a o _ F .�..t � �� .y�r,,,�`� n yj �S4 k
� _ .� � fi.� .� _ . . . � . ^� .. , , .... . . _. an�' _Ra�� �,.�l.��i �.-:° l�l. � . ,+� .. . 'YYe+.�_1.'�..��. . m �.R ,v�`�`,� 19�`�N �t . . .
9,-•`a�'M'�: . . ��L. �'
��,h•, �
�
OhI
m
�
c
� �
D �°
r fD
�
m
m
�
�
� �
� o
n
�
�
�
Z
m
z
-�
Z
�
�
�
Z
W
n
�
�
v
m
D
v
v
°<
m
a
W
�
�J ��
�
� O.�
m
o,�c�
w m?
�
c �
�
o Z �
�v�
�O�
c � o
tD rn =
O D -�
D —
v �
v �
p1 D
�
m v
D
�
m
�
0
z
�
W L� ���< c N N p (WD � N
��- v, v, m m m�� �� m°. �
v .n v � -, -, -, � � �' p p -o -n
m ,� °' _ _ -i � � 0° � v� � �.
� `� � � � � � m N oo � � �
'o " �D m m °�'. �D � � N � c° N
-. � -, -, � < � . u,
� � � co �' � 3 � Z
� � m y co a m
� m m �v -� m i
.�
�
m �; � �° � -n
� * �' � �`' �
.fDO m m
c
f�D
L7.
�
-C
m
�
�
z
0
I I I
I I I �
I
I I
I I I
c� tn tfl ���► En c� En c�+ �� En
cn o 0 0� o � � �;•i cn A v
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
cn -o
� r
z �
m �
v 0°
W Z
� �
n
O
�
1�
� �' .�
."il �
O
C
�
�
�
0
�.
m
� �5'
� z
v °
� �
m 6.
�
�
\ �
N
�J �
,
w
N
�
�
�
�
.�
-D
r
C
W
z
�
�
�
C
�
m
�
m
�
z
O
�
m
--I
O
� � �
m o0
fp C
3 °-
� �
n C
n y
O �
y a
"� D
N
V
�
�
,�9
�
�
-� �
m
�
�
-i
r,
O
�
�
m
1
.�
�
t
�
a�
�
�
�
�
�'
N
O
��
�
O
W
v
�
�
m
�
�
\'
�
�
�
�
(0 '
S
�
�
9�
�
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
• �� �� • ► /�:..�: ' = = ---! --' `- �_ _�_i� • ► : : : ! • ►
�e� �elarinQ an _Yie in0 ��ranr- -, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ()
The venting system is plastiGPVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () 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.
me EY�stina ceme���tinn air is sized and installed to meet the current codes
and manufacturer's specifications.
When required to °"�`"'� a n�•� o e,� �nn air�,it will be sized and installed
to meet the current codes and manufacturers specifications.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
�e� ;n �Iline � n_��� ventinQiy�±,�, the undersigned hereby verifies that
it 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. Yes () No ()
Is the common �ent and vent connectors sized and installed correcUy after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes () No ()
� .. .���.,:-.■��.���:�:�.�.,� _ - _ ..___ . _ _._�_� . � . r�� • �
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
Total Appliances Total Btu Input
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 -� r•► .- �.-
HEATING CO:
Signed By: Date :
City of Fridley
AT TNE TOP OF TME TWINS
i�
� �
� ; v _____ COMMUNITY DEVELOPMENT OIV.
r � � PROTECTIVE INSPECTION SEC.
`""� ��"' �. J CITY NALL FRIDLEV SS��T
i 763-571-3450
Su8�EC7
BUILDING PERMIT 33790
NUMBER pEV DATE P�
910-F15 8/11/03 /
JOB ADDRESS 6�51 Centra� Avenv.e NE
1 LEGAL ��T NO. BLOCK TRACT OR ADDITION
oesca. Tract E Ri�S ��3 of i�o� i, Aud. Sub. #IO Rev.
2 PfiOPERTY OWNER MAIL ADDRESS ZIP
L�nda & Ted K�.ohs 6851 Central Avenue NE
3 CONTRACTOR MAIL ADORESS ZIP
Rum R�vez� Lumber Co i014�. Woodc�est Dr�ve, Covn Rapids, MN 55
4 ARCHITECT OR DESIGNEFi MAII ADDRESS Z�P
5 ENGINEER
8 USE OF BUIIDFNG
Resident�ai
7 CLASS OF WORK
MAIL AODRESS
❑ NEW ❑ ADDITION O ALTERATION
8 OESCRIBE WORK
R�side House & Ga�a�e
9 CHANCiE OF USE FROM
STIPULATIONS
TO
ZIP
RECEIPT NO.
��1��/
Oi APPROVED BY�
�
SEE ATTACHED
SFIEET
763-571-9488
PHONE LICENSE NO
433 763-862-7300
PMONE LICENSE NO.
20036086
PMONE LICENSE NO
� REPAIR O MOVE O REMOVE
Per Sec:io� 1402, :�997 U�ifoxm Bui�di.�g Code, �equ_res that a we�.th�r res�st<ve
b�rr�er be placed over e�:�eraor sheath�ng +�o pro�ECt the �nte�ior w��I caverin.g.
Except�o�.s for this p�ovi�sa�.^. wou'�d be i� shea�hing �,s da �.pproved we�.therprc,of
p�.rLe�. �r whe�. the sad�ng is �.n appraved weather barr�er. V�a���. s�dirg is not
a weatnerproo� coveri�g un�ess �he �4:u�ac:.urer s�a�es th�s irr the:�r appi�cat�an
gu�de7�i�.es. Ca�� for �:zspec�tion af w��p befo.�e coveri�g �r take p�ctures. ��.u�.k
an.d ;:�ash ai� exteri�r ope:��ugs.
' � r, , :
`�, , ,. � ,.
,
� (� I
.'e
' '' '� r � � • . �'- . t
TYPE OF CONST.
SEPARATE PERMITS ARE REOUIHED FOR ELECTRICA�, PLUMBING, HEATING,
VENTI�ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING
AUTHORIIED IS NOT COMMENCED WITHIN 8U DAYS. OR IF CONSTRUCTION
OF WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS
I HEREBY CERTIFY TMAT I MAVE READ AND EXAMINEO TMIS APPLICATION 1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PqOVISIONS Of LAWS VALUATION
AND ORDINANCES GOVERNING TMIS TVPE OF WORK WI�L BE COMPLIED
WITH WHETMER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A PERMIT �19s8�7
DOES NOT PRESUME TO GIVE AU7HORITY TO VIOLATE OR CANCEL THE pEqM17 FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STqUCTION OF THE PERFORMANCE Of CONSTRUCTION �32f .2S
SIGNATUpE O� CON'RACTOp Op 4UTMOA4ED AGENT
iDATEi `
�DATE� �
T °
T
STA�LS
� �� $.5 . ��
iEN PROPERLY V
IROUP OCCUPANCVLOA�
CU fT.
OFFSTiiEET PARNING
IGARAGES
SURTAX
$9.93
SAC CHARGE
F-��e SC $19.87
TOTALFEE
$356.05
D THIS IS YOUR PERMIT
'� \ �- ��
!
��
��p NEW I j CITY O� FRtDL�Y Efl`e+c��e 1/412002
!�,,J Ai?DN L Y
� ALi'ER �J SIN�L.E, FAMp Y AA1D D PFL�S R T D R 2 �63) 572-36Q4 BWg Insp
BUILt�ING PERMiTAFt�l.ICAiiON
�ot�struc�oR �ddr�ss: �5 � �'Q,V'��� I�U C. N . � .
�
I.egai Descrip�on:
c�nmer Name & Address: �.i r�d0. fi Ted Klnh � Te�. #� lQ'-� �S �) - 9y g£s
ContraCtor. �U-�(\ � �C.r �� MN Li��t�i$� # a"Do31o08_10.
Address: 1 D141 wc�cfcres-} D r� J� Tel. #"7(�3- S'�2► •�3 00
�„ �� `�S� `�Attach to tF�is a�plication. a�ert�ficate of Survey of t�e -
lot, with th� pro�ased r,onstruckion d�wn on it to scale.
lMNG AR�A:
�AEtACE AREA:
DESGRIPTION OF 1MPRQ1►EM�NT
L�ngth � 1A�dth � Height �, Sq_ Ft
Length r„ Width � Height __�__,_,� Sq. �t _..
DECK A�tEA: Length � Vlhdifi HgtlGround _ Sq. Ft
OTHER: �
y�a y� , �r�� t2esrd.Q
Constructi�ri Type: Te� �-� S.�c��� Es�m�ted Cos'� ��_���87 7d
Driveway Gurb Cu# Wid#t Needed: �Ft + 6 Ft = �t x$ =$
DATE• - 'rJ " ,� APP�ICANT: TPI. # �1 la�' ` c�SlOd '�Q U
�a�l �rs3� sra�saa fo� P�m,�t Fees � mai g in application or Fax to 763�571.-1287 if usitYg credit card a�td we uv�11
calt you fc�r card number.
Permi# Fee
�i�e Surcharge
State �urcharge -
SAC Gharge
L'ar:ense Surct�targe
�civeway Escrow
Esosion Gontroi
Park ��e
Sewer Main Charge
TOTAL
baiZO'd
CiY USE ONLY -
$ � � ' a� �ee Sch�dute on Rever's� �ide �
$� • � .004 af Perm'rt Vatuaa#ior� {1/10t�iD%)
$ - -- � - - $.5@l�'��� �lu�an - - - - --
$ , _ �9200 per SAC Unit
$ S• DU. _ $SAQ (Staie Licensed Residential Contractars)
$ AIt. °A" OC AIk "E�° AbOVS
$ $450.00 Conservation Pta� Re�iew
$ � Fee Determined by�E�gin�ering
$ Agreem�rrt Necessary � � Not Necess�ry ( ]
$ .���.0� --
�lL
ST09Z98 O1
STIPUiAT[ONS:
��
�3�QI� �0 .11I� WO?�� 6S:0T z00z-Z�-�Idd
�
From: City of Fridley To: 7846001 Page: 4/4 Date: 10/2l2006 9:29:38 AM
City of Fridley
6431 University Ave NE
Fridley MN 55432
(763) 572-3602 or Fax (763) 502-4977
Water and Sewer Permit Application
�] New Connection
❑ E� sting
��
� ��
�Q ,� � /
�° �s�
�
� l
❑Utility Line Repair/Relocation
OWater and Sewer Connection
Date: � (� � t? �o
Job Address: �D� ,j l � �° �!/��L � V "�--
Name of Applicant (Plumber): � �/�h/ %a�/�,(�i; , � �� r
Name of Property Owner: (�(� f C�(� �- S
Ea�i sting Structure Permit #
Permit Typa: Sewer Fee: `^�-�
Water Fee:
Meter Fee:
Repair Fee:
Relocation:
State Surcharge: �
SAC Charge:
Special Assessment Fee:
Total: $
�'�: �C5
Applicant Signature:
Insp�ctor approval:
Water Meter Repair — Weekend & H
Water Connections Permit
Sewer Connections Pernvt
Inspection Fee for Water/Sewer Line
Special Assessments
Cost of Water Meter
SAC Charge
State Surcharge
Water Tap
a41o4ios
, —
c
$125ihour
$50
$50
$40
See Engineering
See Utility Billing
$1550
$ .50
See En�ineerin�