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AF - 37349� a > . � r 0 < � t" i � 1 G 1 � � c�. � � � � �j � � � � � � �, � � r � � � � � �� m � Q � � � � � � � � p � � y m �� " `� � � ° � � c � y C � �r .�i. g��o �� : ' � � : � � �: � � • : �i' •� c-; H � � �a�o l�! $ o� � � M p i � � +9 �� : � � I 0 � � � 8 � A � x O r � � < � � I W � �W � '� � M C 7 ~ G � � � � E 8 � � 0 � $ � I � � � 0 �O �m �� ,o°'. a N $ � � xx �� O y � � � � �� o C y �° � � � �� tu ;yo 0 0 8 � 8 8 �� t I� I I i �� : � x m � � i� p E °.� � � °° I Aa I C. o �� i;�. i : � a a b � B. S � � �� ' �' l� R' � � �a�,�� 0� 6i ~ � i� � � o � � � A�� ? � � 7P n, g a $ : � � � : S � : : � � �a a w G: o 8 $ 8 � 8 M tA � � � �m O � � � � � � � � r� � k" � I � .. �� f � h � I � ,��mm � � � � � � a ,. � � F'D O � �~�� o � � � � � � ep 5' 9 a � ' R Cti � . � $ . . g :: wv. a� o � �888e� ri � I � � I m�� . a� � �� a b .,. ��' � � m"�a � o�� d�� s� �� a� r��o m �� '. �o 0 N ~#� 'bO�pm �V ... � p �� °'�$ � � �� A p� m �� a� � M � �� m�� 5 ; � � A ? �3 �i � � D � r � � T n m C ern � � o � M �) � .� � � � � � � �� N �'-�� A e � � O � � O � ,�.__ � -... F�=- ,�� ..,,�'�ss ..,� �.,��. , � . . ' • 560-3450 . • . � • � .� ' . ' �� .� �� l�� . � . � . ......_...._._ � • ANOKA COUNTY • ' 6431 UNIVERSITY AVENUC NC September 2, 1975 FR.IDLEY, MINN[SOTA :i�43� ' � . T�inneapolis Post Offi.ce Department � � . . Supexintendent of 1)elivexy � ' . . � � , 1s� & l�i�.xquette Avenue • � • . � Iiinneapolis, P1a.nnesoL-a 55402 . � � . ' � Re: Change o� Addiess - Effective Oct. l, 1975 � • . City oi �xa.dl�y � . Gentlemen : � . . We are listing L-he follo�ti�in� cliange of addxess in the City of Tri.dley; . - ' • N��. Mr. William Hartos • . ' ' ' FROM• 546 Highway #100 N.E.' . . • I � • TO • 533� Cheri • Lane. N . E . . ' � ' . s.�c� n�scxzrTxoN • L°t 13, Block �1, Murdix �ark . . . . ' . '. ` . � We l�ave �lotziied the occupanti of this change �and we �aould appx�ciate • 3.r very muclz if yau would change youx xecoxdslaccordingly. , . . � Si.ncerely, . • . . ' ' • D � L G . CLA1:K . • � . � Community Development Aclm. � . DGC /mii • . • � . , CC: CxL-y Water 13il�.in�; Dept. . . � Cii:y Assessin�; Aepa.x+�menL- • • • ' Minne�polis Gas C011lj��lly - B�:oolclyn Paxlc Ofti.ee - - � • Noxtllcrn S�tates Po�.�cr Co�ipany - ' . � . ' Noxtliwe;..Lerii Bcll Telerhone • � � . CiLy Votcrs T•c�is�xation , � . . . . . � llomeo�o��er ' " � . . � ' . , .' . • ' . .. ..._ ' • ' . - . • ' � � . 560-3450 �1f} ^ , � . . . . ��• � . � P L' -- 1Y i,� � ' . t " ,�.;.'�'�-� • . . I • t � z;7. �,`1� �,ii ��l � a . �� %• � �� . ii - - �J� '�,�.Yl�'i� I y � ' � . IC.: i t=-�� .1� V � .�-,�'{uil!„�i� a"�..,J . . , ;�:�; � . . � �'" -'_�rF`s�%f�� . � . � �^� -� ''�•_c3i j . At�IOKA COIJNTY , � . j E, j `3' � �,Y� _ ; . . r� � 7."".. S-1-��tT?.J �. }�'� ' September 2, 1975 ' FRIDLEY, MINNESOTA 55421 � ! �� 6431 UNIYER517Y AYENUE NE . , . t��/It; • , ' C� . � , . . .G.:a a . . . � � Mr.� William Hartos • ' . 546 Highway #100 N.E. • ' ' ' . � � �Fridley, Mn. 55421 . , _ . _ � Re: . Change of •I3ouse I�umbers ' . . • � . Effective October 1,. 1975. • • . � � Dear �. Hartos : , ' � • � - � �. i�. has been necessary for this oi�iee to change the address � of yo�r house . • .. .' FROi� 546 Highwa� #�.00 N.E: TO 533 Cheri Lane N.E. • • ' LEGAL DESCRIPTION �t }�3, Block 1, Murdix Park _ ' ' � , � � . i4e have notified the Post�Office Department, Minneapolis Gas _ ' Company, Northern States Power Corapany,��Northwestern Be11 Telephone , , Company and various departments in City hall of this change. �� ' � . , Sincerely, , . � � , ll, i . . ' •DA12Ri:L G. cr�r.x , � ; � . . . . � Cor•ununity Developmeni Adm. . • � • , DGC/mh. • • . . , � ` • •:oi....: ��:i:..`<L•:S:f.`Rt:QtiS.`i�wtia`�:iDi�ii:<:.�:it�:�:i:i:i :::.............y::�:.�:�:.�>:wy.h:..z.�:.::.-..�...:�.y.�:�:+�.�:iCti�.::.i��tab:K�:�:.�:N>:•:v�:,:.:...v:.ti:.: �:v.•..�.......,...............�.....,................... ... . •.�.:...�.•v..w.w.>wu..•.�.... w. �� O � 3 3 a �' o m � � (Q A � a b a -a su m � � �� a� � � 0 �. �3 �r 0 n � Z n --� x �� co Z _m D � c� � m� � D n � Ill A � O Z z � m z � n --i Z m. � � 'a -o °< c� R � � O C � S I 3 v � � � � � V � N � W � � � m Q m � � o � � D � z � n 0 � a z � �. a �3 0 °. 3 • _. "-. � p i � � = �• � -�a c � � � � 0 0 . ;�. O � � � � c m �- � � � � � � I� C � � � =i Q. � z � � �'� � m z 0 m� v � . �� ' °. r� m ., ,...,Q < � �'� � - f a; Af � � :.•.. O � ,• �• � � � � � �• m � � $� i g m D � � � � � 0 0 � � o `� - � � ? � � � Z v 00 n � � � � � 0 0 0 0 °o °o � g � � � � � � ��o � Q m o, �� m 3 � � � � � � �� n O � m � •n � o � � m m m n.. m � �r � 3 Q- v o = �' o � � � � o� m � � � v � 0 � �` � � 1� � -D m � � 0 � � au C v z � c � m v � � \ � _A � � � � \ � Q . "� �-�� o � � a � � m � � � � � � .-► � -r� p c � � � � o x � c � -s 1 � 0 o �� o m � �� O � � .�� `+ N � �. � � � A � w a � � o a m �'i .� m t� � W �. � y — 3 � ma�? Q� o � � �Q� < �� u ? o m� � � � � A Q- � 'a m 3 � � '� 1 �� 07' m � � � �' � o � a�'�� ., A yT � O � S „« m o � � rt 3 .-�► ? � � � � ��a � � � �r � � �� J �%. NH L O � � � I� � � ,\ � 1 �� w� C O �Z�'� � � O. < � N � m� � Z v < m -�v 7TE) � mn a -� -Ae O OZ Z -►� �z � D � A �7D n � � � =i Z Z t�H Z y L� Z �v _ � � � NDZ �Z � v O �o mZ �� rn . z � � � � Z s� � � � 0 L 3 � � � �� W CSI�IIJSY AND STACR VSRIFICATION .� The undersiqned hereby verifies that the existing chimney or stack: l. Has been carefully examined Yes � No O 2.. Is free from rust or deter3:oration Yes () No ¢� 3. Has no foreign objects lodged within Yes �) No () 4. Is securely supported Yes (�j No � 5. Meets all current Code requirements for size and total BTU�s connec�ed �Yes �� - - - -6 - _Has _ to��,� ��i.nc� BT�' � of �p �i _ ' ' , Al1 other BTII�s � �� . , TOTAL BT[T' s /� � � � Remarks !o�>� �� ° _ _ '��- List Alterations Being Done• a HEATING COMPANy ��j� Signed By Date ?�� -�� m � sue�ecT P . City of Fridley WRECKING � R �� ` AT THE TOP OF THE TWINS ��,� p E R M I T �� r � . � � � • COMMUNITY DEVELOPMENT DIV �J ' ��; ------, <,JC�'� / r � � PROTECTIVE INSPECTION SEC. i � � � /"'1 • CITY HALL FRIDLE� BS432 NUMBER REV DATE VAGE Of APPROVED Bv �'"""� � �'� 612-571-3450 910-F15 10/11/9 / � JOB ADDRESS 533 Cheri Lane NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ],3 1 Murdix Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William Hartos 533 Cheri Lane NE 572-9261 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO Bahl Movers Inc 8970 7 St NE, Blaine MN 55432 786-5650 104311 d ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS Z�P PHONE UCENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK Wreck 24/20 Garage 9 CHANGE OF USE FROM TO STIPULATIONS Remove demolition debris from lot. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION ZONING SO. FT CU. F7. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OF; ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOFiK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMP�IED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST UCTION E RFORMANCE OF CONSTRUCTION. .00 PLAN CHECK FEE TOTAL FEE � 1 . � si aruaEOF N'RACTOAORAUTNOAiZEDAGENT IDATEi WHEN PIiOPER yALI ATED THIS IS YOUR PERMIT . a � � . r�f/O-� J SiGNATUREOFOWNER�iFOWNEABUILDEAi �DATEI BL �NSP �)FTE CITY OF FRIDLEY 6431 University Ave NE Fridley MN 55432 572-4604 Job Address• �• Legal Description: Owner & Addres�.; _ Contractor: 1J 0.hL Addxess: 4.�lil� 1 Effective 8/1/95 MOVING [] OR WRECKING [� PERMIT APPLICATION . � � � -- � er� �r��e %l!��< � �� Tel. # S�a' 9a6) r�rrs �u � . Tel . � ��6 �.�6s0 � �Ua�e �.�� . state License # 18 `l 3 ( 1 DESCRII'TION OF BUII.DING HOUSE: Length Width Height Sq. Ft. Cu. Ft. GARAGE : Length � Width � � Height � Sq . Ft . ��.. _ Cu . Ft . OTHER: Length Width Height Sq. Ft. Cu. Ft. Estimated Cost $ %� Approx. Completion Date UTILITIES City Water/Sewer Minriegasco N S P U S West NOTIFIED: 571-3450 [ ] 372-4720 [ ] 566-9120[ ] 663-6000 [ ] Water Bill Paid: Yes [] or Collect [$ ] Signature Moving Route : �'�e� � C,� �^� - �� . � � S'� _ -�o e�-s -� a � �iSSi 55`R0� �T -�� dV O• C�`'°� p 1� `'��n�� ` �� vu'� OT G'�'y io-1�1ne Ca�d�, � 1. The undersigaed hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this aAPlication aze tru� and correct. � �� • ��, �1S Date Moving: Principle Building into Fridley .... $3�.� Accessory Building iato Fridley .... $ 42.� Througb or within the City ...... $ 20.00 Move a building out of City ...... $ 80.00 Wrecking: For each 1,000 cubic feet or fra.ction ..$ 1.25 For structures which would be impractical to cube the fee shall be based on the total cost of wrecking at the rate of $6.(m for each $5�.� or fraction. PERMIT FEE:�' �Ci STIPULATIONS: .�_� � Minimnm Fee: $20.00 ,-_ -- �----�--...� �' mam Fee: $15.� SuBJECT �ity of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � . � � � ` _____ COMMUNITY DEVELOPMENT DIV. r � v � PROTECTIVE INSPECTION SEC. i � � � �"'1 � CITY HALL FRIDLE� 55432 NUMBER pEv �""�" �'� 612-571-3450 910-F15 108 ADDRESS 533 Cheri Lane NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION oesca. 13 1 Murdix Park 2 PROPERTY OWNER MAIL ADDRESS William Hartos 533 Cheri Lane NE 3 CONTRACTOR MAILADDRESS Windgate Homes Inc 3810 Rum River Dr, Anoka d ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS DATE PAGE OF 10/13/95 / / ZIP ZIP `��3 � RECEIPT NO � o0 APPROVED BY SEE ATTACHED SHEET 572-9261 PHONE UCENSE NO -9592 1389 PHONE LICENSE NO. PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASSOFWORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIFi O MOVE ❑ REMOVE � 8 DESCRIBE WOHK Construct a 24'8" x 20' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Garage to be at least 3 feet from the side lot line and 46' from the front property line. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIH CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. fT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOfiK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIF AT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS AND KNOW TH AM TO BE TRUE AND CORREC LL PROVISIONS OF LAWS VALUATION AND ORDINA CES OVERNING THIS TYP OFiK WILL BE COMPLIED @8 � 7(�3 WITH WHET R SP CIFIED HEREIN OR T. GRANTING OF A PERMIT �' DOES NOT RES ME TO GIVE AUT RIT O IOIATE OR CANCEL THE pEqMIT FEE PROVISIO OF ANY OTHER T LOC L LAW REGU�ATING coN- �149.75 STRUCTI O THE P OF TRUCTION. � i �//% �,,��/!//� /% � LicenseK SC $5.00 , v SiGNATUFE OF OW NEA i�F OWNER BU4�ER1 r� GROUP IOCCUPANCVLOAD CU.FT. OfFSTREET PARKING IGARAGES SURTAX $4.37 SAC CHARGE Fire SC $8.74 TOTALFEE $167.86 :D THIS IS VOUR PERMIT NEW ADDN [ ] �.�R Il Construction Address: Lega1 Description: Owner Name & rAddress: CITY OF FRIDLEY SIATGLE FAMII.Y AND DUPLEXES R-1 AND R-2 Building Permit Application s �� Contractor: l N c� � �' Address: 3� ( c� - LIVING AREA: GARAGE AREA: DECg AREA: OTHER: i 1 I �/�i � �� A��S �,v c iD�. �.�. � Effective 8/1/95 Tel. # S�Z ^ �� MN LICENSE�3 Tel. # Z Z � ��'Z Attach to this application, a Certificate of Survey of the �3�'' fi�� lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height �g� �c! �g Width � Height k � � Length Width HgtlGround _ Sq. Ft. �1- F�, �-�° �3, yx %?, � 2 Sq. Ft. � ��.G3 Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Ty� of Conslruction: ��v�2-2 Estimatsd Cost: $ � � �3, � � Approx. Completion Date: ° C st on Ba k) Driveway Ctirb Cut Width Naded: Ft 6 Ft = t x$ _� DATE: l0 -C�-��APPLICANT: � Tei. #�' Z-9S� Z Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge � ly�,�s � �� ..3� $ $ �) $ $ � $ TOTAL $ �� ' `�> �� - STIPULATIONS: CITY USE ONLY F� Schedule on Reverse Side .�1 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 per SAC Unit $5.(l0 (State Licensed Residential C,�atractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determiaed by Engineering Agreement Nec�sa.ry [ ] Not Nacessary [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the ere�tion 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 hereia below set forth and in the manaer herein provided to-wit: � TOTAL VALUE $1 to $500 $501 to $2,t100 $2,001 to $25,000 $25,(�1 to $50,000 $50,�1 to $100,Q00 $100,001 to $500,�0 $500,001 to $1,000,� $1,0�,0p1 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $5� plus $2.75 for each additional $100 or fraction thereof, to and including $2,(){l0 $62.25 for first $2,000 plus $12.50 for each additional$1,000 or fraction thereof, to and including $25,� $349.75 for first $25,(�)0 plus $9.00 for each additionat $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,�0 or fraction thereof, to and iacluding $1�,000 $887.25 for first $100,(m0 plus $5.00 for each additional $1,0� or fraction thereof, to and including $500,� $2887.25 for the first $500,000 plus $4.25 for each additional $1,(m0 or fraction thereof, to and including $1,0�,000 $5012.25 for the first $1,000,� plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A": Removal and replacement of curb and gui#er only - Driveway width plus 6 feet times $13.�. Altemate "B": Removal and repla.ceme� of curb and gutter and instail a 3 foot wide a�proach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Pennits for construction will be issu� a miaimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the conslruction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the fi�ming. . aq.eay- <� \y • � . . .. � , � cERr�F��cArE.oF �u.�v� :.. .. :.�.,,;;.L.. .. ! . : D/►T E � �` � � F 0 R c3, L�. � A��.c�.UC. �ia�-ros � � . . . . : scn�.� � � � �� KURTH SURVEYINO. INC..�� ,' O• IRON �i0NU1�tEN��;; 1 HEREBY CERT��Y iHAT 7HIS SYRYEY. T OR sEPORT 4002 JEfFERS.ON ST, N•E• BEARINGS ARE �AS PREPARED BY MY OR uHDER YY pIRfCT S COLtA�B1A MEIOHTS. WV. 55�21 PN ;Ai:�•. �ND 7HAT 1 Au A GuLY REOISTERED L NDER (612) 7p6•9769 F�1K (blZ! 2b6-7607 � . 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O vi c�D 7 � c� o � 3 � Q o `o' m � � cQ A � � 0 3 � � � N o m � � �� ,Q � � 0 c � �� F �o n C � Z n -� T. c `�' �v Z � � O C� � m � D n � < m � � D --�I � Z 0 Z � � Z � -o m ci -_I � Z � m rn c�, .A N O O 2 � � � < � Q. w � � a C � � I � O � (D � � � v � � v� cfl � m Q � � fD z 0 �, �� ..^� � y � ;� I? _ D � z � n 0 � -� D Z -G J � N � � 3 � A c � tD � O• N � = � � � A m O � 0 � O � -� '�'► � � � � m � � � � t� t%�'+� �� c `� � � -. -� � a � Z � � 2 � � N � z a mI v � D y* 1 o r' � �� n �� y ^ Q c 7��0 � � o ��' �w � � � D ai D � _ � � �� O _'*'�C N � Co\� � a,-' ce o .� �- r "� _-i :.. o "° Z r" �, . �� c� �,. 3� � � r� N w 0 0 � � -n m -+ z c � � C Q � � �, � � 3 �; � � � � i y I 2 --I � n o � � � n O 0 3 � � 3 Q � (n Q1 O (ND � Qvo�' � - _ 0 � � � � � A1 � D ll/ �1 � v � � YJ A1 N � iv � � N L� D�c�p � N � N N � � � � ^ �1 � fD �• � -fDa �D �; �� n S Z �° c� � � � � � Q. � �. '� Q. �'- � v ? � � o ? � � � � W � O � A � �� W a 3 m � � I � � � � 0 0 0 0 � 0 0 °o °o �'. m t� t� � tfl -� O F- m � � � � m v � C7 � -� �\., P+ f°°, r''- � V �� m � � � z Q `�_ } \. �` m C � a z � c � m v D � O � � -� Z ut� �•� � � � m a m o � � =•. s cQ �►. �� (A W �. (D � � _. � � � �� 1 Q � o D �� a s �� ao� < � �n ¢' 3 ��• �s ? o � 1 � � �'� N � ,_. 5 .. — t� '�. n o � � 3 � � � s � � `< <7 3 A � � � O O \ C n Q -s V'� N � � al � � o m m -� �� m .� `�e � "'r � --w � y � O � � — 3 .-. 3 � � � � @ � � `� O A / V� � � � O � � fl- �D � Q t�11 N � � � co � rn � � D m � n rC I11 � T � n N Q W � 1 � �\ O�i � j � � Z � � � � � N � � m � z �„ rn -o Pfl f� -i O Z v < rn� � r rnn a �� o o� z ,� Z � v -� D O � � O � Z � v_� �z z°� zpL � O cn v 00 � S °v � -D-i � � � rn a � � a� �� -�� m O �� m � �� - < � � Z ti � � � a�;1 Z � m � m 0 7 A�1 (7 3 � CO � CHIlVINEY AND STACB VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No (} 2. Is free from rust or deterioration Yes () No () 3. Has no foreign objects lodged within Yes () No () 4. Is securely supported Yes () No () 5. Meets all current Code requirements for size and total BTU's connected Yes () No () 6 Has total heating BTLT's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No () 8. Has combustion air been provided for water heater Yes () No () Remarks: List ALTERATIONS Bein� Done• �.� G'°�2� �°�, � �. �z�''� HEATING CO: Signed By: Date: : � '=�:'r A - _� / �° �� f �� '%'� - sue�ecr P Ci¢y of Fridley 2 6� 6.7 AT THE TOP Of THE TWINS g U I L D I N G P E R M I T i • � � � O. � ' COMMUNtTY DEVELOPMENT DIV. �� i VV �� f � � PROTECTIVE INSPECTION SEC. 1 . � ( � /"'1 � CITY HALL FRIDLE� SS43Z NUlABEF i1EV DATE PA(iE OF AGPROVED BV �----� � ,'� 612-571-3450 910-F18 7/29/98 � � JOB ADORESS 533 Cheri Lane t LEGAL �OT NO. BLOCK TRACT Op ADDITION SEE ATTACMEO oesca. 13 1 Murdix Park SNEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PMONE Bill Hartos 3 CONTRACTOR MAIL ADDRESS 21P PNONE LICENSE NO. Ro al Construction - < ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS Of WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Reroof house (13 S ) Tear-off 9 CHANOE aF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBiNG, NEATINO, �PE OF CONST. OCCUPANCY (3ROUP OCCUPANCV �OAO VENTILATING OH AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(i SQ. fT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WOfiK IS SUSPENDEO OR ABANDONEO FOii A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEFEBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICAT�ON STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOFiK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GFiANTING OF A PERMIT ZOB�F ..5�i DOES NOT RESUME TO GIVE AUTMORITY TO VIOLATE OH CANCEL THE pEHMIT FEE SAC ARGE PROVISI OF ANY TH R STATE OR L CA� LAW REGULATING CON- STRUCT Oq THE P R R N O� C STRUCTION. 37 . 50 Fi' r 5'(`, 1. �8 7�� ""� PLAN CNECK FEE T A FEE � Licens 5. 0 .12 NATURE OF CON7RACTOR OR AUTMOR12ED GE IOATEI N OP A ID TNIS I R P � ' S�GNATURE OF OWNEF� UF OWNER BUILDER� IDATE� °�' BL �NSP �� E NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 ANI) R-2 � BUILDING PERMIT APPLICATION � p�� 1;� � D � ConstructionAddress: J��3 � � �� 4iU� � Legal Description: Owner Name & ddress: �i/% �r7#�T� S Tel. # Contractor: � .� C��57R�ci�o�l/ MN LICENSE # ��`(31J`� Address: . ��02� ��/�� 51� �/�� Tel. # ��' �yL%�0`�,S � � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECB AREA: OTHER: Construction Type: DESCRIP'fION OF IMPROVEMENT Length Width Height Length Width Height Length Wid � Hgt/Ground . � 6% ('�/%) ��(�e S� '� �� S� �. Driveway Curb Cut Width Needed: DATE: 7�02�' f Y APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License 5urcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: $ .� , So $ �G7c� $ � $ $ � C� C� $ $ $ $ $ '`" , /� Sq. Ft. Sq. Ft. Sq. Ft.. ��s�� ,�"� Estimated Cost: $ f (�� (Fee Schedule on Back) Ft. � 6 Ft = Ft x$ _$ Tel. � y�y� ��Fr CITY USE ONLY Fee Schedule on Reverse Side (�1 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (5tate Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] e r��-' � 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 $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349 . 75 for first $25 , 000 plus $9 . 00 for each additional $1, 000 or fraction thereof, to and including $50,000 $574.75 for`'first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,OQ0 or fraction thereof, to and including $1,OQ0,000 $5012:25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb 5treets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B°: Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. , ' � b sue�ecT P IT NO. City of Fridley 2 6 9 7 6 AT THE TOP OF TNE TWINS g � I L D I N G P E R M i T r � � RECEIPT NO. � `v _ COMMUNITY DEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. 1 . � � _ /"�'1 � CITY HALL FFIDLEr SS432 NUMBER REV OATE PAGE OF APPROVED BY �----� � •�� 612-571-3450 910-F15 8/4/98 � � J08 ADDRESS 533 Cheri Lane 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 1 Murdix Park SHEET 2 PROPERTYOWNER MAILADORES$ ZIP PHONE Bill & Arlene Hartoz _ 2 1 3 CONTHACTOR MAIL ADDRESS 21P PHONE LICENSE NO. Ra.nd Arthur Sidin & Trim 13 d ARCHITECT OR DESIGNER MAIL ADDRESS 21P PMONE LICENSE NO. 5 ENGINEER MAIIADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILOING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Residin 810 s.f. vin 1 sidin & r 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBIN(i, MEATING, �PE OF CONST. OCCUPANCY (3qOUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfiUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 OAYS AT ANV TIME AFTER WOpK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV TMAT I HAVE REAO AND EXAMINED TMIS APPLICATION STALLS GAqAGES AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT 3/{lO L ZO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAFGE PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING CON- STRUCTIO OR THE PERF RMANCE OF CONST UCTION. $7 � 2S Fire SC 3. �►1 PLAN CHECK FEE TOTAL FEE � � 2 8 SIGNATURE OF CONTF TOF OF AUTHORIZED AGENT 1 ATEi HEN PROPERLY LIDAT D THIS IS VOUR PERMIT / ` ! �'-�' S�GNATUREOFOWNER�IFOWNERBWLDERI IQ�fTEt ° BLOG SP qiTE 1�TEW ADDN �.� Il [l [� ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-� a�� ING�ERNIIT APPLICATION s �� , L � fi �/� � � �-/��- �� Effective 1/1/98 �� ?�� S�� aS 6�oL�j Owner Name & Address: �I r// v'- �1'.,�szc �yf0 Z �3 3 � Tel. � 5 ? � � `� �-� 1 Contractor: ��c,,� C�--��— f0� �a�,- �" T/� �/I-� MTT I,ICENSE #��' Address: ��—//(�� /'e !� � ,�j��r'G� �� SS�� Tel. # `�S�a��,� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. �' DESCRIPI'ION OF IlVIPROVEMENT LIVING AREA: Length v�0 � Width �� Height �� GAItAGE AREA: - Length Width Height DECK AREA: Length Width Hgt/Ground 01'HER: Sq. Ft. /D Sq. Ft. Sq. Ft. Construction Type: l/l� o G��r ��/�'J') Estimated Cost: $,� �/� r � v - � �(Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: C..� '� �IPPLICANT: Tel. # Permit F�e Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � $ ��-�.� $ �� I $ �-�p $ $ _�7'� $ $ $ $ $ ��,�� . C� �� 7. �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation ° $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above � $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � � 0 BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any tiuilding or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, ugon application therefore, require the payment by the applicant for such pernut 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,OQ0 $25,001 to $50,000 . $50,001 to $100,000 $100,001to $500,000 $500, 001 to $1, 000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 � $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.a0 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,0OO,OaO plus $2.75 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCRUW (Concrete Curb Streets Only) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction 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 constructi�on site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. - D � � � ca N O 7 � y � � � d � 7 N ri � D �p O + Z �p � � Q A � ��N � � m m o p � o v � Z co � D D C � N 1 � �% O � D, � r � � � O m m m m m � O O < �Z O m 0 � � � m � c n �' o � � n � � O Z °a r � v � D C 2 '� � z z� C c`o v ° m � a��o � D d+ m m ��il O m O1 tn O I D � - D � m Z z .� � c � � C � I fNt1 D I� m � � IZ_ � o �m � � � 2 � � � � !� a � � v uo N � O IO � � �R, � �°d o �`'�`�E � m m0�o�� `�-i � w w t�e � m 3� � f� a� � � � � � � � � � � T � ° m � � c� � � � c�i � � � '-f � A � Ul � � W� f�0 � =• � r- J d j � N 1 � 1 1 � Z• ii � i�i . 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W(�D � "�'' o �� m� c• r� v�i, N� ai m � �� 5 c�u Z m G� m D �° �- �D � p) (D 'a -� N � m v, � �° � �1 � * � � � � �D m m .n c m o. � � m w .� z o I I � I I I I I I I I I I I � � � � � � � � � � � � � C)1 O O O y O v y y~��~ 0 0 0 o a o°o o°o °o °o °o °o 0 0 0 0 cn -n � r z � m � v 00 W Z � � m � 3 � � a n 0 � � m � � _� z � � c � � C N fD n O � � m 1 . � � � � N O �� d N a rn � �• � � a N � o � � � N � � � C O �. �- � O co N _v, o �': �- > > o� � � , n ci � � m � �D o � � a a w m � � � o� rn �. � � � s r► °: m � � � � � � � o � a fD � N N � r c W Z � � C � m D -� m � z 0 � � m � O D r � O W D v � � m � � � .-Tj � � : w� °;� � =� � G N�� „� Z m � 0 0' c�n � ��`° �y N c { X � zz � � m .� v m cn n � � � O � Z � � � C m � � < m C � n� � � h: O W THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPUANCES OR THE APPLICATION WILL BE RETURNED (`nMlL�pl� <�f�T� ��f�T nl`i�! C'TOR Af`D GOM6 ISTION AIR VERIFICATI�N Whet1 r�nlacine an �YistinA furance, 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 plastic/PVC 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. ThQ PY�C+It10 cemb ��t�en a�r is sized and installed to meet the current codes and manufacturers specifications. Whe� reqUlred to �n�tall a new com6��ctien air� it will be sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) Yes ( ) No ( ) Yes( ) No( ) When ��+�� ne�•� �• _entinp�y�+�, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers speafications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No () �.. .. - .� - ,....._.---� -•.. -� .��- . . ..��. .. 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•► .- .•- HEATING CO: Signed By: Date :