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AF - 40534� �"'� City of Fridley, Mi.n.n.. ` � BUILDING PERMIT N� _ s�90 � .� � �� Dat�: � — �� ov�mer: � i�'��k�� s,rilaer _ -� � �� Adar�ss -�� Addrese � �� LO 1 OF BUILDING �� ,� No. S� t-1"�-F- � Part oP Lot Lot � =Bi� Addition or Sub-Divisian �� d �d ��+ �".��./ � Coraer I�t _ 7naide Lot � S.etback � � Sideyard Sewer IIevatfam ` Foundation Elevation DESCRIPTION OF BUILDING T Used • t� Depth � Height �� Sq. F't. � C�u. Ft ��c�� Depth FTeight � Sq. F't. Cu. F�k Zj►pe of Constructi � Fst, sL.��__ To be Completed __ In conaideratton oP the issuance to me of a permft to construct the building described above, I agree to do to construct the building or addition as described above. Thiape rmit is granted upon the express crondition that theperson to whom it is graated and hia agents, employees and worlmnen, in all work done in, around and upon safd building, or any thereo� shall conform in ali respecta to the ordinanc� of Fridley, Minaesota regardt�g la�tion, co on, alteration, maintenance� repair and moving of buildings �w,,,.l�tah�in,,�t�he dty ]imits and ttiia permit may be revoked at any time upon violation of any of the provfaiona oE eaid vi�+uiO4� /�l �i e� i� +��aa+�aaaa�i ._..�2.�'wa Nonc� 'lids pqemk dea no1 cerer �6s cen�hncNon, I�alWion ier wWee, plumbiee, ea h�aNag, awu or wdsr. B� an to as �s Buildin8 les�aeto� ier aparai� p�rm6s fo� fhu� hema, � a .� r a r 'b � w v�, U' r�-� m a a� m� 7 � uK, � �' �� '� c�i E m m c�i £ G � rt:o rr w �-, �: c� n r h �� K�O r. p, tn � � O •-r, y Y- O tn o x b7 k � � a r y„ w� i-�• ,� �� o � a rtr�� °o � � rw-� � � £ a rMt o rwi� N• n %� �� 'r1 N O r O ti7 h � � �1 � � n � `D � rt �X-3 °o ° � � c�Cr u�e � n � n � � o r"�o � [ o � �o C :c1 x o r* ��0 ti7 o °o m 'n + a o � � K o ° n� �=° � p � a -H CZ/� H F� � O �� t77 —I � � � o o w cn n � � �� r � C � � o � � rn H N t�" � _ m � " I I I� I ( I I I� � m n I I I � Y, k �C k �C k OC DC k x x % N tri +�+ in tn +� v, v, tn ta �n r tn in <n t� v> � N l!� O F-' W U1 (11 J G ll� lJt N N W O O O O O O O O O O O O O O `H O O O O O o O o O o O O O O vr an m tn in an in in tn in an in in tn tn tn H O do e� H H � � 0 x � � N G�i M;� H H H N N V � 0 � 0 ti 0 qd � h H � �' ` � ki H t� H '�G ro � 1 ��1 � � 1 � I 6� O C � N ro m w o r � � 7. d. ''J Stories � yo � a. w ryr n It U a er z � Clocets E � Urinals � K � � p Bath Tubs � � Basins p~, � Sinks O � � Wash Trays ��, Drinking � Fountains Showers Floor Drai O � Catch � Basins � � Automatic a Washer E � Gas Appl. Misc. Fixt � � Gas Range r�r E � � Other uwi m a � �" � �O N � � H � H b7 C7 CJ � d o � ro � W A � � C y � H d z � � c� o � H o � � a tfDi � ~ �e N � rn � r• co n�t � (�] F� I�+� � l�J� M 9 �p!i, � t��q p� N FI K c�1' tn � � �'m N �wo �' P+ O 1i W tn i-� M MN W O(D � ro��a ��; �° ro ° "m w �rw atr m a n o k � �a � � m rt E N � N M7.'�0 W pa+ N � W N � p'F�� O W (L N W L1 F' � � � 'J N (1 y q� , � M a � n n bp'oa m � � � � N � � � � m w rn H N � K m G N � ��e � � w l5 � � rt� x I�$~a� � y � ft � n v � r n D --I '' O Z � 0 � '� E �' W --�G � o T D z b T � � � D t� o� r rn T -G -i H Z � '� m � � � SUBJECT T . City of Fridley � - - -- �� ATTHETOPOFTHETWINS gUILDING PERMIT o .15386 � ; � IPT NO. ' � • COMMUNITY DEVELOPMENT DIV. � ; ,: - --- 9� 7� r � � PROTECTIVE INSPECTION SEC. i i � � /"'1 � CITY HALL FRIDLEY SS4$2 NUMBEF REV. DATE PAGE OF APPROVED BY �"""� � ,'� 612-571-3450 910-F15 8/13/79 / / JOB ADDRESS 7210 ESS't R1.VP.r Road N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDIT�ON SEE ATTACHED �esca. part of 3 Auditor's Subdivision #77 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Laxzy Clanton 7210 East River Roa.d N.E. 571-4689 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Milton L. Johnson Coe 2513 Centxal Avenue N.E. 781-9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside and install alum:inimm tr,im 9 CHANGE QF USE FROM TO STI PU LATION S TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 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 GOVEHNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $Z�SOO- $Z.ZS DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OH LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $�.5. OO PLAN CHECK FEE TOTAL FEE $16.25 SIGNATUREOFCONiRACTOHORAUTMORIZEDAGENT IDATEI WHEN PROPERL VALIDATED THIS IS YOUR PERMIT � g � � r� SIGNATUREOFOWNERtIFOWNER8UILDERI IDATEI BLDG �NSP �A7 CITY OF FRIDLEY APPLICATIOP� FOR RESIDENTIAL BUILDIPdG PERMITS (PJew, Alterations, Additions, or Repairs) OWPJER: � � �� °� ADDRESS: ��/o P�'/�� . TEL �10: � / I' ��° � 1 /�� BUI LDER : / "I � �� e � � � �'o �f "'.�° �-`' ADDRESS: -� �� `� `- �� TEL N0: � �'% -.� -� � Construction Location ' STREET NO : / � � C� STREET: L ` �' � ��' � IAT: �• �� BLOQC: ADDITION: �� , �,,�� , � �% � Corner Lot: Inside Lot: __ Setb ack: Sideyards: Applicant attach to this fonn two Certificates of 5urvey of lot and proposed building location drawn on certif icates to scale. DESCRIPTIOtJ OF CONSTRUCTION � � Front: _ DePths Height: Square Feet: Cubic Feet: Front: Depth: Height: Square• Feet: _ Cubic Feet: . � / a �,�oa. Type of Construction: � �i ?� �s °�'"� �f� I � �- Estimated Cost: $ 7b Be Oompleted: Alt. A �-t- B Proposed Driveway Width If New Opening Is Desired: __ $ - � SEE REVERSE SIDE OF SHEET , 2'he undersigned hereby makes application for a permit for the work herein specified, h agreeing to do all work in strict accordance with the City of �ridley Ordinances an rulings of the Department of Buildings, and herebY declares that all the f acts and representations stated �n this applica DATE: ^ � �I� ` � � STGNATURE : Stipulations: � /.�.�� 1 � s�-�� _ _ ., . BU1LD1(JG PCRt�IIT FEE SCfiEDULE� . S�CTION 2. The InspecL-or ot l3uilclinc�s shall, bef:ore i�suing �ermit-s tor the erection ot any bui].ding ar �L•ructure, or L•or any addiL-ion to any exisL•ing building or structurc, . or tor any alteration or renai�s L•o•any exi�ting builaing or stiructure, upon application 'L-heretor.e, require the paymenL• by thc ap�licant• for sucl� permiL- of fces to, tlie amount hcrcin below set forth and in the manncn c�rein provided to-wiL-: � N�4J CANSTRUCTION: Single ramily IIomes and Garaqes: $4.00/1,000 cubic L•eet. PLAN C1iLCY.: 25 percent of bui].ding permit fee. DRIVEWAY D�PRESSIOi1: (Concrete, C�rb Streets Only) ' • AlternaL-e A: Removal and replacemeni: of concrete curb and gutter only; Driveway width plus 6 feet x$],�.75 . Alternate B: Removal and replacement of concrete curb and .' gutter and i.nstall a 3 foot wide approach with �' ' ', 6 inch depth; Driveway width �plus 6 ieet x$17.85 � :11 � : _ �• � �� I'or the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying i-he ground area covered from a point six (6) inches below the floor line of the basement or th� cellar to the average heights o.£ the upper surface or to the average height of the roof surface of the nain gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars-($500.00) or fraction thereof i.n the cost of all proposed work. . � Sn•no case shall the fee charged for any pexmit as set forth in 5ection 2 be less than $7.50 plus $.50 state surcharge. � �fERIFICATIO� OF FOUNDATION ' NOTE: Permits for construction will be.issued a minimum of 2� hours from the time oi applica�ion to allow for proper review of the proposed structure and of the . construction si te. A Gertificate of Sux,vey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the fra.ming. GERTIFICI�TE OF � .c[�PANr_Y � . ' Applica�.ion for a Certifzcate of Occupancy shall be made ten (10) days prior to the t use or occupancy of any structure for which a building pe nnit has been issued; and said structure sha11. not be used or occupied unL•il a Certificate of Occupancy has been issued. � .,;. _,.<< e_ . � n� �J :�1 '+ r :•'� , � Fi ti . ti U) Ci � �y. �:; ,.,� ... �;n i, � � � (N � "C. I� y Ut C1 h �l � 7 �a 7 �� K , � � ) !1 J+ H U .� h Ct .� � r� � �� ] � h � (1 C7 �. � - r� L"4 t.i L CI I� �{ r� �,. �� h� ;] :� I+j '.'7 M iJ :% � `rl � , .] G� U � `�-�, � l M y+--+ y- y- r+ :� r.� .7 _. i x :n r�? r �t> ; r7 � i a-i . r: �ti - 70 '�� :v '- •'� ,si Y.t ,v'. � �zi r� :t; n ,� O c.� t� �� s' ,, f� ,� r; ".. i� i i G ra �4 Y. - f) J U`O h� % �V 11 ...1 �S ��7 [" fsi O �.�+ �:. `: 3 � ,.7 � rJ ;:J 1J • ;-:1 iJ ;L t� i-i GW ?� 1-' rG �--3 � i� .� �- tJ lJ ' I�' <<� Iv F'• I'- I� P� r; .-=L ,� y t-� ,'y ,,. (� �1 m ii `.', i; ri il n�1 �`' F? rt t) n � C h-1 !-i F � 1. JI -� f� r:'i 1�1 � 7 !L .:J J ifl N !) '�: nJ � � . 'A �D �b -�. !. `-' 3 Gl Sl. f'• � W i7 (� :� (J 0 i7 �.h �-j ;1 n i" a l cn G� Ci �-• r• �_ �� L t .- ��' c> � m_ tn .. c: ia [n Ul V7 " � Fr• 4, :l,y �� Ph N rl� !u �. ^� % `y% � rr N i � '� 'e, rt �J � � � : e. ? o:, ,,, 'n cz o s14� r, :� �� . c� F� i i-� F' �., �{ .i �, .�y ,1 M �„ r �.+, 1 . �� Yc! rt� r 0�r t� � r� rt' u r �% « � �ip ';J }; C'�1 . ,":.i • l.: � ��: fp �? {n l� rn • .-_ iu fD iii i"i ��i -` .-�3 G� r r ii; U7 • � �S �? ,^.; . rl :i :.'� 'z7 ir1 i I Cr G.. -� t�+'�7 �` f-: Cty w G'• '�� ln y. G i= �.J .. °f> y•� � ,� �-! ri �.� .� tn O ��. �} .- �, i�t n c.7 r.� :—+ (: r� l7 ;... ��, U, a �� i' a a i ri r,. . i � �> t . r-! �. , �'� Ul U !J . I--' • l Y '- i V O 7 i7 :7 ll ] t1 �� .i �.�i n,' � ic� � : O O U C'; �i � � . 'J i r � ' t .� �; —1 C!) tU S� (D c.7 ° FU �' O O (:1 :/7 l U ::7 7 >�-+ � r li O O^ O'r I N .' f '�y � ) U P a '� 7 J ' U ��1 U C I � C �-� U ti c T O �.,/�y •— O N (= N l:t O bJ O io �i1 y�Y P� Ti3 •i �._, p !D tJ Iq 'Y � y�7 y• .] C;�' O ;�' i'7 (! C� (_: O :� ' �� 7' �y 'n 4' �' trt -� C) ri' O `t'% rA H i� O tt r-3 c� N O J ---i �, � r � �, C' !J '`J� F G t) 4�, vi N !%. % i r' � p� i- > O c7 CJ �,7 �: F� � o �� r ; � r.� �-• �o �,� t�, c'7 -r � ' m�o �, c, ;� �.1� o y,� �� . O t� U O O i-q-j . :q I l0 • O �J O C='.i a� �O O ld J C=:: n I �o o ra o r"' � „' I y c: ��r ( � t � r. � �� }; }7 :ti �'l] �R {? �(h ill 'U� O F-' W U O O G� J,P N J O O O � G O O C� G iJ G O <] O c i U U•:7 Q ;:� I:n I o-r �+r, r v. .,n -,,. _�n � � � � o �ui r��,1� ,� 0 n � ] �[Li I � Su rG-+y q �`i �i � Kl U 'T �J !'� � sil � r� � n 3 C7 h] I-' i N !� � r• . � F:• , �; 1 U �C y � .I l) � �j � � ri � fi ro � `, m c, ;a � i� 7 ¢ :� D � � ( a , ,u N h N r� ,� ��. � � :� 1W H 9 N � ` 7 � o tl rt 'y � � G H S� � l* :y � Y• -� C� � N � y � CU � C N •.� r; � � � � I � p � S h � i i N =� Jo � � � � a �� ,Q � i ` ! ' � ( I i � �r,o vr an +n vs :,� {�. � l � �� l�fl 6 C�rl � � d H Ctl J C7 � i � Ci � 7� F� n � �� . ro r H cn H �� r- � y � t-� �;i Y � U ?� � � H � I t v 'i1 �, � H H � � \5' � f/} F� 1 �7 �� F: �J -� p c� o O c•o.�oo h Li. +l`.� {'l �VS I � ��. � `, � •J 1-: O O O O L'77 C7 CJ 'J O C'1 {n tR i1f �] c:� r M f� N� �3 c7 C7 p1 'S ��d N h'� T p i�, ,U �. ..H . ct 'c3 . t ] - '.Y • ��: Ca m�i� ro n �: rn at� o Y F� �,. F; Ul F:i � �.�. �. � �l f� 4 � � w (D I �i �F . , � �,� �� W �,, •� iD u7 � �? f�� U F° °, }o w o m' �fi � , a� in ;� �� s ; U w Y u d rt m � �i: � o �< � � � i u K Ul tt � w � �n�N� �7 W ri' ~ �D rt y- � m e � �+ rM1 k, �G � r r• hf o 'C 7 G N 1-, r- :s N• � �� n J N � fi W ;l �A F' O + f� N n � ;1 � rr �1�-+ � ?7 6 �. � � n � � �ro � m 7 r� u 'c m F• (D SL E m m r rn �� rr o i`j ,� :+' ti ;i�� ,�� n. �+• n � :; ; o o � �< � �t m n:r "r ;:� �� o m �.o � �-act �' N @ iM � �'a� Q � �-� t�1' � Y� (D u� W t r f7 'sa _..� C7 f) :U ..�.r C� �t - �l =,�- 'T.i :O D ' �' l�i ' � L7 VI > �ti : : , �-3 t=.i �� r.- . �.� �� ,f ;, �„ �} << .. .,� --a r�: ;� o ;. o <`� i-• :u � � GS �:7 '� �._� .t� rfi �� C i n �� (il r' c.� �� -a� O � ti ._�, �i 'il � G) i,t � v _� O � � � � Quit Claim Deed. �'•Oilll NO. 28•M. Miller-D�vis Cp., Minrteapolis lndividud to Corporadoa. Minncso(a Uni(orm Gon��cyoncing SUnI-s (Reviscd 19'.'6 � 7� I � �, �'d�� o ,__— - - - • 22nd April 85 � �fj�� nDenture. .�� t� ..........................................�� o�..............................................................., �9............, ; �: between ..................LarrY....I-....C1.anton...�:nd.:.T.�..r.�.sa...An.n....GJ..an.to.n....i.Hu.�.band....&...41.afe:�.............................................. �f ,, - �,o,.�,_. ,� Anoka .....and St,dte op, ....... ........................................... pa,rt �.�5... of th,e�firat pmrt, ccncl........C1�.y....nf....Er.i.dl.ey .............................. .....mun�i�ci. .�� .............................................................................................................................. a/corpora��on u� t�e �ws o� the state o�...........��nneso.ta .............. Minnesota ,. ......................................... .......................................................................................... .., ............................., Pa�/ of tiae second part, � �ittteggeti�. That th,e said part.....1.�Sof the �'irst pc�rt, in oonsi,deration of ti�e sum of Qne...�41.J.�►r....C$.1..,.00�....�tn.d...o�h� .r....��J.uaQ:�e...cnnsi.der.ati.ans--.-.--.--.-.---.-- r..-.-.-.-.-.-.-.-.�OLL.qRS, .... .... .. � .................in Tr,dnd ' the sdid pdrty of the second part, the receipt whereof is � to ........................................... Paul btJ hereby acknowledged, do.....:...... h,ereby (�rant, Bargain, QuiicZai�rc, and Conaey unto tfce said party of the second part, its gu,ceessore anc� as„^igns, Forever, ccll th.e traai...... or parcel...... of Land Lying and bein� � in the County of...........AC.►.Akdl ..........................................................and State of .�finnesoim, described as follozvs, to-wit: i ! I A 15 Foot Street and Utility Easement decribed as being the Westerly 15 feet of the Easterly 48 feet of Lot 35, Revised Auditor's Subdivision Number 77. NO STATE DEED TAX REQUIRED �ae. ��%l9�% The City of Fridley hereby accepts this Street and Utility Easement. L SIDNEY . INMAN - City Clerk �;o �abe anD to �oID tFje �ame, To�cther u�itli all thr liereditai►zents ancl appurtenances th,ere- � unio Lelon�ing or in an��cise, appertainin�, to thr: saiil partJ of the seconcl part, its staccessors and ussiGns, Forcver. 1 ' . o�' tT�e �rst purt �za�e _ he�•eunto se.t their . �In �egt►monp ��ereof, The �aid part IES ._ . . � T�au�1 S tlir �lny and i�cnr first abore Zcritten. i 1 . .."�.. .... . .. .. .. . ... � �1F��...�. �c. ....��....�1.�.�...... ..�.. .� .... . .. ... .... .... . .... .. ... .. . ... . ..... ..................... ................ .. ............... ..... ..... .. . . .. . ... . . . ........... ..... __ .. .... _ .. .._.. .. . � � , , � sue�ecr PERIVI�T . City of Fridley w�cxzNG -� - AT THE TOP OF THE TWINS PERM IT �=17922 r � � COMMUNITY DEVELOPMENT DIV. �' RECEIPT NO,..-' ; �..- - /�� r � � PROTECTIVE INSPECTION SEC. 1 i i � /""1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �"'""� � �� 612-571-3450 9�0-Ft5 4/23/85 � � JOB ADDRESS 7210 East River Road N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �t. Of t 35 1�V. A11C�. $ilh• �%7 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE T.arry Clanton 7210 East Rive� Road N.E. 571-4689 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENaINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 8 USE OF BUILDING 1�S 1C�P�I1't].a�- 7 CLASS OF WOF;K ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE � REMOVE 8 OESCRIBE WORK Wreck attac.hed sing'le cax garage 9 CHANGEOFUSEFHOM TO STIPULATIONS Clean are� of all deb�is �'rom re�oving garage. TYPEOFCONST. OCCUPANCY(3ROUP OCCUPANCYLOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED 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 WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $ None WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PHOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $1S�OO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE $15. 00 SIG URE OF CON i RACTOR OR UTNORIZED AGENT IDATEI ,� \/�IHEN PROPER�Y V I ATED TjH%IS IS YOU P RMIT � A�6./ 1 � . df �i�✓C.A'i� 9 � `� � SIGNATUREOFOWNER WNE BUILD RI IDATEI BIDG INSP � = DA Effective Aug. l, 1981 � � tu��cer permit No. City of Fridley .T r� Ta a rNC T�rw�� . �: WRECKING PERMIT APPLICATIO�d Receipt No. t rL""�"� COMMMMITr C[V[LO�MEMT OIV. � � � '110T[CT1K MdiCT10N Ot�T. . �` � � .�.` � pTt IMLI ►Al�ir �i ' L....J`. .J W-f�0'iN0 M/�1�01 LV. p�T[ ►ME p �M110v[D B� Job �ddress 7 r� ? � � , � ( v. e � C�, egal Lot No. Block No. p�act or Addition Desc. J�, . Q F Lea r �S' �J . �� . �-B , � Property Owner � � Y � � �� o Address � 0. � � Phone Contractor �c � � � ' Addr �s� Phone Description Front De th Se�ht Sq. Ft. Cu. F. of Bldg. No. of Dwelling Units Taxes Paid Tax Receipt No. Estimated Cost of Wrecking To e pleted $. Otilities bo be Notified and date Sesvices Disconnected l�ls. Gas p�. N.S.P. Northwestern Hell Tel. Co. Enqr. Dept. � C1�st. Bus. Qfc � Bus. Ofc. �� 372-4850 330-5540 332-4112 Da � �� IiTreckinq Fees: $1.25 for each 1000 cvbic feet or fracti,on For etructures v►hich �ould be impractical to cube, the fee shall be 5ased on �he total cost of wrecking such structure at the rate of S6.00 for each 5500.00 oz fracti�on. MINIIr![II�l FF.Ea 515.00 No State surcharge on Wrecking Permits. Approved By Water � Sewer Department: All Billa Paid Services Are Disconnected 'l,/ . The undersigned hereby makes application for a permit to wreck the building deacribed above, agreeing tc do all work in etrict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby declares that fall facts and representations stated in this application are true and correct. � ��r_ pv �- Contractor � /�. �� n�t � � . �>>�_ SUBJECT RM O. • City of Fridley 18081 AT THE TOP OF THE TWINS g U I L D i N G P E R M I T � ; � RECEIPT . � `L _ _ COMMUNITY DEVELOPMENT DIV. /�� r � � PROTECTIVE INSPECTION SEC. 1 � � � /"'\ � CITY HALL FRIDLEY SS432 NUMBER REV. �DATE PAGE OF APVROVED BY �"""� � ,'� 612-571-3450 9�0-F15 6/21/85 / / J08 ADDRESS '7210 East River Road N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 35 Aud. S11U. #77 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Clanton 7210 East River Road N.E. 571-4689 3 CONTRACTOR MAIL AODRESS Z�P PHONE LICENSE NO. Blue Ri.bbon Quality Const. Inc. 6267 Ke�cry Lane N.E. 574-3007 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS Z�P PHONE LICENSE NO. 8 USE OF BUILDING Res iclen tia l 7 CLASS OF WORK � NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Constt^uct a 40' x 36'' Attachecl Ga�a,ge 9 CHANGEOFUSEFROM TO STIPULATIONS p,xovide a haxd surface driveway. V�'iance granted �or 1,440 sq. ft. and 23 feet high by City Council on 1/7/85. �E�A��T Defor �a�� RII�G, ��, �E��,jl�.s TftEPHpNE �� afl local utilities Ar�NG, �� RFQUt �c�ct�►c. GAS Etc, 1VlB�N� q�� RED� �y L��„ si��, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN BO DAYS, OF IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. N0. OWLG. 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 CiOVERNING THIS TYPE OF WORK WILL BE COMPLIED $17� 550 S8• 77 WITH WHETHER SPECIFIED H��EIN-0R NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- y�`]_2S. SO.. TR TION THE PERFORMA CE OF CO STRUCTION. �� p AN CHECK FEE TOTAL FEE �`13�.2% NATUREOF ONiRACTORORA HORIZEDAGENT IDATEI e � �yyHEN PROPERLY LIDATED T IS IS YOUR P RMIT �2[ G�, SiGNATUREOFOWNER�IFOWNERBUILDERI IDATEI BLOG �NSP f1qTE N�I [ ] ADDN. [ ] AI.TER. � Construetioa Add City of Fridleq Effective 4/1/84 R-1 AHD R-2 Building Permit Appliaatioa Legal Description: e Lr/ syirn 9� e�r� �� ca�� ;�� ' �� Owner Naa�e s Address : �-� 0�6e� ��s✓TO%I _ Tel .� %� � Contraator: 1J,�y� �IO�oo�i �UA`i�� D�ST �'�� Tel. # � �°� Addresa Attach to this application, a Certificate oP Survey of the lot, With the proposed construction dra�n on it to acale. DESCRIPTIQIi OF II�!?PBOYENENT LIy711G AREA: Length Yidth Height � GARAGE AREA: Length �� Nidth � Beight � DECH AREA: Length _ iiidth _.______ H8t/Ground Sq. Ft. Sq. Ft. �� Sq. Ft. __ OTHER: /�Y� ` I`� , � �• �� s � ' Corner Lot [] Inside Lot �Cj Ft. Yd. Setback Side Yard Setback > 00 Type of Construction: ��5�� T��G Estimated Cost: � Approx. Completion Date: u 11' � /�'8 l �' � Alt. A Alt B Propoaed DriveWay Width If NeW Opening Is Desired:�rl� J'�`'`�� See Back Page for Explanation DATE: ��/— o� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Se�rer Nain Charge APPLICANT: � Tel. � �� CITY DSE OM.Y � .� Fee Schedule on Reverse Side � 25i of Building Permit Fee � �-% � �.50/�1,000 Valuation � �425 per SAC U ait � Fee Determined bq Engineering � Agreement Necessary [] Not Necessary [ J TOTAL � � �� ? . � �/ STIPULATIONS: �� - � �� _ � �� , , � �1— 0�3 �� G�� /7�.�7 a ., . BOII.DING PBRMIT FEE SCHBDIILE The Chief Building Official ahall� 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 euisting building or structure, upon application tberefore, require the payment Dy the applicant for such permit of Pees to the amount herein belo� set forth and ia tbe manner herein provided to-t�it: ?otal Yaluatioa =1.00 to =500.00 �501.00 to �2,000.00 �2,001.00 to a25,000.00 Feea �10.00 (MiniIDUm Fee is �15.00) �10.00 for the firat E500 plus �1.50 for each additioaal �100 or fraction thereof� to and includiaig �2,000. �32•50 for the first a2,000 plus �6.00 for e�ch additional �1,000 or fraction thereof� to and including �25,000. �25,001.00 to �50,000.00 �170.50 for the firat �25,000 plus �4.50 for each additional �1�000 or fraction thereof, to and including �50,000. �50,001.00 to a100,000.00 �283.00 for the first �50,000 plus �3.00 for each addit3onal �1�000 or fraction thereof� to and including �100,000. �100�001.00 and up ��33.00 for the first �100,000 plus �2.50 for each additional �1,000 or fraction thereof. DRIYEiIAX DEPRESSIOA ESCROY (Concrete Curb Streets Onlq) . Alternate "A": Removal and replaeement of curb and gutter only - DriveWay width plus 6 feet times a13•50 Alternate "B": Removal and replaeement of curb and gutter and install a 3 foot wide approach With 6 inch depth - DriveWay Width plus 6 feet times �15.75 VERIFICATI�flp OF FOIINDATION Permits for construction Will be issued a minimum of 24 hours from the time of appliestion to a11oW for proper review of the proposed structure and of the coAStruction site. A Certificate of Surweq of the lot� shoWing the loeation of the foundation once it has been aonstructed Wil'1 be required before proceeding with tbe framing. 1�� ' �O u r.—�- �. � / 6�r� g�. o� a�� . _, � m� . � ,� � � \ N� � 91 ( i n� � �� i' �� ri J,� �� J �I �� I �.{ , . I ��,�i�iir �� b �. � � �. �� :� ,, I '' 1 o � `� :i , � �� i ; � � � I � ,: !. I I �� o �� . � ; ,� � ' `� � � ; �`�i �. �� V �G � � � � � �� , �+ a! i h � S� v � O � � v ..0 N, C�D � z � .� , _ _. ,� .,. :�OP�-5� GAF�qGE �OR �ARR Y G�4N TON ,�,u��°�� co�r�� - - _ - - -- . 7Z(0 Eq51 �I VF,i� Kp f ;'` = - ._ ._ GPIi}I G�/ AA�1 _ ° � � �. � � , q � N � C c � � � � a C �, . � - . ,, ,:�;_� `,��_ ,��9 - - -.t . .w �:. - . , .. , � y' ��id111�1CC =J%�-��. � �ti�il�Al�. . , � 6876 Hrghway No. 65 N E, . , ^^��MRfINEtll1f11� ,` nneapotis, ngsote-5�832 , South Q►Iicc+AAin �9Q 9510 I _ . �..�-_..�INC. � � � -- � � � . , . _� �� ..: �� . �. �� . . -. �:.. - Cecii �i Atu.ru€+P� Engmeirtrt@ �Sm! Tre.ting �.Lund Swacyu+Q� 4m+d P�++R+^8 _ . .Bwnsvil�ie,�RM�nusnta 55337 ... . , � _ i . - . , a - � . . ' , � - _ � - .� " - - , .. �. �� / � /� /� /I/ /�� j�N ry�I i . _ � � � �►/ l /1V � . ��l_ �� '-, �,�I -� --*:�I/ f�� - � �/�/��'_'. . � 'II , . : �. rL77�' _ . ,%� . _ � �� ,7�. c �' � �x ,�� ; - _ � �� . :, . � : _ � '� � �� °�q� �'�� y f � ��,'" ,,�.� � 12. � j� 1�Qf"��j` :� f f Z�c� d10 � • � ��"'�---"'�.;.��----�.,_..,� Q d�` .�Gf �Jl' I.a.t�'�►�� ° 42/.�� .- - ��.�. , r. . � �,+� . � -- `' ; ,. .' �.�..,_,_.�,.�� . �` ' - �3 - , . . ,c��' w �� . - ,ii � . , r�l,. � .{- $�� ' _ � F � p . � � " . � ;� N S �.�ry � � �i , _ � � � 4:. � ' . _ ' _ � ` � '. G.Q F �� .. . /� - ' . i b9 y � y ' ' 1 . ' . . �.:ksr A'G�_ . , ': � J ' :li . � ' �I C� '�+ . - -�• . _ . _ tn d, � : Z,+ r� �" . t�"' . � *�: '� � ''`��d �� ' �_ �, i ';� v '! �� ' r � . � � , � � c�.+�.� _ � � - 1� .�. -- � �' .;� �� . � -�� :�� ¢:o � � '� . '� = � : � . �C '�� , . � �� .c�.�� - �j �> ° . <. 1 a�(�1 , , I �' � � � a � , _ . . � - � �+� ..�-e '� � ��, � ----�,. Q ��' �o,� � r � . I�,� _ �= � - � - ; ��'o�'�%Qt� �{' �� . �'- Th�i �art �f L�� 3�, Revj sed _ '�� , �� i. _� _ ��i�or`s Subdivis�orr tduraber �77� � 1yir�g ____r r� ' �� as�t of th� fo-i l�a�i�g c�escri bed- l-i ne. ' `,�. � �� , `� C v TM� r� e� re3 r� g at the N�rt�'��dest corrier of �.vt 33 �f �2�'i d�evised . �utl��or's Subc�ivi.sion e�ur.�ber 77; Sh��e�PJo therl�y�line af sai d t Lot E35� i t bein� understo�d . di�s.�a�� of, 39.2 f�et �nore or l�� '_�h�t �kEie�.Ea�i and wJest �war-ter� Secti�on '�ine of Section l�, Tawnshio 30, �?anc►� �4 is a true ,�°�a�� nd '.�J�si ��ne_, �►ccQr�dina � the du]y..rec�rdQd �lati9�nne o�a n EXCEPTING th�r�e�from�th t �ffi ce ,af �i�e Coun�y �:ecorder i� and f�r Ar�o��. County, ��nnin� �t a floint on the � r��`rt fiJiet�� 1��in9 �°test�rlY �ti� �he f�lloR�ri�� s�21b3� f�et�Easterly of the int�e^secti�r� of i �` rinr�h�erl3r ]ir►� of said Lo� 3�, sa3tt g��nt being 4 ' t�'said Nbrth line and the P,4orth�rl�t e�d Lot 35��said' �ointrbeinqn431�6�feet3`Easter1y af�the _ er,1y io a�-oi.n� on it�e So�uth l�ne Qf sai .,, f � <.,. . �; ;Jor'�'�tivest,�arner o� saidlo� 33 and�t�»r�b;�.'t�:�+ninatinq. 1#ti�e��by. cer�i fy �ha� this plan,` s rvey or re�ort was �?��un�rb�� aNrsUOf theStatecOf . .a : ��erva si or� and �li�t I= am a duly ��gi�stered Lan� 5urve � `- � i4�,nnes �ta . : _�a ted _th� s 3�� d�ay of 1�uqust, 198� _ , _ .,� - : -= , - _ . . . _ , �,� . � , �� , ` - _ _ _ _ . _ � , _ :..� � . . . ��.�1. �1fl�4 ' l.and Sur�ey�� - . �.i c # _ . - � � - _ _ - Nat Pubiished: AN fti9hts Reserv�d; '' tY.- �., � - � � _ - � .. - - �� . . _ _. - _ _ -_ _ - _ �K R� �y �- ��`a � (i yqp ) -lf : +, p �a�5 ��i� t s� �f+� . ,� � r. � �, , �� _ � �kv�& vi i , . .. . x, k ��i ``� * ��i Y 1 _� � A 4 p b Y �� 'G4. � �� 7 - � �1 �' M4 Y�' � y�'�u a�• �'4,�t„� .rr � ,3��''�^d�f. � �; � � � 41 t t � .: .� s �� , � �;.� � �. p � +' e _; . ; � � �. �f' ,. w'�" t �'f"s 'f'Y�^ 5' a w's� Ix; '�.•+Y'�` x� �° C' � :� � rr� t, r'�r "'. a e 4 �' �'-� �ci 5 � ��, t ,:t �,. ,� , ,. � �� 4 � !.� �� . r' ,i -- � r ' � . 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He had complaaned that he ha.d just bee� issu� a permit for a garage a.ddi.tion,'�He l�acl not been request� to pave a driveway at this time. Please check into this �tter ar� advise. Would appreci.ate a respand by Frida.y, Ma.y 30, 1986 before 2:30 p.m. I�'IQ/ la � to: Nasim Qur'eshi and Jock �bertson Mem� fr�n: Jim Robinson Mem� subject: Hard surface driveway at 7210 E. River Rd. r�emo date: May 30, 1986 On 6/21/85 staff issued a builcling permi.t #18081 for construction of a garage at 7210 E. River Rd. As with a11 building permits, we allow up to one year for project completion. Therefore the driveway should be installed within the next 22 da.ys. I wi.11 alert our inspector to foilaw-up on this action: A copy of the building permit is attached. cc:Darrel Clark �"��' � a sue�etr • P NO. � City of Frid�ey 3 0 315 AT THE TOP OF TNE TW�NS g � I L D I N G P E R M I T r p ' i �` COMMUNITY OEVELOPMENT DIV. � � � �' � PAOTECTIVE INSPECTION SEC. r , , � ; � � REV DATE PAGE OF APPROVED B� � � �"'1 � CITY NALL FRIOLE� SS�32 NuMBER / / �----�' �'' 612-571-3450 9t0•F15 9/29/99 10B ADDRESS 7210 East River Road NE t LEGAL ��T NO. BLOCK TRACT OR AODITION SEE ATTACMED SMEET DESCR. P't. 35 (P cel 5220 Rev. Auditor's Subdivision #77 2 PFOPERTY OWNEii MAIL AODFi�S$ 2�P PNONE Larry Clanton 574-9682 � CONTRACTOR MAII ADDRESS ZIP PMONE LICENSE NO Snedeker Const. 18245 233 3 4 Ave. Bi e Z�P PMONE LICENSENO. d ARCNITECT OR DESIGNEfi MAIL ADORESS 5 ENGINEER MAII ADDRESS 21P PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK � N� p ADDITION ❑ ALTERATIpN l� AEPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Reroof house and gara e 22 S Tear-off 9 CHAN(3E OF USE F STIPULATIONS iJnderlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTfiICAL, P�UMBING, NEATINO, VENTI�ATING OR AIR CONDITION�NG TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCEO Vy�THIN 80 OAYS. Op IF CONSTNUCTION OR WORK IS SUSPENDEO OR ABANDONEO fOR A PERIOD OF 120 DAYS A7 ANV TIME AFTER WORK IS COMMENCED. NO DWLC I HEREBV CERTIFV THAT I HAVE READ ANO ExAMINED THIS APPLICATION AND KNOW TME SAME TO BE TRUE AND COFiRECT. ALl PFOVISIONS Of LAWS ALUATIOI AND ORDINANCES GOVEFNING THIS TVPE OF WORK WILL B� COMPLIED WITM WMETMER SPEC�FIED MEREIN OF NOT. THE GRANTING OF A PERMIT $1923 DOES NOT PRESUME TO GIVE UTMORITV T VI LATE OR CANCEL THE pEqMIT FE PROVISIONS O ANY OTHER S ATE OR LO L W FiEGULATING CON- STRUCTION ERfOfiM CE Of CO R TION P69 �C E � � 'c y n UpE O� CON • CTO O TMOp�2ED AGENi . IDAT - -- - -.........,......�e. �O�rE� _ ! OCCUPANCY GROUP OCCUPANCV LOAD SG.FT CU FT. � OffSTREET PARKING STALLS GARAGES SURTAX SACCGMANGE Fire 1.92 TOTAL ' S . 00 7 .13 i�E ALIOATE �S IS ��T � na�t � NE� [ ] ` ADDN I � �,'rER Il Construction Address: Legal Description: Owner Name & Address: Contractor: � Address: � '�C i�� Effecdve 5/10/99 �� ./ CITY OF FRIDLEY �C°, � G7 SINGLE FAIVIILY AND DUPLEXES R-1 AND R 2 �-��°" �� a 1VI BUII..DING PERMIT APPLICATION ��'� �, t� �, �� ,�'�\ MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LNING AREA: L,ength Width Height Sq. Ft. GAItAGE AREA: Length Width Height Sq. Ft. DECS AREA: Length Width Hgt/Ground Sq. Ft. 01'HER: , Construction Type: � Estimated Cost: $. ��3, Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ - �� DATE: — APPLICANT: Tel. # ' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIl'ULATIONS: $ � �- -�5 � � � � � �� $ .,� � ��o $ $ $ $ $ �� l3 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 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 [ ] }. + -. ,iys BUII,DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any e�sting 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,�0 $25,001 to $50,000 $50,001 to $100,000 $1�,001 to $5�,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $1Q0 or fraction thereof, to and including $2,Q00 $69.25 for first $2,000 plus $14.00 for each additional $1,QQ0 or fraction thereof, to and including $25,OQ0 $391.25 for first $25,000 plus $10.10 for each additional $1,0� or fracrion thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for ea.ch additional $1,000 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 &action thereof DRIVEWAY DEPRESSION ESCROW (Concrete C;urb Streets Only) E1lternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. E1lternate "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 $23.25. 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. O � z m � Z 'n O� Z D n � � v m � � � m m l � �, � � � C � d c� � F" � �r�• o � 'NQ O � m� � � �� v �'o� o m3 �� Z �v � m � 0 z � � 't; ' � '� \ �� G G G C N N W N � N �� y y c"u m m�� c�u °' � �v .� v � -, � � '� ? p v -� �T? �� f�D � N N'' N� d� N� fG �D �. � m 5 v'� � m m� z• r� � N�c y � � � �o � � � c�u Z � N m � � m � � � � � � T � � � fl. v N z 0 I I I I I I I I I I I I I � �� t�7f O O O V p�I �i �1 �l (7� A�I °o °o °o °o °o °o °o °o °o °o °o °o °o c ¢ `D � a W d � � � a c � � � 0 0, � rt rt�+ �` � � � v m � � � C� � � � .... 1 W N (� � d � Q. � 2 � � a � � °, m � � m � c° o a o 9 co m vo N� � > > � � 3 a � s � m � m � �^, �i. W � � o� � �° � � � �� d � m � n�' Q�p- n. N N � r C � W z � � � m � � z O � m O D r � o�o v v � m � � `` � � Y ► �.,. N a � � rn '.�< C p �� T � �� ,� v N � � � zz m� � n � O Z � � � � 0 � m � � N O O O COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When realacina an existing 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 manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existinsa combustion air is sized and installed to meet the current codes and manufacturer's specfications. When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's speciflcations. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) When installina_ a_new ventina svstem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specfications. 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 () Aaaliance Tyae and Size/Common Vent and Vent Connector Information Applianr,e #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 fi Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describel HEATING CO: Signed By: Date : City of Fridley AT THE TOP OF TNE TWINS i ` � ; v ___��_ COMMUNITY OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 ; i L-_--� ��"' �,� CITY MALL f RIOLE� SS��2 i 612-571-3450 �U ILDIN� PERMIT NUMBEN NEV OATE VAGE Of 910-F15 1/5/00 / / JOB ADDRESS 7210 East River Road NE t LEGAL LOT NO. BLOCK TRACT Ofi ADDITION oesca. pt 35 Revised Auditor's Sub. 4�77 2 PROPERTY OWNER Larry Clanton 3 CONTqACTOR Same 4 ApCNITECT OR DESIGNEF 5 ENGINEER 8 USE OF BUILOING Residential 7 CLASS OF WORK MAIL AODRES$ 7210 East River Road NE MAIL ADDRESS MAIL ADORES3 MAIL ZIP "PERMIT NO. 30618 RECEIPT NO. � � / •oartOVED 8• SEE ATTACMEO SHEET 574-9682 PHONE LICENSE NO PMONE LICENSE NO PHONE LICENSE NO ❑ NEW ❑ ADDITION � ALTERATION � REPAIR O MOVE � REMOVE 8 DESCRIBE WORK REmove water damaged sheetrock; remove wall; raise header over entryway 8 CHANOE OF USE FROM TO STIPULATIONS See notations on plan. Provide smoke detectors in all sleeping rooms attd on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. ri��, r"�� "�� r��'��e �$a�� .�-. u�rr�� d ��s �� COMpLET10 �� COPY Tp �p N �o��V�R SEPARATE PERMITS REQUIRED FOR: PLUMB�INGG� �D SN6�IS • VVVV�I SEPARATE PEfiMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, NEATING. VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK Op CONSTpUCTION 20NING SO. FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO fOR A PERIOO Of 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS � MEREBY CERTIFY 7HAT 1 MAVE READ ANO EXAMINEO TNIS APPLICATION 1 STA��S AND KNOW TME SAME TO BE TFUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION AN� OiiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETMEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �Z�OOO DOES NOT PRESUME TO GIVE AUTHORI7V TO VIOLATE OR CANCEL THE pERMl7 FEE PROVISIONS OF ANY OTMEH STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TME PERFOiiMANCE OF CONSTRUCTION �69.L5 S�GNSjUpE O� CON'AACTOp OA 4UT zED aG_� iD�rE� �/1 i IDATEi OCCUPANCYLOAD CU FT f PARKING GARAGES $1.00 AC CMAiiGE Fire SC $2.00 O L FEE 72.25 T,HIS IS YOUp PERM17 �_� -�?� �[ ] ADDN ALTER Effective 5/10/99 [ l CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII..DING PERNIIT APPLICATION �� L Construction Address: %� � � � �; 9��.. � �..� Legal Description: Owner Name & Address: �,�� ,� �:. �� o n Tel. # � � `/ - � � � �= Contractor: �� MN LICENSE # -�"°° Address: � � / f;� � /� ,` �.� °� � � Tel. # LIVING AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IlVIPROVEMENT Width Height Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. 01'��R: l��n'�ta�� a�� - Q4i S�, �'°�� Construction Type: �,��i O O � �_�� ,(�,a�J Estimated Cost: $ � y � � �° Driveway Curb Cut Width Needed: __ Ft. + 6 Ft =� Ft x$ _$ DATE: / — ,� � f� O APPLICANT: �� t � .� A Tel. �` S � y ' � � � � CITY USE ONLY Permit Fee $ iP . 02 �� Fee Schedule on Reverse Side Fire Surcharge $ �� D� .001 of Permit Valuation (1/lOth%) State Surcharge $ /� �('� �$ 5�0�$1,000 Valuation SAC Charge $ �per SAC Unit License Surcharge $ $5.00 (Sta.te Licensed Residential Contractors) Driveway Escrow $ Alt. °A° or Alt. °B" Above Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $ $ �` ��` $ $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erecrion of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any eacisting 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 $2,0(� $2,001 to $25,000 $25,�1 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 $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 $2,000 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 each additional $1,000 or fraction thereof, to and including $50,�0 $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 $1,000,0(}0 plus $3.15 for each additional $1,� or fracrion thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. 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. 1 + � � i`---z� � �"'r a �� 4 � �' 1i � � � �� ---... � r / � ' � �, � � � o � Q v 3 v 6� A•46� -C\ � � Vl /� � � , ; � �� ' i` � : �,: . � � � � o � !-- � � � ° -� ;:"—� � � ; f � .� � � t �, 3, , _�' " ;�- ; � " . � P t•� � '� � � - � � �' �, � � � � � o �� ..�0 � � '� � �..� +� 3 � � '` .�� , � � (� � • � �' p � �C �' i C? "� �` �' �' � � p� � J' �"' � � �-,i � ; _ %t: r � �: ,; ; � � �. °. � , 4 � _ ..� �- � �� , ' 4! � � .�- ' � � n S B� / � —. I� � �, �. � � � � ; .�.__.. � � �. _ � `; � --- - -- _ - � � �,� � _ � � ��" •_ � � � t ' V _ r� -� ^ > fl C}3 �1 � � � d1�'�•� � � � �` � a � � � � �, s-- � � c `� � ' n� E � 0� � ; �� p �. � �� ; _ c � � e � �. -� fi _ �, � • J :� �� - _.a�� Q. � ` a � • i � �. � �' � � '� � �`� � � � � � �� v \ �- c i .'�� ♦ � �- � � � � ol � � � � �p, � o, , �. � , Z �o �� a� � � � � � � � � � � � o � � � � � s � � � � � � � `1 0 •� � �� O� . � Fram: City of Fridle�r To: 763754290F PagE: 2!� Date: �' 16/2009 11:OO:OA AM 3uilding �nspeciions 763-�7�-3604 76 �-5�2-4�?:r F� �A-rr. S - a `?_ o SIT� AUll1:�S �g THIS r�PPLICANT 1�: PROPER'f'Y owN�xi 'H'ENAN�' NAI41 �: 1'��C��.�� ..� J1�a..�iLit6'��T��.11 �i ��iL��. T 1.SL�f � ��' �� .�'��.�`�::T r:t=r�criv�:=-i�-��, Y(7UI: E-MA1L Allll1t6S5 � ❑ ON'NER �CONTKACTOI: � Permit N�.: Received 8��:_� Dat�Ft.�c�ct� �N o AllD1i�SS: ',c1f O �A.S� �C41/� �-� C1Tl' F( STAT�:Y'l� G1PS�`�3,- PHnN�: �63� 3S�- �b ( CON'H'RAC`d�OR � �pMAANY' �a�. � 8-( � �- � SUBMIT A COPY OF �pNTAG"f PEILSON: C� rl J vs�r�od� YOUR STATE STAT� LIC�.NS� i! �;CP DAT�. LICENSE WITH ADDIt�SS: �a g O k-� o.� v, . V., �� CITY__ FR.clJ i c_ STATL�'1N 'G1P�� APPLICATION PHONE PERMIT TYPE TYPE OF WORK: bICS1NGL� FAMILY ❑ TWQ FAMILY ❑ N�VY' � R�PLAC�.M�NT HAX ❑ TOWNHOUSE ❑ ALT�ILATIOWIZ}jMOU�L DETAILED DESCR1PT10N OF WORK�y�,c�o ( ( �.� i�c��.,,, ".. �- � �,. � � �ne� �[. �Qc� �'e,,e �c�lLs In,h- FLNS ARN: BASLD OV �10.00 PL+'R Fl�'CURI:, XCLP7' WHL+'RL� VO'CED. }1XTURL�5: (LVDICATL�'f07'AL VU\1BL�R OF EACH BLLUW) �quipmentlnctalled MHG: vv PJ MnU�L• i� pZ C-At�� Sl"LrJBTU r/D c, G c, n �— MFG: �'GV�J�O MAD�L: (JA.w,� 173.� Sl'L�fKTU o7 �O n MHG: MQD�,L: � ac �u.00 r•ntEnLacr•, �c,as} $ ts.00 A1R TO Alli �?CCHANG�R $ I S N1RtPLAC� ( WOOD) $35.00 BO1LkiR $35.00 �NU1tNAC� $35.00 _CH1MN�.Y L1N�R$10.00 GAS llRY�R$10.00 _DUCT WOItK $10.0t1 _GAS PIPING $10.00 s�rrsru GAS 1tANGtlOVHN $10.00 NtW GAS GRILL $! 0.00 _GAS UN1T HTR $10.00 AOOL H�AT�R $35.00 V�NTILATOR � 15.00 THIS 1S AN APPLICATION NOKA PERMI'I'-NOT VAL1U UNTIL PROC�SS�D 1 hcrcb,y apply for a building permit and I acknowicdgc that thc information abovc is complctc and accuratc: that thc work a�ill bc in conformancc with thc ordinanccs and codcs of thc City of Fridlcy and with thc Minncsota Consiruction Codv.w; that [ undcrstand this iti not a permit but only an application for a permit and work is not to start without a permit; that thc work will bc in acrordancc with thc approvcd plan in thc casc of all wark which rcquim.s rovicw and approval of p1an5. SIGNATUR�OHAPPLICANT t�,�'l/'L{� %��.,,/�f� P1t1NTNAMt�1�Q'(�i ��rp DATES��7'� / �ity oi ��-idley 1�uilcling �.nspeetions �Depar�ment 64 � 1 University �venue VE, Fridle}�, NLN _i5�3? 7G3-�7?-36G4 Fr1X: 763-�02-4977