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AF - 42009�, City of Fridley, 11�inn. BUII,DING PERMIT Date: . . . �� . . � . . . � .�. � . . . . . . . . . . . . � :;�� .............��. .... Addre� ............................ �..... � N° 9 � . Builder .. ........i:��.=�.. .............. Address ............................................. �.,l�tsF�t A �IV OF BUILDING No. �� . � �. Str2et . . r. . . .. .. . . . . �` ::`�:.�. . Part of Lot . . . .. . . . . . . .. . .�. . . . . . . . ��' Lot � . . . . . . . . . . . . . . . . . . . . Addititon or Sub-Division . . ��ir��• •'� : : • � • . . �. . . . . . .. . . .. .. . Caraer Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION O�' BU[LDING To be Use as: �/' F� a�J,�v� . .... F'ront�I.. � Depth '.�..�;'�'v geight/,��,-,��. Sq, Ft�l./.. �� Cu. Fk�l.�� .................... Froat ........ Degth ........ Height ........ 5q. Ft. ........ Gti. Ft. ........ Type of Conatruction ................... Est. Cost..................... To be Completed :.................. The 3.�. ;� af the N.�1. ��f the N.E. � 0f the �`�. �' ezcePt the So. 1� ft. thareoY, except the T. 21r7.5 f'°t. the�r�f� 8. 24� T 3�, R 21ti� �oka �aaty� M3nn.� eaid premiaes aev comprie3�g e part oi' Lot ?, And. 9nb. � 9�� aoke. C�tiaty� Minn., eubje�t to public eaaemerit over the No. 30 i'�. thereof for stree� purposea In considerat3on of tihe issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordanoe with the descrlpfiton above set forth and in an th all provisions of ordinances of the dty of Fridley. �.��? ` .. ... ...... In conaideration of the payment of a fee of $��..�..J.., permft fs hereby �ranted to� .... ............ ....... .. ........ ..... ... to construct the building or addition as described above. Thia permit fa granted upon the express condition that the person to whom it ia granted and hfs agexrt8, employees and worlmnen, in all work done in, around and upon said building, or anq part thereof, sha11 conform in all re�pects to the ordinances oE Fridley, M3nnesota. regarding location, construction, alteration, maintenance, repair and moviug of buildings with- in the city limits and this permit ma.y be revoked at any time upon violation oP of the provisions of sa3d ordinances. � , �' _ ��' :"!.,� .......,. Building Inspector NOTICE: This permit does not covar �Ehe construatlon, Irretalla�,F�in or alteratton for wl�ing, plumbing, gas heating, sewe� or water. Be sure to sae the Bullding inspeotor fo� sapa�ate permits for these Itema 9., y f ,-+ c / 2�� , - �----- str�vE r f-a : MA UR/ � �:' .��'Y_. ,�`f 1��--.- � �� ;;.._.�. � � � � G � , ,, . �'� �I �1 ,� Sz .9.� E / =` so � �' .J' I 1i� il 4+ � J ,l -1 CA�S':��6v"P, /Gfi?" �� s0/V Lh.:'O SUFI/EYOPS -� -- pENOTES /RONS 6i'�.37 �' �> �Nor: i/i�c• c.''.1'.F..� n.� /�:h!y-' ,�.�11�E. y of �/.E�' c.' Sc:. 2F, .f'�3o R�r9 � 80.72 y .3??.2<' '" - � f ,: l o - - --- - -h ��/i�� - -. 'a ` ^- � _� � � — _ �_ � B o. ?'" �Yi 6/ ,_ � -- -- _ .-- --- - - — --- - � i � � I S+ P� � � / � //o�:: r,� : u�.� ,��: • � f � � /6 Nofl Sca/e�'f .o pry�''�—� t�:-;`e��r o.�/,y � � 4 ,� �-i �,--'�' '1 {/ ! � ',:• . . � � r r{� /-S' % � ! /,-' 'S F ' � �l n� � ,y`.-� [� 'r'/SS�? � . t a/5'9N � Oo � A L p P P � � , '. PRD.dO �EL� � ' BU'LC1//'/G � i --� _ __ ; S " . G'?�� "" _ � P I �� i i i - ,.a �;'n 41 � � � - �' ; � � '`� :C . (. �.J . � 1 � B�. d � , �� -a> . L` � ' � „",r, . ' F �• .\ ; I = ; + C 'V , � i \ L � � l ,.�, v ��)' i `; � � �: `�i ,,, � 1 y ; ;� � ' 6 T . i , ' oJ � s *�. � •, . y , ' � ` � t � I i ` `?, � � , � \ � /`� � � Q � � , i G ' �. � � � � � � '� : �: " . i "-� ,—� --- —� �— — - - — — -- - - - -- — -- — -_ -- ➢ - -- 3�B./� - �` `• Sou/i�i-��o= s.r`9 01�1.'�r9 �f�'rE,y �,°H.Ey ois.�.29, r•3o,��a9 I hereby aertif� tisat this ie a true et�d eorreat repreaeatation of a svrvay of the b�at"1�a of� '�4e son'�seat 1./1� or tt� BtorE�aeSt 1/4 or ta►e ft�Fdmeet 1/h of r,ae rrort�88t 1%ti "-• - �o�t � so,�n i5o reet t�reo�, escept ibe East 2lt7.5 feet therao.f� Section 2�t� '° _ �owns� 3a, Range 21�, Anoka Cmmty� Minnesota� sa3d premisea naw co�rising a part oY Lot 7, ��itor�s Subdivieioa No. 92, Anoka Connty, Minrneaota, subjact..to` pnblic easmm� ovar the tdorGh 3a feet tYeersoP for strset pvrposae. • and of ti�s 7.00ai3on of a71 bvi7.dingss ��7's thereon, aad a17. vis3b]s e�roaahmants� . iP``' aaY, frc� or on said land. It also shows the l�atiott oY tYe atalms a� aet Por a proposed'-builaing. As st�tre;�ed b� me thia 26th day of �areh� 1959. /f' � -, ' , , ` , �'p''r' i' ",r � ^ _ r. - ''r'C�$..�WRIfi$T Al� b1,90N � .� � d � � � � .� p � :� : 7i :Y ' M • M : o : ; : m . �� _ `,\_. ,� � � N � � � �i � � � ~ y � w � � � � � � o � r�n � � � o • °o � : o.. � . . � . . 0 � � � � � � °o 0 o y k*1 � �n a Q � z � � � z� � z� z x m � � 8 � �' $ � �'x�� a � � � � � a y �o �. � � 'd �' ,a � � a � : � �• : � �o: ��°� : 00 Q . . . . ' Gd : : : : ; � . . . . 0 � �e oe �a oa �a w n� w r� r-� � � cNi� °p e�i� °o 0 o y L+1 tn tt� t� tn ts� tfl o a 4� O � x � � � � O � C � w � p � D � � � m H n _ m C r m O � � �z � a � o � � � � � � � � � a m � 8 �@ �� O \ a � ,� ,� � o � � � m O m 1�.+ P� ❑❑ o � �� a a. � � � 0 � � � ��- � p. � OA � � � � � � a� � ,',d � �� Stories 1 WATER D a�� URINAIS earH Tues , s�siNs SINKS WASM �� ORINK. FOUNT. sr+wRS. FL�R DRAINS CATCH 8/�SINS nuro wi�sr�Qe cns APPL GAS RANGE � OPENINGS +� • z a �y Vi > m A � � ,� n �.a�D � �� y � �' � ��,�� C'f � H .E o�y m �1� p m � O � � ��°+.� � �' � G `4 e+� � � O � � � '�d � � � � � �w0�� ' � w p m o � p' o p �' '�, o H ��w � a°��.� � �, '�° " ;� � �� m � � y is"i N �. y�' Mw � � M C �d �� H a� �rx �� d � M � �� ' � � �i � � � � v' � � � Q T . .� � � � m �• � � � � �. b ' O � � A C - � '� ,t► o �V �J V v O `_ � � � � � � � � � fe� 1 ��\ � 9 _ ) City of Fridlep, Niinn. 6431 Univeraity Ave. N. E., Miuneapolis, Minn. 55432 �UILDING PERMIT �8fi@2 Febm�a �,'� 1�Z� p�; _ David He�,man g,�� Sama _ ,Ad�� _ 1560 Fex�dale Avenue N.E. ,e,d�� Same 2 No. 1560 stceet LOCATIOi� � Eemdale Avenue N.�,. � _Part 7 $�oCk Ad� Coraer Lot Inside Lot X or Sewer IIevai3an To be vsed as: Addition to Dwellin� �ont 152 Depth Part oF Lot r Sub-Divisian . � �. Sideya� o datton II ation �,. °� OF ILIDING Height 20 _ Sq. F� 310 �, �, Front Depth � Height Sq. Ft Cu. Ft � Type of Consiructian Wood Fra.me �, �� $3, 000. 00 To be Completed 1�rear � ., In consider�tion of the issua �he proposed work ia accordance Orsi�anoes oE the dtjr of Fridley. rE PEI�MITS REQUIRED FOR 1�I1RIiV�, . P�.I.1P�Bfl�G A�!D S!GNS. to me o# a permit to construct the building described above, I agree to do the desc:ription above set forth and in compliance with all provisions oP � `��;��LCY.Lt'� t � �'��Lr�iL°YSa� .50 State Surchar e In considerat3on of the payment o�-f�ee of $_1$._QQ , permit 3s hereby granted to�'L��I? 1 man to construct the building or addition as described above, This permit is granted u�n the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances of 1'rfdley, 1VLinnesota. regarding location, construction, alteration, maintenance, repair and moving of builcliag's ��e dty limits and this permit may be revoked at time upon ' tion of any oP the provlsions oi s�iid Bwtldin8 Inspector DARRFT. GL.ARK NOTICE: This permit do� not eover the eonstruction, installatPoa for wtring, plu�abing, gas heatieg, sewe� or water. Be wn to �e ,i. d` Building Inspecfor fo� aeparate permits for these kems. - � � :, � AF��I�qTI4N ��R �ESIA��i��. �LT�I�T��, Q� �1DA�TT�N �UILDTN� P�RN�TT ��TX UF �li�iia�,��'s M�Al1V��TQ► ��s x��_��i�i�i t/,�%��ZBU�r..�s��1� ��:�_�..�. �,n�ss :1 � � il ' 7��i��-?i ��ss : ��1��., �, , , . '%, � ��O�L. �r�/jl.� ��A�, "�T^�'�""'�� l� /% )5' : I— /�� .�ii.��.�...��• i�.�n.�ww.+e�s.s �P� �a4i`�' � _ �LiKrR. $ aR��'IOAi � � � �l � i'�,� � �-1.1,�:1�=Lh��' � �:� � �.� ' `��; . �. .es��w�e C�l�d. LtiT: �� •OT:,,�__,,,_,_$LTBACI�II SIDEY�►1tD%�,�,,,-.�„ �� +� ��,io Certificates of Survey of Lat a�d prap�s�d �di�� ,�ti,o� d� � �se Certif�.cates, �T�CI�I�TIQN OF �UILD�NG �ca �� U�e� �S : �'G��'.�.�� r ,�� , 1 S % D�+� : �„� ' ,��t : � � , � � S��a�e �'+�� Cubi� ��e�3 Fr,c�� ; Dep�h ; iieight t aqtita�� 'get; Cubic Feet i . �� o� Co�struc��.�� . �stim,ared Cos�: $ � �„��, t� � �c� � t�p'��d 3 ,_, l �� ,�! � sr�+��m� hereby a�+e� s��c�t.�.�a for, a pe�m�.t fa� the w��k b�reiab #��,�#� a$�eei�$ �� a�b �tos� i.n stt�.at aacordance wittat Che !�.�.ty �f $'��a�' t?fid�� d �t� �� e DePa�n� qf BuiC�di�s, �d 1�exeb3* ��,�,.� � a�.� �� cts �d 3�resesita.�i.ane �tated � t��e ag�►I�,catian � � at�d avrrec�.. . ��; � '��' 7 . �._� S�t�►�:�,�� <,1�� ..._. �� t�V�� S��r �oS Add�t�Q� Infast�atic►n.) ��' � �.a f , ._�� .� , -� � � .� ' �;'. �-� �) --BUT��TN� P�RMIT F�� H�DU�E � ��C�Q� �. Th� Inepec�o� pf �u�ldia$s s�al�, befoxe �asui�� germi�� for �he ��fi�on o� an,y bu�lding �x structure, ox for any addition to any �iat�� id� o� stz�G�ure, or fos any alteratian or �e�airs to a,ny ex��i�g ��$ o� st�uctuxe, upan �ppl��ation the�ef�se, requ�re �he pap�m�at by C1ze ��t fa� such p�rxait o� �ees to the aa�nnt herein below aet fArkh a�d i.� �� m�a�� he�x�� p�c�vided � �a��wi�: UI��QRM �U�LDTNG CODE= Type �.� 2� 4-$2.�:5 �ar each �ue fihousa�d cubic �e�fi, 6�� xac�ipn the7cea�, in ��c� eubical coa�ents. �pe � � 5 - $�..85 �oar eac.ki or�s �ousand �,tb$.c �Qet, . A�DiT�UI�IAL �1�F1D�tMAT�ON F�� u�pp�9e of p�npu�� ees foz building permits, the cubical contents o£� atay building or addition, i� det�rntined by mul��lyin� �he $�ound area �oY�9C� �'S�stt a poi�� xx ((�j ine,�es below the flo�►r line o� the basement E�►t�e �C��l$� �v the average heights of the uppez surface or to the averag�� i�it �� e �oo� �c��ace v� �he tnain �ab�� p� & pitched xoo�, ��i:rs ax' a1�$ra��.oa�s � an existing ��r�tia�ey �a� f�e shall be �� he s�.�� v� $3.00 }�ear �� f�v� h�dsed dollax� i$300otK3) �x f.�t#.on th�e�so€ �.a� �� ca�� o� all p�c�gr�sed w�x�k�. �� ca�e sha�.l �� i�ee ��d fo� a�r pe�eit as set �� n Se��ion 2 b� �.�t �aA $3.�, � ��rATi�iN 0� �t�i1NDATION �� I's�u�ts �Qx ac�st�u��o� wi17. be 1�$ued a��.u� o� �4 }�cxtrs �xo�t �e � a� ��plicat#.cs�a, �o a��ow �ox� pra�ex rev�ew oi �kte pxopa�ed a��u�ture and p� �e �ta'u��ion &ike. ' � ��'i� �urv�y n� th€ ��►�, �aa�i�g t� �oca�� c�� t.hQ �auudatia�, �� s�t.�d� wiil �s �e+�uired be€o�e tsrocee� w��h th�a fr�ipg, , 0 C�RT'iF��A'�� QF p��PAN�X ��.i��€a �c� ��.�i�at�a c►� Occupaa�y �hal�. bs mada teu !(1Qa �y�s px�ox �o �i�a ��e aar �cGU�aacg a� ara� utreicenre for which a build�.n$ pex�it hae beaa issu�d� � s�id stxuGtxt� �ha}.� �at be used a� occu��ed ct�ttil a�s�xtificate �f 4r��upaaaay � beeu �stsne�i, .)� 0 ! x � � JG�f:'�'� y FC:�'I�F a.�1��-j cE�:37 � _.Ml� C,�°f�'/ t��. � �..�.,1,,_ _. _.. - - ---- — S�. � -- -- - x- —v*-- ,«, P . .-�--- . ' \ / �{.� � � � r�S4,• ` O�I. - �j !,�R:`-6✓�'/Gf�T �r" OlSr:1/`�! � � g G.9•:L' S%�?I�EYGi?S ft ,l ;{ ( T _ 7; . J%�A.. E I��SO r � -� -. pL"/'/07"FS /RONS ; �; _ �,� s � i�� _ i � _ ___ _ . : � � _ ---�:.�. � -�,.�--a�- - _ - � - °"`�..,�'.��.� � � -� ` - x �ISrOrJ:� �/}f� e' ..i c�/if�� ¢F.E�� tl�JY � C.' .%' P�f, Ji�D .R 29 1 �, � r --� �+-- � r � j ,� ,� . . _ ga. Jc _ y ' `�f,�� '��°��+*.v� +h�." � ' - . r —7, j4 . . _ . . p �"" . _— .:�, . �,� .. *y_.. a. I` / `�� iQf�� s _ �- _� �. i: � _ � ;� �. �' �� Bo.-• �i :� ,��: , 1 � � �� . �; � � ; -� � , � . �. ; � ,� u ;� . � , � +e you,t ..,s _ * � ` � Net,+n JCw/e �� r4'fi^ .' i, i:,� �. �"'; r � '" a a �;'�: + Vy 1. z,�,��' � z� `` `, t, � �- '.f�tfSti� :> ..�` g`�,,,� y � � . , } � . an � _ � _- p!v � �-�! � � y, .. k c�n ,r�": � ... . . �,. w. . . � .. - �a ' Y g . � �� t ah.��.: d`��k '��.., - Y F A � #�c?N '� � � y'4 - ��O�i - " �. " Y d6 � 1 '1Y �i. � : ; ,� . - ,s�. �.'" �. , - *-�.� �'_ � - r �`�';� ::,� w *s...�`.*� >� .4� . .. ,�fi � '4.'�c.�"a" ' � ,`,�',.�,� �+� y� :�� '�1 . 41 }w . .. fy.� � � �_�,"� '� : .t i_. '� � s� =�' ' �. �'t ` _ . r ��.�� . _�, _ .,... ... . ��-. ._ .._ �. �. . �.�. _ 1 ._. ... � a'i ._ �..,,. . .- ___... - t;Y. . , ._ � ... -' � p O1 'H- �Q. �� - � � . [� y4 . � ; �� , ' � `a ` � � � � , � � t � � �j � � ' Pry� � �, 1�. ; :f `tiL. I �' t� , . ` . � c: - °i' � i Y, � . •` '. : �. � .... � ;� � . �.� rt � . � 3 � -�i 1 � ' , ! . � °<---� -- ----fi _-�- -- - __ . __- - -- . > + 3c8./� .. ` SOU/�! /l�sr w' � f � �//YH9 � � /YE'y z' NEy o.`�::•. 29. r �a.:;,.:Yq � I l�eby aas�tity ihat tJ�ie L a 4rae ord oamreot repre�ntatioa o! a earvey ot the boondarlre Ofi . -- -_ .. . - _.. r _ f Tbs BcaE�east 1/1i ar 3ne � 1/4 st tt� �aest 1/!i or t3xe �a�tbeast 1/4 eaaept '�he Saaith 150 teet td+ereol� e�ooeY€! tla Sast 2fa7.S £eet 'thsraoP' Section 21t� ?otinship.3Q8-$astge 21t� lsnoka Cotmty� I{f'1�eo�Ea, sa3d premisea �r oosnpriaittg a p�t oS Ia� Ti dQditar�a Swbdi4].sia� J� 92� Aaoke Connty� P2innssote, enbject to gobllc eaaem�nC over the Boa�F.b 3d !� �ereoP Yor atre�t purgoaea. aod ot �Oba looatiaa oY all butldings� i! 9�'s tlaeseost� and a11 Pisib]s eaaroaat�aate, if att9, Prom e� on oslQ laad. It also ahwie 1�Se.7.doatiaa ot the .ete�s•ao ae�h tbr a proposdd �i.].diag. aa �aa'�9� ��ae, tffi� 2&Eh aa.y of Horah,� �959. _. .; _:.:'� , ,,�� %i: ~ ,,,. ..:�-:• r ;� ' r . % : `�✓ ' �;� �,•' i •�'�caa'�t�sic� � ., ffisoa TO �� : i�,- ra ^�7 �, '�. [] [ .a, (7 �.,^. i$, e' � � � � ,., � R�.,,� + �� ._ �a �7 �,-- n � � ��j b � c � � � .� � �� 4�� y.�,�h ��,��;:�}� .3a �;'�� ^: h. :��.'�`;�, �?,�.:�va��,��?� ��;��`:�� i�g C4 &'7d.: rs:'i�'�°%r��aY SUBJECT: �et-ut�ci on 17nu�ed �i�+d3aag F�rma.� —/�� [a/�ALcr AUcL . DATE: 5/'�3 3. FOLD — ■ � : r�.Ui � � � r � � a . X � !1 : -,�n , �i 1 � a: r e � - � r y o,n�� - - - w. ! � r,e■, -'r� :� : �•' �C gm�� PLEASE REPLY TO —� SIGNED DATE SIGNED SEND WHITE AND PINK COPIES WITH CARBON INTACT PINK COPY IS RETURNED WITH REPLY. DETACH THIS COPY - RETAIN FOR ANSWER � _�� .�..a' �""�� """ �� CERTIFIED MAIL * , , ,� ... � .._ , _ � . . - �i, _ �`; ., �., ��4� ..... � �: � - ±, � QUESTED Ms . �l lena Duva -- �, 1560 Ferndale Avenue NE Fxidley, Minnesota 55432 Dear Ms� D uval: October 7, 1982 � � �� J A spil uel oil w eported to this.Office on October 6, 1982 at 6:00 p.m. by the Fridley Fire Department. It was re- ported that you were the responsible party, as you drained your fuel oil tank into the street using a garden hose. The oil subsequently drained into a storm sewer and discharged into Harris Lake causing damage to shoreline and wild ducks. This discharge is in direct violation of Minnesota State Statute 115.016 Duty To Notify and Avoid Water Pollution. Because of the above, and because you were not able to be reached to take responsibility for clean up of this spill, thP Minnesota Pollution Control Agency used a State contractor for clean up purposes. As of this date, you are still not available, using your phone ntur�ber of 571-8193. Therefore, because of the ar:ove, this Office requests that you notify us as to your intentions for taking responsibilities in this incident by 10/13/82. If notification is not received by phone or letter by this date, this Office will proceed through legal means to recover costs through you. We would like to work through this incident with you. Please notify m� at 296-7709. Sin rely, .��1/7ii, ��.�� Kevin Faus Emergency Response Unit Enforcement Section Division o� Water Quality KF:bh cc: George Madany, U.S. EPA, Region V, Chicago Dick Larson, Fire Chief, Fridley, Minnesota Steve Olson, Environmental Specialist, Friclley, Minnesota Dave Zappetillo, Department of Natural Resources, Minnesota Phone:612-296-7709 1935 West County Road 62, RoseviUe, Minnesota 551 13-?785 Regional Offices a DuluttUBrainerdrDetroit Lakes/Marshall/Rochester Equal Opportunity Employer �^r.�,�� , � r �k<� �.a �; �i ��: ��.r;� � November $� 1982 � CERTIFIED MAIL �RETUR--N��i�'-� $�UESTED , Q ➢ � �� r. Allen Duv -- C/0 Ellena Duval 6Q Ferndale Avenue NE Fri Minnesota 55432 Dear Mr. Duval: Please refer to our letter of 10/7/82 concerning your discharge of oil to Harris Lake via a sewer which occurred on 10/6/82. We also have your letter o� 10/_13/82 concerning your financial status. We are enclosing a copy of the clean up bill. Normal billing is 30 days. If you do not pay the bill in this time frame, the MPCA will pay thP charges and attempt to recover the costs from you. If there are questions, please let me know. Yours very truly, ` �� Dick Kable, Head Emergency Response Unit Enforcement Section Division of Water Quality DK:bh Enc. cc: George Madany, U.S. EPA, Region V, Chicago Dick Larson, Fire Chief, Fridley Steve Olson, Env. Spec., Fridley Dave Zappetillo, Department of Natural Resources, Minnesota Fuel Recovery Company 612-�296--7235 Phone: 1935 West County Roaci 62, Roseville, tJlinnesofa 551 13-2785 Regional Offices • Duluth/Brainerd/Detroit Lakes; Marshall/Rochester Equal Opportuniry Employer �'��U STATE OF MINNESOTA DEPARTMENT OF NUMAN SERVIC6S 44a LAFAYETTE ROAD `jA � �J �� ST. PAUL. MINNESOTA ss101 /�1 % Date C�� o Zo ng Authorit � ��' ��°�d�� , , treet Address ' � ' � �'�� City State Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE � - Subject: Name of Day Care Home Applicant �.�''� � �� Street Address � ° ��-�- �� City State Zip Code �'v�.,a�.� �.e�.� � 11-3-86 D8S-2722 (9-85) PZ-02722-02 Type of License: Family Day Care Group Family Day Care 0 Licensed Capacity /'� Phone No. e��%�� This is to inform you that we are in receipt of an application for Ticensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 2, known as the Public Welfare Licensing Act and the rules of the Department of Human Services. You should note that under Minnesota Statutes� Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer considered a permitted single family residential use of purposes of zoning. Subdivision 4 of the same section licensed day care facility serving from 13 through 16 considered a permitted multi-family residential use purposes of zoning. If we do not hear will consider the your local zoning Sincerely, from you within above-mentioned code. � Licensing Worker Street Address persons shall be property for the indicates that a persons shall be of property for 30 days after receipt of this letter, we day care home to be in compliance with �o�n�ue�i� ra�A�rw � socr�6 ��!!lC�S DEPA�T�q��Y CO�RJTY pF qNOKq �'LOU�THOUHE. FOURTH FLppR flNOKq. MINy�gOTA S83qH Name of Agency/Organization City State Zip Code AN EQUAL OPPORTUNITY EMP�OYER r�. 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City of Fridley o, 19793 AT THE TOP OF THE TWINS g U I L D I N G P E R M i T � � °-v..e_�. � � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. t � v � PROTECTIVE INSPECTION SEC. �/��'t� 1 = � `..--� �"'1 `, CITY HALL FRIDLEY 58432 NUMBER REV. DATE � PAGE OF APPROVED BY j' � � 612-571-3450 9�0-F15 2/7/89 / / J08 ADDRESS 156Q Ferndale Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. pt, � Auditor's Subdivision #92 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Gilbert Haugon 1560 Ferndale Avenue N.E. 571-6705 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. AMRE Building Systems 2804 Viaksb�ry Lane, Plymouth, MN 55447 553-9274 4 ARCHITflCT OR OESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. e USE OF BUILDING Res iden tial 7 CLASS OF WORK O NEW �X ADDITION ❑ ALTERATION � REPAIH ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 12' & 12' x 12' Deck 8 CHANGEOFUSEFROM TO STI PU LATION S See notations on plan, SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY (;ROUP OCCUPANCY LOAO VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT, AUTHORI2ED IS NOT COMMENCED WITHIN 80 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 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIfIED HEREIN OR NOT, THE GRANTING OF A PERMIT $1,950 $• 98 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS F ANY OTHER STATE OR CAL LAW REGULATING CON- ST UCTIO THE PERFORMA OF STRUCTION. y�`4'rJ.00 � � � P` N CHECK FEE TOTAL FEE �1 �J $45.98 SIGI ATUREO Co �RACT RORAUT RiZEDAGENT i qrE� � WHEN PROPERLY VALIDATED THIS IS YOUq PERMIT e e^ � � SIGNATURE OF OWNER tIF OWNER BUILDERi IDATEi BLDG iNSP DAT �1 �� City of Fridley EEfective 5/L88 � � � lt 1 AI�ID R-2 ALZER [ ] �,;�ding Permit Application oonstruction Adc]ress: _ /�6� ��U�I�L.�. �'Il%� r�!� Descriptian Owr�er Naane & Ac'�ress O�ntractor : ��: s ��oc��. �.� � e Te].. � -s7�- 67o S T�.. � �.�— qz �y � �l�l'J Attach to ti� appl ic�tion, a Certif icate of �uvey of the lat, with tlze proposoed c�onstruction draa�mm on it to s�cale. . �S(RIPPIOTI OF IMPROVF1�Jr T�TVT11l; ARFA; j�n� W1C�1 HC,1C�1t ----- ---- .�. �. (�RAGE 1�REA: L�ngth Widkh Hei�t St�. It. � / l Z , /yZ D�ctt �: Length � Z Width rZ Hgt/Gro�ma 3 9q. 1�. �5� •aw:��,; Gbrner Lot [] Insicle Lot [] Ft. Yd Setback Side Yard Setbacks 7.�ipe of Qonstruction: ��Zn �.r�w.be� Estimatecl Cost: 8/��'�'' Approx. Completion Date: �%a� � ( l g�( , �� c�aa �� l� •�� Z' I� 37r �v Al� A Al� B Proposed Driveway Wic7th If N�w Opening Is Desired: $ $ Wicith + See Back Page nATE : � 3� �PLICANP: � G � T�.. OSE O�Y ��t � $ � F1ee Schec�le on Reverse Side �� 9e $ .� �_ 8.50/51,000 Valuation SAC (�iarge $ S�S� Per SAC Or�s.t Driveway Escraw S Al� '�," or Al� '�° Above Park F1ee S Fhe Determired by �gineering S�'� ��9e � Ag�'e�nent Neo�essary [] Nat Neo�essary I] �OTAL $ �' 3['1POLA�IO�LS: e e e r � �i � � �:�1 � �. ' �+��v14 ;�al �M:I��,I) The Quef Building Official shall, before issuing permits for the erection of any building or structure, or for any ac7dition to any existing building or structure, or for any alteration or repair to any existing building or structure, u�on application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the m�ruier herein pra�vicl�ed to-wit: �OTAL VALUE S1 to $500 5501 to 52,000 52,001 to $25,000 525,001 to 550,000 550,001 to 5100,000 5100,001 to 5500,000 �� $15 (Minim�n Fee is S15 plus surcharge) � $15 for first 5500 plt� S2 for each ac�i.tional $100 or f raction thereof, to and including $2,000 S45 for f irst �2, 000 plus $9 for each additional $1, 000 or f racti� thereof, to ar�d including 525, 000 �252 for first 525,000 plus $6.50 for each additior�al. �1,000 or fraction thereof, to arnd incluc]ing 550,000 5414.50 for first 550,�00 plus $4.50 for each additional $1,000 or fraction thereof, to and including 5100,000 �639.50 for first �100,000 plus $3.50 for each additi�a7. �1,000 or fraction thereof, to and including 5500,000 5500,001 to 51,000,000 $2039.50 for the first 5500,000 plus S3 for each additional $1,000 or fraction thereof, to and including 51,000,000 51,000,001 a�d up $3539.50 for the first 51,000,000 plus $2 for each additional $1,000 or fraction thereof DRV�'fn� DEPRF��?ON Ea'1N� (Concrete Curb Streets Only) Alternate "A": R�nwal a�d replaoement a� cur� and gutter �].y - Driveway wiclth plus 6 feet times �13.50. Alternate "B°: R�►wal �d replaoement of curb and gutter and instal�. ;� foot wide approach with 6 inch depth - Driveway width pltrs 6 feet times �15.75. VERIFICATION OF PC�ATION Permits for construction will be issued a minimum of 24 hours f rom the time of application to allaw for proper review of the �ropoeed structure and of the �nstruction site. A Certif icate of &uvey of the lot, showing the location of the foundation once it has been aonstructed will be required before prooeeding with t�ie fraaning. e A � i ti M ��•, i�; �D �� , <� � � a .� �� `J M � � � W � Q � y � � � �. � [V � (�-. � � V O � � 0 � Q 1 � . r o... ,` � � . � � -,----� �: - � —� � �� ti � . �' 1 • t � � '�, , � � ��.� � � ---'---�---L ..� _---- --- .__ _. . � ;:� r \ Y �� I 0 �+i ( � �• i O yA ! • � Nt � �! c � y� � � •� I � � i -�. � i o i �� v � � � �.. � � �. � � � � i -;` _ � �a � 0 � L �^ � �i � h � �i ' .. ' ; . � SE '... q, � 9�� i E. � � I \ .� 1 v ti� l � ___ � ` � �S/'8.G / �° .S►/ �B�'� � I �- . � 6, o _ i �;°�/ �,$�� .._.� ._ �._. ; 1 i l,�. i. N � �� .� � .. � ' ' ,` i . ..�► � . ' �� A� � �: : ' �` ��. - - • ' 1� ` r� ` � i t _ �o �- i Z � �� :� � }�� I O ° q ,s•s� - Q a w , � z � �� - , � � . <<4 - o� . e� .r, �rbi` ' � � . _ `� �� z`_ - s'i�,c�- , �'-� .— .` � -� - - �- - �i �8a'E' � � � . `s a�� _ I' , bb T 3•rv �� i�- � � - - : . � ; . �t a �`� �h � �` � , , � `� � � � � _ . :. . , , � . , . -� . ,. � � m�� . �a � � � �; � , �� ; � � ��, ��;,uiYi��,,. _.ci.,�.� iyon..,�,�i� � �;�u9 - ; DESIGNER D�C STM ' ��'' � ..�„_ ..� t �r�:,�..,.; :..,.�._ ��,,.,�..,,. � ,. . ,. � • :, �,. � .,, � ,u �c: i��, ' . I I �. •..-. . .. . . , ii L' il. �*JI� t , �.lvll.. � r . .. . ill i J l-. .�7 1�.��'1liT�+ I��,_ . . . . . . „ , _�,,.�, ,, , ,,,,,,, ,,,, �.r ,._ , e�,� ,�,�. .�.��. �Y � . �., , >�� .�;.; . ASeara/luthor�dContraetor � � . <�9,�, •.�, _��:� � ,.....,�w,,,,,� ��«„ ..,. , �o��, .. � �. .,�.. :,,.� ��e �� •.T ,... 2804 Vloksburg Ln. .�, ., _ .. �. . . . ; � r . � .�.n�, Mlnneapolis, MN 55447 - � � td�� „.No.: ` ,,�;�t ��_,�.�,�,:..r��,� „�� :�, _ ��. .�,,,� .. ,��??�.��:��:,��.,��, „ ,-1�ob�No.:� ^� �b.�, . •� � � i � , , �� ,wh� r••i ..n:.�49 �_.6 ��c�� , , ,I.,a �� . e.; r.�.�,e� �. r�.,,,, �.4�'�..�m , _ ' , '; . aeme ` PhOne 9&� , S - Bua - :,,�addre�s , d �� -�'��•-- � ap, .rS i'3 L � � , .� ,�nu,.:.,o�.,l..aafu,io�a„�erl., t,.� w.�m".. . �..Jr. .�c< � � � irL,..1_,�imc yc:�,� �� _:r . l�u�r. � �_,.�� Jtu.t.r�s:r;m.�17 .�.y . � �::.e�i :. :JJci Uwe, theuwneteof the premises deacrtbed below, hereinefter referred W es "Purchaser" oNertocontractwith pMpE(A SEARSAUTHORIgD CQNTRAG TaR)� Frereinafterretettedtoas!'Ca�ur�aor'',�rofumish, rodelivecand ar►er�etor In�alietlDF►otntl maffirlalef�iro improreths premis� Itcated et < . ,.,��i w . � � n.. �, , , , . ,,,r,�l.:. , ir.�za n .. . ,� �.,i� I '4 •'il .,:� _, . .�,'��.'t,li . . _.IDai.��i8i188F)ul:�,Yiu�O,l�. . o. ., , .. ��-n.i1 �. , ; �� c�r)� � , . . �� , . , ��p� --- - . _ecoading to the,(c��tow�P9 �1��1,4f� i .. , � �h�,u� ...,. _ ., , �Ir,..;nHn „ �'1•:�ie , ...�u�.,. � .,. . ..,�� , ,��'�ni.OM+g. ._.�... __ .,. .�..,_......n;' � :,:i i��RR!��[�B M!W � �fl�!ed end,��e��Q. W �!I@$� SP��RPa.. , . .. ,. _ . > .. . , � � �., _ _.. , . , ... , , �, �.� ,,. ,. , .. , . , c . _ ��7 id. , The CA3H PRICE for ell r& Nlelerial (Inotuding arry applicable di�ourrts) Is $ r�s: c�n ❑ caredn�csve�� ro ure �� m u�a c�c s� oa�rnrre If thls ia e aash Vensactlon� the purch�e price ahall be pald as fiiWwa: �� - ��$ rT�� ;!;_ Ifthislseaeditlreneaction,theagreemerutorcr�ftleco�ln�Insseparetedxumemwhlchlslr�corporatedherelnbyreferer�ar�dmedee�Itlrereof. ' Ih� the undeielgrred ere hereby authoHzing AMRE (A 9EAN3 AUTHORIZED CONTRAC1pR) to veriy a�M revl�r �dour credit r�rord with an I�depen- dert wedit reporting agerroy artd release Nem from atl UablUty Incurted from InadveRent oml8slona or emma i. .. VERBAL understendinga er� agreemarqs with repre�r�Uves ehaU NOf be trinding. Atl w�dersmndings arW agreeme� muet be �t tcrtl� In �Unq In thle Contract. ADDII'IOPIAL PROVI&IONS ARE 8TATED ON REVEFiSE SIDE AND ARE PApT OF THIS CANTRACf. -►� i IN WITNE38 WHEREOF Pumhaser(s) have hereurtto sigrred their neme(e) this _1! day p} -- �/G.� �. 18�� acknaviedgea recetpt of e true copy of thia Contred. (PROVISIONS ARE SrATED ON AE�ERBE) UNLESB OTHERWISE SPECIFlED, IT IS UNDERSTO AT THE OYVNER 18 qEADY FOR THIS WORK TO BEOIN. THE PURCHASE PRICQ QUpT- ED ABOVE VYILL BE NONORED ONLY UNTIL DATE THIS MESSAGE APPLIES TO DOOR-TO-DOOR SALES ONLY. You the Purchaser(s) may ca�cel this trans�ctiqn at any time rior to midni M of the third business day after the date of this transactlon. See accompanying �oUc� of cancell torm br explanation of this right. . Signature afflxed below elso acta es recefpt thet Purchaser(s) ie�hred seperete cancelletion torma I 8 BMITTED I � SIONED ��s+��{Y � �. ,t�.... � / `t� 8 �uroheser � ��` �� „�� S�oN� �l�k1T�c� I ��p;� � Authorized SlgneWre Dete Purcheser p� � . � : : � ForAMRE. ' 'i AMRE la a servioamerk of American Remodell�, Inc. and Ucensed to AMRE Decl�, Ina � • Co•50 mv �7/BB I . , , � � -- - 7_�, w__ _ - ;-� ,�to y. '. �, i� y �: _. �.'�;; :�-;i � d �:4 �y � �¢N t . � V - ,�1s. �+�:�. . . . . . :�l :1, � C� l- /.�, I -1 �� : /� Customer Name� t +•::f.. ; . t �,' , =,.J�'. � G' + � .. .r .. . �. �.i� _ _' +��,. „ : DESDECKS �4 � ,. . .�, ' 9y � �./ '! 1�/ �L � .�- '=A'Seare AuthoMzed Cont�r i � };-'Addendem to CQn�ct � Job Address: U- - � � � - Job Ph.: �- His Work Ph.: H r Work Ph.: Deck Speciflcations: ��, °� � �� - � The deck fs to be L teet long and le to proJect out � � feet. The deck i� to be auPPo� bY P� end tootera'rhe tootera are to be set 30to 381nches below grade surface. The d�k's understructure ts to be �c10 and 2x41aminated beams which will c:onsiat of a houae ptete, frorrt plate, 8lyder beams, side bands, and cragajofsts. Each beam is to have galvanized streas plates pressed in at both ends and one centered. The understrudure beams are to be set with the crown side up. The house plate is W be fastened to the housa uaing 3/8 inch by 4 inch and 3/B inch by 8 inch zinc plated lag bo�ts. The 4" lags are to be spaced 24" on center end the 8" legs are to � spaced 48" on center. The decking pattem is to be the �.�4� type. The 2tt4 deckfng boards are to be spaced wfth a 1/8 Inch to 1/4 inch drainage gap between boarde. A14'lumb�r ia to be 1009b pressure treated, number one grede, which carrlea a forty year non-prorated warrenty against damage by termites, rot and decay. ailln I Speciflcatlona: , : TRADITIONAL: Posls and poet suppoi� are to be 2x4, fltted and bolted with 3/B Ir►ch lag bolffi. Rail(ng cap la to be 38 inches above the d�k 800r. Bottom raU is to be 11/2lnches 6om deck fl�r. Railing pickets are to be 2x2 and are spaced approx. 41/2lrtchea _ CROSSBUCK: Pbste and p�t supporte are to be 2z4, fitt�l erM bolted witl� 3le inch leg bolts. Railing cap is to be 38 inches above the deck floor. Bottom ►efl is to be 21/2 Inchea ebov� the d�k floor. The rira middle rails are to be centered betw�n the top and bottam raila Railing cross braces are to be 1x4. _ FULLVIEW: Pbsts and po� suppar� ere to be 2x4. fltted and bolUed with 3/8 tnch lag bofte. Relling cap is to be 38 inches ebove the dedc flooc BolGom reU � to be 21/2 Inch� ebove the dack floor. The M+o mtddle rails are to be �rrter� beMreen `the top end bottom rella - ` ° - _. CONTEMPORARY: Po� and post supports are to be 2x4, fttted and bolted with 3/8 tnch lag bolta Railing cap la to be 38 inches ebove the deck fl�r. Railing picksts ere to � Dc2 miter� v�ith a 45 degree cut on top and �ttom of each picket and are spaced app►ox. 41/2 inchea The bottom rail Is to be 1 1/2lnches above the deck floor. LOWBOY: Posts and post auporls are to be �c4, fltted end bolted with 3/8 inch lag bolta The railing cap is to be 221nches above the deck floor. The bottom rail ta to be 1 U2 inches above the deck floor. _ Lowboy Fullview Styfe la to have two �t4 plates. _ Lowboy TFadftionel Style Is to have tratlitlonal style picket spae�d approu. 41/2° apart. _ Loarboy CoMemporary 3tyle le to have contemporary style picket spaced approx. 41/2" apart. DECORATIVE: Posts and poat aupports are to be 2u4, fitted and bolt� with 318 inch lag bolts. Railing cap ts 2x4 and is 38 inches above the deck floor. Reil slats are to be made 1x8. The bottom rafl plate is to be a 2x4 and is 1 1/2 inches abovathe deckflooc _ Decorative Type A: Hand 'cut decoreUve'dealgned 1x8 alets. � _ Oecorative Tjrpe B: Hend cut decoreHve designed 1x6 slets. ;: .:, y � C, y _��rative 7ype C: Hand cut d�xrative d�ign� 1u8 alats. ` _ QecoreUve 7�pe D: Straight cut sleta 1x8 with 1/2 inch apace between. � : PRIVAGY: Posts and poet supports ere to be �c4, fltted and �Ited with 3/8 inch lag bol�. Reiling cap la to bq 8 feet above the deck floor. HodzoriffiI top, middle and battom I�ger strips to be 2x4. � � 1x8lFaditional Prfvacy rail with straigM cut alets attached to the top and botWm plates. Slats are to k� spaced appro�c. 1/21nch apart. �-. ,�, .� _ 2x2 Tfaditlonal Prtvaa�r reii wRh stretght qrt �'1lctasts attached to�top and bottom plab�s. Pickets are to be sPeced aPP►ox• 2 Inches apert. ., �, , _ tx8 Corrtemporery Privacy reil with strelgM dlt slats attechad to'the top rail plates and to the face of the undersuucture perlmeter. Slats eue to be apaced approx. 1/2 Inches apart. . _ 2x2 Contemporery Prlvaoy railwlth mttered aut picksts attched to the top refl plates and w the tace oi the understructure perimeter. Picke� are to be a�aced approx. 2 inches apart. Stelrwe�►. Landing And Walkwey S�ciflcatlons; E-Z GLIDE STAIRWAY: The stairway support atringers are W be 2x10's. The rise per step la to be e inches and the tread Is to tre 91/4 inches wide. Each tread Is to be supported by a 2x2 mftered cheat. The railing is to conaiet of 2x4 posta, � two cerrter reils, top rail and rall cap. As appropriate, a stairway pad 48 inchea (38 Inches for 3 feet wide stairs) by 18 1/2 Inch� will be set at the base of ths effiIre. Steirways over 8 feet in elevaUon ere to be supported by 2 add�ional ac4 aupport posts placed mld-way In the stai►s along with 1!4 wind bracing. TWO LEVELSTAIRG4SE: Stafrc.ase Isto consistof laminat� plywood sVingera 4feeton center. There are to � _ treads (51/2" rise with 141l2" tread) conaisting ot 2x8 perimeter apron and three recessed 2x4 slats. The total width of 8teircases are to be SINGLE STEP�WPI PADS: The rise tor the stepdown pad ia to be •31/2° •51/2" •8" other . The length of _ the stepdown pad la to be . Stepdown pads are to consist of �rlmeter apron with three recesed 2x4 slats. Total tread 8ize i8 to be 141/2". CORNER STAIRCA.SE: Stairt�se is to set agalnst a comerwing on deck. Staircase is to consist of 2x10 stringera with , � � a 2x8 kick board at the bese of each tread. The rise per tread ia to be 8 inches and the tread is to be 8 inchea. � LANDINQ: The landing ia to be supported by poat(s) and footer(s). The understructure, decking and railing is ;y _ to be the seme as specifled in the deck and ralling sectiona � WALKWAY: Tha welkway size Is to be feet lone and ie to project out 4 feet. The walkway is to be connected to T the main d�k and la to be supported by footer°s_The understructure, decking, and railing is to be the aeme as spacffied )n the deck end ralling secNona� a. _ r"�.r�e,a.' ''` •AMFiE�s e eervicemerk W American Remodeling, I�. a�M is licensed to AMRE DECKS. INC. ... � � .. ; 5 %� tr � _ . D Custome� Nam "14, l., " r y✓: a�„ ' . . � � . �: � ' � �� . ; �: . ,�..� � - r. . ' � 4�., , � i; : � � y�+4 . r r! .�. �. �, e ;� .(. �S', ur`. � r ' , � . � �� ^'!�' a ` , ' , _ i'a <, Deck Addendum Cofnt'r .♦ DI �� wa• V ,� , D�ek Aeoniwd� (Cheok sa appiopilete snd Indicete alze� Csntllevsr paakape n Oraund tree box (N C �, _8eam Trellle `�Corner Winqe �;�Aelling Beck Bench , i;';; Window Trellis ,;��lekeb on 8t�1� ralb , r.� ;.,,;_,,.Opsn Back BencA , c_.(Width—ProJ.� : �G�b (Btyi�' ) �, �;,,,,_.Plcnlc Table , �� _Open Weeve U S. '-; : Connr Planb► 8ox ;;; ;_Adl Tsbla �;' ,Lattice UnderokiN "�;.^R�chnpuW PI�nUr Box `��8un Trellle '�: -• " _Cloeed Penel U S. �._A�IImouM Pluita Box , ; !,�,...(Wldth:_ProJsaflon:_� _Post �ueeete "' Fn� Sl�ndlnq D�olc and or l.��lna.` , Eleretlon: E+� Pott (�) �nd Footer (t► , Feet of Extre Retling `' Cu�tom CuNinq Worls `_Utlllry M�tsr Notchln0 w/aovsr;,, _aAoduls� to bs custom cut _Utlllty Mster Notohlep wo/aovsr« _JNodules out sround tree �Custom SI:I� (No. of Mod. oute_) —Aslllnps _Cu�tom FIII In (8q. Ft.:_.� —Other. T��r Ou! end E:�ratlon:Contnctor to Heul away: Yes . No , �ismrnn F.nl�tlnp Wood Dsok ,., —Jiepelr Mesonary/Concrete/Fleah _Wldth_proJ�Elev._;::,; � _S�ve Awninp�, Roof, or �xcavstion (Houro: ) � _A�mov� Exlstlnp Conor�b BUpNLsndinp othsr. Wldth_pro�._Elw ;, '� •NOTE: If �ftsr tla old �truatun (I.e„ �d d�ok, Concre � etoop, eto.) Is teksn down a unforeeeen damape `: b dl�eovsred woh u rotten wood, oneked or chlpped rnasonsry/bHcks, snd/or other ork thet muat �.'bs rop�l►e� bsioro ths �row deok an bs inetalled, thsro will be eddltlonel chergee m de �"°� ') ''- •NOTE: If the�IlDns�nQOf�ty Ilnes. metaro. etc. la neceesary the cuatomer egreea to aponsible fo� the "addltlonal coe �.�rIC tomer Initlal � S�slal lnit� qnm ot D�elc (Include Ioeetion of houee, elze of deck, elevetion, end loeatlon of all n accsesoriss en o�etructlons) Elsvetlo� �� ,;� ;' 3'; HoAzontel SteRlnp Polnt (HS�) � « VeRical Startinp Point (V8P) i �, ' � ��4 0'- �'` a�, .;� .�:' ti + 4' � ° ' wY: 1 j� °C �� , � } k . � �F_ �k f� 3' ;" � .. �� a:. � � ��:. .. � f`� n i � .. ' E_ � �� A V� ,"S�'Q' r °�v r _ �� r �a;�k : i � �. � _ , � ,,, . K.. ' � ; �;' ' �t { k � ��" c , �. .� r � � °� � 4�+'�� i �d' ' . , ,� . � . '�r s` � . - � 1 ' , . � ,; : .. . "; , .�f�; '�, �,o �� . q. Ildlnq P� I Y - - -No- -'- - - - - (Cu�tom�r Initld) JuM�dlatlon Witn��a�s: Own�r. . �=v-� -sF .�.,,-�.�vi Dat�: Owner.C(Y�nL�►!L[ A , Dlrectlons to Job: (Glve Mal� Cro�s Streeta) �� ,,, � 'r��. 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' � -d o V � G N ; � •' ••.• C •j 7 • o a ,.! •� � o ' o , � . � a • ' o .. ; a a � Q � • SUBJECT City of Fridley AT THE TOP OF THE TWINS g � I L D I N� P E R M I T � � � � � COMMUNITY DEVELOPMENT DIV. � �v------� r � � PROTEC7IVE INSPECTION SEC. i i � � ��"1 � CITY HALL fRIDLE� 85432 NUAABER REV DATE pAGE oF �""� � ,�� 612-571-3450 910-F15 8/31/20 / � JOB ADDRESS 1560 Ferndale Avenue N. E. t LEGAL LOT N0. BLOCK TRACT OR ADDITION DESCR. Pt• � Auditor�s Subdivision #92 2 PROPERTY OWNER MAIL ADORESS Gilbert/Constance Haugan 1560 Ferndale Avenue N.E. 3 CONTRACTOR MAILADDRESS Same 4 ARCHITECT OR OESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS 8 USE OF BUILDING Residential 7 CLASS OF WORK � N� �J ADDITION 21P 205 RECEIPT NO. �� APPROVED BV SEE ATTACHED SHEET 571-6705 PHONE LICENSE NO. PNONE LICENSE NO. PHONE LICENSE NO. ❑ ALTERATION ❑ REPAIR � MOVE O REMOVE 8 DESCRIBE WORK Construct a 24' x 10 r3'� Gax�ag'e Addition 9 CHANGE OF USE FROM TO STIPULATIONS Pxovide frost footi.ngs at least 42" b.elow grade. ' �� On aif nevVi rebfs or tear-offs and replacement raofs; Before di �n State Code tequir�s that 2 layers of 15 Ib. felt, a�� Ut��► y �ocafionsor mopped to�ethew, be installed to a po;nt 2� inches 454•0002 up from e�v��ior tv�f1 line, ar the use of other REQUIRE�D gy approu�d underiay��r,ent membr�ne. . LAW �EPARATE'�PEIRMITS R�QUI��I� �OR W{�itdG, KEATtN�, P�t�M��V� 9��D SI�rNS. SEPARATE PERMITS ARE REQUIHED FOR ELECTRICAL, PLUMBING, HEATINti, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(i AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTHUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLd. UNITS I HEREBY CERTIFY TNAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3, 660 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TFIE pENMtT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $63.00 STRUCTION OR THE PERFORMANCE OP CONSTfiUCTION. ___ __' Fixe C 3. OF CONTRACTOp R AUTNORI2E0 AGENT IDATEI HIH N PROP � • . ,_ _........, _ � c � IDA E� � L G iNSP _ . SO. STALLS GROUP OCCUPANCYLOAD CU. FT. OFFSTREET PARKING GARAGES SURTAX $1.83 SAC CHARGE TOTALFEE I $�j$ . 49 THIS I YOUR P�RMIT � - OF � �] � � � �°�T� [ � �. . ; .,. iw - I�'CJ31 D2�l�lOTl2 Effective 8/16/90 R-1 At�ID R-2 m,; i ding Permit Ap�plicatiaai Owner Name & Addres.s : � �Y� �� ¢ D/�S J��'�r � �e �� v �� vr 'Pe1. # S' 7/-� �o � Contractor: �' � � � '�1. � � � � � K— Attach to this applicatioal, a Certificate of Suxvey of the lot, with th+e pronosed c�tructian drawn aaz it to scale. � :,�� +; ��M �� •...• � :� �:� LNII� ARE�'A: Iength Width Height Sq. Ft. C�►,RAGE �iR�i: Iengtlz �� Width l0" 3" Heic,�t S,�� . Sq. Ft. � DECR ARET,: Length Width Iigt/Grau�d Sq. Ft. O�: � � �� ?C' �'�� ; � � 3� �. �$ Corner 7nt [] Inside L�t [?C] Ft. Yd Setback Side Yax3 Setb�acJts ZYpe of Construckion: Fstitnated Crost: $ �C�(od0, �,� Approx. Cca�letion Date: fCJ �-� � �C� - Proposerl DriveWay Width If New Openitig Is Desired: F't• $ $ Width + 6' See Back Page I]ATE: APPLICANT: �• # P�*�+�i t Fee $ (o �e � Fire SuYrharge $ 3 � � State S�rharge $ � � �3 SAC Charge $ Drive�ay Escraw $ Park Fee $ Sewer Main C�arge $ � • v� ? ± CI'1.'Y IIBE �II,Y Fee Schedul.e on Reverse Sic�e .001 x Pexmit Valuatioa'i (1/lOth �) S.5o/S1,000 valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee D�etermined by F�qineeY'ing Aqr�nt Nece.s�axY [ l Not Ne�ssaYY [ l ►�I� • ,, � I9w�. ��.��,. ., �� Q. —sP �� I ( a ° - ; ,�i w. • _ei�r I i -� � �`� v / � �+ �� :�� . . • �+•, � - �,- : «:��. � Zhe Qzief Building Official shall, before issuiizg permits for the er�ction of any building or structure, or for ariy addition to ar�y exi.sting buiidirig or structure, or for any alt�ration or repair to any existinq buildinq or structure, upon application therefore, require the payment by the applicant for such �*-�++; t of fees to the amo�nt herein belaw set forth and in the manner her+ein provided to-wit: � Zt�TAL VALLTE $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 �� $15 (M�nirm.rm Fee is $15 plus sumharge) $15 for first $500 plus $2 for each acklitional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction ther+eof, to and including $25,000 $252 for first $25,000 plus $6.50 for each addition�al $1,000 or fraction thereof, to and includirig $50,000 $414.50 for fiust $50,000 plus $4.50 for each additional $1, 000 or fraction thereof, to and iricludirig $100, 000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to ar�d including $500,000 $500,001 to $1,000,000 $2039.50 for the fiYSt $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 arid up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPR�'�SI�T ESCROW (Coricrete Curb Streets On1Y) Alternate ��A��; Remaval and replac�nent of c�rb arid gutter only - Driveway width plus 6 feet times $13.50. Alt�rnate ngn; Removal ar�d replac�ment of curb arid 9utter and install a 3 foot wide approach with 6 inch depth - Drive�ray width plus 6 feet times $15.75. ' �+• � v- •� • � a�,�i�u � M •;. �r+++; ts for consttuction will be issued a m; n;,,,�,�„ of 24 hours fi�aan the tin►e of applicatioa� to allow for proper review of the Prop�sed sttvcture and of the oonstruction site. � A Certificate of S�rvey of the lot, shawirig t�e location of the f�ation onc� it has it has been c:onstructsd will be required before pra;eedinq with the framing. e � �; - N�,. ,, . . /d :•� .. . �.,s: � . = , , !;. !r't . . , :' � � _ .' , : , . . :�. . __. � ,- i? �.. %_: � ,�+` � � - _. . .... _._. . ...._ �� - - - �� //.._. : � �� r. `. � /-:� ' `' r � ' R. 7. `� �� ,"�� •_ -- A- --�A_ _ ^'_. _ _ � :�,_ `- s U,�; a�e��,� • �.aJ�,:l �-.�� , �� o � �v±,�CtG+�' � �'J.�i�J� �/ �.��b�S° � v� v0/�t ibnb� � qQ15 ., 8 ;,� � �, , °, :' , ! '�. �� . J �� ` 4 �; , �: � ,, y � ••� \ A. 1 ,� . �' �' � � . _ - - �� T� (+j !� « � /�/vl ��.../.%'� ,r'_�. ��•'-�t' ,. ..•�,; .. b 4�j � � -i;•. . :. j. �r~ � 1 � . � � .._. ____---� 0' � � ` 'ri s,', . � �� ; y .Lyj.�� tl� ! t, l. AC � � � /�ry';7.G�J.•'.'t' � t � ' �i'C•:''L.'�%. �'�: I � 9^. C �, ,�:� _ �.. , . ► ; -; .�-. , �` �,,� ; , • :;; �� : r ` t � .` � `'� � � � -�.; ; 1 ,_ : . : ,J �� .' .',�� , �, % � � i i , .; � •-�---� - -`�- � - �-�� , - ,. . _ ._ . . _ , _. . �. � � . _ -___ _ _ - �:�•'l,,0�.•1;•.�'e° r' .r. � i7.'` � 1 .: .: r � ��:� � . �• � /r: iY'7 _ . /i: �. �: �.. ,^,.' .. ,.'. 1'ti, T j . . .. . T h��e'��r �t�� '�� h� �,� u'� ��,,eo� �e�e�atx�;at�oa of a�rvoy of tlzo ba�td�iQ� ��': `� �o�s�,s� 9./� oF fi� Tdc�r�Y�st 1%i� oi fi,h� l�c�+a��eas^� 1/1� of the PFos°�heast 1/!� a�lcQ�� 3ou�h 150 i'Q�� thflreo.�, e�ccen� �� Eas� 21�7.5 �'ert therQOf� Section 2J�, Ta�m.�h3n 30, Ra,n�e 2�� .no!.a County� Ii3.nn3 sota�, �airl premises noir co:r,prisin� a p�st ag Lot 7, :lurlibor�s Subdivisian 2do, 92, Anolca Couaaty, P1inn�sotz, sub�QC� to publ�.c ��s� n� over the PJortYi 30 .£ee � td�ereo� for street pz�rposcs. at�d o� t� laea�.i.on of a]1 buildi.n;a, §.f' €u�98, th�reo�a, snd a11 vi�iblo �r�roach�ents, if arLy, t�ram or ou said la�. It also sho�rs �tae lac�a�on of �� s��?�s G� �et for � pro�nosed bl�i.ldinr � �d i'�► � fi��.� ��a d�v of ��'��•�-�h_ 1.��'�a_. `L,L � � �� E M'1 � `r�'f��✓( (`�i' �� a `4 P `...�` r � �-PP �-'oh. �pur � � — a'�x y"rr sa ` s�,or; � ' � %v,/� /c S � /✓�� fp r � � � �O • /� %3 � `v /✓ e �pa - C�✓�'�er� F J� [dc,� S ,. Q� -f o�! 5 C �° rs� e/l �-' _ /o.�,' eo� �''k�,� �jDa��1y � � k�° X � inr� C�k' Sh�°�'�`� , � � _ �� X� L�` � �,/�5�, �/C�- �:ne�ow �ix7� �� ra�� DO r �' ��`�`f�� S 1 �orfi DuflPtS e -�� r � « ��.�r�c�� 5�°PP�� d a �,�h ¢}-° � x f v re � iP�'??�. /�`� , �po �9//orl5 I �W tr , SUBJECT c�ty 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 � ~ � PROTECTIVE INSPECTION SEC. � 'i i�"1 � CITY HALL FRIDLEv 55432 NUMBER REV DATE �""� � �'' 612-571-3450 910-F15 5/6/9 JOB ADDRESS 1560 Femdale Ave NE 1 LEGAL LOT NO. BIOCK TRACT OH ADDITION oescR. Part of 7 Auditors subdivision #92 2 PROPERTY OWNER MAIL ADDRESS Gilbert Haugan 1560 Ferndale AVE 1�E Fridley MN 3 CONTRACTOR MAILADDRESS Same 4 AF;CHITECT OR DESIGNER MAIL ADDFESS 5 ENGINEER MAIL ADDHESS /2�1�30 RECEIPT NO PAGE OP APPROVED BY 3 / / SEE ATTACHED SHEET ZIP PHONE 55432 571-6705 ZIP PHONE LICENSE NO. ZIP PHONE LICENSE NO. ZIP PHONE LICENSE NO. 8 USE OF BUILDIN(3 �TDENTIAL 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION 0 REPAiR O MOVE ❑ REMOVE XX 8 DESCRIBE WORK ADDITIQN DECK 9 CHANOEpFUSEFROM STIPULATIONS SEE NQTATIONS ON k�LAN TO WpR1�IB�� Before digg+n� �a�� o� a►1 utility locations 454•0002 RE v�RE� gY �AUV Q SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND OROINANCES GOVEFiNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. OF . DWLG. UNITS .1 STALLS LUATION 2�].7. 00 RMIT FEE 54,00 S�GNATUREOFCONiRACTOROR UTHORIZEDAGENT IDATEI WHEN PROPERLV VALIDA ��'��,/ ` � �� +� ?--°"_ __ ....._.. . ..,.,�� DATEi BLDG iNSP ._ P OCCUPANCVLOAD CU. FT. OFFSTREET PARKING IGARAGES SURTAX 1.46 SAC CHARGE TRE SC 2.92 TOTALFEE 58.38 :D THIS IS YOUR PERMIT nc� � Cl ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Bailding Permit Application Effe�tive 1/1/93 Construction Address: r�� 0 ��° � n dl�" � �P .�V P • /, � � j,egd] De.SCIYpiIOII: P�if �/i" � � 7 �� t,� •-�l �`7�fJ i � �U b /'.1 e� l/e� S �` O !! -�` %�- Owner Name & Address: � � �� f �" ��TtJra�rl S��e� �-s �ha� P Tel. # .S 7/-� >o s Contcactor: s'E' l-�° . MN LICENSE #— Address: -�j �'in � Tel. # Atxach to this application, a Certificate of Survey of the lot, with the proposed construction drawn o�t it to scale. LIVING AREA: GARAGE AREA: DECI� AREA: OTHER: DESCRIPTION OF IMPROdEMENT Length Width Height �Qgth � Width Height Length � Width �. Hgt/Grouad �'' 2 /O� OC7'��clt �d �G�' 9'ISD� 7� ��_�t b Sq. Ft. Sq. Ft. Sq. Ft. � Comer Lot [] Inside Lot [�j Fi. Yd Setback Side Yard Setbacks Q Type of Construction: �it� c� p� Estimated Cost: $�� -- Approx. Completion Date: S - � � - �?> (Cost on Back) Driveway Curb � Cut �1Vidth Needed: Ft. + 6 Ft = Ft x$ _$ — DATE: �� ^ � APPLICANT: ,�� /��'✓'�— Tel. # S�<- 6�0 5 Permit Fee � �� Fire Surcharge $ 2. �% �i State Surcharge $ �lo SAC Charge $ '�' License Surcharge $ '� Driveway Escrow $ '� � F� � -B Sewer Main Charge $ TOTAL $ �v r � � STIPULATIONS: �ITY USE C?NLY Fee Schedule on Reverse Side .QO1 of Permit Valuation (l/lOth%) $.SO1S1,�0 Valua.tion $750 per SAC Unit $5.00 (Sta.te Licensed Residential Contractors) Alt. "A" or Alt. "B" Above • Fee Determined by Engineering Agreement Necessary [ l Not Ne�essary [ l � BUII.DING PERMIT FEE SCIiEDULE The Chief Building Official shall, before issuing permits for the e,rection of aay building or structure, or for any add.i6on to any existing bnilding or stiucture, or for any alteratii�on or repair to any existing building or stcvc.ture, upon application therefore, require the pay�ment by the applicant for such permit of fees to the amount herein below se� forth and in ti�e manaer herein provided to-wit ToT�. v�,vE $1 to $500 $SOl to �$2,(�}0 $2,001 to $25,000 $25;001 to $50,000 � - n � .� � ro T - . .. $50,001 to $100,000 $100,001 � to• �SOO,OQO $5�,001 to $1,000,000 . �Es $15 (Minimum Fee is $15 plus snrcharge) $15 for first $S00 plus $2 for each additional $100 or fraction thereof, �t� and includiag $2,000 � $45 for first $2,�00 plus $9 for each additional $1;000 or fraction thereo�, to and including $25,000 $252 for �first $25,0p0 pl�s $(.50 for each additional $1;000 or fraction � thereoff, to and iacluding ,$50,000 ..G� i •$414.50 for first $50,� plus $4.50 for each additional .$1,000 or fracbion thereof, to and includimg $100,000 $639.50 for 5rst $1(�,ppp plus $3.50 for each additional $1,OQ0 or fiaction thereof, to and including $500,000 $203g•SO for the first $500,000 plus $3 for each additionai $1,000 or fraction thereof, to and includ.ing $1,(J00,000 $I,000,001 and up $3539.50 for the first �1,OQ0,000 plus $2 for each additional $1,000 or fraction �thereof - DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternafe °A": �temoval and replaceme� of curb and gutter only - Drivevc�ay width plus b feet times $13.50. - Alternate "B °: Removal and replacement of curb and gntter aad install "• a 3 foot wide . approach with 6 inch depth - Driveway width plus 6 feef times $15_75. VERIFICATION �F FOUNDATION Permits for constiuction will be issued a m,inimum of 24 hours from the time of appGcation to ailow for proper review of the pro�sed structure and of the. coasinction site. A Certificate of Survey of the lot, showing the location of the faindation ' once it has it has been coastructed will be required before proceeding with the framing. � . � � m c a�.�.w � 'o c t/� ��o c.�.�+. ea c ;ci v y � y � � '1''n � �maci � O d W c!! F � � � W z o w y �w o.. � �o° J o- yc c,: �- W i ; � 1 � �� `. � `\ r ` � w � �� . �, ; "J v `�r � � `' v J '� � � ` �ti�� . ....._ __, -� � ,\ -� �.. �` � � . � r, ��, � � � � � ' �- ' _ _ �� /' - � v r,� . � � � , ,. ( Q� v� . �, � � `�.. . � � ;� � �� E : l _ � � �� I � � � � , ` .1:1,� /` �' . �; t .� �� - � _ ` ^..i „ - � � � �` ` ` , � � j �. �-- �; � -� ��` i � �� ' X � �: ; � . .N D � \ 1' � 1 �__ o _�_ : ; � � � � s s � . �� . -,. 3 �� S c � �� v sz � � U � � d � =v Z � � � 0 io - m� 17� 7" � t •'►"e p �Y � � yr > � � �� - � N a� � a q4 ` V Z � � �� v �� _......-,...............,.�.._.............._�_...._,,.......�........��.....,.�....,..._ F,�i%E� . . g.�s-- - - � � ; 1 , , U, � � � w ti � � 't t.J� I � �J�� o `' ` ' � �� , � 99 � .. __ y�.is--- � �. _, -` i98.�r � o, � � 3O� �` ,, �;� • 2 39.5' ' t .. Ct� . : � , � .. O; � '� O. !O \ �� ,,. ��- ! _ '/9B�/5 . �^o_�� __-,�y�.�� l - .� x :�. o � � �� : �, , , � ,. . �,. ` i . '� � � --�, I ,� ' �' .— � �'i � ___a,j '' l � �� '`�. -3� ' � � ' ` \' I �t l r . . , . � \ � •Ah __ a � � o �� . 1 � i.� � ti� � � �' � , � �� ( ` r�' �h � `� , t � O � � � � '� r� � � i � _ { �� i � o . --_� � .; =�� ' `` � � ` �,, � i `i !. � : ►�� 4 ' � � ; � E� , � ,� ._.... _. %�:_. __._ �._� _'— 'f � ��. � � � � �S - w 0 ofti'�s � � � �, . � + ._._.....�. ..,_._.�.��.�........�.._........� � - - � _ �, � � � ,:, .� . -- �-� ��_ i--;,� _�_ --- -�-� _____�.� � r e ' �• -�i i � � � � � � � �i, a � .� � a� �� `' T�� ` � � � � ��3 �� !�� . �C � � '� � �, \ P�� i i �� t ; �� . . �� ii �,, �� :� � �, �r ;�, �W I �' � . ., � � sua�[cr . rc � nv. City of Fridley 2 9 8 36 AT THE TOP OF TME TWINS � � I L D I N G P E R M I T r � ` RECEIPT . � • COMMUNITY OEVEIOPMENT OIV. �� : ---•- r � � PROTECTIVE INSPECTION SEC. i . � � _ /'�'1 � CITY NALL FRIOLE� SS1�2 NUMBER REV OATE � PAGE OF APVROVED B� �----� • •'� 612-571-3460 910-F15 7/8/99 � � JOB ADDRESS 1560 d t IEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACMED DESCR. dT,.t O,F 7 � SNEET 2 PROPERTY OWNER MAIL ADpRFS$ 21P PHONE Steve & Connie Walker 572-0716 9 CONTpACTOR MAIL ADDFiESS 21P PNONE IICENSE NO Midwest Timberoof 1001 E. C7iff Road Burnsville 55337 808-1149 20147336 4 AFCHITECT OR DESIGNER MAI ADDRESS ZIP PNONE LICENSE NO. ENGINEER MAII ADDRESS E LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK � N� p ADDITION O ALTERATIpN Xg1 F#�PAIR ❑ MOVE O FIEMOVE 8 DESCRIBE WORK Reroof house and garage (18 Sq) Tear-off 9 CHANOE OF USE FROM STIPULATIONS �•� Underlayment must comply with the State Building Code. SEPARATE PEFMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HfiATING, VENTILATING OR AIR CONDITIONING. TMIS PEFMIT BECOMES NULL AND VOID IP WORK OR CpNSTRUCTION 20NING AUTMOR12ED IS NOT COMMENCED W.ITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOFi A PERIpD OF 120 DAYS AJ ANY TIME AFTER WORK IS COMMENCED. NO DWLG. I MEREBY CEFiTIFV TMAT I HAVE READ ANO EXAMIN�O THIS APPlICA710N AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of I,AW$ VALUATION ANO ORDINANCES GOVERNING THIS TYPE OF WOpK WILL BE COMPUED WITH WHE7HER SPECIFIEO HEREIN OR NOT. TNE GRANTING OF A PERMIT $1573 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMIT FEE PROVISIONS OF ANV OTNER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 'rJ7.O�J S�GNGTUAEOFCON•AAC�OpOp0U1NOp�2EDaGENT IOATE� , iD�rE� P�rmit Inspecti�n C�rd� I�til �� i��d To H�r��Q�r��r T� Po�t OCCUPA STAILS ;V GROUP OCCUPANCV �OAD CU FT. OFfSTREET PARKING GARAGES SURTAX ` .79 SAC CMARGE Fire SC 1.57 TOTALFEE 64 41 )ATED THIS I VOUfi PEpMIT � � r�art '_��. I " ...��.� � .. � .��_ , N�;�� [� ]� tWDN C l ALTE�. �] l_•._ �i-iili � �i� i!I IN11�L�� 1ii CI'a"� UF FRIDLEY SINGLE �AMiI.'1' AND DUPLEXES R-1 A.'�ID R-2 BU1Lll1NG PERMIT APPLICATION EiL'�=� j?Il � F. l_� j ll` . Eftective 1/1l98 �r,�,.d.x q�.15 � 3 �° �, � ConstructionAddress: _, �� ( � � , � : , � t�� . _ _._� �_. _ _.� i�eg�l Descriptio�: Owt1eX Name & Address: ��°�� C��7�j �, ��,�,�/�, Tei. Il. ��?�� 7Z -(�/P l,� Contractor: �_ j,_,� j��`�'(, �, �� MN LICENSE �+ � 0�7�� (D AdcYress: � �� . � �' -� � � � (,�I % 1�910Y� ��J7 Tel. ��0�5 ° � ��I LIVIlVG AR,��.: v�itAGE 1�itEA: D�C� AREA: OTHER: Attack� to this applicalion, a Certifcate of Survey of the lot, with the proposed coi�st:vction dravc►n on It to scale. ri�SCRIPTIOV OF IMPROV'�MENT Y.ength � Width 7.ength Wldth Length iieight ` Height Hgt/Ground Sq. Ft. Sq. Ft. ,_„� Sq. Ft. C;onstruction Type: ° u�/��--- ___� EsCuna�ed Cosc: $ -��. �� (ree SchedUle on sack) Driveway Curb Cut Width Needed: Ft. + 6 Ft a Fc x$ R$ l� �� / � DATE: �I�� APPLICANT: ��./J��'i�i� � ei. # � � l Permit �ee �ire Surcharge 5cate 5urcharge SAC Charge License Surchazge Driveway Escrow �ros�a�, cot��t $ .'"�1.OJ $_...� �,�i $ a � `i $ $ rJ�f� $ $ CITX USE ONiY Fee Schedule on Reverse Side .�1 of P�cmit Valuation (1/lOth%) $.Sb/$1,000 Valuation $100� per SAC Unit $5.00 (State Ltcensed Residential Contractors) Alt. "A" or Alt. "H" Above �450.00 Conservation plan Review �'ark Fee $ Fee D�ttrmined by �ngineering Sewer Main Charge !6 Agreement Necessary (] Not Necessary [ j T()TA.L STIPULATIaNS: $ °� f Building Inspections 763-572-3604 DATE �— / � SITE ADDRESS _� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE � LICENSE WTTH APPLICATION PERNIIT TYPE MECHANICAL RESIDENTIAL APPLICATI4N CIT�' OF FRIDI�EY _ �J YOUR hd % a ❑ OWNER CONTR� NAN�: ` ADDRESS: � � / C'� � r.r PHONE:��_l-- COMPANY NAME�: � CONTACT PERSO�[KI�V� MFL_ STATE LICENSE # ADDRESS: PHONE TYPE OF WORK: I�� ADDRESS FAMILY ❑ TWO FAMILY ❑ REPLACEMENT DETAILED DESCRIPTION OF VdORK 410 Pemut No.: Received By: Date Rec'd: N 55408 STATE ZIP FAX ❑ TOWNHOUSE ❑ ,4L,TERATION/REMODEL PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greatar, for the unprovement, installation or replacement of a residential fixture, excluding the fpctures. ('11iis should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECfS VVHERE LABOR EXCEEDS $500 FEES ARE BASID ON $10.00 PER FDCCURE, EXCEPT WHERE N�Tm• FIXTURES' (IN�ICATE TOTAL NUMBER OF EACH BELOWj � MODEL: �S� SIZFBTU Equipment Installed MF� � SIZEBTU . MFG: MODEL: MFG: MODEL: SIZFJBTU FIREPLACE (G,4S) �15.Q0 GAS RHNGFJOVEN $10.00 i�A/C $25.Q0 — NEW GAS (3RILL $10.00 AIR TO AIIt EXCHANGEER $15 ��RNACE $3�� D) $35.00 GAS UNIT HTR $10.� BOILER $35.00 — POOL HEATER $35.00 CHIIvIIQEY LINER $10.00 GAS DRYER $10.00 �p,pTOR $15.00 ^DUCT WORK $10.00 GAS PIPING $10.00 — . .� � � �, .. . ___ ._ .. ,�_ . r a�.�_„� �d.� � , . �_�s�.,x, .�-.. -. �. �. � : -. _ . � � .. � , ..� , -� . Permit Fee � $ � Number of %ctures @ $10.00 x $10.00 = $ Surcharge $ � 50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ :� .� Number of fnctures @$25.00 � x$25.00 =$ t se Number of fixtures @ $35.00 x $35.00 = $ State Swchazge ° $ .50 Tota1= $ Z�.� TfIIS IS AN APPLICATION FOR A PERA9T NOT VALID UNTIL PROCESSID I hereby apply for a building permit and I aclmowledge that the infornnation above is complete and accuraxe; that the work will be in conformance with the ordinances and codes of tbe City of Fridley and with the Minnesota-Construction Codes; that I understaad this is not a permit but only an application for it and work is not to start without a permit; that the work will be in accordance with the approved plan in cas work 'ch r " es re'view and approval of ans. SIGNATURE OF c�-�,�x�. �/Y1Ci a,� 1 )� �S City of Fridley Building Inspections I?epartment 6431 iJniversity Avenue NE, Fridley, MN 55432 . 763-572-3604 FAX: 763-502-4977 REQUIRED tNFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDI�IONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED F�R NEW/EXISTIN� HQM�S :::;:, . . .. � . a; . ?,.i�1� . 1. Combvstion Air (S� note below-) =_, „ �� ' � -, � . a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Naiural Gas or PropanelIFGC Chapter 3 with MN A.mendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amen.dments 3. Venting a. Gas appliances IFGC Chapter S with MN Amendments b. Fuel other than gas 1MC Chapter 8 with MN Amen.dments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load. per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per-i�1I�� er-gy Cod�7C70 or 7672 __ _ _ 6. Duct Design Per ?MC 1346.0603.2 . -- a. ACCA Manual D NOTE: Centerpoint Energy Mechanica.l Code Guidelines software may be used for combustion and make up air calculations City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechani�cal Permit #. e?�� _��',� � �� ,�� Residential Application Gity of Fridley See Back Side For Required Informa#ion Date Site Address:!,s !�a t? ��'I �`Gt_.i� L} ��-i21�� Pl�. �• The applicant is• (cirice one) Owner �Contractor] ProqertY Owner. Address: ��y; State: Zip: Phone• Cell: Fax: Contractor Information Company Name: r�-+- - n�l Q yr p��► �D�- d�/1��-1 �� C• — Confact Pe�son: �a n c�'Q �Sf • M l.�ri � Address: P(� • e�t �.,� I �1 � ��y; - State: M I`3 Trp:_��l�2. Phone:,]�'� �Y - � � �l / Cell: Fax: °7fi�3 — � g � — N9�"7 EmaiL• MN Bond# & Exp Date _ Type of Work (circle one)� New L eplacemen� AlteratioNRemodel Detailed Description of work: nirzGir�C -¢r1�-hl.�rp, Equipment installed: MFG:�1��rr1 S�O�I� Model;L,-�/N8[�Bc�oastal67��zea� i u: MFG: Modei: SizeBTU: MFG: Model: . Size/BTU: Please check all that apply: Fireplace (gas) $15.00 New Gas Grill $10.00 _A1C $25.00 _Fireplace (wood) $35.00 Gas Unit HTR $10:00 _Air to Air exchanger $15.00 �umace $35.00 _Pool Heater $35.00 Boiler $35.00 Gas Dryer $10.00 _Ventilator $15.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 _Gas RangeJOven $10.00 Permit Fee $. ��`�� (Total from above-IVlinimum fee $35.00) Surcharge � 0.50 Totai Due $ �� Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical permtt and I acknowledge tfiat the fniormaUon above is complete and accurate; that the work will ba in coniormance with the ordinances and codos of tl�e City of F�idley and with tha Minnesota Construction Codes; that I understand this is not a permtt but only an appUcatlon for a permit and work Is not to start without a parmi� that tha work will be in accordance wftl� the approvad plan in casa of all work which requires review and approval of plans. Signature of Approval ins� �ate: f � ��D Date: - 2� - � G Please Note: Separate permits are required for Building, Plumbing, and Electrical work 11 � . .: � � J n lA / !/1AA�