AF - 42583City of Fridley, Minn.
BUILDING PERMIT �o s 31 � �
nate: "�'''� �� ��
Owaer: Builder
Address Address
���� �� �, LOCA F�UIJ,�pING
�'--l�'''.-.--�-�_ street �.�- Part t
Lot ....._.�..--- Block Addition Sub-Division _ __ �
Coraer Lot — Inside Lot ._.r.�"�` Setback `��..—�� Sideyard ���
Sewer IIeval3an ____ _ Foundation IIevatiaa
DESCRIPTION OF BUILDING ,
To Used •
Front �•G--.. Depth .l�.� Height ,�._ &1• Ft��� Cu. Ft �L�
I`i t Depth FTeight Sq. Fk Cu. Ft
Zj►re oE Conatruction.��...,�,�� Es� Cost _• '� be Completed
In consideratfon of the issuaz►ce to me of a permit to construct the building described above I agree to do
th� proposed work fn accordance with the description above set forth and in compliance with afl provisiona of
or8inances of the dty of Fridley. -
� ''
In consfderal3on of the paqment of a fee of $�_"�- -, permit is hereby granted to
to construct the buflding or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agenta, employees and worl�nen, in all work
8one in, azound and upon said building, or any �art thereof, shall conform in all respecte to the ordinances of
Fridley, Minnesota regardfng lacation, construchon, alteration, maiatenance, repair and moving of buildfngs
within the dty limits and this permit may be revoked at any tinae upon viola�of any of the provisiona of said
ordiIIBIIces. f-�:. ./t%'f 1
Building Inapector
NoncE:
Thb psrmit does not eowr 1hs eoestroeHoe, tn.�,n.�ton te� �►tno. �I�t�a �.. h.,x�a s«wr e� .►.r.�. B� a» to a�
1h� Buildiu0 le�p�e�oe for ap�eaf� p�emhs Po� �h�a it�ms.
°' - _`'�''9"'"�-` . �"1 - � -
� - - - _ .---�- i - — a,; _
_ .
-- - - � =T— - - -+k" ,�- �t- �a
_ ,' - `/�� , � !�
9 � ��+
� '. N
� :x`��a�,'.
�. ,,, �a{ �
� i��•
MINDE � �GINE��2ING CO. INC �
ENGI EERS AIV—� e SURV�YORS �
�wNO BuRvE�nn�o ' g01�8 TE9TINO
CIVtL 8u MtJNICI AL ENOINEERtNO LANO PLANNINO
� `6418-SfoT" AVENUE N.
MINNEAPOLIS 2T, MINN.
��� KE 7- 3637
����s� t! D� � D � �C ��i �� 1� IF �� � Q�`I I!.
���� � � — Q '
. � � .�.�.� � �
�' ' C A .. R' ,�' � q` 4' R.� �
k � �
� ��� ' � � I `� � ('/`� � ,
� A ,', G*� � V _
a���s' `�� � J '�9
, ��� �_, �
�� � ��
�a .�� 5.. ��� .
� � ,�,�i° � �;.;� ' � .
. �y� �a� �
�� � �°�" ���" `
d f �
�� *, a�',.\
�, �, �
��„ , , � ,v �'�. �� �� .
' � ��� , ' _ I �, V t��}� �
�_�� ; ;i _ � ';
�.
a, � t�'� �� .- �
1�Z'�� � �-.. r-, � I� �
► .��' �CAL� I a �t"�
� 0
� (
f� � � � , / J`r
�e� 4 ! � �.
/_ , ',� 3� • � Iep�� � '',
� �a ��� ,s�;0 �/
�./
�
�� e \ ' � ,i'' { �., ..
� � �,� ' 4 .. � .�
1j _� \�o��\ �.�
mf7 /°�
�� � y
�� �� ' ���
���. � � � �
� . _ ' � �.
�� ��
4� '�
�, �.
�'' ,1�.; �
`�_ ���-
�3r�o-r 2 �c�� �1 ������� � �a�������� ���-�-��� � ��'�' ,��� .
, , �
WE NEREBY CERTIFY THA7 TNIS IS A TRUE ANO CORREGT REPRESENTATION OF A SURYEY OF THE BOUNDARIES OF THE
LAND ABOYE OESGRt[iEp AN� OF TNE LOCATION OF ALL BUILD►NGS, IF A*1Y, THEREON , AN� A11 VISl6LE ENCROACHMENTS,
IF ANY, FROM oRON SNO �N�. M�NDER ENGiNE�R�NG Co., INC.
OATED TMiS 01.Y OF SEPTEMB�+'R. A.O•��5 g E*1G�N E AND SuRVEYORS
- =.� � e � ��
\ � � � y6�� . .
\ . �
0
d
�
0
a
0 '
� .
� •
ess
�
�
�
;�
�
ai
►+
� � W �
� p
����
� � � �
� .
O •
O '
O � .
o . .
G : :
\ 1 �
�a � �
� ~ �
°o q o �
tfa sn
H
� � �
� �� � �
o �,
�
Cp"
�
�
tZD � yA fZP � z �i
8 � � 8 � 4�
� � � � � � �
a � � � �
� � : � �
� R' � IA
a � : '� �_ : t��*
�tb „°oo : �' :
0'�Q � � . . .
o : . . .
� � . . : :
: � : : : :
• � 0
�s �a aa �a Da ie
W tv w r• �+ o-�+ ',il
w °p e�i� °o 0 0 ',,b.�
f» r» �n r» rfl t*I
�y
O �H
��
c
0
�
x
�
�
�
p
�
�
�
r
�
�
m
N
�
_
m
C
r
m
g. • �+ w na ►. rp
x M � � p, � c�o
� �
� � �
� �
O �
� � �'
�� � �
� � /`
�i �
8 M
❑❑
o � o � � �
� ���.�
� � � ,,
8 a �
°� bd
o� � � �
� ¢ �
� � � C
e+ % Y. `'° e .
c
WATER
C�OSE'!5
URtNALS
enrr+
Tues
e�siNs
SINKS
wns►+
renvs
DRINK.
FOUNT.
SHWRS.
FLOOR
DRAINS
�,-�
BASINS
AUTO
v//sr�ii
GAS
APPL
GAS
RANGE
GAS
OPENINGS
a •
z •
�y
fn D
A
n �
��� �
�
� �� �
~ �a� �
�y � CC
� M � � �
���.p�p. ..
p �t-I O4 p
i m 1° O �
'�
� ��.o y
� �
� ����
� ��y �.
b ��$
� ;
�
b
�� �
o- �.m
p � m o
�i p' o p
� �
� � � y
fD � n �
�4 �D �1
����.
a�
•.�
f�D � A y
°� w �j �
r. � co
m
e�hyOy
�. � Di"
�` � �
� �
m
3 `a� G•
�
�
�d
� A
� �
O. ""
�°x
� �°n
p �
M �
� �
�
� _ .
�
�
�i
�
�
� �
��
�o �
� �
.
o. �-
�
�
�
�
�
�•
�� '`
.x
�
m
s
A
�
�
�
:�
O
�
x
�
N
3
�
m
N
�
0
��
�
�
V
�
V
W
�-y-1
�
a
c
r
r t� � :;
y x x �
� r � oy
�-yi H � �yy
Q ~ M ^
x
� � � O
� � � z
����
�
fA
�
�
�
o �
� �
m
�
� �
��
�
�
�
M
m y
� ¢ � M
� W 4�'�
� � k �
�
�
o � � N
N�.�
o�
o �
o � :
O �
wy :
Q : :
Y
�
ao
�
M
�
ro
0
0
0
0
0
O
�
i i i x .
� k x o :
N � �
°c o o � °o
�» tn tn '� �n
0
a
�
�
O
r
o�
�
x
< �
M O
w
�a W
��
'� �
�" y
O �
c o
��M
f�D
�
A •
� :
�.
� �
�
en
0
0
tn
m m
� �
,a�''� a
00
� �
��
x�
°• �
�
H '
�
� �
� M
m �
� o
� '!
�
� y
��
� �
� �
0
O
�
�
�
'�d
�g
E3
N � � �
0 0 °o °o
ts� t» tss rfa
�
� ��.�y O A�7 y �
�!- ^fy � C� � 1 ]
z
� � o � �
� � � o
� a �
fC b � �
� � �
� � F �
:" � n
�d � r7
� 1 x
� � r' �
� � � � �
� � � �
�n p' � m
� M W �
o � � � �
z
� O
�
�
� � �
�
ae�
�
z �
� �
�Q. �
�!• i
A
�
�
O
O`. ,
m
�
\
�:
0
f�D
0
b
�°
�
g
�
� A
� � � �
��� ��
i�' R° p � �
�����
� ° � t� �
o�ro �
� ���
� � � 0 8
� . � �i
a � ' �
� C�il , , ~
O . �
� � ; : O
O
o . . . �
� : : : �
t� w ca t� go
o °o °o °o °o
v� �s sn a�
. 1
a� �
W y
�
�,�b S
� � � � �
�y�m
� �
�
��°� x
�a��
o y � �
o p �1
����
� ro � °
� ; �
m
ab' : :
� - .
� OG : :
OQ o . .
P . . .
N � � � �
en c o c
p o o p
� �
O
E�
� �a� �
n
y ��'�� M
y��`� �
p �,� � �
� �� �
o��W �e
� d��
1 �, `' �,
�.ny o •
� �' o �
f0
m
d '.�7 '-~'�
� � ¢t�
� ��y �Tpi
fA
- d �
����w
W�Mb
�mnn
p ��
�
� 'A. n p
�Mp,o
�!
�� � W
�
�a��.�
o ���
�j �l�D M
M
�� �
-- ��O �
• � D�
r+ �D � �y'
I� � � �
1
D
�
rD-
�
'�
T
N
_
m
C
m
v
w
M
�
�
�u
�
rA
Q
A
A
V
O
0
�
'��
O
D
�
O
�
��
0 �
� �
O� �
� _
� ��
��
3 � �
� ��
-'w
� W
v<
A� �•
�' 3.
O
D
�
�
�
O
�
d
�
�
�� �
SUBJECT PE O. �
City of Fridley � 124'73
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T� •
�
� Z R -IPT NO.
� `L _ COMMUNITY DEVELOPMENT DIV. �"��/
r � � PROTECTIVE INSPECTION SEC. Is
1 = �
�` �'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVEO BY
""'� � `'� 812-560-3450
910-F15 � �
JOB ADDRESS
7889-91 Firwood Wa N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2 1 Pearson Crai a 2nd Addn. SHEET
2 PROPEHTYOWNER MAILADDRESS ZIP PHONE
Mr. Larry J. Miller 7889 E'irwood Way N.E.
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO.
5ame
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO.
8 USE OF BUILDING Residential
7 CLASS OF WORK
C� NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK •
Construct a 24' x 24' Garage for a double bungalow
9 CHANGE OF USE FROM TO �-
STIPULATIONS Variances approved by Council on April 1, 1974. Owner not required
to install a hard surface driveway.
SEPERATE PERMITS REQUIRED �OR 1tVIRING,
hIEATING, PLUMBING AND SIGNS.
TYPE OF CONST. OCCUPAPICY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT.
• AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT S%6 5760
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 AIV�D 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
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON-
STRUCTIO OR THE PERFONMANCE QF C NSTRUCTION.
PLAN HECK FEE TOTAL FEE
.2_)
SIGNATUR FC 'TRACTORORAUTHORIZEDAGENT IDATEI HE '�ROPERLY VA�ID IS UFi PERMIT
/ `'
�
SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLOG.INSP DATE �
� . #�
�. +.
. a � � � yt � .
` • ��: �' �� ; : � � �� , .:: .�`,� . ��e _ ,. �'°1
����i.�
E�1GI f`1EE6�� .,��19� SURVE�'C�RS
LANO SURVE.YINO � �
CtV{L 8a, (v1VNICIPAL ENOINEERINO �
qa_'�,„e�`�-- � '6416-56TM aVENUE N.
-`�, ��' MINNEAPOUS 2i, MINN.
��'•a ,_ KE 7- 3(v37
� • .. - � .
;
.pp
0
�
p'1 `.�
�� �
� `
r�,
Yi
(�
v
��
m
�� �� ����� �� �E� ��. ���� �� �� 4� �� �� �� ����4� �� .
• �, t _. "' . � „_... �
_ __ . f
7
, � ` i �\
- �' ;� \� � � / ��
"'S,� i �, \ � �q�` l�
. .. �, ti.;,��� f� �---
._ ';� ��i�,-o'��� `�-
,,� .� � r/' * � �`l"�,.
/' /, ,s'" ,t / �L_,
- ��' `� � �'� `�' `� �
���, - . , � . �`
;` ��� .-- � �
o : , , , . . ,'��
`�
;�� �, ,; �� ,��
�
i � � �'-' � }.
/� ' �_�i l % i�
� O �� �
� �'
Q-o O '
0
� o` � � �'° -,
, � --�
,
�
.
.� . r
\ ,.
i, �
� ,`� �� ��.
.� _ ��� `�
. ��'
�
'��
�
��%�'' � �
G�
soi�s -rEST�No
LANO PLANNINO
�
. <�� ��_
�
0
�'�
f
�a
a
!'',�l .
\
� �
� q
` "'�� . � CA L �: I - '� :��
� F
��o��t� ������os�� �f1reF�6�.
oc� i � on� � .t`oo % �oc�� +�
p.c��a�� 8-�y-°�� � �
� � � t�- �
� ' �� --''�
`�, -
; ! � -- _
. � -�
,` ,�,.<.
, �.. ,
, ;� ---
, � `..
. �� �.
,.- �- ,
�
. . �, \
.i " � , \
� L�fi 2 ��� I P��,�sc��' s �� ,�,o , � ��U � � �� .
. > > s �'R� � � � � �-��-�� °� �`���;
WF HEREBY CERT�FY THA? THIS IS A TRUE AN� CORREGT REVRESENTATION OF A SURYEY OF THE BOUNDP+R.IES OF 'CHE
�AND ABOVE OESCRtBEp AND OF THE LOCAT�ON OF ALL BUtLDINGS, IF f�1Y, TNEREON , AND ALL Vt5l6LE ENCROACHMENTS�
IF ANY, Fao►..► oRON SaiD �.a�n,o. MINDER ENGINEERINCa CO., INC. �
O�TED T„�5 � D�YoF_JEf'TE�J��/2 A.D.1�59 ENG�N E A►1D SURYEYOR-S `�
.. ° ' • Y -•e � v � lpl0�,� � , . — °
• . � '�� . _..�, .
APPI,ICATION FOR R1:SIllENTIl�L, ALTEIta1'I�1V,
UR �1i)llI'i'I01�' fiUILDING PERMIT
C 1'1'�'' OF 1-l:1 DL�:Y ,�1I NN�SO'f �
4WI�TF�t � S NAME : v' t �, � $UILDER : � ct �^�''� ( ' ����l�'
ADARES S: S S � 1�' �,1 ov � H/a ,�O ADDRES S: Z�$� �l v� w o a� ���/_�
NO ,. 7 8 ' i T S TREET ; �! U`
/�/, � •
i�Q�: ,°�'- BLOCK; � ADDITION: pPr� �^S B�, ��'�r���C�
� rFFrt e,�2� /
CORNER LOT: INSIpE T.OT:��I�• SIDEYAFD; ���
Agplican� attach to this form nao Certificates of Survey of Lofi and propoeed
build�.ri� location drawn on these Certificates.
�ESCRIPTIUN OF BUILDING
To B� U�ed As;
! �
��,_ Front • °d� Depth : " � Height • �il� ,� � a�
Square Feet: � 7�2_Cubic Feet: �'?(oO
Front: llepth: Height:
Square �eet; Cubic Feet:
�`yp� of Constxuction: �00� �i2i��'J7�„ Eatima.ted Cost: $ 03 OS�o?�(�
To Be Campleted: C� /h0 'S ,
Th� undexsigned hexeby makes applicati�n for a permit for the work herein
ap�c�fied, agxeeing to do all woxk in st7�ict accoxdance with th.e City of
F7ci.dley Ordinances and rulings o� thc� llepartment of Buildings, and hereby
declarea that .�11 th� facts and representations stated in this application
a�a true and ��urr��c t.
DATE : � �� S IC;NA'I'URE • - �`'
(&e� Revexse Side For Additional Informa.tion.
� � �y�'v G��
I�� s �
�-. �
.
,a-�
" o C����-G`ue�
�
�� i' �4�y
�0 u��.e��
,
,�
BUI LDII�G 1'�12i�91 T I��F. SClIE11UI_�:
S$GT�pN �. The Tr�spect��r �j1 B�ii.idings shall, before issuing permits f.ox the
ex8et3.on of any 6uiiding ar stru�����re, or fox� an�� addition to ;iny exist�.ng
building or structur�., or ior ._�riy .�lt�rati.on or r�pairs to an_y c�:isting
' buildin� or sL-ructure, i�pon appli�ation Ltiere1��r�, r�q�.ir� the payment by the
�.pplieant foz such permit of fec,s tc r.h�- :�moune herein below set forth and in
th�: manner here i.n prov ided to-a�i t:
tJNIFORM BUILDIN(; COAE; Typc 1, 2& 4-$2.15 for each onc: thousand cubic
feet� ox �zaction thexeof, in such cubical contents. T}�p� 3& 5-$1.85 for
�aoh ane thousand cubic feet.
:�ll1)ITIONAI, LNFORI�IATION
For the purpose of computing fees f�r building permits, the cubical coittents
of any bui�ldin� ox addition, is determined by multiFlying the gxound area
cdvex�d �xom a point six (6) inches below the floox line of the basement
ox �hC� Ce11ar to tl�� average liei�lits ,�f the upper surface or to the average •
�� h��.$ht �� the roof surface of tlie ma.in gahle of a pitched roo�.
Fox xe�paixs ox a�texations to an existing structure, the fee sha11 be at �h,e
xa�e o� $�.00 per each five hundxed dollars ($500.Op) or fraction thereof �.'`i�
th� coe� of all pxoposed work.
�n no aase shal� the fee chaxged for any permit as �et forth in Sect�on 2 be
1�188 r.l'1cZA yfiJr e �Q.
VERIFICATTON OF FOUNDATION
P1QT�; P�rmits far canstruction will be issued a minimum of 24 hours from th�
ti�ae of application, to allow for proper review of the proposed structure and
01 �hQ coxl�txuction site.
A Certified Survey of the lot, showing the location of the foundation, once it
has� been eonstxucted, will be required before proceedin� with the framing.
�'GRTIFICATE OF OC(:UPANCY
Appl3,catiun far a CerGiiicate ol Uccupancy shall be made ten (10) days prior
to the use or occupancy of any structure for which a building pexmit hae been
is�u�d; �nd s.iid structure shall not be used or occupied until a Certificate
of Oceupr�tncy has been isaued.
�
- • �,�
� �-�
� �.
� . ,�'.•` �
f
�`:' r:` �`
�` �,; • a,�
' R�. .
, � �,�3 �
R�; � � . . . . ri�''�f�'��
A ; � ��:
`f _ _ , � �i�
f �' ;� ;�`.�
* � �' �; _''
: ,� ` ;'� � ,;
,
��f �,,�
,,� ,`�J �,, ��
�`r!
',��;'��September 2, 1976
�
�:8
J f/ �
� � �
/
��; �
7� ". '
1 i�qr
�� � ��' �� �����������
6�31 UidIVER�IYY AVE6dUE Pl.�., �RIDLEY, I'�{fdPdESOTA �5k32
�`:i hir . Larry J. Mill er
,,:' 7889 Firwood Way N.E.
Fridley, rin. 55432
Re: Drain Oil in Storxa Sewer
Dear Mr. Miller:
TELEPHONE ( 692j5T1-3450
It was brought i.o the Gi.ty's attentian and verified by an on site inspection
�hat tY�e storm sewer ca�ch.basi.ns in the ditch between your residence and
East River Road are baing used as a depository for used motor oil.
Not only is this ari �conomical'ly unsound prac'tice to waste a recyclable
pr�duc�, but this s���a sewer will drain the oil xnto the Mississipgi River
ther�.,,^y compounding �_�e problem, and contributin� to the overall degradation
of o� environment . 3 more environmentally sound alternative is to bring
this oil to any ser�s_ce station where it can be added to si.milar oi.1 for
eventual re-re�ining and reusee
It is our hope that tnis letter will clarify the City's position and will
convince anybody doing this wasteful practice ta go to the more economically
and environmentally soand �ractice mentioned above. Finally, the City is
extremely concerned abQUt �this h�.rmful practice and will take legal action
against those found continuing to dispose of waste oil in the storm sewer.
Any questions created by this letter can be answ�red by calling 571-3450.
Sincerely,
STEVEN J. OL ON
Environr,iental Off icer
SJO/mh
�o� u' �` y
�� ��R
c �?'a���-�,`i �,
'; i �,� r
:'6 ��..;�M1p �`e
.�
/` ,n 1 �iL
" �, ' 'vf
r f� % f ,.
� FF ����.
6 —. . _
�', f ,� � . .. � .: s'.
�,� � " �/ '
,,{f _ '"-���y�
,.� �;�i�_,.
. .t � ' `-,
� ,�f �Y ��:
, � ;�'
������� ;
� �
�. ., � �:�,
°-'�� ��'
��� �
�E " Septe�nber 2, 1976
,�',:�
�'�f ��
� �:
A �r �.
' ����+i
, sy
��, �m ��� �'"������,.
6431 Uf�IV�RSIi'Y A1lENU�C �1.�., F6iiDLEY, �tflIPAMESOTA 55432
����' Mr. Ellsworth L. Murray
{ 7891 Finaood Way N.E.
Fridley, Mn. 55432
Re: Drain Oil in Storm Sewe�^
Dear Mr. Murray:
TELEPFiONE ( 612)571-345Q
It was brought to the City's at��ention and verified uy an on si�e inspaction
that the storm sewer catcl7.basins in the.ditch between your residence and
East F�i.ver Road are being used as a depository for used motor oil.
Not only is this an aconomically unsound practice to waste a recyclable
,prod�.:c�., but ilzis s=�� s��aer will drain the oil in�to t:he Mississippi River
�Y1P"'n�y compoundir.s =ze problem, and contributinc� to the overall d.egradation
of o� �n��ironment. � more environmentally sound al�cernative is �o bring
this oil to any ser�;_ce station whexe it car be add�d to similar oil for
eventual re-refining and reuse.
It is our hope that this letter wi11 clarify the Cii:.y's position and will
convince anybody doing this wasteful practice to ga to the moxe economically
and environmentally sound practice mentioned above. Fznally, the City is
extremely concerned about �Lhis harm�ul practice and will tik.e legal action
against those found continuing to dis,pose of waste oil in the storm sewer.
Any questions created by this letter can be answered by calZing 571-3450e
Sincerely,
v
STEVEN J. LSON
Environr,►ental Of f icer
SJO/mh
�yn�urii,y
�
'��
� �:� �
� •
J m
�����n i: -
.�4 � a�
�; �. �i� � \.
b
� r �
� � � y � �h'� N � � m � � � c� �
r n n t r
-`�i
� � � A O M � � � � O y7 00 � � � �
' � ►�"- w � � "� o � o �o a �t M �
� o � W � r► � � W n °o � 5 � �e � M
p r� b� �n �i � �° h . � �
O� M h+ �. H � ►�1 � ►�i H � � 1p � C
�o . �o �
°o y o� vi � a 5r S a' �
M p o m ��p r� � w �
p N C «~ O o W� � ~
. p � (n � .
� • oo � . r
N� � � � �
o � t+ m y
o � � � _
0
,. � z �
'� � � �
m � x x x ae x x x x oe x x
Vl y
N N Y N N t/1 N N F+ N N t/l fp N �
IN U1 O /-� W IJ� NI �I O IJ� Yf lV N W
. o° °n °o °o o° o °o 0 0 °o °o °o o °o `�
!i1
N N t�l f/l
0
�
�
�
.�
�
�
�
v
0
�
N
in
O
H
.�
n
N W N
p
�
O
�
�H �'�►
i
�
�
.
N fA N i0 fll N N N N
H
O
t9"
�
�
�
w°
m
�
° '� N � `+ Storia�
.. .. � a a ►
V V
e- n .
7 � Closota
�
„� � urinals
� �
o Dath �bs
W � easins
0
a o SiNcs
.� � ' Wash Trays
y r. Drinkinq
`Q ,�q Fountains
st��s
� Floor Drai
l
�y catch
� sasins
aAutomatic
E Washer
�`' Gas Appl.
�
� Misc. Fixt
� � Gas Range
R E
i4 K Othflz
� ma
m � K
0
' t�+ tri O � o W m ►�, �,� ''�� b'
CJ
� ' � � gy o � a��� �o a
_ � (] tn• �+0 o r t� � u�•ro � p,
nd i� G �W a m 1 M� tH�n
� tj ,�j � �a�q m aao �
. � '3 �. z n n r° � � ° � '°
� o � o�a� �
[y � oy��M y
�y
6 �t O 'C � !
F�+ � � � O � ►�-' gp�
� � .O . m �lr�X
� � � �
� � � I � y w u M � � �
� � ���
0��1
v
�
a
�
'o
r
.,
A
D '
"'�
O
L '
�
O
�
�
E �'
3 -~-I
Cy -<
� O
, � T
2
b �
� C
N �"r'1
..
�
�
"�
m
�
�a i�+ O G W F+ ��
� fD G ►� 'J �'''
.� r� a tn a �� '
7 1+ R r�
� ►t W W O � .
� . armo�
� °v m� `�ro
�, < vyc°'i°n I.
�� y w � a �o . �
'`'`� x a�� �
O •
' ' � µ `C W W .
e' ;� O A .
� n � �� ' .
� ld� ' tt �"o � � � .
M N m /9 �
^'� � � 'J�' ln+� 6
b y M � X �
. � $~�n .
I �
�' � �
M.
�
�
�
�
�
�
�
�
�,
�
�
0
'�
�
�
�
�
�
i
�
�
�7
�
�
�
�
�
�
�
�
0
�
�
0
�
FEB-14-2�2 13�36
�a �
�, �
� � �'
��
�� �
'� �
� o~
C�
'�' � �
�
�? � �
Q���
� � �
� �
�
�
�
$� �
• - �lli O
� C
� �G�
� p�
.� � -C
.�
�
�
�
��
,
�
�
�
v
N
N
FRC�M CI TY OF FR IDLEY TO
. . ,� „� � �,,,
� � � �'��'�� ����
�__-' � ��
� � �
� ; . .�� �
� �' � .
��° �� �
� , -�
� � '� � •ry
� � �
�
�
�
�
�
�
O
I Il�lllllll�l
� ����������.��
,C+ii O� O;p*f Q �pI �*) V;.) S7► G► ;+J
O Q O Ci C] � i� Q rJ � Q O'O
�
�
�
�
.�
2
�
��
�
�
�O
o
� �
�
� I
�
r,
:
�
P�
�
�
�
r
�
�
��
c�
; � u' �
a
� � � �
� � �
���.�
�m �
��
�-Q�
a��3
�'���
�� 3�
���
� �
' � �'
� �
� � �
�. �
���
���
��
� �
�
�
�
�
�
�
�
�
�
�
�
�
�
�
;1
�
�
�
�
6516364447
P.03/�4
�����
�� ��
����
� �.� �
���
rn�
�
0
�
0
�
m
0
�
��
�o �
� w�
- N
� °�
Builcling
Inspections
763-572-3604
SITE ADDRESS �
TFIIS APPLICANT IS:
From: City of Fridley To: 78607� Page: 4!5 Date: 10�OQ6 5:34:22 PM
BiJILDING P�it No.:.
RESIDENTIAL APPLICATION R�'�� s
■ • .I�L :
PROPERTY OWNER/ �pME_�
TENANT ADDRESS:
PHONE: `
CONTRACTOR
CITY OF FRIDLEY I�te Rec'd: ��'� j�
YOUR �MAIL ADDRESS
�
GITY
SUBMIT A COPY OF STATE LICENSE H� � EXP DATE ' �
YOUR STATE LICENSE �D�:� 7 ti7 �3 r`� c�%7 CITY�
WITH APPLICATION pHONE7� °- �6 � � FAX %�� '" �S� � D �
PROPERTY TYPE O SING�LY/NEW CONSTRUCTION s�
PERMiT TYPE
❑ BASEMfl�iT FIIVISH IA�OOF
O DECK D SIDING
� StiVIllMif
TYPE OF WORK: I �
DESCRIBE WORK BEING DONE:
SIZE OF Il1/IPROVEMENT
O
NUMBER OF SQUARES �
GARAGES
PROPOSID SIZE:
PROPOSID HIIGHT:
S�DWG
0 Viayl
O Aluminum
O Other
ADDITION
�,r-�
LENGTH
O HOUSE ONLY
0 HOUSE & GARAGE
❑ A"CI'A(,'HID GARAGE
❑ DEfAC}�D GARAGE
�Soffit
O Trim
� Fascia
WINDOVVS
IN EXISTIi3G OPEIJINGS QYes ONo LOCATION QF WIAIDOWS
OR FOR NEW OPENINGS DESCR�E SIZE OF
OPEMNG CHANGFS 6t
■ �� i
• • ia�
WIDTH
C%�
A��;��
n
Ft
BASEII�TTT REMQAELIIVG SUBNIIT:
l. Existiag Floar Plan
2. Froposed floor plan
3. List of swdu�al memb�s to be used
FOR NEW CONSTRUCTION INCLUDING DECK:
ADDITIONS. & PORCHES SUBMIT: �
1. Site PlanlSurvey showing the enisiing sw
asd Propased PQ'ujed.
2. ltao sets of comiruction pla�
3. Energy (;alailatioas
ALL FEES ARE BASED ONT VALUATIOT�T, Il�TCLUDIl�TG THE C05T OF LABOR AND MATLRIALS:
(USIl�TG T+ 1997 U.B.0 FEE SCHEDUL�
TOTAL JOB VALUATION S °' �CUPANCY TYPE
Permit Fee
Plan Review
Fire S�cbarge
Surcharge
License Surcharge
SAC Charge
Gti.ub Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Dne
$
$ t� °f l3
$ �'. C1C.�
$
$
$
$
$
See Back Page for Fee Schedule
65% of Build'mg Pertnit Fee
.QQl times the total job valuation
.0�5 x Permit Valuation Minimum 5.50
$S.� (Stata Li�nsed Residential Co�raators)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21 =$
$450 Canservation Plazi Review
Fee Determined by Engin�ring
Agreement ne.cessary ( ) Non Neces�ry ( )
Mal�e cheeks payabte to: City of Fridtey Attac
THIS IS AN APPLICATION FQR A AER11AI7'-NOT VALm UNTIL PROG�ED
I hereby apply for a building permit and I acknowiedge that the infarmation above is complete and accurate; that the work will 1
conformance with thE ordinances and codes of the City of Fridley and with the Mmnesota Construction Codes; that I understand this is
permit but anly an application for a permit and work is not to start without a permit; tha�t the work veill be in accordance with the appr
plan in ihe case of all work �ich requffes review arid approval of plans.
,+ �J
SIGNATURE OF APPLICAN'P / . FRII�iT NAME T�p � �� /� /��O�n`pA'I`E�Q —'�J ..- (' ��
Building pI,��G Permit No.: �3 a-
Inspections - RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY ��C - 4 001
DATE / �� D 7 YOUR E-MAIL ADDRESS
SITE ADDRESS _ Saw.t� Q.s Du��e�✓
THIS APPLICANT IS: ❑ OWNER �o�ucroR John Zielinski
��P�TY . N,�: 7891 FIlZWOOD WAY
��� Ann�ss: `7�{� �/ (�� NORTHEAST
TENANT ?�'
� Pxor�: Fridley, MN 55432
CONTRAC°TOR N�; 7635727246
SUBMiT A C�PY OF STATE LICENSE # C% E3� DATE
YOUR STATE ADDRESS' i' / CITY�Yi� Cg /1 STATE� ��'YO�
LICENSE WITH . PHONE - y03 FAX -
APPLiCATYON - 9 - - _ ,
PERMIT TYPE �SiNGLE FAMILY ❑ TWO FAMII.Y 0 TOWNI-IOUSE
TYrE oF woxx: ❑ r�w � �x�r�ac�m•rr
DETAILED DESCRIPTION OF WORK
PER MS i6B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00; whichever is greater, for the
improvement, installation or replacament of a residential fixture, excluding the fixhues. (T7iis.should.reflect only.the cost of labor )
Labor cost under S300 =$15.00. Labor cost between $300 to $500 � cost of labor x.OS =
'>�FOR;�ROIEGTS WF�RE LABOR IXCE�&�iUO;�EES ARE BASID ON $10.00 PER FIXTURE,'IX�1tEN(;}'I�F;Ff�CI�:.,(II�DICATE TO�TAL
NUMBFR OF EACII BELOVf� ,
BATH SWK/LAV _FLOOR DRAINS SHO�VVER WATER PII'WG
BATHTUB GA$ PIPINE) (�r�cmuCarsE) SWDvA�IDVG POOL WATER SOFINER ($35)
_ C1ATEiES WASHER KITCHIN SIlVK WATER CLOSET BACKFLOW PREV. ($1�
DISHWASHER _-LAUNDRY TRAY �WATER fiiATER ($3S) FOR IRRIGATiON
_ WATER MEl'ER _ OTHER
- ��
Permit Fee $ Number of fixtures @$ l 0.00 x$10,00 =$
Surchar e .50 Number of fixtures (a3 $15.00 x$1 S.DO =$
" TOTAL DUE $ - Number of fiztures @ $35.00 � x $35�00 = $ 3S.Oo
.. . State 5urcharge = � .50
Total = $
THIS IS AN APPLICATION FOR A PERMPC-NOT VALID UNTtL PROCESSID
I hereby apply for a building permit and I aclrnowledge that the information above is complete and accwate; that t6e work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an app ''on for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of ork which recluires re`riew and approval of plans.
SIGNATURE OF APPLICANT � PRINT NAME__ J� /(/O/�ION�I DATE // j� O�
�- -
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
NOU-14—Z005 12�27
�- .r .
$uil.dlrig , �C��C� I'ermit No.: �0� 6��
�spections �E'�SIl)EN'I'IAL AP�'LiCA�O:I�' �i`'ed By: �—��
7. 63-572-360q� ���y O� ����y D��. = I
AATE I� 1�� ,_,_�,- YOUR F.MAIL ADDRESS
SdTE ADD'Et�SS ( � �`� �1 � ((�'td�v L�.�c_�.y
TFIIS APPLICANT iS: O OWNER �ONTRACTOR
PRO�'�•RTY N.�WlE:�_ �'_ i
EN�,N`�t'� fwn�ss: � � '� � � C� `�.� �� � ca�nr ir11� �r� � ��_ s��►� i�u�zrp�'�
pt�or�:� � ' �3�' - � 2�f �
ON'TYtACTOR co�nNYNAN� `�c.P� �S l�� � E-�1�� �--� ���� �—�'�
S'CBMIT A COPY OF
YOUR STATE
LiC£NSE WIT�i
P,PPLICATION
PERNIIT'�YPE
TYPE OF WORK:
CONTACT pERSON:
STA'I'8 LICENSE �t � DATE
�nn�I�ESS: � � Ct7'Y � t e�.�.� sra�z���
PHOfIE � ,]�� �S °C2C.� I I FAX �„�„� i � cY I'y ��
� SINCrLE FAM1I.'Y fJ TWO FM�II1-Y
O N1EW �'j REPLAC�Mk.'NT
D�TAILED D�SCRIPTION 0�" WOR]{ �
p TOWNHOUSE
p /tii,TERAT70NIREMODEL
P�R MS 165.665 the permit fee is a minimu� of $15.00 or 5% of the totai cost ag to 5500.00, whichever is @reater, f�r the
improve�ent, instatlation vr replacement o�' a residential f xture, excludizag the fixt�res. ('�'his should reflect only the cost of labor )
Iabor cos[ twder $300 =$15.00. Laboi• cost between $300 to $S00 = Cost of labor x.OS =
FOR PROJECTS WI�RE U1BOCt EXCEEDS $504� F�ES ARE �AS�D ON $10.00 PEit FIXTURE, E7CCEP'T W1�R� ND�ID. FDCI'URFS: (II�TDICATE'P07'AL
NUt�ER OP F•ACH BB.OV1� . SIZFJBTU �`�
Equipmcnt lnslalled , MFG: � MODEI.: �
MODF.I.: „� SiT.E/8TU _
N�G: ^� '
MFG: MObEL: SlZFB'�'U _
AIC SZS.OD �..F1RE�L�►CE (GAS) 515.00 GAS RANGFJOVEN 510.00
,A,.IR TO AIR EXCHANGBER $ l5 FIIZ�1'LACE (W�D) 535.00 NEa1 GAS �3RII.L $10.00
�BOII.�R $35.00 �FUitNACE S35.OU ..._CrAS UtaT irIR SS0.00
CtiWWEY LINER $]O.OQ GAS DRY$R$10.00 POOLiiEATbR$35.00
DUCf WORK 510.00 1�GAS PIPiNG 510.00 VEtJ7IIATOR $15.Q0
_ ,��� 4 �—.�,� .,�zk
,.,,,,�. _�.�o ----.�__ � � ... _ _ -
Permit Fee $ _ , .� Nutnber of f�ct�ues � $10.00 x $10.00 =
S�}� e $ 50 Number of fixttues @$15.00 x�15.OQ =$
TOTAL DiJE $ � Number of £'ixtures @ �25.OU x $25.00 = $
Numba of Sxtures @ $35.a0 x $35.ao = $
' State Surcharge = S .50
Total � $
THLS tS AiJ A.PP].ICATION �OR A PERNIIT�IOT VALID iJN'�n- PROCESSID
I hereby apply for a bui�ding persnit a��d I acl�owiedge that the information above is cflmplete and accm�ate; 'thae the wark w�l be in
confora�ance with the ordinances and codes of the City of Fridley and with the Minaesota �Construcbon Codes; that i uuderstand thfs is
not a permit but ouly an appticatioti for a permit and work is not �to siart without a permit; that the work will be in accordance with the
approved plan in die case o �work w�i► requires eview end approval of p
SICrNATURE OP APPLICANT
� PR.Wf NAME � �`� �� �' C.�ATE � � � �
CNty of Fridle�►
B�uilding inspections Aepartme�t
643I Uciiversity Avenue NE, Fridley, MN 55432
7�ca_c7�_Z�t1d
Building
Inspections
763-572-3604
763-502-4977 FAX
,-j — %1 �'
3PI'E ADDRESS � � O / �
THIS APPLICANT IS: �:OWNER
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 1-1-08
PROPERTY OWNER/ I NAME:�
TENANT pDDRESS:
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
DESCRIBE WORK BEING DC
SIZE OF IMPROVEMENT
ROOFING
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
YOUR E- L ADDRESS--�-
,c7 0 � � � P� �-P / V �
OCONTRACTOR
p
� Z i�3 �JS �
g`j� �rj�'i �J� CITY
� - �2�� �'7 �l�-f 2
ADDRESS: CITY.
PHONE
STATE LICENSE
FAX
Permit N
Received By:
Date ��: i
A'
EXP DATE
❑ SINGLE FAMILYMEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
O ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF , ❑ DRA1N TILE
❑ DECK O SIDING ❑ OTHER
❑ SWIMMING POOL
❑ NEW HOME CONSTRUCTION ❑ ADDI1'ION
bd'MATNTRNANC_E/REPAIR ❑ REMODELING .
WINDOWS
IN EXISTING OPENINGS �Yes ONo
OR FOR NEW OPENINGS�DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
ao � i,� L!_v �i � �
❑ HOIJSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
HEIGHT
'ATE ZIP
BASEMENT REMODELING SUBMIT:
l. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑Soffit ADDITIONS. & PORCHES SUBMIT:
❑ Trim 1. Site Plan/Survey showing the existing structures
� Fascia and proposed project
2. Two sets of construction plans
3. Energy Calculations
LOC,E�jTI� QF���DO�
�� {�
NUMBER OF
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION � I`�I � D� OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surchazge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
Total Due
$ d3-so
$
$ . j7
$ .Sb
$
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1825 per SAC Unit (Plans to MWCC for detenmination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes
of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a
permit on site; that work w be in a r ce �th e ov lan in the case of all work which requires review and approval of plans.
SIGNATURE OF AP�LI A� �� d��`-� t PRINT NAME DATE
,
APPROVED BY ��� _ _ DA � '
Page 2- Building Residential Application
BUILDING PERNIIT FEE SCHEDULE
The Chief Building O�cial shall, before issuing permits for the erection of any building or
structure, or for any addition to any existing building or structure, or for any alteration or repair
to any existing building or structure, updn application therefore, require the payment by the
applicant for such permit of fees to the amount herein below set forth and in the manner herein
provided to-wit:
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to
allow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432 �
763-572-3604
Fax: 763-502-4977