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AF - 42780T__� , , Ca.ty of Fridley, Minn. �-�- a2� �5S � BUILDING PERMIT N� _ ss3s nate: '' � '--' � Owner: �1� �jd�s Address i�, o TI OF BUILDING No. Street �� Part of t �� Lot ._.._�- Block � TAdaition or Sub-Division ,�c� Corner Lot ^ Ins�de Lot � Setback __�� Sideyard �o� �// r 3ewer IIevation �f �� IIevation �� L' �� c� � n i �c�c' � /�r1 � � DESCRIPTION OF BUILDING T U l=��- //��-�� Front !� Depth � Height � Scl. F'w Cu. Ft Depth FTeight � Scl. Ft Cu, F't Type of Conatruction �.� Fast. �s�.� �To be Completed In conaideration oE the isauaace to me of a perttiit to constru �b t� g des above agree to do the P�P�� work in acc�rdance with the description above aet f'acJ�C6 ` co ce with a��provisfons of cmiiaanc:es of the dty of FrYdley. � �, �� p'� � In cam�fderation oP the payment of a fee of $� , permitt is hereby graated to to construct the buflding or addition as descrYbed above. Thispe rmit fs granted upon the express condition that the peraon to whom it is granted and his agents, employees and worlmaQa. in all work doae in, around and upoa satd buildiug, or anypart thereof, st�all conform fn all respects to the ordinances of Fridley, Minnesota reg 1n� la�tion, conatruction, alteration, me3ntenance, repafr and moving of buildings within the dty li�nits anad th�a permit may be revoked at e�yt� upon violation of aay of the P�� of said ordinaaces. / �c�.. /i BuiltlinS Inspector n NOTIC� 'lids permi� d� nof es+ra� t6s eemlrnaH�, tastaQgion ier rrUdn6. P�+�9. 6u 6uMng, ssw�� er wNsr. B� sma to w Na Buildin8 lesp�tee for aparaf� p�nnita Po� lkas tf�na. _ � � � HARVEY A. CARTWRIGHT C��C� & ��0� wNOUw couNrr BuRV�rs l4ENN�PIN GOUNTY SURVEYB LAND SUR �EYO�?S MINNEAPOLIB 6UpVEVB 94/0 PALM STREET N. W. Rff6tsT6RiD UNDBR LAM/e OF BTATB OF MINNE80TA SUNS�r 4•7839 LIC6N�60 BY QWDIN/dNGt OR CITY pP MINNEAPOLIB OtA/NER 326 PLYMOUTH BUILDING FEoeRn�. 8-�721 ti INDUBTRIAL - Juo�Cln� HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNiSOTA BU8lNE88 — T.OPOORAPNICAL �j��1OC�g �eTtlltLAti CITY LOTB — PLATTING �d� Ch�.as t�f . 4 f ��.t"w!°" �i7e° �F _S�` -.a�%` Lp,i' �' , � . / � �. � - ,;.�,;fr .� �: /w�,%'� �� - rs•� `= r`, r . � � N e� i��''1 !q _ V j �� .+� �� ' � � f6 �a� 1 .�� .y l y. � S �� `� �� .� J�� %L' (d •�'l+ \ � . ��f�E'�•�3 -P/a�� f �-Sou/h r�r" ��'`.C°of'`- 3 �� . COMBININC's T►iE RECOROS OF - J. E. HlLL, Cw�� Eao�N�ER E6tAi{JSMW fl9A . . C. F. 5APiDHpFF CIYIL �N�i1N6EA ffetABL18.MHD , fYQB JAIVIES iVELSt7N SuRVet�o�t ESTABLIBq6D 101Z METROPOLITAN LAND SURYE7�OR8, esTAet,�eKeo �sai Inva�.ce 232If7 28�/1� c'�►138, 4..-��.�.. �.��.. O� r.� ,-r°�y � '° ° �� `° w s � �.�1. Q � � Y FI-�,� e " �.% 1' i n .• _G;?f'q f � _ "+' "° � ��p�}��/- � 79 �� . � � ' . IT� Ci r`i! �. , �___.._.s..-_..._.. _ 2 a . # ��r.�Jes U' �`�� '1 � � � . � � � � ' Y� �\'\ . `� /v :� �- , I h�raby cex•tif� �tha.t t�iis is a trus an�� a�x�rect represarita�3on of a st�e� o�'s iot 3 a.n� the South 1/� o�' I.,Du �� Block 5, V� Oak Grove ��di�ion �o F�i�ic�le3t P�k 1�s sur�eyed by m� this 15th da� o� Octab�r� T963. e � �- .., _ w � � ;� ," : �� ;_ ' ��,•�,, ,, . � ' T...m �v SIGNHD �'b��`e�-i�� . i�� '�,v - �- ;i_..- . � � C RIGHT wn�o OL90N " .-. -w _" -,= ` � �'i `" . . � � �� Q � � � � � � � � � � � � � � � J � s � � � � " � � � � � r � � � � �� " A � � � � pe �' �, � � � � i� e • � � s � � � � � � � . o ° �' � � � . gt � ° � ° � : N 8. a� o'� � e � e � � . . � .� . _. � . • ,T '�' : . a � . „ . . . � � . . . � . o . � y . . . . m o a � � . : . . . , A1 : : • � A • • : � • � s s � `L • • • • �• � • • s • • • o i � •. • • • • . : � i i- • • • • � . e • • � . �: �! Q � � 11 N M � �I �I i M x a1 �I �: �M��t ��Li�::=•��9 � � 8 a'� $ . y 8 � 8 � � � $ y � {p M M �,� � rs N M M �A ��, A Q � I � O � G l"' I ..., . � �• � � � r � _ � � � � � � a � � � � � � M0 � � � � m o � a� � � �� a ao E r a � w �. x 0 � � x 0 VJ � - , ; �,_. , j � � �, : I �'•�•;•I'�t '- I ■��.��'� i�� , � ��: I P : �-0 � � , ��' i� � � i f • I�.�.'.,___ ■� � F� : i��'�. . . , �� ■..� ; �i��;� �: _ ! '■'.!■'�'.� ;: I�. _ .�'■;.�■� � DL� ,� � � � � � � � � � � a �. � � � �. 1 � � � � � .� ', �.� o�o►robcas � • ! • w � � � � �.�� n �� $ � �� $ �� a �� p� � � �� o� � �. , �� O' p � � � a �. � � � � h ��Ah �� ;,,� A . 1� 3 :' � � � � � � �� O � � � � p m��9 � � � • �. , . � n � �. �� . �� \ � � \ _ �� - SUBJECT . City of Fridley � 15 8 0 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � i L_ COMMUNITY DEVELOPMENT DIV. � r � � PROTECTIVE INSPECTION SEC. ,gj � � , ( � �� CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'""� � �� 612-571-3450 910-F15 6/26/80 / / JOB ADDRESS 6584 Fri dley Street 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3� S�2 5 Oak Grove Addi ti on SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Peter Lazorshak, 6584 Fridley St. 571-2868 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ha an Const. Co. 1061 - 109th Ave. N.E. 755-6600 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO, 6 USE OF BUILDING � 7 CLASS OF WORK � NEW B ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide hard surface driveway within one year TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Fra� THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R� 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 CORFECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �4 651 .60 2• 2` WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �� .�� STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $23.33 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI W EN PRO R A ID ED THIS IS YOUR PERMIT c.a�-�� SIGNATUREOFOWNEf7iIFOWNERBUILDER� IDATEI e•. _ G WSP �ATE CITY o� �RIOLCY • • Af?PLICl1'f�ON FOR RESIDENTIIIL QUILDIP�G P�RMITS ' (tJev�, F�lterat•i�ns, Ad�il;ions, or {tepairs) ' , f � . .v�s �� iCJ�t.��//��.1� �� : 5.�.�:...�_.�:..r .,�1 � . . i , % , 0 0 � � �UILDER: - ° ADDRGSS: l — • Q °�`-��L�� " - �-�-�-- � �. � TEL N0: 7 S:.S' — 6�6' a�--� .. Construction Location � .�e �0 - STRt�T NO : �v �5� 8' ST12�ET: �/ LOT: . ,,� ,1 � � $LOCK: � -� I ,, , �, , ` • � � • � � � �� ,��..��._ . Corner Lot: � Insic3e. Lot: Setback: Sideyzrds: Ap�lican� attach to t_his foxm two Certificates of Sui-vey of lot and ' proposed building location dracvn on certificates L-o.scale. QESCR � PT IOt� OF CONSTRU CT ION �� Fxont: ,�,gZ • Squa�e. Feet: � I'r�+r.t: Square- Feet: Depth: ,�' Aeigh�: � Cu.bic Fcet: Depth: Height: Gtiibic Feet: Type o£ Canstruction: Zb Be Cbmpleted: � - � J � . �6�9a 6� �stimated Gost: $ ��-e -� Al�. A A1�. B Proposed Driveway �9idth If New Opening Is. Desized: $� $ • � ' . SEE 12EVERSE SIDE OF SHEET� 7�'he undersigned hereby makes application for a permit for the work�herein specified, agreeing � to cio all work in strict accordance with the City of I'ridley Ordiziances and rulings of the Department of IIuildangst and liereby declares that all the facts and � representatioiis statced in this application are true and co rect. DI�TE: Co � <e °�r STC�IATUF� : .� �- Stipulations: '� � � ` .. �/ . � . �.� �1�,1a .• . � � . , �, ��a � ' . � � ' . ' %� �'t � '� �� . -� � � . . . . � . . _...4.r . BUILI)l(JG PCRI�IT rC� SC{IF:DULE' • . � � ;1;C'x701d 2. 'xlie 7n�.;pcctor. of ;1ui].clir�cJ:, tcha].J., bcf•or.c i:s�uing ��enni�� for t•hc crccL-ion �. a.0 any buiJ.cl�.nc� or .�Lruct:ure, or for any ac1c19.L•�.an ta ��►iy cr.a.:sta.nc� buildiny or. strucLurc, � or �o�- any n1L•cration or. repair.� L-o •any cr,a_,Ci.ny Y�ui.].cli»y ar sL•ructurc, ui7an ar,plicat9.on � �L•her.efor.e, rcc�uirc U�c �aymenL• by the a��].i.canL• for. such 1?cr.m5.t af tces to. the arnounL- t hczein }�eJ.o�� sct fo�:Lh �and in tlie inannex' herci.n provic]ccl Lo-w�.L•: • � . : . •� 37I.41 COtdSTI:UC'�IUId:. Singlc l�ami].y Ilomes and Gar.ayes: $4.00/1,000 culii.c feet. � � PI.T�t� CIi1.CY.: 25 percent ot- bui.ldincJ Pennii: ice. . � D1tIV�t?AY 1)�PI2I:SSIOI,i: (Concr.ete, CurU StrecL-s Only) � � ` • � Alt-ernaLe A: R�emoval and rep�.accmenL- of concrete curb and � qui:ter anly; Driveway wiclt}i plus 6 teeL x Y�,5.o75 � � 7�,].ternaL•e I3: Removal and replac�menL- oF concrete curb and . ' guttez and instal.J. a 3 fooL- wide aPproach ��rii3� �� ` . r ' . G i.nch c3epth; Drivcway width plus G fee� x$17.85 � ! . •� •�. . .�DDI T I Ot�/�L I I�IFOR��I/iT I ON _ ` �or the nur�se of compui:a.ng fees �or builcling pexmits, the cubical. contents of. any building or addition, is determined by multip].ying Uie ground area covered fram a paznt siy: (6) inches below thc flooa: line of the basement or th� cellar to ihe average heights oi L-he upper surface or to the auerac�e heighL- of the roof surface oi the �ai.n gable of a pi�ched root. � �ox repairs or alter�tions to an existing structure, the fee shall be at tlie xate oi $3.00 per each iive hundreci dollars-($500.00) or fraction L-hereof in the cost o�' all ,,�roposed work. � . : ' � xn •no r.ase---shal.l the fec charged f��r any pexmit as s� iorth in Section 2 be �.ess - L-han $7.50 plus $.50 state surcharge. . ' V�RT F I CATI O�j QF FOUND�IT I Of� - ZdOTE: Pexmits �or construction ivill be issued a� minimtnn of 24 hours oir.om the tSme of appli.�ation to allow for pxoper review ot ihe proposed structure and oi �he . COI)St1"i1.Ctl.Olb S].L.L'.. l� Certi�icate o£ Survey of the lot, siio�,ring the location of the foundation once it has been constnic�ed will be rec,�uired befare proceedinq with the £raming. � � �� CkRTIFICpTE OF ��CUPANCY ��• �. ' llpp].ica�ion for a Certificate oi Occupancy shall be made ten (10) days prior �o the use �r occupancy oi any sL-ructuie ior wliicli a� buildiiig pexmit ha� been �.ssued; and �aid structure sliall no� be used or occupied unL-il a.Ceriiii.cate oi' Occupancy has been issued. - , 0 0 0 W - � - � • • • . ' ' • / sue�ecr R MI c�ty of Fridley 19209 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ' RE . � � � i � _ COMMUNITY DEVELOPMENT DIV. r � � PRO7ECTIVE INSPECTION SEC. �/ y,3S � ; � �{G� ' � /��'1 � CITY HALL FRIOLE� 55432 NUMBER REV. DATE PAGE OF APPpOVED BY. �'""'� � ,�� 612-571-3450 910-F15 �/30/87 � � JOB ADDRESS 6584 Fridley S.treet N. E. t LEGAL LOT NO. BLOCK TRACT OR AODITION DESCR. S�i2 � 3 5 Oak Grove Addition SEEATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Peter Lozorshak 6584 Fridley Street N.E. 571-2868 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Centra�. l�emodeling P.O. Box 290037, Mpls. 55429 533-1048 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE UCENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION [}� REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WOHK Reroof and R�s.ide �elling 9 CHANGEOFUSEFROM TO STIPULATIONS Roo.�inc� can be the 2nd la,yer hut not the 3rd. Install ridged galvanized valleys. SEPARATE PERMITS ARE FIE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VEN7ILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV 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 $6,449 53.22 DOES NOT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE OVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S CTIO R TH PERFOR ANCE OF C TRUCTION. , $62. 5O `� RLAN CHECK FEE TOTAL FEE � .` $65. 72 SI NATUREOFCONiR CTORORAUTHORI2EDAGENT IDATEI WHEN PROPERLY V ATED THIS IS YOUR PE MIT w � SiGNATUFE OF OWNER IIF OWNER BUILDEF71 iDATE� f BLOG �NSP qai�� p� [] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. ( ] Building Permit Application i � . ., / Construction Address Legal Deseription: 0 - ,-• .- Owner Name & Address :� C �"` >� -�'' �� Tel . � �' � �� Contractor • � ' �' � f�' � � ' Tel . � ✓ .� - G°�% � Address:�'� ��c''� ,�C�` =� � LIVING AREA: GARAGE AREA: DECR AREA: OTHER: Attaeh to this application, a Certificate of Survey of the lot, with the proposed construetion drawn on it to scale. Length Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/G nd Sq. Ft. .� �4.� ��p �/�.��'d . r:�'�''..ti`� � ' ir� --�-',° - - -- Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setbaek C� C� Type of Construction: Estimated Cost: $�� a Approx. Completion Date: _, GZ.- .-��°='�'� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation -1,7 /� , � - _��.� DATE: `- 3 �- � ArrLICANT: �'✓�� , G `i .�P�n � Tel . � _ .� � � Permit Fee Plan Cheek State Sureharge SAC Charge Park Fee Se�rer Main Charge TOTAI. STIPULATIONS: CITY IISE ONLY $ a � S� � $ � . �� $ $ $ $ � ��- � �.--_ %DD � `��- Fee Schedule on Reverse Side 25� of Building Permit Fee $•50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Neeessary [] Not Necessary [ 7 �:. _ BIIII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or strueture, or for any alteration or repair to any existing building or structure, ugon application therefore, require the payment by the applieant for sueh permit of fees to the amount herein below set forth and in the manner herein provided to-wit: Total 9aluatioa $1.00 to $500.00 $501.00 to $2,000.00 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $32•50 for the first $2,000 plus $6.00 for eaeh additional $1,000 or fraction thereof, to and ineluding $25,000. $170.50 for the first $25,000 plus $4.50 for eaeh additional $1,000 or fraction thereof, to and ineluding $50,000. �50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof� to and ineluding $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or Praction thereof. DRIVEi1AY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for construetion Kill be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed strueture and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been cottstructed will be required before proceeding with the framing. � � ►� � � a s• o� f�A • o� s r � • r • O �r O �t � /i r � r O •• � i a � a n i h� o � � M v .. r �� R r1 h� i i r�i r+� 1�1 � • w e i i "4 «°. M o 'e °� � �y' � � • _ � r ~ ai i s �°o ,M. � ~ = o \ � �" s � L+ � � • � � a � !i i ' rr. i � ° � * ! , M � 4 � M � � s ,� �� • � � �► � .. M g : p � .� � w r• �+ � � � �+ � s � n N e � .`�. � c � � i � .� � p p w M M M M•• M• M M a � r r � . oaa vau�v�mu�•r �rN . . . . . . . . � � � O O O O O O O O O O N W O O O O O O O O O O O O O O a s� w w••• M» w• �•• • w � �� V � Nw ��S !4 �tA 0 �� E�o � •1 H a, N r 0 0 0 e � � � � � � � � 0 L 7 � � � ' � � J I� � ' � V , � �� . � � � e �� oQ' ti .. .. S � � • Stori�a � � w � � �, a �o..� ti � IIsinal■ � �aN '11�b� ' f�sl�u � ° unTc. I�ah Tsay� Osinkltnj �ounesin� slwv�s� llooe Drai � Caeeh � easins Autametie � Wasl��r r � Ga� �1ppl. Mlsc. Fixt �t 6a� nanq. � R � oetur ' r �� w � � �� Q � w y AI � �,� �� ~h r � �� °°d� . �� s � � � s• = r�� . 3 ,��:, � � � S � � � c M � ��a w � � � a rw � � ��r� r . �i $�$� 1 v C� � � g � �i��o � � �'�w � M � � . �� w?� I�` � "� � .� :. Q � . �