AF - 45339Village of Fridley, Minn.
BUILDING PERMIT
N° 974
- Ui6ce of INSPEGTOR OF BUII,DINGS
�,
:� � ��
Owner ��. ,,.�a..,� ��' � � �,,,�,.�,o,���,
Architec't" � Fridley> Minn ` x "" _� `�`¢ � . 19 �
.,
Builder
LOCATION OF BUILDING
� �� .�
No._ a� L.,�,� ,"'� Street '�` r,.�'rs �.�;,�:,..,^�'; .*� �,,r�c:
. Part of Lot
�� Block Addition or Sub-Division
DESCRIPTiON OF BUILI�ING
Front Depth Fieight Stories_ .` < Manner of Coastructioa
To be used as � To be completed �stiyna.�ed Cost
fAf > ; � .. ,.. � .. �
�.,�,
, . . . . , ,. .....,_
..
�� r.�.��:...
.xnd.�',� ..r� �
Permit is hereby graated to '�,x>
i �f— k '
t0 -�*'�
the buildine_ Ca�, �� described in the above statement. This permit is granted
upon the express condition that the person to whom it is granted, and his agents, � employees and worl�nen, in ali
the work done in, around and upon said building, or any part thereof, ehali conPorm in all respeeta to the ordi-
nances ot Fridley, Minn,, regarding the construction, alteration, ma3ntenance, repair and moving of buildings
avithia the city ]imits, and this permit may be revoked at any tinne upon violation of any of the provisions of sa,id
ordinances.
�M��= �& �� � "`' ""°� 'Tn�pector of Buildfn s.
_ 8'
AGREEMENT AND SWORN STATEMENT
In consideration o� the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I herebS� agree to do the proposed work in accordance with the description
above set forth and accordin:g to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit axe
true as therein sta,ted.
����fi�� �� , ��
� ,'"4.:i.�' ,,,,�`�,,y*
:;
Subseribed and sworn to before me at Fridley, Minnes�t�,� thiq �"`�.
� �
,� ,� �,�'-�� '� "" � � .� �
/�pv �.; ;.: , T �. �
•4[4�l O � ���i� �� 4.M� y 'F' �+?�3�'� r ?'� +Ri�.,
�. 4
.Fywy
M1�
A"��
,i..;r'.
� �, �, �r.
��4 ,..,,.,;.:..s�,�►"
�
�
��
�:
�
. ��
PETER BARNA
ROBERT GUZY
ROBERT C. HYNES
G, D. GtANCOI.A
GORDON L. JEIVSEN
LAW OFF{CES
BARNA � GUZY
3700 CETITRAL AVE. N.E.
MINNEAPOLIS, MlNNES07A fi5421
December 18, 1968
City of Fridley
C�ty Hal i
Fridley, N�innesota 55421
Attention : Enc�ineerinc� Department
Gentlemen :
��-� � ,�/`
��U�
Phone: 788-1644
Piease be advised that the undersigned represents Mr, John
Peters of t413 Gardena Avenue who is the fee owner of his
hom°stead at that address� legaliy described as:
l_.ot 3� Meloland Gardens Addition� except the North
330, 6 feet thereof� and except the East 100 feet thereof.
- Mr. Peters proposes to construct, at his own expense, a 200
foot retaining wall and fence along the east fine of his property,
said fence and wall to be constructed so as not to encroach upon
the neighboring lot.
The retaining wall as proposed would consist of broken concrete
slabs approximately 12inches widewhich would be anchored in the
ground and supported by earth fill from the east w�hich retaining
wall would becom� level with the property adjoining the. subject
premises on the east.
On top of this retaining wall, Mr. Peters proposes to canstruct
a stockade type fence of cedar which wiil be anchored in w-�II
casings set in concrete. Since Mr. Peters will be tapering the
retaining wall down to grade teve! as it approaches Gardena
Street, the net result will be a six foot fence along the entire
east side of the subject premises which meets at right angles
an existing fence along the North property fine to the rear of
Mr. Peters� hom�.
�
�-"
�
,�
._,,- - - -
City of Fridfey
December 18, 1966 �
Page Two
The purpose of this letter is to request the engineering department
to make an investigatiQn of Mr. Peters� proPosal and submit to the
Ci3y Council a reeommendation granting Mr: Peters a variance
from the side yard wall requirements of the City Ordinances in
that Mr. Peters� proposal witl enhance the property values of all
persons concerned and enhance the appearance of the area.
Piease advise m� as to any proposal you intend to make or any
additions or corrections which you would suggest.
Sincerely,
BAR`:'V.�. £a GU ZY
�/ i� t�.'�l. �1.�' -�.� �.��! �`�: y �r" -1�✓
� �y
Gordon L. Jensen
jmo
cc: John Peters �
1413 Gardena Avenue
Fridley, Minnesota 5542!
s
�
;
9
i
i
,
.
'r
.�
�..: <
sue�ecT P NO.
c�ty of Fr�aley �� 3 s
AT THE TOP OF THE TWINS B U I L D I 1' \�' P E R M I T
i�
, � RECEIPT NO.
� �L �_���_ COMMUNITY DEVELpRMENT DIV. � � � `
r j � PROTECTIVE tNSPECTION SEC. �p
' 1 /'��1 r �CITY HALL FRIDLEY 55432 NuMSea REV. �� DATE PAGE OF APPROVED BV
�""'� � �'' 612-571-3450 ` 9t0-F�5
8/9/79 � /
�os nooRess 1413 Gardena Avenue 13. E.
`l LEGA� LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DE$CR; 3 Mt:10�.3L1CI GdiC1P.11S SHEET
2 RQf�E�iTY QWNER MAIL ADORESS ZIP PHONE
Gail Peters 1413 Gardena Averiue N.E. 571-a51Q
3 CO#TRACTOA MAILADDRESS Z�P PHONE LICENSENO.
United Builders
4' ARCHI7ECT OR DESIGNER MAIL ADDHESS ZIP PHONE UCENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE UCENSENO.
8 USE OF BUIIDING
7 CrLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATI�N � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
9 CHANGE Qf USE FROM T6
ST1Pt1LATtONS
S�tFEftATE �P�A�MITS REQtfIREp FQR 1I'ftF��
�EATaNG, PLUMSINC AND SIGN�,
SEPARATE PERMITS ARE REOUfRED FOR EIECTRICAL, PWMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULI AND VO1Q: kF WORK OR GONSTRUCTION ZONING SQ. FT. CU. F?.
AUTHORIZED IS NOT COMMENCED WITNtN &O DAYS; OR �F GONSTRUCTION
OR WOAK IS SUSPENDED OR ABANflONEQ FOR R PERIOD OF 720 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAYE READ AND EXAMINED THIS APPUCATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT♦ ALl PROVISIONS OF LAWS VALUATION SUFTAX
AND OROINANCES GOVERNING THIS TYPE OF WORK WICL BE COMPUED
WITH WHET}iER SPECIFIEO HEREIN OR NOT.THE GRAPiI`FNG OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA7E OFi CANCEL THE pERMIT FEE' SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAI lAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ,'
PLAN CHECK FEE TOTAL FEE
�8. ��
S�GN 7UREOP,CONiRACTOR A THORI2EDAGENT IDATEI �. `- WHEN PROPpRLY VALIDATED THIS IS YOUR PERMIT
� —a.�� � — — �' / �,c..k, 8 ?
� A7UREOFOWNER�IFOWNERBUILDER� �� IDATEI BLDG lNSP DA E
0
CITY OF FRIDLEY •
ARPLICATIOP� FOR RESIDENTIAL BUILDI�dG PERMITS
(P�ew, Alterations, Additions, or Repairs)-.
OWPdER: � ��
ADORESS : I � I 3 �/JQJr.a��''`�- "`�'�
TEL N0: `� � � � DoS'( �
STi2EET NO: STREET:
LOT: d BLOCK:
. � , �
BUILDER: _
ADDRESS: �
TEL N0: '
Construction Location
ADDITION:
Corner Lot: Inside Lot: __ Setback: �_ Sideyards:
� Applicant attach to this form two Cer�ificates of Survey of lot and
proposed buildinq location drawn on certificates to scale.
� DESCRIPTIOfd OF GONSTRUGTION
� �ront: Depth: _ H eight:
� Squane Feet_ Ckibic Feet:
Front: Depth: H eight:
Square� Feet: Cubic Feet:
. n �
Type of Construction: Estimated Cost: $ /•S � _
Zb Be Cbmpleted:
Alt. A A1-t• B
Proposed Driveway Width If New Opening Ts Desired: S $ -
SEE REVERSE SIDE OF SHEET .
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances and
rulings of the Department of Buildings, and hereby declares that al.l the f acts and
xepresentatians stated in this application are true an d correct.
DAT� : � — / '� / �_____.,_, S IGNATU RE : "� �
Stipulations:
� �.��
� s�a
3 � �. .
� v VV
�
..,�nv�;:::m
� � SUBJECT � .
City of Fridley o 18945
AT THE TOP OF TME TWINS g�J I L D 1 N G P E R M I T
r
; � RECEIPT NO.
� �L _ COMMUNITV DEVELOPMENT OIY.
r � � +� � PR4TEGTIVE INSPECTION SEC. � �� '�
i� _ ,
••••� �/'�� �'� CtTY HALL FRIOLEv .55432 NUMBER REV. DATE PAGE OF APPqOVED BV
i 612--571-3450 9t0-Ft5 5/12/87 / /
108 ADDRESS 1413 Gardena Avenue N.E.
1 IEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. S. 230� o� E. 100� ex . road, Lot 3, Melaland Gardens SMEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dean/Ann Johnson I413 Gardena Avenue N,E. 572�854�
3 CONTRAC70R MAILADDRESS ZIP PHONE LICENSENO.
5ame
d ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO.
5: FN�'aiNEER MAII ADDRESS ZIP PHONE LICENSE NO.
B USE OF BUILDING
Residential
7 CLA$S OF WORK
G� 11EW ❑ ADDiT10N ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Constxuct a 28t x 30t Detach.ed Garage
9 CHANGE OF USE FROM TO
STIpULAXtONS
��av'ide a Tiard sur��ce driyevzay. See not�ti.ons on plan.
. 1i�AR�1��
SEPARATE pERMfTS Before diBgi�g call local uti(ities
WIRlNG, HEATtHG, P��� U`fREQ FQR TEIEPHONE - ELE�TRIC - 6A5 �ts.
���tG aI�D SIGNS. REQUIR�D BY .4��'�A!
SEPARATE PERMiTS ARE REG1UtRED FOR EIECTRICAL, PIUMBtNG, HEATING, TYP� OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD
VENTILATING OR AIR CONDFTlONING.
7HIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. fT. CU. FT.
AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTIQN
OR WORK IS SUSPENDED OF ABANDONED FOFi A PERIO� OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLCa. UNIiS OFF3TREET PARKING
I HEREBV CERTIFY THAT I HAVE REAO AND EXAMINED THIS RPPLICATION 1. S7ALLS GARAGES
AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL PRQViSIONS OF LAWS VALUATION SUR?AX
AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WiTH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT S�-2 �0.62 �40 $6. Q3
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH� pEqM1T FEE SAC CHARGE
PFiOVlSIONS OF ANY OTHEF STATE OR LOCAL LAW REGUTATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $�.H. SO
PLAN CHECKFEE TOTALFEE �
$104.53
. S�GNATUNEOFCONTFACTORARAUTHORIZEDAGENT (QATEf WHEN PROPERLY IIDATED THIS IS YOUR PERM17
� S 1Z � � S��-
. SiGNAFURE OF OWNER IIF OW BUILDEfiI � IDATEI BIDG iNSP ATE
� Cit oP Frldle� Effective �/1/86
u�r�t.� a-� ��n n-2
���� [ ] • Suilding Perait Appliaatioa
t�onstruation tddres�: �� ��a`'-c1e-�°` '� �e- h� ,�'-�c�.le�t . V��--i S�l 3�
v o�C ��� �;�h f- t ��xce c�'r ��c1 l��- 3; �r� d��ti .'Hnokc�
L��,�1 D�se�ri�tioa:_, - n-�ti
owner D�a�se & l►ddrsss: ��°°``� A� Prt�v�'M ``ohrsb�l T•l. � S7Z'B�I�
Coatr�ctflr: S'�'F', Tel. f
�^idrasa:
�
•tLach to this appliQation, a Certificate of Survey oP the
lot, vith the propoaed coaatructioa drawn on it to scale.
DE3CRIPTI011 OF INP1t0YEMEl�!
LI�I1G A�l: Lensth ilidth Height Sq. Ft.
GAR�6E A$E4s Length �d' Yidth Z� � Height �`� � Sq. Ft. � D
�� �g,�: L�rigth _� Yidth -�����— 1I8t/Ground Sq. Ft. ______
0?EiEZ •
Coraer Lot [] Insid� Lo� l�t. Yd. Setback Side 7ard Setback ,______
Type of Construction: ��� �`�'°��c Estimated Cost: � � dv0 .�
/�7, o � a. yo
Approz. Co�Dletion Dat�: 5�rx r���S
Alt. A Alt B
propos�d Driv�ra�r Yidth If Ke�r Opening Ia Desired: _ �
3�e Baek Page for Explanation
DITE: s�z1�'Z APPLICANT: 1��-^_--`C�G�D�ic��h-� Tel. iS�2--�5�-1°t
Permit Fee
Plan Ch�ek
State Surcharge
3lC Ci�a�s
Park Fes
3�rsr Miin Charge
��F-'��
CITY II3E �[.Y
a `71�- S� Fee Schedule on Reverse Side
� 25x of �uildinq Permit Fee
� ln-CL� ;.50/�1,000 Yaluation
_ ; 525 Per SAC Unit
= Fe• Determined by Engineering
�
lO �� Agreement Necessary [] Not Necessary []
�
STIPtJLATI0113: ��� � �� �� f� T�}� Or �L2�0 � -
��r
_ ,
.. .
. ,. . � . , .:..; . 4�; .� , . ' .. . �. . �, -, � . : .-.
� ri � � � �- .,. � . :..:, a ' � � � =e� ��,.�N . . a _ .' . . �.
< t9• ;� i
—
�
s
�o
l �i
.l � (� _
� �"
� x
V ;� 1
►9' 3"
�
_ � �
�
rn
�'��%�tJ �'�n�r,v .
u��,ro�u
� �� fi� l/t�.
:6�nn P4ct
.
��s �,,. .
1 F C 1 v� ,
�—> �,
t�� �
PO i
�
� o �
V � �
�/ 1
� ��
,. ✓ I
, �
{' � � �
� � �� � �
i�b,� � � �
� � ��
i � N un i i
J 1 'C' x r � �
z
� � D
� (U g �o �
� V ' U' ��'
r � �
��� �
-__ J �._ _ _ ,
. ..
Anr: £ a
, �qr► '�ohc�sa,
�`��3 Go`�dcs�a 1'� ve 1J E
�r' � ��e`1 `MN S543Z.
c��2: s�Z-gs�/�
�
: �
-� t�rt sp�v�t a auvss Locaziar
� LoT 3
SURYEY l0!
y
�
�
CI?T OP tRZDL$t
MELOLA�iD CAtDENS �DDITI011
, JOHN pBYERS
1ai3 cAitDE�IA av�lios
i
, ,
R, - - - - ,
t 1
� I
! .
7� �
�
'` az
� '
;
�.
;�
�'
i t':i .
� �
�I ;
Y J
��
� `� '
; , �
, --- -- �' -- ---fi!�t- � -` -`` _ -- y�S=- . -- �`; ,
. �/c. B - -
� �
r ; . .' -. � �' ARDE
- -�' -- ('�-- - N�9 r9l/�.
Q �ENOT�S /R%N /�IONUtiJe'NT
' .:G9s6.' / .� �D , .
.:.
,.'il�8�'Z�1t Soatb 230 !�t �ctpt tl�! tut 100 fest �ad tseapt.rOad Ot Lot 9, C3t�r..,v!
, --::t. �ridle�. �nota Conaty. Miaa�scta. ` .
� ;,��:�:� �erab� csrtii`� that this s�rra� Maa uds nadsz �y di=�C! •up�rriaio� and tbat I s�
'�K��•r�al� avthosisad R�e=iatared I�td 8urveyor und�r ths ls�a ot tb� State oi Mianesots.
� :�' � . . . , �
•
� �at�: l�ts� Z 7, 19 7i . _ . � ;
. o .
�Ti liam S. Lo�e, 4.L.8.
� M3�n. is�. lb. 6787
�
SUBJECT PERM
c�ty of Fr�a�ey � 19159
�
AT THE TOP OF THE TWINS g U i L D 1 N G P E R M I T "-
; � RECEIPT NO.
� �y ����� COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. �� a O�
1 . ,
`.+-_ � � ���;,� CfTY HALI FRIDLEv 55432 NUMBER REY. . DATE PAGE OP APPFOVED BV
i J\ 6� 2-571-3450 910-F15 g�g�g'7 / /
JOB ADDRESS 1413 Gardena Avenue N. E.
1 tEGAI �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR, P't. 3 Meloland �a,rdens SHEET
2 PAOPERTY OWNER MAII AODRESS 21P PHONE
Dean Johnson 1413 Gardena Avenue N.E. 572-8549
3 CONTFiACTOR MAII ApDF;ESS Z�P PHONE LICENSE NO.
Same
b ARCHfYE�T OR'DESiGNER MAIL ADDRESS ZIP PHONE UCENSE NO.
5 ENGINEER MAIL ADDFESS ZIP PNONE UCENSE N0.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADd1710N ❑ ALTERATION f� REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE W�RK
Reside llwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING, TYPE Of GONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTIIATING OR A!R CONDIT{ONING.
THIS PERMIT BECOMES NULL AND YOIO IF WORK OR CONSTRUCTION ZONING ` SQ. fT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTNUCTION
OR WORK IS SUSPENDED OR ABANDONED POR A PERIOD OF 120 DAYS AT
ANY TIME AFTEH WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING
I MEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ]. S7ALL5 GARAGES
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX
AND,ORDINANCES GOVERNING THIS TYPE OF WOfiK WII,L BE COMPUED
WITH WHETMER SPECIFIED HERE�N OR NOT. THE GRANTING OF A PERMIT SrJOO $. 5O
DOES NOT PRESUME TO OIVE AUTHpRITY TO VIOLATE OR CANCEL THE pERMITfEE ' SACCHARGE
PROVtStONS OF ANY OSHER STATE OR LOCAL LAW AEGULATING CON-
S7RUCTION OR TNE PEHFORMANCE OF CONSYRUCTION. �`1rJ.00
PLAN CHECK FEE TOTAL FEE
$l�.s�
. SIGNATUREOFCONTRACTORORAUTMORIZEDAGENT �DnsEi , WHEN PROPER�Y LIDATED THIS IS YOUR P RMI
G q -8'�-- � �
, �
SiGNATUREOFOWNER�IfOWNERB I DER� �DATEI BLOG iNSP �pT .
NEW [] City of Fridleq Effective 4/1/86
ADDN. [ 7 �R-1 AND R-2
ALTER. ..�d Building Permit Application
Construction Address : � Ut�� � �� E'- C1� ; Fr-� d�.e��
Legal Deseription: i�o��- o� � �� �Me-�c�i01�d. C-�r'C�C-�S
Owner Name & Address : ���� ��� �hrS�r Tel . � _�'7 Z�$�� 1
ContracLor r 5'�`A Tel . #
Address • �L1\3 (��o`c-dit�L � `C1 � '�C'� C�.��L�
Attaeh to ihis application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft. _________
OTHER : �� s�, c�E hb��� -
Corner Lot [] Inside Lot ,� Ft. Yd. Setback Side Yard Setback
Type of Construction: �d� �a�
Approx. Completion Date: 7 ����'S
Estimated Cost: $ ��� ��
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Exglanation
DATE: �1— �1'" ��' APPLICANT : Tel . � S �7 Z- � �zi �
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS•
CITY QSE ONLY
$ /�.00 Fee Schedule on Reverse Side
$ 25x of Building Permit Fee
$ �� $.501$1,000 Valuation
$ � 525 per SAC Unit
$ Fee Determined by Engineering
�
Agreement Necessary [ ] Not Necessary [ ]
$ /� �v
Z. 1` , F
sue�ecr P . �
City of Fridley � ,� � � 5
AT THE TOP OF THE TWINS B U I L D I N G P E R M I T
r
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
� LV'�'���', � �
� � � PROTECTIVE INSPECTION SEC.
� �
i
' � �'��1 � CITY HALL FRIDLE� S5o32 NUMBEP AEV DATE PAGE OF APPHpVED BV
4""'"�" ,'� 612-571-3450 970-F15 5/31/96 / /
l08 ADDRESS 1413 Gardena Avenue NE
1 LEGA� ��T NO. BLOCK TRACT OR AODITION SEE ATTACHED
DESCR. Pt 3 Meloland Gardens SHEET
2 PROPERTY OWNER MAIL AOORESS 21P PHONE
Dean/Ann Johnson 1413 Gardena Avenue NE 572-8549
3 CONTRACTOR MAILADDRESS 2�P PHONE UCENSENO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDiiESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO
6 USE OF BUILD�NG
Residential
7 CLASS OF WORK
CI NEW � ADDITION O ALTERATION O REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Construct a 30' x 23' Addition
9 CHANGE OF USE FROM TO
STIPULAT{ONS
See notations on plan.
� ���������
8efore Qigging ca;i for
SEPARATE P �� "t'��' ��t+a�s
ERMITS REQUIREp F� R� CI�� �-�2
�VIRlNG, HEATING, PLUMBtryG qN �. E� B� LA�V
� SIGNS,
TVPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIFiED FOF ELECTHICAL, PIUMBING, MEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION
OR WpRK IS SUSPENOED OR ABANOONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UN17S OFFSTREET PARKING
I MEREBY CEf;TIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFAGES
ANO 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 GiiANTING OF A PEFMIT $39,937 �19.97
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRU ON OR THE PERFOF ANCE OF CONSTRUCTION ��FB�F. %5 Fire CS $39.93
��/ _ PLAN CNECKfEE OTALFEE
C.p $544. 65
SiGNATUFiEOFCONTR OAOPAUTHOAIZEDAGENT IOATE� � EN P RLY A ATED THIS IS YOUR PERMI
`� �� C.� ' �_ �3�' �
S�GNnTUAEOFpWNEAiiiOWNERBU4DERi IDATEi BLOG � SP �l41E
NEW C ]
ADDN �}�'�.
ALTER []
--.,� �...-F.��,
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Effective 3/1/96
co�c��t�a�a��s: �.�113 C�:cx.�dec,a � N �_
Legal Description: M ��o ��.nd G� r��ns � uD� � e. � �JC� �o �- eX � �i �r �
Owner Name & Address: ]�epm g�n Jph��}n Tel. #�J'1Z-��i -�j
Contractor: _ �t �IR('_�(' S MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
� DESCRIPTION OF IlVIPROVEMENT
�,�p���+N
LIVING AREA: Length � Width _ J�� Height
GARAGE AREAs Length Width Height
DECK AREA:
OTHER:
��
Width Hgt/Ground
sq. Ft. � gv X ��,��
Sq. Ft. __=3�37• Zo
Sq. Ft.
Corner Lot [] Inside Lo� Ft. Yd Setback Side Yard Setbacks
Type of Construction: (�°O�G/��1-in � Estimated Cost: $ � � 9 937 ZC�
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: �_,�,()�� APPLICANT: Tel. # ���- $r'J %
CITY USE ONLY
Permit Fee
Fue Surcharge
State Surcharge
SAC Charge
License Surchazge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
�� � �
�_ 39� �3
$ /�'� 9�
$
$
$
$
$
$
� 5��� �5
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$900 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt: "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
,
-� _ �
.� _ _ -
Z3�._ o«
A
�
�
r
N
C
0
�
�0 Q
� I
�
/
, � x i sTiNc� '� ^' s �
` ,�LJ IJ��� , �u G��� ,�03'�C�--
�l� ,
r �
i..
77� � ��",� �1c�%�. ,��
. . . � . . r � . � . .
�
7
�: �'',
�
•—` J .
� �
X
��id
��� .
� ��
��
� ��� z ���
��y�: � �
W ' °n" d �
• p'�'�y . p qN e
tA � z a e � b
J W -�
. �=F-:L � r' � a
,-..�z�. � �o� �
:C'ti °�yi ' a • e `a^
W�m� � p e`
LJaQ=, 4Y
M �
,�—��Q�- �:.- J
_���
''' a.a'LL 0
.�
� � N
� � �
7��
r�
��
� .:�
� :' 2
�
��? � �
� �`�
� �
�
�
�
��
��
� �
�
Z I
�1 I
1 Z� i
'1\ _n )
,a
�
�
��
_o
�.
�
�
=9
v
�
0
N
I�i{l{ _ II �
�q� ►� — =�i�� `�
i� --���— �ti �i ► �i� �� ° INi� ►=
^ � �. .,,` .', , • �, ... �Q
. I'+ .j• •,� i,.. . I .. a � �]
,� �
T �����-�i
� � � �j - �i�
4 � ��
u � .�, �
� — _� �
�. 5 �6� � �
"�� ���.
7 �
\ �, 2 �
`�e '� ��
O � � `_
�� '�`
4 �o _ I� '�
t�
t�i � � 1''� -
K
� � � �P N
„ � lql � �� �
- .�
_ " � :� �
�._
,�i-:�
_ ' � ,� =���= I�I11
� � u���
y
�� ���� lUi�
�.
I��,
� �
_\9� o ^,�
� O (1 ` ,`}� J
�� � �.�\
r` J - "
V ^_t
�i V' = �v
� � `� � 3 �
� �, � ` � ��
3 � : {� �
_�
x � v � i `��,
N ���. .��
g�� � �
d
^ �� � , ` I� �— .
v
i � 111
; ' ._� '�: .; ' ..�' �S
i��i if �-iti� � fi��^ � �� � -
��i��i�=�► �n� =►11�
I � � � � � �� 1�1Eliff�° `� .
�a y? �'-
L � 2 s,�
a � � � lt z. `
� r � � �=
����`r� 8��1 � .
p�Z N�L,�a
� � � N�d"='f
� • � • I c.
;�
�
T
�
�
c�
�
C
0
N
w
�
Z
�
J
(� � �l
� U V
J y„
� � ti
U � y�i
� Q w
� N �
�
W W 4
2 � m
p � O
d �
Z
� Z
Z O
� 0
d z
W �
�
o Q
aQ
Oa
�- z
O �
�a
�
Q (Wg _.
J
a u�
Q �
�
fl
Z
�
�
U
W
a �
� Z �
Z m
} a cN+�
L_1�J � �
� N �
� `mZ,�
� � � o
O � � r�i
� T I
i� (� LL U
LLI
e
W
2
U
�
Qx
,1�
� i�
�� �
.� � -� _
N ,� C
'C O �
Y U �
O V
3 � � �
� U a�
t m � �.
� � — N I
O � � O ('`A
�, • \�
� � .�,., V %
� U � � �
Q. C � !� �
� � � �
� � � �
O O � +
U � Q�
O � � �
� U � Q
U '� v
Q N � �
Q C � •V
C
Q.
� O � �
Y � O N
cu „_ •� � _
� � •>
�.on.�
�
rn
o ° .� �
����
� � � N
e► '� cn �
c � � c
� � � o
� R � �
� � � � s
� � � d Z
a� v ' Q- �
t- N L �' O
�
Q �
F-
O
F-
�
�
� o
� o
�
�
C
d
�
N
�
�
�
a
Q
til
c�
�
�
Z
�
�
m
�I
�
� Z
F_
�
�
w
�
�J
�
�
�
q
U
0
W
d
�
F-
�
w
�
�
(�
tf3 (fl Ei? E!�
°o, o °o,
0 0 0
r � r
�ri (� t�
N
U
�
C
i
�
3
N
C
L
�
Z � ...'r.��.'�•_
v -
� �� ' �
� 'i:� �
� � �
� t� C�
.�
�
� �
�
� )
d
>
� �
i o �p � w
Z � �
� N . J Z
(C (1) "� N �
� U �
� _ �
d �
� o
O V `
� �
� p a. �
U a ~ _ �
_ �
\
y �
�� � � �
�� � �
� � O � �
� Z v �
o w �
o � � � � � �
Zi-mu.. mm
�
� �
I
fi3
0
0
�ci
N
�
Y
--�
Q
m
7
�
� Y
i
J i ?�
� >
N i
� o
� � � O N
N � V C
�Y C �
Q .� � Q
:' � Q � Q
a, -�-" �d � o
� �
C Q � C N
o °' � � �
� �� '��
c N ,�; � o
U Y °` � o
� ,
� � r � E N
QQ j[O\ T
\/
\!.
*%d
a�
�
�
U W
W
� �
� Q
� ~
� O
�
}
z
a
�
�
�
U
(3
Z
Q
w
_
v`
a
�
�
�
0
z
a�
H
L1C1
�
�
�
�
cn
c�
., �
r� '�i
� �
a�
�
�
(�
�
�
z
�
Z
�
� Q
� U
�
C �-
I �
� W
>
� Y
2 a
F-
�
�w
oQ
z
� a
�' � t�i
� Y Z
o m �
� j U
Q O �
� °'
_ w
� �
�
0
t
3
� i
c� d
�, c
d o
:a
L1 -L''
(6 d
= B'
O
� Q.
U �
L ltS C
= Q 'c
O � O
� o �
a�
c
W c o
L1J V �'-
u` �l O
O C u�i
� o�
U � �
a o a
Z U �
� � •�
([ K .•
r �
. . �.--.�.��
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes ('''� No O
2. Is free from rust or deterioration
3.
4.
5.
6
7.
:
Has no foreign objects lodged within
Is securely supported
Meets all current �ode requ'vrements for size
anc� tot�l �3'I'IJ's c,cann�tted- --w-- __ __ _
Has total heating BTU's of ���''
All other BTU's �U'
TOTAL BTU's ��'M�
Has a liner been provided for water heater
Has combustion air been provided for water heater
Remarks:
Yes {�,,) No ( �
Yes (+�'�) No ( )
Yes �) No ( )
�'es ( �_�I� _ s�1» - - - -
Yes (✓S No ( )
Yes (�' No ( )
List ALTERATIONS Bein� D,_ one:
HEATING CO:
Signed By:
Date:
�
�
�
.__ f
su��oa coNrRac�roRS ��c
� Crystal, Mn 55422 �
�--2� .-�--�=-��.
�
�� �`.� z .
�
�
�,
�
�
U
W
�
C
�
m
>
�
N
w
�
�
Z
0
F=
w
a W
N Z
Z m
�jj ¢ rNi
J N �
0
�
LL � � O
tL 'c �
O � � co
� �
U � ti �i
�
�
�
--�..
(
�
�
�
W
�
0
0
¢
m
O
�
��
d
c
3
O
a►
Q
v
N
N
�
m
c
a
.�
m
i,�
��
�
O
z
�C
G
Q
W
a
�
0
U
v
�
�
�
�
w
� �
O C�
0 0 0 0 0 0 0 0 0 0 0 0
W, o 0 0 0 0 0 0 0 0 0 0 0
r� v ui r� n; � r: o r: o 0 0
� v� vi t� t� t� vi tfl vi �» v� i�
0
Z
�
w
¢
�
W
�
�
X
LL
�
Z
m
�
�
�
a
G�
�'
N
�
O
Z
J
W
F-
`m �
� w
� Z
J � -
a cn
0
0
ui �
� Z
O
�IIIIIIIIIIIIzI �
�..
^ J
v a N
(/1 � U
} Z c�C
a '-
v � �'
� �
� Q
�i Q
= a `o
� �, ��. � w �,
m o p[ �
� � v o �
ti. Y ��'j tA � � � x
c •
3 � � �- a� � «� � o ii
� �- U � m o
Z � � � � a� j, � �i �+- Q �
N -
� � � •� C � 'm � �.,N m m # a 0 (t �
� c a m �v� � � m`° `° rn� 3 :r w
� Q- � O m`° °C �= 2�� i° y Q� °
3�� 3 y� E m°.' °: N�"� c� u�i,
� U
Z O m m U� c�n � 3 3 C7 (7 m � Q'_
�
; � 3
1 ` �
' � °•
� � �
�. ' '�
�.�
� � � .
' �o
� o
0
N
�
co
� �
C H-
LL �
2 �
W �
a ;
y
Q •
C7 �
Y � � '
�
Q � � I
c ? V i
� J �
arn n- � �
'o >- N
aC ZQ � .
LL H '
O � ,
LL O L
W �c?
W �
m LL W E
� = i
m 7 � .
o � v)
a Z �
Q �, a <
o '�'9
� �
�
� �
N
�
(0
L
i
�
�
a�
�
�
W
�
�
�
H
Q
. � . � . � SuB�EC`T �.. � .
c�ty of Frid�ey ' 3088�2
AT TME TOP OF TME TWINS g � I L D 1 N� P E R M I T
r
; � PT NO.
� `y ������ COMMUNITY OEVEIOPMENT DIY. ��
r � � PROTEC7IVE INSPECTION SEC. � �
1 �
( � ��'�� � CITY MALL FRIOLE� SSI,Z� NUM�ER MEV OATE PAGE OF APPROVEO BY
�"°'�" �'' 612-571-3450 910-F15 5/1/00 / /
JOB ADpRESS 1413 Gardena Avenue NE
t LEGAL �OT NO. BIOCK TRACT OR AODITION SEE ATTACHEO
oesca. pt 3 Meloland Gardens sNeeT
2 PROPERTY OWNER MAIL AODRES$ ZIP PHONE
ICM 571-888b
J CONTRACTOR MAII ADORESS ZIP PMONE LICENSE NO
Five Pillars Contracting 4319 3 Street NE, Columbia Heights, MN 55421 20098641
a ARCHITECT Oq DESIGNER MAII ADORESS ZIP PHONE LICENSE NO.
759-1554
5 ENGINEER MAIL ADOfiESS ZIP PHONE UCENSE NO
6 USE OF BUILDING
Residential
� CLASS OF WORK
❑ NEW O ADDITION O ALTERATION � REPAIR D MOVE ❑ REMOVE
8 DESCR19E WORK
Reroof House & Garage (24 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANC�LOAD
SEPARA7E PERMITS ARE FiE0U1pE0 FOfi ELECTRICAL, PLUMBING. HEATING.
VENTIIATING OR AIR CONOITIONING
TMIS PERM�T BECOMES NULI AND VOID IF WORK Oii CONSTRUCTION 20NING SO. fT CU fT
AUTHORIZEO IS NOT COMMENCEO NJITNIN 60 DAYS. Ofl IF CONSTRUCTION
OR WOfiK IS SUSPENDED OR A9ANOONED fOR A PER100 Of 120 DAYS AT
ANV TIME AFTEA WORK IS COMMENCED. NO DWIG. UNITS OFFSTFEET PARKING
I HEFiEBY CEHTIFY THAT I HAVE READ AND �XAMINEO THIS APPIICATION 1 STA�LS GARAGES
ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PqOV1510NS OF LAWS VALUA710N SURTAX
AND OROINANCES GOVERNING TMIS TVPE OF WORK WI�� 8E COMP�IEO �2 098 � L.OS
WtTM WMETMEA SPECIf1E0 MEiiE1N OA NO7. TME GRANTING OF A PERMIT �
�OES NOT PFESUME TO GIVE AUTHORI7V TO VIOLATE Op CANCEL THE pEqMIT FEE SAC CMARGE
PROVISIONS OF ANY OTMER STATE OR IOCAI. lAW REGULATtNG CON• $83'25 Fir SC �Z.IO
TR CTION OR TME PERFORMANCE Of CONSTRUCTION
, PLAN CMECK fEE TOT L FEE
License $5. 91.40
S+GN�t CON'QAC10Q Op AU1MOp�2ED �GEN1 �D�TE, EN O E VALIO TE THIS IS�� PEj1Ml�
�- b
r-$�GNATUQEO�OWNEQ��fO�NNEABU�LDEA� ID�TEi � - BlO �N$0' �1�TE
N� I l Effe�tive 1/1/2000
ADDN [] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ���
BUILDING PERMIT APPLICATION � G�
Construction Address: ` 3 U � i` (� � 0`�
Legal Description:
Owner Name & Address: � C Tel. # � � � — ��,
Contractor: � ✓ ~ �1� '� � MN LICENSE # Z OO 9�� �
Address: 3 � <S Tel. # `� S'0� _� �� �
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
��� /
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF 1MPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length _ Widtty Hgt/Ground _ Sq. Ft
n ' � U ` �09�
Construction Type: FD O � Estimated Cost: $ � � " ��' � - �'
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
�
DATE: ^ � APPLICANT: `� Tel. # % 7 �'' � � S �
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ ,�S� Fee Schedule on Reverse Side
Fire Surcharge $ o�- �D .001 of Permit Valuation (1/10th%)
State Succharge $ �� OS $.50/$1,000 Valuation
SAC Charge $ $1100 per SAC Unit
License Surcharge $ $. - D 0 $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee
Sewer Main Charge
TOTAL
STIPULATlONS:
���
,Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
. � � .