AF - 45592�
nat�: �� .�1_�=-
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owner:
Addreas —_....._.r._..—.._—
•
.
City of Fridley, Minn.
BUILDING PERMIT
Addrene
N° _ 6921
��
/ �j L ATION�!OF� B�,I/LD�pING ?
Na �/� i... Street ._. .__�..Gtdc4t'.._..!/.l�a..?Part of Lot .__......_.._�7 .�_ ` -------
Lot _..._...—.__..._.__ Block _._._.._......_.........__......_ Addition or Sub-Diviei�l ....._._..._._�1���..e..—._.._.—.
_ i � j----
Corner Lot ._..__......._.�.._a Ix�de Lot ....._....�� ......_ Setback Sideyerd _. .. . � _.......__.._..
-��._....__...... �Q_...�.�.
Sewer Elevatlan __.L��..�.._.._..__.._ _.......--...� Elevatlon _._,._.._.y�Y�3--.1r-.�.,---.--._..._._.
� DESCRIPTION OF BUILDTNG
T V : �{ � ..��t '/ '/
Front -�� DeP�+ s'=J.J�` .. Eiei6ht _/_.r_ Ts. .. 94. FG ��.�i �. FL ��7��
_ . __ Front ��� DeP� _.� �i8ht j_ L.� .. S4. Ft .�..� Cu. P't. _�2ga
�J,{' �_,, yr`�e�
Type ot cti� e?��M�.4�'--. Est. C�f -R��G/,._�To be CaanPleted _......_._---...____.�
In contSdention ot the isauance W me of a permit to construct the
the propoeed work in accordance with the description above aet�jq� a
aadinancea M the city of FY�IdIey. !/ /1� 1
In ew�sfderatlam of the payment oP a fee ot $.�L_ .., permit ia hereby granted
above, I agree to do
rith all provlsfons of
to conatruct the building or addi4on as deacribed above. This permit is granted upon
the �expr�s conditton that thepe rson to whom it is granted and his agente, etnployees and workmen, in� all work
done in,� around and upon seid building, or any part thereof> shall conPorm in all reapecta to t4e ordinances ot
Frldley, Mianesota regardin� location. construchar�, alteratl�, msiatenance, repair and movin8 oP buil�linas
within t6a dry llmits and th�a perailt may be revoked at any time upon vio]ati� of aqv of the prov�azons of sald
oadinanoes. . . / l
Building 7nspector
NOTICE:
76M Pu�ek deu nW esv�r fh� eonaqua�be. (mtdWian Ie..WrinW P�VY. Yu hpNny, awwr er rna. M wro» �
IM BuiNin7 �e�far for wWY� PrmN�. fer 1ha� h�n�. �
, � �
APPLICATION FOR BUILDING PEi.�IT
CITSi OF PRIDLS7i, MINNESOTA .
�� �. r � � �: �R�i :����� .��' . � � - • _
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//� LOCATION OF SUILDiNG W� A� %y
No. fo g���, Street 8est of Lot 3S�
Lpt Slock Addition o! 5ubdivision�%Wil�eBs :S.i�tJll/O�_�_�L
Corner i.ot Iaeide Lot�_Setback 3S� � Side-Yard S� �RS-� GR2�q� Sr�F
f/
SEi18R BLEITATION �q�i /� i�lIDA1i0T� ffi.HVATION � il •!�
j'oP OF Fod'riniF "
Appllcant attaCh to,thie form Tsvo Certi�icatea of 5urvey o£ Lot and proposed i+uild-
ing loCation drawn on thesa�_Certificatee. "
OF BUILDING
To be uaed ae:
s, �om L a Fa n.t � L.�_Fronc �4'� t n�,.ch .ZS,.
,
sy. Ft. 1/o-a c�. Fr.
c���F i0A�2., Front aZ0 �i�r DaPth .2/ �2 �� Aeight
Sq. Ft. Cu. Ft.
Type of Canstxwction r,Q,cy,v� t Betimated Cost �/ �, e-a� ,�
To be Completed 9� q��s
The undereigned hereby makes applieation for a permit for the work herein apecified,
agreeing to do all work in atrict aceordence with the City of Fridley Ot�diaances and
rulinge of the Department of Buildinga, and herebq declares that all the facta snd
repreaeatatione stated in this application are true and correct.
a2—S%6
�(Schedule of Fee Costa caa be fouad aan the Reverae Side),
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Mr. �fchaxd Spbr�t
55€}1 Gieaa�aaK7 dvasue tdcs�eh
;�'ic�eapati�, ?�°ina�scste
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.. .-:,£.�. F:. i.`w'�,.E.'�'t.Cl.,t' GG;I:i i.,r!.:=: .�:x. :.wC�aCS:F=f,X;: fY_�t. :s;i�": ,.`-.k. 'a`�i?.�i
�.� i�fCiezlCfl tv C C WOrIC CO T"s� CzAU� tfx fti.8 i4�o$C by" }�4x�,iY s j*.
Aione d# t�t#s wzrrk has beea d�se ae yet �su! ft ��yaasted
r�uita same tfs� a�c. iFnlese wask is fra pru�,rea� Co take cetre c�£
eheae probies� irg 3� Z8th, �her ac�ism stsull ire necessa�p tes
emf�ee �hie reqwest.
S�rs�ete3g:
ikL[.SN 6. 3i�s8�
SutiQfag Iasp�eta�
t+G3:akx
ec: Mr. Bob N4eho2san - 1628 Gardena Avenue �f. g.
[�fr. W}�nan S�ith • �itp Attcrney
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�'&R�.��T tOL'SE6 �,16C �@ 3:��� �p�F .�tYGrL"�.i't9�$ � �.Lf��.&�ZE%i
8YN4 i'&'�F�..84`G Cf2.ESdt.
Also re�str the sidfaeg by tize €�ily re,c�m s�<wp a*heze the
Ise�viepg sx€ the e�tt has daartged it.
2) Tk�re +sre t+ro ar thrae bad �raciva in the t f2o�r
c�at �t be ssrspe�t a�t and fiYlesf aitb s gr+�t ai e�eat
8gd ttmter.
3j it i� u�essary to b�iie! ��o yri%�ntexe aro ��e e�t#� �ii of
che b��etttg c�ae, a{f feet fra� t%e v�st a�I �d asos 22
E�t fzom the east eoct, f3oc�r ca ce9.3ipg, to 6e acscixnr�3
bash fn the floar �ad the ceilfa� �oists, as ehe north surezll
af the lwsme�et is hse�kii�g.
Tbeae c�stter;� meiat he te&ea csre of no Iater thsn i�iay i0tk« xt
which ti,me I sias2t mske asaotI�er iruage�etias. Siunxsd there be tc�g egasstiena
iis regsade ta Chess a�ttara, plearsm ftsl fzae t�o ¢rmtaet e�e :t my nfffea
betvaau 8+mcE lt# A.H. emd k aua 5 P.M.
�GJ:e�s
Siratsre2�,
AFd.81V G. JF.�S�"i
Buftdtug Ivspeetor
cc: Mr. Bob Hiaholson -}62$ Gardeua Avenae PI.B,
Mr. Richard Sybrant - 5&OZ Glenweod Avemxe Nortfi
Mr. i+�ymau 5ffiith, City AtCtrrnay
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c�,e �a�a�t.tuc43.�s as t�,�� c�v.§I�:�a;; �€s� e�c�e uz€£iui�he<i ��arr..
�,} Ere �i�ee £a�cfl�* �crr. �ere t� Cldar ,��L�e tE�a rises
�n �€� kfCChen £ls�r, the £7.v�r eoverir,� mecer£sti
bsa c��sCc avap e�� ti�re ia �o �nri,�i�tg, 8ce tkfs s3.aer.
1 sc��gar� ss�a 6e fz�stalYa�ei.
�3 ����lr� in t3�m fs�i�y ros� ��re �st �� rsLaiasad.
�3 i'l�ar #rraet e�oas C t#st� pos�i�it +�eaG�if.� o£ tts�
�eiL Eeas a wi�� �sp yi� aa�er t&. L +�as tPrat y+�s
xsfit+e tiae �hr�shQl� � bt�k it wit& �t�#:ga i-
s�ataty 1/+k to 318 �+i' � i.ssc3Y �e►d e�st the �ec�s n�f tt�
fft t�s rs-a��ustad �hre��r�td.
�i) t�ere the €loar }ci� t� fir�npt� #.� c.�e �raz�.ly r�,
!.t �€a settlarf. '�o tepa3:� �st, �m.�t ettrte u�e»�t�,g�.t
tr3+ar�s u�r c#,a 3 s& j�rf:et tt tiria� �niat Pruar t�e
f�uadatia¢t ta �i� �wt,�t. i asrkast ti� pxe�es r�k�ce
et�is is �e�sssaty.
5j �e teilc� ia vacx� lu�ase a�ti 3a leakiug. i�ig �t
ba reps#red.
S) Tj!t.��yay�d�ya�f�,�+ i/�rx t�ee fA��sy�ys���y�g��ytf`1Qar i[�i��j �q¢ c��ay�(r�s,��teY�d� j�sf�qsyp�
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c��i,��m�� 3crirsts, �r. �`s:e �,mrt� v�tl �E t�e ����a
€� �:�lfaz�.
i��o�.s� xcs �ity � ssassary me� tk�Zr t�ts �se �+c ca�a
eara c�f i€ �a +a#,ti cali z3�is esffiea � i�t uc knarr xJ�ra �he �u�y �a
t�r.ra.
't'�es� �tt�s �at �� �� carn �f �s Iat�sr e� �q i�t�
at w�te� tim� I�I�e1i �h�t i�ttaa. Id t�ra ��y
q�ati� %s s��ear� �u .these o�ettero, gl�a� �a�l €t�s t.o c�tm�t. �
st seg. vfflet i��e�a $�d 1A A.€i. a�ut +� md 5 8.�.
�fa�'eiF.
A[#.$i¢ C. .I��i
Bu,fLdfog T�mp�tas
Gi:t�r of l�rie[Ie�
�rJ:eks
�c s PS�`. �e� 2iiehaEacm - 1628 Gasdes�.a Av�aue !�. E.
�'. �asiu i�ures6i, iiCy 1;aginees
1�£C. �tt Smf.th, C1Yq Atta�ttaF
%��'° � �,SC.
SuB�Et�
City of Fridley 2 6 0 9 5
ATTHETOPOFTMETWINS BUILDING PERMIT �
i + �.
•
� � � COMMUNITY DEVELOPMENT DIV. �
r � �'� � PROTECTIVE INSPEC710N SEC. ��ag
� � �
� � �"'1 � CITV HALL FRIDLEY 55�72 NUMBEP MEV. O�TE P�GE Oi AVPROVEO BY
�---"�'� �'' 612-571-3450 9i0-F15 5/27/98 / /
ioe nooaess 1628 Gardena Avenue NE
t LEGAL �OT NO. BIOGK TRACTOR ADDITION SEE ATTALHED
DESCR. PY 35 � Auditor's Sub. �E92 SMEET
2 PROPERTYOWNER MAILADDRES$ 21C PNONE
Jerry Baily 1628 Gardena Avenue NE 574-9338
3 CONTRACTOR MAILADORESS Z�P PNONE UCENSENO.
Thermal Window & Sidin Co 2005 Bush Ave> St Paul MN 55119 702-9998
< ARCHITECTORDESIGNER MAILADORESS 21P PNONE UCENSENO.
20107290
5 ENGINEER . MAILADDNESS ZIP PHONE ��CENSENO.
fi USE OF BUILDING
Residential
7 CLASSOFWORI(
❑ NEW 0 AODITION ❑ ALTERATION �] REPAIR ❑ MOVE O REMOVE
B DESCRIBEWORK �
Reside House
9 CMANGE OF USE FROM T�
STIPULATIONS
Install building wrap and call for inspection of same.
TYPEOFCONST. OCCUPANC�GHOUP OCCUPANCVLO/.0
SEGnRATE PERMITS ARE REOUIRED POR ELECTRICAL, PLUMBING, MEATRI�. .
VENTILATING OR AIR CON�ITIONING.
TMIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION ZpNING SO.FT. CU.P7.
AUTHOqIZED iS NOT COMMENCED WITHIN 60 UAYS, OR IF CONSiRUC�ION
OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAVS AT
ANY TIME AFiER WOHK IS COMMENCED. - NO. DWLG. UNITS OFFSTREET PRRKING
I NEREBY CERTIFY TMAT I MAYE READ AND E%AMINEO iH15 APPLICATION 1 STAlLS GnRAGES
AND KNOW TNE SAME TO BE TFUE ANDCORRECT. A�L PROVISIONS OF LAWS yq�UATION SURTnX
AND ORDINANCES GOVEqNING TMIS TYPE OF WORN WILL BE COMPLIED
WITH WMETMER SPECIFIED MEAEIN OR NOT. TNE GHANTING OF A PERMIT �lO�OOO �S..00
DOES NOT GHESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE
PROVISIONS OF ANV 07NER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. . �16Z.ZS F1YB SC �LO.00
PUNCHECKiEE TOT fEE
Licens $5. 182.25
SiGN4NREOfCONiFFCiOAONiIUTMOR4E01GENi ID<iEl EN P OOE ALiDA E THI$ I$�A P Q T/�
-� '�
1
S�GNPTpFEOfOWNEPi60WNEABUILDEPi IDI�TEi r BL 5� 041f
MRY-26-1999 13�34 FROM CITY OF FRIDLEY TO
�020415 P.H3i05
Ngqr � � Effective 1/1l98
ADDN j ] CPl'Y OF �'RIDLEY
ALTER (] SLAIGLE FAMILY A1VD DUPLEXES R-1 AND R 2 a(� O 9 5
BUiLDINt3 PERNICP APPI,ICATIdN
��a 9
co�c;onaaa�: I(� z� G � d� �� /�.� �ti
T.egal Description:
OwnCiN87nC8tAdd:B&4: ��r�h C�.t �. Q4, �.v,_ TCI.�' S��/-�133�
cAarractor: T��,��� �,,NJa.� E S,J�s Gv, HnvucExsE# �.ot o� a°,D
Addmss: a-no s t3.� l.. �..� � S#- - P..,9 , /�'� �/ •-�r I� 9 Tel. # —1 u z-q 9� a'
' Attach to this applic�aan, a Cer[ificate of Survey of the
1vt, With the pnDposed Constiucti0n draWn on ii tA SC81e. '
� » Y ��' DLSCItII'TION OF IMQItOVEMENT
LYViNG AREA: F.ength Width Heigk�t Sq. Ft.
GARAGE AREA: Length Width Hei$hG Sq. Ft.
DECK pgEA; Length Width _ HgdGround _ Sq. Ft.
OTHRR:
c7v
.�'.O113LL1�1301k �C: S. ti�n F+Si�tG13[Dd COSt: � � l� �(� �
(Fee Schedule on Hack)
)riveway Curb Cut Width Needed: _�'t. + b Ft �,_Ft x$ � S
)ATE: s-2� -58 APPLICANT: �--�2 . ���/ Tel.
�_
.�L � • �1.
�ermit Fa $ .15� Fee Schedule on Reverse Side
?ire Surcharge $ /D. d� .OUI of Permit Valuadon {1/lOth%)
;tate �tucyarge $ , DO $,50J$1,000 Valuation
sAC Charge S $Sfl00 per SAC Unit
;icense Surci�arge $� v`� .Oo $5,00 (State Licet3sed Residential CouuacWrs)
)riveway Fscrow $ Alt. "A" or Ait. "B" Above
slbsioa Control $� $450.00 Couseridtian Ylan Review
'ark Fx � Fee Determi�d by Engineering
uwer Main Chargc $ Agrecment Necessary [ j Not Necessary []
TO'�AJ. S 192�
-�oi-��g �
>z1PUt.AllOxs: �� �f G ��C�i.�/�r �"dd/�i'1
��� -�_ �`�`
yro�
A,e�.� o.� �i��'a� ,��✓EZ �- y.t/&' ,����ZGir�
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
CITY OF �RIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
�631572-3604 FAX: (7631571-1287
: 1628 GARDENA AVE NE
: 243024140016
: AUD SUB NO 092
: LOT 35 BLOCK 0
: BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING
PERMTT O.: 2004-01428
DATE ISSUED: 08/26/2004
VALUATION : $ 5,000.00
NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE & GARAGE (26 SQ) TEAR-OFF. INSTALL
ONE WINDOW WITHIN EXISTING OPENING.
STATE LICENSED CONTRACTOR 1
APPLICANT
ALL AMEffiCAN ROOFING (5160
14779 WAKE ST NE
HAM LAKE, MN 55304
OWNER
BAILEY JERALD M& BARBARA C
1628 GARDENA AVE NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This pemvt becomes null and void if work or construction
authorized is not commenced witin 60 days 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 lrnow the same to be true and correc[. All
provisions of laws and ordinances goveming 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 ca�n�cel \th�e'�provisions of any other state or local law
regulating cpnsvu�pn.qythe„performance of constructipn.
Bldg Insp
SEPARATE PERMITS
BUILDING PERNIIT FEE
FIRE SURCHARGE
STATESURCHARGE,VALUE
LICENSE SURCHARGE
TOTAL
PAID WITH CHECK # 7209
FOR WOI�: OTHER THAN DESCRIBED ABOVE.
111.25
5.00
2.50
5.00
123.75
NEyy (] CtTY OF FRIDLEY �� '`� �� Effective 4/112004
ADDN [ j 6431 Universiry Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [] SINGLE FAANILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDWG PERMITAPPLICA710N
���'�� • (�1��- v
ConstructionAddress: It�zs �a�b�� wue ►�E.
Legal Description:
Owner Name 8 Address: 5<va�d t3 �.<< <.� Tel. # 7` �' S� y- g 3 3 8
COntf2Ctor A l-� �Pw�c ��AN R o a F, u C� - R tito l!� M�S LICENSE # s<<. o
Addfess: Ivlv9 waKc s-F-, �ti. Tei.# �1,3-7gv-c•L�i
LMNG.AREA:
GARAGEAREA:
DECK AREA:
OTHER:
Attach to this application, a Cert�cate of Survey of the
bt, with the proposed construction drawn on it to scafe.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft,
Length Width
Length Width
�ew
Height Sq. Ft
HgUGround Sq. FL
w.'lk�r Exis��
,,,. �(P S� �� � ,. �l UO
Construction Type: T�°�--�� ����af 'EsUmated Cost: S �°•°—TrO—' ° o���
Driveway Curb Cut Width Needed: lFt. + 6 Ft =,Ft � _$
DATE: �-z � ` ° `� APPLICANT: ` �. Tel. # `�G 3 - 7 Sr� -fo(,? �
Call (T63) 572-3604 for Permit Fees if mailing in application. Fax to 763571-1287 if using credit card and we will cail
you For card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
$ /ll. �S
$ �
$�4
$ .S?�
$
$ � O(�
$
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 per SAC Unit
$5.00 (State Licensed Residentiai Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Necessary []
TOTAL $ �� � . /� STIPULATIONS: