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AF - 45198� i� City of Fridley, Minn. BUILDING PERMIT DB�. ��,,�8 MAY 10, 1966 �� s r N° 8818 p�r; RICHARD JOI�SON g��, SAM TII�'LIN COMPANY Ad� Ad�ess 1251 Gardena Avenue N'. E. Fridley, Min,nesota 55421 LOCATION OF BUILDING No. 6 Ott�S g� GARDENA LANE R. E. Part oE Lot Lot �' _ Slock 1 Addition or Sub-Divlsfon GARDENA N�LOLAND GARDF�'S Corner Lot __.g..._ Inside Lot Setback 35 ._._._ sideyard 10 an.d 18 �� '� �GiQYO41� ��1 A 0 OC O'� �BW�n � �r o( � � 9� ' TOP OF EOOTTNG �� DESCRIPTION OF BUILDING To be Used as: 2 0 DW�LLING �t 26 �P� 40 x�t � �. � Z, py.0 � � _20�800 ATT . GARAGE �t 26 �p� 24 2 Height 1 � Sq. Ft __�� Z_ Cu. F't 6,3? 0 Zj►pe oP Conetruction F�ME F,at Coat _. 20 000 _ To be Completed � VARIANCE APPROVED BY : COt1NCII, 5/2/66 SEWER ZOCATION A 64' East of Manhole WATER LOCATION - 74' East of Manhole the g�roposed work n�accor3aaca wiQ th the deacrlp� 8b ec�se�t ufor orrliaaaces o! tha dty of Fridley. � ed above I agree to do a wl�i af 1 provlsions oP � � --�, m coadd�atlon of the gayment of a Pee at $ 28.00 � p�t ia hereby graatea to SA.'M mt�n�rnr.rR to conatruct the buildiag or addition es described above. Tt�ispe rmit fs �ranted up� the exPmess con�itian that the to whom it is gTaated and his a�ente, emplo�yees and worlanea� ia eil work en done in, arouad aad upon eai buildiag, or aay therEOP, ahall coaPorm in all respects to the orainaaces oP. gridleY� Minnesota r�aar8fag ��'� be �al8t �on, malatenaacQ. repair aad movlag oP buil�fa� wl�� dty ]imits and tb78 tlane upon vlolatton oP aTMv oE tbe Provleions oP eaid AT T•F.N G o JENSEN �� /"� NOTICB: il� p�rmU dea no� aowr tla �oe�aafim, InMallMloe h� vrUleo, plue�6lno, Oa haNeo, aw�r or waM�. e� an to a� dn iu� Ie�p�eEer �o� aparab �em� hr Nua Bu�. APPLICATION FOR BUILDING PERMtT CITY OF FRIDLEY, MINNESOTA � � � �� r /� , / OWNER' S NAME �-e�� c��'�lr��'� BUILDER , �'�: /��-`�A � � ar annx�ss � AnDr�ss . � � �i �� LOCATION OF BIIILDING , , ;�� N0. C� — STREET �� `�� A,•��m PART OF T�OT � ,, � LOT BLOCK � ADDITION OS SDBDIVISION�_r �, '� � T� ��.� � �� CORNER LOT �IDE LOT SETSACR �'� SIDE-YARD �� .� � SEWER �LEVATION FOUNDATIOft ELEVATIQft Appli�ant attach to this foxm Two Certificates of Survey of I,ot and propoaed build�ng location drawn on these.Certificates. DESCRIPTION' OF BITILDING To be d as; , �� '� Front ��. Depth - }Height Sq. Ft.�r� ' Cu. Ft.. �� /i � Front -- �. � Depth'i��'►--�__ ight � � Sq. Ft. _��..��. Ft. l ,� � � 1 Type of Construction �� z� � Estimated Co�t ��e� �`� To be completed � s��—� The unders3gaed 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 ruliaga of the DepartmenC.of Buildinga, aud hereby declares that all t�e facts and representations atated in this application are true and correct. , r/ � ' � �� .�..r� DATE � �� SIGNATIIRE � � (Schedule of Fee Costs can be found on the Reverse Side). � R�� .�. . .. � � �. � 4 � .. ' e BUILDING PERMIT FEE SG`�EDOLE SEGTION 2. The Inspector of B�ildings shall, before isauing any permit for the erection of any building or etructure� or for any addition to any existing building or �tructure, or for any alterations�or.-repsirs to any existing building or atructure, upon application..therefore, require the paymeat by the applicant for such permit of fees to the a�ouat herein below �et forth and in the mann�r herein provided to-wit: � 2.1. For any such permit for the'erection of any fire-proof building, othei than a gara�e, warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for aimilar occupancy, to any e$ietirig building,� shall be at the rate of $1.40 for each one ehoueand cubic feet, or fraction thereof, in such cubical conteats. 2.2 For aay such permit for the erectiou of aay fire -proof garage, warehouse, factory or grain elevator, or for the erection of any fire»proof addition, to� similar occupancy, to any exYsting building shali be at the rate of $1.25 for each one thousaad cubic feet, classified as "�ireproof" by Sectio��-502 of the Minneapolis Buildiag Code. _ HODSES 2.3. For any such permit for the erection o£ any non-fireproof building, other than a garage, warehouso, factory or grain elevator, or any non-fireproof addition, for s�imilar oceupancy, to any existing buildiag - permit $1.00 for each one thousaad �ubic feet. � GARAGES 2.4. For any such permit for the erection of aay non-fireproof garage, warehouse, factory or grain elevator, or for�the erection of aay non-fire•proof addition, £or similar occupancy., to any egisting building or for each auch building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical conCents thereof with the minimum of $4.00. For the purpose of computing fees.for building permits, the cub�ical contents of any building or addition to a uaiform height throughout by multiplyiug Che ground area covered fram a point si.x (6) inches below the floor line af the baseffient or.cellar to the average h�ight of the upper aurface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing struceure, the fee shall be at the rate of $3.00 per�each Five Hundred Dollars ($500.00) or fracv�.on thereo£ 3n tha cost of a11 �S�r'opdsed work. '� 2.6. In no case shall�Ch� fee.charged for any permit as set forth in Section 2 be lesa than $4.00. " STORM REPAIR DAMAGE FEES: • . Residentisl.: Esti�ted Coat of work up to S5�7, ^� �- S5 ,^� Estimated Cost of work over '=:��:::.�::�� ;;� r:� �� . Commercial; Estimate�""°�,oat of w�r'. �.�; `,, "! �^,; �t°� �. Y'_!°�,� � � � Estimaten .;oat of w��i:� o1::r $tis:+.oi��! - ;;:i,.�0 �, HARVEY A. CARTWRIGH7 wNOUw couNrr suavErs MEMNE�iN GOUMTY SURVEr9 MINNEAPOLIS SURVEYB 86/0 PALM 9TI2EET N. W. 9uNSeT a-76.88 owNEw INDUBTRIAL � JUDICIAI 9US1N688 - TOPOORAPHICAL CITY lOTB - PLATTIN6 Sam Templ.3n � � � � � � 4�� , ��G� � O�O� �OMBINING THE �tECOROB OP J. E. HILL, CIVIL EN<i1NEER EBTABL1fX6D 1!Y! LA ND S II R V:E YDRS C. F. SAN�HOFF GVIL ENG,IN6ER R6G1lTtRED YNQER LA1NS OF iTAT6 OF MINN[90TA EBTABLtBH6D tOOe UC6NS[D sr OROINANCt OI CITY QR MINNEAPOLI� JAMES NELSON 326 PLYMOUTIi BUILDING FEDERAL 6-8721 . SuRVEYOR HENNEPIN AT SI7fTH • MINNEAPOLIS 3. MlNNESOTA esr�e�tstieo �asa ��iI1C Oi��i �C1�f�C$Lt '' METROPOLIT�lN LAND � SURVEYOR8, 657ABL18MED 19'JI f� . �nnoic� 22$82 � � � . `� �� , :,,,. _ e'�d�'..�4',�°" ' �,r/%� � ¢ p,,�,��, c � . .�.,�,.�-��`,��.�� / 'J �� 9 ` '� � . �%..', .P / d 1� 9 � , G,�� _ �. /� s � �, . � � � �� ' � . �. � °-- �i � � �'� � i'� ` 0 I hereby ee�3.fy �hat �is �.s a trws and correa-t represea�ation of a survey vf : � 3,�, s�l.ock l, G�.rdena Ti�lol�d Ga�dens �.s survoye�l b�r me ti�is 9�h. d�� of ATov�anber, 1962. �t� � ��v� l �N �- P � " �' w , ` SI�NED �.��'��` "`• ��. i�.O - g�� \ C RIGHT �NO OL9C�N � �cr - '--- ---- -- ° , t�., � � � a � � � � � N � � � p � 0 � x r�� y x z � y r � o � o N ►�y+ '" x � n � o ��z �� b � � � N_�" � � � o � � � m � � F-� . • �o � � �h'� h� I F-' � n � �. � m � �r W � �a n 0 . � � M .- H � R' � N ¢ W � � � � M °�° °•= � � o '�, � � �� o � 0 o° r�n . 0 � . � � - � o � r a�.ye � �1 � 7d � x � � < '° � � I '� w O � W �, � �� o � � p "� (D� p �• : H � ,� y � 0 v � H : � : . � to • : � : : � : : � : . � . � � � x . �e k x o : � N F+ G1 G O Q � O iA {� {fl � ffl w O N � 0 r � o w y � � w n � x � � � I g � � z � � � � o � � 0 � � i� � � Q � GI O O �n � � � I � z � z s N F-� � � x m � � � wN No 0 0 � � �� x� M � � � M ' � � � � � �O � � � � � " �� o � � � � � � � y � � ° � G � � �, � y � �, a � 'r� o o �'� �� o�. � � � � � N 0 � � � . � � ��a�:�o O � : � � ' o . ' � e+ p OO : : O � O . • O c • m o • � '� . : : : �* : : : : : � : : : : : P7 N p0 OD CT CT O C O O O O vi vs {n {s� � � � '� '+7 O � a � � h � � � � � � � �. s z c O . m � x N C71 C7� N QD O O O O O � � � � � O �° b b � � S �'y�� ° � � � � � � � a � � � � m o ' �° Ro '� 0� � � 0 �i�� °' � � o � � a ° � a �" . � . . � ° : : O � . . C . . $ : : : N � � � � qr O O O p O O p � � O t" ° m � � aa� � cr a a � " n y O� y bG�� r�a � t� " � R� � � y � � � � ��.�� m � � � � o � p � .. g y y d� `� � �, � � w�o I �� Q� � . � Q1 J (D pp�'4 �� ¢ �°�� = � od��g � t :� � � ��'ro � ��n p� �� m �a�p � �m �'y 1 �� ` a�� l�D M �� o ��' � r+ cD � C�' ri, �� ' a '� r � � T � n _ m C m � M M � � proi' � a � A V 0 � � � � � 1 O � � � 0 � d� Q 3.� �•�j 'T' � �� 3 � � 0 � �� e� � s• �' � g� Oi � � � � �� ', � �.� .� r i , '°' . - .. , :s � '. _ ' � D-S6 ^ . s 5 �� I ="'� r�'�+r �"'�r'�"'k'�► - I-[EAT LOSS CALCLIL.ATIONS DEP OF B�1iLDINGS MINNEp►P01.LS. MINN• Weatherscrips �•S.H.V.E, Construction No. Insulation Guide ' ws I s Refeaence Out. Wa t. Wall Ceiling Roof F7ooa Kind How Applied es o Yes . 19_ `Fl.� Room � Length idth Height Fl.� /� Room Length •-��Vid •��eight Windo and Doors—Crackage and Area Windows and Doors--Crackage and Area Wtdt HelgAt No. ot Llneal ft. ' Area Wldth Hetg4t No. o[ Lineal ft. Area No. o[ p p h s of cr c, e.f � No. of pane o[ pa Ilghte -�ot crack eq. tt. �� . ° . _ r y�� _ � _ ` � � . ' Co . B u Coef Infiltration - Infiltration Glass +�.� s � Glass � Eap. wall � �! �?�t.`;`» Esp. wall ,y� _ """` Net exp. wall � w .� Net eap. walt Int. w II Int. wall Ceiling Ceiling �'""" +�""" ,� Floor �. ' ; ,,.,: , Floor f TO tU. Total Btu. y Required sq. ft. E.D.R. or sq. ins. W.A. . ader area Requ' ed sq. . E.D.R. or sq. ins. W.A. eader area � Fl.� �( Room � Length ,,,,�.Width ,,�•�-'Height FI. � ' �' �gth .•= �Vidth - ' Neight Windows an oors--Crackage and Area Windows and Doors—Crackage and Area Width Helght No, ot Llneal tt. Area Width Helght No. ot Ltneal ft. Area No. ot pane of pane llBhte of crack e4. !t. No. ot ya of p e 116bte ot crack eQ. [t. � � � � �" � , c B� _ c Bc� In6ltratioa ' "�'Y „ „ . Inhltratioa Glaas " Eap. wall Net exp. � Int. wall Ceiling Floor Total Btu. � � — Requir , q. ft. .D.R. ar aq. ina. W.A. Laader area Fl. Room � Length ' Width Wiadows aad Doors—Crackage d Area Width He[ght No. ot Lineal ft. Area No. ot ys�e v[ pape 116hte s ot crack eq.Jf � Infiltration Glaas Exp. wall Net exp. wall Int. wall Ceiling 1=,loor Total Btu. t� 1� Required eq. ft. E.D.R. or aq. ins. W.A. Leader area '��' Glass , � �Exp. wal1. Net egp. wall � Int. wall Ceiling ,,,� ',,;� ...�.+� Flaor Tota� Btu. Required sq. . .R. or sq. ins. W.A. ader area 1� Fl.� Room I Lengt6 �idth. _' Height IWindows and Doora—Crackage and Area � Infiltration --� Glass Eap. wall � Net e�P. wall Int. wall � Ceiling ,�..� �°"'� Floor ?otal Btu. � � � _p_f�i: ��.�4 ��"�►��1 �. �� i�� Required sq. ft. E.D.R. or sq, ins. WA. Leader area � 1 J * _ � ,a . .. .. >. y s ' �' IYS6 � 6 � • HEAT LOSS CALCULATIONS ; DEPARI'MENT OF BUILDINGS NIINNEAP�LLS. MINN• Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Wiadows I Dnors Refeaeace Out. Wall Int. Wall Cxiling Roof F1oor Kind How Applied Yes— o Ye —No 19_ Fl. +'; m � Length '' Width '. Height �� .� _ Room Length �� Width � Height ' Windows and oors—Crackage and Area � Windows and Doors—Crackage and Area Wldth HetSht No. ot Llneal te. Area Wldth Halght No. o[ Llneal ft AraB No. o[ pane of pane llghte ot a-� e. f[ No. � ot a- o[ pane IfBhta �. � ot crsc eq. it. .F� 4- ' �'� i a J Coef Btu Inhltration ,+ '`: � � '�� Infiltration ° �'t� .�. Glass �` �" �"!'. ::� Calass ! �;,� r+:,r�i :� Eap. wall ` �' ,;�"� ° F�p. wall � Net exp. wa 1 .� ' s''"' Net esp. wall "� ,'�. Int. wall Int. wall Ceiling " _ ' ' Ceiling Floor w ,�' � � r Floor �,� � '��:"�� Total Btu. d � _„E �'�' " ` Total Btu. . � � '' � Required s t. .R. or sq. ins. W.A. Leader area ' �` Required sq, . E. R. or sq. ins. W.A. der area �`'` '*' ��' Fl.� Room ( Length �;�,,,i,�idth Height � ,� +G' m � Length Width '� Height' �" � Windows and Doors-Crackage and Area Windows and Doors—Crackage and Area Wldtd Height No. of Llneal tt. Area Wldth Hetght No. oL Llneal ft. Area No. ot pane ot p ne lighte oi r$ek qq. ft. No. f yane of p ne 116hte - ot c ck eq. ft. � ; ie' i � P� �'� Infiltration Glaas Exp. wall � ��:�.,::�� Net exp. wall Int. wall Ceiling Floor Total Btu: No. ft. E.R. or aq. ins. W.A. Leader area ' oom ( Length Width and Doors—�rackage d Area Helght No, o[ Ltneal tt. Area ot e Ilghte. ot cra eq. . . . �wr ,�.. . � Infiltratioa Glaas Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Infiltratioa Glass Eap. wall � Net eap. wall Int. wal! Ceiling ` . -Floor .,,�, Total Btu. Reyuia �..� � � Windows an W1dth H� No. oL a e ot � Infiltration or sq. ins. W.A. Leader area ^' �` ``,'' �m I Length Width � Height —Crackage aa Area No. of Ltneal it. Area Ilghte ot craq , ag. tt. Glass F�cp. wall -1�a�r Net exp. wall ' Int. wall � �+► � Ceiling Floor Tptal Btu. . ft. E.D.R. or sq. ins. W.A. I.eadcr ana � �� r � 0 o �0 vs � � � � � n a � � b � r a w 'd �i i�i i�u � N m w art�i m� �� A M a m �L A' ,1.� n � N fD Q � K �� t�!) ��.' W w H M 4re� M o k �' WhJ �� z o�. N w � w ''� tWi 6 0-° W W rxr M �+t G] o� � �' R � S a rMr °o rar w r�i �C �e �rf �• 9 � M� �' K � o n � m� rr i-r o� �.�y.� � rra- m � M � M� � p W� � C °o y o �S � �u a `or ° A' '� E�'n o ,.., o M � o m w r� � W � n M czi� O° � N �° °o �`q ty —�I p � F+ O � � (/1 ►-r o`� o� � �� . .� rn t/� � 2 I i i i I i I �� I I I I I m x x x x x x x x x ae x x � - � v, +n +a vs v, v, +n v, r v, v, v, �n v, � N N O F' W ' U7. UI V O tl� V� N N W 0 0 0 0 0 ' o 0 0 0 0 0 0 o c H 0 o O O O O O o 0 o O O O O � � � � �� H , y ��, o � r �. , s'° �', � 0 � � r � z c� � � H fA � y � O r w -. � � 0 � � [9 N � � � � � �� '+ � � � ro � x � H � p� � � � w �r o ��p' � "C 1 �� ' y °� � Z� . A � � � F. � � N F+ Stories v � � a a � n' q � a r z � Closets E Urinals w m � � Sath Tubs A � Easins O a � Sinks b � '� Wash Trays � � Drinking �q Fountains Showere � Floor Drai 0 � Catch � Basins aAutomatic E Washer µ Gas Appl. � A1isc. Fixt � � Gas Range R � �y K Other m N W fi � r � m � >�p?` � m i � d � � G � � � � H H y � G1 ro °r� � f y �'�i z �'"°' •° '� �, � p n � �° Y �� d • � �� 0 � d � �a'� � ��ro °a, ao ro�wm � � n � cwi r w� v�i ron � a �w°'m ~K� m � ao i� w w��-°n � x H"'�� °� � c� �- „ � a w � , , ' , 3 � �� aH � �d �° a�io� � � � �d �9 �j . �� r � � m `�E m 9� � � M k m � � y-� W � iC � � a a fi � �• 6�" � � w � w r 4, � � � w m a - �& �� , � , � � � � Ai � Q �t � � � O m � �m�� . . ►�- Fe m �`+,: -! � m w ►e � . M N � M r : R ��} � �E . � � .7 W 6 � aR�i� �` � ~a� 8 a � 'O r ... n A --1 O Z 'T1 • O � 'o E �' 3 � � Z � O D T Z G � G� ►�-� m C N � � � � "� m� � � • � �� -^ -- - _ ___ .._ ____._r __..___.-----_e �_...._ - �'-: CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 5543'_ • PHONE (61'') 571-3450 September 12, 1985 Robert Baldauff 60�15 Gardena Lane N. E. - Fridley, !�I 55432 HE Intersection Vision Safey Zone Obstructioa Deaz' Mr. Baldauff: In order to provide safe passage for vehicular and pedestrian traffic in the City of Fridley, periodic inspections of street intersections are conducted. An inspection of Septe�ber 11, 1985 has determined that the sightline for the intersection on your property is obstructed by a large spruce tree and eould present a hazard to traffic. Section 205.03.78 of the City Code requires that, "The triangular area of a corner lot beginning at the intersection of the street surface edge or curb lines, thence forty (40) feet along each curb line, thence a straight line between the two (2) points, but never more than the triangular area measured from ta�►enty five (25) feet from tbe intersection of the right-of-Way lines." Therefore, the City is requesting you, the property ovner, to correct the problea by trimming clear the branches of the tree to a height of five feet to allo�a safe visual sight of the intersection at Gardena Lane and Yoody Lane. A reinspection �ill be conducted on or about September 25, 1985 to determine compliance. ' We are confident in your cooperation to correct this problem, but if there is any problea With the interpretation of this letter, please feel free to call me at 571-3�150. Sincerely, �� e �� Bob Nordahl Code Enforeement' BN/dm C-85-90 �� _ � �.:p ;, � � � sue�ecT - PERM City of Fridley _ 19678 ' ` AT THE TOP OF THE TWINS g U I L D i N G P E R M I T (�EC r � `L �_�_�_ COMMUNITY DEVELOPMENT DIV. � r � � PROTECTIVE INSPECTION SEC. �� , i•--. ��'��,,� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY i �� 612-571-3450 910-F15 9/19/88 / / JOB ADDRESS 6045 Gardena Iane N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Gardena Meloland Gardens SHEET 2 PROPERTY OVIINER MAIL ADDRESS 21P PHONE R. Baldorff 6045 Gardena Lane N.E. 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Jerry Thell B�lders 17020 Crocus Street N.W., Anoka, N.�i 55303 753-3064 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW C� ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 18' Addition; an 18= x 8' Deck 9 CHAN(iE OF USE FROM TO STIPULATIONS See notations on plan. Provide smoke �i,re alarms on hoth levels of existing rear bedrooms. �� SE��RATE PERl�ITS REQUIRED FOR �efore digg+r�� 211 local �iiiiti�� i��-EI�CrtRIC-�AS E.tE. VIIIRIN6, I�E�A�'�f��, PLUM�IIVG A�4D SIG�1S. �E�U�fi�ED �Y l�►Y�° SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY (3RpUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. 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 ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • N0. 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 $22, j.00 $I.Z.OS WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ► DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEHM1T FEE SAC CHARGE PqOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTFiUCTION. S23'4.00 PLAN CHECK FEE TOTAL FEE $245, 05 SIGNATUREOFCONiRACTORORAUTHORI2EDAGENT �DATEI � - •� � WHEN PpOPERLY VALIDATED THIS IS YOUR PERMIT ��.�a�'?e� t� � f� "�a � ,�� `� SiGNATURE OF OWNER iIF OWNER BUILDERI IDATEI BIDG �NSP f7ATE l�v [ ] A�N [ ] �� Gbn�ruction Adaress Legal Descriptian:_ Owner Namae ess Gbritractor : Ac�dre�s: City of Fridley R-1 AI�ID R-2 �,;iding Peaait Application , EEfec;tive 5/L88 �� R � Tel. # Tel. c� '- d� f� Attach to this appl ication, a Certif icate ai S�rvey of the lot, with the proposoed wnstructian drawn on it to scal,e. . L�ES(RIPrION �' IMPROVIIr1El� T.TVTK: ARFJI; �� W1C�1 � �Q1C�1t � �j. �},. `.�� Q�iRAGE ARFA: Lenytll Widkh Seight St�. Ft. DEC[t AR�: Length � Widkh �_, Hgt1GrO�d � / � �- I�t. J� � �� Gbrner Lot [� Inside Lot [ Ft. d Setback Side Yard Setbacks /� . , �. Type of donstr�tion. Estimateol Cost: S_ �� Z� 10b Approx. dompleti� Date: _ /.:5-G`,� � y�.� 3a� �,��1-� 5�.� � �r�o ��i,��.�o � �yx�r : �vyv G.yz�Sy�. Yp E��,��`.o� A1� A Alt. B Prop�sed Drive�,ray Width If ATew Opening Is Desired: $ $ Wiclth + 6' See Back Page n� : �� ia�rrr : Te�. � 7,s�3 -3�� y' (�TY QSE �Y �t � State Surcharge SAC Q�arge Driveway Escraw Park I�1ee Sewer Main Cbarge �� •� ,�� r t � � � , I , $ � .�� $_ ��.��... S � � S S Z �,� t�e Schec�ule on Reverse Side $.50/�1,000 Valuation 5550 per SAC Unit Al� �f" or Al� '�° Abo�ve F1ee Determined by F.ngir�eering Agreemeiit Neoessary [] 1Vot Neaessary I] r� � �'� , . , i � ./ �., . ' � . .i � / ..� --' 'I �� /04 2. • �� .. �� /�, f� t� • � a3y, �a �`_�l . � �. ' ��vIM :��i �M:I�i�,l) 7�e C�ief Building Official shall, before issuing permits for the erection of any building or structure, or for any additi� to any existing building or structure, or for any alteration or repair to any existing builcling or structure, upon application therefore, require the payment by the applic.ant for suc� permit of fees to the amount herein below set forth and in the manner herein pravided to-wit: � TOTAL VALOE S1 to $500 $501 to $2,000 $2,001 to $25,000 525,001 to 550,000 550,001 to �100,000 5100,001 to 5500,000 .0 $15 (Minimtan Fiee is S15 plus surcharge ) S15 for first 5500 pl� $2 for each additiona7. 5100 or f raction thereaf, to and includ�ng 52,000 S45 for first $2,000 plus �9 for each additional $1,000 or fraction thereof, to and including 525,000 5252 for first $25, 000 pl�s 56.50 for each additiona7. S1, 000 or fraction thereof, to and inrluding 550,000 5414.50 for first 550,000 plus �4.50 for each additianal S1,OOp or fraction thereof, t� and including 5100,000 S 639. 50 for f irst $100, 000 plus S3. 50 for each additiona7. �1, 000 or fraction thereof, to and including 5500,000 5500,001 to 51,000,000 $2039.50 for the first �500,000 plus S3 for each additional $1,000 or fraction thereof, to asad inrluding 51,000,000 �1,000,001 aa�d up $3539.50 for the first 51,000,000 plus $2 for each additional $1,000 or fraction thereof � � ��t.�� +' � .� • � `��., • - - M • -- - • Alternate °A°: R�nwal a�d replaaement o� wrb and gutter only - Driveway width plus 6 feet times 513.�0. Alternate °Bp: R�nwal and replaoement a� curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times 515.75. ��; a� y • � • � �,�►•:U� !�c �! •)� Permits for c�nstruction will be issued a minimum of 24 hours f rom the time of application to allaw for proper review a� the proposed structure and of the a>nstruction site. A Certif icate of S�uvey of the ldt, shawing the locatiaa� of the fo�dation once it has been o�nstructecl r�ill be requirec] before prooeeding with the fraQaing. HARVEY A. CARTWFtIQMT w�oiu► couNtr sv�v�s KLNNE.�N �OVNT�' .UAV�.9 M1NN6APOLIf BUR1t8r81 84t0 PALM BTRHET N. W. BUNS[t 4•�e3s owNCn INDUfTIAtI►L � J1JDtC1AL SUSIN688 - TQF08l�APMtGAL c�r LOTi - ILATTINfi Sam Templin � � � 0 � - �, �� c�r � o�sso� LAN� ��'IRVL��'ORS REOi�Till�i�i YDtDtA L�tll/� OF iTATR QP MINNlBOTA LICtNitO �Y ORDINANC[ OP GITy OF bINM�/►f01.1f 326 PLYMOUTN BUILDING FEDERAL 6-8721 h1E'NTISPIIV AT SIXTN • MINAIEAPOLIS 3. MINNESOTA ��11tpOT�ffi �t[tlttNAtt � ' ��, - � �/ �, � . �,. � �� x �� \ � � � �'v� �� \ -� �� . , �, � �� "' • � ` � � � � �� a e��. °, � b Y —U�'---a•`.�. � �/�i /9"�d p G •�?� �/s�d �7 e � --f�. ,- 3� � ' �. �� + 7 � / * ,a_ � �� COMQININ�i TM! 1lBC011Dd OP J. E. MiL� CIYII. ENOINEiR c�rwwsNm �p� C. R. 8ANDHQFP' CIYIL F.NI31N66R EO7AYLIfM60 1l0� JAfdES NPs1.80N SuAVSroa ast�.�nMCO �ou ^ METROPOLITAN LAND Sunveroa�. 667A�LIiM160 �ae� Invoic� 22882 I ,-- �, , _..._ r� �� p �\ �� \ \ I herebyr aar�it'y fi�at '�.s !.� a tz�ae atad corre�� repr�eentation oP a s�rey of a �tit 3.a �loc�c 1, Qa�d�n� Zielol�nd CFardons r'is; surva3�ec1 bg mcs thi� 9�h d�� of Novatnber� 1962. _ b� � .�.-��t��tJ� l ��✓C- � ,.�t . ��' . r ' �� ` SION�O ��1"� ' s� � � �� . , CP � f�IGHT Ap0 OL90N � _ ., �""'___""'�'. �.'`�"� C :;: - i.;�'�:o'',; :.�; _,�� ....,.� ;o as a�sm�as� :t8��acau�� a:; � : � •; � r �, . �� ...; .:.ano �aoc� ;o �eo� pa�a��s� _ �;.°��; .. �.:;��;;�c:� oa dn �1aoM �o �,so� pa��mZ3s� ��s��uap�s�l� i;. i.,ri�< , .�,; ... � �� .' "; �l9 .. •1 I �n '� t:..:. _�.:3�ii.� . 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Fixt � � cae xaaqe n � M OthBr � �m ►' � n � M � � m � O 3 N � ['V� Q [� � y 8 M yy G1 �� y � \ G � I � � � G ^�. o � � a � � '.r° � b a°r � M � � � � W ro n rw c v�°,� o, IO �� O. O. hJ+ '7. 7 (MC M�+ 01 0 01 M W h�. R q C O� O��p'1 �" U1 4+ !U �' M � fC � � '�i � M � � 7 � 7 O o A � ��og � ( ��~� � � m n ~ � � �� m � 3 " �m � � � �. r ; w , . ...a� a 7 r� rr rt � s�m� � m ` � M ` �O � f�j M �j �►°r � d a \nf°�� r g t� r h O � R O � O 7 M K m � � M OII O � G • � 7 r � b � f�► � 7�1' �a �� m ;. � m � r�" ... a -� O Z . � O � � E �' 3 � on � O a T z o � c� -- a t� y r T � � 2 G7 � m � City of Fridley AT TNE TOP OF THE TWINS i� � � � ' v __�__ COMMUNITY DEVELOPMENT DIV. f � � PROTECTIYE INSPECTION SEC. L__--� ��"' �'� CtTY NALL FRIDLEv SS132 i 612-571-3450 J08 AODRESS 6045 Gardena Lane NE EU ILDING PERMIT NUMQEP REV O�TE vAGE Oi 9to-Ft5 12/3/99 / / 30563 :CEIP�� 75� / pOVED Br 1 LEGAI ��T NO. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. 1 1 Gardena Meloland Gardens SMEET 2 PROPERTY OWNER MAIL AODRFS$ 21P PMONE Bob/Carol Baldorff 6045 Gardena Lane NE 572-9065 J CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Renewal By Andersen 350 73 Avenue NE, Fridley, MN 55432 502-4777 a AiiCHITECT OR OESIGNER MAIL ADCRESS 21P PMONE LICENSE NO. 20130983 5 ENGINEER MAIL ADORESS . ZIP PHONE LICENSE NO 8 USE OF BUILOING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRI9E WORK Replace one window within existing opening 9 CHANf3E OF USE FiiOM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. ��rmit Inspection Car�s �� W�II �e ��iled H��o�ner To Post SEPARATE PERMITS ARE liEOUIRED FOR ELECTRICAL, PLUMBING, MEATING. �'r� v� vv•�• VENTILATING Oii AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WOiiK Oq CONSTRUCTION IONING AUTHORIZED IS NOT COMMENCED WITMIN 80 OAYS. OR IF CONSTFiUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOO OF 120 DAYS AT ANY 71ME AfTER WORK IS COMMENCED. NO DWLG. UNI7S I HEREBV CEFTIFV THAT I MAVE READ ANO EXAMINEO TMIS APPLICA710N 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of �AW$ VAIUATION AND ORDINANCES GOVERNING TNIS TYPE Of WpRK WILL BE COMPLIED WITM WHE7MER SPECIFIED HEREIN Oii NOT. TNE GRANTING OF A PERMIT �1,355 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITfEE PROVISIONS OF ANY OTHEH STATE Ofi LOCAL LAW REGUTATING CON- STRUCTION OR TME PERFOFiMANCE Of CONSTRUCTION �SO.95 S�GNATUpEOFCON'RACTOpOAAUTNOp�2EDeGENT IOAfE� iD�TE� L�T occuPaNCr STA�LS $5.00 OUP OCCUPANCVLOAD CU FT fFSTREET PARKING IGARAGES UFTAX .68 AC CMARGE Fire SC $1.35 i'. 98 S YOUq PEA l � � ri� r i NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER 4Q SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 � BUII,DING PERMIT APPLICATION u� �� Construction Address: �� Legal Description: Owner Name & Address: Contractor: Address: Att lot, LIVING AR�A: GARAGE AREA: DECB AREA: OTHER: Construction Type: �� - Ca�co1 �.�da RENEWAL BY AMDERSEN 350-73RD AVE. NE �RIDLEY, MN 55432 (612) 502-4777 LICENSE #20130983 - r --_ - Tel. # �l� • ��-�•%0(p� MN LICENSE # Tel. # vey of the it to scale. IDg:SCRIPTION OF IlVIPROVEM�IeTT Length Width Height Length Width Height Length Width Hgt/Ground Q__n�__ i . _.._��-- —�--� —� - � _ Sq. Ft. Sq. Ft. Sq. Ft. �� ,��, , � ..� ��a cost: $ � , 35� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ —� DATE: � • � • APPLICANT: Tel. #_ (� I a • � ' � _� CITY U5E ONLY �` � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ 5 n�s � 35 , $ •co� $ $ S� $ $ $ $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �$ TOTAL $ `� STIP TIONS : %=�0 L � �� -O�� r.�,�� o .t! ��/�G �� . �l� , z'.. l � ��-��?� i-<-� i�L� «`��,,�6 ,�- o•� T"/�� !�/E=�� /••/�- o�' � �'� �" ��2�7'`� �, �. � . BUII.DING PERNIIT FEE 5CHEDULE 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 structure, or for any alteration or repair to any existing building or structure, upon 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: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $SO,OUl to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up I��y $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fracrion thereof, to and including $2,000 $69.2� for first $2,� plus $14.00for each additional $1,Q00 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional$1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1, 000,000 $5,608.75 for the first $1,Ot?0,(�0 plus $3.15 for each additional $1,000 or fraction thereof DRYVE��A�.' DEPI2�SSION ESCROi� (Concrete C�rb Streets Only) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to a11ow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. Building [nspections 763-572=3604 �ATE � iTTE ADDRESS � I'HIS APPLICANT IS: PROPERTY OWNER� TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE' LICENSE 9JITH APPLICATION PROPERTY TYPE PERNIIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Y�UR E-MAIL ADDRESS �%VA- LA"I�E �rpwr►� oco�rxa,crox ,�wDx�ss• 60�/ � Cs��+�� !� L/. Pso�: 76 3° S�2 -�j o 6S Permit No.: (?D ISCe� Received By: Date Rec'd: /O S@%n vlI aCOY� SS'�3 z- STATE�1Z�� 2_ STATE LICENSE � Ei� DATE ADDRE�S: CITY STATE ZIP PHONE FAX FA1vID.Y/NEW ❑ BASEMENT FIN1SH �ROOF ❑ DECK ❑ SIDIIJG O SWII�MA u DESCRIBE WORK BEING DONE: a_�'_��7�i ��1t��jf11 icwruv� NUNBER OF SQUARES �JO GAYtAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDIIVG ❑ Vinyl � Aluminum ' ❑ Other . � WIl�IDO�VS I1J II�STING OP�TiINGS OYes ONo OR FOR NEW OPENWGS-DESCRIBE SIZE OF OPENDVG CHANGES 8c REMODELIIdG ❑ HOUSE ONLY �1 HOUSE & GARAGE ❑ ATTACI�D GARAGE ❑ DEfACf�D GARAGE �Soffit ❑ Trim ❑ Fascia LACAITON OF �'INDOWS ❑ DRAiN TILE ❑ OT'f�R �E�� F r i %Z sT�r�� rs Pc.r7 A-2 � WIDTH HEIGHT BASEt�AdT REMODELING SUBMIT: I . Existing Floor Plan 2. Proposed flobr plan 3. List of structural membecs to be used F� FOR NEW COIdSTRUCTION INCLUDIIJG DECKS, ADDI1'IONS. & PaRCHFS SUBMIT: 1. Site Plan/Survey showing the existing strucUues and proposed proje�t, 2. Two sets of conshvction plans 3. Enexgy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $��S'j a � OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Gharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due S�' 7�. 5" See Back Page for Fee Schedule $.�- 65% of Building Permit Fee $ 3, �, � .001 tunes the total job valuation $ f;�!5 .0005 x Perinit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1675 per SAC Unit (Plans to MWCC for determination) $ ft+68= ftx$2I=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ • Agreement necessary { ) Non Necessary ( ) $ /� .,� Make checks aavable to: Citv of Fridlev Attach TH1S IS AN APPLICATION FOR A PERMIT NOT VALID UMIL PROCESSED I hereby apply for a building permit and I aclmowledge 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; that the work wil) be in accordance with the approved plan in the case of all work which requires review and ap roval of plans. SIGNATURE OF APPLICANT PRINT NAME �°�� i� � DATE �� O% --r— Page 2 - Bui.lding Residential �pplication BUILDING PERNIIT FEE SCHEDULE The Chief Build.ing Official shall, before issuing permifs for the erection of any bui.lding or sixucture, or for any ad.dition to any existing building or stru.cture, or for any altera.tion or repair to any existing building or stru.cture, upon application therefore, require the payment by the applicant for such permit of fees to the amount herei.n below set forth and i.n the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for const�uction 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 Certifica.te of Survey of t�e lot, showing the loca.tion of the existing found.a.tion will be required before proceeding with the framing. New Houses Onlv City of Fridley: ,. Build.ing Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 ' Fax: 763-502-4977