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City of Fridley, Minn.
BLTII.DING PERMIT
Date: . � �• •- � • � •- ��. . . . . . . . .
N° 35�9
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Owne� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Builder .� ��l,'�6i . �� ��e;�, . ,�1, ,'�,�', ?'l . ��. � �
Addr�ss ...................................... Address .............................................
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LCaCATIO�IV OF BUILDING
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No. � . a . .��. . . 5treet . . . . .. . . . . . . . . . . . . . . .4���� !�0`�. . . . . Part oP Lot . . . . . . . .. . . . . .. . . . . . . . . . . . . . . .
/� ,�/' f y� �
Lot . . . �/. . . . . . Biock . . . . . � .7. . . . . . . . . . . Additfon or Sub-Division � . . . . .��;/��. . . . . . .
. �,
Corner Lot ............ Inside Lot .. ......... Setback .�� �.. Sideyard ,/..�.::.� .' ...............
DESCRIPTION OF BUILD[NG
To be Used aa: , �
��,,�/ n1 , a
.:1.�6 . . �.... Frant ... ��.� Depth �l:.� Height �.�:.�. � Sq. Ft.��� Cu. Fk ����
�. .
.................... Front ........ Depth ...... Height . Sq. F't. ........ Gtia. F't.
Type of Construction . . . . . . . . . . . . . . . . . . . �lat. Cost. .�� j.� .���. . To be Corapleted . . . . . . . . . . . . . . . . . . .
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Ea consideration of L'he issuance to me of a permit to construct the building de�ibed above, I agree to do
ti�e proposed work in accordance with the descript[on above set forth and 3n compliance witli all provlsions of
ordinances of the dty oP Fridley.
.%e... . .. . . . .... �.. . . ..... ..
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In consideration of the payment of a fee of $. :�T. �, ;� , permit is hereby �ran�ted to . . . . . . . . . . . . . . . . . . .
. . . .. .. .. .. . . . . .. . .. . . .. . to construct the building or addition as described above. This Permit 3s granted upnn
the express condition that the person to whom it is �a.nterl and hta agente. emPloYe� and worlmzen, in all work
done in, around and upon safd building, or any part thereof, shall conform in all respects to the ordine,nces of
FridleY. Minnesota regarding location, cons'truction, alteratlon, maintenance, repair and mov3ng of buildings with-
fn the dty limits and this permft may be revoked at aay time upon violation of any of the provisians of said
ordinances. �
..-.........._..
NOTICE:
Thls pe�mlt does not covar the construation, Ir�etallatlon o� alteratlon for wl�ing, plumbin as heating,
sewe� or watar. Be au�e to see the Bulldlna Inapeoto� t'o� sep�rate parmlts fo� theae Ita
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�� LAND SURVEYOR
TOPOORMXI6 MAHtNO RBGISTERED UNDER LAWS OF STATE OF MINNEiOTA
�IC�N6[D /Y 01101NAN� OF CITY O� YINlILAPOLI�
'"' 3300 LYNDALE AYE 50. MINNEAIPOLI� 8, bfINN.
TAYLOR 4-0370
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I hereby certify that the above is a tz�ue and correct pl�t of a si:rv.ey of:
I:e�t Ten (1C�)� �lock FoQr(1�),�'��:VIL;v T'aIVOR,Anoka County, N:inr�esota.
As surveyed by me tr.is 2ctFi. ���y of' Gctc:;�r 1�K8 A. L�
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City of Fridley, Minn.
BUILDING PERMIT
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Da�; _ June 9�,1967 ,
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�$r. R. Dean Caldwell
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N� 930�
B��, A. B. C. Blacktop Co.
Ad�s 5874 Hackman Ave. N. E. A�� 1308 Ma.in St. N. E.
LOCATION OF BUILDING
No. 5 874 S�t Hackman Ave . N. E. � Part of Lot
Lot lp __ Block 4 Addition or Sub-Diviaion .....� 1'arkview Ma.nor
Coraer Lot _ Insfde Lot Setback ..,_ Sideyard
Sewer IIevatian r. Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as:
Front —. Depth Height Sq. F't. Cu. Ft
Front Depth I�eight � Sq. Ft Cu. F'�
Type of Construct[on Blacktop Drive �� Y $225 .00 M To be Completed July 5, 1967
Ea consideration of the issuaace to me of a permit to construct the building des�iixd above I agree to do
the P�Posed work in accordance with the descrlption above set f� compliance with a�l proviaiona of
ordinances oP the dty oP Fr1d1eY• J,�
In conafderation of the payment of a fee of $ 5. 00 ���t is hereby graated to A• B. C.
Blacktop Co. to construct the buildfng or addition as described above. Thiapermf t fa granted upon
the expresg condition that the person to whom it is granted and his agents, employees anc� workmen, 3n all work
dane in, around end upon said building, or any part thereof, shall coffiorm in all respects to the ordinances oP
FridleY, Minnesota regar�n� laatton, construct�Ton, alteration, maiatenance, repair and movin� of bufldin�a
w�tl�in the dt3' 7imfts ead .h�t a permit may be revoked at aqy time u�n violal3on of aay of the provisiona oP sa�d
ordinaaces.
CLAREN'CE B�LISLE $�� �
NOTIC� I
'�s peem(t doa eof eovsr �6s coetMueHoe, �StalNfioe }e� wiriae, plvmbinp, pa 6eNlns, ww�r er wafsr. 8� wn ro a� �
�In Buildine lespectoe fo� aepuat� prrmlM Poe t6KS If�ta.
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APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
�
OWNER' S NAME R• L�/� /U �° AG�1 Lli �GG- BUILDER , i�. C� .�G� C/�J-p ��
annxESS_ �8 7�- ���G�/�/�� �UE �I.l. �. ADDRESS ��Q�" D�%�3/�1d �SST /(I, �.
LOCATION OF BUILDING
N0. ��� y- STREETI{��//'//.�� /� /%�, /%��� PART OF LOT
LOT g 0 BLOCK �. ADDITION OR SUBDIVISION �,�L�?,��o r,� °��
CORNER LOT INSIDE LOT SETBACK SIDE-YARD
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form two certificates of survey of lot and proposed
building location drawn on these two certiticates.
DESCRIPTION OF BUILDING
�
To be Us ed as ;
� � -- Front Depth � Height
Sq. Ft. Cu. Ft.
- Front - Depth $eight
Sq. Ft. Cu. Ft.
Type of Construction �,f�� � �' jSE��I EstimaCed Cos�,�}�� �
To Be Completed_ � � � S a � ,�' ( `�
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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 ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
DATE ��i�v� �, /�d� % SIGNATURE �� ' - . �7 � ,
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(Schedule of Fee Costs can be found on the Reverse Side).
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BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for the
erection of any building of structure, or for any addition to any existing
buildi.ng;or structure, or for any alteration or repairs 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: .
Ur.iform Building Code: Type 1,2, � 4- $1.75 for each one thousand cubic feet, or
fraction thereof, in such cubical contents. Type 3& 5�$1.50 for each
one thousand cubic feet.
Eor the purpose of computing fees��for building permits, the cubical contents c�f
any building or addition to a uniform height throughout by multipluing the ground
area covered from a point six (6) inches below the floor line of the basement or
cellar to the average height of the upper surface or to the average height of the
roof surface of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the
_ rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof
in the cost of all proposed worka
In no case shall the fee charged for any�permit as set forth in Section 2 be
1 es s than $5 . 00 . .
NSSSD Connection Charges based on location- Area 1 or 2.
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City of Fridley, Minn.
BUILDING PER:MIT
nate: october 29 L 1969
N° 10475
p�; 9herlv Calc��ae].l �� Osborne Constru.c�cion
Adar�s 5874 ��ackmann Avenue N.�. Adarese 75C0 iiniversit� �ven�ae
LOCATION OF BUILDING
No. 5874 street �iack�nann Avenue N'. �. part oP Lot
Lot ��,...� __ Block 4 Addition or Sub-Divfsion �'����� ��Q�
Coraer Lot , Inaide Lot � Setback � Sideyard
Sewer IIevation Fo�mda.tion IIevation
DESCRIPTION OF BUILDING
To be Used as:
_Dam �ront 20 � neptt, 13 �_G�� xe��t 20' sq, Ft, 270' Cu. �t
Front Depth i�eight Sq. Ft. Cu. Ft
Type of Construction rY'�� �, �_$��e 000.00 To be con,�etea �ovem�er l, 1969
In consideration of the isauance to me of a permft to construct the
the proposed work in accordance with the description sY�av set f rth a
ordinances oE the dty oP FridleY• � .
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to do
ns oP
In conafderation of the payment oP a fee of $ 9• �� , permit fs here�granted to 05�Orrie Corist .
to construct the buflding or addition as desc�ibed above. This �ermit is granted upon
the express condition that the person to whom ft is granted and his agente, employees and worlmnen, 9n all work
done fn, around end u�n safd building, or any part thereof, st�all cronform fn all respects to the orainancx� of
Fridley, Minnesota regarding locat3on, construction, alteration, ma3ntenance, repair and moving of bufl�in�s
within the dty ]imits and this permit may be revoked at a�y time u�n violation of aay of the provisiona of ea�d
ordinanc�.
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I� NOTIC�
Tlds psemh d�r nof �ovee �hs eonshneHoe, inslatladoe toe wiAng, phrmbieg, ea 6�aNng, awa er watsr. B� son fo as
fho Buildin8 lespeeto� fee mpuat� parmNs �o� thess h�ms.
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APPLICATION FOR BUILDING PF,E�P'IIT
CITY OF FRIDLEY, MINNESOTA
' ��� �'� � �.� � � `� 7
OWN�c S NAME �,.?�,�..� �,t • �� , A ,� � BIIILDER. '� E r�o,,,� . �-��.
. -
AUDRF�S �� � � � � ��"!�� ADDRESS - � � .
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LOCATION OF BIIILDING
�
� STREEZ' �
NO . � l i �� �? T �. 6���,� �� �'K � � � f ,-�
I,OT BLOCK I� ADDITION OR SIIBDIVISION
CORNER LOT INSIDE LOT �SETBACK SIDEYAR.D
SEWII� ELEYATION TOP OF FOOTING
Applicant attach to th�a form Two Certificatee of Survey of Lot and
proposed building location drawn on these Certifiaates.
D�SCRIPTIOAT OF BIIILDIIVG
To Be IIsed As:
° �' � a
`�'== �� /� Front � � Depth �; (� Height �-�-' �
Square feet � � � Cubic Feet �-
Front Depth Height
Square feet Cubic Feet
Type of Conetruction �� $�,o� p f F`�`���,�stima.ted Coat ������ ��
To Be Completed ��� -%,• �
The undereigned hereby makes application for a permit for the work
herein epecified, agreein� to do all work in atrict accordance with the
City of Fridley Ordinances and ruli.ngs of the Department of Buildixige,
and hereby declares that all the facte and repreaentations atated in
thie application are true and correcto
DATE L� � � � C° � SiGNATURE
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(Schedule of Fee Costs can be fourid on the Reveree Side.)
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BIIILDING PERMIT F'F� SCHEDULE
SECTION 2. The Inspector of Buildi.nge shall, before iseuin� permits
for the erection of any building or structure, or for any addition to any
existing etructure or building,.or for any alteration or repairs to any
exieting building or structure, upon application therefore, require the
payment by the applicant for such permit of fees to the amount hezein
below set forth and in the ma.nner herein provided to-wit:
IIniform Buildin� Code: Type 19 2, & 4-�1075 for each one thoueand
cubic feet, or fraction thereof, iza auch cubical c.nntents. Type 3� 5-
$1.50 for each one thousand cubic feeta
For the purpose of computi�sg fees for building permits, the cubical
contents of any 'builclin� �g�addition to a uniform heig�rt �thraughout 'by
multiplying the ground area covered from a point six (6) inches below
the floor line of the basement or the cellar to the average height.of
the upper eurface or to the avera.�e height of the roof surface of the
ma,in �able of a pitched roof.
For repairs or alteratione to an existin� atructure, the fee shall be
at the rate of �3.00 per each five hundred dollars ($500.00) or
fraction thereof in the cost of all propoaed work.
In no case ahall the fee charged for aaiy permit as set forth in Section
2 be lese than �5.00.
NSSSD Coxinection Char�es based on location - Area 1 or 2.
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560-3450
C�f o Y��le
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ANOKA COUNTY
6431 UNIVERSITY AVENUE NE October 30, 1969 FRIDLEY, MINNESOTA 55421
.�, � � � � ���-�-, T-
TO THE INSPECTION DEPAR� OF THE CITY OF FRIDLEY:
Re: 5874 Hackma,nn Avenue N.E.
The City of Fridley ahall not be held responsible for a:ny settlement,
cracking, or other failure, because the footings and floar were poured
monolithically.
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LE OT-Ceme.nt Co.ntractor
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DE9N R. C�LDWELL-Owp.er Of �� �,
5874 �ackmann Avenue .E. `
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sueaecr MIT NO.
c�ty of �ridley � 14589
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T •
�
� � ECEIPT NO.
� `L _ COMMUNITY DEVELOPMENT DIV. � � � ��
r � � PROTECTIVE INSPECTION SEC.
1 = ,
�` /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY
L""� � ,�� 612-560-3450
910-F15 3/6/78 � �
108 ADDRESS 5874 Hacl�an Avenue N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. l� 4 Parkview Manor SHE T�ACHED
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Shirley Caldwell 5874 Hackman Avenue N.E.
3 CONTRACTOR MAILADORESS ZIP PHONE LICENSENO.
Milton Johnson Co. 2513 Central Avenue N.E. 781-9548
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
B� Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION �O REPAIR � MOVE ❑ REMOVE
8 DESCRIBE WORK
Rc�of Re ai.rs
9 CHANGE OF USE FROM TO •
STIPULATIONS
Builder agrees tha.t this is either 2nd or first roof. Provide
galvanizecl ridged valley.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GHOUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT�ON ZONING S�. 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
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION �' STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
WI H WHETHER SPECIFIEDNH R INIOR NOTOTHE GRANTING OF AO ERMIT $6S5
$ . 50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE P RFORMANCE OF CONSTRUCTION. � $7• 5O
_ PLAN CHECKFEE TOTALFEE
.�' �' % � $8.00
SIGNATUREOFCONT ACTOROHAUTHORIZEDAGEN7 �DATEI EN PR ERLY VALIDATED THIS IS YOUR PER IT
� •'"
SIGNATURE OF OWNER IIF OWNER BUILDERI e10ATE1 BLDG INSP � �"qT�
CITY OF FRIDL�Y
�
APPLICATIOId FOR RESIDENTIAL BUILDING PERMITS
��EW, ALTERATIONS, ADDITIONS, OR REPAIRS)
' OWPJER: �!i i� L� Lf � H���,s,a �- �� BUILDER: �, �T�,il �� e H N s E, �s C�
Address : � � % � — �/�l C' f� �'i� r� �i J c� !�� - Address : � Sl� � �ilv i /�,�I �- � d c� �i�_�.
Te 1. No .: 7� 0- y S��
No. : .5 d` � � Street : ,q � �o Nl ft -� -�l cs �` t� .
LOT:
BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: SLTBACK: SIDEYARDS:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front: Depth: Height:
SquarE Feet:
Fron t :
Cubic Feet:
Depth:
Square Feet: Cubic Feei.:
Heigh�:
Type of Construction: ���,""� � j�,L� Estimated Cost: $(� ,� e� o
7.b Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
• (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 accorclance wit.h the City of
Fridley Ordinances and rulings of the Department of Buildinga, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side for additional information.
DATE : � - fo ` 7 (( 5I GNATURE : � � �,� ,�
a
Stipulations:
�. ��. �� 7`�-�'" � �
��° .e�_ ��
�. ��� �� � �.�
a �
o�
� - -
_ � �� ��
��� s�
� ��
BUILDIyG PER��1IT, FEt SCHEDULE
S�:c.'TION 2. The Inspector of Buildings shall, before issuing pexmits for the erection
of any building or structure, or for any addition to any existing building or structure,
or ior any alteration or repairs 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:
NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet..
PLAN CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
Alternate A: Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x$11.75
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6 feet x$15.40
t: � t � � T � ' � '��3�1
For the purpose of computing fees for bui.lding permits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point si.x (6) inches below the floor line of the basement or th� cellar to the
average heights of the upper surface or to the average height of the roof surface
of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost
of all propos ed ��ork .
In no case shall the fee charged for any permit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge.
VERIFICATIOy OF FOUNDATION
NOTE: Permits for construction will be issued a minimiun of 24 hours from the time
of application to allow for proper review of the proposed structure and of the
construction site.
A Certificate of Survey of the lot, showing th� location of the foundation once it
ha.s been constructed will be reguired before groceeding with the framing.
CtRTIFICATE OF OGCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for v�hich a buildi.ng permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
,, �
�
'�`
SUBJECT PERMI .
City of Fridley 17 6 6 6
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
� � CEIPT NO.
� ; L _ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. ��j/ LI �
� �
1 i �
1 r���ti � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�'----� • •,� 612-571-3450 910-F15 8/20/84
� �
J08 ADDRESS 5874 Ha.ckmann Avenue N.E.
LOT NO. BLOCK TRACT OR ADDITION
1 LEGAL SEEATTACHED
DESCR. �.� 4 Parkview Ma.nor SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Robert Townsend 5874 Hackmann Avenue N.E. 571--1153
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Par Enterprises 6412 Bass Lake Road, (�ystal, NIlV 55428 537-3640
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION �EJ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
R;�xOOf DFTP.�.Zlllg
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be the 2nd layer but not the 3rd. I�stall ridged galvanized valleys.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOH A PERIOD OF 120 DAYS AT
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 CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2 � SOO $1.. Zr'J
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 REGULATING CON- 3S. SO
TRUCT OR TH RMANCE OF CONSTRUCTION. $
� PLAN CHECKFEE TOTALFEE
� g �r-.� $39.75
S NATUREOFCONT ACTORORAUTHO iZ DaGEN'r 1DATE1 WHEN PROPERLY V L TED TH S IS YOUR PERMIT
�
SIGNATURE OF OWNER UF OWNER BUILDERI IDATEI � �" 6LDG WSP pATE
NEW [ J
ADDN. [ ]
pi,TER. I J
Construction Addresa
Legal
C�]
�
City of Fridleq
�R-1 A9D R-2 ,
Building Permit Application
�c �C�J 6l- ,t/ .cJ
Effective 4/1/84
Owner Name & Address : �� '�'�'� � � v1°`'�c � D ' Tel . # �7�� //.l'�
Contractor: �� � � �'r r�i�i s �� _ _ _ _ � • Tel . � ��7—���
Address:
LI9I1�1G AREA :
QARAtiE AHEA:
DECB AREA:
OTHE :R
Attach to this application� a Certificate of Survey of the
lot, With the proposed construction draWn on it to scale.
Leagth
Length
DESCRIPTI08 OF IMPHOYEMENT �� �' �Q�t
iiidth
Width
th
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd. �Setback Side Yard Setback
Type of Construction• �� �� P���� � � Estimated Cost: � ��p� � �
Approx. Completion Date: ��`�`�`�`�"`���J
Alt. A Alt B
Proposed Driveway Nidth If New Opening Is Desired: � �
See Back Page for Explanation
�� ����� o
DATE: �� U � APPLICANT: c Tel. 4�� ��� �
Permit Fee
Plan Check
State Surcharge
3AC Charge
Park Fee
S�rer Nain Charge
TOTdI.
STIPULATIONS:
CITY DSE OPLY
� �O -�� Fee Schedule on Reverse Side
� 25i of Building Permit Fee
� l- � � ` #.50/�1,000 Valuation
� �425 Per SAC Uait '
� Fee Determined bq Engineering
S
���� Agreement Necessary I] l�ot ATeeessary []
�
��
� �� ��
_
._a,.
BIIII.DIAG PfiRNIT FEE SCHBDIILB
The Cbief Building Official ahall� before issuing permits for the erection of any
building or atructure, or for any addition to any existing building or structure� or
for any alteration or repair to any existing building or structure� upon application
therePore, require the payment by the applicant for such permit of fees to the amount
herein beloW set forth and ia the manner herein provided to-vit:
rotal Yaluatioa
=1.00 Lo =500.00
�501.00 to �2�000.00
�2,001.00 to �25�000.00
a25,001.00 to �50,000.00
Feea '
;
�10.00 (Minimum Fee is �15.00)
�10.00 for the first �500 plus
additional �100 or fraction thereof,
�2�000.
�1.50 for each
to and ineluding
�32•50 for the firat �2�000 plus �6.00 for each
additional �1,000 or fraction thereof, to and
ineluding �25,000.
�170.50 for the first �25�000 plus �4.50 for each
additioaal a1,000 or fraction thereof, to and
iaeluding �50,000.
�50,001.00 to �100�000.00 �283.00 for the first a50�000 plus a3.00 for eaeh
additional �1,000 or fraction thereof, to and
including �100,000.
�100,001.00 and up
5433.00 for the first �100,000 plus �2.50 for each
additional �1�000 or Praction thereof.
DRI9EiiAY DEPRBSSIOK ESCROiI
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - DriveWay Width plus
6 feet times a13•50
Alternate pB": Removal and replaeement of curb and gutter and install a 3 foot wide
approach vith 6 ineh depth - DriveWay t�idth plus 6 feet times �15.75
VBRIFICATIOA OF FOIINDATIOp
Permits for construction Will be issued a minimum of 24 hours from the time of
application to alloW for proper revieW of the proposed structure and of the
construction site.
A CertiPieate of Survey of the lot, shoWing the location of the foundation once it
has been oonstructed Will be required before proceeding s+ith the framing.
� � , � � - ---_
- City of Fridley SUBJECT o� 17 710
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � RECEI NO.
� `L _____ COMMUNITY DEVELOPMENT DIV. �� ��
r j � PROTECTIVE INSPECTION SEC. �
� . ,
� � ��"1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�----� • ,�� 612-571-3450 910-F15 �/� 0/$4 / /
JOB ADDRESS�jR��XX 5874 Hackmann
1 LEGAL LOT NO. BLOCK TRACT OR ADDITI N SEE ATTACHED
DESCR. �O 4 Par�CView Manor SHEET
2 PROPERTY O NER MAIL ADDRESS ZIP PHONE
Robert`�fownsend 5874 Hackr�nn
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Par Enterprises 6412 Bass Lake Road Mpls. Mn 55428 537-5599
4 AfiCHITECTORDESIGNER MAILADDRESS ZIP • PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP pHONE LICENSENO.
6 USE OF BUILDING res i denti al
7 CLASS OF WORK
❑ NEW ❑ ADDITION �] ALTERATION ❑ REPAIR � MOVE O REMOVE
8 DESCRIBE WORK
Remove old siding and replace with aluminum siding
9 CHANGEQFUSEFROM TO
STIPULATIONS
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTII.ATING OR AIR CONDITIONING. d�Um�il�im
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 3� 'rJOO �. 75
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- 44. J�O
STRUCTION OP E PERFORMANCE OF CONSTRUCTION.
PLAN CHECKFEE TOTALFEE
� /� - 46. 25
SIGNATURE OF CON i RACTOR OR AUTHORIZED AGENT IDATEI PROPEiiLY VA IDATED THI/$ IS YO P RM T
SIGNATUREOFOWNER�IFOWNERBUILDERI- IDATEI � !i`i��� �����4�4��+"'� ��!/��y
BLDG �NSP �ATE
NEW [ ]
ADDN. [ ]
pLTER. [ ]
C3ty of Fridley
�R-1 AAD R-2 "
Building Permit Application
Effective 4/1/84
Construction Address: �7 O�...f ✓ r�r� iiu�"�
Legal Deseription: �✓% j� '�L 7� �'��.r���i,�� �`'��i+.�'�� ,
Owner Name & Add�ess : � � �' �P° � ���-`�'��`�' Tel . #
Contraetor: /��. � �lL� Tel. � S�7-S�� �
Address: G �/� �a��. ,L /C �� �o�� /�iU S.��fo��
�
LIVING AREA:
GARAGE AREA:
DECH AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to seale.
DESCRIPTIOA OF IlKP80YEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Le Width Hgt/Ground Sq. Ft.
�G•�!'u�� � !/(a%�p�� ciy/'✓l/'✓J7�✓r-, 4�/
Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setbaek
Type of Construction: ��-��%�'��'�= ie��"J Estimated Cost: $�-So��_ '
Approx. Completion Date: �� � ��
Alt. A Alt B
Proposed Driveway Width If New Openin� Is Desired: $ $
See Back Page for Explanation
DATE: ���/�� APPLICANT: �'� Tel. � .�-��-SS�G%
Permit Fee
Plan Check
State Sureharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS•
CITY IISE ONLY
$ •� U Fee Schedule on Reverse Side
$ 25� of Building Permit Fee
$ / 7 $.50/$1,000 Yaluation
$ $425 per SAC Unit
$ Fee Determined by Engineering
$
� � � � `�./ Agreement Necessary [ ] Not Neeessary [ ]
$ �
, : �
BIIII.DING PERMIT FEE SCHEDIILS
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 applicatio n
therefore� require the payment by the applicant for sueh permit of fees to the amount
herein below set forth and in the manner herein provided to-Wit:
Total Valuation
�1.00 to �500.00
Fees
$10.00 (Minimum Fee is �15.00)
�501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each
additional �100 or fraction thereof, to and including
�2,000.
�2�001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraetion thereof, to and
ineluding $25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each
additional $1,000 or fraction thereof, to and
including $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
including $100,000.
$100,001.00 and up
$433.00 for the first $100,000 plus $2.50 for each
additional $1,000 or fraction thereof.
DRIVEiiAY DEPBESSION ESCROiiT
(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
approaeh With 6 inch depth - DriveWay Width plus 6 feet times $15.75
VERIFICATION OF FOIINDATION
Permits for construction r�ill be issued a minimum of 24 hours from the time of
application to allow for proper review of the proposed structure and of the
construction site.
A Certifieate of Survey of the lot, showiag the location of the foundation onee it
has been oonstructed Will be required before proceeding with the framing.
�.
_ .. ,�
FIRE DEPARTMENT MEMO
�
T0: BUILDING INSPECTION
ASSESSING
SUBJECT: FIRE DAMAGED STRUCTURE DATE: 7-23-86
FIRE HAS OCCURRED AT
5874 Hackman
DDRESS
7-22-86
DATE F IRE
,f �
FD-7
SuBJEC7
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i �
� �
� • COMMUNITY DEVELOPMENT DIV.
� �y---•---�
r j � PROTECTIVE INSPECTION SEC.
�
� � �""1 % CITY HALL FRIDLEY 55432 NUMBER aEV.
�'""� � ,�� 612-571-3450 9� 0-F15
JOB ADDRESS �� � �a ��^ ,/� � �
� d � l. '�;d I
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. jQ 4 Parkview Manor
2 PR ERTYOWNER MAILADDRESS
��5�'� 2 � �� R� .ti5� �. :1.��
3 CONTRACTOR MAIL�DRESS
��� ���� ���
4 ARCHITECT OR DESIGNER MAIL ADDRESS .
5 ENGINEER MAILADDRESS
.�
8 USE OF BUILDING
�� �
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION
8 RIBE WORK �
a CL � ���c P A-a �
9 CHANOE QF USE FROM
STIPULATIONS '
���� �o�����
TO
DATE
10/15/86
��
1 r- �� �n���
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, �
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. N0. D
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUAT
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
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- "�
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/� �` �J /�
�/�1��1,��aZ�,�C�' .,��' �� �� ��
SIGNATURE OF CON7RACTOR OR AUTHOR12ED AGENT IDATEI ,
IDA7Ei
ZIP
ZIP
PAGE OF
� �
PHONE
PHONE
PHONE
\
_-�,__
PERMIT .
18701 �
R CEIPT NO. �
aa� �
APPROVED BV
SEE ATTACHED
SHEET
LICENSE NO.
LICENSE NO.
UCENSE NO.
REPAIR � MOVE ❑ REMOVE
�—
ITS OFF
STALLS
SUF
� �
SAC
1 P `�!' �
P OCCUPANCYLOAD
CU. F�—
•�—
STREET PARKING
IGARAGES
TAX �,
� / I /�
CHARGE
4L FEE �
>�i� � ��
IIS IS YOUR PERMIT
N� �� City of Fridley Effective 4/1/8i
ADDt; . I 7 R-1 AI�TD R-2 I
pLTER. Building Permit Applicetion
Construction Address: �� �� "�``���' ��P� ��`�
Legal Description: �
Owr�ez Name i Address :
��L�/` � ��✓� S�s�� Tel . ! �r//-l( �'�'
Contractor: ��� /'l��' �??/� Tel. f %I�- 7.5���
Address: �'�p� ��� f��' ��1L�P' �°��
Attach to this application, a Certificate of Survey of the
lot� With the proposed construction draWn on it to scale.
DESCRIPTIOP OF IMPROYEI''�b'T
LIVING AREA: Length iiidth Height Sq. Ft.
GARAGE AREA: Length Width _ Height Sq. Ft.
DECR AREA: Length iiidth __ Hgt/Ground Sq. Ft.
�-
OTHER:
Corner Lot [] Inside Lot �'] FL. Yd. Setback _______ Side Yard SetDacY.
Type of Construction:
l�'eP�; r �� f e c�af{'�cta�_ Est imated Cost :� ���- �'s�
Approx. Completion Date:
�J �N� �� � �� `� �� `30 t�
Alt. A Alt P
Propose� Drivexay i�'idth If Heu Opeaiag Is Desired: � �
See Back Page for Explanaticn
D�TE: �C�-� �� �5 �a APPLICAtiT : !/`�i���'-' �� G�/d� Tel . � ��d'�--�..� `7��
CITY OSE ONLY
Percit Fee :. ��� Fee Schedule on Reverse Side
Plan Check � 25'l of Building Per�it Fee
State Surcharge � � �•➢-� �.50/�1,000 Valuation
SAC Charge � $�a�5 per SAC Unit
park Fee $ £ee Determined by Engineering
Serrer Main Charge !
, � ��I�� Agreemen*_ Necessary [ ] Not Necessary [ ]
TOTAI. � ,
STIPULATIOl:S :
4 �����
�� �S
���� o
_�`�' ,�v r
��,c,j�J ���3,��
�
��� 3 n�,�
� s�g� �
i
BDII.DING PERMIT FEE SCHEDIILE
The Chief Building Official ahall, before iaauing permits for the erection of ar.y
Duilding or structure. or for any addition to any existiag Duilding or structure� or
for any alteration or repair to any existing buildit� or structure� upon application
tt.erefore, require the payment by the applicant for auch permit of fees to the amount
herein Delox set forth and in Lhe manner herein provided to-vit: '
Total Valuation
=1.00 to �500.00
l�501.00 to �2�000.00
t2,001.00 to S25,0�0.00
i2:�007.00 to 550.000.00
Fees
�10.00 (Hinimu� Fee is �15.00)
�10.00 for the firat �500 plus �1.50 for each
additional �100 or fraction thereof� to and includinE
�2,000.
�32•50 for the first �2�000 plus �6.00 for each
additional �1.000 or fractior thereof, to and
including �25,000.
�170.50 for the first �25,000 plus �4.50 for each
additional �1,000 or fraction thereof, to and
inclu�ing �50.000.
�5G.001.00 to 5100,000.00 �263.00 for the first �50,000 plus �3.00 for each
additional �1.000 or Traction thereof, to ar.d
includinE �100,000.
=100�001.00 and uF�
�u33•00 for the first �100,000 plus �2.50 for each
additional 51,000 or fraction thereof.
DRIVEi�IAY DEPRESSION ESCROY
(Concrete CurD Streets Only)
Alternate "�": Recovsl and replacement of curb and gutter only - Drive�ay Width plu�
6 feet ti�e� �13.50
6lternate "E": Re�oval and reFlacecer.t of curb and gutter end in�tall a 3 foot xi�e
approacr �ith 6 inch depth - Drive�a}• vidth plus 6 feet times �15.75
YERIFICA?ION OF FOUNDATION
FerLits fo^ construction �ill be issued a air,i�um o'' 24 hours froc the time c!'
aFFlication to allo� for yroper revieu of the proposed structure and o:' trc
construction site.
A Certificate of S3:rrey o:' the lot, shoWing tbe locetic^ of tre foundatior, once it
has Deen constructed vill De requir�d before procee��r.g uitt Lhe framing.,
:,P .
�
. �
,
�__., . �
'� `Wl= ��r"`-�_"° : _
- � �
�'!L'�'�=.''�_,; ��?�713��
_�.�.- -
D& D HOME IMPROVEMENT INC.
7401 Central Avenue N.E.
Phone 784-7543 Fridley, MN �5432
This is a proposal to repair the damages caused by fire and
make the following changes at the.above location;
Tear off existing shingles, roof boards, and roof framing,
and haul away. Re-frame both roofs with pre-built trusses having
5/12 pitch, hip design, and 2' overhang. Install new waferboard
roofboards. Install 30# felt, 90# starter, 225# fiberglass
3-Tab self-sealing shingles, and Boston ridge.
Sand interior hardwood floors smooth and re-varnish.
Re-frame upper level bedrooms and bathrooms according to
attached plan including Whirlpool bathtub and adding Master bed-
room 1/2 bath.
Strip exterior walls of 2 upper levels'with 2x2's to allow for
R-19 fiberglass insulation.
Replace windows in upper two levels and front windows in
basement according to plan. Windows to be "Norco" brand wood
windows with "Low E" insulating glass.
The windows included are: �
5-single double hung units
3-twin double hung units
2-approximately 5'-10" 45° angle bays
1-approximately 10' Bow
Replace front door with Therma-Tru metal entry door with
sidelight. We will also be reframing the entry closet larger to
utilize more space in the entry area.
Replace front and rear storm doors.
Page 1 of 3
,
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�
D& D HOME IMPROVEMENT INC.
7401 Central Avenue N.E.
Phone 784-7543 Fridley, MN ►5432
Rewire entire house (does not include lighting fixtures).
Backspray wall studs and sheathing to control smoke odor.
Insulate walls with R-19 fiberglass insulation. ���y
Remove old sliding patio door, frame in opening, and install
new hinged patio door at location indicated on plan.
Sheetrock walls and ceilings, tape smooth, and spray
textured ceilings.
Re-side entire house with Mastic solid vinyl siding and
Hardboard insulating backerboard. Siding has �ifetime Non-
prorated transferable guarantee, 100$ Labor and materials including �
hail damage.
ti
Install new aluminum soffit and facia system on entire house.
Re-brick facing of fireplace with new brick to match as close
as possible.
Install custom oak cabinets in kitchen and bathroom according
to plan. Cabinet style to be selected by homeowner (price may be
adjusted depending on selection).
Install new countertops in kitchen and bathroom.
Install kitchen appliances to be selected by homeowner
(allowance for appliances $ 1,900.00)
Page 2 0� 3 •
�- - — - ---------- _---------- — --
�_
�:_::� .__ D& D HOME IMPROVEMENT INC.
7401 Central Avenue N.E.
-: � :_- Phone 784-7543 Fridley� MN �5432
Install all new oak trim and interior doors.
Paint and stain entire interior excluding basement.
Insulate attics to R-38 with blown in cellulose.
Ventilation chutes will be installed as required to insure proper
ventilation.
Install new fixtures in bathrooms and new ceramic tile. Lower
bath to get new shower base and ceramic walls.
Install new furnace, water softner, and clean heating ducts.
Strip basement walls with 2x2's and insulate with beadboard.
Sheetrock and tape smooth entire basement e�cept for wood
paneled walls. �
New finished flooring 3 levels ($28.00/square yard installed
allowance).
Remove existing deck and haul away, and construct a new
treated deck in new location,approximately 200 square feet.
There may be some additional charges for flooring that
cannot be sanded down adequately and may need replacement. This amount •
will be determined after the new roof is on and the floor has had
time to dry.
Bid includes material, labor, tax, and permit.
All scrap will be hauled away on completion.
TOTAL $ 91,500.00
. .
Page 3 of 3
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c�ty of Fridley
�� 57������ TME TWINS g U I L D I N G P E R M I T
� ; � _���� COMMUNITY OEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
� . ,
i---•� ��"' �'� CITY MALL FRIDLE� SS132 NUMBHN
t 612-571-3450 9t0-F15
�oe no�aess
5874 Hackmann Avenue
t LEGAL L07 NO. BLOCK TRACT Oii ADDITION
oescR. 10 4 Parkvie Man�
2 PFiOPERTY OWNER MAII ADORESS
Robert Townsend
3 CONTRACTOR
Vikin� Home Imnr
d AfiCHITECT OR DESIGNER
5 ENGINEER
8 USE OF BUILDING
Residential
7 CLASS Of WORK
MAIL
ADDRESS
{32 2
ADOFiESS
REV � OATE
IIP
�
28682
REC .
����
Of AVPRpVEO 8Y
�
SEE ATTACHED
SMEET
PHONE
571-115�
PMONE LICENSE NO
ta��
PMONE UCENSENO
PMONE LICENSE NO
O NEW O ADDITION 0 ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and
9 CHAN(iE OF USE FROM
STIPULATIONS
28 Sq) Tear-off
TO
Underlayment must comply with the State Building Code.
SEPARATE PERMI7S ARE REOUIREO FOR ELECTRICAL, PLUMBING, MEATING. ��rc �r �vna� . u�,t,Ur�
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID If WORK Op CONSTAUCTION ZONING SO. FT
AUTMORIZEO IS NOT COMMENCED WITHIN BO OAYS, OR If CONSTFIUCTIpN
OR WORK IS SUSPENDED OR ABANDONEO FOii A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS
I HEREBY CERTIFV THAT I MAVE REAO ANO EXAMINEO TMIS APPLICATION S7All$
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yp�UATION
AND ORDINANCES GOYERNING THIS TYPE OF WORK WILL BE COMPLIED
WITM WHETHER SPECIFIEO HEREIN Of1 NOT. TME GRANTING OF A PERMIT 2399
DOES NOT PRESUME TO GIVE AUTMOqITV TO VIOLATE Oi; CANCEL TNE pERMtT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW pEGULATING CON-
STRUCTION Ofi TME P RfORMANCE OF CONSTRUC710N 7(f
� PLAN CMECK FEE
✓ O'/ �3G -� �'
S�G ATUAE fCON7FACTOpOAAUTNOp�ZEOAGENT IDATE� EN�P OP I
S�GNOTUAE O� OWNEA i�� OWNEp BWLD@pi IDAfEi e� nn ..ce
UP OCCUPANCVLOAD
CU FT
FSTFEET PARKING
IGARAGES
HARI
� �
.FEE
:IS IS Y'Up P�MI%
/I � ,I 1
r��tE
NE� ° L � Effective 111/98
ADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION b� �
�� �
ConstructionAddress: -��} y /��c`�� s- ��✓ /,� v��, d- . �
Legal Description:
Owner Name & Address: , `�`����,,�, �� ,,� �; P� �I Tel. # �'�t -� ���
Contractor: ��'�K2�c� �/o�� ��� � � U. MN LICENSE # Y?? z
Address:_ ���,� � � s 7'. i,f-�� � Tel. # -��� � � � 2 �
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.
Length
Length
DESCRIPTION OF IMPROVEMENT
Width
Width
Length Width
Height Sq. Ft.
Height Sq. Ft.
HgdGround Sq. Ft.
Construction Type: /,,� � f,�� ��� Estimated Cost: $ �� ��"
� (Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$
_$
DATE: /� I - � � -��' APPLICANT: � �� � �—_ Tel. f{ S7z `/� z �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �
$ �
$ ,�6
$
$ S - D�
$
$
$
$
$ 8 3s�
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1 / lOth %)
$.50/$1,000 Valuation
$1000 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 [ ]
�, - .��.
BUILDING 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 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
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY 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 construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certi�cate 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.
TO: Address File PW99-094
FROM: Jon H�kaas, Assistant Public Works Director
DATE: April 29, 1999
SUBJECT: Curing Compound on Garage Siding
The current owner of 5874 Hackmann Avenue, Mr. Robert Townsend, first contacted us
on October 21, 1998 regarding curing compound over spray on his garage siding. Mr.
Townsend claims that the spray was from when the concrete curb and gutter was
installed on the Hackmann Area Improvement Project. Investigation showed that no
other property on the project had this problem and that Mr. Townsend had contracted
separately with the concrete company to have a concrete driveway installed. We must
conclude that the curing compound on his garage siding was from the driveway
installation and therefore, a private matter between Mr. Townsend and Halvorsen
Concrete, the concrete contractor. This was told to Mr. Townsend during subsequent
discussions on October 23, 1998 and November 2, 1998. Mr. Townsend claims that
Halvorsen was unresponsive , other than saying that the compound should wash off
with soap and water. This did not work but the scrubbing damaged the finish on the
aluminum siding.
Mr. Townsend contacted us again on April 27, 1999. and was again told that this was a
privatematter between him and the contractor.
JHH:cw
�