AF - 46757, �
�it� of Fridley, �i�un..
�
BUILDING PERMIT N° 3 5 6 5
�►�: . . . l�". . . �. -. `S`�. . . . . . .. . . .
, ,
ow� ....................................... su�a�r .............. ........................
Address...................................... Address ............... .............................
` j�8 LOCATION OF BU[LDING
No. .{.�l:.-.... Street . . .... . . .. ... ...�����.... Part of t ...... ....... .. ..
I.flt ...�[.Q..... B2ock ... �... .... ..... Addition or Sub-Dftrisian . .....��!�W!.....
�.
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ...........................
DESCRiPTION OF BUILDING
. ` � ` �o
.
' . . . . . : . . . . . �m �!.� � n�nch � 5! : � H�nt ./. .`�. :': a sq. r�. /, o ��! c�. �. 0�'1 � l� � ._.
,�.r7'. . . . � . f�. . � �. ./: : � H��t 1.4. . : a" sq. �. a�:8: � �. �. � �o y �
1`ype of Construction . . . . . . . . . . . . . . . . . . . is�. ('.ost. . liJ }�� R . . .�.""�. .'. . To be Coznpleted . . . . . . . . . . . . . . . . . . .
�G�i�C�r+ � ��',.Gc�c �3 .c���= �3 o C`"%�
� !/
In canaideratian oi 1l�e is�ance to me oi a pernnit to oonstcuct the building dest
the proposed work in accordanoe with the des�iptiam above set forth and in co�p '
ordinances of the dty of Fridley. �
.� .. . .... ...
above, I a�ee to do
with all grovisions of
In vonsideration of the payraent of a fee o! i��! .�.�.' . �. •. Pernnit is hereby gra�tCed to . . . . . . . . . . . . . . . . . . .
. . . .. . . .. .. .. .. . . . .. . . .. . to construct the buildi�og ar additioa� as described above. This pecmit is granted upon
the express eondition that the person to whom it is �ranted and his ageuts, employees and worlmnen, in all wark
done in, around and upon said building, or any part ffiereof, shall ooa�form in all respects to the ordinenoes of
FridleY, Minnesota regarding lceation, consCn,tetta�. alterat3on, maintenanae, repair and moving of buildings with-
in the city limits and this permit may be revoked at sny time upon violation of any of the provisions of said
ordinances. —
..r ..................
NOTICE:
This permit does not cover tfie construatfon, installation or alteration for wirin�, plumbi�, Sas heatiny,
sawar or watar. Be suro to see the Buildirtp fnspeotor fo� separate pene�its fo� tbese items.
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City of Fridley, Minn.
BUILDING PERMIT
Date: May 9, 1969
��o ��
N° 10224
Owner: _ Arnie Ristamaki g��. Dailev H�r�.___.---......._...._..---.._..._..
128 Hartman Circle 8510 Central Ave_,___N.�.__E, _
Address ........._..__._....._._. _ Address
LOCATION OF BUILDfNG
No 128 � S�t � Hartma.n Circle __._. p� of Lot
�_ 10 �__ Block _.1 .. Additian or Sub-Divisi�► _....__ Sandhuss t Addn .
Corner Lot �__.._.____ Inside Lot _.___.�
Sewer IIevatia�
Setback ._..._._._._._ Sideyard
_..__ Foimdation Elevati�
DESCRIPTION OF BUILDiNG
To be Uaed as:
Addn to Garage _�t 12' �p�28'%$' g�t 10' �, �-t, 336 �, �, 3380
____ _._._...._ �Yont Depth �__._. Height _ Sq. Fk Cu. Fk
Type of Conatruction _ Frame ����2, 000. 00 ._._ To be Completed ___
In cons[deration of the issuance to me of a pernut to construct the b' g described abav I to do
th� p�opo.ed work in accoidance with the descriptioa above �t f^�*�+� � P1ian� wi 1 �avisions of
a�liaances of the city o! �idley. C_�
�
Ea coosfderatiaa of the payment of a fee of � 5.00 ���t ��by �� � Dailey Homes
to c�struct the building or additiar► as described above. Thispe rmit is grsnted upai
the exprc�ss c�ditioa� that the person to whom it is granted and his agents, employees and worlmien, in all woTk
done in, around and upon safd building, or aqy part thereo� shall oonform in all respects to the ordinances o�
Fridley, Minneaota regarding locati�, constructim, alteratlon, maintenance, repair and moving of buildin�
wi� dty limits and this permit may be re�vaited at aqy t�me upari violation of any of the provisio�ns of said
1 �,
Clarence Belisle
I
I N07iCE:
7W p�M deM � eow Nw eoWrodtoe, k�q�H� iw� w4inw P�+��. Ya MaNn�, s�w�r or wabr. M wn to sM
ih� WiWip h�pwer for s�p�rah P�ib for f6�w k�u�.
� � .
OWNEEt 'u NA1�F;_�
AD'DRESS %
APPLICATION FOR BITILDING PEftMIT
CITY OF FRIDLEY, MINNESOTA
. ,
e <�� Q /. BUILAE�t P�- lJ/n �J
T� A� L�B �/�C ADDRESS S%� �'`r'�/l� �
I,OCATI N OF BITII�DING
NO .� STR.EET 6Z. � �C /l� / n �
LOT � BI,OCK / 9DDITION OR SUBDIVISION
CORNIIt LOT INSIDE LOT SETBACK SIDEY9RD
SE'WF� F;T�EV�TION TOP OF FOOTING
Appl�Cant attach to this form Two Certificates of Survey of Lot and
proposed building location drawn on these Certificates.
vr,��. '
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DESCRIPTION OF �[JILDING
,�l i //� ��� �� CJf a � �—J �.0 2 A' ��
To Be iT�ed As:. C� Z
/ (i�
1 � Front Depth Height
�., , .
Square feet 3� 4O Cubic Feet 3 3 t� �
�
Front Depth Height
Square feet Cubic Feet
Type of Conetruction Estimated Cost �fJ���
To Be Completed ( � fJ.�G �� ���
The uxa,dereigned hereby makes application for a permit for the Work
herein sBeeified, agreeing to do all work in strict accordance with the
City of Fri.d�.ey Ordinances and rulixigs of the Departme of Buil ' ,
and hereby decl�ea that all the facts and represen ta�
this appli,Gation are true and correct. �_ b
D1TE SiGNA �
(Sche�.ule pf k'ee Gosts can be found on the Reverse Side.)
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sua�ecr PER
City of Fridley " - -
AT THE TOP OF THE TWINS B U I L D I N G P E R M I
i � RECEIPT NO.
� �
� ` .__� COMMUNITY DEVELOPMENT DIV.
r � y � PROTECTIVE fNSPECTION SEC.
� �
1 . �
� � r"'1 � CITY HALL FRIDIEY 55432 NUMBER pEV. DATE PAGE OF APPROVED B�
�""'� � ,�� 612-571-3450 910-F15 � �
6/17 80
J08 ADDRESS 128 Hart�nan Cirele N.E.
1 IEGAL LOT NO. BLOCK TRACT OH ADDITION SEE ATTACHED
DESCR. ZO 1 S3I1C�Y111rSt SHEET
2 PROPERTY OWNER MAI� ADDRESS ZIP PHONE
Arnie Ristamaki 128 Hartman Circle N.E.
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Dailey Iio�es 85I0 Central Avenue N.E. 784-3910
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW X ADDITION ❑ ALTERATION� ❑ REPAIR � MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 14' x 14' House Additi,on
9 CHANGE QF USE FROM TO
STIPUL�ITIONS
Need Energy Calculations for Addition.
WARNING
SEPERATE PERMITS REQiitRED FOR V�tRit�G. � d�in� c�t �owt utilities
M,EA1ilVG, PtUM61NC AND SICNS. �E�ONE • EIEG'�RiC - t3�►5 �tc,
REQUlRED BY L,�W
� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAI, PIUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOCI Fr$IIL@
THIS PERMIT BECOMES NULL AND VOID JP WORf( OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 6(1 DAYS, OR IF CONSTRUCTtON
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ].9G
ANY TIME AFTER WORK IS COMMENCED. NO: DWLG. UNITS OFFSTREET PARKING
I MEHEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
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 Ofl NOT. THE GRANTING OF A PERMIT $%�300 $3.F)S
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-
STRUCTI N OR THE PERFORMANCE OF CONSTRUCTION. 4�j.00 NONE
P�AN CHECKFEE TOTALFEE
� ' N� ,�,� � 11.25 59.90
. NAT E FCONiFACTORORAUTHORIZEDAGEN7 � � IDATEI �_�_ b.� WHEN PROPERLY IDATED THIS IS YOJJR ERMIT
�:, ` �v
SfGNATURE OF OWNER�IF OWNER BUILDER� � I�ATE� BI.DG iNSP npTE
�. _
, . . ..__.._ ,. -, ,_ _ . . _ , ,.
CITY Or f"RIDLCY • •
� : �TM�
/1RPLICl1'('l.0ad FOR (tESIDCPlTIAI_ QUILUIPlG PERP�iTTS
' (fdc��r, A11:erati�ns, /ldditions, or Repairs) � �
Ot'lfrEft: � - - � � ���`,.,,,��� - L'UILDCR: ��.►�.v�► �s^
/1DDRESS: ���,..,��e lIUURESS: �Slb Q,�-Q,
TCL N0:
TEL (�0: 7��(— �„G 1(�
Construction Location
STR13I�:`�' NO: %� ST12�ET: �.n�hw ` ��.�
LOT: . �� BLOG"t'.: �_ 11DDITIOId : � 1Ji� �t� ( .
Corner Lot: Insicle. Lot: SetbacY.: Sideyzrds:
A��plicant attach to this form t�ao Certiiicates of Survey of lot and '
proposed building location dra��n on certii'icates to scale.
DESCRIPTIOIJ OF CONSTRUCTION �
�j���� �DtJ rront: �%� � �p�; _ /� � Iieight: �C� /
Squa�e. Feet_ � Ci (e Azbic Feet:
Front: Depth: Height:
Square� I'eet: GUbic Feet:
i � .Uv
�`ype of Construc�ion: U.�-���•.�-�l�U� �iQ,�}(iL� �stimated Cost: '���
7U Be Oompleted:
Alt. A Alt. B
P.roposed Driveway Width If New Opening Is Desired: $� $
� S�E RBVERSE SIDE OF SHEET .
�'he undersigned hereby makes application for a perznit for the work herein speciiied,
agreLing to do all work in strict accordance with the City of �'ridley Ordinances and
rulings ot the DeparilnenL' of Buildings, and hereby declares i:haL- all the facts and
represeni:atioris stated in this application are true and correct.
D11TE: ���— $G SIGNAiUR�:
/
stipulations:
U��CO ��+Ento4 C�c Cuc.err✓Jr,
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a�' A� a�c� A.D /9�. - - .?
' SUBURB�UV El1(GIIVEERING, ING.
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L? i � � / 7�=�C:� 1" = 3r�' .-"' � � " /"� ! �`�.. ��� �..� --_. _ � _
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AlX other constructioit Sitc Adcli-�+ss / , � �„
D.1te _Fhoiie Otl���r_ l �X 1 �_
T.INI:AT I'T. OF
EXPOS�ll [JALL
OPAQUE WALL CONSTRUGTION:
, �F�SIC Lt�RL,L_
Detail �'r �►v« Rr��
reference
from i ��
attached ,
Fheets _�j�iv +�Tro�J
�
P'T. A2tOVT: G}tAD� �
TO'I'AT. EXYOSED idALL AREA SQ. FT.
"U"VALUF. SQ. FT.
� 0�^x 19 �3
� / i � X��`�---
X
__ � C�� x 3 r.
-�
-�-�____x ��,
x
x
� x
x
x
x
x
wzr�nows :
Make � type Qo LL.+Pr � 3� x $!o
n n X
n �i X
n i� X
Door.s : r
l�ke & type ,�-g �-1 C 4JiC0�vi h ► a s X_ /�_
n u X
n n -
X
�� ��
(Uj (A)
= l�r�%
_ �-}, o S
_ �!o `
= 13 �3
_
_
= a9.��^
�
_ �. � �
_
X =
TOTALS 3 �I Sq.Ft. (U) (A)
TOTAL (U) (A) VALUJ:S DIVIAED RY �% ,��_ = � � � �o AVG. "U"
TOTAL WALL AREA
�
R��OF/C� I1.ING:
, TC17'111. ARI�A: i 9� sq. ft.
neka�� ��sfc Ge.�Z�►•r� .�3a x � 7f� = S(� 3
reference ��r1e A-►^P �4 _ � Q� 1„ X^_�� ° 7�
f roni �
X a
a t tached X =
sheets X =
, � TOTIILS � q Sq.Ft. �o ��S iU) iA)
TOTAL (U) (A) VALUGS DIVIDI:D I3y l�Jlo /(o• �� a , D 3`� AVG "U"
TOTAL ROOP/C�ILING AREA
AVE1tAGE "U'�
1 � 2 �nmily WallK .17
All other wnlls .2'I
Vented Ccilings _�____ �,.� U
All othcr ccilin�;s ,�`0 �
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�J �.'ALUi, (�AT�CULATTC�NS
R VALUE
Inside air film 6g
Interior wall .�
Insul ,tion
�i,DC�
Shc��thing "Z���
� �� ��
Siding
Outside ai.r film .17
R TpTAL � �� �`� �
Inside air film .6F;
Interior wall `� �
4" stud R = 4.38
Sheathing �.cl�;
S iding ,lo �
Outside air film .17
R TOTAL � • `{' I
Inside air film R = .68
,,,,,,.,,,,,,,_ I nt er ior wa 11
� Insulation
��Sheat hing
�Exterior wall coverinq
,.�Exterior air film R = .17
R TOTAL
�
�
U V1�LUE
1
(Wal].) U = R =
���.,-�
1
(Framing) U� R= � I q
' ,. �
(Wall)Z v � 1
R �
� ,1 .�
r
}r Y
�t
Interior air film R = ,68 � � . '
• _.w., ^Inaulation �I.DD 1
~ 1� inch soft wood R= 1,.88 �Ri� V= R� ia�j�
Sheathing � Olo Joist)
__Exterior wall covering 'b� ��
Exterior air film R = .17 � ,
' R TnTAL lb; � -
�,Interior air film R = .68
,,,,Znsulation � ..l .jz :
Foundation � • a� (Fdn. ) U a .R � � ..i ��,
....Exteri�r air film R = •17 � t
�.13 �
� -��`�---., Expos ed A 1 ock
.....q...
- � � t �"�-�- _ y .
� � � �.
r_r:.r�n
0
CEILING WITH A`I'TLC SPACL ABOVE
F R11 MI NG
3
,_ , �,. Air Film + ��
� �- '- '� � Insulation ?j �? . C} r�
�- � ' �-�' Joist
� �'� �� Ceiling � � �
, j
� '�' Air Film � �1
•------�--1-�---� ���`-- Total R � � � 7�
-�-_ _`r � �� _ U = R � 1.�:�^Z_ ____
FL,AT ROOF OR CATHEDRAL CEILING
F RAMI NC'�
_ inside air film
� Cei Ling
Joist {stud)
Insulation
__ �__ __ Air Space
___ _ _J__ _^Itoo f Decking
� Insulation
_lBuilt-up Roof
outside air film
Total R
1= U
R
CEILING
Window infiltration .5 cfm;%lineal f�ot of crack Minimum
Door infiltration 1.0 cfm/lineal foc�t of crac:c Code
PBtio door �nfiltr<l�i<�n .7�> c�fm,'l�nc��l fc�ot ��f crack Requiremet�t
Residential doc�r i �if i t tr,�� ioi: 1. ?. `� c�f ��t/1 i ne�,1 fc�ot of crack
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City of Fridley � 3�� �
AT THE TOP OF THE TWINS g U I L D I N G P E R M i T `
r
� i RECEIPT NO.
� • COMMUNITY DEVELOVMENT DIV
' ; L' �
r � '� PROTECTIVE INSPECTION SEC. f��'
� . �
� � �"'1 � CITY HALL FRIDLE� 55432 NUMBER nEV oarE v�GE oc ♦cnROVED Br
�----�'"• •', b12-571-3450 910-F15 4J14/95 / /
JOB ADDRESS
128 Ha�man Circle NE
1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. lO 1 Sandhurst Addition SHEET
2 PRQPERTY OWNER MAIL ADDRESS ZIP PHONE
Ruth Mueller 128 Hartman Circle NE 572-2311
3 CONTRACTOR MAIL ADDRESS ZIP PHONE IICENSE NO
Same
4 ARCHITECT OR OESIGNER MA1L ADDRESS ZIP PHONE UGENSE NO.
5 ENGINEER MAIL AODRESS 21P PHONE IICENSE NO
6 USE OF BUILOING
Residentia�i
7 CLASS OF WORK
� NEW ❑ ADDITION � ALTERATION O REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Kitchen Remodeling
9 CHANGE Of USE FROM TO
STIPl1tATIONS
Provide smoke detectors adjacent to all sleeping areas.
SEPARATE PERMITS REQUIRED FOR
WtRiNG, HEATtiiVG, PLUMBING AND SfGNS.
tYPE OF CONST. OCCUPANCY GROUP OCCUPANCV IOAD
SEPARATE PERMITS AHE REQUIRED FOF ELECTR�CAL, PLUMBING, NEAT�NG.
VENTILATING Of± AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. PT CU FT.
AUTMORIZED IS NOT COMMENCED W�THIN 60 DAYS, OH IF CONSTqUCT10N
OR WORK IS SUSPENDEO OR ABANDONED FOR A PER{00 OF 120 DAYS AT
ANY 71ME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
1 HEREBY CERTIFY THAT 1 HAVE AEAD AND EXAMINED THIS APPLICATION 1 STALLS GAHAGES
ANO KNOW THE SAME TO BE TRUf ANO CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOHK WII,L 8E COMPLfEO
WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING Of A PERMIT �LS�OOO �%.SO
OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL 7HE pERMIT FEE SAC CHARGE
PqOVIS10NS OF ANY OTHER STATE OR IOCAL LAW REGULATING GON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �1�Z.00 Fire SC �I.S.QO
PLAN CNECK FEE TOTAI f EE
$184.50
S�GN ON'AAC RAUTMORIZEDA NT �DATEi WHEN PR VA TED THIS tS �OU PERMIT
.._
�-� ���.�
SiGNATUF7EOF pWNER��F OWNEA U�IDEA� �OATEi lOG �NSP �iLjE
NEW
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ALTER
if
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ConstructionAddress:
Legal Description:
Owner Name &. Address- ,��--/� �����>s���'/� Tel. # �7�- �-//
Effective 111 /95
C[TY OF FRIDLEY �f3� �
S[NGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Applic;a.tioa . ,
�
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTAER:
MN LICENSE #
Attach to this application, a Ceitificate of Swvey of the
lot, with the proposed con.�ruction drawa on it to scale.
DESCRIPTION OF IMPROVEMENT
�ng� Wl�h Height
�Qg� Width Height
i.en�th Widttt . Hgt/Ground
Tel. #
Sq. Ft. _
Sq. Ft.
Sq. Ft.
Comer Lot Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Constcu tion: Estimated Cost: $/�v00
Approx. Completion Date:
(Cost on Back)
Dtiveway Curb Cut Width Needed: Ft. + x$ _$
DATE: �/y��pPLICANT- Tel. #�%� �.�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ I � - i�a
$ rs,. o0
$ '� . 5 b
S
$
$
$
$
$
('ITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth°b)
$.50/$1,000 Valuation
$850 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" � Alt. "B" Above
$450.00 Coa�►ation Plan Review
Fee Determined by Engineering
Agreement N�c�r ( ] Not Necessary ( ]
$ �� ,
���;� ��� ����� � �����
� � �
sue�ecT E MIT
City of Fridley � .� � ;� 8
AT THE TOP OF THE TWINS g U I L D! N G P E R M I T
r
� � RECEIPT NO.
� ` _____ COMMUNI7Y DEVELOPMENT DIV.
r � V � PROTECTIVE INSPECTION SEC. �� ��
� .
1 � i
� � �""1 � CITY HALL FHIDLE� 55432 NUMBEH NEV OATE P�GE OF l�pPAQVED 8�
�____J`; '., 612-571-3450 9t0-Ft5 8/22i95 j /
�oe nooaess 128 Hartman Circle NE
t LEGAL ��T NO. BIOCK TRACT Op ADDITION SEE ATTACHED
DESCR. ].O 1 Sandhurst Addition sHeEr
2 PROPEHTY OWNER MAIL ADORESS ZIP PHONE
Ruth Mueller 128 Hartman Circle NE 572-2311
3 CONTRACTOR MAIL ADDRESS Z�F PHONE LICENSE NO
Same
4 AHCHITECT OR OESYGNER MAIL ADDRESS ZIP PNONE LICENSE NO
5 ENGINEER MAII AODRESS Z1P PHONE LICENSE NO.
6 U5E OF BUILDING
Residential
7 CIASS OF WOHK
Cl NEW O ADDITION p ALTERATION �1 REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (32Sq) Tear-off
9 CHANGE OF USE FROM T�
STIPULATIONS
Underlayment must comply with the State Building Code.
TvPE OF CONST. OCCUPANCV GROUP QCCUPANCY �OAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUM8ING, HEATiNG,
VENTII.ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULI ANO VOID IF WORK OR GONSTRUCTION ZONING SQ. FT CU FT.
AU7HORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF GONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTEA WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING
I HEREBY CERTIfY THAT I HAVE READ ANO EXAMINEO TMIS APPLICATION 1 STAIIS GAqAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SUFTAX
AND OADINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED a
WITH WHETHER SPECIFIED HEREiN OR NOT. THE GRANTING OF A PERMIT $2,560 �p1.2H
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING GON-
STRUCTION OR THE PERFORMANCE Of CONSTRUCTION �%/;.75 Fire .SC �2.56
VLAN CHECK FEE TOTAL PEE
78.59
SiGNar F N'RACT RAUTMOA�ZEDAGENT � A7E� N P P RLY VALIDA THIS IS YOUR PERMIT
�
5� OwN EABU�L Ai i AiE� BtDG � 5� ��titE
s. t _.
NEW
ADDN
ALTER
il
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CoaShvctionAddress:
Legal Description: _
Owner Name & Addr
Contractor: Go�
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
�--
Effective 8/2/95
Tel. � -.�-r7� �
MN LICENSE #
Address: �� • � . �'�/� . �� Tel. # ,10�s�'���
� _
Attach to ttus application, a Certificate of Survey of the
lot, with the proposed con�struction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECg AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Lengt� Width HgtlCmound Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd Sei�Ck Side Yard S�cks
TyQe of Con�struction: Fstimated Cvst: S�� '�? �
Approx. Completion Date:
(Cost on Back)
Driveway Ctirb Ct�t Width Needed: F� + � Ft x$ _$
DATE: �� � APPLICANT: � Tel. # �%� ��/
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPIILATIONS:
� 7�- ��
� �.��
� �. ��
$
$
$
$
$
$
$ ���
� �!
Fee Schedule on Rev�se Side
.001 of Permit Valuatioa (1llOth%)
$.50/S1,Q00 Valuation
5850 pea SAC Unit
55.00 (State Lice�sed Resid�tial Contractors)
Alt. "A" or Alt. "B" Above
5450.00 Con.secvation Plan Review
Fee Determined by Engineering
Ag�eement Na�essary [ ] Not Necessary [ ]
� ' � � SuB�ECT .. � � � � � IT .
c�ty of F��a�e� 3 5�0
AT TME TOP OF THE TWINS gu � � p � N G P E R M i T
� RECEIPT NO.
� .
� �
� ; y__��� COMMUNITY OE�EIQRM�NT 01V. ��� if
f � � oROTECTIYE INSPECTfON SEC. �
� . ,
`•-__� �"' �'� CITY HA�L FRIOIE� SS�32 NUMBEp NEV OATE P�GE O� �v/AOVEO Br
L 612-57�-3450 9�aF�s 4/26/02 / /
�oe �ooaess 128 Hartman Circle NE
1 IEGAI �OT NO. BLOCK TRACT OR ADD�710N SEE ATTACHED
DESCR. ],O 1 Sandhurst Addition SMEET
2 PROPERTY OWNEH MAII AOORES$ Z�P PHONE
Stanley Cupryna 128 Hartman Circle NE 571-3180
3 CONTRACTOR MAII ADDRESS ZIP PNONE LICENSE NO
Same
� ApCHITECT OR DESIGNER MAI� AOORESS ZIP PNONE LICENSE N0.
S ENGINEER MAII. AODRESS 21P PNONE LICENSE NO
6 USE OF BUIIDING
Residentiai
T CLASS OF WORK
�1 NEW O ADDiT10N O ALTERATIQN ❑ REPAIA O MOYE O f�EMOVE
8 DESCRIBE WORK
Construct a 26' x 26' 2nd Garage
9 CHANGEOfUSEFROM TO
STIPULATtONS
See stipulations on app�oval for SP 4�01-11 dated November 5, 2001.
See stipulations on p�an.
SEPARATE PERMtTS WARNING
REQUIREO FOR:
�, H Before digging ca11 for
i��� �y�p�� all utility locations
4540Q82
��+Q►�l���Q Q�( �.AW
SEPARA7E PEqMITS ARE RE�UIREO FOR EIECTRtCAL, PLUMB{NG. NEATING, 7YPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAO
VEN711.ATING OFi AIR CONDITIONING
7HIS PERMIT BECOMES NULI ANO VOID If WORK OR CONSTRUC710N 20NING SO- fT CU FT
AUTHpRIZED IS NOT COMMENCED WITHIN 60 OAYS. OR IF CONS7RUCTION 1
OR WOf±K IS SUSPENOED OR ABANQONED fOp A PERI00 OF 120 pAYS AT
ANV TIME AFTER WORK IS COMMENCED. ' NO OWLG. UNI7S OfFSTREET PApK�NG
1 MEFiEBY CERTIFY TNAT 1 MAVE REAp ANO EXAMINEO TMIS APDLICATION 1 STA�LS GARAGES
ANO KNOW TME SAME TO 8E TRUE AND COFRECT. ALL PROVISIONS OF �AWS VALUATIpN SURTAX
ANO ORpINANCES GOVERNING 7H15 TYPE Of WORK WILL 8E CpMP�lEO
WITM WHETHEfi SPECIFIEO MEREIN Op N07 TNE GflANTING Of A pERM1T �13,837 $6.9Z
OOE5 Np7 PRESUME 70 GIVE AUTMORITY TO VIOIA�E OR CANCEI THE pEpMIT fEE SAC CHARGE
PROVtS10NS OF ANY QTHEFi STATE OR LOCAI. lAW REGUTATING CON• $237.25 Fire rJCi �13.8�F
STRUCTIQN OR TME PERfOfiMANCE Of CONSTRUCTION
P(.AN CMECK fEE TOTA FEE
$ 58.01
5� N TUpEO�CON"A pOpAUTNOp�ZED�GENT IOATE�
E Pp Y VALIDATE TNiS IS �O PERM�T
TU E � WNE �rG N AB O R� �D�1Ei . �h$p ' � '���'��
NEW
ADDN
ALTER
I 1 CITY OF FRIDLEY
I � 6431 University Ave NE, Frid�ey, MN 55432
I� SINGLE FAMILY AND DUPLEXES R-1 AND R 2
BUILDING PERMIT APPLICATION
.
Construction Address:
Etfec6ve 1/12002
(763) 5723604 Bidg insp
�`
�� ���
��
Legai Description: Lo �` / O ,d (�v �/c � ,sf}�cJl� /,��t 2 s j �� ' f, �o y�
Owner Name 8 Address: .�7� c- � i Tel. #�'"7/ ���% �v
Contractor. _ se�,l MN IiCENSE #
Address: Tel. #
LMNG AREA:
GARAGE AREA:
OECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construdion drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length �_ y�� � Height �/d Sq. Ft /
Length Width HgUGround Sq. Ft
Construction Type:_ l�/o o r� � Estimated Cost: $`�3 � 3_ /i ��
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: 7%/ O� APPUCANT Tei. #_ 37/— �� /v
Call (763) 572-3604 for Pemnit Fees if mailing in application o ax to 763-571-1287 if using credit card and we will
cail you fo� card number.
PeRnit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
$ O� 3%, a5 Fee Schedule on Reverse Side
$ /3 � .001 of Permit Valuation (1/10th%)
$_l�� � Z $.50/$1 �000 Valuation
$ $1200 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 [ ]
$ � ��' �� STIPULATIONS:
_
_
CfiYOF
FR[DLEY
FRIDLEY MUNICIPAL CEi�'TER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
CITY COUNCIL
ACTION TAKEN NOTICE
November 6, 2001
Staniey Cupryna
128 Hartman Circle
Fridley, MN 55432
Dear Mr. Cupryna:
On November 5, 2001, the Fridley City Council offiaally approved your request for a Speaal Use
Permit, SP #01-11, to allow a second accessory structure over 240 square feet, legally described as
Lot 10, Block 1, Sandhurst Addition, generally located at 128 Hartman Circle.
Approval of this special use permit is contingent upon the following stipulations:
1. Petitioner shall install Code required hard surface driveway within 12 months of
issuance of the building permit.
2. Petitioner shall obtain all necessary building permits prior to construction.
3. The structure shall not be used for a home occupation or living area.
4. All vehicles shall be stored on a hard surface as approved by the City.
5. Total square footage of all accessory structures must not exceed 1,400 square feet.
6. Garage shall be architecturally compatible with existing home.
You have one year from the date of City Council action to initiate construction. If you cannot
begin construction in time, you must submit a letter requesting an extension at least three
weeks prior to the expiration date.
If you have any questions regarding the above action, please call me at 763-572-3590.
Sinc ely,
r �
S ickok /
Community Development Director
SH/jt
cc: Special Use Permit File
Address F+Ie
Mary Hintz
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ri Sep 14 13:29:53 200�i
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MANUE MARTINQ
SEP 3 01998
DATE N0.z�7a7
e
-�'�� � l � �
U �7/ �/�-r''v t�l �L.
1�0 ��a�u
' ^ � � � SuO�ECT . � . � . . O• .
City of Fridl�y 3 2 6 21
,
AT TNE TOP Of THE TWINS g�� � p ��� P E R M I T
RECEIPT NO.
� � COµMUM�;w DEVEIQPMENT DIV. ��
' ; V ������ . .
r � � Pt30TECTIYE INSPECTION SEC.
`__-. �;����;.� CITY MALI FRIOLEY SS�JZ �+tiM�EN pEV OATE � PAGE Of APPNOVED 0�
L l\ 612-57�-345Q g�af�s 5121/02 / /
�oa AooaESS 128 Hartman Circle
t LEGAL lOT NO. BIOCK TRACT OR ADOITION SEE ATTACMEd
OESCFi. jO 1 Sandhurst Addition SHEET
Z PROPERTY OWNER MAtt AOOR�S$ 21P PMONE
Stanley Cupryna 128 Hartman Circle NE 571-7610
3 CONTpACTOR MAIL ADORESS ZIP PNONE IICENSE NO
Same
1 ApCHITECT OR OESIGNER MAIL AOORESS ZIP PHONE IICENSE NO.
5 ENGINEER MAII ADORESS IIP PHONE IICENSE NO
6 USE OF BUILOING
Residential -
T CIASS Of WORK
� NEW � AODITION � ALTERATION O REPAIR O MOVE O REMOVE
8 OESCRIBE WORK
Install basement egress window
9 CHANGE OF USE FROM TO
STIPULATIONS
Window to meet the State Egress Requirements.
TYPE OF CONST. OCCUPANCV GROUP OCCUPANC� IOAD
SEPAqATE PEFM�TS ARE REOUIRED FOR EIECTRICAL, P�UMBING. NEATING.
VENTILATING OR MR CONOITIONING
THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR C01dSTRUCTION ZONING SO. fT CU iT
AUTHORIZE� IS NOT COMMENCEO WITHIN 60 �AYS. OR IF CONSTRUCtION
OR WORK IS SUSPENDEO OF ABANOONEO fOR A PER100 OF 120 OAYS A± '
ANY TIME AFTER WORK IS COMMENCEO. ` NO. OWIG. UNI75 OFFSTQEET PARKING
I HEREBY CERTIFY TMAT I HAVE READ AND EXAMIN�O TM{S APPLICA710N 1 STALLS GARAGES
ANO KNOW TME SAME 7O 8E 7F1UE AND COEiRECi. ALl PROYISIONS Of LAWS y�,�UA710N SU�iTAX
ANO OfiDINANGES GOVERNING THIS TYPE OF WORK WILI @E COMP�IEO
W�TM WMETMEW SPECIFIED MEREIN Oii NOT THE GRANTING OF A PERMIT �LOO �. SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE Op CANCEL TME pEpM1T FEE SAC CMARGE
PROVISIONS Of ANY OTMER STATE OR LOCAL LAW pEGUlAT1NG CON-
STRUCTION OR THE PEpFORMANCE Of CQNSTqUCT10N $23.50 Fire SC �.20
PI,AN CHECK fEE / TOT FEE
24.20
5� •T AE O� CONC tpp �r..Oa+ZEO �GENi iD�ib EN R ; VALIOAT i1M�S IS �OUR PE:�M�T
' �'�/-� z
S �uAE 0� ��� O E E� iOAiE� � .�
Bl �h50 . �� �ii7E
NEW
ADDN
ALTER
[] CITY OF FRIDLEY Etfective 1/1R002
[ j 6431 Universily Ave NE, Fridley, MN 55432 (763) 5723604 Bidg Insp
[] SINGIE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: ��o
�
Legal Description:
Owner Name 8 Address: �i �e �/il//4' Tel. #.S7/-� 7���
Contractor. J�f� MN LICENSE#
Address: Tel. #
LMNG AREA:
GARAGE AREA:
OECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the p�oposed construction drawn on it to scale.
DESCRlPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length V�dth Height
Length V1�dth HgUGround
. � _
Sq. Ft
Sq. Ft
0 `' ��
Canstruction Type: z Estimated Cos� $ ��`-�
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _�
DATE: cS o D2
Call (763) 572,3604 for Pertnit Fees if mailing in application or
call you fo� canf number.
PeRnit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ �.� � �:�
$ , ��
$ - ✓,
$
$
$
$
�
$
$ �L . � �
CITY USE ONLY -
Tel. # ;r %/ % /O
-1287 if using credit card and we will
Fee Schedule on Reverse Side
.001 of Permit Valuation (1110th%)
$.50/$1,000 Valuation
$1200 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 [ J Not Necessary []
STIPULATIONS:
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Building
Inspections
763-572-3604
DATE �' � D — �%
SIT'E ADDRESS � o��
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMTT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMTT TYPE
�rYrE oF woxx:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAII. ADDRESS
L� f •
O OWNER IpCONTRACTOR
Permit No.:
Received By:
ADDRESS: � e� 1`� ��'�a.i ��� r�(` . CITY �—�(` c i�`�l� STA7'�IP�� �a
PHONE: ��o�—S� � ^�%�/D
NAME: �� m�11.� �c%C r i01 ` i
STATE LICENSE q�(� S��(o �J I EXP DATE �
nDD�ss: st cr►�r i?�ie e srn��� SS3?�
PHONE �� - �a v-�a �o F,�
�kSINGLE FAMILYMEW CONSTRUCI70N SIZE
O TWO FAMILY/NEW CONSTRUC170N STORIES
❑ ADDITION O GARAGF/3HED ❑ WWDOWS
O BASEMENT F[N1SH f�tOOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTf-IER
❑ MAWT�'NANCFJREPAIR _ O
DESCRIBE WORK BEING DONE:__ 'Zr� c J� � 1�.2(bp F"
SIZE OF IlvIPROVEMENT
LENGTH WIDTH HEIGHT
FL
KlJ()F11Vli �tiVUJt VNLT �
NUMBER OF SQUARFS rf � ❑ HOUSE 8c GARAGE BASE1vIII�'f REMODELING SUSMIT:
GARAGES ❑ A'ITACI�D GARAGE 1. Existing Floor Plan
PROPOSED SIZ.E: 0 DETACHED GARAGE 2. Pioposed floor plan
PROPOSED HEIGHT: 3. List of strucwral men►bas to be used
SmING FOR NEW CONSTRUCTION MCLUDDJG DECKS,
❑ Vinyl OSoffit ADDiT10NS. & PORCI-IES SUBA97':
� Aluminum � ❑ Trim 1. Site Plan/Survey showing the existing swctures
❑ Other . ❑ Fascia and proposed project
WDVDOWS 2. Two sets of construaion plans
IN EXLSTIldG OPENWGS DYes ONo IACATTON OF WDdDOWS 3' �� ���0�
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENIIJG CHANGES dc
TYPE OF WIIdDOW TO BE INSTALLED NUMBER OF WIIdDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIAIS:
(USING THE 1�7 U. C FEE SCHEDULE)
�� � TOTALJOBVALUATIONS_��� �3�7 OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surchazge
sur�t�arge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
S
$ ��
�. / • 7a-
S !j , (JZ�
S
$
$
$
$
$ ���`%�
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum S.SO
55.00 (State Licensed Residential Contractors)
51675 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftxS21=$
5450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridte_y Attach
THIS IS AN APPLICAT[ON FOR A PERMiT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge 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 1 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 will be in accordance with the approved
plan in the case of all wor which equires review and approval of plans.
SIGNATUREOFAPPLICANT�� PRINTNAME�uI�IJDh�tr!/� DATE � ��0�