AF - 45456�
Da.te:
Owner
�
�ity of Fridley, Mimn.
�
BUII�DING PERMIT N•° 3 i 8� �
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. ............ . ........�'.'�...... Builder ........ ................................
Address ...................................... Address ....................... , ...................
LC�C�►TIQ1V OF BUILDIIVG
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No. �� �/ . . Street �.�a�.�l . . . . � %+L.�t�4-r�... Pap�;Af Lot . . . . : . . . . . . . . . � i
g / O
Lot . . +.:d. �. . . Biock . . . . . . . . . . . . . . . • on or Sub-Divisio�n�'�. . . . . . . . . . . . . . . . . o . . . . �
Corner Lot . . . . . . . . . . . . Inside Lot . . . . . . . . . . . . Setback . . � � . . . . Sideyarrl . �.�'�. . . . . .����f'ti's . . � ,
.� J .
DE�RIPTIOIV O� �bdIL.DINCs
To Used as •
�S�%�7.+!�:! . . . . . . . . Front . � .� Depth �. :l . Height . . .9. . . . Sq. F't. . . . �. � Cu. Ft. . . . . . . . .
ont Depth ...... Height ... Sq. Ft. ........ Cia. Ft.
Type of Construction � G+r�.. . . . . Fst. Cost. � �..� �-.- .��. ... . . To be Completed . t�.�in�. . . . . . . .
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In consideration of 11ie issuance tfl me of 'a permit to construct the building desribed above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions. of
ordinances of the city of Fridley.
...................................................
��
� In consideratiott of the payment of a fee of $. �� ......, permit is hereby granted to .�.. ..
. . . . . . . . . . . . . . . . . . . . . . . . . to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and worl�en, in all work
done ia, around and upon said building, or any part thereof, shall conform in all respects to tlie ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
fn the city limits and this permit may be revoked at any time upon violation oP any of the provisions of said
ordinances.
... A _ _ '
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NOTICE:
This permlt does not cover the construetton, installatlon o� alteration fo� wlring, pl
sewer o� water. Be su�e to sea the Building Inspector for separaie pe�mlta fo� thesa [�
� ` �
gas heating,
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Ci.ty of Fridley, Minn..
BUILDING PERMIT
May 2, 1968
Date:
�O
py�eT; Henry He1d g��,. Western Con��.
,Address 1011 Hathaway Lane p,d�� 3017 L�rndale Ave_. S t
LOCATION OF BUILDIPIG
No. 1011 S�t -Ha��.awya Hathaway Lane Part of Lot
Lot .—��__ Block 2 Addition or 5ub-Divisian .� Parkvi_ew Heightc
Coraer Lot � 7ne�tde Lot —. Setback .� Sideyard — �
Sewer IIevatian
Foundation IIevat3on
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DESCRIPTION OF BUILDING
To t� v�a �:
�arage Front _.._22� Depth 24� Height 10' �. � 528 �� 5280
Front Depth _.._. �Teight Sq. F't. Cu. F't.
Type of Construction _.. �rame �� �� $1600.00 To be Completed
In consideration of the issuance to me of a permit to co ct the buildin described above I agree to do
the.proposed work fn accordance with the descriptton above forth and pliance with a�l prav3s4one of
or8inaac�s of the dty of Fridley. � I� ,�
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In consfderation oP the payment of a fee of $ $• 00 , permit is hereby granted to Western Const ,
to canatruct the buflding or additfon as described above. Thiape rmit"is granted upon
the express condition that the person to whom it ia granted and his agents, employees and worl�en, in all work
done in, around and ugon seid building, or anypar� thereof, ahall conform in all reapecta to the ordinanc� of
Fridley, Minnesota regarding lacatfon, construct�fon, alteration, maintenance repair and moviu� of buildtnge
�� dty lin►its and thia permit may be revoked at any time upon vio��tion of any of the provisions of said
r._-.o.�i�.i,o�-y,i�;.����,�_.�:�.;-w,
NOTICE:
'flds psrmh d� not eova� f6s eoestrocMoe, In�taOatiee }er wiriee, plumbiee, en heaHag, sew�� er wate�. B� ams to �
the ButWlnB Inspeetor for aparats permhs for thsss it�ms.
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APPY.ICATIOAI FOB $U7LDING PERMIT
CITY OF irR.�DLEY, MI11lNESOTA
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OWNER'S NAME rf � yi r''1 �,'�°t d + � `_,,�iiil�LD�I�._..wv ��.:�� /G�.. •
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ADDRESS �0 _�D1�5�. , ��.� '
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, . . LQGATION OF BiJILDING . .
. . . .. , . . � ' ' . . . . . ' t' F�..
rto. /a t/ �s��.�:�„_�,� a. r. ,� .4 � r � , .. , :r. _ -- � �: . �
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LOT _ BLQCR_�� ADDIT�QN.OR SUBDIV.CSTUN � � • . .
CORNER LOT INSIDE.LOT SETSACIt SIDEYARD .
_.,_.�._. _..__._.. -.--_.�.._,
SEWER �LEVATION,�,� � ' � ' '` ' � TOP �OF� F.Oa'�E'NG
• . . ; j ^, . , . ..
Applicant attach to this forc� Two Gert3ficates of �urveq qf.�o� and piopoaect
buildiag location drawn on these Certificatea. ,� ' `' ��' �
. . � , DESCB.IPTIQN OF BUII.DINB � ;
To Se U�ed As s . � . . ;; . � ` . � , • . . . , , ,
. . ., .
, . . ,,
��� �- �- �- • ' : �
FrcnC �Deprth .� �Saight __ �� �
Sqware feet S� �� Cubic Feet ��r� �� '
°` L / .
�^ . CJ
Froi�t �� Depth. Height �: 9� '�
";�.; . . . . .
. �� . . ..
Squa �eet sx� .rCub,ic ,F,eet, ' �� � ;
Type of ConsCSUCtion �'�y ,`�rl�'���C3�Cec��t iG.��.�—
e ,
To Be Campleted _ " '
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The undersigned hereby makes application for a permit for the work herein �
specified, agreeing to do all work ia strict accordance with the Cftq of
Fridleq Ordi.nances and rulin�a of the Department of Buildinga, and hereby
declarea thaC all the facts and repre tioas stated n this application
are true and correct.
DATE s �J� �G�� _ _SiCNN�iiTURE _ _ ._. `.._ _ ..
�
(Schedule of Fee Coeta can be found oa tbe Beverse Side).
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` BUILDING FEiiMIT F'EE� � SCHEDUL�
SECTION 2. The.'i�nspector of $uildings shall, firefore ismuing permits for
.. the er�ct�.on of �ny building ot structure, or for.$ny �d�a%tioi`t �� afty
-existin� .structure or�buildiag; ��or f�r ariy"�ti:��tion ar Yepairs tt� anq
ex..isting building or structur�, upan application th�:re£ore, require the
the paymenC by the applicaint �for� sue�i permit of i�e� to the amout►t herein
belcna set forth and in the aeann�r herin provided to•wi�:
. Dnifcrm_nn�ldin�_ Cc�e: Ty�e 'I', 2, b 4- `$1.7� for each cne� thousand' cubic
feet; �.s�� fraet�..oas� t,h�reof, in auch cubical, contente . Type 3. 6 5- $1.50 for
.. each ons tbousaad cubic feet: . ..� •
. iti
� F�F the�pur�ose ef cnmput�ng �eas�far buildtrtg permits', the��cu�ical '
•_ eoateats ef anq builfl�Yag or• �ddition-�� :.a, u�n�;fo�m hetght throughout b�j►
multfplyiag the g�ound ar.ee cove�ed.fr�m a point siu�(6) inches below the flor
line •f tl�e basement or tbe cellar��e the averege height of the upper surFace
or t• the average.�height ef the.POOf s�urface of ehe main gable of a
p3tched roof. � �
Fer .rega3�e or aitsrations `to aa esisting. st�ructure; ;the fea:.-�itaiY be at the
..' .rate of $3.Ob:per�each five hundx�d do11$rs ($SQ0.00} or fraction thereof
�n the cost if' a�ll ' p�roposed iaoi&. "°
En,_no �as�`_sha�.i the fee��ctiarged fot any pe�i� aa aet. forth in Section 2 be
. less ehar� $5.00� - ,
..NSSSD C�nneetimn ChaYge� based oa locat�,eu- Area 1 0� 2.
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SUBJECT P
City of Fridley . 15076
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
� � NO.
� `L __�_ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. � ��
1 � i
i---.� �/'���,,, CITY HALL FRIDLEV 55432 NUMBEF REV. DATE PAGE OF APPROVED BY
� 812-560-3450 / /
910-F15 3/6/79
JOB ADDRESS 1011 Hathaway Lane N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3Gj 2 Pdl]CV].EW Heights SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Jeffrey Siegfried 1011 Hatha.way Lane N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Sussel Com an 185 mo venue t Paul 645-0331
4 ARCHITECT OR DESIGNER MAIL ADpRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
7 CLASS OF WOHK
4 NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 OESCRIBE WORK
Construct a garage on same slab as. burned � garage
9 CHANGE OF USE FROM TO
STIPULATIONS Gara e must he at least 6 feet from rea.r
g property li.ne and 4� feet
from side property line. �rovide a hard sur.face driveway.
SEPERATE PERMITS REQUIRED FOR ��
- HEATING, P�U�18!!�� �4� �15.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. TATaOCl Fr�H
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 ABANDONED FOF A PERIOD OF 120 DAYS AT 528 5280
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPI,ICATION �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK Wll.� BE COMPLIED $3 � SOO �`�.. �O
WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROV ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $'�le 12 NONE
STR CTI E PERFORMANCE OF CONSTRUCTION. �
PLAN CHECK FEE TOTAL FEE
� � �--�°7 NONE $23. Q2
GNATUREOFCO ROR THORIZEDACaENT �DATEI WHEN PROPERLY VALIDATED THIS IS YOU PERMIT
�; ��� �
SIGNATUREOFOWNERIIFOWNERBUILDER) IDATEI BLDG INSP pA7
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[�'4G.ti' � � /�J''r'�s' . . �'Gr' ��:�::��'T� !%':'.-': Ti�::!;' `�'
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INDUSTRIAL C • � • C O �U � � G � ' V •P�TTINO
BUSINESS ' ' FAR0.15URYEY3
c�rv �oTS LAND SURVEYOR LqKESHORE
TOPOG4APHIG MAPPtNG REGISTERED UNDER LAWS OF STATE OF MINNESOTA . �UU�ct��
- UCENSED BY ORDINANCE OF CITY OF MINNEAPOLIS �
3300 LYNDALE AVE. SO. MINNEAPOLIS 8. MINN.
' TAYLOR 4-0370
' J✓/E�%C !r �'�:�i /��l�y �� L � L.����C� � •�Y� ¢�.;/'�c../.>�G. ' .
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I hereby certify th3t t::i a:� e
true and correct t:1F t of a�:ai�:�y
of : .
Lot 'i'hirty-Fcur (,u)� Llcc� :•.o
\�! t Y'�'��i � ��;., Gl:-�l�.ti:�l.. r.:l..�i .11�i. �
Anakc� Ccunt; , :•.i�:.e: ct�.
As surve�:ed t� �:e t: i� ;Uth day
of July 19r5 A. �.
S � �.e 3 . /'' , t ' i � �-�/ ' �.� :
P�•ir.:.e3cta ite�istration
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CITY
OF F�ZIll�EY
0
APPLIC/1TIOP� FOR FtESIDCNTIAL BUII_DING PER(�1ITS .
�NE�J, iILTCR/1TIONS, �DDITION�, OF� REPAIRSi
a ' � � � .
OWtiER: r � BUILDER:
� a
Address : �G // Address : !�� ��Yh-� �-�—,�2_ ��/u�
Tel . No. : � U y�C. — � � _� / .
No. : �� l/
�T: � `�
street :
B��Y:
COitNER LOT: INSTDE IAT: � S:sTBAQ:: � SIDEYARr,S:
Applica'rat attach to this foYm �,vo Certiiicates of Survey of Lot and proposed
• building location drawn on these Certificates. .
DESCRIPTTON OF BUILDING
To Be Used As: '
. � � Front: � y Depth: � �—� Height: �
Square Feet: � Cubic Feet: �'Z �e
Front: � Depth: � Height:
� Square Feet: Cubic Feet: �
Rj►pe o� Construction: / . Estimated Cost: S 3$00� �0
Zb Be Completed: Alt. A Alt. B
Proposed Drive�vay 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 accordance with the City of
Fridley Ordinances and rulings of the Departraent of Buildings, and hereby
declares that all the facts and representations stated in this ap�lication
are true and correct. See reverse side for additional information.
DATE: SIGNATURE:
Stipulations:
3
e
( I 1 't�s A.� E��ar�N 6 Cc�z�lc t '�`�
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. k+pes 4 i 1Trso wce '� F� �aR f Z� nn�st` t?� �� Vt,Asf G���F
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P�Aw� ir. S2i� �C �i. en� uvo s Z1. �t .
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. _ � .. .. . . . , • _. . . . �..,.
. BUILDItJG PERt�7IT FEE SCHEDULE •.
SECTION 2. The Inspector of Buildinqs shall, before issuing permits for the erection
of any building or structure, or for any addition to•any existing building or stxucture,
. 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:
NEW C:ONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.
pLAN CHECK: 25 percent of building permit fee. .
DRIVEWAY DEPRESS'IONa (Concrete Curb Streets Only)
• Alternate A: Removal and replacement of concrete curb and
• gutter only; Driveway width plus 6 feet x$�5.75
Alternate B: Removal and replacement of concrete curb and
, gutter and install a 3 f�t wide approach with
• 6 inch depth; Driveway width plus 6 feet x$17.85
;11 � : 1 �' : �\
For the purpose of computing fees for building permits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inches below the floor line of the basesnent or the cellar to the
average heights of the upper surface or to the average heiqht 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 work. - '
In•no case shall the fee charged for any permit as set forth in Section 2 be less
�han $7.50 plus $.50 state surcharqe.
:
� � � � 11` �l
NOTE: Permits for construction will be issued a mi.nimimm of 24 hours from the time
of application to allow for proper review ef the proposed structure and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
_� ` � � ':1
Application fos a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a building permit has been issued; and
sa3d structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
�
' � � .
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th YEAR
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Permit by
Legal Description—
Lot �
Bik
Add'n
Value d
Tvoe Const. ��'=t��
SLAB:
❑ By SUSSE L
ner Approx.
�dny�(1 ST/I�S s� '
2-STARTINGj,,,,�P91NTS ONLY ( �
S.P.L.
:
S.S.P. L. � �'
R.P.L. �i 1
AI ley
House
F. Street ._ _J
Other !
❑ Square With ' I
❑ Sod Rem. • By , +--
❑ A.B.U. �
❑ �l Grade Point ' �_
n��Ia �.� � _
LJ Blocks: I�By Owner By Sussel �
❑Wtr.proof: �By Own. OBy Sus.
❑BackfilL• L7Bv Own. CIBy Sussel j-
p Maintain 8' Total Wall Height 1 i
Including Blocks OR
Q Maintain 8' Wall Height on ! t
Top of Blocks � .l_
Block Size (Top course) _F .
r--i nn 1"1 �n P1 .��� .� _ I
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WORK ORDER
HOME PHONE�� � ���
_ BUS.,QHONE�� /'23y'Sx ��
BLDG CODE ARE
�
SALESMAN
CONTRACTOR
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waii Meignt otner tnan es
❑ Frame with full wall height
sald OR
O Cut studs as required for
clearance
Q�'� Dr Offset
Q5. Location
i ndows
O Att Gar Roof Tie-in
Drawn on attached pictures
� � %�y' � X Z-�_
CONTRACT DATE � y /SIZE
FOR OFFICE USE ONLY
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Exis � 9 9arage• No O � , : ; , ; � t_-_ ._ � . _ � _ � ' ? � t ; t
etached � Attached Yes F�' ; , ._ �_ ; . :. _ __ � _, . ,-- � � + � � � __ .. - I .� � 't -
Size of existin �� t� r 1 j i� �� 1 �� �--
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Existing garage wifl be� �� t � �-� � , ; � 1 � ,- � � � � -o � � � , � }- � . , 1 _ j _ � _-�_ , �_ -�-�
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❑ Left as is � ` � � � -- -�
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O Co erted to L.S. • By owner ' : � ; ; � : : i _ . T � �__� �. � } -�- � -
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emoved By: Owner ❑ ; � � ' ` i , �^ , . ^ /Cj G, ' i _�. s i _.
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Junk Musi Be Removed By Owner � ; ' �" ' ' s ' � � �? � � � � f ' ,�
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O Specify removals by Sussel or ' : _ � t r �-���
I , � 1 `�j ;.�r-� :Gl:�p.�
Owner - trees, bushes, etc. ' ' � � { ; � . `' ' Y . }- '� � .i
❑ Show approx. dist. garage to � -; � � _ r- � , t . , � � , - !, �._ - �
.. �
house and all prop. lines � „`°°`ACC ` ` . _ , - � : F�"�' ,--._. 'r'; °L'
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Stakes visible - � Yes L�l'No ' w.'t��- . " ' � : ` `� �--
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Survey available • O Yes (r�No + ! I ' i ' 1 ' ', � _
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O Special instructions from e❑ Fair i ;
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owner: ,_ .❑ Poor ; .
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PURCHASER'S INITIALS:__ • � DIR�ION
_ �
. �UR 64fh Y EAR
SUSSEL 61R16ES SuSSfD'CO�r :�: ;N�
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1" x 8" Ridgeboard
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k 6�.
�— - Rafl�,rs
ROOF: LE REVERSE GA�E �° HIP
!1
EAVE OVERHANG:�
RAKE OVERHANG: �
SEAL DOWN SHINGLES WITH PLYWOOD OR ASPENITE
ROOF SHEATHING AND 15 LB. FELT
Roof Sheathing
Seal Down Shingies
2" x 6" ` 3/8" Plywood
Cross Ties Gussets
2" x 4'' Double
1" x 6" W-Bcacing Top Plate
when applicable
per Minn. State Code
NOTE: .
1) Roof approved by Minn. State Building Dept. as meeting Minn.
State Code Requirements of 30# snow load. Refer to State
Building Code Letter Number 35.
2) Trusses set 48" O.C. (Gusset - 3/8" Plywoodl.
3) Intermediate rafters are 2" x 6" 's braced with 2" x 6" collar ties.
4) On 18' and narrower garages, eliminate the W-bracing and collar
ties.
5) Hip roofs consist of 2" x 6" rafters, 2" x 6" cross ties 48" O.C.,
2" x 8" hip rafters and no plywood gussets are used.
RAFTERS: 2" x 6" 16" O.C. 24" O.C.
STUDS: 2" x 4" 16" O.C. 24" O.C.
WALL SHEATHING: _ ' � Z- �- .
SIDING: � �, D��
OVERHEAD DOOR HEADER: Doubt 2" x 12"
Gluelam eam x .
Slab on grade construction approved per Minnesota State Code. Refer
to State Building Code Letter Number 11.
SLAB: 4" WITH MESH 6" x 6" # 10 Gauge
f �
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45" ��
� 4" �
Trim
Fascia
1"x4"Sub
Fascia
Soffit
3/4" Cove
2" x 4" Studs
Siding
_�
'/�" x 7" Anchor Bolt
per U.B.C.
2" x 4" Treated Bottom Plate
Grade Line
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SUBJECT PE
City of Fridley 15 5 71
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � R
� ; v _.____ COMMUNITY DEVELOPMENT DIV. � ��'��'�
r � � PROTECTIVE INSPECTION SEC.
1 = i
� /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�'----� • •�� 612-571-3450 910-F15 11/26/79 � �
JOB ADDRESS 1011 Hathat�ta.
Y Lane N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 34 2 Parkview Heights Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Jeff Sigfried 1011 Hathaway
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Fireplace World 15730 Wayzata Blvd. 571-3775
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USEOF BUILDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Fire lace
8 CHANGE OP USE FROM TO 0
STIPULATIONS
° TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, fire lace
VENTILATING OR AIR CONDITIONING. p
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT.
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. 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 OFi NOT. THE GRANTING OF A PERMIT �1�200.00 .C)O
DOES NOT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIO OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Q, OO
STRUCT OR THE PERFORMANCE OF CONSTRUCTION.
` PLAN CHECKFEE TOTALFEE
- , •- — —�'%�-� '� 1� $9.6U
SIGNATUREOFCONTRACTO RAUTHORI2EDAGENT IDATEI WHE PROPER LI ED S IS YOUR PERMIT
���-= 6
� �
SIGNATUREOFOWNEHIIFOWNERBUIL�ERI IDATEI BLDG �NSP fll.TE
� dWPdER:
ADDRESS
TEL �l0:
CITY OF FRIDLEY •
ARPLICATION FOR RESIDENTIAL QUILDIPJG PEftMITS �
(fdew, Alterations, Additions, or Repairs)
STRI�T NO:
zor.:
STREET:
BUILQER: -�trc.,� Pt�c.� �G�2L�
ADpRESS: %S `�`�C� �� ���'� �c.��J
TEL (d0: �%�: �,77 �
Canstruction Location
BLOQC: ADDITION:
Corner Lot: Insi.cle Lot: �_, Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location dracan on certificates to scale.
DESCRIPTIOId OF CONSTRUCTION �
4.
�����;� Front: Depth: Height:
Squa�e. Feet: G�.ibic I'eet:
• Front: Depth: Height:
Squa.re• Feet: Cubic Feet:
. c �'� w� �
Type of Construction: /��— �Z �;P �� Estimated Cost: $ �Z@C7 .
7b Be Cbmpleted: �( �� ' � �
.
• Alt. A A1t. B
Prop�sed Driveway Width If New Opening Is Desired: �$� $
. SEE REVERSE SIDE OF 5HEET ,
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 �'ridley Ordinances and
rulings of the Department of Buildings, and h eby declares that all the facts and
representations stated in this application a true and correct.
DATE : ��( �� � 7 �______ S IGNATU RE : •
�
Stipulationsa
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BUJLDING P�R��IIT f=C�: SCNEDULE�
S�CTION 2. The In�apeci:ar oL l3uilding� ::}ial.7., before i::suing penniL-s tor t-he erecL�on
of any buiJ.ding or :;L-ruct:ure, or tor any addi.t5.on 1:o auy exi:;Linc� buildiny or s�ructure,
. or for any a.lteration or repair.s i:o •any exi�ting l�ua.lcling ar sLzucture, U�GIl application
't:hezetorc, requS.re L•he paymenL- hy t]ie ap�licani: for. such permit of tees to. tlle amount
hcrein below set forL•h and in L-hc manner herei.n provicicd tio-wiL•: •
l�ii47 CONSTRUCTION: Single I'amil.y IIomes and Gar.ages : $4. 00/l, 000 cubic
PLAN C1iL•'CY.: 25 percent of bui.lding penttiL- fee.
DKIV�t?AY D�PRLSSIOII: (Concrete, G�rb Streets Only) �'
' AlternaL-e A: Removal and replacement of concrete
qutter only; Driveway widtli plus 6
feet. •
curb and
feet x Y�5.75
Al.ternatie B: Removal and replacement of concrete curb and
gutter and insta].]. a 3 foot wide approach wifiJ� �'
6 inch depth; Drive��ay width plus 6 feet x$17.85 �
_ADDI T I ONAL I NFQf3��1AT I ON
I'or the purpose of computing fees for building permits, L-he cubical contents of any
building or addition, is determined by muli:iplyi.ng ihe ground area covered from a
paint sir. (6) inches below the floor line of the basement or the cellar to the
averag� heights of the upper surface or to the average height of the roof surface
of tlie riain gable of a�itched roof . �
For repairs or alterations to an exi.sting struci.ure, the fee shall be at t:he rate
o� $3.00 Per each five hundred dollars-($500.00) or fraction thereof in the cost
of all pxoposed work. �
Tn •no case sha].l the fee charged for any permit as set forth in Section 2 be �.ess �
than $7.50 plus $.50 state surchargeo •
' _VERTFICATIOV OF FOUNDATIOtJ .
NOTE: Permits for construction will be issued a minimiun of 24 hours from the time
of application to allow for pro,per 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 been constructed will be required before proceeding with the framing,
GEf�TIFICATE OF OCr�IpANrv
App].ication for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for wliich a building permit has been a.ssued; and
said structure shall not be used or occupied uni:il a Certificate ot Occupancy has
been issued.
__�M
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6431 UNIVERSITY AVENUE N.E., FRIDLEY. MINNESOTA 56432
TELEPHONE ( 612)57f-34.50
� December.l0, 1979
Mr. 6ordon Marjama
Firepiace Worlcl �
15730 Wayzata Houle�rard
Wayzata, MN 55391
Re: Fireplace Installation at 1011 Hathaway Lane N.E.
Dear r�r. Marj am�.:
We were called t�o make a final inspecti.on on a fireplace you insta.11ed
at 1011 Hathaway Lane N.E. The inspection was conducted on December ?,
1979 and none of the corrections that were previously spelled out h�ve
been c�►pleted. 7.'hese corrections are;
1. T'he Class A chimney is too close to wood at the,floor level.
2. 7�e chimney must be separated from the remaining closet by a
` wall.
3.. Outside combustion air must be provided for either the fireplaae
or the furnace. '
Please do not complete item #2 until we have inspected item #1 for
complianae. Z'he fireplace should not be used until all of the above items
have been completed. Your cooperation will be appreciated and if�you have
any questions on these items, please contact me at 571-3450.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
CC: Mr. Jeffrey Siegfried
1011 Hathaway Lane N.E.
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CHIMNEY AND STl1CK VERIF�CATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes�) No ()
2. Is free from rust or deteY-;o��on Yes�j) No ()
3. Has no foreign objectc lalged within Yes�j) No ()
4. Is securely support:ed Y�) No ()
�. 1Vdeets a11 cutrent �� requirememts fc�r s�c� �
and total BTLT's conn� � y� tV ) No ()
,�
7.
8.
Has total heating BTU's of ��
Ail other �BTU's � � �I I , ��J � . .
TOTAL BTU's ('
Has a liner been provided for water heater
Has combustion air been provided for water heater
Remarks:
�_: _.M—: : tl � � _ :.- � , �.� � -
HEATING CO:
Signed By;
Date:
Yes � No ( )
Yes � S No �
.
- 1�I�.g�
.....,......, . ...... .............<:.
�
_
CITYOF
FRIDLEY
FRIDLEY MUMCIPAL CENTER • 6431 UNNERSITYAVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
June 1, 1999
Jill & Kim Sumner
1011 Hathaway Lane NE
Fridley, MN 55432
Re: Final inspection at 1011 Hathaway Lane NE
Contractor: A-abc Appliance & Heating
.4
Dear Ms. Jill and Ms. Kim Sumner:
�, � �
�r �--1
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A mechanical permit was issued on June 25, 1998 for the property located at 1011
Hathaway Lane NE for a new air conditioner. According to Section 305(a) of the 1991
Uniform Mechanical Code a final inspection shall be performed on the mechanical
permit. As of this date no inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do not
hear from you, we will expire the permit and any inspections on this installation will
require a new permit.
Any questions can be addressed to myself at (612) 572-3603.
Sincerely,
Barry Riesch
Building Inspector
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�HIMNEY AND STACK VERIFICATIOAi
The undersign� hereby verifies that the existing chimney or stack:
1. Has been carefiilly examined Yes () No ()
2. Is fre� from rust or deterioration Yes () No ()
3. Has no foreign objects l�ged within Yes () No () _
4. Is securely supported Yes () No ()
5. Meets all cuireat Code requirements for . size � _
and total BTU's conn� ' _Y� ( ) No -( ) �
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All bther BTU's • . � . � . . � �
TOTAL BTU's
7. Has a liner b�n provided for water heater Yes () No ()
8. Has combustion air l�en provided for water heater Y� () No ()
Remarks: . �
.� M 5.�: •�_ :- �� ���-
HEATING CO:
Signed By:
Date:
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CHIMNEY AND STACB VERIFICATION
The undersigned hereby verifies that the existing chinuiey or stack:
1. Has been carefully examined Yes () No ()
2. Is free from rust or deterioration
3. Has no foreign objects lodged within
4. Is securely supported
5. Meets all current Code requirements for size
and total BTU's connected
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks:
List ALTERATIONS Bein� Done:
HEATING CO:
Signed By:
Date:
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes()No()
Yes ( ) No ( )
Yes ( ) No ( )
Building
Inspections
763-572-3604
SITE ADDRESS �[
THIS APPLICANT IS:
PROPERTY OWNER/
TEN�ANT
CONTRACTOR
SUBAgTf A COPY OF
YOUR STA1`E LICENSE
WITH APPLICATION
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
E-MAIL ADDRESS
r-1v / ,L�
STATE LICENSE
EXP DATE
�
Received By:
Date Rec'd:�
ADDRESS: CITY STATE ZIP
PHONE
PROPERTY TYPE I �sn•?GLE FAMILY/M
� 7°w+0 FAMILY/NEW
PERMIT TYPE
TYPE OF WORK:
� BASEMENT FINISH
� DECK
DESCRIBE WORK BEING
SIZE OF IlVIPROVEMENT �
OF SQUARES
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Viny1
0 Aluminum
❑ Odter
wwnows
IN EXISTII�iG OPENINGS �Yes OWo
OR FOR NEW OPENINGS-DFSCRIBE SIZE OF
OPENWG CHANGES &
TYPE OF WWDOW TO BE INSTALLED
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USIN HE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $�,%S% �• OCCUPANCY TYPE
�
�
FAX
❑ HOLJSE ONLY
❑ HOUSE & GARAGE
� ATTACHED GARAGE
O DETACHED GARAGE
OSoffit
❑ Trim
❑ Fascia
LOCATION OF WINDOWS
NUNBER
❑ DRAM TILE
O OTHER
WIDTH HEIGHT
BASEMENT REMODELING SUBNIIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
%�
Ft
FOR NEW CONSTRUCTIOId II3CLUDING DECKS,
ADDITIONS. 8c PORCHES SUBNIIT:
1. Site PIan/Survey showing the existing structures
and proposed project
2. Two sets of construction plans
3. Energy Calculations
Permit Fee
Plan Review
Fire Surcharge
Surchatge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ " / �—�
$ ,�°,�►�
$ �_ �da
$
$
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residenrial Contractors)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridle Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge 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 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 work ic requires r�,Liew and approval of plans. �,�� �,,,, _._ „� ►1� f�� �x i
SIGNATURE OF
Page 2- Building Residential Application
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official sha11, before issuing permits for the erection of any building or
structure, or for any addition to an.y 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 a,mount herein below set forth and in the manner herein
provided to-wit:
VERIFICATION OF FOUNDATION
Permits for constru.ction will be issued a m;nimum of 24 hours from the time of application to
a11ow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existi.ng foundation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Department
6431 Uruversity Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977