AF - 45539�
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City of Fridley, Minn. �T° 9'718
BUILDING PERMIT
Date: May 7, 1968
p�; James Luff g�d� Andrew Gawel
Addre� 5043 Madison St. N. E. �,g�BS 2407 Washin.�ton N. E.
LOCATION OF BUILDING
No. 12� Street Hathawa� Lane _ Part of Lot
Lot 24 __ Block 2 Addition or Sub-Divisian .�_Parkview Oaks
Coraer Lot � Inaide Lot —. X Setback —� Sideyard ._ 10
�
Sewer IIevatian ____ 935 .16 � �c 9�{{ 16
Top of Footin�
DESCRIPTION OF BUILDING
To be Used as:
Dwelling �nt _._, 52' �p�y, 2 28 Height ?2'__ SQ. Ft. —1�9 Cu. Ft —28.600
Front Depth � �Teight � Sq. Ft. Cu. F't.
Type of Conatruction Frame ��, � y,__.�.25 000.00 To be Completed
SEWER LOCATION - 36� East of Manhole
WATER LOCATION' - 46' East of Manhole
In consideration oP the issuance to me of a permit to construct the building described above I agree to do
the proposed work fn accordance with the descripiaton above t forth and in compliance wlth a�l proviafona of
ordinancea oP the dty oE FrYdley.
$100. 0 Sewer Co ection Cha ge
Ea conafderation oP the payment oE a fee of $ 44. 00 � p�t is hereby graated to �drew Gawel
to conatruct the building or addition as d�cribed above. Thispe rmit is granted upon
the express condition that the person to whom it ia granted and hfs agents, employees and worlmien, in all work
done in, around and u�n said buildiag, or any pert thereoP, shall conform in all respecte to the ordinance� oE
Fridley, Minnesota reg la:al3on, construction, alteration, maintenance� repair and moving of bufl8ings
within the dty ]imits and th�s permft may be revoked at ar�y time u�n violation o oY the proviaions of ssid
ordivances.
larence Belisle
NOTICE:
'�s psrwh d� aot eovsr f6s eoes�wetioe, htshllatioe fee vrUtee, plmnbine, pn hs�tiae, mr�r oe rrtls�. B� ams to a�
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APPLIC�IT�ON FQR BU7.LDYNG PERMIT
CItY OF FRIDLEY� MII3NES(3TA " .. .
OWI�I�' S ' 1�ME. �' ,�_ � �I��L .. - �
ADDRES��. s�" �.: � � . • • -,Y �r �� ,. � � � �Zt .%.�!� �
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:` , :LOT��.BLOCR v_�_ ADDITIOI�� OR SIISD�VtSI4N � --.o�- ��
, . ��. � .
CORNER LOT �� INSTDE LOT n ?', r� $ETBACK • STDEY �,,,�/� �__.
� • • ,. • :�. .
SEWER ELEVATI� ____ TOP OF FbO�ti�TGt- �: _ '
• �' ; ,,., � �: . ._
Ap�licant attach to thia form Two Cert�ficates of Surveq of � Lot ��t'►d� =P=aPoaed
.. building locatioa �icawn.on these Cert3ficates.
� � .
" DESCRIP�ION 4?F Bk�I+DING ".::�
� ��. . .,,.
To Be L�sed Asz� - , . . ,. . �_� ; �; � . . . . • ' � , . ;, �. :�: .
, � ,. , , ' ;� . � �`� �, ' . ; .'; ' `� : �� ,,
� Fsoat -.�_�Z Deptti � � �` ' Heig�iat�_ . `�
, ..... . -'-;-- " .
• � � '1 ' � . Sq�,isie' �#eer :��. `�� �' _ Cubic Fta��" '� � ��i,,�,�} �
. . ::., :�r;�� !, ����' �.r;C j •��,y. •
� ° .i� 1 • ,t. . Fs'ont �'1_'�u.,.s :-Ae3th� .. . . � ''�e�gkyt
� __,:�;..-.�.... , , , . .
(: I , ' ' � f � - � � r' • +-' .
� Squa��e''f�t � Cubic FeeC
�-:t...... . , � �
Tqpe of Corists�ibtiott Estimated Coat�,����P' �'"'
, , •'° :'•+,�5 tl
To Be Campleted _ � •
. �•„ . .
.:: J';����;;.a
The uadersigaed hereby makea applicatioa for a permit for the work herein
speci€ied, agreeing to do a11 work in etrict accordance with the Citq of
Fridley Ordinances and rulings of the Department of Buildinga, and herebq
declares that all the fact� and representatfons stated in tbis agplication
are true and correct.
DATE �,_ .��,.� ' SIGNATURE _ ..
(Schedul�e of Fee CoeCs cen be found cn the Severse Side).
�/ �� �, � �`: 4 � �' �. �, ;� ° �� � � � -C�/� ���N �'���.+
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MAKE OF GWA MWA S V SPACE FIREPOT SIZE
PLANT ❑ ❑ � ❑ ❑ ❑
GAS LENGTH SIZE YEAR TYPE MD/HR
SERVICE FT. IN. FT.
REMARKS
SOLD BY
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HEAT LOSS
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511 W. 7th St. - 2����E
ST. PAUL, MINNESO �e
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MINNEAPOLIS GAS COMPANY
Auth. No. 5-1129
To the Building Inspector
City or Village of Fridley
For your information, the Minneapolis Gas Company has received a survey from the Installer
indicated below and has this date authorized the use of natural gas for this residential,space
heati�g installation. If survey is for new construction, we will have the capacity and facili-
ties to sarve the installation when we have installed the gas service pipe and/or meter.
City or
Customer address 121.t.8 Hathaway L�ne , Village �ridley
Customer Andrew Gawel Constr Co
Installer �P �� City or
Installer address 511 inT 7th St Village St Pau1
Equipment Triad G105J Boiler Heat Loss '1u'�
Construction: New � Old ❑ Input BTU
Dated J�?l 2 19
Fwm 26
MINNEAP IS GAS COMPANY
68 , -�' �- �
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. Authorized Signature �
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MEMQ T0:
FROM:
DATE:
MEMO :
��� o ��`�l�
� �
6431 UNIVERSITY AVENUE NE
CITY ATTORNEY
CITY MANAGER
J[TNE 10, 1970
��97-610-70
ANOKA COUNTY
560-3450
FRIDLEY, MWNESOTA 55421
I have received the attached complaint from Mr. James 0. Luff,
1248 Hathaway Lane N. E., Fridley, Minnesota'S5421. The aforementioned
complaint is forwarded to the City Attorney as enclosure No. 1.
The Building Inspection Department submits the information
attached as enclosure No. 2.
Action is being taken concerning the cleanup. Please advise of
whether action can be taken on the complaint by the City; or whether
such action is a private suit matter. If City action is indicated
please advise steps to be taken.
HRA/mis
Enc: 2
m
G
HOMER R. ANKRUM
��
P
MEMO T0:
FROM:
DATE:
MEMO:
CITY ENGINEER
CITY MANAGER
`,NNE 10, 1970
��98-610-70
Attached is a complaint letter and a memo to the
City Attorney concerning the embankment problems of
Mr. James 0. Luff, 1248 Hathawy Lane N. E.
Please set up enclosure 2 as indicated in my memo
to City Attorney. As a minimum I would suggest a
statement as,to what has been d�ne by Building Inspection
Department, a copy of building permit with allied papers
and any stipulations that might have been made at time
permit was issued. ,
We will then forward to Attorney for his action
or recommendations.
HRA/mis
0
�F:,"ti.�-t, , � t:'�.'-,.../�--�,.�-_�
HOMER R. ANKRUM
� �y
, �-
�>:
Carl Newquist� City Attorney
City of FridlEy
Fridley, Pdinnesota
Dear Rir. Idewquist,
James Oe Lu#'f
121+8 Hathaway Lane NeE.
Minneapolis, Pginnesota 55421
dune 8, 1g7o
Tha (3ity Manaoer asked rae to Vrrite you s letter to aquaint you c�ith a
problem r�e have had since the early au�ner of 1969. The construction began on a
house to the East of our home in early June of 1969, the builder, did not have the
lot surveyed, but proceeded to �ark off the lot �aith a tape measure from a supposed
• lot line East of the construction site. In layin� the footin�s fbr the house, we �
noticed the house would be about 4 or 5 feet in front of our home, we callad the
Building Insp�ction �ept, and they �earae out and had the builder nove the footings ;
back in line with our ho�eo
We he.d our lot surveyed by my Brother-in-law vJho does surveying for A�iinn.
HiGhway T�pt. �ilen we had our hone built, the su�:uner of 1968. Our address is 12�F8
Hath�V�ay Lane and the house under cons�ruction and in question is 1232 Hathawaye
�7hen they e:ccavated for 1232 our stakes vrere removed and a considerable amouni
of our land was cut ataay. We called the Building Inspector because our land was
start?ng to erodea By August and S�-pt. o� 1969 vre had contacted the Mayor and Building
Inspector hoping something'could be dane to have a retaining caall built so as to
contain the drashing away oi our dirt and sod. :de a�ain had our lot Surveyed by my !
Brother-in-law, because our staltes had been talten out. ii�thhen the builder oi 1232 saw
ne� stakes he pulled them out and threrr the� on o.ur front yard, zrhen r�Je �ouldpound them in
he proceeded to pull them out a couple more tines and throw then up on our yard.
The Buildin; Inspector told the builder he had to cons�ruct a ce�.�ent trall,
� we have not heard what answer �das given .Erom builder if any. The Buildin� Inspector
e�lso told us that one of ias would have to furnish a certified survey before they could
push the issue, beeause ray Brother-in-law t�as not a certified surveyor.
This spring of 197d, �e hired Comstock 8a Davis Surveyors to survey our lot
and fouad the house is only 6 Feet-l0 Inc'�es iroa our lot line at one point, and the
builder of 1232 has dug �2 Feet of our ground and sod ��raye Ever;� rain cre have large
pieces of dirt and sod are falling and aven hitting the 1232 address. I went and sat�
the City iianager on June 4, 1970 and he suggested I vrrite our complaint out and expl�in
our situ�tion. The �uil�.inc Inspection Dept. eannot seer� to deal with this builder,
the firs� time we inquired about the footin�s and the Inspecto^s ca�e to look at the
footin�s the builders vrifle v��s their� that afterizoon the builder called the Chief
Building Inspector and told hi� ofi' ior using abusive language on his tai�e and the _
Inspector told us he �vas very belligerent, �,re could not see any point in discussing
the situation with the attitude he had.
This house o=" 12j2 has had a pile of debris since last year, ��hic:� has been
bloVaing aroung, we ealled to connlain in A�ril of 1970, because vre had just raked and carec
for our lawn and yard and pieces of plasiie, insulation and pieces of cardboard Vrere
bloVring down the street and into our ye�rd� the pile oP clebris is s�ill there. :�le cannot
believe this is raally happeiling, and nottling is bein� done, jtthy ian't somet:�ing being
, done. There should be a penalty �rhen a house is not positioned were the builder says hets
going to put it.
jt looks as if we will have to go to court;to �et our land back and to get
a wall const:ucted� Vrhich could ta:te so�eti�e and expense.
" ' _.. . . _ _.._... g...�.�_
� CVII- H YtL�G G
a
s,
,��n S�e also noticed a considerable a�ount of labors working at night, so�eti�es ta.ntil
1Ot00 P.l�t. r�ost of the fall of 1969. Vde a�Lthroughly discussed that this hause was not
chec;ced more carefully and we de°initely feel ��re have lost value on our homa because
• this hose is so close to ours.
S�e would appreciate your attention to this matter and will await a"reply on
your findings. .
Since ely, � �
� .
R�ir. Mrs . Jaries 0. Lu.� f
. . � �p ����
Encloseds A Copy of Certzfied Survey.
3 Snapshots of Survey Stakes.
r P C )IJ�i
I���
.� �
1�.,
��,�.;�
��NNLti()t♦
C�UNTY OF ANOKA
COMMUNITY HEALTH 8� SOCIAL SERVICES DEPARTMENT
FOURTH FLOOR
COURTHOUSE ANOKA, MINNESOTA 55303 612-421-4760
Ext. 1390
PubHc Health Nursing Servfcea
Environmentel Heatth Services
Mentel Heelth, Mentel Reterdetion,
Chemical Dependency Servicea
Famfly & Chlldren's Servicea
Volunteer Services
Developmental Achievement Centera
Luncheon Is Served
.Darlene Ov by �
1248 Hatha � � C,(/
F 2
Dear Ms. Overby:
April 3,1985
It has recently come to our attention that you are operating a catering
service.
The Anoka County Food and Beverage Ordinance requires that a license be
obtained for the operation of a catering service. Enclosed is a partially
completed application for a license to operate a catering service in Anoka
County. Please complete both sides, and return it to us, together with the
appropriate fees ($80.00 license fee and $80.00 plan review fee) and plans
(description) of the catering service. These plans and description must
identify the methods of and facilities for, storage, preparation, transporta-
tion, display, service, utensil cleansing and all facilities used in con-
nection with the service.
If the establishment is a sole proprietorship or partnership, the applica-
tion must bc signed by the owner(s). If the establishment is a corporation
the application mu�t be signed by an officer of the corporation or evidence
provided that the person signing the application is authorized to act on
behalf of the corporation for this purpose.
If you have any questions concerning this matter, or if I ma.y be of service
to you, please feel free to call me.
Sincerely,
.
Mrs. Karen A. Casale
Public Health Sanitarian
RAC:jfs
cc: City of Fridley
Affirmative Action / Equal Opportunity Employer
sue�ecr PERMIT ��Q,,
City of Fridley ' 9 5 4
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO.
� `y __���_ COMMUNITY DEVELOPMENT DIV. ���/�
r � � PROTECTIVE INSPECTION SEC.
i' i '
••_- A /"�i'j CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
L ��' � 612-571-3450 810-Ft 5 7�7/gg / /
JOB ADDRESS ]_2�$ Hatha�ay Lane N.E.
1 LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED
DESCR. � SHEET
� � � Parkviehr Qaks Additions
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Dwai.ne/Darlene Overby 1248 �iatha�ray Lane N.E. 571-8016
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNEH MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADORESS Z�P PHONE LICENSE NO.
8 USE OF BUILDING '
Residential
7 CLASSOFWORK � NEW � ADDITION ❑ ALTERATION � REPAIR 0 MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 10'&12''Deck
9 CHANOE OF USE FROM TO
STfPULATIONS
See notations on plan
SEPARATE PERMITS REQUIRED FOR
WIRING, HEATING, PLUMB6NG AI�D SIG�1S..
M�7 �� a32lIf1L��b
��� � ' ���1�313 • 3NONd3131
sai�il!#� �¢�ot II� �ui�8i
,p �JO�ag
�������'�
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTEli 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 VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S�-�7SO 5.88
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTFUCTION $4�.. QO
N CHECK FEE TOTAL FEE
$41.88
G ATURE OF CON7RACT OR AUTHOR12 D AGENT IDATEI
WHEN PROPEHLY V DATED TH S IS YOUR PE MIT
` � � � � � -� ' �
SiGNATUREOFOWNERIIFOWNEHBUIL0ER1 OATEI BLDG �NSP
pTE
� �� City of l�idley E�fective 5/L88
� � � R-1 Ai�ID R-2 -
��• i
Cbns�ruction Adciress
Legal Descriptiai:_
Building Peanit Apgt ication �
�:
, ,
e �
Owner N�ne & Address: E.fi e�����mr;� � �� 9�� ,�' ; �� �� A. , ��� �'� Tel. `� . / —�6���
Q�ntr actor : __ �� %�- ; � . � �. � <,� ���"� �
Address: � _:
Attac3i to this appl ication, a Certif 3cate of Suvey of the
lat, with the proposoed oonstructiosi drawn on it to scale.
L�.SatIPPIOl�1 � II�RWII�[��
�� � ��
..�
LlvililG ARF�,: Length Width �'�� 8ei.c�t �. Ft.
Q�iRAG�F. ARF�i• J+�•C�i� W]�.�ir� '.`. f�.'{ ��t p� .
• � / � . :x ���, � �� "K �. �� �_ �,�,
Lengt�ii w,�c7ttr;� -�� Hgt/Grota�a St�. I�t. �� �, �
._� a t i. � Y s
�i • . ,`,� �
,•w- t'�
mrner Lot t] Inside Lat t] Ft:�;Ya���Se�back side Yara setbacks
Type a� Q�nstruction: � � �` ��' + ��� � �:� �� Fstimated Cost: 8_,��
Approx. O�mpletion Date: "' `�' �" � 7 �� .
� �� � � "�.. � I'�"�
Alt. A Alt. B
Prop�sed�Driveway Width If Ne�w Opening Is Desired: S S
Width + 6'� See Back Page
DATE : � � � � APPLI(�TP: ��a��° , ��� �� , � �' ,.�- � �,� �'
;
{.
L1TY OSE �Y
Ple=mit Flee
State Surc�atge
SAC Qzarge
Driveway Escrow
Fark Piee
Sewer l�ain Ct�arge
�
��I�I�:
S ����
S .�
S
S
S
S
$ �
�
DECK RAILING
36" MIN. HEIGHT
6" MAX. SPACING
F�ee Scheciule on Reverse Side
5.50/51,000 Valuation
5550 per SAC Unit
Al� •A' Or Alt. "B' AboVe
F1ee Detetmir�ed by �girreering
e
Agreene�t Neaessary [] Not Neaessary I]
�
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� �� � 2 �
� I p��
=J1 � �. ' �:w 4 �1� �M:i��. 1
�e Q�ief Building Official ahall, before issuing permits for the erection of any
building or struature, or for any additiari 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 pern►it of fees to the amount
herein below set forth and in the maru�er herein pra�vided to-wit:
10TAL VALUE
S1
5501
_0
to �500 S15 Q�linimua �1ee is S15 pl�ts surcharge )
to 52,000 S1S for first 5500 pl� S2 for each ac]ditia�na]. 5100 or fraction
thereaf, to arid including S2, 000
52,001 to 525,000 �45 for first 82,000 plus �9 for each additional 51,000 or
fractiaci thereof, to ancl including S25,000
525,001 to �50,000 �252 for first $25,000 pl� 56.50 for each additianal 51,000 or
fraction thereof, to anal ir�l.uding 550,000
550,001 to �100,000
5100,001 to 5500,000
;� :,� J, 001 to Sl, 000, 000
51,000,001 and.up
8414.50 for first 550,000 plus 54.50 for each additional 51,000
or fractian thereof, to ancl including 5100,000
5639.50 for first 5100,000 pl�s 53.50 for each additional 51,000
or fraction thereof, to anc7 including 5500,000
52039.50 for the first �500,000 plus S3 for each additional
51,000 or fraction thereof, to and including 51,000,000
53539.50 for the first 51,000,000 plus S2 for each additional
51,000 or fraction thereof
D�VEi� DII� S�ON Ea'arw
�Concrete Curb Streets Only)
Alternate "A": Renoval and replavement c� curb and gutter anly - Drivc�ray width plus 6
feet times 513.50.
Alternate "B": Renaval and replaoement a� curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times �15.75.
1�+; :� N �., �." ��.U� � : �l �:�I
Permits for construction w3�.1 be issued a minimtua of 24 hours from the time of
applicatiai to allvw for proper review o� the prop�sed structure and of the v�nstruction
site.
A Certificate of bl�rvey of the lot, showing t,he locatian of the f�clation once it has
been aonstructec7 will be required before prooe�ding with the frmming
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?� �6. Hbdt� � PA�4IEH OA8�8 i�ST ADDIYTOA
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�s�ra�: �� ��►. si� a. �.�.� o�s �srse �es�t�, City o� l�s�dltay, �
M�ota. � � . ,
,�� �;M1�,.. , j � ..
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t hes�by �r��y ti�at tbf.e sasv�ey wes mada nnd�r my dirs�t sup,srvieio� aed that �
T am s 8n1� amthoai� �s�tet�t�ad L�d Surv�yor �aE tb� lavs oi �la� $tata of -
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�1an. Aag. �Io. 8T87 '
Hate s �gi�.$7A I'�I �
� �
sue�ecr PER
City of Fridley 214 8 3
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
� � COMMUNITY DEVELOPMENT DIV.
r � v � PROTECTIVE INSPECTION SEC. �SI ���
ii ` �
•.-- A��'�;-� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
i' �� 612-571-3450 910-F15 8/10/12 / /
108 ADDRESS 1248 Hathaway Lane NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 24 2 Parkview QEi�CS First Addition SHEET
2 PROPERTY OWNER MAIL ADORESS 21P PHONE
Dwaine Overby 1248 Hathaway Lane NE• 571-8016
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
D& D Home Improvement 7401 Central Ave NE, Fridley 55432 784-7543 4840
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Re si dent i.al
7 CLASS OF WORK
O NEW � ADDITION � ALTERATION C� REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroo� House (17 Squaxesj 2nd Layex
9 CHANGEOFUSEFROM TO
STIPULATIONS
Rocl�ing can be 2nd layer but not 3xd,
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD
SEPARATE PERMITS AHE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. 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 1 STAILS 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 $9O1 $, SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVI OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- 2S.00 Fire SC $.�O
STR TION OR THE PE ORMANCE OF CONSTRUCTION. $
PLAN CHECK FEE TOTAL FEE
� �i � QZv License SC $5.00 $31.40
SIGNATUREOFCONiRACTORORAUTHORIZEDAGENT IDATEI � HE R� RLY VAL�T THIS IS YOUR PERMIT
� J� - � 7
SiGNATURE OF OWNER tiF OWNER BUILDEfi� 10ATEi BLDG �NSP 0/+TE
NEVV � [ ] Effective 3/ 1192
ADDN [ ] �ITY OF FRIDLEY
ALTER [] SIN(�LE. FAMII.Y AND DUPLEXES R-1 AND R-2
Boilding Permit Appliption
0
Conshvction Address:
L.egal Description:
Owner Name & Address: � i,,�'�,�� �A%.,��� Tel. � . �`� ��D%6
Contractor: D& D Home Improvement, Inc. MN LICENSE # 4840
Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. � 784-7543
Atxach to this application, a C.ertific�te of Survey of the
lot, with the proposed constcuction drawn on it to scale.
LIVING AREA:
(�ARA(3►8 AREA:
DECK AREA:
a1'HER:
DESCRIPTION OF IMPROVEMENT
Length ________ Width Height
Length Wickh Height
Leagt6 Width Hgt/C�raund
Sq. Ft
Sq. Ft.
Sq. Ft.
corn� i�ot C) inside Lot C � F� .Yd S�back side Yard s�acks
'rype o� consavca�n: o�����i�r�o�/�_ �r� 2�� �sumatea cosc: $ �'C�i d�
Approx. Completian Date: �L �� /�f y►�rl��S
� •
(Cost on Back)
Driveway Giab Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
��
DATE: Q APPLICANT: �r Tel. i�
Permit Fee $ �� � ��
Fire Surcharge $ �/G�
State Surctsarge $ , �, �
arg
SAC Charge $
License Swcha►rge $ .� . D �
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL
•
� �_-,�
yrr � �
F� Schedule on Reverse Side
.001 of Permit Valuation (1 / l Oth %)
$.50/$1,000 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B° Above
Fee Determined by Engineering . '
Agreement Ne�cessaiy [ l Not Ne��csarY I I
STIPULATIONS: — �
BUII.DIN(� PERMIT FEE SCHEDULE
'l�e Chief Building Official shall, before is�suing permit� for the erection of azry building or slruclure,
or for any addition to any eaisting building or strncture, or for a�► alteradon or repair to any existing
buildiag or stiucb�e, upon application ther+eefore, require the payment by the applicant for such pernut
of fees to the amouat herein below set forth and in the manner herein provided� to-wi�
TOTAL VALUE
$1 to $500
$SOl to $2,000
$2,001 to $25,000
$?.5,001 to $50,000
$50,001 to $100,000
FEES
$15: (Minimum Fee is $15 plus surcharge)
$15 for first $500 pins $2 for each additional $100 or
fraction ther+eof, to and including $2,000
$45 for first $2,000 plus $9 for ach additional $1,000
or fiaction thereof, to and includieg $Z5,000
:�L52 for first $2.5,000 plus �6.50 for each additional $1,000
or fradion th�reof, to and including $50,000
$414.50 for first $50,000 plus 54.50 for �ch additional
$1,000 or fiaction thereof, to and including $100,000
$100,001 to $500,000 $639.50 for first �i00,000 plus $3.50 for each additional
- $i,p0p or fraction thereof, to aad including $500,000
$500,001 to $1,000,000
$1,000,001 and up
$2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,00O,OOt1
$3539.50 for the first $1,000,0� plus $2 for �ch additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete t,'urb Streets Only)
_�
Alternate "A" : Removal and replacemeat of curb and gutter only - Driveway width plus 6 feet times
$13.50.
Altemate "B" : Removal and reptacement 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 issu� a minimum of 24 hours from the time of application tio allow
for pmper review of the proposed strucdire and of the construction site.
A Certific�te of S�nvey of the lot, showing the location of the foundation once it has it has been
constructed will be r�uired before proceeding with the framiag.
�
SuBJECT .P-�-FI' M"I� -N.Q.
City of Fridley ���" �g
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � �� ���
r
� � RECEI�P NO.
� ' COMMUNITY DEVELOPMENT DIV � �
' �v _.-_.-
r � � PROTECTIVE INSPECTION SEC
i �
' � /'��1 � CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED BV
�""""� � �'J 612-571-3450 9t0-F15 � 8/96 � �
JOB ADDRESS 1248 Hathaway Lane
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 24 2 Parkview Oaks First Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dwaine Overby, 1248 Hathaway Lane, Fridley, MN 55432 586-9734
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO
Self
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK Fireplace repair
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT
AUTHORIZED IS NOT COMMENCED WITHIN 80 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 EXAMINEO THIS APPLICATION STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED �SOO.00 �.SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVIS N OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $21 .00 ire SC � L. OO
STRU 10 OR THE PERFORMANC OF NSTRUCTION
� � � PLAN CHECK FE T T L FEE
� � $22.50
SIGNATUAE OF CON'AACiOR OR AUTHO ZED AGEN7 IDA EI N Pfi V VA ID THIS IS �..Y���OJUR PERMIT
/ /}
_ r {
SiGNATUREOFpyyNEFiiFOWNERBU�LDERi IDATEi LDG �NS qaT
NEw � )
ADDN [ )
ALTER [ ]
ConstructionAddress: / °Z
Legal Description:
Owner Name & Address: �
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECB AREA:
OTHER:
Effective 3/1/96
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Pernut Application
Tel. # ��� -- �7� �
MN LICENSE #
Tel. #
Attach to this applicaxion, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRII'TION OF IlVIPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
�r r��� aG � � ��� � II � � � ��' �.� � v � �
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Ya.rd Setbacks
Type of Construction: Estimated Cost: $_,�'"C� P1, ✓
Approx. Complerion Date: �
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$
DATE: AppLICpIVT;
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� �/, d U
$ /. ov
$ , ,SL�
$
$
$
$
$
$
� ��.So
CITY USE ONLY
_$
Tel. #
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$900 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 [ ]
BUII.DING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before issuing �rnuts 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 e�sting 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,Q00,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $5� plus $2.75 for each additional $100 or
fraction thereof, to and including $2, OQO
$62.25 for fust $2,000 plus $12.50 for ea.ch additional$1,000
or fraction thereof, to and including $25,000
$349.75 for.first $25,0(� plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,(�0 plus $6.25 for each additional
$1,(TDO or firaction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,D00 or fiaction thereof, to and including $500,000
$2887.25 for the fust $S�,OQO 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 additiomal
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete C�rb Streets Only)
Alterna.te "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 construcrion site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the fi�aming. �
�
. �
Building MECHANICAL Per�nitivo.•�. s�' - �
Inspections RESIDENTIAL APPLICATION Received By;G�
763-572-3604 CITY OF FRIDLEY Date Rec'd:2� / 1� �
DATE 1 f / O� YOUR E-MAIL,A�DRESS � i� — J��t co � C' iJ :y'
srrE anDt�ss �. � : � tc 3 �-
THIS APPLICANT IS: ❑ OWNER OCONTRACTOR
PROPERTY NpME: �, �y ° � � •
OWNER/ ADDRESS: /'� . S�I�d Z�fNd- 1�� CITY � cY- � STATE �%�Z1P�� �
�N� Pxo�: 7�3 -� �l 9 `73 �
CONTRACTOR CoMPANY NAME:
SUBMIT A COPY OF CONTACT PERSON: '
YOUR STATE STATE LICENSE # EXP DATE
LICENSE WITH �DRESS: CITY STATE ZIP
APPLICATION pHONE FAX
PERMIT TYPE � SINGLE FAMILY ❑ TWO FAMII.Y ❑ TOWNHOUSE
TYPE OF WORK: ��W ��P�'CEMENT 0 ALTERATION/REMODEL
DETAILED DESCRII'TION OF WORK � o j re �
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 =$15.00. La.bor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOV� n
Equipment Installed MFG�Lt MODEL: �C.O�(-�' SIZF./BTU ��
MFG: MODEL: SIZEBTU
MFG: MODEL: SIZEBTU
A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00
AIIt TO AIR EXCHANGEER $15 FIREPLACE (W�D) $35.00 NEW GAS GRILL $10.00
BOILER $35.00 _FURNACE $35.00 _GAS UNTf H1R $10.00
CHIIvINEY LINER $10.00 _GAS DRYER $10.00 PQOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
r,�� , �`�°a� �� , 'i,,, .. , ,,. �,�- , � ,., ��� �._.�__ . ��` �Y ,,, � ,„ �.�.: a � �
�
, ���.,�� �,
Permit Fee $ Number of fixtures @$10.00 x$10.00 =$
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @$25.00 x$25.00 =$
Number of fixtures @ $35.00 x $35.00 = $
State Surchazge = $ .50
Tota1= $
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 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 work which requires review and approval of plans.
SIGNATURE OF APPLICAIVT ` G- PRINT NAIVIE�EJe.t� ae�� � O�ef DATE �� ���
,;
%a; �� � �,- . � � , : E € .. � �� u �y � � "� � F.
�
e..« � �.n.'P�� ......:, ,..,,.. -- ` = a� ,,.. ... ��
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
City of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERNIIT APPLICATION HVAC
❑ NE�V HOMES/ADDITIONS ❑ EXISTING HOME 0 MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REOUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
6. Duct Design Per IMC 1346.0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculations.
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