AF - 45807City of Fridley, Minn.. �
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BiJILDING PERMIT NA '7405
�, - - �-
Dat�: �� �� �l� a
Ov�aer: B ��a �
Address Address
�
�� ' OCATI O BUILDING
No. Street _� Part Lot
Lot .�...�.a.....___ Block _�� Addition or Sub-Div�ision
Corner Lot _� Inaide Lot —. Setback __.�� B Sideyard .�' �
3ewer IIevation
_.� Foimdation IIevation
� DESCRIPTION OF BUILDING
o be v �
Frant �� Depth � Height .�� Sq. Ft. .���!��C�. Ft
Front .� Depth fTei�ht � Sq. F� ����� Cu. F't ��.�� �
T y p e o f e t 4 ' F�t �� _ o b e C o m p le t e d
In conaideration of the fssuance to me of a permit to construct the building de�cri�d above, I agree to do
the proposed work in acc�rdance with the d�scription above set Porth and in compliance with all provlsions of
orrlinances of the dty of FYidley.
�
In consfderation oP the payment oP a fee of �, permit is hereby granted to
to conatruct the buflding or addition as described above. Thi��� t is granted upon
the expresa c�ndition that the peraon to whom ft ia graated and his agenta, employees an� worl�en, fn all work
do�e in, around and upon said building, or anypa� thereof, shall conform in all reapects to the ordinances of
Fridley� Minnesota regardtag location, construction, alteration, maintenance, repair and moving oP bufldin�s
within the dty I�imits and this permit may be revoked at any time upun violatton of aay of the provisions of said
ordinances. �r _ � / 1
Building Inapector
^ Nonc�
i� psemH does aof eowr f6s eemtrue�i�, Imtalldisn to� �rWnY. P��& 6b 6�eY� aw�� or watsr. 8� sun to u�
Na Bulldtng les�aeto� fe� apa►a» � Poe 16us �ms.
� �c v;� ti'S T�L/.4' N.� ,� ��i�t T/�JN
��^` C. E. CoULT�ER
.55
rr �ors LAND SURVEYOR
TUPOGRAP: ��, MAFPIN6 REGISTERED UNDER LAWS OF STATE OF MINNESOTA
LiCENS°_D BY ORDINANQi O►CITV OF MINNPaPOL18
3300 LYNDALE AVE. SO. MINNEAPOLIS 8. MINN.
TAYLOR 4-0370
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I h�`�y certify that the above is a true and correct plat of a survey of:
Lot ��°wo (2), Block Three (3), OSTMAN'S THIRD ADDITION, Anoka County, Minn.
As surve�ed by me this 19th. day of January 1957 A. D.
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Signed - . . ���.��_'r � --.�
�, �,,�� Minnesota Registration No . 2584
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y y SUBJECT �� i4949
Cit of Fridle
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T�
� � ECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r � y � PROTECTIVE INSPECTION SEC. ��� �
�
t � �
'` � /""1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
L'�•'� � ,'� 812-580-3450
910-F15 10/5/78 � �
JOB ADDRESS �010 Hickory Drive N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2 3 Ostman's Third Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Robert H.oman 7010 Hickory Drive N.E. 571-4225
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
.�' �e'
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Install basement chimney
9 CHANGE OF USE FROM TO •
STI PU LATION S
SEPERA�E �E�$�d�T� i�E�3�.,���$�� F�R' tN�R��ir
HEATIN�. P�����l�d; �#1�� ���3V�
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KIVOW THE SAME TO BE TRUE AND CORHECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT $6QQ $• 5O
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $7. 5O
PLAN CHECK FEE TOTAL FEE
�` 8.. 0�
NArUgEOFC NTRACTOPORAUTHORI2EDAGENT IDAT $� WHEN PR PERLY VALIDATED THIS IS YOUR PERMIT
' � � �-- o �S ' �►-,� l c�e�� / Ci
SIGNATURE F NER IIF OWNER BUILDERI I ATEI BLDG INSP DA7
J
• • C�TY 01=
0
F � � �
(=(Z I ULCY .
•� • API'LICt�TIOid F�it it�SIl)C:(JTI/1L BUILDIh1G PFRI�IITS
(��L•W, 1�LTL"(t/�T1UfJS, �Dll1TI0lJv, OR REPAIttS)
- oc;�i�R: ���e�� ��e � / /oi`l �.(�
r�aa�:�ss : %� i ��o� %��, %�!�
�o. ; 7� /� 5treet: /C
i �"'i���
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ncldress:
TeA. No. : �� �/�' �� � , �.�r1 E °�
� , � �'�,�s T �1
,,� . . . .
- � . .
LOT: � BLOCY.: �_ ADDITION : �s �i�( �,te �S �� ! r nl e�' �r '
COi2NER L�T: �_e � INSIDE ?JJT: SLTBACY.: SIDLY7IRDS:
_/
�1�Plicar�i: attach �to L-his form �ao Certii�icatcs of Survey of LoL- and proposed
bui].ding 1ocaL-ion drae�n on these Certificates. .
3
DESCRI �TI OPJ OF BUI LDI i�G
To Be Used 11s: �
• ��° ��� c �,Ne�ront: Depth: . � � ' Hea.qht:
Square Feet: �'� Cubic r^eeL-:
F�:ont: Depth: � Heig}it: _
� Square I'eet: G�lbic Feet: '
�►pe of Construction: ���'N ° V'•� E.stimat-ed Cost: $ Q/� G� K
�.b Be Completed: � �i�� � " .
.�lt. A Alt. B
Proposed Driveway �r'idth If l�ew Opening Is Desired $ $
(S� R�VERSE SIDE OF SHEET)
The unc�ersigned hereby makes application for a perniit for the work herein
s�eeified, agreeing to do all c.�ork in strict ace�rdance wifih the City of
Fridle�� Ordinan�es and rulings of the Department oi suildings, and hereby
declares ihat all the facts and representations Stated i�i i:his application
are true and correct. See xevcrse side £or acditional iniozmation.
. ��
. ,
DATE: C� � � SIGNATUI'.E:
Stipulations : , �`� � �G � �f /
� GI
�� P,��� ��� �� ����
' �r��D $ .
, � - � � �� C �.�� ��
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BUILDI!JG PER�4IT FEr SCHELULE
SECTION 2. The Inspector of Buildings shall, beiare i.ssuinq permits �or the erection .
of any building or structure, or for any addition to any exi�ting building or structure,
or for any alt�sation or repairs to any axisting building or structure, upon application
therefore, require the payraent by the app]_icant for such perc�it of fees to the amount
herein below set forth and in the manner herein provided to-wit:
NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.
PLP.N CHECK: 25 percent of building permit fee.
.DRIVEWAY DEPRES3ION: (Concrete Curb Streets Only) '
� Alternate A: Removal and replacement of concrete curb and
gutter on1y;�Driveway width plus 6 feet x$14.50
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide appro�.ch with
6 inch depth; Driveway width plus 6 feet x$17.20
;��� � s r �• ; ��
Fc,r the purpose of c�mputing Fees for bv.ilding �+ermits, the cubical contents o� any
building or addition, is determined by multiplying the ground area covered from a
paint six (6) inches Y�elow the floor line of the basement or the cellar to the
average hei.ghts of the upper suriace or to th� average height of the roof surface
�f the main gable of a pitched roof.
For repairs or alterazior�s to an existing structure, the fee shall be at the rate �
of $3.00 per each five h�::s�.red dollars �($500.00) or fraction thereof in the cost
of all propased work. •
in �no c:ase sira? 1 Lhe ��e ehsr�:.� _`ar any permit as set forth in Section 2 be less
than $7.50 plus $.5� st�te surcharge. ° �
VERIFICATIO� OF FOUNDATIO(V
NOTE: Permits �or construction will be issued a mini.mum of 24 hours from the time
of application to allow for proper review of the proposed structure and of the
construction siteo
A Certi.ficate of Survey of the lot, showing the lacation of the foundation once it
has been constructed will be required before proceeding with the framing.
; + � � ''�
Application for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a builcLi.�ig permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued. �
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FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UTIIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
February 1, 2002
Ms. Beverlee Beckstrom
7010 Hickory Dr NE
Fridley, MN 55432
Re: Final Inspection at 7010 Hickory Dr NE
Contractor: Mr. Rooter
Dear Ms. Beckstrom:
A plumbing permit was issued on December 6, 2000 to install a water heater at your
address. According to Section 4715.2800 of the State Plumbing Code, a final
inspection shall be conducted on the work authorized by this permit. As of this date,
no final inspecrion has been ca.11ed for.
The permit fee that was paid covers the inspection to make sure the work was
completed according to the Code. We will keep your permit open for another 30
days and if we do not hear from you within this time to set up the inspection, we will
mark the permit "no inspecrion called for" and take no further action.
To set up the inspection or to have any questions answered, please conta.ct the
Building Inspection Division at (763) 572-3604.
Sincerely,
DJ/mh