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AF - 45935sue�ecr PERM c�ty of Fr�aley . 12930 AT THE TOP OF THE TdVINS g U I L D I N G P E R M I T r � � RECEIPT NO. � `L ______ COMMUNITY DEVEIOPMENT DIV. ��r�� r � � PROTECTIVE INSPECTION SEC. y 1 = i �� /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ""� � ,�� 612-560-3450 910-F15 5��5 � � JOB ADDRESS 6502 Iiickory 5fi..geet N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 18,19 6 Fridle Park Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Leif Iienriksen 6434 Riverview Terrace N E 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING t� 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DF�SCRIBE WORK � t � � 9 CHANGE QF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. SEWER AND WATER MUST BE CONNECTED- No Sewer Wye is Available WATER MUST BE TAPPID: 6" Watermain Approx. 20' East of Property Line IN�RNING �efore digging cali local u li�i�� SEPERATE PERI�ITS REQUtRE� F�R WIRIi�G, TELEPHONE-ELECTRIC-c Et�. ��l�ATING, FLUMBiNG AN� SfGNS. REC��JIRED �1( l. 1�� SEPARATE PERMITS ARE REQUIRED FOR ELECTFiICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WQOa-.FY•3IIt THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 R_], �.S�O I.S �SO'I'S %%O ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PAFKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANp ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $34�000 �`�.%.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � yS`4�i.HF) $325•OO PLAN CHECK FEE TOTAL FEE $386.86 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT (DATEI HEN PR PE - ID D THIS IS YOUR PERMIT �" ��/d SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLDG INSP ppTE �. _ ` .�,s � � � LP � CERTIFICATE OF' SURVEY JAME3 �.. KURTN LAND SURVEYOR 4201 N.E. STH STREET 47l�,9 C04UMBIA HHIGHTS SS421 ��'� � lltl�[�Y CERTIFY TMAT TH19 BURV4Y. PLAN, OR R6PORT WA9 PR6PARED BY ME OR UNDER MY OtRECT SUPERVI$ION ANp TNAT I AM A DULY R601iTERED {.ANO SURV6YOR UNOFR THB LAWS OF TME STA'fE OF MINNE80TA. . � DATE �- ��-1�' a.-.-�-�-, � ��.�-�/ �Q � SCA LE 1 " = 3O � �tNNE� A REGISTRATION NO: 5332 � o=1RON MONUMENT - � Nsc �oc. s-��`-zs - _ _ _n�oYF : __ _ �t��s �� _� Ror�- ---- - ---_ = _ _ _ �� -- - -- _ PREVIOUS SURVEYSQ'L.INES OF 1 � OC�uPAT1oN°� PLAT 0� ED�E- C, WATE R GARDEPIS. _ 4��q' � � �� , � � �z5 � J, � :� � ,z. _ � 3.� � �- � ?' -� ' j�iA . � 4��2 � � � / / �'�Z j / , / � y J�� G a � � ,n _.��' _ s 6 � /' � `. - , � �v'n `� , • _ _ _`— `-1 e i �� Lots 18 a�nd 19, Block 6, Fridley Park, Anoka County, Minnesota .� �\ ` � �� ,.. i _ I �6 C1J � ,� , } ��R"C"1 �"1CA-T'� C��' Sl9 F'�✓�'�(1.., . , J��1H E� L. dC tl F3 '� b� - L.�►�1D SUF3VEV�R 4201 N.E. STN STREET 9?!09" COt�UMH1A HEIGMTS 8$421 ��"�"� - / M[RiaY CtRTIFY TMAT TNIS SURV£Y. rLAN. OR R6PORT WAS' PREPATiED BY ME OR UNOER DNY DIRECT 9UPEq�[18t�M AND tMAT 1 AM A OYLY REGI�T6RE0 LAND StJRVSYOR UNDER TME'. LAWS O}' TM6 STATE OR MINNESOTA. � . DATE �- 1-1-'1�} a,.-�--�-a �. �� SCALE t " = 3Q � d � � o=1RON MO(dUMEPI't' � �NNES9�A �REGISTRA•TION NO. 5332 N4TE :�� ' LtNES- SE7=- FRQIvt. ; _ . , . ; _.PRE�l�ISS .S�RV_EYS 4' �.INES 4F � . , � - � . �» C�CCUPAYIaN�.. PLAT QF,:EDC�E :�_... _ ._ ^ � _ ' . ': WA�'ER GARO�KS: � _, : _ . . � . - .�.� - _ . �o�� p - . _ - - _ " _ �. � - ,� � _ . _ � , _ _ ��,5 . `— . � - . _ , . . v � � . . ��, � t'�. . - a ..� � , . � � � . ti � _ ' � : 7 _ . . . VQ�/ �� . . . `CS'�, /�. ' _ . �i / � y • yy�� / , �b � { J� � � �,- � � . . . . .. _ � �� . r y . � _ ' !' /' � s � � ,.-s+ % �_ - ' � � . �� ' - � x�, � e � '' �" 6 � . 6"� � \ �` � � ` ; ; , 4 �6 ' � L.j' .r.:t�' � � � � . :;�y"'_ - � /�" . � ' ,�w . _ � . , rr � _ _`��' , - � - _ .< - . � - - ,. . � � � .. „ . _ , r . .' :. � _ , , : •� . Lots 18 and 19, 61ock 6, Fridley Park, Anoka County, Minnesota - ,o�-� � �Gll � � � �i}%�� 1�CJ S T �� C�O�iyld��T� y1,�o S��e�- � y' � / c.s� �`�r�s�.�� f��-i�� e�v�7- �� T �� °'' c��-r�i��.� � �x� �� ` �� .:. . _ � . �. > .,.- x' APPLICATION FOR RESIllENTIAL, ALTERATION, OR ADDITiON BUILDING PERI�IIT CITY OF FRIDLEY, h1INNESOTA OWNER `S NAI� : � ,�o`T� �@ y7 IP` o � BUILDER : _ f- �,`7� J�l ,� rn r o ,�.T � � ' ADDRES S:��t f� i`�J e. r�0 '� ua �e. r r• ADDRES S: �'i�3'i� nr�� w-�/ ��e.c.r ��J'` 1�' � �fo� -�s�� NO • , Co�� STREET : A LQT :^ BL�CK: ADDITTON : 1R i� I� r% CORNER LOT: INSIDE LOT: V SETBACK: SIDEYAFD: Applicant attach to this iorm �o Certificates of Survev of Lot and proposed building location drawn on these Certificates. . �. ° DESCRIPTION OF BUILDING 1yX �� ' To Be Used As: �,�x �� g � Front : � � Dep�h : 3 o'Z Height : '� � 1� � B Square Feet : Cubic Feet : �,� �{�� V` Fxont : � 9�0� epth • � j�_Height • a Square Feet; �''» Cubic Fee�,_ �.'j'� Type of Construction: ,Lt/ pd Estimated Cost: $ To Be Completed; ��Q �- 7„�� 3�� o V V• �j v� The undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all woxk in stfic� accordance with the City of Fridley Oxdinances and rulings of the Department of Buildings, and hereby declaxes that all the facts and representations stated in thi,� application axe true and coxrect. �, // , DATE: 'j� „� �-�� SIGNATITRE: t �.- (S�e Reverse Side For Additional Information.� l�2U�i0�, �l�J/�0 S��FAC,� Q��'�`�. �Y�1� 1 ` . , U�2 � Fy� �'6 Su-,e��( ay,Zsu�o T�03�l,or•� � _ i.��,� � 4u.8� �So�,�„ ti 17 , u o �� . �24J�� Gl.�� ,�tF�,��, �.6p��1G � j Z,; o d �Q�.as � BUILDING PEi2MIT FEE SCHEDUL� SECTION 2. The Inspector of Buildi.ngs shall, before issuing p�l-mits for the exection of any building or structure, or for any addition to any existing building ox structure, or for any, alteration oi repairs to any existing building or sticucture, upon appli.cation thexefore, require the payment by th.e appli::ant for such pe?�mit o� fees to Che amount herein below set forth and in the manner herein provided to-wit: UIVIFORM BUILDING COD�: T�pe l, 2& 4-$2.1.5 for each one thousand cubic feet, or fraction thereoi, in such cubical confients. Type 3& 5-$1.E5 for each one thousand cubic fee�. ADDITIOiVAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any builcl:ing or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floar line of the basement or the cellar to the average heights of the upper surface or ico the avexage..- �hei�ht of the roof surface of the ma.in gable of a pitched roof. For repairs or altexations to an existing structure, the fee sha11 be at the rate of $3.00 per each rive hundred dollars ($500.00) or fraction thereof in �hs cost of all proposed work. In no case shall the fee charged for any pexmit as set forth in Section 2 be less than $5.00. . VERIFICATTON OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper reva.ew of the proposed structure and o� the construction site. A Certified Survey of the lot, showing the location of the foundation, once i� has been constructed, will ba required before proceeding with the framing. CERTIFTCATE OF OCCUPANCY Application for a Cextificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure fox which a building permit has been issued; and said structure sha�l not be used or occupied until a Certificate af Occupancy has been issued. , � . �s � --..e a , `.. :�- ,�� s .�� ih ,�' -�, z Z x = q Z� � _ j5r F« a�. c x'� Z. : � � x tt . ��'� �._ !�t �l ty 4 i3� v � z k oti�. '�...�, : 3 K � �t '� 1� 11 � Z , � _ f SNd � c�8d ` G�roc Z �-t. X tw� _`'t � Xfd z :S C) . % �• s�� yZso X 1g' = yy.8G . , , x t'�..�lo � Z � �9�. , o a x _'�.Su + �l, 0 31 _an X S.�� s 3. 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S �& � S � � $ $ a i. iA .. � 1A �O N fn M M !A H 4� M I � , � , . � � � H f G �, �, O �,. • . � �. . � r. w � � ►- oo � ,� '� I a n' x I n jStot�d � � .-- 8 � „� 1MATtlt � o nascts ►� � uRiwu.s � (1 �ATN �i � Ttrca O '" HSltd °' d �C -v � $ � � S�NKs g� � �, �, w� � q � � TRAYS � � D oa�ar. ' C) � � �«,H.. �; � p M /v 5��. [� M � noo . p' p � `` oa��N � x � CATCTI � EJ�SINS � O I'� �ai1 AUTO p ` , � R wws►�s o O _ ~ � m � � � :a � in . e r o I I o r �..�``_ . � . rt � . . . - N . �t �� y� . � o � � O � o C 7C � � Q °" ' c a c. t• + W � d • w .�C � � � �' .. � m E a ° 00 � 1 � . - . � i � ' ; � � .. I � I . • i i ' ' n ti E. a� o � a J. y ~ � a � a � � v' m � � . b g � O . �, z � c� 00 °� � T .� � a. c � � 7 � � o � . � ' I A ,� O � r •� . . °° � � p� O • � �`1 /I 0 GAS ,� .C-o o��c Q � r '� GAS �. O�ENINGS '�� O � 2 O � „'. > y � D � : �' fi n ' � aa� � ; � �, �= � o v a' " ��,� � �o;�Q, E 3°-- C � � '„" � i� � 1° o5a °� � ��3 ' i o .�°, � �� '.�°� �'r � � `` � �` � � » o � I, � � � � � qx� �I � '"' p a� \ C�-'t�"v�bV' (o�., w " :L � C.'. � � �. � � p' w C 0 n p, 0 5 U ��.� . a �� 1 '� � p��f�„ a�� a��; �� . P (�MO �� K � �� .I� 3��. i � � � � � • � � � � 2. � � .� � � �� o � � � � c, � � `� : �� Q � l�.e� p ° � : ra � � \ G w �a �� . � e C;��, . .� �� 4 � �`� / � �.�'Y OF FRIDLEY r _ _� 9s Application for Inat�a,llation of Wa,ter a�nd Sewer Service This form to i� completed before a tap is made to any existing water or sewer line. Lot ��1,...1�---. Block .-.----�-------------- Addition 6!� °_ .. .!_ �._�'�� Address .__._.._�4��-�--- - ----- ' - - --- -- _.�' _�_._�._._ ,��.�� - Plumber (this portion of form to be completeri by person requesting ta.p) CHARGES TO BE PAID BEFORE TAP IS MADE — WI�tE ASSESSMENT HAS NOT BEIN T.'�'��n AGAINST P�tOPERTY Sewer Connection fee �Sfreet patCh _. Water Connectaton fee Meter deposit Materiala used �'Street patch — , � � / � � � _ / i , , � Where applicable / � The above applies for all regular residential size se ces ��-� ^�,✓ IF LATERAL AS5F.�5SMENTS HAVE BEEN LEVIED AGAII�TST �✓'�, THE PR.OPERTY, THERE WILL BE NO CHARGES OT��R. THAN � CONNEGTION P�IITS AND METER DEPOSIT The City wlll furnish ma.terials for water service and the plumber will bill the City for sewer, not to exceed $3.00 a f�t or a masim�um of $60.00. ��K�Iti1�I\M4��k��1�� IDI�i w8't@i I.8�T81 T� Credit for material Tota1 assessment Sewer Lateral Credit for material `�------. _....----�.........___ _.... $..___.:._.�._._____._ $._.._......___.._..__._.._._ 60.00 ,a-°�°< Total asse�ment $...._...._.___ Clerk's signa.ture -----•-��----- - -- -- ------�----------------�---�-. I hereby authorize the above tap lat copy—Public Worka Director of PubHc Works � H n 4 � u� o ro � 0 O H vz = M �O � �o � r o n � � a n m C rt °: � s�� C a� N� w �n o�r m m o a � a m �' 5 o rn `3 r• � m o x W x fD � r � o �`'� � w �� ''y'' � �a i°-n o a m� � � � � O 1� �t % S' fL rt O R w ry n i� h7 N a 9 O M K � � S� o K � �o � tCt �. �� t�n M ry � M H I O f�D y � o° � =° n cMn m � K o °' Ry �i o '� o �i ' rar � ° �o �o � n o o m bo N�o � r• "� a .Mi czn °' � � :° °o � i° M -�-1 mi � � °o ° 'q tn � o `� w v� r � , � � � �. rn � � N c'� s � n d n � I I I I � I � rn I I I I I �4 m x x x x x x x x x x x x � � in <n +� <n <n �n tn to r v, v, +n in tn � rv v� o r w u, u+ .i o cn �n n� n� w 0 0 0 0 0 0 0 0 0 0 0 0 0 o H 0 0 0 0 0 0 0 0 0 0 0 0 0 0 �y m <o tn tn �, Io d� � � � tn in tn tn +n tn tn v� in H 0 .'g � z ro z �C o � � H '0 � � 4 i�i � ti ro ro M � . . o ro z t� � � � � t% � 7 � M � H ►� N � �d N 0 fyD N O O � � n w N r � Stories � ;y �x a n� n a n �''�' `' M Closets � � � �� Uri��a13 M• � 'r��' p -- Cj-- _ HaLh Tubs ry ._ _...._ �_-. � � _ �� ^ -� � BdS1I13 o rr a ] i Sinks 0 � � Wash Trays w � Drinkinq ,q Fountains Showers A Floor Drai 0 � Catch � Basirls n � Automatic 'o a' Washer I-�- rt Gas Appl. D � � Alisc. Fixt p z � � Gas Ranqe o rr E A �° ,�Dy Other .� E �' N G � bt1 --r. � �K Z � K � � � � � r�-� z � H w d o � � � y � � d ��+ a C O t 7 L-~+ � d y d z s z � � ✓� � � � � � � .l— H � �O 17 b ( Y ro I � � H O � �� T D z b T � ,n +—• D t7 . N r �� m �� ro � w�o o � -< ma.�ix ~�a a� � o Nwa v�+i°-n� A' � � Z � a a a r� 5 � � � yw � �ao `y° � m �'ro� �n o� r" � ro �S� w � w J� '� mm`°�' a � � ro ° � w � �i r�t o `G � ��wnp� N A ~E � � � N O Cf H �r"irro ►a-� frtD G W H ` . l� � a~�� w w a w a � � � H w C� � rt �q W O � W N fnf � N M bp'oa 0/, � n w � � N � � w �C m r. O [t � N W M H 1�-�� M � � � � � � ' � . � � M O � .�i "n`c x � �� NR�+H 1 � w� � 560-3450 �at o rid�e °c� c�i ANOKA COUNTY 6�331 UNIVERSITY AVENUE NE Januaxy 160 1976 FRIDLEY, MINNESOTA 55432 Laii Hen�'iks�n �rsi,ld� 6434 Riv�sew Te�ac� 1�i.Eo E'ridl��a� i�i„a�a�� 5543� Re: �'in�l %�a��ction at 6502 �i.cko�y S�e�t N.�o Dea.� Mr. Hen��,I�sen: A final inspection was made on Janu� 14, 1976 oi the above address. The following i�� w��e noted aaad must be comg�let� �ef�s�°� the construc�ion can be fina],e� eac�t� . 1. Y� t�1.�, h�t�� s��°� 2. Insta��, door closer ora doo� betwe�ra h�u�a axad gaxag� 3. �a�tall ��n�7. o�x �i� ��ent ��,� We wil� expect t.1�� ,bove iteffi� to be completed by F��xasy 2 o I976 o If any problems a��se that wil�, prevent you fram completix� these�items by �bis date, p],ease contact us. A reinspeation vrill be �ona�u�ted on o� �baut this date to detertnine compliancea Sincerely, DARREL G. C;LARK Cammuni.ty Development Aciministrator DGC/mh sue�ecT P E N City of Fridley 19313 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � R . � �y ___._ COMMUNITY DEVELOPMENT DIV. �a�� f � � PROTECTIVE INSPECTION SEC. � � = i ' ��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV ti.__.11.' �•� 612-571-3450 910-F15 1/12/88 � / JOB ADDRESS 6502 Hickory Street N.E. 1 LEGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 18,19 6 Fridley Park SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Dallas/Ann Hansen 6502 Hickory St��t N..E. 571-9546 3 CONTRACTOR MAIL ADDRESS ZIP PHONE IICENSE NO. Same . 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Res i dentia,l 7 CIASS OF WORK ❑ NEW ❑ ADDITION �7 ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Finish ba.sement pex �pproved plan 9 CHANGE OF USE FROM TO ' STIPULATIONS See coBmnents on plan S�PA�ArtE PERIVII�'S REQUIRE� F�l� `ryBR01�G, HE�TIi�G, PLUIMBING AND S1f�IV�o SEPARATE PEFMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OFi 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S�-Q r OQO $S. OO 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 CONSTRUCTION. $8O. �JO PLAN CHECK FEE TOTAL FEE $85.50 �C �SI NATUR OF CONTRACTOR OR AUTHOR12ED AGENT IDATEI a„ IJ�I EN P OP L A D TED THIS IS YOUR PERMIT �� -� i��-�-- 1-�2°s`6 � � l�-��t SiGNATURE OF OWNERIIF OWNER BUILDERi iDATEI DG iNSP r7nTE � a � a ��,� �, =� � 1� 1 �i N 4 � � Z b --Y�--Uf--T � ! . - -� Z C` � � ! � � � � ,�,� ,Y,e,E ry2j t,or C i. w � � � s �- P ----� 4 � j p� � L w p� N v- s � a � � f� � O T O N� 1 ��a e � 0 e � -, O �" _J �n N � � i F,� 0 � �� µ � �,�• o. � � � i � � � � � i T P � � � '_` �N� .: ,. 8, ti ,+.z ; ps �£ �b,Si n6�6 — • N �IC � a �-- iz' s �y� � A m g�� : 'm � o ' �,�'�.$ y o � � w-m �, o � �o � � ..3 +V � � �i g A Ot 00 �. S �a��m 3 �. .n ' .g�� 8.� • _s �" ° °; m 3 ti �� N n m 4 � � w S �O � � 7 � • �/" �� r �E--� w �O � ac * ar � r � —�—�—'-- �-- --- � '— - — ., O �"; f � �g �Z a � � �� °s' � i �C N lr � rY 9� o � � �� . r o �i . --;I� � Q ^ N M � t �� /,1 u0 t O e0 M\t E � C � a C,' -�c7 -- �� C 4� � � ` O e! ° \ �� 7 � � �y � - e'0 r- r--� W y I �� f � I w1! N� L_ L_J •. � „Ii,B, �4l - , I r[� i ;h2 � w9 � � � ` aho �y � , ,B.Z p�6,5 . �� = =i�Ql,o�' � �� N� [] City of Fridley Effeetive �/1/86 ADDN. [ ] R-1 AND R-2 ALTER. � Building Permit Applieation Construction Address: �� /�o��'�� °�% �� • � �9Ye � f�,� �°�`�%/ '��`�� Legal Deseription: �f� I� �c7� l�l i�'%�Gk� �: x F�%�il•�.� f'��k, Owner N�e & Address: �'�p'a� �� f�a�� /t�• �i�e�s�`A.. ��..b�d�� Tel. � �%I -�5 �� Contractor: �� Tej.. � Address• Attaeh to this application, a Certifieate of Survey of the lot, with the proposed construetion drawn on it to scale. DESCRIPTION OF IMPFOVEMENT LIVING AREA: Length Width Height Sq. Ft. GARA(iE AREA: Length Width Height Sq. Ft. DECR AREA: Length Width Hgt/Ground Sq. Ft. OTHER: ,�i�ej�a�'«�" �,`�''';'�,��' �F' ��/'X I � I�C� jt�'v Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setbaek Type of Construction: Z�"ti' �r�� I��er�G��-� �..�<,,1is, Estimated Cost: $ /��j n�� Approx. Completion Date: �� , 9 �� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: ��> $ $ See Back Page for Explanation . — — ��°� �� Te . � �`'7/ ' 9�1� DATE. � �� APPLICANT: 1 Permit Fee Plan Cheek State Sureharge SAC Charge Park Fee Sewer Maia Charge TOTAL CITY USE ONLY � Rf�.S(a _ _ $ � �� $ $ $ $ STIPULATIONS• ��. �c�►�c� G�, P�.� Fee Sehedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $ � per SAC Unit Fee Determined by Engineering A�reement Necessary [ J Not Necessary [] �� ,c�o � a ��— 3a.s� � �t� ��.� � a � BUII.DIAG PERMIT FEE SCHEDIILE The Chief Building Official shall, before issuing permits for the ereetion of any building or structure, or for any addition to any existing buil,ding or structure, or for any alteration or repair to any existing building or structure, upon applicatio n therefore, require the payment by the ap�lieant for sueh permit of fees to the amount herein belo�a set forth and in the manner herein provided to-wit: Total 9aluation $1.00 to �500.00 Fees $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for eaeh additional $100 or fraetion thereof, to and ineluding $2,000. $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and incYuding $25,000. $170.50 for the first $25,000 plus $4.50 for eaeh additional $1,OOd or fraetion thereof, to and ineludin� $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,OOQ plus $3.00 for eaeh additional $1,000 or fract�.on thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROW (Conerete Curb Streets Only) Alternate "A": Removal and replaeement of curb and gutter only - Driveway width plus 6 feet times $13•50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approaeh with 6 inch depth - Driveway width plus 6 feet times $15.75 --- -- _- — - __ - VERIFICATION OF FOUNDATION Permits for construction Will be issued a minimum of 24 hours from the time of application to allow for proper reeiew of the proposed strueture and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been eonstrueted will be required before proceeding with the framing. �._�� , ' .,, , �: • . r � �O � r c� c� x E m��, � ao m o � z ao w a o 0� G�C W a r co r G m ~ o H � � � t�o 'BO M ti p E r�t a p � 7 q M x O T1 S M w 5' O M �9 t*J K a w o c E o o�o m r � �G �! �C 7 rr H M r lo W rn r� fo it �' � M fD M fD F'' R Pt M W 7 K! 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City of Fridley � � ,� � � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f � � RECEIPT NO. COMMUNITY DEVELOPMENT DIV �� r � v � PROTECTIVE INSPECTION SEC. � i � ( /'��1 � CITY HALL FRIDLE� 55432 NUMBER iiEV OATE PAGE OF APPROVEO BV �----� • •�� 612-571-3450 910-F15 9/30/94 � / JOB ADDRESS 6502 Hickor Street NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1$,19 6 Fridle Park Addition SHEET 2 PHOPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Yurkew 6502 Hicko Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ching Johnson Builder 3507 W 50 St M ls. MN - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADORESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE R 8 DESCRIBE WORK Reroof House (30 S Tear-off 9 CHANGE OF USE FFiOM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD VENTILATING OF AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING Sa. FT CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEp FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WOHK IS COMMENCED. NO. DWLG. UNITS OFFSTqEET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAqAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED $2�2SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �1. 13 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- @ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �pS4.00 Fire SC �L.LS PLAN CNECK FEE TOTAL FEE License SC $5. 0 62.38 SIGNATUAE OF CON'RACTOA OR AUTHORIZED AGENT IDATEI WHEN PqOPER ALID 7ED 7 IS IS YOUR PERMIT — �✓ /�- 3-�9y S�GNnTUREOFOWNEAiiFOWNEABURDERi IDATE� BLD INSP ptiTE s .,, ��i?�°" ��%/�� id � ��1 xEw ADDN ALTER [) [] �) Construction Address : Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 1/1/94 �� S 0 Owner Name & Address: �% y1�.0 /�� /�yyl� ) Tel. � �'7 ( - Z � ( C� Contractor: ��/�� G ��/'�� MN LICENSE # ��C} � Address: .� 'SU 7 �v�6 '� ? el1`• � �/�/��I,c/ Tel. � . �2a - %7� 7 Attach to this application, a Certificate of Survey of the lot, with the proposed constcuction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTI�R: DESCRIPTION OF Il4iPROVEMENT Length Width IxAgth Width Length Width Height Height � Sq. Ft. Sq. F� Sq. Ft. Con►�r Lot [] Tnside Lot [] Ft. Yd Setback Sid� Yard Setbacks Type of Construction: Estimated Cost: $ _ ��0_S�i,�daJ � ,r Approx. compleaon nate: � � a 3C�. � (Cost on Beck) Driveway Curb Cut Width Ne�ed: Ft. + 6 Ft = Ft x$ =$ DATE: � �C� �' APPLICANT: �( Tel. # �� G' -1 %�'% �G� Permit Fee ' ° � $ ��I � Fire Surcharge � � $�,�� State Surcharge �°� $ J, � SAC Charge � $ License Surcharge '� $ � C�� Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $��7� STIPULATIONS: �" j� �, �� -� �' � �` ��1! � Fe� Schedole on Reverse Side .001 of Permit Valuation (1llOth%) $.50/$1,000 Valua6on $800 �r SAC Unit $5.(� (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.{10 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] - a . .� /. - 0 I3UILD[NG PEItMIT FEE SCHEDULE "i�tic Chicf t3ui(ding Of�icia! shall, t�efore issuing perm�ts far the erection of any building or stiuciure, or for any addilion to any cxistiag buitding or str�ucture, or for any alteration or repair to any existing building or structure, upon application therefoce, require ttte payment by the ap�licant for such permit c�f fccs to thc amount hercin below sct forth and in the manner herein provided to-wit: "COTAL VALUE $1 to $500 $SO1 to $Z,000 FCES $IS (Minimum Fee is $i5 plus surCharge) $15 for fifirs� $Spp p(us $2 for each addilional $i00 or fradion thereof, to and including $z,00p - ��1 � �,� - $45 for fitst $Z,OOp plus $g for �each additioaal $1;000 � - or tractio,n thereof, to and inclu�ng $ZS,OOp • . $25;001 to $Sp,Opp • $SO,C?01 io $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,00Q,0p1 and up $252 for first $25,ppp pl�s �6.50 for each additionai $1;OOQ or fraction thexeof, �o. and idctuding $50,000 - $41450 for first $50,000 plus $4S0 for each additional $1,OQ0 or frac6toa t�e,reof, �o .and including $100,000 $53950 for f�rst -$100,UQ0 plas- $3_SO for each addilional� �1,(�0 or fradioa thereo� to and in�luding $SOt3,000 $2U39S0 for dte 5rst $500,000 plus $3 for each addition,al $1,000 or fradion the�eof, to and in�ludiag $I,OQ0,000 $3539_SO for ti�te first $1,000,000 plus $Z for each additionai $1,OU0 or fradion thereof - DRIVEWAY DEPRESSION ESCROW (Concrete C1utb Streets Onty) Alternate "A": Removai and replacement of curb and gutter oaly - Dnveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and instau a 3 foot wide approach with 6 inch depth - Dr[veway widtfi pius 6 feet times $IS_75. VERIF[CAT[ON OF FOU[YDAT[ON Permits for construction wi(1 be issued a minimum of 24 hours from the time of a{�plication to allow for proper review of the pro�seci structure and of the construction site_ A Certifcate oC Survey of the lot, showing the location of the founciation once it ha� it has heen constzucteci wil( f�c re;yuireci i�efore procc;ediag with Yt�e fcaming_ �� sue�etT p , c�ty of Fr;a�ey 2 s 6 6 0 � AT TME TOP OF TNE TWINS g� � L D I N G P E R M I T � i, REC . COMMUNITY DEVELOPM�NT DIV. � �� ~ � PAOTECTIVE INSPECTION SEC 1 � , , � _ , � /��1 � CITY MALL FFIOIE� SS�$2 NUMBEN pEV DATH VAGE Oi APPRpVEO BY �"""� � �'� 612-571-3450 910-F15 11/25/98 � � J08 ADDRESS 6502 Hickor St t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 18 19 6 i e � SMEET 2 PROPERTY OWNER MAIL ADOR�$$ ZIP PHONE Dave Yurkew 3 CONTRACTOR MAIL ADDRESS ZIP PHONE IICENSE NO Renewal b Andersen 350 73rd Ave NE 68 Fr 4 ARCMITECT OR DESIGNER MAIL ADDFiESS ZIP PMONE UCENSE NO 5 ENGINEER MAIL AODqESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WOqK ❑ NEW ❑ ADOtTION O ALTERATIQN � REPAIR O MOVE O REMOVE B DESCRIBE WORK Replace 12 windows and 1 door in home 9 CHANf3E OF USE FROM TO STIPULATIONS ' Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. SEPARA7E PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING. HEATING. TYPE OF CONST OCCUPANCV GROUP OCCUPANCr LOAO VENTILATING Ofl AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. fT CU FT AUTHOR12ED IS NOT COMMENCED V�!ITHIN 80 DAYS, OR IF CONS7tiUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PER100 OF 120 DAYS AT ' ANY TIME AFTER WOHK IS COMMENCED. NO OWLG. UNI7S OFFSTREET PARKING 1 MEFEBY CERTIFY 7HAT I HAVE READ ANO EXAMIN�D THIS APPLICA710N S7A�LS GARAGES AND KNOW TME SAME TO BE TF�UE AND CORREC7. ALL PROVISIONS OF LAW$ yqLUATION SURTAX AND OROINANCES GOVEFiNING THIS TVPE OF WpqK WILL �E COMPUEO WITN WHETHER SPECIFIED HEREIN Ofi NOT. TME GRANTING Of A PERMIT �12�822 �6.L�], DOES NOT PHESUME TO GIVE AUTMORITY 70 VIOlA7E Oii CAMCEI THE pEqMIT FEE SAC C RGE PROVISIONS OF ANY OTHER STATE OR �OCAI LAW REGULATING CON- STRUCTION OR TME PEpFORMANCE OF CONSTRUCTION $199.75 F�.I' SC �I.Z.SZ P�AN CHECK FEE TOT � FEE Lice S 5 0 23.98 S�GNATUpE O� CON"aACTOA Oa AurMOp4E0 AGENi IDAiEi EN q y � FIjS IS i; RMI — �/ � ° S�GN4IUREO�OWNEAi�FOWNEpBU1LDEA� � 1,TE� Bl0 �NS� - � qdrE � rrEw ADDN ALTER [] [� ConstructionAddress : CITY OF FRIDLEY SINGLE FAN�.Y AND DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATION I. Effective 1/l/98 ��0 � 0_� (�� Legal Description: " Owner Name & Address: ,�� pu��(p�a ��/G11n�� Tel. �`?/ �' a(D(Q (p Contractor: � MN LICENSE # db0�10�-g�0 Address: 3� ��3� -�Yl' Tel. � J`�oZ � i'j% Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRYPTT(JN OF nVYPR0irE1VYEE\T'Y' LIVING AREA: Length Width Height �' Sq. Ft. _ GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: ��1� J�� C�cl„�.�'�L��:�ri� Construction Type: Estimated Cost: $/oi� � o"tol = (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. # 8�-ags� Permit Fee Fire SurCharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL 5TIPULATIONS: $ •�s $ �a � �a $ . $ $_ S•(70 $ $ $ $ $ 'o�d3 � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valua�ion (1/�(hh%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ]