AF - 47204� �'illage of Fridley, 1'Ii�in.
�TO -
BUILDING PERMIT 1. 17 5(1
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U«-nei:. ,E,-C�-L ���;' .L,t.v r re ; �._ .. ]3uildcr
......�..,.... ..............................................
:\cidress ...................................... :\ddro;s .............................................
�(/-(/��_B-�C-a��� , L ATION OF BUILDING
\o.L4?�`!�-�!.... Strect . ......� .. ��C.�- ..:.................. Part of Lot ...... ......
y................. /
/ . . c .z �C.7.z c ' / .�(,4.�•X'.
Lot ..../p........ Block ..� .:........... .Addition or Sub-Di��isioh ........... d:•.5:?....................
Corn2r :.o� ........... Incidc I.ot ...`........ Sctbacic ........... Sideyard .............................
'I'o Ue liscd as:
�rr-��: : C ��_� ,. .'. . .
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^iG-�c�-• : _ . '
��........ ..
'1'ypc o: Construction
DESCRIPTION OF BUILDING
U�,� _,> ,- ,��
P'ront ........ Depth ........ I�Ic:�ight ........ Sq. Ft.�'....... Cu. Ft. ........
�c! .; .,. ,�� �-
Front ........ Depth ......�., Hcight ........ Sq. Ft. :-t.�..�. Cu. Ft. ........
......... Est. Cost/'�! �b�......... To be Completed ..................
Ir, consideratim� of tl�e issuance to me oC a permit to construct the bi�ilding described tiboae, I agree to do
the proposed �vork in accordance �vith the description abo��e set forth and in compliance with all provisions of
ordinances of the cillage of Fridley.
.....................................................
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/ , �� C� �: >.� .z,,.-,
In consideration of tihc Payment of a fee of $!.. .. . .. , . ., permit is hereby granted M . .. . . .. .. . . . ... � `� - � � �
... .... .. .... .. ... .. ..... 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 workmen, in all work
dmie in, around and upon said Uuilding, or any part thereof, shrill conCorm in all respects to the ordinances of
Fridley, b4innesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time upon ciolation of any of the P�'ovisions of said
ordinances.
/
�- � �!� � � y'�- �C
,,; .... ....... Building Inspector
......... �.....
�,,.... . .
NOTICE:
7hi; permit does not cover the construction, installation or alteration for wir g, plum6ing, gas heating,
sewer or water. Be sure to see �uilding Inspecior for separate oermits for�c items.
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SUBJECT R NO.
c�ty of Fridley i3809
AT THE TOP OP THE TWINS g U I L D I N G P E R M I T'
r
; � ECEIPT NO.
� ; L ���_� COMMUiJITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
1 . �
i---- A �r'�';,; CITY HALL FRIDLEY 55432 NUMBER REV. OATE PAGE OF APPROVEO 8Y
Z J � 612-560-3450
910-F15 10/4/76 � �
JOB ADDRESS 6807 Hickory Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 6 2 �S�dIl � S ZSt AdC�ri . SHEE7
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Gary Hanson 6807 Hickory 5'tB.reet N.E.
3 CONTRACTOR MAIL AODRESS 21P PHONE LICENSE NO.
R. J. Hagberg Construction 2983 Sunset Drive, Spring Park 471-7686
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 ❑ REMOVE
A
8 DESCRIBE WORK
Reroof soffit utter
9 CHANGE QF USE FROM TO
STIPULATIONS
s�a� ��M�YS a�Qu�REO ��= �r�Rr�v�,
N�ATIN�, f'LUM�IN� AND SiGNS,
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPAiiATE PERMt7S ARE REQUIRED FOR ELECTRlCAL, P�UMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WOFiK OR CONSTRUCTION ZONING S�. 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 �. STALIS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND OFiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED yS`1 �$OO y� . gO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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- $]_2.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
$12.90
SIGNA REOFCONiRA ORAUT ZEDnGENr IDarE� WHEN PROPERLY VAIIDATE THIS IS YOUR PERMIT �
�' � _ I
SiGNATUREOFOWNERIIFOWNERBUILDERI IOATEI BLDG WSP �ATE -
C I TY UF F(Z I DLEY
APPLIC/�1`ION FQf; R�51 p�P1TIAL BU ILDING PEF�1ITS
iNEL�d, ALTCRla1'I01'JS, ADDITIONS, OR REPAI RS)
OWN�R`S NAM�: c ri �_P,UTLD�R: �� ��,.`� /Et��r.r��
ADDRESS :��U 7 ��,��� �� 1 r��s �_�DDR�S S: �,_,� S'C� ,�� S�' T J'< �, Syti<�r'
T�L . NO . . � ��1 �� �.:�.. �.�e.m�. �� ~�
rro:_ �o�';U'7 s�rrT: �Z '
�
LOT : � BLOCK :_ �� ADDITZOiv' : �/JC � T 1 Q t2 L I� C�.( CQC� rl .
CORI�'ER LOT: INSIAE LOT: S�TBACK; SZDEYARD:
App].ic4nt a�tach to this f_orm Tcao Certifi.cates of Survey of Lot and proposed
building location dra�an on L-he�e CerL-ificates,
To Be Used As :
vL-'SCRIPTIO\T OF BUILDI\'G
Fxont : Depth : Height :
Square Feet; Cubic Feet:
Front; Depth: Height:
Square Feet; Cubic Feet:
Type of Corestruction: �yf�,�� ��-,T �"G%��timated Cost: $ /�'O��
,��o Be Completed;
The undersigned hexeby makes applicatinn for a permit for the work herein
sPecified, a�reeing to do all �oorlc in st'rict accordance ��iCh the City of
Fxidley Oxdinances and rulings of tlze Department of Buildings, and liereby
declares tliat all the facts anci repxesenCations stated in this application
are true and correct.
DATE : �C?Ti � • SIGN�1TIJfiE :
(See Revezse Side For Additional Intormation.)
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SuB�ECI .
City of Fridley 2 9 5 2 6
AT THE TOP OF TME TWINS g � I L D i N G P E R M I T
f
; � RECEIPT NO.
� ' COMMUNITY OEVELOPMENT DIV.
r ; .: ----- , 3a35
� � PiiOTEC7IVE INSPECTION SEC.
�.--- �;/'��;,; CITY MA�L FRIOIEV SS�32 NUMBER AEV OATE 5�21�g PAGE Of AVVROVED B�
J\ 612-571-3450 9t0-F15 �dS�txB� / /
J08 AODRESS 6807 Hi ckory Street NE
t LEGAL L07 N0. BLOCK TRACT OR AD�ITION SEE ATTACMED
OESCR. () 2 Ostman's iSt SNEET
2 PROPERTY OWNER MAIL ADDpESS 21P PMONE
Denny Johnson 574-0897
3 CONTRACTOR MAIL ADDRESS ZIP PHONE IICENSE NO
Don Mikre Exteriors 3855 Jackson St NE Col. H ts 55421 781-0417 20168385
a ARCHITECT OR OESIGNER MAIL AODRESS ZIP PMONE LICENSE NO.
S ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CIASS OF WpRK
O NEW O A�DITION O ALTERATION XLS REPAIR p MOVE O REMOVE
8 OESCRIBE WOAK
Reroof house and ara e 24 S Tear-off
9 CHANGE Of USE FROM TO
STIPULATIONS
Underlayment must comp1y with the State Building Code.
TVPEOFCONST. OCCUPANCVGROUP OCCUPANCVLOAD
SEPARA7E PERMITS ARE REQUIRED fOR ELECTfi1CAL, PLUMBING, MEATING,
VEN7I�ATING OR AIR CON�ITIONING
TMIS PEFiM1T BECOMES NULI AND VOIO IF WORK OR CONSTRUCTION 20NING SO. FT CU FT
AUTHORIZED tS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED fOR A PERI00 Of 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO OWLG. UNI75 OfFSTREET PARKING
I MEREBV CERTIFV 7HAT I MAVE READ ANO EXAMINEO TNIS APPLICA710N STA�LS GARAGES
ANO KNOW TME SAME TO BE 7RUE AND CORRECI. ALl PROVISIONS OF LAWS yALUATION SURTAX
AND OROINANCES GOVERNING TMIS TVPE OF WORK WI�L BE COMPLIEO @ G
WITH WHETHER SPECIFIEO HEREIN Ofl NOT. TME GRANTING OF A PERMIT .p2OrJV $1.03
DOES NOT PRESUME TO G�VE AU7HORI7V 70 VIOIATE OR CANCEL THE pEqMIT fEE $AC CMAFGE
PFOVISIONS OF ANV OTH STA7E OR CAL LAW REGULATING GON- C
STRUCTION HE PER RMANCE OF ONSTRUCTION �H3.ZrJ r�I'�e C�Z.O6
� PLAN CHEGK FEE iOT EE
.34
S�GN RE OF C �AA(;T Op • �OAi1 •GENT TE EN ROP � ALIOA HiS IS OU�ERM
s I
S�GH�TUAE O� OwNEA��: pWHEa BWIDEii� iD�iE� g� �ti5p � TE
N�.W [. ] _
ADDN
ALTER
Effective 5/10/99
[ ] CITY OF FRIDLEY
[) SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUII.,DING PERMIT APPLICATION
Construction Address: ;n �S d
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Legal Description: ��' �-� �40 )� j
Owner Name & Address: p�,)����/ �'O ��,Q�� J Tel. #����$'�,_
Contractor: �� MN LICENSE # 2c'� { ��3$�
Address: � ,SQ .S� � Tel. # �1 �' ) -O �. � � _
��( �s C���-��� Attach to this application, a Certificate of Survey of the
« lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA:
DECK AREA:
01'HER:
Length Width Height Sq. Ft.
:ar�'.-_ .�_�'' =_ � � �
• 1 • � " ��i� � ►--±�,...�rii• - � • a� � v � �
Driveway C�,irb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �
DATE: 5 APPLICANT: Tel. # '�
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ ��.�s�
$ �v�
� /a�
$
$ r
$
$
$
$
TOTAL $ ' Cj� ���
� �S, ��
s�uLaTTOrrs: �� � � .�
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 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 [ ]
s�e�ecT RM17 NO.
c�ty of Fridley 3 7 3 6.
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
t
� ` iiECEIPT NO.
• COMMUNITV OEVEIOPMENT OIV.
r ; � ----- . ,�6,3
� � PROTECTIYE INSPECTION SEC.
1 � �
� � �"'1 � CITY MALL FRIOLE� S5�3Y NUMBEp REV DATE PAGE OF A►PpQVEO B��
�""�`� ,�� 763-571-3450 9i 0-F t 5 7/ 24 { 03 / /
�oe Aooaess 6807 Hickory St NE
t tEGAI LOT NO. BIOCK TRACT OR A�OITtON SEE ATTACMED
OESCR. 6 2 Ostman's lst Addition SFIEET
2 PHOPERTY OWNER MAIL AODRESS 21P PMONE
Dann Johnson, 6807 Hickor St NE, Fridley, MN 55432 763-571-9558
J CONTRACTOR MAIL ADORESS ZIP PHONE IICENSE NO
Same as above
l AfICN17ECT OR DESIGNER MAIL AOORESS ZIP PNONE IICENSE NO.
5 ENGINEER MAtI AODFiESS 2�P PMONE LICENSE NO
6 USE OF BUILOING
Residential
7 CLASS OF WORK
D NEW ❑ ADDITION � ALTERATION p REPAIR p MOVE O FiEMOVE
X
e OESCRIBE WORK
Demo existin deck• construct new deck.
9 CHANGE OF USE f ROM TO
STIPULATIONS
See notations on plans.
1^/ARNIN�
Before digging aall for
all utility locations
SEPARATE PERMlTS a�-0002
REQUIRED FOR: �����R�� �� ���
PLU�MBiNG� ANDnS 6�1�
7YPE OF GONST. OCCUPANCY GiiOUP OCCUPANCV IOAD
SEPARA7E PERMITS ARE REOUIRED FOR ELECTRICAL, �LUMBING, MEATING.
VENTI�ATING OR AIR CONOITIONING.
TMIS PERMIT BECOMES NULI AND VOIO IF WORK Ofi CONSTfiUCTION ZONING SO. FT CU FT.
AUTHOF±IZEO IS NOT COMMENCED WITHIN fi0 OAYS. OR IF CONSTRUCTION
QR WORK t5 SUSPENOED OR ABANDONED FOR A PERIOO OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OffSTREET PARKING
I MEREBY CERTIFY TMAT 1 HAVE READ AND EXAMINEO THIS APPIICATIpN STA��S GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. AI.L PROVISIONS Of LAWS VALUATION SURTAX
ANO OR�INANGES GOVERNING THIS TVPE OF WORK WILL BE COMP�IED �(F,968.00 �2•48
WITH WMETHER SPECIFIEO MEREIN OR NOT. TNE GRANTING OF A PERMIT
OOES NOT PRESUME TO GtVE AUTMORITY TO VtOLATE OR CANCEL THE PEqM11 FEE SAC CHARGE
PAOVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR TME PERFORMANCE OF CONSTRUCTION �111.25 Fire SC ��F.96
PLAN GM CKfEE TOfALFEE
$118.69
� n�t [ON"AA�tOAOAAUTMQR�jEO�GENT �O�iE� EN PROPERIY VAUOATED THIS IS VOU PEpMi
� �_. � Zy � o� �S o�
�Ga uAE � OwtiEQnc OW�'+EABURDER� iD�iE� iqSo �IOTE
NE1N�
ADDN
ALTER
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,�
Construction ddress: d � �
CITY OF FRIDLEY Effective 1/1/2003
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg insp �-'
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUfLDING PERMIT APPL{CATION
� l C �C��n � ;�� � N �-
Legal DescripYon: ' _ �
Owner Name & Address: ��`"` �.1 o h�. s e Tei. # 76 3 S ��`�'S Sg
Contractor: d�� e� � MN LICENSE #
Address: � g� �i �"l� P-�- fiJcc,� IlJ r Tel. #-So, �'''� �
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER: w
Construction
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width ao HgUGround �� rd Sq. Ft. � �� o
� /���d� X� ���i��l�.��
Estimated Cost: $ �/ � P�b
______
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _�
DATE• ( ��
` 6 � APPLICANT: Tel. # 's� �' e--
Call (763) 572-3604 for Permit Fees if mailing in ppli tion. Fax to 763�71-1287 if using credit card and we will
catl you for card number.
-CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ �
$
$
$ �
$ i�
$
$
$
$
l
Fee Schedufe on Reverse Side
.001 of Permit Valuation (1/10th°!o)
$.50/$1,000 Valuation
$1275 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 [
•�
1917 8912
Please bring these plans ta
the cashiar to purchase.
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Post an�Beam Dimension Sheet
esign#:59743
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depict options nofi included.
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�� z Take this sheet to the Building Materials desk to purchase your materials. ���
�ou have selected a 20' x 20' deck 3' off the ground ; Below is a saction of the railing style an�
ressure Treated Framing Material ; opfions you have selected for your deck.
'orizonfal Decking �'
/4" x 6" Pressure T�eafed Deck Boards !
b" No Posf S�indle Railing �
"x2"x42" Pressure Treated SPindles, Beveled 1 End �'
"x6" Pressure lreated Hand Rail ��
oured Footings 8" Tube 3'-6" deep � J�
remium 6old S uare Drive Screws �
9
alvanized Framing Fasteners ,�
" x 8" ,loisfs ��. l,���,�/J�✓
" x 8" Beams
�0 PSF Deck live load
Illustration may depict options not included _
The posts shown in this picture are not nece _ ar and not included with the postless railing tyPe you selected!)
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�air Widths : none
�r Building Material's use only : 2402400360102090600050004042150200000001
oday's cost for materials estimated in this desi9n wifih options:$1529.21
'B�se price may include: 40 ASF deck liva lo�d, hori:onhl decking, 2x6 pressure �eated deck bo�rds, �essure �re�ted framin� m�teri�l� no sl�i�s,
36' 2x4 railing, pressure treated railing posls, and galvani:ed box nails. * �gpSE priee): $1333.52
,foist tayout for Your Deck
The 5cale is 1/4" :1'
B
A A A A A A A A A A A A A A 8
Mark Length Description Usage
A 19'9" Zx8 6resn Treated Joist
A 19'9" 2x8 6reen Trested lsdga�
B 19'10-1/2" 2x8 6reen Treated Rim joist
C 20' 2x8 6rean Tre�ted Rim joi:t
Joists to be on 16" centers.
Joists to be hung from the ledger with joist hongers.
Joists to be toe-nai(ed to beams with 2-1/2" (8dj galvani=ed nails.
Rim joists to be face-n�iled to joists $ ledgers with 3-1/2" (tbdJ galvsnized nails.
8looking and bridging is not shown, but may 6e required br your (ocal code.
Illustration may depict options not included.
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Beam la�out for Your Deck
The ca(e is i/4" :1'
Mark length DescriQtion
A 20' 2-2x8 G�een Tre�ted
Illustratian ma� depict options not included.
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