AF - 46558s
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CA/NE �'i ASSOC/AT'ES
��� LAND SURVEYORS, /NC.
/7720 Highwoy 65 N. E. Sodeivi//e, Minneso% 55304
434-7646
CERTIFICTE OF SURVEY FOR: Don Chouinard
LEGAL DESCRIPTION: � , The west 70.00 feet of the east 90.00 feet
of Lots 80, 81, 82, and 83, Block A, RIVER
VIEW HEIGHTS, Anoka Connty, Minnesota,
Subject to an easement for street and utility purposes over the south
12.00 feet thereof.
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SUBJECT P
City of Fridley � � 8829
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
' `L �
r � � PROTECTIVE INSPECTION SEC.
1 ; �
� � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�"""� � �'� 612-571-3450 910-Ft5 3/20/87 � �
JOB ADDRESS 461 Hugo S treet N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCH. Pt. 80,81, 2,83, Lying W of E 90' , Block A, Riverview He:i.ghts SHEET
2 PROPERTY ZIP PHONE
Richard 7.7caczik
3 CONTHACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Tkaczik Construction Inc. 12323 Gladiola Street N.W. , Coon Ra.pids 55433
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
421-9009
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
B USE OF BUILDING
RLS1C�2ri'f.17,�.
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE
X
8 DESCRIBE WOHK
Construct a 36' x 4Q` Dwellin and a 22' x 20� Gara e
S�P�tI�T'E P�RMiT� �
9 CHANGEOFUSEFROM � �'lT�IY ,{,�, PLUMBttVG �l�p StG@���
STIPULATIONS provide a hard surface driveway. Provide sod in the front and side
yards. Provide City with copy of verifying survey before capping.
SEWER LOCATION: No Service - 8" VCP at centerline of Hugo - approxima.tely 21' Deep.
WATER LOCATION: 6" CIP 10' S. of centerline of Hugo - MU5T BE TAPPED
DRIVEWAY ESCROW: 16� + 6' = 22' x$13.50 =$297.00
i Hc Cf f Y GF fi�:pL�}� �V�������
AccuRAG�° �i� u��ury ��A710l�ES �'C;��.c,ya �
�� 1� D��� �� F�R 10�6�Rq��'P��� PUR �TE� r►-�E � e� o r� diggi�g C,�1� lv+�ad utilifi��
AN� PERS�fitS USING THIS �''�� E�E����Q��. TE�EPt9aNE - ELE��'�!C a G,A� -*
�SES O�LY. , _ C��.
yER1Fy, li,` f�M 'THE SITF� INFORrylqT1011� SHOULD � �� � � R � � � � L.�a �,��E
SEPARATE PERMITS 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 ZpNING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO 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 KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED
WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $60, 550 $3O. 28
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $31r0. OO $525.00
PLAN CHECKFEE TOTALFEE
$79.00 $950.28 + PF & DTrl
siG EOFCONTRACTORORAUTMORIZEDAGENT ionrei � � WHEN PROPERLY VA IDATED HIS IS YO R PERM T
- " r�ff�-�-t -L 26-- �-� 7�
A'IURE OF OWNERI�F O NER BUII�ERI IDATEI BLDG iNSP nqTE
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NEW [ �
ADDN. [ ]
�,TEx. I J
City of Fridley
R-1 AND R-2
Building Permit Application
��� � �
;' i ; r=
Effeetive 4/1/86
Construction Address: � �� �� �� �' �'� ��
Legal Description: �-�'��-�'_ !�._ - •�-� �'ZF � �''? _ a�/e�G,�- d7���t �Ve.�,�l��� �.a�►o�'C�.
�.«. � - �, - 1 � • s�-�, y -
/� a �.�" �- v�- l 7- !S s� z zi�'�- Tei . � � � -��� �r'
, Owner Name & Address : O�
Contractor : "�'�l� c -� f �� e � `� ,� � � �" � Tel . # �� �� ���'p
�
Address: �,� Z��. /�-l�s �6'.r Ce�o� j�r��� crs
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to saale.
- DESCRIPTION OF Il�lPaOYEMENT
LIVING AHEA: Length -� � Width �� Height � 2 Sq. Ft. ��
GARAGE AREA: Length z�— Width �"`' Height Sq. Ft. ;
- - - - ----
DECR AREA: Lengti�— - Wid��-_ Hgt/Ground Sq. Ft. i_
OTHER:
� � c
Corner Lot [� Inside Lot [] Ft. Yd. Setback 3�� Side Yard Setback ��
�
Type of Construction:
�e.,� ��/, � . Estimated Cost: $ �-%�"�
Approx. Completion Date: � � °�`� s � � � ��
n�
P �-
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page fo�Explanation
DATE: � �� �� �� APPLICANT: ,� � � �� � Tel. � ��-� ��� �
Permit Fee
Plan Cheek
State Sureharge
SAC Charge
Park Fee
Se�er Main Charge
TOTAI.
CITY IISE ONLY
� ��� ��; P _
$ ��� ���
� ��-� �
$ �� _ � �'_._..-.-��:—
� � � ,�_„�>
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$ ���i�����'
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STIPULATIONS : � �� � �� �:a�, �;�
� �,;�— � �f,
I � E � ,sr f_
Fee Schedule on Reverse Side
25$ of Building Permit Fee
$.50/$1,000 valuation
$ 525 Per �C Unit
Fee Determined by Engineering
Agreement Necessarq [jQ Not Necessary [ ]
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BIIII.DING PERMIT FEE SCHEDIILE
The Chief Building Offieial shall, before issuing permits for the erection of any
building or structure, or for any addition to any existing building or strueture, or
for any alteration or repair to any existing building or structure, upon application
therefore, require the papment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit: °
Total Valuation
$1.00 to $500.00
$501.00 to $2,000.00
$2,001.00 to $25,000.00
$25,001.00 to $50�000.00
Fees
$10.00 (Minimum Fee is $15.00)
$10.00 for the first $500 plus $1.50 for each
additional $100 or fraetion thereof, to and ineluding
$2,000.
$32•50 for the Pirst $2,000 plus $6.00 for eaoh
additional $1,000 or fraction thereof, to and
including $25,000.
$170.50 for the first $25,000 plus $4.50 for each
additional $1,000 or fraction thereof, to and
ineludin� $50,000.
$50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for eaeh
additional $1,000 or fraction 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 Praetion thereof.
DRIYEiiAY DEPaBSSION ESCROIi
(Concrete Curb Streets Only)
Alternate "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
approaeh with 6 ineh depth - Driveway width plus 6 feet times $15.75
9ERIFICATION OF FOIINDATION
Permits for eonstruction Will be isaued a minimum of 24 hours from the time of
application to allow for proper revieW of the proposed strueture and of the
construction site.
A Certificate of Survey of the lot, showing the loeation of the foundation once it
has been cronstructed Will be required before proceeding with the framing.
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EX?EalOa EMVELOPE AVEIUGE "tJ" COMPUTATIOt�
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, �i� Totat w�i� tr��ning a�ea �
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UTYC�F
FRIDLEY
CIVIC CENTER • W31 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (6l2) 571-3450
June 29, 1987
Mr. Richard Tkaczik
Tkaczik Construction Inc.
12323 Gladiola Street N.W.
Coon Rapids, MN 55433
Re: Final Inspection at 461 Hugo Street N.E., Fridley
Dear Mr. Tkaczik:
A final i nspection was conducted oa� June 29, 1987 of the ab.ove address and
the structure was found to meet all building codes. It was noted however
that the following item needs to be completed before the building pernnit
can be f inaled:
Provide City with copy of verifying survey of the lot.
We will expect this item to be cornpleted by July 13, 1�87. If you have any
questions on this matter, please feel free to contact me at 571-3450.
Sin cerely,
DA L G. CI�RK
Chief Building Official
DGC/mh
_
_
CITYOF
FR[DLEY
CiVIC CENTER • 6431 UNIVERSITY AVE. IV.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
August 7, 1987
Mx. Ri.chard Tkaczi:k �
Richard Tkaczik Construction Inc.
12323 Gladiola N.W.
Coon Rapids, MN 55433
✓
Re: Verifyinq Surveys for g41, 451, and 461 Hugo Street N.E., Fridley
Dear Mr. Tkaczik:
Final inspections have been made on 461 Hugo Street, and are yet to lae made
on 441 and 451 Hugo �txeet. We have not received the verifying survey for
any of the addresses and it was a stipulation.on the building pexmits which
must be complied witii.
We will expect the verifying surveys to be submitted to us by 5eptemher 1,
1987. Further inspections for final approvals will not be canducted unless
the surveys have been suimmitted.
If you have any questions on this matter, please f eel free to contact me at
571-3450.
Sincerely, �
DARREL . CLARK
Chief Building Official
DGC/mh
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sue�ecr PERMI .
City of Fridley o 19 6 9 4
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
' ' RE
� � •
� • COMMUNITY DEVELOPMENT DIV. � �� � �
� ty �����-�
r � � PROTECTIVE INSPECTION SEC.
1 ; �
� � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�"'"'� � �'� 612-571-3450 910-Ft5 10/3/88 � �
10B ADDRESS 461 Hl1CJ0 S��t N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. P't. 80-83 A Rivervieuz Heights SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Omeela Bhagroo �ffi 461 Hugo Street N.E. 784-5593
3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION �] ALTERATION ❑ REPAIR � MOVE O REMOVE
8 DESCRIBE WORK
Fini.sh basement
9 CHANOEpFUSEFROM TO
STI PU LATIONS
See notations on plan . Use treated bottom plates.
SEPA'�A�
E p�i�iV11°�S R���1�E'� �� �1�N�►
�V
lRl��o �EAT1�1G, P�u��9�1�
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE 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.
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 OFFSTiiEET PARKING
1 HEFEBY CERTIFY 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 ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE CRANTING OF A PERMIT +��-�5"OO $•.75
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- $35.QO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECKFEE TOTALFEE
$35,75
SIGNATUREOFCONTRACTORORAUTMOp12EDAGENT IDATEI WHEN PROPERLY VALIDATE THIS IS YOUR PERMIT
Fi +o j
/� C✓�
S�GNATUAEOFOWNEA��FOWNEABUILDERI IDATEI BLDG �NSP nAT'
;�
�%I I ] �
A�N [ ]
ALRER
�nstruction
City of Fridley
R-1 A�i�1ID R-2
�,;�ding Permit App].ication
6/ ���v �f n�� � �� G �
EEfective 5/L88
Legal Descriptian: ,I�i o%s �-- Lo � i [Ji � =s
Owner Naane & Address: " ����� ��/�G�d� ��E � �.�5 Tel. # ��' .s.r�.� �
Oontractor : �� f ��� �����. Tel. � �•S 5��,�.3CI •
��: /�/��'�� �P�-���- ��-���e �
A{ctac�ii to this applicatbmn, a Certif icate of Stiirvey of the
lat, with the propa��ed oonstruction dra�,m on it to scale.
DESatIPPI0I+1 OF Il�'RWII�
T•�I�1G AREA: Length Width 8eight 9q. Ft.
(�iRAGE ARFA: Length Width Height St�. Ft.
DEQC 1�,RF�,: Length Widkh Hgt/Gro�d 9q. I�t.
��
Gbr�er Lot [] Inside Lat [] Ft. Yd Setback Side Yard Setbacks
Z�ipe of Constructian: Fstimatecl Cost: S ���� .�
Approx. Completion Date:
Alt. A Al� B
Proposed Driveway Width If New Openi.ng Is Desired: S �
Wiclth + 6' See Back Page
1]ATE: 6 � APPLICAl�: �'��" ����- Tel. # %� /� �
C�Y DSE 0l�II.Y
Pe�it P�e
State Surc�ge
SAC Qlatc�e
Driveway Escraw
Park Fhe
Sewer l�afn �sarge
�L
31'IPIII�At�I�dS:
• 'i►t��l�1
� ���J
S `�
$
�
S
�
� ���.�►
�ee Schedule on Reverse Sicle
5.50/�1,000 Valuation
5550 per SAC Unit
Al� �4° or Att, '�° Aba�e
F�e Determined by I'�girnering
Agreennea�t �ieoessary [ ] Na� Neoessary [ ]
% ��i� �I ,�„�
_ r� �
c�}d
��--
Id�ca
i��+d
�Q BC��
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�'_�l . �. �. ' �+��v 4 �� `N:i��,l)
7�ie (9�ief Building Official shall, before issuing permits for the erection of any
Lxiilding or structure, or for any addition to any existing building or structure, or for
any alteration or regair to any existing building or structure, upon application
therefore, rec;uire the payment by the applicant for such permit of fees to the amount
herein k�elow set forth and in t11e m�uier Y�reirn prwided to-wit:
�TAL VALOE
�1 to 5500
�501 to $2,000
�� .
$1S (MinimtIIn Fee is S15 glus surcharge )
Sl5 for first 5500 plu� S2 for each additiona]. 5100 or f raction
thereof� to and including 52,000
52,001 to $25, 000 S45 for f irst $2, 000 plus S9 for each additional S1, 000 or
fraction thereof, to arad inrluding 525,000
�25,001 to 550,000 $252 for first $25,000 plu.s $6.50 for each additional. $1,000 or
fraction thereof, to anc7 inrluding 550,000
$50,001 to 5100,000
5100,001 to $500,000
8414.50 for first 550,000 plus $4.50 for each additi�al �.-�� 000
or fraction thereof, t�o and including 5100,000
�639.50 for first 5100,000 plus $3.50 for each additi�al $1,000
or f raction thereof, to and inc].�ding 5500, 000
5500,001 to 51,000,000 52039.50 for the first $500,000 plus S3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
51,000,001 and up 53539.50 for the first �1,000,000 plus �2 for each additional
�1,000 or fraction thereof
� � [�.4 � �• � ,� • � `�;��..
• - - M • -- •
Alternate "A": Renwal and replaoement c�f' curb and gutter anly - Driveway width plus 6
feet times 513.50.
Alternate °B°: Renwal and replaoement o�f curb and gutter and install a 3 foot wide
appraach with 6 inch depth - Driveway width plus 6 feet times 515.75.
� t'�±; - ; � ' + •� � :�� � ��, � ; �� •� � I
Permits for construction will be issued a minimum of 24 hour� f rom the time of
appl.ication to allav for proper review o�f the proposed structure and of the o�nstruction
site.
A Certif icate of �uvey of the lat, shvwing the location of the fe�aa�°idation once it has
been aonstructed will be required before prooeeding with the framingm
... ._ � ,
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DATE: March 19, 1997
TO: FILE
�� / ��
�
MEMO UM
PLAl�r�TING DIVISION
FROM: Michele McPherson, Planning Assistant
SUBJECT: Nonconforming Properties Adjacent to East River Road
As a result of Anoka County acquiring additional right-of-way for expansion of East
River Road, this property was rendered nonconforming. Please refer to the attached
chart which indicates the extent of the nonconformity.
MM:Is
M-97-137
� - = •�
EAST RIVER ROAD PROPERTIES AFFECTED BY ANOKA COUNTY RIGHT OF WAY
ACQUISITION
ADDRESS EXISTING NEW REQUIRED SETBACK CONFORMING
USE SETBACK SETBACK SETBACK TYPE
7845 East 97.02 ft 89.1 ft 35 ft front yard yes
River Road
apartments
Apartment 46 ft 38.28 ft 35 ft front yard yes
garage
321 79�' Ave. 53 ft 36.3 ft 35 ft front yard yes
apartment
7948 East 32.34 ft 17.49 ft 17.5 ft side comer yes
River Road
132 28.38 ft 27.06 ft 17.5 ft side comer yes
Stonybrook
7950 East 34.65 ft 28.7 ft 17.5 ft side comer yes
River Road
Garage north 24.75 ft 23.76 ft 35 ft front yard no, before and
of above after
8051 East 41.91 ft 30.36 ft 35 ft front yard no, after
River Road
305 Liberty 93.06 ft 72.93 ft 17.5 ft side comer yes
440 Ely Street 79.2ft 61.38 ft 17.5 ft, side comer yes
8161 Fairmont 93.39 ft 65.01 ft 35 ft front yard yes -
Circle
450 Hugo 73.92 ft 43.89 ft 17.5 ft side comer yes
8191 East 71.28 ft 40.92 ft 35 ft front yard yes
River Road -
500 Ironton 55.11 ft 31.15 ft 35 ft. `: • frorrt yard : no, after �
97 Craig Way 47.5 ft 23.1 ft 35 ft:.�- front yard no, af%r
7680 East 37.95 ft 13.5 ft; 17.5 ft side comer no, after
River Road 38.94 ft 23.76 ft� 35 ft front
119 Craig Way 63.69 ft 40.92 ft 17.5 ft side comer yes
50.82 36.3 ft 35 ft front
7942 East� 49.5 ft 33.3 ft 35 ft front yard no, after
River Road � �
8080 East 58.74 ft 33.9 ft 35 ft front yard no, after
River Road
8100 East 50.16 ft 50.16 ft 35 ft front yard yes
River Road � �
Laundromat 31.68 ft 1.65 ft 35 ft front yard no, after
499 Glencoe 38.28 ft 8.58 ft 35 ft front yard no, after
ADDRESS EXISTING NEW REQUIRED SETBACK CONFORMING
USE SETBACK SETBACK SETBACK TYPE
8164 East 43.56 ft 14.19ft 35 ft front yard no, after
River Road
8180 East 37.95 ft 8.58 ft 9 7.5 ft side comer no, after
River Road , ,
8182 East 38.28 ft 14.19 ft 17.5 ft side comer no, after
River Road �
8184 East 38.28 ft 14.52 ft 35 ft front yard no, after
River Road
8200 East 34.98 ft 9.9 ft 17.5 ft side comer no, before and
River Road after
510 Janesville 38.61 ft 12.54 ft 17.5 ft side comer no, after
421/432 39.27 ft 8.58 ft 17.5 ft side corner no, after
Ironton
461 Hugo 33.66 ft 3.63 ft 17.5 ft side corner no, after
Street
8114 Fairmont 36.96 ft 8.58 ft 17.5 ft side comer no, after
Circle
8102 Fairmont 33.99 ft 5.61 ft 17.5 ft side comer no, before and
Circle 33.99 ft 17.16 ft 35 ft front after
8104 Fairmont 35.31 ft 26.73 ft 35 ft front no, after
Circle
8027 Fairmont 21.45 ft 9.9 ft 17.5 ft side comer no, after
Circle 46.53 ft 17.16 ft 35 ft front
7899 East 52.8 ft 33 ft 35 ft front no, after
River Road 0 ft 20 ft hardsurface
7663 East 64.35 ft 34.65 ft 35 ft front no, after
River Road
Fire Station 29.7 ft� 0 ft 35 ft front no, before and
. • after "
7701 East 80.19 ft' 62.37 ft 35 ft front yes
River Road
8061 Ea�t 90.09 ft 78.54 ft 35 ft front yes
River Road
,
,s =.
sue�ecT PE R�AII�lQ_; �
City of Fridley � 33376
AT THE TOP OF TME TW�NS g U I L D I N G P E R M I T -=� �
�
� � REC�IPT NO.
� �• COMMUNITY DEVEIOPMENT DIV.
� j V �'���
r � � PROTECTIVE INSPECTION SEC.
1 = �
� �"'1 � CITY MALL FRIOIEV 'SSIJ2 NUMBfR NEV D�TE pAGE Oi APPROVED Br
�'""'� � �'� 763-571-3450 910-F15 3/18/03 / /
JOB ADDRESS 461 Hugo Street NE
i LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCii. Pt 80-83 A Riverview Heights SMEET
2 PROPEiiTY OWNER MAIL AODRESS 21P PMONE
Anoka County
3 CONTRACTOR MAIL ADDRESS ZIP PNONE IICENSE NO
MN Superior Exteriors 1048 Payne Ave, St Paul, MN 55101 651-774-5582 20219220
4 ARCNITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO
8 USE OF BUIIDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION 0 ALTERATION �7 REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WOfiK
Reroof House & Garage (23 Sq) Tear-off; RepZace two patio doors
9 CHAN(iE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Provide smoke detectors in a11 sleeping rooms and on all levels of the dwe�ling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash ai1
exterior openings.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PEFMITS ARE REOUIHED FOR ELECTRICAL. PLUMBING, MEATING.
VENTILATING OR AIR CONOITIONING
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING S�. FT CU FT
AUTHORIZED IS NOT COMMENCED WITNIN 60 DAYS. Ofi IF CONSTFiUCTION
OR WORK IS SUSPENDED OR ABANOONED FOfi A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING
I HEFEBY CERTIFY TNAT I NAVE READ ANO EXAMINED THIS APPLICATION � STALLS GARAGES
AND KNOW 7ME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS yALUATION SURTAX
AND ORDINANCES GOVEqNING THIS TVPE Of WORK WILL BE COMPLIED
WITM WMETMER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT �4',663 �2.33
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR GANCEL THE pEqMIT fEE SAC CMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGUTATING CON- $111.25 Fire SC y��F.CC)
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
L/ �t/'� JJ � PLAN GMECK FEE TOTAL FEE
�% � �� Licen e SC $5.00 $123.24
S�GNATUAEO�CON�FACTOpOp Opi2EDaGEHf iD�iE� MEN PROPERLV VALIDATED TMIS IS YO R PER IT
1
S�GNATUpE O� OWNEQ ��� OwNEp Bu��DEp� iD�TE� 0 �NS� p t
NEW [ ]
ADDN [ ]
ALTER [ ]
Construction Address:
CITY OF FRIDLEY Effective 1/1/20a3
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Legai Description: "
Owner Name 8� Address: �tie� C�-w�� Tel. #
Contractor. �12� ����v+ ��c l` � n� a� s MN UCENSE #��%� � 9' a�c�
Address: i.� �1� �r-�y� � �v � .a �, �iu� 7�"'� r -�°�� � Tel. # _/9 S!^ 7 i y - s s�'�.
LNING AREA:
GARAGE AREA:
DECK AREA:
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 �dth Hgt/Ground Sq. Ft.
OTHER:
v0��,o o�o�a �3��
� — %�. �° �2 3 5� �, �2y�a,� >`� c7�
vU � p�w
Construction Type: Estimated Cost: $ c.•` r;_� —
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: ' 8� APPLICANT: ��^���./����� Tel. #�S�/°o?Y8'°" 1"�06
Call (763) 572-3604 for PeRnit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call 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
$ ���, ��
$
$ - ��: � �'
$ }�
� � b�lll
$
$
$
$
$ �� ��
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.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 [
_ •.
BUILDING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before issuing perm.its for the er�tion of any building or siructure, or for any
addition 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 permit of fees to the amount herein
below set forth and in the manner herein provided tawit:
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
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional$100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional$1,000
or fraction thereof, to and including $25,0�
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
cuxB cu�r EscROw
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00.
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 construction site.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Onlv
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A
FILL IN COMPLETELY FOR REPLACEMEIVT FUEL BURNING APPLIANCE PERMITS
COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When reulacina an existina furnace, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ()
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The existinu combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
When installina a new ventinA svstem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances. Yes ()
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
No ( )
Yes ( ) No ( )
Appliance Tvae and Size/Common i/ent and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
HEATING CO:
Signed By:
T-
Date (
CITY OF FRIDLEY
6431 iTNIVERSITY AVENUE NE
FRIDLEY, MN 55432
PERMIT NO.: 004-00962 i�,
�.
DATE ISSUED: 06/22/2004
(763) 572-3604 FAX: (763) 571-1287
ADDRESS : 461 HIJGO ST NE
PIN : 033024240143
LEGAL DE5C : RIVERVIEW HEIGHTS
: LOT 80 BLOCK A
PERMIT TYPE : HEATING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION .
# A/C LJNITS 1 VALUE OF APPL OR WORK 0
# FURNACES 0 # GAS DRYERS �
# GAS RANGES 0
APPLICANT HEATING PERNIIT MIlVIMUM FEE 0.00
DAVES APPLIANCE HEATING & AIlZ INC FURNACE SHELL/DUCT VJORK 0.00
1601 37 AVE NE GAS RANGE FEE 0.00
COLUMBIA HEIGHTS, MN 55421 GAS DRYER FEE 0.00
(763) 781-6901 AIR CONDITIOTTING FEE 25.00
HEATING REPAIRS/ALTERATIONS 0.00
STAT'E SURCHARGE, MECH FLAT 0.50
OWNER TOTAL 25.50
CHRIS POKLADNII{ PAID WITH CHECK # 34572
461 HLJGO ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
applicarion and lrnow the same to be true and correct. All
provisions of laws and ordinances goveming this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating cons ction or the performance of construction.
Applic ' I Date
Bldg Insp Da
SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE.
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_, , FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNfNG APPLfANCE PERMITS
COMM�ON fdT VENT C NNECTOR AND COMBUSTION AIR VERIFICATION
When r�qlacin� an �xist�n� furnace, the undersigned hereby ve 'rrP"ies fihat the
verrting has been exammed and is free from rust, deteriaration, ohstructions, Y� �� No ()
and is securely support�! and �irestopped where required.
The venting system is plasticlPVC and meets alt curreni c�des and manufacturer Na (�'
specifications including sizing, length, number of elbows and termination. Yes (}
The undersigned also ver�ies that the replacemenfi unit is a listed assembly
and meets the current c�des and mar�ufacturer�s specifications. This does
include AGA-GAM�°� Category 1 Central Fumace Venting Tables for fan Yes �i} Na ()
assisted and natural dcaft appliances.
The existin� combustion air is sized and installed to meet fihe current c�des Yes (v� No (}
and manufacturer's specifications.
When required to instail a new combustion air. it will be siaed and installed
to m�et tlie current rAdes and manufacturer°s specific�tians.
Yes ( � No ( )
When install�r� a new vent9na svstem, the undersigned hereby verifies that
it is a listed assembly and meets the current cfldes and manufacturer's
spec�cations. This daes inciude AGA GAMA Category 1 Central Fumace
Venting Tables for fan assisted and naturaf draft applianc�s. Yes (r/� No ()
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from fihe comman vent and vented YeS �� No (}
separatsly as per cuRent r.ades. ,
A liance T e and SgzelCommon Vent and Vent Connector Informatlon
Appfiancs #1 Type ���L� BTU {nput �� Fan Assisfied or Mat -�
Appliance #2 Type w.A-�e �t�'°� BTU Input �� c°,� Fan Assisted or Nat
�x,s�.�i
Appliance #3 Type BTU Input ________ Fan Assisted or Nat __
Total Applianaes ,_,�.�, Total Btu Input ___,_______
��'�� Vent Height � � Diameter _,�___ inches
Comman Vent Type �- ---�-----
Appliance #1 Vent Connec#ar Height ft Length _,�ft Diameter in Type c_1�
' ce #2 Vent Connector Height ft Length r,,,�ft Diameter _1�in Type .�s� A
Apphan
Appliance #3 Vent Connector Height ft Length ft Diameter _in Type
ALTE TIONS: Describe
�. ��P/�t6� �7°jS%/•vq �'�t2o✓'4CE fili�r� ��'w 7tu2�//!-eC'•
HEATIIVG CO: �.s�� o� .s� C'a �
Signed By: .��, .�'`�"`"`�/ Date : � -�� � 0..�
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY .
6431 iJNIVERSITY AVENUE NE
FRIDLEY, MN 55432
57"L-36U4 l+'AX:
: 461 HUGO ST NE
: 033024240143
: RIVERVIEW HEIGHTS
: LOT 80 BLOCK A
: HEATING
: RESIDENTIAL
: ADDITION/ALTERATION
571-1Zii7
�,>.
PERMIT O.: 2004-00975 �' �
DATE ISSiTED: 06/23/2004 � r
�
VALUATION .
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
INSTALL A FURNACE (WARM AIIt, TRANE, 60,000 BTU'S)
VALUE OF APPL OR WORK 0 # FURNACES 1
# GAS DRYERS
APPLICANT
DAVES APPLIANCE HEATING & AIR INC
1601 37 AVE NE
COLUMBIA HEIGHTS, MN 55421
(763) 781-6901
OWNER
CHRIS POKLADNII�
461 HiJGO ST NE
FRIDLEY, MN 55432
0 # GAS RANGES
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating c�sj�ru�tion or the pe�o,��pce of construcrion.� i
Bldg Insp
HEATING PERMIT MIl�TIMUM FEE
FURNACE SHELL/DUCT WORK
GAS RANGE FEE
GAS DRYER FEE
HEATING REPAIILS/ALTERATIONS
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 34637
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
0
0.00
35.00
0.00
0.00
0.00
0.50
35.50
ADDRESS
PIN
LEGAL DESC
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-36U4 FAX:
: 461 HUGO ST NE
: 033024240143
: RIVERVIEW HEIGHTS
: LOT 80 BLOCK A
571-1Z87
PERMIT NO.: 2004-01144
DATE ISSUED: 07/19/2004
PERMTT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION .
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL AIR
CONDITIONER.
# INSPECTIONS 1
APPLICANT
HARO ELECTRIC SOLUTIONS
415 DECATUR AVE N
I GOLDEN VALLEY, NIN 55427
OWNER
CHRIS POKLADNIK
461 HLJGO ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of consttuction.
Applicant Date
Bldg Insp Date.
ELEC PERNIIT FEE - MIN (RESI)
STATE SURCHARGE, ELEC FLAT
TOTAL
PAID WITH CHECK # 1406
SEPARA"1'� Y�KMl�l � ttCllultc�U rux wvKl� U 1 nr�tc 1 nruv Ln��,t�nnv r�� ��.
20.00
0.50
20.50
�
_,. .�
`19
ADDRESS
PIN
LEGAL DESC
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
57Z-36U4 N'AX:
: 461 HLTGO ST NE
: 033024240143
: RIVERVIEW HEIGHTS
: LOT 80 BLOCK A
6�Ii� ��;YI
PERMIT NO.: 2004-01466
DATE ISSUED: 09/Ol/2004
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION .
NOTE: ELECTRICAL PERNIIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH.
# INSPECTIONS 1
APPLICANT
HUNT ELECTRIC CORPORATION
2300 TERRITORIAL RD
ST PAUL, MN 55114-
OWNER
CHRIS POKLADNII{
461 HLJGO ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
applicarion and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
ELEC PERNIIT FEE - MIlV (RESn
STATE SURCHARGE, ELEC FLAT
TOTAL
PAID WITH CHECK # 117431
�r,r�i� r�ttn�ri � x�t�uucr,li rux wvxit uit�x itiaN li�,c:x��li �UV�.
20.00
0.50
20.50
Building
Inspections
763-572-3604
763-502-4977 FAX
SITE ADDRESS �
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE, BOND AND
CERTIFTCATE OF
INSURANCE
PERNIIT TYPE
PLUMBING
RESIDENTIAL APPLICAT'ION
CITY OF FRIDLEY
EFFECTIVE 7-1-20] 0
YOUR E-MAIL ADDRESS
❑ OWNER
7-
STATE LICENSE # '
STATE BOND #
.a,DnxESS:__b�10 /���F �.1�� crrY�
PHONE �'12�j —�i � — F�1 �?� FAX
�rE oF wox�: I °1�'
FAMII.Y ❑ TWO FAMII.Y ❑ TOWNHOUSE
DETAILED DESCRIPTION OF WORK
Q�tEPLACEMENT
Permit No.: F�� I
Received By: 6 d C
Date ��� � �
EXP DATE
EXP DATE
�
FEES ARE BASED ON $10.00 PER FIXTURF,, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV�. MINIMUM FEE
$35.50.
BATH SINK/LAV FLOORDRAINS SHOWER WATERPIPING
BATHTUB GAS PIPING (NEED CITY LIC) SWINIIVIING POOL WATER SOFfNER ($35)
CLOTHES WASHER KITCI�N SINK WATERCLOSET BACKFLOW PREV. ($15�
_ DISHWASHER _ LAUNDRY TRAY �WATER HEATER ($35) FOR IRRIGATION
_ WATER MEfER _ OTHER
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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 Constcuction Codes; that I understand this is
not a permit but only an application for a p it c work is not to start without a pemut on site; that the work will be in accordance
with the approved plan in the c;, e o all w� r w' h r quires review and approv lans/+,��
SIGNATURE OF APPLICANT '� ' PRINT NAME l� l��S �%�/ DATE ID I �
APPROVAL INSPECTORS SIGNATiIRE i ; �se�
" City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977