AF - 46737�
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WRECRIIITG -
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Da�; May 1, 1969
p�r; _ Dalber� Blders . g��,. S�,e
Ad�s 1121 80th Ave. N. E. Ad� Same
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N° 10209
LOCATION OF BUILDING
No. 65 7 S�t ,�_ Hug o S t. N. E. ____ Part of Lot
Lot -.� & 1_� Block R Addition or Sub-Division �Yervi ew Hei �hts ,
Coraer Lot — Inside Lot Setback � Sideyard
Sewer IIevation — _ Fo�mdation IIevation
DESCRIPTION OF BUILDING
To be Used as:
W�eck House �nt 20, �p� 18 � Height .�_. Sq. F't. Cu. Ft
Front Depth I�eight Sq. F't. Cu, FL
Type of Construction Frame F�t. Cost ��E.Q9.�Q9 _ To be Completed
In consideration of the ffssuance to me of a permft to construct the building descril�d above, I agree to do
the proposed work fn accordance with the descrlption above set fo in complian �th ali prov]sions oP
ordinances of the dty of Fr1[dley. „
In conaideration oP the payment of a fee oP $ 5. 00 � pe�t fs hereby graated to Dalbe�g B1dei
to construct the buflding or addition as described above. This �ermit is granted upon
the express condition that the peraon to whom ft is granted and his agents� employees and worlmnen, in all work
done in, around and upon said building, or anypart thereo� shall csonform in all respects to the ordinaace� of
FridleY, Minnesota regardinng lacation, conatruction, alteration, maiateaance, repair and mov3ag of buildinga
within 'the dtY lfmfte and this perazit may be revoked at aqy 13me upon violation oP aa�+Athe provi�iona oE said
ordinancea. /� ^ 1 �
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NOTIC�
Thb psrmh d�s eet eerer t6s eoealrocNon, IestaOdiee fo� wUtee, p�vm6teg, ea 6eadeg, mw�� er wdsr. Bs aro to ae�
t6a &►IIdleB Inspedae for aparat� parmha Po� t6as (t�ns,
--��—.
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Inspector of Buildinga,
6431 Univ. Ave. N.E.
AP'�1CATIOId POR W'RECI4NG i'ERM�1'
No
Fridley, Minn._ .� �� 1g�
The underaigned hereby makes application for permit to wreck the building as herein specified, agreein$ to
do all work in atrict accordance with the City Ordinances and rulings of the Department of Buildinga, and hereby
declares that �all the facta and representations ata.ted in this application are true and correct.
No.
✓ � e
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S�eet
Froat Depth Height 3tories
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LOCATION OF BUI�DING
Part of I�ot I I ot I 81ock
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DESCftIPTION OF BUILDING
'1°own, Addition or Sub-diei�aton
�r
Tppe of Buildiag I No. of I Taxes Pafd
aad Consbruction Dwlg. IInits
�- �
To be Completed
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Owner -%"� �✓' ' ddress ����P' �<I� Q"�'-� d� �
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Content: Cubic Feet F�stimated Cost of Wrecking
Approved by:
�
, � � Water & Sewer Department
Utilitiea Notified: �
��� ntinreapolis Ga� Co. (date) '� �
(Title)
�'° � Northera States Power Co. (date)�-�_"�
(Title>
�� s i �
Northwestern Bell Teleghone Co. (date)
(Title)
: � `.. : � :
� ��,i�� � `� .. �-� : � ':.�` f _�!_`�✓'P;..- � �igne�`� d°` - -� � �`��%�
i� , �
wseckes
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J `V P�4
GENF�tAL INSTRUCTIONS
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!� (See Copy on Other Side) '�
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GENERAL INSTRUCTIONS
The foIlowing must be aecured before wrecking germit wiIl be is�ned:
1. T�c receipt showing that all real eatate t�es due have been paid. Dup-
licate receipta may be obtained at Anoka, County Audtor.
2. Approval from the Fridley Water and Sewer Department showing th�t
bills chargeable againat the property to be move.cl have been paid and
water connections have beea di$continued at the curb line or at the
main. (See reverse side of form.)
3. Notification to, and signature of utility companies :(See reverse aide
af form.)
(a) Minneapolis Ga.s Co., 739 Marquette Ave., Engineering Department,
Fourth floor.
(b) Northern Sta,tes Power Co., 15 South 5th Street, Application and
Extension I�epartmeat.
(c) Northwestern Bell Telephone Co., 224 South bth Street, Business
Office, First Floor.
11 250-8-58
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G- ' ' .� .• A _ y
0
City of Fridley, in�n
6431 University Ave. N. E., Miuneapolis; Minn. 55432
B�[�ILDING PERMIT
Date: aLg�9.�.: � 972
p��; nA _ b rg��, i lders B�� Same
,�� __1121 - 80th Avenue N.E. Ad� Same
f
- �1�574'
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LOCATIOiV OF BUILDING
g�� _ 657 s�t Hu�o Street N.E. pax� oi Lot
�_ 13,14 glo� R Addition or Sub-nivision Riverview Heighta Addition
t'.oraer Lot Inside Lot X Setback 35' 3" _ Sq�,y�g 10' & 16'
�p(i¢�E1evRtqan `€3-18.77 at east line of 14g,����/�(.��n(
kive Inv. of Manhole: 815.71 (To West) Top of Footing
DESCRIPTION OF BUILDING
To be vsed as:
_ Dwelling Front 24 � Depth 32 ° Height 20 e sq. �_ 768' �� 15, 360
No �arage Ficoni Depth Hei�ht Sq. Ft .— Cu. Ft
��(;o���� wood Fr me ��, �� �_ $13�,094 To be Completed Nov. 1972
Stipulations: Provide a verifying survey before capping. Provide footings on
crosswall. Provide a hard surface driveway.
No Water or Sewar Wye to lot. Must Be Tapped.
In cons�derat3on oP the issuance to me of a pertnii to consttuct the building described above, I agree to do
'�he proposed work in. accordance with the desc�lpi3on above set forth and ia complian�ce with all provisione oE
ordinances of the city of Fridley. �
��, a� � - - �-�' �
Ia consideration of the paymeni of a fee of $_2�9Q_, permit is hereby granted to 'na1 berg_„R , i 1 ers
to construct the building or addition as described above. This permit is granted upant
the express condition that the person to whom it 3s gran.ted and tus agents, employees and workmen, in all work
$one 3n, around and upon said building, or any part thereof, shall conform in all respects•'to the ordinances oi
Fridley, Minnesota, regarding Iocation, construction, alteration, maintenance, repair and moving of bt�ildings
�� dty limits and this permit may be revoked at any time upon viola.tion oE any of tlie prnvisions of ssaid
�� uil
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-- CT.AR'FNCF RF.'LTST, •
NOTICE:
ffits permit do� not eover the construetion, installafion for wfring, plumbing, eaa heafing, sewe� or water, Be suro fo see
t6e Buflding laspeelar for separate permita fo� theae items,
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AP.PLICATION FOR RESIDENTIAL, AL��ItATION,
OR AllllITIO� BUILDjNG P�jZNjIT
CITY OF FR�ALEY, MINNESOTA
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CORNER LOT: INSIDE LOT: SETBACR: SIDEXARps�
,�ppli.caat attach to thia fo:m 1wo Certificatea of Survey of Lot and pxo�p�e�d
buildiag location drawa an theee Certificates.
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HESCRIPTION OF BUILDING � `` ''�'"
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�o Ae IIsed As ; , �,��
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Front: � S� DePth: `� � Height: %� � y� �"
Square Feet: Cubic Feet:
' Front: Depth: Height:
Square Feet; Cubic Feet:
'�rpe qf Construction: ��- Estimsted Coet: $ � �,�,�s
• �� ��c � � �
�o ae Campleted.
The undereigaed hereby makes applicativn for a pes7nit for ti�e .wQ7�14 ����A
apec�f�ed, agreeiag to do all work in attict accordance with the G�,�► q�
F7��d�ei► 0=dinaaces and rulinge of the Depas�tment of Buildings, aad 'b��ebT
d�claxes that all the facte and representations stated ia this ap���,����,�
afie tsue and correct.
�i�g,: � ,� `�� `�� L� SIGNAT[TRE •
(3e� Revera�e S,�de Fo�'_Additioa� Information. % � °`�' ��
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�UILDI�G PERM$T FEE SCHEDULE
$EC�ION 2, The Inspector of Buildings shall, before issuing permits for thg
exection of aay building or structure, or for any addition �o any exist�n�
buildia� or atructure, or for any alteration or repairs to aay e�cisting
bu�lding or structure, upon application therefore, require the payme�t by t.h�
applicant for such permit of fees to the amount herein below set far�h aRd 3.i1
the manner herein prwided to-wit:
UNZFORM BUILDING CODE: �j►pe 1, 2� 4-$2.15 for each one thousand cub�,c
�e�t, oz fraction thereof, in such cubical coatents. 1j�pe 3 6 5-$]..85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
�or the purpose of computiag fees for buildiag peimite, the cubical contents
of aay buildiug os additian, ie determined by multipl�ing the ground area
covered from a point six (6) inches below the floor line of the basea�ent
or the cellar to the average heights of the upper surface or to the average-
height of the roof surface of the mein gable of a pitched roof.
�'pr tepaire or alteratioas to an existing structure, the fee shall be at the
rate of $3.00 per esch five hundred dollare ($500.00) or fraction thereof in
the cost of all proposed work.
� no case ahall the fee charged for any permit as set forth in SectiAai � bs
lese thaa $5.00.
V�RIFICATION OF FOUNDATION
�TpT�; Permits for eonstruction will be iseued a mini�um of 24 hours fzo�p �he�
�ime of application, to allow for propes review of the proposed structure amd
o� the conetruction site.
�1 Ce�tified Su=vey of the lot, ehawiag the location of the foundat�,p�� p�a� ��
haA beea constructed, will be required befo�e proceediatx with the f�am�n�,
CERTIFICATE OF OCCUPANCY
Application for a Certiflcate.of Occupaacy shall be made ten (10) days �x���
�p tX►e use or occupancy of any structure for which a building permit has ���
iseued; aad said atructure shall not be used or occup�ed until a Certificat�
o� Occupancy has been iseued.
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Cl �'Y OF FRiDI,EY � - _ �404
Application for In.staDation oi Water and Sewer Service
This form to 1� completed before a tap is made to �ny existing water
or sewer line. . ,
Lot %��,--.0..�.--.--- Block ....- �.---•------ Addition � -------J--`�
. ���...���p!_._._ ..__..___ _.__.. .
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Address _���----- =--------- - -...�w.��.�J.___-_-_..---------._...._ ..._
Owner
Plumber
(th�portion �form to be com�ted by �rson requesting tap)
CHARGES TO BE PAID BEFORE TAP IS MADE — WHER,E
ASSE�.SSN�NT HAS NOT BEEN LEVIED AGAIlNST PROPERTY
Sewer Connection fee
�Street patch �
wa�
Connection fee
Meter deposit
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* Where applica.ble �.
The above applies for all regular resideatial size services
IF LATERAL ASSFSSMENTS HA.VE BEIIV LEVIED AGAIlVST
THE PROPEftTY, T�IE.ii,E WILL BE NO CHAl�GES OTHER. THAN
CONNEGTION PERNIITS AND �- DEPOSIT
The City will furaish materials for water service and the pl�unber
will bill the City for sewer, not to exceed $3.� a foot or a ma�tmum
of $60.00.
ASSF�SSMENTS TO BE T �n
Water Lateral
Credit for material
Total assessment
Sewer Lateral
Credit for materlal
$._._.._.__._.______..
$.—.._-----.._..__..�_.._
$_._.___._.._.__.---
60.00
Total assessment $_.__.___._..
Clerk's signature --- -���- �..�.--�����-----�---�-� �`�• �J�
I hereby authorize above ta.p
1st copy—Public Works Director of Public Works
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sue�ecr PERMIT NO.
City of Fridley � 3030
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.
r � ti: ------�
� � PROTECTIVE INSPECTION SEC. �j ���
1 . � �'
�` � /'�'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY
""•� � ��� 812-580-3450
910-F15 6-18-75 � �
JOB ADDRESS
657 HUGO 5TREET N.E. FRIDLEY MIlVNESOTA
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 13 & 14 R RIVERVIEW IiEIGHTS ADDITION SHEET
2 PROPERTYOWNER MAIIADDRESS ZIP PHONE
RUS5 BORGENDALE 657 HUGO STREET N.E.
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW C� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
CONSTR.UCT DETACHED GARAGE 22 x 16 x 10
9 CHANGEqFUSEFROM TO
STIPULATIONS
PROVIDE HARI�SURFACED DRIVEWAY
�pR�IWG SEPERATE PERMITS REQUrRED �OR �IIRIrvG,
m caA local util'�ties l�EATIIVG, P�(11��ING AND Si.�NS.
Before di8g .E`�CTRIC-� �tc.
TELEPN��E'
EQ����p gY �p,W
R
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOii ELECTRICAL, PLUMBING, HEATIN(3, �,,RAMF
YENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUCTION 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 R—I. 352 3� 52O
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE AEAD 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 COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2.604.SO $�..30
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-
ST CTION OR THE PERFORMANCE OF CONSTRUCTION. G. SO
� PLAN CHECK FEE TOTAL FEE
' �-/�-%3 7.80
SiGNarUREOF NTRA o o nu7HORIZEDAGENT IDaTEI HEN PROPERLY LIDATED THIS IS YOUR PERMIT
/�-� ��`�°'�' 6-18-75
SIGNATUREOFOWNEFIIFOWNERBUILDERI IDATEI BLDG INSP �ATE
'r - � r . ` - '
�
•APPLICATION FOR R�SIDL'NTIA�, ALTER�TION,
OR AllllITION. BUILDI\rG PiRI�7IT
CITY OF �FRIDLEY, I�SINNESOTA •
OWNEIt' S NA�1E : us oP Q�. suzLV�x :� .� �s s��
AnD�ss : f .�� /r�� �` 1�,�' ADDRESS : �� S� � � A� �- �� �
Ho : . �3- s��T : �
LOT�/� � � BLOCi�.: � ADDITIOI� :
/�� �
CORNER LOT : INS IDB LOT :�_SETBACK: �- SIDLYAP..D :
Applicant attacr �o this fo7-�r �c�o Certificates �f Suxvey .of Lot. an�. _propose '
building location drawn on these Certificateso
To Be Used As t
HESCRIPTION OF BUILDING
��� m � � ���� � _.
��P Fxont : � Z Depth • � Heig:ht ° / U
Square Feet : �� °'� Cubic . Feet : --� .� ��
` Front: Depth° Height•
Square Feet; Cubic Feet;
Type of�Construction: ��� Es�i.ma.ted Cost: $ �o�-� `�
d,� e �. �' � .
To Be Compieted: �° �� 3 � � � . ,
T'he undersigned hexeby ma.kes applicativn fox a permit for the work herein
specified, a;reeing to do all worlc in stiict accordance with the City of
Fridlcy Oxdinanccs and xulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this appZication
' ' are txue and corxcct.
,
DATE o 8' — `T % g� SIGNATLTR� : � �°— •�
•(See I�evexse Side For Adciitional Information.)� •
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(612) 545•6�51 ' � f i� t� i �r E r�; l r; , � ,. ,.: F'• ,
w��C��J�.� E'`a^il?� ?�'i� ;ii� . -�.t. ���-.,li �
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SUSSEL GARAGES SUSSEL�GOMPANY
1" x 8" Ridgeboard
�_ •
\ � � 2,,k��
�— — Raft��s
2" x 6"
Cross Ties
1" x 6" W-Bracing —
when applicable
per Minn. State Code
ROOF: GABLE REVERSE GABLE HIP
EAVE OVERHANG: � �
RAKE OVERHANG: ��
240# SEAL DOWN SHINGLES WITH PLYWOOD
ROOF SHEATHfNG
Plywood Sheathing
240# Seal Down Shingles
3/8" Plywood Trim
G ussets
. . Fascia
2" x 4" Double
Top Plate — 1" x 4" Sub
Fascia
Soffit
NOTE:
1) � Trusses set 48" O.C. (Gusset - 3/8" Plywood).
2) Intermediate rafters are 2" x 6" 's braced with 2" x 6" collar ties.
3) On 20' and narrower garages, eliminate the W-bracing and collar
ties.
4) Roof approved for 30# snow loads by Minn. State Building Dept.
5) Hip roofs consist of 2" x 6" rafters, 2" x 6" cross ties 48" O.C.,
2" x 8" hip rafters and no plywood gussets are used.
RAFTERS: 2" x 6" 16" O.C. 4'' O.C.
STUDS: � 2" x 4" 16" O.C. 24" O.C. �
WALL SHEATHING: ���'� � Q yL ITE
S I D I N G: ��, �� (-i�e.lz � t�ne.tz�
OVERHEAD DOOR HEADER: Double 2"x 12" with without steel
plate, plywood filler.
Slab on grade construction approved per Minnesota State Code. Refer
to State Building Code Letter Number 13.
SLAB: 4" WITH MESH 6" x 6" #10 Gauge
3!4" Cove
2" x 4" Studs
Siding
'/z" x 7" Anchor.Bolt
per U.B.C.
�- 2" x 4" Bottom Plate
� \�� �* - � Grade Line
45° � � ��/ � � j/������
� 4" I,
� . , , . .
4 i
THE SUSSEL COMPANY
1850 Como Avenue
St. Paul, Minnesota 55108
612/645-0331
Permit by� J= �� `�
�0 Legal Description
O Lot
❑ Blk
❑ Add'n � �r--
❑ Value .%' �
1��Type Const.
J�� � !, � � '
Slab: � In �y Sussel
O By Owner Approx.
2•STARTING� POINTS ONLY
� S.P.L.
S. S. P. L.
R.P.L.
, Alley
House
F. Street
Other
Q. Square Withrrau_��
❑ Rods
�Mesh
❑ Sod Rem. - By '�*`f'r
❑ 5-Bag Mix
,�6-Bag Mix
❑�Tamping
E°fNo Tamping ,�
� A. B. U. .�
� Grade Point
�CONDUIT � �
�O.H. Dr. Offset � �
S.D. Location .�
Windows f �2/�,�fCf{
WORK ORDER
NAME �USS C'��GEAI �.6.L� PHONE$k��C'Z!� �
JOB ADDRESS (���I�Q—a�T N-�
BLDG CODE AREA ��/ ���y
� -_ .�- . r., .,r ,r
SALESMAI�� /`� �`��� �''!�F CONTRACT DATE���'� � "SIZE If��" �•7
FOR OFFICE USE ONLY
CONTRACTOR
SUSSEL JOB #'
_' �. _
CONTRACT #
JOB #� �" a
nl_. �/�
�^,,� � `� �, � �` f t�'f �! 7E C� V t Q _.:" :�.�. �<� �PL•
-• � :r ,,� >.1. � - . � < <,� . ,, - . ��, r,U� �J�X
-�, ��.,,��,�: r- f.; .. .��t:;�. �
Existing garage: No •
❑ Detached ❑ Attached Yes
Size of existing:—x —
Existing garage will be:
❑ Left as is
❑ Converted to L.S. - ey owner
❑ Removed By: Owner ❑
s�55e� n
Junk Musi Be Removed By Owner
�,r, . ` � � �� `�� �/
Ll Specif ot gr r�mqvals by Sus-
S 01' oWnel' -;rees, bushes, etc.
�how ap . dist. garage to �`� ��
house and all prop. lines �:EAR:�
Stakes visible - ❑ Yes �'No •`
Survey available - O Yes �No � �'
e
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� CQ1_!- - :' " `-- - ---
` @ - �.
�•�_.� ,���/ .r--:�----
/
�..$pecial mstructions from _ ' �
owner: -� `J'�' `^ ; : ' . /'�G'U SE ,'`
� nr,l i c �-� �,/ ,; '
, ,,
�> �� ��' ! � f�. � 1 / ,�
� f .� "
A a � ,�'
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suedecr P: R M� � O V O
City of Fridley
AT THE TOP OF THE NVINS g U I L D I N G P E R M I T
�
; ;, ECEIPT NO.
� ' COMMUNITY DEVELOPMENT DIV.
� �y -.__'-�
r � � PROTECTIVE INSPECTION SEC.
t � �
�l /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROdED BY
L""� / ,�� 612'S80-3450
910-F15 3/9�79 � �
JOB ADDRESS
657 Hugo st. N.E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ],]. - 14 R Riaerview Heights SHEET
2 PROPERTYOWNER MAILADORESS 21P PHONE
Russ Bor enda.le 657 Hu e 9t. N.E. Fridle , Mn. 55432 784-2616
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Self
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
C�}_, IdEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Addition of fire place
9 CHANGE pF USE FROM TO
STIPULATIONS
Provide outside combustion air for furnace.
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 SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION �_ 1
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 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 $SO�.00 y�.SO
DOES NOT PRESUME TO GIYE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- 7� 5O
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $
� PIAN CHECKFEE TOTALFEE
$`a. ��
IGNATUFEOFCON R CTORORAUTH ZE AGENT ID TEI WHE PROPERL V LI AT HI IS YOUR PERMIT
� 7 - 3 g-��
SIGNATURE OF O ERIIF O NER BUILDERI fDAT BL SP �ATE
CITY OF FfZIll�EY .
0
' APPLICATIOP� FOR RESIDCNTIIIL BUII_DING PERI�IITS .
' ��1IEt�, nLTCR/1TI0NS, ADDITIOt�S, OR REPAIRS)
OW[i�R: �S ,�d r e�d �- /� . SUILD�R: ' �l� � '' ,/ -
A/ r.
Address : , � Acidress : � aS � � / 1� . L�
Tel . l�io . : % � � ' a � � +O
No.: Street: •
� LOT: BLOCY.: .ADDITION:
COI2NER LOT: INSIDE IAT: S�BACK: SIDEYARriS:
Applicant attach 'to this foxut Ztvo Certificates of Survey of Lot and proposed
building location drawn on these Certificates. •
DESCRIPTYOP� OF BUILDING
Zb Be Used As:
i
�r�:�+cMav� Front: Depth: � . . Height: . .
�', ,��� P�.Ac� Square Feet: Cubic Fe�t:
Front: ' Depth: . Height:
' Square Feet: Cubic Feet: '
.
Zjrpe o€ Construction: (.��CiOC6��,o� Fstimated Cost: $ �La QO
9.b Be Completed: � �i�YS Alt. A Alt. B
Proposed Drivecaay Width If New Opening Is Desired $ $ '
. (SEE REVERSE SIDE OF SHEET) �
The undersigned hereby makes application for a permit for the work lierein
specified, agreeing to do all tvork in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side dditional info ation.
DAT�: 3/�f' SIGNATURE: GG�CZ'��+��
'�"''"
Stipulations: .
P�R� �r
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5
FS;O 4
PRV u 1 Ari
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(�uTS/OE �w►ausf►�,•
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BUILDIt�G PER��IIT FEE SCHEDULE
SECTION 2. The Inspector of Buildinqs shall, before issuing pezmits for the erection
of any building or structure, or for any addition to any existinq building or structure,
. or for any alteration or repairs 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 to-wit:
NEW CONSTRUCTION: Single Family Homes and Garages: $4.00J1,000 cubic feet.
PLAN CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete Gtirb Streets Only)
' Alternate A: Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x�,�3,75
Alternate Bs Removal and replacement of concrete curb and
• gutter and install a 3 foot wide approach with �
' 6 inch depth: Driveway width plus 6 feet x$17.85
:�� � : ► �; : �►
For the purpose of computing fees for bui.lding permits, the cubical contents of any
building or addition, is determined by multiplying the ground axea covered from a
point six (6) inches below the floor li.ne of the basement or the cellar to the
average heights of the upper surface or to the average height of the roof surface
of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 per each five hundred dollars-($500.00) or fraction thereof in the cost
of all proposed work.
In•no case shall the fee charged for any pezmit as set forth in Section 2 be less
than $7e50 plus $.50 state surcharge. '
VERIFICATIO� OF FOUNDATION
NOTE: Pezinits for construction will be issued a minimiva of 24 hours from the time
of application to allow for proper review of the proposed structure and of the
construction site. �
A Certificate of Survey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
��_i ' � 1 ':1
Application for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a building permit has been issued; and
sai.d structure shall not be used or occupied until a Certificate of Occupancy has
been issued. •
.• ° - .��-
_ �
_
CITYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (61?) 571-1287
October 30, 1990
Norwest Mortgage
3601 Minnesota Drive, Suite #600
Bloomington, l�i 55435
Attn: Sue Singlestead
Subject: Lots 13, 14, Block R, Riverview Heights, the same being
657 Hugo Street N.E.
The above referenced property is designated in Zone C(Areas of
Minimal Flooding) of the Flood Insurance Rate Map dated March 2,
1981. The Community Panel Number is 270013 0003 B.
If you have any further questions, please feel free to contact me.
Si,�lcer�iy,
�rbara Dacy, AIC
Planning Coordina
BD/dn
�
C-90-934
IvEw
ADDN
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[l
Il
[I
CITY OF FRiDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Buildiug Permit Application
X � Consbruction Addresc: ��=
\ Lega1 Description:
�
Effe�tive S126/93
���� 7
Ovvner Name & Addr�: ��'i ���Yl�- �G � � � � CY C� � Tel. #
Co��.: MN LiCENSE #
Address: Tel. # °
Attach to this application, a C�tificate of Survey of the
h�t, with the proposed cons�ructi� drawn on it to scale.
DESCRIPTIUN OF IINII'ROVEMENT
LIVING AREA: I�eugth Width Heig� S9- F�-
GARAGE AREA: Length Wi�h Height �. Ft.
DECK AREA: L�tgth . R�idth HgdGround Sq. Ft.
OTI�R:
Corner Lot [] Inside Lot [] Ft_ Yd S�back Side Yard Setbacks
Type of Constivctiofl: Estimated C�t: S
Approx. Coc�letion Date:
3 (Cost � Back).
� Driveway Curb (�t Width N�led: � Ft. +�Ft = � Ft x$
_ $ �j� ��
DATE: - C�- � APPLICANT: ��L , Tel. # �p � � 3� �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Conirol
Park Fee
Sewer Main Charge
S
$
$
$
$
$
$
$
$
� M. ' 1 �1 �
Fee Schedute on Reverse Side
.001 of Permit Valuation (1/lt�th'�)
$.SO/$i3O� Valuafion
$750 per SAC Unit
$5.00 (State Liceasecl Residential Contractors)
Alt. "A" or Alt. "B" Above
Conservation Plan Review $450.�
Fee D�ermined by Engiiceering
Agreement N�ry I l Not Necessary []
TOTAL $ STIPULATIONS: '
�`��O s� . '��
BUII,DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure,
or for a�► addition to a�► existing building or stnucdae, or for any aiteration or repair to any existing
bailding or structure, upon applicatioa theaefore, require the paymem by the applicant for such permit
of fees to the amouat herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500 �
$SOl to �$2,000
$2,001 to $?.S,OQO
FEES
$i5 (Minimum Fee is $15 pins sarcharge)
$15 for fust $500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000 �
- . $45 for first $2,000 plas $9 for �each additional $1;000
or fraction thereof, to and including $25,000
$25;001 to $50,000 ' .$252 for first $25,000 ples $6.50 for each additional $1;000
�- � or fraction thereof, . to. and i�luding $50,000 -
$50,001 to $100,000
$100,001 t4 $500,000
$500,001 ro $L,OOO,OIXI
$1,(100,001 and up
�$414:50 for first $SO,OOQ plus $4..50 for �ch additional
_$1,000 or fracbion the�eof, to . aad including $100,000
$639.50 for fust $100,00U pius $3.50 for each addi6onal
$1,000 or fiaction tl�eof, to and including �$500,000
$2039►.50 for the first $500,000 plas $� for each addit[onal
$1,0� or fraction thereof, tn and including $1,000,000
$:i539.50 for the inst $1,000,000 plus $2 for each additional
$1,000 or fraction �ffiereof -
DRIVEWAY I3EPRESSION ESCROW
(Concrete (:urb Sire�is On1Y)
Alterna�e "A°: Remo�ral and replacemem of curb and gut�e� oniy - Driveway width plus 6 feet times
$13.50.
Alternate "B": Removal and replacemeut of curb and gutter and install a 3 foot wide.
approach with 6 inch depth - Driv�way width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of appGcation to allow
for proper review of the progosed sl�ucture and of the coastruction site.
A Certificate of Survey of the lot, showing the la�on of the foundation once it has it has been
coash�ucted will be required I�fore proceeding wi� die framing.
City of Fridlt�y
AT TNE TOP OF TNE TWINS
I
� •
� �• COMMUNITY DEVELOPMENT OIY.
L PAOTECTIVE INSPECTION SEC.
� _'�_
r ; �;
� . ,
� _ �"'1 � CITY HALL FRIOLE� 53��2
�'-"� � �'' 612-571-34b0
JOB ADDRESS 657 Hu o Street NE
t IEGAL ��T NO. BLOCK TRACT
DESCfi. 13 14 R Rive
2 PiiOPEi;TY OWNER MAII ADOR�S$
Thomas A Morgan
3 CONTRACTOp MAIL ADORESS
Aztec Construction 11583 Run��
4 ARCNITECT OR OESIGNER MAIL ADDRE35
5 ENGINEER MAII ADDFiESS
8 USE OF BUILOING
Residential
7 CIASS OF WORK
p NEW O ADOITION
8 DESCRIBE WORK
Reroof house and garage 14 S 'I
9 CHAN(3E OF USE FROM
�U ILDING PERMIT
IBEN REV DATE PA
910-F15 9/23/99 �
ZIP
21P
30271
T NO.
��� /
pa �pvnOVEO Bv
�
SEE ATTACMED
SMEET
PMONE
l�_
PMONE
PHONE
LICENSE NO
UCENSENO
LICENSE NO
O ALTERATION � REPAIR O MOVE O REMOVE
off
TO
STIPULATIONS
Linderlayment must comply with the State Building Code.
' TrP
SEPARATE PERMITS AfiE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING.
VENTI�ATING OR AIR CONDITIONING,
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION IO�
AUTHOR12ED IS NOT COMMENCED WITMIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD Of 120 DAVS AT
ANV TIME AFTEfi WORK IS COMMENCED. NO.
I MEREBY CEFITIFV THAT I MAYE READ AND ExAf�INED TMIS APPUCATION
ANO KNOW THE SAME TO BE TRUE AND COfliiEC7. ALL PROVISIONS Of LAWS VAl
AND OROINANCES GOVERNING TMIS TYPE OF WORK WILL �E GOMPIIED
WITM WHETMEii SPECIFIED HEREIN Ofi NOT. TME GRANTING Of A pERM1T 1
DOES NOT PRESUME TO GIVE AUTHOFITV TO VIOLATE OA CANCEL TME pEf
PROVISIONS OF ANV OTMER STATE OR LOCAL LAW FEGULATING CON-
STRUCTION OR THE PERfOiiMANCE OF CONSTRUCTION
$�GN4TUAE OF CON�AOCTOa Op oU1MOp�2E0 eGENt IOAT��
' .'. "..,.. ... ........�..� ....�..ee e�u� nao, iOAi@�
`
�ermit Inspecti�� �����
Will �e Maile�
To Homeowner T� ��s�
pCCUPANCY GNOUP
SQ.FT
ITS Of FS'
STAILS
OCCUPANCvLOAD
CU f T
' PARKING
GARAGES
T
� Jut�-24-1qse
ADDN ( J
�LTER [ )
�onscructionAddress:
11�48 FROM CITY OF FRIDLEY TO �� 8959962 P.01iO4
� uaaw�� • �+ �
CIT'Y OF F�tIDLEX �1 1'� ,.. J V /��
SXNGLE FAMIi'X AND DUPLEXES it-1 AND R-�i�Y OF F
RfDLEY ���-i
BUILDING PERMY'Y' APPLICATION� �,�3� U N IVE RS ITY AVE. N.E.
��- � FRIDLEY, MN 55432-4384
r„�� /�l � �� � � -�--__._. � ��..13
Legal Description, 1�
Jwner Name & Address:
�ontractor:
4ddress: . I I �`�i � �
LIVING AREA:
GARAG� AREA:
DECK AREA:
Tel. 11 � ! °7 � ��
IvXN LICENSE li
��= Tel. �1 � �� �o�--
Attach w this application, a Certificate of Survey of the
Ioc, with the proposed construction drawn on it to scale.
DESCRIPTYON OF IlViPRO'VEMENT
Let�gth r Width .Height
I,engtl� ,� Width Height
Length � Width � � HgUOround
Sq. Ft.
Sq. Ft.
Sq. Ft.
OTHER: ' �
,-
:onsnvction Type:
' Estimated Cost: $ � 0���1-.'D�
(Fee Schedule on Back1
�riveway GLrb Cbt Width Neede�: Pt. + 6 Ft � Ft x$ _$
�
r � AY . �....� I' �. r� ����
l I
'ermit Fee
�ire Surcharge
�tate Surcharge
�AC Charge
.icense Surcharge
)riveway Escrow
'srosion Control
$�,qo
$ a�
$ , f� f
$
$ �. U 0
$ .
C1TY USE ONLX
Fee Schedule on Rcverse Side
.001 of Perniit Valuadon (1 / I Oth °b )
$. 50/$1.000 Valuadon
$1000 per SAC Unit
$5.00 (State Licensed Residential Contcactors)
Alt. "A" or Alt. "B" Above
$ $450.Q0 Conservation Plaa Revicw
'ark Fee $ Fee Decermined by F.ngtneering
►ewer Main Charge $ Agreement Necessary [ j Not IoTecessary (]
TOTAL
S'I'IPULA'TIONS:
$ 5 Q13
�/�