AF - 46749BUILDIIif G PE1�.MIT
Village of ��idley, Min.n.
N° 2498
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Date.................. .... ...............
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OwneP ��".` .......... %�'�`�:'�.�`:'......... Builder ...........................................
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Address . � ��. . .. .�c�t;-= . .. .. .. . .'�'�. �.���. . . . . Address .. .. . . .. .. .. . . .. . . . . .. .. . . . . . . .. .. .. . . ...
LOCAT(ON OF' BUILDING
No. �1..�......... Street��`.d`.z���. �..�. �;;��
.� ............ Part of Lot ................•-•..
.�
Lot ��.�`'�.�....�� . Block .�............ Addition or Sub-Division ���:.�:��.��,���.�........
Corner Lot ............ Inside Lot ............ Setbacic ............ Sideyard ..........................
DES�Ci�IPT[Oill OF' BUILDING
To be Used as:
�t.�'��. . F'ront �'".�. . . . . Depth �:�.. .. . Height . .. .. .. .. Sq. Ft. . .. .. .. . Cu. F`t. . . . . . . . .
.................... Frant ........ Depth ........ Height
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Type of Construction°�:��`.�.``.#�'... Est Cost ..�.�..��... .....
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Sq. Ft. ....... . Cu. Ft. ........
To be Completed����.`���.....
In consideration of the issuance to me of a permit to construct the building described above, I agree to clo
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the village of Fridley.
, ,y �'.,..,�,,,..�„
� f +�'' � �:, = E' `�'`C.�-°E n.�; ?l ' ��- -�-�-�+'C''� �'
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� �onsideration of the payment of a fee of $. . . . . . , permit is hereby granted to'� a. . . . . . . . . .. . . .
��':::.� :�: .. to construct the building or addition as described above. Tlus p�t is granted upon
the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
�'ridley, Minnesota regarding location, construction, alieration, maintenance, repair and moving of buildings with-
in the village limffs and fihis permit may be revoked at any time upon violation of any of the provisions of sa.id
ordinances.
� �
'�����•� ^-"'.-; .��
r�k'. .�:.. !� ......... Building Inspector
NOTICE:
This permit does not cover the canstruction, instaltatiora o� alte�atian for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspeator for separate permits fo� these items.
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SUBJECT PEAMIT_.NO.
City of Fridley wx�cxzN� �' �� ���` ��
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AT THE TOP OF THE TWINS o���� n��� r= P E R M I T `�
r - --
' ' RECEIPT NO.
� �• COMMUNITY DEVELOPMENT OIV.
� LV ������� �
� PROTECTIVE INSPECTION SEC. s
r , , �-
� ' /"'1 � CITY HALL FRIDLEV SS432 NUMBER REV DATE PAGE OF qVPROVED Bv
�'"'"'�' �'' 612-571-3450 910-F15 / /
11/2/94
108 ADDRESS 677 Hugo Street NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ],9,20,21 R Riverview Hei hts SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
FRidley HRA 6431 Universit Avenue NE 571-3450
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO
RAY ANDERSON & SONS COMPANIES INC 930 Duluth St St Paul MN 1 -
4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
CJ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE � REMOVE
8 DESCRIBE WOHK
Wreck House & Shed
9 CHANGE OF USE FROM TO
STIPULATIONS
Clean site of all demolition debris. Disconnection of sewer and water
lines at property line to be ������X� inspected by City.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIHED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR Alq 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 ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV 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 SUHTAX
AND ORDINANCES GOVERNING THIS TVPE OF WOFiK WI�L BE COMPLIED None
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PFESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEfiMITFEE SACCHARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- �O.ne
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
None None
SIGNA7UAEOFCON'RACTOAOAAUTMOA�ZEDAGENT IDATEi WHEN PAOPE f VALIDATED THIS IS YOUR PEFMIT
-��� c�� �� I�� � y
SiGNATUREOFOWNEAUFOWNEABUILDEAi IDATEI �G �NSP qtiiE
Job Address:
CIT� OF ��II)L� Y
�OV�id�s j ] Q�R ��C��1lTG �1�/�APFI�IC1�'T1�N
(.C�� �ic��o `�Si- . . ��
Legal Description:
Owner & Address :.,,_
��i1'��'3C�0�' :
�dclress : �
f1�7
!°i, �ra. � I
�r�
�i
�fc�c:l� R�� , I�t'��+ovse�•.� {�et�
State License #
DESCRIPTION OF BUILDING
T��.���I
Tel a #7��'ZSSD
Living � �
Area: Length c Width . Height Sq. Ft. Cu. Ft.���
Garage
Area: Length � Width Height Sq. Ft. Cu. Ft. -
Other: Length � Width Height Sq. �t. Cu. Ft.
1l�bv � ` 'l`f
Estimated Cost $ Approx. Completion Date G �,
UTILITIES TO BE NUTIFIED
City Water/Sewer Mpls. Gas Company
571-3450 [V] 372-4720 [�
Northern-States Power U S West
566-9120 [✓j 663-6000 [�
Water Bill Paid: Yes [� or Collect [$ � Initials �
Moving Route: _
The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing
to do all vfrork in strict accordance with the City O�dinances and rulings of the Building Division, and the State
Code wYiich requires any water well on the property to be sealed by a State licensed water well driller, and
hereby declares tha�t all facts and representations ted in this application are true and correct.
,
� � -Z7 -°l'�f _ � �oo���°°
Date Si�nature
I�ov:ing: Principle Building irito r'ridley ... $ 80. Uo
A�.SSOxy Buildi.2'ig ].I1tA Ft'ldley ... $ 20.00 Minimtnri Fe�e: $15.00
Thr��h, within or out of City ...$ 15.00
Wreclting: �or each 1, 000 taabic feet or fracti� ..$ 1. 25
For �ses t�i.ch would be impracki.cal, to cub�, the fee shall be based oai
the total oost of wrecicing at the rate of $6.00 for eac�i $500 . UO or- fracti�►.
�oer i�: F�ie�s� ��e'v� �s
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SuBJECT
c;ty of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M i T
r
� �
� �
� ` _____ COMMUNITY DEVELOPMENT DIV.
r � y � PROTECTIVE INSPECTION SEC.
� ,� �"'1 � CITY HALL FRIDLEv 55a32 NUAABER REV DATE
�""� � �'' 612-571-3450 910-Ft5 9/11/95
JOB ADDRESS 677 Hugo Street NE
1 LEGAL ��T NO. BLOCK TRACT OR ADDITION
DESCR. ],9-21 R Riverview Heights
2 PROPERTY OWNER MAIL ADDRESS Z�P
Felix Construction 4410 379 St, North Branch, MN 55056
3 CONTRACTOR MAIL ADDRESS Z�P
Same
d ARCHITECT OR DESIGNEH MAIL ADORESS Z�P
5 ENGINEER MAIL ADDRESS Z�P
oAGE Of
� /
� ,� �9 �� 8
L. .� .�d
RECEIPT NO.
����
APPROVED B�
SEE ATTACHED
SHEET
PHONE
674-8546 8682
PHONE IICENSE NO
PHONE LICENSE NO.
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASSOFWORK NEW O ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
�
8 DESCRIBE WORK
Construct a 51' x 28' Dwelling and a 20' x 30' Garage
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan. Provide City with copy of verifying survey
before framing. Provide sod in the front and side yards. Provide a hard surface
driveway.
SEWER LOCATION (Approx 10' Deep in Street) 73' W of M.S. (Inv. 815.71)
WYE ELEVATION: 814.91 TOP OF FOOTING: 818.20 Minimum
WATER LOCATION: 10' E of Sewer Service
DW CURB CUT: N/A is existing is used.
TYPE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONI
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WOHK IS COMMENCED. NO.
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALL
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PEfiM1T 8i
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEq�
PROVISIONS OF ANY OTHER ST TE OR LOCAL LAW REGUTATING CON-
STR I R TH E RMA CE CONSTRUCTION 8
� PLAI
� � � Li�
o, .��.��ocnc nu-ancTnanas�ii ORiZEDnGENT iD TE�
i �DATEi
i
IF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
G SO. FT. CU. FT
iWLG. UNITS OFFSTREET PARKING
� STALLS IGAFAGES
TION
Y7
L�V r
�-r. iv
CCHARGE �gSO.00 SAC
.re SC $88.21
TAl FEE
IS YOUR PERMIT
� �
NEw il
ADDN (�
ALTER ( �
ConstcucdonAddress:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
s o �a �.
u
Owner Name & Address: �,� ��v�; �1�0 `�1 � �' � �. #
Ef€ective 8/ 1 /95
��-��
� �ce �5�-�
' � (�� MN LICENSE # 0 6 ��
Contractor: Z-fi —
Address:
Tel. # 6 � � "��°6
Attach to this application, a Certificate of Survey of the 7`� ' 37 � 5
� ��
lot, with the proposed construction drawn on it to s c a le. ��( Q ���-��' ��y
LIVING AREA:
GARAGE ARBA:
pECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
� � � Wxdth �� � Heigtit `
� �..
Length
�.eQgth �� width ,� Height � '
Length �_ Width �._ Hgt/Ground
� �i�� ��x'�es k,��e �
�� /��x �x�-l�l,3�'l.�f
�q. Ft: � . ..
Sq. Ft. e�� �' . � �
Sq. Ft. ' /0���'� ,
Ft. Yd Setback 3�� Side Yard Setbacks 1�� —/�_
Corner Lot [ ] Inside Lot [ ] �
� ��o ��
Ty� of Construction: �_ Z� �, Estima.ted Cost: $
Approx. Completion Date: C�'' !' " � �
(Cost on Back)
Driveway Curb Cut Width Needed: + 6 Ft = Ft x$ _$
DATE: � "ll _ APPLICANT: Tel. # �� ��r4�-G
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE OAiLY
��. �
$ Fee Schedule on Reverse Side
� Z. .4�1 of Permit Valua.tion (1/lOtl�%)
$ e/� /(� $.SOi$1,000 Valuation
$ ��, � $850 per SAC Unit
� � �i� $5.00 (State Licensed Residential Contractors)
$
$
$
$
�.
� ��if'I
� _ .
f
STIPULATIONS:
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fe� I�termined by Engineerin►g
Agreement Necessary [ ] Not Necessary [�'
a
: !!
�'-iI 9.�
��JILDIN(i PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, 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 to-wit:
TOTAL VALUE
$1 to $5Q0
$501 to $2,000
$2,001 to $25,�
$25,�1 to $50,0�
$50,�1 to $100,Q00
$1�,001 to $500,(100
$500,�1 to $1,000,0�
$1,0�,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $S� plus $2.75 for each additional $1� or
fraction thereof, to and including $2,OQ0
$62.25 for first $2,� plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,0�
$349.75 for first $25,000 plus $9:� for ea.ch additional$1,000
or fraction thereof, to and including $50,�0
$574.75 for first $50,000 plus $5.25 for ea,ch additional
$1,0� or fraction ther�f, to and including $1Q0,�
$887.25 for first $100,� plus $5.� for each addiiional
$1,OW or fraction thereof, to and including $5�,(?00
$2887.25 for the first $5�,� plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,�,Q00
$5012.25 for the first $1,�0,�0 plus $2.75 for each additional
$1,(T00 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alterna.te "A": Removal and replacement of curb and gutter only - Driveway width plus b feet times $13.50.
Alternate "B": Removal and�replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for conshuction vvill be issued a minimum of 24 hours from the time of application to allow for proper
review of the prapose� structure and of the construction site.
A Ceitificate of Survey of the lot, showiag the location of the foundation once it has it has been constructed
wili be r�uired before proceeding with the framing. � s:b
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__.�_,�_; �_,�� ��_,� l�:c,,� P�1E�IL�i �: H�_.:;����:., IhdC.:
C��1"l�Fi�ATE C��.. �U�1f�Y
��F1 6�. .������� ��'���y ���.
��GAL D�SCRIPTION: '
LtiT '! 9 TO 21 lNCLUSIVE, iN S�C1"IqN OR BLOCK
RlVERViEW HEIGH7S� AkVpKA CQUNTY, MINNESU'fA.
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g" G1.P.
W.M. iNV.
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� 8efo� �iBgi�lg a�lt tofi
elt utititr�. loca�oro � � .
� . �SI-(�OOZ .
�earinRE�U��REDagY �%�lda�.e,m
� Q�notes 1/2':s� Irun Pipe S�t : .
• Denotes 3ron mo�ument faund
�xy.A
�z6 $
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��G,ah
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so
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tXTERIOF� ENVELOFE 'U' COMF'UTATION
HEAT LOSS STATEMENT
OWIVE�S NAME Z�cken �
PROPE�iTY ADDF�ESS�� Hu�n St.
COIVTRACTOFt� LIX CONSTRUTION LLC
TELEFHOIVE
HOUSE 8TYLE .
FLOOR AFEA �
1. TOTAL e�aposed wa11� area 18c�6 x.11� 198.66
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2. TOTAL cei 1 ing area �; .�Z3 a� ,:t74b� ?7. 898
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A. WINDOW AREA ��'.-: � VALUE U VALUE
Interior air f�lm '`��Y"' . U.68
Glass �•9�
Esaterior air �Pilm �•17
Total ' R 4.7'8 �"�.2��92�7�
1/Fi �U Value X 18U.6 8�. FT. �37.78242
B. D001� AF�EA �t VALUE U VALUE
Interior air film G.68
Door 14.44
Storm Door
E�aterior �ir film �• ��
Tote�l R 15. �9 C� . c�b54�� �
i/R �U value X 4c7.25 S�. FT. =2.63s4d9
C. 9LIDINO DOOFe AREA � R VALUE U VALUE
Interior air film 0•68 .
Glass ; 3.11 ••
Exterior air film t�.17
Tota1;R 3.96 U.�5a5a� t
i/R �U value X ,�42 SC�. FT. �ia.i6414
D. FIREPLACE AREA � Fc VALUE U VALUE
Interior �ir f31m �a.6�
Firepl�ce �.i5
Exterior air film �•i�
Total �C 4.1 f�. �439�� t
i/� =U value X
0 SO. FT. � �
E. WALL FRAMING AFcEA
Interior �ir film
Wallboard
. .• Framing 2x6
Sheathing
Siding
� Other �
E:�terior air film
Total ;a
R VALUE U VALUE
C�.E,B
�.45
8. t�6
U.5
�7 . 5
� U.17
` 1� . �6 U . ��96525
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1/Fc = U valUe X 27U.9 SQ. FT. =�6.14864
F. INSULATED WALL AFCEA R VALUE U VALUE � '
Interior air film •� � U.68 ,
Wallboard �•��
Insulation 19 -
She�thing �•�
Siding C7.5
Other
Exterior air film C�.17
To t� 1, Fi 21. a U.�.�46948 t �
,
i/R � U value X 1478�75 S0. FT. a5G.b455�
G. �IM JOIST AREA ' R VA�UE U VALUE :
Interior air fi;lm �•6$ �
Framing ; '�`� ' i .88 '� �
In�ulation � ” ` 19
Siding � ��'�.� �'��
E:.terior air f�lm � �•��
Total :R 2�.�",6 U.c�45�s0 '
i/R = U value X 193.� SQ.F'�. � 8.7715�2
H. FOUNDATION WTNDOW AREA � VALUE U VALUE '� '
Interior air film �•6B
Gla�s �'
�
Easterior �ir film ��• ��
Tot��. f� 2.85 �:�. �5�7877 �
1/Ft a U ValUe X 9�. FT. �� .
I. FOUNDAT I OIV Ai;EA ; F! VALUE U VALUE
Interior �ir film �•6�
E+loc�. �.1�
In�ulation � 5.�
� E�aterior air film ��•�� ' �
Total ;Fc 8.48 G.11'7924�
i/Fc = U value X �� SQ. FT. = ��
J. WOOD FOUIVDATION AFcEA; � VALUE U VALUE
Interior air film ty.b8
Insul�tion 19
P 1 ywood �, • �'b
Easterior air film �•��
Tota�l R 2U.51 ��.�4875b •
1/FC � U value X 3Q. FT. � � ,
I�. SI�YLIGHT AREA � VALUE U VALUE
Interior air film U.68
01�as '•9'
. E�sterior air film ��•i� - �
Total � Fc 4.78 r.a.iU9�C�5 :
1/R � U value X SQ. FT. _ �
L. CETLINO F�AMiNG AF�EA' � • R VALUE U VALUE
.� , ,,�
�
Interior air film G.68 .
Wallboard U.45
Framing 6.1
Insulation over framing �6
Interior �ir film �' C�.68
Tota 1 R 33.91 �:� . t�29489
i/R = U value X 128.76 S[�. FT. �3.7971�9
M. INSULATED CEILINO AREA R VALUE U VALUE
Interior air film U.68
W�llboard i ��4�
Insulation � 4�
Interior �ir film �•6�
Total!�' 45.81 U.U�1829
1/� = U value X 944:24 80.FT. � 20.61�G9 �
Y.
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3. TOTAL U VALUES A...J 136.1447
4. TOTAL U VALUES K...M 24.4d9�U �
TOTAL LINE9 1 �nd �_ � ��b•��B
TOTAL LINES 3 and 4� 16c7.S5�9
If the �um of items i and � are gre�ter than the sum of items �
� and 4, the intent of the st�te building code ha� been met.
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CHIMNEY �ND STACK VERIFICATION
The undersigned hereby verifies that t�e existing chimney or stack:
1. Has been carefully exasnined Yes () No ()
2. Is free from n�st or deterioration y� �) Na ��
3. Has no foreign objects iodged within . Yes () No (�
4. Is securely supported � ' Yes ()- No ()
5. Meets all cutrent Code requiremeuts for size
and total BTU's connecte� Y� () No ()
fi Has total heating BTU's of
� All other BTU,s ' � . .
TOTAL BTU's
7. Has a liner been provided for waten c��er Yes () No ()
8. Has combustion air been provided for water heater Yes () No ()
Remarks:
�Y _� ' � �� :�� 1���
. HEATING CO:
Signed By:
Date:
� ��
�
�r3;;�� 3 �,� i,f
;�:�•.{!� ":";��i,.
'r ,i
F
c_
r��;-k�,�.
. ':�' .
, . .
FR[DI.EY ��lUN1C1('AL CEhITER � 6=�31 UNIVERSITI' A��E. N.E. FRIDLEY, �1\ �i�3? •(bl�i �71-3-1>0 • FAX (612) 5; I-1�'fi7
December 11, 1995
�•'c`''.i�X 4J;;�.�-s�.Y'llC�lOTI
4410 379 Strzet
North Branch, MN 55056
Re: Final Inspection at 677 Hugo Street NE, Frir�ley
Dear Sirs:
A final inspection was eonducted on December 11, 19y5 of the abov�
address. The following items were noted which must be completed
before the construction can be finaled;
11 Provide a hard surface driveway by June 15, 1996.
2) Provide sod in the front and side yards by June 15, 1996.
3) Provide the front stoop and steps by June 15, 199�.
�',J � ��'!`� �= y', r`{ � ��.c.rr� C �-c---
t�Te will expect the above �ems to be com leted b the sehedul�d
P Y
dates and reinspections called for. Occupancy of the structure is
approved. If you have any questions concerning these items, please
feel free to contact me at 572-3603.
Sincerely,
.� - - .,\
; % ) .
i = �� � ." , i l ' .� ( � ��`l �
���, :
Barry Rief�ch
Building �nspector
BR/mh
CERTIFICATE OF: SURVEY
FC)R: 'WHITNEY HO�MES, INC.
LEGAL DESCRIPTION:
LOT 19 TO 21 INCLUSIVE, IN SECTION OR BLOCK R,
RIVERVIEW HEIGHTS, ANOKA COUNTY, MINNESOTA.
�
�5.00 ��=
� 8��0
�
�
SZ53 �
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f� � D ,�s��
i�.OTS � g• �� �
2,
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e�e.o gy5.7
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�•�� 40.00
� PRO �� �SE �
w o
��� 11
18.67
8�3 a, GARAGE
8z6.o o S�"Z
o -tn_33_
�
3� �
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_ •,
�N�-- � res
?c. 8�3•69 % �j o�
SAN. INV. 8�� gAN. SE`
=814.96,
0
� HU�p S REE
y,�,N►, INV.
g�� C.I.P. WATERMaIN _817.99 f
:
Bearings are based on assumed datum
o Denotes 1/2"t� Iron Pipe Set :
• Denotes� iron monument found
�y7.0
�
O
O
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� gz6 �
-Nug �L.
g2.�� dG
��
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,
�
47.
�
"� Denotes Pro�sed Elevation
x Denotes Existing Elevatton '
9z6.s Top of Foundation
8Z3.3 Top of Basemerrt Floor
�.,s- Top of Lookout .
,�.--. Top of Walkoc�t
� � ..
��b�� ��
SCALE IN FEET
�MERILA
` & ASSOCIA-f ES
ENGINEERING SURVEYING PLANNING
8401 73rd Avenue North, Suite 63
Brooklyn Park, Minnesota 55428
Telephone (612) 533-7595
Fax (612) 533-1937 /�u�i0
1�is as buiit sunrey
�med to verify the
location of the foundation
relative to proper-ty line, �
no other information has
been checked.
We he�aby certify that thia is a true and co�rect repr�sentation ot s:un�y ot
the boundaries oi the above described land snd ot the locatio� of all buildings,
if any, thereor� and all visibla encroachment; if any, from or o� taid land.
Ai wrveyed this U� day ot . 19L.
a2�E�� Minn. Rp. No. �
Land Su�vsyoi
s--��s .Du / ��
SuBJECT
City of Fridley
AT THE TOP OF TNE TWINS g U I L D I N G P E R M I
i �
� �
� • COMMUNITY DEVELOPMENT DIV.
� ��; ------�
r � � PROTECTIVE INSPECTtON SEC.
l.-_.� ��"" �.� CITV HALI FRIDLE� 55032 NUMBER Rev
i 612-571-34b0 910-F15
JOB ADORESS 677 Hugo Street NE
1 LEGAL �OT N0. BLOCK TRACT OR ADDITION
oesca. 19 - 21 R Riverview Heights
2 PROPERTY OWNER MAIL AODRESS
Ma.rk/Kristin Lucken 677 Hugo Street NE
3 CONTRACTOR MAILADDRESS
Same
a ARCHITECT OR DESIGNER MAIL AODHESS
5 EN(iINEER MAII
DATE PAGE OF
5/13/98 / /
;pERM1T NO.
2605
RECEIPT NO.
� �/.3
APPROVEO BY
SEE ATTACHED
SHEET
717-9429
ZIP PMONE LICENSE NO.
ZIP PFIONE LICENSE NU.
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
B DESCRIBE WORK
Construct a 12' x 16' Deck
9 CHAN(iE OF USE FROM
ISTIPULATIONS
See notations on plan.
4RAT� PERNIITS RE UI
�a{=, y���r;���, ��.� B�N� �°R
. �� S1G�VS,
TO
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICA�, PLUMBING. FIEATING, � rrc vr wno�.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING
AUTHORIZED IS NOT COMMENCED WITHIN 80 OAYS. OR IF CONSTRUCTION
OR WOFiK IS SUSPENDED OR ABANOONED FOH A PERIOD OF 120 DAYS AT
ANY TdME AFTER WORK IS COMMENCED. N0. DWLG. UNITS
I HEREBY CERTIFY TMAT I HAVE FiEAO AND EXAMINED THIS APPLICATION 1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yq�UATION
AND ORDINANCES GOVERNING THIS TVPE OF WOi;K WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT � l s 722
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �SG.7S
iRE OE CON � RACTOR OR AUTMOR12ED AGENT
� s � _
� �����G
Befose dig�`�►g call tor
all utilitY Ioc�Uo�
a54-� �Y �W
R�QUIR�
OCCUPANCYLOAD
CU. FT.
OFFSTREET PAqKING
STALLS GARAGES
SURTAX
$.86
SAC CHARGE
Fire SC $1.72
T AL FEE
� $59.33
�HIS IS V UR PERMIT
_ —l� ��
pqTE
NEW
ADDN
ALTER
[l
[l
[l
ConstructionAddress :
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
n
Effective 1/1/98
p�� \�
� ��
�
Owner Name & Address: �� � �� i� -� �� �19s„�,�Q%1 Tel. #� ( � � y ��
Contractor: MN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length �.� Width �� Hgt/Ground � Sq. Ft. _�L��° . i%
OTHER: = �, �� � y _
Construction Type:�� � Estimated Cost: $ � � �, � � �- � �
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$_ _$
DATE: APPLICANT: �rl S`1' i JU �C�] Tel. #`�j ��i�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ � ��
$ �� Z
$ , �C
$
$
$
$
$
$
� 9 ,�3
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.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 [ ]
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, 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 to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,Q00
$100,001 to $500,000
$500,001 to $1,000,000
$1,0�,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $1�0 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $1Q0,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $SOO,OQO
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,0(JO or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Altemate "B" : Removal and replacement of curb and gutter and install a 3 foot wide
approach 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
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 it has been constructed
will be required before proceeding with the framing.
9
CERTIFICATE
FOR: WHITNEY
OF.. SURVEY
HO�MES, INC.
LEGAL DESCRIPTION:
LOT 19 TO 21 INCLUSIVE, IN SECTION OR BLOCK R�
RIVERVIEW HEIGHTS� ANOKA COUNTY� MINNESOTA.
75.00 �
� _ � 8��0
- �.
�
SZ53 0
. O
8��
fiS�le
�oTs
� ���� ��
st�C4.l
�Z,s�10
19, �� � 21
�
� j� gZ''`'�„
� PRO � HOUSE
W ��'� � 11
.67
�3 a, GARAGE
� �� o S�"Z
o �n_33 _
3°� °
�� �
_ .,
sa�3.6�-75 40
SAN. INV.
=814.96,
� HvGO S-
6„ �.�,p AW TERMAIN
0
` � .
Bearings are based �on assumed datum
o Denotes 1/2"r� Iron Pipe Set �;
• Denotes�iron monument found
�Z�.o
�
�
O
O
� gz6�
�I,l uB �L.
,, N g Z.6, d(�
r o
� o
0
�aW
.°'rrc•8z82s4��
AN.� ER °�
T �
W.M. INV.
=517.99 f
� Denotes Pro�sed Elevation
x Denotes Eutsting Elevatton '
9z6.r Top of Foundation
823 3 Top of Basement Floor
�.s- Top of Lookout .
�---. Top of Walkout
o so ' �oo
SCALE IN FEET
;�'MERILA
-�► &ASSOCIATES
ENGINEERING SURVEYING PIANNING
8401 73rd Avenue North, Suite 63
Brooklyn Park, Minnesota 55428
Telephone (612) 533-7595
Fax (612) 533-193? j�u�j0
;,
d,�� 1G�
d ,-�` �� A�t
� ���.,
iis as built survey
ned to verify the
location of the foundation
relative to properly line, '
no other information has
been checked.
We ha�eby c�rtify that thi: is s true �nd corr�ct repr�ssnt�tion of a:urv�y of
the boundaries of the above described land snd ot the locstion of sll buildinps,
it any, thereon and all visibla encrouhment; it sny, from or o� aid I�nd.
Ai wrvay�d this v-v�`�' dsy ol . 19L..
Minn. Rp. No. L�L�
L�nd Suivsyor
Y
Book - P��
6n Works (R), Knox Lumber, # 212, Phone # 483-5411
rion Apr 2013:32:221998
'lan ID: CQ5938
� �k Layout
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,
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3e the Specification Sheet for More Details
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�e gn Worlcs (R), Knoz Lumber, # 212, Phone # 483-5411
Mon Apr 2013:32:221998
The materials in this deck will cost $1349.12
P' R ID: C 5938 , �� �'J'��'��'�
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r Ask For A Construction Detail Sheet Before You Begin Your Project
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