AF-W - 47098Village of Fridley, 1Vli.nn.
BUILDING PERMIT �°• 1981
Date: : . y. �d?' . . �t'��''�. � ,� . . . . . . . . . .
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Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Builder ' .��;'f�' .��- � `. r�, . ��'sP�t�.�` �r�,���
Address .. ...... ....... .. ......... Address .. .........!� .............. .............
L CAT[ON OF BUIL.DWG
No. �°� �o�� . . . :' Streei . �:''�:': . .�.�'.�: .. .��'. . . . . Part of Lflt . . . . . . . . . . . . . . . . . . . . . . . . .
Lot y%�`. . . . . . . . . Block ' . � . . . . . . .. . . . Addition or Sub-Division ,.��.����. '�°� . e!�:�:� �•���'�`'1. . . .
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Corner Lot . . . . . . . . Inside Lot� . . . . . . . . . . . Setback .�� : : :�f Sideyard ,+�,�.:;'"�. . . . . . . . . . . . . . .
DESCRIPTIOIV OF BUILDING
To be Used as: �
! ��
�r ,�.^ �.�, . �
"r���'a'"'���y::,.... Front .,t�jD... Depth;�:�. Height,;�:��: Sq. Ft. ....:... Cu. Ft ........
�r�
. .............:.... Front ........ Depth ........ Height . ....
TyAe of Construction �,,,f,v;-P:+t.+�!'....... Est. Cost ��"�'.�:�"�::.. �.'....
1�''-�°�",,.: �'�""���'��,�-,��;, � �, .:t'�`".,�w. �; '"�
t�+'�
Sq. Ft. .. .... Cu. Ft ..
. . ''�
To be Completed ,�-��:'�:`�`���,1'�
� ��`:°� >
In eonsideration of the issuance to me of' a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliaace with all provisions of
ordinances of the village of Fridley.
Tn consideration of the payment of a fee of $.:a%:�'.:�':`;.., permit is hereby granted to °,�c��:�:��:
�.":� ..������:i . to construct the buildin or addition as described above. •�•' •
�, g This permit is g�anted upon
the express condition that the person to whom it is granted anfihis agents, employees and worlunen, 3n all work
done in, around and upon said building, or any �rt thereof, shall conform in all aespects to the ordinances oP
Fridley, Minnesota. regarding locafion, c:onstruction, aitera.tian, maintenance, repair and moving of bu3ldings with-
fn the village limits and this permit may be revoked at any time upon violation of any, vf the provisions of said
ordinances.
. .�t" � � .� . . . . . . . .
�� •��.� Buildiug In�etor
NOTICE• -- -
This permit does not cover the construct�lon, tnstaltation o� alteration for wir(ng, plumbtng, gas heating,
sewer or water. Be sure to see,+�q Building Inspec#or for separate Ae�mi#s fo�,,ese items.
SUBJECT PERMIT .
City of Fridley 18063
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
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� � RE O.
COMMUNITY DEVELOPMENT DIV.
; �� ------. %7� y�
r � � PROTECTIVE INSPECTION SEC.
�
1 � �
`--_.� �'��,•� CITY HALL FRIOLE� 55432 NUMBER REV. DATE PAGE OF APPqOVED BV
i 612-571-3450 9�0-F15 6/12/85 � �
JOB ADDRESS 5674 Jackson Street N. E.
1 LEGAL LOT NO. BLOCK TRACT OF ADDITION
DESCR. �-3 6 Donnay's Lakeview ��i MZ1710Z' SEEATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE
Earl Weeks 5674 Jackson Street N.E.
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Ariel Remodeling 5744 West Moore Lake Drive N.E. 571-7619
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENCiiNEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUIIDING
Residential
7 CLASS OF WORK
�7 NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 22� x 22� Detached Ga,rage
9 CHANCiE OF USE FROM TO
STIPULATIONS provide a hard s,urface drivev�zay. �gzeement s.igned b.y nei.ghb.or.
s��►�� ���rrrs ��Qr�r�� ee �����p��'��
��a�e�'�IV'fi, HEATING F�R fore tlig�►►�° c�,I !�,;.,� ,.,�,3 ;,
, PLUMBING AND St�NS� �r ;,i, .�
rELEPNC��E - �-�_': � i� � �. � .
�' `°' ��`;, � ' � . �
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD
VENTI�ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. PT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTEF WORK IS COMMENCED. NO. DWLG. UNITS OFFSTiiEET PARKING
I HEREBY CERTIFY THAT 1 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 (iOVERNING THIS TYPE OF WORK WIIL BE COMPLIED $5, 899 tiS`2. 9S
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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- $56. rJO
S TION R THE PERFORMA CE OF CONSTRUCTION.
�
� ��� PLAN CHEC�t FEE TOTAL FEE
_ ' $59,45
..
SIGNATURE Cotv aC ORAUTNORIZEDAGENT 1 ATE� WHEN PROPERLY VA ATED THIS IS YOUR PERMIT
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S�GNATUREOFOWNEA�IFOWNERBUILDENI IDATEI BIDG INSP nATE
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AGREEMENT
I.�� r' �� , owner of the property
located at ��P �`� J�c fcS o a/ SF , have no obj ection to the
City allowing the construction of a� 4 Y'cz to be
located at �v �� �c��<Sa?� s'�• without the required
certi.ficate of survey that the City ordinarily requires for all new
construction.
Witness
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Address
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NgW [] City of Fridley Effeetive 4/1/84
ADDN. [ ] R-1 AND R-2
pLTER. [ ] Building Permit Applieation
Construetion Address:
Legal Description
Owner Name & Address:
Contraetor:�' �L.
Address:
LIVING AREA:
GARAGE AREA:
DECH AREA:
OTHER:
���� �'�
ock ,� j)�
�d
Attach to this application, a Certifieate of Survey of the
lot, With the proposed construction drawn on it to scale.
DESCRIPTIOA OF IMPROVEMENT
Length Width Height
Length � � Width � � Height �
Length Width Hgt/Ground
�
u
Tel. �
Tel. � J %�"% /
Sq. Ft.
Sq. Ft.�_
Sq. Ft.
Corner Lot [] Inside Lot [��- Ft. Yd. Setback � Side Yard Setbaek
Type of Construction: T- :�
Approx. Completion Date: 7 ��J
Estimated Cost: $ �
� S�9y'.�,6
Alt. A Alt B
Proposed Driveuay Width If New Opening Is Desired: $ $
See Baek Page for Explanation
�
DATE: �I �� APPLI�ANT: Tel. � � � 1 `� � �j
CITY IISE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
SeWer Main Charge
TOTAL
STIPULATIONS•
$ � •�
$
$ �. 95 `
�
$
� V.
$ � �, �S
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Fee Sehedule on Reverse Side
25$ of Building Permit Fee
$.50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Neeessary [ ]
.�
BIIII.DING 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 applicatio n
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 Valuatioa
�1.00 to �500.00
Fees
$10.00 (Minimum Fee is $15.00)
$501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each
additional �100 or fraction thereof, to and ineluding
$2,000.
$2,001.00 to $25�000.00
$25,001.00 to $50�000.00
$32•50 for the first $2,000 plus $6.00 for eaeh
additional $1,000 or fraction thereof, to and
ineluding $25,000.
$170.50 for the first $25,000 plus $4.50 for eaeh
additional $1,000 or fraction thereof, to and
ineluding $50,000.
$50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each
additional $1,000 or fraction thereof, to and
ineluding $100,000.
$100�001.00 and up
$�33•00 for the first $100,000 plus $2.50 for eaeh
additional $1,000 or fraction thereof.
DRI�EWAY DEPRESSION ESCRO�TT
(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
approach with 6 inch depth - Driveway width plus 6 feet times $15.T5
VERIFICATION OF FOONDATION
Permits for construction Will be issued a minimum of 24 hours from the time of
application to allow for proper review of the proposed strueture and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it
has been eonstrueted will be required before proceeding with the framing.
, „�
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c�ty of Fr�a�ey
AT THE TOP OF TME TWINS
i �
� �
� ; v ��_�� COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
i.--.� ��"' �'� CITY HALL FRIDLE� SS132
L 612-571-3450
JOB ADDRESS �� Jackson Street NE
t LEGAL LOT NO. 13 BLOCK TFiACT
OESCR. � � 6 ��:
2 PqOPERTYOWNER MAILADpRFS$
Medtroni:cs
3 CONTRACTOR MAIL ADORESS
Swift House Movin 20845 Larkin
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAIL AODRESS
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADOITION
B DESCRIBE WOf;K
Move house at a�ove address to out
9 CHANQE OF USE fROM
STIPULATIONS
n
1JCGT
N�OVING
B �PERMIT
�BE pEV O�TE vAGE OF
s�aF�s �,7 8/4/99 / /
�.�.,.�
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PMONE
997
4 ��
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SEE ATTACMEO
SHEET
LICENSE NO
227
LICENSE NO.
LICENSE NO
O ALTERATION p REPAIR �tFi MOVE O REMOVE
Jackson N to Carrie to Quincy to 57th to 7th to 57th W to TH 47 N to 73rd
to Co . 35 N
Current Water Bill of $0.00 due 8/25/99 plus final bill after meter reading.
Clean site of all debris including fow�dation and slab.
SEPARATE PERMI7S ARE NEOUIREO FOR ELECTRICAL, PLUMBING, MEATING,
VENTILATING OR AIR CONDITIONING
TMIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTi;UCT10N
AUTHORIZED IS NOT COMMENCED V�!ITHIN 80 DAYS, Ofi IF CONSTRUCTION
OR WORK IS SUSPENDED Oq ABANDONED FOR A PER100 OF 120 DAYS A7
ANY TIME AfTER WORK IS COMMENCEO.
1 HEREBV CERTIFV 7HAT I MAVE READ AND EXAMIN�O THIS APPLICATION
ANO KNOW TME SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF �AWS
AND OROINANCES GOVERNING THIS TYPE OF WORK WI�L �E COMP�IED
WITH WHETHER SPECIFIED HEREIN Oti NOT. TNE GRANTING OF A PERMIT
DOES N07 PHESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE
PROVISIONS OF ANY O7MER STATE LOCAL LAW REGULATING CON-
SiqUC O TH PERF MANC CONSTRUCTION
S�GNATU EO� ON'aaC O nUTMOp�ZEOnGEN1 ATE�
°. OF CONST. OCCUPANCY GROUP
ING SC. FT
OW�G. UN17S OFFSTREI
S7ALlS
JATION SURTAx
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d17 FEE SAC CMAI
o.00
J CNECK FEE TOiAL FE
_.� �20 a �
OCCUPANCVlOAO
CLL FT
f PARKING
GAFAGES
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CITY OF FRIDLEY
6431 U ' 't A N�
Effective 5/10/99
MOVII�TG [ ] WRECKING [ ] PERMIT APPLICATION
niversi y ve
Fridley MN 55432 ��� �
572-3604 rA n�
' a"` �`d
Job Address• - � � �f
Legal Description:
Owner & Address: �i�.��,�r�� R� �.� Tel. #�/°� y�?�-���r�
Contractor: s -� Tel. ,#�!� ;�� �"��
Address : ����C � 4� �r � �4�, � State License # � /��=� �
DESCRIPTION OF BUILDING
HOUSE: Length � Width �� Height � Sq. Ft. Cu. Ft.
GARAGE:Length �� Width �c Height f'� Sq. Ft. Cu. Ft.
OTHER: Length Width Height Sq. Ft. Cu. Ft.
Estimated Cost $'"),�� Approx. Completion Date
UTILITIES City Water/Sewer Minnegasco N S P
NOTIFIED: 572-3529 [y�] 372-4720 (�] 330-5500[0�.
Water Bill Paid: Yes �j or Collect [$
]
U S West
Business-603-6000
Home-244-1111 [ ]
Signature � � �
Moving Route: `��'�.�f ��� N �6 C�r�;e �6 C���r�c� � ,S���n � �
� �� °� Cs C,�v -�'v �° �f �i fa� �-� 7.��;-�� �c��'d�"
The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to
do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State
Code wluch requires any water well on the property to be sealed by a State licensed water well driller, and
hereby declares that all facts and representations stated in this application are true and conect. ALL
� � � _�
Da e Signature
Moving:
Wr�ng:
Principle Building into Fridley . . . . $300.Q0
Accessory Building into Fridley .... $ 42.00
Through or within the City ....
Move a building out of ...... $ 20.00
For each 1,000 cubic feet or ct�on .. $ 1.25
For structures which would be impractical
to cube the fee shall be based on the
total cost of wrecking at the rate of
$6.00 for each $500.00 or fraction.
PERMIT FEE: STIPULATIONS:
Minimum Fee: $20.00
Minimum Fe.e: $20.00
TO:
FROM:
DATE:
sus�ECr:
MEM4RANDUM
Mary Hintz
Jon H.,�aukaas, Assistant Public Works Director
.d�
September 2, 1999
Properties Acquired for Right-of-Way
The following properties have been demolished and will no longer use water and sewer services:
5665 Quincy Street
5675 Quincy Street
5655 Jackson Street
5664 jackson Street
5665 Jackson Street
5�674 Jac cson treet
5675 Jackson Street
PW99-163
The properries were acquired for use as street right-of-way. They will no longer be residential properties.
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