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PRE 2010 DOCSCity of Fridley, Minn. BUELDING PERMIT N° 3327 Date:�......................... ..... Owner`.°�" ..1 ...: A� jBuilder............................................. Addr.,.4.)-/ ............. .... ® Address ............................................. LOCATION OF BUILDING ..�?.� . Street.. �. . No. ................... Part of Lot Lot ............ Block .................. Addition or Sub -Division ....................................... Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To be Used as: .................... Front ........ Depth ........ Height ........ Sq. Ft......... Cu. FL ... ..................... Front ........ Depth ........ Height ........ Sq. Ft......... Cu. Ft. ........ Type of Construction ................... Ilist Cost..................... To be Completed ................... In consideration of theante to me 4 a permit to construct the building dealbed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. • = .... � .....�".tip :�'�'�!: `�':`"�/ In consideration of the payment of .a fee of $... .a..010 permit is hereby granted to ................... .. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it Is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with - In the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .........:�.. .wilding Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items City of Fridley, Minn. BUILDING PERMIT Date:... Nov. 6, 1967 Owner: _ Osborne Cnnst. Builder Same 17lee6� N? 9538 Address 7565 University Ave. N. E._ Address Same LOCATION OF BUILDING No. 260 Street— Liberty St. _._ Part of Lot Lot 45, 46 .__ Block 6._ __ — Addition or Sub -Division . Spring Part Corner Lot —_ Inside Lot -- Setback _ _ _ Sideyard Sewer Elevation ___ 846.87 ffir 901112051 849..87 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 40' Depth 24' Height 20' Sq. Ft. 960 Cu. Ft 1922 0 Front . Depth Height _ Sq. Ft. — Cu. Ft. Type of Construction Frame Fst. Cost _ 12, 000____ To be Completed _ SEWER LOCATION- 111.7' West of X. H. Or 48.5' from N. W. corner of house , 56.5' from the N. E. corner of house. WATER LOCATION - 51.8' from N. W. corner of house, 52.5' from the N. E. corner of the house. In consideration 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 compliance with ail provisions of ordinances of the city of Fridley. , A d `moi In consideration of the payment of a fee of $ 29.00 , permit is hereby granted to Osborne to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any past thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Biding Inspector NOTICE: Uls permit does not cover the construction, tnstaftWon for wiring, piumhing, gas heating, sewer or water. Be son to see the Building Inspector for separate permhs for these hone. APPLICATION FOR BUILDING PERMIT CITY OF FR".=.LE-Y; MINNESOTA 0W1EA ' S NAME �S 5o P,Ve- (�ol s 7 - ADDRESS yo WCATIM ,OF, bUIO NG • . N0. STREET . k :SRT' OF LOT ; LOT BLOCK ADDITION OR SUBDIVISION CtlRNER LOT INSIDE' Lor " °' SEitACK SIDS -YARD' SEWER ELEVATION 9 L/6 s FOUNDATION ELEVATION 9V q 4 7 -t- It I.7'eL,.�m �t4.{i� c�n� se ,s`.�Rar, Nc.ce��� s- . Applicant attach to th s €orm Two Certificates of Survey of Lot and proposed building location dYa n `inn ttiese' Ce�Ctl uia ee. ` :. DESCRIPTIO 1,79F4 BtTI%DY1 C . To Be Used `li,f,ef D /� Y 1�iA li'resnf 4f® Death Height .s4.� our Sq .Ft.d- Fyant Dep�',;;;eight . so. Ft. Cu. Ft. Type of Construction _ 1,.�stiadat�d Cost To Be Completed The undersigned hereby makes application for a permit for the Vork herein specified, agreeing to do all work 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. DATE. - r (Schedule of Fee Costs can be Pound on the Reverse Side). ,j s Land Plorin;n9 MS -Hi ACS. NE. Lord surveym9 MiUaVpnh/s3Z, Sa;sres6y ENGINEERING,, INC. Civil & mw;dwt suRsef /16066 En ineers Sur ve ors- --- certificate of toy Ale?'19-lel,- 6 127cl? r J/ sr. { �ph - ,�err.� .ev���. lAwdy cpdify Ad &b d ah?x avrd carrecf reprvsmlw ,00!wvey effir.kmkr!es e#x 4amr &svi%d lwd,dwd larg&a a�'Qll' burld�n9S, r�eonWdWl ris'rtde dvr O&fflMb ,/E' , f or *7 Mid ADd. As 5wvr qed 61 ow hi R9 dby -/' ����` .�g%,.Y,�,�+:..� 11.0 �✓ �� (liiL SUBURBAN EMC71N 591N&. - IMC. U• City of Fridley J Application for Plumbing and Gas Ruing Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK l�y Number, Kind and Location of Fixtures Location 1-262 d q NO. RATE TOTAL / `F' Y A. Z x $2.00 -j '7 I Z z (ry 0 • P ` N WATER HTR. GAS EIEC Base x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BT) ...... A x $3.00 $ New Ground Run Old Bldg. ............ x $3.25 $ r 1st a $2.00 $ % GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......... ................ x $2.00 ` Additional Fixtures .................... x $ .75 $ 2nd x $5.00 $ 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL / `F' A. Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BT) ...... A x $3.00 $ New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......... ................ x $2.00 ` Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn /J/ C/ 19 Owner (tel/ P, e),') 61 g u /-i JL) y�J Kind of Building Used as To be completed about Estimated Cost, Old—New. Building Permit ROUGH FINAL 42 By A CZ Phone No. 'S«D Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per houf ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTI) ....................... 6.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 200 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 6.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule $ TOTAL FEE $ Dept. of Bldgs. Phone 560-3450 s City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. (� Fridley. Minn_ Dm m 19F Owner Kind of Building Used as To be co Estimated Cost, $— f4(_--5_ Old—New. Building Permit No. 953 e Permit No. 5 q DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—QNo t / Trade Name . J Z IaZt d7?�"�Jl Size No.! , �/ 6-r C C Capacity. Sq. Ft. E D.R �� �"C BTU—Q-4 TU QQ H.P, Total Connected Load s 8 3 -9 7-14 Rind of Fuel AJ� �Cf�JIf BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signe Byy' COIMDD42 Business Phone No- Z, Ddb S j y ;6.17 LOSS CALCULATIONS DEPARTtv;ENT O�7 BUILDINCS Weatherstrips A.S.H.V.E._ Guide Construction No. 'I! Windows Doors II Reference Out. Wali Int. Wall Ceiling IRoof 1'es—No I Yes—No ( 19_ FIJ Room I Length %_ -:--Width ; Height ' II i Fl.I Windows and Doors—Crackage and Area Width I Helght No. of Lineal ft. No. of pane of pane Itof crack No. R'ldth Height of pane of pane No. of lights Lineal ft. of crack Area sq. ft. • ,. � ,t 1. Coef. Btu Infiltration '1 Glass Coef. Btu t -' 3.✓ Exp. wall 1. j Coef. Btu Infiltration Btu Infiltration Int. wall Glass i Glass Ceiling 1 Int. wall Exp. wall _ k ' L� Total Btu. Net exp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Floor Int. wall Ceiling Int. wall Total Btu. Ceiling Floor Ceiling Floor Total Btu. % t Floor / Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Total Btu. Required sq. ft. E.D.R. or sq, ins. W.A. Leader area j F1.1 Room I Lenizth Width 11- I ieitzht y Windows and Doors—Crack-age and Area Width I Helght No. of Lineal ft. No. of pane of pane Itof crack I Area i sq, ft. I I Lineal ft. of crack Area sq, ft. • ,. � ,t 1. Coef. Btu Infiltration '1 Glass Coef. Btu t -' 3.✓ Exp. wall 1. Coef. Btu Net exp. wall Coef. Btu Infiltration Int. wall Glass Net exp. wall Net exp. wall Ceiling Int. wall Int. wall Floor _ k ' L� Total Btu. , Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Floor Fl.l Room I Lenath Width - I ieitznt , - Windows and Doors—Crackage and Area No. Width Height of pane of pane No. of lights Lineal ft. of crack Area sq, ft. Coef. Btu Coef. Btu Infiltration Coef. Btu Glass Coef. Btu Infiltration Glass Net exp. wall Net exp. wall Glass Int. wall Int. wall Exp. wall Net exp. wall k ' Floor Net exp. wall , f Floor Int. wall Ceiling Total Btu. Ceiling Floor r . Floor Total Btu. % t Total Btu. / Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Floor i� � ,..�..•.,'�;.�, ioi., 1. Insulation Find How Applied Room I Length ''1 _' Width Height Windows and Doors---Crackage and Area width No. of pane Height of Dane No. of lights Lineal ft. of crack Area sq. ft. Coef. Btu Coef. Btu Infiltration Coef. Btu Glass Exp. wall Glass Net exp. wall Net exp. wall Int. wall Int. wall Ceiling Net exp. wall k ' Floor 1 Int. wall Total Btu. ' � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area SLI Room I Lenuth Width I-Jeiaht Windows and Doors—Crackage and Area ;:o. Width Height of pane of pane No. of lights Lineal ft. of crack Area sq. ft. Coef. Btu Infiltration 1 Coef. Btu Infiltration &p. wall Glass Net exp. wall Exp. wall Int. wall Net exp. wall Ceiling 1 Int. wall i Floor I Ceiling Total Btu. / Floor -� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1.1 Room I Lensah / 2- Width /' Height Windows and Doors—Crackage, and Area No. Width of porno Height No. of Lineal ft. ofPane lights of crack Area eq. ft. Coef. Btu Infiltration 1 Glass &p. wall Net exp. wall Int. wall Ceiling i Floor I Total Btu. / Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Johnsville Electric 1380 109th Ave. N. E. Minneapolis, Minnesota C I T Y O F F R I D L E Y 6431 University Ave. N. E. Fridley, Minnesota 55421 April 2, 1968 RE: PET SHORTAGE 60 Liberty St. Gentlemen: Your permit for the above captioned address was short the following: Actual Fee $23.00 Paid 19.00 Due $ 4.00 We would appreciate it if you would kindly give this matter your preferred attention. When sending in the above amount, kindly place it on a regular Minnesota State Affidavit so that we may properly process this permit. Thank you. Yours very truly, LEONARD EICHMILLER Electrical Inspector City of Fridley LE :bks City of Fridley, Mian.. N° 10484 BUILDING PERMIT Date: November 5, 1969 Owner: David J. True Bider Same Address 260 Liberty Street N.E. Address Same LOCATION OF BUILDING No.. 260 Street Mbprty_Street N E Part of Lot Lot 45 9, 46 _ Block b .____. Addition or Sub_Division Sin Brook Park Corner Lot ._ Inside Lot —. X Setback __ Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING �Ga-rage Front _292 Depth 24' Height —1,0' Sq. Ft. 528' Cu. Ft. 280' Front Depth Height — Sq. Ft. Cu. Ft. Type of Construction Frame —Est Cost— $1, 500.00 __ To be completed, Jan. 1, 1970 PROVIDE Hardsuafaced driveway drained toward the street. In consideration 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 compliance with all provisions of ordinances of the city of Fridley. 0 )n 07N�J In consideration of the payment of a fee of $ 8.00 , permit is hereby granted to David True to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and. moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: ThIs permit does not cover the construction, installation for whdng, phnnhing, gas heating, sower or water. Be sore to see the Building inspector for separate permits for these Inns. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA owun -s NAME I A V.il S. VR "E BUILDER ADDRESS a 6 0 /- Z 8 E RT Y ST_ IV E ADDRESS NO. 9) (0 0 STREET LOCATION OF BUILDING �.28E:R►y sT AIF JAA4E LOT 4/ 6 BLOCK (o ADDITION OR SUBDIVISIONS P RT -1\1(r BTZ OOK a A R K CORNER LOT INSIDE LOT__&_SETBACK SIDEYARD SEWER -ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: G A Req GE Front a s _I Depth Square feet Sa8 ,.y�* Height c ( 6 Cubic Feet o � S -9- F C) Front Depth Height Square feet, Cubic Feet Type of Construction F R A M 1` Estimated Cost Ps -do To Be Completed F A I.4 (,9 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work 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. DATE 3 6 ®C �@ Q}Qh (o �I SIGNATURE G�. AA ;( (Schedule of Fee Costs can be found on the Reverse Side.) a� a SUBJECT NO. City of Fridley ® 12'762 AT THE TOP OF THE TWINS BUILDING PERMIT r `-_ COMMUNITY DEVELOPMENT DIV. INSPECTION ��� _PROTECTIVE SEC. , I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY `•"'� � j 612-560-3450 910-F15 110/15/74 JOB ADDRESS 260 Liberty Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 45,46 6 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David J. True 260 Liberty Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. . Royal Aluminum Products Inc. 526 - 6th Avenue North M ls. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 161 x 12' Addition onto dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRINut HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, wood Frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1 10J2 2304 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 1. 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 $5,000 2.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GI RITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF AN OT R S E OR LOC A GULATING ON- $16.00 NA STRUCTION O T PE O ANC O O� T$UGIL0N PLAN CHECK FEE TOTAL FEE /3 $18.50 � SIGN u EOF ONTR A RAUTHORIZEDAGENT 1 TEI /W E ROPERLY VALIDATE THIS IS YOUR PERMIT +' e 1 SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BLDG INSP DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA iLf- OWNER'S NAME: r Tq u iF BUILDER . i ADDRESS : C3 0 Af ADDRESS: NO • . �C G G) SIRE] LOT: 5-41(o BLOCK CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front.,p Depth: Height: Square Feet: a Cubic Feet: Lj Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction:(j��.vL C �-,�a`v Estimated Cost: C7 ® d To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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. DATE: l // SIGNATURE: (See Revers Side 4r Additional Information.) w c ?. ° 4 A e 560-3450 it® r ff Cy f ANOKA COUNTY 6431 UNIVERSITY AVENUE NE November 26, 1974 FRIDLEY, MINNESOTA 55432 Mr. David True 260 Liberty Street N.E. Fridley, Minnesota 55432 Re: Electrical Service Mast Dear Mr. True: This letter will confirm our conversation on November 9, 1974 regarding the location of the service mast to your home. In our opinion there is no way to assure you that water will not enter your attic. This of course can cause serious damage. As we see it, the mast should be relocated. This would allow proper flashings. The above is our recommendation in that the expansion and contraction of the mast will make it difficult to maintain a tight seal at that point. Unless our recommendations are followed, the City of Fridley shall be held blameless in the event of damage to your home. If you have any questions on this matter, please feel free to contact this department at 560-3450, ext. 41. Sincerely, CLARENCE J. BELISLIt Building Inspector LEONARD EICHMILLER Electrical Inspector CC: Standard Electric ROYAL A&TAUMM PRODUCTS, Imo. 526 - 6th ASE Na MINNEAPOUS, MI.NNEOTA 55411 332-5591 David J. Trete SOLD 260 Liberty X. E. TO [_ Fridley, Minn- 55132 INVOICE NO. M. INVOICE DATE Build a6 30't r 721 stoop and steps on. the'West wall Install 2- Pinecraft 24* s 48*—1 Insulated casement cam Build a 61 fireplace with a -built up hearth on the south mall. Insulate walls with . 3 2/2w fibreglass. irumlation. Use 6* insulation for the ceiling. Insulate the foundation with s$yrofom. Install electric outlets to code Install 2 hot and one cold ducts from emoting heater syste» On the malls and ceilin apply 1/2" sheetrockj, taped and sanded Spray the coiling with sparkle Addition to be hip roof, save eave overhang �ms on the houseprtr b 9 PRINTED BY GRAYARC CO.. INC.. BROOKLYN. N.Y. 11232 STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD ST. PAUL. MINNESOTA SSIOI 1�g_86 Date City of Fridley Zoning Authority 6431 University AVe. N.E. Street Address Fridley, MN 55432 City State Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject: Name oG/Day Car6JHome Applicant ,_ �' to 0 Street Address 1,4,3 City67 State Zip Code DOS -2722 (9-85) PZ -02722-02 IGS le -P,6 Type of License: Family Day Care Group Family Day Care Licensed Capacity 0 Phone No. %bio This is to inform you that we are in receipt of an application for licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 2, known as the Public Welfare Licensing Act and the rules of the Department of Human Services. You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi -family residential use of property for purposes of zoning. If we do not hear from you within will consider the above-mentioned your local zoning code. Sincerely, Licensing Wor Street Address 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL SERVICES DEPARTMENT COUNTY OF ANOKA COURTHOUSE, FOURTH FLOOR Name o A ency Organization City State Zip Code AN EQUAL OPPORTUNITY EMPLOYER CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 k'AX: (763) 571-1287 ADDRESS 260 LIBERTY ST NE PIN 033024310052 LEGAL DESC UNAVAILABLE LOT 45 BLOCK 6 PERMIT TYPE BUILDING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING VALUATION $ 1,550.00 APPLICANT VELAZQUEZ, IGNACIO 260 LIBERTY ST NE FRIDLEY, MN 55432 (763) 786-0636 OWNER VELAZQUEZ, IGNACIO 260 LIBERTY 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 9f any er state or local law regulating construct' a or therfo ce of construction. Aonlicant Date PERMIT NO.: 2005-00001 DATE ISSUED: 01/03/2005 BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE TOTAL 1 [.TT A r A TT "n"X T V "T!/IT TTTITTI T`!1T3 TI7l1T] V /ITT7L'D Til A AT 71T 1/11r3T1DUTl A D/lI7L' va�< < u�< � a u a i.au.0 a v a�u.l vu�uv . v.. •. vain v a au+i. � ��. �.. ......... �.�.-.�.-..� . �.-... ..-.. 57.05 1.55 0.77 59.37 rvwv ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address LL -7 ev Tel. # 74�3 -19,6 66% Contractor. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: '5— MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT I Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: Cj Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATEAPPLICANT: ` Tel. # 196-0 63 6 Call (763) 572-3604 for Permit Fees if mailing in appli ation. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 5-7, 0,5 Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] STIPULATIONS: ".Wdgd_'_ . (- -,e)'a Building' BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: DATE _--/ O / - YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: Uel ADDRESS: " /I/ CITY STATFM&M-S j Z TENANT PHONE: 3- Rlo-® 612-) gc?g-3®,5(0 CONTRACTOR NAME: STATE LICENSE # Imo. DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ACK ❑ SIDING ❑ OTHER ❑ D ❑ SWIMMING POOL TYPE OF WORK: ❑ ADDITION �� / i ct� OZCJ ANCE/REPAIR MODELING �O DESCRIBE WORK BEING DONE: o .b) Q / SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ISIUMMWD OF WS ALL FEES ARE BASED ON V ATION, INCLUDING COST OF LABOR AND MATERIALS: (USING 9 U.B.0 SCHEDULE) TOTAL JOB VALVA ION $® OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building 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 Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. le- % S_SIGNATURE OF APPLICANT 9 G PRINT NAME 1� A/a C io `6Sg71 yeSATE J® - ,' -0 5 M5 See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building 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 Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. le- % S_SIGNATURE OF APPLICANT 9 G PRINT NAME 1� A/a C io `6Sg71 yeSATE J® - ,' -0