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PRE 2010 DOCS
VMage ®f Fraley, Hinn. BUILDING PE 1�� lel ? 2 � 7 Office of INSPECTOR OF B II1 GS Owner°c' Architect Builder Frid'_ey, Minn., 19 Y: Permit is hereby g anted to to �k—W: "'f ;., Ur ""� " the building . n described in the above statement. This permit is granted upon the express condition that the p son to whom it is granted, and his agents, employees and workmen, in all the work done in, round and upon ifaid building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, *nn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limas, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. e N spector of Buildings. i In consider, the above perm above Set forth sworn, I hereby true as therein AGREEMENT AND SWORN STATEMENT ion of the issue and delivery to me by the Inspector of Buildings of I'ridley of I hereby agree to do the proposed work in accordance with the description id according to the provisions of the ordinances of Fridley, and, being first duly tate and say that the facts stated by me and contained in the above permit are ited. 3 sworn to before me at Fridley, Minnesota, thig -� A.D. 19 '1. LOCATION OF BUILDING �y ��'� of NO. 7 Street Part Lot Lot Block a Addition or Sub -Division I, DESCRIPTION OF BUILDING Front Pep h Height 116 Stories Manner of Construction 7-570AlkI To be used as i I Teo be co pleted Estimated Cost Permit is hereby g anted to to �k—W: "'f ;., Ur ""� " the building . n described in the above statement. This permit is granted upon the express condition that the p son to whom it is granted, and his agents, employees and workmen, in all the work done in, round and upon ifaid building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, *nn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limas, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. e N spector of Buildings. i In consider, the above perm above Set forth sworn, I hereby true as therein AGREEMENT AND SWORN STATEMENT ion of the issue and delivery to me by the Inspector of Buildings of I'ridley of I hereby agree to do the proposed work in accordance with the description id according to the provisions of the ordinances of Fridley, and, being first duly tate and say that the facts stated by me and contained in the above permit are ited. 3 sworn to before me at Fridley, Minnesota, thig -� A.D. 19 '1. ILI U ` City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK �� ✓t/ Number, Kind and Location of Fixtures Location 01 I �_ ,� x� Y z�Z s Z ZW W Z 8 t WATER HTR. $ Is� Q�_ �.� U� 6$ U�'@' �� �p F N GAS ELEG Base 1st 2nd 3rd 4th • Future Conaection Openings Connected with * New Fixture, Oldsewer El9s I Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 BTU) ...... 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 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 19� Owner Kind of Building Used as To be completed about Estimated Cost, $ Old New. Building Permit No Permit No. ' d Signe By Business Phone No. ROUGH FINAL Description ................................................$ TOTAL FEE $ az Ak N? 5198 Ori=ginal Permit for IPLUMBING AND GAS MWING �3 r'3 N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee ®O DFSCREMON OF WORK Number, Sind and Location of Fixtures Stories m W 4 0 J 'Y U m < Z O a m Q 7 m H 2 m Q M U1 z Ul T O Q a LL F Y~ Z O E O O It m w O x (A W O O d J lY 1, p S O F N d d U m Z 0.O' U K Q 0 O J f W m pJ Q 0. O d W m z Q Q O E WATER HTR. 6A8 ELEC. Basement ist 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted to do the plumbing and gas fitting in the building described in the statement hereto attached, un the express condition that the person to whom this permit is granted, and his agents, employees at workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Inspector. 42 gra—�9_v I Kind of Building ' P Used as To be Completed !(&9 ., 19-10 Estimated Cost (0ew. Building Permit Date Inspector of Buildings. Original PERMIT for Power tants and Heating, Cool- ing, Ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of 1 Heating Plants to be installed--altered—repaired Make Lit JiLa `ice' , size—a / -/0 ; Oil fired , Coal fired --L- Gas f Creel � . ; Cas Authorization No. Remarks Approved Final Inspection Date , 19_ Inspector .�—,3 s'3 5� Permit N? 4 817 Fee UCS Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. Owner Location Kind of Buildings p--� How Occupied LA Work to be Commenced—,19— To ommenced ,19_To be Completed 1'�/[9��-2irn.�¢� ,19;7d Estimated Cost, $ 'l'iS-,ety Building Permit No. Permission is hereby granted to w�-*" A AM install—erect—use the material and devices described in the above statement. This permit is granted upon thf express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifitcations set forth in the approved application for this permit on file in the office of the Inspector of Buildings. �1�1 �9'�✓yi � L� �� ,Inspector of Buildings 42 2M 11-67 V Am Arp9cafto for Power Fkaft md Heathis QopOW& VentRaffon. R I Iverafts cmd , Air Conditioning Systems .and Device PARTIAL RATE SCHEDULE rzXAVTff WARM AM: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 S Replacement of Furnace ........... .................'. 6.00 $ Repairs & Alterations up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ CHL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTI, ....................... 3.00 $� Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500A0 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Fines—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 hour .... ' ....... ......... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTL) .......:...... '......:.. 6.00 $ over 189,000 BTU SeeFee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ Z.00 $ Additional Fixtures x .78 $ Gas Range to 199,000 ........... 14"S" $ AIR CONDi'PIONI1fG FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS do REPAID ROUGH $ See Fee Schell a TOTAL FEE Dept. of Bldgs. Phone 660-3490 City of Fridley: The undersigned hereby makes application for a permit for the work hereft 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 facts and representations stated in this application are true and correct. Fric}igy, Mann- `4 a-4s!:� Kind of Used as To be completed about Z/ 2 6) 0 0 Estima Co' $ �— Ol New. uilding Permit No. Permit No. 2_39.y DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No. , - Trade Nf' Size No Capacity Sq. Ft. E,D.R .6,1 60, 6� ' BTU H.P. Total Connected Loam Bind of Fuel `24-fJ BURNER -- Trade Name Size No Capacity Sq. Ft. ED R BTU H.P. FINAL (REMARKS -OYER) i By Business Phone um City of Fridley Application for Pkmd&g timed LL Dept. of Bldg@. Phone NO -3480 DESCRIPTION OF WORK Number. Kind and Location of Fixtures L ocadeaz � -� �'�� � ��f�� •�C�'�t>� �, 4 -.PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $200 $ Future Fixture Opening ........... x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater :Up to 99,000 BTU).. • . x $3.00 $ '3 0 0 New Ground Run Old Bldg........ . Elaatrk Water Heate............... GAS FITTING FEES: 1st 3 Fixtures Additional Fixtures ................. . Gas Range to 199,000 BTU.. . ... _.. .... REPAIRS & ALTERATION$—Refer to Cod* — x $3.25 $ $2.00 S NO. RATE TOTAL — x $2.00 $ l� —x$.75 $ — x $5.00 $ 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, Mlnn a _ Owner Kind of Building c-–� Used as To be completed about // — �> Estimated Cost, $ J Old—New. Building Permit No. Permit No. - , Signed _� c d�i� p✓�is� By8 • r Business Phone No ROUGH FINAL ................... -.PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $200 $ Future Fixture Opening ........... x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater :Up to 99,000 BTU).. • . x $3.00 $ '3 0 0 New Ground Run Old Bldg........ . Elaatrk Water Heate............... GAS FITTING FEES: 1st 3 Fixtures Additional Fixtures ................. . Gas Range to 199,000 BTU.. . ... _.. .... REPAIRS & ALTERATION$—Refer to Cod* — x $3.25 $ $2.00 S NO. RATE TOTAL — x $2.00 $ l� —x$.75 $ — x $5.00 $ 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, Mlnn a _ Owner Kind of Building c-–� Used as To be completed about // — �> Estimated Cost, $ J Old—New. Building Permit No. Permit No. - , Signed _� c d�i� p✓�is� By8 • r Business Phone No ROUGH FINAL 53-84-8915.51 City of Fridley AppUcaffon for Dept. of Bldgs. Phone 560-3490 DESCRIPTION OF WORK Location 7395 N E Van Buren St Number, Kind and Location of Fixtures r y � $ 9 8( Sill Z U New Fixture Old Opening .......... . • WATER W". AiN G Catch Basin .................... x $3.25 $ Water Heater (Up to 98,000 BTU) • • • • x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Base s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............ • • • x $2.00 $ Additional Fixtures .................. —x$.75 1st 1 3.00 Gas Range to 199.000 BTU ............... 1 $ 2nd — 3rd 4th Future Connection Op®nings,I Sew•r ❑ * Now Fixture. Old Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 98,000 BTU) • • • • x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............ • • • x $2.00 $ Additional Fixtures .................. —x$.75 $ 1 3.00 Gas Range to 199.000 BTU ............... x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .................... ...... . ...... . ... .. w .. •.. TOTAL Fly S 3.00 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 Wiling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, lVii 10-7-70 Craig Booth Owner Kind of Building frame Used as res To be completed about 10-12-70 10.00 Estimated Cost, $ Old—New. Building Permit No. Permit o. Si o � _ By 2 B. Business Phu ROUGH City of Fridley 53-84®s915m51 Application for Plumbing and Gas Ming Permit Dept. of Ridge. Phone 860-3450 DESCRIPTION OF WORK Location 7395 NE. Van Buren St. Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ... ....................... Water Heater (Up to 99,000 BTL) ...... New Ground Run Old Bldg . ............ Electric Water heater GAS FITTING FEES: 1st 3 Fixtures ...... ................. Additional Fixtures ................... x $2.00 3 x $1.50 $ x $1.50 Z x $3.25 Z x $3.00 z Q� O J 0 U' z O • R • N WATER HTR. GAS ELEG Base 1st 2nd 3rd 4th • Future Connection Openings e New Fixture, Old Openings I Connected with Sewer Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ... ....................... Water Heater (Up to 99,000 BTL) ...... New Ground Run Old Bldg . ............ Electric Water heater GAS FITTING FEES: 1st 3 Fixtures ...... ................. Additional Fixtures ................... x $2.00 $ x $1.50 $ x $1.50 $ x $3.25 $ x $3.00 $ x $3.25 $ s $2.00 $ NO. RATE TOTAL 1 x $2.00 $-91-00 x$.75 $ Gas Range to 199,000 BTU .............. x $5.00 $ install (1) gas lite 3.00 REPAIRS & ALTERATIONS—Refer to Code 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, 1Vl= Oct -, 1970 , 19_ Owner Craig. Booth Kind of Building f raTne Used as residence To be completed about Oct. 19, 1970 Estimated Cost, $10.00 Older New. Building Permit No Permit No. a5�2 a 4f7 By Business Phone No ROUGH FINAL r - 1 - -71 Description ..............................................$ TOTAL FEE $ 5.00 dz City of Fridley Appli Penn* Dept. of Bldgs. Phone 3®0-3450 DESCRIPTION OF WORK 7395 N E Van Buren St Number, Kind and Location of Fixtures Location— PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 BTU) . • • . 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 $ Gas Dryer 1 5.00 REPAIRS & ALTERATIONS—Refer to Code Description • •. • . • . • • • . •..... • • .•.. • • ...•. • • •. • ....... • $ TOTAL FEE $ 5.00 City of Fridley: The .undersigned hereby snakes 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 10-30-70 19� Owner C" Booth Kind of Building frame Used as res To be completed about Estimated Cost, $ 10.00 Old—New. Building Permit No. Perm o. r Si By Business Phone No ROUGH WATER IMTR. GAS ELEC. Base Y st Ga ll . e 1st 2nd 3rd ff— 4th • Future Conneeliom Openings Connected wilt * New Fixture. Old Openings . Sower ❑ Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 BTU) . • • . 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 $ Gas Dryer 1 5.00 REPAIRS & ALTERATIONS—Refer to Code Description • •. • . • . • • • . •..... • • .•.. • • ...•. • • •. • ....... • $ TOTAL FEE $ 5.00 City of Fridley: The .undersigned hereby snakes 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 10-30-70 19� Owner C" Booth Kind of Building frame Used as res To be completed about Estimated Cost, $ 10.00 Old—New. Building Permit No. Perm o. r Si By Business Phone No ROUGH CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER a 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 March 5, 1996 Dave Nelson 7395.Van Buren Street NE Fridley, MN 55432 Dear Mr. Nelson: This is to confirm our numerous phone conversations about conducting gunsmith and gun sales from your home. I understand that the gunsmith and gun sale activity is a part-time occupation, and is not your principal means of income. It is also my understanding that you reside at the home addressed at 7395 Van Buren Street N.E. I have also learned that the Bureau of Alcohol, Tobacco, and Fire Arms has recently approved a license for you to sell fire arms on an annual basis. Further, it is my understanding that you have conducted gun sales since 1979 and inquired to the City if that was an acceptable home occupation. You explained to me that an order for a gun is placed with you, and you order the gun from another source. The gun is delivered via UPS to your residence, and then you arrange for the exchange of the gun with the new buyer. Section 205.03.34 of the Fridley City Code defines a home occupation. Part "C" of the definition states that "no over-the-counter retail sales are involved". Based on the information you have provided to me, you are not conducting "over-the-counter retail sales". You have advised me that you sell anywhere between 70 - 85 guns per year. You have also represented that orders for guns are not placed by people stopping at your home, reviewing a case or inventory of guns, and placing an order as in a retail business. For obvious reasons, the City would be concerned with a gun dealer that stocks an inventory of a significant amount of guns, and was advertising the sale of these guns from a residence. Based on the representations that you have made to me and as Dave Nelson March 5, 1996 Page 2 . outlined in the letter, and as. long as the gun sales are below 100 sales per year, the Community Development Department will advise the Bureau of Alcohol, Tobacco, and Fire Arms that the use is in compliance with the City's zoning ordinance. This determination is made solely on the issue of zoning compliance and does not in any way represent the City's official determination on the license as may be commented upon by our Police Department. Should you have further questions or need more clarification, -please do not hesitate to contact my office. Sincerely, Barbara Dacy, AICP Community Development Director BD/dw cc: Scott Hickok Michele McPherson Kurt Jensen -Schneider Fritz Knaak A BUREAU OF ALCOHOL. TOBACCO AND FIREARMS Form 9. DESCRIBE SPECIFIC ACTIVITY APPLICANT IS ENGAGED IN, OR 9a. DO YOU INTEND TO ENGAGE IN PAWNBROKING? INTENDS TO ENGAGE IN, WHICH WILL REQUIRE A FEDERAL FIREARMS LICENSE. (Sales of ammunition alone do not require a license.) ❑ YES NO 10. APPLICATION IS MADE FOR A LICENSE UNDER 18 U.S.C. CHAPTER 44 AS A: (Place an °X°in column (b) or (c) on the appropriate line. Submit the fee shown with the application. Original and renewal licenses are Issued fora 3 yearperiod.) TYPE' ORIGINAL RENEWAL DESCRIPTION OF LICENSE TYPE FEE FEE (a) (b) (c) 01/02 DEALER (01), INCLUDING PAWNBROKER (02), IN FIREARMS OTHER THAN.DESTRUCTIVE DEVICES (INCLUDES: Rifles, Shotguns, Pistols, Revolvers, Gunsmith National Firearms Act Weapons) $200 $90❑ acitivitles and (NFA) 06 MANUFACTURER OF AMMUNITION FOR FIREARMS OTHER THAN AMMUNITION FOR DESTRUCTIVE DEVICES $30 ❑ $30 ❑ OR ARMOR PIERCING AMMUNITION 07 MANUFACTURER OF FIREARMS OTHER THAN DESTRUCTIVE DEVICES $150 ❑ $150 ❑ IMPORTER OF FIREARMS OTHER THAN DESTRUCTIVE DEVICES OR AMMUNITION FOR FIREARMS OTHER 08 THAN DESTRUCTIVE DEVICES, OR AMMUNITION OTHER THAN ARMOR PIERCING AMMUNITION (NOTE: $150 ❑ $150 ❑ Importer of handguns and rifles, see Item 7 of Instruction sheet) 09 DEALER IN DESTRUCTIVE DEVICES $3000 $3000 10 MANUFACTURER OF DESTRUCTIVE DEVICES, AMMUNITION FOR DESTRUCTIVE DEVICES OR ARMOR AMMUNITION $3000❑ $3000[]PIERCING 11 IMPORTER OF DESTRUCTIVE DEVICES, AMMUNITION FOR DESTRUCTIVE DEVICES OR ARMOR PIERCING AMMUNITION $3000[]$3000❑ r: TOTAL FEES $ -- Ir bUSINESS Ub I AINEU FHUM SUMEUNE ELSE, GIVE 11. NAME _ 12. FEDERAL FIREARMS LICENSE NUMBER 20. LIST BELOW THE INFORMATION REQUIRED FOR EACH INDIVIDUAL OWNER, PARTNER, AND OTHER RESPONSIBLE PERSONS IN THE ,BUSINESS. IF A FEMALE, LIST GIVEN, MARRIED, AND MAIDEN NAMES, e.g.,"MARY ALICE (SMITH) JONES,° NOT °MRS. JOHN JONES." (If additional space is needed, use a separate sheet.) d' IN ADDITION TO A SOLE PROPRIETOR, A RESPONSIBLE PERSON IS: a. In the case of a corporation, partnership, or association, any individual possessing, directly or indirectly, the power to director cause the direr;tion of the management, policies, and practices of the corporation, partnership, or association, insofar as they pertain to firearms: and b. In the case of a corporation, association, or similar organization, any person owning ten percent or more of the outstanding share: of ;;rock issued by the applicant and the officers and directors thereof. FULL NAME 61 J /� Ne POSITION AND HOME ADDRESS' - _ - - - A SOCIAL (Include ZIP Code) PLACE OF I DATE SECURITY NO. 'Sole proprietors and responsible BIRTH RACE SEX BIRTH persons are required to provide all �states resided in for the last 5 I i years. Use a separate sheet if _ jnecessary. w�Y ( 7� l 7 VRI rJumv 5t i AVY9r Pau GIVE FULL DETAILS ON SEr��af;a'�TE�SHEET �__ -: FOR ALL YES" ANSWERS IN ITEMS -.- -- -- - A. 21. HASP PLICANTB, _ _ 21, 22, AND 23, HELD A FEDERAL FIREARMS LICENSE? , r OR ANY PERSON SEN DENIc D FEDERAL FIREARMS A FEDLICENSE'? - REFERREDTO IC. IN ITEM 20 _. -- E� pfd AN Or r=1C ER IN A CORPORATION HOLDING A FED—ERAL FIREARMS LiCENSE? ABOVE: i�• Rr �" ! f, r OFA Ff:D+=RAS FIREARMS LICENSEE? _ ----- -'---..._. .- _ _ -- ----- - --� -- — "' r1:3i-QGrJIR 1 ICf NSF REJOKED? ._ _ 22. IS;bPPi_Ir OP ANY --"----- �a _ tvr,cr> IPJ( : • i MEP.!T IN ANY C ..UR T FOR A CRIME PUNISf- LEBY C}c; P TETI C};•.- '✓EA,P'? NAMED 1N r . ITEM 2C; r .4304, .. - rxn • - - - .-1%�J h114 I J 1 I Ivi VL/11V ; .J}i. ..- _ .. / Information -A fo rr z 9 YES answers r tc v r t�� � p lir r rr,�y: es s t c rr e r nJ, r,7,e r, ,�re�Arifeo .: r crime a- (b) the 7p..fPJr3nnst�,.. z war NC 'flnl - - , , receiving any frren„r.s t �:•.r, f r, c>r ,rur r � ��c, i��r Nghta trNv.;. _ � c.,,r:',.: are nor not ti r_ r iii L ICANT CERTIFICATION (Please read and Initial each box) - -- -- - 2�i. ' P' - ---- - - _ The business to be condurted ardor the Fedaral firearms license Is not prohibited by State or local law at thepremises shown: 1n Item 5. This compliance with zoning ordinances. ❑ Within 30 days after the application is approved the business will comply with the requirements of State and local low applicable to the coridtict of basinass. ❑ Business will not be conducted under the license until the requirements of State and local law applicable to the business have been met, completed copy of this form has been sent or delivered to the, Chief Law Enforcement Officer of the locality In which the premises are located. ,•,,•�- r.d o,>_�.rvc,uvrcanrcrrrvnr•er{GLtV,I___.__ — 12 (% J'� { �. ADDRESS (Include no., street, city, county, Statei and Zl Co e of LEO) - -- ---- -- ----- - j e Lv.e - e "-�4 25. CERTIFICATION: Under the penalties im osed by 18 U.S.C. 924,1 declare that 1 have dxamlned this application and the documents submitted in support thereof, and to the best of my knowledge and belief, they are true, correct and complete. This signature, when presented by a duly authorized representative of the Department of the Treasury, will constitute my consent and authority to examine and obtain copies and abstracts of records and to receive statements and information regarding my background. Specifically, i hereby authorize the release of the following data or records to ATF: Employment information, military information/records, medical information/ records, pQlice and criminal records. SIGN HE E eZiiCW ❑�/� I iiiLt DATE Z�7 � aU. rirrLii.r'i 11UN IJ I REASONS FOR DISAPPROVED APPLICATION ❑ APPROVED ❑ DISAPPROVED SIGNATURE OF LICENSING OFFICIAL INFORMATION FOR THE CHIEF LAW ENFORCEMENT OFFICER DATE This form provides notification of a person's intent to apply for a Federal firearms license. It requires no action on your part. However, should you have information that may disqualify the person from obtaining a Federal firearms license, please contact the Firearms and Explosives Licensing Center at (404) 679-5040, A "Yes" answer to questions #22 and #23 could disqualify a person for a license. Also, ATF may not issue a license if the business would be in violation of State or local law. ATF F 7 (5310.12) (7-95 ) rAwff mo, f C) ZONM ORDINANCE of THF vnLAIOE OF FRI LEL Ap ordinat:c s regulating the Zocati+oas size, use and holt of buildings., the of bullangs'on Intoe and the density of papulaAIND in the Vi23age of Fridhay. said for the- ptuloss -. pf, prowting the healthy satetya ordears, .00amrenior�ce, praaperity sad geccerai ueltare iu the smi,d village, and tar acid pettpose to:divide th Village into "-ziats �e Coaaoil of Uh�` V31]sge ot, Y dEs..ordain as l�lhonst Sectlsaoi ' 1. Far the purpsp of this orditnnuce , the Village of nul w Is divided lute the lollimlig uric use districts: Canwadals and Industrial.' The botmdaries bs theca districts are de2inested on the mop o�atitled •Zaaing W of Village of Frldien which is an record at the oth" of the Village Clerks ub4ch map is hereby made a part of this ordinance. Azw laud abiah may be added to the U* in the future diad Awed ed In the read dsaial district tad;il special 9iaoMan of the village oema 1 as hereinafter provided.ehall ditinite?y assign such land to acether use district. Sectloi 29 lhat in said rs� dirttrictss- te72eas otherwise in thin :ftd— iasnoe prorldeds ne b Aia6 'ear prealcas .shall be used and pe building ±shell be herednaitarr erected or atractnrmlly nit araept for ow or nere of the loll vA% User: 2 Private dwellings .. 3. Church" and scbb0002a ac:ce20027'thereto,. IMIndtog nates plates and bulletlu beards. 4. public saboble S. LibrariessManews! 'parts , grouadss racreat M and ty buii+ oas►ed and/or, operated.,b9 the vides or by a public sdwa7, dist•. rirC or ether.'uucifciVax, `authority...:; 60 t3erdeniag� enhards berry patahas " 7. Hmraories and greenhouses ter the pmpagatSmns cultivatIo n and grow. of pafixws one."... 8. Golf clubs 'With adJQIrIcg groueds of not lees thea 40 soros in end:ent: 9e Acc*GWW bad2diags including We private gara®s of uat over three C". eapaaity,or prime"stable xhaa,hocAid no Ins than nfty (5O) ` lest lrom the . trent hh 25A, a wud not, lean than 20 test from, any side het Zia�.unleaa;4*Apod and canctructed as a part of the masa bund. Chicken houses and tool houses not "ng 50 z 20 toot is size and 15 test in hei&t;nd shalt be ut least n ty (.W) feet back of ex ertiag astback ]lees. We Roois�asittlraor Dnildln* 320 incident to . ergs of tho . above uses when located on r: thesauna ;l+ot..and pct .intralc#.�g the conduc` of buedw"; insZvrdiag bene ,�aostst8�4ged. the, oa a e►t a ehwlling and eat Y b 'the ` b 8-# +s aeon ct oS a smaza , oil pitiadss�n ng inxl' iaaludi20 a].eo ho"otti�Ctt 'este eogsgod Z , o►f : is a" protesrivool ocaRMU40 i — or. Dated in his her da` providing no Hams plate: aaooesd3ag ons toeE 36 area. steal). be pe�dttedrseL4enn die Add and . j awtah Hunte p7mto oorttala ooiy the Hans mod eceypa on at, the pRINDises. �.. COMM".. - R'414y all mean "used or intended to be d ed, or arranged or designedfor 10. COURT: An open unoccupied lay structures. For the purpose of c." The term "occupied" shall; Space on the same tot with abuild- this definition the word "building" ,an "occupied or intended to be 'Ing and bounded on 2 or more does not include "structures" for cupied, or arranged or designed sides by such building, or the open essential services. occupancy." The word "inc lud- "' aegrg oup for access to a 18. FAMILY: One or more per- ;" shall mean "including but not iited to".,, D. sons, with their domestic servants, , WELLING UNIT: A room occupying adwelling unit 'as ` a . '.ditional terms and <words are `* or • a group of rooms including single, non-profit, • housekeeping reby. defined as follows w eoolatng'accommodations, occupied, unit; but not including a groug by one family or one , person, , and occupying a hotel, jioaxding house AUTOMOBILE CAMP r Land in which not more";than tw,o' per= club; : dormitory, fraternity or Premises, used or occupied, dor sons, :other than members of the sorority house. mpensation, by campers travel famlly,'are'lodged or.boarded for by automobile or: otherwise, cr compensation at any one time. 19• - GARAGE,, • P.RIVATJE Ari ac= cupied by trailer . 'coache`s or cessory building or portion . of a �vable dwellings, rooms -or sleep- 12. DWELLING: Any dwelling, main building on the same lot and : quarters of any kind. boarding house or dwelling group, used for the storage only of pri- if AUTOas defined herein, except any com- vate, passenger motor vehicles, not bined with non-residential uses in more than 2 of which are owned ilding orr group LE roCOURT: A up of two or more ildings containing guest rooms the same building. by others than the occupants of ��� � apartments with automobile 13. DWELLING, ONE FAMILY the main building. )rage space provided in connev- " A detached building containing 20. GARAGE, PUBLIC: A build- n therewith, and used primarily one dwelling unit ing or portion of a building, ex- the accommodation of automo- 14. DWELLING, TWO FAMILY: cept any herein defined' as . a le travelers; including those: des- . `�' building containing two -dwell- l ` _ private garage or as a repair ga- dated as auto cabins or courts, Ing units. rage, used for the storage of motor Aor lodges or hotels, motels, and `>. vehicles, or w h e r e any such ose similarly designated.3.5• ' DWELLING MULTIPLE: 'A t vehicles are kept for remuneration r building containing 3 or more or hire, 3n which any sale of BLOCK That property abut- dwelling gasoline, oil and accessories is only Ing between the two nearest in-;: 16. DWELLING GROUP: A group incidental to the principal use. :•secting or intercepting streetsor row of dwellings each contain- 21. GARAGE, REPAIR; A build- nearest intersecting or intercep- y Ing one or more dwelling units'and Ing or space for the repair or ig street and railroad right-of- all occupying one lot, as defined maintenance of motor vehicles, but ty, waterway, or other barrier herein, and having a court in com- not including factory assembly of or gap in the continuity of de- mon, including lopment along such street. or apartment court, but not includ a bungalow court such vehicles, auto wrecking estab- lishments or junk yards. t Ing an automobile court or auto= BOARDING HOUSE: A dwel i mobile camp. 22• GUEST ROOM: A room occu- g wherein 3 or more persons,# s pied by one or 'more guests for t members of the principal fam- 17. ESSENTIAL SERVICES: Th' compensation and in which no pro- therein, are provided lodging, phrase "Essential Services means vision is made for cooking, but not d/or meals for compensation, the erection, construction, altera- including rooms in a dormitory for t not including a building hav- tion, or maintenance by public sleeping purpose$ primarily. 10 or more guest rooms. utilities or by governmental de-23. HEIGHT OF BUILDING (IN BUILDING: A structure hav- partments or commissions of such FEET):, The vertical distance from a roof supported by columns underground or overhead gas, elec- the average elevation of the finish walls. �. trical, steam, or water. transmis= 45.03 I� ZONING DEFINITIONS 24. HOME OCCUPATION: Any use customarily conducted for gain or support "i tirely within a dwelling by a member or members of a fancily, and which.is;clea incidental and secondary to the residential use of the premises and does not char the character thereof. 25. HOTEL: A building or group of buildings, other than a boarding house] tourist home, as defined herein,' in which tenor more guest rooms are provided j occupancy, for compensation, by transient guests. 26. JUNK YARD: An area of more than 200 square feet, or any area not me than 50 feet, from any street, used for the storage, keeping or abandonment` junk, including scrap metals or other scrap materials or goods, or used for the di mantling, demolition or abandonment of automobiles or other vehicles or machii .ery, or parts thereof, 27. LODGING HOUSE: See- "BOARDINGHOUSE". 28. LOT: An entire parcel of land occupied or to be occupied by a main build Ing and its accessory buildings, or by a group such as a dwelling group or automobi 1 court and their accessory buildings, including the yards and open spaces require therefor by this ordinance and other applicable law. 29. LOT, CORNER: A lot abutting oii two intercepting or intersecting streets. 30. LOT, INTERIOR: A lot other than a corner lot. 31. LOT, THROUGH: A lot having its front and rear lines on different streets; .32. LOT, DEPTH: The average depth from the front line of the lot to the rear line of the lot. 33. LOT, WIDTH: The width, measured at a distance back from the front line equal to the minimum depth required for a front yard. 34. MOTEL: See "AUTOMOBILE COURT". 35. NON -CONFORMING USE: Use of a building or of land that does not conform to the regulations as to use for the district in which it is situated. 36. PUBLIC UTILITY: Any person, firm, corporation, municipal department or Board, duly authorized to furnish, and furnishing under public regulation to the pub`,,='', lic, electricity, gas, heat, power, steam, telephone, telegraph, transportation, or': water. 37. STORY: That portion of a building included between the surface of a floor` and the surface of a floor next above it, or the ceiling or roof .if there is no floor above it. A basement is a story for the purposes of height regulations if the vertical distance from grade to the ceiling is more than 7 feet, or if used for business or for dwelling purposes by other than a janitor or a caretaker. 38. STORY, HALF: The topmost story under a gable, hip or gambrel roof, they' wall plates of which on at least two opposite exterior walls are not more than 2 feet,r above the floor of such story. 39. STREET: A public or private thoroughfare which affords the principal means'', of access to the abutting property. 40. STRUCTURE: Anything constructed or erected having location on or under the ground or attached to something having location on or under the ground. 41. STRUCTURAL ALTERATION: Any change, addition or modification in con struction in the supporting members of a building, such as exterior walls, bearing walls, beams,. columns, foundations, girders, floor joists, roof joists, rafters or (1-2-63) trusses. r R 5.02l 1 ?614 28. HO . OCCUPATION: Any gainful occupation or ;pro ession engaged by ,the occupant of a dwelling at .ozr from the : dwelling-: when :.carried on within a, .};dwelling ..unit; and, not -.,in an accessory building, and which' is clearly incidental and secondary to 'the residential use of the'. premises and does not change' the aharactor thereof, provided that no signs other than those normally utilized in a residential district are present, no stock in trade is stored outside the building, over-the-counter retail sales are not involved, and entrance to the home occupation is gained from within the structure. Such uses include professional offices, minor repair services, photo or art studios, dressmaking, or -teaching and similar uses; however, a -home occupation shall not be interpreted to include tourist homes, restaurants,,or similar uses. Teaching shall be limited to four (4) students at any given time. No home occupation shall be permitted that results in the need for more than two (2) parking spaces at any given time in addition to spaces required by the occupant (family). Occupations requiring the hiring of employees other than members of the immediate family shall not qualify as home occupations. 29. HOSPITAL OR SANITARIUM: An institution open to the public, in which sick patients or injured persons are given medical or surgical care; or for the care of contagious diseases or incurable patients. 30:. HOTEL: A.building designed for occupancy as the more or less temporary abiding place of individuals who are lodged with.or without meals, in which there are six (6) or more guest rooms, and in which no provisions are made for cooking in any individual room or'suite. 31. KENNEL:` Any lot or premises on which four (4) or more dogs, at least four (4) months of age are kept. 32.:+ LABORATORY: A place devoted to experimental study such as .testing and analyzing.,I,Manufacturing of :product or�, products is not be.be permitted within ,this; definition. 33. LIVING AREA:. The living area of a building is that :area of a building designed to.be used or actually used .for.jiving.purposes, such as bedrooms, dining room, living room and the like,,which are usually and customarily used for family purposes, as distinguished from any garage or other type accessory space. 5 28. HOME OCCUPATION: Any gainful occupation or pro ession engaged in by the occupant of a dwelling -at or from the dwelling when carried'`on'within a dwelling unit and not in an`accessory`building, and which -is clearly incidental and,secondary to the residential use of`the'premises and does'not change e chaxactor thereof, provided th that`no`sgns`other y. than those-normall utilized in a residential district are present, -no stock in trade is stored outside the building, over-the-counter retail sales are not involved, and entrance to the home occupation is gained from within the structure. Such useb include professional offices, minor repair services, photo or art studios, dressmaking, or teaching and sir4.lur uses; however, a home occupation shall not be interpreted to include tourist homes, restaurants,` or similar uses. Teaching shall be -limited to four (4) students at any given time. No home occupation shall be permitted that results in the need for more than two (2) parking spaces at any given time in addition to spaces required by the occupant (family). Occupations requiring the hiring of employees other than members of the immediate family shall not qualify as home occupations. 29. HOSPITAL OR'SANITARIOM: -'An institution open to .the public, -in which sickpatients or injured persons are given medical or surgical care; or for the care of contagious diseases or incurable patients. 30. HOTEL: A building designed for occupancy as the more or'less temporary abiding•place'of individuals `who are lodged with or without meals, in which there are six (6) or more guest rooms, and in which no. provisions are made for cooking in any individual room or suite. 31. KENNEL: Any lot or premises on which four (4) -or more dogs, at least four (4) months of age are kept. 32. LABORATORY:, A place devoted to experimental study --such as 'testing and analyzing Manufacturing of product or products is not � beF be permitted within this .definition. 33; LIVING AREA: The living area of ,a building is that area ''of °a; •building designed ' to be'` used . or ' actually used for living purposes, such, as'bedrooms,'�dining room, living room and the like, which are usually and customarily used for family purposes, as distinguished from any garage or other type accessory space. provision is made for cooking. 20 34. Hotel. A building consisting of six I' (6) or, more guest rooms and designed for `occupancy as a..ary.lodging Place of individuals. 35. `Integral Part'Of'A'Principal�Structure,,,. Constructed in general conformity' to the principal --structure � in terms of framing© finishing and overall use. 36. Junk, Yard. (Automobile Recycling. Center} An open.ai6a where waste and used materials are bought, .sold, exchanged, stored,, packed, rdisassembled SUBJECT City ®f Fridley 1=7i4 AT THE TOP OF THE TWINS gUIL®INC; PERMITT NO. COMMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC. o// 1 rUMqBER REV DATE PAGE OF APPROVED BV i "i CITY HALL FRIDLEY 55432 612-571-3450 1415 9/15/98 % JOB ADDRESS 7395 Van Buren St NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 4 Shaffer's Subdividion No. 1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE D Nelson 55432 780-1678 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner SAme 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION DA REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house (12.5SQ) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 SO. 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 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 $1,114.00 $.56 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $40.25 Fire SC $1.11 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTE yyy$41.92 $IGNA UREO N7� ORA MORIZEOAGENT IDATEI N HIS I$ R PIT MOPEALIDATE iN$P .l ze- MATE NATURE OF OW NER�iF OWNER BUILDERS ATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: W Ti Tel. # 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 EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Wid Hgt/Ground Sq. Ft. OTHER: �� ®USS (Z. 5- S P ql d Construction Type: Estimated Cost: $ ///V (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE. — r �T to APPLICANT: Tel. # CITY USE ONLY �%% Permit Fee $ `7� �S Fee Schedule on Reverse Side Fire Surcharge $ /, / / .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ J TOTAL $ i STIPULATIONS: 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 FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $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. 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 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. l ce, ns: sueiEtr PE NO. City of Fridley29806 AT THE TOP OF THE TWINS B U I L D ING PERMIT r ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. � / r `1 1 i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By L 612-571-3450 910-F15 7/7/99 JOB ADDRESS 7395 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 23 4 Shaffer's Subdivision No. 1 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Dave Nelson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sussel Corp. 1852 Como Ave. St651-64S-n-im 1934 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 ❑ NEW M ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 35' x 22' detached garage 9 CHANGEOFUSEFROM TO STIPULATIONS See stipulations on plan. On August 23, 1999, the Fridley City Council officially approved your request for vari VAR #99-17, to allow a private garage to exceed the square footage of the dwelling unit by 12.6 feet to allow the construction of a garage on Lot 23, Block 4, Shaver's Sub- division No. 1, generally located at 7395 Van Buren Street with the following stipulate 1. No home occupations shall take place from this garage. 2. The garage and home shall have matching siding/color scheme. 3. The garage shall be built to meet all fire and building codes. 4. The garage shall not exceed 800 square feet. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS 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 $14,899.50 $7.44 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE MARGE S7ir�e PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 251.25 D PLAN CHEC E OT L FEE SIGNATU4 OFCON'aACTOQO AUTHORIZED iOATEI H P LY VALI ED THIS IS RIMIT �a 8 OG INSP qA IE S.GNATUFIE OF OWNEASIF OWNER BUILDERI IDAT1 - l ce, ns: NEW Effective 5/10/99 ADDN ) [ ] CITY OF FRIDLEY Pe ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �U BUILDING PERMIT APPLICATION Jo b Construction Address: 3 �% ��' �ti {� Lt tq E_ n lv=f= Legal Description: Owner Name & Address: V 19— 13 0 J Tel. # `� 6 , J®eQj Contractor:-- MN LICENSE # Address: iy r v Tel. #, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height' Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECD AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: ��— �� 14 Cg , Q Estimated Cost: $ G y Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: "� L APPLICANT: �' l Tel. #�� TOTAL $ '10.e 51 STIPULATIONS: CITY USE ONLY a Permit Fee $ , Z Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ `�j,� $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 5, 40 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ '10.e 51 STIPULATIONS: 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: T TOTAL VALUE FEES $1 to $500 $23.50 $501 to $2,000 $23.50 for first $500 plus'$3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 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 $15.50. 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 $23.25. 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. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer V' *Air Conditioning - All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater r ���'�3l Effective 4/1/2004 " APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Fee Total -0 ' a $35.00 $ $10.00 $ $10.00 $ $10.00 $ $25.00 $,390-6) Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR Building Used As ESTIMATED COST � PERMIT NO DESCRIPTION OF FURNACE AND BURNER # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU Size No. HP , EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ HEATING C00_4z.e_ /)00-t,04- )1_7P $�� Signed Tel # Z(0:3_-7/ �g�s *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE FAX # Date 1 1 e 1 7_03® Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verges that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height, ft Length ft Diameter in Type Appliance #2 Vent Connector Height. ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date: