PRE 2010 DOCSDate••••••
Owner ..
Address ..V AV -.Ili
II
i
BUILDING PERMIT
Village A Fridley, Minn.
i
N° 2211
i. Builder ...........................................
Address ............... ......................
..•.
LOCATION OF BUILDING
No.Street ...... L . -�.r.1�/• �...................... Part of Lot
Lot ....... Bloch .. ........ Addition or Sub -Division ....
r
.................. .
40
Corner Lot ..... .... Inside Lot ! .'L. Setback ... ► ... Sideyard .........J' ............
i
DESCRIPTION OF BUILDING
To be Used a� t J
Fro#�t .... J Depth '! Height /. Sq. Ft......... Cu. Ft. ........
................. .. I ........ p .... ...Height ......... Sq. Ft......... Cu. Ft.........
• Fr fit Depth
Type of Constructi n ..., Est Cost ....f. ,�i.......... To be Completed ....................
I,
I'
In considerati n of thessuanc
i e to me of ally permit to construct the building described above, I agree to do
the proposed wor in accordance with the description above set forth and in compliance with all provisions of
ordinances of the age o� Fridley.
.... ......lir. .. ... .........
• • In consideratiy�n of the payment of a fee of .. . ZR Ppermit is hereby granted to
}} tb construct the building or addition as described above. This permit is granted up�
the express condi ton that the person to whom It is granted and his agents, employees and workmen, in all work
done in, around d upon said building, or any'part thereof, shall conform in all respects to the ordinances of
Fridley, 1Vlixmeso regarding location, construction, alteration, m ' tenance, repair and moving of buildings with-
in the village lima and th�s permit may be revpked at any 2i upon violation,, of any of the provisions of said
ordinances.
Ii I' ei'
-
NOTICE:
This permi 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.
BUILDING PERMIT
Village of .Fridley, Minn. N? 2779
Date ! .' _.. S ^ .......................
Owner... . ..JJ........... Builder ...........................................
Address /0.40�y... -1. .......... Address .........................................
®® LOCATION OF BUILDING
No. .�f�.�:.... Street .. A.'�iy..... .................... Part of Lot ...................
dr" 10 -
Lot A. ...... Block .....9 ........ Addition or Sub -Division ... � f�-. ` .. �. 3:'� a�, � ...........
Corner Lot ............ Inside Lot ............ Setback ........ Sideyard ..........................
DESCRIPTION OF BUILDING
To be Used as:
...q ...... ` Front 149 ... Depth *4 -.. Height /.ag r... Sq. Ft. �' . Cu. Ft. ........
..!........... Front .. Depth ........ Height ......... Sq. Ft......... Cu. Ft.........
Type of Constructior04� :+:C.... Est Cost �p Ay- .............. To be Completed K J . .
Irl 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 village of Fridley.
p...�„ ,........ .&.1 .................
consideration of the payment of a fee of $.. .... permit is hereby granted to .�.............
...... to construct the building or addition as described above. This permit is granted upon
th�exprecon
ion 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 village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. .`I ,a /1
•�:J�y(...``.G� .�i�Building 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 fdr these Items.
4
Fr
The
Desk,Of
M'EM{RAA DUM
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RIC
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5001 EGH
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, Mamo #D5
PU8Ll
C"WOR
S DIRECTOR
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DATE: 5-U49
TO R CY U
SUBS GTs Bark,itich a
I Wa
r Pr obl em
1
Del lentgrgf
it
Drivewa
rid
lewalk. „
"
4124 2� 5t
et
"
Bob Warlin,
Bove
ilid4ress (H -571.2304;
W 296-2604), called 'and indicated _
a problem wi
h his
driveway and
sidewalk.Ar
Colin d y®u pl
ase,
view and comment
about the problem,
Please maker
g0tae
with this pr'perty
owner and 'Iat him know what we_can
or cannot do
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SUBJECT
PERMIT NO.
City of Fridley
PO - -7198
AT THE TOP OF THE TWINS
BUILDING PERMIT
�
NO.
' COMMUNITY DEVELOPMENT DIV.
z: -----_
r � PROTECTIVE INSPECTION SEC.
1 . �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/7/83
JOB ADDRESS 6024 - 231 Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
8,9
7
Hyde Park - SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert Warolin 6024 - 2'� Street N.E. 571-2304
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 23' x 26' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
VALUATION���
'f'
SURT X
'��
$6,400
$3.20 UWITH
WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PRgVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
�° � $62.50 't- 9-9y
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
ll
ll"
AN CHECKFEE
TOTALFEE
$65.70
SSIIIGGNNATUREOFCONTRACTOR AUTHORIZED (DATE) s
WHEN PROPERLY I ATED THIS IS YOUR PERMIT
ROORR
D/AGENT
BLDG )NSP f)A
17 SIGNATURE OF OWNER IIF OWN RBUILDEM (DATE)
AGREEMENT
I, ( er of the property
e
located at O �� — s"4—have no objection to the
City allowing the construction of a to be
located at f/L�� without the required
certificate of survey that the City ordinarily requires for all new !�
construction.i�%/""
Signature
Address
Date
Witness
4
CITY Of FRIDLEY Effective Aug. 1, 1981
APPLICATIai FOR RESIDENTIAL BUILDVIG PERMITS
(REw. Alterations. Additions. or Repairs)
ADDP.ESS: �2Oo2 y
TEL 110: �✓ %/`a��Q
TEL NO:
Construction Location
. STA= NO: &0-;V STREET: ✓/�% ' // Y
Ims 9V / fLOOC: JDDITIO t
Corner Lot: Inside Lot: Sethael.2 S Sideyasds:
Applieant attach to t1lis fors two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIOR OF CONSTRUCTION
�G Front: ;2- 3 i Depth: Height:
Square rest: Cubic Feet:
.. - lfa�
Front: �__" Depth: height:
Square Feet: Cubic Peet: .
Type of Corstruction: _W000 L64A - Estimated Cost: -
lb Be Cbr.-pleted:
A it. A Al t. 8
proposed Drive+ay Width if New Opening is Desired: _
SEE PZVEit;E Slat OF SHEET
Tie undersigned hereby :rages application for a permit fer the %rork herein specified,
agreeing to do ,all work it, strict accordance with the City of rridley Ordinances and
rulings of the Deii.-%rtmcnt of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
OOSTFt_ SIGNATUiE: _�
Stipniations:
v��
RYAS
LEGAL
SERVICES
133 85th Ave., N.W.
Coon Rapids, Minnesota 55433
(612) 7804884
July 25, 1983
Mr. Robert Warolin
6024 2h Street NE
Fridley, Minnesota
55432
RE: George R. White
Mr. and Mrs. George White have retained me to investigate
the matter of your construction in the back yard.. You
have building permit #17198 issued on June 7, 1983 in which
you were given permission to construct a 23' x 26' garage
next to your house and reroof your house. At this point,
you have a foundation for that garage, but you also have
constructed a foundation for the single car garage you have
moved into the back yard. From all appearances, you in-
tend to place, or build, a garage behind the foundation for
your new 23' x 26' garage. If this garage is built, it
will extend a great distance into your back yard and cut
off any light to the rear end of Mr. and Mrs. White's house.
You do not have a building permit for any structure other
than.the new garage. Any other building will force Mr. and
Mrs. White into legal action to stop that building.
Sincerely,
TT LEGAL
6d ames puna
i
At tor y at w
JCL. It
cc: White
cpte'"' City of Fridley
Protective Inspection
City Hall
Fridley, Minnesota 55432
MEMORANDUM
TO: William W. Bums, City Manager PW93-353
FROM: Scott Erickson, Asst. Public Works Director j I �j
DATE: September 16, 1993
SUBJECT: Hold Harmless Agreement - 6024 2-1/2 Street
A resident at 6024 2-1/2 Street has requested approval to extend his existing back fence line
onto a City drainage and utility easement. Prior to installation of the fencing within the
City easement, the property owner will execute the attached agreement with the City
agreeing to remove or dismantle the fence, if required by the City. This agreement will then
be recorded against the property.
Recommend the attached agreement be approved and executed with the property owner at
6024 2-1/2 Street for the installation of a fence across a City drainage and utility easement.
SE:ch
Attach.
17
STATE OF MINNESOTA )
)ss
County of Anoka ) AGREEMENT
THIS AGREEMENT, dated this _ day of , 1993, by and between the City of Fridley, a municipal
corporation (hereinafter referred to as 'the City'), and Robert A. Warolin and Joyce L. Warolin, husband and wife
(hereinafter referred to as 'the Warolins."
WHEREAS, the Warolins are the owners of Lots a and 9, Block 7, Hyde Park, Anoka County, Minnesota (hereinafter
referred to as the "Subject Property); and
WHEREAS, the City has a utility and drainage easement over the vacated alley lying adjacent to and west of the Subject
Property; and
WHEREAS, the Warolins wish to place a fence on the subject property which encroaches upon said utility and drainage
easement held by the City.
THEREFORE, it is agreed by and between the parties as follows:
1. The City hereby agrees to permit the placement of the Warolins' fence on the subject property within the utility and
drainage easement.
2. That the Warolins acknowledge that the City may from time to time need to utilize the easement. The Warolins agree
to hold the City harmless for any damages which may occur to the fence due to the City's exercise of its rights within the
easement area. The Warolins further acknowledge that If the City needs to dismantle the Warolins' fence to obtain access
for the purpose of exercising its easement rights, the Warolins will be responsible for the cost involved in dismantling the
fence. Additionally, any reconstruction of the fence including any costs, shall be the sole responsibility of the Warolins.
3. The Warolins further agree that in consideration of the City permitting the subject fence to remain upon the easement
that the Warolins agree that they shall not place any additional structures within the subject easement area.
Notwithstanding this language, the Warolins acknowledge that they shall have an obligation to maintain the fence in a
reasonable fashion.
4. This agreement shall be binding upon both parties and upon their heirs, successors and assigns.
5. Any additional costs Incurred by the City in utilizing its easement, which are caused by reason of the fence shall be
reimbursed to the City upon thirty (30) days written notice to the Warolins at 6024 2'/z Street or at such other address as
the Warolins shall provide to the City in writing.
IN WITNESS THEREOF, the parties to this Agreement have affixed their signature to this Agreement on the date first
mentioned in this Agreement.
CITY OF FRIDLEY
By:
Its Mayor
STATE OF MINNESOTA )
)ss By:
County of Anoka ) Its City Manager
The foregoing instrument was acknowledge before me this _ day of , 1993, by William J. Nee, the Mayor,
and by William W. Bums, the City Manager of the City of Fridley, a Municipal Corporation under the laws of Minnesota,
on behalf of the Municipal Corporation.
Signature of Person Taking Acknowledgement
Robert A. aroli (Husbanch
STATE OF MINNESOTA )
)ss By:
County of Anoka ) Joyce L Warolin (Wife)
G
On this 1 day of �e� e^^ber 1993, before me, a Notary Public, within and for said County, personally appeared
Robert A. Warolin and Joyce L Warolin (husband and wife) to me known to be the persons described in and who
executed the foregoing Instrument and acknowledged that 1hey executed the same as their free act and deed.
Signatur of Person Taakk` g Ackn gement
THIS INSTRUMENT WAS DRAFTED BY:
ffE V. MOCity of Fridley KA COUP a6431 University Ave., N.E.exa JaMM24. rasa
Fridley, MN 55437 A
E.—
O i
all
of S
k lin
No QT N- E.
t.
1/2
I.
RD ST. N.E.
----------------
UNIVERSITY
FRIDLEY CITY COUNCIL MEETING OF SEPTEMBER 27, 1993 PAGE 16
cities, the North Metro Convention and Tourism Bureau is required
to submit its budget to each City.
MOTION by Councilman Billings to receive the 1994 budget of the
North Metro Convention and Tourism Bureau. Seconded by
Councilwoman Jorgenson. Upon a voice vote, all voting aye, Mayor
Pro Tem Schneider declared the motion carried unanimously.
16. APPROVE JOINT POWERS AGREEMENT BETWEEN THE CITY OF FRIDLEY AND
THE COUNTY OF ANOKA FOR THE INSTALLATION OF TRAFFIC CONTROL
SIGNALS AT THE INTERSECTION OF COUNTY ROAD NO. 132 AND
SPRINGBROOK DRIVE:
MOTION by Councilman Billings to approve the Joint Powers Agreement
with Anoka County for installation of traffic control signals at
the intersection of County Road No. 132 and Springbrook Drive and
authorize the appropriate City officials to execute same. Seconded
by Councilwoman Jorgenson.
Mr. Herrick, City Attorney, stated that this does not involve the
expenditure of any City funds; therefore, three affirmative votes
are satisfactory.
Mr. Flora, Public Works Director, stated that the proposal is to
install traffic signals at 85th Avenue and University Avenue
Service Drive. He stated that Wal-Mart would pay for the City's
portion of the cost for installation of these signals, which is
estimated at $32,400.
Councilwoman Jorgenson asked if the Opticom cost would also be
covered by Wal-Mart. Mr. Flora answered in the affirmative.
UPON A VOICE VOTE TAKEN ON THE ABOVE MOTION, all voted aye, and
Mayor Pro Tem Schneider declared the motion carried unanimously.
17. APPROVE HOLD HARMLESS AGREEMENT BETWEEN THE CITY OF FRIDLEY
AND ROBERT A. AND JOYCE L. WAROLIN:
Mr. Flora, Public Works Director, stated that the owners of
property at 6024 2-1/2 Street, Mr. and Mrs. Warolin, wish to
construct a fence within the drainage and utility easement.. He
stated that the owners must enter into this hold harmless agreement
in which they agree to remove or dismantle the fence if required
by the City.
MOTION by Councilman Billings to approve the hold harmless
agreement with Robert A. and Joyce L. Warolin, 6024 2-1/2 Street,
and authorize the appropriate City officials to execute same.
Seconded by Councilwoman Jorgenson. Upon a voice vote, all voting
aye, Mayor Pro Tem Schneider declared the motion carried
unanimously.
FRIDLEY CITY COUNCIL MEETING OF SEPTEMBER 2 _1993 PAGE 15
14. RESOLUTION NO. 71-1993 MODIFYING THE REDEVELOPMENT PLAN FOR
REDEVELOPMENT PROJECT NO. 1 TO REFLECT INCREASED PROJECT COSTS
AND INCREASED GEOGRAPHIC AREA AND MODIFYING THE TAX INCREMENT
FINANCING PLANS FOR TAX INCREMENT FINANCING DISTRICTS NO. 1
THROUGH NO. 12 TO REFLECT INCREASED PROJECT COSTS AND
INCREASED GEOGRAPHIC AREA WITHIN REDEVELOPMENT PROJECT NO. 1:
Ms. Dacy, Community Development Director, stated that Council
conducted a public hearing on September 13, 1993 to consider
amending the redevelopment project area and creating Tax Increment
District No. 13 for the purpose of providing tax increment
financing assistance to ECO Finishing, Inc. She stated that since
the public hearing, the request for tax increment financing
assistance has been amended. The proposal is no longer to create
a tax increment district, but to add this parcel to the
redevelopment project area to enable the Housing -and Redevelopment
Authority to provide a $125,00 loan.
Ms. Dacy stated that this resolution would add this parcel to the
redevelopment project area. She stated that the Housing and
Redevelopment Authority would consider the request for the loan at
their October 14, 1993 meeting.
Ms. Debbie Gustafson, of the Bridgewater Financial Group and
representing ECO Finishing, Inc., stated that the company did not
amend the request. It was done by staff, and they are still
requesting tax increment financing.
Councilman Billings stated that it would take three votes to create
a tax increment district. Since there would not have been the
required votes, this request has been modified. He asked if this
amendment to the redevelopment plan requires a public hearing.
Ms. Dacy stated that the amendment simply requires a majority vote.
She stated that, in essence, the Council already conducted the
public hearing on September 13, and as part of this hearing process
was to amend the redevelopment project area and create the tax
increment district.
MOTION by Councilwoman Jorgenson to adopt Resolution No. 71-1993.
Seconded by Councilman Billings. Upon a voice vote, all voting
aye, Mayor Pro Tem Schneider declared the motion carried
unanimously.
15. RECEIVE THE 1994 BUDGET OF THE NORTH METRO CONVENTION AND
TOURISM BUREAU:
Mr. Burns, City Manager, stated that the North -Metro Convention and
Tourism Bureau was established to promote tourism. The hotel and
motel business is supported by a tax on hotel and motel rooms. He
stated that this involves no direct tax to the residents. He
stated that in accordance with the agreements with the four member
CITYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. SIN 55432 • (612) 571-3450 • FAX (613) 571-1287
September 15, 1993 PW93-196
rt-ytFaroL
6024 21/2 St NE
ri ey,
Subject: Hold Harmless Agreement for Installation of a Chainlink Fence Within a City Utility and
Drainage Easement
Dear Mr. Warolin:
Attached is the "Hold Harmless" agreement that needs to be signed and notarized prior to
installing the fence within the City easement. Also, any grading that occurs must be performed
in such a manner as to not restrict or hinder any drainage that occurs within the easement
limits.
If you are still planning on extending your fence, please fill out the attached agreement and
return it with the Owners Duplicate Certificate of Title No. 23387 in order to record the
agreement against the property.
If you have any questions, please call me at 572-3551.
Sincerely yours,
Scott Erickson
Assistant Public Works Director
SE:cz
Attachment
CENOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
September 28, 1993
To Whom it May Concern::
Please mail Owner's Duplicate Certificate to Title No. 23387 to the owner noted as
follows:
Robert Warolin
6024 2'/2 Street
Fridley, MN 55432
Thank you
Clyd V. Moravetz C,®�® /4T 41-t15
City of Fridley NT 0 V) (L)C-- le 4 P
L �� j-� F�� �o
�� ,
STATE OF MINNESOTA
)ss
County of Anoka ) AGREEMENT
r_N
THIS AGREEMENT, dated this s'% day of , 1993, by and between the City of Fridley, a municipal
corporation (hereinafter referred to as "the Cit % and Robert A. Warolin and Joyce L. Warolin, husband and wife
(hereinafter referred to as "the Warolins."
WHEREAS, the Warolins are the owners of Lots 8 and 9, Block 7, Hyde Park, Anoka County, Minnesota (hereinafter
referred to as the "Subject Properly"); and
WHEREAS, the City has a utility and drainage easement over the vacated alley lying adjacent to and west of the Subject
Property; and
WHEREAS, the Warolins wish to place a fence on the subject property which encroaches upon said utility and drainage
easement held by the City.
THEREFORE, it is agreed by and between the parties as follows:
1. The City hereby agrees to permit the placement of the Warolins' fence on the subject property within the utility and
drainage easement.
2. That the Warolins acknowledge that the City may from time to time need to utilize the easement. The Warolins agree
to hold the City harmless for any damages which may occur to the fence due to the City's exercise of its rights within the
easement area. The Warolins further acknowledge that if the City needs to dismantle the Warolins' fence to obtain access
for the purpose of exercising its easement rights, the Warolins will be responsible for the cost involved in dismantling the
fence. Additionally, any reconstruction of the fence including any costs, shall be the sole responsibility of the Warolins.
3. The Warolins further agree that in consideration of the City permitting the subject fence to remain upon the easement
that the Warolins agree that they shall not place any additional structures within the subject easement area.
Notwithstanding this language, the Warolins acknowledge that they shall have an obligation to maintain the fence in a
reasonable fashion.
4. This agreement shall be binding upon both parties and upon their heirs, successors and assigns.
5. Any additional costs incurred by the City in utilizing its easement, which are caused by reason of the fence shall be
reimbursed to the City upon thirty (30) days written notice to the Warolins at 6024 2'/2 Street or at such other address as
the Warolins shall provide to the City in writing.
IN WITNESS THEREOF, the parties to this Agreement have affixed their signature to this Agreement on the date first
mentioned in this Agreement.
C«7 k Cakl
By:
STATE OF MINNESOTA )
)ss By:
County of Anoka }
Its Mayor Pro Tem
Its City Manager
p DennisLSchneider
The foregoing instrument was acknowledge before me this day 01 , 1993, by -William -J.- fake, the Mayor, Pro
and by William W. Burns, the City Manager of the City of Fridley, a Muni ipal Corporation under the laws of Minnesota, Tem
on behalf of the Municipal Corporation. 14
AAAA. ,,.,.Pa'o.,U AAAA UUAAAA
ROEERTA COLLINS
NOTARY PUBLIC ' STA
ANOKA COL" y
tv"y comm Exp. OaL 211 190
of Person Taking Acknowledgement
Robert A. aroli (Hus
STATE OF MINNESOTA )
)ss By: (11710-
County of Anoka
On this%'y day of ��PT ember , 1993, before me, a Notary Public, within and for said County, personally appeared
Robert A. Warolin and Joyce L. Warolin (husband and wife) to me known to be the persons described in and who
executed the foregoing instrument and acknowledged that they executedtsame as their free act and deed.
Sianatur of Person Taakie a Ackno dgement
THIS INSTRUMENT WAS DRAFTED BY: r~ CLYDE V. MORAVETZ
City of Fridley '� ANOKA COVE A
6431 University Ave., N.E. MYOMME .J=24.1994
Fridley, MN 55432
SUBJECT
City of Fridley
,
27518
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
rp
i
COMMUNITY DEVELOPMENT DIV.
_
r ~ PROTECTIVE INSPECTION SEC.
6Q
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/1/98
JOB ADDRESS 6024 2 1/2 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8 9
7
1HYde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert A. Warolin
571-2304
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Owner
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 Jk REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house and garage (27 Sq) 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 BO 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2313.90
$1.16
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$74.75
Fire SC $2.31
PLAN CHECK FEE
TOTAL FEE
78.22
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
WHEN PROPERLYA ALIDATED THIS IS YOUR PERMIT
BLD INSP
r)AT
SIGNATURE OF OWN ERIIF OWNER BUILDER) IDATEI
NEW [] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION 11',
ConstructionAddress: C' V ; 2 ,f 5V� `�% �;
Legal Description:
Owner Name & Address: c- Tel. # 6 �/ -�? 30r
Contractor: MN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF MIPROVEMENT
Tel. #
LIVING AREA: Length
Width
Height
Sq. Ft.
GARAGE AREA: Length
Width
Height
Sq. Ft.
DECK AREA: Length
Width
Hgt/Ground
Sq. Ft.
OTHER:
Construction Type:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
DATE:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT:
Estimated Cost: $ CO
(Fee Schedule on Back)
Ft x $ = $
CITY USE ONLY
$ G% Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1000 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$�2Z
Tel. #