PRE 2010 DOCSCity of Fridley, Minn..
BUILDING PERMIT N° 5 7:5 '
W
Date:
Owner: &''Z" Sze,, _ _ Builder
Address Address
LOCATION F BUILDING
No. r '____ Street�"L P f Lot
r
Lot _ ___ _ Block Addition or Sub -Di ' n _
Corner Lot _ Inside Lot �_ _ "'�_ Setback Sideyard s
Sewer Elevation _ r _ _._ W — Foundation Elevation
DESCRIPTION OF BUILDING
To,� Used �
Frontes Depth Height e, Sq. Ft. Cu. Ft
Fro t Depth Height Sq. Ft. Ca. Ft. !
Type of ction !L . Fat. Cosi ±!7To be Completed
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.
A
In 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
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. ,�'"'�« .s Z)
Building Inspector
NOTICE:
This permit, does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these Items.
0 odpw4 0
APPLICATION FOR BUILDING PERKIT
l CITY OF FRIDLEY, MINNESOTA
Owner'
Addres
s Name .� Builder4L_ee_
°��
s Address
LOCATION OF BUILDING
Street �,�1�Z_- Part of Lot
Lot i Block Addition or Subdivision
r
Corner of Inside Lot Setback�3 Side -Yard 40
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
DESCRIPTION OF BUILDING
To be used as:
—Front,?L1 Depth Heights
m
sq. Ft.'��,. cu. Ft.
��. Front J 6 Depth 2_ eight
Sq. Ft. X21 Cu. Ft.
mo'40
Type of ConstructionEstimated Cost
To be Completed
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 ruling of the Department of Build-
ings, and hereby declares that all the facts and representations
stated in this application are true and correct,)A,gERG BUILDERS, INC.
Su 44178 SU 4-2720
DATE �� SIGNATURE oo
(Schedule of Fee Costs can be found on the Reverse Side).
yi
a
Application for Power Plants and Heating, Cooling. Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU .......................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .................
Repairs & Alterations each add. $500.00 ...............
STEAM or HOT WATER SYSTEM
RATE TOTAL
8.00 $
5.00 $
5.00 $
2.50 $
8.00 $ 9,00
2.00
$
5.00
$
5.00
$
2.50
$
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ......
8.00
$
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ...
8.00
$
Each add. 200 sq. ft. EDR Steam ......................
2.50
$
Each add. 320 sq. ft. EDR Hot Water ..................
2.50
$
OIL BURNER—to 3 gal, per hour ................. ...... 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ............. I ......... 5.00 $ _�60 O
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
x $1.50
$ l/j O
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
TOTAL FEE
ty
/yL
�^��
ROUGH
FINAL
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
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.
Owner ,QZQ
Kind of Building
Used as
To be completed about
Fridley, Minn_ A!t� � 19 '!��
Estimated Cost, $
O1dBuilding Permit No �7 ��� Permit No. A3
DESCRIPTION OF WORK
HEATING or POWER team, Hot Water, Warm Air—No-
Trade Nam Size No��f®
Capacity Sq. Ft. E.D.R ® BTU H.P.
Total Connected Load 3 (o i � ' Kind of Fue
BURNER — Trade Nam Size No ZFO�_o
Capacity Sq. Ft. E.D.RBTU H.P.
(REMARKS -OVER)
Mau if 01114 & SUIT HITS,
Signeii
8419 CENTER DRIVE N. E.
By
X42 2M Business Phone No-
pas Gz-�
HEAT LOSS CALCULATI DEPARTMENT OF BUILDINGS
Weatherstrips, A Guide
.E.
p Gue Construction No.
Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor
Yes—No Yes—No 19_
Fl.l a Reeen I Lenoth -'7 r WirUh 0D / 14nioht QO" , II / RI I
Windows a
Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal f . Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Coef. Btu
Infiltration
Coef.
Btu
Infiltration
Net exp. wall
S ?/
Exp. wall
Glass
Ceiling
Net exp. wall
/
Exp. wall
Int. wall
Net exp. wall
- Floor
Int. wall
Ceiling
-G
Floor®D
I otal Utu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Iy
Room I Length /z/ Width /1/ Height .91
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
i
Coef. Btu
Infiltration
Coef. Btu
Infiltration
Glass
Z y
Glass
Net exp. wall
S ?/
Exp. wall
Int, wall
Ceiling
Net exp. wall
/
Floor
Int. wall
Ceiling
- Floor
- 1 otal titu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. oom I Length/j- / Width -71
Wind ws and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No:' of Dane of pane Ilghts of crack an. ft.
Infiltration
Glass
Exp. wall S
Net exp. wall 3� d
Int. wall
Floor
Tbtal Btu.
ft. E.D.R. or sq. ins. W.A. Leader area
Btu
No. 1 of cane I of
FRIDLEY, MINN.
Insulation
Kind How Applied
Room I Length /4// Width
ors--Crackage and Area
ht No. of Lineal ft. Aram
ne Ila'hts et crack ss. ft.
Coef. Btu
Infiltration 3 3
Glass 5--5- Z
Exp. wall
Net exp. wall /a
Int. wall
i
Ceiling
Floor
Total Btu. y
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FIAA m I Length / i/ Width 7 / Height /
Windows and Doors--Crackage and Area
Width Height No. of Lineal It. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Infiltration
Glass
Glass
Exp. wall
Exp. wall
Net exp. wall
Net exp. wall
Inc. wall
Int, wall
Ceiling
Ceiling
Floor
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ---�
1R.1 Room I L.enath Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane tights of crack aq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int, wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
r
�7
D-36 .4 2
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A.S.H.V.E. Construction No.
Guide
inflows Doors Reference 11 Out. Wall I Int. Wall I Ceiling I Roof Floor
Sol Mi
No
Room Length 9
/ Width L/ Height / II n 177_1
Windows and Doors—Crackage and Area
Width Height No. of Lineal fl. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal [t. Area
No. of Dane of pane lfghte of crack on. ft.
z 3 -Xv
Coef.1 Btu
Infiltration
901's-0-2,
Glass 22. '
,3-Y_
Exp. wall
2n 1
Net exp. wall , j Z
p y
Int. wall
s6T
Ceiling 2:20
vs9
Floor
I otal titu. d'
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room i Length /Z/ Width/z ( HeightA7'
Windows and Doors--Crackage and Area
Width Height No. of Lineal it. Area
No. of panelights of crack sq. Lt.
Width Height No. of Lineal [t. Area
No. of Dane of pane lfghte of crack on. ft.
z 3 -Xv
Coef. Btu
Infiltration a
Coef.1
Btu
Infiltration
Infiltration/V/,
2n 1
5.454
Glass
.,
s6T
Ceiling
Exp. wall
y
Exp. wall
Net exp. wall
—
Int. wall
Ceiling
Int. wall
Floor
Ceiling
I otal situ. 3 ®�
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
•2_Fl.1 rim Room ILength Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal it. Area
No. of panelights of crack sq. Lt.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
2, ao Y L 2,
Coef. Btu
Infiltration a
Zp Z
Coef.1
Btu
Infiltration/V/,
7
Net exp. wall —
p
Int. wall
Glass
Ceiling
lj
Floor
Exp. wall
Net exp. wall,
Int. wall
Ceiling
Floor
I btal Iftu.
ft. E.D.R. or sq. ins. W.A. Leader area
FRIDLEY, MINN.
Insulation
Kind How Aaalied
Room I Length / Z/ Width 7/
Windows and Doors—Crackage and Area
Width Height No. of Lineal it. Area
No. of panelights of crack sq. Lt.
-offspane
Coef. Btu
Infiltration a
Zp Z
Glass ,
m
Exp. wall
Net exp. wall —
p
Int. wall
Ceiling
(�(a
Floor
Total Btu. s_
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1116
F1.1 Room I Length Width Height
Windows and Doors--Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.l Room I Length Width Height
Windows and Doors--Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of Dans lights of crack sq. ft
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Inc. wall
Ceiling
Floor
I otal Iftu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK s
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...................... x $1.50 $ '?6
Future Fixture Opening ................ at x 1.20 $ 9440
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTU) ...... x 2.00 $-19-00
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $_�
City of Fridley:
The undersigned hereby makes application for a permit for the work hereit
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.
16T,3. - .I//81P-�I
Kind of Building
Used as
To be completed about —
Estimated Cost, $
Old ew uilding Permit
ROUGH
FINAL
d2 2M
By CA.4--�
Business Phone
NO wlw��
F
19 —7 -
ay
Z
•
iY
WATER HTR.
GAS
ELEC.
zZ
Q�
Joy
Srj7
�a
�a
CSO
P
N
m
;1-
OLL
w
LLD
U
<3
cid
U�
Base
1st
Q
2nd
3rd
4th
• Future Connection Openings
Connected with
I
Sewer C]
New Fixture, Old Openings
Cesspool EJ
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...................... x $1.50 $ '?6
Future Fixture Opening ................ at x 1.20 $ 9440
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTU) ...... x 2.00 $-19-00
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $_�
City of Fridley:
The undersigned hereby makes application for a permit for the work hereit
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.
16T,3. - .I//81P-�I
Kind of Building
Used as
To be completed about —
Estimated Cost, $
Old ew uilding Permit
ROUGH
FINAL
d2 2M
By CA.4--�
Business Phone
NO wlw��
F
19 —7 -
SUBJECT
PERMI
City of Fridley
15301
AT THE TOP OF THE TWINS
BUILDING PERMIT
-
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
1 fr PROTECTIVE INSPECTION SEC.
n r
r ,
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
16/29/79
JOB ADDRESS 151 - 62nd Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
2
Juli-Ann Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert J. Carlson 151 - 62nd Way N.E. 566-0427
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 ❑-AEPAJR- v ' Q .Mp%46 .[j � Rw6VE
8 DESCRIBE WORK
Construct a 16' x 22' Second Accessory Building (Detached Garage)
9 CHANGE OF USE FROM TO
STIPULATIONS No home occupation can be carried on from this building. No construction
will take place on the easement.
Permit okayed to issue b City Engineer. t111t1ES
Y Y local u
ip Call
gefote MON ECTRiC • GAS Etc.
TELEPHONE -'
EQU IRED BY LAW
SEPERATE PERMITS REQUIRED FOR WIRIM& .
HEATING. PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING,
Wood Fram
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
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$2,946
$1.47
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-
$14.08
NONE
.STRUCTION OR T PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$15.55
RAUTHORIZEDAGENT (DATEI®
WHEN PROPERLY VAADATED THIS IS YOUR PERMIT
=1F
SIGNATU F OWNER IIF OWNER BUILDERI (DATE)
BLDG iNSP SAT
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER: BUILDER:
ADDRESS: /57 L% ADDRESS:
TEL NO: Sc, 4, ®V2 -7 TEL NO:
Construction Location
STREET NO: STREET:
LOT: BLOCK:^ ADDITION: Ut LI - idl� �A 6 ae'
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front: 14 Depth: 2 '2- Height: � �®
Squame.Feet: Z Cubic Feet:
Front: Depth: Height:
Square Feet: 3 Cubic Feet: aZ�
Type of Construction: (J ®0,. Estimated Cost: $ �n
To Be Completed: ` Ila
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET'.
The undersigned her 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, aneby declares that all the facts and
representations stated in this applicationa /t� correct.
DATE: or07- 2 g- .7 % SIGNATURE:
Stipulations:
],�
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
PERMIT/
PEo _ 18564'
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
i •-_. ,� CITY HALL FRIDLEY 55432
L 612-571-3450
EIPT
NUMBER
910 -FIS
REV,
DATE
7/25/86
PAGE OF
APPROVED BY
JOB ADDRESS 151 - 62nd Way N.E.
1 LEGALLOT
DESCR.
NO.
4
BLOCK
2
RACT OR ADDITION
piuli-AnnAddition
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert Carlson 161 - 62nd Way N.E.
571-3420
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
�I S ane
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
8 DESCRIBE WORK
Construct a 101 x 101 Living Area Addition and a 412 sq. ft. garage addition
9 CHANGE OF USE FROM TO
STIPULATIONS
`
SEPARATE PERMITS REQUIRED FOR
WIRING, HEATING, PLUMBING AND SIGNS.
WARNING
WON* digging �� b call local ofiIitiea
tELPHONE-ELEC GAS Etc,
REQUIRED BY LA
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
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
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
I
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
SURTAX
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$9,500
$4.75
DOES NOT RES' TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS O�N OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION O T PERFO ANCE F CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
p
R FC TR OR O HORIZED AGENT IDATEI
WHEN PROPERL
J
BLDG )NSP
ALIDATED THIS S YOU
S IS YOUR PERMIT
.�
DATE
SiGNATUR OWNER OF OWNER BUILDER) IDATEI
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ ] F R-1 AND R-2
ALTER. I ] Building Permit Application
Construction Address: /
Legal Description: (- �� c�C+� i - Al d 1170 AJ p
Owner Name & Address:
Tel. # S7 7/ 35 Z0
Contractor: Tel. #
Address:
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 /V Width AD Height Sq. Ft. % V
GARAGE AREA: Width Height Sq. Ft.-�
AREA: Length Width Hgt/Ground Sq. Ft. 7=
DECK AR nB
OTHER: c �1' .44 r Z Y 12•P ` `�
100 X � .
Corner Lot [ ] Inside Lot [P1 Ft. Yd. Setback Side Yard Setbacks
Type of Construction: oovw Estimated Cost: $
Approx. Completion Date: % 8 7
Alt. A Alt B
Proposed Driveway Width If New Opening IDesired: 11-2 See Back Page for Explanation
DATE: 7- 2-2- -8L APPLICANT:
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Tel. # .S ?/ 3Y40
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$475 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
aoa&s 301• ZU
STATE OF MINNESOTA
DEPARTMENT OF HUMAN SERVICES
444 LAFAYETTE ROAD
y ST. PAUL. MINNESOTA 55101
7
Date
Z ing Authori
Street Address
City State Zip Code
RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE
Subject:
Xam,q/�of Day Care Home Applicant
Street Address
CiXZ
ty State Zip Code
DHS -2722 (9-85)
PZ -02722-02
7',�7
Type of License:
Family Day Care
Group Family Day Care
Licensed Capacity
Phone No. 6-7/-1: �- 4?,
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 30 days after receipt of this letter, we
will consider the above-mentioned day care home to be in compliance with
your local zoning code.
Sincerely,
COMMUNITY HEALTH & SOCIA14
SERVICES DEPARTMENT
COUNTY OF ANOKA
COt,RTHOUSE. FOURTH FLOOR
•AMOK& MINNESOTA 83309
Licensing Worker Name of Agency/Organization
Street Address City State Zip Code
AN EQUAL OPPORTUNITY EMPLOYER
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
PERMIT
2 6`15 6
_ COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC.
r ;
1 ,
I 1 1 CITY HALL FRIDLEY 55432
,�j 612-571-3450
RECEIPT NO.
�� 93
NUMBER
910-F15
REV
DATE
6/5/98
PAGE OF
APPROVED BY
JOB ADDRESS 151 62 Way NE
1 LEGAL
DESCR.
LOT NO.
4
BLOCK
2
TRACT OR ADDITION
Juli-Ann Addition
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Chuck Kitner 151 62 Way NE
586-9830
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.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 14' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
WARN1,1%
Before digging call for
all utility locations
. SEPARATE PBR 454-OQQz�
REQUIRED BY 1�
WIRI�'�. MEATJN�/tS RF4UlRED _FOR Ll$l
PLV'WB'NG A t Sloft
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
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
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
ISTALLS GARAGES
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
VALUATION
$3,013
SURTAX
$1.51
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PERMIT FEE
$87.25
SAC CHARGE
Fire SC $3.01
PLAN CHECK FEE
TOTAL FEE
$91.77
Si �FlNTRAC ROR NORi2 A('3fNT IDATEi
WHEN PROPERLY
BLDG iNSP
VALIDATED THIS IS YOUR PERMIT
4aTE
�GNATUOWNER i�F WNERB DERE �OATEi -
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address: Cl-, v.c ,G k fir, e.r Tel. #_
Contractor: 2 Sy 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 ENIPROVEMENT
Tel. #
I
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length A4' Width 1J Hgt/Ground 14 " Sq. Ft. x
OTHER: = 3� 0/3.42
Construction Type: On _ (- Estimated Cost: $ Ae / t O u
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: to `d,- 9 $
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
APPLICANT: C' 1-1 C Y� �`� eY Tel. # 58 (o - 933 0
$ , 2-3-
$ l?
$
Park Fee $
Sewer Main Charge
TOTAL
STIPULATIONS:
$ 7/. 7
CITY USE ONLY
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 [ ]
f
FY ck� Q_y
,K?�6•s4,
.2 q P
3,31
;flu
�S
0 k M
SUBJECT
City of Fridley
'(.-2
2 8 3 8 6
572-3604 THE TWINS
BUILDING
PERMIT
COMMUNITY DEVELOPMENT DIV.
f PROTECTIVE INSPECTION SEC.
p
1 � �
V
` i-11 CITY HALL FRIOLEV SS132
NUMBER
REV
DATE
PAGE OF
APPROVED By
.-_•
L J� 612-571-3450
9t0 -F15
10/22/98
JOB ADDRESS
151 62nd Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
2
1juli-Ann Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Chuck & Gail Kitner586-9830
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
B USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION Px REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reroof house and garage 32 S Tar -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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 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
I
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
2742
$1.37
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
FirAC $2.74
PLAN CHECK FEE
TOT FEE
i
8.86
SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT ,DATE,
N ROW!A
THIS IS YOUR P M
S.GN4 u EOF OW NER �F OWNER BUILDER, ,DATE,
BLD ,NSP
QAif
0 k M
-
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION ng
•) IAC
ConstructionAddress: Co
Legal Description:
Owner Name & Address: C hv. c �< R 1C \ � r\e.r Tel. #
Contractor: Se 1 ,�- MN LICENSE #
Address: 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
GARAGE AREA: Length Width Height
DECK AREA: LenglFi Width Hgt/Ground
OTHER: OBJ -3�S /,
Sq. Ft.
Sq. Ft.
Sq. Ft.
A/� • (fes
Construction Type: Re - Y o o Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: 10 - -aa -9 $
Permit Fee $
APPLICANT: C 1-la� le_� K ,-�� eY Tel. # a - 86' ES �
Fire Surcharge
$ . 'i LZ
State Surcharge
$_
SAC Charge
$
License Surcharge
$
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ /%o. 87
. STIPULATIONS:
CITY USE ONLY
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
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJECTPER
-`
City of Fridley
3 212 5
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
`
COMMUNITY DEVELOPMENT DIV.
`
1 v INSPECTION SEC.
572 -3604
5,
r PROTECTIVE
1 � �
CITY HALL FRIDLEY 55432
1''
NUMBER
REV
DATE
8/31/01
PAGE OF
AIwROVED er'
612-571-3450
910415
JOB ADDRESS 151 62 Way NE
T LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DEscR.
4
2
Juli-Ann Addition. SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE
Greg Janssen 151 62 Way NE 763-574-2395
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
John Pederson Construction 7790 Main St NE, Fridley, MN 55432 763-586-7800
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
20266141
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION KI REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside House & Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform. Building Code, requires that a weather
resistive barrier be placed over exterior sheathing to protect the interior
wall covering. Exceptions for this provision would be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl siding is not a weatherproof covering unless the manufacturer
states this in their application guidelines. Call for inspection of wrap
before covering.
Permit Inspection Caruti
Will Be Mailed
To Homeowner To Past
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 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
$14,000
$7.00
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOT FEE
Lice e C $5.
$263.25
SIGN A TURE OF CON'RACTOR OR AUTNORIZEDAGENT IDATEI
WHE PRO Y VALIDA E HIS IS YOUR PE MIT
GIN o OAft
SIGNATURE OF OWNER.a OWNER BUILDER, IDATE,
NEW []
ADDN [ ] CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 15,:' \ U 7—y -\6 -
Legal Description:
Owner Nan
Contractor:
0
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Effective 1/1/2000
612.572.3604 Bldg Insp
-7,00
So
Tel. #-1(o:;-J7
MN LICENSE # jWQ 1 4 l
S.'Zj L BIel. # -1do - SR -'t,
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to sole.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft
Length Width Hgt/Ground Sq. Ft
Construction Type: \ `� Estimated Cost: $
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: ' �_ �OAPPLICANT: Tei. #7KA:f>4 (r)�
CITY USE ONLY - Call (612) 572-3604 for Permit Fees if mailing In application
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge $ 1-00 $.50/$1,000 Valuation
SAC Charge $ $1100 per SAC Unit
License Surcharge $ -5-00 $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 $ Z(e 5 . Zs
STIPULATIONS: