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AF - 356529 � � City of Fridley, Minn. BUII.DING PERMIT N° 3 9 6 2 Date: . . (,/t . . . � . � P .�.l. �. . . . . . . . . . Own,er �✓ '�4�e . .�%�. . .�� . . . . . . . . . . . . . . . Builder . . . . . �`"�2�.r.�, . . . . . . . . . . Addre� ...................................... Address ............................................. LO�CATIUN�BUILDING No. .�ie'� .�.Q Street . . ��r��e:-S.Y. . y,��Gc!'. . . �Part of Lot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lot ............ Biock .................. Addition or Sub-Dfvision ................. ................... Corner Lot ............ Inaide Lot ............ Setback ............ Sideyard ........... ............. DESCRIPTION OF BUILD[NG T be Used as: �yry-�S,r / /i ,/ / �/ .�� . . . .ACti, . � ~Depth � .�.(� Height f. Q. : �, Sq. Ft. (� �� . G'�:. F� [�� . . . . . . . . . . . Fr nt . . . . . . . . Depth . . . . . Height . � . . . Sq. Ft. . . . . . . . . G�. Ft. . . . . . . . . Type of Construction . . . . . . . . . . . . . . . . . . . F.st. Cost. .1. . �i�l. �. . . . . . . . To be Completed . . . . . . . . . . . . . . . . . . . In consideration oP �he issuance to me of a permit to construct the building desribed above, I agree to do the prop�ed work in accordance with the description above set forth d in compliance with all provisions of ordinances of the city of Fridley. .�.,�. .. . ... .�,�...�. �..` .................. /'� In consideration of the payment of a fee o! $. �P...... , pernut 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 �ranted 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 ordinanees of F�idley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. . �? �� / �� '��si�.��it.`� � * � :,..- �,.� /I �'Y L i NOTICE: This permit does not cover the construotion, inatalla#(on or alteration fo� wiring, plumbiny, gas heating, sewer or water. Be sure to see the Buildlnp Inspector�par separate permits for these ttems. r : R► APPLICATION FOR BUILDING PERMIT GITY OF FR.IDLEY, MINNESOTA ' Owners Name d %�,,� ��`�"""� Build�r � . _;�,. ` Address �o .� fo 0 � �"��_ �� ,Address .__ �-"."'Z-- r,. _ _ LOCr�TION OF BUILDINf� _., ., . ' " No. Street C�-�`�.-_., _. Part of Lot �. _.. ._. _, - � � Lot �_._,. Block �. � �iddition or Sub. Div. � �� Corner Lot Inside Lot � � Set Ba.ck ,�� - Applicant attach to this.,�orm Certificate of Survey of •L�t and proposed building location. DESCRIPTIORT OF BUILDSNG � . ,..: , To be used�as /� r .� � .� '� 'J�. �, _ Frbnt �� / Depth � 5�-� Height � r�d �. Ft.. �� 7 S cu, Ft, ��.`�� Front ._.__.�. Depth _—_.:,.H�ight , • - ., , Sq. Ft. Cu. Ft. _..__.,._... " . e of. Construction �'"`{-- Estimated Cost��_ s°�.—� TYP ---T-• 'To be completed � . _ � The undersigmed'hereby r.i�a.kes application for a permit for the work hereiri specified, agreeing to:do all work.in strict accordr�.nce with the City Ordinances and ruling of the Departr�ent of Buildings� and hereby declares that all the facts and representa.tions stated in this application axe true and correct. • Date � � '�''3 1 �`5 q Signature �''� ��. ��`"` (A Schedule of Fee Costs can be found on the Reverse Side) � r , � R � -. �... BUILDING PERMI2 F'E� SCHEDULE Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing buildin� or struc�zre, or for any alterations or repairs to any existing builaing or structure, upon application therefor, 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:' 2.1 For any such permit for the erection of any fireproof building, other.than a garage, warehouse,-faetory.or grain elevator, or_for the erection of any fireproof �.ddition, for similar occupancy, to any ' existir�g building s�iazl be �.t the xate -of �l,/�0 for each one thousand cubic feet, or fra ction thereof, in such cubical contents. � _ �._ ,. , . 2.2 For any such permit,for the erection of any fireproof gaxage, war2- ,.. house,; fsctory or grain ele.vator, or for the erection of any fireproof ,, addition� for similar occupancy, to any existing building sh�.Il be.�.t tYie . rate of �1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapoli,s Bixilding Code� HOUSES �. 2.3 For any_such perMit for the erection of any non-fireproof building other than a garage, warehouse, factory or grain.:elevato�, or any non-fireproof addition, for similar occupancy, to any existing building. - Permit �1.00 for etzch one thousand.,cubic feet. . - -- _ ._ � GARA�ES . . _ , , _ 2.4 For �.ny such permit %r the erection of any non=firep"roof "garage,' warehouse, factory or grain elevator, or €or.the er.ect�,on of any non- ,, , .... , . fireproof ad�.ition, for similar occupancy, to any existing�buildiiig or '' for- each-.�uch tiuilding or addition. - Ninety Cents f.or e�ch one. :.,... .•. ... thousand cubic feet or fraction thereof, in the cubical contents �hereof "��- with a minimun of �4.00. For tlze purp�se of computing_ fees .for building perma.ts .the cubical. . contents of any building or addition to a uniform height throughout by � multip�.ying the ground area covered fror� a point six (6) inEhes below the flPOr line of the baseMent or cellar to the average height of the upper surface or to 'the average height of the roof surface of the main:. gable of a pitched roofe 2.5 For repairs or alterations to an existing structure, the fee shall be at the rate of �3.00 for er:�ch Five Hundred Dollars ($500.00),,or fraction..thereof in the cost of all proposed work, _. .. . . : - _.. _ . - . .. 2.6 In no case shall the fee charged for any permit as set for�h in " Section 2 -be less than �G1,..00, � � .. ._ , , � .., _. - � ._.._ _ .. _ � ; � � , r__ . ,_ � i � i I � i _ i. ._ _ , _ __ _ ! ' , I ' ' , ; : f , _ . ; _ __. � _. _; _ _ , _ ' , , _ . _ � i , , , ' , , I , i , � � _: � , , , i , , _ •- ' • A ��ti�� • �''u-�� ' G.� � a ��' --�. jj. � � . _ � . � , �: _ _ � �. �� , � . � �� x�•��.e) � , t , _ i°�� sua�ecT PE NO. City of Fridley ° 13349 AT THE TOP OF THE TWINS g U I L D I N G P E R M! T ' r ; � CEIPT NO. � • COMMUNITY DEVELOPMENT DIV. ' �y _"" r � � PROTECTIVE INSPECTION SEC. � . � �` � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. � DATE � PAGE OF APPROVED BY � •--�� •'� 612-560-3450 91-0-F15 � � l/8/76 JOB ADDRESS 6360 Able Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 3, 4 6 Florence Park sHEET 2 PROPERTY OWNER MAIL ADbRESS ZIP PHONE Tom Myra 6360 Able Street N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Brickner Builders 6245 Ben More Drive N.E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE X 8 OESCRIBE WORK Remodel Ba.sement 9 CHANGE QF USE FROM TO STIPULATIONS Install Smoke Detector SEPERATE PERMITS R�Qf1lRED �'�R iNi�Pf�,G, HEATING, �'LUMBtN� AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC� FYal[le THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTflUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED 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 !S 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 ySS� OOO 2. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVtSIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI HE PERFORMANC F CONSTR�CTION. 30.00 / G PLAN CHECKFEE TOTALFEE � �� 'O . � $32.50 IGNATUREOFCONTRACTORORAUTHORIZEDAGENT (DnrE� � WHEN PROPERLY VALIDATED TH�I/g/ �I$j, YOUR PERM/jIT . { �,._�+�_.�! v � V � , SiGNATURE OF OWNERIIF OWNER BUILDERI IDATEI BLDG.JNSP DATE AI?pLICATION I�UR RESIDL?V'1'IAI,, �LT'L'R�TI0�1, OIt AllDI`I'ION 13UILDING PEIZMIT CI1'Y UF F12IDLEY, 1��IINNI�SUTA _� ' OWNER' S NAME : lo��f��BUILDER:�G�/ G/�%I/ -�,';t� � G,�/��-� ADDRESS : �-�� G ��L �' �T ADDRESS : �Z �� `J�� /?'/�%�� jj. NO:� (� v STREET ��L � LOT: � �L BLOCK: � ADDTTION: �G (��'OA/ Cz'' ��/�l'\ CORNER LOT: INSIDE LUT: SETBACK: SIDEYARD: Applicant atLach to this form Two Certificates of St�rveu of Lot and proposed building location drawn on these Certificates. IiESCRIPTION Ol� 13UILDING To Be Used As : %2�2/�-j U,p�(� %�,j �J � Front: Depth: Iieight: Square Feet: • Cubic Feet: Front: Depth:_ Height: Square Feet; Cubic Feet: Z`ype of Cons�ruction: Estimated Cost; 3^ `S1 �� To Be Completed: � The undersigned hereby makes applicati�n for a pexmit for the work herein specified, agreeing to do all work in st'rict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, �nd hereby declares that a1L the facts and representations stateu in tA�is application are true and correct. DATE : � � D � �� SIGNATURE • �/Zt,�____ (See Reverse Side For AddiCional Information.) �� C' ��o�o u o _ 3O.Uo . �'-tl�' �?� -�� ` 2`J"b ,i • ,�'p � �.yf9- c c.- �iI1�� f f�- ��c �i2_; _ ___-� t , BUILDING P1�P�MIT FLL SCIiL'llULE SECTION 2. The Inspector of Buildings shall, before issuing pern�its for the erection of any building or structure, or for any addition to any existing building ox structure, or for any alteration or. repairs to any existing , building or structure, upon application thereFore, require the payment by the applicant fox such permit of fees to the amount herein below set �orth and in the manner herein provided to-wit: UNIFORM BUILDING CODE: Type l, 2& 4-$2.15 for each one thousand cubic feet, or fraction thexeof, in such cubical contents. Type 3& 5-$1.85 for eaeh one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents o£ any building or addition, is deterrnined by multiplying the ground area cavered fxom a point six (6) inches below the floor line of the basement ox the cellar to the average heights of the upper surface or to the average.* height of the roof surface of the main gable of a pitched roof, For xepairs or altexations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($50d.00) or fraction thereof in the cost of all proposed woxk. In no case shall the fee charged fox any permit as set forth in Section 2 be less than $5.00. V�RIFICATION OF FOUNDATION NOTE: Permits for eonstruction will be issued a minimum of 24 hours�from the time of application, to allow for proper review of the proposed structure and , of the construction siCe. A Cextified Survey of the lot, showing the location of the foundation, once it has been constructed, will be xequired before proceedin� with the framing. C�RTIPICATE OF OCCUPANCY Application for a Certifieate of Occupancy shall be ma.de ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Cextificate of Occupancy has been issued. � � >. 97-8e—l�1605]. � APPLICATION FO k PUJMBING AND AS IT71NG PERM17 Job Addreee ` 6'� 0 ARTF STRF�T A�� ,� Department ot 9ui.ldinge • '• City o! Fridley 1 Tol.. N571-�450 � M �, a '� � . � u watoz ' � � ..�i ��' M h•.�i a ►�i � n A N �pW� w � � Itoa cor •� a U t� C M i� u 61 N ,G G� � �'G . PZ ,1� Q i� .a ,c u � �. J /I . C' '� �NI C {�71 +� � � O ++ VI a� IJI V� N � r u' � p. c� v`'i x a� v�i w c� r� K� � � u� o ns � lec . . , , . .. � ist st 11 'ri ,' 2:►d . • .. I.�rC . • < th • � .. (A) � iv ture Connec�.ion Opening Connected with Saaor , (•� � l�na Fixture, Old Openinq Watar �PARTIAL RATE SCNEDULE � PLU�IBII:G FIXTURE R.ATES; N0, RAT$ l.li :.`� c.t F ix tut e t ` tVture FL�ccure Opening rcv Fixture, Old Opening Cacch Saain • ' r Nater Henter - Co 99,000 81V, � 100;G00�eTV to 199,000 B2U Hatcr Sottener • K�v Grour.d. FOin Old Suilding Electrlc Wa�er Henter � G,�S FITTI\'G FEES; � , lat ] fixture� I I.�ditio�al Pixturaa .Cs■ R�nge to 199,000 BTU REP�IRS d A1.TERATIONS iirst 5100.00 each aCd. S100.00 or irnction , x 53.00 • X 5��00 • x sz,00 x 55.00 � x ss.00 x 510. 00 � x S7,po _� x 55, 00 �_ x S5, 00 x S3.00 __� x S 1. 0 0 _� x Sio. 00 Ss.00 S�.00 State Surcharge TOTJIL F£E RET_NSPF(`TTAN [�rv TOTAI. S S S s S S S 9 S 9 S 3 S $ ,50 � .�Q � The undereigned haraby maka� spplicatio� !or m pormit for the vork I epecitied agraoing•to do nll work in atrict accordance with tho City end ruling9 ot the Depnrt�aont ot Euildinge, nnd hazaby declaro� that the taats and repreeentationi �tnted in thir application aro true ar.d ' Fridlay, Mn. 8-17-7? � 19_ OWNER THO AS HRA� KIND OF DUILDING fr� ` ' USED AS r��• TO BE COMPLETED A90UT • 8'2� -77 _, ESTIMATED COST 1'O�OO OL� - NEW EUILDYNG PERMIT N0. � PEf�t�XT N0. /;��J � �C..J c�h�" � . �6� Company ' SAI�I N �GASCO , Signed By' ' Tel. No. ROUGH INSP. ' � Date � ' . FINI�[, INSP. .S " l�o P ! ( . Dato . . 1�PPROVI�L TOR P�RMIT �L�� , � �. � , M2NIMUM FEE FOR �NY PLUMBING PERMIT 29 37.50 u SuBJECT c�ty of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M� T r � . � � � • COMMUNITY DEVELOPMENT DIV. r � v � PROTECTIVE INSPECTION SEC. � � l----�,��"';'� CITY HALL FRIOLE� 55432 NUMBER i 612-571-3450 910-F15 �oe nooaess 6360 Able Street t IEGAI LOT NO. BIOCK TRACT OR ADDITION �esca. 3& 4 6 lorence Park 2 PROPERTY OWNER MAIL AOORESS Tom Myhra, 6360 Able Street. Fridl�y�4� 3 CONTRACTOR MAIL ADDRESS REV Steve Bodinski Construction, 2215 139th Lane NW 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 8 DESCRIBE WORK Reroof (tear-off 9 CHANGE OF USE FROM � ADDITION ❑ ALTERATION TO STIPULATIONS Underlayment must meet State Building Code. pATE 6/30/98 ZIP 53 ZIP OX REPAIR TYPE OF CONST. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING. VENTILATING OR AIF CONDITIONING. THIS PERMIT BECOMES NUII AND VOID IF WORK OR CONSTRUCTION ZpNING AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONEO fOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS 1 HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION ANO ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING Of A PERMIT ], L} DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TME pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN. �gggg �59. S� STRUCTI OR T PERF NCE OF CONSTRtJCTION. � rj� a�/f�, PI.AN CHECK FEE �" j 7 License $ . ( �' SiG AiUREOFCON7RACTOpORAUTMOR�2EDAGEN7 IDATEI N P nPF PAGE OF � � 571-3342 PHONE 754-891 PHONE PHONE 26�401 0. �3 � 9� nVPNOVED Br SEE ATTACHEO SHEET LICENSE NO. � 20019069 LICENSE NO. LICENSE NO. O MOVE O REMOVE OCCUPANCY GROUP IOCCUPANCVIOAD OFFSTFEET PARKING STALLS IGARAGES SAC CHARGE $1.83 Fire SC TOTALFEE $67�25 ;j1 y IS IS VOUR PERMI � �/' 1 � r f1F T F NEW [ ] ADDN [ l ALTER [ ] CITY OF FRIDLEY SINGLE� FAMILY -AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 � . �� a� ��. �� ConstructionAddress: (y �j� �'�'� �� Legal Description: Owner Name & Address: ' n2 �'ci Tel. # ��/ � � j `� Contractor: �C�iJ � G `� ' n s� MN LICENSE #� 6 D% l�d �%� Address• � �� ! � �s2� �/Gc1. � pr�r, �r. S�S�v% Tel. # �5�,. �� • � � �'` Attach to this application, a Certificate of Survey of the � lot, with the proposed construction drawn on it to scale. , . _ DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: . Length _ Width Height . DECK AREA: Length ` W idth � HgtlGround Sq. Ft. Sq. Ft. Sq. Ft. OTHER: T�� .�,,�- a� 5gk� �- , : Construction Type: �� %�Oo � Estimated Cost: $ ��'? � � � 3 `� •��0 . (Fee Schedule on Back) ,, . Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � � U ��v � APPLICANT: � Tel. #'��i! �%��% Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Emsion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: _ CITY USE ONLY . $ S�Gj •�O Fee Schedule on Reverse Side $ �[ , �S ,3 .001 of Permit Valuation { 1 / l Oth %) $ �f Z $.50/$1,000 Valuation $ $1000 per SAC Unit � $ 5; p o $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering �� $ Agreement Necessary [ ] Not Ne�essary [ ] $a�5� ..... 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 . $25,001 to. $50,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 � or fraction thereof, to and including $25,000 $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 $50�,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. � .. �..,, , / Building Inspections 763-572-3b04 763-502-4977 FAX DATL• IGIIq jD� STfEAADRE55 3�Od TIi15 APPLICMf'C IS: PROPERTY OWNER/ TENA7\T SUBMIT A COPY OF YOUR STATE LICBNSE AND CERT[FICATE OF Il�St.1ItANCE PItOPERTY TYPE PERM:IT From: 7634124244 Page: 1/2 Date: 10/19/2009 2:15:16 PM BUILDING RESIDENTIAL APPLICATI4N CITY OF FRIDLEY YOUR E-MAIL ADDRESS C] OWNER ADDR�SS: W 31p0 l�1D 1 L »� qv �_- PHONE: rllr3� JT^J I•� 4�" STATB LiC&'VSfi #. ��'1 b�. +-� � • u �a___ �$3NCiLE CAMILYMEW CON5IRUCTION O TWO rAMILY.?dEW CO�IS'YRUCITON ❑ BASBMENT FIMSFI � RO�F � p�1{ ❑ SiDNG oF woxx: ❑ Ho� cor,s�xvcnox a annirroN s7rt7'IRH[dN[ A/RRPAIR ❑ IiL�IODELI DESCRIBE WORK B�ING EXP DATE ❑ DRAII: T[LC ❑ OTHER ��G O I-fOUSE ONLY WUMBER OF SQUARES 0 HOUSE 8t GARACE GA,RAGF�S 0 AITACHEO GARAGE PROPOSED SIZE: ❑ I7EfACHED GARAGE PROPOSED HE[GH7': 0� OSoffit O Aluminum O Trim ❑ Other C] Fescia �� g �p� iOCAT10N OF W1ND(?�VS OR FOR NEW 4PENINaS-OESCR3BE 51'LE OF pp6TilNQ CHANGFS 8c '�} t TYPE OF W�IJDOW'1�0 BE 1'VSTALLED +' bl NUMBER OF WTNDOW3 f AL�L FEES ARE BASED ON VALUAT ON, �1CLUDING THE COST OF (USING THE 1997 U.B.0 F'EE SCHEDUL�) TOTAL JOB VAL(JATION Pamit Fee P1an Review Fire Surcharge Surcharge License Surc6a�rge SAC Charge {;urb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ Permit No.: Re�eived By: -� IL1nrJ ztP A' � BASEMENT itE V�IODE[.iNG SUBMIT: t. Existin8 Floor Plan 2 Proposcd floor plan 3. List of struccural mcmbers to be use� FORNEW GONSTLtUCT10N JNCLt1DTNG QbCICS, AODITIONS 6c PORCHES SUBMLT• I. Site Pian�Survey showmg the existing stcucaues and proposed Proja'l.. 2. Two sels of conswcdon plans 3. Ener&y Ca�culations AND MATERtALS: See Back Page for Fee Schedule 65°fo of Buitding Permit Fee .OQI times the botal job valuation .0005 x Permit Valuation Miniur►um �.SO �5.00 (State Licensed Res'sdential Contrac�ors) �a20ii0 per SAC Unit (Plans to MWCC for det,eermi�tion) ft+6ft= fix$21 �$ $�F50 Cons�vation i'lan Rev�ev�' Fee Determined by Engineering Agreement necessarv () Non Necessary i) ,..u. TF�iS IS AV APPL[CATIONI FOK A PERHSIT-Af0'C VALID UNTSI. PROCGSSED C hereby apply for a building permit and I acknowlecige ihat the inforrnation above is cornplete and accurate; thaR the wo�k a`�« b� n' confamance with the ordic�ances and aodes of the City af Fridley and with the Nrinnesota Conshvctioa Cod.es; that I und�stand t6is is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in aocordance with �e aPPTa� Plan in the case of a�l worlcv�]c��q uires review and approval of plxris. �_ ii Yf v--�-f �l � 0�1'i � dQ n„ /fl� f( 1f� _!� �h:. /f a w A11 ns�rC — 51Gl�ANR� �F APPL[CANT r APPLICATION FOR RESIDENTIAL, ALTERATION, � OR AllDITiON BUILDING PERMIT CZTY OF FRZDLEY, MINNESOTA OWNER � S NAME • � /l Y` 4___. BUILDER :_�� `�' �'ll � . ADDR�SS t � .'> GO j��j�c � /� �- ADDRESS : � � /}'1 P .�. •�----- � NO : . 3 � STREET • „��L��- 7�� ,(� • G � I.OT :,,,�'„�_BIACK : � ADDITION :�/ O ��? L � �ct � f� CORNER LOT: INSIDE LOT:_�,�_SETBACK: SIDEYARD;�Q '� �,�.� Appl�.cant attach to thie form ltao Certificatea of Survey of Lot and proposed bu�.ldi�ng locatiox� dxawr� on these Certiiicates,. H�SCRIPTIQN OF BUILDING To Be Used As: ,�; ►�'E /'/4 � � Front : Depth : Height : Square Feet: Cubic Feet: Fxor�t s Depth : Height : Squaxe Feet; Cubic Feet: � 1�►pe of Cana�ruction: fl�t r Estimated Cost; '$ /�'d D— To Be Completed s / Z// �7 / 14►e ctadexaigaed hereby malceo applicatian for a�esmit �a�c the work berein epeciiied, agreei=r,g ta do a11 Motk in attict accosdance wl.th the Ci�tx af F�cidley O�dineace� ewd ruliags of the Depart!ment of Buildings, aad herabp d�al,�,ree that all the facts and representatione atated in this applicatioa are true and correct. DiATE: l� SIGNA7.'IJRB: (8ea Revsx�e Side For Additiaaal InfoYmation.) � 7 �°w,. . '� f pw —. ,�� .,- �, . (.� �� f� •'� C� ,� U Y r � �.-....�. `� � � _ � � � ��..r.__e ��'` `�t` � �/' � ..ti. � � . . � s` BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pennits for the exection of any building or structure, or for any addition to any ex isting building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the appli,cant for such permit of fees to the amount herein beiow set forth and in the manner herein pravided to-wit: UNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic fee�, or fxac�ion theraof, in such cubi.cal contents. Type 3& 5-�51.$5 for each one thousand cubic feet. ADDITIONAL INFORMATION Fox the puxpose of camputing fees for building permits, the cubical contenta of a�ny building or addition, is detennined by multiplying the ground area covsred £roin a point six (6) inches below the floor line of the basement or �he Cellar to the average heights of the upper surface oz to the average� hei�,b,t o£ �l�e roof surface of the main gable of a pitched roof. Foac repaixs o7r alterations to an existing structure, the fee sha11 be at the rate of $3.Q0 per each five hundred dollars ($500.00) or fractiou thereof in the cost of all proposed work. In ao case ehal�, the fee charged for any permit as set forth i.n Sectian 2 be lese tiha�n $5, 00, V�RIFICATION OF FOUNDATION NOTE: Perm�,ts for aonatruction will be iesued a miait�n of 24 houxs fram th� tine of application, to allaw•for proper revie�a of the proposed structure a�d - of the constsuction site. A Cext�£iQd Survey o£ the lot, shaaiiug the lvcation of the foundation, oace i.t ha�.beea caastructed, wili be required before vroceedina �rith the frami�ng. CERTIFICATE OF OCCUPANGY Applicatia�n for a Certificate of Occupaaey shali be made teu (lQ) days prior to tbe use ar occupaacy of �r etructure for which a buildiag permit has bee�a issued; and sai.d etructuxa sha11 not be used or oceupied until a Certiiicate of Occupancy has been issued. ., . � ,, � _ . City of Fridley, Minn. 6431 University Ave. 1�. E., Minneapolis, Minn. 55432 BUILDING PERMIT _ ��; - Seutembex 3� 197I -.�-� , � �- �-�.�� 8 �. Ownex: - To1n_MjZ'llra Builder �e..w.. ..._._..._._. _..___...__._.._._..�...._. ,Ad�t�e�t h�60: Ab1e _S,r,,�esG.�'I..�.L Address Same .y.._..__......_...—__�_..._._�.._._....___.._.:....�_. �, LOCATtON OF BUtLDtNG Na �x 6360 ��t Able Street N�E. �� .._.. �__•--._._ Part of Lot __..___ ________� �. 3,4 g�,� 6 ._,�.,� Addition or Sub-nivision . FlorenceMPark Addition Corner Lot �_..�. Inside Lot .-_.__-..X...�.�-.� Setback ....___.....35..___..._._ Sideyard _._-----1�L&. 4...f�.�_W______ �wer Elevatian ._. Foundation IIevation __..____..._...._..._....... DESCRIPTION OP BUILDlNG 'lb be vsea as: ��p1 ace Front _._.._.._..._. Depth Height Sq. Ft. Cu.. Ft ..:.._ ......� Ft�ant .�.. Depth _... Hei�ht __._.....__.._.. Sq. Ft. ..------------- Cu. Ft. _._...._w__. Z'Yl� ��struction -----�...aso-..nr� Es� Cost ..s�1�000.00 ._ _._.... To be Completed _.___._Dec.. 1, 1971 In cronsideration of the issuance to nne of a.pernut to construct buil ' ribed above, I agree to do 'ihe proposed work in accordance with the description above set fo d' compli with all p 'sions ot Oa'din�tncas of the dty of Fridley. - 50 State Surchar�e ~� �^ In consideration ot the paymeat af a fee oi $�.�.Q�._.._.. yhra .._..., perinit is hereby granted to.�... Tom M