AF - 35732N° 394
Villa�e �f Fra�iley, 11�nn.
�UILI➢�1\TG 1'EIi,11�iT
o��e �� ��v����oa� o� su�.�nvGs
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O�rner �+� � � i �, r�""f
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Architect �,
Builder °'^ ° °��'���
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Fridley, Minn., t! `�-'` � _, 1g'�' +
t�
._.�'j
�b LOC1'�TF�T�d OF BUI%,DiT�TG
fr. ,�: ;�°�,
No. Street �` ��:� ��. ��� Part of Lot
Lot��T�.* ./,,,,� Biock � Addition or Sub-Division � r'����fri� F,,�'g.¢r�,r�l6�✓��;
I�r ;�';���:T'I�I°� OF �TJIIJial1�G
r
Front ,,,,: .' De th�,, � r fiei ht { f � f '-'�"' —
r' p g� Stories_ < Manner of Constructio� � `
t,� , , ts, � +r'"�- �,n ,±y ,� r �
To be use�i as ' To be completed ` �'� �" : 7� Estimated Cost �
� �
,�f� � ,� <`�, ,�t�t� �.�,�.-'", t!��rA� _�n�� �„� �'e. ��i°ss.
r v V /'i , `
Permit is hereby gra,nted to b��� = c��,'�' ''� � rt� �
z� - '
to +
the building f,%G � described in the above atatement. Th4s permit ia granted
upon the express condition that the person to whom it i� gr�nt°d, a,nd his agents; employees and workmen, in a12
the work done in, arotxnd and upon said building, or any part thereof, ehall conform in all respects to the ordi-
nances of Fridley, Minn., regarding the construction, altcra,tion, maintenance, repair and moving of buildings
within the city limite, a�d this permit may be revoked at any time upon vioiation of any of the provisions of said
ordinances.
�': f
��>.l ' <'� e ,i;' �" `z .e, ,�.
� � �..�.r � Inspector of Buildings.
AGREE�/I�T�T A T'7� SWQRI'�T STI�TEI�IENT
In consideration of the issue and delivery to r�� b� the AnC�ect.�r. os �3a.i�.c�in�u c�f Frzdley of
the above per�ait, I hereb,y agree to do the pro�c��e� �firork ?n aecorc'.ance �rith ihe description
above set forth and according to the provisions of f.�.e ordin�r�ces �� �'��z�.le;y, and, b�eir�g first d�a.i�
sworn, I hereby state and say that the facts �tat�d b� me a c� c�ni�?red �n t�e above ��rrrzit wre
true as therein stated. � t
� � ' �` �-?'"�t.��'R'.r i `
-------- - �
� L. � �,�
Subscribed and sworn to before me at Fridley, NIinr..esota, thi,:� ``
;
day of `� •��;,,� �.D. 19 �::-� :�'�!"
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sus�ecT PE
c�ty of Fridley _� 16 212
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
i � R
� � .
• COMMUNITY DEVELOPMENT DIV.
� � �: --•---
r � � PROTECTIVE INSPECTION SEG 3���
1 � i
� � /"'1 � CITY HALL FRIDLEY 55432 � NUMBER REV. DATE.� PAGE OF : �APPROVED BY
�'"'"�� ,�� 612-571-3450 9�0-F15 6/1/81 / /
JOB ADDRESS EjL�OO A�?�.e Street N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. 14,15 3 Florence Rark Addition sHEer
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Ed Calli.er 6400 Ab:1.e S:treet N.E.
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Decor Builders Inc. 2955 Bunker Lake Blvd. 755-9526
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUI�DING
Residential
7 CLASS OF WORK
CXI NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
S DESCRIBE WORK
Construct a 2Q' x 22' Garage
9 CHANGE QF USE FROM TO
STIPtiLATIONS p�vide a hard surface drive�zay. Garage must he ke�t 2� frcm existing
fence.
�I����
BefOre �dil��g cali locai u,iiities ���RRI�; p�RMITS I?E
�c��or�E - ��ECr�cc •:��s �t�. �A��ti,�, �c.un�erN� a����Ft� Foa yy����G«
REC�UIRED �Y LAW S�Gi�$,
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 20NING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 44O �i�iOO
OR WORK IS SUSPENDED Ofi ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLCa. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPUCATION STALLS GARAGES
AND KNOW THE SAME TO $E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4��-5H y�2.OS
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON-
\SrTR}}��CTION OR THE PERFORMANCE-0F CONSTRUCTION. 517.60 NONE
\ / : � PLAN CHECK FEE TOTALFEE
/ \ � "' ( ` � � NONE $19. 68
I NATUREOFCO CTORORA Ofi12EDAGENT IDnTEi WHEN PROPERI�.Y ALIDATED THIS IS YOUR PERM17
.� � �. � I �
SiGNATUAEOFO�NNERIIFOWNERBUILDERI IDATEI BLDG INSP pTE� �
CITY or r-�zz��_�Y � .
r�rr�_rc;n�rz��� r�orz f;l:SIf)t:i�lTI/',i_ [3UIL.DIilG ��ec���r�rs �
� (tJe��r, Al (:erations, /idditions, or Rcrairs)
Ot�rflE:R: _�1�7 ��( 11�014 C��,L1.£� �.;, �UIL�ER: �� ��1����� tl��;
noa�r_ss: G�/aa f��,�..�, Sa°:' �'v'.� ,E _ nt�Uncss: ...�29 �" ��.� y�,��..� ��.va.rOr'�
�rc� n;o: . r« ��a: ' S 5 � `� � �l,�
� Construction Location '
• STR�GT NO: �/�/Q �'j Sx'RF•.'t:T: ,Z . �E,
` F�to��.F,�.� � ��O�J�Ta
. �
L07.': BLOCTC : � I�DI�ITION : -r�-11 �t •° � ,� n Y� �
.:..C�L��_._. �'`� _ C
' / r �
Cornex Lot: 1/ Insicie Loi: Set}�acY.: %,j _ Sideyards: o?
Ap�Iicant attach to i.his form ��ti�o Certificates of_ Survey o� lot and
proposed building tocation draGan on certi�icate� to scale',
. � DESCRIPTIOit OF C�FjST�i1G7I0Pd -
� .
. Front: � �� � Depth: _� � Iieight: �_i (�
Squa�e: Feet_ ^LJ,C�Q Cl.ibic Fee�: .�(� •
' k'ront: � Depth: Heiglit:
Square� I'eAt: � CUbic Peet: �
. �.11�8.�
�'YPe of Construction : _ �-��,� Esta.maL-ed Cos �: $ '��f'l0 D .��
. . , . ��
7b Be Oor,�pleted: % — � - � . � �
� Alt. � Alt. B
Proposed.Drive�•�ay i�r'idth lf New Opening Ts Aes3sed: $' $
. SL� Rc�VERSx' SID� �F SFIEET
7:iie undexsigned herehy niake� applic�-�tion far a permit- fcr the �:nrJ:� hexein speeified,
agreein� to c3o _all work in strict accorrlance 1•�ith ttie Cit�� of Friciley OrdS.nances and •
xuli.iiqs oi Llie I�ep�lrtmei�t of B�iildings, and hereby c�ecl�res that all tlie facts �nd �
rcpres�n�-�t�.ons stated in �his applicatian �re true and correc�.
D.'�TIi : _ �j -- � "' d / S IGNA'.CU F.r : �
Sti��ul:��i:ions :
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� . r�.����r��r1c��>r�r,���i�r r-�_�_ sr.ctrr.�u�_�:.�.. ,
F31.:C;'1'�f01J 'l.. 'J.'l�� 7n�.c��crLc>r of. )1�u.).c?.i.r�rl:: ::1►ri)..1., },cfc��:c �.r,�;t.�i.iirJ- a�cnna.t::; fc>r l:hc crcct.ion
c>f: ,,.>>� ),u�.l.cl.i.n�� ux: :�i.:.u<:t:u�:cr c�l� fc»: c,i�y �zcl<.TS.t:i.c,n t:r3 �u�y cr.a.:st_i>>�� )�uzlclincj o1 :>LzucLurc,
. ci1' 1:c�1' ar,y 1iJ.t:az:�:it�.i.c;t� or. r.cJ.,�►i_r. ; t.o •�u;y c::.i.�:t:i.n�� hui.).cii.�i�� or. ;;L-�;ucturc, taJ��ri Zr���la.c.at.i.vn
�ihr��:�.f.or.�c, �T:c�c�u.irc t)��� }�����mci�t: )}y tl�e ar�>>;l.i.cai�t. f.'or. s;ucli }�r�r.i:��.L• of.� fc:c:; to tlie ain�unt-
i�cr.c:.i.r� bc.l.ael sc:� Toa:L-}i �utQ i.0 f�lic r����nr�c�� hci:c�.n r�a.-ot,�S.c1c:c1 to—t:�:iL: • .
NI�:1�1 Cp1dS°1']:UC'.CIUt�: �incJl.c l.'ami.l.y Ilotcr_� and G��r.aqes: ,.�7.0�/7.,0�0 cul:,�.c �ec:t:. .
)'7�7::2 CiII:Cl:: 25 ��cer.cet�i: aL hti;.lcxi.n�1 }_>e�-miL i�e.
Ultl:�'I;l•?11Y llL•'L'I;c:5S:f.01•;: (CanczeLc, 41rrb ;Lreets Only) � '
' 1�].ter»�ii:e n: ltt��noval aT�d r.c��J.acement of concr.ete cur.0 and
� q�xtL-er, or�ly; l�rivea�ay t•riclt-}i pJ.tis 6 feet• x$13. �0
112tcrn��ic 13: RFmoval and r.ep�.acem��nt of concrete curb and
• gut-�er ar,d install a 3 fooL- ��icie anpzoach t.�it:h �
.� 6 inch cic.pth; Drivcv�ay widL-h �plus G£eeL- x$15,, 75
• • ._.8��--`l I �f��JtL,. I P�ORi�1/LZI OP!
i'or tlie purJ�ase of compuL-i.ng �ees far bui.lding permit��, t:lze cubi.Gal. coz:i:ent-s of any
bua.id3,ng or acidiL-ion, a.� dci:er:n�.ned by rnultiptyir�g {.:he ground area c��ver�d fro:�i a
Z�U].71�:. 51Y. (G) i.nches belo�� thc flaor. ).�.ne of the bascment or th� cel7.ar Lo 't2�e .
average hcights oi i•hc •uppc:r sur.face oz to the avera�e heic�ht of the roof: surf:ace
oi i:iie raain gabl.e a� a p�.tched raoi'. '
Fox' re��-zi_rs or attc�rations to an exzsting structure, the fee shalJ: }�e a� the rate
..of $3.00 z�cx� cacli fivc hundrecl dollars ���$500.00) c►r �rac4ion L-]zereo£ xn the cost
of al]. proposed wor.Y.. .
IT� •no case sh�-��.1 the fce cIiarc3ed foz any p�r►nit as set iorth i.n Sectic�n 2 be �ess �
tiian $7.50 p1.us $.50 state swrcliarge. . � •
" ' _ V C R I F I C.�`E� I Oi�! O F F(1U i�[D /1l- I O[d
NOTE: Pennits �or con�t�-uction c�il]. be issued a miniintim of 2� hours �r_om flie tim�
oi c?�j?�.1.Cd�lUt1 t0 �i]_I.oc� for proper rcview of t}te praposed structure and oi the
construction site. � '
;. �
A Certificate � of SuYVey of the lat, shocti=a.i�g the locat�.on of ti�e €oundation oiic� it
has been coi�s�nlc�ed �.=ili k�e reguired before' pr.ocecdinq with the �raminc�.
�I�TIFIGIITE �F ���UPi1l�CY . �•
��PP�a•catic�n �:�r a Certificate of Oceu��ancy shal]. }ae mad:? ten (1�) : �?z�ys karior i:o the
�i�.e oz c�cc�irsiicy af any sti`ucture for �sliich a bui.lciii�g �3err,lit }:as been a.ssuec'#; aiid
sc�icl struct:uxc s�13].]. I10� J.)C IISCCI O�' OCC:L1j�1GCi l:iita.l a Cexi:�.iic�i�e oi Occu��lnc}� has
LDCGGII �JSLlCC�•
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• � � � ., ' '_, . . . . .. ' .
sue�ec� � � � � IT NO: " �� �
City of Fridley �� � � � � � 2 8293 ���� �
AT TNE TOP OF 7ME TWINS ��� L D I N� P E R M I T
f
� �
� � .
� • COMMUNITY DEVELOP�ENT OIV.
� ; � _ ..� �
r � � PROTECTIVE INSPECTION SEC. ��
� ,
i-__-�; �"'�'� CITY NALI fR10LE� 551J2 NUMBE9 REV O�TE VAGE OF •vanOvEO Br
i 612-571-3450 9i0-Ft5 10/19/98 � /
JOB ADDRESS
6400 Able Street NE '
t LEGAL ��T NO. BLpCK TRACT OR AOOITION SEE ATTACHED
oesca. 14, 15 3 Florence Park Addn. SHEET
2 PROPERTY OWNER MAII ADORES$ ��P PHONE
Jose h Thomas 832 96th Ln NE Blaine 55434 - 2
3 CONTRACTOfi MAIL AOORESS ZIP PMONE LICENSE NO
Inde endent Realt Inc. 18 h A -
� ARCHITECT OR DESIGNER MAI� ADDRESS ' iIP PHONE LICENSE NO.
5 ENGINEER MAtL ADORESS , ZIP PMONE LICENSE NO
6 USE Of BUILDING
Residential
7 CIASS OF WORK _ . ;
O NEW O ADDITION O ALTERATION � R�PAIR O MOVE O REMOVE
8 DESCF;IBE WO},R�K
Reroof ��ffeand ara e 19 S Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TY � dF CONSL OCCUPANCY GROUP OCCUPANCV IOAD
SEPARATE PERMITS AqE REQUtRED fOR ELECTRICAI, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
TMIS PEiiM1T BECOMES NULL AND VOIO IF WQRK OR CQNS7RUCTIQN jONING SO. fT CU fT.
AUTHORIZEO IS NOT COMMENCEO V�1ITHIN BO DAYS. Ofi If CONSTRUC710N °,
OR WORK IS SUSPENOED OR ABANQOMEO FpR A PERIOQ Of a2p DAVS A7 �`
ANV TIME AfTER WORK IS COMMENCED. " NO �WIG. UNI75 OFfSTREET PARKING
1 MEREBY CERTIfV THAT I HAVE READ ANQ �XAMIN�D THIS APPlICA710N STA�LS GAFAGES
ANO KNOW THE SAME TO BE TqUE AND CORREC�. ALL PRQVISIQNS Of �NWS VALUATION SURTA%
AND ORDINANCES GOVERNING TMIS TVPE Of WpAK WIIL Q� COMP�IEO
WITM WHETNER SPEGFIEO MEiiE1N OFi NOT. TNE GRANTING Of A PERMIT $162H .HL
DOES NOT PRESUME TO GIVE AUTHORITV 70 VIOIATE OR CANCEL THE pEqMIT fEE SAC CMARGE
PROV�SIONS Of ANY OTMEii STATE OR LOCAI LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �S�F.00 F1Y2 SC �1.63
P4AN CMECK FEE TOTAL FEE
¢�� �� ,_.,_ �b J� �� License SC 5.00 61.44
S�GN�TUpE OF CON'i7A(;TOQ Op AU� pizEO �GENi ��O�iE� ' WMEN PROPERLY V I ATED THIS I$ VOUR PERMIT
- r �,GSG�f
S�GNaivaE O� OwHEp��f pwHEp BuaOEA� ' � �O�iE� � � � ��� �� � BtOG" NSo '� � � nntE
i
NEW [ )
ADDN [ ]
ALTER [ ]
CITY OF FRIDLEY
SINGLE FAMILY A��1D DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: __� �ir1 � � �C� S %; �i/ �_ ,
Legal Description:
Effective 1/1/98
�� U
�� G�
� 1
J vr�cr .. r , .�. . ���L�/N.� �
Owner Name & Address: �3�Z — 96� LN�,cV.F� , r`iti �s �3 y Tel. # 7� 6-f � �6 �J
Contractor: �/vpE ��v-p€" �v7� ��.�L 7-y? ��j r' MN LICENSE # ��%!� C� �
Address: cj � .� 0 � /N I��fZ � ,�n u� TTZ.4-1 �. } Tel. # �iz -s ?� yys C�
. . � � . � 1 �J � - T��TI S _ � �� � I
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certi"ficate of Surve� of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
�— `�'
Construction Type: ( � �O �� Estimated Cost: $ � � 2 �
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: /�� -/� �� APPLICANT: i�� L.c'�,� ����,�����i.-- Tel. # 6�Z � 7/- �Y's T�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ s'�y v �
$ �
$ .gr
$
$ S�� OC�
$
$
$
$
$ �% �'
CITY USE ONLY
Fee Schedule "on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.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 [ ]
BUILDING PERMIT FEE SCHEDULE
The Chief Building Of�cial 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
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,041 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for iirst $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
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for iirst $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2$87.25 for the first $500,000 plus $4.25 for each additional
$1, 000 or fraction thereof, to and including $1, 000, 000
$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 oniy - 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.