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City of Fridley, Minn.
BUILDING PERMIT
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N° 7033
CAT O F UI�ING
No. ���stsaet _��.�5 f Part i.ct
Lot ._.._7�._.._ Sloak -_ .-?-4� Additt or 8ub-Divdai� � .
Ca�aer Lot 7ns[de I.ot � �tback v f Sideyard s •
Sewer IIevatioa ���� O IIevatton � �i �ir �'
-7FO(y o� ��vti�v�,
DEaSCRIPTION OF BUILDING
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In c�ms�tderatton of the issuaace to me of a per�nit to camstruct the buila9n8 above I agree to do
th� pmposed work in acxoraaac� wlth the desci3pt3on abo�►e set P�rth aad in cwm th af 1 pnrovisiona oP
�mdinant�s of the dtq of Fridley. 1� //�y-.— � /'�-
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In con�derati� of the �yment of a fee oP $�-,�� , permit is herebY grant¢d to
to �natruct the bullding or addition as described above. Thisp�ni t�is �ranted upon
the e�re� candittaa� that theperson to whom it is granted and his agenta, employe� aa� worlgnen. in aII work
8one in, arouad and upon seid buildia�, or anypar� thereo� s4all conform in all r�pects to the or�linanc�s of
� the�]in its and lac.atlon, conatruct[on� alteration� �te�, rePefir� of � � oF�
Ly ���� permit may be revoked at any ti:ae t�
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NOTIC�
7Ws pamB dea ue1 �� ths �, Ies�a0al�m tor r►Mes. P�e. o+� �. +erru er rratar B� wre to ns
da B�ng 1� ter a�ta p�tb far tlaw B�m�
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1'V'IiNDER. ENGINEERINC�1► CO.,INC.
Ef�Gi NEERS AND SURVEYORS
uNO euavev�NO 80t�3 TE3TIN�
GIVIL !r MIJNIGIPAL ENOINH6RIN0 LANO PLANNINO
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6418-56T� AVENUE N.
MINNEAPOLIS 2"f, MINN.
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WE HERf �Y C:EiLTIFY TFlAT• T�11S K A TRIJ� ANO GDRREGI` REPRESENTAT101�1 C� A1� $URYEY OF TNE 80UWQARtES OF TtF�
LlWp A$OYE QESCRIBED b1ND OF THE LOtAT10N OF ALL BWLDiNGS, if A�1Y, T1iERE0N , AND ALL VIS{8LE ENCROACF�IMEt11�i�
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SUBJECT
City: of Fridley
AT TNE TOP Of THE TWINS g � I L D I N G P E R M I T
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PROTECTIVE INSPECTION SEC.
1 . �
� _ �"'1 � CITY NALL FRIDLEY �5432 NuMeER
�---�� � �'' 612-571-3a60 9taF1s
108 ADDRESS 7830 Alden Way NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
OATE I � GE
4/14/98
oesca. 7 5 Pearson's Craigway Estates 2ncl Addn
2 PROPEiiTY OWNER MAIL AODRE8$ Z�P
Revin Haire 7830 Alden Way NE
3 CONTRACTOR � MAIL ADDRESS Z�P
Same
4 ARCHITECT OR DESIdNER MAIL ADDRE88 Z�P
5 ENOINEER
8 USE OF BUILDINCi
Residential
7 CLASS OF WORK
O NEW
8 DESCRIBE WORK
Soffit & Fascia
9 CHANt3E OF USE FROM
MAII AODRE38
❑ ADDITION ❑ ALTERATION C� REPAIR
TO
_25931
RECEIPT NO.
I���
APPROVED BY
r
SEE ATTACNEO
SHEET
PMONE
723-5728
PNONE LICENSE NO.
PHONE LICENSE NO.
PMONE LICENSE NO.
❑ MOVE O REMOVE
STIPULATIONS
, Install soffit ventilation to meet the State Building Code.
SEPARATE PERMITS ARE REOUiRED FOR ELECTRICAL. PLUMBIN(i, HEATINd,
VENTILATING OR AIR CONDITIONIN(i.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONINO
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOEO OR ABANDONED FOFi A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. ' NO. 01AILG.
t HEREBY CERTIFY TNAT I NAVE READ AND EXAMINED THIS APPLICATION 1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNIN(3 TMIS TVPE OF WORK WILL BE COMPLIED @1 2OO
WITH WHETHER SPECIFIED MEiiEIN OR NOT. TFIE GRANTING Of A PERMIT `P s
DOES NOT.PRESUME TO GIVE AUTHORITY TO VIOLATE OR. CANCEL THE pERMITFEE
PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATINGf CON• �40. LS
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
STALLS
OCCUPANCYLOAD
f PARKING
GARAGES
$.60
SAC CHARGE
Fire SC $1.20'
T TAL FEE
$42.05
OF CON'RA OR AUTMORIZEO A6ENT IpOAT 1 E �/pR Y VA�L,I/Q�'A D THIS IS VO PE�RrMIT
' ��d Al A/ eo/ %`.� �% �/'/1 ��• — �S �!
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ALTER
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ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R 2
BUILDING PERMIT APPLICATION
Effective 1/1/98
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Legal Description:
Owner Name & Address: 6 G� Tel. #?�C ���
Contractor: Sf�G(�l _ MN LICENSE #
Address: Tel. #
• � Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IliZPROVEMENT
�n� Width Height Sq. Ft.
�n� Width Height Sq. Ft.
�ng� Width HgVGround Sq. Ft.
� � T _ ��"
�o
Construction Type•So�/r'�;����� �r� ��ated Cost: $ ,/�OC`� �
' (Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _�
�
11 • �'' ' ' _%/1� L�i .'�I
I
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
TOTAL
. STIPULATIONS:
$ �.
$ °
$ �
$
$
$
$
$
$
� '�Z., �
CITY USE ONLY
Tel. # � ��
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,(�0 Valuation
$10(� �r SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above �
$450.� Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
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BUII..DING PERIVIIT FEE SCHEDULE
The Cluef 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 sucb permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$i to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,�1 to $1,000,000
$1,000,001 and up .
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $5� plus $2.75 for each additional $1� or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,Q00
or fraction thereof, to and including $25,�
$349.75 for first $25,�0 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,�0 plus $6.25 for each additional
$1,� or fraction thereof, to and including $100,000
$887.25 for first $1�,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,0�
$2887.25 for the first $5�,�0 plus $4.25 for each additional
$1,�0 or fraction thereof, to and including $1,�,�0
$5012.25 for the first $1,OQ0,� plus $2.75 for each additional
$1, �0 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.
Altemate "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 pro�r
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.
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CHIMNEY AND STACK VERIFICATION �
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined _ Yes () No ()
2. Is free from n�st or deterioration � Yes () No ()
3. Has no foreign objects lodged within Yes () No ()
4. Is securely supported y� �) No �)
5. Meets all current Code requirements for size �
and total BTU's connected _ Yes () No _(}
6 Has total heating BTi1's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes () No ()
S. Has combustion air been provided for water heater. Yes () No ()
Remarks: .
List ALTERATIONS Bein Done•
.� _ _..� _. , _��.� — -
� HEATING CO:
Signed By:
Date:
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