AF - 44274�� �� Q . �� . r�`; �"'�
City of Fridley, Minn.
BUII,DING PERMIT N° 3 6 7 5
�— � � � ,� � ,� /� ��
Date: ..........................�....... �'! /6/
Owner ....................................... Builder .... .... .. .... .°�'��................
Addre�s ...................................... Address .............................................
(�,�53 L�CATION OF BU[LDING
No. `: �°. ."� Street . .�iVv'1l�L�i/.f ..!��! : . . �� ParE of Lot
..... ......... ............
...
�� ���: �.Y. B�� ....�........... ��� or Su���� �� . �.... ...... ..
Corner Lot ............ Inside Lat ..�........ Setback .��.�::�� . Sideyard..���."� � ...
................
DESCRIPTION O�' BUILDING
To Used : � �
� -� � � Depth ��: .�� Height � .��. : �.� 5q. Ft. �� Cu. Fk /. � i. (. �
. .. .. Fr�t .......
. . . . . . . . . . . . . . . . . . . . Fro�t . . . . . . . . Depth . . . . . . Height � . . . . 5q. F't. . . . . . . . . G�. Fk . . . . . . . .
Zj►pe of Constructton ................... �at Coet..[.� /��.... . To be Completed ...................
In c�onsidera.tion oE L'he issuance to me oP a permit to construct the building des�ibed above, I agree to do
the propaaed work in accordance with the descrlption above aet f, attd in compliance with all provis�tons oP
ordinaaces oY the dty oP Fridley. �
.�. � . . . . . .. .. .. .. . .. :. ."--: : :�. .... . .. .. .
�f' ��
In consideration of the payment of a fee of $..�/......., permit fs hereby granted to ...................
................. ........ to construct the buildiug or addition as described ab�ve. This permit is granted upon
the express condition that the person Ro whom it ie �anted and his agents, employees and worlmnen, ffi all work
done in, around and upon safd building, or any part thereof, shall conform in all respecta to the ordinances oP
Fridley, Bdinnesota regarding location, cons�truction, alteration, maintenance, repair and moving of bu3ldin� with-
in the city limits and this permit ma.y be revoked at ar►y time upon violation of of the provisions of said
ordinances. v , � /"
.` B{uilding InSpeCtor
0• Aii _ • 1
NOTICE:
Thls permlt do� not cove� the construatlon, Iristallatlon or atte�ation io� wlring, plumbing, gas heatiner
sewer o� water. Be su�e to see the Buildlrtg Inepeator for separata permHs fo� thes� Itema
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Caty of Fridley, inn
- BUILDII�TG PEFiMIT N° 5928
Date: _.��rf "�' �L' �
�� ���� �
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Owner: - Builder ,,r'� '. � �� `'�-.+�
Address Addreaa
-� � L ATIO BUILDING
.
No. .� -�' Street - - %<�:;r .,L. '��...... Part t �
� _ Block �-- _-- Addition or Sub-�pivi .' ` `
Corner Lot � Inaide Lot ���ack x '� ��3'�d !�.. :{
Sewer IIevation � Fo dation IIevation
DESCRIPTION OP B�JILDING
To as: ,�,� �.A �,�� ���
, � � r..
Front ��""� Depth Height � Sq. Ft. ' Cu. Ft `
Fron DePth i t .�. Sci. Ft Cu. Ft
: _C� '� `��,.�.
Type oP Canstruction'���`°�`� �t �'�.. �, To be Completed —..
In consideration of the �tssuance to me of a permit to constxv�ct �Fhe building described above; I agree. to do
the proposed work in accordance with-#he description above set forth and in complianc:e wlth all provisions of
Qrdinances of the citY of FricIIey.
p�
In consideration of the payment of a fee of $: ..,,��"'� , Permit ie hereby granted to
to construct the building or addition as described above. This permit is gra.nted nPon
the express condition tt►at the n to whom it is granted and his agents� employees and worlunen, in all work
done in, around and upon sai building, or any part thereof, shall confor�m in all respects to the ordivances oE
k'ridley, Minnesota regarding location, construction, elteration, maintenance, repair and moving of biuldfngs
within the dty limits and this perinit may be revoked at any time upo violation of any of the Prov3sions of said
�� �.�`� � .r"'°",�
;.:,;:;� Bu3laing Inspect�
NOTIC� '
This permh does eot eover t6e constroeNon, .iosta0adoe fee vrGteg, plumbfng, eas heaNng, sewa' or watar. Be sun io s�
ths Buildine Inspeeloe hr saparate permhs for thasa items. -
�—�,: �„ r 4 � � ,. •t;.-�
', �
►�_r ,y.�
APPLICATION FOR BUILDING PERM[T
CTTY OF FAIDLEY, MII�N�SOTA
._., � ;��, �
Owner's Name %�/c�ii dw� � � ti D�S' Builder �S�'� � S�< �J�'�� �- �%
Address �.�53 /�i ►- '�h�v�. $i %�� Address /�.�c� �� �� J��P - S'f P���
LOCATION OF BUILDING
� � � `� Stree���`k��z�� �' .,�Part of Lot
� � (�.-a� �
Lot �c r,� B�ock �Addition or Subdivision
Corner Lot Iaside Lot � Setback Side-Yard
�TWIiR EE.EVATiON FOUNDATION ELEVATION
Applicant attach to Chis form Two Certi£icatea of Survey of Lot and proposed
buiidin,g location drawa on these Certificates.
DESCRIPTION OF BUILDSNG
To e used as:
c�c� �
Front �'`" Depth�Height / ��
Sq. Ft. ;�� �' Cu. Ft. �� � �
Front Depth Height _ _
Sq. Ft. ' Cu. F't.
Tyge of Gonstruction �w�iu �. Eetimated Cost � So-�
To be Completed
9.'he undersigned hereby makes application for � permit for the work herein
specified, agr2e3ng Co do all work in strict accordance with the City o£
Fridley Ordinances and rulinga of the Department of Buildin�s, and hereby
declaree that all the facts and repreaentations stated in this application
are true and correct.
DATS %�% cZ � j - /��
(Schedule of Fee Costs can be found on the Reverse 3ide).
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HUZLDIATG PERMIT �}3E SCHEDULE
.. . , . .
Section 2. The Inspector oi Buildings aha11, before issuing any permit for
�he erecCion of any building or structure, or for any addi�eioa to aay exist-
iag building or strucCure, or for any alterations or repairs to any esisting
building or stiructure, upon application therefor, require the payment by the
applicant for such permit of feee to the amdunt herein belew set forth and
in the manner herein provided to-wit;
2.1. For aay auch perm3t for the erection of any fire-proof building, other
t�ian a garage� warehouse, £actory or grain eleva�or, or for the erectian of
any fire-pxoo£ addit3on, for similar occupancy, to any e�ieting�building
shall be at the`rate of $1.40 for each one thousand cubic £eet, or fraction
�hereof, in auch eubical coatents.
2.2. For any such permit for the erection of anq fire-proof g�rage, warehouae,
factory or grain elevator, or for the erection of aay fire-proof addition,
for similar occupanc�+, to any existing building shall be at the rate of $1.25
for each one thousand cub3c feet, clasaified as °1fireproof" by Section 502 of
the Minneapolis.Building Code.
NOUSES
2.3. For any such permit for the erection of any non-fireproof buil.ding other
than a garage, warehouse, factory or grain elevator, or any non-fireproof
addition, fo� similar occupancy, to �any existing buildit�g - pesmit $1.00 for
each oae thousand cubic feet.
GARAGES
2.4. For any such permit for the erectioa of any non-fireproof gara�e,
warehouse, factory or grain elevator, or for the erection of any non-f3iregroof
addiCion, for similar occupancy, to �ny existing building or for each auch
buildiag or addition - niaety cents ($0.90) for each one �housand cubic feet
or fraction thereof, ia the cubical contents thereo€ with a mini�im of $4.00,
For the purpose of computing fees for building permits, the cubical coateats
o¢ e.�q building or additioa �o a uniform height throughout by multiplying th.e
g�ound area covered -fram a point �ix_(6) inches below tbe �loor,�line of the
basement or cellar ta the average height of the upper surface or. to the
average.height of the roof snrface of the main gable of a p�ttched roof.
2.5. For repaira or alteratione to an exiating structure, the fee ahall be
at the rate of $3.00 per each Five Hundred Dollars ($500.D0) or frsction
thereof in the cost of all propoaed taork.
2,6. Ia no case ahall the fee char�ed fnr anq permit as set forth in
Sectioa 2 be 1ess,th�n $4.00. �
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cs. ' .
sue�etr PERMIT NO. �
City of Fridley 27893
' , AT THE TOP OF TME TW�NS g � �� D I N G P E R M I T R O
r
� �
� • COMMUNITY DEVELOPMENT DIV.
� � �: - Q� �
r � � � PROTECTIVE INSPECTION SEC.
i = �
� r"�1 � CITY NALL FRIDLEv SS13Y NUMBEA REV OATE PAGE Oi APPROVED BY
������" �'' 612-57�-3a50 s�aF�s 9/21/98 / /
10B ADDRESS 6553 Arthur St NE
1 LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACMED
DESCR. N� 23,24 4 Oak Grove Add�tion SFIEET
2 PiiOPERTY OWNER MAIL AODqES$ ZIP PHONE
John Lund 571-6866
3 CONTRACTOR MAIL AOORESS 21P PNONE IICENSE NO
American Roofing & Const 23624 St Francis Blvd St Francis 55070 753-7451 20109395
d ARCHITECT OR DESIGNEF MAIL ADORESS ZIP PMONE LICENSE NO.
5 ENGINEER MAIL ADORESS ZIP PHONE IICENSE NO
8 USE Of BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reroof house & garage (19SQ) Tear-off
9 CHANdE OF USE FROM
STIPULATIONS
TO
Underlayment must comply with the State Building Code.
TYPE OF CONST. OCCUPANCV
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. FIEATING.
VENTILATING OR AIR CONOITIONING.
TNIS PEi;MIT BECOMES NULL AND VOID IF WORK OF CONSTRUCTION ZONING SC. FT
AUTHORIZED IS NOT COMMENCED W.ITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOO OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS
I NEREBY CERTIFY THAT I HAVE READ AND EXAM�NEO THIS APPLICATION S7ALl5
AND KNOW THE SAME TO BE TRUE AND CORFiECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED $1�62S.00
WITH WHETMER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE Ofi CANCEL TME pEqMITfEE
PROVISIONS OF ANV OTHER STATE OR OCAI LAW REGUTATING coN- $54.00
STRUCTION OR THE PERfORMANC F C STRUCTIO
: � PLAN CNECK FEE
_ ,�, , Licens�, SC $5,�0
D AGENi" iOATE�
�
cr �oao
CU f T
OFFSTREET PARKING
IGnRAGES
SU1iTAX
�.81
SAC CHARGE
F re SC $1.63
TOT L EE
$61.44
THIS IS R P RMIT �
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ADDN I l
ALTER [ ]
ConstructionAddress: �
Legal Description: _�
Owner Name & Address:
Contractor:
Address: � �77.,'� c
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1 / 1 /98
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Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Gr und Sq. Ft.
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Construction Type: � Estunated Cost: $ � ����
(Fee Schedule on Back}
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
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DATE: , � APPLICANT: Tel. # � � � �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
MI'�_:M��
CITY USE ONLY
$ � 7 U� Fee Schedule on Reverse Side
$ /. (a.3 .001 of Permit Valuation (1/lOth%)
$ � � $.50/$1,000 Valuation
$ $10(10 per SAC Unit
$ �. D 0 $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservadon Plan Review
$ Fee Determined by Engineering
$ Ag�eement Necessary [ ] Not Necessary [ ]
$ 1.
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BUII..DING 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
$1 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
$500,001 to $1,000,000
$1,000,001 and up
FEES
$21 (Minunum 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 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 $SO,OQO
$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 first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$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)
Altemate "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.
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