AF - 44277� SUBJECT PERMP .
c�ty of Fridley ' �s �o
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � RECEIPT .
� `y _ COMMUNITY DEVELOPMENT DIV. /�� �
r � � PROTECTIVE INSPECTION SEC.
� _ �
, �'��1 � CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVED BY
�""'� � �'� 612-571-3450 910-F15 11/15/84 / /
J08 ADDRESS 6560 Arthur 5txeet N.E,
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. Fj 3 Creekridge SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Brickner Builders 1441 Ri:ce Creek Road N,E., Fridley 574-9871
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
S ame
4 ARCHITECT OR DESIGNER MAIL ADDRESS NOT GUA�N t' ^' PHONE LICENSE NO.
;r.� C1tY OF FRIDI� DO�S
�y MIp kl'r.'� F1r..
5 ENGINEER MAI►,dtOJD,ii�i �(� �Q � fO�At� ��OSE� ZI�` �L �` ' PHONE UCENSE NO.
5:,1: ZiiE INFO►.'���lv��
8 USEOFBUIIDING r�il.s.;�+��
liesidential �+1 THE �Y�
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
ConstYUCt a 48' x 27' DHrelling and a 22.66 x 28.33' Ga.rage
9 CHANGE OP USE FROM TO
STIPULATIONS provide sod in the front and side yaxds. Provide City with copy of
verifying survey. Provide a hard surface driveway.
SEYnTER LOCATION: "Y" 48' North of M.H., "Y" ELEV: 877.84 1NAR��NC
WATER LOCP,TION: I� in same trench as sewer Before digging ce9� Joca! u�laiies
'it�P OF F�TING : ssa:84 mir�num ��EpHONE - EI.ECTRIC - GA'� �tc.
PAID PARK FEE: $1,500.00 REC�UlRED �� ��J
DR2VEWAY ESCR�'nT: $324.00 for 18" � 6' = 24' x$13.50
��pERA1fE PERMITS. REQUIREQ FOR WIRI�f�
HEP+TI�l�, PLUMSiN� AND St�NS..
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY OROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOOC� FY'c'IIR
THIS PERMIT BECOMES NULL AND VOID IF WORK OH CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 123 5+ 533
ANY TIME AFTER WORK IS COMMENCED. • NO. OWLG. 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
WITH WHETHER SPE FIED HEREIN OR NOT. THE GRANTING OF A PERMIT $66,600 $33 .3O
DOES NOT PRESU TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
P OVISION Y OTHER STAT R LOCA LAW REGULATING CON-
S UCT E PERFORMA E F CON aucrioN. $334 e OO CREDIT FROM SCHOOL
LAN CHECKFEE TOTALFEE
� �� �f � 83 . 50 $�� $450. 80
IGNATUREOFCONTRAC a o 12EDAGENT IDATEI WWEN PROPERLY LIDATE THIS IS YOUR P RMIT .
C�/
_ / V�
SiGNATURE OF OWNER pF OWNER BU�LDER� iDATEI BLDG INSP �ATE
�
.
, _ -
,y -
�'
NEW [
ADDN. [ ]
pLTER. I �
Construction Address: �? �
Legal Description:
City of Fridley Effeetive u/1/8�1
�R-1 ApD R-2
Building Permit Appliaation
Owner N�ne & Address:
Tel . # � "`�' �` - � r�
� � ���'
Contraator: ��'i�.:,^.; a-_�__ Tel. #
� �i'`y , �, � _ g: �r ?i?'.
r- �+� � - _ _ ��
Address: -.
LI9II�IG AREA:
GARAGE AREA:
DECR AREA:
�-
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construetion draWn on it to seale.
DESCRIPTIOH OF II�IPROVEMENT
Length Width Height Sq. Ft. t2��
Length Width Height Sq. Ft. �+�
Length Width Hgt/Ground Sq. Ft.
� �
Corner Lot [] Inside Lot G�(] Ft. Yd. Setbaek � s Side Yard Setback-� � b
Type of Construction: ���� -"�
a
� � �✓
Estimated Cost: $ '�
Approx. Completion Date: i ' �d��' �rg � `` `__
, �' i��
�`�Q�'� Alt. A Alt B
Proposed DriveWay Width If NeW Opening Is Desired: ���►� $ 3Z $
See Baek Page for Explanation
DATE: �� � ' ��
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
SeWer Main Charge
TOTAL
�';� ' � !` ' ,,
� -v'� ,�`' ;" '-� �` ,: � �' � ,�
APPLICANT: � � -� � f�2., ��� , ,� � � �-��--e, Tel . #�
��`��" �
CITY IISE ONLY
� �,QU Fee Schedule on Reverse Side
$ �� 25� of Building Permit Fee
$ �,�,� �.50/$1,000 Valuation
$ C.'�.1�9:ieP E`a�N --�425 per SAC Unit
� 1 soo .0 d Fee Determined bq Engineering
$ �_
O Agreement Necessary [] Not Neoessary []
$
STIPOLATIONS: �.. 3'Z1,��(�4 Q�:• ��
2'L'�t.8�
0
0
\ Iy
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� ' `♦
BIIII.DING PERMIT FEE SCHSDIILE
The Chief Building Offieial shall, before issuing permits for the erection of any
building or strueture, or Por any addition to any existing building or strueture, or
for any alteration or repair to any existing building or structure, upon applicatio n
therePore, require the payment by the applicant for sueh permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
Total oaluation
�1.00 to �500.00
Fees
$10.00 (Minimum Fee is $15.00)
$501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each
additional �100 or fraetion thereof, to and including
$2,000.
$2�001.00 to $25�000.00 $32•50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraetion thereof, to and
ineluding $25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for eaeh
additional $1,000 or Praction thereof, to and
ineluding $50,000.
$50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each
additional $1,000 or fraetion thereof, to and
ineluding $100,000.
$100,001.00 and up
$�+33.00 for the first $100, 000 plus $2. 50 for each
additional $1,000 or Praction thereof.
DRIVEfiAY DEPRESSION ESCR�i
(Conerete 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 replaeement of curb and gutter and install a 3 foot wide
approaeh With 6 inch depth - DriveWay Width plus 6 feet times $15.75
VERIFICATION OF FOIINDATION
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 onee it
has been Qoastrueted will be required before proceeding Kith the Praming.
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= ��q��.g�
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., OWNER De � �i�NC�_DgG,�r s 1 ��...
SITE ADDRESS (� J+6 � � T/�l%�_ �
CONTRACTOR_ ���`f � p�� I�,�'' PHONE �� ' �Cd %�
• � .
- • Determine working square footage of each. ,
1. , Totalyexposed wall� area . . . . �•�' � sq. ft. x �� _� � • /
,
� 2. � otal roof/ceiling area ...,/ Z-� sq. ft. x' 0� = v Z.
�
0
� Total exposed wall area above floor =
a. Total wall window area . . . . . . . . . . . . . . : . . . . . .. . . . . 7i �,S �
b. Tctal. aoor area.. ............................�... 3 7- 69
c. Total sliding qlass door area ................... 'j�. g L
d. Total fireplace wall area..•,,,,,,,,,,,,,,,,,,,,�
e. Total �wall � framing area (average 10/) . . . . . . . . .. . • S' 3
f. Total net wall area above floor ................. /7
g. Total rim joist� area,,,,,,,,,,,,,,,,,,,,,,,,,,,, /39D• 77
, • Total exposed foundation area = .
� h. Total foundation window area ....................
i. Total net foundation a�ea above grade..........._ v
. • . -
' • Determine "U�" value of each wall segment.
, , ,
3.
a, Z�s:ay X „U„
b ��•.G� X „U„
.
� ?9. qv X .,U„
.
u
. tig = � .��, �/ ,�- E �'""
• s' 8 � 2�/ • ��6 �� .
. 3 8 � 30 . 3 6 . �u� ��`' '
a. X .,U„ _
e. �S�y�' S�3 X ��U�� •�,. . � / � _ � �• % �
f.�� . X.,U„ .,oy = 6.9�
.�
g 3a.7 x„U„,d =ss�6�
h . X ��U ��
i �"% L X ��U ��
.,y7 _� 33,�
..............................Total = L Z 2 - � v
0
�
�
� r
—L—
� .
If item #3 on previous page is the same as, or less than item #1, .
you have met the intent of SBC 6006(c)2.
� Total exposed roof/ceiling area = � L�0
j. Total skylight area .......................... •
k. Total roof/ceiling framing area (average 1C�96)
l. Total net insulated roof/ceiling area........ �
•?- Determine "U" value for each roof/ceiling segment.
' � � X oU n = .
�X oUn ' �.
. k. � _
1 f � " 1/ �i ' uU n . 0 �/ _ � S • � (�
.
' 4 ..................................Tota1 =
I
�
If total of #4 above is thE same as, or less than #2, you have met
the intent of SBC 6006 (c) 1. . '
� A lternate Buildinq Envelope Desictn ,
To utilize the tota�. envelope system method, the values established ;
by the sum of items. #3 and #4 shall not be greater than the sum � I
of items #1 and #2. �
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RONALD F. MEYER .
1.sxn svRV�oR
LJ.ND SU1iV6Y1N0 SU�DIVISION DES�GN
Tc�cr►+oNe 7it-aeea
865 JC881E 5T. ST. PAUL, .MINN. 3S1O1
i
I hereby certify that this survey was prepared by me and that I am a duly
Regi ered La�d Surveyor under the laws of the State of Minnesota.
�---
Reg. No. 9051 Date: o✓. .3 /18 ¢-
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o Indicatss iron monuaent plaaed
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CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimmey 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 Yes () No ()
5. Meets all current Code requirements for size
and total BTU's connected Yes () No ()
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner t�en provided for water heater Yes () No ()
8. Has combustion air been provided for water heater Yes () No ()
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
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CHIMNEy AND STACB VERIFICATION
The undersigned hereby verifies that the existing cliimney or stack:
1.
2.
3.
4.
5.
6
7.
�
Has been carefully exatnined
Is free from rust or deterioration
Has no foreign objects lodged within
Is securely supported
Meets all current Code requirements for size
and total BTU's connected
Has total heating BTU's of
All other BTU's
TOTAL BTU's
�v o�
Zd ozsc`7
Has a liner been provided for water heater
Has combustion air been provided for water heater
Remarks: .
List ALTERATIONS Bein� Done:
_ �, � ^ ,
r' r�� �°� �vv o� j� � r' 'L l�c.c.._
Yes ( � No ( )
Yes ( �f No ( )
Yes (✓f No ( )
Yes ( � No ( )
yes (✓S No ( )
Yes ( ) No ( )
Yes ( ) No ( )
HEATING CO: �`� ��o—`� � � C� �-�-4..� � � � � � c� � f 4.� �
Signed By: ��� �- �°-��� --
Date: 1��� �� `� g
�
sue,ietr < PERFAIT N .
City of Fridley 3 013
AT TME TOP OF TME 7WINS � � I L D i N G P E R M I T
r
; � RECEIPT NO.
� • C,OMMUNITY DEVELOPMENT DIV.
. �� ----- . ��-/�/
r � � PAOTECTIVE INSPECTION SEC.
�
� �1 ,
� 1 /"'\ � CITY HALL FRIOLE� �53132 NUM�EN REV DATE PAGE Of AVVqOVED BY
���-"�' �'' 612-5��-3450 s�aF�s 8/30/99 / /
JOB ADpRESS 6560 Arthur Street NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACNEO
DESCR. G 3 Creekridge SNEET
2 PROPERTY OWNEp MAIL ADORES$ 21P PHONE
Richard Eimer 571-1085
3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO
Northern Crest Inc. 8245 Polk St NE S rin Lk Pk 55432 792-9364 20U98415
4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE UCENSE NO,
S ENGINEER MAII ADDRESS 21P PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION O ALTERATION �9x REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reroof house and ara e 28 S Tear-off
9 CHANGE Of USE FROM TO
STIPULATIONS �
Underlayment mnst comply with the State Building Code.
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LpAO
SEPARATE PE1iMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING.
VENTILATING OR AIR CONDITIONING
TMIS PERMIT BECOMES NULL ANO VOID IF WORK OR CpNSTRUCTION IONING SQ. FT CU FT
AUTHOiiIZED IS NOT COMMENCEO V�1ITMIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOEO OR ABANDONEO FOR A PERIOD OF 120 OAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO OWIG. UNITS OFFSTREET PARKING
1 MEREBY CERTIFY 7MA7 I HAVE READ AND �XAMINEO THIS APPLICA710N STAILS GARAGES
AND KNOW TME SAME TO BE TRUE ANC CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMP�IED
WITM WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $24�7 $1.22
DOES NOT PRE$UME TO GIVE AUTMORITY TO VIOLATE Ofi CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMA CE Of CONSTRUCTION .�H3.25 ire SC .�2.45
�,� "� PLAN CNECK FEE OTAL FE
., � � _�.�' � � A..?��_ � ,i � License $ . 00 $91.
S�GNATU�7EOFCON:I7ACTOAOpAUTMOp�2E0AGENT IOATE� N PR PERLV OATED � S V UR PER 17
�- � -�
S�GN4TUAE O� OWNEA��F OWNEQBURDENi i AiE� g ���TE
r�w � �
ADDN
ALTER
Effective 5/10/99
[ ] CITY OF FRIDLEY
� l SINGLE FAMII,Y AND DUPLEXES R 1 AND R-2
BUII,DING PERNIIT APPLICATION
Construction Address:
Legal Description:
6560 Arthur St. NE
�
�Q�� ` 3 �
Owner Name & Address: Richara Eimer Tel. # 571-1085
ContraCtor.. Northern Crest, Inc. MN LICENSE:� ?Q0984_15
Address: 8245 Polk St. NE Sprinq Lake Park, MN 55432 Tel. # 792-9364
Attach to this application, a Certificate of Survey of the
lo�, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECS AREA: Length Width Hgt/Ground Sq. Ft.
OTI�R• tear off and re-shingle house and garage. 28 square.
Construction Type:
Estimated Cost: $ �`�'`��
llriveway Ciirb Cut Width Needed: Ft. + 6 Ft = Ft x$
DATE• 8- 3 0- 9 9 AppLICANT: Bi 11 Ol s on
Permit Fee
Fire Surcharge
Staxe Surcharge
SAC Charge
Licea�se Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �3. �S�
$ �- S�
$ /, � �
$
.$ � � Q
$
$
$:
$
� /. 902
CITY USE ONLY
Fee Schedule on Reverse Side
_$
Tel. # 792-9364
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$S.OQ (3tate Licensed Residential.Contractors} ,
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
� , . w
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing germits for the erection of any building or structure, or for any
addition ,tu 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 $2,0�_
$2,�1 to $2�,000
$25,001 to $50,(�0
$50,001 to $100,000
$100,�U1 to $5ii0,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $�00 or.
fraction thereof, to and including $2,000
$69.25 ior first $2,000 plus $14.00 for each additional $l,f�
or fraction thereof, to and including $25,000
$391.25 for first $25,U00 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each addidonal
$1,000 or fraction thereof, to and including $100,000
$993.75 %r first $100,OG0 plus $5.6a for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $SOO,OQO plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1, 000 or fraction thereof
I)RI�yVAY DEPItESSI01lT �SCROW
(Concrete C�rb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Altemate "B" : Remova� and replacen3ent of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet tunes $23.25.
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.