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City of Fridley, Minn.
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BUILDING PERMIT N° 3 5 6 4
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.� ..... . �-�..... Builder .............................................
.... ..
c�s .��.�.�.... ......... Address .............
LO�CATIQN OF BU[LDING
No. Cf �� • � . Street . . .����4/i. ��1. .�'/. . � . . . . . Part of t . . . . . . . . . . . . . . . . . . .
� ............
Lot .�..�..... Biock ...�............ Addition or Sub-Division . ..�i. . ... ..... .......
Corner I.at ............ 7nside Lot ............ Setback ............ Sideyard ...........................
DESCR[PTION O�' BUILDING
To be Used as:
Va.. .. ... .. Fro� ....... Depth ........ Height ........ Sq. F't. ........ Cu. Ft ........
. . . . . . . . . . . . . . . . . . . . Front . . . . . . . . Depth . . . . . . . . Height . . . . . . . . Sq. F't. . . . . . . . . G�. Ft. . . . . . . , .
Type of Construction ................... �st. Cost..................... To be Completed ...................
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In consideration oE i�e is�uance to me of a permit to construct the building dearibed abov�; I agree to do
the proposed work in accordance with the description above set forth attd in c�mpliance wfth all prov3sions of
ordinancea of the dty of Fridley.
.�.� .. ........... �.' . . ...�........
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In consideration oE the payment of a fee of .�� ....., permft is hereby granted to ...................
....... .. ................ to construct the building or addition as described above. Thts permit ia gxanted upon
the espress c;onalition that the person to wham ft is �anted and isia agents, employees and worlmnen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving oP buildings with-
in the city limits and this permit ma.y be revoked at any time upon violation of any of the provis%ns of said
ordinances.
'�e`ir"� . �. . B1IiltliIIg 7i18peCtOT
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NOTICE:
Thls perm(t does not covar the construatlon, instaltation o� alte�ation for wl�lnA, plumbing� gas heattng,
sewer or water. Be su�e to see the Building Inspector fo� separate permlt� for thass Itema
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SUBJECT
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R ��
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! �� .____ COMMUNITY DEVELOPMENT DIV. ;
� v � PROTECTIVE INSPECTION SEC.
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i---_ A � ���,,, CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF
L J` 612-571-3450 910-F15 6/5/80 / /
JOB ADDRESS
6 8 Ar�thur St. N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 2 4 Oak Grove Add i t i on
2 PROPERTY OWNER MAIL ADDRESS
Vernon D. Lindber.g, 6583 Arthur St. N.E.
3 CONTRACTOR MAILADDRESS
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAILADORESS
8 USE OF BUILDING
R sidential --
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION
B DESCRIBE WORK
Basement remodeling, concrete floor � stren
9 CHANGE OF USE FROM
STIPULATIONS
TO
ZIP
ZIP
ZIP
I°_ 1576�
RECEIPT NO.
y
APPROVED BV
SEE ATTACHED
SHEET
PHONE
571-3819
PHONE LICENSE NO.
PHONE LICENSE NO.
PHONE LICENSE NO.
f�1 REPAIR ❑ MOVE ❑ REMOVE
walls
1) Repair structure to code on all structural items, specificalty the
foundation � floor system.
2) Install fire alarm
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAI, PLUMBING, HEATING, L�onc°�e'Ce T. OCCUPA
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION R�
OR WORK IS SUSPENDED OR ABANDONED POR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED �j OOO.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 30.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
�- 7 . �AI
NATURE OF
T IDATEI
1 -�f � BLDG I
ROUP OCCUPANCYLOAD
CU. FT.
OFFSTREET PARKING
IGARAGES
SURTAX
2.50
TOTALFEE
40.00
D HIS IS YOUR PERMIT
���=��a
qATE
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CITY OF FftIDLEY • .
1�f'PLTCIITIOId FOR RESIDCNTI/1L QUILDIPIG PERMITS
(tdevr, Altera4:ions, Addil:ions, or ftcpairs)
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nao�css : �'��`3 ��-�`/S�� `z �i`• ��
TCL N0: �%%.3 ��% ,/�����°l -�
�UI LDER : - .
nnpRCSS: �
TEL I•�0: '
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� ' L'onstruciion Location
. STR}�T NO:�SB�.� s�r��T: �'�y'f��2 5�l'�, /� � -
LOT:
BLOQ:: _ �_____ ADDITIOtJ : �!}/` �i�6'ZJ`�c �QQo
Corner Lot: Inside. Lot: ��, SetbacY.: Sideyzrds:
App].icant attach to this form two Certifica�es o� Surv�y of lot and '
proposed building �.ocation drawn on certificates to.scale.
pESCR�PTIOI� 0� CONSTRUCTION �
��".��i,��t k'ront: ' l�pth: ' Height:
�QZ'r/1,d�%���%� � Squane. Feets Cv.bic Fee�:
Front:
Square� Feet:
�p� ; H eight:
Cubic Feet:
�C�:'�� �' �rC�/� `�-��'RFi��/��s�imated Cost: $ �i �� - —
Type of Construc�ion: , •
• ,��� • , '
xb Be Cbm�leted: ��/�O� ��''« � ° i /�$�°
Alt. A �'�• B
Proposed Dra.veway Widi:h If New Opening Is Desired: $ -- $
' . S�E fiEVERS� SIDE OF SHEET ,
7.`he under.signed hereby makes ap�lication �or a pexmit for the work� herei.n specified,
agreeing �a do all work in strict accordance with the City of lridley Ordinances and
xulings o.f the Depari-meti�; of �ui.ldinqs, and hexeby declaies that all the facts and
repres�ntations stated in t:his appli
D�TE:
�� ���G sic�Axv�
S�i�ulations:
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. BUII_171WG P�RI�IT 1=rt: SC{ICDULE� ,
S1.C'�'I.OI•l 2. 7'he 7n:.cpccl:o-r. or ��►���.aa.,��r'; tchaJ.J., },eforc i. �suiny i�enni,L•:; �or f:he ez'ecL'ion
ot any )�viJ.d.i.r�c� or. :�truct:t�re, or for. any �aa�.L�.ot, L-o auy cr.i:;i�i_»�J l�tiilding or strucLure,
. ar foY a17j� �z7.Cc.•rat-ior� or. r.c��air : to •any cr.9.�.Linq }�ui.lcli.»y oz ::tr.ucture, llJ)GJl applicatS.vn
�L•hcr.cCor.c, �:cquzrc ti�e paymenL• by fihe ap��].i_cant� tor. :�u�li per.ma.t af fces to, the amount�
her.ci�i bcl.o�� scL• forLh and fn L-hc inanncn c�rein praviciccl L'o-H��.L': •
1J1:41 COIdSTRUC�'IO2�1: Sing].e l.'aini].y 1lomc:; and Gar.ayes : $4 . 00/1, 000 cubic feet. . '�
I'7.At1 Clil:rY.: 25 pr.rcent oL bui.ldincJ Per_miL- fce. .
DR1VJ.t�7AY 1)�PI2L•'SSI0I1: (Concrete, Cur_b �trcets Only) �' "
' AlL-crnat:e A: Removal and rep)_accmenL- ot concrete curb and
yuL•ter only; Driveway widtli plus 6 f�eL x Y�S.,75
�. Alternai;e I3: }temoval and replacc�menL of concretc curb and
• gu�ter and i�istal.l. a 3 fooi: wide approach �rit.h �'
� ,- 6 inch d�pth; Drive4�ay width �plus G feet x y17.85 �
� ' � . J�nnl-Tro«n�. zNr-oRMnT10� . .. �
I'or tl�e purpose oi compuL-i_ng iees for building permits, the cubical coni:ent-s of any
building or addition, is determxned by mult�.p].ying Uie ground ax'ea covered from a,
, poi.nL- siy: (G) inches beloc•� the floor line of the basement or th� cellar to the
avexage heights of ihe upper surface or to t-he avezac�e hcighL- of the roof surf:ace
of the ;aain gable o£ a pii.ched roof . �
For repairs or alterations to an existing•sL-ructure, the i'ee shall be at the rate
. of $3.00 �ier each �ive hundred dollars -($500.00) or fraction thereof in the cost
oi all proposed work.
T�i •no case sha].1 ihe fee charged for any pez-�nit as wet forih i.n Section 2 be less �
than $7.50 p1.us $.50 state surcharge. . •
.. ._ VFRIFICATI��I OF FOUNDATIOf� .
' NOTE: Permits �or construci�ion will be S.ssued a minimwn of 24 hours fr.om 'the time
o� appla.cation to allow for proper zeview of ihe proposed structure and of the
constL-uction site.
A Certi�icate of 5uivey of the lot, s}iocaing the location of the foundation once i.t
has been constnicted wi11 be rec�uired be�ore proceedinq wit,h the framing.
Ci:RLIFICAT� OF ��GUPA(�CY '
'1lpplica�ion for a Cert.ificate of Oceupancy shall be made L-en (10) days prior to the
use or OCCllj�3I1Cy ot any structure tor wliicti a� buildiiig pe»iit ha� been issued; aizd
said structure slialJ. tio� be used o�: occupied uni:il a. Certificate o� Occupancy has
been xssued.
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sue�ecT PE
City of Fridley 2�. 2 8 9
' , AT THE TOP OF THE TWINS g � I L D I N G P E R M I T RE .
r
� �
� • COMMUNITY DEVELOPMENT DIV.
� � �: - /�
r � � PROTECTIVE INSPECTION SEC. � 3� � G�
' i '
� /'��1 � CITY HALL FRIDLEV SS432 NUMBER i1EV. DATE PAGE OP APPROVED BV
�""� � �'� 612-571-3450 9t0-F15 4/17/92 ' / /
JOB ADDRESS 6583 Ax'thur Street . NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACNED
DESCR. N�i28� 29. 4 Oak Gro�e Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Alex Sawieki 6583 Ax�thnr 8txeet NE 572^0677
3 CONTRACTOR MAIL ADDRESS Z�P PHONE IICENSE NO.
S�ne
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII AOORESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Res i denti�l
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION �7 REPAIR ❑ MOVE O REMOVE
8 OESCRIBE WORK
Reroof Dwellinc� (15 Squaxes) Tea,r���
9 CHANOEOFUSEFROM TO
STIPULATIONS
Unde�la�rment inust cozti�ly w.ith. St�,te. Bui,ldang CodeQ
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOF ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULI ANO VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WOt;K IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING
I HEFiEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORFiECT. ALL PROVISIONS OF LAWS VALUATION SUfiTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PEHMIT $79� $• SO,
DOES NOT PRESUME TO GIVE AUTHORITY TO VIO�ATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 21 QQ �''l.x'2 aC �HQ
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ �
PLAN CHECK FEE TOTAL FEE
$22,3Q.
SIGNATUREOF ON7RACTOpORAUTMORIZEDAGENT IDATEI H PR Efi V LI �� TED THIS IS YOUR PERMIT
a
� � < � � /�- �
UREOF �ER�iFOWNERB LDE � 1DATE1 - BLDG �NS� r1n7E
. ,.,. ....�. ,.. �:�:�: . : t :.. ..:�:..r.>, . . .n:.:.:,r�n<....s. . ..;�. :w ..:.:.r..n:.o.. ,�.. ., u;wa: orx><..�,... . . . .nn.c: .w . ...... . . ... . . . ..i ... . . ....... ....... ... ...... ..... . ..... . ... ... ... ...... . .... .
�W t ] Effective 3/1/92
ADDN [ ] CITY OF FRIDLEY
ALTER [ j SINGLE FAMILY AND DUPI.EXES R-1 AND R-2
Building Permit Application
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LIVING AREA:
GARAGE AREA:
DECg AREA:
OTHER:
,.� ..�'�`��
Tel. � ��7� O� �'7
MN LICENSE #
A�.t�ch to this application, a C� tificate of Suua�vv�y of the
lot, with the proposed construction dia�vn on it to scale.
DESCRIPTION OF IIVIPROVEMENT
Le�tgths
Length � . ;�
I.ength
,
Wi�h Height Sq. F�
Width , HBt�Ground Sq. Ft.
�
Corner Lot (� inside Lot j] F� Yd Se�ack Side Yard Se�bacl�
__f�� � F.�imated �Cost: $�- � -
Type of Constradion: � ^
Approx. Completion Date: � ��j� �r�� �6
(cost on Backj
Driveway, Curb Cut Wi�..����- �- + 6 Ft = Ft x$ _$
I � r� � ,
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�
� � —E'"� �, �c �� .-�j— ` —� — � �
�
Peimit Fee $ � /- � �
Fire Surcharge $ �
State Surcharge � . � �'
SAC Charge $
License Surcharge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
� �� . ��
(`_iTY USE ONLY
Fee Sch�ule on Reverse Side
.�1 of Pertnit Valuation (1/10th%)
$.50/$1,000 Valuation
$700 per SAC Unit
$5.00. (State Licensed Residential Contractors)
Alt. "A° or Alt "B" Above
Fee Determined by Engineering
Agreement N�ary [ l Not Necessary [ l
BUII,DINQr PERMIT FEE SCHEDULE
The Chief Buildiag Official shall, before issving peranits for the erection of azry bnilding or stivcdn�e,
or for any addition to any existing bnilding or struc�are, or fa�r any alteration or repair to any existing
building or structure, upon aPPlication th�efore, require the payme� by the applicant for such permit
of fee.c to the amount herein below s� forth and in the manner herein provided- to-wit:
TOTAL VALUE
$1 to $540
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 Co $100,�
$lIX},001 to $5�,�;
$5�,001 to $�,000,�
$I,�0,001 and up
�
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $500 pins $2 for each additio� $1� or
fraction thereof, to and including $2,000
$45 for first $2,000 plus $9 for each additional $1,000
or fraction. ther�f, to and .including $25,000
$252 for f�rst $25,000 plus $6.50 for each addi6onal $1,000
or fraction thereof, to and including $50,000
$414.50 for fir� $50,000 plus $4.50 for each additional
$1,000 or fraction the�eof, to and including $100,�0
$639.� for fust $100,0� plus $3.50 for e�ch additirnaal
$1,000 or fra,ction thereof, to aad including $500,000
$2039.50 for the fiist $SOO,OUO plas $3 for �ch additional
$1,OQ0 or fi�ction ther�f, to and iacluding $1,OOQ,�O
$3539.� €or ���- � $p-,�;000� �p�ers $2 for e�ach additional
$1,000 or fraction �thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Gurb Str�is Only)
Alt,eanate "A" : Removal and replacement of aafi and gutter only - Driveway width plus 6 feet times
$13.50.
Alt�anate "B": Removal and repL�tcement 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 i�u� 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.
SUBJECT
City of Fridley �
AT THE TOP OF THE TWINS g U I L D I�l G P E R M I T
;,
.�
� ; y __��� COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
� _ �"'1 � CITY HALL FRIDLEv 55432 NUMBER ' REV
�""'� � ,'' 612-571-3460 910-Ft5
JOB ADDRESS 6583 Arthur Street NE
t IEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. Pt 28, 29 4 Oak Grove Addition
2 PROPERTY OWNER MAIL ADDRES�
Jeffrey Cherioli 6583 Arthur Street NE
3 CONTqACTOR MAIL ADDRESS
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
DATE
6/5/98
ZIP
5 ENGINEER MAIL AODRESS ��►'
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITtON O ALTERATION _❑ REPAIR
%
8 DESCRIBE WORK
Reside House; Replace 8 windows _
9 CHANOE OF USE FROM
TO
PAGE OP
� �
2613�
���
avaaoveo er
SEE ATTACHED
SNEET
PNONE
572-8013
PNONE LICENSE NO.
PMONE LICENSE NO.
PMONE LICENSE NO.
❑ MOVE O REMOVE
STIPULATIONS
, Install building wrap and have inspection before covering.
Install smoke detectors to meet the State Building Code - on each level of house
and in each sleeping room.
TYPE OF CONST.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBiNG, HEATIN(i,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR 1F CONSTRUCTION
OF WORK IS SUSPENDEO OH ABANDONED FOF; A PERIOD Of 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS
I HEREBY CERTIFV THAT I HAVE iiEAD AND EXAMINED THIS APPLICATION 1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION
AND OHDINANCES GOVEfiNING THIS TVPE OF WOFK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEi;E1N OR NOT. THE GRANTING OF A PERMIT �3 s SOO
DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pERM1T FEE
PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON-
STRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. �87 • 25
IDA7Ei
/�i�3 "�i'� � `
�DATE� a f
Sa.
STALLS
cv �oao
CU. FT.
GARAGES
$1.75
SAC CHARGE
Fire SC $3.50
T AL FEE
92.50
TNIS IS YOUR PERMI
r / �.�7 . �
¢
�w � ] Effective 1/1/98
tADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 ,��'
BUII.,DING PERNIIT APPLICATION . (� �(,)
� �
ConstructionAddress: � s �� �►�� u ✓ S�. /�/ � � ,
Legal Description:
Owner Name & Address: s�r�v��1 {'C��- ��eYbJl� Tel. #�7v� g�13
Contractor: �.v►n�, MN LICENSE #
Address: �G,�v�¢� Tel. #
Atta.ch to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale. '
LIVING AREA:
GARAGE AREA:
DECS AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Len�th Width H�t/G�
�
�onstruction Type: � � Estimated Cost: $
Sq. Ft.
Sq. Ft.
Sq. Ft.
���� -
(Fee Schedule on Back)
�riveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: �' �'9 APPLICANT: Tel. # S7�'�� l3
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License 5urcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
S'I'IPULATIONS:
�
$ � -�
� �. ��
$ � 75,�
$
$
$
$
$
$
$ � �2� ,� �
CITY USE ONLY
Fee Schedule on Reverse Side
.�1 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 Deterrmined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
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, ar 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 $SOO,Q00
$5(�,001 to $1,000,000
$1,000,001 and up
FE�S
$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 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.Q0 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 $1Q0,000
$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 additiona.l
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Altemate "A": Removal and replacement of curb and g�xtter 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 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.
SUBJECT
City of Fridley 2 6 3 0 9
AT THE TOP OF TFIE TWINS g � I L D I N G P E R M I T
�
; � REC .
� `y _ COMMUNITY DEVELOPMENT DIV. ���
r � � � PROTECTIVE INSPECTION SEC.
1 i �
� /�„1 � CITV HALL fRIDLEV $S43P NUMBER REV DATE PAGE OF APPROVEO B�
�----� • •', 612-57t-3450 910-F15 6/22/98 / /
JOB ADDRESS 6583 Arthur Street NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oesca. 28, 29 4 Oak Grove Addition SHEET
2 PqOPERTY OWNER MAIL ADDRES$ ZIP PHONE
Jeffrey Cherioli 6583 Arthur Street NE 572-8013
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADORESS IIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDINO
Residential
7 CLASS OF WORK
� NEW O ADDITION O ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 34' x 22� Detached Garage
9 CHANOE OF U$E FROM TO
STIPULATIONS
Provide a hard surface driveway. See notations on plan.
. kY��H11VG
Bebre digging 'call for
afl ntiiity� Iocations
� 454-0002
I�EQlJ1�RED BY LAW
,...LL.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, NEATING, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF /20 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE FiEAD AND EXAMINED THIS APPIICATION 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 SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT $13,830 �G.9Z
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �212.25 Fire .S�'i �13.83
PLAN CHECK FEE TOTAL EE
33.00
SiG T OFCO ' ORO U OFlIZEDAGENT IDA E� N P P R ALIOATED IS IS � UR PERMIT
- � � � �
� O: NEA�IF BUILDER� �DATE� . BLOG NSP OtiTE
NEw
ADDN
AI,TER
Ll
[l
[l
ConstructionAddress:
Legal Description:
Owner Name & Address:
Effective 1/1/98
CITY OF FRIDLEY ��.��
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 -' �%c �'` f
BUILDING PERMIT APPLICATION �� G��C�` �� �b
t��l� Vr �
n
�C-�/ �f°�%
L -�� � �� -� ��� �r�
>�". �• �� . �
�'rd� d?6 � � ( /�A?L.. iE.,'%Li_��?l �%�OJj l
' �
� v'��/1 Tel. # .�7a-_'�U��
Contractor: �� ��� MN LICENSE #
Address: � r� Tel. # S��
• � 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 IlVIPROVEMENT
Length Width Height Sq. Ft.
Length � Width � Height Sq. Ft. %��
LeQgth Width � Hgt/Ground Sq. Ft.
,�
Consiruction Type:
Estimated Cost: $ �� ` ° � �� �
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � �� /� APPLICANT: Tel. # S%?'�%� �
- �g-3��'3 �
CITY USE ONLY �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
. ST'IPULATIONS:
$�/ �� �� Fee Schedule on Reverse Side
$ f� � .001 of Pernnit Valuation (1/lOth%)
$ - �� $.50/$1,000 Valuation
$ $1(H?0 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 [ ]
$ ���. ��
a
��� � ���� ! �7�1� S�, � . �s = � 9 �,�
o� �
.
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 pertnit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $5�
$501 to $2,000
$2,001 to $25,OQ0
$25,001 to $50,000
$50,001 to $100,000
$100, 001 to $500, Q00
$500,001 to $1,0�,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 first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and includin� $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction ther�of, to and including $50,000
$574.75 for°fu�t $SO,OQO plus $6.25 for each additional
$1,� or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $S.On for each additional
$1,000 or fractic+n thereof, to and inciuding $500,000
$2887.25 for the first $500,000 plus �4.25 for each additional
$1,000 or fractio� thereof, to and including $1,(}00,000
$5012:25 for the first $1,000,000 plus: $2.75 for each additional
$1,000 or fractioT► thereof
DRIVEWAY DEPI�ESSION ESCRO�V'
(Concrete Curh 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 - Drivewa}• width plus 6 feet tihnes $15.75.
VERIFICATION �:1F FOUNDATION
Permits for construction will be issued a minimum of 2��• hours from the tim� of application to allow for proper
review of the proposed structure and of the constructic�n site.
A Certificate of Survey of the lot, showing the locatio�:i of the foundation �nce it has it has been constructed
will be required before proceeding with the framing.
■
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'=�=««A.C.E�S Version 5.6B»>%-aca=aa�a�'010473 ]_______===««MIDWEST-B»»==a
Customer : C Thu Jan 23`13:04:40 1992
Project #: 29AG Truss ID a 36-4N1 Family �: 107
�Span : 36-0 Quantity : 1 Top Pitch : 4./12
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-3�ere$y cer�iiy �'6a��6^is piin. ePec� ---
-10675 �-e- ioosa z-9--is�s i--4638 s.ae fication, or report was prepat'ed by me
Z-3�-9209 8-9� 6723 3-9�-124� 7�-d63B g,�8 Or under my direct supervis�on and that
3-4�-9208 9-i- iooss 4-9� 2990 I am a duly Registered Professional
a-s--9zae e-e- z9so Engineer under the laws of the State �y
5-6�-9208 5-8�-12G4 of Min e90t$.
6-7�-10675 6-B�-1S75 n �u����rv
� . Xiltiaa.n �
�
, Date Z �8-92 �i.egistration No. 19047
, 8-1-8 1+ 2-5-4+ 18-0 Z3-6—iZ 27-10-5 36—A
8— B 4-3-12 5-6-12 5-6���a�•.���,4-3-12 8-1-6
specif�catonCOr�repor�was prep�� ed ���.••��1S S. /yF�'�.,'� ���°'`OF�MlC��'''•.
by me or under my direct person�) �•` p� �.•••"~'•�a.�`r0 '•, �•`'�P��' y�G' '',
. . 2. . 9,'.
supervision and thai I am a duly : : �t : �'` �' �� •
flegistered Protessional •Engineet � � 062•042799 ; � �•' DENNIS S. �:
under the laws of the State of lowa : i REGISTERED = :* NELSON �=
. • PROFESSIONAL : : '
and that I am competent to prepare � 1 EHGINEER : • == �.NGINEER rr;
this document. 6Xa. * ': OF .% '� ' ' �' `�`�'•
�� e"= • •. .• o :�'`t No. 1► �
b�Y_./_L>>v.,.� •� "' 3K5 � '•.,� ���'•.... ' fp���•'� %2J'Fa 32208 ���;.`�
DENNIS S. NELS�N 3 � 1 N�
3X6 " • 3X6 �., pR ��, ;.•
bate z a��F�e�' 11033 � � ,,,6X�`�°O�gXl�
, C16 G�} 1'�C16 GA)
�
=am chords reaulre laterai bracinq at�Z
�U ft. spacing,
iZ-5-4
1�-5-4
L . HL TQ PI{ :18—ii-11
LEFT HEI(�IT:8-7-14 SP�N:36-8
s
7Xi�
5}i8.75 SPL. C16 GA)
23-6-12
11-1-8
AISE:6-7-14
*
IIIU�11/��/
0� s��tif��r;
Dfi�INIS S.
NELSON
E-19164
. c�
36-0 �O,i�� `���C,`��
,''' no�N��:••,`+ ♦
1Z-5-4 ��/ ���Ai. �N� ����
����1/I �5�.. ..�����
R. HL TU P]{ : i�—ii-11
AIGHT HEIGHT:�-7-14
LOADING (PSF] MAX STRESSES MINIMUM GRADE OF LUN�ER
L D TOP 1-2=0.770 TOP CHORD:2*8 2250f1.9E MR;� �S�
TOP • 24 4 BOTT 9-1=0.839 BOT CHORD:2*6 SS 19 SP �.��' '��� '"�•,,�
BOTT 0 1 DEFL.@9=0.58 < L/360 WEBS :2*4 No.3 19 g�ANL,�y ,
---------------------------------------------=--------------_--------��:. _ -�Lt
--------------------------------------------------------------------_.
STR.INC.: LIJMB = 1.15 PLATE = 1.15 SPACING : 108 0 in. o.; �1STF'�• �
REPETITIVE STRESSES NOT USED N0. OF MEMBERS = 1 ,•'t.•�� �� �t�`
.4�2� O.
' TOP CHORD PURLiNS @ 24 . 0 INCHES ON CENTE�ottom chords require iaterai bracin +� '�o. ENE8602133 �
'�: PRWIDB POR 0.26 2N. saauzarrai. aiserac�xr � a�s asueuia 9� ' STATE OF ,
'• 10 it. spacing If no ceiling is installec� ��\ -
WLB: 2-9; 6-8 TO BE 2*4 No.1D 19 SP unless otherwise noted. ? O�' �/�p�A�P ';
' WEB: 4-9; 4-8 TO BE 2*4 No.2 RD SP -•,��`s,•.• G�
PL�►TB8 ]1A8 MITSR M20-2S8,216 M16-218,iS4 M1►I�qYSG'li1I�D PA�! 118Tl1 )! �46 8RD !1 6i1LVANIZ� 818ffi.(H70CSFT �S BHOWP) �i �� �C� ��
', PIJITS M7HT BB L18T117.L� �P BOTS YI1CB8 GF JOIRPB� 87Q9�TRIGI.L7(�fCC�'P 118 SHOfaf)D8SICP � WITS �6 DSBIm# 8P8C8 111���/i� �1����,,
TSZS DPBI� IS YQt TlilJB9 F]1BRIGTI06 OIa.Y.POR P�M11NffiiT 111�D �O�t11RY 8A71CIA0(NHICH 28 ALFIAYB ABqD)CGFBliLT HLDO ARCSITBCl OQt BNG�.
. _..u�u._-
"`��s des) forms with Minnesota Building Code
. I � zgld��oi P�.D.S. atld/o� TPt-E5 specific�
PROFESSIONAL
_ P.E 3021 _
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DENMIS S. z
NE�soro :
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