The URL can be used to link to this page

AF - 44327� � �, �ity of Fridley, Minn. BUILDING PERMIT n N° 6606 . � y � � • •• , _ ��.. - /�l /''..a. �� :� <' �. : s . �.�1%_- - � / - .. O TION OF BUILDING No. Stceet _ �� Part of t Lot _ Slock � Addil3on or Sub-Divlsion � ' Corner Lot _ Inside Lot � Setback .��s,�.--� Sideyard �� o Sewer E1eva13on �____ ._ Foundatlon IIevation DESCRIPTION OF BUILDING T U � Front sZ�.. Depth .�l� Height � Sq. Ft _,�L C�. Ft.d 6'__!�� Deptin �Teight�� Sq. Ft Cu. F't Type of Construction _.._._. '�.._._ F�t. ��?� °"' To be Completed I �'' , _ �, �� / .� % � ` � � -� � ,; � _;: � , �. -J - . ° � „ ,� r�`; '�_ `� In conaideration of the �issuaace to me of a permft to construct the building described above I agree to do th� proposed work in acc�rdance with the d�script3on above aet forth and in compliance with a'11 provisiona of ordinanc�s of the dty oP Frfdley. � r In conafderat[on of the �ymeat of a fee of �� , permit ia hereby granted to to construct the buildfng or addition as de,acribed above. Thiap�� t is granted upon the exPress �ndition that thepe�on to whom it is granted and his ageats, employees anc� workmen, fn all work done in, around and upon said building, or any part thereof, sl�all oonform in all reapects to the ordinancx� of Fr1d1eY� Minnesota locat[on, conatruction, alteration, ma3ntenaace, repair and moving of bufldings ordinan� dty limits��and�t s permft may be revoked at aqy time upon violatioa of any of the P�visiona of said . /' �J'/✓�� _��_ � � Building Inspector NOTICE: ild� penaN doa am eevsr t6s eoeatraeHoe, �n }er WIrInB. P�+�B, 6� b�. �r�r er wats�. B� wre ro s�e t6a ButWiag 1�»eGo� tor aparat� p�rmha hr 1h�p tiems. , , ��L � �� _ . l� �-- - �' — �° �� /�/ APPL,ICATION FOR BUILDZNG PERMIT CITY OF FRID�,EY. 1�IINNESOTA OtiJ�,'?.'t' S NAME o,-A-�,t Bt1IT.DER ' Al)�P^SS 'S �1 ADDRE SS LOCATIOPT OF �3IIiLDING �k ��• Street � �ua.ei, Part of Lot �— Lo� � Block � Addition or Subdivisian��,�� \ > Cor�er Lot Inside Lot L�getback ��• -S9.de Yard �, l 0� SEWI�R ELEVATION FOtIAIDATION E�EVATI019 � Applicant atCach to thia form �io Certificates of S'�irvey of Lot and propoaed build- ing location draca�n oa theae Certificates. DESCRIPTION OF $UILDING To be used ae: � � � Froat_ 3� Dept _l�__..geighr_ 2O sq. Ft. � I�.. cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction �r�-,.,,",� Eetimated Coat _ 1`� � 00 p To be Completed ' The uadersigaed hereby a�kes appli.cation for a pes�ait for ehe caork herei� speci£iPd, agreeing to do all woik in atrfct accordance with the City of Fridley Ordinances and r�lings of thg Depaxtapnt of Buildiage, and hereby declares that all the facta and sepresentationa atated ia this appl3cation are erue and correct. DATE �.�. � � `� SIGNATURE_ �,,� �, �,,� � (Schedule of Fe� Cost� can be fnund on the Revaree Side). .. . _ - . �'`i _ � ` � ,� . _. . c BUTLDTNG PEItrQT FEE SCHEDULE Section 2. The Inspector ot Suildinga shall, before issuiag any permit for Che erect3on of any buildiag or structure, or for any addition to aay exist- ing building or atruceure, or fos any alterations or repairs Co any exiating building or s�ructure, upon application therefor, require the payment bq the appl3cant,for auch permit of fees t0 the amount herein below set forth end in the manner hereia provided to-wit: 2.Z. For any euch permit for the erection o.f any fire-proof building, othe� ehan a garage, warehouse, factory or graia elevator, or for the erectioa of any fir�-proog additionp for similar occupancy, to any exietiag building �hall be at the rate of $1.40 for each one thousand cubic feet, os fraction �hereof, in such cubical conCents. 2.2. For any such permit for Che erection of anq iire-proof g�rage, warehous�, factory or gra3a elevator, or for the erection of aay fire-proaf ec�ditioa, fo� aimilar'occupanny, to any ex3sting building shall be at the rate of $1.25 for each one Chousand cubic feet, clasaified as °1fiseproof" by Seetian 502 of the Minneapolia Buildiag Code�- ROUSES 2.3. For any such permit for the erection oi any non-fireprooi buildiug other than a garage, warehouse, factory or grain elevator, or any noa-fireproof additior►, for aimilar occupancq, to any euisting build3ng - permit $1.00 for each one thous�nd cubic feet. G�RA�ES 2.[f. For anq such permit for the erection of any aan-fireproof gara�e, warehouse, factory or grain elevator, or for the erect3oa of any non-fizepr�.f acldit�.o�a, �or simi.lar occupancy, eo aay ex3ating buildin� or for each s�ach t��ld3ng or addition - niaety ceats ($0.90) for each oae thouaand cubic feet or fract3on ehereof, in the cubical coneents thereof with a mini�a�m of $4.U0. For the purpose of campueing fees for building permita, the cubical coatents of any building or addition to a uniform be3ght throughout by mult3.plying the ground area covered fram a posLne sis (6) inches below the floor line of the ��.sement ar cellar to the average he3ght of the upper surface or to the averege height of the roof surface of the main gable of a p9.tched roof. 2.5. For repaira or alterations to an esisting structure, the fee aiiall be at the rate of $3.00 per each Five Hundred Dollasa ($500.00) or frection thereof in the coat of a11 proposed work. 2.6. In no case shall the fep,chargad �or gnp permik as set forth in Sectioa 2 be lesA than $4_00. � ,^�, _ _ . _ <, _� . � � ' � P � •� .� m � a � 'Q C a � � 00 0 �` a � `p A � � � o+ o � � � U ;� � C 0 � .� � I � � � � o ..7 U m � D4 G+ O o 30 � � oa F �a �� w Q � A z d � � � w � y � M � O O N � � � � M � �Uy.� w�� t0 � y � �[0j H � µ0 F� .C' q � tl W o�� 0 pOeo� a�� u a a � �� y � � � �� ,� o � y � W �� O �� e ��ooa�i � � � � �� m � � � J W � < 3 � • z • � SJNIN3d0 sv� 39NH1 �� '7ddV sv� M3HSVM o� SNISVB FI�lY.� SNItl1I0 aoo� 'san�ws •�� '�Niaa sxvnl HSYM 91NIS �,� � ►u.va sivNian s�sov N31YM .� � .� °�' � ~ � � o L. O �p � o� � � � � H ❑C mg m �' �� 0 � � m � � � �M /�i � � � N M sA • 'Y' � z MQ M a � z � a ��} �i � b �a d � z r� O W J � W U � W � .J Q � a z � � � � n O x �� F� � E �s ass c�a .Pr v� c� � �° c°y °o, � o N �, .. .1 .i r� �i c� � �s �e x x oa oe G z : � : : � : : np � °o � : ,� .� : g r� ' N Ew., � °� O : y O �q O zs tL q � � o : � a � � a� � � �� d w � � c� v �p 3 .� � S x z F*� Z U� Z 04 � z � �.. � � � A E�+ �r � 4 � idn, °o (�i � �i � � � O z � : � ' O : � o O : � o 0 � d �N w �� 0 W co � H � d c��h � � � <" � � � : � : O : E b • c� : m � o� � � : 0 � ' �� a � � � A W ,, Y `� � < � � � � � 'tl 1� � � �o C � . � � �� H o+ C .� _ �. � �� i � � � � • V �. � o �� 0 a � a � � a b 04 O � A J � W _ N W LL J H � a p�,�� 41 � � H��' BV� �� u d�� a °�' .Q ��a, � �� a�� o� �� Ra+H' � u ay�r� `°�� a � �� ''-0t, y,� m �a°� .��$^� � o +� �i �b�� y � � A y �� o� �,+ � m W �ti �'�, a � H��N � v�� U �� h H �a W o 0 0 0 E� o 0 0 � � CD It! � N : : : � : : � C . , � o : : o � ..�� . . �. b ?4 � +� � � �i � '� I � A � ° xa '�' �?3 w ti �+ O +d,, ,�,, � � q �Q � 3 � � � � � � .� �� =� a a a � � a a a cti � W .� , ' ' � 1 �\ 1�� ,, ;` �� I ;� �� f I � \ •,� 3 \ ,+► � ` r � O � a � � o � � � � �r va �ra �r �s 0 0 0 0 0 0 0 0 0 �n CO N uT� tt! CV PU � � ' °o o : $ � O . � ' °o . e�s � . • � � � .� : .� � � ° � � '� � U m � �� y' `� � O ��y y� �� d � a �i �i ��; � � � a� a� v, a �, '� '� � � w� P� a� � � � � � U � E"� � \ � � z a � z � a � 0 U ��I � � w O w 0 0 i%1 v A �, � � z� � z � '� � t � � � � � � � � � �r . ofr v� �s v� °o °o �°n �°r� o° 00 00 N EV � : � : : : -� � • � • � � � : : : � P�i � ; : : � � A : : : v� W • d �r .� ' a�"i : W Ci' w � B � y �� a�� `r c`�'o v� �". ,°p o p� � � W � � a a �, �� 4 °�J °�j °' w " M E', ,��+ ,y4+ N M �+ i.i I ; � � � � � W o O � U ro � � �U �G � � W � _� ;�- w v, , o � F E� � 0 0 � � 0 O O 0 0 'cM ° � w a � � � � aM W � z � o .� ��g � pC � A � r� � � ro z M b � � � � � I � U � cQ'a o U E 00 a 4 O N �; vr �r �sr p+" ,� �°n, o �� N o x ia �a �'+ I I I , ::� . o : � O 0 �° y N WW �, W �+ I4 � � � � � � x M � � M E � � � H � w � � � . � O �O Ey � t�a m� ,�n�.., P�G � �� Z N � � ° � � z � x z Z F "� o � 4 U 0 a z� z H d w > 4 a � � _ x � a Q W Z z � � � � a �� s 0 � a W � 1 �� 't C C � � � � C O .� _ � � �d ao v+'° C C � � � - � v �y � C = O . C �p 0 C 0 � � � ` � 3 � .� 0 � L �. � -., 0 � � � a api .d a � aa 0 � A J C W U H W � J F— � a � 0 �� d .� �, M Y B �� M � ,�. U � +� o °' m �� .d 'i7 atqy� ti•da�'i� � o ''� �u'd� O � � c��n�� a+H' � u �� a aa � '�"�N �a°� ��`� � � `� 0 �'�c�m �y��. a� � .�a�� o� W" � � a ��a � � � ��w M d�opv U vai �d c�o � h � �c o 0 0 0 0 o in � CO W LL'� N : : : g : : g o �' _ � O � ..�� .�b � - � ��! o � CL e`3 � �i � a`tli � � � ° � y �4 � W i�i O y ,A, � � � � � 3 � � � � � ��.� �� 5 a a a � aaa� v J I � � � � � b � � � O � 5 H w tR � � vs °o °o °o °o �°n CC N t4 �ti N � R a � � z � P. O w O � a � Q �r ttr v} v} v3 °o °o u°�� °n °o 00 OD N N t[� : : � : : � o�D � : ' o° � o . . g g : : g $ �+ • � � �� :�� .� :� � �o w 0 o y � � � � � � � � � � � � � � � � � �a � �� ° � °�'' 4 � � � +' � � � y ' � v�i � °a' � � � � � 3 � � � � � � �� a� �� m � � °� z 0 � �� °a O t+ � v � � � �� u} 0 0 � : : : � : : : : � : . . � . : : : � : . . . y . ry� . . y w . �e �� : �� v� x �° � pq W W F � � O1 F' O a � 0 � � � � � 0�0 y M � � M O N +'' f+ � � M a' o � � � z � a w w � °�° � a � -- p 9 �. ai � � z � � � O � � � � A w � � � � � z � b '� � V d I y � a � � � � a U E-� GO a O fy1 `h N � �''� � s�a e» ag ars P+ �°n, �°n, °o �` � N � � ia oa o z '�$ o � N v� : : : w : : : � . . . ..�..�. ::� • o ry� : � o a c ykN �� ui �: w � � m � w � � °' Z m � '01 c� °a� °z�z z y � � � � � o H�� w 0 0 4 a 4 zw H � 4 w > 4 :] x � a q .°r� � � � � a� � z w � > 0 Y � � � ;_�� I ./7%.zs:-.�.x..��t..-� �. ; �� ,� � .��'�-� � � �.r�9�"' I � E3EAT LOSS CALCULATIONS DEPARTMENT OF INSPECTIONS ��ppp�, �. �'r`�Veatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Cxiling Roof Floor Kind How Applied Yes—No J, Yes—No 19_ e FI. �;� Room � Length �" � Width �� Height Fl.� �„ Room Length / Width Height � Windows a� oors--Crackage and Area Windows and Doors—Crackage and Area �Vidth Helght No. o[ Llneal ft. Area Wldth Helght No. oP Llneal ft. Area I No. ot pane of Dane IfBhta ot crack eq. ft. No. of pane ot pane Ilghte of crack eq. [t. � . �i' � � �=� 't�i '� � /°�, � � � � � � / � � ,r' f' Coef. Beu Coef. Btu InGltration � � d�•e"� Infiltration ` � �r,� � I Glass ,� °'�`� �t � C,Iasa ,-,�" 0 �cp. wall "" -0 � �p. wall � Net eap. wall 'e'° �� ,� ,:� Net e8p. wall � d�,, Int. wall Int. wall Ceiling ,��,�, �'� '+�', � �'9 Ceiling Floor Floor �,�� 'S � � Total Btu. �f � Total Btu. ,.;'"°� � ',d Required sq. ft. E.D.R. or sq. ias. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .� ' � Room � Length // Width �� Height �,� � Rooffi � Length j"" Width '' Height Windows and Doors—Crackage and Area Windows and Doora—Crackage and Area Wldth Hetght No. ot Llneal tt. Area Wldth Helght No. of Llneal [t. Area No. ot Dgne o[ pane Ilghte o[ crack eq. 1t. No. o[ Dane ot pane Ilqhte of crack ea. [t. Coef. Btu Infiltration � �.�/ � Glasa � � a Exp. wall g�� Net ezp. wall r,,�s+ � � Int. wall Ceiling Floor k%,� /�!,� ,.�' Total Btu. p- Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. � ,/�� ° Room ( Length �"'� Width ,,f +ae I-�eight � Windows and Doors—Crackage and Area I Wldth Helght No. ot Llneal [t. Area No. of Dane o[ pane Ilghte ot crack eq. ft. � s`� a� � F� � � ^P � s In6ltration Glass Eap. wall Net eap. wall Int. wall Ceiling Floor - Total Btu. Required sq. k. E.D.R. or sq. ins. W.A. Leader area Fl.� • Room I Length p Width Win ows and Doors—Crackage and Area Wtdth Helght No. oL Lineal tt. Area No. ot pane ot pane Ilghta o[ crack ep. tt. � � � f Cs J � r.s r � '1� � �� '' Coef. Btu � In6ltration �' , � �?,,� „e /,� �.a Infiltration Glaa� ��' �,., '� ,� e,�;� Glass Exp. wall ` ,� Exp. wall Net exp. wall �� . ,� �, ��,�j Net exp. wall Int. wall Int. wal! Ceiling . Ceiling Floor �/ �° �, �� t'�" �s �'� Floor Total Btu. �� y.,,� Tota) Btu. Reqwred sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. WA. L.eader ana � _ _. . .- Btu .. .� �� y e �, Permit Fee �'--._..._--•----•--.......-- APPLICATION FOR MECHANICAL WARM AIR HEATING PERMIT No. P. Date of issuanaE------------------------------------------------•---•-, 196------ Loec�ti,on--- JVlircneccpolis, JVlinn ........................................•-----•-, 196...... Inspeetor o f BuiZdin�ss The undersi�ned hereby sncckes a.pplicatior� for a pet°mit for the instc�l.la.tion, dZterati,on or repair of a hecatir��, air eonditionin� or z�entilcLtir��% systefn, deviee or eqzr.ipnzerit, a,s herei� specified, cc�reein�^ to do a•LZ• szcch u�ork in strict accord,c�nce zvith the Citz� Ordinances arul rulinss of ths Departmerat of Ir�.cpeeiioszs aszd tJze spe�i fieutzons set fcrth in this appliccctwn a.s approi�ecl and �'iled in tlie Dcpartr�aent of Itaspections. Ourr�er---------------•---••---.._.....----•----•--...---..._....--•-••-•-•-•---•------•---....�<lddre.s� of Ou�rter_...-------•-----............ -- �-- -----•------.._..._........ Kinttof Buildin�..:.----•---------------•---------------------•-----•-----.......How occunied..----------.....-•---------•-•--•---------...._...-•--•-----•-------------- W'ork to be started ...............................................•--, 196..__.. Work to be eompleteaL-------•-•----•-------------•---••---••-, 196....-- Estimuted Cost � ...............•----------._......---.....-•----•-----.......Old — Neu+ Bz�,ildire� Pet°mit No..-�-------------------......._..-•-......--- DESCRIPTION OF WORK Note: Insert the word insiali, add, alfer, or repatr, aaording io which ta fo be done. Under "Remarka; ` ifemize removala, (f any, am! alterations to equipment. --•-----•------•--------------------------------Mechanical Warm Air Heating Flants—Furnaces ---...------•------------•-----•-------•-•--•-----.........---•---- J►?ake...---------•------•-------•------•-----• ......................................•-----.._..-----------.........5ize ----•-••---......_._._...-----•-------•----�•-------•--.-.._._........._. Connectec$ load---•-------------•-•--._...-----•------•----.._..-------------------•---•--------------.._.Cccp�city Air Condiiioning System: Summer — Winter — a2ll Yeccr J{l�ke.----•-------•------• .................................._...--•-•-----•---..............._ ..CaP��J--••-----•---•---•---------...---......_Cf �r�..---•------...---------•-------- ......-------------------------------------------••----------........------•--•--....._--------.... ..------.._._--•----••-•-•------•...---•------•---------•--------•--------•---•--------•---.....---- VentilatingSysiem: JVla,ke------------•-------•---------------------•-------•--•-•--...._.._Capcccity..-----------....--•-----•--.... Cfm.-------........__.......------ Rerruirks:..............•----------------------•-------••---------•-------•---------------- ---------•-•---------------------...----•--------------------......_..--------•-----•-------•------.. .gP7vroued.----••-•-------...••----------------•---•----•--....-•--•-•--------, 196...--- Ire,vpeator. q_Zp s a Sisned..•----.... B�J- --------�--------------••---•--------------------•------•---------------------•------ �ddress------------------------------•------•--------•----•---•-- Telephone----------•-•----•--•-----•--------------•-� -------------------------------------------•----._.---•------- ._..----•----------------------••----•----•---•-----------..... . � . P� � .,� . �,��,� . .� - � �� .� � M r"' � � �� ' �� Fdl� W� d � ��.�� N � � �° r�..a � . o��i �� uo;�.,, a �' � �� a aa � , ;� � � a�� ' ��7 S a� ,� � {� � o � � .a'd o �� • �! � '� � ' A� . �j °'' -� y � T.�� V � � C �� p`~ G�'bi df df a� � �, > � °° � � " �•� o o � �� a � � E� a�izs�s C o Q �.7 U m�� N .� N� 0+ • C •� . _ . � "'�i O + � V F vs � e o 0 0 0 0 0 �n Q1 � ac � u� �i � J . . . . � � ' W . : ' . � � : : : ' v� . . . . . � � : � $ $ o • o � � � • � J � `sr � � ~ � � � � � � � � � o O a :: �. � 4 �3 •�, �~'�a 4 ai q a d � � � � � �� s��;a � � �� ° � � � . � �/' ,� � I � � U � o �+ i. 0 C�0 v � q '� zy � O � 5 E+ W � � vs esr v} °o °o o °o �°n 0� N 4'Jt �!'J N � : � , o b . p o° : • c� � : : o � � � : � � .� : � m � o° � � actli � �� ao �� a � " e'� iy ��v�i �� e�i , � a �, � '� � ~ �, � w�ar� � � � V z a � � � � z � a c� . � Fsr °o °o u°� �°n CO 00 N N : � : : .� � • . � x : : � °� : : �' . w a � � � �j � � � o � � � � � �� ;�� 3 �3 �?J v�i v�i F � � N M � � � d a� � � � � V [0 ni ��WW � � O W O O a c°�i A z � � � � � � � a , o � � � 0 0 � : � :� :� : y : W . � . � � � � o �� a � �� M � � Y jy a, o '� � ca a O z � � � H � 0 0 �[i � 0 0 0 0 0 d+ Y � G°�a a � oa � C9 z .� � b E� a � 00 4 E+ E � � � � f7+ � �°n, °o � N o �e ie oa z : : E�-� � � o :�o 0 0 m k � w � � Y ��t9 � F � � � w � t9 , � � v tFs �. m ''�� O .� � E+ � W -` � � �� O � � v� � � � o F � � � a � � zW � 4 W > 4 a x � a ,� �� "1 Ci.ty of Fridley, Minn. BUILDING PERMIT June 28, 1965 nate: �. Gerald E. Sc,�a�rartzrock �� Same aaaress 6679 Arthur Street N. E. A� N° 806� LOCATION OF BUILDING No 66?9 street ��' Straet �i. E. p� of Lnt Lot 8 Block 1 Addition or Sub-ntvlsia� -��e Cpeek School Add. Coraer Lot Inside Lot Setback Sideyard �� — Foundat4� IIevation � DESCRIPTION OF BUILDING To be Used as: ' New Dett. Garage �t ��, ge��,t Sq. �t. Cu. Ft , F�+ont Depth fTeight Sq. Ft Cu. F't. Zj►pe of Conatruction F.st. Coet _�800.� To be Completed Ne�a Dett. Garage I�s consideration of the issuance to me of a permYt to construct the bwtlding ths proposed work ffi accsordance wlth the drescription above se� fo �� in ca o�iiasnc� of the dty of Fridley. a/'i rl � I agree to do prov}sions of in camdderatton of the Pa3►meat of a fee of ��d •� y Permit is herebY granted tfl G. Sch�Jartz�°ook to conatruct the buflding or addition as descrlbed above. Thisp�rr� t ia gi�anted upon t�e eupre� condition that the person to whom it is granted aad his ageuts, emplo�ye� an� worlmlea, in all work dane 9n, around ead upon said building, or anypar� thereo$ shall oonform 9n ali respecFs to the or�inaaces of FridleY. Minnesota r�gardi��g la�tion, aomatrttct�an, alteratlon, mainteaaace, r+ePair and movlag oE build9a�s wi�� dty limits and ttuis permit mas► be r�voked at any time upon violation of a�+ 04 the P�visittons of eaild A11en Jensea �� NOTI�S 1Ws p�il dea eot e�nr da oee�e�toe, �mtatldloe for �rirle6. P��6. Ya �9. swnr er w�Me. B� sms te a� da Boi�nB [�Esr !ar aParah Pu'm[is 1'er fku� k�m�, APPLICATION FOIt $UILDIAG PERI�T CITY OF FRIDLEit, MINNESOTA , � � ,.� : ;•. � r ' -� � c � ��'. ., � � : vi;��i: �1 � �.t �c/ � ,��, ��y , i: i � I. � ��►; LOCATION OF BUILDING _��. -- Street p�rt of Lot.. �- ._._..�... L� ��L4CR�1 ADDITION bR SUBDSVI�IO '` � " i " � � � , ��, Coraer Lot�_In�side L0�_, Setbe�k � Side•Yard S1'sWEi� ELEVAT'tON FQUNDATION ELEVETTiON;,"__, �._..�. Applicant attach to thia form Two Certificates of Survey of LoC and proposed building locatiun drawn on these Certificates. �j�� ,.o DESCRIPTION OF BIIII,DTTTG To be used as: �`�"`�..�.El�°�� Front �/° P-� �• Depth, �L��He3ght � � � , Sq. Ft. �lC� °Z— Cu. FC.� � � Frcmt DepCh_�_gei�ht � Sq. Ft. Cu. FC. �qpe of Construction Estimated Cest��, �✓�� To be cvmpleted � �1'he undersigned hereby makes application for a permit for Che work herein s�ecif�ed, agreeiag to do all work in strict accordance with the City of Fridley Ordinances and rulinga of the Department�af Buildings, and hereby declares that all the facts and repres�ntations staCed ia ehis applicgtion are true and correct. HAZ'�_�O��f��/'.i� , SIGNATURE � (Schedule of Fee Coets can be found on the Reverse Side). � � �� U �j s ., ,_ , ,� /� � , _ _ �`� BOII.D7.BiG PERMIT FEE S�E " SECTI�ON _2. The Inepector of Buildiags ehal.l. before iesuiug any germit for the exectiou of any building or structure, or for any addition to anq existing buiid- ing or structure, ot for any alterationa or repairs to anq esistiag building or etructure, upon application therefore, require the paymeat by the spplicant for auch permit of fees to the amount herein below eet��orth an� in the manuer hare�i..n_, provided to-wit; � 2.1. For any auch permit for the erection of any fire-�proof building, other than a garage, warehauae, factory or grain elevator, or for the erection of any fire-proof addition, fot aimilar oacupancy, to any existing building, shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in euch cub�.cal contents. 2.2. For aay such permit for the erectian of any fire-proof garage, Warehauae, factory or graia elevator, or for• the erection of auy fire-proof addition, for similar occupaacy, to any exiating building shall be at the rate of $1.25 for each one thousaad cubic feet, classified as "fireproof" bq Section 5Q2 of the Minneapolie Building Code. � HOUSES . , , _. _ . .. 2_ For anq euch permit for the erectiou of ��y nan-firepsroaf buildia�, other than a garage, warehouse, factory or �rain eleveCor, or any non-firep�oof addition, for similar occupaacy, to any exiat3ng building - permit $1.00 for each one thousaad cubic feet. GARAGES - 2.4. For anq such permit for the erectioa of anq non-fireproot garage, wareho se, factorq or grain elevator, or ior the erection of any nan-fireproof addition, for s�.milar occupancy, to any existing building or for each such buildin� or addition - ninety cents ($Q.90) far ea�h one thousand Cubic feet or fraction ehexeof, in the cub3cal cantenta thereof with the minimum of $4.00. For the purpose of camputing fees for building permits, the cubical eontents of any building or addition to a uniform height throughout bq multiplying the grouad area covered from a point six (6) inchea below the floor line of the basement oi cellar to Che average height of the upper surface or to the average height of the raof su,rfaee of the main gable of a pitched roof. 2`.5.._ - For repaire or alCerations to an exiatiag structure, the fee shall be at the raEe�of $3.00�per each Fiva Hundred Dollars ($500.00) or�fractioa thereof in the ceat of a11 propoaed work. 2_ In no ca8e shall the fee charged for any permit as'set £orth in Section Z be less than $4.00. � _ _ _� � � - _ �"� sus�ecr 'PER NO. City of Fridley ° 15 2 21 ' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T CEIPT NO. � � • COMMUNITY DEVELOPMENT DIV. � ; V �� r � � PROTECTIVE INSPECTION SEC. � � �� 1 i � l----� ��,,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 5/30/79 � / JOB ADDRESS 6679 Arthur 5treet N. E. 1 LEGAL LOT NO. BLOCK TRACT OH ADDITION SEE ATTACHED oESCR. g 1 Rice Creek Schoal Addition SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Gerald Cline 6679 Ar�khur Street N.E. 571-4669 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. S 1ID@ 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE WORK Construct chimne for wood burnin stove in basement 9 CHANGEqFUSEFROM TO STIPULATIONS SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. 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 $15O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $.5O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OF THE PERFORMANCE OF CONSTRUCTION. S7• SO PLAN CHECKFEE TOTALFEE $8.�0 ATUREOFCON7RACTORORAUTHORI2EDAGENT �DnTE� � WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ��30�i�` - c�zA.� 5J'o IGNATUREOFOWNERIIFOWNERBUILDERI IOATEI BLDG iNSP �AT . CiTY �or- r-iz�»�cY . � � • ��rr��tcnTTO» rori i�csr»r_��t�tI/1L LUJLDIi�IC f'r(ZI�iITS . ' (�'�LI�J, •�LTLRl1TlU(dS, �11?llITlOfd�, OR RL•I'A1fZS) . ' . ^. ' . � . oW►trR: l�erc��e� ��u°�� C� i ne 13UILllL•')t: �aar.�s.: b��1� .�r�hur �t- �� aax��s: . �Tel. 110. : �$"?!- 4�C�C� 9 � ' T1o. : - Street: T.Ox: ___C� _ }3TACY.: �_ ADDI�rzor�: � � COk21JER LOT: II�SID� TAT: SLTBACY.: SIUL•'YJIRDS: ' . Applica'r,t ati:ach to this i'onn Zt�a CerL-ificates of Survey of Lot ar�d proposed bui.ldir�g �acaL-ion drawn on these Certi£icates. • � DESCRIPTTOPJ OF BUILDI�G �.`o l3c Us ed 11s : � � i m me--� Fxont s Depth : � � ' Height : qs m�N'i gquare Feet: Cubic -Feet: � C (.t�0of �Z ti � ��J� Sc U� � ) � . � I'i-on t : Depth : Neight : Squai:e I'eet: � Cubic Feet: ' Type of ConsL-xuction: Estimated Cost: $ • xb Be CompleL-ed: . �Alt. A Al�t. B 1'roposed Driveway Width Ii Y1ew Opening �s Desired $ I Q�' $ ' (SE� 1Z��ERSE .SIDE OF SHEET) The undersigned liereby mak�s ap�lication for a permit for the work lierein specified, agreeing to do all �.ork in strict acco�:dance with the City of _ Fx�dley Ordinances aiid rul5ngs of the De��ari:ment ot �uildings, a�id liereby declares that all the facts and representatians stated in this applicaLion axe true and correct. �See revcrse side far acic3iL-io»al ini'ozmatioi�. ,. D11T�: ��C30��"I STGNATURE: � C:C.[/2R� Stipulations: , � � . . � � �• . • � , Sv • . '� � . ,. � _� - 8�.o�r - . � � - BUILDI(�G PER��IIT FEE SCi�EDULE SECTION 2. � The Inspector of }3uildings shall, before issuing pezmits for the erection of any building or sL-rueture, or for any addition to any existing buildinq or structure, or for.any al.tE:ration or repairs to any eaisting building or structure, upon applicaY.ion therefore, require the paymen� by the applicant for such permit of fees to tfie amount herein below set forth and.in the manner herein provided to-wit: . N�W CON5TRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. , DRIV�WAY DEPFZESSION: (Concrete Curb Streets Only) • Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$�,5m75 � Alternate 8: Removal and replacement of concrete curb and . gutter and install a 3 toot wide a.pproach with �� ' 6 inch depth; Driveway width plus 6 feet x$17.85 �� —��= 1 �' ` �l� For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing.structure, the fee shall be at the rate of $3.00 �ier each five hundred dollars -($500.00� or fraction thereof in the cost of all proposed work. In•no case shall the fee charged for any permit as set forth in 5ection 2 be less than $7.50 plus $.50 state surchaxge. � � • � � � � �Ij � NOTE: Permits for cons:truction will be issued a miniminn 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, siiowing the location of the foundation once it has been constructed will be required before proceeding with the �raming. C : _ � � ':► � Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building perniit has been issued; and sa.id structure shall not be used or occupied until a Certificate of Occupancy has been issued. 0 �^ - . � SUBJECT PERM . City of Fridley 210 7 4 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r i � � ; y_____ COMMUNITY DEVELOPMENT DIV. r�� r � � PROTECTIVE INSPECTION SEC. � i � S � � /'�'1 � CITY HALL FHIDLEY 55432 NUMBER HEV OATE PAGE OF APPROVED BV �""� � ,`' 612-571-3450 910-F15 9/20/91 � � JOB ADDRESS 6679 Arthur Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $ 1. R7.Ce Creek School Addition SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Gerald Cline 6679 Arthnr Street NE 571-4669 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING RG'S 1�P_31'"t131 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reroo� Dwelli�g (15 S�quaxes) 2nd layer 8 CHANGEpFUSEFROM TO STIPULATIONS Rao�ing can be the s:econd layer but not th.e third. TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR E�ECTRICAL, PLUMBING, HEATINC3, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEFEBY CERTIFV THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $780 yS. SO WITH WHETHER SPECIFIED HEHEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $Z�..00 Fire SC $.%8 PLAN CHECK FEE TOTAL FEE $22.28 SIGNATUREOFCONTRACiO�MORIZEDAGENT �OnrE� WHEN P OPERL V D IS IS YOUR PERMIT '1 �� % F � SiGNATURE OF OWNEF UF OWNER BUILDEHi iOATE� $P 4ATE � [] � � J � [ ] l�l 11l�ID 1�2 Euildirg Petmit applic�tian •- % / i �. . .� - - � r _ Effective 1,/l,/91 Iegal Des�riptiac,: � o� G� ,3 t o c r� � � i c�' c r� �� k s c�! o� ti �- d d; r, o iv Owner Namie � �*� : /� .�%t�c-�� /`.�� .� 'l1�1. # 57 / - �/lo G, � r �1�'dL't.0�': —_�-�?�✓ �1 • � �., S Attadz to this applic�tian, a Oertificate of �vey cf the lot, with the p�opo�ed drawn an it to s�cale. .�� z.lvn� !�►: Le�, wiath ae,ic�t sq. Ft. C�RAC� 11t�A: Iength i�lidth 8e3c�t Sq. Ft. �C'R ARi�: I�th Widt2l Hgt/Ctvtad Sq. F`t. Ol'�R: �� {�o�c.�c-P / 5 s�r _ S.e.r� ��us�irf Cbzner Iot [] Inai.de It�t [�'] Ft. Yd Setback Side Yard Setb�acks Zyp� of Qoa�st�uc.�ticai: Estimated Dost: $ %� � Approx. CL�pletica�► Date: Prq.�osed Driveway Width If New Openir�g Is Desired: Ft. S $ Width + 6' See Hack Page DATE: 9/� �/ 9 i APFLICArT!': ��' .�, �' � -� Tel . # s ?/ - �� Permit Fee $ � �. C� � F�re s��arqe $ �, State S�zrge $ ,� C' SAC Q�arqe S �ivehray F�ctvw $ Park Fee $ SeWei Ma]sl C�13rge $ .--�,, sTr�,�rra�: � s ��- a� « �__,_ . � l�ee Sd�ule an I�eve�e Side .001 x P�mit Valuatian (1/lOth $) S•50/$1,Od0 Valuatian $650 per SAC Lfiit Alt• ~Ap C�' Alt. aBn AbOVE Fbe 1��„ni r,or9 � �i r�ri �r ��YI] ��azY[ ] I: �r� ��i, c _:.;•.'Y t �� : a.:i -� �r �e �ief Huildirig Offic,ial ehall, befa�e 3ssuing peimits for ti�e erectian of any �; � ding o� st�ucbure, a� fa� any adciitian to �Y ��9 ��n4 aar �e, os for any alteiazticn c� repair tc anY ��l �d�J �' �, �z +�PPlicaticai ti�erefa�re, requiie t�e PaYm�t bY �e applicant fc�r eudi permit of fees to the a�amt 2�et'e,in belaw set fa�t�i ar� in the m�r��er herein pa�wided to-wit: T�►D�L VAILJE . . $1 to $5� $501 to $2,000 $2,001 to $25,004 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 - � �. $15 (Miniti�m P�ee is $15 plus aur�d��) $15 faar first 5500 pltg $2 fcr each additional $l00 or fractian ti�teof, to and itrluclii�g $2.000 $45 fa�r first $2,000 plt� $9 fos each additianal $1,000 C�' fra+CtiCn thp.reof, t�D at�d 3nc.luding 525, 000 $252 for fil^st 525,000 plus $6.50 for each edditiac�al 51,000 a� �t,ian thereof, t+D erd i=�cluding $50, 000 $414.50 fos first $50,000 plt� $4.50 for eacii additianal $1, 000 ar fraction the�eof, to at�d includir�g $100, 000 $639.50 for fil�st $100,000 plus $3.50 foi' eadi additional $1, 000 or fractian ti�s�eof, t� ani irr,ludirg $500, 000 $500,001 to $1,000,000 $2039.50 for the fi=st S500,000 plus S3 for eadi additional $1, 000 os fractian the.�reof, to ar�d includinq $l, 000, 000 $l, 000, 001 ani up $3539. 50 for the fiist $l, 000, 000 plus $2 for each additioa�al $l, 000 a� frackian t2�ereof DRIVEi�Y �BZQd �L'liO�W (Q�c�cret�e Qa� S't:tee�ts Q�lY) Alternate nA�� : i�val end t�lao�t of � and gutter only - Drivewdy width plus 6 feet times $13.50. Alternate p8" : Re�oval ar�d replav�nt of an3� ar�d gutter and install a 3 foort wide epprc�aCh with 6 fnch depith -�ivewdy width plus 6 feet times $15.75. .�� .•_�!�� r � >> Permits for aar�;tructian will be issue�d a min3m� of 24 i�ouzs fran the time of apQlicatian to Sl.lvw fa� p�cper review of the pa�po�ed etn�ure arid of the cor�tructirn site. A Oertificate of �uvey of the lot, sho�ring the lxatian of tiye faur]aticn anoe it has it i�as been will be zequire+d before pmooeedin� with the fra�ing. sue�ecT P . c�ty of Fridley 2 5 9 3 4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � NO. � `v �_�___ COMMUNITY DEVELOPMENT DIV. l nD� r �. � PROTECTIVE INSPECTION SEC. �� . � � _ /'�'1 � CITV HALL FRIDLEY $$432 NUMBER REV DATE PAGE OF avaaoveo er �'""'� � �'' 612-571-3460 910-F15 4/15/98 � � JOB ADDRESS 6679 Arthur Street NE t LEGAL �OT NO. BLOCK TRACT OFi ADDITION SEE ATTACNED oesca. 8 1 Rice Creek School Addition SHEET 2 PROPERTY OWNER MAIL AODRES$ ZIP PNONE GeraldjRuth Cline 6679 Arthur Street NE 571-4669 3 CONTRACTOR MAIL ADORESS 21P PMONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE B UESCRIBE WOFK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATIN(i, �PE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD VENTILATING Oi; AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION ]. STALLS GAHAGES AND KNOW TNE SAME TO BE TFUE AND CORRECT. ALL PROVISIONS Of LAWS yAIUATION SURTAX AND ORDINANCES GOVEFiNING THIS TYPE OF WOHK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �Z�OOO �I..00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �G2. LS F e SC �L.00 PLAN CHECK FEE T AL FEE $65.25 SIGNATUREOFCON7RACT �ORAUTNORIZEDAGENT IOATEi ME P V VAU T *THIS IS Y R PERMIT � � 6 �GNATURE OF OWNER i�f OWNER BUILDER� IDAT6 B<G �NSP qFTE NEW ADDN ALTER Il [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: t�P�o%9 LZ.n.1�i,�.r�J .sl1z �E Effective 1/1/98 �� 3 pC� d1 � � Legal Description: Owner Name & Address: �'�� l.,�� Tel. #`5"7/-�!� � 9 Contractor: �,� J MN LICENSE # Address: Tel. # Attach to this application, a Certificate of 5urvey of the lot, with the proposed construction drawn on it to scale. DESCRIP'fION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height 5q. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OT'I�R: �5 �,c,c�.eJ -��.-,•��.� am� c� Construction Type: L.c-ein,u,i, Estimated Cost: $�� 2 �c,21 '�o�� Q� � (Fee Schedule on Back) Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �/-/�'-9�' APPLICANT: ��r��%.1f %��rp J Tel. #�5`�%/-�� . CITY USE ONLY Permit Fee $ �� Fee Schedule on Reverse Side Fire Surcharge $ o� v U.001 of Permit Valuation (1/lOth %) State Surcharge $ 1�.� U� $.50/$1,OQ0 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $, Erosion Control $ Park Fee Sewer Main Charge TOTAL . STIPULATIONS: Alt. "A" or Alt. "B" Above $450.00 Conservadon Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � .� $ '` �`= � '� %�. - BiJII.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,OQ0 $2,001 to $25,000 $25,001 to $50,000 $50,�1 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (l�iinimum 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 $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 first $100,000 plus $5.00 for each additional $1,Q00 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) 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 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. � sue�et* � City of Fridley 2 9 9 5 9 AT THE TOP OF TME TWINS � � I L D I N� P E R M I T ' � No. COMMUNITY DEVEIOPMfNT DIV. � n r j v � PROTEC7IVE INSPECTION SEC. �/�, Y � _ ; Y[s � � �"'1 � CITY MALL FRIDLE� SS�32 NuMBEa nEV D�TE PAGE Oc �PVROVEO Br �----� • •�� 612-571-3450 910-F15 7/29 99 / / 108 AODRESS 6679 Arthur Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $ 1 Rice Creek School Addition SNEET 2 PROPERTY OWNER MAII ADpR�S$ ZIP PMONE Jerry $ Ruth Cline 571-4669 3 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO American Bldg. Contr. 12247 Nicollet Ave S. Burnsville 55337 70 -6959 20169 8 e ARCNITECT OR OESIGNEF MAIL AODRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDiiESS ZIP PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATIpN � R�PAIR O MOVE O REMOVE B DESCRIBE WORK Reroof house and gara e 19 S. Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS � Underlayment must comply with the State BuildingCode. TYPE OF CONST. OCCUPANCY GFOUP OCCUPANCY IOAD SEPARATE PERMITS AqE REOUIRED FOR ELECTRICAL, PLUMBING, FIEATIN6, VENTII,ATING OH AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CfJNSTRUCT10N 20NING SO. FT CU FT. AUTHORIZEO IS NOT COMMENCED Y�1ITMIN 80 DAYS, OR IF CONSTpUCTION OR WORK IS SUSPENDED OR ABANOONED fOFi A PERIOD OF 120 DAYS A7 ANY TIME AFTER WOpK IS COMMENCED. NO DWLG. UNITS OFFSTpEET PARKING I HEFiEBY CERTIfY THAT I MAVE REAO AND EXAMIN�p THIS APPLICATION STA�LS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS yp�UATION SURTAX ANO ORDINANCES GOVERNING TMIS TYPE OF WORK WILL 8E COMPLIED WITH WHETNER SPECIFIEO MEpEIN Oii NOT. TME GRANTING OF A pERMIT $1661 $, g3 DOES N07 PRESUME TO GIVE AU7MOfi1TV TO VIOIATE OR CANCEL 7ME pEpMIT FEE SAC CMARGE PROVISIONS OF ANY OTMER STA7E OR LOCAI LAW REGULATING CON• STRUCTIO OR TME PERFORMANCE OF CONSTRUC710N �C)O.�.O Fl SC �Z.C)6 � PLAN CNECK FEE TO A FEE �'' � �� Lice C $5.0 7.59 5� ATUaE O� CON'AACTOa Op 4UTMOA�2E0 4GENT IO�TEt ME P VALIO TNIS R fypfilq �� , ` _ ( S�GNOTUAE O� OWNEAi�� OWNEABWLDEAi IDATE� � � Bl �NSP ' � pp}E - ��3 �� r�w � � ADDN [ ] �,�R Il Constiiiction Address: �i Legal Description: Owner Name & Address: Contract� Address: Effective 5/10199 CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R 1 AND R-2 BUII.,DING PERNIIT APPLICATION � � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length DESCRIPTION OF IlVIPROVEMENT Width Width Width � �t� � � �� _ Tel. �i ��oS/ ��i� ° �� '9 LICENSE # �� (�� Tel. #�l'� 1-1��1` �Q�� Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. , � .� .. , , �,, ,- � � � �y._ �.�� „. -, . , r�..� �, � � Driveway G�,irb Cut Width Needed: Ft. + 6 Ft = Ft x$, _$ 9 DATE: APPLICANT: ,Q TeL (� - �� 9 Permit Fee Fire Surcharge State 5urcharge 5AC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ Cc �� a f ��? $ $ e '��,� $ $ � (��°� $ $ $ $ �� $ ' CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 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 [ ] BUII,DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure9 or for a.ny 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,Q01 to-$25,000 $25,�1 to $50,000 $50,001 to $100,000 $100,001to $500,000 $SOO,OOlto $1,000,� $1,000,001 and up FEFS $23.50 $23.50 for first $5� plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,0� $391.25 for first $25,000 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 additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,(�l0 or fraction thereof, to and including $500,000 $3,233.75 for the first $�OO,OQO plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,Q00,000 $5,608.75 for the first $1,Ot?0,000 plus $3.15 for each additional $1,000 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 $15.50, 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allo�v for ��g 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 co�� rnll be required before proceeding with the framing. � �� Building PLUMBING Pernut No.: ' Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: �'� '�'�� DATE ,( O YOUR E-MAIL ADDRESS SITE ADDRESS �� `I'I'X..L�' �� • l�l � THIS APPLICANT IS: ❑ OWNER �ONTRACTOR I PROPERTY NAME: I -� OWNER/ �DRESS:��? CITY 1r1� STAT�ZIP S5�3a— TENANT pHONE: �I (03� �J 7 I- LI �o (o I CONTRACTOR N,�ME: �-i I � � S SUBMIT A COPY OF STATE LICENSE # �� o� - EXP DATE a' O Io Y_UUR STATE ADDRESS: �� o�I O 1.� CITY��Y1 STATE�IZIP SSI a-� LICENSE WITH PHONE��'II��J�oS- ��-f'� - FAX --- -- — APPLICATION PERMIT TYPE �INGLE FAMILY � TWO FAMII.Y ❑ TOWNiiOUSE TYPE OF WORK: � NEW %[J�EPLACEMENT DETAILED DESCRIPTION OF WORK � �,,�7Cc�0� �� PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $SW = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXT'URE, EXCEPT WI-iERE NOTED. FlXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV� BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING ��o cm�c�rsE) SWIlvIMING POOL WATER SOFTNER ($35) CLOTHES WASHER KITCHEN S1NK WATER CLOSET BACKFLOW PREV. ($15) DISHWASHER _ LAUNDRY TRAY T_WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER PE�.tI�iI�;FEE'P�'�3�EaC�,�'��-��, '��1Q�.��.�:.��?��:�� '�,�rok°:'�� i��`,�,'�� ,�'� ,�, �.��?I�:1�G�'<�,�k ��`�3%`.' �,. Permit Fee $ �. �t�9 N,umber of fixtures @ $10.00 � x $10.00 = $ Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $�_. Number of fixtures @$35.00 x$35.00 =$ State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building �ermit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Consh-uction Codes; that I understand this is not a permit but only an applicarion for a permit and� work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. ^��,.- �/,� ,l Q SIGNATURE OF APPLICANT �� eX/!� PRINf NAME KJ I cSUI P�f'1 DATE ° I�d�� :; tPl�A.SE NC)'T��; `��;�.��r,.n ��.� i. �w. `��.��.�'f . .. � •�� 1��:��?�� ; - - — �iiy oi�ric�ley - ]Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ��