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AF - 351290 � �;�� 'fl�� AT 71eC TAP OF 4N� iCYlM� 1. �'4_��••-�_� CpR��uNITY C�Y�L�E�fY 61V, � S Ppe�r�Criv� �+�cp�w ��r, � r._. � CtY1r K+�LL ��JOL$Y 6�R .dl•� !.a a��-�ev-9ds� Job Address Contractor 5� F Kind ot �u � � �.. W S J � � — W 3 n 39P1y21 Bra "iddtl SYO � •�8�w i •saa� I'MtdIV2i tll M SN18VH • I� H7lV� �C.e �y SNIYLC ;O � � � aoold • a w ... ;o v saaµoHS �� a � •1Nnod �� a A1 tl HNtaa !U a � . SAtlUl''� fA � H8VM � � � Z 9NNISi ` � SN18Ye� I I I � �tle(lil� sivw'�an ` I I l ( � � siaso,al � I � I aaivM �f d .a � w � ..� b °� � tn q ± cr3 s r ,3 �i" �s ;�� q tD •�. � � �., � � � � � ty d � � � .� � Q� V St�dECT Permit No. .. PLUMBI►��r PERf1IT APPLICI�TIO�� s.��s:zz�.�.�c�,� � _ ;_ . .��. .� � � � �I . `.. - ��- �i� t�_ :._�� ,`� � Plumbing Fixtu�e Rates: NOe TtATE TOTAL d�lumber Fi.�c,tures � o x$2 s QO o?$ (�.00 '�uture Fixtu.res x $1.50 New Fixture-01d Open. x $1.50 Catch Basfin x $3.25 Water Heatex-99, OOC! BTU +� x$3. OQ �• 0 0 Graund Run 01d Blcgm x$3.25 E1ec. Water Heatex x $2.OQ � Gas Fitting Fees; 1st 3 Fixtures � x $2.00 ��0 �� Additional Fixtures � X $ .75 Gas Range-199, OOQ �T[T x $5. (?0 � Regairs & Alterations � See Description; Code State Surchar�e .gd TOTAL FEE $ °�;� �'he undersigned hereby makes application for a permit for ehe work herein specified, agreeing to do a11 work in strict accordance with the City Ordinances and ruling of the Department of Bui�.dings, and hereby declare tlzat all the facts and representations stated in this I apPlicat,�n are true and correct. ar.ur�/ / liaz� � — ; susrECT PERMIT City of Fridley 12296 AT THE TOP OF THE NIINS g U I L D I N G P E R M I T • r - � Z RE � ; L �_��_� COMMUNITY DEVELOPMENT DIV. � r � � PROTECTIVE INSPECTION SEC. ��a�� ( • /��'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF -APPROVED BY '�"'�'� ,� 612-580-3450 s� o-F� s 8I241i3 � � JOB ADDRESS 7528 Arthur Street N,E. t LE(3AL �OT NO. BLOCK TRAGT OR ADDITION SEE ATTACHED DESCR. ]. ]. DOII�B Sth Addition SHEET 2 PROPERFYOWNER MAILADDRESS ZIP PHONE Larry J. Laraen 656 - 63rd Avesrue N.E. 3 CONTRACTOR MAIL ADDRES5 7-�P PHOIdE LICENSE NO. Shelterbuilt Homes 4 ARCHITECTORDESIGNER MAILADDRESS 2IP PHONE LICEPISENO. 5 ENGINEER MJ41L ADDHESS ZIP PHONE LICENSE NO. 8 USEOF BUILDING Re�gdential 7 CLASS OF WORK C� NEW O ADDITION ❑ AL7ERATION ❑ REPAIR ❑ MOVE ❑ REMOVE s DESCRIBEWORK ��truct $ 46� x 2b' & 30' 11A�elling sud a L4' x 30' :Gatage 9 GHANGEOFUSEFROM TO sTiPU�,�►'rio�vs p=oy�tde s verifqing survey before capping. Proeide a hard surface� drivew SEWER IA�ATION: Must Ba T�pped Manhole N�ax Noxth prope�ty Iine-(Inv. 889.26) 8" Sewer Main 33' East of East propertp �iae. Top of Footing : 892 .26 -Mini.mnim WATIIt LOCATION: Must Be T�pped 6" Main 23' East of East prope�cCy line. 10' West of Sewar main. I�IR�D f �R �IIRIiVG�� EPERATE PERMITS R ND S1G�S• S PLUMBtNG A �4�A►TING, TYPE OF CONST. OCCUPANCY OROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOO,d FTB�@ THIS PERMIT BECOMES NULL AND VOID iF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMHN�ED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT R�l 12�� 2I,064 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTRHET PARKING. 1 HEREBY OERTIFY THAT 1 HAYE READ AND EXAMINED THIS APPLICATION 1' STALLS GAHAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yAtUAT10N SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WbRK WILL BE COMPLIED. $25 ZS� 1a .64 . WITH WHETHER SPECIFIED HEREIN OR NOT. THE (3RANTINO'OF A PERMIT � DOES NOT PRESUME TO C,IVE AUTHORITY TO- VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LA{N REGULATING CON- �� Q� �]S.00 STRUGTION OR THE PERF ANCE OF CO CTION. PLAN CHECK FEE TOTAL FEE $ 335.64 S NATURE�OFCONTRACTOR AUTHORIZ DA6ENT (DATEI W EN PR E L V IOA ED THIS IS YOUR PEAMIT„ � — - - s^' • �� - = i a- SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI LDG. INSP - � ATE �.PLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA owN�� s x� :��.�' r J La Ln�x: � .�. ��- - �.<s ADDRESS: r � �C ADDRESS• NQ : . i � °� � STREET : _ Q �-�- �► �.�. r � � . � � �: I BLOCK: � ADDITION• _(�vy�� s ��"` CORNER LOT; INSIDE LOT: � SETBACK: SIDEYARD; Applicant attach to thia form Ztao Certificates of Survey of Lot and proposed buildiag location drawa on thee� Certificates. ,r� � �; z,. r 1, -- , < ,� „ , _ r , � ,� DESCRIPTION OF BUILDING To Be Used As; z' Front:_ ��o � Depth: �.� l� 3a Height: �v � Square Feet• .Z Z Cubic Feet: Q` � Froat: �-y.� Depth• 3 � � Hei ht• � � � � � b � Square Feet; ?i Cubic Feet: 7 7� 1�rpe of Construction: (� �� Q �`'r�,�„ � Estimated Cost;_$ �,S'_ � O O To $e Crnapleted: �� 3 �{�� Q g a The undersi�aed hereby makes applicatinn for a permit for the work hereia apecified� agreein� to do all work in stiict accordance with the City of Fridley Ordinaaces and rulings of the Department of Buildings, aud hereby declares that all the facts aad representatfona stated in thia applicatioa are true attd correat. . , DATE: �� i SIGNATUR�: Q —�– �----�`-°a-^ �� (See Reverse Side Faz � Additional Information. ) C � ,�_r�� = �� r � �� ` ' `"�� , � '� �• Q�b s. �'.� • r:� _ � , � f� � W_ y�. � o� •Gy �33 S-,�� / S G R d'' ��`]� �e/v� y � �� - �-- ; r BUILDTNG PERA�[�T rLE SCHEDULE � SECTION 2. The Inspector of Buildings �hall, before issuing permits fox° the exectioa of a,x�y building or structure, or for ax�y addition t� any existing building or atxucture, or for any alteration or repaixs to axiy existing buildiag or st7c�tcture, upon application therefore, require the payment by the applicaat £ox such permit of f�ees to �he amount herein below set:fc��th and in the tqanner herein provided to-wit: ' UNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction ther�of, in such cubical cont�ents. �pe 3& 5-$1.85 for each one thousaad cubic feeto . ADDITIONAL INFORMATION For tl�e purpose of computing fees for building permite, the cubical contents of an�► building or addition, is determined by multiplying t'he ground area covered from a point six (6) inches below the floox line of the basement o= tl�e cellar to the average heights of the upper surface or �o the average heigt�t of the roof surface o� the main gable of a pitched roof. For repaira or alterations to an existing sta-�acture, the fee shall be at the xate of $3.00 ge�r each five hundred dollars ($500.00) or fraction thereof #.n the cost of al], proposed work. Ta no ca�e ahall the fee charged for any peacmit as sat €vrth in Section 2 be lesa than $5.04. � V�RIFICATION OF FOUNDATION NOTE2 Pexm3ts for eonetruction will be issued a minf.nntm of 24 hours fram the Cime� pf $pplicatioa, �o allow for propex xevi�w of the pxoposed strnctu�e anct oi t�}e coa�truction �it�. A Csx+tified Survey of the lot, showing the location of the fouadation, once it has Ueen Gonstruc�ed, will be required befo�ce proceedin� with the framin�g. CERTIFICATE OF OCCiJPANCY Appli,aatiox� for a Cextificate of Occupancy shall �e made �en (10) days prior t4 the uae ox occupancy of any stxucture for whict� a build:�ng permit has been iasued; aad eaid ��xucture shall tt�t be used oz occupied unGil a Cextificate of Ocaupancy ha� beeu iasue►d. � _ � . „� a � �__-�- � 0 � C...i� o ��Ed�e � � � ANOKA EOIJNTY s6a3a�o . 6431 UNIVERSlTY AVENUE NE Msxc�t 25g 1974 FRtDi.EY, MINNESOTA 55421 Mr. Larry Js L�saen � 7528 Arthur S�re�t N.E. Fridley, Mi=uiesota 55432 0 Re: Ve�ification Survey Deas Mr. Lats�t: • • According to aur records, your home be3,xzg buil� at 7528 Arthur Street N.E. __ on Lot I, Bloak 1•, Don's 5th Additiox� h�s not. ��exf �esuxve�ed s.ince pour foundatian.was comglated. if you have a copy of tYiis required suxvey in poux fi,le, w311 yan� pl�ase forwa,rd a c�py �o� us. If yc►u have not yet had the survey ma.des gleas� let this be a xem3�nde� to you that thesse v�rification s�reys are a�ity requiremen� and that fihey are esseatial to Baeeting the City Code. - We hepe th�t thi� matter c� be taken ca�cc� �� saitk:tn the ��xt 1� da�r� so that more drasxic steps �ai11 not have to �� taken �v gain co�gl3,as�ce. . If you have aay questian�, plea.se feei £ree to cail me.. • - _ Since�elp, ��.� � � � t�RR�L G. Ef..ARK � , Co�uEt�:.tg Deve�opment Adm� DGC/mh :�. { - _�t. , . . ' � 4�.• . , ' . . . . ' ' , , J F ��AW��G��,Q�►:�/�Y1��1�F�Y�Cti►. _ ;• ` . . . 4111t��V/1Y'�i.[�.�rl ;:._' . .-.'. � , � �►« �:, �MX +'�4�i w � ��-303{! ' i �LiI�A,`iil111�1V:'�� , _ , . , , , , +.+ 1 � e , ' i� r "rt ra.. f __:.. .... _ . _-. _ _- _ , : . �. _ -.. ' - : '.. . y -- . '. ��.: x i . a,�� , : : ' �'1`��A�. O!� SLlRV�Y . � '�;). • . .. . ..: . . . . .. -. .. �. . � � - . . � . . ;.. . . . . . . . ; ' �... . . ��: -S�n►a� �3on � c� r �" � ��-z. 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F3 �t:,� ♦ '� ` ,. � :�i;,; a .. 9-T-�3 ��''Y OF F1�.IDLEY �' _ _, 32 Application for InataIlation of W�er and 3ewer Serviee This form to be completed before a tap is made to any existing water OP 8@WCP �A@. � / Lot _____ l .____ Block _._..�.._._._. Acld�ttion __._ �_ � "— �� .Address ��.�� - Pltmnber ___..._______..._ � _ ...._.. (this portion of form to be completed bY ��son reclues�ng 'ta.P) CHAi�tGES TO BE PAID BEFORE TAP IS M�U E— WHERE A5SESSMENT HAS NOT BF�N LEVIED AC��iST 1�R.OPERTY Sewer Conne�etion fee °Street �.tch � �a� �� t �� _ ° where apnllcable u The abave appIiea Por all regular r�tdential size sexvices � ��; e� �� .� o 7F I�ATERAI. ASSFa3S�NTS HAVE BEII�T LEV7ED AGAINST THE PROPERTY, TFIERE VPII..L BE NO CHAR.GE.S OTI�t TF1'AN CONNEG°1'ION PER.MiTS AND ME°�Eit DEPO5IT The City wlli Purnish materials for water servic� and the plumber will bill the City for sewer, not to esceed $3.� a foot or a ma�dmum oP $60.OQ. `�_-:`1��f�y. � : ��i� Water La.teral Credit for material Total a�ent Sewer I.ateral Credit for material $•�!��.-..�.� Tota1 a�ent $.._._ Clerk's signat�re��l�� I hereby author3ze the above tap �^^ lat cogy—Public Works Director of Public Works � �. �. .� w ;� .L: � � �,,.. r� N� � .�� ' in�d. —( ' S60-3450 �i�o �i�i�e � � ANOKA COUNTY � 6431 UNIVERSITY AYENUE NE July 10, 1974 FRIDLEY, MINNESOTA 5542t Mr. La.rry J. Larsen 7528 Arthur Stxeet N.E. Fridley, Minnesota 55432 Re: Final Inspections For 7528 Arthur Street N.E. Dea.r Mr. Larsen• We would like to make the final inspections for the electrical and builda.ng permits that were taken out for your address. The building permit will expire Angust 24, 1974. We would therefore li.ke to set the date of September 2, 1974 fo� the final inspections. If the work wi�l not be ready for a final inspection at this ti.me� please let us hear from yau so we can arrange another date. If you have any questions on this mattex, please feel free to contact this departsnent. CJB/mh Sincerelyo CEAi2ENCE J. BELISLE Buildinq Tnspector � � .� , �� 560-3450 Cgt O �r�llg . � � ANOKA COUNTY 6431 UNIVERSITY AYENUE NE September 27, 1974 FRIDLEY, MINNESOTA 55d21 Mr. Larry Larsen 7528 Brthixr Stree� N.E. Fridley, Minnesota 55432 Re: F3.nal Inspections on Residence Dear 1�1rr. Larsen: It has been brought to my attention that you have moved in and are now occupying your home Iocated at 7528 Arthur Street. � Our building inspector has re,ported to me that the one hour rated separati.on between the house and garage was not in at the time of hi,s final inspection on September 3, 1974. He also noted that the required handrails were not installed at that time either. Our plumbing inspector. Yias reported that he was unable ta get a final on the plutabing and heating and that there i� no permit for heating or gas on the furnace installation. Our electrical inspector has stated that he told you what was necessary for hi.m ta be able to final the electrical work. All of t,l�is constitutes quite a long list of City Codes that you have violated. We certa.i.nly want to cooperate with you, however it i.s nery iraportant that you take care of these items as soon as possible. We will seek your cooperati,on on these matters and will wait until' October 15, 1974 before taking any further steps towards gaining compZi�nce of our Code. If you have any questions on this matter, please feel free to contact me at 560-3450. Sincerely, D L G. CLARK Commwnity Development Administrator DGC/mh � 1 � v � y,, � r: �� , � ,� �� Q7 �' � � �� , � � �� w � g 9�9 -.°i J Po � °+ G t� w O �� '� � � � � � �� I � e � � � i � � � � � � u� O � � � W � � � �� I � ' w� O �, � � . r � � � � � � � � Q � � � � O � � � � , � � � � o� r° � � � 6� 6 � � I M � w �� '� � �' ~ o x � o %' � . � � � � W � � � � A � � � � '\ � 1 � t� � � � � rt � � � � � � � � �. � 0 � �� m p �y a� n Q � � � �'a � � �� N � � o � �' � .� s� % k° � x x r r � 9 � � � o � � Pr� o � � �. � � ,� g. � .. h] ~ � b � � o �' » � � -`�i EW C.� :d O O �� M 4Q � y � � �� . � � � �' � � � � � � � � � � � � � � � $o � � �s� A � � @ � 0 7 � � m s � � � . � � $ ' � � � � � GW W 6► • 4: O �� O � � � � � y o � � � m � m o � � 3 ' � � CO � A �' E g c' � � � � d+ i�i �a g ro � �� o � 1 t :� 0 � � � ��-1 W Ai tn i � �. �. � � � � � � :°., � � � p � � � ��. � � � � � � � � m� o � � � � . . � $ . w v. �a o � �8�� O1 01 v1 �m� � a ca. „ � A � � � � �e _. �o ��,� � o � ~ � � ,��, C C � � w y �� a, ^° c � c� ;: � a � �.� y� » yM�d �� v c��.� �o r: � d �' a •o 4> ' M � �' t�9 1� N �• �� °�o� ��,o � ., ro�p� �.� a � � E. �'�:. �� 5�� ` � �� ' I� �� 1 . � �l �.`r' � R...' ;, , ,::ti; � � � � � ` w , �� a � � �'� �:� �� gti� � � � � �� ' � �:� �.: � �F A.' � l+, W � �� tl �p��q "al p 7 e�. �i �Y L^Hq a � �� c� �� ."'� � � 'C \ �-�` :� ;,` � � I�IT tiOSS CALC�iLJ1� p��T � �JILD11V�4 � WsaiAs �a� � � CaiuWetieu No. %a�lat'M _ ..........�. � �.-_...__�. w�n�*n I Doon Releratce Ont. Waq Iw. WaN Gilie� Reai flea Kiad I�s�r Apptr�� _,�� Y�i- s � 19 _ F1: � Room I.e!�th %y Withb l�At Fl.� �� Roae l��tb J D Qli�b ��,� �� 11%ndo+w' �� Doen—C►ul�s e aed Area Windawt ind Ceon-�raeklq�r as�d Are� � w� MHRAa �. �t Ma i. �!N � �a ��sAa N�. �t 1 �. " �!q NA. ef Oa�le �! ��e 1 ll� �f trl� ft. Nw - nt p�w� ef N�� I A�� et R�M . h c� � �— ,`a�, � �%-i � ��. ^�, G� �„ ra.f. W� Iqliltntioe ,,, ` `� � 1e61tntion �. C.��a a2°? �'f� i�� Glaa D. �"o ��: Etp. wsll l '.J�'' .. 1 . _ E�p, rrall, � _ • , ;:.' . : , � . . - - �� : . _- - - - _ � - -= � �_ - .�_::�-�c� --- -- p� �p.,;h�___"»--� _ ____. � _ - --� --�- - - ' -�� - . lut. waU la� w►sp - Ced�� yx l _ � 1 1�- "� . CeduK i �)C 8 �b 4� :�6� . f loor '° � y-x �7 l 6 21 °7 O Fleor � i� �� :_ Toeat $tn. '' L� � • Taal �u.: � Required:sq: h. ED.R er a�. in�.111.A. Ltader area Required �o. h. E.DR. or ia. i�. �J1. Leader area Fl.� �+;� Room I 4ee�tk: '� (� Wid�h t�. l�tc � Fl.I �7',r�,j�" R�ea�s I Lea�th Width Nei�t .� Windo�r� aad Daen--Cra �nd Mea _ Wind�e and Deen-�Cruka�e and A�� _ IOt , N�ht e. W �tp qtlAts N�M a ae�i As�s _ Na M p��a et osia lItMU ' st enelt N. M. Na et ow et I�fln� ,�t n�eY p fr. �a- �- � ° l0 �%O�, � : _ . . COlE �d{ le6ltnt�e ' �� Inbleratio�r O � �� O • � �/'o Glw. � 1 � S �'� Clau �l�� — � c� . E�. wsU _ii ( ib't'12.� � : Bsp.-+v�ll -�.�� Net s�cp. will . �l� 1 O ° 4 3C� Wat esp. Nall !a /o / o" lat. wa0 ln� wdl Ceitin� : X lZ �Z � � ��o Cedins �`° �' � � / � r•Ioo� t xtZ t��- lo R� FlooT �ic`� �('v �o ��.� _ Tad &u. ': -------- - --- —_.__ .: _ _, __ _ _ _ :c�� ---�ae��._ ___:__ _ � _ __ _ .___.- �---_ .- . �- �- It�ired iq'; (t. E.D.R. at w. in�. W.A. Leader are� Riquued �q. h. EDR. e� �q. i�u. W.A. Isader area Fl. ��! �D. ttoem ( t.en�eb I"Z- w�id� 12.- t� F1, �ir Roea� � t�th / al'�b Ftei�he 1�liadows;:and Deer�--Craeka�e sad Atw tAl'�ado� aed aad Area W�A MNfAt Na st 1 t. Ans Ns. et pN of O�M I! Ai� �! enek N. tt. ?t�. �t IAt11 � NM t� N e�raeY w.�ff. � � z , c.� � _ c� � �� . c�,p ' � � ca... so � +�1� Z..°1-t�. Z - Eso: ara.n � Nn esP.'Mall '9�-,�`' 1 ea °? �� `� �p � tn� Mr�ll lnt. wall Ctihn '?�c 1 � . dZ `"? Ceilins ' �� Z ��aS� f le�: t Z. �(jL'� i b (� Flae. Taa18�. p T�18�.. _ �� - R itd '' h. E.D.R. er p. ies. �t.A. L�er ara . Rt� �v. h. E•D.It a� �t. wl.�. �pdw sRa : i :�--�-� _ . � _: �. � HEJ1T 1.OSS CALCtJU1TtQ� . . � . Q�AIt'[M�Fi' OF �11l.Dtl�f'.S We�lherslri� C�dpntpes No. : Iawla/iM w �� Rs�Ce �e O�t. WaU_ Iat.11ia� Gilie= Reef Fleor Ki� Hs�► ApplrMl ,�,,,�-. Y�'l irs- I � 19� � Fl. �� Reom l�ee�tb �� /Z^- H� � Fl•I Roe�n t.�s�eh Wi�6 Hays`'...�. Windo+�r1 �nd Ooorr—Cr asd Ana ` - W�ndo�n aod Daen-�raelt�p`� An� ��wip Mr��se .. •t ea t. �ns � �s .a�� M�. � Ne. ef oaw� �! oawe 1 I►b N epeY N. Mw et p�w. er M�. � �u ut theM . R �-' `� �,� I C�. Ba ��f. tik�; . �: lailtntioA ' ��' � �� lefJtration - G�an ?3 : /,�r.� Glau - - Esp. wall �, /Z Z. �, w�ll . ° . �,_ _ - , - -, _ __ N� eap� wYll--- = _-_ , - �- __ __-� __. _ , - - j� , - - �Z� : _ (�t e�..rall IM. wall ' M� �rall Ceil�nlc Z,�C Z. � • ��8 " CeJun oor il Fleat Toeal Ben. ' S�C�� • Tot�l &n. ' _ Requi►ed: sq. h. E.D.R. m iq. ia�. HIA. L�er area Reqnired �a. k. E.D R. a�r a. iva QI.A. Leader �r+ea _ Fl. � ' "�i.�Rnen, l.�e�tb p Wifil, �m �t $ Fl.I Ro�s ( I.e,�th Wifih !'�h� .� Window� aud D�oon--C.rae �ed Ataa Wiudo«n aed Deen--Craekye snd Are� • �a � e1�Mt e. a�a �ra Ne. et Ptw� et Ca�a Ilfb� N etaelt N• R. tatA N�At Mal , wna • �+y Ne. et Csa� �f (M�t� �! tfuY �0 N. � �° , � / �d .. ii �f. pq� . . . . . . -. ` :1e61tntiee � � p O �n6ltrition . CJw _ % <` oo � ` Fsp. wall ;': O`l� � Et�p. vrall Net c:p: w#11 °�b �O '� o �' Net �p. �ralf - lat. �rall ! . t�t. �rall Ceilins i[ /O DO /� 2csca Cciline .s�- Fleor Tetat 8tu. l . �o�.c� _�;: _ ,=?aa! Bw. . ---.--- = _�______ � _ `�_Reqvi►iaiq: tt. ED.R. or �p. iu�. W.11. l.eader uea Rpuired s�. h. EDR a� �q. is�. W.A. ts�der aru ��v F1• ,�S i" � I1-*� _�'� 2.� HqAt F1.� Ree�s I 1.ee�tb Width He�+t Wiadows �� Dsstr-Craeit�p u�d Area MI'mdsw� asd �ad A�ea . . wlp �MHSAt Na et t.- �ee� � - .- . Ne. nf qM Ot P�M II�AI� Nlf�t� w. /1. ii�. �f tll �M t ��' Y k !� w. N. G-� - � .� r�' � / Ceef. �a Co�f. Btr �� lafiitneioe - Gl�u ` � �-� �i5,� CJau wdl Yi-�- 1 lo�( �7l� s �� - IW� �:p. �n C��. �»� �, .� 4 S �° r+�c �. ..a Ine. �11 �"� �f.7.�' �5 �2Z �' : ' � o lnt. wall - ' BE:,o-�:+ � , Cll�lfls ' f I�er ' �-'Z '�72 �°� C� e� Ftver _ '; Taal Bm. . � � �� Tonl �r. R�'re� h. ED.R m p.. au. �G11. I.air aaa Rs�rirad ro, h. f.DR a in. �►J�. Ire�►�unt ;: . � `%`r�� = `%�Ca/'% �%�'� : . SUBJECT City of Fridley 2 0 4 7 5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � �' v � COMMUNITY OEVELOPMENT OIV. r � � PROTECTIYE INSPECTION SEC. �� f� 1 . � � _ /"'1 � CITV NALL FHIDLE� 55432 NUMBER REV. DATE PAGE Of APPROVED BY �•---� � ''' bt 2—s»—saso s� aF� s 7/'13/90 / / �oe nooaess 7528 ArtYiur Street N.E. 1 LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. ]. 1 �OTl � S rj'�1 �f�1't�pn SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Larry Schatz 7528 Arthtuc Stre�t N.E. 786�-4226 3 CONTRACTOH MAIL ADORESS �P PHONE LICENSE NO. � 4 ARCHITECT OR DESI(3NER MAIL ADOAESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADORESS 21P PHONE LICENSE NO. 8 USE OF BUILDINO Residential 7 CLASS OF WORK C� NEW ❑ ADDITION 0 ALTERATION ❑ REPAIR � MOVE � REMOVE 8 DESCRIBE WORK Gonstru+ct a 12' x 20 t�'lied 9 CHANtiE OF USE FROM TO STIPULATIONS WAR�lIt�f Befare digging call for atl Utility �tocations 454-0002 . RE�QUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOFi ELECTRICAL, PLUMBINti, HEATINCi, �PE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION PONINd 30. FT. CU. fT. AUTHORIZEO IS NOT COMMENCEO WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. • NO. DWL(i. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATIOPI SURTAX AND ORDINANCES GOVERNIN(i THIS TYPE OF WORK WILL BE COMPLIEO $3, 571a 2O ��. e%9 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW RE(3ULATING CON- y�`63.00 STqUCTION OR THE PEHFORMANCE OF CONSTRUCTION. � PLAN CNECK FEE TOTAL FEE --. $ 64.79 SIGN REOFCON7RA TOROR MORIZEDA6ENT IDATEI WHEN ROPER HIS IS YOUR PERMIT ' /_��_�a SiGNnTURE OF OWNER iiF OWNER BU�LDERi �DATE INSp OnTE 1�1 � � � � AI��R � J ��i!'-'1Mt ,y �)�_ t �,• �- R-1 AND 1�2 Build3ng P+ermit Application _ � ��7--h�� s� EffeCtiVe 1/1/90 Lega1 Description: owner rta�ne & �daress: � /� v' Y► � S�' �? �e % 2- �. � � �6� 1�a �6 � � �. corittactor: � 1 l— � � � ''•.'`� � e r l°% Z�1. # 6 �� ' °��% fi'� i�t�-ti-}'! � � � -� a�. h- •,. �� •,�,. �;7M" � '7]�� • Y:151• ri' 4. q :'�,j1 i'' ...,.•�:� :...;�y�: Attach t� thi.s app� %atio�}i:, a`�' lat, with the pro�osed :,� :�bt�'�� ,�,� • ,�� 'L��t ��',�.�'i�o►� �� -_' J �_ Width width � Wl� of Sur.vey of the an it to sca].e. Height Sq. Heic�it vr� llSo sq. •+y�./ViV{i181 �� . !,�-p , �• Corner Lot [] Inside Ivt � Ft. Yd Setback Side Y SetbacJ�s of Onnstruction:�en�e�- y � � '1'1� i g J W�� co�srrucT�2 Fstimatea cost: f Approx. Oca�letian Date: �" �5 ^ go � � � '7/. � z3 Proposed Driveway Width If New �ening Is Desired: Ft. $ $ + 6' See Back page n�: -' � —�� c�r: �e�..ff# 7�G � �-2�6 � 6��-�a�� CITY tTBE �Y �9er 6��-�I�j3 �-a(: y: T�P � Permit Fee $ (o � . C� C5 state surcharge $ /- �79 ,.— SAC Cf�a�ge $ Driveway Escrow $ Park Fee $ S�wer Main Ct�arge $ . �. s°rz�axs: $ � '� Fee Schedule on Reverse Side $.50/$1,000 Valuation $6QO per SAC Unit A1t. nAu o£ Alt. ngn AboVe Fee DeteYmined by F�git�eerincl A�'it Nec��ssary [ ] Noot Neoes.�x-�y [ ] `_ .� p :�,1 � � � � • :�•� � _ :�_ : �.:i�+�_�1 .�j �e Chief Building Official shall, before issuing ��its for the er+ection of ariy buildirig or st�cbire, or for aryy �diticn to any existing building or �re, or for any alteratia�► or z+epair to aTiY existin9 l�ilainc'! ar' stru�ue. upon ap�lication �erefore. require the Payment by the apglicant for such permit of fees to the �t herein below set forth and in the n�anr�x herein pravided to-wit: � ROTAL 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 t� $500,000 �� $15 (Mini�tmt Fee is $15 plus an�arge) $15 for first $500 plus $2 for each additional $100 or frac�ti.on thereof, t� and incltKling $2, 000 $45 for fizst $2,000 plus $9 for each additional $1,000 or fraction thereof, to and iriclwding $25,000 $252 for first $25,000 plus $6.50 for each additianal. $1,000 or fraction ther�eof, to and iricl� $50, 000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and ir�cluding $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to arid incl�ing $500,000 $500,001 to $1,000,000 $2039.50 for the fixst $500,000 plus $3 for each ac�ditional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 ar�d up $3539.50 for the fiYSt $1,000,000 plus $2 for each additianal $1,000 or fraction thereof DRIZ1E�iY �6I@T ESCROW (Coricreete Curb Streets On1Y) Alternate "A° ; Remwal arid replaoement of curb ar�d gutter only - Driveway width plus 6 feet t]mes $13.50. AltexnatQ "g°; Removal and replac�nt of curb and gutter and install a 3 foot wide approach with 6 inch depth - Dtiveway width plus 6 feet tiiaes $15.75. � �+• . .� .; . - -.�u �..� ., Permits for ca�struction will be i c� �ed a n�r�mrm of 24 houzs fzcan the time of ap�lication to allow for praper rnview of the pra��eCl structure ar�d of the eonsttiuction site. A Certificate of Survey of the lot, showing the location of the f�tion onoe it has it has been oonstructed will be required before prooeedinq with the fxaminq. s. d�. CARDARELLE & AS�CIATES, INC. P. O. BOX 24021 • 941-3030 ' ----- • LAND SURVEYORS EDINA, MINN.55424 �r�� ;�li �'+1...�- ��-'� � � _ Fqa hb.____ — B°°k_�-°..�� _. P @ '4s� -. � • � . � � a, J� � `,�,., � : �� .T�► � � � ��►l� ��_� �,•`° �. �. 2 � �_.�_ � A I ,��.o �� r— � ,. I d � � ml. - - � - - - - - - - -- - � . �� r � � , � .- , � � ��' G 29 33 �� V� N � `6 �f �: 4 5 . � �,,,� �n 1 ;+ � t�� I < -� g �, r � -I 2�.3� � a� �i r � � f � � � � � � � � ��,; . . ,1 �r wrlih MeaA Meb b huo asd w► +cr v�p� a�atieu of Q OY/M�r Of NN �OVqdafl0� O{..�..]._--�- 1��1---- _____-----, / �. �- �,�.r%�_��11"�1r1 _„�Naen�p�n C�qlr. Minnswta an et �a o+ alt buildingy the n, a�d all ee$bl� tacroocWaNxt�. if nnr, frea� ec oo �id lowd. Surrwsl 6y � ti+Ja_ J, __t � of _.. - . t ' . - " ....w �� ,� s..� CARDAR lLEMi ASSOCtATES, INC. �" { STAiE REG. PIO. 650� SuBJECT City of Fridley � 5 2% 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r �� RECEIPT NO. � ' y ___�� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� i = � ' �'��1 � CITY HALL FRIDLE� SS4.32 NUMBER REV OATE PAGE OF APPROYEO BY �----� • •,� 612-571-3450 s�aF�s 7/14/97 / / JOB ADDRESS 7528 Arthur Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITtON SEE ATTACHED DESCR. ]. 1 Don's 5th Addition SHEET 2 PROPERTYOWNER MAILADORES$ ZIP PHONE Larry Schatz 7528 Arthur Street NE 783-8722 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS IIP PHONE LICENSE NO. 5 ENGINEER MAILAODRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION C� ALTERATION � REPAIR p MOVE O REMOVE 8 DESCRIBE WOFK Remove exterior brick chimney and install metal stack pipe and enclose in new constructe c ase 9 CHANGE OF USE FROM TO STIPULATIONS Install proper clearances from combustibles for Claes B chimney. Fire stop at 10 foot intervals. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATINCi, TYPE OF'CONST. OCCUPANCY dROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTR'UCTION ZONIN(i SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN �YS':"�t3W''tF"CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOU OF 120 DAYS AT ANY TIME AfTER WORK IS COMMENCED. NO. OWLG. UNITS OPFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAMf TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yq�UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED @ WITH WHETHER SPECIFIEO HEHEIN OR NOT. THE GRANTING OF A PERMIT WSOO �.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TFIE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 21.00 Fire SC �.SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � PLAN CNECK FEE TOTAL FEE �22.0� SIGNATUREOFCONT �ATIORORAUTM 12EDAGENT IOATEI WHEN PfiOPERL ALIDATED THIS IS YOUR PERMIT - _ �/_�:�1�___ L � ^ l ��!/P � � ,S�GNAT EOF`�WN��F WNERBUILO � iDATEI � BL 1NSP pATE NEW ADDN ALTER tl �� CITY OF FRIDLEY SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 BUILDING PERMI'T AppLICATION ConstructionAddress: / � Legal Description: v�7'�,.U� . Effective 1/1/97 I� '� ,, (/'r d (P Owner Name & Address: _ Z � ►� r }� S'�� j � �' �, Tel. # �� ^ � 7 2 � Contxactor: _ -j l�j � MN LICENSE # Address: LIVING AREA: GARAGE A►REA: DECB AREA: OTHER: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed const�uction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT �� Width Height Sq. Ft. �� . Width Height Sq. Ft. �� Width Hgt/Ground Sq. Ft. e Construction Driveway C�rb Cut Width Needed: 0 � �(Fee Schedule on Back) Ft + 6 Ft = Tt x$ ' —$ DATE: 7—' � � ^' �`7 A►PPLICANT: � - � T�l. # ��3 —c�7 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion .Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: � , � $ •� $ $ $ $ $ $ $ $�,� CITY USE ONLY D�" i��/'e r�e�� ' `�,b�� K Fee Schedule on Reveise Side .�1 of P�rmit Valuation (1/lOth%) C h��KN �-- r r��T�I�� $.50/$1,� Valuation i�C�IA ( S7'AGl� �'/� $950 per SAC Unit , a n S T�A°� �— �� y� c le 5s2- r'Z $5.(� (State Licensed Residential Contra tors) ��1 rQ� ckll5.2 � Alt. "A" or Alt. "B" Above , _ � $450.00 Conservation Plan Review Fee Determiaed by Engineering Agre.ement Necessary [ l Not Necessary [] �.� . A i %� - � � , , � ,_; ,.,, `� ; � �. ,, � �. ,� �s. � �v � (iUlLD[�iG I'ERM[T FEE SCHEDC'l.t: "I'hc Chief Building OfFcial shall, before issuing permits for the erection of any building or structure, or f<fr any addition to any existing buildi� or struchtr.e, or for any alterdtion or repaii to any existing building or struct�re, .upon application therefore, require the paynte� by the applicant far such perr�it of fee.s ta the amaunt herein below set forth and in the mamier hereiii� provided to-wit: � . TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,�1 to $50,� � $50,001 to $IOO,OQO . $100, UD 1 to $500, Q00 $500,001 to $1,000,{�00 $1,OOO,Q01 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $5� plus $2.75 for each additional $1(?0 or fraction thereof, to and including $2,(�0 $62.25 for first $2,� plus $12.50 for each additional $1,�0 or fraction thereof, to and including �25,OQU $349.75 for first $25,OQ0 plus $9.� for eac� additional $1,� or fraction thereof, to and including $�O,OOU � $�74.75 for first $50,000 plus $6.25 for each additionai $1,000 or fraction thereof, to and including $1p0,0(30 $887.25 for first $100,000 plus $5.00 for each.addition�ai $l,��or fYaction thereof, .to and includ'mg $5�,� $2887.?,5 for the first $St�,� plus �4:25 for each additional $1,�0 or fraction thereof, to and iacluding $1,�,� $5012.25 for the first $1,000,� plus $2.75 for each additional $1,OD0 or fraction thereof DRTVEWAY DEPRESSION ESCROW {Concrete G�irb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveivay width plus 6 feet times $13.�0: �Iternate "B": Removal and replacement of curb and gutter and install a 3 fooC wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOIJI\\TDATIOti I'crmits for construction will be issued a minimum of 24 hours from the time of application to allow for proper �eview of the proposed structure and of the construction site_ A Certiticate of Survey of the lot, sh�v��ing the location of the foundation �»>ce it ha� it has been construc;��:.i .��i;l h� reyuired hefore i�rc�c;eedin<� ti��ith tl�e framin�. ; , � r � �` �; . ,, � - ,..,. SUBJECT P , City of Fridley 2 4 0 0 AT TFIE TOP OF THE TWINS g U I L D I N G P E R M.I T r ; � RECEIPT NO. � • COMMUNITY OEVELOPMENT OIV. ��o� i j L �"'�', r � � PROTECTiVE INSPECTION SEC. � . � � ` �"i � CITY NALL FRIDLE� �5432 NUMBER REV DATE PA�iE Oi APPROVED BY �----� • •,, 612—s71-34b0 9�aF�s 8/20/97 / / JOB ADDRESS 7 28 Arth r treet t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACFiED DESCR. 1 1 Don's 5th Addition SHEET ? PROPERTY OWNEii MAIL AOORES$ 21P PMONE . Larry Schatz 7528 Arthur Street NE 783-8722 3 CONTRACTOR MAIL ADDRESS Z�P PMONE LICENSE NO. Same 4 ARCHITECT OR DE81(iNEfi MAIL ADDRE88 ZIP PNONE LICENSE NO. 5 ENdINEER MAIL AODRE88 21P PNONE LICENSE NO. 8 USE OF BUILDIN(i Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE 0 REMOVE 8 DESCRIBE WORK f 9 CHANQE OF USE FpOM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY (iROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBIN(i, HEATIN(i, VENTILATING OR AIR CONDITIONING. THiS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINO SQ. FT. CU. FT. AUTMORI2E0 IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PER100 OF 120 DAYS AT ANY TIME AFTER WOpK IS COMMENCED. NO. DWLCi. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED TNIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAW$ yp�UATION SURTAX AND OROINANCES GOVERNINO THIS TYPE OF WORK WILL BE COMPLIED WITM WHETHER SPECIfIEO HEREIN OR NOT. TNE GRANTING Of A PERMIT � 1� 167 �. S8 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMARGE " PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REtiULATIN(i CON- STRUCTION OR THE PERFORMANCE OF CONSTFUCTION �37.50 Fire SC �1. I.% PLAN CHECK FEE TOTAL FEE $39.25 5 ATUpEOiCONrAn RA MORI AGEN �OA7E� WMEN PROPERLY LIOATED THIS IS YOUR PERMIT r , . SiGNATU�iEO WN RqFOWNERBUILDER� IDATEI L NSP qqTE NEW ADDN ALTER t) tl [l CITY OF FIaIDLEY SINGLE FAMILY ,�1VD DiJpLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � �p� � Legal Description: � �� z� � Effective 1 / 1 /97 ,� o�'`�O � Owner Name & Address: _�� r�►n ji SC l�,g ?' Z Tel. #.�� — cP7� Contractor: 7�Q 1!� MN LICENSE # Address: x Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Tel. # DESCRIP'i'ION OF IlVIPROVEMENT LIVING AREA: Length • Width � Height S�. Ft. GARAGE AREA: Length Width Height Sq�. Ft. DECK AREA: Le Width .Hgt/Grouad Sq. Ft. � OTHER: � � � ��a2 e. 9� vi9"�' — �Z f � S�r— TP�,-. �� _ Construction Type• P ?/Y �� f � ` Estimated Cost: $ � � � � � (Fee Scheduie on Back) Driveway C�.rb C�t Width Needed: Ft. + 6 Ft = Ft_�x $ —$� DATE: �— v2� APPLICANT• . � . Tel. � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL ST[PULATIONS: � ��,Sc� $ %. / % $ .S $ $ $ $ $ $ $ � .�5� CITY USE ONLY Fee Schedule on Reverse Side .(�1 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 per SAC Unit $5.00 (State Licensed Residential ContracEors) Alt. "A" or Alt. "B" Above $45U.OQ Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ) � Not Necessary [ ] I3U[LDING PERM[T EEE SCHEDUI..��, The Chief Bui[ding Official shall, before issuing permits for the erection of any building or strueture, or fhr any addition to any existing buildang or structure, or for any alteration or repair to any existing buildina or stiucture, upon application therefore, reqaire the payment by the applicant for such permit af fees to the amount herein below set forth and ia the manner herein provided to-wit: � TOTAL VALUE $1 to $5� $�501 to $2,(l00 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $IOO,OQO $1�,001 to $500,�0 $SQ0,�1 to $1,000,000 $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 �raction thereof, to and including $2,0� $62.25 for fust $2,0� plus $12.50 for each additio�al $1,000 or fraction thereof, to and including $25,000 $349.75 for fiist $25,0� plus $9.00 for each additional $1,� or fraction thereof, to a� including $50,� . $574.75 for fust $50,0� p�us $6 25 for each additional $1,000 or fiaction thereaf, to and including $1Q0,000 � � "" $887.25 for fust $100,� plus $5.00 for ea.ch additioml $1,(�O�or. fraction ther��.to and incIuding $5(m,000 $2887.25 for the first $500,000 plus $4.25 for each additianai $i,000 or fraction thereof, to and including $1,IX10;000 $5012.25 for t�e first $1,�0,(�0 plus $2.75 for each. additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete (�irb Streets On1Y) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�0. Alternate "B": Removal and replacement of curb and gutter and install a 3 foo# wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUI�TDATION Permits for.eonstruction witt be issued a minimum of 24 hours from the time o€ application to allow for pro��r rev�ew of the proposed structure and of the construction site. . A Certificate of Survey of' the lot, showing the location of the foundatiofi �>nce it has it has heen c��nstrue-�:i «�i;! h� reyuired hefc�re ��r��cecdin� �;�ith the framin<�- ,.,_ . _ � o� n O� � � 0o m -N-� C O v? n� m �� < r= �m 'il � D z —I O z zm Z --I � �a �� O � m �: � � �' � N � N!. 't N � n � � O � � p. 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'+ c�o ��o-. �. � Q � �•va� � � � � � v� - o� � � O y a °1 'c �' � �'aNa � �. .� c�. m ��,=� � � n � :+�o° ��aa� ��c� � �v � y � � a�� rt O � � �. � p� O � _ rr � n � N �' �-r tD C7 � �� o N O � � Q � N � �. � � �_ �� C � m -. --I 41 a m Z � m 2 � � m z 0 v � �+ao-+z �-t�,o — C � o w = � � O1 fD � Oq � N _ O � �? �« � � � n � o p > > � � m � ^ cD N � N� r N a�'z� 0 �o,� 2 0 � N f�D v � -a � a v a "'� 1t1 N n Z m v C r m cmi� °0 � `o C n � � o Z � � � m c Y � O � k I� � m � 3 � z O 1 � ^ � O Z� � �� 1 � i� � � � � � 'v1 N � V �'1 d1 (7 w Q: W � t�+ N� � O u,� 3 <• -n �Zc�D � .°pc„�',v ,�p, � m :A1 D � N m Z Z N m -° m _-1 O z � < � � � .o z � r � � �O mz �O �� O� Z � Z� 0� a� � Z ON vz �o o= Zm Z -�-i � Z �� A O mp N Z � v< om rnZ < �C� N � O Z � m � m � � L �d � � c d � � N � 0 0 r COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has t�en examined and is free from rust, deterioration� obstructions� and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the cuRent codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existina combustion air is sized and installed to meet the current codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) N� ( ) Yes ( ) No ( ) Yes()No() When installins� a new venting svstem, the undersigned hereby verfies that it is a listed assembly and meets the cuRent codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. �'�s � Yes O No O . � Is the common vent and vent connectors sized and installed coRectly �ft�r an appliance has been removed from the common vent and vented � separately as per current codes. Yes () No () -Appliance Type and Size/Common Vent and Vent Connector Infonnatiot� Appliance #1 Type BTU Input ` Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Typ� Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describel ' HEATING CO: Signed By: Date : Building Inspections 763-572-3604 763-502-4977 FAX DATE /D / D STI'E ADDRESS % THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEING �00 ING NUMBER OF SQUARES _ GARAGFS PROPOSED SIZE: PROPOSED HEIGHT: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.• -� 1 �� Received By: D��'�-�-I—�.,�,wl�� '� G41� gl�J YOUR E-MAIL ADDRESS _ r��0 /D S Slr [�01'� d'�ifJ C�O.� ��C • C ONti- — ..� ❑ OWNER �CONTRACTOR rxorrE:__ lr(Z-yl�-?�7a STATE LICENSE � iW CONSTRUCTION CONSTRUCI'ION O BASEMENT FR�TISH � ROOF � DECK � SIDING O NEW HOME CONSTRUCTION �MAINTENANCE/REPAIR EXP DATE :� � K% CITY� �� FAX SIZE STORIES JSHED J� WINDOWS ❑ DRAIN TII,E O OTHER NG POOL O ADDTI'ION O REMODELING �. Q/ S O l�4w. i✓� � WIDTH HEIGHI' � HOiJSE ONLY ❑ HOUSE 8c GARAGE ❑ ATTACHED GARAGE O DETACI�D GARAGE BASEMENT RFMODEL•ING SUBNIlT: I. Existing Floor Plan 2. Proposed floor plan 3. List of strucwral members to be used �� SIDING FOR NEW CONSTRUGTION INCLUDING DECKS, ❑ Vinyl �Soffit ADDTI'IONS_ & PORCHES SUBMIT: ❑ Aluminum � Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construcrion plans �'NINDOWS 3. Energy Calcularions IN EXISTING OPENINGS �Yes ONo LOCATION OF WINDOWS L iV+ Ra�'`� FOR WINDOWS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF $li�,I �dw.S, $L�/� MANUFACTURE STICKER ON WINDOW. OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: 'OTAL JOB VALUATION $ 4'. 037.,�'�E 1997 U.B.0 FEE SC �CUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due � /.s3, 2 y� See Back Page for Fee Schedule $ 65% of Building Permit Fee $ Si O .001 times the total job valuation $ 3r� .0005 x Permit Valuation Minimum $5.00 $ 6 : $5.00 (State Licensed Residenrial ContrRCtors) $ $2100 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$24=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessa�y ( ) Non Necessary ( ) $ j 7/i Z Make checks pavabte to: Citv of Fridlev Attac THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit 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 Constcuction Codes; that I understand tlus is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of a11 w�y]D6vhich reyuires review and approval of plans. SIGNATURE OF APPLICANT._��' PRINT NAME��jLOSS�(�...+ DATE APPROVAL INSPECTOR SIGNA`1'IJRE PZEASE NOTE: SEPARATE PERMITS ARE RE UIRED FOR PLUMBING, ELECTRTCAL AND MECHAATICEIL WQRK- ` �