The URL can be used to link to this page

AF - 35131sus�ecr P IT NO. City of Fridley 17960 � AT THE TOP OF THE TWINS g U I L D I N G P E R M i T ; � REC . � • COMMUNITY DEVELOPMENT DIV. /� � /� � Vy �� r � � PROTECTIVE INSPECTION SEC. 1 � � � _ �"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PA6E Of APPROVEO BY �""'� � �'� 612-571-3450 910-Ft5 5/8/85 � � JOB ADDRESS �y� p�}�� 5treet N. E. t LE(iAL LOT NO. BLOCK TRACT OR AODIT�ON SEE ATTACHED DESCR. 2O 2 H1QID�� ES'�tes SHEET 2 PqOPERTY OWNER MAIL AODRES$ ZIP PHONE Garjac Inc. 481 - 206th Avenue N.E., Cedar, MN 55�11 434-7096 3 CONTRACTOR MAIL ADORESS ZIP PNONE LICENSE NO. Same . 4 ARCNITECT OR DESIdNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENOINEER MAILAODRESS �� I�q�.; �P�� PHONE UCENSENO. �� ! 8 USE OF BUILDIN(i ��"��°�.� . ° Residenti.al � ��'D 7 CLAS30F WOFiK �7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 36' x 25' Dhrelling; a 22` x 22` Gaxage; and a 12� x 16' Deck 9 CHAN(iE qF USE FROM TO STIPULATIONS provide a haxd sur�ace driveway. Provi,de the City witla a copy of the verifying survey. Provide sc�d in the £ront and side yards. S�R LOCATION: (A�prox. 13" Deep in Stxeet� Sewer Service served out of 1K.H. � znn. 888.75 WATER LOCATSON: Approx. 10' S. of Sewer Service DRIVEWAY �PRESSION: N/A but reco�o.ended ��r� q Y 3��'-�1 �`� • i""��'G � 3 � � �*j,� �E#ore d��;gin� call loc.�al utiliii�s •�� C�Ty pF FRIDLEY DOES NOT GUARP►NTEE THE pEZEPNONE - fLEC 1 RtC - GAS e`FC„ A��UR6►CY OF UTILITY I.00ATfONS A�lD ELEWAI'3�iv::�. �� TWIS D�+TA IS �USII+lC� OH � IN�@R{1N��'��VE�#I�IdL� AND PERS �M fi�� SITC� TYPE OF CONST. OCCUPANCY (iROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBINd, HEATINO, VENTILATING OR AIR CONDITIONING. �ITOOCI Fr$IQ@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONINO SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCEO WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF /20 DAYS AT �.00O '+' A,84 ANY TIME AFTER WORK IS COMMENCEO. • NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATtON ], STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES (30VEHNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRAPITIN(i OF A PERMIT 58 600 ' $29.30 DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE iDR CANCEL THE pEqpptT FEE SAC CHARGE PROYISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATIN(3 CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 31O.OD yS`�ZrJ• OO PLAN CHECK fEE TOTAL FEE �` 84�.. 8 � SIGNATUREOFCONTRACTORORAUTMORI2EDA6ENT IDATEI WHEN PROPERL VALIDATED THIS IS YOUR PERMIT _ �� SIGNATUREOFOWNERIIFOWNERBUILDERI - 1DATE1 BLDG INSP TE - �i L ] ADDN. [ ] et,TEx. I ] Construction Address:_. City of Fridley a-1 111�D R-2 Buildiag Permit 1pp13oatioA Effective �/1/8� Legal Desaription: �� O �L • aZ. LQ L o o H1 �,e �� /-' S./,9 %PS^ Owner Name & Address: T�• f Contractors /�R,?ftG l N c Tel. i,�3 Y~'% d 9� Address C.e Attach to this application, a CertiPieate of Surwey of the lot, With the proposed conetruetion drawn on it tio soale. � DESCBIPTIOH OF IIYII'80YE�1T LI97.�G ARFJI: Length 3�° Yidth �_. Height �_, Sq. Ft. 1� QARAQE AaEA: Lengtb y-'L Yidth �-`L Height 3q. Ft. � ► DEr: Length � Midth = Hgt/Ground .� Sq. Ft. _ nT �K �i7ii' A : u � � Corner Lot [] Inside Lot tk] Ft. Yd. Setbaek 3� 3ide Yard Setbaek �6 Type of Construation: �� Estimated Cost: � - Approx. Completion Date: � v�Q- 3� �� G 1� � Alt. A Alt B 5 Proposed DriveWay fiidth If Nef,i Openiag Is Desired:� � � e Back Page for Explanation , � , DATE: l' z`� r$� APPLICANT: Tel. # � CITY OSE OA1.Y Permit Fee Plaa Check State Suroharge SAC Charge Park Fee Sewer !lain Charge �� STIPOLATIONS: 1 - a. � ' ; ;i` , ,�,,, l�-;r �, � �, 4i Fee Schedule on Reverse Side 25x of Building Permit Fee �.50/�1�000 Yaluation �425 per SAC Uait Fee Determined by Engineeriag Agreemeat Neaessarq [ ] Hot Beeessary [ ] ��r HOII.DIRli PBRMIT FEE 3CHBDIILE The Chief Building Offioial shall� bePore issuing permite for the erectio a of any building or structure, or for any addition to any exiating building or structure, or Por any alteration or repair to any existiag building or structure� upoa application therePore, require Lhe paymeat by the applicant for such permit of Peea to the amount herein belotir aet Porth aad in the manner herein provided to-vit: ?otal oaluation #1.00 to =500.00 �501.00 to �2,000.00 Feea �10.00 (Minimum Fee is �15.00) ?� �10.00 for the first �500 plus �1.50 Por each additional �100 or fra�tion thereof� to end ineluding �2r000. �2�001.00 to a25�000.00 �32•50 for the first a2,000 plus �6.00 for each additional ffi1,000 or fraction thereof, to and including �25,000. �25�001.00 to �50,000.00 �50,001.00 to �100�000.00 a100�001.00 and up �170.50 for tbe first additional a1�000 or inoluding �50�000. �283.00 Por the firat additional � 1 � 000 or including a100,000. �25,000 plus �4.50 for eaah fraction thereof, to and �50,000 plus �3.00 for each fraction thereof� to and ��33•00 for the first �100,000 plus �2.50 for each additional �1,000 or fraction thereof. DRIVEIiAY DEPRBSSION ESCROiT (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway Width plus 6 feet times a13•50 Alternate "H": Removal and replacemenL of ourb and gutter and install a 3 foot Wide approach t�ith 6 inch depth - Drive�ay Width plus 6 feet times �15.75 VERIFICATIOA OF FOIINDATION Permits for eonstruction Will be issued a minimum oP 24 hours from the time of application to a11oW Por proper revieW of the proposed structure and of the construction site. A CertiPieate of Survey of tbe lot� showing the location of the Poundation onee it has Deea ooastrueted �ill be required before proceeding with the framing. �� `� � � � �� V�- �.�.ZJJ��,.� 5S Sfu, 0a c.�— �� A� g� � � � 3 � ��v� ��v�5,�� o i � �� = t�,�a �� 13��3-� 3Su � � 5,,�,zo UP� �. � _ _ � � _ 3��' �= 450 � �, V, �� v�� ,a � �.SaC � 3 � � � �,�� ► � ° � . X 2� � �.. �2 .�9f� c� ��° ,� �, � � S, !1 1,��' � ��+�� ,Z� Z-,,e �� , — ,,��a�,ae I-�i = �Ic.�A�►:,,5 S6G$,3� � Surveyors Certificate COiNSTOCK 8t DAVIS, INC. Conailtiag Eagia� aad Lmd Sns�eyoe, 1446 Co�ty Rc�d J, Minneapolis, MN 33432, (61Z) 7849346 SURVEY FOR: Gar-Jac Construction 481 206th Avenue NE. Cedar, Minnesota 55011 l.a� z 1 - � � � _ O !1� 89' S9' S3" W 6 3' �rj� :•n.o�' Y_ � a4.��_- t I j zz.�7' ' �; �: : ... 3 � g �, I� a �. a 88_R6_ 13.00 r�Z S35 y �� 1 � � s�s � a o o ��v * - mti.o+ • � O $�" . ;� ... �, . � : . ..,, l37..30' 1: �� ti �� i �I W L,or z� � � I e � ��. •��I � � . =1 ° �IA � � , '; Z E--- �3' � N 89• s�' •rj ` w �- �sT.3o• , ., Q •. .•-� : ; ,�.. 4 I DESCRIPTION Lot 20, B1ock 2, Blor�berg Estates, City of ^ridley, Anoks County, ?y(innesota. iCAI.E: 1" = 40 p� Denotes 1/2" diaaeter iron nive �onument set and canped No. 10832. S�T iN p�AT OF �►�.OM��(iG ESTA<CS� Nmr FO. TN►b S�fRVtY, I hereby certify that this survey, plan or report was pnpared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. � 10832 OcT. 21, 1�t SF +�163o q D Reg. Na Date � Job Na Boo�C Na S�rveyors G�rtaf�r�� COMSTOCK & DAVIS, INC. � Consulting En�eers and Latid Suev�yor� 1446 Couaty Ro�d J, Mimneapolis, MN 53432, (6i2) y84-9346 SURVEY FOp: B � G Investments 961 Hillwind Road Fridley, Piinnesata 55432 1�i-It G�iY GF FRiDLCY f3iuES [`�OT GU'r1;"�I�!TEE THE H�CURACY OF UTILtTY LOCATIONS l�ND ELEV�TIONS. TNIS �ATA IS F�R INFORMATt�N PIJR�� NLY` �ND PER�ONS USING TW15 INFORMAil01V SH01�LI� V�RIFY IT ON '�IE SITE. o��,`� � q�. r s'; i s�,�;:� � w �� '�,�os � �.Ii .. �,��,��„ �",t��e�� a �� "� y��p,,N�� ,.�,� "� �1i � n+;C ; ' tl � ;,;�_�G_�,�1s>'`. �z� � ��o � �� 4'610E `� �� ,��tie� � ��t�IRE� :��i: . �9�16� ��,;. ;w,�,�;° �� ,' ,`�.6�p�p.d �_��,4tt�:, �:. .� ° + ��.� �1�IE�� j . .; :_,,, W Z o N ae' a4' s-�� w -�- t3�r,3o' 6 3' ,� h y1�'. � = � t �; � � � 3 � "' � � � f,�° - .;.r. r ( W y �� ~ �.a O •� I �o' h�.,,,- ��_ � o- � � O � : �I o � p ' ._ . _ ,� ;�., o � ' � z � !03' � N 88' S!' S3 " W -�- 13T .30' •': � �- ..s ; � ;- . .._. + I DESCRIPTION Lot 20, Block 2, Biomberg Estates, City of :ridley, Anoka County, *4innesota. SCALE: 1" = 4Q p� Denotes 1/2" diauleter iron nine noaur.►ent set and canped No. 10832. I hereby certify that this survey. plan or report was prepared by me or under my direct supervisian and that I am a duly Registered Land Surveyor under the laws of the State of Minne.wta. ' �°''`-' 10832 +-°"�►.» 17. 1930 4273 � Reg. No. Date • Jab No. 0 9 ' Baok Na � ��S �--��cl �j'��T � !�� X. �� °u��e � � c'V � � °� ��-v�,o c� � t- �� . � ��,�v, �� -�� 0 x - � Dr �. ��= ��r ��--,��c ,� i��C� ,�� ,e�� Cos� = � , � s= �/�J 1.�� v r� �- � �c, / .3 �Cr��s i/NG S f� �' 1�'tDc� �i io7.� L� —�� '�'l''�� 'UC� I 12� QCl/2�'r d v z- �'z Cd�,rv� �.�.d� �n !f - s`°j� SUBJECT � PE City of Fridley 1909 AT THE TOP OF THE TWINS g U I L D I N G P E R M i T r ; � EIPT NO � • COMMUNITY DEVELOPMENT DIV. � �� j 1i ------� � r � � PROTECTIVE INSPECTION SEC. 1 � � ' ��"1 � CITY HALL FRIDLEY 85432 NUMBER REV. DATE PAGE OF APPROVED BY �""� � �'� 612-571-3450 910-F15 8/5/87 / / JOB ADDRESS 7535 Arthur Stxeet N.E. 1 LEGAL �OT NO. BLQCK TRACT OR ADDITION SEE ATTACHED DESCR. ZO 2 SI.OIIlb2i"C� F�S.'�'te3 SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Jack Sroden 7535 Arthur �t�eet N.E. 784-6146 3 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO. Same � 4 ARCHITECT OR DESI(3NER MAIL AODRESS ZIP PHONE LICENSE NO. 5 EN(31NEER MAIL ADDRESS ZIP PHONE UCENSE NO. 8 USE OF BUILDINd � R@S 3.CieY1't1F1�. 7 CLASS OF WORK ❑ NEW O ADDITION C� ALTERATION ❑ REPAIR � MOVE O REMOVE 8 DESCRIBE WORK Install. free standing stove 9 CHANOE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATIN(i, �PE OF CONST. OCCUPANCY (iROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • 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. A�L PROVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO �.800 $, .rJO WITH WHETHER SPECIFIED HEREIN OR NOT. THE QRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15.50 . S TLREOFCON7RACT ORAUTH RIZEDAGENT IDATEI � � WHEN PROPERLY� ALI ATED T IS IS YOUR4PERMIT � O � SIGNATUREOF 1 OWNERBUILOERI IDATEI BLDG �NSP - ATE N� [] City oP Fridley Effective 4/1/86 . _�_, ADDN. I J R-1 AND R-2 pLTER. [� Building Permit Applieation Construction Address: �� u � � - Legal Description: Owner Name & Address : � U'�-� � a Tel .� 1� i r l° l� Contractor: Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTIOp OF IMPx09EMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length �_ Width Height Sq. Ft. ______r. DECR AREA: Length _— Width Hgt/Ground Sq. Ft. � oTaER: . �.� ,�� ` — Corner Lot [] Inside Lot [] Ft. Yd. Setbaek Side Yard Setback� Type of 'Construction: d T� v� �� Estimated Cost: $�� / Approx. Completion Date: Alt. A Alt B Proposed DriveWay 6lidth If New Openin� Is Desired: �e �ek Page for Explanation DATE: - �� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Ma3n Charge iaTAi. STIPOLATIONS: APPLICANT: Tel. # d ( '��7 CITY IISE ONLY n � ��(7� � Fee Schedule on Reverse Side - $ �" 25� of Building Permit Fee $ o �v $.50/$1,000 Valuation $ $ 525 per SAC Unit � Fee Determined by Engineering '� � � Agreement Neaessarq [ ] Not Neeessarq [ ] � . s BUILDING PERMIT FEE SCHEDIILS The Chief Building Offieial shall, before issuing perm its for the erectio n of aay building or structure, or Por any addition to any existing building or structure� or for any alteration or repair to any existing building or strueture, upoa applicatio n therefore, require the payment by the applieant for such permit of fees to the amount herein below set forth and'��in the manner herein provided to-wit: Total Valuatioa $1.00 to $500.00 $501.00 to $2,000.00 Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for each additional $100 or Praetion thereof, to and ineludin� $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for eaeh additional $1,000 or fraetion thereof, to and inaluding $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and ineluding $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for eaeh additional $1,000 or fraetion thereof, to and ineluding $100,000. .$100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or Praetion thereof. DRIYEGTAY DEPRESSION ESCRQW (Concrete Curb Streets Only) Alternate "A": Removal and replaeement of eurb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replaeement of curb and gutter and install a 3 foot wide approach with 6 ineh depth - Driveway width plus 6 f�et times $15.75 1TERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the t3me of application to allow for proper review of the proposed strueture and of the construetion site. A CertiPicate of Survey of the lot, sbowing the location of the foundation onee it has been constructed Will be required before proceediag with the framing. • - , -� :�. �:� � _ :-� p, . • ' � �%- ,� � .+ 1 � � 1 ' - �. :_.,� :. � �� ; . . , , . � � _._, _ __ _ � - �-----• . . � _ _ . . . - r , - -�:, » - - _ � �� . . _. _.�--- - • - - . .. _ _ . , , � ; -� ,' � - - - - _ � . . . � _. �' .. . .______ _. - - - - - �" . . -�._ _ _ _ _. _ . . . . -- - - ~ . ' � t- � �� . . - - rr � - -- .. . � .. \ � ' ��± �I . � . � + .� � � . e'\ - \r/ . . - � _ \ � , , �. . ._ .�c�i: • . . .: _ . _ � �°� , .� " . ��4'� . . - . . - <�� - � �: . , ,,. . � �--� �y ._ . . . . c� h � � a _ _________.__.------- _. . . � - -- •- - - - � .._ . . � _ .. w . . t - —. � „ . o �� --�.�T. - - � : .��,- -,-,. . .:. _ �! �°,� O � � m m � � �l 0� � � N c n � � c� � � i� 0 D v v < � a 0 c � ? � 7 0 .��► � � � � in � � o y r = � � � O � � c -n 0 0 � T 0 A !� � N � m O o � � D � '� !/� v a � ° a � � 0 z � � �i O O � � Z � � � � �� o y o � N � � O !�n O �'' �' � s. � o � � � � � 0 -I � w u�', m � � 3 � � � °' � •c �c m c� ro .o ? � � m w �� f�D � N fD �' f�D � A► � . 7 C � -� � 0► p� � n � N. � • -� +► �D .. .-► 7 ��F * � m � � � � y f� N � � m p co a � � � � � v � � �f � * � �' � � � * � � � � � c_ � a ••• t -C rA � � ., (�I I I I I I I I I I I I � �� Ut O O O v O�t �I V V t71 A V °o °o °o °o 0 0 °o 0 0 °o o °o °o � C � � z � n O � 'D � Z � N � w� � a n N � I� � � � �Z m a 3 � c N m a H � � ' � \ � � � � � � � Q V � 0 f � m �-. > » a a � co c -»: : Q � o � � � � � s � � � y � � � a � � � o a in w v �?'o � H � tA O � 7 7 'C .II j � A �- Q �! �N n 7 fD n ff O �' '� a m a w � W � c o � �¢,� �. ; y � �a � � � ~ o � � � a � c �„ � ? '� � n �, O A� a � � � � y t0 � � 'D C � � Z � 'T7 � � m � m � � � m O -� � � � W v v � m � �1 1' V � A � ro a � � � � � O O � A < Z � y A � v N � � z z m -Nv ii � O Z O < b � r• n � 0 Z � 0 � � C � G7 z � a Z � � � � � Z � � m � � � m S1 � 0 � w � c w � tD t0 � SuB�ECT City of Fridley 3373 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T S . RECEIPT NO. � �• COMMUNITY DEVELOPMENT DIV. �� v PROTECTIYE INSPECTION SEC. � � � "� r , " -i � . , � � �"�'1 � CITY MALL FRIDLEV SSIJ2 NUMBER NEV OATH PAGE Oi APVROVEO BY ��"�"� �'' 763-571-3450 s�aF�s 7/24/03 / / JOB ADDRESS �535 Arthur St NE t LEGAL ��T NO. BLOCK TRACT OR AODITION SEE ATTACMED DESCR. 20 2 �X Blomberg Estates SMEET 2 PROPERTY OWNER MAIL ADDIiE3$ 21P PMONE Jack Broden, 7535 Arthur St,-Fridle , MN 55432 763-784-6146 3 CONTRACTOR MAIL AOORESS Z�P PNONE LICENSE NO Sa e Homes Inc, 4535 Trenton P1 outh, MN 55442 763-557-7371 � ARCHITECT OR OESIGNER MAIL ADORESS ZIP PMONE LICENSE NO. 20324268 S ENGINEER MAII ADDfiE38 21P PMONE L�CENSE NO 8 USE OF BUILDIN(i Residential 7 CLASSOFWORK N� p ADDITION O ALTERATION O REPAtR O MOVE O REMOVE 4. 8 DESCRIBE WOfiK Install 5� re lacement windows. 9 CHANdE OF USE FROM TO STIPULATIONS Provide smoke detectors in a11 sleeping rooms and on ali levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking and flashing for all exterior openings. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING. MEATING, TYPE Of CONST. OCCUPANCY GROUP OCCUPANC� IOAp VENTIIATING OR AIR CONOITIONING. TMIS PERMIT BECOMES NULL AND VOIO If WORK OR CONSTRUCTION ZONING SQ. FT CU fT. AUTHORIZED IS NOT COMMENCED yHITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANOONEO fOR A PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. D1NLG. UNITS OfFSTREET PARKING I NEREBV CERTIFV THAT I MAVE REAO ANO EXAMINEO THIS APPLICATION STALIS GARAGES AND KNOW TNE SAME TO BE TiiUE AND CORRECT. ALL PROVISIONS OF LAW$ yALUATION SURTAX AND ORDINANCES GOVERNING TMIS TVPE Of WORK WILL BE COMPLIEO $3�$OO.00 �1.90 WITH WMETMER SPECIFIEO MEREIN OR NOT. TNE GRANTING OF A PEFiM1T DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pEqMIT FEE SAC CMARGE PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGUTATING CON- $97 � ZS ire SC �3.80 STRUCTION OR TME PERFORMANCE OF CONSTRUCTION PLAN CMECK FEE TOTAL FEE $5.00 icense $107.95 S�GNATURE OF CON'i1ACTOp OR AUTMON�ZEO AGENT iO�iE� yy N PROPERIV VALIOATED TMIS IS YOU PE IT � o �S 7 A o� �/VI � S�GN4TUpf O«3P Ep�� OWNEp BU40fp� �D TE� g� �N$C parE R ,� N� [] CITY OF FRIOLEY Effective 1N/2003 1` ADDN [ j 6431 University Ave NE, Fridley, MN 55432 (T63) b"12-360+4 Bldg tttsp ALTER � SIN�LE FAMILY AND DUPLEXES R-1 AND R Z �T63� 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: -_7 �'3.� ��2 S�'`" � Legal Descrip�on: � , � Ovmer Name & Address: �,�[. a 12r�t�'� -r' S 14'Jtil �_ Tel. #�3 �B''�/ G.��. Contractor. S/�6 _�-iolyl�f.S' �n>� � MPf LICENSE# Zo3 � Z�1 �$ Address:�(.��"3�"' `�7�'iJio�. �`�d/�Jll,. ,�;nn/ s�/�f L Tel. �_ I� ��63.ss7 ��t Attach to this application, a Certiificicate of Survey of the lot, with the proposed construcGion drawm on it to scale. DESCRIPTtON OF IAfIPROVEMENT L�VING AREA: Length VVidth � HeigM Sq. Ft. � t3ARA�E AREA: Length 1Alidth Height Sq. Ft. DECK AREA: Length � 1Nidth � Hgt/Ground Sq. Ft. � OTHER: — EiC��" -�'i�t' v��t,7 Construction Type: � � 1� �1�� Estlmated Cost: $ �1 ��° � D�veway Curb Cut Width Needed: F� + 6 Fi = Ft x$ _� . DATE: APPLICANT: �'"%�'�'- — Tel. � �� 5-✓'r'7 ��1 Call (763) 872-3604 for Permit Fees if mailing in application. Fax to 783�i1 1287 if using credit card and vve viN� cail you for card number. cmr use o�u�Y - Permit Fee Fire Surcharge State Surcharge� SAC Charge License Surcharge Cw�b Cut Esc�row Erosion Corrtrol Park Fee Sewer Main Charge TOTAL l5 � S/S�d � � �� a s $ ��o $ ��.�d $ � �' � o $ $ � $ � $ / a �, 95 r�-1 t � 1�� ZBZti S1.S�9Z � Ol Fee Schedule on Rever� Side .001 of Permit Valuation (1 /1 �th°�6) a $.50/$1,000 Valuation . $1275 par SAC Unit $5.00 (State Licensed Residentia! Contrac�ors) �►It "A" or Alt "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ j Not Nec�ssary [ _ .,� ,��-r �,��, y. �` �) �3r?i w V 686�8�£9Z S3W�H 3�JtiS � WO?1� k� � 68 £00Z-�-111t Building BUILDING Permit 1vo.� � G� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY vate xec'd. ! 763-502-4977 FAX EFFECTIVE I-i-08 DATE y�� O s YOUR E-MAIL ADDRESS . st� AnnxESS 7 3 �� S'i n•E-- . THIS APPLICANT IS: ❑ OWNER CTOR PROPERTY OWNER/ NAME: c7 er� TENANT pDDRESS: SA.�*+� CTTY '�� STATE �y�Z— ��zrn S PHONE: Z6�' 78 Y�" 6/ y(� NANIE• ` c m CONTRACTOR ADDRESS: �/7�// U�4:U a��'s ��. .A�- /✓li CTTY r�•0� ) STATE �� ZIP S�! l� SUBMIT A COPY OF pHONE ? 63 — Sd D-- 6! yI FAX YOUR STATE LICENSE STATE LICENSE # 2. C,�2..�(j �? 8 7 EXP DATE PROPERTY TYPE SINGLE FAMILY/IdEW CONSTRUCCION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE 0�DITION O GARAGEJSHED ❑ WiNDOWS ❑ BASEMENT FINISH h7�6�'OF ❑ DRA(N TILE ❑ DECK 0 SIDING � ❑ OTHER 0 SWINIlIRIIVG POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCfION ❑ ADDTI'ION �AINTEAIANCFJREPAIR ❑ REMODELING � � DESCRIBE WORK BEING DONE: T��ne-.� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Ff ROOFIIYG ❑ HOUSE ONLY BASEMENT REMODELMG SUBIWT: NUMBER OF SQUARES �� ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES � ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: 0 DETACHED GARAGE 3. List of structural members to be used, PROPOSED HEIGHT': SIDING . FOR NEW CONSTRUCTION INCLUDING DECKS, O Vinyl p�g7t ADDITIONS. & PORCHES SLBMIT: 0 Aluminum p T� 1. Site Plan/Survey showing the existing strucwres � Otl�er ❑ Fascia e�d pr°p°sed pr°�ect' 2. Two sets of construction ptans WINDOWS 3. Energy Calculations IN EXIST[NG OPENINGS OYes �No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES 8c TYPE OF WINDOW TO BE IIVSTALLED NUIVIBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �+� �SII� THE 1997 UBC FEE SCREDULE) TOTAL JOB VALUATION $ !� _ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ '� $ $ $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State L'icensed Residential Contractors) $1825 per SAC Unit {Plans to MWCC for determination) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks oavable to: Citv of Fridlev Attac6 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a buiiding permit and I acla►owledge 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 ConsUUCtion Codes; that I understaz►d d►is is not a pertnit but only an application for a permit and work is not to stazt without a permit on site; t6at the work will be in accordance with th pm pl in the case of all wor& which requires review and appmval of pians. SIGATATURE OF APPLIC PR1NT NAME�-� o,f ��,.� -, DATE Y��L � . APPROVED BY DA � �Page 2 - Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building O�cia1 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: VERIFICATION OF FOUNDATION Permits for const�nnzction will be issued a minimum of 24 hours irom the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 ' 763-572-3604 Faz: 763-502-4977