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AF - 35518�� Valla�e of I�'�ielley, 10�$nn. BUILDING PEIiME'� 1�T° 319 �� f IRT�PECTQYi O�' BiJILIDINGS owne�J '?.�61s'h 1 [ 3 �,..ai..,�i...«� . AreLitect Frid'.ey� Minn. "�`�"`n•+�'✓� � , 19�`.� i Builder `��`^� LOCATION OF' BL7II.DING No.�_ Street � V-�`✓i� J` .�*'`. ��t /-Q Part of r o�� $lock � A+ AddiUon or 6ub-Division _� �� i?ESCR.Yx �SC}i`T CF BLTII�D�h'G , ! Front M�- � Depth ^^ � 23eight � A Stox�ies � fliaa�,ner of Conatruction %�� ' `��'` � � �. � . �.�_. _ . .. To be used as �`�!�"`A�"�-^`�^�- v�� To be completed ��'� �`'=^'� . f.. � f Estimated Permit is hereby granted to �-t '�-"5fv^� v"}.•' a�_*;��.,-'�� TA `,�• � --�-- t y,tie ��g (�,.'°'LI°i-r � ; �--�.� ,� �'flflage of Fria�e3>, lti�nn. ' //�' `�� . �iJH�.�INtII PER1bHa� I'�o 4 7 5 0€�� g �sr�o� o� s�zxG� o��r � � � - �. , [; J Arcftitect � . '?',:. Frid'.ey� B4inn:�. �-'�"��l : ��, 19�._�+ � Builder . . .. . ,- .. .. _ LOCATFC?1V O� BUII.DII�7G No � ., . �. '� �.. Street ��''�-"�^ ��, D.,� ... Part oY Lot ..� . r �'�"� Lot � Block� � Addition or Sub-Divi3ion �� ,rsc��:T�;r� o� FuaLnzr;c �P'ronE�,��_ Deptb -.'> ilei;,ht_,�� Btor'sea�;��_ IDlanner of Conetructio�T � r'-'�n`� 4' �� .. ' '^�'r'Y �""..""" � To iie used as y r7 i- � yaX,€ Ta be completed �'�-��-' `°ESfimated Coat . +�,� �f ,1i ,.;• : 1\ � ri� .A'..�e �6�,�_ �' ,� d�-�i`:: F ..Y��^ �'" .,�,�f �—� 0 t � Permit��ie hereby granted to �`� ., �,f�z�-��--.-�-��s,,/j, f� C`}� to �'"Y'r'e+" `�*�--. . E � {he building � ^ -�+ � � � � .described� in the above statement. TLis permit �is� granted � . . . � � � upon the express c�qdition tliati � e pereoa to whom it is gr�.eted, and .his agente, . employees snd workmen, � 3n all .� the �work� done. in, g'rouad and upon �said building, or any part thereof, shall conform�..in all respecta to the ordi- � � � � . nauces of .:Fridley; �.Minn., � regarding the construction, alteration,� maintenance, �� repair � and moving of ��. buildings. � � witLin tha �city lfmits, aad tLis. permit may be revol:ed at aay time upon violation oP any of.the provfs4ons of eaid�� ord5neaces. � � � . � .4 . �j�. . . �. . . ... �'�%}" ' � etor oE Buildfngs.::. . � � .. � � . . . . . � ' .. . . . . �. � AGREEMP•I\TT t`�T.�D ,.�iW£)RN STATEiQENT i In.eonsideration of the issue and delivery to me �-T the fn^pectcr o£ �uil�in�3 of t�idley oP "`! the above perxnit; I herebY agree to do the pro�aed �wcr?i +:n �iccorciaalce ovith the descri�tion i abnve set forth and according to the provisions of the ordasi�rices of Fric�le,y,,and, be:n� �rst duly j eworn, I hereb,y state and say that the facts stated by me a:ad conteined us tise above perrzit are true>as therein stated. , � J '' - � Subseribed and sworn to before me' at Fridley, R•tinzieUo�a,,, thi . ;� , I �A�, ` �: � � ,.-� ,r% gay of '�r �� A.D. 19�j�.. � i,� � `�� 4.�"..CFsi„� 1 _ � Rsr13 25� 1963 7':r, C'zrl 3orensm /.515 �iniveraity �.venuo .;. E. � ?':9AttdHnpji3� :"j`,.1i103?`''i.H Daes F;r. 3?reneeq: 17�e C±ty rf rr'dley �g-enforcL.;; the hes7th Iaws .^P t'�e oity end the Stats oP ?tinnec�ta io as�ist in koeping �ridley a:�.:ore he;lthSul place !n wh-!ch to live, In th'_s connecti.nn a:.d Uy cn�;;p2aint, this 3oard rade a survep �£ yntu� p-�nerty st 61�.04 A%hton ?ivenne. . . A d:.l��idated airuciure hafl Laea tc+rn d!�sm lesvin� c�neidarab2e debrie ;+hieh is dan��er�^us to healtl� and 1'.fe. Ii ±s requeatoci that pne .:aco e neraonsl ±nveeti.�atiea r.i tY.e cnnd'tlona re_�orted and a.^r¢age to have t?:e �roporty c.lear;a? u^,d cleared i::arl�iatelg. linlsas oubstant'.el =mQre�e=�ents are underta'r_en by g".zy 10� 1963� t,�e City of :4�idley will veuse said nuiss:iae t� t�o abntad t:std easese the eosta a�e�inst `hrt pro,xrty. 'de twpe, i�cvover� t::at such actioa wi21 be ucu:�essary r�1 that yrou vill volvntari�7 aar��y ri�h tLe 1¢v. t!o eha11 *yo �1ad T,o diacuas ary quostlons or di£i'.cult3ea y^.�n *:� have in co�,lying witti the L:ini�..icc h�alih 7aus. Ycur c�roeratSon will holp koep �.^idley a;.wre haalt};Yul plaae :n which to live, � Vexy truly ;1c?ura � J��:tes r. Ilenalmy� R. 3. City of Friclley Boaxd of liee].th ` Y =� ' L' };- , C \,_ �.r_. _. � ✓ li^ .. �l' " �,�s.�_ � � � � ��,. .�f . ��-� l ; �'�', . �-�` G %'. t--- � c��-�`,,�a. �� ,-� � . �� "—�`�--��-��`� , � ,:�.� E ..- . _..- ;d:�Z_�' � •• �/G 3 , �. � ' �-�'! l��- ,.. �z`�C" tC-+�� ' _ ��-�'` J I_ C �,...� � �� ' �/ � s� 'sQ' �a� ��,. - �� d�� y��^ �� __�___ �_, _J________- ; � � � �� z � N � V N M N U �a N y O � �._ � N M � N � r� � � �+ o a a r, kL}/ y d u� M M „�j W Tl �+ 'C7 G V.6j '3 . � N q � .�-� m ro w .� m.r m�w•�y 0w ,"o`"'mw� �ro .°o �oa s�°. w'� .0 u � � A a�i 'M > q U�O�� G �A. ,,,� w �� tl ll ..( q. y�. 4 �~ m 'C � W .0 ..Wi W p � � +� G � W �„y "+ O N L O 7 M N.O V 6i' �� L � N C d G H � d C� . �J Q 'O � N �� .r � � � � F�i A. EWO M 'u "i +� C N p Oa. la N �-+.q u..br�f W mu '�~+ a.c o ° ,"-� u a�i M� a G' u� N g y � Oa1y Nu O�� N �" m O O u y � ydj � ��'O U u au! x' .'a -,C m'� -. °1 �� o m� F u " '� a %+ O ,C m u �tl O u q 0. M t v � -+ �n` � ._ `�\e�`�� \ � . L � ,� 1 V � � POI,ICE DEPARTMENT COMFLAIiVT REPORT Complaint No. 63-3-69 � . �� ......_.--�.�.. Bloking Papare bi�04 Aehton Nature of Complaint Location Comp�ainant Mre. Arne Lt��gn �aeress �2 Ashton 560-3l�62 Phone No. Repor# Rec�d by �B - Hot� Rec'd Phone Date Reported �i5�63 Time Reportod� 11:10 A.M. � DETAILS OF COMPLAINT Last Pall a home at 6l�04 Ashton xaa torn do�ra. All tha old bullding paper, insulation, etc. wae left around and now it ia blor3ng all over the naighborhood. lT�ighbors xould like it cleaned up. To Building Inapector. . _ , � ,� � � � SuBJECT • . �Ci#y of Fridle�: ' ` _ 16598 �ATTHETOPOFTHETWINS,�.'� BUILD�� ER�I�.-1 � ! 4 . � ..� . . � � . .. . AEC61P � . . . � � :� �� GOMMUNITY DEV6LQPMfNT bIV: . � . q `� � . . r .'��Y :�.•..,PROTECTIVE lNSPEGf�6N SEC.� . . � 90`y . 1' � � ' � /°�1 �. CILV HALL FRIDLE� .S�%32 .� NUMBEP AEY �� DRYE VPGE OF APPqOVED BY . � � �...•h� ".r bi2-s��—�d5o. s,o-Fis �/z,a/ez / / ipe aaoaesS 6412 AshtCn 8venue N.E. ' 1 LEGAL�- ��TNO.� � -BLOCK � TRACTOHADDITION � � SEEATTAGMED �� ' . aesca. i�4,15,1 12 Fridley Park sHeer ? VIiOp�RTVOWNER � , � MAILAD6RE65 . �... ZIP . PHONE � �� Arne Lundgsen 6412 1�hton Avenue N.E. 574-1841 ' 3 GONTRACTOR� � MAtLA6DR@SS.�.. . Z�P � � PHONE � GC�NSENO. - � - � Same . � �ARCHYfECTORDESI6NER' � . MAlLAODAESS - � � ZIP . PHONE � ' LICEN&EMO. 5 ENGI}IEER-. �� MAILAODRESS � ' ZIP PMONE LICENSENO. . � .. 8 USE-Qf BUIIDING � . . . . . � .- . . .. �. - "` I�Bidential. � C4�ssoFwOnK .' NEW ❑ ADDITtON ❑ ALTERATION p� REPAIR �❑ . MOVE ��❑ REMOVE � -.. $ :TES6qI6EWQRK .� . . . . . .. . � . � . . Cc>ustsucC a 24' x:24` Garaqe � � 9 CHANOEQFUSEFROM� � � � . TO ` �� ' snau�nriaNS . Provide a hard sux£ace driveway. W�i� ,��'� p Fo� w'�` ��'�`� �� tA`'�'1 �p�RA� �'E�� i� 5 G�iS �,E�}iR�� HFA�fNG• P�MdtNG �fl � �� - �� TYPEDFCONSL. OCCUPANCVGROUP OCCUPANCYLOAD�� SEPAflATE VEHMITS ARE REOIARED FOR EIECTRI�AL, PLUMBING, HEATING, � � � �� . ��VENTIL0.TING OR AIR CONDITIONING. - � � � � � . ., . � TNIS PERM{T BECOMES NUIL AND VOIO IF� 1ypEFK OR CONSTflUCTION ZONINfa . � SO. FL � CU�. FT. � � � . . Al1TNOR12ED IS NOT CQMMENCEO WITHIN:60 MFlt�; OR 6 CONSTRUCTION . � . � Oq WORK� IS SUSPENDED OR ABANDONEQ FqR A PERIOD� OF 720 DAYS AT � � ANY TIME.AFTER WORK IS COMMENCE�. � . .. � NO OWL6'.:�'VN47Ci�c � � � OFFSTREET PARKING �. 1 HEREBY�GEFlTfFY THpT I HAVE�READ AND EXAMINED THIS APPLIGATION � 1 � 'STALIS � � GARAGES ' ANDI�N{-1N'3NEShMET08ETRUEANDCObR�Ci.ALLPROY1S10NSOFUWS 4AWATION� . � :�� SUHTAX � � .. � �� ANfl ORDINANCES OOVERNING dHIS TYPE Of WORK WILL BE COMPLIED � � . WITM Wf1�E'�I'�fR SPEGFIEO:; HEREIN OR� NOT. THE� GRANTING OF A��:PERMIT S 932 �� SZ • 97 � �� DOES NOT-PRESUME TO'.GIVE AUTHORITY TO VIOLATE OR CANCEL 7HP pER ITEEE � �� SACGHARGE, �� .��PROVISION$ OF ANV pTHEN.SiATE OR LOGAL LAW REGULpTING CON, �- � . � STRUCTION�OR THE PERFORMANC€ OF CONSTRUCTlON. S � � � - � � � �� PLANCH.�KF$E.�� . � TOTALFEE � � �59.47 SIGNATUPEOF-0ONTPACT ORNJT RIZEOPGENT � IDATEI �` N(NEN P PERL V I.DATE THI$ IS VOUR PERMIT �"��,� tt •�"�z �.8 8s� 51 d R(O£O NEF�IFOWNERBUI ERi ��AiEI BcOG �NSP OPi CITY OF FRIDLCY Effective Aug. 1, 1981 APPLICATI�V FO(� RESID[fVTIl4� [iU1LDIiIG PC•RtdITS (Nc�v, Alterations, AddiLions, or Repairs) owuFa: �,P�/` Lu.ivlJG'�t�� ADDRE55: �/a A� �{fa � A � �^ %j%� TEl N0: ,j�- /�5l/ STItITT NO: � 7' � �- 6UILDER: G w � � � • AODItESS: TEL t�0: Construction Location STItEET: /7 S�'�/ 6 � ITU�� z.o�r: J��s; i� sLOC,c: � ADAITION: /- �1' 1 �� N a P!� 2!� Corner Lot: � Insiile Lot: Setback: Sideyards: l�p�licant attach to this fozm two Certificates of Sl�rvey of lot and proposed buildfng location drawn on certificates to scale. DESCRIPTIOid Of COMSTRUCTIO�� '! ,/ i ��} 2/� � �� Fmnt: 02 7` / Depth: o� 7/ Height: / D Square Yeet: ,7 % f� Q�bic Fcet: S% ln O Front: Depth: Square Feet: Wbic Teet: Zype of Constructfoar: � 0 O j� ��/N/ � Rb $e Wnpleted: ��-L � l � � / d � Propose8 Driveway Width If New Opening Is Desired: Height: Estimated Cost: $ 5 , / � 2' ��.....�.. Alt. A Alt. 8 _ S S SEE REVERSE SIDE OF SHEET 1he undes signed hereby makes application for a permit for the �,ork herein specified. a9reeing to cb,all work fn strict accordance with the City of Fridley Osdinances and rulings of the Department of DuilAinqs, and hereby declares that all the facts and represerrtatiens stated in this application are true and wrrect. a��: � � 19�a Stipulations: �,�.5 U �-9� �� y SIGNATUFie.: � . . �.� �� V /' � � 1� � ,� y , ��1 ,��" BUILDING PERMIT FEE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any aSdition to any bxistinq buil8ing or structure, or for any alteration oz"repairs to any existing buildinq or structuze, upon application therefore, requize the payment by the applicant £or euch permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TO'PAL VAWATI�1 51.00 to 5500.00 5501 Uo $2.000 $2�001 to $25.000 $25,001 to 550,000 FEES 510.00 Min3mum Fee $15.00 plus surcharge 510.00 for the first $500 plus 51.50 for each additional $100 or £raction thereof, to and ix�cluding $2,000 532.50 for the first $2,000 plus $6.00 for each additional $j,000 or fzaction ihereof, Lo and including $25,000 5170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including 550,000 550,001 to 5100,000 5283.00 for the first $50,000 plus 53.00 for each additional $1,000 or fraction thereof, to and including 5100,000 5100,001 ard up S443.00 for the first 5100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN CHECK: 25 percr�t of building pezmit fee DRIVEI�IAY �PRESSION ESCROW: Concrete Glirb Streets Only Alternate "A": Removeal and replaceme� t of curb and gutter only Driv�way vidth plus 6 feet x$13.50 Alternate "8": Ranoval and replaeement of curb and guttes and install a 3 foot aide approach with 6 inch depth Driveway width plus 6 feet x 515.75 VERIFICATION OF FOUNDATION Permits for construction vrill be issueS a miniunwn of 24 hours frosn the time of a�lication to alloa for pmper review of the proposed structure and of the constsvction site. A Ceztificate of blirvey of the lot, showing the lxation of the foundation once it has been constructed will be required before proceeding with the framing. > — �. . , -� �...;,u � .>�, ,_ .:� ,v y_ � � . .. . �3pBJECT . � . . .. . c�ty of Fridley T��"�w'� _. 16699 ��: AT ?HE TOP OF THE TWINS � ` ��Q:� I I� n'��`-"' p��R-�.M IT s�, i � ��y, . C(}MMUt11TY DEVEL4PMENY DIV . � Qa � . . � _ . �� ' � PROIECTIYE INSPECT16N .REG. . . � � � � ' j � r .. �� HEV. DATE �. � . GAGE OG AGPBOVED BY � � � �°-1 :�� C�TY HALL FRIDLE� 55I32 NuMBEp . �°--�� '� 612-571-3450 9i0-F�5 'if26j82 � � JOB�ADORESS '�lZ A$I7 OTl AV6hl1@ K.F+. �� tOtNO. BLOCK TRACTORADDITION . � SEflATTACHED�- � ��cn� yg Fridley Park sHeer � DESCR j,Q�l.S�LS � � ' � � ' MAILA�DRESS � � 21P PHONE . T PPORERTYON�NEIi� � r)'74�j$Q], � . . ,Arng.r,yndgren 6412 AghLon Avenue N.E. IAAILADDRE55 � � Z�P PHQNE UG@NSENO: . . . 3 CONiNAfifDti;. . . . - � � � . �.-�S3i�:-� � � � . Z�p PHONE LICENSENO. � � ARGNIFECTOROESIGNER M+M�LADORESS . � . � � 5 ENO�yftEF '� .. MAILAODFESS �. .. ZIP PHONE UCENSENO. � � . � � B USE�OF BUILDING . . . � . � .. . � � . . Residantial , 7 Ct�SSO�WOAK � NEW � �AODITION ❑ ALTERA?ION�� ❑ RE,PA�R ❑ �MOUE ❑ RfMOVE � A B D69CRf8EWOAK � � � � . � � � � ' - yt k a 20' x 20' Gasa e i ' DMii(dGE OF U8E FHOM � � . � YO . . . � ..: � STlRUlAT16NS'.... . . . � � � � � � -� TYPEOF�C¢NS. � OCCUPANCYGRQUG�� OCCUPANCVLOAD " _ $gPRRATE PERMITSAH6 REC7UIRE� fOF €LEGTRICAL. PLUM&NG. HEATING , � � UENYILRTIHG OW� AIR C6NDITIONING. � �fjryE �G � THFS. PERMIF BECOMES NULL..ANQ VOtD-IF WORK QR{:CONSTRUGTION '� �SQ.PL � CU.:FT. � ,_ A�J.TWQH�2ED IS IWT WMMENCED WITH�lf�4U;�AYS. OR IF CONSTRUC?ION - � - . � OM>WORK 15�9USPENDE4 Op ABAND�NER F�R A PERIOD�OF 120 DAVS Ai " . . OFFSTREEI.PARKING � r�� . AWV� TIME AFTER WORK f5 COMA1ENCfiG:. �� N4.'' OWiG VN4TS' � :. ' ..: . . . �:.�.� � ..'. STALIS .. GARAGES � 7 M6R68Y SERTIfY�:iMAT ��1A1�E READ AN� EXAMINED THI$ APPLICkLH?N. ' 1�' ' � . SURTA% � � � 'A#DK1+N3KM.7}tEzgRAAgFOBETRUEANOCORRECT ALLPROVISIONSQFLAWS YALUAT70N . � . "" S�}�,sqRpl�pf%lyCES`E30VERNING TIiIS TYPE OF WORK WILL BE�CO�APLIED '. „ �� ':', ,WtT(i.WRETHER SPEGFlE6 HEREIN OA NOT. THE GAAN7ING OP A AERMI7 PERMITF�f �.SACCHARGE � OOES.NOT PRE6UME.TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE . .. PROViS10NS OF-ANY OTHER STATE 6R LOGAL LAW REGULATING CON- �5}A� ..: .. �� STRUGt10N OR THE PERFORMANGE QF COMSTRUCTION. P�AN� ;{fEE � �� T�TALPEE � $15.�� SK,NAriJKEO�fJcONt OR6 �U1NdA�=EDNGENT , (9ATEI N PROPEEiLY VALI TED THIS IS.YOUF PERMIT +�M� lT �� " >rE � �.. 14N�PTIJPE�O:OWNEAVIFqWNEAOUILDERt i�RTEI � Lp iNS� . City of Fridley �r nE ra a rwE r�u+s Job Iddress of Bldg. G'gRr��.t. 401wUMtTY O[1KLqMEMT OM�. MtOT�CTM 1NI�GTpN OA�, amr w�.� Map.[r �N�t Mrsw'suo �� No. Blo � �b i � lUl:"' 1.� >W NLsR Front R� / Cost of Wrecking Effective Aug. 1, 1981 WRECKING PERMIT APPLICATIO�J ��ton Q� o. 1Yact or Addition F2,'IJ�� t� �� l� ir2L � Address � �/a /�S�f�'o�l < Address � Heightd � � �� 4 ITo Se Completed . Ft. � Permit No. Phone Cu. Ft. Utilltias to be Notified and date Servicea Discannected Npis. Gea Cb. N.S.P. Norttn+estern 8e11 Tel. Co. Snqr. Dspt. Cust. Hus. Ofc. Sus. Ofc. 372-4850 330-5540 332-4112 Date Date Dnte Nrecking Feas: $1.25 for ench 1000 wbic faet or fraction For atructures which would be impractical to cube, the fee ehall be Sased on the total cost of vrrecking such etructure at the rate of ¢6.00 for each S500.00 or fracti,on. lfII�1II�lt8� F�: 515.00 No State surcharge on Wrecking Permits. By Water 6 Sewer Department: All Bilis Are Paid Services Are Disconnected The undereigned hereby makes application for a permit to wreck the building described above, agreeing to do tll work in atrict accordance with the City Ordinances and rulinge of the Department of Buildings, and hereby declares that all facts and representationa atated in this application are txue and correct. d� � ,<. / - ., / fr- a�- �-Z Date , .. SUBJECT ''� '. , . .. . . . P ... . . ., City of Frid�y - " { �/�� 19923 �. - AaTHEtOPOFTHETW(�FS � - BUf��,41lV'��R�IT � � ��' � � �RE w , . , : � v � �. COMMUNITY OEYELOPqSEMT Ow�. J . � , f �i V �� - PAO7FCTIYE INSBECTtON SEC. . �" . �3a �`BJ . , �' /'�� CITY�HAII- FRIDEE�.:5S�34 NUMBER PEV .� OkT[�� P�GE O% �PPNOVEDBY� � � y"--'� �' '' 612-�571-345� 9i0-Ft5 ` �/30/89 / / �oe �onness 6q12 Ash•ton $venue N.E. . . � . 1 LE6AL� ��p�'- � B� K � TRACTOAADOITION -� SEEAttACHED � oescR. 1�,15,16 12 Fridley Park sHEer .. . Y PqOP4�5°OWNER . �R4AILADOHE$$ � � . � . '..- 21P . PHONE . � . �. . Arne Lundgren 64I2 Ashtcm Avenue N.E. 3 -,CpN7qACTOR � � MAYL ADOHESS . � . � � "" � Z�P PHONE . UCENSE NO: � � . � ldo�uandsle S�z'vices, Rou�e #1, Isanti, MN 55�40 338-1511 � d AAEHITHCS9R OE618NEP �� MML �DDAE$S� � - . �- 21P PXONE UCENSENO. �-� �� 5 ENOiNEER . � '� MAIi ADDRESS. � �� Z�P PHONE LICENSE NO�. � . � i, '�. � � � . � . . � . '� �� p .:USE9F BlNLD/NG . .' . . � . . . � .. . .. . � �.. R@8�7.d@Yitldl �� . . . . � . .. �.- .. 7 QLA6,8"�DF.WORK ; . . .: . . - : . . -. , �� ❑.NEW O ADDITION� O ALTERATION� �. f��- AEPAIR ❑ MOVE �❑ REMOVE .� � a oesc teE �wtuc ;, Rerqoi,pkellinq (13: Squares) " A�CHANOEO:UBEFqOM . . :� . . . TO � . .. .. � 3TIPULAti0N8 � . .. .�..... . - - . .. . _ � - : . i . Roof.can be 2nd la�er bnt not 3rd. Sna�ll Yidged galvanized valleys. �' 9EPARA#'EyPEifMJTSAHE REOUIRED FOP ELECTMA'nAi, PLUMBING. MEATIN6, rrPE GON6F. .' � ACCUPANCYGROUP OCCUPANCV LOAD � � VENT{l.pl!(R{G OR AIR�OpNOIT10NING. � � �- TfNS"A�1�{fT BEQOME$.NULI ANO YOIO IP.WORK OP CONSTRUCf1A1N. jpNINO.�.� 64.FT. --��CUi��FL �- . AUFNLiN4��0 IS NOT-�OMMENCED WITMIq eQ QAY3, OR IF CONSTRUCT�.� . OAMIi7flN IS SUSPEN6ED OR ABAh{Qp1tESY'POti A�,RERWDQF�.t'lbOAVB �4 ��.' . � - � �� RNN iiMB� AFtER WORK IS COMM�,NBT�. � � ':NO. DWLG. UNltB'�� . OFFSTREET PRRKING .� � -� I�EqE�Y'6EHTIfKTHAT I NAYf A�/FD At{P�.E%AMINED THIS APPUCATWN � 1�-- �8TALLS - GARACaES � .^*' � . � ANOKNqjNTHESAMETGeBTAUE�l066[(N6Ci�.A4LPROVISIONSOFUW3 yptUA IpN'-. :'. ` � "� SURTAX � �� ' -' ` � ANO ORdINANCES.BOVERNFNQ Tff}8 TYPE OF WpRN�� WIIL BE COMPI.IED �. �^ySSO � S. SO � WIT/k WH@TMEH SPEGflEQ,NENEM;OR tl07: TWfi ORANTING OF A PERMf7 � . � OOES NOT PRESUME 40 OIVE ,4�1'MF/4ARY TO �:YIOiATE OR CY�NCEL?NE pEN IT FE.5:r � SAC CHARGE � .. PROVISIC#N$ OF ANV OTHER �$TAtE� Wt tOCM, lAW REGULATING CON- � . � STqIJCTiQN OR TNE PERFORMANC@� QF C6NSTRVCTION. $23' QA . � _ . � � . � � ' � . � LAN HECK(�E '4 TOTALFEE � � $2 3. 50 r,:S�GNAA'U9EOF�OMiP1CTAROR�ui„oAiZEDaGENt �D�iEi � Wh�EN P PER�Y IDATED��THIS IS VOUR PERMIT � _ � � S�GNAIUR 6F WNEPitGOWNERBNIDEPi�. � �Dnt(� � q p �vi : � [] � II �� •�'ti• � •�1 w I+ega1 Desci'iptifst: Owner IJame & Address: oartractoL'• Address: � e 1 I.IVII76 ARBA: � RR8!\: DHCR 71RE7l: � O'li�;R: 0 R-i arro �z Building Petmit Applicati� �� Effective 5/1/88 '1�1. # Tel.. � ��,5(-! �( f Attach to this applicati�, a Certificate of S�uvey of the lot, with the pzvposed oorstructic� drawn a► it to scale. � � � >_ «• .• . ., Width Width Wictth Helc�t Heic,�t �,/�uud — Sq. Ft. Sq. Ft. Sq. Ft. Q�iier Iot [] Inside Iot [] Ft. Yd Setback Si.de Y etbacks �ype of Ooa�strueti�• Esti.mated Oost: $ ApProx• Ca�leti.on I7ate: Ptrop�ed Dtiveway Width If New Openirg ys pesit�ecl: Ft. S S Width + 6' See Back paqe �TE� APPISCAPTP: Tel. # Petmit Fee $-__�� State Si�t�d�a�ge $ ,�p �� $ Drive�sy Fscr�, $ , Park Fee $ sewer Main �a�ge s�3 . s I Z+ar�w g ��: I,U 3 �,av � o �d .. �.-�- . �i - Fee Sci�edule rn Revea.�se Side S•so/Sl,00O Valuaticn $575 per SAC Unit Palt. "A° or Alt. "B° Above Fee I)etetmir�ed bY F�gineeririq A4t�t rie�sarY [ l N� rTe�,saxy [ 7 _,�.. 8saoo Sbu lS,o v �c1' � a 3, ou I:i�� ei'e>':v1V J:: _r:i�i11t5� �he Chief Building Official shall, before issuing ��'+�its far the exectiaa► of at�' building as sttuctuz+e, a� far amy addit3an to any existincl buildirq ar stiucture� ar far any alteratfan or repair to any e�cisting Yuilding or strvcture, � a�iicati�, thenefore, x�equire the payment by the applfwnt Par sucii permit of fees to the amamt here]11 bHlaw SEt fOLth 8rid 371 thE m+�rmPr he1'�371 plWlded tO-W.lt: T02A1� VAIIIE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 tA $500,000 �� S15 (Mtniman Fee is S15 Pius am3�e1 $15 far' fiist $500 plus $2 far eadl additi�al $100 ar fz3Ct3A[1 'theL+aof, to and iilCluding $2, 000 $45 for fitst $2, 000 plt]8 S9 far eadl additi�al $1, 000 or f$d[:tiCn the,ieof, tA aild inclt�ding $25,000 $252 far fixst $25,000 plus 56.50 for each a3ditional $i,000 ar fractian thereof, to ard ir�cludirg $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 ar fracta�l thereof, to ani including $100,000 $639.50 far fizst $100,000 plus $3.50 for e.ach additi�al $1,000 ar frBCtion t11et'+eof, to and including $500,000 $500,001 to $1,000,000 $2039.50 far the fisst $500,000 plus $3 for �ch additional. $1,000 or fractioa'i thereof, to Std includix►g $1,000,000 $1,000,001 ard up $3539.50 far the first $1,000,000 plus $2 for each additional $1,000 or fLacti�s thereof �RIVBI�IY �P�N E8c�i0W {Oorict+ethe Wrb Streets �ly) Alternate ,�p,u: Reroval ard replaosne�t of curb ard gutter only - Driveraay width plus � 6 feet tiioes $13.50. Alternate ^B": Ranoval ani xeQlao�syt of uu�b a� guttes and itstall a 3 foot wi� approach with 6]nc3i depth - Driveway width plus 6 feet times $15.75. .�- �. ��. .� .� Permits far ooa�tia� will be isaied a minimnn of 24 hours fzun the time of applicati� to allow far pxvper review of ti�e pmQosed � and of the constxuctias� site. A Qettificate of Sutvey of t3�e lot, showirig the locatioai of the faudatian onoe it has it has been c�onstructed will be required before pzooeeding with the fra�air►g. �-.. _-� .-_ 1 aoo5 ��a� N�yy ( � CITY OF FRIDLEY ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572�3604 Bldg Insp ALTER [] 5INGLE FAMILY AND DUPLEXES R-1 AND 12-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: �i �� 2- �S �'�N �U 1� Legal Description: Owner Name 8� Address: Tel. Contractor. ��-� J�A� G�a+S�� 6 S MN LICENSE # �a �� Address: � 331 u�� i�� '� bz... Tei. # S7 �( —�t 9% 6 LMNG AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on ft to�scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Heght Sq. Ft. DECK ARFA Length Width HgVGround Sq. Ft. OTFiER: {�S 9 • q �� q Construction Type�� - �� `f"�S"" cJ��Estimated Cost: $ �O Driveway Curb Cut Width Needed: _Ft + 6 Ft =_Ft x$ _ DATE: L a APPLICANT: ��'E�•�-i/ �w�.6 Tel. # S 7�'- l�16 Call (763) 572�3604 for Pertnit Feea 'rf mailing in application. Fax to 763571-7287 'rf using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $�.3...5�� Fee Schedule on Reverse Side Plan Review $— 4� 65% of Permit Fee Fire Surcharge $ • Sb .001 of Permit Valuation (1 /10th%) State Surcharge $ , ,�� $.50/$1,000 Valuation SAC Charge $ $1450 per SAC Unit License Surcharge $��— $5.00 (5tate Licensed Residential Contractors) Curb Cut Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not PJecessary [] TOTAL $ � iJ � STIPULATIONS: BUII,DING PERMIT FEE SCHEDULE The ChieF Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or strucdue, or for any aiteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such pemvt of fees to the amount herein below set forth and in the mann� �rein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001to $500>000 $500,001 to $1,OOO,fl00 $1,000,001 and up FEES $23.50 $23.50 for first $500 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,ther�f, to and including $25,000 $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, m and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fracxion ther�f, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and inciuding $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fiacxion thereof DRIVEWAY DEPRESSION ESCROW (Concrete Ctub Sueets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $20.00. VERIFICATION OF FOLJNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed struct�ue and of the construction site. A CeniScate of S�rvey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only Building Inspections 763-572=3604 DATE / / S / h 7 �� 5I'fE ADDRESS �1 r�as nrrucaNr �s: PROPERTY OWNER/ TENANT SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS ❑ OWNER �OMRACfOR PHONE: STATE 1dCEtdSE A_ O BASEt$'N'f flNLSH }'� ROOF o necx ❑ srowc TYPE OF WORK: I a ❑ n DESCRIBE WORK BEIN(i DONE: T$t4 R o F� —g- fZ � Ra o� SIZE OF SQUARFS �� GARAGES PROPOSED S�: PROPOSED HEIGHT: . _ _ _. SIDIIVG ❑ Vinyl ❑ Ahuninum ❑ OILa . ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DEfACHED GARAGE �Soffit ❑ Trim ❑ Fascia WIIiDOWS INE7QS'flNGOPENRiGS DYs OMo LOCA770NOFWQJDOWS OR FORNEW OPENGIGS-DFSCRIBE SIZE OF OPENWG CHANGES & Plan Review Fire Surcharge Surc6nrge License Surc6arge SAC Charge C,iub Cut Escrow Fiosion Control Pazk Fce Sewa Main Charge ■ � •sm -■ .. �a� �� Received By: i� . �,�,. �� , I I HEIGH'f TE ZIP - - ��Jll;��•u[�7�I�`.C�73��1u� _ _ . , l�S�'1�, [!• I1a111 �iHF FOR NE W CONSTRUC170N RJCLUDING DECKS, ADDITIONS. R PORCHFS.SUBMIT: � l. Site PlanlSurvey showing �he exis[ing struaures � PrW�� P�1� Z. Two sets of conswctim plans 3. Energy Catculaziars ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 199j U.B.0 FEE SCHEDULE) S S $ $ S $ $ See Back Page for Fee Schedulc 65% of Building Permit Fee .001 times the total job valuation .ODOS x Pamit Valuation Minimum 5.50 55.00 (Sffite Licensed Residential Contracto7s) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftxS21=$ 5450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) checks oavable to: 1HI5 GS AN APPLICATION FOR A PERMIf-NOT VAL(D UNTIL PROCESSED Attach I hereby apply for a building permit and I admowledge that �e information above is complete and accurate; that the work wilt be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permi� that tLe work will be in accordance with tt�e approved plan in the case of all work which requires review and approval of plans. , SIGNAIURE OF Page 2- Building Residential Application BUII.DING PERMIT FEE SCHEDULE T'he Chief Buildi.ng Official shall, before issuing permifs for the erection of any building or structiue, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or stn.icture, upon application therefore, requue 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 FOUNDt1TION Permits for constiuction will be issued a uL?++�um of 24 hours from the time of applicarion to allow for proper review of proposed structure and of the construction site. A Ceraficate 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 Deparnnent 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977