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'; �- r' , ( � �� o .� 1 `� � Z �� , :� n � �� , � ` v B--3s -�B a�,, ` � '� � � � � � �" � LQT'..12 ,� � � � ,� �� I � 116:31 _ I ; . � �' � � , r. , , ,� � � ,. # �, : � � : ,,� , ;:� 4 !��fS /RO�V — — DENUTES UT/1��"i' � �'N�lC.E f�M'�i:�'T , — � �` . _ � : �� , �? .;8'�c. ac� � /y,�AQV��'��R ,, T��.��;� , � � � � ��w ��.. .�,: c��a� a�- ,�� `�� ar�°� f�er s o�c o,s mrrs�f npr�rdrt,in �(',..a+rnnj �"+Ar iw.e�ir+rs �C'�Yr .�nr .feww�w► tr�f. �ad "� a{'Ak �isMR�rt�'� �d�, Ainsrr. rd,}�/ res� eiavarl�varfi .�i+q �nr s� �n�ii 6nut As wr�d 6�+aa �(i..-...,:�- � � „_; A D. J'�„�'.'� �� 4 s a: � � - .. � .iu��"� , N��Ifi.�, ��• . c'' �, . � � �� , �,��,� , ��; .. „ • � � � . ;,�,��. r. ly ` _ , , _. . _ .: � .y - . ��. -: �' � � � � �' � . . . � v �:: �� .('`' .. . � : i: ' �� ' � `La. _ ' . . . .�S �X 1.. S , "_ Y Ex .' } �� R . . s�v ��rSn�. . ...._ h.n v, � � «,.. . .....� .:`�,."..�. _ "s�".. .ifs��S`�i , #�x`�zu=: . City of Fridley, Minn. �.# a 5a 9� � 1 ' ' I + , . . , � ,. _ �� _//� . �_� �� Na ./'��r�� LOCATION F UILDING ��8trcet W�.��.. s._..�c Part of Lo ........_..._..---.._.___ ..._._.� I.ot _�._ 81ock �._...... � tion or Sub-Dfvkion .i�sr.o"�`��.'+'-1,(/�"�w-��"+r`'L—t-- Corner Lot _ _ Inside Lot —.._..._.._.___ Setbsek ..��.� ... 8ideyard -.._..�� ._.�.— s� �� _�-.� a.1..G�_.____._______._.._.._ F�ti� �8a� --- �? �.=0— � DESCRIPTION OF BUILDING To a /�/ � �i �,�j' FY�oatt _•T.- � DeP� -�� E3eight ...xsl 84. E't.j.fd4�..�p. Cu. Ft �� .� .�._ _ ;: gM ��.__ DeP� — ght _..�__ 84. Ft. _..---.__ Cu. Ft _._._..r Typo ot Cautnzett ..__�_ Fit ��.""� o be ComPleted --•--- OUTSIDE APPEARANCE OF THIS BUILDING �"UST BE OF APPROVED VARIANCE 1NITd OTHER BUILDINGS IN Trti� BLOCIt _ ` _ In canslderation of the ieeuana to me of a permit to rnnshvet the dmg dee bed above, I agree to do Lha proyoaed work in acoordance wiffi t6e descrlption sbove aet � oom..- i��th ona of a�ana� o� we ar,v � r�a�. � 7a caoatderatloa oP tLe payment of a fee �;:%yZ� ,_P�t is hereUY gi'anted to- to c�atruet the buiiding or additioa es dmcribed above. Thia permit is �anted upon the expreae conditloai that the peraon to whom it is granted and his ag�ts, employees and worlvnea, in all work. �done 1n,� amund and uP� eafd buildin8. or enY �art thenrof. shall oamtarm in all mepects W the ordinsnces of HYid1eY� Minneeota rega�ding lacati�, coastrvet�on, alteraUc� mainterunce, rePeh' and movin6 oP builrlinge within the dty ]imiffi and thia permit maS be revoked at a� �ce upany��a of any of the provSsiona o[ said �di� /\ »si^ / 1 Butidln8 L�aPector NOTICEe 746 M�w4 dw eM wwr IM wrmMiay Im�hn 1s'.rM1eY. P�h Yr h�nip� aw�r ar wHV. M am a f» IW B�il�iey 6yu�sr ier w�r�N pn�fh /er �h�w N�m. � . � � t � ..-.+ � \� ` °n n�. �.. .:_� � � C �f'^� � s Q. � Op �� 4 �.� Q � � � �� O �� ' � J �/ C � . � N �u � J F= � a � � . � , � Y .�� x � �� su y� M� Wiy fr Y {0 � V` �3aq J' ava,� � �� F M .0 � :7 W � � q � u u v,'.� a�� S'� a bo�qN � �g°� }v. y�m� W L Cy '�'Q L � ��Qo � �W�[ 4 �Gm'�^a ( � F .,�+� � 4 � °�' m a O � �8�$�° 0 � � IC b K S ° � � � ti � W o y a '� B u I � � � � o � G Q ,� o � a ` � � � � � � � � � � � � a $ � a � � �I J � v 3 O Q R o I m G i � 5 C� w 0 0 0 0 0 O O O O � � M �ef W N � w g � 8 8 � : g " � »b � � : s � "� a� � o ,I � � � � 2 � c�d� W � � � crmi `�'' � � . � � N � M� � � � � � � y3i a `° a 3 C4 P�i W z � 1 O p� ry� 'D� , .� �& I A � � « ^ Ua o v u � A ,�y+ F r,j � d+ w w O O y�j � � � tV N � '� o ' �x x � W �:. � $ m � e x � � s Q a � �, w w �. .7 � Y"' w � � `� m w "" O O Q .0 .0 N M '� � d v a g � � a � 4 bj � F m � O a � Q � O H l� a 0 ��\ z � z � � �� 0 A � � kr' � W � � � � , O, E � � z o � f� � � � � � z � z � � � q �o a` a ;? �i F U F p`�j y � � m c� v � � �4 '� O � v � S o, & o 0 � • � m w M � M I � � � � z �o � ."'�. 4 o � 0 v> W kI z F W 4 �:b F �. ar3 w �=i � � � u? u? o � N p x x k z I I I F 0 � o° =o q rK� N F ys� O a�.� �R UA O � M `�" � a y ^ C C7 x z � W � w a w .� m U � � 3 � � � u � w Y w �� a � a � � � � � � � � � z � z � E'-'„ .+ O ,�"' 4 S F U � H W a R w a e �. � � x � d � . O a S 7 � � z' � O Y C t � �-�►.. � - %G��-� i3-�-�-� �" � � .�✓� .�..�-� ° HEAT LOSS CALCULATIOIS C?.t�<,�k £> ,,� b, i�.:.;.'=:..i '"c::..ai'�JLI�:.'�1�1(:viV. -- _—_ _— _— _ _-- - ----�a.— Weatherotri s A.S H V E. ' ' ir.> at�on � P I C o�s a�t ��. ,��, � _ Gu,de r -_ -- -- indow� rs Reference I� Out Wall I�t Wa�l �Ceu �g R�of r F1oor �� nmd I How Applied e o Yea No 19_ I� � _� t— �I —.___�----t Fl.f �� I. Room � Lengt-h��— Width, i�-� Heighi ' .�� FI.�— .� Room � Length '� / Widt_ h� - kieight in owe and oorr—Crackage add Area (, , Window� and Doors Crackage and Area � Wltlt� He1Fhl No. o[ 1.neal (t Area ��+ k �I� R �tM1 T H,Kn� I. . o[ Lin el [t. Area No. ofD�ne etpane uRnt r��rae aq [t. �� tio to e [ � o � - � Igfite o[ r¢cx ed it. t � _� _ _ ' '� � ' k � . o „ i �� — � _ — _— i - — • .. -- ' w ---i j I i I __ -�__ � �Coe€- Btu I � _ _—L Coef. Btu Iufiltration 1� • :i Infiltration -- - r 1 _ .:. ,.. ,,. � —__ _ — --- Gl�u � / ; ,; � 'Y �I Glaas y�, �� 1 �� fsp. wall �! � G I � Esp. wal I � � � f- ' Net exp. wall '' � !! , �� '� ------ --- ; ., / Net exp. wall Int. wall I Int wall --- CeilinH .- . i —�-�---------- Ceiling , Floor x / �� .n . �� <- '"� �� Floor ' �� ..i . �, To Btu. �� '%,'� =r� II T Btu .�,9� ft. E.R. or aq, ina. W.A. ader area 0 m � Length -- Width and DooT racka¢e and Area �. � J Coef. Btu "r Height X w�l� �xP. wall ft. snd MdI � � .; or sq. ins. W.A. [.eader a!ea "� im �Length Width � Heigl —Craekage and Area 7 No. of Lloeal ft Area f 7� ❑�pb af creck eQ. Il �) i%r' / C� n � / Btu C"' Required . G E.D.R. or sq. ms. W.A. L.eader area '�---- Fl.l 1'1; a%i' * Room l i,engch ;— Width /�' He Windows and Doors—Crackage and Area /�•9�� Wlnen Helght Na a[ L.;neel fL Area �L j Na. ut p+nn o[ p4ne 1!8h[� � o( crack �p. ft. ]nfiltration �,�'f'� f{ i Ci�ass Q fxp. wall � ��'�—�� '� /p Net ezp.�wall' 7'� Int. wall Cei�m_�g __ � — Floor � = '_ �- ;'�-- - _��-. r� To Bta ---- Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �.� / Room I Length W�dth r-- Hei{ht Windows and Doors—Crackage and Ana � Widt❑ Hely�t No. nf Llneai (L Are� J Na o[ pnne ot uone ��KTb oI cractr p. [t. ').' � 'i' / � i _ f / /� . � —y �� G^ �� / Infiltration Glase Fsp. wall Net exp. wall Int. w II Cei�ing Floor i � � � _ , - ,� , _. , nye "^,�i^•. _ . . _ r- . HFAT LOS:i CALCL'LAIIONS �F.PARI:t9F�a OF B;iILDINGS MINNEAPOLIS:.NIIVN. A.S.H.V.E. -----: _-- ---_ -- — i s Westherstrips f Construcuon No. � Insulation Guide I � _i_e':'"-�' � � r¢ Reference '� Out Wall Int. Wall � Ce.l»g Roof f7oor II Kind How Applied e� ; Yea�- 0 19_ II i i —±— �---�— .II .—,� i I FI. oom Length '' Width %.: '---i-ieight r FI.� Room Length Width Height Windowa and Doors—Crackage and Area i! Windows and Doors—Crackage and Area Wid[R He1gM No. o[ I.taeal ft. Aru �� li Wldth HeiRh� .'o. ot Lineal It. Aro� If�. ot �ne pane IIYTb nf crvck ep. fL " �� No, of pane o! osne ifgTb o[crack ep.1t. c i �' I � �_�_ � � . � � ,� �I wdl y Y �" :o. wall r ft. E.D.R. or sq. ins. W.A. Leader area Room Lengt6 Width �nd Door�—Crackage and Area H�I��t No. o[ Llnea� I0. Area o[ w�a Ilg�t� of crack �¢. [t. or aq. in�. Coef.l Btu Infiltra[ion Glaa� Exp. wall Net e:p. wall Int. wall Windows wiar. NO. of Dai Glsss F�cp. wall Net eap. wal( E.D.R. or sq. ins. W.A. C.eader area Room I L.ength Width Doon--Crackaae and Area Flaor I � Total Btu. V.A. Leader area Required aq. ft. E.D.R. or sq. ins. W.A. L.eader area Width Height I j7,1 Room I L.ength Width and Area Windowa and Door�--Crackage and Area n�al tL Ares II W1dtM1 Hel�ht No. ot Linul fL Ar�� enek �a. tt. No. of o�ne of o�n� Ilihb of cr�ck �a, tt. Btu � In6ltration — ��» —_� I Fsp. wall _' � } Nec ezp. wall II�t. wall �� n `I a � � , � � 0. \ �: � � � � � � �' � � m-�!i..�,�,, : 0 C U � � �'. � � � O � p o 3; � � a �9 F�1 � � Q M �i �� d �� 0 3�m d«� �� w��8 �3v� ayF� � ma Q � � � ( o,��g u u � If q� u a � ��m � i � � � ��j�� i y �� @ � O � �y b � � N °4 m �o � a o � �� m o �� C�S m�'' W � � W � � � W < 3 � �' • Z • � 59NIN3dD sv� 3`JlJVtl � ,� r� mNSVm oarrv . SNIS/9 X�lYJ SNIVtlO aoma � svxas '1N(W! MNIaO SAVtll � NSVM S1N15 � �� m� I �, i rnnien suSOD 11LYM °� aa � � � �' � � @ a° �w , [` z �7 � m � � � � q U W � 'd d w op � �' m °3 ,C v 'n '� ro O CC � F° r� O B W $� � p M �, � � x � . « �, . : ..� , .�� v "a �y 3i C P� cC � O a F � � F � �7 W ih V} �. .NY q' u�9. N� o N�O N (Y� � M�. N .M W x x�x �oa x. w J � � � I � I U N � � � J ' . pp � °o �o QM . DO � � N 'IS � F �� g� ° o ap.i N 0 R7 �. !l � � � � O C a' ��=�� m y � k� Y � C7 z z� z ci 3 z � � � 4� O � F m{^ tl} K fB � O O O H iq O � N x x x z° � 0 � o O +�+ N � W py +� � � v k � p 'w" � z M � � F � � � � � � � M w . [� '00 U « M W � � �i W q 0 � m � d �i Q a �a y ° suedecr � � FERMIT ` +��y t�;� �'ridiey . . F D p T 13�� ` � xrfi�atT}�poFTNEmwis __ $�I�Li�� r,�RM� i � � ��" �� . „�� "'�Y�fIiYfY DEVELpAtMENT DIY . .: ,. . � EIPT NOc� � r�' �' -�' `� ' PRf3�'��w,t°.RL�PECT�d SEC. . ; �..� i-. . � � �. - � � r� i�' �ISY HAL4. - FjIIFiLFyY ��:'SJ�1� MOMBEP � pFV ��{1ATE � PRGE Oi �� APGNOyED BY . ':- �.�+:clta.% .•+ -, e,t�iead+cp ' s,aPts �� . . . � �6 I / > �.. . � �� , ' �se �,��s �62? sau�n r��,v� tr.�. . ,,. ��. � � �'i � ��{,'.' . . - �OCX "' Y9ACTORADDITION � � �SEEATiACHED� �.:., ' ��.Z -� 1 . ��' �OT- TBt,L'd4E` � � � SHEET „. � 'HW�FN -� _ ,NA�At�FBS .� 21P. . � . PNONE . � :' �,P . � � : �52'� Ha�n D�ive N.�. " � � MAILAODpF$$:� . . - - �21P PHONE �' ... �GCENSEND. '�� __� _ . _ .. . .. ' �` � 4 J1 , � (�i .-� l(A11AQ�RESS . � - - ZIP PHONE k�CENSENO. �.y " 5 MkH,AUDFESS - - ZIP PHON€ � � tICRN8EN0. � �� '_8 `U � 14d1 � . .. . .. . . . . �Z. �� :� !� N�SN�. ❑ +IRDlTION .�� ❑ ALTERAT14Pk ;, ❑ REPAIR �❑ �MOVE � ❑ REMOVE � ,�_; '��6�iRC�PNt � . . _ . . - ... . .. ,�.23' �t 28' �� _ . . ,.. iv.� .�FA . '.. '.:.. � . . . . . . .�_ �" ' �� . � . . TO . . . . ' ' . . „x r. ',.. .�' . _..'� � � . . . . ... i.,��aQ�s. � �.: � ` P.�z�i� a hard iqlc su�face driveway. � _; s � ` SEPE�TE P�#2MiT5 R�QUtREQ FCiR :Wt�6i�. NEAT11�� P�.ti�tf�tN� A�k�ID SIGPIS. '� �£ pRE:{t�$IFN��,D iOR ELEG7RIGA1:, �LUMBIIiO, HEAT�NG. ��f �NSi. CfCtf�dtf+,4NCY aROUP QCGUPANCY LQAD, i+t1�� - E� �LL�N� _VOID �i WOAK OR CONSTPUGTLON ZONt� �� 90 iT. CU. FT � � `.; x4{FTF _ .`iB- S#TatANMHDI�fPVfLI1Fi�11H $Q BAYS: ORiF CONSTRUCYtflN .` ; � . : ,�' #a� ��t�iEn tut �e++t�6o w3a.� rEr�iop oF rn, oars r,r � &-,� - ; 572 � � � 5F20 � --. �"t�� -�'��' � . IAb, ERMLO.,ti, 8 � � � � OFFSTREE7 PkAKING " � __� t� Y-CE�11T7FY iP�iT. I HAVB READ AND E%RMIN�� TNIS APPLICATADN -, Z -- "' $TAllS � � GARAGES . ;iHESAidfiOBETHHEANDCORH£CT.AS:i,PA�VISIpN90F1#N18 yµUATtLiN"��_�� SURTAX - _ aN6`�1�Hi�{dCES �OYfiP[NfNti 7,�FI6,iYPH 9P W6fHt�-NriU. 8�- +�I,ip,��EC1-. � � . YP}iMWHETH8A8PC"6'�FfEQM�t1��0�#1Qi`�.f$ii�+#i`.��5}F`tA'FEpMIT�.. '�Q,�y�"a�� i.�.i� � . '�' �l]ES MDT�PBESb)!1E �'4}.$NE-AfpiPl!di17T�"�-�VWF,�tTE4R LM4CEE 7ME. PEflMITFEE "" . S$GGHARGE . . = pS4j3V�$.IGH&,QE At�SK;�.Hfifl-61?�C'ME��l9 lCJ4�4:.k�Y:W AEOUEATING CON- � . . . � . °: 4vAt�rmtpx nrt��kt�cH�� r,or±sinucrroro. $11.C10 � :. �•� .," � .� PLANCHECKiEf -� 7dTALFEE � �. � �' - ' . - � � .. NAT i� ��i�ibH12lD��'#NT - l #EI �I.3.�� ..--g Wsa �. _ � + =k� �F { _- .. \1NH ; PROP�RLV VALIOATED iHiS JS YOUR� } " � � ` �� -[_X?.L''L+_� �`.[��3/� `�� Y� � -. •- . Hf �. .IDEAt -�. :y �TEI . � . . . '�. ,�„4; ' . BLDG � nAiE 'j[; t , . .. _ . . . . _ . .. <� _ � L.� , �, � � � . ; � �. ... �,,,.,,..�" `.-� . . _. � ... . �. 1� � •. ', • � OR AllllI7'ION. BUILDI\G PLR$fIT CI7'Y OP FRIDLLY, hIIJ�N�SOTA oi�en's , xn�� : ,l�t,%o /%.c� //,'//.�lu.s �✓_suiLV�t:: SAA� c ' ADDI�SS c � r' � ri ADDIt�SS : .4M � NO:. 7G � 7 ST3t�ET• L5�4Ct> > �l^ ii f�, I.OT: III.PG�: � . AllDITTOi�: �d��r.m..�,�a �n�a,e CORI�:ER LOT: INSIDE LOT: X SETBNCK: ; SZDL'IAIiD: Applicant- a.tCach to L'his ior.r. T.a6 L;ertificates. �f Surve .oi Lot an3:proposed buildir.g �bcaCion di.ewn on these Certiticates. 9 DESCRIPTTO\ CF BUILDING .. � , i �� . � • � � ; • , To Be Used As• . , . • , i . i . �iAl'�„C Fror.t: �� Depth: � �d � Hei�ht: �� - . _. _ � _ . ---.-._�..-.�>_� _ ..-._ . Sqnaxe Feet: S'7a' Cubic.Feet: �7�0� Front: Deptfi: • Height: � Squaxe FeeC;�Cubic Feet: • 1�tpe of �Construction: �a� ��i7me Estimated'Cost:�S y„�.�,? �0 To $e Completed: Hor`/. 7. /997 . . • . The nndexsi�ned hereby mal:es applicatiun for a permit for the work herein speeifi�d, a;z�� -tct. do �1%i�ox': in stzict accordax�ce *.uii?i t}ae City of •: � -' �- kYidley.:Qxcli�nces and zcili:ngs oi i'h�•�HcapaYtincn`� o�"-�ii.iic�i�s, -and t�er�by declares Cfiat sll tl�e faccs �nd xepx�sentations stated in this applieation are txue and corrcct. ,, . AATB: f�'�.(J /. /�1'J,� ___ SZGNATU%E: /� 7— -' , (Sce t�evexse Si.dc For Additional Information.)' � .�j�.��, : �.. . �� .a. • . i�. � �' � . pQo,,�:n� , �u�Fk� ltiGa�(�irr+a.��*-� ��iJf•i.J�4`r._ . . . � . .. . _. , . ti .,, � ._ _ �� . � : ' ,. I� ��- �• J�U1LUlNG L'.L'lthtl! i•L'u J��iLL��.c � S�CTIOtd 2. 77ie Inspector oi IIuildings shall, befoxe issui.ng Pcrmit-s ior Che cxcction of a�iy buildin� or structurc, or for .�ny addition L'o any exi�ting buildin� ar sl-rucCurc, or for any alCcraY.ion or repairs to any exisCing Uuilding or structure, upon application tl�crciorc, requi.rc tiic payment by the app]icanC for such pennit of iees to Che a�oufrC hexein bclow set forCli ancl ia tiie manner liczcin provide3 to-wi.t: , • UtiIPOPSf BUILDING CODE: 1Ypc 1, 2& 4-$2.15 for each onc thousand cubic ieeC, or ixaction Chcrcof, in suc17 cubical coatents. -Type 3& 5-$1.85 for each o�ie `thousand cubic f.cet. ' " ADDITIONAL INPORI�iATIC�N . _ � For tlie �.urpose nf .•.omputi.r.g f.ees for ouilding perma.ts, the cubical contents of any builcling or addition, is detexmineo by multiplying the �rounci area covered from a point sis (6} inches below the floor line oi the basement ox the cellar to�the avexage heights of the upper surface or to the average,r height of tfie•roof surface of the main gable of a pitched roof. For xepairs.or alterations to+an existinn structure, the fee shall be at tlze rate of $3.00 per each five� hundred dollars ($500.00) or fraction thereof in In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.60. •, . � VERIFICATTON OF FOUNDATION � � TOT$: Permits for construction will be issued.a minimum of 24 hours fxom th.e time oi applicaeion, to alloca for proper review of the proposed structure and, o% the constxuceion site. , : � A CerYificd Suxvey of the 1ot; s�cn�in� the location of the ioundation, once it has becn constructed, will be requixed before proeeed�n.r, wiL-ii the framirig.. CLRTII�ICAT� OF OCCUPANCY ' Application for a Certificate of Occunancy shall be made ten (10) days prior to the use or occupancy of any structurc for which a buildinF permiC I�as b�en issued; and said structure sha11 not Ue used or occupte�l until a CcrtiEicate o£ Occqpancy has becn issucd.. . • . i ' . . . � •� , . • . : . . . . .•. . . . ( i � � I � � i • i i I ' I !i ' � ' � i 1 � i � � k � �� ( '• . • • • 1 ____,_-z--;, • � _.._.._ �• v. �o�uc�1 a�nd �ssocia�es� ��C. LAND SURVEYORi � IQ130 HIGHWAY 65 NORTHEAST – MINNEAPOLIS, MINMES07A 55433 Telephone 784-5480 Cer►ificottr of Surver' p ONA � D �JANT E R '.� �t i�, .:lock 1, !'eado��+rcor ierrac� ' 1 �� Yncka Cc.,r,ty, � i�riesota ��A:.E "_ � : _ � 2628-r6r-zE � Daka-� I Rorv *., s 0 — 116..31 *,.` � �� t . .� . ': � .. . . O� � ``1H . .� . � r�';4 . ��. � ° G.2 jY �353 �� 24.� ,�l ; � � . � . ... �.�— . rl .�. � . r � �; � p `. �t f ; Z � � •_ ! Q Q � I` �"� s / � �? o _� � ' � `t ;�1 �iL�'{r,��;:. � 49 � ¢ � !1 - � N � � � � � � .�. . — � 1 .�47. -------� .. �h ( (1�1 — � 1.6 – � � � LLl . j 5_� _ i , , � �� z4.o � ►��,ti L�,��, �",::- G� f ' ! —+ �J.7 � � � . : . .� � _ r, , � �- --t�--._ ...,��.._.__:,,,_------•�-'-. ; --_. I 16 . ;� I u -` _ , £ ,, "`> � Y . . . �. , . �: - .: �(^„' . . .. . I�NEREBY CERTIFY TH�AT TNIS IS A TRUE AND CORRECT REPRESEHTATIOH OP A SURVEY OF THE$GUN�ARJES OP THf ABOYE DESCRIBED� LAN�, AND 7HE �OCaTION OF ALL BUILD�NGS, 7MEREOra, AND A�L V�;BLE EN� CROACHMENTS, IF ANY, FROM OR ON SAID LAN0. � . �� ' a5 SURVEYEO BY ME TM15....3.fi'.`'._.DaY OF _ �ti�{t,j� "-�( G � � � .. . �� . . . .. .. .. � �...� .:.......A.D�. 19..�:I _ � � � . � . . � N. C. HON+n aND q550C1ATE5,. iNC _ lqr+D SURVEYORS � d- . . ' �.. �. ; - . . � � :,�� 1�. i . ))) �`n� . �..: . � � f � i `� T4I�:'J�A. .. ..� ... ::.� . ..�.. .�...... . � 1. \. .+.�.. . ... . � ... .... ..........� : �. . : . � . . . � . . . ..... '9' . . �.: p� sue.�cr � � - - PER �� ` ��.� I�f Frl`ille� L� - {� . ��. � RTYtfETQP-QFtHETWFNS .' ��_�L��'s.P�lA�� . y� �� ' . 3=� RECEIP N0.' � � . CQMMUN�TY QEVELQPI�I�NT DIV: � � ��d �� ' ,#' ..`: �t "��: _ Pl�7EC71VE {NgPS�tWt� SEC. . � � � . . � �` `�"i iY�4"-j, � �_ �17Y }IAGL � FRIFR.EY S$A� MUMBER PEV �:DATE � � �� PAGE Of -RPP�VEO BY � . - �'�� *'� �� 6t?-580�3�586 � � �r:- * _ . 970•F15 � �-. ,�y„�/78 .� � � % . . --: _ ' ._ . . .. ... _ . . . . ,.: :: '�'�� 2Es27 Sacwn D�'$Y� 4i.$. ,:��- � ��-� LC1TN0, � BtiOCR �� TflACi.ORAUDITION � .� . SEEATTACHE� � � . � .. . �.: s � -:�Z � .�.. �. A1E&�DOI.�:'l�it�7fi3� : . . . SHEET. . .. . . �� 3 ,f#`YBbtNER �!�� A1RIlADDRES6 � .. ... � ZIP- PHONE � � . � � . �_-' '�9d..3,a� T, �wt.}�ya. 7627 Saeon Drive i��. ' - 3 �WA 70R � MqiLA9QRESS. - � � ZIP � PHONE ��.: llCENSE�NO. - . .... ' . .., �� .. .. . . . . . . _ . _ . �`� l , 6&�SIfiNER M!Jl.�ADDRESS � . - � ZIP � PNONE . GCENSE NO�. � � � `. 5 .INFEfl � . 61A{�A6DRE6S � Z�P. � � PHONE�� 1110EN3EN0. � . -� 4' EOf �tb1.OtN6 .:.�. . . . � . ... . .. � . . : „'� �dison_�ia� �. .... . . . . . . . _ ,. �r- � . . �'- 2 �C{l'lCS6Qf�WA�lk . . . � � � � � . . ::` , -� �� NfVY�� ❑ 'ADpI'�ION� � C�. ALTfRATIOk ....: ❑':.REPAIH � ��.❑ M06E :❑ REMOVE . . . ��. i i�B,GH�6ff ' � . - � . .. ... � �ni�>. �9 hOltR@-;. �: � � . � . _ ... . � . . .. .. �,r , :°x °.-: � . � . " -- . . . . � . . �.: -�� . ilAtA�f36:bxUSEFtiQM, • '�� ':7a � . . .. � .., '': �T'1RE�vrya� , :_ . . � . - .� . �.= . ., � .�. , � . . .. . : . .. � .. . . . ....; �� 86P,�ApFEPERMFT�fe#�-qE6UiPE0 FQR ELE4F9ti)(ai., @40MBIplp, MEAiING, ��F COt3&T. i1CCUP.ANCY �,RpI1P ' OGCUPANCV LOAD� _ � FiNB OR !JR C.Ot�IF10NfN0. �. . . ; ��- . '- Yk�PElfdtlT BECOfdRS= IHILL ANRfY01CY �i „� -OH S'ANSTRUCAON z8h(jN� g(j F'f CU. FT. � � F8 iiQT�C6AfMEP1EED W17HM 6#k f�i !F CUNSiRUCTfON : � � . - - �� . '� F�9 ° fS SV¢PE19I3E,D OR A$AN6UNED FtNi:��.!Ep100 OF120 DAYS AT : ,� ' � ' '. �4#�'4l1Aii..Ri�$RW,cil�f�ISf:OMMEi10ED `�" .. - . -' z,,,�, , . _ �� . , til3" .:43#11T5 � OfF$YRf�T PARt(WG ". F tiEA�BY.4'fiFiTli�'=)7�fAT t HAYEREAD AND EXAfM{NE,Q,3±1l9.APPLICATH3N. �,�„ ' STALLS GARAGES � � ' #ND.KIi�qW:T{IE�3YtMETCJ�.BETRUEAf'16CORHEC7 ALI..¢�ClYlSK4N.SOFLAW$. VALW1$fC)k."':', � � - St1RFAX . . ... . AfdD 43Rt}�pf�P10E5 G�y{�MtHG Tt11S-TYPE qF Wf3'it14 NnLL B� COMPUEp: �� j�� .�:�.. SO � '-. YN[i{i-Yla1{YGHER 9Ft�tF1E¢tiEREENxORM!�7. THE ClRAf/T�MG. Qf� A PEf#b11i .. ,..., � . ��RflE$Uy��fCA QIVE.Aktfl9�3ii1TY 70 Y1tflA?$ OA CA�NCEL TME pERM1TP{ .`,, � - SACCHARGE�" ..-� ;fitF AAY� ATH� 8�&YE,G� lOGAL LAYi. {lEGVU��IG CQN- Si.� � . ... '�� fR THE PEHFi>FSMA�7G�E oF coxSTRU0ilcit�. � . � s °`-`�.__ � ��` � ^ -., .. ... ... PLAN G k� �. T�TAL FEE � $8.0� ��: �� Nk�1f3ES1Ff�(N!?RACi�O9kQtHOR2EDnGENT � tDkTEI [p y I�ATED TH{S IS VOUR P€RMIT- - �;�� u4�.,U 9--��-�$�� .._ , _ T NATURE 1ipyJ...,UILDERI �.:" ,.. ':_.� 1 �: ,v : .:� p � . . OPTE:. . :�' - � l. . . . . � . ! � � �: .i . , . . � ..; '- . � '�.j � s£ � . ._ ' " ` � .. . , � :',i � .b� ., aR. ,. .. . .. .. ' � r. x e . � ' .. ' ,rv ...t A,. ' . . .: . , _ ,. CITY Of FItIllLEY � Af PLIC/t7I0t� f0f2 RLSIlllcNT1AL BUILD1PtG PERt�iITS ' O�EiJ, /1LTL• R/�T l U(dS, �DllI T I 01�lS, OR �[PAI RS ) ow�,�R: t,�AI IA� e,��. w� I/MA/� AUILUER: S�' I r - Aaax�ss: `16a1. �e�N 7r;uC ndclress: 'iri. NO.. No.: --- street:. Lar: /2 sr.ocr,: __L ]1DDTTIOtJ: /I%�!�%JaWMG/iE' %Prr��'e. CO1iNER LOT: ItiSSDE LOT: SETIIIICK: SIDEYIIRDS: Applicant attach 'to this form 7wo Certificates of Survey of Lot and proposed building location draoin on these Certificates. • DESCRIPTIOfJ OF SUILDI�G +ro Iie Used As: (�� S�d2 ryOUS� Fmnt: Depth: ' Square Feet: Cubic Feet: Front: Depth: Height: Height: ' Square Peet: Gtibic Feet: Type of Construction: S4AI�'Ir �� id�dct EstimaCed Cost: $ s�l%00 --� 9'o Be �mpleted: � �'Ytp Alt. A Alt. 8 ProposQd Driveway Wid4:h If New Openi.ng Is Desired $ $ • (SP.� R�VERSE SIDE OF SHEET) She undersigned heretry makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Deoartment of Suildinc7s, and hereby deelares t•hat all the facts and representations stated in-this applicaL-ion aie true and correct. See reverse side for additional infozmation. na►�: Sev�t ta� 1915' sic�u+TO�: %J�J�Ya�.- �-' �e.�°^� Stipulations: . C�� ,� V . �y '�`o �S,n� . , �. �.:_ . 0 . � BUILDING PER�iIT FEE SCHEDULE SECTION 2. The 2nspector of Buildings 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 repairs 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: NEW CONSTRUCTION: Single Family Homes and Garages: $9.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete C�rb Streets Only) � Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$14.50 A}.ternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with ' 6 inch depth; Driveway width plus 6 feet x$17.20 ADDITIONAL INFORMATFON For the purpose oi computing fees for building permits, the cubical.contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the nain gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars-($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charqed for any pezmit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. ; � 1 1 �1' �� - -� NOTE: Permits �or construction will be issued a minim� of 24 hours from the time of app3ication to allow for proper review of the proposed struature and of the construction site. A Certiffcate of Suzvey of the lot, showing the location of the foundation once it has been wnstructed will be required before proceeding with the framinq. ; • 1 :� Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall nob be used or occupied untiT a Certificate of Occupancy has been issued. - � � ; +:� � . SUBJECT ' . � .�;, , C�.tj� c� Fridle}�:. ' 19528 :..; x;� kTTHETOPt9fTHETN4N3 gUILDIN� PERI�IIT " - � ��` � d4� �� ..� COM�U#�IY OEVELAPA6fN7 61V. � �� - w�� =F, -.�� , :� ,.Bt,�bTFGTIVE INSPEGT7C.N SEC. � . - � d' �9�� - � i �'�� QITY HA�!- FRIDLfV'� SSd32 NUMBEfl REV. - fb1TE. � PAGE OF AppPOVEO BY . � �....:11,• •� 612-571—J'�0 ,-�... 910-Ft5 . .. , . . . . �/13/86 / / �:.. �oe'aoor�ESS ;.�i6�7.��8acon Drive�.`N.E.... .. . . � . . . � .. � .'. .. �. . t tEQAL. ��TNQ.: � .'.BLUGK � � TRACiORADDITI�N . . ' ' SEEATTACME� � q�scA. ",12 : l Meadovrmcior Terrace sHeer . 2 � pTYOWNER�. ' MAILADDAES$ . � - . �� ZIG PHONE� �� I Wa1SXi W�.7.},�aa 7627 Baco�t �ive N.E� 786-4698 a � � J CtlN7RACTOR � ' - � MAIIADDRESS � 21P � PNONE � LICENSENO Jac]t:�ixlBy;S`weeps, Inc. 4179 � 149th Avenue N.W.� Andouer, MN 55304 li -C-.AOtC1f1T@OTOR:DE816NER . � �� MALLADDR'E85 � � -'' � ZIP PHONE LICENSENO. . � �- , � 5 � fiM(i1NEER � � MAIL A6DRES3 � Z�P .. PHONE � LICENSE NO � . .. 8 � EOi:BU1tDIN0 . . . . . . � .. . . , :�: ��. Resit�ntial � . .;: � � � . � ALA9&DF WORN- ❑ N�W ❑ � � . . . . . ;I�tff�TION �❑ ALTERATION C� REPAIR � ❑� � MOVE Q�� REMOVE �� . � �. b' UEBC�II�E W�RK�. . .. � . . � . . .. � z .. . .. � .. �... llf.1C��fx1f.ID118 , �, . � . ' . - $ .:AN6EORl16EFqOM � .. . TO � - �� : � . . . . . . . ,. . . �. � SFJPl1LATtONB ��; �� ... � .. �� insta],I ;p�adusts of coaibust�i.on fi.re alarms. ±, '�� 6EPARATE WF.�MIT$ARE REdUIRED��08 ELECTRICAL, 7LUMBINCa, NEATING, TMPE# CONST. QCCUPANCY GqOUP � OCCIJPANCV LOAD � . � VfN71L,Ai1NG OR�AIR QONDITl,ONIMG. . � � -� . � � � . TMIB PERi.1�F BECOMES NULL pNO. VOI�� IP. �W,ORK OR CONSTRUCTION ZONIt4O . � SO. PT. � CU. FT, � � � ., � AUTdAOHIIED f5 NOT COMMENCED�CNITHIN 60 DAVS,.OP IF CONSTHUCTION - � �. �,$&�URK IS SUBPENOED� OA A6ANOOHEO fOR A PfRt00 OF ]2U DAYS AT � � � ` ANY�.7tME AFiER-WpRK IS G6MMENCED. � � NO. DWl6::�13NfT5 OFF9TREET PARKMG i � 1 HE{IEBY-0ERTIFY TNAT I HAVE READ AND f%AMfNEO THIS APPUCATION ,'STALIS GARAGES : 'ANpliPlOWTHE.SAMETOBETRUEANOCpRRECT.ALIPRpVlSIONSOFLAWS yA�U11T10N � � � SUR A% �� AN4UR�INANCES �OVERNIMG T�t�3 T'�E aF"WOqR�.WILL BE COMPUED � � �� WITM WHETMER-$PECIFIED MER�1!{;Q�PyR}AT.. THE GRANTING OP A pEFMR � $2 �3E�-. $l. �'9 . � "` DOF�S NOT,ppEBUME TO GIVE AULMQIK'fY TO VIOLATE OR. CANCEI THE pERMITFEE SACCHAFGE �� P�WYISIDHS OF�.ANY OTNER 57Ag�E'Oii �LbCAL LAW qEGULATING CON- � � � � . F �� CTdON�OR iHE.PERFORMANC!E� OF GONSTRUCTION. -� - SS��.00 � � �, ,_ � �r� . ��. / ` � LANCHECN EE � . TOTA FE �� YV � . � $5�.�9 � . 5�4r�TUREOFGOMTAPCTORORRtlTHOR2EDAGENT .�.� ID/.T0 . yEN PROPEBLY V IDATEO THIS IS VOUii PERMIT �� " S�GHR pAEOF NE tlfOVlp. 9UILOE �' . �O�TEi BtOG I� P- iE �� . Y�" - 1.. � � � . . . . . tZW [ J City of Fridley AWN [ ] R-1 ADID R-2 AL'�R [ 7 r�,i 1 diM] PeLmi.t Appl iGBtitxt �nat;l,x�ion I�eg31.; ileacriF Owner Naoe & Address �w�ttractor : EEfec�ive 5/L88 Addreas: �. ��G -�69�'' Attad� to this appli.aation, a Certificate c� Sluvey of the lak. witir the �oposoed eor►struckian dta�rm on it to scale. T�S(RIP��iON � Il�OVH�ffiir I.'�K'i,BBFi°�,: L�gth Width Hei�►t Sl�. Et. S�BBt�.�:. Ler►9th Width Beic�t �. Pt. � L�tgth Width Agt/Gtotnd _ St1. Pt. .�: Cbrner Lot [] Inside I,a� [] Ft. Yd Set6ack Side Yard Setbacks �YFe of Gbnstructian: �� N e e C L Eetimated Cost : S ,� 3 r� 5� � Approx. Cbmptetion Diste: Proposed Drivew Width If New B1t. A Alt. B ay (�iening is Desirecl: $ S Width + 6' See BBCk Page , �. -io-�� .��• ��. �� . �. � �.s3-a7�� t � State Si�rd�arge SAC C�arge Drivevay 8eccw A4ck P�ee Bawet !lOfn �azge TOTi�L -� �•� •. ..., 5�,� S� S $ S S S� 3�9 ��Y l+lee Scr,eaule � xeverse siae 5.50/51,000 Valuation ss5o per sAC onit Al� 'A" or Al� "B" Above Ppe Determired by FYigineering Agreen�t Neoessary {] Nok. Neaessary [ 7 - ; L.J� �� ,�r�'�l dZ� � d°'`" � -�,� ♦• �< � ]/ � i:�l�v V J:i `M:I}� I.` �e Qiief Building Official shall, before issuing permits for the erection of any building or structure, � foc any additian to any euisting building or structure, or for any alteration or repair to any ex#sCing building or structure, upon application therefore, require the payment Yiy the applicar�t. far .such permit of fees to the amount herein helav �et forth arud in the` �r 'herein prwided to-wit: T�TAL VALUE 81 to &500 $501 Co 52,000 $2,001 to 525,000 525,001 to 550,000 550,001 to 8100,000 5100,001 to 5500,000 FEES 5,15 Qlinimuq P�e@ is 815: pLt� surchazge ) S15 for first 5500 plus 32 for mrh additional �100 or fraction there�, to artd iricluding 82,000 S45 for first S2,OOO plus 89 for each additional 51,000 or fractian thereoE, to and including 525,000 5252 for first 525,000 plus 56.50 for �ch additicna7. S1,OOO or fractian there�o�, to and irxluding 550,000 5414.50 f� first S50,000 gius 84.50 for each additional 51,000 a� fractian thereof, to and inclnding 8100,000 5639.50 for firet 5100,000 plus 53.50 foc eaci� additianal 51,000 or fractim thereof, to and including 8500,000 $500,001 to 81,000,000 SZ039.50 for the f irat 8500,000 plus 33 for �ch additional &1,000 or fraction therea�� to.and inclading 81,000,000 81,000,001 and up 53539.50 for the first 51,000,000 plus S2 for each additional &1,000 or fractim thereof .,:, ;a;`, �.�9:i:w.9.,� :,.-r;a.. . - . -- • i►1#er�te "A": R�anwal and reglaoement�af curb and, gutter aniy - Driveway width plus 6 feet times 513.50. Alter�te "B": Renwal and repl� oE cuzb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times 815.75, l�+': W Y: Y�:� fi" $I.�I�1; �,� Permite for construction will be issued a minimum of 24 hours f rom the time of ap�licatim to al}.aa for proQer review o� the �c�poeed structure and of the wnstruction A Certificate � Sluvey a� the lot, showing the locaticn of the famdation once it has been aonstructed will be required before prooeeding with the franing. ; �.� �.. � � ro � � � o` � m W � � � LL < C7 < � 2 m i J a O LL2 Y H 6 U a < > 0 � U W y W Z Z wa`�` G•�� LL � 2 0}�� I_�"f�N U��iu�i : z Q �, r cc -9 � m O � < O H F < 2 � Z W H S W ¢ � LL c� z m � � a � . � �� $ o 3 � ` � �� st a m� E 8 � � �.�� m �$$� _ � � s°°t" $�v.`� $�� m o�°'= � ; � c E'm oe� m $ � � t � � c � m O � m � m � � m � p c ` m � m �j m C n � y � m ��'�� r � � � ¢ � > ¢ �I `m � O � � � � c m O � � 0 Z � � w a 0 �b � 0 U m � E N W I I I I I I I I I I I I Sg��°ogSg$�� vuin��:r�oAOOo �n�nw.aa�►w•-w•-� � M M H H I I I I I I I F 1 I({? 0 } m � m � 7 � y .` Q �o ` � a � ,� � m ` ��aWC7 m Z m C � c � I I > � �C�� c J�S«y 0 m �°��`�'° "� a li �C�m ��22 � �� o ��ammm¢oY i�m�mciau'�333c�csa°S � N � 0 � � a z C7 � Z m m W � Z � ;� a u� � y I 2 g O �ci Q a � ( � J < o m � t � ��¢ a aa � O Q m Q � � O iLL LL � O l9 � Q � , �_� � �� a � �°� o m � � �¢a w � � N � m 0 � � m 0 � c � ¢ m m 0 � a vN � U 7 y m y wI ¢ a OI v� N H W LL J H � _�{ tif . ; . K � SYBJELt � . P NO. � City of Fridley 2 7 2 41 . , �TT�ET°°°F;�E�„NS gUILDING PERMIT TNO. � �• COMMUNITY� DEVELOPMENT DIV. �� •y-""'", � i � PROiECT1VE INSPEC710N BHC. � � ' /'�'! � CITV HALL FFIDLE� SS�32 MUYBEP pEV D�TE PAGE OF �VFNDVED BY �""� � '� 612-571-3450 910-Ft5 8/17/98 / / JOB ADDRESS 7627 Bacon Drive NE 1 LEGAL ��TNO. BLOCK TRACTORADDITION SEEATTACHED � DESCF-. iZ 1 Meadowmoor Terrace SNEET 2 PROPERTY:OwNER MAILADORESS ZIP PMONE Ra Ha us � - 9 CONTRACTOR MAILADORESS 2�P PMONE IICENSENO. Tabor 6 Sons Inc 37 ' - � � ARCNITECTORDESIGNER MAIlADD11E8S ZIP PNONE UCENSENO. S ENGINEER MAILADDRESS � ZIP PNONE LIGENSENO. 8 USE OF BUILDINO � . R i ential 7 CIASSOFWOHN � ❑ NEW ❑ ADUITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WOHK . � Re oof o e - 9. CHANOE Of USE PROM TO STIPULAT�ONS , � � Underlayment must comply with the State�Building Code. TYPEOFCONST. OCCUPANCVGROUP OCCUPANCYL0.4D SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, OLUMB�NG, MEATING. VENTILATING OR AIR CONDITIONING. TNIS PERMIT BECOMES NULI ANO VOI� IF � WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTMORIZED IS NOT COMMENCED WITHIl1 80 OAYS, OR IF CONSTpUCTION OR WORK IS SUSPENOEO OR ABANDONEO FOR A PEN100 O: 110 DAVS RT ANY TIME AF�ER WORK IS COMMENCED. � NO. OWLG. UNITS OFFSTREET PARKING I MEREBY CERTIFV THAT I MAYE FEAD ANO E%AMINEO THIS APPLICATION STR��S GARpGES AND KNOW TXE SAME TO BE TRUE AND CORHECT. ALL VROVISIONS OF LAWS yq�UATION SUHTR% AND ORpNANCES GOVEHNING TM13 iVPE OF WOPK WILL 8E COMPLIE� WITH WNETNER SPECIFIED MEREIN OP NOT. TNE GRANTING OF A iERM1T $1668 �.8.3 OOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TNE pERMITFEE SRCCHAPGE VROVISIONS OF ANY OTHEH S�ATE OR LOCAL LAW REGULATING CON- STRUCTION� OR TNE PERFORMANCE OF CONSTRUCTION. �SG.00 Fire SC �I. EG / T,,��A' PLANCNECKFEE TOTALFEE — _ii'� �"� "t .� �� 7-f� License $5.00 $6 9 SiGN�iUAEO�CONTPnC OROB�UTHOR12EDWENi ID�iEi N ROP$ Y LIDATED I$ I$ YOUA MIT SIGHniUREO%OWNEF�60WNEABU��OEAi �01TE� 8 ipgo n E 2 NEW j ] ADDN ( ] ALTER [ ] ConstructionAddress: � Legal Description: Owner Name & Address: Contractor: Tbo� : CITY OF FRIDLEY SINGLE FAMII,Y AND DUpLEXES R-1 AND R-2 ,-, . _ BUILDING PERMIT ApFLICATION Effective 1/1/98 'l�� a� � � TeI.J/ '78b-�/7go LICENSE # Address:_ �7/L i� �'�c,�('•.t p�up --- Tel.# "7b�—/9oL Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LNING AREA: Length Width Height Sq. Ft. GARAGE AREA: Lzngth Width Height Sq. Ft. DECK AREA: I,ength Width HgUGround _ Sq. Ft. OTFIER: �-�t�9 � �c vf- Construction Type: -}�t•r dfjy� �r�R,� Estimated Cost: $ ��j ^ (Fee Schedule on Back) Driveway C�rb Cut Width Needed: _Ft. + 6 Ft =_Ft x$ _$ DATE: � � I % "5' � APPLICANT: G�iv�-�? �o�s� TeL # Permit Fee Fire Surcharge State Surcharge 5AC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ S�/ 00 $ %, iv to $ °j3 $ $ .S- DO $ $� CI1'I' USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuadon (1/1Dth%) $.50/$1,000 Valua[ion $1000 per 5AC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ j Not Necessary [] BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing-permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any exisring building or structure, upon application therefore, require the paymentby the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2>000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $SOO,OOIto $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 fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and i�luding $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for fust $100,000 pius $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500>000 plus $4.25 for each additional $1,000 or fiaction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and instatl a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minunum of 24 hours from the time of applicadon to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. City of Fridley AT TME TOP Of TME TWIN$ . ' �4,_��_�� COMMUNI7Y DEVEIOPMENi OIV. � �� r � PROiECTIVE INSPECTION BEC. 1 1 ` � �....� i•••�.J C17Y MALL FRIOLEY yy�J2 e� 2_s� i—saso lOB ApppE55 �62� g8con Drive NE 1 LE6A� LOtNO. BLOCK TNAC1 BUILDING PfRMIT aiaF�s � I 11/14/00 I � DESCR. 12 1 Meadowmoor Terrace Ray Haynus 7627 Bacon Drive NE �r 3 CONTRACTOR MAILADDRESS LP Dwayne Ford II Contractor 4830 104 Lane NE, Blaine, MN 55014 � ANCkITECTORDESIGNER MAILADORE88 � .,e s 8 Residential os / 3i559 � I J� iOVED 8v � SEEA7TACMEO SMEET PMONE PMONE LICENSE NO 763-784-7263 PMONE UCENSENO. 20093308 PNpNE LICENAF un O NEW C� ADDITION ❑ ALTERATION ❑� REPAIR p MOVE O REMOVE Conatruct a 12' x 14' Three Season Porch See notations on plan. WARNING Before digging call for an ud�ity �ocations 454-0002 REQt�IRED BY LAW . 6EPNFiAT@�F�pY�TS MQ REQUIREO FOR EIECTRIC�L, PWMBING, NEATINfi, TYPE OF u VEN71�.4TING OA Alq CONDITIpN�NG. � iMl$ PENM/T. ¢ECOMES NULL AND VOID IF WONN:ON CONSTRUCTION 20NING Al1TMOFIZED 19-Np7 COMMENCED WITMIN 80 OAYS, OR IF CONSTRUCTIQN OR WpqN IS SLLSPENOED OR ABANDpNEO FOR A P[p100 OF lI0 DAYS A7 �NY TIME AFTEN WppN IS COMMENCED. ��. NO. OWLG. 1 HEREBY CER7IFV THAT I MAVE NEAO� ANO E%AMINEp TNIS APGLIC4TION I ANDNNOWTqESAMET08ETRUE�AMOCORRECi.��tPqpV1$IpN50f�AW5 yA@LUATION WN M WR ETME0.ESPECOFIEO ME EIN'OH NOTOTME GRANTING OF AOPEFMITD WS�3H% OOfiS NOT PRESLlMF-i0 GIYE AUTMOqITY 70 VIOLATE ON CANCEL TNE pERM1TiEE �'90YISIONS OF ANY pTMEF ST�TE OR LOCAI LAW REGULATING CON� STftUCTlp1}.,flp TXE PERippMANC�OF CON�RUCTION �I�LS.Z. i e�r �o�( 1 �� SEPARAiE PERA�t i � REQUIREO FDR: PLUMBlN�G� �►� ��,, "'�•' ICU.FT OFFSTFEEi PARKING STALLS GAFAGES SURTAx $2.69 � SACCMAAGE Fire SC $5.38 TOi L FEE �• $138.32 NEW ADDN ALTER �) I1 I1 ConstrucGon Address: Legal Description: _� Owner Name & Address: Contractor: �11�41 ,�P CITY OF FRIDLEY SINGLE FAMILY AND pUPLEXE3 R-1 AND R-2 BUILDING PERMITAPPLICATION ,21D� Tel. 3 cs�l Effective 1/1/2000 (763) 572,3B04 Bldg Insp �� i�i�� MN LICENSE #�Q�-.� �,YQ Tel. # ?63 - � �a.C� Attach to this application, a Cert�cate of Survey of the lot, with the proposed con truction drawn on it to scale. � ��p� ��ION OF 19NPROVEMENT LNING AREA: g Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgNGround Sq. Ft. OTHER: �6{�h ��X l4 �UN i� Construction Type: �rSi Estimated Cost: $� ��U�• 7� /7 Driveway Curb Cut Width Needed: ,_,Ft. + 6 Ft =_Ft x$ = g DATE: �� APPLICANT: �� re�. # 6- � ab' 3 CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee 5ewer Main Charge TOTAL STIPULATIONS: Calt (763) 572-3B04 for Pertnit Fees if mailing in application $ ✓'~. �S Fee Schedule on Reverse Side $ �5.�$ .001 of Permit Valuation (1/10th%) $ .�2�_ L 9 $.50/$1,000 Valuation $ � $1100 per SAC Unit $ �, DU $5.00 (State Licensed Residential Contractors) $ Ait. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Deterrnined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � BUII.DING PERMIT FEE SCI�DULE The Chief Building Official shalY, before issuing pemuts for the erecdon of any building or structure, or for any addidon 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 pemut of fees to the amount herein below set forth and in the manner herein pmvided to-wit: TOTAL VALUE $1 to $S00 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $SW,001 to $1,000,000 $1,000,001 and up �EES $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 addidonal $1,000 or fraction thereof, to and i�luding $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 fust $SQQ00 plus $7.00 forieach additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $Y,000 or fracdon thereof, to and including $1,000,000 $5,608.75 for the fast $1,000,000 plus $3.15 for each addidonal $1,000 or frac6on thereof DRIVEWAY DEPRESSION `�C�(AW (Concrete C�rb Streets Only) � � Alternate "A": Remova} and replacement of curb and gutter onlq - IIrivew�y width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install�a 3-foot wide approach with 6 i�h depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimunn of 24 hours from the time of application to allow for proper review of the proposed structure and of the construcrion site. A Certificate of Survey of the lot, showing the location of the fouAdarion,oi�ce'ithas it has been conshvcted will be required before proceeding with the framing. New Houses Onlv `� �� , � � V � � �� , "� � , ..� Y �} �� 0 0 h� � .. � � � � �� V _..• � . � � � , � � �p � \ � Q �` �� 0, � , -D � i �. � � �� :��, �1 � �� . m� C` � � � � �1 �� c \ � � � ik'��. � ,� � � � I � � o� � _� - � I n� � 7- J � v,� � �� ,�� , • �� b � �� • � ,�� g _ _ �� D �' � � c1' w � . .�t° � �� . � �� 3 T ��w� �� . � .n°_ t.� o� �� "� � � 11 Q 'O w � w � OL' N�� y- ` � a�� `�� o'= o: �� P l.- w � � � � � 3�'� L � � ��`—�� O� � ��Q �� . � � �� J ��,Q � � ,$`..� 2_�. w� 3- d� '� Q � �* �,� . 1i \ �' .� � '� ��o � �� 3 ?s �_s �� J o � � �W aO /Z- �� _. M . . , J� v � �y � � . , .�� ` �. �,,�11S10,� � _ � a$ . ��._ .. . � QQ o , � T `p�f' � �� +s� � � w � � � � �� x � S� `�6 � � c � w � �- � �_ . � � � � " � S� , a� � �� d � �� Q 1�� x� � �• _�u�� •u � .� v � � \ �` �� a �� F_._ � �s �� J w � C� ` � � �`� �� n s� � s � `�,�,93y��s 9 � s � "�� 3 � �� 3 � � �� N �� • C• �Oiut�1 Q�G� �SSOC�a�e S+ ��C. LANDSURVEYORS 1Qi30 H1GHWqY 55 NORTHEAST - MINNEAPOLIS, MlNNE$�TA 55433 1�etephone ? � 784-54$0 Cert'rficate of Survey: pONAt(� SANTE({ —.__.._�___�_ LcL 12, ;slock 1, �leadewroar Terrace ,',�rcka Coun.y, tlinriesota ' ��ALt � 1'�= �t"� � _ '.:'.628—t6f -�! � D E r; o--t I� Ra t� , �:�: s., s 0 �1� - 116 . 3 f _ ',. ° ' + � �. i `� �n . � O' �'Q- ; � "� _35.3 � 4.Q � C.2 ` ' –I 2 — _ �� ' ...� _... _ ; . � . . . . �. . �, r > � � , . r . . � >-, � , . - i ' � f � . . . ' �.. �. .. � ��1. � . � w . .. � . . � � . \_t . L o � C� ' 4 � ^ `~' � (� �} � �! O , r C_,Y t� d� Jy ��l ov,i.�:NAn:; j � : � � � N , `,� , � - � 1.6 :-- '9�" Ty _ I� , , � 3 5_3 . / � -- — — + �� . �I 24.0 NPeltrv �.iuK �" `..tiC�� I � I a � �, (. �"1 ; �? • � • .� : ti` ' . , __�--_' _� _�--�: .- : . I k 6. 31 �, �. +rs � � � I HEREBY CERTIFY TNAT Tkf515 A TRUE �ND CORREC7 REPR.ESEHTATION OF� SURVEY OF 7HESOU[tOaR�ES� � OF TH�E.ABOVE DESCRIBED IAND, AND THE lOCA710H pF ALL BUILD�NGS, TMEREON,�AND ALC VIStB�E EN ' CROACMMHNTS, IF ANY, fROM OR ON S#ID LAkp. � . . �. � � � AS SUR��YfYEO QY ME THlS.....��...�. �....DAY OF... ...N G `i �M ?. �' j� ' � . . . .. . .. . ......�......A.D. d9. � � . � . N. C�. HOIUM AND AS50<IATES. 1NC; _ �AffD� SURVEYORS . . .. . . r: . . . _� � . . 7 / . � li � . . �} 1 � . __.... ... ,. t � • ,,J I.:ti., •,, ,� , _ __ �, _ _.. _ :........ 0 $ N ri � m � c N � C � > U � W Z Oy � W � V ~ W Z� W ? � (:' Z za J y � W V � C7 N 2� 2� G F- Q� Z Z U K J Q ao W Z �a oz do �a O� Z (� O � ~ W V � J a z a o a N % � Z � U W W aZ � Z j N } a � W T � 0 i � � y M L� �� N O > >+ � � d � Fina� C.) l�0 IL � v .. • W � W i N � 0 w � � c7 Z � J � m 0 \ � Z F � � W a e O � "1 � O U � w ¢ � H � w Q � � 6'T V> tfi � � °o °o, °o �O O O rn u� r� W L � C U � L C � � L I� m y w C N Y V� � � j N m G N ,�F, R j � R � ` � 3 aai �ti=v ` 'O �" LL d O C C ' a C m m .. a> « d V � v� � IO N GO N �mo-:°-� o�o C U d � �' R W N��a a' � i N N fn � li Q � C7 C.7 i Q � G `m N � O v � �Z W t6 R N J Y � � v °' U N � c � � O � U � R U � a� S N C 7 m C � d R = Z 0 d o �F m zF-m� � � W N � d 2 N E R z N a R F � N m m 69 ffi 64 °o °o O N � w Z' � N m U N N N Q 00 C C O '6 c U Q Y U m z 0 � � v Y N O C � O ` +_' O N � � C a !� dS a � Q no d' 7 � N � L p O� Q � c � W .� y C d � m L O N � U � 3 '� "°- y U d , � N � "j L _ � i w � i O L i w r, •�C+ 3 L (Oj � � ` y y C U � @ � R 7 � U'O d O � � � � U d O U y,L,t�6 p. 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O v Q d' ^ N W O � w � U � ,N v V N � C C O p y U � � U � �O I � C 0o a C � S � Z o � O � F � ZF-m� w bs o° °o O N 44 fR � � � � ia C7 N N N � ¢ 00 c 'c O � C 0 U Q � � w O Z N � Q. _ 41 � m Z N � A H L � C m m ss Y U ¢ m Z � � v � O O � L +-' O t6 y U c ¢ .m dl a L Q � O a d d' j N � L O O � Q ~ � � � .� y � � y c � � � YU+-`^' � 0 T t0 i=� y U d +�. � 'o' U � � � d O �. � w � O � � N � a� c y '° a � � � � � U i � U 'O N i O R d � N V � 0 U � L'++ A {1N� V a.� c' N s R °. Y 3 O N �� .N i N ,% � � p Q C � � � � �Y A r pp � w.,, V C � � � �a� tp � •y� 00 L '�.-�. L � �" fO V y � � � `'= eo " N y C � a � a2 °i o p( 1i1� r� � � 3 O U C lV �? a �L Q N 0 3 e � \ j l0 '� o � u! � N f� � m � m t i w tn � J w F � � O ��.(� \� � W Q � O � Z � x � J W I--� � N c 00 � _ \ 0 n � � W W LL z � U w a � Z W � O w � A c li Y m 0 � L m � � � i O o`. a ¢ � O L 3 i 'O � T 3 � O .� Y N � R Q C O a °� V m � C Q C � � ,., m � o C � 10 `�- U C � .o y N C .N O i-� � � d C �' U a�i . .Y. .` x� i COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION ,. ,;`:�,� When reolacina an existino furance, the undersigned hereby �erifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. The venting system is plastic(PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace 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 (�No ( ) Yes'(�(f No ( ) {� Yes ( ) No ( ) Yes (�No� �___ Yes ( ) No ( � When instaliina a new ventinst system, the undersigned hereby verifies that it is a listed.assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Uenting Tables for fan assisted and natural draft appliances. Yes �jf No O �� Is the common vent and vent connectors sized and installed correctly after � an appliance has been removed from the common vent and vented separately as per current codes. Yes (�No O Appliance Tvoe and Size/Common Vent and Vent Connector Information Appliance #1 Type Appliance #2 Type Appliance #3 Type Total Appliances Common Vent Type BTU Input Fan Assisted or Nat BTU Input Fan Assisted or Nat BTU Input Fan Assisted or Nat Total Btu Input _ Vent Height Diameter inches ApRliance #1 Vent Connector Height ft Length ft Diameter in _Type ___ Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describe) HEATING CO: Signed By: Date : rn rn � � � m � C . _.,.-Q -_°__ > t5 � w ti^ � Q w a � 2 � 6 � O Q ' � Z m � J a Q � � Z � F a U J a � Q �2"' � o?_ :.�, � i O Z 0 U W a W �% Z Z W Q ONJ J p O � N LL ,� � O LL �C �p O 7 � co � W O N U � ti oi \ "`� ' � W J H N 2 O m� W � m W _ m O N N a' 3 c � � L � N W y� > ~ 3 0 t � al m o O O O LL ILL L m O � � � F �. 0 Z w � W ¢ X LL C7 Z m f J a •a c 'd y .� L � �0 O V � � 3 « _ � y U p d .t. � O L � .�.:tr.r �._ W � .3 � C 0 n c a�i � m � � � � 0 3 a C U y O O p L N �� o �. T�n '° n a c � m A Y O m m `o � « m % o s E R m m �` O � N � � �ij N � � y L � m t a c m o d 'm « � c y y rn � m ro W h � d � a � � 2 m W m V U H N N tp d c 3 � v m h � rn c � .� � G') C 2.`�1 � = � c O ° Z W %' � � H ^ � � (,'J C�I ¢ r„- a ��n 0 . � � } Z ¢ � � U O v Z � m ro � � _ u"i a I I.I I!,I I.I I I I o°o, o 0 0 0$ o� o 0 0 0 0 0 0 r� o vi n n n n o � o 0 0 �,�,�,»H«,H;�«,«��,«, a y T N� � , Q 'kJ ol O � O � N � � N _ .._ ..__.._ �.___— _ __._ O - C F Z LL J Q � � a i' T m °w Z � � I o° N y �, Z 0 -1-I l_ 1 I i 1_I 191 f�Cz I._� v Q d m O U } Q � � �' Q a � a d Q m � � x W o 7 U � � Q � � y � V w Q N¢� LL R a N W « �M � LL N�i ~ a W(� C d O`p Z N C d C p� I I aj LL Q � � O� C�A C J.m � y y m ` a O CL � � m uai � A g° m°1 m m � m o �.i W� � a m 3¢ I- x x LL � T� `o � m Z' — 01 N O d� a�i o m'm �� tmd ��' o � F-� c.� u�i. zommo�v,333c�c�m ¢Q� ` N U z � � � W � !� N Z CR m � ml Q N c � = tn � J Q � a O % y � ¢ z w z Q Q � Q F a y � W N m W N a m tt W �" w � f- ¢ o � y Q Q � 6J. O Z � H U w � � �� Q ,A � w a 0 W � >- � Q_ wW m W u' J 01 � Q t ~ � V O Q J Q � m Z � F � � � O U ♦ A ti _ _ CCiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNiVERS17'Y AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 August 16, 2002 Mr. Raymond Haynus 7627 Bacon Drive NE Fridley, MN 55432 Re: Final Inspection at 7627 Bacon Dr NE Contractor: McGuire & Sons Dear Mr. Haynus: A plumbing pernut was issued on March 5, 2002 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspecdon shall be conducted on the work authorized by this pemut. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep yaur pernut open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. :�� ► ► !� � �� M : � : , �- � DJ/mh Building Insp�ons 763-572-3604 763-502-4977 FAX DATE �) �J � � SITE ADDRESS � L � TkIIS APPLICANT IS: . � PROPERTY OWNERI N,qM TENANT __ CONTRACTOR S[3BMTC A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE . DESCRIBE WORK BEING ROOFINC NU�ffiER OF SQUARES - GARAGFS PROPOSED SIZE: � PROPOSED HEIGHT: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY voux e-mwL nDnxess ti ❑ OWNER`BCONTRACTOR ,. 1 0,.., � �1, u STATE SINGLE FAMII,Y/NEW CONSIRUCRON TWO FAMQ.Y/NEW CANSTRUCTION O BASII.tENT FQJISH � ❑ ROOF O DEC[C ❑ SIDING ❑ SWQv4.9 0 NEW HOME CONS7RUC7'[ON � MAINl'ENANCFJREPADi O� O Alumimim ❑ Ottw wnvuows �� IN EXISTWG OPENINGS OYa PJNo OR FOR NEW OPENINGSDESCRIBE SIZE OF OPFN$7G CHANGES & - - -- �: Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Conhvl Park Fee Sewer Main Charge Totsl Due ARE BASED ON ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETAQiED GARAGE OSoffrt ❑ Trun ❑ Fascie lACA710N OF WINDpWS ADDITTON REMODELING TION, INCLUDING THE COST OF THE 1997 U.B.0 FEE SCHEDULE) R EXP ❑ DRAIN TTLE ❑ OTIiER Pernut No.:�U� Received By: /� Dat�:IVIAY � � e & �FNT F OD � IIJ C BMI,� 1. Existing Floor Plan 2. Proposed floor plen . 3. List of structural members m be used FOR NEW CONSTRUCTION INCLUDING DECKS, A�DIiIONq & ppR !-�c c� �ar,�rr 1. Site PladSurvey sYwwing t6e existing sVUCtures � M�� P%I�. 2. Two sets of consWC[ion plans 3. Energy Calculslions FOR WRJDOWS - PROVIDE U-VALUE AND MAN[JFACRIRE STICKER ON WMDOW. TERIALS: 5ee Back Page for Fee Schedule 65% of Building Pemtit Fee .001 times the total job valuazion .0005 x Permit Va(uation Minimum $.50 $5.00 (State Licensed Residential Contractors) 52100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=E 5450 Conservation Plan Review Fee Determined by Engineering Ageement necessary ( ) Non Necessary ( ) Make checks pavable to: Citv of Fridlev Attac THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit ansl I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances snd codes of the City of Fridley and with the Minnesota Conshuction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; ihat the work will be in accordance with the approved plan in the case of�l work which req�ire�review�and approval of plans. SIGNATURE OF APPL[CAN7 �l�/�f'�% i��%�� .,T N„� ��w �-ri, �nF � r�.:T�na� �' �� Page 2- Building Residentia] Application BUII.DING PERNIIT FEE SCHEDULE The Chief Building Officiat shall, before issuing permits for the erection of any building or sh-ucture, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such pemut of fees to the amount herein below set forth and in the manner herein provided to-wit: � ` `�t VERIFICATION OF FOUNDATION Permits for consriuction will be issued a minimum of 24 hours from the time of application to allow for pmper review of proposed structure and of the con.struction site. A Certificate of Survey of the lot, showing the location of the eatisting foundation wikf be required before pmceeding with the fi�aming. New Houses Onlv , City of Fridley Building Inspections Deparhnent 6431 University Avenue NE Fridley, MN 55432 763-572-3604 F�: 763-502-4977 � �o x y$ �°� � 2 1.x 1'� — � �� , , � �� e a-a��o 3d �� ' � �� 48 ..�- S l <L �c�.� -�� E ��s � �� f�� ( � z�� s��y��u c� — CD �-�� - �� s-�� ,