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AF - 36122. � �fi,,i`` `.�z" - � �, r,:: ; , t , „ ,�x` �- � r ,�:. - �� ; _ �� ^+ �-. �$� � . . � . � Y � ,.{{,�ctY}P�, - . . . . - - 3+ . � �� w ' aa� ... . � { �� { * �`r � . ro, �'"-� . � , e �, �'�°"'°�'"y cer�' �by4+�c �r ` fi ` er3 � rs,a.s�.�«y:�q ,�K,- , � � , � �u..,.,��r, ' � �� ''�'� �, � � . � � � EN G t � � � �t3, t�N�C. ()��`�/� � � r r � llYl� K ��liMil� . . � .: �. JY/i{ �'�V� E� ` --- En9ineers � Surveyors -- ce�t�cate a�' s �.: �at�rsrr� ,wv �►�s ; � , .��, - , � H ___, NQRTH `"� � � , _� - E , � � ;: . . , : • I q6.31 � ' � -a. • � , ' G'L . . . E , , � ; I ' r � ' ; Z � ,, � � � � Q ` I ' Q � 3s 7 �. - I � �, OT 15 ' � ( 116.3 E I � �V� � _ , +�,A�N�1T£S /RdN — — — . QENUT£S !/T/LTY � QQ.1/NII:E EAS£MENT 4 y` � �'- � �0�-.!5 f.��.oc�-! /l�,�oo�r�o� T��AC,� � � C4�'✓�VTY Ci�' ' AMGi�t'A a�� sqr�`� ��+lvs s a hut od ao�strf 2ptxnfil'+rtrr �('s nr.ry �'i1R Iw�ir+rt �('Ai �Iwe 4++ilyd ls�d, �r1 !� +�`� . Mivea�. r�dy� rrs�ilr e�sanlnraeJt ,�wq, �Gwr ir wr+�.frd. b�.tit�e/ t�/+nr Aki-......_ /1� ° �. �l' .�.....� A.v nt��' ��fiE�� EQ+WG . MFL. .�. ��c,E r�.�a• � � �%- . ��''"� <,, 4 � � v � _,__:__r.� ,� ;. z .�� r� , . ' �' ,� ��°_ �; ��;c•._ �:�. �a,�.��-� y # ,� ... � ... � � -. ' - � N. : -� . _ ; " � � � . , "' � , ' =sx � � _� . _ �.a�- � z � _- �. , . . .. ��. City of Fridley, Minn. �.� a 529� � BUILDING PERMIT N� . 71�3 �.�: _.�:� - --- s Owmrc�_..._t.. Bullder ---.._.._..._.....:._.._......_.._........_._..------ Add�r — _._._.__ Addrees _ —_----.--._ __._....---._.�.___ / �ocar�� W��F tB�u�� ING Na�!vr.�rr',v--- Street GS�_'.,�/...�_.�i7f_ _.._��!3��±!._JZla.�� P of Lot �__ .�_,—,�.,.._��,�_._.-- — Lot �L!____ Black _/_—,---.._._._ Additlon or Sub-Diviaia� ��fr��+'—<--.�.dcc.�cC Caaaer Lot —.—.._..__ 7neide Lot .__�'"—._ Setback _� -_._ SideYarfl ._...�_ _ 7',�._. s� �a� __�°_2rl_.�.�_._. ......�_ go�c�� •,8�� .^� 4'8--------•-- � DESCRIPTION OF BUILDING U !/ � y+� ,��y � ..—_. I+Ymt z...�.. DeP� ��-- Hei¢ht _J�SG_. Sq. Ft. �5�� Cu. EL� — t---� Depth � H t—�� Sq. F't —_.T_ Cu. FG ..—._-- TSDe oP Cone�uctian ��_ Est f.•�—.._...._ 1b be Cam8leted ..---.»..--- �UTSIDE APPEARANCE OF 1�IIS BUILDING MUSi BE OF APPROVED YARIANCE WITN OTHEB BUILDINGS IN THIs BLOCK. Ea caodderaUon M the lssuence W me of a permit to construct the buiiding described sbove, I agi�ee to do tlu propored work in accordance witlt the deacription above setC fqs�U ymd� in�p�l�'ance wl�� prwisiuns d aadinances o2 the dty of Fridley, �� 1`^'-'--'-- 7n caodderattoa of trie psyment of a fee oE S.sS�...._._.._, BermiL 1s herebY Branbed to_ to oonarivet the butlding or additta�n as d�cribed above. Thiap�� t ia granted upon the � caa�diHon that thepe�on to whom ft is 8+'anted and 6is agenta, emPloYeea and n�rlunen. in all work �dane ln,� arqwd and upaa said buildin8� �' �S' Part thereof, shell oontam in ell reapecb to the ordinancee ot� Fridl�eY� �64nneeote reYerdinB locatton, coluhuctlav�, alteratlo0. maintensnce, repaix' and muvin6 of buil� within tl� dty ]imits and U�ia P�'�t mqy be revokod at aqy tiu� upaa visdation oE any oE the Provlaians oP sa[d asdinencr. �� l Buildin8 Inspecto�' NOTICE fhk p�nW dea we eor« N» m�rroaliaa, ia�WNrn 1« wYis�, P�W M��M��M. �wr x w�Nr. e� aon w�« 1M MIYhy �rp�eM-fer sp� PrsM� fer r6r W�u, � � � jI .. . ! � r �. e�. ....;"� ° . ..>. � � � � A � a � � y�' �� a LL � a `s � U. 7F � � I . � � �a � � o o� xa O� � W DG C1 m � i �� w P. � x � 3�m ��W � .°�� 3a�1a d �, W A � M ��p �' q�y F A � O��J`° I �� a� � �� ,,�„ � �'�� B tl . .��y.r�. � ♦ � � � � � L� � � � � C�. �, �� Y f � ��o� � �� w < 3 � • z • a 5'JNIN3tl0 a $ � � � 0 � � � v � m g B W� �� y z a° � � �' z � p � A a � v.�� N �� '�q u :Y d m � A b H � s a�ya W sv� I � � � sv� � W ,�M � U � sNisre � N �� W sHnnc � aome � Q swxHS C� •uuai J �NIaO Q S.lVtll ffi �M � I •3 � SMIJIS � p � a 0 s�mre � � � ma � � �uw � smiron � � si3sov . � T'+ � narM e x ��S � K N . 'e .� -. 'e3 w . r a � � Q � � tl 0 a F O O F � . er w . vo- u3 �n 4 � c°��, °o,. ro � °o ro Iri � ti� M� CV M K K x x x x 7.� I I � �:. � .pp :.� °o_ �o y 5 o pp M 5 y N .d F � g` ° O � y � 'O P� � p O t. � � k � � q 69 �' � 10 '.�C s°. G. F �, C7 p u :; �.z, 7. W 7. U� 7. � � . % � F �w � l O o O Fj �f? Yi O �i n'� N N x x x °z I W a � °o 0 x N ��+ � o 9 u W 1� q CJ w � � F � � � � �p U m 0 � 0 � W � F � � a � � a 4 � � W � � � � �� A � C • °n �� R � a � � � Q W . 8 C� a i � � � a •� �y � s�� x � M � O .� dN�'a C ��3�.� � �� I � '�'� � Q \ W q � � � Q��S ro °�Ws� U�Jea�9� a� 5 c�, .d I � a " a .��y �•�� a x `0 a; ��o� m 3., � � R � F c d � pA ��« % mG� o � �� M N W O �j �d F o F��w N F Y GI'�p'd U mttlm � _� � � � � V} q � ga o °o r�n � = .. �, CD �e> vi M \ � �� . • . . . � U N �.,�.� W � . : �� F' $ °o 14" g °� � q �� " e�°, 4 �� O a��l L ��c� . .. �� . $ � �C �! �! � � � a a � � a a w°� v 3 Q I a � � w � O W 3 ° v O � 5 � , � v+ w �s O O O O N 00 C9 Mi N iV A�A ` o g : : $ g w � � , � 'tl 3�. :s m � � A i � $ � � �� d w �a � ��o� dJ a � a a � � a�ao� Z d � 0 � G 8 � � u A E � b z 0. JJ b � � a z � a � � � � d � a"'�- 'C w O °a O 0 � a x 9 � z � �� d � � B � C � a � � � � � �q �` �� r N � � � � z z y � � d �� + U H a �f vs M aq Vt eq y�. O O u�i N O � O tC OD N iV� �tJ� .. ��.��fj � � : : � x . : � � W w w ' � �" g E 3 � $ � m x � � � W W � a � �.'i w 3 �2 'od m m o v m ° � o � � m m x S � W W F 0 � � m k�i � � o � � a M ^[ �tt m W M bD O � �. ao z p aa a 0 � OO $ .�. � w a p aa 4 � � z � a�c 3 � � � b � YI T � a 0.1 U �� F ` Fw u' ea a 6 O O u; �n o � N H p 'x i x z � � � W w � z F w 4 � 7 x � M � w� � O o" % N Ly « � � y v � C �7 � • � � � m w m ,�...�-. a F � W � � � OG z��d6 O v v N F ¢+ Y. � � � � F U '" R'' az��' R w sw � O 0 a � � � a d S � � z w : 0 Y t � � �: � , . : , ;.�:y ��' , �. ,- - _ . _� � . , , . .,Q:�.�,�aK -�,- ^ ` , � � �; .. . ____.._ .. , , ,_. _ F�SS CALCUIr :IONS DEPART'MEN'T OF BUILDINGS MINNEAPOLiS. M1NN. Weatheretri s A.S.H.V. Insulation p Guide Construction No. �"'�owe I ra Reference �I Out-Wal1 Int. Wall Ceiling Roof Floor I Kind How -Ro Ye� No I9_ ,� / � Room Length ,: ' Width � Height � �� FI.� „ !:�.+' ' �.=y' Room � Lengt�� Width / m wi and rs--Crackage d Arw �(� r_ i� Windows and�Doors--Crackage and Area w�a�n Hei6h[ ho.o[ Llnealfi. Area �� Winth He�phi No.o[ LinealtG Aree of D��e ot Pn�e Il�hta of crac �p. [[ I_Nn. of Vane of Iighu ef craek ea. ft. / —T— � D / � II —�__ � J� ' ! � . I __'_ " _'.—�__ __._ ' _— �i __ —_ —..� CU • BIU �,I t__— � Ifi�100 `) .. �'_ � __ __ .___._ __'1__ _ � /` ' lnfiltrahon .i� , i i h ' ' r � a! y -• �; —C;leaa -- --- — ;; } w�ll �>! `:' �,_1- I Exp. wall N— F- r, —�-`— itr.. - Net e=p. well � � het ex wall -- -- * I Int. wall , P. � e�, � II - — ---� — � Ceiling --- I Int wall -- — _._ _ __ .— Ce��mg F loor %� � / � ,� j r` I -�•-- _"_ �� Btu. � �� Floar � . , �� % b T Btu. . _ iircd �q. ft. E.R. or p. ms. W.A. ader atea Required qq. . E.D.R. or sq. ins. W.A. Leader area � r ` l�. �L.engt�Width Height . ' FI.I , - }' /;� Room I Lmgth � -- Width ;�/� He iodow� and Door rackage and Area � I Windows and Doors—Crackage and Araa �n/ IAth H��{ No, o[ Wnanl [t. An� � �� o D�� Ilihtt ot crack �Q. tt i Wineh Xel{h[ No. of Llneal fL Aroa � Y � No f p�na o[ D�ne ilQ�b of crnck �y. [L � , � .�: y- � , 'L — / . ii D !f �1 . w�ll lat. w Ceilie Floor , _ . _. . �. , �, , � f , �, ft. D.R. or sq. ins. W.A. Leader area Room �Length Width Heig6 �ed DoorrCraeka`e and Area af�ht No. o[ titoea� c[. wrea �`� 1 0[ p�T� Ilf�b o^t C�ark sQ.^ /� .. � . /�' ' J (' C„ Btu I Infiltration_ __ � ;J'j- ,� � Gla�s �p�—�-�q-- - � (�^ E=p.wall / � �t ;3 (�i Nef e:P.- wall � Int. wall Ce n�� g� Floor 4 JQ' y To Btu. Requ�red sq. ft. E.U.R. or sq. ins. W.A. Leader area T F1•� ��Room I L�ngt6 Width !- Hei�ht � Windowa and Doon—Crackage and Area � Wldi� Hal�{�t No. ot Llnenl [t. Arc� / No. ot D��e o van� Ilgh�• o( crack �Q. ft. 7 � / -� �' ,��^ �3 I r , ^ � Infiltration Clsss Eup. wall Nec e:p. w lnt, wall h. � y� � � _ _ 4.,, ,�. C�t� C_%-x -� �� ;�,��v � d ¢/ � _. HfAj j� CALCULAT[ONS DEPARTMENf OF BUILDINC.S '' —�. .V.E. �ea Intnps _) Guide II �n�WctionNo. Referena Out. Wal! Int. Wall Ceiling Roof F7oor I Kind e e o 19_ F7. oom L.ength Width ---fieight FI.� Room � 1 Windows and Doon—Crackage and Area Windowa snd Dooro--Cr: Nld(h Haight No. o[ Llneal tt. Area WIUth Hel��t No. H�, f ine 9ane 118h4 o1f c�rack �0. [L � No. o[ D�na o[ pans Ilil / ✓ � �_ t�� .� i n i � � I6cp, wdl NN e:p. � 1at wall �� ssp. wall �nll � or p. ins. W.A. Leader area ��Length Width --Cracksae snd Area k. E.D.R. m aq. iro. W.A. L.eader area Room �L.enath Width �ed Doon—Craeka�e and Arcs � infiltration Glau Fap. wall Net ezp. wall Int. wall hIINNEAPOIJS. MIMd. Inaulation How Applied Widch Height Area nequRm sq. tt. a.u.rt. or aq. ina. w.w. uaxr area F7.1 Room I I.eesth Width Windows and Doors—Crackaae and Area � Infiltration Glaa Esp. wall Net e:p. wall Int. wsll i � sq. ft. ED.R. or aq. ins. W.A. L.eader are� l.� Room I Length Width Windowi aed Doorr—Crackage aod Area WIAI� H�I�ht Ne. o[ Lln�al ft. An� a� D�na ot pan� Il��l� ot crack p. tt. � � GIW �,..,..0 NN e�v. w.0 Int. �vdl Ceilins Floor 7��w��1 L&r. �'-��.„��,.'i� �rr ...iiF? y � -.w.; �.�p '.f�l' . ` ��jt J' -'� • • C� City of Fridley, Minn. BUILDING PERMIT ��; MARCH 29, 1967 �?/'%�.J �1T� 9168 Oamer: CHABLBS ffi.LA�EKY g� _� �.V.—_..._ Butlder —._..----.._._....__._....._.._....—._..._..--�- p� _ 7665 Bacon Drive N_ E• _.._..._.._._._ Addrws -----....._.._._..---.._...__.._.._...._._._..—.----- Fridley, Minnesota 55432 No. _.__ �665 � -._.. 15-- Corner Lot ---- Sewer IIevatloa� LOCATION OF BUILDING BACON DRIVB R. E. Btreet _._...—.----.------- — Part o[ Lot ----..---.._.._ . Block _._._..._.....-_1--.._.._._ Additioa or Sub-Divlai� ._.._..._—_��& THRRACB _.— Inffide I.ot _._._._g.._..._.._ Setback ------- 3idepard --'---"--'--.__ Famdatioa IIevatlon DESCRIPTION OF BUILDING x� ue u�a as: DBTACHSD GABAGH �t ?� _ DePth 24 Heig6t _l�._.. Sq. Fk — 4$4_ Cu. Ft /�.s.SS!!Z ---- r�a°c ---- ne�c�, -- xeignt _.----..__ sy. Ft --- a,. r�. Type oP Ca�natrucflon --- F� -- Fak Cost _ 5750.00._...._ To be C�npleted _...---.--- GARAGE LOCATSD OA SURVEY ON PSBMiT R0. 7173 thC BroPored work ia accordence witft the descriptlm abovec�eet Porth a an'din6� oi tLe City ot 'IYiBeY. ., � _ ' above, I agree W do with all provllsffona ot 7n eme[deratlan of the P�nt of a fee ot j 5.00 P�t is hereby Sranted to CHARLHS _ Ei.LAVSRY � to c�shuct the building or additlaa as described above. Thiapernu t is granted up� the exPTesa condition � that t6eperso�t to w6� it ia granted aad his agents, etnployees and worlanen� 1n� all work �dOne in, arnund md u�n eaid Yulliin8� or enS P� thereof, shall conYorm 1n all reapecta W the oidinancea of Fr1d1eY� Minnesota re88�8 locaUon, construction, alteraNan, maintenance, repair and moving of b ga within the dty llmits and this P�'IDit maS be revoked at eW' time nPon violatlon oY any al the Brovlalons�oi�eaid ordinanaee. CLABBNCE Bffi.ISLE 8��g �� NOTICE: 7hb M�h dea ne1 wvv 1M wnmue�ion. huMMtian ter �rirMY. P��W W�Y, swwr a vrmr. M wn b� fA� BuiWtey� MM�� P�� for fh�a h�ew . ,+�. :,s' .. APPLICATIO.'8'FQ$ Bi1ILDID� P8�!!IT C3,TY OF FRiDL81i, I�7IN.�iBSOTA OW1�A' S annaess 7��s — �., ,�_ � nn��,sss S'A�n�� ' . . LOCATI�i OF BUIL!lING _ N0. %iP`p.i ^S�'RSET' �R�rd^r' ,�ie. �<b. PART OF L �,� LOT�BLOCK 1 ADDITIOH OR SUBDNi3I0N /%% �/t/ 041Ar oD,� tS�',Q, CO&NBB' �_IAISI1j8 LOT � S$TBACK�_SIDE-Y¢3iD ssw�x'.t�v,�x�ox ` _ . ��q� sLSV�c� r Applicant attach to this fosm Two Cestificates of Surneq of Lot and propoeed buildiug location drawn on theae Certificates, , .DBSCQIPTIOH.OF BtIEiDIITG To Se Usad : A� : y�� . /^1�0 ;�2� �- � �v� �7+i � 7/ % � .!' .,,.� ._ i r � Sq, Ft. v�� D v Cu. Ft. '71�0�� 8samt Dapth�_„Beigt�t _ �.Sq. Ft. Cu. Ft. � Type of Conetruction Bstimated Cost %vrO To Be Coqyleted The undersigaed hereby mskea app�ication for a pesmtt for the work herein apecif#ed, agreaing to do all work in etrict accordence with the City of Fridley Ordinancea and rulinge oS the Depar�meent q� 8uildinge, end herebg declaree that ail the fasts and regree�aEetfaae arated;ia this,applicaxioa are t�CUe and cozrect. (Schedule of Fee Costa can be faund on the Reverse Side), � ' _h y � • ti d✓ v. GT BUYg.DYi�G'-:�B�AT FSB SCHE�TLS SBCTIOIt 2. The Inepector of Bui2diags shall, before lesuing pesmits far the erecti� of anq building or etructure, or for any additioa to any exieting buildiag or atructusn, or fo� any aiteratious or reQcire to any existing building 4L _stl'�c4t��e...!ip�.ApPiication iha��o]re. .Re9u�iae. the PgF�� .1►Y=.� �PPaiaant far sach permit of £eas to the amouat herein beiow eet forth and in the ma�er herelA .P1COyiA� CO'YPtt:. : , . , : . , _ 2•1• For anq euch permit._for the ereccion of any fire-proof bnilding, other clun a garage, warehouse, factory'or'grairt elavator, ar for the erection of aay fire-proof addition. for s#�l:iar occupsaey. tp sny esieting buiiding, e�al� �-a�`the rate oi $i.Ltl-�or'.��oli-ona L'hai`s8nd cubiG:-feet; -or €z�Clon t3�eraof� in such casbical, contents. _.. _ � 2.2. Por any euch permit for the erectioa o� ap,y fire-proof garage,,. .�aasot+ouse, factorp or graln-Qlevassr, or for-�he's�rla�ioe uf any ffre-proof addition, for eim�las.occ�pyl�@p,.tq any exiating bnil�ing ehall ba nt,ti�e,rate .. 0.8 g�-.25 -for �ch ate thoils� "cnbie €eeE, cleseff#ed-ae--�fl-reprnof" b'y Seetio� ` S02 of the Minneapolis Bui�ding Gode. _ . - -� . HOQSSS 2•3• For any euch permit for ihe erection of�anq non-firepsoof building, other ehaa a gara�e, warehatse. factorq or grain eltwatar, or aqy aoan-fireproof addlGion� fo; eimiiar ocsup�y. 6o any esietlm'g bui�i+Eng �permit fe��-$1.UO for.' each oae ehouaand c�ic feet. _ ......._. . _ ._ . _ .�. _ . . . _ GARAGE3 _ _ ._ . - _ . 2•4• For any such permie for the erection of snq aon-tireproof garage, asrehause. ' futu�y 9.t� _Sxain elavs�or, or for_Sha etadtlon..aE..aay..nfla-;Eissproof additi�, far aimilar occupancy� to my exieting building os for each such � buiidiag q=..a�diGi� - s�,ae�y s4nt6 .($.�,.9Q).,,�ar'sach one thoueand cubic feet or fraction thereof, in thn cubieal c�tents thereof with the minimum of $4.00. : _ _,.... _.__. ___ . ;. , For the purpose of computing fees for building pesmite. the cubical contents of an�z buildina o� addiSlaa_to__a_.�ltoad� bel.Sht th�qughatt_hy_muLtspiY�nB: t�'g;a�nd asea covered fram a point aix (6) inchea below the floor line of the basa�nt or cellas to the aversge heigh! of Che upper surEace or to the average height of the roof rurface of efie oain grble�of g pitchgd rao�: .'' • ' " t -�.' . ` 2.5. Fcr regairi mr:aTteratians to an eai�iag rtlruature, t�e fae 8ha11 be st the rate'af $3.00-per��ich•FYve Sundrad-Doilas� ($5dD:00)• or fract3bn Lhereof in the coee of all proposad vork. - - ___��. ..: �a-.:�oaD=�ae sNa�T>.�l1�rr-fee ehsrged #or aqY-.pacmlt�...aa�.tet.,inrth_in Section 2 be leas than $4.00. �, , .. . :.: ,�I : : - : , � ' v Y`• � .. _ _,.s � _ T� _ �, ; �� ' _ � �r � -� , �. _ � a- � � ��j PE MI � � ` �� "��i!�� sua�e.c'r . - � .. . . �� r E�l,J I�DI�� rs��h/I�IT . �3�33 .�� , � � } Y � /y�] � �-n i � v��f�IT�� fl�V. . !�'��1 !�y�y.�p�T��" 1 � .:�� -� �(:1�3�i l�avrRLL+,..lF.'$FiCr / �+�'.�I ��.�` - wy� -�i,j.. fW1a,�Y. 3$�32. - MUMBEA � p6V. ' ij�{ ,s` � PAGE OF �APORbVEO BY �. � '�, - � �„�w� siaFrs '�s j / � �•�cs; ` z 7�S..sac�sn,ti9_�i� ta.s. � i : az - - acrr#�cX�ariod . : - : _�� . SE`��TACHED'. � .-- °� . ..=. , y"- A1E3CiQte1�OQY T6� "CH , SµE$F f`.F QINNEN. - � 1QA.t#.RDQRE$@ •` ' - 21P '. - PN4174@ . , -x, : �:., . ` , 4> - � ; . . � � - , � - � �6Gfi �ate6n II�ive N:E. '� �� - . M/N"71099E8$� - -ZIP .�. PM .:`d�.'EN$ENO. - �873 3 ck StzBBt F3. . 4 ^ 11i�8�6S1ER � M/A14 Ai]t7RE5S:.. :: . . �: ZIP . . PkANE � . : i#GBNSfNQ,. . . 3 �@R�iti$�1 M1{KltAQDFiESB -_. . . - , �.',�fp � . . � PMONE �� LK�ENSE�NO .. �.- �' � -_, ' . . " ��V�LCi1Ma ��. � _ �.- . ' - � . '� 7 'S�71$9'OP.N1C ' . . ' �. . . . . . ... : ' :::- ❑ NfW 4 A�ODI�YON C�d M:IERAFION ' O HEPAIH 0 MQV€ ' C} REMOVE 8 �� In&#�i� �rain-tile _ - _- '. R1 . . . . . . l. E � - . . . . . ' "• ,,. . . p/� � .. .. . . , . � .. � . �lIYIA� "- . .. 5; � � �,: .. { .+, �.. . .� S' .. ,. �. . .�_ . • -'� .. .. . ' . .. - .F..ki� . . .. � . . . g � ��1� -Ee� �. _ .... . . . y.� ` . � � . . ..� �...� � :' . .. . .. ��, . . . . ..'3£ . . . . a , � . '�X�1TT�pMF�$.�A17E �71HBRFOR I.TkEG�R��i,�k6. HEATING.�, �� '' ��+.F�PANCV GROVP OEGUPANCY LOAD ��,#.Yft74QR7dRCOHOtiIONiNG. . . _ _ _� " � . . . . �� '�S'"�'4��' @@C0M£S NULL ANO� Y41@ .� W�lC �i1 GON37�NUCf10N . ZONIMtB �` S$. FF. - CU. FT. .. - NU » " �4'��CE'ffi NEfi GflMAKlENCER WlTHIN �G E� #!�R IF GOq8iAUCT1pt�[ . � � _ �. , s � K 16,$lY$P�i�EEI OR A9ANDONf,p FS� -. �P 120 DAY9 AT . .. � . - 9�!i'1'��1E A:YER W�hlf iS.C.OM#ENCED � ' ... . � ' ' �.�..�e- , �- � S . OFFSTREET-PARKQTfi . .- f HEREBY CE31TtFR iNAi-I NAV$ ElEAD kk6 - «. � - . . �k1��%1CATION� � ` °6`' STAELS �- 6ARAGES , R�+bKpDw-rMesAi+E7oaer�UE+cpG �? a�G.}+poa�eKi�lsoFUwS-v.�}Ua�.spn - �, suArax -� : AH6;S'l�rinNCE6 i�J4#NN1H41 �.': � 6F 41�tK WR,E 6� CohipkAEp ` s� ' t. .. NMTti WHETH@R $p��!$R � �:itsiNE (iRkNTq7$.-�1F A PERMif � � . HS ��E;3[k 'iQ Wa1.AT,�pR C:1IP/CEL TME - , E,. SAGCHARPa,� � �' _ � .�F ANY°- �;6A tC1CAl lAW REGULATNti GON-.: �, = -. , . ; � ._CT��',^. i'K.L�N9TRU9TWN. � " iR.�.�➢� " �� . . . ' ,�',"_ •' , .. - 3Q7ALFEE ',. `�� '� ,- . ' .' L.4# . � .. $12.�3 *urMEb�iE� i4�T�� KH N �� RCY.� IQkiED T iS { YOUR'P RMITr ,i�� ;_ . _�a -aq-�-' q 31E DE 1 - � � ;, .'; « , �` . ., . r' r, c .. _ D iE -^ _: . . :� . .�. �. ,.�-� , . :.. . � '�`« �.' ': �r ,:, _ . . . . . : ._ � .. � �� ,.� .. . :.. � . . � �. ' :'.. <�� ' : _: . ��. . . .. ...:. . . . . AP.PLICATION FOR RESIDENTIAL, ALTBRATION, OR AllllITION BUILDING PERDIIT CITY OF FRIDLEY, htINNESOTA OWNER`S NAME:�(Q,p �_Q BUILDEP.:_ ��Q� �� ADDRESS : 7� /' � � p�c�n ,Q y ADDRESS : ? � / 3 � �� 1.�'' 'k E NO:, STREET: LOT: /S, BLOCK: I ADDITION: i�/�fJ(XJCJ/%j00,t, /E�sC• CORNER LOT: INSIDE LOT: � SETBACK: SIDEYARD: Applicant attach to this form ltao Certificates of Survey of Lot and propose• building location drawn on these Certificates. To Be Used As: IIESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: e of Construction: � d �'P �� Estimated Cost:�cO� To Be Completed: _�.Q,y� �o The undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and xulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE : _�,. �i 2 � S IGNATUR� : , i,Loi7 d � ,,,�� //�� (See Reverse Side For Additional Information.) � � / I��, � fi� � � e�� =, � BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector 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 ,E applicant for such permit of fees to the amount herein below set forth and in � the manner herein prwided to-wit: UNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of. any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line oi the basement ox the cellar to the average heights of the upper surface or to the average.� height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate ot $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed woYk. In no case shall the fee charged fox any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for consrruction will be issued a minimum of 24 hours from the time of application, to a11ow for proper revie�o of the proposed structure and of the construction site. A Certified Survey of the lot, show�n� the location of the foundatian� once iC has been constructed, will Ue required before proceedin� with the framing. C�RTIFICAT� OF OCCUPANCY Application for a Certificate of Occupancy sha7.1 be made ten (10) days prior to the use or occupancy of any structure for which a building perniit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. . ti ^. yi ' .. � a . •.n R w b � � m {� o T � �p "Y7 '� C7 i� � �. (� «�"�n `�l � V � � D llce � 4 � •%�r � - ..' � � � �� i �+„ 00 9 C u LY Tj O �Y�( M �1 0 '.i a� a '� m Y W A � � a x i V � � � � eb� 5 �u � U : � i C � `E " F � €39� ti, � u � � � V A ��' t° Y I � ° [ a � o � „ $ a ax�� n �;�a n �' a ffi � ro ; x:�„y �°°� ' A�U9 ; o�E'� � _.�..-._� s q�_..� E �" a c� w c �N '�j I� � 4 � �G ��°E fr � � u . �v ° � o �� u yaa i �3 � e z • . 50N�N1.�0 r7 30Nr� �:HSYM omr sn�m NJlh SNIVIIU �0011 �n.w.s � +� � .. L4101 - YNIYO �,w, MSVM S]INIj p.�y.+ sa++ I TTMfN �aYo�S �i �I .�� I D7 .. « I e � +a ' 7 a 0 r 1 ' � � � b � a � � z �, • . _ ,�- _ �_. � a '� � c d � ° � v u '� a U � O�0 ` � 3 m w , o � n .� c G � � 6 q � `•G ? F _ c•i O . RN � a 4� Y C/ L�� i� '� b n �o � O � � � s� e l � � w' z 1 SI• • i � 4 � � � _ �. _ . � � + 0 � a w O , O � i O F H +. ( I � V1 N M N �Y N� N N �f W Ll 4 g � �°n, c��, � c�v J K cn5, ti c�,� � ✓i a� ». .�i � 1 ui �' h a� N w it M %� X X X M M X % � O O � _._ ��.� :��z_: -��.:- �►� U � , N • , . a • . � � : —� . ea 25 v . • .4 � � � �, � � y •. L. L� . T] • • �.��'�o� .�� K „ C .� n c � . . � � � , a � m o : =' z ' .. w � � C: % 7 Y ' � 4 � 0] u � F �` x � � m � ti w � a w >t '�'� x "" ° y tM K a .. C. g � �' p� rv V 7? l� w � �- � � � 3 -`' ^ `� Y � � v � x x w� r u 3�� h�` v �y � b � L. tY N • rn . � U � N m � � � O N : ly � � . � • - i._-._- .. � � 0 r w � k M � � a: � W o N y A �� . � � 0o Fi � a C' ''- „�z, . ■ '� 1:Y.'1'liltIOlt L[J�tiL/JY� NV.::tw.C:� ,�U,� CX.1ti1t�llPfeTI(XV �fO oWNER� _ Ro[�,Eq'T Rc+1ARL� �r1'�•o SI� ADDRESS %(e(�,S BALO�I i�2. . �RInLEYyI'!IN►J �NTftACIUR C L! SS�L.., D1�TE PE-]ONE D�'i'LI2NIINE WOI2{CiC7CU :iQUM.1��. I'00'I'AGE OF FAQ-I , 1. Total exposed wall area ....... �`i3.4S5 Sq. I't. x .185 = i�9•7� 2. Total roof / ceilinc� area ._.. ��.�� Sq, Ft, x .04 r /, S 'ICYPAL li?Q'OSEU WP.I,L ItF22�:A N30VL F7.LXII: = 4 2.4. �9 a. b. c. d. e. i. �J• Total wall window ama ................... �q,�a Total d�r a rea . . . . . . . . . . . . . . . . . • • - • . . . f 7 � % ! ... Total slidinc� ��lass dcor area ............ .—� 'Potal fimplace wall arca .............. --- '1'otal wall Lrandng arca (average l0a) ....� � 'Potal net wall area <il�ove floor ..........�,�(� 'Potal rvn joist area ................... a a.,S��-rj 7TYPAL F.}�OSED Fl�l�70F1TION ARF.A = �-�'-�- h. 'Ibtal fo�mdation window area ............. —� , i. 'lbtal net iounciation urea a'a�ve yrane ... /4S.,�y% ' I • r+ DCItiRM CNI: "U" VALUG OF E.ACH WALL SE(3�NT a. �q.l� x ,�u�� SS - 35.53 b. i��.�� X „U„ .�4i = a.�9 �. ---- d. X ��U�� _ X��U�� .�. ...�___. _ ', e. �4 � �4 4�4 X „U�� , ll 9 = .� � � f. aq�� ,�a G,�, X „U„ , o �� _ �g.7 9 g. a.a..`3��i x �,�„ oG9 . = 1.s� h. "� x ��U�, _ � i. i4s.q� x,��„ �� 7 = aa�.�t � 3 ..................••-.....................:..... AL .. .. ... ......4bT �9.� If item H3 is the sa�i�e as, or lcss than itc�n . 1,` ycu have iret the intent of S}3C_ 6006 (C) 2. 9,,. . .r . _ . ,.> .�..a. _ _,_ _ , �` '�" � < _�.,.-`_ _ .:�--'-- _ r:��`.' . >., , , . ' . ,` . ZCYI`AL EX[�OSID ROOI' / CGILING AREA =_� , . j. 'Ibtal skylight ax�a ......................... --- k. 7bta1 root / ceiling fra[nu�ig area (averaae l0a) ��.(3 1. Total net insulated roof/cc,iling area ....... 3a.5•l�j DETGRMINE "U" VF�LUE EUR E�Qi ROOF / CEILING S�f. �, ._... a ��U�� __ _ ---� k. _`�%.l_�, x ��U" •�� = s.qq �. 3a �,l9 x ��o�� ,03 J = �o.as . 4 ............................................................ . .. ZUTTAL �IE.total of a�t is the s<�ue as, or less than q2, you have rt�t the.intent�of SF3G 60U6 (C) 1. AI.7.'GliNA'I� IIUILL7ING ET1VEIpPE DESING To utiiize the total envelope sys�em method, the�values establistied by the sun of ite�ns T#3 and #9 shall not be greater U�hh tLe swn of items i�l and �2. �..._ '1. �t`�9.7� + 2. /4,45 = i�,4.a4 3. _ �-�i.a�� _+�. �r�.o� _� ��. �.� : . � • $ t �.�.a. jti�01{y,.. a ..�4�M�....�� a<_�t�W.F !^t ` � i�'t. K� A ^ x s:"�. .� � � ; � �h j ��'; .� � i ��'. � ; -� � _ — t � i RUSS TYP % ° �"�" ' —'� '"�—f �,; �� F?AN�'_ � � �� ' �,�� : � � F �;' � � � �,� �n.� �: .� C .��Wf�i; � � � � � 7GF 1 � fGP� . w =n�� .: T�pN� 3 _.. ---' E , A � . '1gCPN62. tGPN�.I" w � ,�.• ��'�� `� A�-a t� � _� : pNl � , � ` ,y� ,. �� "T �>` TRUSS= TYPE p �� _��3 � �A � � � � .:; �.. CpN� I - �+,,,y�, ...,-�,�,�,," ;�GPrJL ? � . ' � = R. ., =P` j'� ;�.�.,� e Z w `� I c,� � rOPr �' E�P.` .: � 1CPN� � j ��, 3 . 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J � W �1 � � y m W 2 f- `I I a aIG L �� a ` K � aQ�a 6 jF � ��L�.. y� !J NS U „ Q��..�1 NQ�. . 3 ~ yz .� �v � `t� w�^�'�?�. UFa 2 a � °7� 2 a �i � tl?W �� 'v� n� . ��a a aW � �a 2 �Qa° U..� �Q �w 6FOa y ul K' � Qa� W a _��, � oa. O O rv t ;9 +Y� � 4 J �;1. '.:33c`I =� ¢ �1 u � �� I°�z°w a "' '�2( l �S :q }� �� 2 J W n=2'� ,. J.: I�U�Hi�h = �_ �Fl1-W 6� ZC ��4 ?Y4�4 o ti.�lli r ;" aaa� a�°�a2aVa. J�. VIIY JJW.�W�J J� W W �3"�3�=`^�� N O N�O �I N u��I W�F�^ N . �m .el� 00 P� . CITY OF FRIDL[Y Effective Aug. 1, APPLICATI�� FOIt RESID[i�TIlt� DUILDIi1G PERt4IT5 (t�cki, Alterations� Additione, or Repairs) OtJNER: �Zo�Q£%� �£�f� ADDRE55: 7C6� �s/ c o n) ,D/�. TEL �l0: 7�G l 9�'6 � . s:s�sx:rsa: 7GGS 13UILDER: ADDRESS: TEL f�0: Construction Location �TttEET: �f!-co.� �/1, � LOT: . BLOQC: ADDITION: Corner Lot: Znside Lot: Setbackc Sideyards: i9ei� ��9Y� � Ap�licant attach to tliis fosm two Certificates of S�zvey of lot ana proposed building location drawn on certificates to scale. Front: DESCRIPTIOid OF COFJSTRUCTION Depth: Squane Feet: Qibic Feet: Hront: Square Feet: Rype of Corstructian: Rb Be WnpleYed: Depth: GUbic Teet: Hefght: Height: Estimated Cost: $ Alt. A Alt. 8 / -r-fo K % p O Propose8 Drivc�uaay SCidth if New Openinq Is Desired: S p. S .. SEE Re^�VER;E SIDE OF SHEET 15ie un8essigned hereby mal:e� application for a peYmit fcr the �,�rk herein specified, agreeing to d�,all �+ork in strict accordance with the City of Fridley Ordinances and suling� of the Delkirtment. of IIuildings, and hPSeby declares that all tl�e facts and repressentations stated Sn this applic�tion are true and correct. � DATE: S.2 fC�L SIGNATU7�: �o� / c Stipulations: BUILDING PERMIT FEE SCHEDULE The inspector of buildings sha11, before iasuing permits for the erection of any building or itruetare, oz for any addition to any 9xisting buildinq or strycture, or for any aiteration or'repairs to any existing builQinq or structure, upon application thezefore, require the payaent by the applicant ior auch permit of iees to the amount hereia below set forth and in the manner herefn psovi8ed to-wit: TO'PAL VAWATION $1.00 ta ¢500.00 $501 to 52�000 = - --- 82,001 to $25.000 $25,001 to 550,000 FEES $10.00 Minimum Fee 515.00 plus surcharge Q10.00 foz the first 5500 plus 51.50 for each additicmal S100 or fraction thereof, to and inclnding SZ.000 _ __. -- �_. -- ¢32.SO for the first 52.000 plus S6.00 for esch additional $j,000 or fraction thereof, to and including $25,000 5170.50 for the first $25,OOD plus 54.50 far each additional $1,000 or fraction thereoi, to and including 550,000 • 550,001 to S100,000 $283.00 for the first $50,000 plus 53.00 for each additional $1,000 or fraction thezeof, to and including $100,000 S1D0,001 and up $443.00 for the first $100,000 plus 52.50 foz each additional 51,000 or fraction thereof P2AN CF�C7Cs 25 perce�t of builSing pezmit fee ffitIVtSiAY DEPRESSI�1 ESCROW: Concrete G1irb StreetB Ctily Alternate "A": Ae�noveal and replacement of cuzb and gutter only Driveway aidth plus 6 feet x¢13.50 7►lternate "8"x R�oval and replacement of curb and qutter and install a 3£oot wide approach with 6 inch depth Driveway wi8th plus 6 feet x$15.75 VERIFICATION OF FOUNDATI�i Pezmits for aonstruction will be isaue8 a minim�an of 24 hours frao the time of applfcation to allow for proper review of the proposed structure and of the construction sit�. A Certiffcate of Survey oE the lot, showinq the location of the foundation once it has been oonetructe8 will be require8 before proceeding with the framing. �- � wedFCr � � � ` '� ��:�YIE�t��, � �T�T�.��,�,NS Bl�1LC��;�'ERM`IT • y�� `� � . G�kYY FIEVEL(iP1k�H1`flIV. :� . _ . . :� ?�+ca� -.:; . .! � .. PI�GTIYE IIJSPEQ�ISyk 8£C _ � �� frg� - '� ' ` 7 . a �� r CtTY NP4L F{t�t,fv 94�32 � �ubeEn . �v. = ftx"� . 'vice oc... : � nrnnuveo sv . - . , arz�3rfio 910•F75��. . .� ��l��g ..�� /. �... �" 3665,Bacpu Ii�$tr:r.22.E. ,QAI, � �� <�1-�( - � 7RACTDRA001710N - � SEEATTACHEO �"il� . . �' . ' I. � �flBGlOt�iaDi'�.�. 4bIiSC6 ' �� -.::3HE�T . � =� 2 .qqypBp ..-�� W51�.:�. gg � � ` .. . . � � - _ fP . . " PHONE ��.� - - _''�`��Yd,.`. .T6b�-=�ic D�ive Bi.L. 786-9896 ,= � .,3; � -z - ... . : - . ' � �� ' .. -�.. � .. � �.� PHONE � � ttCEN$E NO . ;�Y i8 ..3�a-Aa�nue. St. F�7; 645-0331 n - '� ' 'UN,OE6i0NER � kFA1LA�g8 � . ' � ZfP f: PHONtE � �UEHNSE NO. � . . '� ' AiA1CAGIIRE83' � � � „ZIV PHi3NE - ��: n410EN8ENQ, . . �_ �, L�@£�.� 4 , �iHt#`�� .. � . .. .,_P�.$�� . . _ � �� fl tQE� .`6l� AOPCf10N��.� O ALt'ERATf6M � '�. .:� .� . .,�:''- � - . (�, i4'LP,AiR ��❑ MOVE � '� REMOVE " ' � S �?6i_t . _. � �,b . .�-��'�° X �, :4•.�ddit3zst� � �� ' � � sta �4F-tS1�11QEOF11BEiADq "�.� T8 � . . � ;�a��id�Rks . ' _ _ ' � �i�lT� P�'$ R�QI11�# f� k��RlFIG ,' � � Y. _ . 4 l��"n: �,��l� ANti.:�lfilrt�, . �� ` _ .� _;,,. ��' ` r'. f an✓' � �_��{�y �. . � . • . .�.AS Y�:RM1 � � �. �- . .� . ` -. ' � ' . � Y :R � . ... . � � if��Y ' � �� .. . 4T�"P��pYt3NELECFRICALrPIUM&MS.HEATMI6:- NPE6F.CONSF ..PAHCY6HW7P �RpCCtlPANQVLORD �� 1`�� C�Z�NIt16�. � ' - . �. . �:� 6 �,AND VOID-IP 3M1(OflM 4!R CAq,STAIlCTWIY- �. ��t� � � WIININ60.QAY8� 9Q'IF &Qbiffit6iCilON:. :29N@1G = i. s � T. � CU fT. . �_� . .. �� A(�.i�OANdDN£O F£Ni&„i�ER10D 4P �2B DAYS A7 � ": .. x $60 � �`�$0 AE+461'EA`S�g��WO+fEN,C@D,. , .. . . . . " ' N�k y .--...„ ..c ::..- .. OFFSTREE'Y PAi1KWf$ . %Y:�'iF}�TNiYi PHAVE AEA6 A?kD E%A,MINER YNIS APPLICATION�� .� �� .�.`x STALES � GAHAG$5. � � ��J�l,�AP�.1Y!$EiNFlEMip ,t'¢AAECT,AILPROVISFOq$OFlAWB yXIkIA f * � SURTA � E,8 iL�i!ENNIFl� THIS TVPE OF WOAK WILL BE CQMP{.1ED-. c � � ��r,. � HER&1f18R NpT. TlIEQMNTI/!G OF A AEAMIT yS�S{�Q�: �� .�S'4..�}.5 . p•��70 GIVE qtiTNOp1TY FO VISif,J1TE OR i7pNCE4 THE � p�{y��T�� .; SAC-CNA E�� 18'`i}f �li�l�'- 6TNER S7kTE� OR LaCAI,. LANt RE6U�A71NG CON•.. �t c�'rfia eErtFSmdear� ' �nuciv S?1.�ib � ��-; P K�.F E ' UTAiFEE i�'�� $26 .15 3NAT�itg9( Q��;§�ryi fpA2Fj, � . � _ - - � k DA � TH15 tS YOURP�RMk7 « ��P9UK � + �ag - nAiF � `.- - . .__ , ,: , F� -. �ry� � .z N� > . . . � r� - �' i . ` �. � , . . . --�,�-�..--....�.. o. � _. _ _. ---_ �... _ , . _ .. _ w. _ _ _.. _. _ ;. . ,v,,�r� � ; � � ; . � � f� �.�.. �, (r1n�x]j}�� r,�: ,p tVSINY. � M ��` '�'! . i `~� �. . f . . . f .r, , i . .i � e . . . . . . . . � 1 s . ., .-.... . ..,, . , .. �'�} S]e�.. . � . . . . . . . . .., �.__.-_::..sk � . . � ., .., . , . . .:.. .. . . .�. .. 2 i �:.�*1 �y `t . . . . . . � . . .. . . . - . .� . . ". . . . . . .�. �., . . . � . � . .. .. . � �.C�:�� . . :: . . . � . . . ,� �.:. ... .._ . ... � ,�, . . .... . ..r. � . . .. � " ,... �., : . .. . . ._.. . _.. . .. ..: .: . . .. .. �: I. . . . . . . �_.-. �...�, . .._ . � . _ . .__.. ..... .. .. . . . ..,. i ny ...` � . ' . . ' . . r � � � '.. . . . . . ,. � : . . � .. � .. . � .. � � � . W �:+.. ... . . ._._ . ... . ; . '� � ..i Y .. . . . � .i � , . � . .. . � . . � . .. . . ..�.�.�.._.�.. �_. . .. . , .'. { .. . . � ... . ... .'V �u.._ .. . . s. . : ..... . .... .. .. . . . .. .. . . . . � . � . �� . . f. . ._.. Y..^:'�m.. ...,....�. '.. _�..>S$...� Sw. .. ' :�..:..`. � .-:; .... , a.. �:.:: ^� ::'..Y.'.. ' ..� -. . , ..:� � . ... .. ... . . � .. ,�i,}i}��i"i'/ '��i ��a�.�i{i��'�� ri#�R7i� x7��1�'�JL� . . � .... � . ,,r�,,N�71�t �t'2�r,��`.�it*��tf�� ; . . .. � . . ..-`'. L:: , �;.. �'.:.tb'• � r,,., n i,:� ; ., . �� . . G�itit'rtu i�rollk��i��' �?ats8 . .,��'�. � r:�1At�333 - 31l�Nl93I3T . ' '�ntA� '� :�3��3��si _ .. _ ,... _ �, _ ,. , _ _, �� _ . . � ... .. _ . . � ... v' � �::.1.. . �. � . . . . � ;- . . .. � � ' � . �' , .n . } �. �. _ �� ' a�n� , y° _, — t%e� . : � w , .� s q�, x . . 1 :,. � '� t� E , fi" .. "�.. � ( -� � �„`, i�la. �: ��.), . . !� d } a `t� t a.� 'kx... _ .4=.a a \ �.'�',sa�W ' A _ . . , v... , ';., _.� . , _. . _. . . . .-. , �� _ . � . . . : . . . � .. . X �-.� �M I. .. . . .. . .. . . . . . . � .�cq� ? E �^° _ ` - � CITY OF FftIULEY I APPLICATION FOfi RESIllf:ftT1AL BUILDIPlG PERMITS ��L"W, �LTLRAT101dS, �DllITIONS, {�R R[PAIRS) Address :��/ ��"� "�+6y1 � �8`�-�BYb No. _7�� '�""`-�Yxeet: TAT: � AIACY.: � COt2NER LOT: INSZDE IAT: AllILllER: ��7'�'�� '�-�C `Yl ."' Address: V !J �-O�D Tel. No.: ��`% 3 � ADDITIOPI • r ( SETI3ACY.: SZDBYnRDS: I Ap�lica»t attach "to L-his £oYm 7WO CertiPi.cates of Survey of Lot and proposed building location drao-�n on these Certificates. DESCRIPTIOPJ OF BUILDING Rb Be used As: ' ` '1 �y ��7 �� : *"" firont: Yd� / Depth: � Height: Square Feet:�, Cubic Feet: y� . 3�� ' _ Front: Depth: Height: Square Teet: Wbic Feet: 'Pype of Oonstruction: yY�'�— Estimated Cost: $��Qr%� d'(/ 1b Be'Coucpleted: � Alt. A Alt. 8 Proposed Drive�vay t9idth if New Opening Is Desired $ $ �. � .� - .(SL� I2EVERSE SIDE OF SHEETj The nnciersigned herekry makes agplication for a permit for the work herein sp�cified, =zgreeing to do all work in strict acc�rdance with tUe City of FxiS31�y Ordinances and.rulings of the De�artment oi Suildings, and hereby declares L'hat all thc facts and representations siated in ihis application a1e true and correct. See reKerse side far aAditio�iai ini ation. A1tTE:, �r � $IGN}1TURE: � X�'"'�°� �� sii�s�la%.io,zs: ,� sAS� s,s.,cZ,X3c•. 432a Jc y. b./trs e: �i: i8 a �� T ,0�1.. ��z. �o t.�i,.... ��3s P��►� 9/0� x,b -L 4� �' , �d � s2i. � � �fi u� � ,; BUIGDING PERt�1IT FEE SCHEDULE S�CTION 2. The Inspector of Buildings shall, before issui.ng perntits for the erection of any bnilding or structure, or for any addition to any existing building or structure, or for any a�teration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit Df fees to the amount herein below set forth and in the manner herein provided to-wit: . NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic €eet. PLAN CHECK: 25 persent �o€�buil�ng:permit fee. � " - �� , - DRIVEWAY DEPRESSION: (Concrete Curb SYseets Only) Aiternate A: Remwal and replacement of concrete curb and " qutter only; Driveway width plus 6 feet x 5i4.50 Alternate gr'�nc>val and replacement of concrete curb and • qutter and install a 3 foot wida appro�ch with 6 inch depth; Driveway width plus 6 fect x$17.20 � �IDDI�TIONAL INFORMATIQN _ Ebr the purpose of computing fees for building permits, the cubical contents of any building ar 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 hei.ghts of the upper surface or to the average height of the roof surface o£ the nain gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate oi $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. , - � In no case shall the fea charged far any permit as set�£orth in Section 2 be less, than $7.50 plus $.50 state surcharge. VFRIFICATION OF FOUNDATION NOTE: Permits £or construction will be issued a mini.mum of 24 houz�s from the time of appl�aatien to�allow for proper review o£ the propose�:struature snd of the construction site.`' A Certificate of Suroey of the lot, showing the locati4n of the foundation once it has been constructed will be required before proceeding with the framing. ; � • � :� I�pplication for a Certi.ficate 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 not be usad or occupied until a.Certificate of Occupancy has been issued. 2� � R Z F/ �g � �Z ��=�a,E�.6 U I L City of Fridley AT:TNE TOP # 7HE TWINS D�:I�N G�� . P E R M i T ,, ,. ,. : � _' �,�_�__. GOMMUNITV.�EYELOPMENT DIV. r - � . . � PROTEGTIYE INSPECTION SEC. �� ..t .. . . � � . ��. .�l ..-'� �"'�'� CITY NALL FRIDLE� . 35�32 NUMBEP REV. ti 612-571-3450 910-F15 �aaROOaESS 7665 Bacon Drive NE ��... �� -. lOT NO. BLOCK � TRACT OR ADDITION 'o€scn. 15 1 Meadowmoor Terrace 2 PRQPEi1YYOWNER . �MAILADDRE53 .-:Kent;Raess,ler 7665 Bacan Drive NE s eac Res �� RECEIPT NO. � ! � VAGE OF 4PPRpYEO BY 3 � � SEEATTACHED SHEET Z�P PMONE Z�P PF70NE �ICENSE NO. 571-3220 3237 �ZIP PNONF UCENSE NO. ZIP PMONE UCENSENO. � Residential OF Wppl( � O NEiN. ❑ ADDITION ❑ ALTERATION 6�7.;.�.REPAIF '�IbE WORK . . . . � . de House & Garaye ae o► us� FaoM To O MOVE O REMOVE �� r%v�P�a�-a- �- u6C 1 Z I p- atc��e o�a-�� ia�.r a�c ;K 6�s� SEPARATEPERMITSARERE�UIREDFOR�ELECTPICAL,PLUMBIN6,HEATING, TMPEOFC VENTILATtNG ON AIR CONDITIONIkG. � THIS PERMIT BECOMES NULL �%.ND� VOID IF WORK OR CONSTflUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OF ABANt1UHED FOR A GENI00 OP 120 pAYS AT •NY TI#!E AFTER WORK IS COMMENGED. - NO. OWL I�NER$$,Y GEqTIFY TNAT9 HAYEREAD AND E%AMINED TMIS APPLICATION �' ANOKNQWTME&AMETO6ETf1UEANDCQRqECT.ALLPROVISIONSOFLAWS yALUATIO ANp OpQtyANCES GOVERNIµ¢ TNi3�.TYPE OF WORK WILL BE COMPLIED ' WIFH WI.FETHER�SBECIFIED H�/�ffJcON NOT. TME GRANTING OF A PERMIT $4� $� OQES NOF�PA$SUME PO GtYH AUTHORITY TO VIOLATE OH CANCEL TNE pERMITFE DF ANV flT�1�P STATE OR LOCAL'LAW REGULATING CON•- � '� 0�6� TN� P�NF�pAMANCE OF CONSTRUCTION. : � � � �� DATEi STALLS $2.40 SACCHARGE Fire SC $4.80 fOTALFEE $84,20 �. , �� ,.,�� , � :,�. � �r; � :.�« u�� i � � �, .� � �� i•�/ � i � :,«., .L.ffr . /= 1 1 [�4 I �i� u P t >i � t� 1 : M" .� � � .1: � � � �► : i � ,ii � � :+�� „• � �� _� w � � � Sffective SIZ6/93 �(7�s Tel. � MN LICENSE # Tel. I➢tS�7l �'-'�"" Itttsch to this application, a Certificate of S�vey of ti� (ot, with d�e proposed con�oa drawn � it W scate. Wi�h �!� Corner E.ot [] I�side I.ot {� Ft. Yd Se�C �i�iQE U� �: Approx• C�t I�te: C� • �„�;r: ��.',i�:Y� Hagt� — i1�b'aa ` �� Sq. FG SQ. �. �Q. �. ,, , � :��:, e �i r , i >, �� :� �� (G�c w Back) Driveur.�r (�rb t�t 1Ni,c� Noedad: Ft. + 6 Ft = Ft x S = DATE: �p -�-9� APPLICANT: FCFlQtt � Fu+e Surcharge S�te Surcharge SAC Ci�e L'uxase SarcLarge Dri�revnSY EsCmvv Fi+o�on Control Park Fee Sevver 1�3aiu Chsrge Tet. � S�!-.j� U ��1 M II i�%Y�f�i� � s o�- �� FeC 5C�118 OR RCV�SC S1dC S �f , Ud .aii Of Pan»t VeiUeif00 (1�1Od196� S �- �l� S.SQ/51,000 Valuation S 5750 pea SAC Unit s 5_ v o ss.00 �s� u�a x��a�c;� co�> S Ah. 'A" or Alt. "B• Above S Coaceuvati� Plan Review 5450.00 S Fee Det�mined by F.nginaeriag S AgreRment N�ary [ j N� Necessary [] aD ,-- --, �roTni, s c� ` � s�rvLnTTa�ts: � � .� � , ;�..^:.: ,�v� �'�.w� � . . .. $UQ.DINQr PER1YIli FB� .4C�ffiDULE The Clrief Building Official shall, befmse is�suiag pennits for the ere�.tion of any building or slructure, or for any additic�n to any exi�ing building or s�uctare, or fa� a�+ alteiation � tepair to any exisring buildiag or shvcture, upon applicatioa thet�efore, re�uire tLe payaienY by the applicam for such permit o€ fees to the amount herein below set forfh and in the manner l�erein provided to-wit: TOTAL VALUE Sl to $500 5501 to 52,000 $2,001 to $25,000 S?5,001 W SS0,000 ' . $50,001 to S100,OOQ I 5100,001 to 5500,000 5500,001 w 51,000>000 $1,OOU,001 and up FEES S15 (Minimum Fee is $15 plus surcharge) $i5 for frcst 5500 pins S2 for each additional $lU0 or fractioa thereof, to and i�luding 52,000 $45 for first 52,000 ptus S9 for each addidonat $1;000 or fraction thet+eof, to and ineluding $25,000 5252 �far fiist� 525.000 ptus 56.50 for ac6 additional $1;OOQ a� fradion thereof, bo and iacdudiag SSO,IX10 5414.50 for first 550,000 plus 54.50 for each additional $1,000 or fraction thereof, w.and including $100,000 $639.50 %r first S100,000 plus $3.50 for each additional $1,000 or fraclion thereof, to and inciuding $500;000 $2�39.50 for the first 5500,000 plus S3 for each additional $1,OOU or fiadion ther�of, to and i�luding $1,000,000 $3539.SQ for the fitst Si,000,000 plus $2 for each addi6onal $1,OU0 or fraction th�eof . DRIVEWAY DBPRESSION ESCROW (Coacrete Giufi Strcetc On1Y) Altcanafe "A": Removal and replacement of curb and gntter only - Driveway width plus 6 fcet times $13.50. Alternate "B": Removal and repl�cement of c�u�b and gutier and insWl a 3 foot wide. approach with 6 inch depth - Driveway width plus 6 feet flmes $15.75. VERIFICATION OF FOUNDATION Permits for consErucdon will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed st�vcdue and of tLe consfruction site. A Certificate of Survey of the lot, s6owing the location of the foundation once it has it has been consh�uc[ed will be required before proc.�eding wiih the firaming. , ,� 4.« � City of Fridley AT TNE TOP OF THE TWINS . ,, ,, . � � COMMUNITV DEVEIOPMENT DIV. r . �� L � PROTECTIVE INSPECTION SEC. , `....� � "'I�.J qTY HALL FRIDLEV 55/32 s� 612-571-3460 JOBADDRESS 7665 Bacon Drive NE $V6JECT BUILDING PERMIT MUMBEP I REV 910-F15 1 LEGAL LOTNO. BLOCK TNACTOHRDDITION oescR. 15 1 Meadowmoor Terrace 2 PROFERTYOWNER MAILADDRESS Daniel/Diana Czech 7665 Bacon Drive NE 3 CONTRACTOP MAILADDRESS Cities Home Imurovement 6148 Olson Memorial H 6 USE OF BUILDING Residential 7 ClA55OFWOHK � ❑ NEW 7 Windows 9 CNANGE OF USE FROM ❑ ADDITION ❑ ALTERATION TO [ PIGE O� 6/30/97 � � 2� RECEIPT NO. 333 AGGROVED BY SEEATTACNED SHEET 784-2354 ur vnONE IICENSE NO. Golden Valley 55422 591-0332 ZIP PHONE LICENSE NO. 20076414 ZIP iMONE UCENSE NO. � REPAIR ❑ MOVE O REMOVE STIPULATIONS Bedroom replacement windows must meet the State Egress Code. Install smoke detectors to meet the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, Gl11M81NG, MEATING, VENTILATING OR AIR CONDI710NING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSGENOEO OP ABANDONED FOR A PENIOD OF 120 DAYS AT ANY TiME /1iTER WOHN IS COMMENCEO. � 1 HfREBV CERTIFY THAT I HAVE NEAD AND EXAMINED TMIS APPLICATION AND�KNOW TXE SAME TO BE TRUE AND CORRECT. ALL VROVISIONS OF LAWS AND ORpNANCES GOVERNING THIS iYPE OF WORK WILL BE COMPLIEO WlTM WHETN�R SPECIFIED HEREIN OR NOT. TNE GRANTING OF p PERMIT OOES NOT PRESUME TO GIVE AUTMOPITY TO VIOLATE OH CANCEL THE PROVISION OF ANY OTMER STATE OF LOCAL LAW REGULATING CON- STRUC OR THE PERF NCE OF CONSTRUCTION. . NNlUfiEO�CON'RnCTOAORAUiNORIZEDAGENi ��EI $2,900 IMIT i EE $74.75 STALLS $5 $L45 IAC CHARGE Fire SC $2.90 OTALFEE /� $84.10 NEW ADDN ALTER [ l�� ) �1 CI'CY OF FRIDLEY SINGLE FAMII,y p1�rD DUPLEXES R-1 AND R-2 BUILDING PERMIT APpLdCATION ConstructionAddress / f� �.� 1-Cg",'dl �CSCi`t�7C10[l: _ . Ow�r Name & Address: Contractor: LIVING AREA: GARAGE AdLEA: DECK AREA: OTHER: R Gffective 1/1/97 s�j��l anit� /aha C Tel.# %�F-�"�t—� n, / r' e m t �-,� , MN LICENSE �i 7 0� e �,,. �r.'.. Tei. #,� t, 0 3 3� Attach to this applicalion, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPI'ION OF IlIZPROVEMENT �IIE'� Width Height Sq. Ft. �� . Width HeiS� Sq. Ft. �� Width Hgt/Gmund _ Sq. Ft. /7 G(%i�//IUUIS /�t/L� . / Y/J ,�.eJClJ�t Construction Type: ows l n"r-./OO o � Fstimated Cost: $ (,� Driveway C�rb Ctitt Width Needed; (Fee Schedule on Back) _Ft. + 6 Ft = _Ft x $ _ $ DATE: 60 0 7 APPLICANT: G�� a,C- /�.,. R.c „ T�: a �l-�3 3 � Permit Fee Fire Surchazge State Surcharge SAC Charge License Surcharge Ariveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ i : �s_ $__ �. %t�j $ / S $ $ �. vv $ $ $ �`�/D CTTY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valua6on $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt_ "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering AgreemenY Necessary [ j Not Necessary [] —� -�. iiUlLD[NG PERM(T I�EE SCHEUUL[�. 'I'Iie-Chief Building Official sha11, before issuing permits for the.erection of any buildin� or structure, or i��i� any addition to any existing building o; sttucture, or for any akeration or repaic to any existing building or suucture, upon application therefo[e, require the payment by the ap�licant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wir. ` TOTAL VALUE $l 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 $500,001 to $1,400,000 $1,000,001 and up FEFS $21 (Minimum Fce is $21 plus su�harge) $21 for first $500 plus $2.75 for each additional $100 or fraction ihercof, to and including $2.(�0 $62.25 for fust $2,000 plus $12.50 for each additional $1,000 or fraction ihereof, w and includiug �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 $SO,d00 plus $6.25 for each additional $1,000 or fracrion thereof, to and inciuding $100;a00 $887.25 for frst $100,000 plus $S.00 for each additionai $1,DOO�or fcaction thereof, _to and including $SOO,U00 $2887.25 for the first $SOO,OUO plus 54:25 for each additional $1,000 or fracdoa thereof, to and including $1,000,000 $SOi2.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION FSCROW (Co�rete G�rb Streets On1Y) Alternate "A": Removal and replacement of curb and gutter oniy- Drive�vay width plus 6 feet times $1350. Alternate "B": Removal and repiacement of curb and gutter and install a 3 foot wide appeoach with 6 inch depth - Driveway width plus 6 feet times $15.75. V, VERIE[CATION OF FOiJi�TDATION Ycrmits for constiuction wi(( be issued a minimum.of 24 hours from the time of application to allow for proP�r :�view of the proposed stiucture and of the construction site. .�\ Certificate of Survey of the lot, showin� the (ocation of the foundation once it has it has been construc'_ : ��i!! h� rcyuired hefore nmceeding �i�i[h ttie framing. .,- �... City of Fridley AT THE TOP OF THE TWINS !., ,, � �V_��_ COMMUNITY DEVELOPMENT OIV. % j PROTECTIVE INSPECTION SEC. L_-_+� �"'�.� CITY NALL FqIDLE� 35r32 i 612-571-3450 108 AOORESS 7665 Bacon Drive NE 1� CEGAL �OTNO. BLOCK TRACI SU6JECt BUILDING PERMIT �BEF REV O�TE P�GE O� 910-F15 6/30/97 � � oesca. 15 1 Meadowmoor Terrace t PROPERTYOWNER MAILADDRE55 Daniel/Diana Czech 7665 Bacon Drive NE 3 CONTPACTOR MAILADORESS Same e MML 2��5 SEEATTACNED SHEET PHONE 784-2354 PMONE LICENSE NO. PNONE LICENSENO. PHONE WORK ❑ NEW � ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Basement Bedroom Finish 9 CHANGEOF S7IPULATIONS See notations on plan. TO SEPARATE GERMi75 ARE REOUINEO FOR ELEC7RICAL, PLUMBING. HEATING, rrr VENTILAiING OR AIR CONDITIONING. TMIS PEFlMIT BECOMES NULL AND VO1� IF WOHK OR CONS7Rl1CTION ZQ� AUTHORIZED IS NOT COMMENCEO WITHIN 60 DAVS, OP IF CONSTRUCTION OR WpR% IS SUSPEN�ED OR ABANDONED FOR A PERIOD OF 120 pAYS AT ANV TIME AFTER WOHK IS LOMMENCED. . NO. I HEREBY CERTIFY TNAT 1 HAVE READ AND E%AMINED THIS APPLICATION AND�KNOW THE SAME TO BE TRUE AND CORRECT. ALL PqOVIS10NS OF �AWS VAL AND ORUINANCES GOVERNING THIS TYPE OF WORN WILL BE COMP�IEO WITH WNETNER SPECIfIE� MENEIN OF NOT. THE GRANTING OF A PENMIT DOES NOT PRESUME TO GIVE AU7MORITV TO VIOLATE OR CANCEL TNE pEp PqOVISIONS OF ANY OTNER 57ATE OP LOCAL LAW REGULATING CON� STPUCTION OP THE PERFORMANCE OF CONSTRUCTION. IDFiE� 6-3a- 9� 1 ISTALLS 5900 $.50 UTFEE SACCHARGE $32.00 Fire SC $.90 ICNECNFEE � TOiA�FEE _ $33.40 NEW ADDN ALTER �) il .�'C] ConstruetronAddress: Legal Descripdon: CITY OE FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMTf APPLICATION Effective 1/1/97 �333� OwnerName&Address:�tYllgj l�. -6 D�CLVIq %� C'2�� Tel.# �-��-��l Contractor: �ay� MNLICENSE# Address: LIVING AREA: GARAGE AEtEA: DECK AREA: OTHER: Tei. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF AZPROVEMENT �ng� �� Width � Height � Sq. Ft. Length . Width Height Sq. Ft. �� Width Hgt/Ground Sq. Ft. n . �— — Constcucuon Type:�p�p,�,�Q Fstimated Cost: $ � � (Fee Schedule on Back) Driveway C�rb C�t Width Neected: _Ft. + 6 Ft =_Ft x$ —$ DATE: la � 13 -q � APPLICANT: �rcW! G� �'7.�� TeL # �g �l �a,35� Permit Fee Fire Surchazge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � STIPULATIONS: CiTY USE ONLY $ � 0 0 Fee Schedule on Reverse Side $ . 90 .00i of r�c v�u,�aon �viou�� $ � S� $.so/$1,000 valuafion � ��P $950 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservatioa Pian Review $ Fee Determined by Engineering $ Agreement Necessary ( ] Not Necessary [ ] $ ��. �v ,,,,r . � BU![.n[NG ['GRM[T FEE SCHl;DCI,!? llie Chief Buitding Official sliall, before issuing permits for the.erection of any building or stmcture, or for a�iy addition to any existing buiiding or siructure, or far any alieratan ar repair to any cxisting baildinv or structure, upon application tt3erefore, require the payment by tlie applicartt for such permit of fees to the amount herein below set forth and in the manner herein providod tawir. 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 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 ptus surcharge) $21 for �"ust $500 plus $2.75 for each addiiional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus S12.S0 for each additional $1,000 or fraction thereaf, to and including $25,000 $349.75 for first $25,Q00 plus $9.00 for each additional $1,000 or fraction thereof, to and inciuding $iQ000 $574.75 for first $50,000 plus $6.25 for each additionai $1,000 or fraction thereof, to and including $iQ0,000 $887.25 for first $100,000 plas $5.00 for each additional $i,D00 or fraction thereof,.w and including $500,000 $2887.25 for the first $500,000 plus $4:25 for �ch additional $1,000 or fractioa 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 (Co�rete Curb Sueets On1Y) Alternate "A": Removal and repiacement of curb and guttee only - Driveway width pius 6 feet times $13.50. Alternate "B": Removal and repiacement of curb and gutier and instalt a 3 foof wide approach with 6 inch depth - Driveway width plus 6 feet tiines $15.75. VERIFICATION OF FOUI�'DATION t'crmits for construction will be issued a mini�um of 24 hours from ihe time of application to altow �oi proner •eview of the proposed sttucture and of the construction site. •'. Certi6cate of Survey of the lot, showing the location of the foundation once it has it has been construe-_.: �:➢ h� reyuired hefore proceeding �vith the framin�. � � . . �..-' ' �' � �` � j � � � -S : � ��-1 4- `� �� , �a�aan� .ro�ron � � M %w t{�7� nSU� , � � ..,�,h._ � � � �� t�- S�o��,� - �� , '�.-i YOC.�L, � � F' S ! ^ y- cn i �c 5� � i'\ � � ,' � � �� I � � � � � 0 � � -O- � �`S � N � � a � � � � -� � n r6 � �� ''-N' � � ' �L � i- 3 � �) � -�; y s � } 1'Jiv` S!l�X � 6 P � r- -. � � �' �� :� � � + �: � �� f � C( � � � �� . ,�.�� U, m � � � � �� \O ^�' � fi � ` � l� � � � �� I � -� . � _ � � c c � � r Y i , r � .� � r �� -�i- �. � h — � � � � � �� t � �� ,�o � L a � � v+' N ¢ � �1. p[�' � �� \ � s � U � �' � � � � � � 't r' ^ � � 1 i � Ri � �, < =�- $� �� a � -F- � � n � � . . � ic '� '1`' , � l%/ � . -. � � � � � � sus�etr �- � � Cii�. of Fridley ,� AITMETpPOfTMEriVIN3 BUI�DINy PERMIT � � �v �� COMMUNITY DE�ELORMEN7 OIV. f j. � PRpTECTIVE INSPECiION SEC. , . L.__ � f'�'�.� pTV MALL FRIME� '35�72 NYY�fP ti 612-571-3450 e�aFis IOB� �DpnESS 76fi5 � Bacon Dri ve � NE 1 lE6Al � DESCR. i PROPERTYG Dan & Di J CANiRACT[ 1� :R � Czech � AHCMIIECT OR DESIGNER 5 EN6IMEER 6 USE OF BUILdNG Residential 7 CLJ168pf�WORK � ❑ NEW t DESCAIBE WOqK � Baseo�ent bedroom 8 CMANQE OF USE FROM 6/16/99 � / / '29694 _� AECEIPT NO. 3�i9 nupv[o e• SEEATiACMED SNEET IICENSE NO q ADDITION X� ALTERATIpN, O� REPAIR p MOVE ❑ REMOVE See stipulations on plan. �'ARA'tE �tNItT��REQUlR�D FQI�', WIRtNG, HEATiNC� PLUMBING AND Si�`, SEPAR47E PERMITS ANE NEOUIRED FOIi ELECTRICA�, P�UMBING. NEATIN6, VENTILATING OR AIR GONpTIONINb. � ' THIS PENMIT BECOMES NULI ANO YOID iF WORI( OR CONSiRUCTION AUTHORfZED �3 NOT COMMENCED V�ITNIN 80 DAVS. OR IF CONSTRUCTIpN OR WORN� IS SUSGENDED OR ABANDpNED� FOR 11 PER100 Of lI0 DAVS AT ANY TIME AFTER WORK IS COMMENCED. � I MEREBY CERi1FY TNAT 1 HAYE AEAD ANO EXAM�NQO TMIS APPLILATION AND KNpW TME SAME TO BE TRUE AMD COARECT. ALL PROV1510N5 Oi LA WS ANO ORDINRNCES GOVERNING TXIS TVPE OF WOAK WIIL BE COMP�IED WAM WMETHE�i SPECIFIED MEREIN ON NOT. TME GMNTING OF 11 PERMIT DOES N07 P SUME TO GIVE AUTNORITY TO VIOUTE OR CANCEI TME PFOVISION F qNY OTNER STATE OF LOCAL LAW REGUU7ING COH- STpUCTI F. TME OERFORMANCE Oi CONSTRUCTION � , /J % ��N��UAEO��CDM'N�CT050M�YIwON�(pp�G(ryf O�-%%rr� 11 STAIIS FT GAPAGES NEw ( j ` ADDN ALTER Effective 5/10/99 I l CITY OF FRIDLEY [7� SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 � BUII..DING PERMIT APPLICATION � _, ._ . �Ub n1� construction Address: Legal Description: ��l �r�� OwnerNa�&Address: ��, � `7tRo.4Ft C2�c.e-� Tel. # !d5/. `7$�4 -235T-( Contractor: WOr�O E..t '�12�n/l s ��r r. MN LICENSE #?� l Z q9 �(�� Address: 1�;°u3 S1ckJ✓ 1��v0 r.l�,> j�t(,�ip-N �S//a- Te1.I{ �S(,(�p -7(Q-F� LIVING AREA: GARAGE AREA: DECB AREA: OTi�R: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. OF IMPROVEMENT Length [�1, Width l2 , Height �� Sq. Ft. o� Lzngth Width Height Sq. Ft. Length Width HgUGround _ Sq. Ft. Construcdon Type: 7��,� �- �/�, �� Estimated Cost: $ �8oa � Driveway Chtb Ci�t Width Needed: _Ft. + 6 Ft =_Ft x$ _$ DATE: I•Ki'� APPLICANT: ��.k, o��.L �r��Nng { r�e_ Tel. !� (aS/•�'?,� -7�� 7 J�� T�'t� S CITY USE ONLY Pernut Fee Fire Surcharge state surct,uge SAC Charge License Surcharge Driveway Fscrow Erosion Control Pazk Fee Sewer Main Gharge TOTAL SITPUI,ATIONS: $ � � l //, � $ ,�g0 $ a. �o $ $ S. Dd $ $ $ $ $ �� S` Fee Schedule on Reverse Side .001 of Permit Valuadon (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residentiai Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservadon P1anReview Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] v BUII.DING PERMTf FEE SCHEDULE The Clrief Buiiding 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 alteradon or repair to any e�cisting building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,Q00 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $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 fracdon thereof, 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 addidonal $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 i�luding $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 fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete �rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb aixi gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICAT'ION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the pmposed 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 conste°ucted will be required before proceeding with the framing. �'°�� ( �� J�� ------------------� ---------I � C m X � c�-s e--� O r1 i E � � WOODEN DREAhIS, INC. 1883 SIOUX BLYD NfW BRI6Hi0N, MN 55112 4'6 W C � m � r� H E _ v E � � m E rl� X H r Z G-� v 0 0 � � °av.�r,,�or=r, g��mZ� � � � � � � � �� c'��.°i�of a�o��'r � C � r Z � � m >G �"'�m�a E �� '--� --------------- � y �X' _ m � rT� I�- � £ O y� � Iv � C � X X � � � z � a c' � G e--f O � m . � �z � � �� ..�. -" � � � m � X � � � Dan & Diona fzech 7665 Bacon Drive fridlev. Minnesofa 55432 X = a=i f z O � f � � � � � r O e--� R ws�c�� City of Fridley �� "TT"E'°°°""E""'"S gUILDING PERMIT „ ; � � �,..._.. GOMMUNITY OEbELOPMENi OIV. r � � PfIpTECTIVE INSPECFIQN $EC. � � � . � � �•'•1 : CITY MALI fR10LEY SSl7� �uwE@ REV � �""� � ,'' 612-571-3450 9�0-Ft5 �oe�ooness 7665 Bacon Drive NE t LEGAL ��TNO. BLOCN iNACTq1AC01T10N oESCR. 15 1 Meadowmoor Terrace t PROGERT'/OWNER MAILAOORf�$$ Dan Czech 7665 Bacon Drive NE J tONTRACTOR MAIL AODRESS The Cities Home Improvement 6148 Olson Mem Hwy, s 12/13/99 Calden i�GE O� / � 30578 RECEIPT�NO. � 7�� RpVE� p ev — SEEATTACME� SMEET PHONE 784-2354 PMONE LICENSE NO MN 55422 591-0332 PMONE LICENSE NO 20076414 PMONE LICENSE NO Residential 7 GLASS OF WORK . . .. . �. . . . . .. . O NEW ❑ ADDITION ❑ ALTERATION. �7 � REPAIR p MOVE O REMOVE 8 OESCRIBE WONK Iustall new windows and repair trim 9 STIPUL.ATIONS . Provide smoke detectore in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. I SEPARATE PERMITS ARE NEOUIRED FOR ELECTBICAI, PIUMBING. XEATING. � VENTIUTING OR AIR �',pNDIT10NING. � � � � TNIS PERMIT BECOMES NUIL �NO V016 IG��WORK OR CONSTp�CT10N AUTMORIZED IS NOT COMMENCED V�!ITHIN 60 DAY3. O/l Ii CONSTIpJCTIpN OR WOAN IS SUSPENDEO OR ABANDON�,D fOA A-PER100 OF /2p pAYS AT ANV T�ME.�Af7ER WORK IS COMMENCED. � MEAEBH.CERTIiY 7MAT I HAVE RE�D AND E%AM�NED TMIS �PP�IC�TION AND KNpM! TME�SAME TO BE TRUE Ak0 CONREBT. �Ll PROVISIONS OF ��WS •NO ONGlNANCES�GOVEFNING TMIS TvPE OF WpFK WILL BE COMP�IEO Wi7N wNETMER SPEC�IF�$O-NER&N ON NOT. TME GRANTiNG OF 11 vERMIT ��'OOES N�7�.PqESUME T-��G1VE AUTMORITV T� VIOLATF OR CANCEI TNE PAOVISIpNS�Qf KNY.�.�� kEM ST�TE Q OCAL L4W REGUL�TING CON- $TRUCtION Op�tN.�� ipR NCE:O NSTRUCTION �-/3-f S�GM+i r�p '.p�Lipa � •u*� EfG�GEM D�t(� 540 STA��S CU FT .27 H�RGE SC $4.54 FEE 116.62 �� ADDN ALTER Effective 5/10/99 ( ] C1TY OF FRIDLEY [ J SINGI.E FAMII,Y AND DUPLEXES R-1 AND R-2 BUII..DING PERMIT APPLICATION i�� h � 1 construction Address: 7 � i�' � : �j afC o ✓l � F , � ` Legal Desctiption: _ Owner Name & Address: contractor: Address: TeL # 7�f� - c� `� S`� Nu�r r�cErrsE # aa-� 7Co yi�/ ��Tel. # ��7 /"� 3 �o� Attach to this application, a Certificate of Survey of the lot, with the proposed wnstruction drawn on it to scale. DESCRIPIION OF IlVIPItOYEMENT LIVIlVG AREA: Length Width Height Sq. Ft. GARAGE AREA: Izngih Width Height Sq. Ft. DECK AREA: Lent;th Width�— HgC/Ground _ Sq. Ft. OTHER: � 4 n� �.�! oI'9 w g ,� j— ��( f1 �i � r' -{' f r w� O ti� u i/SQ � �)f �-� _ �-e c��onT,�: p� o at:�r ��a �ost: $ yrY� Driveway C�ub C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ . DATE: – % � � APPLICAIV'I': Tel. � Permit F� Fire Surcharge State S�rcharge SAC Charge License S�ucharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: $� yo • �i' $ �� y $ �,�7 $ $ s,�b $ CPfY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuafion (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (Siate Licensed Reside�ial Gontractors) Alt. "A" or Alt. "B" Above $450.00 Conservarion Pisn Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $�/(�� . BUII.DING PERMIT FEE The Chief Building Official shall, before issding permits for the ereCtion of any building or structure, or for any addition to any existing building or structure, or for any alterafion or repair to any existing building or structure, upon applicadon 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 VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,OOito,$50,000 '' $SO,OOl to $100,000 $100,001to $500,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fracuon thereof, to and inciuding $2,000 $69.25 for first $2,000 plus $14.00 for each addidonal $1,000 __ or-fraction t�ereof, xQarxt-mciuding$25;000 - _ _ $391.25 for first $25,000 plus $10.10 for each addidonal $1,000 or fracrion thereof, to and including $50,000 $643.75 for fust $SQ,000 plus $7.00 for each addiUonal $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each addidonal $1,000 or fracdon thereof, to and including $500,000 $500,o01 to $1,000,000 $3,233.75 for the fust $500,000 plus $4.75 for each addiuonal $1,000 br f�action.thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the fust $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW _ -- .�6eaerete L�ub Str€ets L�n�y3 - _ _ _ Altemate "A": Removal and replacement of curb and gutter only - Dri'v"eway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a*ninim,,,,, of 24hours 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. � �