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ENG.INEERING� INC. ��°f°
su,x� a,;os;
— En9ineers � Svrveyors -
ce�rt�icate o� ��asve, r.: �xx�✓s�i ,�vv Cr��s
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/RON - — — DENUTES UT/VTY � ORA/NAGE EqSEMENT
,�4T.� B�, QC�2,� /I,EADOWMOOR T RRACE'
ca��vrr c�- ��.r.s
l ie'trby uri� Akf �ry a o hvr o+d mr�rcf i+rprsmtotian �'o su-.a� �'�e Iw�+�tries �('rNr �ir oba+�W /a�d, wx!
� l�NI'io �('M' Err,{�s , lbewr ,�d ws�k e�vrerJ�+renls ,�' y. /Grn r rr a�+d dmd. As .Hr�eyed 6� me Jl4s—_ °Ir�
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SUdUQB/W ENG/NEER/NG, NVC.
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City of Fridley, Minn.
,�.s-��/
� BUILDING PERMIT N� 7250
��:.,,�0..��-_l.� .
�: �. _.. _. �� _._ �..._...__....-------�-
�.. .___._______-_.----- ,� --___�___...._.__._...--.---.---
\J
/ LOCATI(7 OF� BUILDING
No. ..��JQ. Stceet�� ���-,..._tiC„� �_. Part oP Lot ... . �-^ �
Lot _��-�_..___ Blodc ._�....,.--- Additlon or Sub-Divlsi� ..�Q�-�Nl �Il�-'1_.._LF�QLL!_
Coiaer Lot ._ !na[de Lot _.__ � __._. Setbsek -�° S .--.... SideYerd _..��%_._._._._.__._..__.�_
Sewer Elevattoa� .-------._._._ _...—_.._...----._ Famdstlon Elevatian ....-.----..—_.__.. _._.—._. __._.
DESCRIPTION OF BUILDING
T vka '
�c �� n�cn _.�,� x�tshc .�� sa. Fc./.1�� c�. Fc �/1�D
--_T__..�� Fmnt ___---_ DePth ___�._ H'eight _.� .__ Sq. Ft. _._..--- Gw. Ft _.._.._._
lype of Oonshvetio��y�— ,�yr.ec�.•-�_,._ Fst. Coat ��f/_�- `._.._.... To be Campleted ---.-----°---
In consideration of the iesuance to me of a permit to c�st
the P� work in aceoidence wIth the deecriiptfon above eet
oidinanoea a2 tl� dty of biirIley. �
� /
Ea caodderatt� as the payment of a fee of �.p�.._.---.._, Pennit ia haebY S+'�ted w------
W do
��
'to croshvet the building or additim as described above. Thia permit is granted up�
the exPress canditi� that the P�n to whom it is granted and � his agents, emPloYeee and worianen, In all work.
�dane �in, aramd and up� aeid buildin8. �' �3' P� thereof, shall omiYorm in all reapecta to the or�nances a�
PY'id1eY. IDitn�sota regardin� locati�, constructiaa, alteratta�n, maintenance, repair and movin8 of buildinga
'wl� dty limits and t}ua PeTmit may 6e rn�ed at aqy time upon violation of any of the Bro�ons o[ seld
• I NOTICl:
i�b P�emd deu eet aewr fM eeeY�veNee. 4MdMNee fer �btels0. P�`h Yu MNiq, ww�r x rmr. 6� wn » sw
. la BdW�O �� � NPrM'� P�eW fer 1Mw ilwm. �
a- .�
„; ; :<; . •-. "= AI'P�.�CATION ROR.BUII.DI�G;.PB&MLT ..,. , ... ._ -
. ,, ,. ; , . -.
;. . -: CITX OF PRI�.SY,.,MIt�BSO�A. .
OWi�R' S 11AM6 gUIypgg . ��j�r� �--e-e-2- :`
A13D9E.�s `' .. �_- � ;,.:,...,.... . . , ,. ..
. LOCATION� BUIf,DI1�C. . , , .-
�pO'�Y.'1�� �,r� �O,-r.�ti s ; StrTee� j ��a;t of. LPt
-r-- .�.,.�
_Lot����81ock�;p�; . .Ap�d,i,Eiayr+, Pr Subdi.yisio�,.
,.,
Coiqer Lot � Insid� Lot Setback , $�,dqsY�lci„ ,; ; : . ,
SBWSfl ffi.SVATION FOITlIDATION ffi.BVATION
,4
Appllea�t;qttach fio fhis_Eorm:Tro Certificatqa of Survsy o�-�,ot aqd�g;opotpd build-
.iag,lce�t$cfi drywn.Qa theae Cestificatse. _ ,.,
_. .. . • . < _ :
. - , . . , .
DBSQtIPTION Op BUII.DIDiG
To be uaad ad: -
: Front DePUt �ei8ht _, _
_ . ' - ' S9! �C. Cu,. �F�G�. ::
, ,, . „ _,,. ..
,., ., _ ..
Front Dspth Height _
�x,c .� ..
,, Sq. Ft. . . ,Cu. Rt:�
Type of. C�s'eructi �^ � ” $stitMCid Coet , ,: :
...
To be'Completed'_ .:, : _ :: _, ,,
Ry
The u�erbigaed he=eby makes applicat,�,�nt,fpr a peroit for�the vp;lc hqrein,.specified,
agreeing to do ali work in etrict accordaace with the CiCy of Pridley Ordinances and
rulislgs, ef, ehe Departgie.p� of, Svil.dinga�. apd,•.heseby decier,es tha; a31 �6e facce and
repraseutationa etated in this applicatioa are true and FoYr�Ft. -
DATS..1Cl�.�_,� � SIGNATURS_ �-�E%�/"'�(.t �—� �
�Scbedule of Fes C�t� can ba found on the Bmverae Side).
,! .., ,,,.� � � . �
,'`�, � �. .,,�
.
• BUILDING PERMIT FEE S(�IBDULE
Section 2. The �`u°spector of Sufid3ngs shall, before ieauing sny pesmit for
the erectiott of any buildin$ os etructure, or for any addition to any exist-
iag buildiag or sttuc�Cure, or for any'aiterations or repaixa to any eacieting
building or structure, upon application therefor, require the payment hy the
applicant for such permit of feas to the amouat hereia below set forth and
in the manner hereia provided to-wit:
._ . __
2_1. For any such permii for the erection of any fire-proof building, ather
_..Chaa.e �arage! warehouse; factt3ry or graia eLevaoos, or for Ehe erecEion of
anq fire-proof addition, for stmilar occupancy, to any exiating buildiag
shall be at the rate of $1.40 for each one thousand cubic feet. or fraction
thereof, in such cubicaY-'eoeEefite.
2".2.` For' i�dq $"�b.�s�.�alpction of- 8a�r fire-proof ga�ag4:, erarehouse,.
factorq or grain elavator� or for the erection o£ any fire-prooi �eddition,
!vF ai�m�klar �x�c�'; to an}r existii►g buildiag �i 11-be at the-�ttB.of $1.25
for each one thoueand cubic feet, classified as "firepxoof" by Section 502 of
_.t�,e Minneago�i2=88iitiing Code._ . '
_ HOUSSS. . � " ` '
2.3. 86r at►y such'permit for Ehe erection of aay non-£ireproof bui�diug cther
than a garage, warehouee, factory or grain elevator, or eaq aon-fir8proof
edditivn, for similar occupancy, to any exietiug building - permit $1.00 for
each oae thousand cubic feet.
GAxAGBS
2.4. For any sach permit for the erection of any noa-fireproof garage�
warehous�,.'factory nr grain elevator, or for ihe exectioa of any non-fireproof
addition, €or-sSmilar occupancy, to any exiating building or for each such
__._._.-.-build,ing .pr_addi�[3on - ninety cents ($0.90) for each one thousand cubic feet
or fraction theseof, in the cubical conteats thereof with a minimum of $4.00.
For the purpose of computing fees for building permits;�the cubical contente
of any buildiug or additian-to a uniform keight thraughout by multiplyin8 the .
ground area covered from a point aix (6) inches below the floor line of the
basement or C.ellhr tw'the average height of Che uppereurface or to the
enerage height of Che r�of aurface of the maia gable of a pitched roof.
2_5. For repaira or alterations to an esiatiag structuze, the fee ahall be
at the rate of $3.00 per each Five Hundred Dollara ($500.00) or fraction
t6erFea£ in ttte c"ast of ali propoaed work.
2.6. 'In �SO ca9e aha11'the fee.charged.for:anp-p&rmiL.aa set forth in
Seotfon 2 be leas,'Eiva',�4.A0.
t �_ � i
#�. �. . �
3oi�s
City of Fridley, Mi�n. N° 8359
�_
: BUILDING PE�MIi
Dab: AU(iUST 13s 1965
t�ez a.�ETIS S. 3T0FF�R8 8��, S�
� 7676 Bacan.grive A. E. A� _
i`rtdlry 32t �tinnesota --^ — —
�.ocAnoN oF Burr�
�, 7676 S� Sacwn Drive A. 8. _-- p� ��
y� 14 __ Slx)c 2 Addittm or sab-Divis[an ._ Meadowmoor Terrace „_
Ctaa�r I.o! —_:.� 7ndde I.ot _. Setback _. $ideyard --
�
�
Foimdatlm Elevation
'�'o te Ussea a.:
D. Garage srmt
Famt
•�
DESCRIPTION OF BUILDlNG
22 �� 22 �t 10 _:.. gq. Ft �� Cu. Ft 4, 840
-- �D�+ --.— I�ht _� Sq. Ft Cw. Ft
Fii. Coat $1.452_OU __ Ta be Campleted -
Ia oaodda�atlm at tl�e fawtance to me ot a Permit to cwna4vct tl�e bullding dcrcrlbed above I agiee W do
�i V�P�4d werk in a000rdaaoe wiffi the dextiption above eet fosfL ` em! ffi oa�apliance wlth a�l p�oHdovs d
adYqmoes �t fLa dt,Y az PYidley. �'�y� �
// !/�A. �CJ'LR�._l � O n i
- T
In eamf3�ia� ot tLe PiY�t of a fee ot i- �� 00 --. Permit L WrebY gi�anted to�Z0III5 R. STCIF�+ERB
to oms4uM the 6�diding � additi� aa deeaibefl above. Thisp��{ t is g'ented nPon
tLe a�lpt�ms caeKllttan that theparaon to w�ham 1t ia 61'ented and h1e age�b. emPloyees and �wrim�, 1n all WoTk
� i4 aeauod a&d� t�an eaid buildinY, �' enY thexot, shall tfamtarm in all respects to tlu a4din�nn� a�
�� � d�' �t%� P�'�t mqY� s at�� �ob viols�t �of � B��'ldaas a[ seid
ALLSA G. JSRSSN Buildin6In�Wr
NG��
�'1W Mi�� :Mr r� aw dw aMnMY�,. LriN�� /« viy, �1�►Y!� #M �w�ip. wrv a wr�r. M Mn fe w
�Ir'��y Ylwr:b wrN► �b ta frw� IUr. � � � .
. � .. � � � � .... '."�/ .
APPLICATIOA FpR BUILDING P&RMIT
CITY OF FRID3,EY� MIt+Il�1BSOTA
OWNER' S DIA1�6
_r---
LOCATION OF BUILDING
N0. , STREET ��� D� /L> PART OF LOT
L�T ��K ADDIITON OR SUBDIVISION
CORNER LOT_�=NSIDE LOT SBTBACR SIDE-YARD
SEWER ELEVATION FOOPDATIOA ELSVATIOft
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on theae Certificates.
T be used as•
vC/� ' �.
DESCRIPTIOR OF BUILDING
�
Sq. Ft."-_.�{�,�Cu. Ft. ,� ���
Front Depth $eight
Sq. Ft. Cu. Ft.
Type of ConatrucCioa � , ,1�� � �
Bstfmated Coat �__
To be completed
The underaigned hereby matces application for a permit far the work herein
specified, agreeing to do a11 work in atrict accordance with the City of
Fridley Ordinances and rulings of the Department of Bu3ldings, and hereby
declares that all the facte and repreaentationa stated in this application
are true and correct,
�//J ��
/ �� �o C ST!!
(Schedule of
Costs can be found on the Reverse Side),
� � ��
�J �
•
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C�7
BUILDING:PERMIT FES SGgIEDDLE
Sg�� 2. The Inapector af Buildinga shall, before iaeuing any pexmit for
the erection of any building ar e'truci�xe; or for any addition to any exieting
building or etructure, or for any alterationa or repaira to any esiatiug.
building ar structure, upon application therefore, require the payment by the
applicant_for such.Pezmit of fe�a'to`the amouat heteia h�low aet forth aed in
the manner herein provided.to-wit;
2.1. For anq such permit for the erection of any fire-proof building,
othe= than a garage, warehouse, factory or grain elevatar, or for the erection
of any fire-proof addition� for aimilar xcupancy, to any eaiating buildiag,
'shall-be at the raEe of $i.40 for each one xhousand cubic feet,.os fraction
thereof, in auch cubical contants.
2,2 gor any such pgrmit for the erection,.of any fi;e+proof garaSe,
warehause, factory or grain eievatar;-or for the erectfon of any fire-proof
addition, for similar.ocaupsncy�;to.BnY,exiating building ehall be at tha.
raCe-of-$1.25 for each one thousaud'cubic feet, claseiffed as "fireproof"
by Saction S02 of the Minneapoli,s.Bu�lding Code. ,
HOIISBS
2,3. For any such permit;far the erectian,o£ an� non-fireproof
building, other than a garage, warehouse, factoiy ar grain elevator, or
any non-fireproof addition, far similar occupancy, to any existiag building -
permit $1.00 for each one thousand cubic feet.
GARAGES ' _ _
2;4, gor ady euch pesmtt for the erectiat of anq non-ffreproof garage,
warehwse, factory or grain elavator� or for the erection of any non-fire-proof
additiaa; for similer occupancy, to atry-eaisting buiid3� or for each euch
building or addition.- ninetg centa_($0.90) for each one thoueand cubic feet
or frsction thereof, in the cvblcal cvntents thereof with the minimum of $4.00.
For the pnrpose of computing feee for buildiag permite, the cnbfcal contenta
of any building or addition to a uaiform height throughout by multiplying the
grouu� area covered from a point-six (6) tnches below the ftoar iine'of the
baeement or cellar to the average h2ight of the upper surface or to the average
height of the roof surface Qf the-main gable of a pitched toof.: .
2.5. For repairs or,alterationa to an exiating atructure; the fee aha11
be at the rate of $3.QO per eBCTti Five fi^l:�Zred Do2lara ($SOO.G�) or fracEion
thereof in t6e coat of all proposed work.
2.6. In no case ehall the fee charged for any pe:mit as eet forth in
Section.2 be.leea than $4,00.- , - _ ` -
STORM &EPAIR DAMAGE ??BSS:
Residentlal•
Commercial;
__�
Eetimated Coat of work up to $500.00 -$5.00
Eatimated Cost of work over $5`30.Q0 -$iU.00
Estisata � et of wor.k up�# a-'�?�7=00 -$1 =
Satimate�st of work over $500.00 - $2 '"-
#
1= � �- -�
Morrrx / — i � .. 6 �
DATE
DAY
CO CT ALIrTIl+� INSPECTION & ADDRESS �
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```.� a �. �.1�-1N�ECIleN sE,0. :: �
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�� 9� ��C�' -F±HCLEY ��. �$�� HUNBER . fiEV �� QJ�Tt _�. P0.UE S3G APPROYE09Y �_
:� � ,. ��,., �. ' 910-F15 . : 3 2� 77 �- f -
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{gE; TRACT�Wipt7pIT10N - � � � ��
�... �„ .., '�' � � �" :-" i�. �— ,. � �$C�O�IVAR70i � Y�TTiC6 � . . �� . SHEETTAGNEb� � ��
B?fi �r � ` iU1L ADOW6S5 - � ' : � ry . . . py� {,� �._�
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. �''���d�� ' �+�F�k9Y1REflS. - . . -� ZIP .. . PH6NE �� � LICEN$ENO
� � K��g�.. ..���ZIP �:� PWONE � ltC,ENSENO.
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���' ';� :., p F4EW ❑ aBDI710N .: �} ALT�ftATiQN �' -O REPAIF p�-�� MOYE .: � REfdfOVE
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: HFATitiG PLU�ABING !4� SlC�NS.
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€C'.i�AMITfiAR�REQUIREQ'fOflELECfRI{�j4L.PtkfNBING,HEATING..T�'��`'���. �CUPANCYOROUR :OCCUpANC'fL6AD�
�t3 AR kNC`4Y1kDIli4N1N6: . . .. . . . .
ll�fii S$CQMES MUE.i; ANO VpID.l� WQ}tK'OW CO%STFWC710N ��. gp�.Fi .CU:fT
�(//$ W�Y Cq6ifq�plEEp� �'fMIFf HO pJ4Y6, OR IF [�NSTRUCTION . .
�''� ��HP-��� �' ' Hb1AN@.45FFED fDR A� PER16tl OF 13b DAYS AT' . . . �..
L,T�TEI�-INCIAICIS C6MItEp��,¢ , � � _�y. .p�y��. � OkFSTREET PARkING
E-�Y �T� �, FlLsYI NE� AND £XAMINf4 TMI$ APP�ICATION ; STr11.tS � GARAGES �
'}�C;i�$1�E`,`F�Q�f�,ETAUEANL#,Y,rpAR6�7�A�LPROVISpNSOFLAWS. �yqLUFTWtt �� Ui27A% ' �
��.�y�paida rr�s.ti'r� v� wo�x'v�� ee eoMViiEO �� � �
$PEL`IFlfiONEPEINQ@-p�yF,THE��i�/�N71N0OF.APER6fIT� � �iQ�� �� ��..DO�.
�%�FfJIlE TO� 61VE A�Jttit�Nf4'1� Tp y,!1QpATE Oq CANCEL THE .pERMtTFEE .� SACCItt+RGE��'
QF r�7Y. OTN@R<&�7k'�(e,.#�$ LQi�Ai��7:�AN REGUkA71N0 COtd- .
$i'-'�AR-TFFE >ENFORA4Xf��b £t1N8��7tJCUON,- � � � �.IZ�(,�`> ti � �
° � � ���P� TOtACf�'E�
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-... ... "$13A0
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dll.iT.`ia°�ii�=.�ri ""i:rkr.::�ud �' ' 'L��
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CITY OF
FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
�NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) .
p�gR: BUZLDER: �-�� �•
Address: Address:
Tel. No. e�% j{y��_�1 n
No.: �[p 7 �
I,OT: /�/
CORNER LOT: v
BIACK: .Z ADDITION:� ���_,l.��GA/�
INSIDE IQT: S;sTBAQC: SIDEYARDS:
Applicaht attach to this form 'iWO Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
Zb Be Used As:
� ti,� Fmnt: Depth: 8eight:
Square Feet: Cubic Feet:
Front:
Depth:
Height:
Square Feet: C.libic Feet:-
Type of Construction: Estimated Cost: $�- �,.�
7b Be Completed: �
/A].t. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
� (SEE�REVERSE SIDE OF SHEET)
lgse undersigned hereby 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 Depar of Buildings, and hereby
declares that all the facts and representa ons stated in this application
are true and correct. See reverse side f r ditional i,r�ormation.
f/
DATB: 3 - Z.3 -� / SIGNATURE:
Stipulations:
/(�,"•�
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r �
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector pf Buildings shall, before issuing pexmits for the erection
of any bvilding 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 pexmit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
NEW CONSTRUCTI�N: Single Eamily Homes and Garages: $4.00/1,000 cubic feet..
PLAN CHECK: 25 percent of building permit fee.
DRIVEWAY.DEPRESSION: (Concrete Curb �Streets Only) � � �
Al.ternate Ar Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x$11.75
Alternate 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$15.�'
�:11 i � 1 �i.' �\
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 of the basement or the cellar to the
average heights of the upper surface or to the average height of the mof surface
of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 ger each five hundred dollars {$500.00) or fraction thereof in the cost
of all proposed work.
� .
In no rase shall the fea charqed for any perntit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge.
.: �� � �.11: �\
NOTE: Permits for construction will be issued a minim� of 24 hours-from the time
of application to allow for proper review of the proposed structu,re and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
C ` • �1
Application for a Certi£icate 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 used or occupied until a Certificate of Occupancy has
been issued. -
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MSMORANDUM
Tp; John Flora, Public Works Director
Fl�I: Paul Lawrence, Public Works Suparirttendent
�g; Ja7uiaxy 15, 1993
g�; Hmoeowner at 7676 Baoon D�ive
Ken azrl I met with Nfrs. JaworsKi *�,�•3ir�r the s�ow aocw�ulation along her
driveway. In our �ini�, Mrs. Jaworski didn't have any more snow in fx�t of
her driveway tl�an other properties � the street. Mrs. Jaworski's drivewaY,
however, is nearly twioe as wide as the other driveways, causin5 her to have a
lor�gex area to clear.
Ken Hol�tYnm will review plowing prooed�es with the opexator assigned to this
mute to see if a different pxooedure will cause less snow to 1�e deposited in
the area of Mrs. Jaworski's driveway.
Ken and i k�ve no ]�rowledge of the Public Works D�artinent PlowincJ he�' d�'iveway
in the past. She didn't menti� it d�sing my visit to her residence.
�
City af Fridley
� �T TNE TOP OF TME 7WIN5
COMMUNITY DE�ELOGMENT DIV.
� � �� PAOTEC7IVE INSPECTiON SEC.
� �""1 � . CITY NAIL FPID�Ev 35�7t
� � �'' 612-571-3450
10@� AOliRE35�
f LEGAL �
DEBGP.
t PROVERTYC
5
MAIL
BUILDJNG PERMIT
9t0-Ft5
21/98 � �
/
GMONE
28346
T NO.
l00
�ROrEO !r
SEEA7TACMED
SNEET
NO
❑ NEW ❑ ADDITION ❑ ALTERATION ¢� REPAIR ❑ MOVE ❑ REMOVE
9 C11AN(� Of USE FROM
STIPULATIONS
Underlayment must comply with the State Building Code.
� �� TYpEOFC
$EPAHATE PERMIT$ ANE PEOUIREO FOR ELECTRICAI, PLUMBING. HEATIN6.
VENTILIIT�NG ON AIR CONOIiIONING.
TNIS PENMIT BECOMES NUIL 4NO�.�OID IF WORK OR CON3TFUCiION 20NING
AUTMORiZED IS NOT COMMENCED WITMIN 60 DA�S, OR IF CONSTRUCTION
OR WORK IS SUSPENOED Oil-ABANDONEO FOR A PERIOD OF 120 DAYS �T
ANY TIME AFTER WORI( IS COMMENCEO. NO. DW4G
1 MENEBV CEFTIFY TNAT I XAYE AEAO �ND EXAM�NED TNIS APGLICATIpN
RNO KNOW iME SAME TO BE TRUE ANDCONRECT. AlL PROVISIONS OF LAWS yp�VAT101
RND ORpIN�NCES GOVERNINO TM16 T�PE OF WOFK WIIL BE COMP�IED @
WITM WMETNEA SPEGRIED MBREIN OR NOT. THE GA4NTING Oi A VERMIT WZ22$
DOES NOT:PRESUME TO GIVE AUiMONiTY -VIOUTE OR CANCEL 7ME� pERMITFE'
PAQ��S�ON$:OF ANY 07XEp T�7E OA LO � I�LAW FEGUUTING CON�
STR�TICjN-OR TAUCTION $74.75
�/J� � f a X P�AN CMEI
G�/ih��'" 1_ U • � � � • a,.,.....
SO.FT LU.FT.
OFFSTREET PARNING
57A1L5 GnRAGES
$UATA%
$1.11
SACGNARGE
Fire SC $2.23
�OTaLFEE
i. $83.09
RLIOATED TNIS IS YOUA PEA�
"�� �.1_i�
NEw
ADDN
ALTER
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ConstrucrionAddress:
Legal Description: �.s�
Owner Name & Address:
CITY OF FRIDLEY
SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Tel. #
Effective 1/1/98
�P
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1
Contractor. (�h� 1C, �,.,,.;ok,.� ej�s� (1�,,�� � MNI.ICENSEfI v�2p/,,�7pq
Address: � 3 W� ! y �r'� �„e �� u �, Tel. #$�z - 21 S�,
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECB AREA:
O�'HER:
I.ength
Length
Length
DESCRIPTION OF Il�IPROVEMENT
Width
Width
Width
Height
Height
e`
Sq. Ft.
Sq. Ft.
Sq. Ft.
�}, v_ " " ���g
Construction Type: �'P,N.r �r}} o,{� tt-r_rde 'h Fstimated Cost: $ e-���
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
DATE: � o s,
Permit Fee
Fire Surcharge
State Surcharge
SAC Chazge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STII�ULATIONS':
$ , SJ
$�2�
$ l, l/
$
$ ,UO
$
$
$
$ 83. 0
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
e
Tel. M� 0 L- Z't Sso
$.50/$1,000 Valuation
$1000 per 5AC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Pian Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
�_ _z-,
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 existing building or
structure, upon application therefore, require the payment by the appiicant for such permit of fees to the amount
herein below set forth and in the manner herein provided ta-wie: ''
TOTAL VALUE FEES „� _ . / �
$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
$�1�(Mininiuin Eee }s�$21 pins surcha�ge) .;. '
a ,
$21 for first $500 plus $2.79 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 including $25,000
$349.75 for first $25,000 plus $9.00 for each addiuonal $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,U00
$887.25 for first $100,000 plus $S.OQ for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the £rst $SOOj00d plus $4.25 for each additional
$i3OQU or fqaction�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 Streeu Only)
Altemate "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 install 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 minimum of 24 hours from the time of application to allow for proper
review of the proposed suucture 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.