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AF-COS - 36126� - �_ < p� � �.. �a�� .�� _ � � �� , �� , � � - � ' ?;kri � �'�*-,�:`"�`�-- �.: � �,� � � � � � ��,: � ► : , �� arr�.��r � :, .. r�.�.++��,y,_ . �w�,: �k� , , ,; . ;r EN��%�F':�NlC, tN�. ;+�b y �a [i"'/ b�,4""°p'w' ,: . , , I , � : . sL6rt t-i6u �^� � --�En9ineers � Surve�y,ncs ��3�+�Gi�! �� ,i�� s: �,k, !�7 MQ�,(ES •;- , _ , . . � ' r'" 4 . . j NORTH �; �: r � 1i6.31 � % , � ,' CC _ . .; C� � �' �_ , , _ �. � � : z � � �, " � Q � � ,� � � � � 5 � �� '� � 3 � LOT 16.� � � �� _ _ �� Il6.3) ( `i � �; : , � �� . ��. �`' ,� � .. _. .. . - . . . . � . F� !!,�7�'+� �,'�"1/ — — — DENUTES !!f/�lTY � G�P✓1//Y�1GE EASf'MENT � ' k �, ��„ � ..B�:ac�.�. /'?�'�Q��o��, : T�A�,� ' � � � ��y'�"Y, ci�' .1,►qAIA ,; � [�irarl� ur�Mrs a o lrw ed amd.,r�rc,w�i/ian �('• airtiy �'Me /ww.lraes 1f'�r +iiar Aen�iwl4wl,�ed `�° ��+�#r'M ,�rsw, r�i�Y�yr1k e+�wrbsN+ft.�iw�t,ji�rr , �s w�'tis�lJ�tniti�6..-.�. �t `°� �('...,..�._._...r �D'Ct�� '', � St/e:i�tsa�r:.. � �:1M�, � �� ,�;�� /'�r . y � _ ' � �� g .��' �/f�.�� . .. . 'i� _ - _ . � •.a�:... x , „ � . , t r ?e � �'&.� . .. . t >. ei. �- . � `� :, . . . �' ' . . ,., y�. .� ..,. , . '�- `;; . . . :. .' � �, , -li. ' - ._ . - -^TM°' #h' � s r,�, . �;:� `•A ... =;R� � ��p�� _ __ _ _ . �.._ n. _;.�.� , . ~ �� City of Fridley, Minn. �,� a 5a 9� � � � . � � � a .. , � �� i , . ,. 1� �,%_ ,.. :e � I LOCATI QF BUILDI G Na�G � s� ��r.�� .: _._._ �� Iat _.._� __ Block��_L_.___.�._.___ Addition or Sub-Divlsion __�[�-. i �> g�-. ! / t� Coneer Lot - Indde Lot �—�......_ Setback .�T tl__.__._ SideYard _...l..� __!�-.c._.-.-- 3ewer Elevatlau ---.�-� �-• .�_._..._._..�._....._--- FoundaUaar IIevatlaa .. � �-�0._ � . �._._.� r DESCRIPTION OF BUILDING u k �t ..�.�. � .�� H��t � �. �./_�� . �.!1� _ {� �ai .,��.---- Depth ��_�. t_._.� 84. Ft. _.__._.._. G�. Fk _._....�_ Type °f C�ahuctt°° ��a�=.�..lt.,�� Fet ca1C �-�,6idRf�-.�Ro be Caxnpleted -__..__.�._._ Ol1TSID€ APPEARANCE OF THIS BUILDIN� MUST BE 0� APPROVED VARIANCE WITH 07HER BUILDINGS 1N Tt�l„ BIOCK, In caodaeration or we �esuenoe to me oe a permic co c�at tlu BmPwed work in accordance with tbe description above aet aadinanoes of the dty of EYidie,v. , �� In ao�deratlon o! the PaYmeat of a fee o! id.�—�-.._..._, BermiY 1n hereby gi�ented to._---- to c�struct the bullding or addidon as deecribed above. 17ila permit is Sranted aPon the exDr�s oonditlaai that thepe� to whom it ia Sranted and his agents, eu�Ployees and �rkmen, in all work �dane in, asamd and up� said bulldinB� or aRV Part thereoP, ahall conform in all rnsPects to the ordinanoes of FrldIeY. Minnesota rn8�6 locatio�, constructiam, alteratiani maittteneace, reP�' and mm'InB of buil� within the dty ]imiffi and t6ia peimit nn4Y be revoked at aqY hnr, ��g�a oE any of the Provlsiona oE said �'�8�. _ :�'�° / l suudins Inspe�k�' NOTICl: 7Y� Pw4 doa aN eewr Na ewuroaMey IynlMtise fer.wldN. P�af� Yr iu�p, rww w waM. h an ts aM IM lsil�eY i�qer� fer wy�e+M P�ih for 16� k�ns. � � � ''� -- =�=1- .,,.� .� . � ��. "�, � � 1 a' � � � � � ,�m e� � � � 0 �` �� v � g� W � . Y �'+' �V�� ..r�E �'3�� I m � A W y � � a w o s � � O � � �0 � � g � u yo�q W q. � .i� .,,�-V d `° .� a ��°� � 3° N � � 6 .� � �b�� S �q� w q w � �� b � e � � � b � � � �� u �� U � � W � � h 3 � 1 � - • • r � 5'JNIN3d0 a �� ,� r� � . � o o a��svm 3 0 0,�,� p, �.. �� sNisve � O �, �. ��oYr� . � �a . snnea �y aoov � .-�t � .. .sy,x�s '1f1110! ��.� � � 'INIYU p7 uvui . �Q E. NsvM �' a91N15 � . :. � tG . �� ` sena �uw ��.� ss3sov . vmvr � N n ^M� : / \ � z Q � 1i 0. � \ � q 0 z � � 7 � � m F c v � a .-: � � � � ❑ U � �w a 'a 3 w o m ° '�m 7. 3 � v � E � o � � H r� o m � I � � � O �� ki N P} � • � � 0 a .� � � oe e F en xr w. rr w m � � N- O �� N O N (�i � . � .� . P'J N: �"OA W X 1! .DC: �% X k j o _ � I I I� I N W � � = °o �C Q � g ro �� .� m V v F �, $ o a� WP"i v�.br . 7L 7. GG � � O 6�i � �' K. � b. m � � x � " CC N Gy p� x� .0 �u � z� z" u 3 z" P z w �� F a � v� ra q' n v�i. o or, M ro x x x z°� I � � °o 0 ro x v � S � � y w x F z w � � �.F., � C C� � � w � � � U « W � � � W a � �i y � & a°�C a � rYii� N �rt �' � (� 8 l� �-� CV I V t�l i� � U L. 3� N tP -%$.��" . . _.s� \l ,� �,}, W � � � 146 Exis+ind� � � Dweilinc� � _ � Z2� w _�__...___ ��l.� 1 �.�_- � 78.U0- _ �,� d�`' `�.- rr. ,'��ker, RA?rsn. Refl. fJa. �J235 �� o�P �� 'a��.�-, �IN . m `v N ea �. City of Fridley p TMC. TOP 0� i�K irflNY cowru�irr oEVnwwcMr orv. M0�[CTrvt wMtCT10N.0{►T. Cm wa� r�up�{r �N{i w-NO-a�so 7677 N. E. Bacon Dri�e D3nid Popp or ��G7C5�0 Building Frame on Date 12-31-71� ald � � , r : — 3 ` a 'MNIYtl wv. � I � I �I�I�I� 3-�- �� .� 5 0 .. .� f� c3 � � '� � � �B � I 53-8L-S-915.51 , � 6 v'�s PLUMBIVr, PERt1IT APPLICATIOiJ l�84-0949 7I3 N{ARQUETTE AVENUE F Res. . 10.00 — -- _-- -- - — - -- _ -- --- ---- Plumbing Fixture Rates: N0. RATE TOTAL Number Fixturea x $2.00 �_ Future Fixturea x $1.50 New Fixture-Old Open. x $1.50 Catch Basfn x $3.25 Water Heater-99,000 B7V x $3.00 Ground Run Old B1dg. x$3.25 Elec. Water Heater x $2.OQ Gas Fitting Fees: lst 3 Fixtures x $2.00 Additional Fixtures x $ ,75 Gas Range-199�000 BT[J 1 x$5.00 Renairs & Alterationa Description• See Code 5.00 � S tate Surcharse �SS •B° &�.charg€� .60F . 50 I TOTAL FEE $ 5.50 !The undereigned hereby makea application for a permit for the work herein apecified� agreeing to do all work in atrict accordance wlth the City Ordinancee and rulin of the Department of Buildingai and hereby declare that a11'the facta and repreeentations etated in thia application are true and correct. �� Bignature MINNFI:AC(:!1 Date , 1 t •�an M � F 0 � � a o �"+ a . " S TK-• ,ef � 6a � 0 A Y� i�* O � � .�y ti3 t�l• � . '` � y Mq � � � � O w � � v . ..�.0 � � .��;:�I,�. .0 � y . .N L•� � V a 4 h ti �V,Fty , °`�CC „x : E l � '� 3 v � � u T u �r w ti- u J b V ~ 1 . `wY.x `o � � " \l ' � p � V 0� `c�`� 1 �t;;�a q .� q q . � �"' �,x q �' � C �o"� A I� k S ° �\ �a �� a:� b u � un�� o � °1 v a ia '��jsq� Cl � N ` �� .� � � ' � � � � � 7 � w . ,a u ,, F` '•' � � q ~ F� . � o N, .�+ U y�� t� o i w � - �. [� %^ � O a � 9 q � � �j Q b F+ � °.� Pi � L a � Q .. � & v x i � '< � i � . _ ' Y � S7ntN].q Sv'� ]oara ' r� ��ev wo •;wlv+� o�� S�+�SY9 _]lvi SNIWU � c � � ` w. o � L . TI � � x � 0. / a z � I L � a � M � �n v w • • � N 7 ° a q U F. .0 3 I " .� z i a � V ' V i t-° w o ❑C M ^ R � o� � n� � L��OI 'OUaJ • » �'� u v.w � d o. �m�« � 'r� t.��: '� b s..�m n v i� { O u�H �� P j� l �iwn l� a — e �. ttnoT� �uvw_ �J : . a qNo�S � ,� vj r� � � � Y .: i. � (q .vl n{ Yt'�... !' � {.�� J � Q w _ U N w '""' LL J � � 4 r � � . . i I Y 1 � � C N� • . . ' • . ♦ . • � t � O � � � °a � a � I a H r � t� p ; , o H N y� y I M w. N �y M N l> .�e $� � NCJ$ N 3� 3 � 31� � Y) N� N. l� V S V) w h N� Ml x x��x x x x M x K x 0 � � z I x . 1 ; . . � . f •- ' • ^ ': • X b 'j . y 25 'a . �. • .� . c �, �q ..• . . �q vj ' C �i � •�'1 • • • Q rW- . � 6� :° o� . d aj t � C� .� . a a � : � � � a v o :� a� „� Y w � d • ; v: bi d�'. C: x v i, r j/. j � m ; j �� . �' w W K y � � 1 L. K q �. .`C M ^ �.H' w. k' t� .. y U.� U w.. '� � t = a� a Y Y � v� U y ? o .n ^ d i4 W�% lJ .�- '!. j,� H'�' t. C'1 � � � � C• . � � � U}� N ' Y ' i�i • � o' � • � � �• 1 s u Y : d� 0 � � a: � f� H y J ��' �C � y � N o� ✓ a �� .�h. � .. .. . � . . .a � � . ,. . .. . ' . � .. sueaect � IT N . � #� Ci�iy of Fridtey 16 4 0� AT ME TOP Of YNE 7WINS � ,e .v }�' BUIL[3�P�� RMIT �E�PTN�: .. ; i __ _ cora�u�uNiTV oEVE�opM$n+7 brv: � - � / .� M^• - .� pROTECTIUE INSPECFIOR SEG�, � . . 13 . � � � /'�'1 � GITY NALL FRiDLEV' ��5$432 NUMBER � � NEY - 9ALE � L -:-. VI.GE ��Of nPPPOVEO BY��• . . i.---� ` '•� 6t2—s�i-3a5o s,o-Fis s12�!&1 / / �os ano��ss 7677 Haaon Df�ive PI.E. � . i LEGRI, LOTNO. .�BIOCK -tfiqCTORADDtTION � . � � .. . �. SEEATTAGHED oescR, 16 1 ° MeadowmeQZ Tertaae sHeei - . � .. �. 2� PAOP TYOWNER. . � M�L:ACti6P655 .�'�... . . ..21P �PHON� � ... .. . � . Deve Pappe = 7677 B�con Drive N.E. 789-3705 3� GOCl7RACTOR � MAIL#bDfiESS � t� �7J.' PHONE � :UCENSENO.- � Sussel Ccmpaay 1850 Ci�o Anenue. St. PauL. D7iJ ' 645-0331 � ,4 RROIif. TQRDE$I(iNEA �iMLADDf1ESS � " �21P PMONE � LIGENSENO. � � 5 �ENQiNEER ' � � � � MkILADDRESS � � . - -.'ZIP � �PHONE . UCENSENO.� � � � 6 U9E OF BUILDIN6. . � . . . " . . . . . . , � � , � . .. � �:: RtB81d@Ili-.i.a1 . � � � � .. . . � .. 7 CLA98CF�WORK � . . . ", . � � . ❑ NEW G] � pFiQ�TION ❑ ALTERATIBN� . ❑ flEPAIR ❑ . MOVE � ❑ REMOVE � � R 9 ":t3ESCRIBE WORK .. ��... .. . .. .. � .. � . Construct a 24' x 72' Aetached Gara e - 9 CMANGE OF USE EROM � . � .' . � . TO' . . ' . � � � � � �. '. �.t . . . . . _ �� 'IPULATIONS .. . . . . : � ' . .: � . Provide,a ha�d surface clriveway. Y�ARNI�lG efore rkgting call local uiiliTies T lEPHONE • ELECTRiC - GAS Etc. EQUIRED BY'I.AW SEPERATE PERMIXS RE(��11K�� f�R WIRtl�'. HEATIN6, P1U�18#�S A3�60 SI�. SEPAFUTEPERMITSAftERE�1�1RE¢,i'�iELfETf�AL,PLUM8ING,HEATING, TVpE6pCONST.- �. OCC PANCVGROUP � �OCCUPANCVLOAD � .. YENTILATING OR AIP CONDITION1ti�. - " � _ � TQO�yi� F,Y�e � � � � TNIS PEHMIT BECOMES NUtL. 111�P3 S�{?70 If W¢Et1K Ofl � CQNSTpUCT10N ZpNINp � SO. FT. C0. FL � ANTHOARED 13-NOT COMMENCEO�?dM:N1N 80#Y3„Qp If CQNSTRUCTION � �- � OR WOkK 18 SUSPENOED OFl ABANDF3NED FOR A. VElqO6 Of:t7f! DAV$, AT SZS S�SO� � � ' ANY TIME AFTER WORK IS COMMEN�..`EO. � �� NO OWIO,i-UNY{5 ��.� OFFSTREET PARKING � �. ' � I HERfBY 6ERTIFY TNAT � HAVE�RE*�D AND£XAMINED.THIS�pPPL�CATION L � �SFALlS GARAGES �� AMpNNOWTHESAMET086iFUf�ANOGORR�CT;":+LLPAOVISIONSOFLAW$ yq�UATION � � ` SUR7AX � � � �, ANp pRDINRN6ES (36VERNiNG iHi6 TYPE OF WORK WI�L .BE COMpL1E0.. ' � "� �� . � �:1 WIFN WH�TMER SPEqS1£D HE9EIN 9A NOT, TME 7'xRAN3iNG OF A PERMIT $4� �89. fjD � $Z. �I9 � � � �� q6ES N6i iHESUME TO Si1VE AU'�`H6fiITV 70 VtALATE OR 6ANCEL THE pEPMITF6E. SACCHAiiGE � � PA6YIS10 OF ANY OTMER STAIE OR LOCAI LAW REGUI,AiING CON-� .. . S CT � OR THE P�RFppMANCE Of CONSTRFt�rTt6N . �i`SO.SO �� ' g - PLANEMECKFEE TOTALfEE � ��.�e[oF�can�a•t 1 NA WNERtli $52.99 1 kOPREDAGENT Ion7Ei � :WHEN PflQPERIY VALIDATEQ THIS ISYpUyR� . . ..... ,�:. �- , � "—"Y BUIL�ERi i� g OG iN5 ' . .. . .o . d'�.' . _ _ � . .. - ... � . . OWP1E ADDR TEL CITY OF FRIDLEY • . , ARPI_ICATION FOR RESIDENTIAL BUILDIP�G PERMITS (New, Alterations, Additions, or Rep�s) S�T NQ:?�r STREET: IAT: 8� �� BUILDER: � ADDRES S: TEL N0: � � tion Location � ADDITIO ___ Corner Lot: Inside I.ot: Setback: Sideyards: Applicant attach to this form i�ro Certificates of Survey of lot and proposed building location drawn on certificates to scale. /lA�� DESCRIPTIOIJ OF CONSTRUCTION �D � I Fmnt: �� P�: �� Height: Square Feet: Wbic Feet: Front: Depth: H eight: Square� Feet: GUbic Feet: y9�.� o TyPe of,Construction:•'�� E�timated Cost: S Owi � v Rb Be Cbmpleted: � � Alt. A Alt. B Proposed Drivewax Width If New Opening Is Desired: $ $ ' SEE REVERSE SIDE OF SHEET _ The undes signed hereby makes application for a permit for the �,ork herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, d hereby declares that 11 tl�e fac and xepxesentations stated in this applica i are true and rrect. 1 DATEd � � � � � SIGNAT[II�: ` st�Pu�t�a,�. � �t �f�T` D � 3� � ��.�o P�,e�,�,— - . �. yq �� .�a. Q y� � � � � . � BUILDIWG PERtdIT �[E SCFfCDUtE , SFCTION 2. Tl�e Snspector. ot lluilAing� s•hall, before issuing pezmits for the erection of any building or :�Lructurc, or for any nddi.tion to any existinq building or structure, or for any alt-cration or repairs to•any existing building or sLructurc, upon application L-hcrefore, reguire Lhe payment fiy tlie ap�licanL• for. such germit: of fees to- Lhe amount hcrein below set- fortli and in the mannen c�rein provided to-wzi-: � NTY7 WNSTRUCTION: Single Fami].y IIomes and Garages: $4.00/1,000 cubic feet. PLAN CIiPCY.: 25 percent o£ bui.lding permit fee. DRIV�I�IAY DEPE2L•'SSIOt�: (Concxete_ Curb Streets Only) • Alternat-e A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x Y15,75 1U.ternate 8: Removal and replacement of concrete burb and ,' gutter and install a 3 foot wide approach with �� ' 6 inch deptli; Driveway wi.dth plus 6 feet x 517, 85 �/1 �• �1 Por the purpose of computing iees ior building permits, the cubical contents of any buildzng or addition, is determined by multiplying the ground area covered irom a point six (6) inches below the floor line of the basement or the cel2ar to the average heights of the upper surface or to the average height of the roof suriace of Yhe main qable 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 oi all proposed vro rk. � In no case shal.l the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. ' � � { � ►IS � � NOTE: 1'ermifs :or construct-ion will be issued a miniminn of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the locai•ion of the foundation once it has beeri�ox�stzucted will be reciuired before pr.oceeding with the framing. _C t � � �'� Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy oL- any siructure for c,liich a buildi.ng permit has been assued; and said strncture shall not be used or occupied until a CertiEicate of Occupancy has been S,ssued. � • � . - � � y sa��uu�s ,� �.�.f � NAME �2vc �oPAe ADDRESS '%f2 ? 7 �aco,c, � ciTr P,a/I� LEGAL DESCRIPTION LOT: ' �56 ?q3 o�� b ., ADDITION: � LOT SIZE: _Z�X jzo HOUSE SIZE: I B� Sp. FT. �i'�' � •�- �� DIRECT N PLOT PLAN i �.._ . . �._6-_. . ,:.. _...._... _ r.... _i_.....'_�.. . i;: _; a 'N P H '+ PLOT PLAN � I t -"1 ,� i� `SIAICE � 975 SES�Eli�1�iES � �.,~.� P' x 8" Ridgeboard � ` \ \ k s.. ?,. -i— — Rafre�s 1" x 6" W-Bracing — when applicable per Minn. State Code NOTE: U 2) 31 41 n _ _5 � � 2" x 6" Cross Ties ROOF: GABLE REVERSE GABLE HIP 2�` EAVE OVERHANG � RAKE OVERHANG: SEAL DOWN SHINGLES WITH PLYWOOD OR ASPENITE ROOF SHEATHING AND 16 LB. FELT Roof Sheathing 3/8., 2" x 4" Doub�e Top Plate Roof approved by Minn. State Building Dept. as meeting Minn. State Code Requirements of 30# snow load. Refer to State Building Code Letter Number 35. Trusses set 48" O.C. IGusset - 3/8" Plywood). Intermediate rafters are 2" x 6" 's braced with 2" x 6" collar ties. On 18' and narrower garages, eliminate the W-bracing and collar ties. , Hip roofs consist of 2" x 6" rafters, 2" x 6" cross ties 48" O.C., 2" x 8" hip rafters and no plywood gussets are used. � RAFTERS: -�",x 6" 24" O.0 STUDS: !: 2" x 4" 16" O.C. 24" O.C. WALL SHEATHIN : ._ � �� SIDING: � ` /L'Qr �/y OVERHEAD DOOR HEADER: Dou " '• uelam beam_ x _. Slab on grade construction approved per Minnesota State Code. Refer . to State Building Code Letter Number 11. Seal Down Shingles SLAB: 4" WITH MESH 6" x 6" # 70 Gauge _. \�i 'v 45° / � /� . • _f �; �4• J, 3/4" Cove Trim Fascia 1" x 4" Sub Fascia Soffit 2" x 4" Studs %z" x 7" Anchor Bolt per U.B.G 2" x 4" Treated Bottom Plat� J Grade ��DV�LY CE ��z 5.100HIGNWAV�OISWTN MINNFiONKA. MINNESOTA 55352 SUPVEYlNG 8 ENGiNEERING C0. 81242 12 30 ?J THE SUSSEL COMPANY Lot 16, Block 1, MEADOW F100R TERRACL J08NUMBER SEC/iWPIRN CIIENT LEGAL OESCRIPTION 10/2/81 DATE SURVEYED 10/7/81 DATE DRAFTED Z� SCALEIN FEET PERINCH PROPOSED ELEVATIONS: �ONE _y . ='=1...�-., y FIRST FLOOP TOP OF FOUNDATION GARAGEFLOOR LOWEST FLOOR SANITARY SEWER 3ENCHMARK ELEVATION BENCHMAPN DESCRIPTION STANOARD SYMBOLS "p' Denotes 1/2" ID pipe with plastic plug bearing State Registra�ion No. 9235, set. "o" Uenotes iron monument found. "*" Oenotes cross chiseled in concrete surtace. "882x5" Denotes existing spot elevation measurcd aYthe point marked by "x",in this ca�e, 9825 feet above mean sea level. "982x5" Oenofes proposeC spot eievatlon at ihe point marketl by "x". "—�" Denotes proposed directian of s4orm wa.tEr runoff. CERTIFICATIOM I hereby certify that this plan, survey, report or specification was prepared 6y me an0 that I am a tluly Registered Land Surveyorand Profes� sional Engineer under the lav{; of the State oi / Minnesota ll N '1.. c� BACOf�( CRIVE�_ N Vl ( � '%�.QO ,� �, � i m w � Existind Cwellin� � I22 � 3� I � L � 1, . — 78.00 — N � �\� � R � j ! —� 14.L . I H. Farker, Minn. Reg. No. 9235 �kt/� ��p%� �G�7 � F,e�«.Ey, �f,v. Sue�EC� Ciiy of Fridley A""E'°°°""E'""'"5 gUILDINC PERMIT ��_ COMMUNITY DEVEIOPMENT DIV. PflOTECTNEINSPEC710N SEC. �'°� � GTY MALL FHIDLE� 55/32 euweEa ,�' 612-571-3450 910•F15 �oe nooRess 1 IEGAL � �ESCR 2 PROPERTYC I ARC 5 ENG 8 USE 7 CLAI 9 CHANGEOFUSEFROM O(i ADDITION MAIL ADDRESS MAIL ❑ NEW O ADDITION ❑ ALTEHATION TO ?39%8 pATE V�Gf O� pPPRDVED 0Y 2/16/96 / / SEE4TTACMED SHEET 2�P PHONE 784-3705 Z�P . iHONE LICENSE NO. PHONE LICENSE NO REPAiR ❑ MOVE ❑ REMOVE STIPULAT�ONS � XX7{%%X%R Bedroom replacement windows must meet the State Egress Code. Install smoke detectors as per State Building Code. SEPARATE PERMITS AqE REOUIRED FOR ELECTRICAL, P�UMBING, HEATING, VENTILA7ING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION AUTMORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTqUCTION OR WORK IS SUSPENOEO OR ABANDONEO FOR A PERIOD OF 120 DAVS AT ANV 71ME AFTER WORN IS COMMENCED. . 1 HEREBY CERTIFV TMAT 1 MAVE READ AND E%AMINED TMIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND OHDINANLES GOYEHNING THIS TVPE OF WORK WILL BE COMPLIED WITN WNETHER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME TO GIVE AUTMORITY TO VIOLATE OH CANCEL 7HE PNOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- `STRUCTI�! OR THE PEijFORMANCE OF CONSTRUCTION. AGENT �WTE� R'?�,. � i ISTALLS _UATION $5,500 iM1T FEE �L12.25 1N CMECN FEE License SC $5.00 / ...:,,W,HEM. PApPER VAL CU FT. $1.38 IACCHARGE Fire SC $5.50 OTALFEE $124.13 I3EW ADDN ALTER ll [I n GonstructionAddress: Lega1 Description: Owner Name & Address: CITY OF FR[DLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 suilding Permit Application Effective 8/1/95 , d�i Tei. � 7� y-37o�_ conua�tor: `t2 e�e�� t b a e,�e �� _ MN LICEIVSE N 2o v �(O �3 c� Address: f�U �l�h 14U . Jli . I�s u(Jar� Mv� SS�o � Tel. �t Li3W -SIJ� Attach w this application, a Certificate of Survey of the lot, wittr the proposed conctruction drawn on it to scale. DESCRiPTION OF IMPROVEMENT LIVING AREA: Length Width Height — GARAGE AREA: Length Width Height _ DECK AREA: Length Width HgUCrround OTHER: Corner Lot [ ) Inside Lot [ ] Type of Construction: Approx. Complefion Date: Ft. Yd Setback Sq. Ft. Sq. Ft. Sq. Ft. wi 4� � Side Yard Setbacks Estimated C�t: $ SD � � (Cost on Back) he.� � - I Driveway Curb C�t Width Needed: _Ft. + 6 Ft = Ft x$ _$ DATE: _'� /(�p � q(� AppLICANT: t� t /� . J.t �..-�_ Te�. u Z-7c� ^ U S Z� —T—� Permit Fee Fire Surcharge State Surcharge SAC Charge Licetuse Surc6atge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATI�IVS: � ��. oZJ .SSZ� $ .� / „3�° $ $ S. Od 1 .I Fce Schedule on Reverse Side .001 of Permit Va[uation (1/i(kh�-%y�) $.50/51,000 Valuation /• `�Oo1ff� $850 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $ $450.00 Coaservation Plan Review $ Fee Determined by Engineesing $ Agreement Necessazy ( ] Not Necessary [ ) $ /�2y. �.3 � W BI3ILDING PERMIT FHE SCHEDULE The Chief Building Official st�all, before issuing permits for the erection of any building or structure, or for any addition to anp existing building or stcucture, or for any alteration or repair to any existing buitding 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 providui to-wit:' TOTAL VALUE $1 to $500 5501 to 52,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,OOO,a(l0 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) S2i far first $500 plus $2.75 for each additional $100 or fra�on thereof, to and including 52,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or frac6on thereof, to and including $25,000 $349.75 fcx first $25,000 plus S9.0t1 for each additionat $1,Q00 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 first $100,000 plas $5.00 for eaeh additional $1,000 or fiacdon thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additioaal $1,000 or fraction 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 Streets Only) Alternate "A": Removal and replaceme� of curb and gotter only'- Driveway width plus b feet times $13.50. Alteinate "B": Removal and replacement of curb and gutter and instali a 3 foot wide approach with 6 inch depth - Driveway width plus 6 fe� times $15.75. VERIFICATION OF FOUNDATION permits for consdvction wili be issuetl a minunum of ?A hours from the time of application to allow for proper ' review of the proposed shucture and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been conshvcted wi11 be required before proceeding with trie framing. � _:� I SuBJELi City of Fridley AT TME TOP OF THE TWINS BUILDING PERMIT ` 25800 ' COMMUNITV DEVELOPMENT DIV. �v-- r � PROTECTIVE INSPEC710N SEC. 1 ' L.. -� �"' �� CItY MALL FRIDLE� 55134 NUMBER nEv i 612-571-3460 s�aF�e J08 ADDRESS 7677 Bacon Drive NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. IG 1 Meadowmoor Terrace e Dan/Kim Hickle 7677 Bacon Drive NE Same �ooness fE V�GE Of ,1ppR0� /� � 2/12/98 � � SEEnTT�CMED SHEET 11P PXONE 783-9704 PMONE UCENSE Residential OF WORK ❑ NEW ❑ ADDITION �7 ALTERATION ❑ REPAIF ❑ MOVE O REMOVE Install a basement egress window; finish basement UFUSEFHOM STIPULATIONS See notations on plan. TO SEPARATE PERMITS ARE REOUIREO FOR ELECTHICAL, PLUMBING. NEATING. YENTILqTING OR AIp CONDITIONING. TMIS PERMIT BECOMES NULL AND VOID If WORN OR CONSTRUCTION AUTMORIZED IS NOT COMMENCED WI7NIN 8� DAVS, OR IF CONSTflUCTION OP WORK IS SUSP€NDED OF ABRNDONEO FOR A PERIO� OF 120 OAVS AT ANV TIME AFTER WOqK IS COMMENCEO. 1 HEREBV CERTIFY TNAT 1 HAVE READ AND EXAMINED TMIS APPIICATION 4NONNOWTHESAMETOBETRUEANDCORNECT.ALLPROVISIONSOFLAW$ AND ORDINANCES GOVERNING THIS TYPE OF WOPK WILL BE COMP�IED WITM W�{ETNER SPECIFIED HEREIN OR N07. TNE GRANTING OF A PERMIT DOES NOT PRESIIME TO GIVE AUTMORITV TO VIOLATE OR C.4NCEl THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE CERFORMANCE OF CONSTRUCTION. � �� -/�-.�� oo '7G ?') .Sa.cm ��. %I,�. ��,,,,,,�) City of Fridi �°'"� +� qJ3TpERR IELEIDT aE+ OPERa TliflO( OC DI�IIER: 1 DNTE: iZ/29/98 00 AECfIPT: OOp8575 OESCRIPTION QTY WIOIAlT TP TN � IN�S-BUILDIN6 1 ffI.0�0 SU p�t FItE S1t�WR6E F 1 t2, Sp F5 q( 11�BI7� q�5 fOR BD2SBB0 nn eaca dnu� r� 't�:`�r�� a . ror� t�ta� �.� .�r....a A _ .. . 1 ISTqLLS IATION �S6P S3,000 $74.75 �� OFFSTREET PAqNING IGAHAGES SURTA% ,i{$� $1.50 SACCMARGE Fi SC �{$¢ $3.00 T FEE �zuee ��9.Zs D THIS IS VOUR PERMIT � �1 /w G�1S NEW ADDN ALTER Il [l [� I.egal Description: CTTY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ? �i '��e Owner Nazne & Address: ,� � J,n d-. �'C, ,CY� (-� ; ('� ��((� ��,7 Z �°�D"L�rTe ��' Conuactor: �(� (�: _ p � � ",N (' MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Effective 1/i/98 �h� �� -970 �/ Length �'3 Width � a Height � Sq. Ft. �� Length Width Height Sq. Ft. Length,_ Width HgdGmund _ Sq. F[. Construction Type: Estimated Cost: $ ,�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: _Ft. + 6 Ft =_Ft x$ _$ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License $urcharge Driveway Escrow Erosion Conuol Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: CITY USE ONLY Tel. � $ /� Fee Schedule on Reverse Side $ , � .001 of Permit Valuation (i/lOth%) $ , �� $.50/$1,000 Valuation $ $1000 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ 22, �' �� ., < > BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any buiiding or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structwre, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth arni 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,OOl to $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 including $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 first $100,000 plus $S.00 for each additional $1,000 or fracrion thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 pius $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Sueets 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 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 structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundadon once it has it has been constructed will be required Uefore proceeding with the framing. r-- `;, �,� �'! : y � .. � �. , _�.a � . . �.. .. . I .. _ .... . U� . . . � . � � . . . � �� %��` ._._ _ .... .. . . . . _ _ . . ----. _ _ ... . _._--- .--_._. ._ . _ . _ . . _. _...._ _ ._._.___ . .. _ . .. _ ..___s -G^�R'`%�M_ � .... . . _ _ . . . ___.. ...__.'. _..__ . _'_...__ . � � . . .. . _. _. ��___ _.. ._. . .. . . .t/ .__. ____. _ .__.._.�. 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L7=�Y - --- - - �,- -- - ___ _- - - -- _ _ ___ � _ _ _ _ _ _ _- ---- - -- . ---------- _ ---- __ __ __ --- __ , - __ ____ __ _ -- � _ _ ----- - -- �S x � � v �,• _ _ - - -- ---- _ _ - --- _ _ s ��y p a _ _ .. _ 7!�`^zi.yJ . _ _ .... _ i n rn W T N C N 7 � 1 � m w H � � W a � Z F LL 6 � � < � Z m � � J a ¢ 0 LL 2 O F U J a a J 0 z O F w' : � W Z' Z . �j 6 � 7 0 � � LL j � � O � m m � ( W V N U � � uni � � m O � 0� � C .-. m N ' m m C�l � a w O V L `�..� 3 � � V v � V � m .L_. � � O � y U � L � U C E 3 � 10 a c a°i ' Q w a m I a �, o` `o � t6 C U � O O W t 'm ori � 'p U U '_ � '_ Q � R Q a c c m � Y O m Y O j « W 3 p � � � � � . �, p C � m�O�� .� � o � � L p� m C ) -p C m O � m 'm £ Q � m i '-y W N m m W m c m c Q- � � � m � m m a v � F�- m N� � � V � � O z f- � Q W a a w 0 u�i - U � �p m � � v E m W � � V _1^ `� ' O z w . F r z a a � O U � Z m � � J a O ' l I I I I I I I I I I I 0 0 0 0 0 0 0 0 0�0 0 0 0 W o 0 0 0 0 0 0 o p o 0 0 0 F � v vi r r: r� r� o�. o 0 o ui � � � � � � � � � � � � w - � O z vi w � w S H x LL � z m � � J a �. I I I I I I I I(� I Z W } v m m m � � Y q V j ¢ LL C '- t6 p_ m W m m B W a W� m z m � � � W � � � y � m m�C � C J'� C m N t + a m ��C C. m fA p� U� 40 �t m r ji �' 0 0 m?� ��= 2 m� LL m � 3 U C E m O m�� Y T � O ' "N 0 �'0 V I- m zommci¢ �'n333c7c�m m W Z � N � Z O F ¢ w J Q .� � � Z Q Q .� y a ¢ Q = w ° o m o � � O O � � LL � Z O LL ¢ d � � W � � � o N O �C � a ' m � 0 � C � m 0 0 c I L O1 � 0 Q m N O � Q ¢ o � N � � w w � LL � t ~ U � t�n T��a � w _ U Z a � � W N � � � � z � d i � w m H O Z Q a v 0 N Z O H U w � U � � � w a 0 w O > Q a w m J Q 2 � Q a z O F y � � � U # Building Inspections 763-572-3604 763-502-4977 FAX if7'EADDRESS • THIS APPUCANT IS: TENANT ❑ OWNER CONTRACTOR I auDa� SUBMIT A COPY OF pHONE YOUR STATE LICENSE STATE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY E-MNL PROPERTY TYPE I O SMGLE FAMfLYMEW CONSTRl1CT[ON ❑ TWO FAMILY/NEW CONSTRUCfION ❑ BASEMENT FIN[SH � ❑ ROOF � DECK ❑ SIDMG OF WORK: I 0 NEW HOME CONSIRUCTfON ❑ ADDITION ❑ MAINTENANCFlREPAIR ❑ REMODELMG DESCRIBE WORK BEMG ROOFING /L% R , NUMBER OF SQUARES � �� 5 � GARAGES PROP0.SED SiZE: PROPOSEDF�IGHT: - ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATlACHED GARAGE ❑ DEfACHED GARAGH EXP DATE ❑ DRAIN T1LE ❑ OTHER Permit No. � � ` Q� Received By Date Rec'd: cFj"o�—� ATE %�'�LIP.r�S� BASEMENT REMODELMG SUBMIT' I. Existing Floor Plan 2. Proposed floor pl� 3. List of swaural members w be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, O Yinyl � � . OSoffit ADDITIONS. @ PORCHES SUBMIT� p p�� p T�m �� t. Site Plan/Survry showing the exisung sWCNres � �� ❑ Fascia and proposed project � � 2. Two sefs of constnic[ion plans N'IND�WS 3. Energy Calculazions . � IN EXISTMG OPENINGS DYes ONo IACATION OF WfNDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF � OPENING CHANGES & � TYPE OF WMDOW TO BE MSTALLED NUhffiEROF WINDOWS � � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: � �� [J SING THE 1997 UBC FEE SCAEDULE) 'OTAL JOB VALUATION S�( ) OCCUPANCY TYPE Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Fscrow Erosion Control Park Fee Sewer Main Chazge $ $ S S .n S S $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 55.00 (State Licensed Residential Contractors) 51825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ 5450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks oavable to: Citv of Fridlev Attach TH[S IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I haeby epply for a building pe�mit and 1 aclmowledge that the information above is complete and accurate; ihaz tlie work wiil be in confortnance with the ordinanca and codes of ffie City of fridley and wiUi the Minne.wta Construction Codes; thet 1 understand this is not a permit but only an applicazion for a pertnit and work is not ro stsrt without a permit on site; tha[ the wor�ivi{�be in accordan�ith�t e�p��n the case of all work which requires review and approvai of plans., SIGNATURE OF APPROVED BY ,,�« �� Page 2- Building Residential Application BUILDING PERNIIT 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 - applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed shucture and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses OnlY City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 7b3-502-4977