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°AENO,T,E'S /RON — — — DENUTES !lT/VTY � DRA/iYAGE EASEMENT
�OT.,_.j,�„j�'�,()C{��_ �'j�rADOf✓/►�IDOR /�'RRAC,E'
CGl�/�t/TY Qf' AMA�U
� A�ttby w'l�l AV111es a o kw sd amcf �arxnioiian 1('a sr�ry �'Ak i�irirs �('�Mr rdne dw.lyd lo,d, wai
f� ��°���'� �!�`}� +*� mvr<rlrna�fs . if'� y. �Grri �r n�ied Imd As sv�+ryed (� mt hb—_ dMi
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SUdUQ$/�l/ EN6lNEERING, /NC.
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City of Fridley, Mirm.
BUILDING PERMIT
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N° '7248
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�.. �__...__._.___.._..._. _..------
Na �/ p� --...-...., . ..f, � .�V�,p��.V
10-Q.-�-_ 3h+eet .�.C1.-1:� _._.._� •.,�,l. P o! Lot ..._
��` Q` �--V..-._ �
� --�-'� ---- Bl°ek -.-�._�._�.. Addition or Sub-Diviaion . .
'�`���
Coraer I.ot _._.�__..._ Ins[de I,ot _..... �_.__. fletback ��._�__..__ Sideyard _._...y�.Q.....�__.-_.-.--,--
3ewer Elevatlan __._-----_�_._._.._.:.��.-----.-.- Foundation Elevatiaai _ _....---.._..._..----------.._._�
DESCRIPTION OF BUILDING
v r
- F4'a�tt �� DePth �� Height . 9-! /._. S4. F'� S_«..1_�CZ Cu. F�l�Jf�
"__'......— t ----- �Pth __---... �t ___�p.._. Sq. F't _.__.-..._.. Cu. Fk ----�-
ZY'Pe of C�structton _���.�tQ _� Fat Cost�� .-r-��--� To be Completed ------.--°
Ia �ndderation oP tbe lasuen� to me oP a permft to 0
�� th�e dt�y � with the descripti� above
��id�aHm ot the BeYment oP a fee of� �J�} —
S-t`c�.._..__., Bea'mit L haebl' S+'�s�d
[ ag�ee tp do
P+'m'lston� ot
to rnnshvct t6e building or additiaa as deecribed above. This Permit is granted upon
ttie exprnae oonditia� that thepe�y to whom it ia Sranted and his agents. enployees end worlmten, fn all work
�dme fn, aiound and upan aafd Lutliipg, aa� aqt' Part tttereof, shall aonfaim in all respec}s to the ordinencee of
��eY, Minaeaota re8erdinB loCetim, ca�struction, alteratiaq meint�ance. rePaix' and movittg oi �q�
w1� dty limite and this P�mit may be revoked at aqy time upan vlolation of any of the B��'lsiwub � seid
Building InapeMa�
� aanc�
nu. �x ae« �« �.. ir. �., � te. �,
w. aa�y my..w. �. .v..a. r.�x. te. rr.» x.A.. r�ra w r..r.a� ».« er wn... e. ,.�. ro.»
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•: �. � c ;.-; ; . ,APPf.I�ATIO�I: F� Bi1A+DI11G, PEB�lA�' ;; a .
:`�;:;:, , .
;r � ': ,` : CI�Y OF FRIIl�.EY, MIrBi&SQTA. , , . ;
„ ,. [� /''� /_� /�y
�$'S 1� . . . .. . . � : .artnnen \ � Y :.`f ' !J' ' ..�.�.� . .
p., ,.. ,.. .
�$ � _
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. . .-.. , . , .. . � .. . . �. .
� ��LOCATION OF BOIi�;�lb� _.', • . .�
. �o.�� � i �' i.e �..�_Street _ . �a;i .of �qt
�°t.�„� S�ock, .... ,. ' l�u�
,�....,,. , _ , �.,,�,Addi�tiop..or Sabd�vi�iwn. ,:
��9rasr LoC � Inaida Lot Setback � stde trard � �
8BWEB &LE9ATYOli FOfJNUU4TI0di ffi.BVATION
--.�.�:::;�'
yl�l �ap�.pt,e���..�Q yhia�.�otm Tsro Ceatificatea of Sarusy oE �oC-and��opqs�d build-
�_. � � ,.. .. ,
ngy; oca��ou �s3�nti,.Sm ti�ea� :Ceir4if�catee . _
D83CRIPTI� OP BUILDIt�G' ,_
To be ussd a�:
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... _..._ ...,_: — . ii. .:..r.��y„�—F- � w �..a.�,..r �.�; .:c �
.._ , . ,. .. . ... �Q� Etc ,...'. ... ��,;�IQT�-. .�_ ._ .
� � ,� . .. . .. . � .. . . � ` 3 ��I
� Froa►t D�pth Height
� _ . _ . $4. Pt Cu. FG. � i:j
Typ'e of Co�s�ruc2i:aq_' ' j�� ; /� ' ' ,� ,
. �i } � k � � GPi�..�t� 44�t i::
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To be doi�pldted ': , - . _ : ,. . .
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,... , ; ..
The u�dersigae�' he�eby mhicee ' appLicatioa, for a gesm�.p for �t� .. R �
4 vo;k hfrp.�q.9pqcified,
agreeing to do sll vork ia etrict aceoidance witle'�the City of Pridley Ordituuces and
ruliags ef �he,;Depart .t¢�. uf, Byl�diags, aad herapy: dr�elarRS that qll- th fgC4e and
represeritstiond etate�3���hie application are tsroa `
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,,(Scheduls of p$e Coste can be found on the 8averse Side),
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BUII,DING PEItt�IIT F8E SC6EDULE
.
Sectian 2. The Ittspector of Bnildings ahall.'before ieauiag anq per�it for
the erection of enq building or structure, or fos aay addition to any eaiat-
ing building or atructure, or tor any alterations or repairs to any exiating
building or atructure, upon application therefor. require the payment by the
applicant for auch permit of fees to the amount herein below aet forth and
in the manne= herein provided to-wit:
2_1. For any auch permit for the erection o,£ any fire-proof 6uildiag, other
thau�a_.&ara�e� warehouse,.fscttiry or grain.elavstm,-or for-the ereeEion of
any fire-proof addition, for similar occupancy, to any exieting building
eha11 be at the rate of �1.40 for each oae thoueand cubic feet. or fraction
thereof, in such cubical`contenta.
.2`_�.' For snp�#e���il.#Dr �De arection' o£ any-•fisa-proot gN'rage, -�ierehouse,_
factory or grain e evator, or for the erectioa af any fire-proof additinn,
�_�,}ef�nby; co driy �exietitig building-a1ta11 be at the rl�Ee �pf $1.25
for each one thousand cubic feet, claesified as "firapxoof" by Section 502 of
_ ib�. 2ai�ae�8olis Sisilding.. Cnde.
_ _- _ _ fl(NtS
2J3:''Ft� '�y sach'permft for fhe erectfon of any hon-Hre�roof huildiag other
" than a garage, warehouae, factory or gzain elevatdr, or'snq noa-fireproof
additiea, for similsr occupancq, to any exiating bnildiag - permit $1.00 for
each one ehousatui cubic feat.
CARAGES
�?,,�_ For anq auQr�eapit for.tlle p�tion of any non-fireproof garage, -
��houee, £Attur �sia`eleval�t,�or for ehe erectioe-of any uon-firegroaf
additton, €or-sSmila�D occupancy, to any existing building or for each such
�„�.:,,.; -buii.d,ing qt_.addfC�oa' - aiaety-cents. {$4.90)' for each oae thoueand cublc feet
or fraetioa thereof, in the cubical coatents thereof with a minimum of $4.00.-
_. ... ._ _ _ _..._ _.
Pos the purpose of caaputiag feea for building permits, the cubical contents
__4#-_�ny building or additioa ta a uni£orm height tkroughout by �Lrip�ying the
graund area covered from a point cia (6) iachea below the floor liae of.tl3e
_basemept or aell"er to"the average height of the--yppex surffice or to the
average height of the r�of aurface of the maia gable of a pieched roof.
2�5. l�or rapairs or alteratioas to an exiating siructure, the fee ahall be
at the rate of $3.00 per each Pive Flundred Dollare ($50U.00).or fraction
tt�er�of !a Ehe c'oat ei all'pTapoaed work.
2.8: In t+b ease shail�C�re f1�a:-c1�ar8eil:-for-aa5*-'P�'�� �! set forth in
Section 2 be lede' �baa'$&.DIS: ,
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City of Fridley, Minn.
BUILDING PERMIT
May 23, 1967
Dabe: __._.._..-------
�7�7d
�iT� 9269
pW�.; ____ Lawrence Olson__�___ B��r nson.
-.__ �y . mP _.__....._.._........_.._...__._ _ _-----
�a� _.7688 Bacon Drive--------._..._._ Addrnss _._._.7651 Centraj,..�yg.`.1q_ E" -.----
No. ..__7688
�_ 13
Corner Lot
3ewer IIevatlon
LOCATION OF BUILDING
Street .-�---�--Bacon---.._..----------�--...-.... Part oP Lot ..._..-�---...-------
. Block _._...-.-?.--..--..--.—._. Addition or Sub-Division ._._...... Meadowmoor Terrace �—
.__...__ Inaide Lot .._._._..._..--- Setback ---._.._...._.._ Sideyard .........._..._..----.--------- _
Foundatlaa Elevation
DESCRIPTION OF BUILDING
To be Uaed as: Location on permit � 7248
._..Garage _ Fy.�t _.22' _ DePth ...___.?ZHeiabt ..__iQ�_. Sq. Ft. __._ Cu. Ft
__.___-----..__._..._ �nnt -------- �Pth _.._...._._ 8eight —.._..._ Sq. Ft. _...--.._.. (1�. FY.
Type of Conslruction _._Frame_.__...__.--- Est Coat �._�.1500, .
' .---._.._.._.._.... To be Completed _..._.._.._.._.._
In caosideration oP the issuance W me oF a Pennit to caaistruct ihe building deecrfbed above. I agree W do
� P�Poeed work fn accwrdance with the description above aet Porth and in compliance with all provistone oP
ordinenoes oP the cit,y of FYtidley. w I� �/ �/ w� _. � if
In camiderat[� oi the payment of a fee oP $._� 7. 00 . p�.�t ia herelfy 8ra¢ted w_._ ��
�Swenson ta ��� � bufl
t�e exPi'�es condition that the peream W whom it�is gr'snted�and hi deacribed above. Thia Permit is granted uP�
�dane in, around and upon saia building, or anY Part thereof, shall oonto�rm in all�reaePeats t�o ti�ordinan�
W+�F+idlel'. Mlnaeeota reB�B loeation, constructioq ffiteraGari, matntenance, rePau' and mwing of buil'�in�
� city llmits arai this Permft may be rewiced at a4Y time upoa violation of any ot the P�visions ot said
CLARE�S B�[.ISLE Buudine IaePectac
NOTICE: .
1W P�► deu wr eswr dw wrineNa. iphll�Na fm �4iy, p1us66Y. P� hNNny, aw�e � w+l�r. N ww ro w
IM MIW`/ ��Mya ior ap�rah p�ib fa 1Yw IN�r, . .
APPLICATION FOR BUILDING PERMIT
;
CITY OF FRIDLEY, MINNESOTA s
OWNER' S NAME !//�^qy-l-Pirr2P ���tr,/l BUILDER .
anDxESS_ '1l0��� /3eL�� , ADDxESS 96SI— ����,
LOCATION OF BUILDIN6
N0._ 7�p�'� ^ STREET �qrtip-y�_ PART OF LOT .
LOT_ �', BLOCK_ � ADDITION OR SUBDZVISION���
CORNER LOT INSIDE LOT SETBACK
SEWER ELEVATION TOP OF FOOTING
SIDE-YARD
Applicant attach to this form two certificates of survey of lot and proposed
building location drawn on these two certificates.
DESCRIPTION OF BUILDING
To be Used as ; e�� �-►�� �-y . � �% 02 � �
�.�..�
Sq. Ft
Front
Sq. Ft
Type of Conseruc
To Be Completed
. Ft.
Depth Height
Cu. Ft.
Estimated Cost ����-o
The 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 Qrdinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
DATE SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
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BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing permits for the
erertion of any building of structure, or for any addition to any existing
buildi.ng:or structure, or for any alteration or repairs to any existing building
or structure, upon application therefore, require the payment by the applicant
foz such permi[ of fees to the amount herein below set forth and in the manner
herein provided to-wit: �
Uniform Building Code: Type 1,2, & 4- $1.75 for each one thousand cubic feet, or
fraction thereof, in such cubical contents. Type 3& 5-$1.50 for each
one thousand cubic feet.
For the pur�ose of computing fees �for building permits, the cubical contents of
any building or addition to a uniform height throughout by multipluing the ground
area covered from a point six {6) inches below the floor line of the basement or
cellar to the arerage height 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 of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof
in the cost of all proposed work.
In no case shall the fee charged for any permit as set forth in Section 2 be
less than $5.00.
NSSSD Connection Charges based on location- Area 1 or 2.
- � � � � s . �v � . Pt � . .
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a
lOB ADDF
1 LEGAL
OESCR.
i�OR 7NE TWINS
COMMUNITY OEVEIOPMENT DIV.
� Pi1pTECTIVE INSPECTION SEC.
� . WiY HAIL FRIOLE� Cd�32
' 612-571-3450
9 CNANOEOFUSEFROM
STIPULATIONS
MAIL ADONES$
BUILDING PERMIT
910.f15
r��'.�r�
ziv
2$411
�I
SEEATTACNED
SMEET
LICENSE NO
llOt G94R
LICENSE NO.
LICENSE NO
❑ NEW O AODITION ❑ ALTERATION � qEPA1R ❑ MOVE ❑ REMOVE
Underlayment must comply with the State Building Code.
SEPAPA7E PENMITS ARE NEOUIRED FON ELECiRICAL, P�UMBING. HEATIN(3,
VENTI�ATING OR AIR CONDITIONING. �
I TMIS PEHMIT BECOME$ NULL AND VOID IF WORK OR CONSTNUCTION
•UTMONIZED IS NOt COMMENCED NlITMIN 80 DAYS, OR IF CONSTpUCTION
OR WORK IS SUSPEN�ED OF ABANDONEO FON A PERiOp OP 120 DAYS �T
ANY TIME AFTER WORK IS COMMENCED.
I NEFEBY CEHTIFY TNAT I NAVE AEAD AND EXAMINED TXIS APVLIGAiION
AND KNQW TXE SAME TO BE TqUE AND CORRECT. q�� PqOVISION50F LAW$
ANO OH�DINANCES GOVERNING TNIS TYPE OF WpqN WI�� BE COMP�IED
WITM WHE7MEA SPECIFIEO HEAEIN OR NOT. TME GRANTING OF A PENMIT
.DOES NOi iRE$UME TO GIVE AUTMONITY TO VIOLATE OR CANCEL TNk
PROVISIpNS OF ANY OTNEN ST�TE OR LOCAL lAW REGUUTINC CON�
STNUCTION QR TME PEffFONMANCE OF CONSTRUCTION
� aC,-!A �6 -�b �i' �
�Ga�iuAEO�CON'Naf.i n ♦u*�OAi2E0�GEN� iD�iE�
STA��S
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NEW [ �
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ConstructionAddress:
L.egal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
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Effective 1/1/98
Owner Name & AdcJress: �'�;9.bco� (j/,Sp�/ Tel. 1f
Contractor: �Gba � �C �j0 �(lS MN LICENSE #
Address: -��16 �S 1` �,ortiGj� J4 /u� Tel.li "%$ �–l'�i oZ–
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LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of 5urvey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
Length
DESCRIPTION OF IMPROVEMENT
Width
Width
Width
Height _
Height _
HgUGround
Sq. Ft. _
Sq. Ft. _
Sq. Ft. .
r �✓`'Q-�
Construction Type: -�'L�ei�,9 J�f /< r/�po� Estima�ed Cost: $ %��`
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: _Ft. + 6 Ft =_Ft x$.
e
DATE: ''26��$ APPLICANT: Ld� �✓i �t..il� Tel. � � 8 y` /�b�
Permit Fee
Fire Surcharge
Srate Surcharge
SAC Chazge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIF'ULATIONS:
$ �/j, aa
$ /.��
$�—
$ Svo
$
$
$
$ <l� 9a
CTTY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservadon Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
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BUII.DING PERMIT FEE SCHEDULE
The Chief Building O�cial shall, before issuing permits for the erection of any building or suucture, 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 tlie applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,OOl to $25,000
$25,OO1 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
I��xy
$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 pius $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 $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1;600 or fracuon thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
A(ternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Altemate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet tunes $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 constcuction 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.