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AF - 42805r-� ^ City of Fridley, Minn. BUILDING PERMIT � ._ � / �� � , � • � �,-J -S �� 1� �-1�. �"� i. _ S� � � � �� a�� �� N° '7170 xa ,��' � �� s LOCATIO� OP��DING � /D `f t�eet����E��.�L�---�-! � Part o! Lot Lot _.�.._.___ Block � .— Addition or Sub-Mvision _� i�'�. ��' � ,r/ ,._ / Corner Lot _____.__.�._ 7naide Lot _._..__...__._._.._._ S.etback � ... Sideyard .___._�.�G�._�.�.__._.__��_ �_._. __.�......_ Sewer IIevatian ._.._��� _._._.._._ Foundatio�► Elevatio� ._ g� � DESCRIPTION OF BUILDING To veed • ' J� � FY+ont �_.� Depth �� Height � Scl. FL��� Cu. F't�y�SJ �i+on Depth � I� t._....__�dSq. FL � Cu. I+'t. Type of Ca�structi� _...�.. ... �eGQ Es� t ._. _. _. ._ ""-Z'o be Completed _.._.....�.� � � --• - • , �' :iii. . I-t� i-_,.,.. .. .. �;' i�'��_. �iii�i�.i.� �J� �� Li, APPROVED VARIANCE W{iN OTNER BUILDI�dGS IN TI-tIS BLOCK. In oonsideratton of the isstiance to me of a permit to c�struct the building bed abo�ve, I to do t1� propoeed work in accordance with the d�scription above set f ce with all of aa�dinanaes M the dty oY Fridley. In caodderatian oi the paynnent of a fee o! a � -.�./— •, P�t is hereby graated to— to c�struet the building or addition as descrlbed above. Thisp�rmi t is Sranted apon the exPresa oondition that theperson to whom it is granted and his agents, employees and worl�en. in all work done in, arouad snd upan said buildin8� or a�►Y Part thereof, shall oonfo�m in all respects to the ordinances a� Fridley� Minnesota reg locatic�, construction, alteration, maintenanc:e, repair aad movin8 of buildings within the dt,y limits snd� h�s pelmit may be revoiCed at aqv t�e upon viol�liqn of anY ot the P�via�o�a said oadinanoea. �. n /1 / 1 Buildin8 InsPecta� ^ NOTICE iW pwrit dw �of �ewr f6� ee�M�ede�. � f�r �. P�W N� �N. sw�e a wNK. 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Et�i G I NEERI NG, I N C. .�.� Crwl fr Alirurrpol , .Slin[l'd-COdi+ E��� � En rneers �� � Surve ors �� 9 y cest��i�czte o� ��urv'e �•: ��:�rows� �vo C�v�.s T. - � ' �- NOR7''H ;, � CL _ �i � � � Cf� � R OSBOR�1 E RD. o . ,. � �, �..� 9a.31 '�' r�,� - , i , .� . '� � �� . � . , N � � N �� � � ( o? ti 4 a 4� � u6r e LOT 18 :� � l - �� � I � ., `�-}i� �.� � �'� J � � , � .� - � � �L�NOT,ES /RON -� DENUTES lJTIL/lY � OR�J/S%AG'�" EAS�'MENT OT �� B�. DC�= /%EADD1�/I4DR . T RRA`�E � ._. , . . ; :, _ � carl�rr a�- ��r� � ' , /�ionbr� isrtr�y fl�i �'i�S �s o h�t aad aorr=cf npr�eientotarl �'a �"� ��1it �nwlM'i�Ps �'�Me �far �,rd la�d,��d a4t"Xr /aca+l�on a�'er0' t�rN�nqs . Murra, . rr,d �/ rrsid�it a►+�a�earlir►►mis ,�!'wy, �n ar a�d dir�d ats .wr,eyed �!�e lAk�...,....- �iy _ ,�(' ._ �"�r�. _.._ ,: ._ a a r�� 5U6URlgaN Ef�1GW1lfE2J1VG fNG � ;{ , E�.,�r,s � .�•- �r . ,� �- �r,,� ,- ' .SC'AlE � � ,40 � �y—�--f� .. , , . _ �"'� ^ ,:� � � e- � � . , �C " --. _ - , . _;_ . .��,y - - — 0 : � � � � x C a •� � � pq 0 �` a A1 'O Q � � � o � � U � 0 �� � 0. � d � � �4 G+ O o 30 0 � oa � � a �� Q M � z ��' V�� 'r'� M ��� � M O O � 3 � �+ �, � � ��� � w�. � � o ti .G' .� G � � � � '`(�� GLy �� � � 7�7 Y / w,°�.� � a � a � 1 y � �a A O � G � � a y' � a ��� y a �3°� � � � � � � '� � ��.�� ���� o �' N +' �' �, �o�vo � �� �� y Y � ��o� •� � �, w �,b.� a 0 � � �� U uQ,' �0 �d � J _ � ; � � � • z • � S;,1NIN3d0 Sv9 3'JNYL �� '�ddY �� aaHSVM o� SNISYB HJlYJ SNIVila � aoo�� 'SfIMHS '1Nf10� '71NIi10 � .� SAWl ►,svM I � �6571NIS ` ��� � � b seni � O ►uw � sivNinn � � x s�.aso�a • �" aazvM � : d w x Vi Zj 'd W � �+Wi N M d� • 'X' �. � � � � � � o � � � � mg B a �� � V 'I � 0 � a � z � � � a v "' � YY ..�-� v � � � U . b 3 � " � z v H° W O W J � W _ U � W Q � J � � a q � � a � � � pq x � °a � ,� � ao 0 o � F �+s �r ag es v� Esa 4 � N O N O N � .-� ti .-i Lh N M � k iC k DC k k O z � : : � � � O � � � . Ci •N . N 'd Ew., : �g' °O a d M o � � � oC � � : � a � �" �C � •��+i c+�E .�j �+ k � � g � w °�° x � Cy � � = � � z z� z � 3 z 00 � � z w �� o . E w vs tQ � �° �°r; °o pG � �i iC DC k O z : : � O : � o 0 0 0 . k N � � � ° w o �w o; a � M � � N � � � � � � � 0 w trs . � : � : V E+ � ' « : O • ai � 0 � . W o E• � � a u � � O�C A 4 � r, � � � ,� City of Fridley, Minn. BUILDING PERMIT .: �- ���.- . .,. . .. , 1. � _ • � -_ = • , - •,�� � = 1. • • �, � � - LOCATION OF BUILDING Na .._Z.b.i2., Street ��R� iv e N. E. _._._ _._._. Part o! Lot � 18 __ B1ock 1 __._. Additioss or Sub-Div3sian __.�&�°� Terrace Corner Lot _X_._.._..— 7nside Lot —...—. — Setback —. �—_ Sideyard ._._ 3ewer IIevatian .�—.. —._..� Foundatioai IIevation _ DESCRIPTION OF BUILDING �9 �'�y N° 10526 To be Ueed as: _ Garasze _._,_,_ FFr�t ?�' � Depth 26' xeiEht . 10! gq, �, 520' �, �, 5200' _�._.._._._..._......___._.__.. Finnt .� Depth _____._____ Height _.�_...� Sq. Ft. _.._ Cu. I+'t. _ Type of Construction __.. Fx�.—�..�.....— Fs� Cost .�_.�.4,..QQQ...QQ_..__ To be ComPleted _.. T�,. 1970 Provide Hardsurfaced Driveway. Sidewalk Agreement in Building Inspection File. Easement Agreement in Engr. File. In consideratbn of the issuance to me of a pernnit to ca�struct the buildin8 described aboove, I tha Pa'� wa�k in acoordance with the clescr3ption above!\ t f� a�t // plian�e with all S az+ataancea o2 the city o! Frldley. i ) to do � in oauideration at the paym�eat oi a!ee oi; 8. 00 .� p�{t ��by gi�ante�i to Sussel Campany to c�oostruct the buildin8 or additfon as described above. Thisp�i t is 8�� uP� t�te expreos oa�wttiau that theperso� to wh�n tt is sranted ana hfs agenta anp��y� and w.cknae�, tn su wo�lc dpne in� around and upon said buildinS� o�' anY thereof, shall oonto�m ia al1 re�pects to the �� wit�hin the�limib���nd�s Pe'rmit may ���a s�Y �e ���tio�o! any aE p�vidoos a� a�dinanae�. �1/ f ��l / _ 'O �!�-'f�' 11 g�il�aQ Inspactar -Building Official � a... .e1 emne fh. ee�to., ia1.t.lie. t�e �kt� rl�ty. w� I�..WS. ..w.. �e wa1... �. .u�. h... fM MIYi� r�eN� h� � P�e�Yt for 11w� iN�a ., . x:„ . � •_ • - � APPLICATION FOR BUILDING PF�tMIT CITY OF FRIDLEY, MINNESOTA owx� �s x�r� y�b�vA t D A� El...�50/�? �rzLn� 5 t� 5 S� L C� ��ss 7�9�I ���u D� �n�ss l�3 SC� C��`'l � s���t �� LOCATION OF BIIILDING No.7l�1% sTxr�r T3�C�k1 D D LOT � BLOCK / ADDITION OR SUBDIVISION � L� �L`1 C�� ]-� i2, p��-�, CORNIIt LOT ��—INSIDE LOT SETBACK SIDEY�RD SEWII� ELEVATION TOP OF FOOTING Applicant attach to thia form Two Certificates of Survey of Lot and propoeed building location drawn on theee Certifiaatee. DESCRIPTION OF B'{1ILDING To Be IIsed As : p� Q�..'� G''q ��� Front ,�. v Depth 2Sn Height %� Square feet �'`,�. r= Cubic Feet '�� � d� �--- Front Depth Height Squaace feet Cubic Feet Type of Conetruction To Be Completed � timated Coet 4 � The undereigned hereby makes application for a permit for the work herein epecified, sgreeing to do all work in etrict accordance with the City of Fridley Ordinances and rulings of the Department of Buildinge, and hereby declares that all the facte and representatione stated in thie application are true and correct. DATE / Z. / � / � 9 SiGNATURE (Schedule of Fee Coets can be found on the Reverse Side.) NOTE: A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. ����� � . _.��. .� � �� , � �:f� � ! `� � �'� r ,'� ��� � � /'1 �1 _,. � : BIIILDING PgtNIIT FE'E SCI�DIILE SECTION 2. The Inspector of Buildinga shall, before issuing permits for the erection of any building or structure, or for any addition to any axisting atructure or buiZd�.ng,.or for any alteration or repairs to any exiating building or etructure, upo.n application therefore, require the pe,yment by the applicant for such permit of fees to the amount herein below set forth and in the ma.nner herein provided to-wit: Uniform Buildi.ng Code: Type 1, 2, & 4-�1.75 for each one thousand cubic feet, or fraction thereof, in such cubical cxantenta. Type 3& 5- �1.50 for each one thousand cubic feet. For the purpose of computi�rg fees for building permits, the cubical c�ntenta of any 'builcling �a�'�addition to a uniform heig�h�t 'thraughout �by multiplyixig the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average height.of the upper aurface or to the avera.ge hei�ht of the roof surface of the main gable of a pitched roof. For repairs or alterationa to an existing atructure, the fee ehall be at the rate of �3.00 per each five hundred dollaxs (�500.00) or fraction thereof in the cost of all proposed work. In no case ahall the �ee chaxged for any permit as set forth in Section 2 be less than �5.00. NSSSD Connection Chaxges based on location - Area 1 or 2. � � � ♦ i Y _ � � ._� �,a ; �-��-��..,._.,k�...�--�.,...:. __ �.,, ' �... � d � �. '¢f ; r. -�,.,.�:�.;.., . , �<.,.y--, -. � � � � � «� c� � „�� � � � * ; zu^Et"'"��ry� ti�r- ,� a'+ � + _ . . ..avgi � �,�.�e-:-,r�. ��.�a °avat� � .,t` .Y v :.�.-�, r :r;� '��?`� a�'""”' ,� G �ki r ��? 4' � � � � � � � ' pi„ :,:.�# t :' � - '�� .Y ^ ' , "� a .� - � ,�R� , � �.: . -. . ,� � ., . , �,; - � � , ��� � F ��'� " . ,. .. 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G. �: c�R" � �� �...-; , .. / � ��- �- ^-�,�=- r-�S ''�i� �-.-_ _ 4 _. , i SUBJECT � City of Fridley � � � � 6 AT THE TOP OP THE TWINS g U I L D I N G P E R M I T ` r ' ' R NO. � � � • COMMUNITY OEVEIOPMENT OIV. � •V ������, r � � PROTECTIVE INSPECTION SEC. %2S(� � � � .J.�C> ' � �'��/ � CITY HALL FRIDLE� 55<32 NUMBER pEV DATE PAGE UF APPRO�ED B`/ �"'"�'� �'' 612-571-3450 9�0-Ft5 9/1/94 � � JOB AODFESS 7699 Bacon Drive NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. 18 1 Meadowmoor Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE G John Lund 3307 68 Ave N Brooklyn Center 560-319U 3 CONTRACTOR MAIL ADDRESS ZIP PHONE �ICENSE NO Suburban Roofing 13418 Crooked Lake Blvd, Anoka 55304 536-8330 20007847 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO. 5 ENGINEER MAIL ADORESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION �] REPAIR O MOVE O FiEMOVE 8 DESCRIBE WORK Reroof House & Garage (25 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOfCONST. OCCUPANCVGROUP OCCUPANCVIOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTHUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 OAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WOIiK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VAlUAT10N SURTAX AND ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEFEIN OR NOT. THE FANTING OF A PERMIT � 1 a H7S �. 94 OOES NOT PRESUME TO GIVE AUTHORI V TO LATE OR CANCEL THE pEfiM1T FEE SAC CHARGE PROVISION F ANY OTHER ATE LOCA LAW REGULATING cor,- �43.00 Fire SC $1 . HH TRUCT O TH ERFO CE CONST UCTION 9^ � // PLAN CHECK FEE TOTAL FEE 7 L cense SC 00 $50.82 si NATU�7EOFCON O RAUtMORIZE G T IDATEi ROPE V VA ATEO THIS IS UR PERMIT SiGNATUaEOFOWNEF�IFOWNERBUILDERI �DATEI (� IN O�TE�• NEW j] ADDN [J ALTER [ ] Consttuction Address: Legal Description: _ Owner Name & Address: . �, . , . . CITY OF FRiDLEY SINGLE FAMILY �AND DUPLEXES R=1 AND R-2 Building Permit Application ���f ��cOn �/f C�� S� ��, l ���l ����'k��h �P� Effective 1 / i 194 ��3 �� �� # .��D -� � 9 � �ENSE # ��C°.L�7�� 7 °cte1. # _ ,^�? G� � 3 � � Attach to this applicadon, a Certificat� of Survey of the lot, with� pr sed construction drawn on it to scale. . �.C� l� t/ �'5��� /�C7l���r 1 � � �� � � � fD p� ��?�DES�C"RI�I sS 3 � �MENT �. !/�P �v I:IVING AREA: Length .. � Width Height Sc�: Ft. .- GAitAGE AREA: � � Length � • Width Height Sq. Ft. _ DECK AREA: Length Width Hgt/Ground Sq. Ft. _ OTHER: /� P �'O 4� f7o v� �P ��GL ✓� r'i � .�.� sG'i ,�P� r � �� . � � Corner L�j Tnside Lot [ Ft. Yd tback Side Yard Setbacks Type of Construction: P �'�D � Fstimat�d Cost: $ '�f� � Approx. Completion Date: �g?� �`'� (Cost on Back) Driveway Curb Cut Widih Needed: Ft. + t= F x$ =$ DATE: � � ` � 7 APPLICANT: Tel. #_,���o �"��Q Permit Fee Fire Surchazge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � _M _ ��_ $ � C�� Fce Schedule on Reverse Side $ /. -�� .001 of Permit Valuation (1 / l Oth %) $ --`� $.50/$1,000 Valuation $ $800 per SAC Unit $ .� � U � $5.00 (State Licensed Residendal Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ) Not Necessary ( ) �Z� . f3,� .� _ $ _..._� � ,. �� 13U[LI�[NG PfiRMIT FEE SCfiEDULE "1'hc Cl�ict (3ui(din� Ui�ticiat shall, tx:fore issuing permits for the erc:ctic�n of� any building or siruccure, or for any adclition [c� <iny cxi�ling buildint; or structurc, or for any altcration or rcpair to any cxisLin�; l�uilding or StruCLure, u�n ar���(ication therefoTe, require the payment by ihe ap�licant for such permit of iccs tc> tt�c amount hcran bclo�v tct f�►�th and in tltc i�ianncn c�rcin Provicic.-ci to-wi(: "fO"I�A[_ VALUt: $1 to $50(} $SO1 - . . .to $2,000 $2,001. to $25,000 $25,001 to $50,000 - - $50,001 to $lOQ,000 $100,001 to $500,000 $SOO,OOi to $1,000,000 � I�I;t;S $IS (Minin�um Fce is $1�5 plus surcharge) $15 for first $Spp � p(us $2 for each additionai $ i00 or fraction thereof, to and including $2,000 $45 for filst $Z,ppp pivs $9 for each additioaal $1;000 or fraction thereof, to and including $25,000 � $252 for first $ZS,ppp p(us $6.50 for each additional $1;00Q or fraction thereof, to_ and including $50,000 $414_50 for first $50,000 plus $4_50 for each additional $1,000 or frac6ton thereof, to and including $i00,000 $639_SO for f-ust •$100,000 plus� $3_SO for each additional� $i,000 or fracbion ihereof, to and including .$S(�,000 $2039.50 for die f�rst $SOp,ppp pins $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,Opp,ppp plus $2 for each additional $1,000 or fractioa thereof - DRIYEWAY DEPRESSION ESCROV� (Concrete Ctitfi Stre�ls Oniy) Alternate "A": Remova,[ and re{�lacement of curb and gutter only - Driveway width plus 6 feet times $13.50_ Alternate "13": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width pius G feet times $ I S_ 75. VL'R[F[CAT[ON OF FOUNDAT[OIY Permits for const�uction wiil be issued a ininimum of 24 houcs from the time of ap�lication to allow for pro�er review of tf�e proposui sti-ucture and of the construction site_ � A Ccrtificatc oC Survcy of dic lot, showing the location of d�c foundation oncc it has it t�as hccn coiistrucic:ci will i�c rcyuirul i�ciqrc Proccecling with lhc tranunfi- ,. , .. 07 T � c c� � c O > � W < �� v �v � -.,— � z F g � � w Z U O � �o C9 � Z � _ � � � �� z �z 0 �o Q � �U U 3 � � � Q LL. O Z F � U � � � Q � � > 0 Z O � W n- w � Z Z � N Q m � � � t�i >�v ti 'c O � � ��vc� ���� � � � � � w � 0 Q m � v ,„ c � � •� � � � � � � -� U � o�.� m U = � '-' .... ... — �j O Y Y O � U .. �. € � �,,, ,II �s Q C � �� � � � O O � � � w � � m� Q -Q � U �- � �+-�.1 � p� V� U 'C d .Q N � � � Q C � .�? . /�y, nS '— � Q "r'1 � o c � � 3 0 �n � � :N � C �$o�. � � a a`� o � :� t �� N � •� � � fl c m � �- N � � � R � � � o � �� �°� w � c � ���� � J � � H � � � g S � � O 69 69 0 U a 0 � c� Z � m �� i y . 1� Z F_- � W a 2 � i� � U �g F � W � � �� O d�? I � c c�a m E � Y w � 3 � o m � � W � � � .c _ ��03 � 0 Li LL, 'a � � � r � �. � �-. �. `. � � ��� ? � � � � c rn �' c ;o�°C�'a � � ti Q U'� C3 S O O N � � O � � ca u �` ' `. C � �„� � � d0 ) = O p � V Z W �q � � N J J � � « ► � � : C j 0 U L- O ; U = F- j � �c , �,q o � � O =��2 . ° .� � z�mu'_ � � Z � � � � m m � � � � � �� � � � � 0 � �� � U � 0 � � '� �� 0 0 � � m (n ' Q � - Q o�j a . ��.. �a _ 0 N � � = _�. � � _.�. .�> � V � o `� � — 3� c� a a '' � � � � � � � � � O a� c c� � 'Q � p_ 7 0 • � � . .c � •� o . . .EN.,� . U T � w � J H � >- � � V Z u� 2 O> � � i � � 0 � c LL O I Z �"' a�i c � � � Z a H � N Z � � o z � o i �- o � �� > Y � � � � W m p U � � > 0 � Q � � Q Y H a m � og � a �Q t 3 � � � c �' 3 � O N � co � S o a�i °" � � C = Q. ;c g � o CV � � � W U O � � C O 0 0� ~ � � U a o a Z U � � a � G�bIIMNEY AND STACK VERIFICATION :.. . The undersigned he�y,. � ifies that the existing chimney or stack: ���� 1. Has been xamined - Yesrt ) No O � 2. Is free fr�� deterioration 'Yes f- ) No O � .., 3. Has no foTEi � ts lodged within Yes �) No O -�. 4. Is securely o Yesrt ) No O � 5. Meets all current Code requirements for size and total BTU's connected -� 6-:� Has total heating BTU's of 'i �� All other BTU's , � � a �c TOTAL BTU's ' � � U � 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks • (? ) � �.�o • 'C' ���Yl � V�� List ALTERATIONS Being Done: .�� Ye� ) No ( ) Yes()No() Yes-(�l No ( ) HEATING CO Signed By: Date: