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AF - 35287City of Fridley, Minn. � BIJILDING PERMIT �o s o 7� Date: "'"' "a�" ' r�',� i Owner: s . � ��,�'.�' !'{�. f��,e► _ �� -- :� uilder �:� Address Addresa � v/�i�IV�r DYIL�� — iv0. . $'EL'2@t . � �"'r,�' j� iAt .sa�a.._ �� _�' Lot �� '�_ Block � Addition or -Diviaio -.��.�'.�...—� �� . . Coraer Lot �-:-- Inside Lot ._._e� , Setback e Sideyard _..._, Sewer IIevatlqn .�._ ,_ Foundation IIevation ____�. .,,,� , ,. DESCRIPTION OF BUILDING v�a , � � � � °� r�' '� Front �� Depth � Height �_,•• Sq. F� , Cu. � F-. Depth I�eight ..�..� Sq. Ft. .� � Gt�. P't. Zj►pe of nstrucl�a .:..... " ` Est� � _ _ T� be Com�l�ted ...._. In consideration of the isayance to me of a permit to construct the building described above, I agree ta do the proposed work in accordance with the descriplaion above set forth and in compliance with all provIaions of ordinances of the dty of Fr3dley. ,�.* � In conaideration oP the payment of a fee of $�"�'�, permit is hereby granted to to construct the building or addition as described above. This permit is gra.nted upon the express condition that �he person to whom it is granted aad his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding lpcation, construction, alteration, maintenance, repair and moving of buildinga within the dty Iimits and this perrmit may be revoked at any�e upon �ri�on of any of the provlsions oF said ordinancea �. _ Inspector NOTICE: i6b permtr doa no1 cover ths eonstrudioe, IeshllaHoe fo� WGiso, �him6teo, ps 6ea1�o, swu or rrat�r. B� suro to sN �6� Bnildieg ImpKte� foe ap�raf� p�rmih fo� f6�a h�ms. >�►. �s.. r.��. � �,.t �a_. �, � . MINDER EN(;,INEERING CO. INC. ENGI NEERS AND SURVEYQRS � LANO BVRV@YINO CIVIL 8„ MUNIGIOAL EN3INEERINp 6418-56T" AVENUE N. MINNEAPOL�S 27, M4NN. KE T- 363T � �!' U�'� 0 � U tC� �i �� 1� IF �S � �`►1� � �or � � a�e %r�d Br�ic k�' Sf one Co. ��;�� . � �� - � � �, �3' �'. , � � +o,% a� �� r � � / ?E / � ! � _ - � �,� � �f ��` C� L � I f � ' '° \ � ` �,� �,0 �`" ''�''� c�.�`� ,�'.a '-� `,; i- � ' _ � ,_y_ � �o, °� � � .;� --- ,. o. �" ,� � � Pr�,� ,� � .\ � �:,__ � p .�. , �► °` ` ' ��,,`� ;�°� .,o �n� � wr � �� :�`Z�°� -� , (�e -_ _ e z s�. �� ^� � �,. �,, .� � ��. ,�'��0. �� . S?' •,''�< •��% a^� ...�� `i __,I�.- 0 , ��, � � �°, , � i `, �Y ��! �-'' `�t�� 901L3 TESTINp LANO DLANNINO � `�, � \�� ''J' p . %�C��+ ,� � � �� , � � Sz��, 1�� L�-r � � � � � � E�� C��r ��,�� STAT � � 2 � � �rCJ t�'�, WE HEREBY CERTIFY TkAT TH1S 1S A TRUE AN� CORRECT REPRESEIVTATtOA! OF A SUQYEY OF THE BOUNOARIES OF THE �ANO ABOVE DE�RIDED AND OF THE LQGATION OF ALL 9U1tDINGS, IF AWY, TNEREON , At�1D Al.l V1518LE ENCROAtHMElJTS� IF ANYt FQOM oRON s��o �NO. MINDER E GINEERING CO:, INC. OATEp 7t1�5 Dt+Y oF � r ,_ R.OJ95 ✓ EN61 g A URY@Y R/�Sr'�'' �`'` �°'+� , � _ ''_is�.:-.�m � �iw..�-. . � . . � _ __ - - - - aE�zcaTZO� �o� Buu�zNC r��tT CITY OF FRI�I�EY, MIl�NESOTA 'Oumer' a Name Buil�a�r � Addr+�a s �,e,g LO�ATION OF BULLDIIVG No. Street Part of Lot Lot Block� Addition or Subdivision Coraer Lot ir�side Lot Setback Side-Yard �TWBR ELEVATION FOTJ�Tl�ATION EI.EVATTON Applicant atCach Co this form Two Cextificatea of Survey of Lot and proposed building location drawn on these Certificates. To be used es; DESCRIPTION OF BUILDING Frone Dept � Height Sq. Ft. Cu. F�. Eront Depth Height � Sq. Ft. Cu. �t. Type of Construction EstimaCed Cost To kie Completed ` 7.'he undersigned hereby makes application for s permit for the work herein � specified, agreeing to do a],1 work ia strict accordaace wiCh Che City of Fridley Ordinances and rulings of the bepartment of Buildinge, and hereby declares that all the facts and represeatation tated thia application are true and cerrect:. C� j �. Da�r � l f 9� 2 sa�cNa�.v� , (Schedule of Fee Coate can be found on the Reverae 3ide). ��,�-�- .�--�- �, n ►� � 'i ` b 9 • �� c BUILDiNG PERMTT F'EE SCHE�UILE � Section 2. The Ynspector of Buildings shall, before issuying anybpermit for tche ezection of any buildin� or structure, or for any addi*ion td any exise— ing buildiag or sCructure, or for any alterations or sepairs to,any exis�ing be�ilding or sicructure, upon application therefor,°require the paymen� by the applicantt for such permit vf fees to the amount herein belaw set iEorth and in �he manner herein provided to-wit; �" 2.1. For any such permit for the erectioa of any fire-proaf building, other than a gaxage� warehouse, factory or grain elevat-os, or for the erection of a�ay fire-psoof addition, for simi.lar occupaacy, to any exiating building shall be aic the rata of $�,.40 for each o�e thous�.ndy cubic feet, or fraceion �hereof, in such cubical contenta. , 2.2. For a�� such permit for �he erec�3on of any fire-groof.g�rage, warehouse, factory or grafn elevator, or for the erecCioa of any �ire-proof addition, for simil�r occupancy, to any existing building sh�ll be aC��'iche r�te of $1.25 for each aae �housand cubic feet, clsasified as 01fireproofB° by Sectiou 502 of the Minneapolia Building Code. NQUS�S 2.3. For any such permit fos the erection of any non-fir,�proof building oCher thaa a garage, warehouse, factory or grain eleva�or, or any non-fireproof additirns, fox similar occupencq, to any exis�ing buildiag - permit $1.OQ fos eaCh one thousand cubic feet. GARAGES 2.4. For auy such permit fox the erection of any non-fireproof g�sage, warehouse, f�ctory or grain elevator; or for the e�rection of anq non-firepr�of �1.dditiotl' for similar occupaacy, to any existiag building or £or each auch building or �.ddition - aine�y ceats ($0.90) for each one �housaYad cubic feet or frcacCioa thereof, in the cub3.ca1 conteats thereof with a minimuan of $4.00. For the purpose of compu�3ng fees for building permits,:the cubical coa�tents of any buildiag or addition �o � uniforin height thron�hout by multiplying tlie ground area covered fram a point six (6) inches belb� th� floor.liae o£ the basement ar cellar to the average height of the upper surface or Co. the �verage height of the roof aurface of the main gable�'of � p3�ched roof. 2�5. For repairs or a�Cerations to an exisrcing structure, .t�ie fee ahall be at the rate of $3.00 per each Five Hundred Dollars ($500.Q0) or frection thereof in the cost of a�l proposed work. 2.6. In no"c�.se sha11 the fee charged for any permit as set forth in Section 2 be less th�n $4.i)0. � � � � ' .� •,. -. � -_ -� - � '� - � �; d � m pp � � F� o � p � : 7. : � M ti O W m � ; � : � . � Q N � � � y o-. H � y � � � � � � � � � � N � . o � o � o � : o. Gd : : � . . x 0 � � � N F�+ � O p Q � � � � H . y ,�� t� � � � � w fD � � � � � � � � �y �ii � � �D � ri � � � � � � rd y : O c�o � � �y 'C f]' � � � � � � � � o a . �. N : � �• : � bd ro°o : �' °4 : � p . O • • : � ; : : . � . . � . �O il k �! DC °� i! S4 W N W F+ t+ � .�J C�71 p C�A O O O � � 'Fi> {�J tfl �69 ii! {fl � y O " �` � ° o c� � 0 p x � � . � � D � 1"' � m � � m C r m �r . � w N .. Od � � a � y StorYes � � e� m a � `� Wt1oSET5 � @ �� URINALS � e�TM O �' � p� � %� eAS�n� � '� I SiNKS � � W�, ranrs DRINK. FWNT. SH1NR5. � FLOOR DRAINS UTCH � BASINS nvro w�sr�Qe �� APPL GAS � RANGE GAS i OPENINGS 'U • 2 ! � � � \' � i 8 p S M � � � I i � � ° � 4 � � � �� cr a, a, t+ �'' � p� � � �+ n tn �Q-b y �� fD• � M � a � °d ° `� � („i �' y � � �� a � °,.,, °,� w � � m p �' �,. � � ;e � �' w � °a �� `'� ��°a� � I � � � �� rC e+, � � � �DyO � � �i ' b � �' � � �- o � � � � � p p� m o, � � pp, o p ►s .� ��¢y 1 A � � � p w 9i �rV � � �� , W � � �� A �r w '� �Oo 9� � w oa' � �� `° � 1N ��. � C �' � ?S A � � i:. n'� R� � � p � M � �� m � � � � � O � i � � � 0' � � � �d d � � M � � � �� Q � � a � A � V V O � � � � i � � M E� g N � � � � a a A _ . 4ca'! ='S.' " ... - � . �. .. �m�'' _ap:, . Q C�" � ��.'� �� '�p�i � hq c Myx�° � �o � � ^� x �' r � �x � y O y� ly w a9. � H � w � x Rp � W M � � k m � � � �: C � � � �� N� � � � Q � : � o� � o : � . � . . � � � � � � � °i � � � a� c�s CO �� A : . : � : : : $ � y � x � m k k x O � � � poo� � r� �, �, �„ � O � �r A m ro � � � � � b � Q � bd � � � � � � � m 0 n � w � � � � � � � �' � oe � � 'ad ro 0 � 0 0 0 0 O H 5 0 r w � x < � K � w Oq w � �, �� ' y � `iT' y O U1 y � N . f�D 1D • � � : � : � � � � m � � ,�� b � O �' � ;� `.� � � ,: � � , �� O �� M �' �A o � O � 0 0 � � � � x° M 0 � � � � � � w w � � �°+ ,��. a `° `° x � � O N o � � "j 0 0 ,... .,y� � R° R° � � � � � � � � �� e��o 0 0 � � o � � � � M : � � . . � � : : o � : : � �/ . � : � �N�� oo 0000 � � � � � � �� V � � � � z " O n i: � m � x 0 � � � � �. � � � � � � � b � x �� a � � � � � � � � I� � a � 0 0 � � � g � � Q �� °� m �' : y� c a � : G .• Q . � � S Q : � O � ' O o . . , m � � : � � N��N� 00000 � � � � � � � � � � � ., � r�''°,� i�+ � a�o I�, , �: I : ; I' "',s F� � � � � :� t� � � �, ;'� �y I � b � � � S �' � � y � n m R° R° � � y � m � � � o � w "'�°� a o �a�o � " � � m �� G�' a � � • � � . . �. � ° : : pC � . . O . . : n� rn cn oo � � o 0 0 � a o o Q n <n �sr fn C � a.a� * � � �� o �� b �pa �� °i; w �� :�� m �' o m p ". y e�� + �, �;o �+ � p y � a � �� r. � �y ¢ �p�P � y �� N � �� :�'� �� A1 y �+ �'v�f�ci o- �w � a�� 0 r �aop `'� f�D A, y � �Np � m�� ro R R, � Q' �p � � � � Cf' N: ?= �jyf�DM � �w�c� Go 8 �7 y M � m � � m � � rt�i tli � � � ,� �• � �J ' �`1 �+ _ "�. D � ".� � r 'O � �� m p N � _ '�'� C' � m � ao O � D 0 *�' 0. O � � � � �� rt 3 � d �' ... » � � 0 0''0 �, v t a `� q� �'. �' � � O - � ; a ' � � A � V O � � �� ii. � ~ �- �o�n��ents of North Central Public Service �o., '��' '�� f�+ �'�` ��. �- � "` '�'�` ` HEAT Ld13S CALCULATIONS TOWN � DEPAR,TMENT OF BUILDING5 VILLA(iE �.�`'-�� Weatt►erstrips A.5.H.V.E. Construction No. Insulation Guide Windowa I Daors Reference Ou�. Wall IInt. Wall Ceiling RooE Floor Kind How Applied Y�sE�� I - N° �'�-N° 19........ I F`1. I � Room I Length Width �. Height � �FL I�„�y�.� Room I I,ength � Widthq Height .�' Windows and Doora—Crackage and Area Win.d�ows nd Daors—Cracka.ge and Ar�. No. of pida.ne Yepane lights of cer�ack� sq p� Width Height No. of Lineal ft. Area � T� R� No. oE pane oY ��e 1� ta o/� �� t. , . � �-" /� e � I I CceP. Btu � Infil'trat3on ' �-/ �' � � �, y � InflTtration Glass �� - Z� � �' ,� ��' Glas� Exp. wall � ��, " �;� �, Exp• v�all Net exp. Wa11 � ra � �� g� � r? Net exp. wall In� wall In�, wall Ceilfng ,/' �,-�.' ,�' ",� - ✓� ,;s ;.- -" �, �. � 2- Ceiling Floar /�. ` Floor Total Btu. Tota1 Btu. .R,equired sq. fC. E.D.R, or sq. ins. W.A. Leader ar�, � FL I: ' Room I Length �A � Width / y Height y Windows and Doors—Cracka.ge and Area WSdth Seight No. oY Lineal ft. Area No. oE pane oE pane I lighta oE cra.ck sq, it. � �' r,� �1' !' ,/� a— e � ,rF. � Co�f. Btu I f f �'s' ca �' � [1 � n/ `> .1` v f� G' c� ' � � °� Z �'� � Required sq. ft. E.D.R, or sq. ins. W.A, Leader arna �Fl. I�r R�m I Length /I�_ Width � Windows and Doors—Crackage and Area No. Width Height No. oE Lineal fG Area oE pane of pane lights oP crack sq. ft. .�— �� c3' � f ��, �" %'?' � I ' � � CaeP. Btu � InfiTtration �� p �',� � � Q� P,� In81'trraation Glass � �� ,�°� c r � Gla� Exp. wa11 y;CA .,! ,� �0r Exp. wall Net exp, w�Il �`` � � / �_ � _� -� � Net �p, wall Ini. wall Int. wall Ceilirig �' �'i` � %� � '�" C��' Flaor Floor Total Btu. �'°' �� °�-` Total BhL Requir�d sq. ft. E.D.R. or sq. ins. W.A. I.eader ar� � FL I�"� j�, ' Roam I Length �'`� Widfih ,� � Height Wfndows and Doars Crackage and Area � �WP� o�P�e N� � I �e � S � � � � �� seb 'P� ' � �� - r'��. �`�' �` ,� � �� ,.�` co�e� InSl'tration P- � !.� Glass ` � � ExA• Wa11 � / a �?� �:�,r`°� Net exp. wall i , �f:�' � �,�a Ink wall Ceifling u _ � � � �,i� Floor � �"� ;�� Tota1 Btu, : Required sq. Pt. E.D.R. or sq. ins. W.A. Leader area �;?�"�`� � � � � � I Height � �oef. Btti `"� �' � 1� �`� �e� � �` �� - - --- � _ � _ )-�-F�1. I ,� Room I Length �' �_- Width ��, Height �� W- indows and Doors—Crackage and Area Width Height No. oE Lineal t. Area No. oE pane oE pane lights oE crack sq, ft, � � � � �^ .� ��i r3 � d °7 . � I I I � G� �F�' � InSltration `� 3—,� Gla� Exp. wall c°`�, G> � �r� (,, j p� Net exp. wall Ini, vvall � Ce�ling � Floor � .= � Total Btu. �CaeP. Btu 7�3, "-� �"`� �' ? 2 � �r � `� �-rJ � � � f� ),� � � !''v�.%°" �`' � :B `� � � � � �. _ �� ,� � , Required sq. ft. E.D.R. or sq. ins. WA. Le�der at+ea, Co�np�nents of North Central Public Service Co., HEAT LOSS CALCULATIONB � DEPAR,TMENT OF Wea.'therstrlps A.S.I3.V.E. Construction No. Guide Windowa Doors RePerenc�e Ou�. Wall Int Wall Ce3ling Yc�s--No I" Yes--No 19........ I I. Fl. I _ �oom � I.�ngth � Width Height � Windaws and Doors—Crackage and Area — Width Height No. oY Lineal ft, Area — No. oE pane oE pane lights oE crack sq, fG � `�- e=� � �� ! �' — _ ___-_� � ' `` - � � � " ��'" ,�: y-� � ��' �� s � TOWN �-- � �' '� rG5 VILLAGE �✓ ``�°`�"'�-��' ,1 Insulationt Roof I Floor II Kind I How i FL' Room I Length Width W7in.dbws and Doors—Crackage and Area _ � Width � 8eight � No, oF � Lineal f� � Area I ( � Coef. Btu � r:nsl`tra.t3on ' � � � � �� In81'tration Gla.�s /�," �) �) J Glass Exp. w811 .� >� r�� Exp. wall Net exp. vda11 �,�,� Jt.� �-�- � Net exp. wall Int. wall Tn� wa11 � �"�`�g � ,. - - .. . . _ ._� � A� � .'A . C. \.r�lLllg . Flaor " Floor Total Btu. Requfred sq, ft. E.D.R. or sq. ins. W.A. Leader area ��-"�-� Room � Length s;� � Width �� Height "� Windows' and Doors—Crackage and Area Width He1ghC No. Lineal f�. Area No. oE pane oE pane llghts oP crack sq. f� . � � � � �-�` f`? II Totai Btu. CaeP. Btu InSitrat%n '' �a' �� ' � ,� ? f� G Glass `� , � ,,,� % y u ExP. wall �� b'�� -�'� Net axp. wall � �� °,� �a �� Int wall Ceiling � � FIOOP ' Total Btu. �� ,.,�`��t Required sq. i°�. E.D.ft. or sq. ins. W.A. L�ader area � Fl. I� ft�m I Length �'�° � Widfih ,� a,,� Height �� Windows and Doors—Cx a.ekage and Area ` No. I� nane � o�ahn�e I lixhts I oi�ck I s� � �� Gr yy ' Ca In�l.tration .i ` , �l Glass ' � �a �• Exp. wa11 �� l� _, ` �"�' Net exp. vva11 � �� * i � In�. wall ' C�lling � Floar � � Total Btu. ' Required �. ft. E.D.R, or sq. ins. W.A. Leader area Height Btu R.equired sq. .ft. E.D.R. or sq. ins. W.A. Lea.der aree, Fl. I Room I Length Width Height Windnws and Doors=Crackage and Area No. WidtR Height No. oP Linealf& Area �� oP pane o! pane lights oP Crack sq. ft. �" �� caef. � Btu InSlYratlon _ �—r Gla�a Exp. Wall Net exp. wall Int wall �Ce3ling F100T Total Btu. e�quirea sq. xt. r:.�.�.tc. or sq. ins, w.a. �..�-ader a�._ � FL I Room � Length Widbh Height Windows and Doors—�Crackage and Area � eP. Btu � �.� '� °;! �r.� In81'tration � � � � � Glass � Exp, wall a � � � � Net exp. wa11 Iri�. vvFill �Ce319ng Floor ---_ _ _ _ Total Btu. Caef.l Btu R,equired sq. ft. E.D.R, or sq. ins. W.A. L�a.der area / e _��_ � City of Fridley, Minn_ BUILDING PERIV.�IT � � ;��f Date: - L��ri 1 7a 1970 p��; nnnald D�bos g�r Robert F. Norberg Adereas 361 �e1 •�re W�,y N E. Ad�s 3316 Hil lsboro .� .S'/ / 3 �� . 10597 LOCATION OF BUILDING N'o. �61 g�t �elaire Way N.E. Part of Lot Lot 6 __ Block - 3 Addition or Sub-Divisfan _ Pearson's Craig�way Corner Lot — Inside Lot � Setback ��. Sideyard Sewer IIevation ..._ Foundatton IIevation DESCRIPTION OF BUILDING To be Uaed as: Gara�e �nt 20 ` Depth 24 � Height 10' �. F,.� 480 ��,,t 4800' — Fam. . nm.. Front �_ Depth 18 � I�eight ___�____. Sq. Ft Cu. F� Type of Construction _._..�� Est, Cost —.�..9.�000_ 00 _ To be Completed Jsne 15, � 1970 In cons3dera13on of the issuance to me of a germit to construct uilding described above, Y agi°eee io �o the proposed work in acc�rda.nce with the descrlption above set rth 3n oompliance with all provls�tons of urrlinances of the dty of FridleY• � . -�, „„ In consfderatton of the payment of a fee oP $ 33 . 00 � P�t is hereby granted to Robert Norberg to construct the building or addition as descrit�d above. This permit is granted up� the express condition that the persfln to whom it ia granted and his agents, employees and workmen, in all work done in, around and u�n said building, or any �art thereof, shall conform in all respects to the ordinance� of Fridley, Minnesota regarding lacat3on, consiauchon, alteration, ma3ntenance, repair and moving of bufldings within the dty ]imiits and th�ta permit may be revoked at ar�y time u�n viola,tioa oP any of the proviaiona of said ordinancea �� /��, � � �1 . /�G HANR F. MUHI �� NOTICE: 'Ihis penalt d� eof eevar ths eonstrnafioe, fastatlaMoe fo� �rMng, plumbieg, ea 6eaNag, pwer or wNsr. B� wre fo ses !he BuIWIrtg Inspsetor fo� mpsrafs permits Po� t6eas tNms. � � . '. . � i 0 APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA owx�x�s.xar�:��L� �/�-e� Bu�Ln�:��i'T � wx , i�%R��! a��ss s_�6 f �.�,,�� ,� ��r:l ann�ss : �.�f� �i� �s��,�'� - NDo • Sir.�•r�•i: r "V Q Z ��: a BLOCR: � ADDITION: � r°o Y s o�� [�, rcri � G�i�e� CORNER LOT; INSIDE LOT: SETBACR: STDEYARD; '` -___.__.,.,,. Applicant attach to thia form 1t�o Certificate� of Susvev of Lot and proposed building �ocation drawn on theae Certificatea. BESCRIPTION OF BUILDING To Be Used A�: ��i�a��r°� Front • � r �� Depth: � � Heigh�: �� d"`�� Square Feet:,�c�C� Cubic Feeic:��DO �� /G/yd ,��S�y„p� %� i 1�/i7 !�"d�j �%�o ray �P Front: Depth: Height: f ��0��`' Square Feet° , Cubic Feets � �'odc'�4�'� ��-c f� �C ��' L�c��re��'T �►pe of Construction: Estimated Coet: �t�� . zr� To Be Completed: �`�1 � �✓f-�--�y% The underaigned hereby makes applicatina for a permit for the work t►erei,n epeci�ied, agieeing to do �11 work in ettict accardeace with the Cfty o� Fridley Osdinances aad rulings of the Depart�a� of Buildiage, aad hereby declares that all the facts and repreaentatiaaa atated in thia applicatioa ase true and cortect. �TI%: SIGNATURE : (See Aaveree Side For Additional Information.) � r�a ,�,� (� � O � � � ra /� � � �� f.� y = Z% Z / � � � /z � so �� z % a�� P�-�r�f n .�� /� _� �.. BUILDING PERMIT FEE SCHEDULE SECTION 2. Th� Insgsectog of �uilding� shalls before $s�uing pezmita foz ti�e erectiomm of any buildixig oY st�acture, or fo�r any addition to any existing buildiag or et�ructure, or for aay alt�r�tio� or repairs to a�y existing build3.a.� or structure, upon �.pplic�tion itherefore, requize the p�yment'by the applicant for such p�rmit of feee to tt►e c�moun� her�in belo�a �et forth and ia, the �aer hereia� pravide� to-wit: U1dI1FORNi BtTILDING (:ODE s�pe 1, 2& 4-$2 m 15 fo� e�ch on� thousaad cubic feet, ox f�s�ction thereof, in �uch cubical contents. �qpe 3 S� 5-$1.85 fox e�ch one thausaad cubi.c feet. ADDITIONAL INFORI�IATION Fox tlie puspo�e mf camputfn� £eee for baaildin� p�rmit�� thh� cubical coateats of any buildin� or additian � i� detexmi,n�d by �l�fplyin� ttie �roua�d asea co�ered framn a point �ix (6) incti� below t1�� £lovr lin� of the bs��t a� �e cellar to �li� av�ra�� h�i�h�s of �h� up� surf�+ce os to the� �e��e►w hgigh� of the $oof surface of the m�in gabl� of a pit�d xoaf. For repair� or alter�tion� to �as �istia� �t�nc�r�, tth� f�� all b� �t the rate of $3.00 per each fiv� hwnd�ec� �ll�r� ($500.00) or ��cti�ax th�reof i,a the cost of all propo�ed work. , I� �a cu� �hall �� fee ch�rg�d for �ny g��t �� et for�l'n in Section 2 be le�� th� $5000. VARIFICATJEOPd OF FOUNDATION I�TE: ,Permite fos �anatauction will be iesued a m�ia�an of 24 houra faom tha t�a of application, �o aYlaw for pgoper sevi� of the proposed stsuctura aad af tlze eoastauction eiteo A Certifisd SiasEV�q of the lot, �h�aia� �iae lo�t�,on of tiie fo�aad�tion, onca i� hs+r_�been cmnetruct�ds will be requir�d before mroa��dia� with the ftaming. CERTIFICATE OF OCCUPANCY Applicati�mm for a Certi£i,ccate of �cup�c�r �hall � madn ten (lA) day� priar �o tine use or occupan�y of � atztiacture for which a buildi�g permit hau beeR , �.esue�d; and eaid Qtauc�ure �hall not be ua�d ox �ccup�'ed uatil a Cnrtificate � of. (fc�cupancy ha� b�en i�sued. r � � r r_ ! _ .. . _ y �- . _ ,� _ . _ _ - - _ � _ , _ , . -- - - - - � . .,_ , �r. • ,. ` , , - - . . _-- — ,:---- r— Lan� P�onnin ' _ � � � � � ��` � � � �'�,,'�� _ b8T5. #lighwcy i�lo. �►S N. f. �tne�ti',SurY�y'ing ' � /�/� �� MinMeapolis� .• • , .. . $Qits �'esfiet� ��/ �2��G'"r/G � `��%• Minr�. 55432 �i�rii E3[ginei�ri�� `� �� . Telephone 784-6066 F-.: l�t�t+icipal E+rtgiiteerxng ' 1'ixlglffi@@T9 & .�Z1YV'@��iT6 Area Code 61Z : � ' � - i1�t��rt��a�4r � �,t3�xl ;�t��►$�' .�'a►��< C�� r �iG�� . ,,� :-; ,� � � _� �.. : - &� ; . � k , ,. , . . ; . � . . ��r . � � a �� . � `�' _ .. .� , _ .. V" ._ ' .. ' . . ��)r �2 �t J .��. ,.� � fl��` . . � _ 7�+, .. � � t _ - . ., � .4 l _�1 A � . . �c ��X1 ; �:J�'� _ ��'°� � `�� . X ,,�j�� . . _ . ' _ �°` }�'��c �'�� _ `R % �7, �� s � (''�!� . 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A �� i:r � �� . � � P � �� . � g. � 0 � �, o A �p �, ^I -°,. bd � I� � � � = Z O � ° � � � � � � I � � � �s .� >��y. � . � � � � � � � � o � � 'w � � � � � � , � O • o �• � � � ::: .0 �' , � - � � � � � Q� 3�� o. ,�, � s o. e� A� 3 A y � � � � � . 0 0 � � m •�i+ A � � s � � � '71 A Q. � � � � 7 � ��-`� � �.� � O � � ' '� � � � � O� �•i � Fj � 00 SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I� r � � � � � ' COMMUNITY DEVELOPMENT DIV. � � L: - r � ; PROTECTIVE INSPECTION SEC. � � � i-__-� ��"" �`� CITY HALL FRIDLEY 55432 NUMBER REV. DATE S PAGE OF 612-571-3450 910-F15 � � 7 17 80 108 ADDRESS 361 Bellaa.re Way N.E. 7 LEGAL LOT NO. BLOCK TRACT OF ADDITION DESCR. 6 3 Pearson's Craigway Estates 2nd 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rev. Gene Hermeisr 361 Bellaire Way N.E. 571-572I 3 CONTRACTOR MAILADDRESS ZIP PHONE Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE 5 ENGINEER MAILADDRESS ZIP PHONE 8 USE OF BUILDING Residential 7 CLASS OF WORK I° 15838 RECEIPT N . �� APPROVED BV SEE ATTACHED SHEET LICENSE NO. LICENSE NO. LICENSE NO. � NEW ❑ ADDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a chimnev for Wood burnina �t�vA 9 CHANGE pF USE FROM STIPULATIONS TO SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $�-� OOO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEiiMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PEFiFORMANCE OF CONSTRUCTION. �7. rJO AGEA6T RtlF STALLS NCY GROUP OCCUPANCY LOAD CU. FT. FSTREET PARKING GARAGES RTAX $.50 C CHARGE I 70TAL FEE �8.�� IDATED THIS IS YOUR PERMIT �-� '1°/i�c� qATE � Ci7Y 0� FRia�CY • • �, � � ARPLICAT10iJ FOfZ RESIDENTIAL [3UILUIPJG f'CRMITS ' � (tJew, Rlter��tions, l�ddil;ions, or Repairs) � � j • . , � . . ,, � - , . , � Olr�rdEf�: QUII,DER: . � . ADDRESS: lQ � ApDRCSS: • � � TEL N0: �� " �� TEL IJO: ' ' . � �%�— 7�� ' ' ' Construction Location - . STRE'CT I�O: ��____ STREET: � 6 LOT: ' • BLOQ:: ADDTTION : ° ' Cornex Lot: � Insic3e.Lot: SetbacY: Sideyzrds: Applicant attach to this form two Certificates oi 5urvey of lot and ' proposed building J�ocation dracan on certificates to scale. � . DESCR�PTIOfd OF CONSTRUCTIQN � ' t,91�,DQM.-'i1cj�. Front: � D�pth: ' Height: ' , s� � �' Squa�e.Feet: Azbic Feet: c�� Fror�t: y Dept�: � Hei.gh�: . ' . � � . Square• Feet: Cubic Feet: Type of Construction: Estimated Cost: $ ��,U U.� a I Zb Be Cbm�l.eted: ` � . Alt. A Alt. B . . . . � Proposed Dr.iveway Width It New Opening Is Desired: $� $ : ' � � ' . , . SEE REVERSE SIDE OF SHEET� � • i 7.�e unde.i-signed hereby makes ap,plicata.on ior a permit ior the work� hex��i.n specified, agreeing to do all work in strict accardance with the Ci�.y oP Fridley Ordinances and rulings oi tiie Deparisa�lt of IIuildings, and hereby declares that all the f cts and � xepresenfiations sta,ted an this applicat' are t ue and correct. . ; 6 AAT�: . � �� sx�tA��r,� : . • � � _ � _ �_ _ ---- --- __ -- ----� - � stipulata.ons : � . �, �,y� � �' ji• ,r V • ' . f . T�' ,�` � • . '. . ' ' � �. oZ, . � i . v,=�� . . . � �� . + . . � . ._..._.�. . BUlLll1(JG P[:RM1T 1=Cr SCiICnUI_E' '�l.C'xI01Q 7.. `]�9�e T.r�:.��ecL-ar. of' l3ui].Q9,�►c�� r.11aJ.l_ r}�etore x:.: .uing 1�e�aniL� for L•he erccLion � af any )jua.�.d3.nc� ar. :;t�ruci:ux•c, or. �'or any addi.L•i.c�n L-o any er.S.;�i:i.nc� Luildi.ny ar, si.ructurc, . ax fo�: arry �ZltcraL-iott or, r.epair.:; L-o •atiy cr.i.s.ti��g }�ui.7.clS.ng ar sL-r.ucturc, t1J7GJl a�plic:ati.on �L•her.e�or.c, rcqui.rc t:}�e paymen.L• bX tlre appl.i.canL• f-or. :�uch perm�.L of fees �o, L•he amount her.ein i�e.l.ow seL- �orL•h �it�d in tlie mannc� hcr.cin pzoviciccl L•o-vra.L: • • 1�2:Y� CON57.�P,UC`!.'IUN: Sing).e ].'ami].y Ilomes.and Garayes: $4.00/1,000 cubi.c te�e�. T.'I,Tst� CI3l.CY.: 25 percen� of bui.ldi.i7g �?ermi.� Lee. . . I�Rl'V�[7hY I)�1�RL•'SS�OId: (Conczete, Curb �treets Only) � • Altcrnai�e I�: IZemoval and replaccmenL- oi' concretie curb and gui:Ler an7.y; Driveway width plus 6��et• x Y�.�.o75 .. 1il.ternat�e B: Removal. and replac�menL- af cancreLc curb and . ' gu�tcz and i.nsf:a].]. a 3 fooi: �vide approach wii.h �' ' . G a.nch clepth; brive4�ay wi.dth p].us G fee� x$17.85 � �. . , ADDI T I ON/1,�,, Ij�FQi�� " I 0 I'ar the purpose of comptzi:ing fees for bui�ding pexmits, tlie cubical contents of any building or addition, is acterm�_ned by multipJ.ying L•tze grounci area covered from a po�.nt sis: (G) inches below the fl.00r. line of the basement or ih� cel7.ar to the average heiqhts of ihe upPer surface or to the average heigh�: of the roaL- surf_ace vf the riain gable of a pitched roof . � kor. repairs ar alteratio:�s to an cxista.nq structure, the fee shall be at the xate . ot $3. �0 �er each �ive hundred doJ.lars �� ($500.00� ar fr_action thereof a.n the cos� o� all pxoposed work. � . . � in •ne ^.ase shal.7. the �:��e charged f�r any per.mit as s�i: forth zn Section 2 Y�e 'e5s � ihan $7.50 pl.us $.50 sta�.e sux�charge. � • . � . . ,�(ERTFICATIO�! OF FOUt1DATI0f� - 0 NOTE: Permits �or cons h�-ucta.on cai.11 be issued a minimtun of ?.4 hours irom the ta.me a£ a,�pli.ca�ion to allow for �roper review of the proposed stzucture and ot the . consti-uctioii site. A CertS.�icate of Suxvey oi the lot, siioc,ring the location of the foundation once it lias been constnici:ed wi11 be required befare proceeding with the fiami.ng. � CrRTI.�IC TE OF �?CCUPANCY _ � � � � 11pp�icat�ion for a Certificate of Occupancy shall be made ten (10) days priar to the use or OCCt1p3I1C� of any sLructure 7Eor WI11Ct1 a� bui.lding p�xmit iia� been issued; and said stJ:ticture sliall noi. be used o� occupied uni:il a. Certzii.cate of Occupancy has been �,ssued. 0 0 � , . .si � � � . ♦ i sue�ecr PERM City of Fridley 1826 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. ' j L �"��'� COMMUNITY DEVELOPMENT DIV. �� r � PROTECTIVE INSPECTION SEC. 1 � � i � `•--_ � ��,`J CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVED BY l �Jt 612-571-3450 910-F15 1Q/23/85 / / JOB ADDRESS 361 Bellaire Wa N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Per on's Crai a Estates Second Addi�i'b�T 2 PROPERTYOWNER MAILADDRES$ ZIP PHONE H 361 Bellaire Wa N E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. 57 66 4 ARCHITECTORDESIGNER AILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK 0 NEW ❑ ADDITION � ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WOHK Reroof dwelling 9 CHANOE OF USE FROM TO STI PU LATION S Can he 2nd layer but not 3rd. Install riged galvanized valleys. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PAFKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED q 1•�5 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1 ��OO �i DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S UCTION OR THE PERFORMANCE OF CONSTRUCTION. 3�..00 PLAN CHECK FEE , TOTAL FEE _ <o � , $31. 95 SIGNATURE OF CON i RACTOA O UTHORIZED AGENT 1� ATEI 1/�H PROPER A E' HIS IS YOUR PERMIT � � � ' C�->a �� SiGNATURE OF OWNER iIF OWNER BUILDERI (DATEi ''��y� jNSp ' nATE N�W [] City of Fridley Effective �/1/8� ADDt� . [] L R-1 A�D A-2 � pLTER. [ ] Building Permit Application Construction Address: �� l B�LL �%�.E � a� /f�, �� Legal Description: �'T� l� �`�� %��L� C�,`�I � �c� Owner Name & Address : �� G�� ^'i � `F� Te� � � Contractor: ��, A,�D t+�457'��'S Tel. � Si �/ �9��' Address: 6.�31 ��.e�v�`�=..) 2"sR. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, �rith the proposed construction draWn on it to scale. DESCRIPTIOA OF IMPROOEMEN'f Length Width Height Sq. Ft. Length iiidth Height Sq. Ft. Length liidth Hgt/Ground Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd. Setback Type of Construction: �F'� do � Approx. Completion Date: �/ � �BS� Side Yard Setbaek Estimated Cost: $ 1��• �'�' Alt. A Alt B Proposed Drivexay Width�If New Opening Is Desired: $ $ See Back Page for Explanation DATE: i� Z3 1� APPLICANT: � ` c Tel .� CITY IISE OHLY Permit F^e � ��-�� Fee Schedule on Reverse Side Plan Check $ 25� of Building Permit Fee State Surcharge S '��"=•�-�� •50/�1,000 Valuation SAC Charge � �u25 per SAC Unit Park Fee $ Fee Determined by Engineering SeWer Hain Charge � Agreement Necessary [ ] Not Neeessary [ ] �OTAI. $ STIPULATZONS: � Is� � F BDILDII�TC PERNIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of ar_y Duilding or structure, or for any addition to any existing building or structure, or for any alteration or rep�air 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-vit: Total Yaluation =1.00 to �500.00 �501.00 to $2,000.00 Fees �10.00 (Minimum Fee is �15.00) �10.00 for the first �500 plus �1.50 for eaeh additional �100 or fraction thereof, to and including �2,000. �2�OOa.00 to $25�000.00 �32•50 for the first �2�000 plus $6..00 for each additional �1,000 or fraction thereof, to and including a25,000. �25,001.00 to �50,000.00 �170.50 for the first additional ;1�000 or including �50,000. $25�000 plus �4.50 for each fraction thereof, to and 550�001.00 to $100,000.00 �283.00 for the first �50,000 plus �3.00 for each additional �1�000 or fraction thereof, to and including 3100,000. �100�001.00 and up �433•00 for the first $100,000 plus $2.50 for each additional �1,000 or fraction thereof. DRIVEiiAY DEPRESSION ESCRO'li (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Drive�aay widtr plus 6 feet times $13•50 Alternate "B": Removal and replacement of c�u°b and gutter and install a 3 foot wide approaer With 6 inch depth - Driveway width plus 6 feet times �15.75 VERIFICATION OF FOUNDATION Permits for construction Will be issued a minimum of 2� hours from the time of application to allox for proper reviev of the proposed structure and of the construction site. A Certificate of Survey of the lot, shoWing the location of the foundation onee it has been constructed Will be required before proceeding �►ith the framing. � sue�ecr PE • City of Fridley 33637 �` , , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T R T NO. � � �` .____ COMMUNITY DEVELOPMENT DIV. � ~ � PROTEC7IVE INSPECTION SEC. ��' r � , , _ , � /'�'1 � CITY HALL FNIDLE� SS1�2 NUMBER pEV DATE PAGE OF APPROVED BY �'""'� � ��' 763-571-3450 910-F15 6/24/03 / / JOB ADDRESS 361 Bellaire Way NE 1 LEGAL LOT NO. BLOCK TFiACT OR ADDITION SEE ATTACHED DESCR. () 3 Pearson's Craigway Estates 2nd Addn SMEET 2 PROPERTY OWNER MAIL ADORESS 21P PMONE Michael Varichak 361 Bella�re Way NE 763-502-0717 3 CONTRACTOR MAIL ADDRESS 21P PHONE IICENSE NO Same d ARCNITECT OR OESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOfiK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Iiouse & Garage (21 Sq) Tear-off 9 CHAN(3E OF USE FROM TO STIPULATIONS Ur.der�ayment must comply with the State Bui�di.�.g Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REOUIRED FOR EIECTRiCAI, PLUMBING. MEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT CU fT. AUTHOR12ED IS NOT COMMENCEO WITHIN 60 DAYS, OR IF CONSTqUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OfFSTHEET PARKiNG 1 HEREBY CERTIFV THAT I NAVE READ ANO EXAMINEO TMIS APPLICATION i STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS Of �AWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETMER SPECIFIED HEREIN OR NOT. TME GRANTING OF A PERMIT �Za431 �1.22 DOES N07 PRESUME TO GIVE AUTMORITV TO V�OLATE OR CANCEL THE pEqMIT fEE SAC CHARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- @83.25 Fire SC �Z.�F� STRUCTION OR THE PERFORMANCE OF CONSTRUCTION y� PLAN CMECK FEE TOTAL FEE $86.90 5� +nT FE OF C :RACTOA OA A oR4 � sGEHT �oArE� HEN PFO�ERLY VALIDATED THIS IS UF PE IT S�GN aE OwaEp��O NE LDEA� ��ATE� ,q� �NS� ��TE � � NEW ADDN ALTER [] CITY OF FRIDLEY Effective 1/1/2003 [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor. #%b� 3'� � - � 7/7 MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certifcate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. � Length Width Height Sq. Ft. Length Width HgUGround Sq. Ft. � � 1 s�� r� Constru�tion Type: Estimated Cost: $ � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ P DATE: � � � � � APPLICANT: Tel. # %h r� �"D•� � C7�J�z Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ , � $ �w y 3 $_� , � $ $ $ $ $ $ $ `Q °�� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] •► BiJII,DING PERMIT FEE SCHEDULE The Cluef 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 strucbire, upon applicadon therefore, require the payment by the applicant for such pemut 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,OQ0 $2,001 to $25,000 $25,001 to $50,0� $50,001 to $1(�,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEF.S $23.50 $23 .50 for first $500 plus $3.05 for each additional $100 or fraction thereof, ta and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for eac�h additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.(� for each additional $1, 000 or fraction thereof, to and including $100,000 $993.75 for first $100,0(� plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus b feet, times the annually determined rate. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proger review of the. proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv �uilding _Tnspeetions ��3-s7�-36a4 �A� 1'� tv ov �� SITE ADDRESS _ THLS APPLICANT IS: PRO�.'ER.TY OWI�TER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WIT`H APPLICEITION PRO�ERTY TYPL TYPE z�r� oF woRx: >ESCRIBE WORK BEING :IZE OF IMFRflVEMENT fiJMBER OF SQUARE,S _ �ARAGES ROPOSED SIZE: ROPOSID HEIGHI': CDING 1 V'myI I Aliun.uium I pfher BUIIIDI�IG �smENT� a�Pr�I��a�v CITY OF FRII�II�Y � YOUR E-MAIL ABDRESS �x. � a \i`'e =,�,Q� � ❑ QWNER (�L;ONTRACTOR i:"�i 1� `�lt \ C.Y�(Jl.% Ess: '�' F• "L �e�i' �� ./�)� 1',�-. ��— RENEWAL BY ANDERSEN sTATE L 1920 COUNTY RD. "C" W. �D� ROSEVII.LE, MN 55113 PHONE 651-264-4777 0 SINGI; ❑ �rwo F. Y�I�EliTSE #20130983 0 BASEMENT FINISFi ❑ DECK ❑ ROOF 0 SIDIIJG ❑ SWIMIvlII�TG POOL ❑ REMODELWQ' t� «� 1�� LENGTH _ ❑ HOUSE ONLY 0 HOUSE & GARAGE ❑ ATTACF�D GARAGE ❑ DEfACI�D (�ARAGE �Soffit ❑ Trim ❑ Fascia 'IlVDO`PVS i EXISTING OPENII�TGS OYes C]No LOCATION OF WINDO�VS R FOR NEW OP'EIQTNGS-DESCRIBE. SIZE OF PENING CHANGES & � " ' Perm.i.t No.: (o ��-� Received. By:_t� / Da�e Rec'd://�� -ec io��s . GTTY � _ ox�s ❑ WAIDOWS ❑ DRAIN TILE ❑ OTHER ATE ZII' ATE ZIP a 1'1 i � o �i HEIGHT . F� . BASENNIENNT REMODELWCr SUBMIT• . 1. Eitisting Floor Plan � 2. Proposed floar plan 3. List of struchttal members to he used FOR NEW CONSTRUCTTON INCLUDING DECKS. ADDTTIONS. & FORCHES SUBMIT: 1. Site PlanlStttvey showing the existing struchu�es and proposed project. . 2. Two sats of consiructian plans 3. Energy Ca[culations i'PE OF W WDOW TO BE 1NSTALLED NUMBER OF WII�IDOWS � ALL FEES ARE BASED ON VALUATI�N, INCLUDING TH� COST OF LABOR AND MATERiALS: (USING� 19 7 U.B.0 FEE SCHEDITLE) TOTAL JOS VALUATION $` T`�L �� ' OCCUPANCY TYPE ;rmit Fee ' an Review ucharge re Surcharge cense Surcharge �C Charge arb Cut Escrow osion Control rk Fee wer Main Charge �� Dge . � o( �9 J.��' See Back Page for Fee Schedule $ 6�% of Building Peimit Fee � � • 3 (.000� t�ies the totai job valuation — Minimum $.50 $ ]'�- . �{ (,Q .001 x Permif Valuation (1/10%j � �', � (� $5.00 (State Licensed Residential Contracfors) � $1450 per SAC Unit (Plaus to MWCC for determination) � ft+6fi= ftx$20=$ � $450 Conserva�ion Plan Review $ � Fee Determined by Engineering $ Agreement necessazy ( ) Non Necessary ( ) $ Make checks pavable to: Citv of FridIev Attach TFIIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED iereby apply for a bnilding permit and I aclrnowlecige that the information above is complete and accurate; that the work wilI be in �formance with the ordinan d codes of ity of Fridley and with the Mmnesota. Constraction Codes; that I understand this is not a mit but onIy an applicaiion a permit an w k is not to start vvithout a permit; that the work wiIl be in accordance with the approved n in the case of all work whi rey�aires re d approval o�g� ,� _ � J � NATURE OF APPLICANT