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AF - 35309� � City of Fridley 4T z� roP a� T� �w�Ms , �'x.-'-'^^� GOMMUNITY OEVELO/AIeNT Q1Y. �t � MOT�CTIVR Nf�CTION ONT. i .--•� � C�Tr �1µ.� s�u04RY �Mi f�..� .� N�-b�0�s�0 Job Address _ �� � � ner P Contractor Kind of Bui ding a � Comp etion Date _I���!�I d � � -- `I`I� f i . ; n �fl� •,��Ivro •x�d .�g,�1 i i�saa�l �•MNiva m y� 9NISV6 � % H�1V7 'O o eNrvaol � :3 � aoo�� � T— �O v I saaMONsI � O� �a �q •tNno�1 d HNiaol b A � BA�i11I HsrM � sliN�s I fN16YY �ve e-rr►��an o� �� � � i li I � .° � .� � � I I I i+� I � I � If�I � - � I � � � �• � .� � � � � � •r /°%S�- �5 � . , � �� i =I��EGT � PLUMB I�r, PERf1I T APPLI CAT I��d �t �v. p�T[ �a4E 01� � Ov D 9r - 0 2 1 7 1 1 $00 S P one S /) P one A A se �r,bLimaLea �ost — Plumbing Fixture Rates: N0. R�,TE TOTAL Number Fixtures � x $2 ;00 ,Qa Future Fixtures _� X $1.50 �:��j New Fixture-Old Open. x $1.50 Catch B�.afn x $3.25 ---___ Water Heater-99, 000 BT[J �_ X$3 . 00 �, (� d Ground Run Old Bldg. x$3.25 Elec. Water Heater �— —� X $2.00 Gas Fitting Fegs: lst 3 Fixtures �_ X $2,00 �.�� Additional Fax tures �_ X $ .75 Gas Ra,nge-199,p00 BTU x $5.00 Repeirs � Alterations See Deacription: Code State Surchart�e .50 TOTAZ FEE $ �_( .�p he under�igned hereby makea application for a permit or �he work herein apecified� agreeing to do all work . �n atrict acco�da,nce with the City Ordinances and ruling f the Department of �ui9.dinge, and hereby declare that 11'the facte a d reprea ations atated in this p�.lic��ion a�true an�r�ect. �� � Iate � � � o !g! � � b � �t� � f� � � c4 � � ��qa p� ry.� yV�;�yp W- A � Rd r�",� .,t Y � � � � � � � � � � M � � a � � ' C ca � � � o M � � � ✓ � n1 � � � X � r. ,. d S� � � � � � � _ � �3 �� �� � � '� .., � �� � f't A � � � � � ° � I � � � � � I I � �' � J � p � � � � � � $ � � � � ���� i � H Q I I 4+. � r � � o � � � � ti � � � � � � � � I � I � a I � I � � i � �i �� � � � � �] � � � � �� � � � � � , 6 � � � 0 r � b � a; °< � � I �r s w � w :: � �.� � ~ O 7 C 0 -t � T p °� A A � a. � � � �. 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DATE PAGE OF APPROVED BV "°'� � ,�� 612-560-3450 910-F15 10 30 74 � � JOB ADDRESS 6266 Ben More Drive 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. L,� & 48 1 Heather �111.5 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE 5outh Towne Realty 151 5ilver Lake Roa3 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 48' x 26' Dwelling and a 22' x 22' C�.rage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface dxiveti,ra.y. Provide a verifying survey before capping. Locate house caxefully to meet 10' x 5' side yard setbackso SEWER LOCATION: 3�' S.W. of Manhole (Invo 919,12) W;ye Elev: 919.28 Top of Footingz 922.28 Min,i�aum !n'�fTER LOCATION: 11.5' S.W.of Sewer Service S�PERA�`E PERMIT� REQ,�aRED �'(3R �►11RlNG, �-i�AT{1�aG, PLUMBING AJ�D �;GNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCZ F11ICl•G' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�. 1.240 24, 960 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND COHRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �Y28►69� �.4.35 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE PROVISIONS O Y OTHER ST E R L CAL LAW REGULATING CON- STRUCTION T PERFOR O ONSTRUCTION. � �`SGoOO �S`300.00 � � PLAN GHECK FEE TOTAL FEE �-r � ' � $370.35 SiGNA7 aE CONTRACTOROR u H I DaGENT ATEt WHEN PROPERLY VAUDATE THIS IS-YOUR PERMIT" SIGNATURE OF OWNER IIF OWNER BUILDEflI (DATEI BLDG INSP , pA E�I�' � � AP.PLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CI.TY OF FRIDLEY, MINNESOTA '�OWNER' S 1VAME • BUILDER:�p - j � �� ADDRESS• ApDRESS: / � r� � �d��y�n �-��9 � , , �� ( �, � � � sz�T: r��� / 7r��� . �,�?-� J� NO:.� ^�_�T � � . �� LOT:�� �'}_I� BLOCK: �� ADDITION: ��zA�� �� �t��S � J i( CORNER ZOT : INS IDE I.OT : �, r SETBACK: SIDEYARD: Applicant attach to this form Ztao Certificates of Sunrev of Lot and proposed building loca.tion drawn on these Certificates. HESCRIPTION OF BUILDING To Be Used As: � � " Frant:�;'� ,�<; Depth • � �� Height • :� ` Square Feei:,� ���'� � Cubic�Feet: � � � � ,�'� ' J Front : � Dg�,th :_,;��; � Height : � � � � � � � ; �� � � � Square Feet; � Cubic Feet: �` � TSrpe of Construction: �� �+ �-� -i� Estimated Cost: $ � � ��i `� �� �"�� To Be Completed: - % � � R r �° ,' �l . "'� ; � �°''�,� r< � �� U � i � � " � � t , � . �;� , � ; �,' � .` " � ; p � � �-, n = f� �, , The undersigned hexeby makes applicativn for a permit for the work herein � � specified, ag�eeing to do all work i.n stxi.ct accordance with the City of Fridley Ordinances and rulings of the Department of Buildin.gs, a�d hereby declares that all the facts and representatians stated in this application axe true and correct. ;/� 7 DATE: SIGNATURE � (See Reverse Side�For Additional Information.) �� b� � �s�.,.=x �, �j, . f �:; ;:�- „ �• � � � d, e — a ° ._ _ ' '' ,% t: � , � ,mf� � �� � _ °� � Fi _ - �- �,�„ � �� ' � � '.� -��.� i �r _. P � , � �; � • � — '����, �. — � � ' . � �{ � � . �y i � `�`�� � "� t �`�j r �: � �� �...� i; Y � A, BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pertnits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to an� existing building or structure, upon application therefore, require the payment by the applicant for such permit of f�es to the amount herein below set forth and i.n the manner herein provided to-wit: tTNIFORM BUILDING CODE: Z`ype 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. �pe 3& 5-$1.85 £or each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of camputing fees for building permi.ts, the cubical contents of any building or addition, is cletermined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement ox the cellar to the average heights of the upper surface or �o the average4 �height of the roof su.rface of the main gable of a pitched roof. For repairs or alteraticns to ax�. existing structure, the fee shall be at the rate of $3.Q0 per each five huadred dollars ($500.00) or fraction thereof in the cost af all proposed°work. In no case shall the fee charged for any permit as set forth in Section 2 he less than $5.00. ' VERIFICATION OF FOUNDATTON NOTE: Permits for construction wi11 be issued a minimum of 24 hours from the time of application, to allow for prope� review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the fonndation, ance it has been constructed, will be requir-ed before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Oceupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has bean issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. . r ♦ -- . - . S ,Surveyors �'�e�tific�te COMSTOCK & DAVIS, INC. Consulting Engineers and Land Surveyors 1446 County Road J, Mpls., Minn. 55432, 784-9346 LOT SURVEY AND PROPOSED HOUSE LOCATION LOT5 4A AND 46 BLOCK 1, HEATMER HII.LS CI7Y OF FRIDLEY ANOKA COUN7Y, MtI�BVESOTA 4?..5►►/�uAGE' �'",�s���,G,r- � /� —� L ` !� ! �p d � ,� `s LiivO�'.PG,F'd�liu.D LI ri<iry E"„�sE-� 1„�„? �Ly� � R� � ���, O �� W ,,� .��� ;' SURVEY FOR: PE7E KEPRI05 SOUTHTW�INN REALTY � � Vi o �� O I ,.,!� 3 �- t / '' S.� �`� 3 a51� � 2� o �R' �• - ; . . t �yl / Qe. 23.'Z `, � �°R /,,,_� N Q� tA �/ Y / . � � '� (,�r �� , - �;,• �,�,. 9 � � -- � � �„ , ^ / � .�' ' ' DESGR�PTION; LOTS 4A ANp 4g, BLOCK I� HEA11iER HILLS, CITY �F FRIDLEY, AtWKA COL�VTY, MINNESOTA. - ��� k �. SCALE: l�e � 50' e DENOTES IRON MpNUMEtyT FpUND O DENOTES IR�IV MONI}MENT SET I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of M�nesota._ _ _ �J .� -- ---- --- - - --- —� — � /o83z �5'�> �3 �r`y 3�3z Reg. No. Date Job No. e _ .. -�--°� � � � � � ���-�/o� � � � � g S, c,�'� o �r� �f �✓, e 9� 9, � � � ��� — ��� �� �� �r� � �---- � ° _— �' � �O � - �� � . � �� ����� � 5 � o� ��� ar°�� � � � � �� , -� � l, � � � � �. P �' d-..=� �, C� �, � � � � ��, �� � � �°�� c -� w ?_-- . � _� • '! � t��! ?� , .- HOUSE HEATING TEST RECOFtD �� � � ����'�a.�.���� AP7. j OR CI� : ADDRESS A � � �,� �v OCCUPANT OWNER� HEAT LOSS DATE HTG. INST. GAS CO. METER BAD # SOLD BY INSTALLED BY Eleehical Work By Gas Line By TYPE OF HEAT GA FA HW STEAfA SPACE HTR. UNIT HTR. OTHER � GAS SIGN y CONYERSIOW MAKE _ �-�/ U ���`'� �"'`�'�`��KE OF BURNER Model �� ,d'�� � �� � �� � �'� Model �ia� ��p ��,�%�-� '��.�'� Max. BTU Rating INPUT �'�-�� MAKE OF FURNACE Model ��CONTROLS °� THERMOSTAT -���'��at ���9 Vent Size , �� Valva �� ` KIND OF LINER � �SIZE NONE - � �� -_�i�� Droh Hood % RegulaTOr Limit Numbe Limit Setting f� r Filters Size � � �� Chimney Loeation Inside Outside Fan Setting Pilot Type ��°' G7�imney Construrtion Pilot Nlaka `°`��' � �'�' Smoke Bomb Wiring Pilot Modef � � ��-- Test Tae �'�_ Pilot Timing // ��� DraR � Door Pressure Lighting I�st. L.W. Cut Off � � �� �� � p 6 � � ���� � Date Tested - - Pressure � ° Per ent �C Input CFH ,� � � P�e� �"2``� � ��mP°ny Testing Stack Temp. <��'�� Percent CO ,--�J�— Name of Tester Form 235 z � � O z � � � � � N y � V � 0 � y Qd N O m � m � � � � ~ o ro. 7d � � � �, iG�� � � � z � ro � m � � � r N o � O � o H °z � r�-�,�,"� �' �' ° �Z � e t�n o �°< c c °w � o b b ro � Haaz � �� � r r xy w pr f+ � �p ,..`�., ,_y., d G� � r H � z m � m n � n n c�mi �D o Z z Z H m�� Z �� cwi � � o n a+ y ��' g c�i � C!] L1 L] F-i W G] l4 1 .7 I .7 '.7 .'Y t+ R'+ R� (D .7 U! 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MINNfiSbU Sd4/d � �� .7 G�o � _ -._.-_ :---� (sU �kt 0 B �!'1 'v` naa� _�� IV O/C � R , y Job Name '' -- --- , A � p. �. .. � : Length �_ � Height . Time: - - ' Roan: Width - � �b ; Wet Sa�tb � ; Wet Bulb �d�': �' Deaign Conditions: Outside: DrY Bulb ' - - - - - - ' _ Wall Color. Dark E�: L.i t Q: M� • --- -._ _---- i Roof: Dark;�j^ L�t D: 11[edtum�� . VYlndawa: Shades i� Awn1n ❑; Bare O. _--.- --_ ------ ARfA � IA101! q DINIiNf10N: SO. R. � � �* . f1D• � ---- — — - --_ . CONDUCTION NEAT �AINS ,* .. �a•s ••a . 1. Entert'or wall. Qross -- - � , y �', ? '� 2. F.�cterior � tia 3 Exterioc wa11, �t ! Z��� � p wn �. Partlti nrt ', ���� S. Floor! � '2 . P� �fr� � g. Ceiling or roos ; �(�� f2LAR OAIt� WAUS (dinetisn faadl �. 8. �. 10. Raof � �dIHCf�11 � �. � �. 14. 3ky►lf�ts - �Y M�AT A� , c e�,..�h�. 18. Latent (9utet) 1T. Ltent (activa) �11PA� I�T � 18 E�ecFrtc li�ts � 1�3. �lectric � (itotN � � electria�l eq,ulpi � _ - z�: - �e:: bu�ra;t�� �qc�r''�'' � � ���'� S� L-- I -°. .'�� Z/ 6/� � No. d �eopi (, �ad� No. d �1 �i Watts x 3.� � v d � � � � J 2 �i� � �� o � X H.�. ) � x� x Paw�er Fact+o�r I �t r , C', �'. b,� a 1000 � � 9 � � �' .� n 'i.. � ro � . -� 0 � � ns . s 7 .� ...• - � ' ..., ;�,; �t N�! 4 «N l � �� I� '� ��e� ��� , r � NM iM� � � ...� a� v •ae �� � Zc�a � o (� �----�-- � .s� ��-- .� � �-� �1 '1'�'i'aL %LEA'r GwaN c:3r:r�i,s�.{.�, _— ' I .... � i .� - 23. T(�"fAL HEAT C;AIN (LA1'ETi'!') --- ------- -- ; x lOQ _ 91r Etem 24 x 140 _ — i - �. �ible h�at n�= Iterr► 24 + Item 2S _ _ _ —� -- — - Dt.y, bulb, �� � 2T. Temperature ot air supply _--- - --------- Gi.� item i4 — -- ------ = — 28. Total air e�u�ply= 1.1. [room d.6. - Item 27 d.b., I — =-- - - _ --1- -_ _ _ _ ---- -- — i NE/sT IOAD O� YENITl�Ie11N�3 Alit C.F.'t. OuLdde Ate 29. No, at Peog�e -- -- --- — - � -- -- C.F_�i._ p�r �!�on _ -''� — _ � __— B.T.V. p� hout _ 30_It�t'n 29 -- - � - -B -T-U_ Pei' C.F'.M _ _ — _ _ - --- -- E.T.U. prc hottr 31. Totnl cooling load = Item 24 + Item 25 � Item_30 __ _ --- �� - --_ --- - - - — - Item 31 � � / �_ � ��- _ 32. 'Tonnage equivalent �d cooling load- 1� Z000 _.� —_ - -- - _- ; --_ - - , , SUBJECT P . City of Fridley 2 0 3 7 0 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � � � • � i y___�� COMMUNITY DEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. � � � �� � i.---� �/"',,� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE Of APPROVED BY i' 612-571-3450 9t0-F15 5/18/�Q. / / JOB ADDRESS �,26.6 B.en M,ore Dri�e N,E, 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4F� & 4B 1 H:ea�Fier HJ,Z.ZS SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Walt Jacob.son 62G6 �:en More Dri�e N, E. 571--3794 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Deck Specialis:t 1238 rt�a,chtlex �env.e, St. �aul, MN 55118 224�25�2 4 ARCHITECTOROESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILAODRESS ZIP PHONE LICENSENO. 8 USE OP BUILDING Re�idential 7 CLASS OF WORK ❑ NEW f�7 ADDITION ❑ ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Constxtact a 394 �t�s �'t, Decrs_ 9 CHANGEOFUSEFROM TO STIPULATIONS �ee n9t�,ti,cang: on �lan. The nlini3nucn dis°ta,nce Faetween the deck and the xea,x ],at line. i::� 1�, 5: �, t ������� � � �����t cat ons�r 46�-0002 _ R`ED By �qw TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATIN(3, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(3 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 PARKING I HEREBY CERTIFV THAT I HAYE READ ANO EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SUiiTAX AND ORDINAIdCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 2 85I� WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ I $�-.43 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ' STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $54.00 ��,• (� ,� PLAN CHECK FEE TOTAL FEE �J�' �—�.�'`►' �o, $55.43 S�GNATUREOFCONiRACTORORAUT ORIZEDAGENT �oATEi _ WHEN PROPERLY YALI ATED THIS IS YOUR PERMIT � ��� SiGNATUREOFpWNERtIFOWNERBUILDERI IDATEI BLDG WSP OATE � � [ ] �T� [ ] . ti ., � ... ,� - Legal Desc.ription: EffeCtive 1/1/90 R-1 AND R-2 Building F�ermit Application Owner Name & Ar,�dress: �, � � ��-�. �_ � :�, t`- - ,`�� �a, �� , o a���°: Te1. # ,� � � � � � �� �i Contractor: � � � �� � �� � = .� n �.� Z�e1. # �� � � �'�'�; '� ', =�" . r,a.a,"c�.�t ' ��� ° e,�c � � � �� �' � � � �� � :.i:� � - :'-i� r' � r" r`%-.� Pr°� �' �� Attach to this application, a Certificate of Suzvey of the lot, with the proposed construction drawn on it to scale. LIVII�IG ARF�: Ierigth (�►R� AREA: I�x�gth DECR ARF.'�i: LL?Y1CJ�'1 _�� 1� 9� �: I� �1 � ���i� 7 d.'1 � 2 SC y�%� a`�. :� '�� .,�:_ «• ., . - � �• •.. � � ��, Width Width Width Height Height �/� Sq. Ft. Sq. Ft. �� �Y Sq. F't. � ��°��-�,� G �� � �`�, __ � �. . ��� ��������t�� � � Cornex Lot [] Inside Ip [] �. Yd Setback r��� Side Yard Setbacks �, �� G° '�� 'Ij�pe of Construction: �� . �^ �� �� , F�timated Cost: $ ;'�>� . �� � � ` Approx. Caanpletion Date. �`,�,, ,,,;:; ����``�� ����.1 Proposed Driveway Width If New Opening Is D�ssired: Ft. $ ' $ Width + 6' See Back Fage I]ATE: � � � �`�`' APPLICAIVT': ��� ,�.;, ,� . �J��,.�, Tel. # ?.'� �' E �_ �' � �., _ �f.� � '� ''� �� � a P2rmit Fee $ .�� State S�um,harge $ SAC C�aYg� � Driveway F�c,zo�w $ Park Fee $ Sewer Main (�aYge $ � s�s�� CITY USE ��II,Y Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined bY �J�'�J Agr�t Necessary [ ] Not Neoessaly [ ] ���: �� � �� �� � �� �' �� � � � � � p�'��' ` � 2 �� ZQ��--1C6'�� >�'� �,��____--. �y, u � :_�1� • ��_ ��+�Y�4 �+:�- : �.:i:��_�� :r, The Ctiief Builditig Official shall, before iss�?*� �*�+++;ts for the e�ec.�tion of any ,; i ding or stxucture, or for ar�y addition to ar�y existirig buildirig or structure, or for ariy alt.�ration or repair t� a� existing building or structure, upon application therefore, rec� ��� the payment by the appl icant for such pera�it of fee5 to the amoimt herein belaw set forth and in the manner herein pmvided to wit: ,'I�0►�1L VAII.JE $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 E�� � $15 (Minilmnn Fee is $15 plus sumhaxge) $15 for first $500 plus $2 for each additional $100 or fraction thereaf, to and includirig $2,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $252 for first $25,000 plus $6.50 for eac� acklitional $1,000 or fraction thereof, to arid iriclt�ding $50, 000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to arid including $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thexeof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each ac'�di.tional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and t� $3539.50 for the first $1,000,000 plus $2 for each�additional $1,000 or fraction thexeof DRl�1E'f�iY DEPRESSI�T ESC1mW (Concrete Curb Streets On1Y) Alternate "A": Removal and replac�ment of curb ar�l gutter only - Driveway width plus 6 feet times $13.50. Alternate "B" : Removal arid replace�nexit of curb and guttex and in.stall a 3 foat wide approach with 6 inch depth - Dri�eway width plus 6 feet tia�es $15.75. ►'/�+; �� �+s M •)� • � ��,U,ie,;-y�-i;�l P+ermits for oonstruction will be issued a mZnim�nn of 24 ha�urs froan the time of application t.o allvw for proper review of the proposed structure and of the oonstruction site. A Cettificate of Survey of the lot, shawing the location of the f�ation on� it has it has bee.n oons�suct.ed will be required before proceeding with the fraining. Surveyors Cert�fic�te CO1�iSTOCK & DAVIS, INC. . Consulting Engineers and Iand Surveyors 1446 County Road J, Mpls., hiinn. 55432, 784-9346 LOT SIiRVEY ANQ PRQPOSEO HOUSE LOCATION LOTS 4A AND 46 BLOCK 1� HEATNER HILLS CITY OF FRIDLEY ANOKA COUNTY, MIIVJESOTA D�A/�uAGE' F�s�rfe-,vr�. � } �o� —�--� — �� /i �%• �'i � I ;� �a L 1- � � . � Z � C N x. SURVEY FOR: PETE KEPRIOS SOUTHTOWN REALTY ✓ �`; ..-.. ( Q v I � N�� W N �o• ��• � tt . :Z ' �, yy '�, _o � " I � W �° lS� UNDE,PG,(�d!�iVI1 g� � ~� �� UT/.C/iy �sE'Y�Ei�T }). �\e- I /� Z��� Z/°'S � �s/'� 3°j'��7 R' t'° . \ � 4' � b'f � ��-�' 3 �Z �s �,Io� l ' 2 H � �N � � � . � 1 �, v 1 � ..I" . 9 DESCRIPTION; LOTS 4A AND 4B� BLOCK iI HEATHER HILLS� CITY OF FRIDLEY, � � AI�OKA COUNTY, MIfVtrIESOiA. t' . . + , . , ; , SCALE: l�� = 50' O DENOTES IRON MONUMENT FOUNO O DENOTES IRON MONt�1ENT SET � I hereUy certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Rep,�stcred Land Surveyor under the laws of the State nf Mi��nPCnta � ROPERTY LINE ---� yo feet SITE PLAN feet (lot width) � �feet feet , ... �.�i .,._.�u� feet feet (lot depth) NO SCALE °,.::�.>r; .� � 7�- � '- -, � f�* .�C,-� STREET/AVENUE 0 SHOW NORTH DIRECTION ,-r.��. BUILDIAIG SPECIFICATIOI�IS for PERMII' S��1 �� D� V � ta� �o-9s4o CUSTOMER 11�AMF' �. ��� t�+- `�:��-• � nl�c; � r� CITY t,, e 4 l t�. w � ADDRESS ��G��� 1��t..��rr,<�,�� 4�;�' TEL# a�")s� �"a`�"`� SALE DATF SLSM _ .�..� � ,,4. � :�. d �� �: APPBO% TIME WOBB TO STABT (WEATHEB PERMITII�IG) FOOTIleI6S number /� � �epth �1�.9 �iameter � p� �� � I � � c�.�� :,1 �. LEDGEB` :71at I � �fCl �C�° �� ;pan. e � � �iding type���� DI11�iEI�ISIOI�iS �r1at ;ength width height `� ' � � � a� � EXTI�AS :�enches "� �irr�en�ions �tyle SUPPORT POSTS , mat ��z;! a,r �:�'��� lengt� �` width � � � "� JOISTS mat 'i r��s --�� � . !. gpa +�,i'v°� ic'. `_'�". (�am ° �,e Fs X6 2X8 2 1. X „ C �� „ STAIRS mat L�Y.4+`�� • rlse � ° 0 run r � � eleVatlOn �° ` planters -�� dimensions style FII�IISH UrIDER DEC�' r'1 t.�►°��` ' �BSTRUCTIOI�IS SPECIAL IIIISTRUCTIOI�IS � JOIST 'JOJST HaN�AR H�JSE SUPPORT BEAM , mat �- �� �'' � P � ��' s arL � .�:,b., ;., :, ,, M �:., � �; , . tl 4x6 4x$ �4x10 4x12 ��� , �.� �._, r 1.;� FLOORIRIG � �'' �- "" "`� ' A mat � �� �e �- len�th � �-� ,,a �° -- diagonat other ��� �E�� <�.���_ RAILINiG mat � �:i ,;� -� r ht ' `` °,�. �' spacin� -c� �� -� �=� style �; � 4='t� trellis � dirriensions s�yle � 1� I � i . � ' e, .. . GRADE --`J � � � CoNCRETE Fov1��N67 � , � 4.� Cy � � /1,,. , , � . . ` . � I i_; �{� � �0� "J1 � � . . � ' .. P057' � ,'� n.1 t.... ��q < <J to .�,�, r�i ll �( ` . 1 A.�= i° .�!' 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' �:.o� � ,� � q� � 7 ; ,; ; ;_I_�_' ; i � , ' . ' ; : � � �� . --- . �� � e � � .'' . 2 . ! I . : , i , , . ' ; . - -- l°; ; 1 , : . ;_ � � �� - , , . , _ . _ ,_ __. � ; ; ; __; ; �, _�_ . ,� , _! ; � ; - � ; ! �� r � 1 V i I : . . � : : : . ; _ , � sue�eh City of Fridley 2 8 8 8 5 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T „ ,� . ; `L __�__ COMMUMITY OEVEIOPMENT DIV. ��� r � � PROTECTIVE INSPECTION SEC. � i . , � _ �"'� � CITY HALL FRIDLEV SS1�2 NUMBER HEV DAT6 PAGE OF APPROVED BY �----�% ,•' 612-571-34b0 910-F15 2/2/99 / / J08 ADDRESS 6266 Ben More Drive NE t LEGAL LOT NO. 9LOCK TRACT OR ADDITION SEE ATTACMED oesca. 4A & 4B 1 Heather Hills SHEET 2 PROPERTY OWNER MAIL qOpR�$$ 21P PMONE Walt Jacobson 6266 Ben More Drive NE 571-3794 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO Kn.utson Roofing & Siding 9307 Hillside Dr, Champlin, MN 55316 323-9238 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK � ❑ NEW Q ADOITION O ALTERATIpN �] REPAIR O MOVE O REMOVE 8 DESCRBE WORK Reroof House & Garage (25 Sq) � Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS " Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOF ELECTRICAL, PLUMBING. HEATIN(3, TYP� OF CONST OCCUPANCY GROUP OCCUPANCV LOAO VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SO. FT CU FT AUTHORI2ED IS NOT COMMENCED V�!ITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED fOR A PERIOD OF 120 DAYS A7 ANY TIME AFTER WOFK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV 7MAT I HAVE REAO AND E%AM�N�O TFIIS APPLICA710N STALLS GAfiAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS QF LAWS ypLUATION SURTAX AND ORDINANCES GOVERNING TMIS TYPE OF WQAK WI�L QE COMPLIED @ WITM WMETMER SPECIFIEO MEREIN OF NOT. TME GRANTING OF A pERMIT W2a 142 �I.O7 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAMCEL TME pEWMl7 FEE SAC CNARGE PROVISIONS OF ANY OTHER STATE Ofi LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �%1F.75 Fire SC �Z.I�F _ PLAN CMECK FEE TOTAL FEE License SC $5.00 $82.96 o S�GN4TUAEOFCON7i7ACTOpOAAU�NOp4EDAGENT iDAiE� MEN PROPERL� VA TED THIS IS YO/U�R PERMIT � P '��S�GNATU�7E O� OWNEQ��� OWNEABWLDEA� id�ig� � B�OG i�SP ' � q�rE >_ _ �'�' x�w ADDN ALTER [] [� l [l CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATION Effective 1 / 1 /99 � �� - ������� � ConstructionAddress: 7���� � � ��, � � � � Legal Description: _ � 1 � � � �� ,�t 2 �o i ��,•1 �� `�c � Owner Name & Address: G✓�r 1�- T� ��sc� Tel. # S' 7/ —� T�c/ Contractor: � �c�� �'.s'ipt �'Yt MN LICEN5E # ��-G � Address: l % ' e 1/e � %% �/�/� Tel. # 323—gz�� LIVING AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Length Width �n� , w�a�n �ieight Sq. Ft. Height Sq. Ft. Hgt/Grou�ad Sq. Ft. OTHER: � � 2 ��C� Sc� � °�- �}� � � . � Construction Type: ���( p�,� �',�� � Estimated Cost: $ __ � � �/ � (Fee Schedule on Back) Driveway Curb Cut Width Needed: DATE: � Z APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: �D L/ �� $ � /y $ /• c� � $ $ S"�4 0 $ $ $ $ $ �� �� Ft. + 6 Ft = Ft x$ S�L 1� ���Gr��/1 CITY USE ONLY Fee Schedule on Reverse Side � Tel. #� 3Z 3--�Z� .001 of Permit Valuation (1 / l Oth %) $.50/$1,000 Valuation $1050 per SAC Unit $S.QO (State Licensed Residential Contractoxs) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUII.,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing psrmits 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 eacisting 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:� 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 $500,001 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 $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 $1,000 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 (Concrete Curb Streets Only) Alterna.te "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alterna.te "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 Permi�s for construction w�� 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 foundation once it has it has been constructed will be required before proceeding with the framing.