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AF - 35351c�.� of F�.atey, m�.n.n.. BIJILDING PE�MIT N� � 5 s o s� Date: � � ". +�� «,,. �� . � .�... Owner: �.:.. ' ��' '� — Builder ,•, ' Adcireas Address � �� =� � �oc�+►Tio�v, oF or � , No: �-' Street �`�� ,�.�.�� ±'Part '.. t y . �. d �... . Vr Lot �_ Block Addiiaton or Sub-Divisian�.:_ °` Corner Lot _ Inside Lot � Setback � � ` ' Sfdeyard � — .:.� � Sewer IIevation _._._ _. Founda.tion IIevation L�ESCRIPTION OF BUILDING . To+� Used ` `,, r' . f ,, � ��` f�,� �' '' "�'�" r: FTOIIt — E�� ]�Qp�l Y�� HP.l�lti �[�� SQ. �+'ti. ���`'�a' ��1.1, ���Y� �!►' !r s� �� � �� � � J Front �� DePth ��.� • Height � �q. Ft. ��� �:,�. Cu. F� �'�� Type of f nstruction Fast, Cost'.._! �',.-�� �__ To be Completed In conaiderati�n oP the issuance io me of a permit to construct the building described above, I agree io do the proposed wark in. accordance with the descrfption above set forth and in compliance with all provisions of ordinances of the cfty of Frldley. � �n consfderation of the payment of a fee of , permit is hereby granted to to construct ihe buil�tng or addition as descrlbed above. T'hispe rmit is grented upon '�he express condition that the person to whom it is granted and his agents, employees and worlunen, in a11 work done in, around and upon said building, or anq part thereof, shall conform in all respects to the ordinances of FriaIley, Minnesota regarding location, construction, alteration, maintenance, regair and moving of buildings wi� � dty ]iinits and thia permit may be revoked at any time upon violatioa�of an3► of the provlaions af satd Inapector NOTICE: Thb pemdt dose aot eover ths eonstruetlon, inslallattoe fo� wiring, plumbtag, gas heatie8, sewer or water. Be snre to sae ths Butldieg Inspeetor fo� separate pertnhs foe thew Hsms. '�.-- -_` ---- - - � --= a �� _ _,�—�a; p � �` - . " � ...� ,�- —.-.:�.�; ' � tEROY H. WINNER � , 1�� S�u�� Registered Under Lawa of State of Minnewta � ROUTE NO. 4 • .ANOKA, MINN. ±' • PHONE HARRISON 1-1859 j� � SURVEYOR'S CERTIFICATE ' � �� � W: �LI IUE OF t�OT 15 AUD. SUB. N0. 92 � � ° a y . � ' a� a - ��. M� BENJAMI�I ST. M� NE: � ^_ IRON ,� ., 80� � (RON � fa . v � `s�� .. � � - =� , � . - i m 14� _ � 1 , � � .1 t i iN� ..� �, .�, . , .�. � �N �'�.+ � . , N � '' � c � e . �� � . Ki � , �o , � 3 Q � � � J � � - .-�.� _ IROR��' � �..� �' i �,` .� •.• r.: -� Z� J 2 25� 23 HOUSE 5955- �� 48� LOT I 80� 3 18� • o,�� � o e �' SCALE�: I"= 30' � � _ � . m � ri M i..;��' � ''� .: :.. IRON ,.;: ;.6.: ,:.... {i . t! .• _.: i ,.,_ .. � .�»°. I ; .� � I HEREBY CERTIFY THAT ON JULY 8, 19.61 I SU6iVEYED LOT I, BLOCK I, AUDITOR'S SUBDIVISION N0.92, ANOKA COUNTY, MINNESOTA AND THAT TH.E ABOVE PLAT IS A CORRECT REPRESENTATION��Qv�i � �� -,.dl,p S A I D S U R�f E Y. ���' ��� °- '��;�= p. � , ' __ a..'��u1 ;`� .�,t-_ .. ' `� � �.r- �. / '_ � �A�� _ R � G. N0. �7,� �' �:, 3 ;,. � �. �, —� $'� ,- a � �; 3-ti-. �= :, ;;, �;\���> n � .� -'a � --- tit. ` h � P �¢� � � .�3 • 9`��<= -'�t` 1 � p. \ .if _ � 7� . r. ��� � I APPI,ICATION P'OR BiJILDILV4; PERMIT C�TY OF I�'RTDI�EY", MiZ�E30T1� Ov,mer `� . Name � Suilder c:� Addx'e9s _�, � 3 L ��, ;. �..� a�c� ��E �1AddYeSt9 �����.� ., `� LOCATIOI�' OF BUI�DING 0 o� Lat Lot � �lock � , Additioa or subdivi�ion,,,�,�„� Corner Lot Ins3de yot�� Setbac]s�� Side-Yard /� SEWEI: ELEVATION FOUNDATION ELEVATIOIV Applicant attach to this �orip Cert3iicate of Survey o� Lot and ,�roposec� building Zocation. To be used ase Type o�E Constructic To be Compl DESCRIPTTON OF BUTLDING ) � �...�. c�—� �—. c�o — � i c�'-r�e %Z: � c / Front_,;��,�Depth��� �eight Sq. Ft.+�� Cu. Ft. Front__r,�w___lDeg�'ch ,_�____��eight Sq. Ft. „_�Cue Ft. imated Cos•� ��''� � _ The undersigned he�e�y ma�kes applic�tion for a pe�cm�.t �or , the work h e r e i� � p e c i f�,e d� agreeing to do al1 work in str�.et accordance with the City of Fr3dlay Ordinar�ces and ruling o� the De�a�ctment o� 8uilcl- ing�, arid hereby declares that all .the fac�s arid �epreseni:a�3ons s�ated in this application are true and correct. DATE � C� '�' � °_- � /' � . SSGNA�iTl3E (Schedule of Fee Coets ca� be found on the Reverse �id�j. ..� .� � _ �. � � � . � y �� �..�...•� I�� � � � Q �r � � � �° � v� Z� ��/ / `a` � � �� Bi7ILDING PEI3MIT F`E� SCI�EDULE Secic3.on 2. The Inspector ofc Build�.nys shall., before i�suing any pexs�:�ti �or the erec-tion o� any bu�.ldirag or s�ructure, or for any addi�cion to any ex�.s�ing louilding or s�cYUC�ure, or for any altorat�.ons or repa�.rs ico any oxis��ag bu�Lld3ng o� struc�u�e, upon app].icatiora ��refor, require iche pay�nent my tche a�plicant �or such permit of �ees �to the amount herein below set forth and i.n the manner herein pxovided to-wita 2.10 �'or any suciz po�nit �or �he ereetion o� any fire-proo� building, oi:her t2ian a gaxago, waYehouse, �actory or grain eleva�tor, or �or the erec�ion of any �€i�emg�oo� addition, sor si.milar occupancy, �co any exis�i�g building sha]Ll. be at the ra�te of $a.40 £or each one thousand culoic �eet, or �rac�ion thereo�E, in such cubical contents e 2� 2. �'or any such pe�n��E �os �he erection of any �Eire-proof garage, waTCehouse, fac�cory or grain elevator, or ior �ne erection or- arry �ire° proo� addi�tion, �ox si.�n3.lax occupancy, to any existing bu�lding' sha11 �oe at the ra�te o� $�..25 for each one thousand cubic �Eeet, classi�ied as '°iigeproo�" by Sec�ion 502 of the �.a.nneapolis BuiZding Code. �0�, uSES 2.3. For any such pe�malt for �he erection o� �.ng oi:her �han a garage, warehouse, fac�ory or non�xireproo� addiic�.om, fcor similar occupancy� Permit $I.00 �or each one thousand cubic feet. �� any non-�3aceproof build- g�ain eleva�or, oX any to any exis�cing building: 2� �or any such �ea�i�t for fil�►e erec�ion oy any non�fi.reproo�E gaga�e, warehouae, �acicogy or g�ain eleva�or, or for the erection o� any non--�ireproof add�.�3.on, ior aimilar occupancy, to any exi:sting building or`for each such building or add�.tione N3noty Cents �or each one �tlnousand cubic iee� or fraction �thereo�, in tha cubical contents �hereof wi'c1z a min�num o� $9�,00. Foac �he purpose o� compu�ing gees for building perm3.ts the cub3.cal.con- ten�s o� any bu�Lld�.n� o� addi.tion to a unifomn he3.ght throughou�c by multi.plying fihe ground area covereci fro�t a point six (6) inches Ioelow the floor 13.ne or �he basement or celi.ar �o the aeerage heighic o� the upper surfcace or �o che average heigh� of the roof surface of the �nain gable o� a pitched �coo�. 2� For repairs or alteraiciona to an exis�ing structure, �the fee shal]. be a�t �he ra�e of $3.00 per each Five Hundred Doilags ($500.00) or �ractiom �thereor in �the cos�t of all proposed work. 2e6, in no case sha11 the ree charged ior any permit as s�t forth in Section 2 be less t�-� $4.00. /"� • .� , � . ,� � ¢ s > � ,� , - � �-° � �_ � � �= _ _� - � � - 4� . . _ - � . _. _ __ „ � � � � = . � � � v, a .:� .. �� ��;. r -. , �, „ :- . � _c_ , r :; r � � ��- r �� �� ' �. _ '[ � :`- = , _ _ - _ _. . ,_ _ _ � . , . �:. z .,, ; x � ,.- _ _ � �_ � �: � � �" � � = _ _ _ �� ° ; ' � �" - : . 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O � W � � si - � , �' � • � Cd�.� w O�i �' � � T �,�,��� z �' � O � o � := � �, ,,� � Cn `� � 4 K��. �� O �. `� �� ° j �t ' � , ^i ��a � � r , � � �, �;, �. `� '' a � ae- � '� ro : ' : : � I'17 � � �n Cn� Qe y � . O o° o p L+J ' � � 1, � � • � �' � �' ' a a� "� � �� o ��� � � �, � � � "'� � � ° � �� ��O � LL�p y �p �� � p pt � `C � � ��y � � ��5'b m ���� �p��ar E m �ida�p ����� H M -�d py �C c�D � � a � `° � � ��� � � �" ��� e�+�tD ��Q4 a ►7 H � ��� � � � � � �' �O "�h . . � ; � D b � w � � � !� � �e �' � �• , ��° ro � o � � \�!�jj b � � \',, � � P� � !� V v o � � a � � ' ' �/` � °�'� 0. � � — �''�,:l��r��r'�� �/���` `� --- l�iCa:s � s ��.., � � � — Rt3 D-16 � s '�J�C JC /3/�9�� � / r,fi�� � � �`��, � `�.ia HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS r_ � a- MINNEAPOLIS. MIIMi. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide ' dows I ors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied es No !e No 19_ ` � � � ` � P�•� �-P � Room � Length��3� Width f gf Height Fl,� � Room Length ' Width �� Height Windows and Doors—Crackage and Area �^. Windows and Doors—Crackage and Area tiVidth . Helght No. of Lineal f. Area 0{/� Wldth Helght No. oY Llneal ft. Area No. � oY p ne of n llghte oP crack aq. Pt � No. af pane of pane tighta of crack eq. ft. � �/ �� � ,�� � f �1,� �f� � i Infiltration � Glass �� � --=Exp�yvall-- - Z - '� - --= -= — Net exp. wall Int. wall Ceiling ��,� a d. Floor Total Btu. ° Required sq. ft. E.D.R. or sq. ins. W.A. Leader area � F7.� '�e � o;� Room � Length %��Width � Windows and Doors—Crackage and Area Wldth Helght No. oY Lfneat ft. Area No. of pane of pane lighte of crack e4. tG � �r� �i ;.x t .. IIL�� �� . �� �� Coef. � Btu In6ltration � Glass � _ F-.xp. wall_ _ � jC - �,- Net esp. wall Int. wall Ceiling � � P � � Floor Total tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room �Length �� Width Windows and Doors—Crackage and Area Wfdth Height No. oE Llneal ft. Area No. of pane. of pane lighte ot crack sq. ft. Infiltration Glass F�. ��r�ll ---� Net egp. wall Int. wall Ceiling� Floor Total Btu. �quired sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl•I Room � Length � Width Windows and Doora—Crackag� and Area Wldth He16ht No. ot Llneal ft. Area of pane ot pane lighte ot crack efl• ft. 7 �� � � � ` �— Infiltration Glass Eap. wall �- � Net exp. wall ,_� Int. wall �`� Ceilin� `� � �� � Floor �� Total tu. � � �- Btu 0 Btu Height , j� �� .��� , n�—r`� Required sq. fG E.D.R. or sq. iris. W.A. Leader area � � F7•) �1��.� Room I Length / b Width !' % Height Windows and Doors—Crackage and Area Wldth Height No. of Lineal ft. Area No. oL pane ot pane tlghte ot crack eq. tQ A...� � -� 3j� � � � � � `� �P -.- -- - - B�_.�`.�� __ Infiltration ` - - . - - Inrtilt�ion _-= -- _-_-- � F`l - --_ -- = - = Glass Glass � Exp. wall e )C �' � Exp. wall r� �, Net exp. wall � � Net exp. wall ,� (P �°� Int, waU Int. wall Ceiling` �' � Ceiling° � l�loor /� �� ���� � Floor � Total Btu. � Total tu. �� I Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. WA. L.eader area . , — -- � ' �L'�l d � � � � r o "� p � : H : °x :Y . � . y � o � a . m 0 . � : � � t!i ts� N � � � ri F+ � � � W � � p �! � � � � N • o • o � o : o . o.. �c : : � . . 0 x �a �a � ►�+ � O Q p � e� {n o y e.i` `� �� � r � � � � w � � � x � � � � � � �Cpr' '�* .M. . . � � � M � � � , � .�..,. . � � � +� � • "' . t�. p �, `.d `� � � � � c� g : � � � � � � � -._� . . . . : � ; : : : : � : ' : : 0 � � � � � � W N W h+ t+ r �j �.�i+ p e�i� O O p 'b tfl tsa t� tsi ts� tn � H H � � x � � � � � �9 l �_�, � � � � m N � m C r m .�!.. M `IF► W N F+ � � � � R' �' `� � StOTIe.4 � � WATER � a c�osErs �� URINALS � enrri rues � � ` �i� � � " I � SINKS � � W� °� TRAYS � � '° 8 �� �❑ I � ° � � a � � G R' � � � F9 0 � o � '� a � � � � � � � � - z 0 I g r U" . (� - �,-. �J 4 � � . � � � DRINK. FOUNT. sHwRS. FLOOR �' DRAINS �� BASINS nvro w�swEa cns APPL GAS RANGE GAS OPENINGS 'u • z • � H D p n � ��� � aa.�y � O � �a� N, ��� � � � a�5'� � ��o� � ��°� �p �o� Cs' � �, G `(4y � �.D.y o i'v � R' b'� � � �� � 'i3 � �' � w p p� €� � o ��y� � � te a ,o, � � � w � �. � � co � �.' �. ���y a � � �� ��� m.Q 8 ~ M �'07 � p'' .+ m �. � y� M , \ � � 5' C �d x� � M � H a M Rx �M p � M 1•O� �� � � � � � � � � 0" � t0 �' � '� � � � a � � 0 0 � � � �. � �. � � A � �� v � G � � ,, I �\ t�° '� � TO STATE BOARD OF ELEC. MINNESOTA STATE BOARD OF EL�CTRICITIf sE�at *�0 � 5 7 2$ 1954 University Avenue, St. Paul 4 MI. 5-7703 ir �� ' V � oet��,.� •+�' Property �i ^"�� L� i.jY � i .... Cerlif. No - Address— ✓ fJ f/� F'� <f� �j+1 ,� y�� Tow SeC►io^ Range F County Master Electrician— ����`L �A" Type of Structur� Owner—✓ '' G� /1 ,O7%7' ,�Q fi Oscupant Power Suoolier— CORR@CTION ORDER To the Owner, Lessee, MasTer Electrician or Occupant of the above described premises: Pursuant to the auThority vested in me by sfatute, you and each of� u upon whom this order shall be served are hereby ordered under penalty of said law to comply within ` days as follows: � ,�'/`� � ,�,� �J'B v �` � .{� � ,� ��r�� ��"� �� �� �1 ���s .f` 4r �► n a� � ��� �% � f d.► M aa ea ! � Ji 4c L,� !� � a!� t.� �i .��,%� 'Y a vt � tr f'1 L a„S � j�,,�t t g ��%f .,� Any `certificate or correspondence referring to this correet�ion order must bear the serial number of this order. �Sign and return to ic�s� e�tortupon complian�e. Phon� Inspector � '�'� � �' <! ���` � Address ID 30 • Town �� �� _�----' �- _�--- _------ -"`� _---- �"�' J----- �� 'c��''� __.- -----`- � u pF -EiEC. SEkO�' '� TO SSA'�E BOAR� � EL�CiR`G�'� 03 ', � i �A� aOkR� ��• 5'� k' .�-�--�''` �. ? Ceir�F, No � _ ►�l1NN�tA 8i st. r'HUt '. ' t954 t1"iv ` �' ' �F .-�_Tow = _ _ ` Ua , prop��tY � CountY pddre �ij _gan9 Ty� of Structure---r"''-�'�- �—, ��jon_�-"� ! �. ��pant �-- Master Electricta � , � ��ra-E Ow,{ner '�1t nt #o the authorltY 1� lier C�RLtECT10i�1 �� deacr�hed pt serv� 8 8 h e� °rda�ed un`ie� � Pciv+er SupB nt o{ the ShaU be ctan ot �� whom this order ,� ���� y�aster E(eciri W �pon � p afiatute, Y°° and each of Y ey$ � fdllows: Tb the �neti � ��� of satd taw to comP�Y `�hi� •� `.--_'" '��a1tY � f �,, �-� � �. �� ,i; ,� - � ..._- ,` _ � - ::. . �. _�,� . �—�`<�; ���— . �; �-- _---r_` ��"'—� o�r' must bea�r the se+rial t�,is sorrection ►�ance. referrin9 'a° �r ��on comp � cai� ����p� and return to insgs �� AnY. certif� r, Sig C - ���� of this ord$ '_ lnsPect° phone----�-'" Addras : r,�.r- . � _ I, � � tow � , . ,_ . 1D � i ,�t..�.J ..,�ro- ,�,-Y .�cy mv�{�+s,,., • ..vene.-.r tic+,w�+�.n-------- / � ( i4'� r.'i .+t-� cL .:� ( ' � �-. � �.� �� °. , �"'�� � I � .... . ... ,.,. 9 .. , �-�.� ,y� ����, , .. ��� , ��� �%/ . . z� . ..��� . .' � .._�. ,��� �� � f : . . ff . , �r �� � . �" .. .. / .: ��- �e . �..... e.. .�F,... ��,� �� v�� �� �� �� . � � . 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'�./, � \/ �� � l •�.� ..�''" �''• ' ' � •` ...,� � � . � . • 1 .,; .;\ \i,,'� ,�. . � ' ��� . . . ' 4 �` i.'`� 4�a..� � . . � � i. • I ' :;Y�' , , r . . I I .;��;, ,:;;l��.N . , � . :' ,: , �� : : . I . � . ., ` � I . • �. I . �. �i� � � ,a ' � :' :� ' , ' . ( . ! i� � • . 1 .., . - 5,7.� .��7� �.i' /. . . ' ' • . . ' . .. -- - :.S . 5.� i: �1 ' , . .. it . . . . ♦ . � ' � 1 � .�4 � •i ' ' , r� �/� �� � � � � � � �a�°�.��� '��� ~ • � ' • .%+�.i.;r '��� � � �•'M ���:�6���`i't.�a 3d�.►r`?�����s� 8.. � �y�� �� � SUBJECT PERMI City of Fridley ° 16 8 01 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � ' � RECEIPT NO. � �y _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. M� /�� � _ � / CO l----� �����,•� CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY i� 612-571-3450 910-F15 10/4/82 / / JOB ADDRESS 5955 Benjamin 5treet N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ], 1 Acorn Hills Adda.tion SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Mahlon Moe 5955 Benjam:i.n Street N.E. 571-5041 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Inter-City Builders 1633 - 5th S.tre�t. N.W. 633-Z389 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDHESS ZIP PHONE LICENSE NO. B USE OP BUILDING Residential 7 CLASS OF WORK qX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WORK Construct a 24' x 22' Deta.ched Garage 8 CHANGE OP USE FROM TO STI PULATIONS Provide a hard surfaae driveways SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. �ATOOC� Fr�E THIS PERMIT BECQMES 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 ABAN�ONED FOR A PERIOD OF 120 DAYS AT rJ2H 52SO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yqLUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,438.40 „��j�$ y$2,%2 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHEF STATE-Oii LOCAL LAW REGULATING CON- S CTION R THE PERFORMA E OF CONSTRUCTION. y�S6. 'rJO NONE PLAN CHECK FEE TOTAL FEE O NONE $59. 22 S n u oN� A RORAUTHOR12EDAGENT ATE) WHEN PROPER VALIDAT D THIS IS YOUR PERMIT SIGNATURE OF OWNER�IF OWNER BUILDERi IDATEI BLOG INSP �q � � CITY OF FRIDLCY Effective Aug. 1, 19s1 APPLICAT10��1 FOk RESIDLNTI/t� BU1LDIpG PLRNIITS (N�►�, A1 terations, Addi Lions. or Repa irs ) OFJNER: �%�9 �jLe �" �/o �. ADDRESS: ,5= �.�.�' .�3�.►/. ��rrs.�/ TEL N0: �'7/- s � r// � nstruct • STRITT N0: �j �Sr 6TItEET: QUILDER: �/�/%/' .:� c s �s/ f �-G�''s AODTtCSS: `� 3 3 - s'� �; /�/: TEL t�0: _ G 3 3-�� S- � Loca � �� � IAT: BLOQC: ____ ADDITION: Corner Lot: �=nsiile Lot: i/' _��acr: _� Sicieyards : 1�p�licant attach to this form two Certificates of S�zvey of lot and pzoposed building locatiaa� drawn on certificates to scale. DESCRIPTI01� OF COtJSTRUCTIO�� �� • �_ Front: � `� DePth: �-Z Height: � � Square Feets �-� � Qibic Feet: , Front: Depth a t�eight: Square FePt: A�bic Teet: ���. �� 4ype of Cor,struction: _ y��',�m � _ Estia►ated Costr S� �- . � Rb Be Cbr.�pleted: _.�/�/o /� �-- . --______— Alt. A Alt. B Proposed Driveti3ay ir'icith If New Openfng Is Desixed: �' s �� . . . SE� i�VER,E SIDE OF SHEET . Tiie ur,eersigned hereby make� application for a pez�mit for the ��ork� herein specified, agreeinq ta do .all Work fr, strict accor8ance �ith the City of Fridle�• Ordinances and zvling� of the Dei�rtme»t of Duildings, an8 hereby declares that ell the facts and reprQSentations stated in this Application are true and corre.ct. D.�TE: �GT / — g "Z— SIGNAT�F�: �___ Stipulatio� s � � � � � S� So Z 1 55.� ��1s� �� � � v ' � - � ��� � � � BUILDING PERMIT FEE SCHEDULE The Inspector of buildings shall, before issuinq permits foz the azectioa of any bufldinq or a�tructure, or for any addition to any �xisting building or stzuctuze, or for any altezation or zepairs to any ssistinq buildinq or s tructure, npoa application therefore, sequize the payment by the applicsnt f or such permit of �ees to the aaount hereiA below set foztb and in the nanaer hereia provided to-wit: '1�0�!'AL V7ILZJATIR�T $1.00 tiD 5500.00 SSO1 � 52.000 52,001 b� 525,000 525,001 to 550,000 lEES 510.00 llinimum Fee S15.00 plus surcharge $10.00 for the first 5500 plus 51.50 for each additional 5100 oz fraction thereof, to and 3ncluding 52•000 532.50 for the first 52.000 plus 56.00 for each additional S1,000 oz fraction thereof, to and 3ncluding $25,000 5170.50 for the first S25,000 plus 54.50 for each ac]ditional $1,000 er fraction thereof, to ar�d including 550, 000 550,001 to 5100,000 5283.00 for tbe first 550,000 plus S3.00 for each adt3itionnl 51,000 oz fraction thereof, to aad iacludi�g 5100,000 5100, 001 arxi up 5443. 00 foz the f irs t$100, 000 plus S2. SD foz each additionnl $1,000 or fraction thereof PLAN CHEQCs 25 percent of builainq pezmit fee DRIV�WAY �PRESSION ESQtO�W: Concrete Wrb Streets Cenly Alternate "A"a Removeal and repl�cernent of curb and quttez only , Driveway width plus 6 feet z$13.50 Alternate "B": Renoval and replacement of curb arrd gutter an8 install a 3 foot wi8e approach with 6 inch depth Driveway width plus 6 feet x 515.75 . VERIFICATION OF FOUNDATION Permits for construction ��tll be issued a minimtnu of 24 hours frcan the time of appifcation to ai�cw for praper zeview of the proposed structure and of the const:u ction site. A Certifica te of S�zvey of the lot, showing the location of the founaation once it has been constructed will be zequized before �roceeding with t�ie fzaming. F a 0 � .��� �� �� -� '� �`�=,. i � �` '" ,�_ -- -- ;c,;a . t ` , ;: � � �� F � � �� 1 ^� ����i i i `� � � � �1 1 : ( ¢ _ y. z ��` � i r �" J � _ � � -�' } xrA: � � - a�- s fi�, � '� � � �3 � �; �, 3 '� C �* ;�� �': �3 � � �" � � Y 7 � i 4: � � � � 1 i T � m�!Y ��}� q�,' s.��wr� /. � 1 ., � _ i �? �i �" � a �� � � a . .� , # � � z- ; ' 1 ;- , : ` � ' . '� • .� . . � : . �, - �: � z� �i `� � : ��..,.._ ( �i � � ��� � ({!{ � � -. ����rrr ` � �{ .� ♦ � .. � �' � �. i 4 �' �'�� � � + �- � �` ��� 1 � :_'� �: � ; �. s . ' �� � i �:;'., . ,;� . i � ��� � � , �l .. � � �., � I , � j �' S' � �Q-N .�A �I � �'is : � - g _ ' e--� . ' i " "� `, : _ '�.. _ _ _ _ _ � _ f _ - , _ �� � . , ,. � , _� ��1 �� j � - � �� _ �� - � . . _�� � _ � :� . , _ _ � . . Building Inspections 763-572-3604 DATE__.� ]iESS _ S1TE ADD _ THI5 APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY C �w �� ❑ OWNER YOUR E-MAIL ADDRESS . /U� �ONTRACTOR Permit No.; Date��ec�d: PROPERTY OWNER! N�: i - TENANT pDDRESS: CITY STATE ZIP, PHONE: Z%�'- S 72 " Z/ �� CONTRACTOR SUBMTT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE STATE UCENSE #�00 j D 2'j'� v EXP DATE .�'.� f"0 � ADDRESS: 31.3 .�Y�p' v3oh 1�}-t.J�o CITY C�aa,�/oy STATE��LIP 5'� 3�(� PHONE l/n'3�- PERNIIT TYPE � �DITTON ❑ GARAG ❑ BASEMENT FINLSH ;0"ttOOF ❑ DECK ❑ SIDING ❑ SWIMM TYPE OF WORK: � ■ },� ,.. �� ■�•�i ■• DESCRIBE WORK BEING DONE: %•Pa.- 07� d- hE+roo� �evs e '- 2% _5'9 SIZE OF ROOFING Ss� � � � NUMBER OF SQUARES GARAGES PROPOSED S1ZE: PROPOSID HEIGHT: SIDIlVG ❑ Vinyl ❑ Aluminum ' ❑ Other . W WDOR'S IN E3QS'! II�iG OPENIl�TGS OYes �No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WII�TDOW TO BE INSTALLED ❑ HOUSE & GARAGE � ATTACHED GARAGE ❑ DEfACHED GARAGE OSoffit ❑ Trim 0 Fascia LdKATION OF WINDOWS NUMBER OF HEIGHT F� BASEMENT REMODELING SUBMIT: 1. Existing Fl�r Plan 2. Proposed floor plan 3. List of strvctural members to be nsed FOR NEW CONSTRUC7'ION INCLUDING DECKS, ,ADDITIONS. & PORCH�S SUBNIIT: 1. Site P1anJSurvey showing the existing struc4ues and proposed project 2. Two sets of construction plans 3. Energy Calculetions ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: ([1SING THE 1997 U.B.0 FEE SCHEDULE) _� TOTAL JOB VALUATION $ 3, �2l ' OCCUPANCY TSfPE Permit Fee $ ��. � � Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ ,`� � C�`�i $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Yaluation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; thal the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understa.nd this is not a permit but only an application for a permit and wark is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. . � L SIGNATURE OF APPLIC ��� o��ldrfC _PRINT NAME �t �Fir� �� ��c�c DATE S I i� � 0 � � N � ¢ aCGi X < . � H �� � �,�,�q• � C{JRH FIL � EL■300.�2 y �� � r t5 ��� �i�d �Nidx �� °�$�•�� �� �'`� 8 x X �� �� °�'y�d��•�.°,�� � �S� � 3�d k k d'�, � I � x � 6 � � � �x d IR Q d. � d I�`,�o.�+ ,�`� +,�+, �� ~ � �~ �'��� �'��� �S � � �I � � � -f.1-�+j�� ii Q Gi �' �3 ����I �6'� ,�`3C��q9'9� C9YW'p X Zi � CQ3 NQ 1!B �$ ■'�0 2L'6W'13 I I� 1� --�C giT DN EDG do �+G���{ � r ld "�� �� EI.■f00.37 � �, �� � � � �I ��� � � � x �D � �i ,,,�; W �• L • � ■ EL+99.97 �„t� � a � W g,�� Fn- °r � d tro �3 � l� � � �,� � � X e� �,.�± S�, � a�r wv ec� � o� + d � � . �+ „w W a--ioo.o7 ��d`�;4� �. 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