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AF - 35563i�+i ,ti r!'� C� G] ps � ol ie �It A lo Of O 41 � C �° • m a� o a c�e a a r o r a m � e. w 9 d r et o• a r► s 'j� z m M x M� i� O G�� O O b m w � i5 <� �e a�r ►] K r 0� w ro r t� M �,,* a� • w� h r r* a►s m ta ro er • z f � r M m h m� o � m m � o r w � �„� � �� m H m YCi C" ' m m:1 e�? m ,.x.� a � � M O ea�► � Q d p a h Z s �j° ►�+ � 41 � ►mf y 5 � o i m . �p V� M �p � W M � 9 8 G'�, 1+, p '�' d7 � S~0 5 X F y o � o 0 M � b'� m W R! y a w y ` � m °e w m H 0 r O M O �' '� �� r a � � f// f/l Vl N N N N N�N N fI! N N t,� o r r � L9 O O N� �l N1 tJ� lJ� Y1 IJ� is h+ W yl „� • • • • • • • • • • • • � O O O O O O O O O O NI � O 0 0 0 0 0 0 0 0 0 0 0 0 0 N W V! 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City of Fridley v 16 6 5 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � i � � � R E,C COMMUNITY DEVELOPMENT DIV. r j L � PRO7ECTIVE INSPECTION SEC. �'e 0� � i i l-__- ��,'� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY i � � 6i 2-571-3450 910-F15 6/30 /82 � � JOB ADDRESS 762g grigadoon Place N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ].� 2 8lomberg Estates SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Garjac Const. 18405 Iake View , 434-7096 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 481 - 206th Avenue N.E., Cedax, MN 55011 4 ARCHITECT OR DESlGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Cons'truct a 42' x 44' Home and a 33' x 22' Gaxage 9 CHANGE QF USE FROM TO STIPULATIONS provide a hard surface driveway. Provide �d in the front and side yards . Provide Cii.y with copy of' verifying su�ney. SEWER °Y°: 115' Nolth Of M.He� "Y"'EleV: 894.4�. TOP OF FOOTING: 897.40 MiII].mum WATER: 10' North of Sewer � � � �� , �A� � �CCI�ACY Of tJTQt1Y tOCAT{ONS IitrD EtEYA�HS, EXISTING CURB CU�?: �'y}g pAYp �� ay{e��fl(�N PtJRPpSES ONiY � PE�SONS US,�Ki � SHt�URD VER� � �p�t10M G c� mE srr� SEf'£RAi�E P�Ri��TS F?E�UIF�ET� ��R ��ii�� etOte digging calt (xa1 t,t�1�A �}�TfNG, P.LUMBItrtG AI!!D S1G�► �i€I.�P�f�� - E��fC • �.�t�. � ��i�� v �� SEPARATE PERMITS ARE REQUIRED 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. AUTHORI2ED 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 PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 WITH WHE7HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $72�150 $36.08 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE P OVISIONS ANY OTHER STATE OR L AL LAW REGULATING CON- S U TION THE PERFOR� CE OF CO STRUCTION. $3 �JZ o d� $425. �0 P PLAN CHECK FEE TOTAL FEE � $88000 $901.08 SIGNATUREOFCONTRA ORORAUTHOR DAGENT IDATEI WHEN PROPE LY VALIDATED THIS IS YOUR PERMIT � - �, � � � SiGNATUREOFOWNERiIFOWNERBUILOER� 1DATE) BLDG WSP qA7 CITY Of FRIDLCY Effective Aug. 1, 19s1 APPLIC/ITI�;J �Of� RESIDEiJTI/1i,. [iUILDIiIG PERf�iITS {tJc�•r, Alter.�tions, Additions, or Repairs) r Ol•ltJER: ADDRESS : �� Z , TEL I�O: �� L/ %p �' � ` .,` .� • STItIIyT NO: STItEET: � I3UI LDER : C�� AODRESS: TEL I�dQ: Construction Location LOT: �� BIACK: _� Corner Lot: Inside Lot: � SetbacY.: ''�� Sideyards: /� ^ � Ap�licant attach to this form two Certificates of S�zvey of lot and proposed building �ocatian drawn on certificates to scale. ,... DESCRIPTIOIS OF COtJSTRUCTIOPa �� 'I , � Front: �t-� � Depth: � Height: 0�0 � Square. Feet_ Gtiibic Feet: � �� Front: �� Depth: �a Height: �(, � Squaxe� Feet: (vbic I'eet: f • �% 2. /J�!% 7�ype of Cor,struction: i�C�6� ��(+h�, Estiunated Cost: $�e��C�C� ' Zb 8e Q�r.�pleted: l c�a- � �,Si. Alt. A Alt. B Proposed Drivec•ray Width If New Opening Is Desised: �°"'� $� $ ' , , SE� REVERSE SIDE OF SiiEET . T'iie undessigned hereby mal:e� application for a permit for the �:�orJ:� herein specified, agreeing to do,all work in strict accordancc with the City of Fridley Ordinances �aid ruli»gs of the DeparCnent of IIuilc3ings, and hereby declares that all the facts and rcpres�nt.atians stated in this applica � D.7T�: �� SIGNATUItE: Stipulations: � � C�'�^�"� 3�^Z. �� P �. 88. aa T�o 3G,o� ° ., 0 �c. �1 �,: o v � b .. -�t� n �' '�' �� ( . �� ' �`�`�� BiJILDI•NG PE�RMIT F�EE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any bxisting buildinq or structure, or for any alteration or`repairs to any existinq buildinq or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set f orth and i.n the manner herein provided to-wit: TOTAL VALUATION $1.00 � $500.00 $501 to $2,000 $2, 001 tc $25, 000 $25,001 to $50,000 $50,001 to $100,000 $100,001 and up FEES $10.00 Minimum Fee $15.00 plus surcharge $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $32.50 for the first $2,000 plus $6.00 for each additional $�,000 or fraction thereof, to and including $25,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $283. 00 for the first $50, 000 plus $3. 00 for each additional $1,000 or fraction thereof, to and including $100,000 $443.00 for the first $100, 000 plus $2. 50 for each additional $1,000 or fraction thereof PLAN CHECR: 25 percent of building pezmit fee DRIVIIn1AY DEPRESSION ESCROW: Concrete Curb S�reets Only Alternate "A": Removeal and replacement of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "H": R�oval and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth Driveway width plus 6 f eet x$15. 75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the ti.me of application to allow for proper review of the proposed structure arid of the construction site. A Certificate of S�rvey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with.the framing. �2, I$o ��'��'", ' � �3 G , _. �O, o00 @ Z�3 ov ,�—� � , � � oZ�� (d?.od t'3�'7 `� °! • �� 12 � 1 ��.`� � �,,,-�.o� �'3$� �- �v.� � !�/�yX �6.2� S'1,�3N2� G�t 7�7 �I �.3� = ��'i1,lv �: � � i Z, � b 6.oJ �- %Z. s �zJ .� �� ,, �; �, ., ,,; �� ,, �_ ; �� C�1635TO�kC 8G I3AVIS►, INC. Cos�sulting E.n�e�rs and La�tsd �urv�yors 144�i Couniy htoad J,16+�inxaeapolis, i�N 55432, (612) 7�4-934� SURz1EY �OR: B & G Invest�nents 9bl Hillwind P.oad Fridley, Minnesota 5543? � ; • � 't � I . s I _ � hJ 88° 59'S3"W /37. Z3� i � zS, , O v�'� � �I � � ta S� LC p u � � f`' � �, � t � 4 ;h 3 �o-�� LO 10 � �� W ! N + � t `�'I � � i�'' � � ro' �n o �J d� g O �d L� � D O �i i� �.. .�Se�f � o Q . o. ;�, 0 � � ` I � '�� 5 88° 59� 53 �E /37. 20' � I � I I zs' t:? � � DESCRIPTION Lot 10, Block 2, Bloaberg Estates, City of .hridle,y, Anoka County, Minnesota. SCALE: 1►� = 4.p p Denotes 1/2'° diameter ixon nipe monu�ent set and capned.No. 1�532. �>,. r- „ I hereby certify that this survey, plan or report vaas prepar�d by me or under my direct supervision and that I am a duly R�gistered I,and Surveyor under the laws of the State �� Q j of Minnesota. � . '""" �.08�3,�. ,.� Nov. 17, 1��0 4278 , 9 P Rcg. 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W � � c� a � ' � w � br n � o �° a tr `Q � �S o • e � �' � m g� rn A W a ,��r ~ �d m ~ a wrnyn�,ro � � � C w N � � � �a� rt � � ro � � M � � r w N o n p, n � x w m "� n7 '� w k iO riy n a rt � � o � 1 a x n ;�c �"�"� �Z � m m o a�N� � o c�+ �e X �+ N '� nw�x I � � r t"s °QK��. @ � O a � � m 0 P 0 v 'p r � a � O z O z 0 � m z a "rfl � D z n � O y Z G D —1 C7 O S � y �� -� . � -m-1 n 3 O H r � � m m < z� c� •• m � � -a 0 z � m �'1 .� f,A __ m � D --t a a Z G C"� � 0 T 'l1 � � � , �0 �" C' �A .n Eet � O! tif A7 A d1 OI, O ti $ M� Or Or O m C�C a O r� 1+ C O m m R� R7 M O A R �� 0 h fC O�ir � M M � r� �� O G!'i � O O b � op+• p r M m M � ye a� m h o�i �+q � rt a o� o w m° o �+ ��?�" w a c aeov � � o � w r o a� � ti M�s �� m� o�• � a. ta a z m . :n r K ,o w � � a M �o � g ` y o' ►1 r a� � � � tA � � � � o m K M � • b'� K � � i 0� r- � . � � � D N C � r�r i O' � r o � �1 {q M N V! fA N N IA M 4! h N M N � o r F+ 0 o tn .a u� t�n tn tn ui s. F+ w yi o . . . . . . . O O O t� O O O O O O 1,1� tn p � C C O O O O O q O O O p � � N� N tA N N 4� q N N N. tA N N tn � O Q�, � � '0 ? � (�1 M �� N � o� y� � y`� [q �i � � b H c� Gi �ro � �. Pi H N a � � � O O 0 ,. b� C� � � � � H � « � � fl Z ~ b � �3 Q� � "� � r $ s � � � ' �' � �v r � z G9 � «� � C � � fH � !'� N � c� � � tq '1 y a r � � � m � O a � A 'tl � y � ►. t�0o � � � �' O �� • ��,� � � � y �� \, � Ct/ �' elOrlef� �" '" � a a M : 3.° � r � � Closets .q G Orinals � ai �' $ eatit �t�ba � � � � easins °' � Sinica � � Wash Trays Dririlcing a� Fousitains Showera � ' ' r ' Floor Drai $ �..� C8tCt1 � �G° Hasina Automatic � .. .i W8S�1@I g c� A�i. Miac. Fixt k � Gae Par►qe �L�l@t �a d� f�E M � M g � � ro C � � � �� 10 O� F+ R �p a m � ►�a � r. o "❑t n r r�p� c �n rn a � �7 O.O� Hh]� aN 0� M W w� ao ►�i m. �a°r'° a kro�� o� b �r � a � A � � 7' 6 �ss� = �ur � p 'u't' u b w�m e � � � � t m �, '9 W O Ci �w �""�d � �w�� wam m D 1'� R R M o" � 7 4p A � ' ►` • R �� d� � A M fY tb �� R � r M h r ? ►�t m � � � � m � m � ��x' � a ��K �a � ; �. � � �D m m . b'. F a� � �. + ;,.�« �� .> �� a � � � a � 0 2 � O � � E �' � �o� � � D T 2 t� � C� `-+ D d H r T �C � � � � m • � � � . S � � � r ¢ a r .�� :�7 �� c.° �,. � � s �i wr.�t �.tuna OOST SRARE 1GRE� Ye. LDe underaigned� reaidin6 at ��- � Addreaa) � �,y. 551��/ '�Or /�, 13c�c� �,.,? �Btr��s�'c6 �r.p��s (Legal Deacriptioa) . , '�;�g=:.� . �- �: �, � a�� to participate ie� a �oat r n� agr�eseot or tbe.last�ll tion �nd o,�ration ot a atr�st li�t at ,(1 -_/o c r,'c� �l�T,_ /� � ;�� (LooatiooT =•`s � �tt ut�eratand tbat tbe decisioa a� to �bea tD• lisht is to e� Sn�ta11e0 vill � �S at tbe sole diacretion ot tb� Cit�. Ir� •dditioa tb� Cit� will b��e solt Oesretioa as to vben tbe li�ht is reao��e. . I Me agr�e t0 p�� a�sr 8e-centage of � of tl�e tctal oo�t. in�ur��d �� t�� City for Lhe le�.stall�_foa aad oparation of t01s lisAt •ach year. Ye al�o asree to aAar• aAy co�t� la�cure�d p�r Lbe reso�al or rep�ir ot this li�t. Ye ag�ee tbai tbf.s eost vill pe paid to tbe Cit� p� Auavst 1 ot •�cb �ear or tAe eoat vill pe automatically �dded to our propert� assessment py OotoD�r 1 of eacA �ear tor the lile of thia liaht. Zbia agreement vill oontiaue te lon6 as tbe lisht i• at tAis location. Ye agree t6at t61s agrce�eat is biodins npoo our beira� auccesaora, transferee� or asaign� ia iaterest. Tl�le Agreeme t is �ade t a� a.r of �f � Det tn tbe Cit ►Lof Fridley and �eb�l4r'/� •1�� of c �✓ / �� c— Fridley. Minneaota. , f ner Signature � _ er �~ ^ er Sig ature 3tate of Minnesot�) ;aa Count� ot •nolca ) On tbia � d y of � 1� pefore oe� a l�otary PuD21c vitbin and f r tbe Cou ty of •noka d the S a e f Minneaota� yeraonallr appeared ar:d busDand anQ vite� to oe knovn � 0� tAe e peraons deec iDed n a d vho ezecuted tbe fore6oina inatrument, aD0 �oimarledged tbat t6ey ezecuted aame as th r t�ee act and d�ed. - �-:�'� ' • � . .�� , . - Nota�r�ic � . swnv�nn�nM�w wawsnMs � �'i► t;.a�.� sr�:�r t Thi• inatrument vas Qr�tted D�: ��- ��y p�y.M . k;��;ptA ; .l� Cit� �ridley �� HU:r�:� cot�Hir � 6131 Oni�ersit� ��enue �.'r ��n F:o,res �. ��. tss9 � - Friale�� lticaeaota 55432 '�""'^" m'�• 3/S/ 12/ 10 a �i �c i K.� � � � a� [ t�p �1 1... .� �w a� O� m� � Di ai 0� n� r' H� in � � � � � � � �y i i� i � a �cr i r+cL �. � a• � �O. D�T � �p'°o-• i��°. I 1.� ( 1� i� ^� � � i �.. e � 1 N 7 A � � � � O � � O � ; � i � € i o � � � 0. � � b c i .c r � � r o- � � �c` S � �- � s , �6 C 3 � w0 J � , �� C ~ �� Z�'� ��O �3,� D Z � Qm� D -Gi �7 D � D � 0 'T1 . � � r` m � r- � �1 Gi �� : �� s S � � � , : �,�� .� �.�� d � � � 4�� " � � �# � �,'�' '�' � �*� � � � a 1 /S�!! .Y� aa .`x �• �,� ��F c.. r� i �� i�� v r- k'Yr 7 i 1s � �` � �` ,�l �; �...�, %� �� `��. �, �- � � �` � � � �r �. `� �. 4� �1 G ..- - • � : •. • ._ � � �;�, ,; • � .j , � � � �� _ � /`l 88° 59"53°W,��c� �...1 .'', �� O Y�' ¢� aei we�o o� • o ( . L� t1.7T' � � e� � y:li� 3.'t8' ' � �d � '� Y = 7628 i � � �0' �,f,'� � � �_,� a � � .' t i3R1dADcoN � I:i. �•N Ptinc¢ a.c•. �� „�,' r °O I a N as.at �b/� �a � a a yl �p C - 1 ' S SB° 59" 5�"F' � C� a � L� � � d� . � l z=� � 7 � �-34.c'9.._.._ �. t�6.6B� ' ••- �' � ;a,� d �J�'+' Q ' Q t% s � �n + Q � ,.'`t h � >=�a -=) :.,�a a � � � .', a.s' s � ' o. � � �N d � � N co..c. c j ' O M �WY � `' 0 ��* Q i i� � V �� 1 ,'� � � l37. Zo' � zS' 0 0 D�SCRIPTION ' Lot 1�, Block 2, Bloriberg Estates, City o.f Fridle,y, Anoka Caunty, Minnesota. SCALE: ��° = t;p o Denotes 1/�" diameter iron nipe monur.tent set and capned No. 10832� o+�. ' N ov. 1"2, "l�t E30 . O �eno4¢s a�-o►� tr�en urr�a.r�t' io.-+�.1 I hereby certify that this survey, plan plat,preliminary plat or report ��as prepared by me or under my direct supervision and that I am a duly Registered I.and Surveyar under the laws of the State of Minnesota. ��i� -�� a$-�Z �i��`kji3c�72.. 2, lYBX y 5►i� es �l E� - 3 3 ` Reg. No. Date Job No. Book No. n SUBJECT c�ty of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � � i �� COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. r ; ----; � t �-"1 � CITY HALL FRIDLEY 55432 NUMBER RE� �'•'-"�'� �'� 612-571-3450 910-F15 JOB ADDRESS 7628 Brigadoon Place NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. I.O 2 Blomberg Estates 2 PROPEHTY OWNER MAIL ADDRESS Leonard Rence 7628 Brigadoon Place NE 3 CONTRACTOR MAILADDRESS American Remodeling 3700 Annapolis LN Plvznou 4 ARCHITECT OR DESIGNER MAIL AODRESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILDIN(3 Residential DATE I PAGE OF 9/17/91 / / 2�.063 CEIPT . �/'�� APPROVED BY SEE ATTACHED SHEET ZIP PHONE UCENSE NO. � 553-0020 ZIP PHONE LICENSE NO. ZIP PHONE LICENSE NO. 7 CLASS OF WORK O NEW � ADDITION O ALTERATION �] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Hous.e 9 CHANGE qF USE FROM STI PU LATION S SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORI2ED 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 COMMENCE0. I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PEHMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CON i RACTOR OR AUTHORIZED AGENT TO SQ. DWLG. UNITS 1 STALLS UATION $15,00� MfT FEE $162.00 GROUP CU. FT. OFFSTREET PARKING IGARAGES SURTAX $7.50 SAC CHARGE Fire SC $15.00 TOTALFEE � $184.50 :D i(HIS IS YOUR PERMIT 9�_��jT\��r��..��i�� ._ � - _ __ � �-. h. . :=,��:.; � �� [ l �'I'm [ ] Q7�1�'1 c:.'�'�i,� L`•""": Ie4a1 D�iPtia�: _ I�l AND I�2 • • - n • •• v. •� ��.' '/ �//'. • - . �� - • .. .:� / � � � ,� i ,� �- , •. • _ . f � 'r ' ./ . � �� . ,� � , � • �.• _ - . .I -�� / �� -'�� Effective 1/1/91 / 1 - ✓ �- .�„ "� // '� � ._i a . Attach to this applicati�, a Certificate of S�vey of the lat, with the proposed oons�tswctio� drawn an it to scale. ��3. �+� �'�M •�1 •I� �yl��,�)��.�y1�1+V LIV'II+]G ARF��: Le�gth W.idth Height Sq. Ft. GAR�GE AR�: Tp*� 'h Width Heic�t Sq. Ft. DEC'R AR�I: L�P�gth Width Hgt/t�+otu�c3 Sq. Ft. � O�: � i � /� � Cbrner Iat [] Inside Iat [] Ft. Yd Setback Side Yani Setbacks ZYpe of Co�nstruckion: Fstimated Cast: S �� Appn�x. Ocsnpleti� Date: Proposed Driveway Width If New Op�nir�g Is Desired: Ft. $ $ . i�1/ + 6' See Back Fage �- �: 90�� '� � : - - �. � ��: . ��y ::�.. �t l p.Q. .$ f �/�- ��s' Q6 l GG a1iQi. ,. Q. � i�.Y G.L.7G �7� Fire S�zrharge $ -� �" .001 x Petmit Valuatics� (1/lOth $) State S'�zrhazge $ � $.50/$1, 000 Valuati� SAC Q�e $ $650 per SAC IInit DriVeway Fscrvw $ Alt. "A" or Alt. "B" Ai�ove Park Fee $ Fee Detpr,n; r,Ar3 bY �4�r�4 sewer Main Q�arge $ Agre�nent lve�ssa�y L] Nat N�ss�Y � $ / �� ;: 71M�:� 1 : � !.t� �� ° �,�� `�� [] °` ��.�,a� � .; � bGv �' �J��v 2 � �� i�``�i l� �:- �� j� a��v � D m � � Z � o � � m � �' -=1 . O � (=p � • --a Z � � m o � m � � � Q � N o m� $ � -� _ cQ c�"i � � n o � v � m � N � � � � m .� � Q � � 0 � � � m r- � r O D m -�i a � � o m �.� a c �' W �Z � frl n O � /\ � E �° m �" � � � � � o o � Z O Z � � � 0 � � �•: � ctz � m � W O � � �' � r � c ' ` m � _ iv tfl � 2 � Z � m Z 0 "i (u � � � j � O N 3 0 3 O A � � N 7 ° c � � w � � 0 m 0 0 � � � i�.� ° � � � m � w a � Z � ■ i• � m z 0 m 0 � � O o � < C � N �Q � � v � � f� � � A m � m � ° o � o ,� �. r � � O Z D ` t� � t D n 0 � �. O 7 � ca E a N � G; � 0 N � � � � N � t0 N 4� ff: �bf3 N--� --► CJi O O � °o � � � � C; c C � � —I Z � � n, o � o � � _ c 3 � m C cQ C � � � � N _ o � � � A m n � o � � @ � rn � � Q � �n w o m 3 a� Qoo� �" o �� ' �� ~ G Q, � D m � � rn 0 O � � Q e (e 1e � m � � =i z 0 � C,�.. � o� c � L� C � m 0 � t� 0 � D -n � N o � N � � � � � � Q -�p (D .�-e. � � � � t11 n � N � � � p� � I � a' Q'?�c ° s � � � � � � m � o � � � c � o0 c w 3 v m. I � � O O � � °a a'. m � � C� O � � e, 0 � rn � � �k � \ � � . � a � � � m 2 � � � � � � � N � � � o n, � .. � � o � � ca N � �. � N c � Q �-► Q m Q� o � � � o � � m' � 3 � o n� � o c�u a � �' v' n a � � �:��. � �. � � m � �'. �' '� c�i � c� � � � o 0 � 0�� ' � � a m Q � � ,t o �. �- � � , s �� s � • � � � '� o � o �- � �, � � m � � `� m V � � a � � n _ rn v C m � 0 � � 0 0 � m � � � � °� � � � ► \ � 1_ I � � � W `G � �O �zm -" � � � � W � � `D z m � n -_t O Z 0 < � � m a � � Z D � Z � D � � � z� v �° O� z� Z � � v� v � � � �z b � � � � O n C rn Z � � Z � � O Z � � m 0 � � � . � � � � � � 9J V �-s � �i � :a��Q :�Cg pau�Ts =0� Ji�iI.L�'�H � ; _ � . _ . ; �:-: � .s}I�iaa?I . �; . �: , , - _ _ _ .. ; - — _ . �: ` ;� >d"' ' j()<ol� �") sa� ia�a� �end io3 pap�oid �aaq � uw�snqiuo� seg •g' � i ) �N �ji �� .ialr.a� ia�e� io� Papieoid uaaq iauti � sEH '� _ � S�ILLg 'I�'s.Os � �� S�fLLg �a�o TI� � �o s�llyg ��I I�� I 9 ( ) �ri �) �� - �� S�1]Zg I��3 p� _ azis io3 s�uauiannbai ��aa.im� Ii� s1�L1i ' S ( ) �ri Sn ) �� pa�oddns �iam�as sI •� i ) �I�i � ) �� Pa�i s�qo u�iaio3 ou seg •£.. . ( ) ol�i ) �� aoqrsoua�p �o � iaoi3 aa�3 sI 'Z i ) �I�i �) �� - �aaxa d�a.� uaaq s�g . . i :��s io �a�q� �ut�snta a� � saguae �Cqaia� pau�is�apun a�I, AIOI.L��I.3I2I�A g��J.S Ql�i�' ��1�U�1IIH� sue�ecr RMIT NO. City of Fridley 2 6 7 6 6 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. o�s ' r � � PROTECTIVE INSPECTION SEC. L L�j 7� � ' T r � ! 1 .1 � ' 1 /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV OATE PAGE OF APPROVED BV �.---� • •`� 612-571-3450 910-F15 7/22/98 � � J08 ADDRESS 7628 Bri adoon Place NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. l� 2 Blomber Estates SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Madal n P. Rence 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Seasons Roofin & Remo e 4 ARCHITECT OR OESIGNER MAIL ADORESS 21P PHONE UCENSE NO- 20138 80 5 ENGINEER MAIL ADDRESS ZIP RHONE UCENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW � ADDITION ❑ ALTERATION I� REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and arage (32 S) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS ' Underlayment must comply with StateBuilding Code. SEPARATE PERMITS ARE REOUIREO FOfi ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCYGROUP OCCUPANCV IOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. PT. CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION ' OR WORK IS SUSPENOEO 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 HAVE READ ANO E%AMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEHEIN OR NOT. THE GRANTING OF A PERMIT $2668 $1.33 DOES NOT PRE ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAqGE PROVISIONS ANY OT OR LOCAL LAW REGU TING ON- STRUCTION THE RFO M NC F CONSTRUCTION. �7�F.75 Fire aS�'. �2.66 PLAN CHECK FEE TOTAL FEE � �� 1�� License SC $5.00 $83.74 S NATUREOFCONTRA,TORO AUTHOR12EDAGENT �DaT i WHEN PROPERLY LIDATE THIS IS YOUi; PERM�T - . �P � �� SiGNATURE OF OWNER pF OWNER BUILDER� �DAT6 BL G NSp piTE NEW [ ] . . ADDN [ ] .,,. ., - ,, . � t�CI'I�Y.OF. FRIDLEY . . . ALTER [] � SINGLE FA�•�IND DUPLEXES R-1 AND R 2 ' $uILD�IG �'F�.NlIT APPI.IC,A��'IQ,�T p�,7 },,.p ., `�, e . ��pm�x 6anidi}ya^ d., +�`j-�i �.. . � � . a�71: ' +Ok .�i J�p�4 t4t�r.R�h . _ . . �'� ` . `_ �iC*��i'��R.��e � ':6's� g e 1 t �r . . . . . . � y : ` ' ; { n:�� ,�:;�r-1 ConstructionAddress. ,�� ^ ��.'�"�" ;�'�i� �'°� '�( � : �. ,:�,, , _, F yy, Effective 1/1/98 . , � �� =,��:R, .�� '�(� �� f �w�, ,�� Y:a�, k 4 �6;yh•+ . .. . . . �.S> . ^ , � � . . � ... 1 . -,. . � . , . I.egal Description: � � . Owner Nazne & Address: /�yl �I�ra n�. �SP h c.e� Tel: �s �%�(�-- �.�"'%U Contractor: �U t1 r S e-�c.�s o-r� �S � o d�� r►a � Re.� �r1�(� K�_ MN LICENSE �� 7�� .. � '— ' Tel. �#` 'L��-� � �,//D Address • r%Cl 3 d (.��n t�41.�.r ¢' v � /U � �r ► a� � �l � ' � ' �� •Attach to .this appli�adon� a� Certificate o��urvey of the . �;* �,.... lo�, with'� tlieK�roposed.; con'strucdon drawn on �it: to scale. . . DESCRIPTION, OF � IlVIPROVEMENT . . �,�rgvG ��; Length A. Width Height Sq. Ft. GARAGE AREA: Length �� Width _. Height Sq. Ft. . I�ECK AREA: Length ,, =, . Width _ HgdGround � Sq. Ft. _____ OTHER: � . �`' � ,. E �, . , . � . . .�, `; � .��a r � „':;y ', p Construction Type: }� ,r� ue ci �.� I�-� � (�oo�r Estimated Cost: $ ��b , � _ ..:..... . .. . . . (Fee Schedule, on Back).:' . ; ; Driveway Curb G�t Width Needed: �� Ft.�� + 6 Ft = DAiE:. �-� �r �, . . .,. .. .t. ., . .... Ft x $ _ � ' �� ' '�.�s'' t.,��. 1•il.k.�i��e?� .,' . ' .:;. t.', 'Y. Y '�:J t�', ' .. Penmit Fee �$ -��' ' Fee Schedule .on Reverse Side Fire Surcharge � �- G,`�� :001`'of Peraiit`Valuation (1/14th%) St�te Surcharge $ %- .� : $.50/$1�,004 Valuation Te�:� � ��S'�,6<d r � .,�n�i:,�a'�.�ditgaf,��.` � � �' ! :. �.n �i.��.�.. SAC Charge :., . . $ , � $1U00; Per SAC Unit . .. , . .. - . , ��'i� ��3'�Yi �'t e�>��i n�.'� �.f. �. � License Surcharge $ `-�.��':��$5::00�,(State Licensed Residenti�l Contract,��;�;��,;,� �,Gr��,��;r t. - , Driveway Fscraw $ '"t�'�'�'�Alt; "A" `or'Alt:� "B"� Above ° . �`� �q� 4�� . . . � �. , z G��v :.,� r ti . .�':. ''r.' tt :°� ' SO.UO Cons�ervation P1an;,R�eview. � Erosion Control $ �� p $� ---..�`� F.� r �� :� �� . : . � � r..t�. . , Park Fee $ �:Fee Determined by Engineering . . .... . _._ ; . :. .� .. r .. �ewer Main Charge $^ , � . `.;�,� .::pgte�ment .Necessary [. ] . �Not. Necessary�.[ ],� �" ,��rwfi�`��, �,,��.:. . , . . ... � . . , �a.,��d��'�`�1�;"�'�,`�r`��;��°,� �ef::: , TOTAL ,.�... . . $ _ � � r.%��` y,�� j 4 , _ �4 ;' y, . .. . ��J�¢,v�� 1Y�3: . � i. _!'.t Y i. � . . . . . . . . � �.A��s 4� "`�_�f��1��`"�"FC� f�' � , . � j ; .., t � .�t—y�' ��q;�� y;tf �j��*�,.z{� �n.. y�� STIPULATIONS: ` ' • , ; '. { A 1 ' 4 �1 .M' � �... � i L �� M B r,� .. . . ., �'f � { .��E•11 .`�i .'.{. x � .. 4.. } � � . ' . .., � z � � 1 . . ' . . ,," 1 $ ,' • � � . . • . . ; •fi;. 4. � � � � . ' ��C:��'.ic:i P' : �i . . � . , BUILDINp�G PERyMcIT k'EE SCHEDULE . .: �,t F Lii.d�,?i•:kG � "t,.� J�+1�'ita{':�4 1 �..:�. � .. I 1.. . � � . .. . . .. " � . . • � x i� �}�i'��ri�^�'S x��.'�s � � ay,� id a. ,� � ,;• • • The Chief Building Official shaU,i be�or)e �isstling �ermifs � for °ttie erec�on of �ay hwlduig or struc�ure, or for • • � • S� r: dl Y.'. r. ' . � � . '-�•l�� •�:.� �. . . .� �..,'�-' • • any addition to• any existuig building or structur�; or for any alteration or repa�r' to. any � existing buildmg or structure, upon application therefo�e, rr�quire the payment by the agplicant for such permit of fees to ;the amount herein below set forth and in the manner herein provided to-wif: � � � TOTAL VALUE . . . FEES , $1 to $500 " $21� (M'uiimum Fee is $21 plus surcharge)� � � � �,• . -. � � ... . : �. _ . . . .... . . . �,. , . .. . .. . ,Ay $501 to $2,000 �� $21 for first $S00 plus $2.75_.for each additional'$100 or t, fraction thereof, to and including $2,000 , $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each addidonal $1,000 or fraction thereof, to and including $25,OQ0 � � $25,001 to $50,000 , ;� .$349.75.for.first $ZS,OQO plus $9.00 for ,each.additional $1,000 .; or fraction thereof, to and including $50,000 $50,041 to �$i40,000 $100,001 to $500,0� $500,001 to $1,000,000 $1,�0,001 and up $574.75 for "first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,800 -$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 $500,0� plus $4.25 for each �dditional ��$1,000 or fraction thereof,, to and includ.ing $1;000.000 . $5012:25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof - � � DRNEWAY DEPRESSION ESCROW � � � (Concrete Curb Streets Qnly) � , ,, .�� . . . ��.:.. Aiternate "A": Removal and replacement of curb and g�uitter anly - Drivcway width plus 6 feet rimes �$13.50. a roach with 6�ch'de th - Drivewa gwidth lus 6 feet • foot wide . ;; >;,�;. ; Alternaxe "B" : Removal and �re lacement of curb and tter and install a 3 � PP � P Y P tunes $15.75.� � .._. � . .�.., _... . ' '�y� ;. ~� VERIFYGA�'ION OF FOUNDATION . _.. ;_... .:.., . :��-;; . - ' r , c �, .p; . .i,, � . :7�: 4S . '�...,§ . • . . . ' .:. � ' .. � �: t . . .!�.in+.!.�•;.w.,�,.� Permits for:construction will be issueii �a minimwn o� 24 hours from;the time of applicat�qn to aU�w ,for.proper review of the proposed structure `and' of the construction site. �""°°' °`�'� ""'"�" `�'�' �- 'A A Certificate of Survey of�the lot, �showing the location of the foundation once,,it`�.;,.�,tthas been constructed will be required before proceedingywith the framing. 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() oN () sa� paunuexa �ii�a.n� uaaq s�g • i :x��s io �auunq� �uc�stxa a� �� sa�uan �iqaia� pau�is��apun a�, I�IOIZ��I3RI�A �I��ZS Qi�iH �i�NL�H� � sue�etT T N�, City of Fridley 2 9 7 6��1 � AT THE TOP OF TME TWINS g � I L D i N� P E R M I T ; , o. � �` _____ COMMUNITY OEVELOPM�NT DIV. � �� V � PROTECTIVE INSPECTION SEC. r , , � _ �"'1 � CITY HALL FRIDLEY SS��2 NUIlBER REV D�TH PAGE Oi •6ortOVED Br �---��' �'' 612-57i-3450 s�aF�s 6/23/99 � � JOB ADDRESS �628 Bri adoon Place NE t LEGAL �OT NO. BLOCK � Ti;ACT OR ADOITION SEE ATTACHED oescR. 10 2 Blomber Es ates SNEET 2 PROPERTY OWNER MAIL ADpR�S$ ZIP PHONE Leonard Rence 8 - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO P R Sidin 1804 McAndrews - a ARCHITECT OR OESIGNER MAII ADDiiE3S ZIP PNONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION O ALTERATION �x REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reside 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. ° TYPE OF CONST OCCUPANCY GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, MEATING, VENTILATING OFi AIR CONDITIONING THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION 20NING Sa. fT CU FT. AUTHORIZED IS NOT COMMENCED Y�1ITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS A7 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING I MEFiEBY CERTIFV THAT I HAVE READ AND EXAMIN�O THIS APPLICA710N STA�LS GARAGE$ AND KNOW THE SAME TO BE TRUEAND CORREC7. A�L PFOVISIONS OF {,AWS 'VALUATION SURTAX AND ORDINANCES GOVERNING TMIS TYPE Of WpRK WILL 8E COMPLIED WITM WHETHER SPECIFIED HEREIN OF NOT. TNE GRANTING Of A PERMIT �3000 �I.SO DOES NOT PRESUME TO GIVE AUTNORITY TO V�OLATE OF CANCEL THE pEqMIT FEE SAC CNARGE PROVISIONS Of ANY OTHER STATE OR LOCAI LAW REGULAT�NG CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �H3. ZS Fire SC �3.00 . /- PLAN CNECK FEE TOTAL FEE e�-� ��-L � �P � $87.75 S�GNATUAEOFCON'�7ACTOQOpAUTMOp�LEDOGENT iDa � WMEN PqOPER � VALI ATED THIS IS YOUR PERMIT � P _�y�. S�GNnTUAE O� OWNEQav OWNEA BuiIDEQ� �bATEi � � BL �NSp ' � D6TE ae s ., NEW [ l ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [] SINGLE FAMII�Y AND DUPLEXES R-1 AND R-2 BUII.,DING PERMIT APPLICATION A�� d ` � � n� Construction Address: i L� g' ,�3 f�� g d�� y �� ' � "J Legal Description: Owner Name & Address: ��e m n or rd � C„ c� Tel. # i 8"fo g.�' 7� Contractor: � � S , ` 01, ^ „ � � F�0 L( /� �' � � d �" � � � �d M�N LICENSE # Address: ,8 �, r � c � .' / � Y �l � � .S � 3 � % Tel. # � 3 s ! S gr.G LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. 5q. Ft. Construction Type: �� eS, `� � Estimated Cost: $ 3 O a o Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ —$ . D�TE: �e � o� 3 APPLICANT: �� / � Tel. # �=/ � ,� t 5 �.� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $__��.�� $ (� � � �7� $ $ c $ $ $ $ � ��% S^ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.so/$1,000 valuation $1050 ger 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 [ ] tie � Y I BUII.DING PERMIT FEE SCHEDULE The Chief 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 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 $1(?0,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional$1,000 or fraction thereof, to and including $25,0� $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.Q0 for each additional $1, 000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 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,(�O,OOfl $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof DRIVEWAY DEPR�SSION ESCROW (Concrete Curb Streets Only) Alterna.te "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "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 $23 .25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minunum 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 oace it has it has l�een co��t�d will be required before proceeding with the framing. Bui.lding -In.spections 763-572=3604 DATE J 1 I wJ 1� --T—�— SITE ADDRESS �, THIS APPLICANT IS: ERTY OWNER/ TENANT CONTRACTOR BITII�DING , RESIDENTIAL APPLICATION CITY OF FRIDLEY OWNER SUBMIT A COPY OF STATE LICENSE YOUR STATE LICENSE ADDRE3,S:� WiTH APPLICATION p�� (q �� YOUR E-MAIL ADDRESS PROPERTY TYPE �INGLE FAMILY/NEW CONSTRUCTII � TWO FAMII.Y/NEW CONSTRUCTlON PERNIIT TYPE � �DTi'ION ❑ BASEN�NT FINISH � DECK �rE oF woxx: DESCRIBE WORK BEING DONE: SIZE OF INIPROVEMENT ROOFING NUMBER OF SQUARES ,�, GARAGF� PROPOSED S1ZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ' � Other . wmmows IN EXISTII�TG OPENINGS DY� I]No OR FOR NEW OPININGS-DESCRIBE SIZE OF OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLED ��FFEV� BASED O � r.,�t v� `i�a TOTAL JOB VALUATION Permit Fee Plan Review Fire Surcharge surcharge License Surcharge SAC Charge G�rb Cut Escrow Erosion Control PazkFce Sewer Main Charge Tatal Dne EXP DATE FAX �OOF � N ❑ SIDING � SWA�NIING PC3UL ❑ ADD1T'ION PAIIt ❑ REMODELING �,Ii�C� .�,iV� �� LENGTH �OUSE ONLY OUSE & GARAGE � AITACHED GARAGE ❑ DEfACHED GARAGE OSoffit ❑ Trim ❑ Fascia LOCATION OF WINDOB�'S NUMBER ❑ DRAIN TILE ❑ OTF�R ` i� I Permit No.: Received By: .�� Ft BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2: Proposed floor plan 3. List of structival members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCi�S SUBMIT• 1. Site PIarJSurvey showing the existing structur� and proposed proj�t. 7. Two sets of construction plans 3. Energy Calculations TION, INCLUDING THE COST OF LABOR AND MATERIALS: �T�[E,1997 U.B.0 FEE SCHEDULE) � OCCUPANCY TYPE $ 5's?�.�5 $ $ ��i'� $ �. �� $ 5. m� $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Pernut Valuation Minimum $.50 $S.QO (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Detertnined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLTCATION FOR A PERMIT-NOT VALID UrITIL PROCESSED I hereby apply for a building permit and I acla�owledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fritiley and with the Minnesota Construction Codes; tha# I understand tlus is not a permit but only an application for a permit and work 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 revie and a ro of plans. SIGNATURE OF APPLICANT e _"�t�X� 4�_ �}�-i ` �,�.�' � �"`<J PRINT NAME 9" �s I � `-�-II � Gc- � DATE � '� �! / Page 2- Builda.ng Residential Application BTJII.,DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permifs for the erection of any buildin.g or slructure, or for any ad.dition to any existing building or strv.cture, or for any altera.tion or repa.ir to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amoun.t herein below set forth and in the manner herein provided to-vYit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus swcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fra.ction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $Z,Q00 plus $14 for ea.ch additional$1,000 or fraction, to and including $$25,000 � $25,001 to $SQ,000 $39125 for 1� $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional$1,000 or fraction to and . includin $100,000 $100,001 to $500,040 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fra.ction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1� $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,040,000 $1,000,401 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Perm.its for conslxuction will be issued a minimum of 24 hours from the time of applica.tion to allow for proper review of proposed structure and of the construction site. A Certifica.te of Survey of t�e lot, showing the location of the e�.sting founda.tion will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN .55432 763-572-3604 Fax: 763-502-4977 �uilding PLUMBi1�TG Inspections ��m►ENT'IA.L APPLICATIUN '763-572 3604 ��y pF F`RII�LEY DATE / l ' 1 '" ! S1TE ADDRFSS � THIS APPLICANT 15: PROPERTY OWNEIt/ TEIYANT CONTRACTOR SUBMIT A CQPY OF YOURSTATE LICEIdSE W1TH � � ! � �� R. a � :� ++• lTi'�►� _ � . �-� r��w f . �r/).r<1!Q�7[ 57'ATE LICENSE #,(,2{�(nG� �% P1Y% E.�t' DA PHON6 . ��.: p��7. .�.��, �SINGLE FAMII.Y . L7 7W0 FAMILY t1 TOYVNHOU5E TYPE OF WORK: Q N� ��'�C�tT �• � .. • �. � � il � � - �� : ,i.�a� .,..�t�.� 1 �, ; _ � D�TAILED DFSCRIPT3UN OC WORK 1,� CJ�..� �. c- in �,-� ��,1P�. '�� z�,� � r 50��' +� � rn Ci� n v a.l �, � �� 1 �� rr�� p� c�, PER MS 16B.665 the pamit fee is a miaimam of $15.00 or 5°/s of the total cest ap to �540.00, whichever is greater, for the improvement, installation or seglaceme� o�a res�dential fixbure, e�luding the fixhues. (This shaWd reflect only the cost af labor ) Labor cost under $300 =$15.00. La6ar co�t betwcen $300 to $500 = c�st of Iabor x.OS a POR PROIECTS W1-�RL' LA80R EXCEIDS 5500. FBFS ARE BA3ED ON $10.� PER FIX7'EJRE, EXCBPT WHERE NOTED. F1X7'[lRFS: (IND[CATE TOTAL NUMBER UF EACH 9BIA1� SATH SINKIIAV _FL.00R �RA1NS SIiOWF.R WATER PIP[NG � BATHTUB GAS PIPING (iv� cmuce�) � SWiMiMiNG POOL ,� WATER SUFTNCR ($35) � Ci,pTHES WpS}IER KITCHEN SINK � WAT�R GLOSET BACKFLOW PR6Y. ($15} DIS��ii]�AS LAUiH13RY TRAY WATER HEATER {$35j FOR iRRIGAT10Id — ,��° c e s7t C r1 �_— � WATER METIIt _ OTHER 41't R� YL Cv C-'' i`J- i! — PERMIT FEE PR01ECT5 FOR UNDER SS00 PERMIT FEE FOR PROJEC�'S OVER $501 Fee $ .� . — Number of fixtures @$ i0.Q0 x$I0.00 =$ Number affixtures @ $15.00 � x $15.�0 =$� Namber of fixtures (a� $33.00 x x$35A0 =$� ' c. � e State Surcflarge = $ 50 T,,.s� _ e •r�'�'� , TFIIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building pennit and ! acknow[edge that Uie information al�oee is complete.and accurate; t� �1C WOFIC WIII GC !D conformance with the ordinances and codes of the City af Fridley and witi� dse Mirmesota Constre�etion Codes; that 1 understand this is �rot a permit but only aa application for a permit and wortc is not to start withoat a permit; that the work will be in accordance with the approved plan in the case of alt work which requires review and approval of.plans. SIGNATURE OF APPLICANT ��f��R�. _. PRINf NAME \..,1 �,��- � F' t� C'–.� L?ATE ��' �– Q 7 PL�ASE NOT�: SEPARATE PERMITS ARE REQUIRED FOR BUII.DING, ELECTRICAL AND MECHANiCAi. WORK � City of Fridley lBuilding Inspections Deparbment 6Q�31 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 �� .-. . _, ...., . _ . . ., _ .. _ ... . W� S6�8Z�L6 LOOZ/4/6l �a��a EIZ :a6�d 60L6Z£t+ZS6�•'wo��..