The URL can be used to link to this page

AF - 35605City of Fridley, inn BUILDING PE�MIT N° 5893 .:- � '� �.. ✓� �' .,` p„'' �' • •� , - 7rw.rC .v+� .. r � „.�..:_. _ 1.r.. ..p.F � - :..:.�•''.i111L� Address r „�*n LO T1QN OF BUILDING No. �.��Streel�� .��-�-. P I.� , r Lo lock Addition or S ivisi Coraer Lot —�� Inside Lot Setback �,�!�. Sideyard sG*'"+G�"' �� Sewer IIevation ._._ Foundation IIevation DESCRIPTION OF BUILDING To Used � � � •*�+ Front y�� Depth ''�� Height � Sq. Fti. �� Cu. Ft !'�� Front Depth Height Sq. F't. Cu. Ft. ..�. �a �� Typ� of Construction _�"'� ...._ F..�. __ To be Completed ...�... In consideraf3on oP the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description abo�e set forth and 3n compliance with all provisions of qrdinanc�s of the dty of Fridley. � In consideration of the payment of a fee oP $.��"�"� Permit is hereby granted to to consfruci the building or addition as described above. This permit is granted upon the express condition that the person to whom it ia gra.nted and his agents, employees and worlunen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi�►ances of Fridiey, Minnesota. re�arding location, construction, alteration, ma3ntenance, repair and moving of buil withiu the dty limits and this permit may be revoked at any time upon violati of any of the provfsiona of ordinan�ea. .�«�^`�, .s �i � � �� NOTICE: ihts permif does not aover ths aoostrueNoa, iastatlatioa for wiring, plumbing. 8as 6eatleg, sswer or water. Be mre to sea . t6s Baildiag Inspeetor fo� �parate permifs foe these i1e�m. _ •:. �. __ _ -,��__.:, - _ ��.�. � _ 4 - - ^ -_. r � �_ � - --�-� �--� ' -- - ., � . , , APPLICATiON FOR BUILD?NG PE1tAQ� CITY OF I�RIDLTY, M'i1�1D1I�;5t1TA Owner's Name �. ��,Aa O Builder a-,�,,. � Address ` o Address ��, �- G��..�� LOCATION OF BUILD � No. _�� StreeC � � Part of Lot Lo��M��'�B1ock�Addition or Subdivisioa � ��,�-��..�� — Corner Lot �/ Tneide Lot Setback a Side-Yard ` �EWER ELEVATION ' FOiJ1�ATI0N II,EVATION - Applicant attach to thia form Two CertificaCes of Survey of Lot aad proposed building location drawa on thes� Certificates. DESCRIPTION OF BIIILDING To b used as: A Front ` Depth�=�--Height �� , � �-� ..� ��,�� Sq. Ft Cu. Ft.. Frant � Depth Height q. F�. Cu. Ft. ` � Type of Constructicn �� Eatimated C st� To he Completec3 �'he undereigned hereby makes appl.itation for a permit for the work herein specified, agreeing to do a�.l work in strict accordance bvi.th the City of �'ridley Ordinancee and rulings of the Department of Buildings, and hereby declarea that all the facts and representations �Cated in th3s application are true and correct. � DATS ' ) °-- // `— (� .L SIGNATURE � �Y _ _ , �� (Schedule of Fee Caets can be found on the Reverse Side). /^` i�i ~ 4. � _ � . .+� - r 1 A� • c BUILDING PERM[T FEE SCHEDULE Sectioa 2. The Inspector of Buildin�s �h��l, before issuing 8n,y permit for the erectioa of any bu3ldizig or structure, or for any addi�ion to aay e�3st- ing building or structure, or for any alteraCions or repaira to any existiag building or sicrucfiure, upoa agplication therefor, require the paymeat by the applicant foz.such permit of fe�s 'to the amouat herein below set forth aad in �he maaner herein provided to-wi�: � 2•1• �or anq such permit for the erection of any fire-proof building, other than a garage�, warehouse, factory or grain elevator, or for the erectioa of ar�y fire-proo£ additfon� for sim3lar occupancy, to any existing building shall be at the rate of $j,.40 for each one thousaz�d cubic feet, or fraction .the�eof, in such� cubical conCer��s. � 2•2• Far a�y sach permit for the erect3on of any fire-proof garage, warehouse, iac�ory or grain elevator, or for the ezectioa of any fire-psoof addition, for similar occupaucy, .to �ny existing build3.ag sh�ll be at the r�te o� $1.25 �or each ona.thousand cubic feet, clasaified as °'fa.reproof01 bq Section 502 of the Minneapolle Building Code, � �OUS�S ----_ 2.3. For any such pern�.l,t for the ereceiQn of any no�_fireproof building other than a garage, warehouse, factorq or �rain eleva�or, or any noa-fireproof aaditioa, for similar occupeacy, to any existing bu3lding - permit $1.00 for each oae thousand cubic feet. GARAGES 2•�. For eny sueh permit for-the erection of any non-fireproof gara�e, warehouse, ,factory or grain elevator, or;for the e�ection of any non-fireproof addition; for similar � occupartCq, to 'aay existittg buildix�g or for each such building or �.dditioa - ninety ceats ($0,90) for each one �housand cubic feet or f�act�Loffi thereof, in the cubical contents thereof w3th a minim� og $4.00. For the purpose of computing f�e��for bu3.ldia of aay buildin� or addition to a uaiforal heigh�pthr oughouee�cumult�t i�in�the ground area covered fram s pai�� six (6) iuches below the floor liae of he basemeat or cellar to the avarage-heigh� o� the upper sur�ace 'or to the average height of tha roof surface of �the maia gable of a pitched roof. 2.5. For repairs or alterat3ons to aa,exis�ing structure, the fee shall be a the rate of $3.00 per each Fiv� Hundred Dollars thereof in the cost of a11 -(�500.00j or �rection proposed work. ��b_ In no c�se shgll the fee charged far any permit as set forth ia Section 2 be less thaa $4.,00. . , , .. � �1 ` �. .� � _. �. �+� —>�-�, i �a,�;k �. � , " � �,^"at.;, d ' �,*='. ,� �� "8 a�� y�'a"".�,��,�� > v�e'r ` . . '��k r "r'� � �� '� ' a .� � �" '� ;'. � ` s��`a � is • �m � `_� ��`, b � ,� � . � � �� . �: $''. ';�';: � �� R� � �,�. C. ��oiu�. �.� � �SSOC�Oc��S, ��. �� ,-6 � :� .�.. � �- '��'� LAND SURVEYORS V � �' Anoka, Minnesota � ` CEkTIFICATE O� StlRVEY: }� �. � F Ivan D. Pe�e•re� N�O ) 670-12�-�2 T. �N� �p� � —' -�� o� �R 5 : � -, x-. 0 ��0•� �r � .,�:, � . � . . � . � ^ . .f�� T � ' � � .. . / . � � . .� � � � , 1 H z . � i% � _� __._ _ _ � , , _ N__ .. - Y . � ; `. �5 � , : , , � � .. . , . � YY&'.. �` ^ � � ` � � 4 � . � _ c� \ �� o �� \ > ,-S_F ; � � `PROPC�SED � � Q , , , �d,� � � ; RE3tC��NCE O � �� \ � -� L . , 1 , ` � � � t � �� 1� � r `' a � � � �� , ��'° a � "'� DENOTES � �G� ' , ~. �; , ��x ' � IRON3, • � - �.' _ , ��-� � � �'� �; A , 1-5-S .� ; . ,, ,� ; 0 5 . �. __ , , g , __�__ _ _ __. _ - -- - _ �;� � ;�. � �. �� Lota 19-20-21-22, Block L � ��. ; �;, RIVERVIEW HEIGHTS � 3 � , ��.� . � . � � � ' . � � � .,5 Anoka County, Minneeota . '; ; I HEREBY CERTIf°Y TI4AT THIS IS A TRUE AND CORRECT REPRESENTATiON OP A SURVEY OF TME dpUN0ARIES pE T}� Alpy(! '"� DESCRlBEO LAND, AND THE LOCATION OF ALL BUILdNGS, Tt#ttEON, AND All W5161E ENCROACHN1�iT5, I!' Ah{Y, fRt7iM p� Qt� +� LAMD. - �.,�r . a� AS SURYEYID dY ME THIS �,x'�,... DAY OF M�� A.O. 19 6� . , �` N. C. HOIUM AND A,SSOCIATES, tNC. �-- ''. S�'1�E1��it.S �'��." {�' . � .,�»�- �._..__°""'�'p� `"�� ;�� : . ir��- �'=` ' .-. _.__ � -_---_ — � � ..?�'',}�._..�.� . . - `— - —_ -. ' . ................................ , '/ ..... !. ..e1 � :�..rr�`1e`. �� t 4 d� --�-V'~`—""_�,;,��° � � �� a..'wz��i � �'� � '� _ � �.� � �k � �'^aM T � l � Y � �, � � 4 �:� ' ::"�z � �� :� � m ' �. . — ., � ��.. . .. ,¢�.,. � :,..,. �.,«,fi �:;: - .. �,._: �. ;.. r. .. �z..��5,�33e"�� .. ' . �.. . �.,:.�rz..F�'.,.:. .�_:. .,....�.ar..�kK��;. ..,.a...a�r._:sx ... . `F� � � d y � � h7 N o '� �� . M � O : � . m . m . N : o . � . � �7 . � : � • � � � � a. A � � � M+ � � � � � �p �1 � �' � � � � � � N � o • o • o � : o . . o� : : � . . 0 id �a oa � � � O O O � �A tis O Hy r � C � � Cro' � � � � w � � Z ~7. 8 �; � � � � � � x � � � �+ N � � �� : o � � � � y � o a � � � � � p N ; � �' ; PA � o : � : � � . . . UA � . . . . o . . . . : � : : : : � � � � � � W N W F+ t+ N � C�J� p C�7� O O O � tfl �» �n fn �n fes SlJ y . y c o r�+ �. c O G�9 x 1 V � \� � � �' � p � 0 �, ;; � f � � 13� � �, �^� y S. D � i � � m � n 2 m C r m � y a �� , � �� 4 �' O n� vl"r V � � � � , � 0 � � 0 � e�-t� � � � � • � ca n� r.. ph � � �, � � x� s �� O � ap � � � �� o m �. .�, y � �p� o V� M � � � �• � � � �� n � ' �� N� � � ts y � , WATER CLOSETS URINALS enrH �� SINKS wasH rsavs ORINK. FOUNT. sHwRS. FLWR DRAINS CATCH BASINS nuro WASFiER GAS APPL GAS RANGE GAS OPENINGS �+ • z • � � a F m � i� A �� a¢.h � � �� °�' y p�q � t�n � ¢� � � Ori, �i � � � i� �+• QQ S7 ua p iA l� � (p . qrona. ��o � � � � � � �a � ��° � �� ro � �� s �� - �- � p � �' o 2 �¢°H. � � �. ° K �� w � � � � a� �� f�D � f�p H M �,,� � � � � � � � � � ~ A r� Iq (� �.� � ��j 9\.� m F!' �-a� � �' d �A � � a� R°x �M p � M �M �x � m � � r� � � �. � � � � � � � -t' 3 � d O. � b � � ^� Mo � �� V � � � rA � � �. � V O � * m 3 s � x � 0 < � 0 M O z � � r��M � y x � � A � x � � C � � � � O RP � � 7i �� '-�.�' � pi _ - � � o � � � m �� N � � � � � � p m � � M w a � y Uj � M 'i�"' � M• ��k� � ~ � o � y ia y N � ° � . o � O y • O • �a : : � : : � � � o N � 0 o a � t» {n � O . � � � � I � � � <D O � � Cd � � � � 0 0 0 g �S 0 r � � � � � O w 04 w �� r� y � � �� . � � � • � • � � �. �� a,as''. N o 0 0 ',� ',� �� x� �� H ' n`� � � � O N `� � x t�s � y � G � F° R° '�pr �� o .�� R � d � x � o �� N N � � °o °o 0 0 °o °o f» rn fn va t» � ,_ � � O W �'y1 � � � W �. A � � � � � o �" O � � � � S� � � l� � � � � � � � a � �M U� � � � O � � O � � o �J !� ` � � � °x 'h � � � @ �C 1--� � � �• � 0 m � O � � � �� x � �� ;�� Cr � � o � � � � � � � � o � � �o� � p fp � O � W R',, O O �r �' : pd o ' � � : o � � : � � o : � � � � : : ° O 1 ; ' � ��:�,N� 0 0 0 °o °o �n r» � �-3 Q � O N ¢ ¢ N � � � p �-J � o � � �n '� � � 5' I � I � � Y �m,� �;� � � `� � R' R° � � y � � �' G 3 � � � � � � �' �� N�!- � � P' � • M a � � � �'o: : � ° . : Op � . . G . . . � � � � � � o 0 0 p o o p � O E" p�� aa� M � � b �� q � �� o ��,� .. � � � � �� G+�p y �p W - p P' ��4 � ��q � '� m �� o�� a��x �a�p p' �, o i�HmH �W�p�m �d N � ¢ �� ei� � f�D ►�! �� o �� r+ �D � �' m � i� �� D � � V r � � • r"'' � T � _� � m � v . � m � � � , �;,Q. � _ �O• . �y� �G Q . b � ' w � M v - � `� `� �• � y � • M � g . �a � 1� � � � V O � ,�� .. � � � � � � �� . � � � 4 i 1 � r 7 d � a \% � � f y H r � i � � A � �' r '� x j� �`� ��GS ��— ��-� � °b __ � ,v � i �° ��; ,"°' � =r .,, V�1 -�—� � a '� � � F�- i � �� '�°- �9��P �I� s,�� Y '19 � � � My' _._.a.__ae � � <: t � � mI � � f . '� � � 1"i t� � � , 2� I�^ d 6-T' ' � q..� � � � �,' � y..� �.;a t—� C .. �. � � +` � t °d � � d l 's , !-v ( , ; � .'�� _ �' ' � r 1 ,�j �C'S '� �� ii �>i , , -„ , �`' } i�+ � �J �'`A � � ; E�9��,��,Ly,, '� �..i , �Y� i =� 4,� F� � � �: ' ,� r-- � J � � ;f , . 9 � a m: � � �2� 'i� f � _ � � . . .:�i t" ":? �"i k � ., �' ,;,� „ .� � �t,,; �� i _' 1 � s°°� .� � pi� t � ,�, �� :'� �r�� f�t , ° i � � e: � a ; g�� -� ,� ..�a , � ,.r @ 4... t � � � �, d � �' •.,�� .� s �.i-.f ��" a G3 3�; c! r �' � �• C ° n ! ^� j �-�i t � � -<'+ � � �� i'..' � � , �� d � �. .f : nd3d .� �`.�' c� o �] � .r_��, .�. � + T, h� � � G� ,_. '� :�, � �-'; ' � *°-! °�'J .>;. s e_ i �+ ...y9 � 4�-- .•61 .i � � d � sJ �� , � � � � ��. � ��:�. � P-1 � r> a � � ��''��, '°u E y " j, 3��'-, � I � �' •;✓� �' � � i _ � '��,�) �� t�-, � � � - i � � o, � � � �� 1� �� , ,�, � ; q � � I I.�, � � � I� � �' �4�� I( 1 Y� �r'�'P b A �''6 � ��rq' ��.R �� 6��. � � � �� K �,, � N � � � � ;�;� �``� �-� � � - — ��, , y `� �'� �t� '�� 'a' `` � ' '� , c,�� . , �i ! �� ~ � `� � � . �.� _ .� T��,� :� __ � � � � A `' � �;� {�v1,.� �� , � �- � �'� � '� ��. � .,�. r �,,, � �� . � � N' � Q 4r . � �� i � �` � � ��v �� . O • o �� , o � _ � / \ ��1�Dow � �1 W � '. \� . -� . �s�.. . � �p f� , ' , i 4 �� 'F i� , °"�` � ?- .. � �.� _1 �� :.' ��° ��,�. ��_ `, _ �,� }� � � ` = � �� .� � � , '� �� `�� '� v �4�,� `� ° ,, ° � � ,� „� 0 0°� , y e�� 1 N� 4,,, w � � �c � s� � � � � � e �vN, N � °' �' � � � 0� , r � ^ � � � ' _ � � � --- . � � � �M � vC �� e �� i� � � � ; � 3� � ,. �1 ,g, � ��;;. .f . I� � �i'f � �a � i � � � � �. � ��I!' '; � � � � _. .- ..:�..._., �E. . H C_ � • i f �� + � " t � i ` � ��- � ; � � � � � � � � _ ._-�--�_ �.� . �� 1 � ' �� P � ��y�. op �� ;� � � h � � � ;�. �� , � � � �� O ��,� � �v v � ' e ��"a'�� fi `-� �� ` _ � m � �. �� ; � _ �- ;� �- t, . �: �-. '� p� f ! � � te� N �� 9 �. c� . � s � � : � � , . ° � I�� _ sN _ � _ .E�.�� a�� ¢ � tl � �... y�L� � �: A �''7 � �� f' j `��q�� ii H � I� d�' n_M Pe � � �I i° N A. `.. ,:`� � _. � � :� � �� -� �� •� � �- �� .. �� , � � A ��- - � �� , �� f:� a. .� � � � � �� ,, � � . o� 3 g < a � � �� ` � � � � � � ° � � �y � � � � d � "� � � y� � � °�° �� c � � �� 'r, �� . �� - � �. �� _ , � � r, e � ;I ".� � A� ��i Ct , a-a �'e;_ �i �� `I � ��9 � '� � �� 1 t-N _ i � I� �.r� t� �I' iy - �g �� ; � � ��, � S�di�r rd t;i i ! � � �,6i� ' � °- � 'a�� }"j �" �w� �' ,.' ; e . � d '�' `: i � .' ' i.. � ' ; ' 4 �`?� „b� t �, cl, _� tl R � �o . .. � ; �: � � . :"� � `� . '. Z . � :� � � : P :[s f'�tl d RI'> i q �+1 � :C" `.Fgr1 , a. � Si + � I d � � ', � � ,&�, � 5'3 ;�i e L``7 L� p"" } °�9 A7 �J�° ±, � G o t�� i �-� .� ,�= ��, � �V. � � r`! � �� ' "� � `� �a � � � � � ., �,, i � _ - � - . �,�.' � i�� j� � I � �" - � �,'•` _ � i � � � � �peo�,.e�i`��'r.';��.� �'i � a ' � � d l•i �� d Ya Pcl � � � a'i d l°� o M�.3 "'ta � � �+0�1 ( Ta na� f�. � � � �J • s+ � 5' � � y �a � 4 � t ` p ° � �� #� �'z �_ �� $ Q i? � �) 1 � � � � � ! ° �` � � �� ,'� �° � r '��° � , �, ,� ;� ��' ,T� •, � f.0 o �• r bi. � `El 1. r ii N�'� �Jr� �� 7�! V� . .m.. ` � � h � `\r �) � �� , � � � : �' p ' � '-�, � � � ! `, � -._ _ - � ��' _�_':_ - - -- _--_-�- � � � � � w��,� - ;�.�.�,� �--� � � `� p , �� o � �, ��., '; � �.�, ►-� �-- �� ' 4 � � �A�vl' ., �� ...� r; 2�. ' a � � � 0 n , � �C � y � ° ' a , �;, '' � ` . � � � � �� Y� � � 9 �N � � � -� � :�� \ � � � � � � '; � �c�• , a� • � ° � - t�.._ti �. � ` "' 4. .� ..,� ` � - �°y E O � 'V�� 1� � � � ° � � �;�'� � � � � � ` r � ; fa � � � ; �� ` � q, �� `�1 � ��.; � � i �' I' � � � � ,, , :, � � .,:- ��R ?�. -� �_ . a,= . � �a __ , . _- - .- �' _.�' , � � �-��-°' -��— � � � .�a�_�,�__ _� , i� ��; � e '` t � ,.,y;; � � � . � � ,,o � { � r � �� Y i .�. � 1� ; M � _ r._=. _ , : ' ' 9 � x . ? .�� .�;�h} _� _ v�._ 4 r � i k fy �. ,r � � r� ;� � c � 1 � y •�� I � �s, � �� ;� _� ; ' t-. .� ,� �� F �. �� - a� � � �,. . !��I ��: �,� ,_�-� � t � ��9 �! � b y C �,q ,� � u �aH � �� = b �, 4 r� �s. � � a i :r � ,� a 'e :. � I [ � �.v "n._.. �� . R F=. Ll _- / • r— — 33 , , � ��' `� �� ' � ° � � � �' �� s� ,� � ,� � �� ,� � � � : �. ��. ,. r ,,. � �� : � �� `�� ,� �, — ^ �� .� � � � �� _ �, �� e � �`�� A �, �—�� - � � � � ` *�'�� °�� ,7� -�. � � ; � � .� : � :�� ) 'j � r ' �� ! S 9 � , � �,�+� `'' � i � i�, i w �" _� :� , � i ! a �--.., j-'^ .. �_ � 9 _ �„, �� - °� j� ��; ��, �� a � � � R� �.�; s-t !' � �,� � � � � �� d a !-� � 9 �P s � n ��. �� i �,�� ';�;� � �� e ¢r � a �, t.. �� I -.,� , �' ' , f �ia �*� ;,?:,' ,',r, ' � �-� r�.� � �� '�; i° N Ei � �� '°" �a'� � ,� � �'♦�i 0,� m-�31, �x. ,-- � � a � �� a� � , .h "' ;�1 �� '�� j� s � r� c---� �_ � y'�e�, � �r �,a ��s , ` � g � `�f � � � � �� ` �' �� ' o Y � .� � � °r++,Y� � � _ . � ; � s oll��f �� 1 Y . � ' ` � � `� � o ;��8 i �� B�1 � �..� , a� �. �;�,_ v�� -� �o_ zL �_ _ , ., ; ; ` � d� � t��s � Y 5.� 4 . � .� � � �, � �6"�� ' . S � , ,.�1� � � � � . � ,� � � � �� w � �� _� � � � �� ` � t`� � � � � � o �.. � N � P , � 3 � � , � + �� . .�� • � � O � x� 4d t�,�" °�, i -�} � � �, �� w � � i° � � � � � � �e � �/ v � , _ �v � � � � � �� - .� � � � � L � �, � � .� � � I �` . f' . � _ � �,_ � ;� �� ' � �m � tl ' _� � ,. �_ _,i..._� . � � " ' i . : u � : a �' u > � � � 4 °� � t !' a �s A, z I � � � I I# � �y I � p� r � � � � � ��d `7� � � � C; ; �,� ;� g- � �; � � ,e `9 I� � �= � r� ,:� �, �� .+`'C� � � �,� �� : ° �.� � , � � _, o ,�, � c �-� � : SUBJECT c�ty of Fridley AT THE TOP OF THE TWINS � U I L D I N G P E R M I T i � � ' � � ; L ____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � ` � �� "'1 � CITY HALL FRIDLEY 55432 NUMBER ""� � y�� 612-580-3450 910-F15 JOB ADDRESS 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 2 PROPERTYOWNER MAILADDRESS .TAM'F:S F,pIS�Q�l].� �995 Bro A anna 3 CONTRACTOR MAILADDRESS 4 ARCHITECTOR�SIGNER MAILADDRESS 5 ENGINEER MAILADDRESS 6 USE OF BUILDING RESIDENCE 7 CLASS OF WORK REV. I DATE 6-9-75 ZIP ZIP PAGE OF / / P E R N�L�-N�,A r° 1301 RECEIPT NO. SEE ATTACHED SHEET PHONE PHONE LICENSE NO. PHONE LICENSE NO. PHONE UCENSE NO. ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK INSTALL FIREPLACE & ALTERATIONS (INTERIOR) 9 CHANGE QF USE FROM STIPULATIONS TO �EPERAiE PERMITS REQUtRED F4R W�R�NG, �IEATING, PLUMBINQ AND SI�rN� CAUTi01� ,, d�vis�o�v saF��r co�TROt aor�r DO NOT PLANT OR PLACE �+�'• � TIdING (lY THIS AREA F�NtTFiQI�'' PRQ:+AL QF TH£ CIT'! L'': i� r; SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR GONDITIONING. STONE & WC THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R I. 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 t�3 � SOO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � �`2�.. QO OF CONTRAC OR AUTHORIZED AGENT �DATEI � � I )FOW ERIIFOWNERBUILDERI ID TEI OCCUPANCY GROUP OCCUPANCY LOAD ) SQ. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $1.75 SAC CHARGE TOTALFEE $22.75 RLY AL ATED THIS IS YOUR PERMIT JUNE �, 1975 DATE � 0 ` - . ' � �APpLICATION FOR i'.ESI'DENTIAL., ALTERATION, � � � OR AllllITION.BUILDI�NG PERMIT ' CITY OF FRIDLEY, NIINNESOT�1 . owi��R's ru�: � ,�`��.�°UZLn�R: � �,nnxESS :� �:� , �'�Anrn�ss : ` �, . / NO:. STREET: � � is LOT :_„� � � BLOGK: � ADDITI�N : CORNER LOT: INSIDE LOT: SETBACK� SID�YARD: p Applicant attac�. to_this: form:.�ao Certi.f�cates.�f SurveY.of Lot ansi_groposed building location drawn on these Certificates. 0 HESCRIPTION OF BUILDING To Be Used As: , � � � . � , � � Front : Depth : � � I�eight : - Square Feet: Cubic.Feet: Front: Depth• Height• Square F t; Cubic Feet: - op Type o£ �.Construction: �-�a �' L� Estimated Cost: $�.� OG' . To Be Completed: �2'� . . • 0 The undersigned hereby ma.kes applicativn for a permit for the work herein specified, agreeing to do aZl woxlc in strict accordance with tlie City of Fridley Qrdinances and rulings of the Department of Buildings, and heraby declares that all the facts and representations stated in thi� application . are true and correct. , , �,. . DATE : ,�L�.� SIGNATURE : ,��B:d� r� (See F�everse Side For Additional Infarmation.)� ��f �.�� . (/ ' • . �x �� . � �f��c � =��1.�� . . `��p�'� = i�7� � . � � - . �Z �a� � . � , . - � - . , , , _ � �BUILDING P.ERMIT FEE SCH�DULE SECTION 2. T'ha InspecCor of Buildings shall, bef.ore issuing permits for the erection of any building or structure, or for any addition to �ny existing building or structure, or for any alteration or repaixs to any existing building or strueture, upon application therefore, require the payment by Che applicant for such permit of fees to the amount herein below set forth and i� the manner herein provided to-wit: , iTNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction Chereof, i.n such cubical contents. �ge 3& 5-$1.85 fox� •� ' each one thousand cubic feet. �• . ADDITIONAL INFORMATION , . Fox t�e puxpose of computing fees for building germits, the cubical contents af any building or addition, is determined by multiplying�the ground area covered from a point six (6) inches belaw th�e floor line of the basement or the cellar to• the average heights of the uppex surface or to the average�. �height of the roof surface of the main gable of a pitched reof. � For repairs or alterations to an existing structure, the fee shall be at the • rate of $3.00 per each five hundred dollars ($5Q0.00) or fraction thereof in tha cast of all proposed work. � ' Tn no case shall the fee charged for any permit as set forth in Sectio�, 2 be less than $5.00. � � VERIFICATION OF FOUNDATION n NOT�: Pea-mits for construction will be issued.a mini�um of 24 hours from the time of applicat�.on, to allow for proper review of the proposed structure and of the construction site, A Certified Survey of the lot, showing the location of the foundation, once it has beeaa constructed, will be xequired before proceedin� with the fraYning, CERiIFICATE OF�OCCUPANCY � Application for a Certi€icate of Occupancy shail be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issue@; and said structure shall not be used or occupied until a Certificate � of Oc�upancy has been issued.. . , t . . . 4 6 I � H O r� � � n r � _ �, _ � � w n S P � � � � v _ — s a'e �' � a .P �. � o � � � r •• v � r o' S ^ r e- g �r- '�- = _ — - ° r = •o � _ •. = . - - .� � r _ -ti •- •. .- ., P _. ° � :J. � G q � c y � = C > � .-. ' - � _ - . n ' „ .-i � - ' ' :� r O �. n _ f. r. Q v- p .s r s $ : a+ O c+ � e- Y > — f� s �l Y 8D � 8t : 6 P1 r� n - r � y G 'y� p� �'° qo 7 p9 � �J ('/ � i8 6L L @ � � a� /� c �, -.r � s m � vq � or q e p � a� '""° as+ n C Ro C � �D C. 841 �° O vo G C� — o f- o� a'r' i eb G� o� � o �, o -o e� ao � � �, -r °` o C' � c �`r °� s- r .. z � o : .0 --r � n en w . r- o _ m --i e. G G o o e �, n s- �� . � � o a, ; , d � u � � � H i.-� ' C N R� g.. C_ � 0 �- � 6 � o �� X J& �c � �� - v o � � � o A �� N V1 � � m ¢n an nn � � p o d , � Y1 ` 1 � � � � � _. . i-+ � C . S _ } I^ � � r. � m � i a, ✓. 5 P" C _`�- c �� [. °eo R, ' 4 - y o-t � M � � c . a. � O ' l: � w y R Qa , . C � '9 � H N : ^J � O � � �r+ � M1 „'�i C�J �f S6 SC S3 S! 8t 8t 3a 9t � �eos Vss � Pa an 4� an aa� en � � �,o�.� ti�� o � °"� � o � � � � � o � (� as. .�ss v. an an a�w an aro eon � 0 � � + � 1= o , ��. f I __- _ __� ___1 � e . g � � � . i ' ^ `� _' % -J �. . _ _ , - - �. ^ � � i i b L_ _ :aiF - ( %� . � . 3 t�, r � ' f � L•a:S� :L•�s � � , O � .a � j � � .. � . n � I � ( b85%S:9 � IJ r. O �' � I-< � � I � I ' S1TLV_9 a �°E' I � I l T'a�h :'rnys 7 6� ^ �. I I f f � f Dzi n>_i nc � :�unt�:n�. ---I- I' - -I — I — - I �,nnvcrs { ----- -- I---I -I--) � F'lcr�z Urai; n e� �- �- �--I-- I- � Cauh — r �, �"ans ,. —�--- — _ �' � I I I � I L..�stier�ac r=- 1 'n_ I , I I ( 'GdS "31AD1. � I ) � � ��c_ FsX" = an ' I � Gas Tanae � n I ( I ' � I 1 OthEr .. � I 1 I � � r' s'- N (G &v G� R . . •' f ( . . I � :o I r� n � � � 1�n _ O � tCps ►��+ � � _. �. T �O . D � O �7 � � � A . O � az 6�9 u% °9 - ' � i'; t' � O t`n e. v — 'a �+ c` � - a n r � . c C n r • . • ,-+ v � C+ r .3 r+ ^ v o -c � La �' � � � • -o c � _ . t^ . -' @ G (�j �, u. n �-s � � f✓ r L � � �� U N � U L K ( . m ni e< • � �- ' ci � . �j I > zT Z "' m � n � n •� � 0 � U� ar � m �3 C> � � ^O e� r m . o p. � _4 s-� r. fl •. °C P an 'Y P�. G� R , . ��f� C.ra =.Cf t"+ fi r � a- = - tT� .r. � rr r- m ' � � �+ .-• � � ��:: r^� ' i; e. �� n rv a rr. m n' � w c-� aa ¢ t .... c. O . O. O r, `-� an e-- et . ro r. �+ � O �� R r. - �c r r, r .- r. G _ ... - y,. r- c� �: r c' - G.. o � n o , r . � G r. U " .-: - - �c . u ' n . y [.. c; , ec � � o °_ r r ' � g s, � O O ✓ =' = � .- � '. a rr r. G � � - � 'O . M n .w rt t+ �- 8.+ X � [e R BD 'o � G � � � c G r a r .0 . r ti � r � N � 7 r- .[q Pv 7 ay e- _j n v �- U . 7 tn (� �'� . n m' .. N ° ^ �� c � o� � � - « o, F.,+ • - � � W ' ' °' . , � n n �. �� Q u n n � n P (� n C n r � :� i R � U (. e� C'. e� ✓ T �1 D 4 n '` n n '� _ � t* a � L � o .� .n-- � ' M c, Q �. °J' � R N -D r) - �• -i � O � 'D C � c`� � : � r , , l o .� c� : i > �- v f. r. Ta � '� ; � � i �� f.:_:. ,_ . � e � � f � P r D O P r �. � r i � ;�'ia ' � • • ! G . • f �� PC ' - ! Y` � C n �' � - ' I I I I = ` � ' � ° � g g ' � .. _ . . . . . , _ - - .,�- - � , __._� ,Y __ . _,�_,-,��.-. ._._. - — - — �-,�-n.�-.�_..� , � _ -. --- - -- '� `I sus�ecr PERM City of Fridley _ 9 7 0 0�� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r � � � � • � ; L ______ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � �� i� _ � -___� ��;,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY i 612-571-3450 910-F15 6/15/83 � � JOB ADDRESS �g95 Broad Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �.g-22 L Ri.vervi:ew Heights SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Roma Eastwood 7995 Broad Avenue N.E, 784-5022 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Resi.denti.al 7 CLASS OF WORK 0 NEW O� ADDITION � ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 16' 'rhr e Season Porch Addition 9 CHANGE QF USE FROM TO STI RU LATIONS The additi:on wi,I.l be 12 feet from north line - Code requires 17�5 feet. i7axiance apprQVed 6/14/83.' WAR�1tNG SEPERATE PERM . ��for� ai�g' EtECT�Rt� �f��iE�c 1TS RE�UIRED FOR V111RING ��N� HEATf N�G. Pl.UMBING AIV�D SIGNS. ��RE�J �� -�� SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD YENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHOSIZED 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 HAYE READ AND EXAMINED THIS APPLICATION 1. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURT X AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 4 400 �2.20 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $� DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SSOs rJO PL•AN CHECK FEE TOTAL FEE $12,63 $65.33 SIGNAT 0 COrdTaAC7oRO THORI DAGENT �D rEt WHEN PROPER . ALIDATED THIS IS Y UR PERMIT � �S d�� I�.�— SIGN URE OF OWNER IIF OWNER BUILDERI IDA El - BLDG INSP - DA � r i% � ; � :Q ► � . __-----� i s "1 DZ'7 .� � � ��• , /�'-o"_-� _ _ . _ __. ._�. _ � Ne v� ,5c re� � \ or� �`'��-- - � -- ��'�; ; � ,��-- � -- -� . �', � , -,�- , � , i � � .° � � , , �. , , ,r ,, .� �; � � 1 . \ /�' / 1 � V � � ' Y F , � I �. . . �� _»- . _��.�sa—�a--.�— .. --. r �` .� —�'-� ` ----� 8ay,3g�� ------- -- - --- — � �� /! �, S— , i t (�. . �i �' :• � j i', . � !i , �� . � � ;�' _ , � jl - ! ;�. 1 !; � �� 1 � .V� - i'. � I � � �� . i I� r, . . +, + � i. � - . > . � ,. i - ;; � I y . ; . � � ' � ;; �a. �� : �a�� , i � -�- i ,�( r � �' r3-� d. �� i/��Gb d'� Y�'de '� � -- --�— � , _.�� _ _ �:.� , � �---- =-_-%�. �,_� � �-- ___�-�; � g� � � � � ! , , iI 0 n CITY OE' FRIDLCY APPLICATIO:J FOft RCSIDLi�ITI11L [3UILDIitG PERiiITS (We►�, A1ter.�Lions, Additions, or Repairs) � �i a u�r� �_ � �<. . nn��;ESS: �9�; � � T� L h� • ''7�' �%--- � l� 2'Z Effective Aug. 1, 1981 �[3UILDER: �G� c� � � nnn��ss: TEL �10: Consi;ruction Location ST7tIIsT NO: � STItEF.T: � p"�ci IAT: �� o-al-� 2. HLOCK: �T ADAITi02J: Q i �d e� dee� l�e�a titT Corner Lot: � Insicie Lot: Setback: Sideyards: Applfcant attach to this form twa Certificates of S�rvcy of lot and propersed building location drawn on certificates to scale. � ��v� DE5CRIPTIO�� OF COf•jSTR�JCTIOtJ �'�� eN.,�arc.� , Front: / (0 � Depth: f � � Height: � Square r'eet: � Gt�bic Feet: FXOnt: Depth: Height: Squar.e Fe�t: GUbic I'eet: �� `]s�a � �`�'�� . ��(/ Rype of Constructien : ��'r4. _ Estiunated Cost: $ ' Rb Be Oor,�pleted: Alt. A Alt. B Proposed Driveway �r'idth If New Opening Is Des3sed: $ $ S�E FEVF.R�Is SIDE OF SFiEET 99ie undersigned hereb�� ma);e� applicaticn for a permit fcr the �:ork herein specified, agreein3 to do .all work in strict accordance ��ith athe City of Pridley Ordinances and ruling� of the De�hzrtmei�t of Buildings, and hereby declares that all the fact-s and representatiens stated in this applic4tion are true and correct. D.'T�: �-�'� �— �� SIGNATUF•e^.: Stij�ulations : � � � � � " 'F'� � n� k - " \ �_�_.. �_ " � � . _ p� � � � e�� ,. '',. �w� �� ,�, �' _.. � , ' "� , - r�. ,„_.,� _ � � — ; � a�° � f� f, _ � k t I 1 / �'� .�/,l/� k Ft� � i . '`'1 ��f^�'��y;�_-� �� — ��x__ ( � f � d � � �. p � /� �� _ _�.� � '1-.. ' i ' a yi� � _ � - The Chief Building Official ahall, bePore issuing permits for the erection of any building or structure, or Por any addition to any euisting building or strueture or for anq alteration or repairs to anq existing building or structure, upon application therePore, require the payment by the applicant for�sueh permit of fees to the amount herein belosa set Porth and in the manner herein provided to-wit: [��. _ _ . , �1.00 to �500.00 �501 to $2,000.00 $2,001 to $25,000 �25,001 to $50,000 �50,001 to $100,000 $100,001 and up Fees. �10.00 (Minimum �15.00) $10.00 for the first $500 plus $1.50 Por each additional $100 or fraetion thereof, to and including $2,000 $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000 $170.50 for the first $25,000 plus $�.50 Por eaoh additional $1,000 or fraetion thereof, to and including $50,000 �283.00 for the Pirst $50,000 plus $3.00 Por each additional $1,000 or fraction thereof, to and including $100,000 $u43.00 Por the Pirst $100,000 plus $2.50 for each additional $1,000 or fraction thereof Plan Check: 25 pereent of building permit fee. DriveWay Depression Escrow: Concrete curb streets only. Alternate "A": Removal and replacement of eurb and gutter ottly - Driveway Width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot Wide approach with 6 inch depth - Drivewaq width plus 6 feet times $15.75 [I--�FS 3�� . � ��• . � .�� . , Permits for eonstruetion Will be issued a minimum of 24 hours from the time oP application to allow for proper review of the proposed structure and of tihe construction site. A Certificate of Survey of the lot, showing the loeation of the foundation onee it has been constructed Will be required before Droceedin� with the framing. �� •�� 1 �' � �� y _ . , _ , . ..e . _ ,.�,; . . b� . .� ,�,,..: _ �, �.f .�. �..,_ . ., . . y�s �,�� u�. C. c�o�uc�1 a�l ssoC�a�c�� t . � .��e � LAND SURVEYORS Anoko, Minnesota CERTIFICATE OF SI�RVEY: ' Iven D. PetersQn �p�N�O> _ -- �; \ . �,s,, ,��t°-s �f � � , - ; \O�`��¢ ' ��p �� ° �,, , ; � � ��° � �� ,� `�� .., `��-� °:°�`. �`� � ', � � � � DE��OTES I RONg � L � . P�- \ �°'t� p5, _ , �'f _� ; � � I � 1 � ` , 1 �, � �� o` � � 1 �G) 1 `✓ 1 a � � � Y� �y 1 � � • / r �� /�/L �.� � `� J Telephone 421-6340 a � R ,, .� - _ -_ �.7*�.1?K_2? _ -� ,� �� N / / O O , ��P�ROPC�SEO � -S'F , Rcsrr rvCE � , , `` � '�', �, r, `' �' `° , 1�-- ��o.o � 1� 1 �� ,� I-S-S � Lot� 19-2C�-21-22, Alock L RIVERVIEW HEIGHTS Anoka County, Minneeata - 1 NEREBY CERTIFY TNqT TFt15 IS A TRUE AND GORRECT RFPRESENTATION OF A SURVEY OF THE BOUNDAItlES OF THE ABOVE DESCRIBED LMtO, AND THE LOCATION OF ALL BUILDINGS, TNEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAlD LAND. , - 1► AS SURVEYED 6Y ME TMiS .�.I:S�.... DAV OF .... .................. ..I�SaY .................................. A.D. 19 E 2. N. C HOIUM AND ASSOCIATES, INC. — D SURVEYORS . ^ � '- � � � - �'� �� -�..-.. _. - _ - � ��.______�_--,, �p ��__ sue�ecT PER City of Fridley !��2 0 911 ATTHETOPOFTHETWINS g�ILDING PERMIT�� r � � . � � COMMUNITY DEVELOPMENT DIV. r � v � PROTECTIVE INSPECTION SEC. �U��/ � � 1 . � � � �"'1 � CITY HALL FRIDLEr 55432 NUb18ER REV. DATE PAGE Of APPROVEO BY �""'� � �'� 612-571-3450 910-F15 7/2/91 / / JOB ADDRESS �g95 Broad Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED oesca. 19-22 L Riverview Heights Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Petexson 7995 B.x'oad �venue NE 785-9238 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW �] ADOITION }�.7 ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22�' x 24 � Ga�rage Addition 9 CHANGE QF USE FROM TO STIPULATIONS Ga,ra e must be se g pa�ate.from house by.a modi�'ied 1 hour occupancy separation� iancludix�g sel�-closin� door and beams. Provide a h�.rd sur�ace driveway. . i�AR�ItHG 8efore digging calf for all utility locations 454-0002 REQUIRED BY LAW S�PRRATE �'� i�'tin�T� ��;)IJlR��D �� WIRIIVG, HEATING, PLUI'��IIVG A�;D v�+�,'�S. TYPE OF CONST. OCCUPANCY 6ROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONIN(i S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCEO WITMIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED POR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTpEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEp 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 COMPUED $6,300 $2.ZS WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $9OsOO FlY'0 SC $G.3Q STRUCTION OR THE PERFORMANCE OP CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 98.45 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI OPERL V T D (S YOUR PERM IT ' �a' # 1 • �r � � SiGNATURE OF OWNER �1F OWNER BUILDERI IDATE� � INSP nA� ia ;_� F��;� .� [] R-1 AI�ID i�2 Huildir�q P�rmit Applicatian EffeCtive l,/1/91 o�tr�� Aaa�: �9�fi.� � ��-�D ' � i�L 1��1 i I� � 1?i 1� � f 4��° _,� V—'°�%VJ7�' ��i �� e HO Wra �� B 7 � �,,� `��` e�12� 3�' OGiI"12Y' N3IDe & A�'2S�: c�°L�nn� � �.C��r''.�d�l ^� � Ct� T21. � CcaYti'dc.'tOZ': ��L'v6�1� Tel. � ��: ' ISP.II� 11REA: �'_ �s ei- ��:� .��« ,r� �1�:��; Attach to this applicatiari, a Qertificate of SuYVey of the lat, with the pzvposed �t.icaz drawn a� it to scale. D�BC�PTI��T �' II�lPl�VH�� I�ngth Width H�eic,�t Sq. Ft. LP17gth � �- �'� � Width � i` ° �ie.ic�t �i � Sq. F't. `t`�� Iergth Width Hgt/G��tu�d Sq. Ft. �� Y � 2 �C (� �' � p c�rner Int [ j Insiae r�t �j' . Ft. Yd�Setback �� zS siae Yara setbacks � Zj�pe of Ci�truc�ti�: r'(a-f��i � Estimated Oost: $ 6 Y� L�= `� �" Approx. G�a�pletiaa�► Date: �f/ /Q / Prc�oserl Driveway Width If New Openiryg Is Desired: Ft. $ $ Width + 6' See BacJc Page DA'I'E: APPI�CANI': �1 • # P+ermit Fee $ � f � '` Fire Surchazqe $ c� state s�arge $ ` r SAC Qz3rge $ Drive�ray Escrvw $ Park Fee $ sew�er Main C�aYge S � s �� . � �� « � ;;- . �� Fee Sd�le cal Rever^.� Side .001 x Piezmit Valvatian (1/lOth $) S.5o/Sl,000 valuatian • $650 per' SAC Unit Alt. "A" or Alt. "B" Above F�ee I)etez7m�eci bY II�gineerir�g � ��az'Y [ J � N�-�Y [ ] ,• .� i, �x � ♦,��> �, i� ` � • _vv-� � �� - - ,, , �� + � � .. � h � , s . _ ,. ,�_ � � � , .'� �, - � , � r ��'„ �' � � � � �� c. i . ` � � �� - � °Z � c.L — �-(' � � �o � � � i:_�jt � �, � ;=y:��4 i:,�� : �:i_,�_�� = �e �ief Huildir�g Official shall, before issui�g peaaits for the erectio� of a�r buildi�g or stn�cbure, c� far any additian to any existi� buildir�q cr str�u�e, or for any altetat3an or repair to anY existin9 buildin4 ar' �ure, � a�li�tio� therefore, zequire tiye payment by the applicant far � p�smit of fees tfl tile a4nauit Aere,il� be1G�w set forth arld 31i tl�e �r+�+ar hel�eill provide�rl to-wit: Z�O�I'AL �TAIIJE $1 to $500 $501 to $2, �0 ,,� $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 � � a. $15 (Minintmm Fee is $15 plus �ar�e) $15 for first $500 plus $2 for e�acii additional $100 or fractian ther+eof, to at�d irrludit�g $2, 000 ! z.��, Yd �r �' $45 for first $2,000 plus $9 for each �3ditional $1,000 = Oz' frdCtia�'i theraDf, to atxi ir�Cluding $25, 000 �v $252 for fixst $25,000 plus $6.50 for eac�i additioa�al $1,000 O�' fraCtioi"1 ther+eof, to ar�d iTiCludirig $50, 000 $414.50 for fizst $50,QOa plus $4.50 for each additional $1, �0 0�' frdCtioa'i the2�eof, to arni .ir�cludi� $100, 000 $639.50 for first $100,000 plus $3.50 for eac3i adr�itional $1, 000 or fracticai th�reof, tc ar�d including $500, 000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1, 000 or fraCtion thereof, to ar�d incluciing $1, 000, 000 $1, 000, 001 ar�d up $3539. 50 for the fitst $1, 000, 000 plus $2 for each addi.tional $l, �0 or frackiaai thereof D�t1�lY D�'PREBSI�T �W (Oaa�ct�ts Aui� Streets on1Y) Alternate ��A" : Removal ar�d r�lao�t �f a�rb ar�d gutter anly - Driveway width plus 6 feet times $13.50. Alternate "8" : R�oval ar�d re�lac�nent of c�rb and gutter ar�d install a 3 foot wide appznach with 6 ind� de�rtii - D�'iveway width plus 6 feet t5mes $15.75. . � .,- -. �� . . . �*�++;ts for ooaLStnict,ian will be is�ied a minimnn of 24 i�a�s ficm the tin�e of applicatioaz to allcw far prc�er review of the prq�osed stn�ure ar�d of the coa�tn�c.�tian site. . A Oertificate of �vey of the lat, st�owir�g the locatiaci of the faa�dation aa�oe it has it has bePn oorLStnx,�ted will be required before proc�eeding with tl�e framir�g. � y ' a N.C. HOIUM AH� ASSOCIATES INC. LANDe eRh EYORS � p ne P. 0. BOX 33026-COON RAPIDS MINN 55 33 421-7822 � • 10731 MISSISSIP�I BLVD. N. ., �,OON RAPIDS, MN � �' ',, r. 1 i` � ;' ` �1 CERTIFICATE F SUR1( \AMES �T.E�SO p ` �EN1 1 1 � �� i �: A� ��yE \ nf \/ /• ��KW i � -M�Nf �'� °- �r �AyG �U o � �r��.�T �PGN �� = ,i � � � ` `�°�" N��'' S2 z5 ', �"�o '��\\�'�' � z� � `1 � �Q e� 4`P ` �� ° o `��=�� b�� PGpRGH W 3 0 � ^� � � � �� — � �l � 1, � � � � � � "� � � `� 1S� . � � � ,��',� 2 3 ?�� .5-F �� " � ; .��" � ,2 5' � � 4 � �, � � C��` 1 �,� 95 \ 2��01iI o . ` � l �� / o �' °S� �� / �1 q,(n.3 ` � y� ,Z- �3 O SCALE: 1" =30 ' 6644-125/22,50 � -z ��?�- '� ` ` � �Denotes Iron . 1 , � ` � p � � , � ; � �� \ 2z ; � , � 2� � 25 � �� 2° � z� �,� '� � \9 ` 3� � 5'1�° 52 I5N �` 3° , ��p,0 ,., Lots 19, 20, 21, and 22, Block L, RIVERVIEW HEIGHTS, Anoka County, Minnesota � f �� `7 � �2 � tn�, � �;��.�,� Q � Z�t` � � � 3,? o� I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT�RE�FR'ESENTATION OF A SURVEY OF THE BOUNDARIES OF THE ABOVE DESCRIBED LAND, AND THE LOCATION OF ALL BUILDINGS, THEREON, AND ALL VISIBLE EN. CROACHMENTS, IF ANY, FROM OR ON SAID LAND. 22nd February 90 '� �I�Ca AS SURVEYED BY ME THIS ...................DAY OF .............................................A.D. 19............... �e N.C. HOIUM AND ASSOCI , IN . ' ��K e�� ................ `%��............. ............................................. Minneaota Regiatretion No. ... ��.�.�.. ...... � ` F •..�.. `� '��'s�s �: �r„,` v: " �� t t� � `� ` '� � � �� x� � F�� '� ^� � �-� � �' �� ' � �� e �6 � e � , "�� e, � ��° � �' � � ` � � �" �a�,�� b _ m`d'4:. � " ',� ' �� . � �'� o-� '��,,� . � �� `� � � ��. `t :e s s: . . . - �� rn � � , = � �:3 M � � "�!+ . . "' I ,<�,�� , , 'r . , � e , � t 4,�... . � " � k� � � ��r „ ' r s r � �� a �"�� '- * _, � a� �� ' �� ;� � �,� � ��y �` � � �`� °� � �,� ,�° � •� ?� _„� � ;� � �, �e � � � � �' p � � � _ � '�� `"� P�r o,�g '� � � � � �Sa:.� . ��: '" � '..�� s ,: � � � . � �. s . ° � � c `:� ��. � e - �a � ' � �� a � _, �g : all�" % �y 4�� .. � ^"� �"� � � �� '�re, � � � ��'' 4�� t�, � �� i�. � :'� � . �� v . . � _ � � � � � � �� R, , ,� �� .� � 'as , � , � � �' '� � �" � ` „ . � � � � � � °° � �"'°� , _ > . �� d �� '�, „„ �� g �. � �'" °' � � � � �� , � �� ,r ,� �� t €`" � �� ' '"` � E �'�' �� ; "� y� ��' '�' �i; a ` `k $ �� °� ,� .� � h �� ,� ,� � � �� '�. � 1 � ��, �� . :. �r ,-�5a� a� ? � X � �� ` g,� � ' � : , , � � ry ,� ,. p�,�� 3 *� 1 � . ^ � �° � $ � � � ... � �y 3.."-' � � ,. � y. �a � a ed � � -�' :�. , tl .�. y � � & � '�� :1$M•` �a '�� # a • . ,y . . � .y� . . � g� �M e � , . e � '^° �^' � e �' � . W .Y+i"� � . t� �' � � `: � d � .+�' : � ��j�� t* x' �t� a�� . � � ` . . "s"+d? �� '�i $ .�, '?4 � ,_d�s'• 3.� �i 2� . � §;t � � � � �� ^�� "d �� =� �. , , � � y�s ��q 4 �'% � �; $ . q 3 h ' y � .. . �L ax�,'b'� "� ^, .°�g q� � . r G s^'3iT`�� . . . � °` W� �� ,� � �'�'� ��'"�"9'4l5„ �{� � o. - Y � � �' � m'� ' ^:�r�n �. ` �a` ''"� , � , „ , . � % ^,e d �' . ': � .; ., �: �. , s ' ., „ Es. �'_ . � � , . �� M ��: t r'� , v'&�;.,��. e,� . . .��.. `.:S £� `�a n ;�'�. , � �� . , , „ '" >.,. ' � �e � , x � � .� . � � o� . . ... '�� - �, ' '' `�' fi=� � `� `� � � ,am. . �'� . .:� ,w. u . � --,.,� . . . .. ...__ �...-,._.�° .� . . _ _�. ' . ,r ,�x ,y:. . � - - — - - .°-� .� � ' � � � . . . . , , � ... �` e . . � �' ;' � ��' � � � � � �� . � �� . • °' � =-»*� `�'� a a � �'� ,� �� y. '� � � ��w ' � � �� • a � � r '� ��' �^� �` � < . _ .., , , � d . 3� . �, � ._ � � � <_. �� „ ,,. �: _ �.� . �. . _ _ . _.� n � � `�. .... _.. _ , . < ,. � � - ,. �., . . � . `� ._ _ . _ . �_ , P � � . � �^ � �� a., ��. ,., �. . . . ,. �. � �. .. x " �,, ,, � a � _ . :�' u a � �t � "�`� � � � . �� A �� , � � � . �. � x a � �r � ` '� �, s � � � � �r � II, ,„ . b '� ,r':, �,� P,, �� ` �V �. % �,� �3 � � ` : � � � � � � ,�: �*�' i �, ; 3� . �' �"° � � �t � x .;; ' . ;�,. � � � : �sar `s; a w, - � ;, . ° �'�t�, �_ �,r i . � � - i c �. . � �* , v i � '^§�� & �t,'�, ; n a s � � » - �. 3 f � � ,,��,°Y?+.s`' a �:` 4 , _ w . °u � . . � ' �� °rc��'' � � "� �� r sy� - , x, �;�: � ,�' ,!� �?, �e ��s�' ��. � � � > �:'` �` a_ �� : ��' �� ,� � � � . � _ _ n� � e � ` � ��„ � ��._ - � �s � ` � ��" "�"'�' a �x � � �S�'' �* � � ,� . x, '� d ''` °r�°§` � � `. :,4�. � ; � � � z `r� ,. �� '� r r� � '�°"� � e� �a�•`� � � /� m�I� �� tl� r Y� •�/�r �� `�' $ � � � M� �isy�h �� 'a�. � � .� � �",� C• , $,� k' �,�:z . � ��, w. � ��; � Y/ � � 4 � � x� � �� d. �� :,„ . r� � "i -,"�t , , '� �:k °a�,� � ''� f � � �� ry A �� "��s � � � � � �� , �i � V � �'�" ��+" �4, *� .� � . � : ,' . � �� :� .� '�� . { �� , '„s,� �, �° � �,. � �6!1�r '�� 3"Sr `!�'''r �, '��'. �: � � „�„*��.�' r , . '? .€ . � . a ��, a , � �,�q %-y '�e � �' � �� ^ �� ..� �r* �. � � ; � �: ' ` ��°� �� °�� ..m��" ° �� "` , ` "' �;, � � �;g � �' �' �''�',r �* ',� � � �",� � .;� .�i �; �` � �+` .}�•'��'''." �, ,� � '� �, �` ��`� � � � ��a �� .� .v � µ� .Y �� ;�, � , � �'` �� z 4' � % � �� ,� � �"' k� . � � r � ,�. � �'° "` � �^ � � �� • � � , < � � � ; ��+ �'�� m � , 'm � ��" .; �� : �� m: � �� . � ,.. �� ; ��'`�, �'�; ,�, _ � a" � � �,- _ �.. t.� �.. . �„ . . , � . � :� � - , ,a _ �. � � � e� a�wm � 4 ^' ; ` � > � � , � M � ; � �� f - `�,. � � ' �:� � � ,� ,� '�`' � � k � � � � i1 'a; � �� ,,y � � "� t# � �''A�, � t a, y , � .� , �° � �"°tk.� , ��,_ ��, � � .r` ' 's . . �. `��" '� . . �. � �4 � �1E .`; � ` -� � "�� .,� � � �� t s� e�" y ,,,' �' � _ � _ � � S�a�E�T � PEw+nar N �., City of Fridley �� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � i� � � __��_�-- � ; V ��, COMMUNITY DEVELOPMENT OIV. �� r � � PROTECTIVE INSPECTION SEC. � i � L_--.� � ��,•� CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPRpVED BV i 612-571-3450 9t0-F15 5/3/96 / / JOB ADDRESS 7995 Broad Avenue NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 19-22 L Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Peterson 7995 Broad Avenue NE 784-9850 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION C7 ALTERATION �O REPAIR O MOVE ❑ REMOVE 6 DESCRIBEWORK Reroof House (18 Sq) Tear-off; Reside House (16 Sq) 8 CHANGE pF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. TYPE OF CONST. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,640 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION y�7�F. %S PLAN CHECK FEE OAGENT I�ATE� �DATEi SQ. FT. STALLS OCCUPANCYLOAD CU. FT. ' PARKING GARAGES $1.32 iAC CHARGE Fire SC $2.64 'OTAL FEE �%8.71 i THIS IS YOUR PERMIT �� fipTF r�w ADDN ALTER [] i� [l CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R 1 AND R-2 Building Permit Application Effective 3I1/96 ConstructionAddress: ' r�� q) (� 6Z.6 �- �D i� lo'� /1/� Legal Description: - % q�-Z� ��--� �K L 1(Z�V'C�e2v'� � v�i �-1 T� Owner Name & Address: � p�,,,.,Q s �`��"s � � — � Y►.: � Tei. # Contractor: ��. �.,� MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed constxuction drawn on it to scale. DESCRII'TION OF IlVIPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECB AREA: Length Width HgtlGrouad OTHER• � ` f � Tel. # Sq. Ft. Sq. Ft. Sq. Ft. -�� • S ��.��s� ��L ��°�e�.� �,� �-1 � s� v w,--� � s�v� � l dCi v� G I� 0 Vj�C � � 1�-�' G� `� � t� „S � V Ca t"-�� :°.,:(�'�_s j._..- � � Coraer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ �(- �� Approx. Completion Date: � fCost on Back) Driveway Curb C�t Width Needed.: t+ 6 Ft = Ft x$ _$ nA�: 5 � �3 � �l � APPLICANT: � Tel. # °7 � y � ��.�� -t4,,�� ' CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL $ `�%`�. `�� Fee Schedule on Reverse Side $ �- (�- C� .001 of Permit Valuation (1/lOth%) $ � - � � $.50/$1,0� Valuation $ $9� per SAC Unit - � � $ $5.04 (Sta.te Licensed Residential Contractors�) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering � $ Agreement Necessary [ ] Not Necessary [ ] $ � �'�l STIPULATiONS: � BUII.DING PERMIT FEE SCHEDULE �' ` ` The Chief Building O�cial 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 siructure, upon application therefore, require the payment by the applicant for such permit of fee.c 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 $SO,OU1 to $100,000 $100,001 to $500,000 0 $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,� $62.25 for first $2,� plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,� plus $9.(� for each additional $1,�0 or fraction thereof, to and including $50,�0 $574.75 for first $50,,0� plus $6.25 for each additional $1,000 or fraction thereof, to and including $1Q0,000 $887.25 for fiist $100,� plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,0� $SOO,Ofll to $1,000,000 $2887.25 for the first $500,�0 plus $4.25 for each additional $1,� or fraction thereof, to and including $1,000,000 � ��':';' , ; :�,; _�.�; : $1,000,001 and up $5012.25 for the fust $1,000,000 ptus $2.75 for each additional $1,�0 or fraction thereof DRIVEWAY DEPRESSION ESCROW - (Concrete C�rb Streets Only) Alternate "�,": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alterna.te "B": Removai 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 Permits for construction will 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 constcucted will be required before proceeding with the framing. � _ r _� Building Inspections 763-572-3604 DATE �7 � SJ'fE ADDRESS ,� TFiIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WTTH APPLICATTON PERNIIT TYPE TYPE OF WORK: �.. ° MECHANICAL � RESIDENTI�,.L APPLICATION CITY C�F FRIDLEY YOUR E-MAIL ADDRESS ❑ OWNER CONlPANY NAME:_ CONTACT PERSON: STATE LICENSE #_ PHONE� �? ,S' �SINGLE FAMILY O TWO FAMILY '�•TEW O REPLACEMEM � DETAILED DESCRIPTION OF WORK i /1r1 ; : i.' '- '!�� `i ��.� ii1 .�' � � ■ • � ■ . , . .. Received By: Date Rec'd: ,� /� � A' A'j��Z�� PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtwes, (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WF-iERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT VdIiERE NOTED FlXTURES: (II�IDICATE TOTAL NUMBER OF EACH BELOVI� , �^ Equipment Irtstalled NfFG: MODEL: (� �� SIZEIBTU Z- 2� MFG; MODEL: SIZEJBTU � Z MFG: MODEL: SIZEBTU ,�A/C $25.00 _FIREPLACE (GAS) $15.Q0 GAS RANGElOVEN $10.40 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 GAS UNTT HT'R $10.00 CHIMNEY LINEI� $10.00 _GAS DRYER $10.00 _POOL HEP.TER $35 00 �DUCT WORK 510.00 _GAS PIPING $]0.00 _VENTILATOR $15 00 � �.�.. �, ,�.-z�,,,.,..:�.,...r,�.�.��,y -,.,._._��.-,,.--...r.. �._..._ .. __.__.. _ _....._ .. -- Permit Fee $ ,� Number of fixtures �$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DLJE $��_ Number of fixtures @$Z5.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ ' -� THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota �Construction Codes; that I understand this is not a permit but on an application f�r a rmit an3r�Df� ' not to start without a permit; that the work will be in accordance with the approved plan in e of all wo whic ' es review az} proval of plans. SIGNATURE OF P t � W '� RIN1� NAM DATE�� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridtey, MN 55432 763-572-3604 FAX: 763-502-4977 _ S'QOi�EiiWjE� �iiL' C�118?jEiII �IIIE IIOLjSi1QiII0� E�ca aaE os samjaprn� apo� �(�ara��ay� ��au� a.uuiod.za�ua� ��,I,O1�I �o�pasnaq� �3 • Q I�� d��I � � �'�09d'��t ��1CI��t��3RC� '� - — --- -- . , � ZL9L I� OL9L aP�'J ��a� �x�d -� - - - - - - uot�i�aaA 'S ZI£0'9�b£t �Y�II IIOA�T��O� `�aII IIo parmba2i `� taooz iad p�eoj �m[oaa � ssoj �H 't� S3WOH M3N 210� a32�lflti3�1 s�uaLap,aa� i.UnI �?.� 8 .�1�� L�II �� ° tan3 'q � s�,uampuau�v' 1�IY�I �� S��d� �`J� sa�uer�d�e se� -e . �B4�aaA ' £ � s�uaLUpIIauzd I�IY�I �?� S ia�d�[� �L�II `� (t�ojaq a�ou aaS) .r�' �n��y�I Z _ _-.� --s��a�g�ur�' �NI �.iea � Ia�d�� J��do� zo se� �i�i �q s}uaurpuatuy 1�L�I �?�'° L�� L�II ian3 P�tos io �p '� . . (,riojaq a�oa aaS) �' u°qsnqtu°� i , �S3WOH JNIISIX3/M�N �1� 43�(�� WOH JNi.CSIX3 ❑ SNOI.�Ia�d/S3WOH M3N ❑ - ?31`d d(1-3�i`dW ❑ 3 . � L� � ��, , � _�� ,, _ �tlnH NOIl`d�l�dd'd 11W213d �tl11N3a.IS32i , �f llW��d SS3�OZId Ol a�a33N NOIl�/W�IO�N103211f1i�3?! . ..,., Building Inspections 763-572-3604 srrE ,qnnxESS i � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY E�-M°AIL ADDRESS / i"l d �L � � OWNER �jCONTRACTOR .��L�l, _ �r AnnxESS: 7� � S � �Q�' � v PHONE: �teH,tF• �� l"(�.f� r I 'tl� W � % eS l �a STATE LICENSE EXP DATE �I ADDRESS: CTTY, PHONE F� INGLE FAMILY/NEW CONSTRUCfION SIZE TWO FAMILY/NEW CONSTRUCTION STORIES ❑ BASEMENT FINISH �ROOF ❑ DECK ❑ SIDING O SWA4M TYPE OF WORK: I ❑ � DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT ItOOFWG �J NUMBER OF SQUARES � ` GARAGES PROPOSED SIZE: PROPOSED HEIGHT: LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE � ATTACHED GARA.GE O DETACI�D GARAGE ❑ DRAIN TILE ❑ OTHER Permit No.: Received By Date Rec'd: HEIGHT � ,� � �� ATE ZIP Ft. BASEMENT REMODELING SUBMIT: 1. Existing Fl�r Plan 2. Proposed floor plan 3. List of snucwral members to be used SIDIIVG FORNEW CONSTRUCTION II3CLUDING DECKS, � ��yl pso� ? nn�ONS. & PORCHES SUBNIIT: ��n� p Tri� 1. Site PlanlSurvey showing the existing structures ❑ Other O Fascia and proposed project 2. Two sets of construction plans WIIVDOWS 3. Energy Calculations IlV IXISTING OPENINGS DYes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WII�i�W TO BE WSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING , 199 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ��' �•� OC�� TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ 7 0? 5' See Back Page for Fee Schedule $ 65% of Building Permit Fee . $ � .001 times the total job valuation $ .0005 x Permit Valuation Minimum $.50 $ � CX� $5.00 (State Licensed Residenrial Contractors) $ $1550 per SAC Unit (Plans to MVJCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ j d 7_ -�°j Make checks payable to: City of Fridley Attac6 THIS IS AN APPLICATION FOA A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclaiowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this 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 review and approval of plans. SIGNATURE OF APPLICANT �'� � "� �� P�NT N�M�'�� ` � �" "�� DATE Ip `'�� ^ �� Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or stru.cture, or for any addition to any existing building or structure, or for any alteration 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 amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,040 $2,001 to $25,000 $6925 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional$1,000 or fraction, to and includin $50,000 $50,001 to $100,U00 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,(?00,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. 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 City of Fridley Building Inspections Depaz4ment 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Building PLUlVIBING Permit No.��9 Inspections � RESIDENTIAL APPLICATIOl� Received By:�_ 763-572-3604 CITY OF FRIDLE� �� T s�- 2007 DATE Z% D YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: � OWNER �ONTRACTOR T�eh Dormoh PROPERTY ,Na,n�: 7995 Broad Avenue Northeast �� ,�wnxESS: Fridley, MN 55432 �� z� �� Pxor�: 7637863446 CONTRACTOR Nnlv�: -- — SUBMTf A CpPY OF STATE LICENSE # C> EXP DATE YOUR STA"FE ADDRESS• r i I CITY ' �J STATE�LIP Sf�/OQ` �,ICENSE WITf�I PFTONE — �6� FAX — - -- APPLICATiON - ' PERMIT TYPE �SINGLE FAMII.Y ❑ TWO FAMII.Y � TOWNHOUSE �rrE oF woxx: �'`'Ew � ��c� _ D�TAILED DESCRIPTIOP}' OF WORK PER MS 16B.665 the g�rmit fee is a minimum of $15.00 or 5°!0 of the total cost up to $500.00; whichever is greater, for the : improvement, installation or replacement of a residential fixttue, excluding the fixtures. (This.should rEflect only.the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = =.i°�REROJECTS WEIEERE LABOR EXCEEDS•$SOO;�EES ARE BASED ON � 10.00 PER FIXTURE,'EXCEPT W;i�RE'Rr21�.:RIX'F:i�S:�.(ii�DIG�TE TO�TAL NUMBER OF EACH BII.OVi� " , BATH SINK/l.AV Fi.00R DRAINS SHOWER WATER PIPING _ BATHTUB _ GAS PIPWG (rrEeo ctrrr,�COVSE) '— SWIMMD�G POOL WATER SOFTNER ($35) CIA'T[iES WASHER KITCHEId SWK WATER CLOSET BACKFLOR+ PREV. ($IS) _ DISHVVVASHER _�LAUNDRY TRAY LWATER I-�ATER {$35) FOR IRRIGATiON _ WAi ER METER _ OTHER Permit Fee $ Number of �es @$ 2 0.00 x$1 U,00 =$ Surchar e .50 Number of �xtures @ $15:OD x $T�1D0� _ $ TOTAL DLJE $ Number of fixtures @$35.00 � x$35.00 =$ 3S.Oo ........ ._ State Surcharge = $ .50 Total = $ . O THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSm I hereby apply for a build'mg permit and I aclmowledge that the information above is complete and accutate; that the work will be in conformauce with the ordinances and codes of the City of Fridley and with the Minnesata Construction Codes; that I understattd this is nat a permit but only an ap ''on for a permit and work is not to start without a permit; that the work wrill be in accordance with the approved plan in the case ll ork which quires review and approval of plans. SIGNATUREOFAPPLIC PRINTNAME Je. /(!0/�ibID1�:7 DATE % > City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-3604 PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: Received By: D�� DATE / � � � 9 � � � YOUR E-MAIL ADDRESS SITE ADDRESS �7 � � j /�1�0¢- ,� / j��/'C %`' /� /� � �t� �j � ��' C�� 2� i THIS APPLICANT IS: °�OWNER OCONTRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: NAME: /' /-�/�!/�/�/=i /�/�• %�4 f`�-i��%U ADDRESS: "7 9 �% ST �`LD A--� �$-1l'� CITY PHONE:'�� .,p'Z,� � .- �c� �i� . NAMR- f°� Lt.3 �/^ /? STATE LICENSE # EXP DATE ADDRESS: CITY PHONE �SINGLE FAMILY ❑ NEW FAX ❑ TWO FAMILY � REPLACEMENT ❑ TOWNHOUSE L� ATE � ' ZIP�3 TE ZIP DETAILED DES�RIPTION OF WORK �� o �'� �� ¢��a,, j �� ,�� 4-��vLl�'��.�' % %2-e�� ,. PER MS 16B.665 the permit fee is a minimum of $I5.00 or 5% of the total cost up to �500.00, whichever is greater, for the improvement, installation or replacement of a residentiai fixture, exclLding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (DVDICATE TOTAL NUMBER OF EACH BELOW) _ BATH SMK/LAV FLOOR DRAINS SHOWER WATER P[PMG _ BATHTUB GAS PIPING rN�uin t'tn�i.iri:,v�t:) SWIMMING POOL WATER SOFTNER ($35) _CLOTHES WASHER _ KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($IS) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER Permit Fee TOTAL DUE Number of fixtures @$10.00 x$ l 0.00 =$ Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accwrate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this 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 review and approval of plans. SIGNATURE OF APPLICANT�� PRINT NAMt O G'�P�i(� @Yt ��y�i'yl�(.� DATE �% � d � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 F�4X: 763-502-4977 Building BITILDING Permit No. � C� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat��€ '�:OCT 20l Dp'('E ( d' / %� `� YOUR E-MAIL ADDRESS srrE �D�ss � oi � � � �- � �-�� rZ c� ��G Y G�I • ° �-T y� 3 2-- THIS APPLICANT IS: �OWNER ❑CONTRACTOR PROPERTY OWNER/ TENA1vT CONTRACTOR SUBNIIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE P'ERMIT TYPE TYPE OF WORK: i� /�-i'�f-r� f ADDRESS: %�f9 S�-1�� /T- �C CITY �iL �� L� y STATE�� S�`�3 PHONEC'7� � � � �C� � 3 4� � � N�: /'� W n� EV�-- STATE LICENSE # EXP DATE ADDRESS: CITY STATE ZIP Y/NEW CONSTRUCI'ION VEW CONSTRUCTION � ADDTTION ❑ GARAGE/SHEI ❑ BASEMENT FINISH 0 ROOF ❑ DECK ❑ SIDING � SWIMMING PC ❑ NEW ❑ ADDTfION ❑ MAINTENANCE/REPAIR 0 REMODELING DESCRIBE WORK BEING SIZE OF IMPROVEMENT �� ROOFING NUMBER OF SQUARES GARAGES ' PROPOSED SIZE: i PROPOSED HEIGHT: SIDING � Vinyl 0 Aluminum ❑ Other WINDOWS IAT EXISTING OPENINGS ❑Yes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE WSTALLED ❑ DRAIN TILE ❑ OTHER 4`F � ! �1 ! JC� (sl� � vl, � �'I ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE �Soffit 0 Trim ❑ Fascia LOCATTON OF WINDOWS HEIGHT �� BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan Z. Proposed floor plan 3. List of structural members to be used Ft. FOR NEW CONSTRi3CTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BA5ED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (ITSING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �-�TD OCCUPANCY TYPE Permit Fee $�?j ,�"� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due � $ $ $ $ $ $ _-n .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) � ft+6ft= 8x$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks aavable to: Citv of Fridlev 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; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construcrion Codes; that I understand this 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 review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME�CIL iL �i C��s Q�l� DATE � 4 i b`/_ Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Bi.ulding O�cial sha11, before issuing permits for the erection of any building or structure, or for any . ad.dition 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 FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,040 $25,001 to $50,000 $391.25 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 $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction 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 includin $1,000,000 $1,OOQ,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed shucture and of the construction site. 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 City of Fridley Building Inspections Department Fridley, MN 55432 763-572-3604 F�: 763-502-4977 B►U1�t�lIIg Inspections 7G3-572-3604 763-502-4977 FAX n�1't SITL' AI)])RESS,_„ TFf1S APPI.TCA�lT IS• PROPERTY aV4'NER! TE1tiANT C(}NTRACTOR SllB;btlT .� CC1PY OF YOUR STATE LICC;NSE, BONI� AND CEAT[FICATIi UF IiVSURANC� PERMIT TYPE TYP� OF WORK: rrom: yot o4o tstsua rage: �ir� uate: 3natuuy 3:�u:a3 rnn PLU�Br�(�'r Perrr�it No.: RESIDENTIAL APPLI�CATION ��„�B 9 \LlA L! ° CITY O�'+' FR'IDLE� nate Rec'd: EFFECT]VE 2-19-09 YOUR E•MAIL ADDRESS l�rv� �t�ewv�e f �= ❑ OWNER �ONTkACTOR �. � ADI�RE5S: CITY 5'I',4TC 'LIP FHON E: STATE LIC6�(SE � STATE B�ND # � ADDRESS: PHQN6 �SINGLE FAMI6Y �INEW DETAILED DESCRIPTIQT�I OF 1�'ORK :J � J V "' t''N� ` �� I8 Plftltl?dr • ° ".�;� Edg�v ,,,,. r� 1.�0 P.: ) ' ❑ TWO FAMiLY ❑ REPLACEM -L'�tT �XPDAT'E �Z•3l• EXP DATC _ l �2. • �j ti - (� �j1 ~ S'I'ATF, ZII' � :�,o� L7 TOWNHOUSE �S � f'l:I:S ARE B 1SED ON $I J.dJ E'tR F[KTURE, EXCEPT WE[CRE NpTED. FIXTURES: (INDICATE TOTAL NUMBER OF F,ACH BFfAl4'). Ml1�i h9UM FEF•. $33 SQ. • BATFI SIVK+T.AV FLOOR DRAfNS SHOWER WATER PIPING _ B�'�T>>T��3 GAS PIPI1tiG (VEED Cl'I'Y LICj � SW[MM1NG PQOL �VVA'FER 5f3("f!v'ER (S3S) C1.0'I'HES WASHER _ KITCHEN SII+IK WA'CER CLOSET � BdCKPLOVv PREV. ($!S) �, D1SIItVASHER � LAUNDRY TRAY �WATElt HEA"I'ER (�35) Ft)R IRRIG.ATfUV � WATER ME7'ER OTHCit - _ � �;;:�: tYlul't�['.{��1?�kT�9:�i �l�}:� '-..r,--„��:�� . . .' .;: '. �• '� '-::' :: . �: :_G : T:.''' =` ..�,'-, pi� :- �U�TI�E'.CO�fi]7C�1��L�sQ�i �,�i"1�;��ii �- Num�r offixtur$s � $35;Qt� �;� �3��1:;�� St�te Surchar�e. w-:� . . .: . _ ,�_ L.::f. .�'.. ..'..y /1Nlhlil�!l1tM �a`aMt . ... -, ... .. �.`�?iv^�:�+,�`- � - �- - _ - _..__. _ , .. ...__ .:__..... _,, - ,. _ ...�_ . _._._.... - .....:Y�..c:w;...�:c.::� - ... '.z^ �."y:s:'.-._; .. .:..:a:'`::::'. : :_y, _ . ..:. f � : 4 "' ' . . . � .. .r��" r . Tic' . ' . V . • . . E! �: .. ., ,. _ . e.aw; • "� _ , .. ... . ... T. . �. .. .. . ...s. �. a .._... .. . . . . . , �� .._ . . ._ �. . . �. ... : .' x. ::=-�: _ k� ; :x , -. � � � �t. .._... ..Y . :5`..F,,. .... . ..,... .. .. '_" " . ._ .. . . THIS IS AN APPLICAT[ON FOR A PERMIT NOT VALID UNTIL P[tOCLSSED ! hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work wi�l be in conformance with the ordinances and codes of t City af Fridley and with the Minnesota Canstructivn Codes; that 1 understand this is not a permit but only�cation for a permi and work is not ta start withaut a permit on site; that the work will be in accordance with the approved pl in th ase of all w ek ch requires review and approval ofplans. 51GNAT'UR� Of APPUCANT`. PR[NTNA�4E ��•�77VG+{� DAT6 �. I�� City of Fridley Building Inspections Depar�ment 643 ] University Avenue AIE, Fridle��, IVIN 55432 763-572-3604 FAX: 763-502-4977