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AF - 35672-ss�a'#�3;��'' . r kl"'?�"c. ` - � ' ��. . . . . _ . , ' .. �_.��y�� . . . . �, .,,, ��t' : f�� Plt��s - �111.� - _ . _ �B�J�LDII�G P�1�t�T , ` r-�� - _ - �� a�: . �,�, ;�'�,'" �� . � .s g��r � ' . �� .. a��. : �a�$' , a:�,'.'� ' , ...� ....: ..... -..."s..€.sr `-- � - , - , r �. r .. . . ...,. ; 3 . .� i.. AT�C�N �F E3UI�..D��IG, : �. : �� s�+e� "�, - ��'`F*`•• part o� �� . S1acIe : �? , Addfi�a�. ur Sub I73'�ont : . � .., ,. .� „ rrner T.ot �sii�e Lot �+: . . . . Se�ba.c1� : _ Side� �� '' D��R�RT1Ctl!+t �F �3UILDit�iC � � _ < ue tised �.ss• - � ��`+�:� ?�� Finant � :; Dspfi11 i+� � ,' HQigk�t . �',`�. ". . ; • • � .= ^ Frant nept3z , Height: k ��r ` �' • . � oi .�onstz`�ct�� `,`'�'',�� 1�,,.'� . . . . �. Cost . , . . .. . . . :. ° Ti . , +��' �..,��. �` �; � <: 1�° .� ��57 � � , � � �� , .�• �:. �,. .�. ::, , � , . ° � ��`� . . .,. . ': �' . . . = . � , � Ct�. �'t. ..R . . �u. F� , �` . ..> ; rr�pietet� � � . . � . � �,� . . _ . ,� ; - { , ' �� ; �n consider�#�on b�: �he i�suanee ta m� ,�rf � �er�n�t to construct tfle ��xitdin : d�rYbed abQVe, �. � a ; < '�� P+�d �avciz�l�. in aecorc�a�cce with. the c�e�ripifon atav�� set for�U arxd in connglieuixc� �viffi<< aI� p v��,` �; or�in�ce� c� �tie "v�iage of ��diey, ; . - , - Y _ > _ ;'N ' �`• ' ..q _ .e• - •� ♦-i. •s:-•s♦ r21 402181i�82'B.Y1i121 Df � . � � - �� : - . � , � _� : �e.�ayr�zertt 9f � fe�.o��.�•� .`., ��qi� is".1�e3�eby g�`ant.�a�.fo , � ".. ._ , � - _ �.� � � . ��'`.`.....,. _-� _ _ . .-... ., > ,. to construct tiie butilc%ing cs� acldi�s as rles+�il� �,b�e Tb�is ;permit 3s granted u�pon t.� e�irsss �anc�ihont tha,� the do�e fn; arounit aad u ��On ;td �vhom it is grantet� and. hi�, �g�ifi,�, +er�iA�cS�ee�i aud x�'or�me�, in �1 wprYc A� ss�id ;btiil+diz�;g, or: any part ,#.h�r�a�,; �shali ,�nfi� at� �,lI; r�ts ,to the or�itaancaes -of ; �'.ri+dlcy, �dinnescsta regardin� lt�atioa, ,�ustrtiid3�n, �,iteratio�, �xiaint�arice; _ rep�3r �d i?n-'�ie iriliage li�ifs and "tl,�is �rmit. t�ay be�rer�a%ed at �iY 'time � �n��'°P i�tIaings,�34�h arclinar��s. 1� vicrlatioxe ai� any of' the prnvls'Iaiis 4�f �#8 •_ :H ,. _ ` . . � � i' � b - . .. ,. , , . .f.� .._,. ��-�ctor ... _ . .. ,. ; , ,: . 4 NQT1G:�: - _ '°' Thi� �erml# daes no# abve�corf�tracttan, inst�i1�#icn or �atierafian �or rr y s�wer �r wafer B� sure to s� , - , 9,-P��+�bing, 8aa he�tin�, �- �; aileNttg lttsj�eGtor f�r,-separ�te p�rer�it6 ��l�� , l�tem�. �. 4 _ : �<�` - - � -� ;� ,��I :� :� •. ' lond Plonning J j`�`�/� ��y 1 � . . • . ' . land Surveyieg �• ( "L•(�LV/l , 6875 Highwoy No.6S N.E. , � � , Soils testing ' /�.�l�tJl��t�,l •, ��jlC. ' Minnmopolis� '. Civil Engineering � .�� Minn. S54J2 . • Municipol Engineering • ' Telephone 784-6066 � Engineers & Surveyors a�ea coae a�s �. �, - Mortgage Loan 5urvey for K�NNETN SwANSa . . . N :y. . , . , .. . _ .. . . _ � _ . . . . . � �� Lo . . �: � . . T 5 B�QC 2 _ . . �� , � � � � ' SHoR��v � � . � . : f ' QQ� . . ! • -. � . � . . -�<�: � � � C� � o��frfcil6 . � . .� . r � � y �n��Ca .�oun% . � t . � :� :� I . . . . ,, - : � �� C � � . - . ' ' . . ,.�.; � \ . ' °� ► . ' � � . � � � �� ,1 � �6 � `. : ; . . ;.": � ' i . 9 . - W l� � � � . ,i � �.. � �� nc� ef -.� f i ; �, � . � c�a IE : � . 3Q + _._.. . o; . , . - , _ ��+ a;; �� . �; u�r' t � .� -� f' � � \•�� , �4 $P , r.-� � . � � � ' �,,; � " � � � . , , . . . a � � � `; rt. i. � '� ► � .� ``�'�,,� ; ` t� -r.q . ( + �, °' -� y ' ' a`1 �.�,� ti �j� -� `'t� � � y • t,� .,i.�� t9 ; `-� � '�- F o �� , � � - t; L, ; . �ROL. • - � !� , �� - f, �,., ; � � DR�v� , '� . ?�.3s:' � : `� � -a �. a � N . � �y : �� j '�, _ - �.._ : fi�aa�n1--= � Cr , . . � ti.: � tao . �b .---,. �--�� : �o� �-_ �� , � CUL DE- S�� Q — _ � . __ . . � . .�:-.. �_ .. -� . . � . . � �- . �, . . ., . , . . .: • This is �a trve ond correef representafion of a surrey ol fhe bounda►ies of the land obovc descri�ed o„a ot rhe � � locafion o( oll buildings� if ony� rhercon� ond all visible eneroochments� if any� irorl� or on said land. Thi� survey is a �i made only �� eoanection with a mortgoge �oo� �oW be1�9 P�oced on the p►operty a�d �o ��ay��Y �s assumed except to the holder of such rnorfgage or dny other interest eequired by the ►eoson of such mortgage, �� s underatood ond og�eed no monuments have beeo plated for fhe purpose o( esfablishing Iof lines or boundorr � �� corners. Dafed this '' o_�,doy of_ �. ��-} q, D. 19 11, � "5'l . S , __,- ._,,�r_,� � � . �� : , ..h'� ; , . . •• � . � ' �,�v-,= . . � .. _ , . .. .. . . ;y J'. ' r' c� Caty� of Fridley, M�n.. � 12 0 5 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT D$�: October 4, 19Y1 Ovrner; _ K_enneth R Sc�an��_ $�� A�� Address _.�_.Fi21__4._S�,.r4?� �'.j.Y �1� F Address —Samp ---.._._. LOf:AT10N OF BUILDING No. 6214 � S�t Carol Drive N.E. part of Lot Lot ..._.._�.�...._._..._ Block —.._..2..__.._------....._.. Addition or Sub-Division �•e�e��ee��,��e�t Coraer Lot :....____.�_ Ins�tde Lot � �... Setback _____�L_.,�.._.., Sideyard Sewer Elevation _ .r Foundat3on IIevation __._ _ DESCRIPTION OF BUILdING To be Used as: 8� 24 � At.t.a.ched ('�r .ag�._ Front � Depth _.2.._..._ Height ...�],�._ � Sq Ft —2.3�.� Ct1. Ft. ..2y,3.Q.0. ._._______ Froni ..—. Depth Height Sq. F� Cu, Ft, � Type of Construchon Frame ��st � 1 007 .4.� To be Completed ��,� Stipulations: Provide a hard surface drive. Ma,intain a�� 5 foot sidewa�rd until variance approved, e9PP,eo1IJ�� ,@� �c,t,�lc.ac. �0-/8 7/ In consideration of the issuance to me of a permii to construci the building described above, I agree to do � proposed work in accordance with the description above set' forth and in compliance with a11 provYsion�s pP Ordbances of the city of Fridley. n �rArp G,,,-..H�ra�_ r In consideration of the payment of a fee of $�..�'�.0, permit is hereby granted to Kenneth Swanson to construct the building or addition as described above. This permii 3s granted uppn the express condition that the person to whom it is granted and his agents, employees and workmen, in, aA Wprk done ui, around and upon said building, or any part thereof, shall conform in a11 respects •to the ordin�.nCeg pF �'ridley, Minnesota. regarding location, construction, alteration, maintenance, repair and moving of buildiIIgB vyithin the city limits and this permit may be revaked at any time upon viola.tion of any of the provis�tons of sRid ot�dinancea _ � �� NOYICE: This permlt does not eover the eonsfrvefion, installation fo� wiring, plumbTnB. 8as heatine. sawer or water. Be mrs to ses ths Building Inspeeto� for separate permPts for 4hese ite�. , � s \ � Lond Planning _1�L�G�/�"��y�2 ' . . lond surveri�g V ( 'L•[ L(� , / 6873 Highwoy No.6S N.E. • Soils Testing ' I`�l, tal�e/�L�l t�( �.lC• Minneapolis� Civil Engineering � �1 Minn, 55432 Municipot Engineering Telephone 764-6066 Engineers & Surveyors a.ea Code ais Mortga,ge Loan 5urvey for ��E�H SwAN�a� .� .� C � � . U� � (�j Ly' � �.'` o �- o � � _�_ � � ►- -�� .a V r i � �' �' �j �� r�a q�,. � �QT 5 �L4 . c� 2, �Ho��.�vooa � Ci �y' :'7��!' �� y a n � KU 1�0U il TV f J . . ;� , \ ~ �6 S s�� \ - �... �.�o---�__— y . c • t n �ca#E� { f . ��,�,_ �� e ` . -�� , ,� \� '+4 V� ,'�'�` � � C�RO� . DR�v� �UL-DE-��1� � �' , u � � /� This is a true ond correct rep►esentation of a survey of the boundaries of the land above described and of fhe rl p� location'of p11 6uildings� if ony� thereon� a�d all visible encroachments� if any� frorti or on said land, This survey is a o made only i� connection with o morfgage loa� now being ploced on the property ond no liability is aasumed extept to the holder of such mortgnge or any other inferest pcquir�d by fhe �eason of such mortgage. It is � ��( undarstood ond cgreed no monuments�c�ve been ploced for the purpose of estabtishing �Q� (ines or boundary � 0 torners. Dated fhis_�� dny of ~�a A.D. 19 T1, � SUBUR�AFd ERIGINEERING, tWC, !�' Engineer Surv s / bY �' �r . J'_ ; � �.��-� . �- - J _____ -�. .� AP.pLICATION FOR RESIDENTIAL, ALTBRATION, OR ADDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER � S NAME : sl � �i �'i � ��! iT• � �as�y� BUILDER • ADDRESS : � �/�L �° ►�� /' „�-�• 4 � ADDRESS : i7o i• �7 �LlY�l'di � W a� �� r m / (f la t y� -� LOT : ''� BLOCK : � ADDITION : .�'� ,. c ,,� a � v� CURNER �.OT: INSIDE LOT; SETBACR: SIDEYARD; �^ App�.icaut attach tp this foa-m �+,o Certificatea of Surv� of Lot and proposed '�u�,1d�n� l,oeat�.ox� drawa on these Certiticates. �ESC�tIPTION OF BUILDING �o Be Used As: ° ��c� !�� ,a r,� F�ont: �� Depth: � Height: % � T' Squaxe Feet: �, C� Cubic Feet; ,,.� � 0--c� � Fxontg Depth; $eight: Squa�e Feet; Cubic Feet: �— v �►pe of Consxruction: Estimated Cost:_�� e �..��.�,� To �e Completed� / �'� � Y The uade�eigaed hereby makee applicatisn for u�permit �or the work hereia apec�.iied, agreeing to do all wo�rk in ettict accordance wi.t� tb� C�,ty �� '�cidley Osdinances amd ruliqge of the Departm�nt of Buildinge, aad hezaby decl�tree that all the fact. md sepreaentatione etate�l i,n thie application are txue aad cos�rect. ��: SIGNATURS: � � /� (8ee Sa�ver8e Side For Additioaal Imfos�ttion.j %��i c+ ,.ef �� ' � 5 �.�"' ! c� -� � �0 2 C� f1 i� / �� V�/�° /r� lyic --Q_ PT /�� %l� o'•// �-�' �'`, �� ro �i r� ` %' � � � C� /C C� S cJ l� '` � e' "'p � F� / (/ � . � . �/ �' ^ �� v s. _ � �� °'� - BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pexmit� for the exection of any buildiaig or structure, or for any addition to any e�cisting buildiag or structure, or for any alteration or repairs to any existing buildiag ox structure, upon application therefore, require the payment by the appli.cant for such permit of fees to the amount herein below set forth and in the wanner herein prwided to-wit: iJNIFORM BUILDING CODE: 1�pe 1, 2& 4-$2.15 for each one thousand cubic fee�, or fxaction thereof, in such cubical contents. Type 3� 5-$1.85 for each oae thousand cubic feet. ADDITIONAL INFORMATION Foz the purpose of camputing fees for building permita, the cubical contenta of auy building or addition, is determined by multiplying the ground area covsred from a point �ix (6) inches below the floor line of the basement or �he cellax to the average heights of the upper surface oz to the average� heig,�t o£ the rooP �urface of the me.in gable of a pitched roof. For xepaixs ox alterations to aai existing structure, the fee ahall be at the xa�e vf $3.00 per each five hunclred dollars ($500.00) or fractioa.thereof in the cost of all propeaed work. Ia ao case ahal� the fee charged for aay pe�:mit as set forth in Section 2 be 1@88 th$n �S.Ope V�RIFICATION OF FOUNDATION NOTE: $e,7cm�,ts fax �onstsuction will be iesued a miniaaim of 24 hou�s fram the �ia�e of application, to allaw•for proper review of the proposed structure atad of the eoaatsuction site. A Ce�ti�isd Survey o� the lot, shawing the location of the foundation, ot�ae it ha�a beea comstructed, will be required before proceedin� with the framiag. CERTIFICATE OF OCCUP,ANCY Applic�t�.o�n for a Certificate of Oceupaacy sha11 be made te� (10) daye prior Co the use or oecupaacy of any atructure for which a buildiag permit has beea - iseued; and said etructuze shall aot be used or occupied uatil a Cer�i�icate of Occupaacy has beea isaued. .. � 6 . + -. , � � � SUBJECT c�ty of Fridley AT THE TOP OF THE TWINS g U I�. D I N G P E R M I T r � � COMMUNITY DEVELOPMENT DIV. r � ~ � PROTECTIVE INSPECTION SEC. � _ � � �"'1 % CITY HALL FRIDLEv SS432 au�ween �"�'� � ,�� 612-571-3460 siaF�s JOB ADDRESS 6214 Carol Dr NE t �EGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 5 2 Shorewood 2 PROPERTY OWNER MAIL ADDRESS Renneth R. Swanson 6214 Carol Dr. NE 3 CONTRACTOR MAIL AODRESS Owner d ARCHITECT OR DESIGNER MAIL ADORESS 5 ENGINEER MAILADDRESS 8 USE OF BUILDING ��X Residential 7 CLASS OF WORK REV IDATE 7/20/98 ZIP ZIP PAGE OF / / PERMIT NO. 2668� RECEIPT NO. ��T� APPROVED BY SEE ATTACHED SHEET PHONE 571-1786 PHONEN UCENSENO. PHONE LICENSE NO. PHONE LICENSE NO. ❑ NEW ❑ ADDITION ❑ ALTERATION �[] REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace windows- same size as existin� 9 CHAN(iE OF USE FROM TO STIPULATIONS Install smoke dtectors to comply with state building code- ineach sleeping and on eaeh level of home. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATIN(3, l7Pt OF GONST. VENTILATING OFi AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOO OF /20 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ.AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL PROVISIONS OF LAWS VAIUATION AND OliDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1900 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PEFFORMANCE OF CONSTRUCTION 4SQ S!1 �SIGNA RE OF CONTRACTOR OR AUTNORIZED AGENT 10ATEI �'��"� % '� � °� i a�( � . STALLS GROUP �OCCUPANCV�OAO CU. FT. OFFSTREET PARKING IGARAGES Fire SC $1.90 TOTALFEE $62.35 D YHIS IS YOUR PERMIT �. �� ►.� NEW ADDN ALTER �l [l [l CITY OF FRIDLEY SINGLE FAMII,Y AND DUPLEXES R-1 AND R_Z BUILDING PERMIT APPLICATION ConstructionAddress: ,� �, s �{ � �,� � / er ��_ �'� Legal Description: Effective 1/1/98 �� 3� � � Owner Name & Address: � „�, � � ��-'�Q h s � ,� Tel. # �'�/ r7�� Contractor: �� MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlYIPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE �AREA: � I.ength Width Height Sq. Ft. DECK AREA: Length Width Hgt/Gr d Sq. Ft. o�R: �� c�� :� ��° �d� � � � r ��f+ra� t� �� z � � � �X� �I�� Construction Type: Estimated Cost: $ �/ �e� °= - (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: 7—J7o-P8v APPLICANT�%2�� ` Tel. # s-T� -/��"� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY $ �� Fee Schedule on Reverse Side $ f �� .001 of Permit Valuation (1J10th%) $ � $.50/$1,000 Valuarion $ $10� per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450. (� Conservation Plan Review $ Fee Determined by Engineering . . $ Agreement Ne essary [ J Not Necessary [] ��s^ � �"�` -�'��7�v�-� . � $ �_ , .�� _ � ��Jr l�' �-�!� �' s�ur�►TTOrrs: l.�> , %r1 �� -� � � � ; c�� ,�� N� �� r �� .Q) �.� � � �- �-n � . � � �-�� r� � � ,�J �� / e BUII.DING PERNIIT FEE SCHEDUI.E 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 aad in the manner herein provided to-wit: TOTAL VALUE $1 to $500 _ $501 to $2,0� " $2,001 to $25,0� $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 �, �� , �� $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 � $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or f�action thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,�0 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,OQ0 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,�0 plus $2.75 for each additional $1,OQ0 or fraction thereof . DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - 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 - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been consuucted will be required before proceeding with the framing. 41.� - � P SUBJECT City of Fridley 2 6� 2`9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � ' � RECElPT NO. � i �__��_ COMMUNITY DEVELOPMENT DIV. r � � PFiOTECTIVE INSPECTION SEC. �� ` � � /'�'1 � CITY HALL FRIDLE� SS432 NUMBER REV DATE PAGE OF � APPqOVEO BY �'"""� � ,�� 612-571-3460 910-F15 7I31 J98 � � JOB ADDRESS 6214 Carol Dr 1 LEGAL LOT NO. BLOCK TRACT OR AOOITION SEE ATTACHED DESCR. ,r Z Shorewood SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Kenneth Swanson 571-1786 3 CONTRACTOR MAIL ADORESS IIP PHONE LICENSE NO. Rid e R�ckers 13615 Po St Andover 55304 802-2685 20136188 a AqCHITECT OR DESIGNEFi MAIL ADDRESS � ZIP PNONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION $a REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara e 22 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REQUIfiEO FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR Alii CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON3TRUCTION ZONIN(3 SQ. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTqEET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS CaAqAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF �AWS yqLUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � 92 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI THE pERMIT FEE SAC CHAqGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. F�YE SC 1. H3 PLAN CHECK FEE TAL FEE 2is� �� -��_ % 3i�. pr'� . 2 SIGNATURE OF CONTRACTOF OR AUTHORIIED AGENT IOATEI HE PR V VAL TED 7HIS� YO R F]ER � � ` �L SiGNATURE OF OWNER UF OWNER BUILDER� _ IDATE� e� r_ �..ce ._ _� 1�TEW . ADDN ,ALTER [l �] �) CITY OF FRIDLEY SINGLE FAMII,Y AND DLTpLEXES R-1 AND R_2 BUII-DING PERMIT APPLICATION ConstructionAddress: � � ° y �. �, ,� � / ,U,� �� `�`�' � K Effective 1/1/98 � �� s5�` v� � z N Legal Description: Owner Name & Address: `tJ.e n„ Q n S�,, Tel. �# 5��- ` 7�� Contractor: . � �� r � . / ��D f�� ) `` MN LICENSE # �- � / � � l Address: _ ��e � � Y � � - �^.� �� Tel. # � a a �� s" Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. �" DESCRII'TION OF IlYIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: - Length Width Height Sq. Ft. DECK AItEA: Length Width � Hgt/Ground Sq. Ft/. OTHER: • ` `C�x�C� � - �t_-�S � � ��a��'�'� - (-�� /� ��2 -- rj � " " � Construction Type: Estimated Cost: $ % � � ` � � � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ -$ � � DATE: �-3 � - ��- APPLIC � � � ��,�-� Tel. # Permit Fee Fire Surcharge State Surchazge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL S'I'IPULATIONS: , $ �� s� � �8.3 $ � $ $ s.v o $ $ $ $ $ � . �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuadon $1000 per SAC Unit $5.00 (State Licensed �idential Contractors) Alt. "A" or Alt. "B" Above � $450.00 Conservation Plan Review Fee Determined by Engineering . Agreement Necessary [ ] Not Necessary [ ] �so� s �._� > d� ! BUII.DING PERMTT 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 , 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,Q01 to $25,000 $25,001 to $50,000 . $50,001 to $1Q0,000 $100,001 to $500,0(X? $500,001 to $1,000,000 $1,0�,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) . $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 � $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,� plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each addirional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,OOO,Q00 $5012.25 for the first $1,000,�0 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.5(?. Altemate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minunum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing �he location of the foundation once it has it has been constnacted will be required before proceeding with the framing. �. _ � a � � � � O � � 7 � O 7 Q� o m 5v cQ (�i � � � ' � � � N O m �m � Q � �r I� � m �m� � N�� ° ��C n m� m � z �om ,� NZa m a��o � ��z g� �$-< cz= � �pC� v -� < �. o � �' � r = m � m v� � � � � c7o 00 �� . � z .� �' Z = � � � O Z u� � m � O � v �� ; ��_ �. �i O �L � � � o Q � � o °, � < � �m c� C '� cD (D cD � O � O G Ty � -�j � � f?o v � � y� � � o � � � � N �- � � � z D 3 t� � � � � O � Q - �o �Z � � � m, � c � N � _ o � n � � m o � � � � � r�i � � �� i �' z � °��o � � �� ._ ' �I � � � � \ n O � Q �; O 7 � � � �. � w � \ � NA�i �� N fA N tll �j'' � v �o v�� , � � �. � � � � � � �i ' Q' � n � � � � � � 0 � � �. O. � a � � v �03� � m 3 � m o . m � o ?- v � � � � � � � � -� � � � � � � J � � S � V V � � v� � � -i � D � r � C � 6 � v c n rn 0 0 ^� tn . � � � m � � -� z O ��. ` �� ..,: .; m 2 � � �� .��`�° N �� . u, -. � a a� Q: �° �- Q � � � � °.o� � v��,' �' 3 � o' � �- a> > o m � � �� - Q, 5 v o• m � � � � � �' `� c�i � � a a o r. Q� �� . � � � o � .: �; � � a, � o ? S � � � � '� O c) ... , N �,� m Q� a � m � � � Q � n 2 m v C � N`, Q � � � co �Z�m � �� N � Z Z m � m , � z � a o � z C �0 a m �o Z � �. Z � Z � v .� � � 8N �g v -_� o °z_� z m �z g N c� 8 � �°c � � � � � � � �� O � Z � 7 �1 �(� rt � O � � � �.i c'� 6 x CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: , 1: Has been carefully examined � � Yes (►�' No () Yes (�' No ( ) Yes (�No ( ) Yes ( � No (. ) Yes (r�}'No ( ) 2. Is free from rust or deterioration 3. Has no foreign ab,�ects: ladged within 4. Is securely supported 5. Meets all current Code. zequire�nents �for size and total BTU's connected 6 Has total heating BT'U's of �Di �iJd All other BTLT's �7/ ��D TOTAL BTU's �� DDd 7. Has a liner been provided for water heater � 8. � Has combustion air been provided for water heater Remarks: � �/' I / B�, . --� 9c List .ALTERATIONS Being Done• � Yes ( ) No (� Yes � ( ) No {t� ,' HEATING CO: Signed By: Date: e ��' � �� " �W ''�'� �,;.�`1_ . , c `rr �• ...� �°v f. ��rbiii�Yit�riiiNs�h�i`.�.i►,.�� -� �- DD �