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AF - 43918,^ �"1 � a8t�: J"�ly 23, 1965 • •� ,�a City of Fridley, Minn.. BUILDING PERMIT suilder CHESTER MACIAS?�E% Aaar�a Adaress 6380 Quincy N. E.. Fridley, 14innesota 3'0 � � s— 11T° 8259 LOCATION OF BUILDING No. �� St�+eet CEN�'R9L A�E. N. E. Part of Lot o y_ e �. �r� Lot 1 Bl�k � Addition or �ub-Divfsian B18Ck MaT Coraer Lot _ g Inaide Lot Setback . 35 t Sideyard 20� 2�1. 3ewer IIevation Foimdation IIeval3on � DESCRIPTION OF BUILDING To be Used as: Sit�gle D�rella.ng �t 6D � �� 2?' ��,t 20 � �, �.t, l, 620 �, � 32, 400 Front Depth I�ei�ht Sq. FL CtL FL �►pe of Construction Ttt�ood FTeme Fast. Cost _'24 OOO.OQ To be Completed 120 da�s 1�W HOUSE BE SUR� �J'D GHECK � EI�'�f�TI0N8 TNZTH � <. In conaideratton oP the issuanc� to me of a permft to conatruct building d�cribed above I agree to do the proposed wark in accor8ance with the drescripfion above set and in lian with a�l provistons of ordinances oY the dty oP Fridley. � � Z �� Ea cm�atderat[on oP the payment of a fee of � 33•00 , permit 9s hereby granted to CHESTII3 M�CI�SZEK to conatruct the building or addition as desccYbed above. Thfspe rmit fs granted upon the egpress condition that the peraon to whom it is �ranted and hfs ageute, employees and worl�en, 9n all work doae in, ara�md end upon said building, or anyp� fhereo� shall oonform in all respects to the orrlinaaces of Fridley, �2innesflta regardiing loc�t[on, constructi�on, alteration, maintenance, repa9r aad mov9ng of bufldings within the dty limits and thia permft may be revoked at any time upon violation of any oE the provisiona of safd o�inanae�. � G. JENS`EN g�S � N01'ICE4 76b p�mdt doa net � fhs eenslruaHon, InstaWHon tor �rtete�, pinmbie8, on Mnieg, awu or watsr. B� wn fo sM � ��e �' � pPv+ti � tor fh�a �, .� • �� . . � —'�—°� . . ,, � . � a � � : .: 2 �, i � /� , < �� ! r'� <� � � � �� .�F �t r , � R �-'� � - °� � � �� ` �� ,, S�, �� O � �i� . \� A � V� C. � � �, \ • ,�,�? � , \.i � A • � 1 � \ — '� "_ 1 � y�. 1 / r � � `l� . ��,tvG '_ � �-' `�` � �O � y ra � � i � . � . / / ,�� % o ,,c� � w �.'�� i� /J'� , �� , � i F1eR$`hj , f"1ti2 j�'�:li L�Ik> Sl'TVt��, r►iata, c� t�±r� ar�.y j�n;+s�6zb ��P; �-r�e sec un�lrr my Ci.�Y s��ra. cis��,� n�r�¢ :r:�at t arrt n dui. 'ie�istoT�� d �,'�+;�: ►'� �•li LL �c�'t f� •'' S��i t�.r �ttazY! t}� YilYaQ- i�a�tii. ,% • �� ._�___� ,.,. �i�.l� � � �•/ I ��yL --~�- l.`� �{ti �ii..._�.� 4�.� 0 DENCTE� (RQNS __ SCA�E: i" ?C� I4I=—Ii.�z—I � i �� M�„ �<� .�� ,� �-� � � `.��`�Y . - '� - - - �� _ -- - - - _ - . . - ` - - - �� __ , _, ..� - _ �: � I�/ � \ �` � Z �► � � - - ��` �� S�• � �Q � � •s ,� 'Ai� ; � �� /.�4? � i � �iP�� ► � � ,00� 48.3 �l �'� ,�(fl � ;f`g9' �6. �3 %J � �i _ � 7 .., --�- �, , � �� / P.�O �`�c� ��.0 �` t5.5 � DENOTES IRONS SCAIE : ('f ��t 1�1�-1l;.?-ia m � ' � � n � i i � ";#y �hat thi� �urv�y� �• c�r r�►� � h m �t�re�t �P,�.. hy me or un�e'T Y. �i e duly K :strred lwnd �i � � s`,i th ��tate�af 1�'m4' �', �. '� . '�� , �• ¢�� s ------�� - .� ; -.�� „� � -�a� _ , _ - - , _ -,_ = .�` � - . �' - � - "„c.y '� �"�'- - ,,.� � '�. ;� � - �-b.-., - �'_ ,+ °'°�-�= �` _ � � � � � �: _ t � � - i �� : _ . � � - -,��,F-.:�._ ��-�� . �.. _�. . p� . . .� . _ : ��,� s . . ._ : � , � � �4.. � � - � _ �_ � _ -�� .Y � " �. . _-. � �y i�. . . `.. . .� �� ti V� � �, . .� �, � ,�.! �°.5xti- ."` . _ ` � . . . . . . . �� aly . . . . . . . . _ . . " . . _ . . . . . . ' . .. �: - . . � .. . . � � . . . _ �. � � . , � �� . .. , . . . . , • . ' � �� _ �\ \ . � . . . � - �'" ' \ --�` � ��-_ , � "' �� t0 ;,4 ��1 I' �� ; .� . , i � ; � t � .��. �� _ ; �� o� ; � -� � �;° J�%�, �'� ,� � � Gj��' � � �V �, 34.r� �� I \,�p`� r � '�'� : � _ -,�. _ /� ' � ; ; f � ,: : = _ � , � iI - i � � __ � IECAL OESCRiPTlONs - � � 1.flT 1 � BttiCK �= jh��, i ; �; I - �� E3L��iEt�f11R A[iD t T t ON ��:, i - - , ; . t�f8. I � ��1flK�l COUNTYi MINNES07A i. � : y t� �te._. _ . ; # _; , , ,; ..�r . - , :_ , ��.... � � � - , _. �, _ _ -, _. :w � � �,: _ ::_ , :. � ;;. _ _ �.. � � � �..� � ��tqi� �� 1'� f i� _ ; ..�. � � '� :_ `� l�td � . . � _ _ �, � ��E'YORS �� .. , : ; � - - .. . -. - -�,.,�;- _ . ,,. _ � � -- � = �_ � _ - :�`� _ � � ...�� -,_;�,:� .. �ti _ � A.PP�ICATYON �OR BUILDING PERMiT , .CITY OF FRIDI��Y, MINNESOTA, or�R� s rur� � svun� ��=� �� ' ��dt�-�� ADDRESS= ' .. ADDHESS � 3,� � � !.� D�� T e�" > . .. . . � LOGATION OF BOILDING No. pv�� ' � � � �'��,p,,� ��' � �se . /i/ C, � Street �4� � �+ ,� f� �� art of Lot . i; , 'R'� � f.�!�!�r � . - � - r�� "/��'�y Lot. . � � � � Blcck � Addition or Subdiviaion_ /,�� / C'/(. �' ,� �� Corner �ot�Inside Lot � Setback��° Side-Yard �p' ,��/ � , S�WLR EtEVATION � FOUNDATION ELEVATION � ApplleanC attach to thia form Two Gerti,ficates of Survey of Lot and proposed build- ing locatfon drawa on these Gertificates. . DESCRIPTION OF BUILDING To be ueed as: �/'efs �.i� A�*�� f�-� Front=� m Depth�� Height_ � T� •- Sq.. Ft. j f�2 E� Cu . Ft . �.�.�R �� Front Depth Height Sq. Ft. Cu. Tt.. . Type of Coastructfon .. !�'�► �+� /=�,�ityi ,. Estimated Coat . �Q �'-`'� � To be Completed �� p � IQ jd� . - The unders3.gnad hereby makes�application for a permit for the work herein epecified, agreeir►g to do all work in strict accor�ance with the Citq of Fridley Ordinences and rulin�s of the Depar�men� of Buildi�s, and hereby declaree that aIl the facta aad sepreseatations stated in this applicatioa are true and correct,. DATE U �' SiGN�1TDRE � �� __� , �`'� �(Schedule of Fee Costs can be fownd oa the Reversa Side). �"', . . /'_1 � , � � t• - a a BUILDING PERMIT FEE SCHEDULE Section 2. The Inspectar of Bu3ldings sh�ll, befose iseuing any pere�it for the erection of any building os structure, or for aay addition to any exiet- ing building or structure, or for any alterations or repai=e to any esisting building or atructure, upoa application therefor, require the payment by the applicant for such permit of fees to the amount hereia below set forth and ia the mannes hereia provided to-wiC: 2.1. For any such permit for the erection of any fire-proof building, other than a garage� warehouse, factory or grain elevator, or for the erection of aay fire-proof addition. for similar occupaacy, to any existing building shall be at ehe rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contente. 2:2. For any such permit_for the ereetioa of any fire-proof garage, warehouse„_. factory or graia elevator, or for the erection of any fire-proof �ddition, for similar occupaacq, to auy exi�stiag bu3ldiag shall be at the rate of $1.25 for each one thousand cubic feet, classified as 11fireproof" by Section 502 of the Minaeapolia Building Code. HOUSES � 2.3. For eaty such permit for the erection of any non-Hreproof building othe� than a garage, warehouse, factory or grain el�evator, or any aoa-fireproof ad�itioa, for similar occupancq, to aay existia� bu3lding - permit $1.04 for each one thousand cubic feet. GARAGES �_ 2.4. For any such permit for the erectioa of any non-fireproof garage, - warehAUae, factorp.or graia elevator, or for the erection of any non-fireproaf addit3.oa, €or--similar occupancy, to any existing building or for each such � „�__. -buildiag or addition - ainety ceats ($0.90) for each oae thouaand cubic feet or fraetion thereof, in the cubical contents thereof with a minimum of $4.00.- For Che purpose of camnputiag fees for building permits, the cubical contents of any.building or addition to a uniform heiffiht throughout by multip�y+ing the grouad area covered from a point si� (6) iaches below the floor line of the basement or cellar to the average height of the upper surface or to the avera.ge height of the r@of surface of the maim gable of a pitched roof. 2.5. For repairs or alterations to au existin� structwre, the fee ahall be at the rate of $3.00 per each Five Huadred Dollars ($500.Q0) or fractioa thereof ia the coat of a11 propoaed work. 2.6. In no case ahall the fee� .char�ed..for.aap_ pern►it� a� set forth in Section 2 be less.than $4.p0. � � � _. � , . •, � •, � C C �� m .� � � C .� � � W •� � � �C E v � }� t� �� C �C � O G �p O C � V v�o. � � � 0 � � a� � M � � � a b � 0 +t �a � � W _ N W � J 1-- � a .� �; � �� d � � �, x � 0 B�m °'�� c' id di �1 � ��{.� y�� '�b p a �, �, �a caqy� R��y� �'� � a�b� °�� uuvi� ��F�cE �� a �3,� � � �3 '�"�� ay� .��e!p Cl o p � �3 .�b�� '��°�N A� .� a a� o b ��OO� � �� q °� c. � � � � v � E-I „� F F M � �cs'o U ��m h N � d, � � o 0 0 �o � � � � . . . . . p O o ° : : g � . . � � ..�b � � � � � � `° �� 4 � a � � aJ a�J 3 � � .� .� � � m 5 a a a a � � � .. � s �r � � � `� � � o � � � � O � b � � � � 0 0 0 � S oM�� Rt � � � o °o : : $ c� o . : Q � � � : �' � .�� :� � � $ " � '� U � x� � m � � � � �� o.�� p � � � � � � � u � a a '� '� �j� w�aa� � �b l � w � �' o z � w a � � � � � N •^� eai Z j P0 a o�i a�i � zd o � 'ti E� W O � � � � 8 0 � 8 o�� d : � � ' � � � : : P4' : : W W . . w w ' y a �� ° � o � ,� � � x W y � � � � � � � a � 3 _ �J �J m o�i E'� � � N M � � � d d � � o�� w w � � w Q � a � � Q a �. � z� � z � � � � � o � � � � � � � � p`, Q \ W � a �� 1\ � � � ,� �� o � F v O y ��! � y � i+i � � � E+ U E+ � � : � :� U . � : y W v � � � o %1 "� a e a u�o 0 M � � +-�� fr a o � a � aa a 0 z b E P�' � 00 4 E N � � � � � � a � � � � � � : o � � � � x � � � : � I I I .�q : ' : u . . : � . . . � w : : : �� m � y . �� '-� � .. � � '' o � ni i� y �, �� y � � � � d � o � � � t� � M � y z H � � � � w '" ¢ t� � � � �C c�a � ,� a � � � � � a � U � � V o � � � m �o H � w � .-�ti. � � �� z � � �' o � � a, � H � O � 4 � 0 � � z a 4 w � 4 ov � O x � � .� � a■ w � O � a ( � � �� z w � O � < � SUBJECT City of Fridley ° 1495� �' AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � EIPT COMMUNITY DEVELOPMENT DIV. r � ~ � PROTECTIVE INSPECTION SEC. ��./�� 1 �. i / l--_. � ��,'� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY � � � 812-560-3450 910-F15 10 13/78 � � JOB ADDRESS g�� 6059 Central Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 1 1 Blackmar Addi.tion SHE T�ACHED 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Lou Welle 6059 Central Avenue N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Riteway �niaterproofing 7337 Lake Drive, Lino Lakes 786-0550 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 EN(iINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ AEPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install drai.n tile 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OH WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT $1►Q7S �`.rJO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVI NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU T N OR TH PER OR ANCE OF CONS TIOIy. � $7.50 � �� °�� PLAN CHECK FEE TOT$8 EOO �l SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPE j' VALIDATED THIS IS YOUR PERMIT � �/ ��..P�..� lC� � � SIGNATUREOF OWNERIIP OWNER BUILDERI IDATEI BLDG INSP DAT CITY or- r-«IV�cY , • �r�r�tcnYtorl rOft (tL"�Illf:NTI/1L BUILDING PERMITS . ' (�1�L•W, IILTL"Rl1T10fdS, IIL�llIT10(J�, OR RCPAIRS) . ow�2�cR: �� ' � . Aaax�ss: ��5� .C-�� 2�-� 61J. � �o. �� LOT: L�% � � CORI�R LOT:`�- � � �uzLU��t: .� i,cJ,� Gf�� ' e,t /�(I d ��L G � Address: 7��'� Z-{�/C.� �'� eL �'�a �.v+IG-eS Tel. 1Jo. . 7�� 5� � Street: ' . BIACY.: � ADDITIOP7 : I2�SIDE IAT: � S�Ti311CY.: SID�YI►RDS: Applicant attach 'to L-his fornn �•�o CerL-iiicates of Survey of Lot and proposed • building location drawn on these Certificates. • DESCRIPTIOPJ OF BUILDING To Be Used As: i Front: Depth: � � Height: " Square Feet: Cubic Feet: 1'ront: � Depth: � Heiqht:� � � Square Feet: Cubic Feet: ' Type of Construction: G^" �� P'�%��°� ��`� Estimated Cost: $� 0%�° D� 9,to Be Completed: Proposed Drive��ay taidth If IQew Opening Ts Desired ' Alt. A Alt. B $ $ ' (SE� IYCVERSE SIDE OF SHEET) The undersigned hereb��•makes application for a permit for the work lierein� specified, agreeing to do all cvork, i.n strict accardance �vith the .City of F�cidley Ordinances and rulings of the Department oi Buildings, a»d hereby deelares that all the facts and representations stated in this applicatioi� are true and correct. See revcrse sid- far acldi 'onal i� o� ions,`� � ;�°� � / l D11TE: �� ` �� - � b 5IGNATU3tE: � � `�/ Stipulations: �� • C� 0 ��Lrt"��r Ty . �.; � s�-� � C� c� BUILDING PERt�1IT FEt SCNEDULE 5ECTION 2. The Inspector of Buildings 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 repairs to any er.isting 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: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. � PLAN CIiECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Rennoval and reFlacement of concrete curb and gutter only; Driveway width plus 6 feet x$14.50 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway `width plus 6 feet x$17. 20 1 .1' , � . , , • � , . For the purpose of computing fees for building permits, the cubical.contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of .the roof surface of the main gable of a pitched roof. � For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars�($500.00) or fraction thereof in the cost of all proposed work. In�no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surchaxge. • � � � � �1' �j NOTE: Permits for construction will be issued a minimiun of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. ' A�C�Stificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceedi.ng with the framing. ► : 1 � ':l Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall no� be used or occupied unti�l a Certificate of Occupancy has been issued. sue�ecT PER City of Fridley ° 16 5 61 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r � � R PT NO. � ; v __�___ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � , i l-_--� � ��,,J CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV i 612-571-3450 910-F15 5/6/82 / / JOB ADDRESS 6059 Central Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ], 1 Blackmar �C�l't].OIl SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Lou Welle 6059 Central Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lloyds Home Improvement Inc. 1012 - 42� Avenue N.E. 788-5602 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential - 7 CLASS OF WORK ❑ NEW ❑ ADDITION X ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof Dwellin 9 CHANGE QF USE FROM TO STIPULATIONS -- Roof can be 2nd but not 3rc7. roof. Install ridged galvanized valleys. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TMPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. 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 OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 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 COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2�600 y��..30 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- T TION OR THE PEFiFORMANCE Of CONSTRUCTION. yS3S. SO ,y PLAN CHECK FEE TOTAL FEE 3 ; � � $s�. so SIGNATUREOFCONT aC RORAUT RIZEDA IDATE� WHEN PROPER Y VALIDATED THIS IS YOUR PERMIT �t � �� D i�� i0� �fd SiGNATUREOFOWNER�IFOWNER8UILDERI IDATEI BLDG INSP pTE CITY Of fRIDLCY Effective Aug. 1, 1981 APPLIGATI�J FOf� RESIDCi�TI/l� BUILQ1t�G PCRi�fITS (Ne�•r, Alterations. Additions, or Repairs) �/ , OHlI�ER: � � `:'� _ �s ;�l�c% . t'�� s ,�- .� )� ADDRESS: � �� Li �.� � � (�,�-'-�L,-�/a��`� �a�' /�� TEL N0: .��. o� r l3UI LDER :, �� `� ' ..� � � ' - � ,- ` �--� - ADDRCSS: ,��[r/ .�— C,�� r�j TEL f�0: �� "ll� S� o � - � Construction Location . STTtITT NO: G/ �� STItEET: ��,� ��_t/�� .��'�'�U� � . LOT: . I� BLOCK: _�_ ADAITION: /�r�'�� ,�� Corner Lot: Insiiie Lota Setback: Sideyards: Ap�licant attach to t)iis form two Certificates of S1�rvey of lot and pzoposed building location clrawn on certificates to scale. DESCRIPTIOf� OF COiJSTP.UCTIO�� Front: Depth: Height: Square Feet: Qibic Feet: _ Front: Depth: Hefght: Squar.e� FeAt: ,�pubic Teet: �.-v��'� ��`' � Rype of Cor,struction: -�-�*° �E!� Costr S� r� .�c' �, � ' � �'' ) 4b Be Cbr.�pleted: �, G' Alt. A Alt. B Proposed Drive��ay width If New Openfnq Is Desired: $' $ � , . SE� Rs^.VER�E SIDE OF SHEET . Z3ie undersicned hereb}► ma}:e� application for a permit for the �:�ork herein specified, agreeing to co ,all work i.r, strict accordancc with the City of I'ridley Ordii�ances End rulu�gs of the Delh�rtm�nt of IIuilc3inqs, and hereby declares that all the facts an8 represer�Eations stated in this application are true and correct. � Da�: _ yj�� , � �E�� Slc,canTVr�: � Ls_ Stipulations: - � � � �� G� r�� _.✓' , �%� -� 1i �: , � . -nC� � _ � BUILDING PERMIT FEE SCHEDULE The Inspector of buildinqs sha'11, before issuing pezmits for the erection of any building or structure, or for any addition to any bxisting bu3.ldinq or str.ncture, or for any alteration cr'�repairs to any existinq buildinq or structure, upon application therefore, -; 3 require the payment by the applicant f or such permit of fees to the '=�;- r amount herein below set forth and in the m anner herein provided to-wi�t: TOTAL VAI�JATI�1 FEES � a - �' � $1.00 m 5500.00 5501 t� S2,000 $2,001 to $25,000 $25,001 to $50,000 � S10.00 M3.nimum Fee $15.00 plus surcharge $10.00 for the first 5500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $32.50 for the first $2,000 plus $6.00 for each additional $�,000 or fraction thereof, to and includinq $25,000 $170.50 for the first $25,000 plus 54.50 for each additional $1,0�0 or fraction thereof, to and including $50,000 - $50,001 to $100,000 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to • and including $100,000 $100,001 ar�d up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thEreof PLAN CHECK: 25 percent of building persnit fee DRIVII�tAY DEPRESSION ESCROW: Concrete G1irb Streets Only Alternate "A"a Removeal and replacesoent of curb and gutter only Driveway width plus 6 feet x$13.50 Alternate "B": Re�oval and replacement of curb and qutter and install a 3 foot � wic3e approach with 6 iach depth Driveway width plus 6 feet x$15.75 VERIFICATION OF FOUNDATION �ermits for construction will be issued a minim�m► 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 Suzvey of the lot, shrnaing the lacation of the founc]ation once it has been constructed will be required before procee8ing with the framing. �, • sue.,ecr c�ty of Fridley AT THE TOP OF THE TWINS B U I L D I N G P E R M I T i � � � � �,L _�___ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. � i--_•� ��"" �,� CITY HALL FRIDLE� 55432 NUMBER AEV. L 612-571-3450 910-F15 JOB ADDRESS 6059 Central Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. ]. 1 Blackmar Addition 2 PROPEHTYOWNER MAILADDRESS Tapsak Joe � 6059 Central Avenue N.E. 3 CONTRACTOR MAILADDRESS S ame 0 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION 8 DESCRIBE WORK Construct a 13' x 14' Shed 9 CHAN(iE OF USE FROM TO STI PU LATIONS UATE PAGE OF 6/4/S6 � � ZIP PHONE 571-7807 Z�P PHONE ZIP PHONE P NO. 18469 REC . � � APPROVED BY SEE ATTACHED SHEET LICENSE NO. LICENSE NO. PHONE LICENSE NO. ❑ REPAIR ❑ MOVE ❑ REMOVE � SEPARATE PERMITS ARE FiEOUIRED FOR ELECTFICAL, PLUMBING, HEATING, TYPE OF CONST. 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. UNI 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 y�`SOO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION R T ERFORMANCE OF CONSTRUCTION. $I.S.00 PL CHECK FE �,� � �-�� S�GN UREOFCONTR CTORORAUTN 12EDAGENT IDATEI WHEN I �_. -c . e SiGNAT� OF OWNER pF WNER BUILDERI IDATEI wi nr. iu< SQ. OCCUPANCYLOAD CU. FT. STALLS GARAGES SURTAX $.50 SAC CHARGE I TOTAL FEE $15.50 L�ALIDATED THIS IS YpUR PERM NEW [) City of Fridley Effective 4/1/8G ADDti. I� R-1 AND R-2 j AI;TER. [ ] Building Permit Applieation Construction Address: � Legal Description:_ _��e �� -�T � �c-oer� I l>C.�.�Z�� Owner Name & Address: _ �/oe %/loSa� — ��,�q Ceh7`f� � Tel. � .5.%'-%�0 Contractor: Tel. � Address• Attach to this application, a Certificate of Survey of the lot, With the proposed construction draWn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height Sq. Ft. Sq. Ft. DECR AREA: Length Nidth Hgt/Ground Sq. Ft. OTHER: s /r)�iJ f � �1 �-f� Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Y2rd Setback Type of Construction: �f�v+� �`dZV�1f� Approx. Completion Date: Proposed Driveuay Width If Neu Opening Is Desired: Estimated Cost: $ �� . UU Alt. A Alt R $ $ � See Back Page for Explanation DATE: l�a� `I�� APPLICAhT: Tel. � CITY IISE ONLY r` Permit Fee $ J� O U Fee Schedule on Reverse Side Plan Check $ �� 25� of Building Permit Fee State Surcharge v �� $.50/$1,000 Valuation SAC Charge $ a4 75 per SAC Unit Park Fee Y Fee Determined by Engineering Sexer Main Charge $ TOTAI. �q I��Q Agreement Necessary [] Not Necessdry [] STIPULATIONS• BDII.DING PERMZT FEE SCHEDIILE The Chief Building Official shall, before issuing permits for the erection of any building or structure� or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore� require the payment by the applicant for such permit of fees to the amount herein beloW set forth and in the manner herein provided to-Wit: Total Valuation � �1.00 to �500.00 �50�.0o to S2,000.00 $2,001,00 to $25�000.00 $25,001.00 to $50�000.00 Feea $10.00 (Minimum Fee is �15.00) $10.00 for the first $500 plus $1.50 for each additional �100 or fraction thereof, to and including $2,000. g32•50 for the first a2�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 $4.50 for each additional �1�000 or fraction thereof, to and ineluding �50.000. $50,001.00 to $100�000.00 $283.00 for the first $50,000 plus $3.00 for each additional �1,000 or fraction thereof, to and including �100,000. �100,001.00 and up � �433•00 for the first �100,000 plus $2.50 for each additional g1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROH (Concrete Curb Streets Only) Alternate "14": Removal and replacement of curb and gutter only - Drive�aay width plus 6 feet time� $13•50 -• Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wiCe approach xith 6 inch dep�t� - Brive�ay Width plus 6 ieet times $15.75 VERIFICATION OF FOUNDATION Peraits for construction r;ill be issued a minimum of 24 hours from the time of application to allow for proper reviex of the proposed structure and of the construction site. A Certificate of Survey of the lot, shouing the locatgmn of the foundation once it has been constructed will be required before �arocetding witte the framing. �UU jv c�--- � ��. � �G � � j , �'� • sue�ecr PERMIT NO. c�ty of Fridley 2 7 0 6 7 AT TNE TOP OF TME TWINS g � I L D I N G P E R M I T r � � RECEIPT NO. � `v __��_ COMMUNITY DEVELOPMENT DIV. f � � PROTECTIVE INSPECTtON SEC. /n /� � ' (J [ � ` � , /"�'1 � CITY HALL FRIDLE� SS432 NUMBER REV OATE PAGE OF APPROVED BY �.---� • •'' 612-571-3460 910-F15 8/10/98 � � J08 ADDRESS 6059 Central Ave NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACNED DESCR. 1 1 Black Ma.r SNEET 2 PROPERTY OWNER MAIL ADDRES$ 21P PNONE Joe Ta sak 6059 Central Ave NE 571-7807 3 CONTRACTOF MAIL ADDRESS 21P PHONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION � FiEPA1R O MOVE ❑ REMOVE B DESCRIBE WOHK Reroof house and garage (24 S) Tear-off 8 CHANGE OF USE FiiOM TO STIPULATIONS Underlaym.ent must comply with State Building Code. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATIN(i, �PE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD VENTILATING OH AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTtON ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS yqLUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOiiK WILL BE COMPLIED WITM WHETHER SPECIFIED HEREIN"OR NOT. THE GRANTING OF A PERMIT �ZOO1.C)O �I..00 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 PEHFORMANC OF CONSTRUCTION �]�F. ]S Fir SC �L.00 e PLAN CNECK FEE TOTA EE S UREO CONTRACTOii R THORiZEDAGENT IDATEi EN OP ALIDAT � IS•IS Y UR P R I - � ` ` � SiGNATUREOFOWNEpU:OWNERBUILDEIii iDATE� � s i OuTE NEw [ l Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [) SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ��'� ( � � � ConstructionAddress: � 0�9 ��NTiP�L �h/�, /V � � , Legal Description: Owner Name & Address: J�� T�/°Sl�� Tel. # 5� %/- 7� 0 7 Contractor: ->�'�ZF' � L /c°�X/SEp �'�,UTipA-c �o� MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECB AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground /�( �DOF 6laiASE 2�F S�i . � Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: Estimated Cost: $ � d� �.� O (Fee Schedule on Back) Driveway G�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$• DATE: 7 �f j� APPLICANT: Tel. � 5 7/ - 7�a � USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ %y, 75� $ �, o0 $ • r� 0 $ $ $ $ $ $ � � �� 5� Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (Sta.te Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ J Not Necessary [] BiT�DING PERMIT FEE SCHEDULE The Chief Building O�cial shall, before issuing permits for the erection of any building or structur�, oA� fc�r any addition to any existing building or structure, ur for any alteration or repair to any existing build��y �� structure, upon application therefore, require the payment by the applicant for such permit of fees to the �� herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $5�,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $1� or fraction thereof, �o and including $2,00(l $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 there�f, to and including $50,000 $574.75 fvr first $50,000 plus $6.25 for each additional $1, 000 or fraction thereof, to and including $100, 000 $887.25 for first $100,000 plus $5.00 for each additional $i,000 or fract:��. th�;reoi, ta �ud inciuding $SQO,OOti $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,�0 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.SOo 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 foundatioa once it has it has been constructed will be required before proceeding with the framing.