AF - 43983Date
Qwner
Addres
.�.
Village of Fridley, Minn.
BUILDING PERMIT
.... .....:����.. ���.....
..` .. ...��... �. _ j�.
S .....�,��....�..... . ���.
,--�,
�1T°
1855
Builder.........................................
'��Address .............................................
� � �
LO ��'��OF BUILDING
No. . . . .��`!�. . Street . . . . . . . . . . . . . . . . . . . .. .. . Part of Lot � . . . . . . .
°r° `d `� � d d � a Addition o r Sub-Division �� •�`��� • �" � • �� �
Lot . . . �. .� . � . Block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , >
Corner Lot . .......... Inside Lot . . � . • • Setback . :�:`�.�� • °� l�Sideyard .. ��. �'• •'�• • • • •�•;��� •�� `�
DESCRIPTION OF BUILDING
To be lised as:
,�,�,4}�d; ��. :? .� ,,� Front .� . �. . Depth . .�: . �. Height �. �. : �. Sq. F't. . . . . . . . . Cu. Ft. . . . . . . . .
.�si 9'`� � ,'1� ��. . ".�:`��ront . .�. .�.e'. . Depth . �. �. . Height � � . � Sq. F't. . . . . . . . . Cu. Ft. . . . . . . .
. �i : �4 4"�J. � . . . . Est. Cost .%, `� . . . . . . . . . . . . . . To be Complete�,�`'��i. ��: . -�. d�
L��s� •
Type of Construction . - •
a�` � �� � �'.
� � � � ��.��s � ` f`
° Tn consideration of 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 above set forth and in compliance with all provisions of
; ordinances of the village of Fridley, a
% %�
' ....�./ ..............`��:�.�! .... .............
',��/ c��' .. ...........
. �. permit is hereby granted to . . . . . � i�v�= �
In consideration of the payment of a fee of $. �.�.� ••�
, , , , , , , , , , , , , , , , , , , , , , , , , to construct the builcYing or addition as described above. This permit is graxrted upon
the express condition that the person to whom it is granted and his agents, employees and worl�►en, in all work
done in, around and upon said building, or any part thereof, shall conform in a11 resPects to 'tt►e ardu►ances of
F'ridley, Minnesota. regarding location, construction, altera.tion, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at, �'��e upon violation of any of the provisions of said
ordinances. _^� �J '
u ... � � ............ :......... Building 7nsPector
NOTICE:
This permit does nat cover the construction, installation or alteration fo� wiring, plumbing, gas heating,
sawer or water. Be sure to see the Building Inspector for sepa�ate permits for theae itema.
�
[3�J��.n��r P:�R�.tiT CC1C (�/"�imr�rr• r�
:a�eQ
: �ig Pau�TS
�O� 'JI�ILI.d�H
()oi�I()��
()oN()��
:s�a�ag
�q � �3 PaPuwd u�aq .uE noqsnqaco� seg
���I .� .�3 F�P�� �4 �I � �H
s�fLLg 'IH.LO.L
S.f1L8 � IId
3o S.f1.LS $�q I� �H
.g
'L
�
() oH t)�� p�auo� s. nig �� P�
az�s .w3 s�uamannba� apa� �ua.im� �e s�aaLti "S
� ) oAI i ) ��C �oddns �Ctam�as s� •�,
() ol�I ()�x an�rti+ Pa�Poi s�afqo a�iaw3 ou sEH •£
() olu ()�x uoAr�oua�ap w�scu tao,�3 aa� sI 'Z
( ) ol�i i ? �A �unuexa ,�Rcya.� aaa9 �H ' i
:���s io �faoanq� �uqs�xa aq� leq� ��ua� �Cc�[ Fau8cslapun a�,t,
•a�suzn� �uan ap�s B�u�sn uaqM pa.z-�nba.z g� u�noiu� T�� :�ypN
_
_
CIZYOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
May 6, 2002
Chad Christensen
6245 Central Avenue NE
Fridley MN 55432
Re: Paved Driveways
Dear Mr. Christensen:
In 1997, the City Council adopted an ordinance declaring gravel driveways a public nuisance.
They were declared a public nuisance for a number of reasons, such as: they can cause
erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the
City's storm sewers and detention ponds. When gravel driveways were declared a public
nuisance, the City Council gave property owners five years to have their gravel driveways
paved. The five-year deadline is quickly approaching, which means all gravel driveways within
the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002.
If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at
the Anoka County Courthouse. A misdemeanor citation is a criminal offense and is punishable
by up to 90 days in jail and/or a$700 fine.
If you've already paved your driveways, Thank you! Please call me at 763-572-3595, so I can
update our files.
For your convenience, a brochure on the City's loan program has been enclosed. You can use
this loan program to acquire financing for your driveway improvement project. Please call Jim
Hesnik at 612-335-2651, if you have any questions regarding this program.
Thank you for your cooperation! As you successfully complete your driveway improvement
project, please call me at 763-572-3595, so I can do an inspection of your property and update
our files. If you have any other questions, please feel free to call me at the above number.
Sincerely,
Stacy S mberg
Planner
C-02-53
_
_
CIZYOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
July 2, 2002
Chad Christensen
6245 Central Avenue NE
Fridley MN 55432
Subject: Paved Driveway Reminder
Dear Mr. Christensen:
This letter is a friendly reminder that all driveways within the City of Fridley need to be paved by
December 31, 2002".
As you are aware, the City Council adopted an ordinance declaring gravel driveways a public
nuisance. They were declared a public nuisance for a number of reasons, such as: they can
cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in
the City's storm sewers and detention ponds. When gravel driveways were declared a public
nuisance, the City Council gave property owners five years to have their gravel driveways
paved. The five-year deadline is quickly approaching, which means all gravel driveways within
the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002*.
If you've already paved your driveways, thank you! Please call me at 763-572-3595, so I can
update our files.
For your convenience, a brochure on the City's loan program has been enclosed. You can use
this loan program to acquire financing for your driveway improvement project. Please call Jim
Hesnik at 612-335-2651, if you have any questions regarding this program.
Thank you for your cooperation! As you successfully complete your driveway improvement
project, please call me at 763-572-3595, so I can do an inspection of your property and update
our files. If you have any other questions, please feel free to call me at the above number.
Sincerely,
Stacy St mberg
Planner
'If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at the Moka County Courthouse. A
misdemeanor atation is a criminal offense and is punishable by up to 90 days in jail and/or a$700 flne.
C-02-83
�
_
CI"IYOF
FItIDLE,Y
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. I�1.E. FRIDLEY, N1N »-t3'_' •(763) 571-3-�50 • FAX 1763) 571-1287
December 13, 2002
Chad Christensen
6245 Central Avenue NE
Fridley, MN 55432
Subject: Last & Final Paved Driveway Reminder
Dear Mr. Christensen:
This letter is your last and final reminder; al� driveways within the City of Fridley need to be
paved by December 31, 2002.
As you are aware, the City Council adopted an ordinance declaring gravel driveways a public
nuisance. They were declared a public nuisance for a number of reasons, such as: they can
cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in
the City's storm sewers and detention ponds. When gravel driveways were declared a public
nuisance, the City Council gave property owners five years to have their gravel driveways
paved. The five-year deadline is quickly approaching, which means all gravel driveways within
the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002.
If you've already paved your driveways, Thank you! Please call me at 763-572-3595, so I can
update our files.
The City Council has agreed to allow an extension until June 15, 2003, to those of you who
haven't paved your driveway and/or can't get a contractor to do the project until spring. In order
to be eligible for this e�ctension, proof of a signed contract from your concrete or asphalt
contractor stating that they will pave your gravel driveway by June 15, 2003 must be filed
at the City by December 31, 2002. You as the property owner will also be required to sign
the statement on the next page, ensuring the driveway will be paved by June 15, 2003.
Failure to do so will result in a criminal citation being issued on Januarv 3. 2003 and filed
at Anoka Countv.
Thank you for your cooperation. If you have any other questions, please feel free to call me
763-572-3595.
Sincerely,
Stacy St mberg
Planner `
C-02-150
�v�rnr r�`
ADDN [ J
ALTER j j
Construction Address:
����� � ��"7��
CITY OF FRiDk�Y Effective 1/'1J2003
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SiNGi.E FAMILY AND DIiPL�(ES R-1 AND R-2 (7�63) 5T'l-1287 Fauc
BUILDiNG PERMtT APPLICATION
�.
Legal Description:
Owner Name 8� Address: �� L����'���it �' �^= � Tel. # �l3 °�1 �� �
Contractor. �/'.�SS � r��� MN LiCF_NSE # J�
Address: .S — J 13 L� Tel. #�S� —��� D 3 3 J
��> �Attach to thi� ��f�tion, a Ceriificate of Surv y of the .
lot, with the prop�sed construction drawn on it to scale.
iIVING AREA:
GARAGE AREA:
DECK AREA:
oTMat:
DESCRIPTION OF IMPROVEMENT
Lerigth Width Heigh! Sq. Ft.
Length z� , Width � HeigM ,�. ° Sq. Ft. �
Length 1Nidth HgVGround Sq. Ft.
Construction Type: Estimated Cost: S�` ��� �' `��
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Fi x S = S _
'GATE: �� �/ S APPLICANT: � TeL #��� -��'� � �
+�atl {763) 572�604 tor Permit Fees if maiting in appiication. Pax to 763,571-1287 if using credit card and wre will
�il you for card number. _ __ _ __
' 1 VI � i V�7G V��L �^
°'�,.�� z�
` , �
=Permit Fee $ �:�s Fee Sct�edule on Reverse Side
' F ire Surcharge $ � Z,�5� °:001 of Permit Valuation (1110th%)
State Surcharge $ I _ • ��1 �.5�1$1,000 Valuation
SAC Charge $ �1275 per SAC Unit
'iicense Surcharge $ �, � $5.00 {State Licensed Residentiat Contractors)
�urb Cut Escrow $ Alt. "A" or Alt "B" Above
`�rosion Control $ $450.00 Canservation Plan Fi��va!
�ark Fee $ Fee Determined by Engineering
Sewer Main Charge $ �� ���� Agreement Necessary [ j Not Necessary ( J
�1��►� � ►��� �� ��� __
TOTAL $ •-�� � STIPLILATlONS�
��l � ��
,. ,.�,
PLOT PLAN
. : , .,
; ,
:
��. _��_,�._-._� �-�-_:� -�--�- - -
; 9 .
C- : .- �--�- t �--7- .�-e- r i---°- . Y . " - . i �. .
- -.- """+'� �---r"'�-'
, :r , , j--` �-'---+,j-
, , � , � �� : . ' . ' : T � ' _ � ` v _._... _
'-�—��" � � . . # . ' # � I : . iF-- ,--3-- � -'_'_"� C �
� � - y , . � I � � ^ � _ '� F l _� '_ p�..�-.�,� �-
,..��.' . . � , -
i._+-- — ..-- F ..-I-.a-- �r .- 'dt- '- 6"' �
�
_i
�r.a �:__...- � _'._.,--'�- _ 7 --t--� - � L_L� - � i � - _
.-5-'-- "�_' Y -j ��T �-'� �i � . � �..
�,._ _' _ � . � '�. � �— - — �'�a--'— ; - - � -- }
, �.
� , '-
� � 4 � ` ._ t -�- .^� ,c�/��.- �
_ $ �
!� . �' �� ; . �. �� .._< .._ `a-i' i. .;,- _... e �� -� —, - . . - - � �/B(F!' � . -f� -. - �
. , y� ^� ' �"�. S? �� . a�.�.
NAAAE l.� �i �"'�. ' � - ' -
.
� � � �
y � � _ __� - _ �g- _.
' - 6� r , _ i . ; . , � : .
i �
i �_
' )w � ? _ ..__'-k'� - __.- � _ i._.. gg. ' _ x �� p!'��, )..
_ �w -' . . � ... i- ._ . • � � : - � �
IVIt. & �� � . �. —,—.._ � .... �_ , � -� �
ad C � - � �a �_�
, 6245 � h hristense �`_ - - . �_ , _ � , _ 4 _ �_ F� � _�.. �� , - -� - - ;
• Ce��'a� Ave. N � k � _ �� � j _ } � : t
;
FndleY, MN 55q32 E �. . _ �. F `+-� w...� i r 4�._ Y;�
763-571-6402 9_ �--- j .--� �
�. �.�. T � �
CLg `
� Z __.__�. _� �- � ' _
c .T .� � 2-59 3764. �-__ � -�--� ; -� �-'--� ,t--- --� �-���, - _ _ � �
- .'t � ' �--° �_ � _d_...i �� '- -� . _ �. '.__. � ' �'�....�.�.Y�..,=�
#- � ��� �r � L i
ci rr , � , � � __.� � : � � . _�
�. .,..__ � � _� -� -` � -� � _.:1. � �' ; .�_ - —� --�—' -; --',�--a
�� � ;�-,--�— � -r-�—� � —�- � _r ____;.a ' _� �I- � -.--�--!- 1_ _ �� _�. .�
� � '
. _ � �
�
: a
, _ .�
1._L. � . . � . . k
- �- r ----�-., s_ ,t-- .,�� '� ---+-�"�'�"'-�- : -p__�__�""
LEGAL DESCRI PTION -� -- -- � - - � -r- ; -"' � _ � � � -T , �
' � --�--- - � -- -� � .. �--� - �
� ,�
�i _� ..j. � ' . �--�� .. ;_ _ . i_ _ ¢ _a �:-.-..- -- � -'�. � j !- 1 ` e
!, + �
t � t
` �. � i ,'m. � ;�.�-�r ._� �..� �,�.y.�. b�-.�
�� � � � a ;
LOT: � �t �i .. ._,. � . � _. � �- ,� �s -�- - � ., x a
� ,
, , f � " __,_. g ,_-
v) �,t€ +
-I � --^ _. �.. � -� , � -�rJ' ; i T � t
� i _r_. � • � �.�.. _.. ^ �a i _ y - -.9- _-�
� T�_r�_ � -r_� i..- -� �-;---- � -�
i : - � .
� � ` _,_. i _. r ... � t '�
.� ; B � _ ' � ,.
;-- __t._.� � �- � _ � ,- _ � � �-
. _ .:.
9 - y � p j . _ . -.._ —}—.-.. {p '
�.1.. -e G - 7*— ' "g.'" 1 ^ � . _� � �' �.�. '_ { " ' .--}' I � 2
-i " 3
� . R
, ' � ..�.._�. :-_:_ . _. - ..1..
�
BLOCK: ' � � � , , ' �' '' , - '-
, '
, , ; �� � ' i _ ,_ '. -.{
; �
_.�_ . r . . _ ... ,_ . _ �_. _ ; -� � � ,
T
. ....� ' ' .. —. � i � y ; �..._L.t_ � 4
� � _ _,�.� � } _, . _� � � .. � _�__, y --+. -�---� -t- ` �- -' j t -'-' �
' -i ' �f � �- � ;_..� .t.� � _ _ b_�
� i; ! i , ° �
ADDITION: . � , ! . ;__ L_ �_._r - -�- - —t--a._ i . , , �+°-�
LOT SIZE:
X
HOUSE SIZE:
SQ. FT.
CROSS STREETS:
AND
�
DI RECTION
��N� ..y_ ,-
..y.._.fl. . t... ; -
�
�I
�e
�_i. __._t.s� Y -
.�,
�
� : � + � i
_ :__ l_1- ' '� ' � -
� _.i.....' ! � ' ! ._ �__i_
E � _'_..�."_ -.i.1
; �i i t rt
?-'-V � - � ;Y �_! �_' - � i
� _ �. ,. . -t � �- � - t
•� I
� ; � � � , .
- -,- ?—_-_` .. i --�--- - � -----
,_�_ I:_�. j _-1.- � � _ ,;..�
i i j i
�- _;_� _.�_._ ;—i
--�-�_; -d--� �
i ; v ! j � `
_:. ... p.. ...i.,. .. ._...:.�._. ;...,r..--L. _{._ ..._._�_ '
. _..;_W � �_..i__.__._ -r—i , � I
�
SUS SEL G�iRAGE�
12
�
ROOF: GABLE REV RSE GABLE
EAVE OVERHANG: �
RAKE OVERHANG: ��
HIP
SEAL DOWN SHINGLES WITH PLYWOOD OR
WAFERBOARD ROOF SHEATHING AND 15 LB. FELT.
Roof Sheathi� '/� C
C�-- --
Seal Down Shin le/�'!� /� ^�/ �/�
` �.0
/ �
� G'�/G ����an��ter Protection
Manufactured Trusses � 2" x 4" D6Virlple
�rAT1.A /_'l� Tap Plate
� ��J�r'Rir���s
NOTE:
1) Roof �pproved by Minnesota State Buliding Dept. as meeting Minnesota State
Code;Requirements of 4# snow load.
�. �_1 C�� �
'� ���
��1� ��� ��� .
RAFTERS: Trusses @ 24" O.C.
STUDS: 2" x 4" 16" O.C.
WALL SHEATHING: � � ``b�� O�� , .
SIDING: - ` � V<N�� •
-�-�
OVERHEAD DOOR HEADER: Double 2" x 12" or 2- Micro Lams ��``ty x�� -- --
2"x 4" studs
2"x6" �
Treated Bottom
Stll Sealer
1 Row 6" Concrete Blocks
�
A
! / �V �'l�'�� �C� � 1 / ' l �'v � � �! � ` 8�� �
L Of 'f �' v "��'_Ll.� ) � P� ~�
✓
Trim
1"x4"
Sub Fasaa
Fascia
Soffit
3/4" Cove
2" x 4" Studs
�--Siding
5/8° Gyp. Shts. Only
on Wafls wiUdn � .
3' of ir�terior lot Lines,
Floor to Roof Shtg.
x 7" Anchor Bolt
w/Re-Ber Tie
To Slab
2" x 4" Treated Bottom Plate
°D Above Grade
�i '.� A
%///♦ -
Grade
�
�
0
�
m�
��
s�
mm
r"s
N �
� �
..wr �
� • �
'Q
oO
om �
• X
'11 'r'
� o
•� o
.
o' �
m �
:�
am
� �
mA
�m
m
�1 ,p,
� J
°' b m �
o -�i
_ o ,� .�
z �
�
a
J
� 0 Q� O� O
- ���"o� �
� � mq a � z F
„�$ "� O D m O�
. m�amo�? ��
O � �
� r
� �
. Qo�
oa��
� � O
a�
a°�� � �';o
m
�
tQ
c
�
_ �
�
s �
i �
i p
yV �
�
�
Q.
� �
C�
� O
� _
� �
�
���
� �
" \ ,,. O
��� �
�.
� o �
S �
� � �
� "�'
0
�
�
� �
� O
� �
�
\ m
�
�
�
0
c
rt
�
0
sz.
A�
ilY
g
�
�
�
�
c
�
�
�
�
c
�
D
i r.n > �
��� L, �
CTl __.
i-� r- �
� T�. 'J
� O f�
� � r
i' � G7
-�1 O
�`^ � O �
V J �'!'' �L f
� T o�
���s
c°' ,,� -� �
��',�r-
��='�r
�r;c��c�� k
'�
�
m
m
N
O
�
N
`O�i �
�m��
�o�� n n
v�ZY
o, < 3ry
���� ZH�
a� i w m n1 Z�I
i�.�pw0 �n�
W I.+ C V1
� � � � � � � � � ��
�p � s �
8 �'
v g
����as��
�m�� � ����'�Z
�.����������Z
�� ���������
�
�� ��������Q
�
��� �����, —
�' C � � �� �
�����������o
€��� ��a��
�� ;��$�s ,���
���a���� �a
������� ����
����$ �����a
�°� -���� � �
����8 ���� �
� a
��������� ��
������s ��g�
� g����� �� �
����� ����o
�� ���� ���
m���.
m� 8
���� ��
m
0
�
2
0
a n n n n�� rt
o r v r •• �
J. . �
n.m cm `�m vci
� in m
N r
N O O V tn N
O O O O O j
o O O O O
-�i, � 1, -�i, -Ni, i'
0
°o
o vo�o�oav ak o
mm• mAmc rN
� �nvvv T n �
tetn333W 0 '-'
7o Vf(V�i QSQN O
� 0
H'O �- � f'1 W OD �
O N 7 m o 7 r �''
nic Nv n'�
r
N A N V~1 �'
o �oNrN� .
-I 1 000 tl
P1 �000I�
h� N
r N N
\ �
.,�, Vk
�
C
N
�
r
c
N
m
0
C
m
�
61
A
�
��
� y
��
��
� �
��
m�m
�
�. �
��
m
��
��
�m
�q m
Fr $
��
��so
8m
6 v
� �
g�.
� �'
�
��
��0
m
�
� tj s.
�� �
� � �
O " [a1
p�z
Wy
O
�
'J�c
v b
aa
go
ab
���
�H
a�����
�
'��'���
�
� 4
��y���
�y?mp�p�n
,������
!Q'b.�C''+y?
�� t'=' F! � ..i.
is7 :i ��!
V�_i y +*' p/f
-�
Mx�`�i
a��?
1�. �� `�
i.AWWN� bODV01� NWNN�
om:i� oieeovn a�utin�
i � � i..�o.aa.��.
N N• � WI-�IJW� '.
F� F�'C O F� ���',
v ` �p A u~iwu~iu~i'.�
\\\\\ \\\\\ \\\\\'.
NN ANNdm
�+ NF�� NF�F+N2 ��
tDA.olDf/1 tOVVtON VI
NtDiDN• NNF+N•
F+MF+ O F+MF+ O O
m�.�.ma Nrrr�a a
ONNO• NtnN• v
0000(� 0000/'� 0000/'�
F+OfOfI-�N OCVOpODL/� WOCOOWVI
OWWON tDVN1pFi VtptDVM
� �
1N
°o
Nb
� ' °b
�H
f-- y¢°-�
=W
�
� b
b
� ag
bg
r
O
�
0
V
O
4
Ir
N
nnnn
NCRRf�D�
����,
�� a a L
�.+�e »nwr+n Q
F+ m pw0 �
�o�oa r+� i i
VVI1'fNF+ X �f
NNf} N por�
Jw�a�� 3
11+N�R N��A�I1 �
F+F+ �N tOIOD
�'VV(1
j� NN-i �
.1DC n w ww�n �
oo°'w 1° oom O
WWN�IIQ n �
�a°'o '� ^
yZWWO �
m j �
D9 � o�i g mP1P1 C
z aQ• vi
�< a; N
a� � �,� m
���oz
��do; �
►+w n�pw�
N�� Ih NNNN
O�OTpg XXXX
O\�7 W AAOtA
,�bo�
y�op � �����
2p�O O N TTTT
N+C�W
am-:m�����lR
N� 6�'O�O�O
{/��..�fD ip( N( 1�T OT
N NK ~ 2D Z NN
mo= o0
c4ixo n�n mm
n+HNr•
m� r v
�v w
w
ao �
o�m��ix�
� Az���o�
e vm n v �rac
���r+mr[+1oh
u� �de rpZm
S N9 N O H"
��'Jc��
a °<rwiGm�n
N�wmm f+
��. ��
�NN�• �N
�1 fD N V11
V � C W � � �
a; � �N C
�nQ � �
�
"<� m -ri NJ
��= T v
�o "
W y■
�
G
n
�; m�z �
c an� r
:N � V � C C ~
m � rrvo'�
'��onmcoo7o
i.d.°uEu�i.'�K� i
0000�-Ti s 5- o �nn a
0000-ec_ o•°pµzm n w� � v
�v�oo mr7 Of�O NN y� 00..
� � � r�i�v�o m �n��
00000 o rn- ac yc °�O�
0000� Nm°-vi��-° o � e`
4�~'° �'c'° �
Non+m70�o 9 g9 s
000a• owv� A
�i°og°o�gaos�
Om
AIOV�AAi VlDYO
• 1 000
00000 � 9 �
�n
0000^ � "� �
'.
00 OOr �
OWOW� 1
i
Building
Inspections
763-572-3604
DATE � � g a' �
SITE ADDRESS � �
THLS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATB LICENSE
WITH APPLICATION
PROPERTY TYPE
BLTII�DING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
I�OWNER ❑CONTRACTOR
Gk
.�Dx�ss: G aKS C�n�--� l A��e N�ct� ��tl
PHONE: % �0 3 — .��y v � -
STATE LICENSE
ADDRESS: �N CITY STATE ZIP
EXP DATE
Permit No:
Received By:
Date Rec'd:
A�-� ssy� 2
❑ SINGLE FAMILY/NE
0 TWO FAMILY/NEW
PERMIT TypE 0 ADDTI'lON
❑ gASEMENT FINISH
0 DECK
TYPE OF WORK: I �
❑
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT
xvvru�v
NUMBER OF SQUARES
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
O Aluminum
❑ Other
FAX
RUCTION
ICTION
❑ GARAGE/SHE
�.'ROOF
❑ SIDING
❑ SWIMMING PI
O ADDITION
❑ REMODELIN(
❑ DRAIN TILE
O OTHER
g ,,a.ces
LENGTH WIDTH HEIGHT
� HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
Ft,
�ASEMENT REMODELING SUBMTf:
l. Fxisting Fioor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
�iDDITIONS & PORCHES SUBMTf:
1. Site Plan/Survey showing the existing structures
and proposed project
2. Two sets of construction plans
R'INDOWS 3. Energy Calculations
IN EXISTING OPENINGS �Yes ONo LOCATION OF WINDOWS
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES & �.�J1yIgER OF WINDOWS
TYPE OF WINDOW TO BE WSTALr Fn
ALL FEES ARE BASED ON VALUATION, INCLUDING TI� COST OF LABOR AND MATERIALS.
(USING 1997 U.B.0 FEE SCHEDULE)
Tn�rsT. TnR VALUATION $% Si�o� � OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surchazge
License Surcharge
SAC Charge
Curb G�t Escrow
Erosion Control
Park Fee
Sewer Main Chaige
Total Due
$ d��d� � � _
$ �°
$ �/�
$
$
$
$
$
$ A ��
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $•50
$5.00 (State Licensed Residential Contractors)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$20=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to• City of Fridley Attach
! FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building pemut 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 'ch re ' e revi and approval of plans. ��a / G/�„qs,���SP�a� � ra ��
SIGNATURE OF APPLICANT
PRI�TT NAME o� �I, l
Page 2- Building Residential Application
BUILDING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or
structure, or for any addition to any existing building or structure, or for any alteration or repair
to any existing building or structure, upon application therefore, require the payment by the
applican.t 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 (Minimiun 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 $$25,000
$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 $100,000 $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 including $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
$1,000,001 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 min;mum 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 Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977