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AF - 37051N° 118 Village of Fridley, Minn. BtiILDING PEItMIT OfI'ice of INSPECTOR OF BUII.DINGS Owner - ' � � � Architect - Frid!ey, Builder 1 '" �. LOCATION OF BUILDING i, No. � �`� ^^ ` Street � , Block � '" e -. �' � � -: Additioe or � 8ub-Division � � DESCRIPTION OF BUILDIIVG oY Lot 19_ Front �'� Depth �� ° Height '- Stories__ � Manner of ConstrucUOn �r � �_ , To be used as �� To be completed ��-1 � EeUmated Cost �- J Permit is hereby granted to � to �!� ' the building � described in the above statement. This permit is granted upon the expresa condition that Che person to whom ft is granted, and his agents, employees and workmen, in all the work done in, around nnd � upon said building, or any part thereof, aLall conform in all respects to the ordl- nances of Fridley, Minn., regarding the construction, altcration, maintenanee, repair and moving of buildings within the city limits, and thts permlt may be revoked at any tlme upon violation of any of the provisions of said ordlnances. - ' � ` 2nspector oP Buildings. AGREEMENT AND SWORN STATEriENT In consideration of the issue and delivery to me by the In�pector of Bui)dinbs of Fridley of the above permit, I hereby agree to do the proposed work in acwrdance with the description above set forth and according to the provisions of the ordinancee of Fri�'.ley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, Minnesota,, t�s � yf � � ----_.� day of � , , A.D. 19'� ,.� � „ i h , �,_,,v.' 1: r 1:.< . '� _ . • � No o,�;,�_--�{.w«% ,. .±r�r,::e�c Euildery`�y� Na 'L_��7 Lot / / Fronl �_ To he nsed a� -' Permit is hereby the Uuilding_ upca thc expr:xs � the wor4 done in nances of Fridle�� within the city li� ordinanres. Tri CGri."lCICt the ahove pern above set foi� h sworn, I hereb'� tize a.s therein Subscribed a� day of� s�e:cci PERM� T N¢_--- City of Fridley o 20031 �� AT'"E`°P°""E'""'"S� ' gUILDING PERMIT ' ' � � � RECEIPT NO. � ' GOMMUNITY �EVE�OPMENT DIV I, i Ly ' � +� r � PROTECTNE INSPECTION SEG �, ..3. � � � . I � ' ��"� � CiTV HALL FRiDLE� 55a32 NuMeer+ acv on*e a�ee oF � noPaoveo ar �'""'�� �� 612-571-3450 g�0-F15 7/31/89 � � ioanooaess 6537 i Central Avenue N.E. 1 LEGAL �OT NO BLOCK TRACTOR ADDITION SEE ATTACHED oesca 5 1 Hidden Woods SNEET 2 PROPERTYOWNER MAILADORESS ZIP PNONE H. R. Erkenbrack 6537 Central Avenue N.E. 572-9863 J CONTRACTOR MAILADDRESS ZIP PHpNE LICENSENO Same a ARCHITECTORDESIGNEF MAILADDRESS ZIP PHONE UCENSENO 5 ENGINEER MAILADDFESS ZIP PHONE LICENSENO 6 USE OF BUILOING Residential 7 CLASSOFWORK � NEW =] ADDITION ❑ ALTERATION ❑ REPAIFi ❑ MOVE ❑ REMOVE e DESCRIBE WORK Construct a 22' x 24' Detached Garage: and a 16' x 22' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. 16' � 6' � 22' x$13.50 =$297.00 Driveway Curb Cut a SEPARATE oERMITS APE REOUIRED FOR ELECTRICAI. PLUMBING, HEATING. T�PE OF CONSi OCCUPANCV GROUP OCCUPANCY LOAD VENTILFTING OR AIR CONDITIONING. TNIS PERMIT BECOMES NULL AND VOIO IF WORK OA GONSTPUGTION ZONING 50. Ft GU FT AUTHOAIZED IS NOT COMMENCED WITHIN 60 DAVS. OR li CONSTPUCTION OR WOPN IS SUSPENDED OR ABANDONED FpR A PERI00 OF 120 OAYS AT ANY TIME AFTEA WORN IS COMMENCEO. NO DWLG. UNITS pFFSTREET PARKING I HEREBY CERTIFY TNAT I HAVE HEAD ANO EXAMINED TMIS APPUCATION 1 STAILS GARAGES AN�KNOWTHESAMETOBETRUEANOCORRECi.ALLPROVISION$OFLAWS yqWATION $URTA% nND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIE� $lO�ZSO ����X� WRH WHEIHEA SPEGFIEO HEREIN OR NOL THE GRANTING OF A GERMIT $5.13 OOE$ NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMRFEE $ACCHAPGE PPOVi510N5 OF ANV OTHER STATE OR LOCAL LAW REGULATING CON� $1ZG.00 STAUCTION OF THE PERFORMANCE OF GONSTRUGTION ANCHECKFEE TaTALFEE $131.13 + Dw -- SiGNa' E��CO ec`Oa nVr aiZEOA Ni iUa � • - �EN PROOER�V b'4 I T �2� 7� � `��. �2, t E-(' �!���5 �o�A oEAM�, - .S�GNn1VR prpy.NFRifpWrvE�B6��lOFR� �01�E� � PIDG � �� T �'F � [ l � � ] ALTII2 � ) Constivction Address; �dl D2SCZ'1�1OI1: R-1 AND R-2 �,i�clirg Permit Application � Effective 5/1/88 m a N� �.(,/i�OJ.E i9 �U 4.tiT' C / / Rar7er NaIn2 & ]uiciroc�, i�..Q °' .1�. -J. L r � .�! �.� �ic(C� Tel. # $-71 - �/ i(L � contractor: S A /�'7 � 'Pel. # �.� <v tlddress: _ '.+ �'� •ti�, � ,�y) Attach to this application, a Certificate of S�uvey of the lot, with the propo�-.,ed construction drawn on it to scale. ILhM: �'JY �1. • ��I'JS�I/b�l]I.1 �7�G �s Ler�gth Width Height Sq. Ft. � �: Le�th � 7- Width �� Heic�t _� Sq. Ft. ,i ,Z �S DDCK AREA: ienqtll Width Hgt�Groturi _ Sq. Ft. o2�R: / �o X 22 ' , �� �o� _ ..-..L " x', �.�,, � '�7!� ,, : �.��,:x :. � �� ,_ °:, , ; -, ', ., ,,. Corner Lot [Vr Znside Int [] Ft. Yd Setback Side Yard Setbacks Type of Construction: Fstimated Cost: S � 1_�, Z� Q'1� Approx. Completion Date: � _ � � _}j y �opo�a Driveway Width If New Openirg Is oesirea: /(,.1: r�t. g�>��� S � ,� � � i + � See Back Page oATE: APPISCANI': �/�"���� Tel. # .i7.2-`/c��J� Permit Fee State Surcharge SAC C'h�in�e Drive�.ray Esc�r�w Park Fee sewer Main c2large � STIP[7LATIONS: $ ,� r i ', c� S $ r �.S �¢� ut w'h CITY IISE �II,Y Fee Sched�le on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Deteimined by FS�4�'�-T�4 Agz'eenent Neoessary [ ] Not Necessazy [ ] ,, r �� ��. a ��n. ��9 4S.d� Qt ,�� � ��! �- ` J t/ ���� ����s ''ii —�_"_"__ _ . � F � C� 4' P c.' � , �� e �� . � _ � � � _ �� 4p —� � �. w , � �� ,, �-� "� �' 6 C ,.�'Y ,�, G� �s` r� � 'e ��zp.QGG. 2 -i,,� L �cA�. �-y���o '�rnw. .p��a�. 3� FRor or � �' . O � � R .x � i = ° I a'' � , � 3� a�ta1 I „ :<e i r ;� �:. Gr " ;�r�.,� i i y r, � a ,. � 4, � � � .. i -- —� _ ._ i;; ' _. 1 (. �� D c� p �i ,o - � � `�� � � � �s � 0 � -� � � '+,-� � � � � L�_ . -- -; - -- 1� � i � �.. o ,� _ Y; � � �l 0 CY � � c � � a : � ti, � '2 � � \� , --oX���xg ���,��� - � �� A � L � � .��1 � ` SIGMA SUFtVEYING seAVicEs 3908 Sibley Memorial Highway Eagan. Minnesota 55122 Phone: (67 2) 452-3077 � I $0 I r ' 36i --� S i � IW I � J � �Z I V Q I N ^ :4c � o O� 50 :s r _ � ea I �J ;. � N gp�000���E- Bituminou5 Loi Survey for= Mr. � Mrs. H. R. E'RKEIVBRACK w �pT U " EAST - 35.00 -� --- ,a.s . y S.nB 0.n — �` 6S l�.5 •' '.\�s�InO\ S � \���m m Np� o \ �, e�a, 9 , _ I�im m 4 _ H / .. $urlace � Ly�i remove0 • � I r �z,o . �\\_ 3 � t�/ � GpRP�E� 24 9 � �� p'�0.. �. � _ t 1"=3p' �� ` + Y � �� � �� � � Z N � l pp � a - � • df�i... i � N � ,6��_ _ � I �J I � , I ! �'— --133.00-- co.,�,�i� _... .._. -_ wESr-� . :., .. . , � N CREEK PARK LANE � N : �.e I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lot 5, Block 1, HIDDEN Y700DS, according to the recorded plat thereof, Anoka County, Minnesota. and of the location of the existing buildings thereon and all visible encroachments, if any, from or on said �and! As surveyed by me this 3rd day of May, 1986. ��_ n �_c�_ � rn rn N J m � Q G � d U � W > 0 z 0 t= U w a W � z Z � }�y7 Q N J T � o N ,� ¢_�� o� m� � � (7 �O N U � u- u^i � -� i� 4 m W =i- � N i�i� i- ___ II N j� l�.LL N � � �. m Qi a OFG?_ a' � = m U $ �' W,¢ 3! 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J.i � � � � C N � � �J � � 1 �� ^ G � � L r� � O 1.1 -�y � �._ 1 � � p O T � S 0 � T J ' C 9 2 � S G � c � - P � i � VI F V � � � D N N 7 0 J v 0 O � O " .n ) M OI � S T y � y � _= �' 9 � � � r _ E � = o � 4 � q 2 J >s � 9 Z � � 4 � c w. 1' 41 U - O F � �E �r 41 N c T 41 O e L, O � , �n y i • � H C C E o � r (J� U � � � � � .� Y Y a : � - al e0 ' � �8 pau6i5 � � . , , . .' , � ' - ,Cuedwo� ( ) oN OoN ( ) oN ( ) oN ( ) aN „ ,,, �,� '� � ( � � " �� , � )/ .l� � i )' i i 1 � � � l ) ? � �s �a ewaa fi� � � - � .- ,ti�o� , � �' ��!, ,���;� ! � s�f119 �a43o lltl �,� �� ��� i' 'P l�, bo s�(ll9 6ui�eay �e;ol seH •9 ( ') saA � pa;�auuo� f118 LQIo1 pue azis ..o; sluawa�inba� apo� 1ua�.an� ��e s;aa;.� •c, (,) saA pa��oddns �c�a�n�as sI 'b (/) saA uiy��M pa6po� s��aCqo u6}a�o; ou seH '£ (/) saA uoi�eaoiaa�ap �o lsru wo�; aa�� sI •z �j saA pauiwexa F��n�a�e� uaaq seH �t :��e3s �o �tauw�y� 6ui�s�xa ay; ;ey; sa�;��an Fqa�ay pau6is�apun ayl NOIltl�I�I213A �7715 GNtl A3HWIH� ,�.«,ec- PERMIT NO (,Ily Of� Fridley � ^„"�'°�°``��""'"s gUILDING PERMIT ��_���_��' � I RECEIPT NO ' • COMMUNIiy DEVEIOPMENT OIV r � � PtiOTECrWE INSPECTION SEC I��� i i � ' i � ". _ _ _ '_ .. — _ _. � i-"1 � CITYHALL FRIDLE� 55<32 NuuBEa aev oarf oacE �'�� cv�airv�oxv �'""�"� �� 612-571-3450 9t0-F�5 4/1/96 � / lOB nDDRE55 6537 Central Avenue NE _ LEGAL �OT NO BLOCK TRACT OR ADDITION SEE ATTACHEO � oesca 5 1 Hiddea Woods sMeer 2 PROPERTVOWNER MAILADDRE55 ZIP PMONE Bonnie Bultman 6537 Central Avenue NE 574-2049 1 CONiqAGTOR MAIL AODRESS ZIP PMONE UCENSE NO uarve Contractin 84 n — a AFCHITECT OR DESIGNER MAIL ADDRE55 ZIP PMONE LIGENSE NO 6016 5 ENGINEEA MAIL ADDRESS Z�P PHONE LICENSE NO 6 USEOFBWL�ING Residential I ClAS50F WORI( ' NEW ._ ADDITION G ALTERATION C REPAIR ❑ MOVE ❑ REMOVE X H DESCRIBE WORN Remodel two bathrooms 9 CHqNGE OF USE FROM TO STIPULATIONS Provide smoke detectors on all levels of house, adjacent to and in all sleeping areas. TYPEOFGONST OCCUPANC'/GROUP OCCUPANGVIDAD SEVAqqiEPEAMiTSIRE REOUIREDFOR ELECiPICAL.PLUMBING.HEATING, vE.M1iIL4TING OA 41R CONDITIONING i��i5 pERMIT BECOMES NULL AND VOID iF WOHK OR CONSTRUCTION 20NING 50 FT CU R AU'HORiZED i5 NOi CCMMENGED W�THIN 60 DAVS. OR IF GONSTRUCTION OR NlORR IS SLSPENDED OR ABANOONE� FOR A PERIO� OF 170 OAV$ AT nNY TIME AFiER WORK IS COMMENCE� NO DWLG VNIT$ OFFSTREET PAPNING i HEfiEBY CEFTiFV TMAT i MAVE REPD AND E%AMiNEO THIS APPLICATION I SiA�LS GARAGES nrvDnNOWTNESP.MET08ETRUEANDCORRECi ALL�ROViSiONSOFLAWS yq��qTiON $URTAX AND OiiDINANCES GOVERNING THIS TYPE OF WORN WILL BE GOMP�IE� $11�000 �S.SO WiiH WNEiHER SPECIFIEO HEiiE1N OF NOT THE GRANTiNG OF q PERMIT �OES OT PPESUME �O GNE AUTHORiTV TO VIOLP.TE OR CANCEL TME pERMITFEE I$/•C CHARGE �NO ISI NS OF nNY O�MEA $TAiE OR LOCAL L/.'�N aEG��ATING CON� sr cr r� oa ��e vearoaMnnc cor�s*auer�oH $174.75 � Fire SC $11.00 -,/ P�FNCHEGNfEE TOI�LFEE ��. / � (� License SC $5.00 $196.25 s�pm<riut0 '_. i�� _,a<ii naiZE�<GE^i� °'E 'HEN OqOPEA�� 10/1FD T��S �5 TOUR PERMIi c� ��� ' � �,: -'� "/-2--9'` — �,.Gn..+:���.� -...[4'..- .rveae��inFa -- io�rE� • a.Cr ia=P —_ —__.'"— — iit — r�ITY iiF FFIbLE'^�' tvew ll ADUN ll AI.TI�:R [� TEL� 15I�-5�1-1�,-„ 7.�r� :1.9r-. 1��:5-; hd��.pn� P.n1: F.IIi•�tivc R/1/95 CI'1'Y Ol� I�KfDLLY SINCI,Ii I�AM��.Y ANU DIJPLLXGS R I AND R-2 :�I'��U�� I3uilQin�; Pcrmit Applicatiun ConSUvctionAddress: , ' _ ' - --= � — __ --- _ —.-- LcEal Dcscription: __ _, -- --._ — Owner Ndmc & AdJrccs: /� I._c�� / , _- -- � � � �� Tel. N �7�� � �704tj Contr;�ctur. � � i p i'f) � _ MN I.ICHNSk I1— �� �---- �JJress: ` . � _ l�el . H �I ��� - /�/ %-�- Attacb to Uiis applicauon, a C',crtificate of Survey of the �/��( lot, with the pro��osed Co�ulrucGoo drawn on it to sCale. DESCIt1P1�lON Ul� 11v1A'RGVGJriE'riT WV1NG AR.EA: Length. _ WidU� Height Sy. Ft. GARAGE ARLA: Lenglh ___ _ Width Height __ _ Sq. Ft. DCCK AREA: l.ength _ . Width __� HgdGround _, Sq. Fl. OTHER: �';, ;; �; i r' . °�. J � , i� �� I. Comer Lot [] (nsidc I.ot [ J Ft. Yd Scthack Side Yard Sethacks _ Type of Construction: ��,��r ��; i , � ! _ FstimatcA Cost: 3 ��'' ', [ '�_' �f' ` `� !,(iprux. Completion Date: ____ (Cost on 8ack) 1)riveway Cufi Cut Width Neui�l: _ft. + 6 Ft =____Ft x$" =$ UATLi: APPLICANT: __ Tcl. N _ !'crmit Fee Firc Surchargc State $urchuge SAC Charge Liccnse Surcharge Drivcway Escrow f;rosion Control Park Fee Scwcr Main Charbe TU CA I. STfPUi.ATION, � �ITY USt;_ONT� S,"1'y. ; Fec Schcdulc on Reverse Si4e $��,` -' , r %-� .001 of Permit Valuadon (1/i0th%) $` '� ,-- ��._ $.SU/S1,OOQ Valuauuu $ $850 �cr SAC Uoil $ �) ' $5.00 (State Licensecl Rcsidendal Contraclors) $ Ait. "A' or Alt. "B" Abovc �, g $450.00 Con�:ivauon Plan fteview = $ Fee Determined by Eoginr.ering $ Agreement Necessary (] Not Ncces.cary ( J _�_ � $ i ,-, . . � %i, . � �� r . �tN.c�aw �'�r�CL� ��4�'iS TQv " J/Ii��l� ,Q�,� L�1/t�5 �O��U"�" %� ��� /�G� .5���� � i�>l�' � i�,', �� Y � � J � � l� Ci • • V � FRIDi_�.Y II-;!i�!I�.l Ail�'.I(I"\i.(�I:�-��l:IZ•b-l:ll�,A�IA�I_i;.�lil '�AP �I 'F:iI;LI-�i�.Ai��.. _.;t•�,,..�-1 �A>n.F�A>_!nl'�;'I �'��_ 'u'r.e 1 +, 1996 M�•. S:�nn-:� Bul':man 65�7 CFn�:r.a� 1.�re NE Pridley, i??v ;E432 tF: BGCRI'GOR1 Remodel �t 5537 Central Avenue �E l�ear I�1s. Aultman: Per -,�oul r�kue�t, an in�pecr_,on was con.ucred at the abcve address nn Jar.ua:ry 6, 1996 to i-nspect tne bathrcoms that were remodcled. Our i;ispect.ioii noLed the foilowing vic].aticns n{ the °tate Building ,.�- . ii Bathreom= were completed withost the proper buiiriing, plumbirg ;r ele.ctrical permits. ?1 T;:,e consYructien was not inspected. grior to compLetion. �) T�.e consi:ruction was co;npleted by :�7r. I<en Lid3e!1 of Maddell Tndus*_r.ies who is not. a licensed builr.er. 4; The a�:po;;ed water supply iinES were of a nla�*ic �y�.,e which is �iot an approved materzal per the State &sildina Code. At the Lime .�f the inspection, you were tol3 that all permits must be obtain�d and approved by the City. Licen.sed cont=ractors shall obtain all permits and repair or replace all. work ttiat does not meet the mi:�imum requi�ements cf the State Buildiag ;'ode. If you have any further questions, I can be contacted at 572-3602 or in writing at 6431 University Avc NE. Sir.cerely, ��� j� , ''� ' � � �7�_ , i:ODI JJL� � SKI Chi�f ��SiJ.r.ing Official. RJ/mh sue,ea PERMIT NO. ��c�ty of Fridley 2 8 4 2� ���u��.�� TME TWIN$ gU I L D I N G P E R M I T � RECEIPT NO. • COMMUNITV DEVEIOPMENT OIV r � y CROiECTIVE INSPECTION $EC �✓� �/ 1 ' � � �"'1 � C�TY M�LL FRIDIE• 55�J1 wU48FA AEV O�tE v�pf O� •oopOvfO B♦ �""'�"� �� 612-571-3450 9t0-Ft5 � / 10/27/98 JOB ADDRESS 6537 Central Avenue NE t LEGAI LOTNO. BLOC1c TR�CTORADDITION $EE�TTACHED oesca 5 1 Hidden Woods SHEET 3 PAOPERTVOWNEF MAILADDRE55 IIG VHONE Tro Schmitz 574-2049 J CONTfin�TOR MAIL ADDRE55 ZIP vHONE LICENSE NO Seal Guard S stems 91 C � ARCMITECTOROESIGNEA MAILAD�RE55 ZIP PMONE LILENSENO 5 ENGiNEER MAIL �DDNE55 ZIP PMpNE IICENSE NO 6 USE OF BUILDING Residential 7 ClASS OF WORN ❑ NEW ❑ ADDITION ❑ ALTERATION �c REPAIR ❑ MOVE O REMOVE B DESCR18E wORK Reroof (21 Sq) Tear—off; Reside, downspouts and trim 9 GHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. TVPEOFCONST OGCUPnNC�GAOU� OCCUOANCVLOAD SE�qq4TE PERMIi$ ARE REOUIRED FOR EIECTRiCAL, PLUMBING. HEATING. VENT�LATING OR AIR CONDITIONING THiS PEAMiT BECOME$ NULI 4N0 VOID IF WpRR OA CONSTRUCTION ZONING 50 FT CU FT AUrMOR¢ED IS NOi GOMMENCED W�THIN 60 OAYS. OA IF CONSTRUCTIpN OR WORN I$ SUSPENDEO OR ABANOONED FOR 4 PERIOD OF 120 OAY$ AT ANY TIME AFTEA WORN IS COMMENCEO NO DWLG UNITS OFFSTREET G�qNING � MEREBY CERTIFY TMAT I MAVE READ AND E%AMINE� TMI$ ,4PPUC�iION SiA��$ GARAGES ANO RNOW TME 54ME TO BE TAUE ANO COARECi FLL PAOV�SiON50F ��WS yp�VOTION $URT�% nN0 OADIN�NCES GOVERNING TMIS iYPE OF WOAM WILL BE COMP�IED W�i�r WMETNER SPEGF�ED MEAEiN OA NOT iME GAANTING OF A VEFMR $6058 $3.03 DOES NOT PRESUME TO G�VE <UTMOAIiY TO VIOLRIE OR GANCEL THE pERMIiFEE $4CCHARGE PAOVISIONS O< <NY pTHER $TaTE OA LOCAL L<W REGUL�iING CON� 5*RUCTiON OR iHE PERFORMAN�E OF CONSTFUCTiON $124.75 F1L0 SC $6.06 PLANCHECNFEE i0i«FEE Lice se SC ^a5.0 $138.84 S�GV��b4tO� COh'ea(tpnOe���..Oa�tE��GEh� ���rE� yyMEN PROOEAI OLID<iED T��S �S VOUp�EAMii S�Ga�•uef O� Ov"nFe.�� OwrFaBU��Jfe.. - �D�rE� B� G.n5> ' �`� a�l I Kim Halvorson of Hidden Woods Lot 6 am ok with and agree to Jean BulUnan of Hidden Woods Lot 5. To put a fence on the property line and eatending over the the property line going straight out toward Old Central Ave. � ����c���r c ^^^^^M.vw�..�,..1.�. �,.,,..,�,� �nnn. �� �� � -���ate �ci �1 � � B�UCE E. GOLDSTEIN �� VJ'qRYPUBLI,^..NINryE$pTA • � .��- c M1!Y CO.b!!dl$SiOh :>IRcS h314005 � Kim Halvorson �'^�„^�,,,,.•.,.,....,-_.,_. �...ti:•.•i.n.•. u, �,� vc4..-�J Date � / 7 � � Je�t ultman WI �—^� +f... J N `-n' �� � . � . ^ � 2 ' W� K � � Q �o'f T L hl � � J� � �Q � I 2U / !. = I ��.� Z� �soC 6 " � � to�55 = , lAS7 5 )9b0'pp E � � 476q �►S° 4 � � � N � � � (�5?�1 - � �z� o0 � CR�EK �`. � :� o� N � -- 2��, �� -- GACT �s o0 � � Q f C �•�^ � � L'[ICCRYC L1l�J2S . ADDN , I ,l - CTTY-OF FRIDLEY - ALTER [] SINGLE FAMII,Y AND DUPLEXF'.S R-1 AND R-2 1 BUILDING PERMIT APPLICATION ' \ � �� �� �a . conscnictionAaaress:�','�� ' � ;�_��;�,:�<�\ ����,`� A\)� �� � Legal Description: Owner Name & Address: �le ��� �`s����i�\��. �C_ �c` ;'� �� � r_YV��G�I ��F � 1���� 't�� a�\�-�.{ Tel. # �7 �- 2 O'��� �on���or: �, ea 1 C-� ��c� rc� S v�-fe.m s ���ENSE # aooq 3c� 8� Address:_q�q9 Ce1'1�YQ � N� �j�L�lYI£, 5�3� Tel.# ���- ��� Attach to this application, a CeRificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVI�TG AREA: GARAGE AREA: DECK AREA: OTHER: Length Ixngth Length DESCRIPTION OF L�fPROVEMENT W idth W idth W idth Height Sq. Ft. _ Height Sq. FL _ Hgt/Ground _ Sq. Ft. _ �,. 1�t.� � a �.��1� \�< < ���. �� ��� / � ��� Constcuction Type: i� ,�lcti c ` �1,cw ,�_� � ����,Estimated Cost: $ �p �� `�U yz � l - 1( � (�c� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x S =$ �n�: ji: -�L l��;`�, aPpLica���r: Tei. �`�t�1- O'l OC� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Puk Fee Sewer Main Charge TOTAL STIPUI.ATiONS: CITI' USE ONLY $��`� '�/� Fee Schedule on Reverse Side $ � �� '- .001 of Permit Valuation (1/lOth%) $ � -> $.SQ/$1,000 Valuation $ $1000 per SAC Unit $ �' C-�- $5.00 (State Licensed Residential Con�actors) � Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � �a,�-�� $1� > �� , / % l��/� � �,� —z �-�s 1 1 1 1 �I 01 1 The Chief Building Official shall, before issuing permiu for the erection of any building or mvcrure, or for any addition to any ezisting building or structure, or for any alteration or repair to any ezisting 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 5501 ro 52,000 52.001 [o 52�,000 $25,001 to 550,000 550,001 to 5100,000 $100,001 to $�00,000 5�00,001 to 31,000,000 51,000,001 and up FEES $21 (Minimum Fee is $21 plus surchazge) 521 for first $500 pius 32.75 for each additional 5100 or fraction thereof, to and including $2,000 362.25 for fust $Z,000 plus �12.50 for each additional �i,000 or fraction thereof, to and including 525,000 $349.75 for first $25,000 plus $y.W tur each addiaonal $1,000 or fraction thereof, to and including �50,000 5574.75 for first $50,000 plus 562� for each additional 31,000 or fraction thereof, to and indudin� 5100,000 $887.25 for first $100,000 plus $5.00 for each additional 51,000 or fraction thereof, to and including $500,000 52887.25 for the first 3500.000 plus 5=t.2� for each addicional �1,000 or fraction chereof, to and including 51,000,000 $5012.25 for the first $1,000,000 plus 52.75 for each additional 51,000 or fraction thereof DRIVEWAY DEPRESSION ESCRO`V (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet tunes $13.50. Alterna[e "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet [imes 515.75. 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 Cercificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing.