AF - 44103sue�ecT PERM
City of Fridley . 12710
AT THE TOP OF THE TWINS g U I L D I N G P E R IVI I T
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�� /'�'1 � CITY HALL FRIDLEY SS432 NUMBER HEV. DATE PAGE OF APPROVED BV
""� � ,�� 612-580-3450
910-F15 9-10-74 / /
JOB ADDRESS
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. e . NO �-O . SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Curtis Barsness 6581 Central Avenue N.E.
3 CONTRACTOR MAILADORESS ZIP PHONE LICENSENO.
SA1�IE
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEEFi MAIL ADDRESS 21P PHONE LICENSE NO.
6 USE OF BUILDING
Garage 24 x 26 garage
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
9 CHANGE QF USE FROM TO
STI PU LATI O N S
1. Provide a hard surface drive
2. Not to be used for home occupation
3. Not to be used for human habitation
Council approved Special Use Permit July 1, 1974
SEPERATE PERMfTS REQUiRED FOR �/fRlN�,
HEATtt�G, PLUMBtNG AND S{G�1S,
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF GONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. �700(�, fi e
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 624 6, 240
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 TFUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y�3 � 3O% . ZO �.. 65
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � ��.2. OO
„ PLAN CHECK FEE TOTAL FEE
� 13. 65 ''
SiGtv TRA AUTHOR2EDAGENT IDa7E� yyH PROPERLY VALI ED IS IS YOUR PERMIT
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SIGNATURE OF O NE IIF OWNER BUILDERI IDA EI BLDG INSP fiATE
AP.PLICATION FOR RESIDENTIAL, ALTERATION,
OR ADllITION BUILDING PERMIT
CITY OF FRIDLEY, NIINNESOTA
OWNER' S NAME : ), V!�► S13UILDER:
ADDRESS : �s S �� «���'�'� '�'° AD�RESS :
NO• STREET•
LOT :� /����V s �C� • ADDITION : /(�'- �'� y��`%� � /(1
-. CORNEH LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicaiit attach to �his form Tcao Cer�ificates of Suxvey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
�e Frant • � � Depth • C� Height • � o
Square Feet : �a � Cubic Feet • � D� `� �
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: ���� 't�1�1' �tt'e Estima.ted Cost: $ � 3 ti� � % � °� �
To Be Completed: �e � !�
The undersigned hexeby ma.kes applicatinn for a pex-:ni"t f�r the �ork hexein
specified, agreeing to do a11 work in stx`ict accordance with the City of
Fridley Oxdinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE: SIGNATURE•
, (See Reverse Side For Additional Information.) ,
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BUILDING PERMIT FEE SCHEDULE
SECTION 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 fox any alteration or repairs to any existing
building ox structure, upon application thexefore, 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:
UNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for
each one �housand cubic feet. �
ADDITIONAL INFORMATION
s
`-` -� �'or e purpose o" compu�ing fees �or Tui�.ding permi�ts, t�ae cubical con -ents
of any building or addition, is determined by multiplying the gxound area
covexed from a point six (6) inches Uelow the floor line of the basement
or the cellar to the average heights of the upper surface or to the average.�
heigh.t o�' the roof surface of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee sha11 be at Che
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
In no case sha11 the fee charged for any permit as set forth in Section 2 be
less than $5.00.
VERIFICATION OF FOUNDATION
NOTE: Permits for construction wi:ll 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 Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be xequired before proceeding with the framing.
CERTIFICATE OF OCCUPANCY '
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 not be used or occupied until a Certificate
• of� Occupancy has been issued.
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REGIBTER£O UhpER LAWS OF 6TATE OP' MiNlVE90TA
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REGISTEAED UNDER LAYVS OF STATE OF MINHESOTA
LICCNSlD 8Y ORDItVATiGE OF CITY OR ,MIHHEAPOLI8
3616 EAST 55TH STREE7
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PA. 4-4681
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