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SUBJECT PERMI O.
City of Fridley ° 15191
AT THE TOP OF THE TWINS B U I L D I N G P E R M I T
r
; � R CEIPT NO.
� `y _____ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
1 � �
� /��'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPHOVED BY
�"'""� � ��� 612-571-3450 910-F15 5/15/79 / /
10B ADDRESS 7345 Central Avenue N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 17 Al1C�. 511b. #�.29 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Arlene 5aba 7345 Central Avenue N.E.
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
R K. Construction 4482 Churchill 5treet 483-1150
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
X
8 DESCRIBE WORK
Rer�f s.tructure
9 CHANGE OF USE FROM TO
STIPULATIONS
lmof can be second but no t tl�:i.rd roof. Insta.11 ridged galvanized
valleys.
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OH AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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
ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 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�400 �`�..ZO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIO S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
,STRUCTI OR THE PERFORMA E OF CONSTRUCTION. $�.5. OO
v PLAN CHECK FEE TOTAL FEE
! � /s � ��?9 $i6. ao
SiG TUREOFCONTRACTORORAUTHORIZEOAGENT IDATEi WHEN PROPERLY LIDATED THIS IS YOUR PERMIT
C �_ ��i �1 Q � � C�V �
SiGNATUREOFOWNERIIFOWNERBUILDERi IDATEI BLDG iNSP �PT
� . CITY �or- r-i��»�cY , �
� /�I'('LI C�7'T Ut1 f'Oft RI:S I l)(=tJT I �L LU J LD I �1G f'�ftl�i I TS ,
• (�'�L"W, �L1'L"fZ�T1U(JS, �llllITIOWS, 0(2 RE('AiIZS� �
. . . . •
r
OWt��R: K Len/� �3uILU1'slt: �__� O�r✓ �%�� rit G%L/d �.
�� � „I'� ��y� � �,�� ��� �� � s�� .
r�aar���: y�.��.-�r�ac �.� f�U�YCJJ:
. Tel. No.: y�� `��.�0 .
11a. : �� Street: �.�c� � �'(� � � � .
r,o� : _ � � Hr,ocr.: nDnxTZOra : . �tA.Q � � �� �.
COk21QER L�JT: II�SID� IAT: S;:TI311CY.: SIDL'Y7112DS: �
�PPlica'r,t attach 't-a this iorm 7�ao Certificatcs of Survey of Lot an.d proposcd
bui.lding locaL-ion dravm on these Certificates. •
�
llESCRT PTI Of'd OF BUI LDI nG
�
xo !3e Used l�s:
• � Front s Depth : � ' ' Heigh-L- :
�. Sguare Feets Cubic Feet:
�I`ront: Depth: � Height:
Squaie �eet:� Cubic Feet: �
eJ
�.'ype oi Construction: �� p���Qe�zewR��B°�'���ated Cost: $ � `% �� �
xlo 13e Completed: �jr G7e� � �� ��% . �Alt. A Alt. B
Pxciposed Drive�aay WidL-h If I�ew Opening Ts Desired $ $
• (5�� R�VERSE SIDE OF SHEET)
The undersigned hereby makes applicatian far a permit for �he wor}: Ilerein
specified, agreeing to do all c�ork in strict accordance �oith the City of .
Fx�.dley Ordinances and rulings of tlie Departme�it oi �uildings, a�id licreby
deelares tha� a].1 �he facts and re��rescntations stated in i:his a��plicaL-ion
are t-rue ancl eorrect. �See revcrse side r acldiL-ional inio�mation,
._
D.�1TE: �� /►'1 f� / 7 �' SIGNnTUP.F: .
Stipulations: ,
�,(�o
. , l� . , .
�. , l.a.� .
� ��� � s . _
�� � . �
BUILDI(JG PERt�IIT FEr SCHEDULE
SECTION 2. The Inspector o� Buildings shall, before issuing pcYrniL-s for the erecl:ion
of any bui].ding or si-xucture, or for any addition to any existing building or structure,
or for any al�eration or repairs to any existing building or structure, upon application
thezefore, req,uire 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 ramily iiomes and Garages: $4.00/1,000 cubic feet.
PLAN CHECK: 25 percent of building pexmit fee. .
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
• Alternate A: Removal and replacement of concrete curb and
gutter only; Ariveway width plus 6 feet x$�,5075
Alternate B: Removal and replacement of concrete curb and
� gutter and install a 3 foot wide approach with
6 anch depth; Driveway width plus 6 feet x$17.85
:11 � :. l �' ' �1�
For the purpose of computing fees for building permits, the cubica� contents of any
builcling or addition, is determined by multiplying the gruund area covered from a
pbint six (6) inches below the floor line of the basement or th� 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 9n the cost
of �all proposed work.
Yn�no case shall the fee charged for any permit as set iorth in Section 2 be less
than $7.50 plus $.50 state surcharge. �
' : .� � � ►�: �1�
NOTE: 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 SuYVey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
.
_ti : _ � :�1
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
sai.d.structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
�_
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