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AF - 44145i'�; City of Fridley, Minn. BUIIIDING PERMIT � N° 3479 �te:.IC�..-.�'�:�.:�. �....... '�`�e Owner �!%�/ . . . ..s��...... Builder ........ ......................... ............ AdBre� . �,�.� � . . . . . . . . � �� Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LO�CATION OF BUILDING No. .�:? ��.. Sfreet . " � ��.... Part of Lot ... Lot ............ Btock .................. Addition or Sub-Division ....................................... Corner Lot ............ Iuside Lot ............ Setback ............ Sfdeyard ........................... DESCRIPTION OF BUILDING T U�. • , Q � . ...... �� .:. � � � ��: � H��t .��: ��v �. �r�.�� . �. �� .................... Front ........ Depth .....�,. ei i........ Sq. F't. ........ G�. Ft. ........ 1�►pe of Construction ................... �st Cost..� y. .,�....... To be Completed ..............:.... �� =� ��'� � G�.,� � � /� �� In consideration of tihe is�ance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the descrlption above set forth�and in compliance with all provisions of ardinances of the dty of Fridley. n r .�'��..��..-.� ............ �.,. In consideration of the payment of a fee o�.��......, permit is hereby granted to ................... . . . .. . . .. .. .. . . .. . . . .... . to construct the bwllding or addition as described above. This permit is granted upon the expre�s condition that the person to whom ft is �anted and 1�is agents, empioye� and worl�en, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinance� of Fridley, Minneaota regarding location, construction, alteration, maintenance, repa3r and moving of bufldings with- ffi the city limits and this permit ma.y be revoked at aay time upon violation of any of the provisfons of said ordinances. . �% . . .-. �. Building 7nspectar NOTICE: This pe�mit does not cove� tha construation� Instatlatlon o� alteration fo� wiring, ptumbinp, gas heating, sewer or watar. Be su�e to see the Bullding� Inspemtor fo� separate pe�mN� fo� theso itema .-�- . .�- � ' �� a v � �.�r.ra�% Y � % ;� x -'" .:.� — � � c:.: �' � �� - _ '�� {Y �^ � `i �� e��x .�O,.Ij �'�':: `I �� ..'� Y�r �� I '::� S.� \ _\ _ _ 1 �� - - � �. - �C� ;' !� ,, -- I � ��: ' � I, r � . ! :'.I �' S.�- � `' � . � �f � _ ' ��I : , ; : . .; _. , -. . .. . � . ,.. _ - .. , � . , � - .. _. '_ ti . '.. ,a _ . .- ;, i . y ..,- • '._ . �r ' , �,� ' ....: ": �. ., :..;. .��. . - �.... '� 1' ' �'� �� -� �x _ :;x .' 1 _ � _ 1 �. � `�.. `•; � r'�,q�.:..'�.1 .t � . - ;�- �'�: t �L : ; _ � �, : � . �� ;l �`' , . ,. � . ; . . . ., , , , ,. : ; _ -_ :- , . ,< _.� , . . - i " � �� *� t, - , < . ; . + , , Q oQ � y '�, i , ! �. '�,�, '" / C � i r: _ � ,�_ • � �. �,,� a;� ,,�,,�, _ ; �� ►�.j , . � � rC3 _ - yT '�, �, � �� A - � . - , � �i , ' . � �' -�i ,/ ,:1� { ' -� r ,',_ � �. ' ,i r �� - 1 � � ��It . * j., � ' j � �j � .�! � f�7 `C � ±1► } � ik � r .� - � �'} � " � - � °� `r � . . •. ;; b ' `' _ ` ��.�� ' _ O�i._�. . . - , . .. , � _ - ; . , . - ,. : . : , . ' . . ; ! ; , , ; . ,, ,� : . . . ,, _ .� � , _ _ <�. � , � . � �. i - ' - 1 ',y " d�' � i � �� _ ' _ i. � _ � I .� . . ' 1 � � " _ � � ' �� _ r _ ' � ' , . ,,.� . . . . ' - .' .,'--� . .:.� :�. , �, .. '....r " � ' .-. , _ _ . ,.� . � �- . .. . , _. i � � � �. ! �,.. . �'' � �• .� - - _ � ` � ' i � '' ��. �� y 1 �"� /�/w� _ �' '�Ri-. fWr�' i!r �s� :'� ir w+�iiV' , .. Vi � •� ' ' - .:i; -- � = �i i' I �,Ji: - _ � _ 't - � ' ". ,� �� jr P: ', , ,� - � . . , ; , . , .. , _ . .,� . � _ f . . �. � ; " ,�, — — _ :.� �� a'i — � � �W = _ — — . O ' � � ✓-� r — ' : �. _ ; � — �'� ' � - , _, , . . > , . e- _ , . ,. . ,. .. -. . , , - _ , <� . , � ... - , - - � ��'p , - - R .4. 1� " _ � _ - - � • - �1 i.: - - - "�'► � _- �Z► a M � - - " � '-.�_--'� � � - - ��..._ � �� '��I�WF`� �<..r��..;.:f �xv. .�t�.. �� ,'�fl�, ��` . _� -:_ '�i ;�- �� _ ' � , , � _ ,. -.. �c.-_ - 4 ._, .,�.., � �, -� � '- . . ... . �. . r^;r^-�. '^'."'�`"�'�_`°" i. . .. ; ' . '.:. ` _ ' .... �9,, � .. z�7 : O t � � y ': . . ��.� ' _ - - � - �n �. � ��_ r� - '\ r .�jr 1�� , M�• - �.e �+ � Y <.� '� - - ��'�i '�' " - £- - i - ' - �- - "�- ' " :'� - - ` f � I.' �'; � . . ' _ cl c � - � �'..= - . - ! - �.i.: - : .' -� �. �- ' . Y ? . . t ,. `1*a«r.lt .-. .�� ; ,.. .. ..: �= F� � . : -: ' -_ .� _ _ " '� - ` t - ti City of Fridley, ,Minn.. BUILDING PERMIT Date: ��,`�_s�� !� � I' Ovvner: � -� "" Address Builder Address N° 5050, O TION,,�,OF BUILDING � No. � Street ..:_L.:�. ,,.,p._ _ ; .�!�'.._.��. Part of Lot - — Lot __ Block Addition or Sub-Division� —_ � Corner Lot Inside Lot � Setback ___�— Sideyard �_ Sewer IIevation r..—.. � Foundation IIevation DESCRIPTION OF BUILDING T�fie . ,r-� ...e� Frant .��lT� DePth ,�� Height � Sc1• Fk �,��.� Cu. Ft �,�'_,@�� -.k'ron � Depih Height � Sq. Ft. Cu. Ft Type oE Construction .¢r.� Est Cos��l��._��To be Completed _ Ir► consideration of the fssuance to me oi a permit to construct the buflding described above, I agree to do the proposed work in accordauce wlth the description above set forth and in compliaace with all provisfona of ordinances of the dty oE F`rldley. f} In consideration of the pa.yment of a fee of $..�.��.., permit is hereby granted to to construct the building or addition as descrlbed above. This permit is granted u�n the exAress condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, arouttd and upon said buflding, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construcl3on, alteration, maintenance� repair and moving oP buildings ��th�e� dty limits and this permit may � revoked at any time upon violata� of any of the provis�tona of said Buiiding Inspector NOflCE: ` � '19►is permif doa aot eover t6s westrueNoe, imtallaflon foe wiring, plumbing, eas hsaHeg, sswar or wats�. Be suro to ses �i �h� euildieg laspestor Po� aeparate permifs fo� thais Ifee�. '� 4 �� .- _ � r - 3 �_w � .� AI'PLICATION FOR BUII�ING PERMIT CITY OF FRIDIEY, �OTA ^ P awnex''s Na�1 , z��' --��r � �� Bv3Zder � _ -� � �� p� � �C�Y'@B8 ��' �A / � .�-�- �f6�J� �f�lr'-P �C�'A88 'f � LOCATION OF BUILDING No. Street %� � I �� i��'-r.�. Y! ��'art of Iat,� �� Lot Block Aoldition or Su�lieision Corner Lot Inside Lot � Setback �,� Side-Yard � r SEt�JER ELEVflTION ' FO�NDATION ELEVATION �pplicant atta�h to th3.s form Cert3ficate of Survey of I,ot and proposed buildin� loca.t3on. To be used as: DESCRIPTIOId OF BUILDING � Sq. Ft. Cu. Ft. F`ront Depth Height Sq. Ft. Cu. Ft. � � Type of Construction �� a Estimated Coat �� 6_ ---- To be Completed � �° /� �— � f ^ The vndersigned hereby makes applica.tion for a permit for the work herein spec3fied, agreeing to do all work in strict accordance with the City drdinances and ruling of the Department of Buildings, end hereby declarea that all the facts and representations stated in this applica.tion are true and correct. � DA� / � ^ �- P " C� � S IGNATURE � � /� �. ��eA • (A Schedule of Fe� Gosts can 'tre found on the Reverse Side.) �� . . .. HIIILDING PE�[T FEE SCHEDIIIE S_ection 2, The Inspector of Buildings shal.l, before issuiang a.ny p�rmit for the erection of e�ny building or atructure, or for any acldit3on to any ex3st3a� build- ing or structvre, or for any alterations or repe,irs to a� exist�.ng buildi.ag or structure, upon applic�.tion therefor, reqwwarre the ps�ment by the app2icant for such permit of feea to the amount herein below aet forfrh and in the �nner heref.a provided to-wit: 2.1. �or any au�ch permit for the erect3on of ex� fire-proof bui].diug� other thap � garage� warehouse, fac�tory or gra�.n �7.eee.tor, or for the e�ection oP aey firer proof add3tion, for eimilar occupancy, to �r e�i.s'tin� b�.].d3n� ��aell be at the sate of $1.1�A for eaoh one thou�an.d cubic Eeet, or fractioa thereof� ia such oubical conteata. 2.2. For ariy such pe�rm3t For the erection of a�t fireproo� �arege, �rexehou�s� factory or gre,in elevator, or for the erea�ion o� ar�► fireprooP addition, fos s3mil.ar occupe,ncar, to any existing building she,ll bs et the rsts ot �1 • Z5 f� each oae thousend cubic feet, cleasified as ��fire�oof" by 3eat3oA 502 of the M3nneapolia Bu�.lding Ccde. .r� � 2.3. For e.ny such perm3t Por the than a gerage, warehouae, factory addition, for �imilar occupanc�, each one tlaoue�.nd cubic feet. GAR.AGES erection oY ar�y non-FireprooP �.i3�.di,n� �the� or gra�tn elevator, or aay non•fireproo� to any existing buildi�g. Pez�t �1•QO Sor 2.4. For any auch permit for the erection of any nortifirepro�Y �erage, wex�ehouse, factor� or grain elevator, or for the erect3oa of e� ne�£i.reproof addition, for similar occupanc�, to e,ny e�d.st3ng buildin� or Por each such bvildin� or sdditia� Ninetyr Ceats for ea.ch one thousand Qubic P�et or f�act3.on thereof, in the cnbieal. confi.snts thereof w3th a min3.mum of �4.00. For the purpoSe of comput3.ng ieea for build3ng permits the cubical �n'tsnta of sAy bu31d3ng or add3.tion to a utt3fbrm height throu�hout by mult3p7.yit�g th� �round as'ae covered f`rom a point efx (6) iaches below the floor line of the basemeat or aeller to the average height of the upper surface or to the average height oP the roef surface of tb.e main gable of a pitched roof. 2.5. For repairs or alterat3ons to an. ex3sting atructure, the fee ahell be e� 'th4 rate of �3•� �or each •Fi:ve I�indx'ed Dollars (�500.00), or fraction thereof iu the cost of a11 proposed work. 2.6. In no ce.se shall the fee charged for any permit a� aet �orth in Seation 2 be lesa tha.n $4•00 • �� _._ .��,. � �� % � l� • � � � � � l.f� � � P � � m � V . � w z m � � o � Ca ti �� a -v .o d � � o+ o � U ,� � C �� m a � pq w O o ao � � oa � �a W� a� � z � � 0 � ��w � � � �, .. � oo� �� °�� ,�� q�� a a � �a � � �a u � �� a �oo� � B � � .� d �� .� a � � � .� •� � � � � �bo � � � i� �� aF"i O � � � � � � i � � � � � � � �� a U � � o b 6 o � " � z � � � � b � N r� o � w � I ❑C � W � � � � � � 3 � � � • z .o S�JNIN3d0 ! �� 3`JNYN � �� sv� 'IddV sv� tl3HSVM o� SNISYB (� H�lYJ SNIVMO aoo� .sanws •LVno� •xroaa � � sAVai HSYM S7NIS � � � ��sre � � � ' �� sivNian � s�sov m �`' 1�31VM � � �T��is � � a '� w � (� r1 N M � • '� W J � W U � W � J H � a /� A� i � �J � � � f �c � j. � � '. °a � � , N � o° � � • vs v� esr � va �� t� eFS e�s �o ° � � S � S� S � ° �� iC �C >C ia iC >i p ea iC oa °z °z 1'� : : : . � : : : � . . o . . : ' � � � � : : . � : � � : : � vA . .� „ _ b : o N = � g ° o � � $ a � � � O' � � ; � Q� � : x . w o � � � � � � � � � '� a�i � � ro '� d 64 ... pq 5"+ R°+ g�� o � � � a � � � x "' � � x z � z � � z � " � � � °° p � � � � e" � :� :� : H bp � U : o : m : � � � � � 0 4 a � � c A � � / t / � r-1 � O� � � I N � � � � �� U �W z a � � � oa � � a � d � � 0 � ci � C � . � � �w O `a ao o� o '� �� V � Q N � � � 0 � � �� I � � 0 3�a � U i° � M � G: �± �+� � GI � � � � � � � �� o�� s� a �� a �� "�� 00 � � � � .� � �� .�� b�� o� ��so� � a �� a � �W � ; < c� • z • a �� ++va r� 'isev sv� �liSVM �� mia yoo� sa�ws .� '71NIM0 uvai NSVM ��S � �l �� .�Yo 6 � 0 1"� rn � � � m �. � � a p°; .8 ,� � � � � � � � a U � o�v � b a '° 'd � � � � � E c� O �~ ��H� - �■�■ • • �� . ,�. ' �� . ,�� - iY W J � W U � W � �..1 N � a z a � � � ; � � � � � O � O �a 0 0 � � � F F h � as va aia us as �� y � 8 $$� 8� S� 8� 8 � � � � � � � � � � �e k x �a �a ac �a oa oa o M O x Z r-�1 • � ' . : � : ' : � : � $ b ; : � ' d1 : � � : � � : � � : � ��g .�o� : � � : �w��o �a� : � � : � � b g � � �u � � � � ��y �Qg °' 1�� o ry M � W M � � I�J � � �.�� a � � e � � �� M � Q � z � z � B zq � � � � � � � � � � � � � � : � : � . � . sue�ecr pE City of Fridley 17 2 5 8 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r i � O. � ; L ______ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. /� �/� i ` � � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �._"� ' �•� 612-571-3450 910-F15 9/22/83 � � / JOB ADDRESS 7551 Central Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ].'] 3 Don's 5th Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Wasche Enterpris.es 7551 Central Avenue N.E. 786-5616 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO. Milton L. Johnson 2513 Central Avenue N.E. 781-9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADORESS ZIP PHONE LICENSENO. 6 USE OF BUILDING S1.C� 't.7.dl 7 CLASS OF WORK ❑ NEW 0 ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK a f i 9 CHANGE QF 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 CONSTHUCTION 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 COMMENCED. 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/�OO �� S1..00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STA E OR LOCAL LAW REGULATING CON- S UCT OR THE PERFOR AN OF NSTRUCTION. S• tiS`32. SO PLAN CHECK FEE TOTAL FEE �y�. Z�j � $33.50 5iG TUREOFCONiFACTOROR THORIZEDAGEN7 tonTEi WHEN PROPER VAUDATED THIS IS YOUR PERMIT ` ��:%L.w d.0 _ � Q.� �� SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLOG INSP % TE CITY Of fitIOLCY . Effective Auq. 1, 1981 tiPPLIClI7ia� FOft RCSIDL'i�Tll',� [3UlLQ1t:G PL('uSITS (I�c��. Alterations. Additions, or Repairs) n 0 k�NER: � � _ ��; � � � -� �� `� �� - � t�. - � � � c_ � � �� ,� � ADDRESS: �� '� / � ,�� .� a ,� � � ��.% TEL K0: ��',� ° � � / � . �.�.�+ / ? BUILDER: �� %`� .� . �/ �'f��s � .� C�, d � ADDitCSS: �� C �� -� � ��• TEL 1�0: _%�'�— ��"C � Constructi�n Location STTiI�T NO: �� / STl'tEF.T: �,� � � �.� /� � �''� �'� � � d1 �' L07': HLOIX : 11DAITIO:i : Corncr Lot: Inside Lot: � SetbacY.: Sideyazds: Ap�licant attach to tl�is fo�cm t;.�o Certificates of SUrvey of lot anc7 pzoposed building location drawn on certifirates to scale. DESCRIPTIO�� OF CO��STi;�JCTTOt� Front: Depth: Heiqht: Squarc Fee �: Glibic Feet: _ Front: Depth: Heigl�t: Square Feet: Clibic Teet: �� f(� � 'a7�pe of Cor,stzuction : �',�� l'� aaT-F o �i° � I�SC? � ;i EsCimated Cost: _S � � � � Rb Be Oc�r.�pleted: ��'� �' � Alt. A Alt. B Proposcd Drive+•�ay tiidth If New Opening Is Desited: $ $ . S�� PEVFR;L' SIDz OF S}IE�T 9iie unclersianed hereby m3);c:� appliclticn for a pernit fcz the �:�ork herein sp�cified, agreein3 to �.all �:or3: iz, strict accozdance �ith the CiLy of I'ridley Ozdi»ances ��id zulin�� of tlie Dei�artme��t. of Dui:c]ings, and hereb} declares that all tl�e f�cts and rcpresc� �itiens statcd : n this applic.:tion are true an co ect. DT.T�: � �� ,� � � �' SIC�IATUIr : '� -� J! ,,.�, � � Stii�ulations : i t-� ��. �� `�6 � 3 �� , e F�iT�T?iz-3�� - - - - The Cbief Building Ofticial aball� before iasuiag permits for the erection of any building or atructure� or !or aay addiLion to any existing buildiag or atructure or for any alteration or repairs to aay esisting building or atructure� upon application therefore, require the payment by the applicaat for auch pe�it of tee� to the amount 6erein below aet fortb and la tbe manaer herein provided to-xit: Sotal Valuation �1.00 to =500.00 =501 to =2�000.00 =2,001 to =25�000 �25�001 to =50�000 �50,001 to =100�000 =100,001 and up Fee� =10.00 (Minimum �15.00) =10.00 for the first =500 plus =1.50 tor each addiLional a100 or fraction Lhereof� to and including �2�000 =32•50 for tbe first a2,000 plus �6.00 for each additional �1�000 or fraction thereof, to aad including �25�000 a170.50 for tbe tirst ;25,000 plus =4.50 for each additional �1,000 or fraction Lhereof� to and including =50�000 i283.00 for the first a50,000 plus =3.00 for each additional �1�000 or fraction thereof� to and including =100�000 =433.00 for the first �100,000 plus �2.50 for each additional �1�000 or fractian thereof Plan Cbeck: 25 percent of building permit fee. Driveway Depres�ion Escrow: Coacrete curD etreets only. Alteraate •A": Removal and replacement of curb and gutter only - Drivexay width plus 6 feet times =13.50 Alteraate •B": Removal aad replacement of curb and gutter and install a 3 foot vide approach vith 6 inch depth - Driveway width plus 6 feet times =15.75 �• .. . .. .. pernita for constructioa vill be iasued a minimum of 24 6ours Prom the time of applicatioa to allox for proper reviex of the proposed structure aad of tDe constructioa aite. • CerLificate of Survey of tDe lot� ahoving the location ot the fouadation once it bas been constructed vill be required before eroeeedine with the framiag. -- - - �. � � � � � O d > � �' v d w w W H � a C9 Z H � W � J tq ca a .--. c� � A z � a o z � E t� � � d' O � z 0 r. � u J d � Q V � ' J � � m � m �0 4 0 h y m � •�. �i 'FV°v� w +�'+ 4 a .°�+ g��a s'�,ai+°w � ►i t .��a ►mi � W+�+m � «s°€ B t�i A +�+ � .4p M U F C .��1 b o��a. w ..� . � .,�� t�i � y � b m�+�+ � V rl .p A`� W.Y�y � \ � � o� w� S O � � V N m .0 b b s�+ � +�i m' s�i a m � � O+ ,�m M L � A c m W M � w.mau�i � H O�0 � � +�i e��f M m W � dw� cd.°,°� � os m ..wi �iw a a�.+ �` ° �o o � $uH �'`�� 0 ►7 M �' O 4 � s M m .� y ro 3 S m 381�Q M ►� L ebue�t se;� m s ��1�3 •�s�w � 'tCif�� 68'J . +1 3 saqse�y ��3�D3t►Y d � sv�seg m u�sp� � i8� =�T3 � s=ewotlS su�e�unog G 6v��sp � � sdp=y ysely �, a �N�$ O � N +"a+ O sv�seH � �2 w sQRt �13E8 u ± K Bi�F Il '� � szasot� � z 6 ■ ++ c �o ra a � sajsC'3S .�01i nci w�i e � � � 8 W m � � � � Z M . � � � � � a N � � � G � � r� o C �O Z � a� � � � � � � '(/� � � � � � � l ul J � � � � �Q . � Z M O OC � � v IC M O ._F, W a G� a M � Z � M � w i O O � W � � E M£ a d W ms U �N i� W �d'a 0 N W �o w�' �F H N �a �a � O F � � O �' N N f? N N N y N t? N N f? N N N Vl N w a oc J O � z s c..� N W f— � y w H � � � X ii �.7 Z � a a 0 0 0 0 0 0 0 0 0 0 0 0 0 o�n �n o 0 0 0 0 0 0 0 0 0 ui. . . . . . �.-r a� �n �n �ri �n ui n in o 0 .i .a t? N N N t? y N N N H H t? t? � I o m M � x e � C q � a �+ a H ., a w a a 0 0 �o m .�i � m o� w e e s� o� s+ M O-.� O.-1 ..� C b m N a C O O a> V N Q1 M M C i1 � RI -�+i M O p 7 +� +� W i O1 Ol tl OG al N m M ++ w e eo w a a+ .� w m b, m K 01 +� W f0 i0 .i M E a� C >, O�i. w 0 C O� 3 b � N 3 4�' O i 1� 'O m O i� +1 '0 8 �J L IO 0 01 7 .i CI .-i 4 b p. ti itl O i0 O z w o m m u� sc m 3 s� c� 0 0 �� .. y Z . m m N � +d � M � � m 0~i � � .r �w .f� a oa w a w o+ w M O «7 C) w O 4 � � E w � � a.'�. a�i �t a �n a O 4 � M 0 a d M 4 a+'+ $ W k a ., � � H N O w � " \ 0 C _ Q 4. ',z� � c � � 4 � � Z W m ' E O � O � .,i a .. � a a SuBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I r � . � � COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. � ` _ , ___ r ; ' -; `.-_•� �"' �.� CITY HALL FRIDLEY SS432 NUMBER nEV DATE i 612-571-3460 9t0-F15 JOB AODRESS �551 Central Ave NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. 1� 3 Don's Sth Addn. 2 PROPERTY OWNER MAIL ADDRES$ Carl Agerbeck 3 CONTRACTOH MAIL ADDRESS Ace Construction 6230 218 Ave N�,Elk River MN 55303 4 ARCNITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS PAGE OF � � ZIP PHONE ;23-3019 �0( ZIP PHONE 26650 �� APPROVED BY SEE ATTACHED SHEET �� IICENSE NO. !11884 LICENSE NO. ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof (23 Sq) Tear-off 9 CHAN(iE OF USE FROM TO I STIPULATIONS Underlayment must comply with State Buildin.g Code. SEPARATE PERMITS ARE REOUIRED FOFi ELECTFICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING S�. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTpUCTION Ofl WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINEO THIS APPL�CATION 1 STAILS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of I.AWS yALUATION AND ORDINANCES GOVEFiNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIPIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1 � 91H. LO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqM1T FEE PROVISIONS Of ANY OTHER STATE OR LOCAI LAW REGULATING CON- STRUCTION OR TNE PER MANCE OF CONSTRUCTION. �2� �62.25 PIAN CHECK FEE � License � 5.00 S�GNATl1RE OF CONTRACTOR OR AUTH IZED AGENT IDATEI N P OPE�iIj SiGNATURE OF OWNEAdF OWNER BU�LDERI __ IDATEI dROUP OCCUPANCVLOAD CU. FT. OFfSTREET PARKING IGARAGES $.96 SAC CHARGE Fire SC $1.92 TOTAI EE $7 .13 IS IS YOUR PERMIT � .� r,aie 0 NEw Il ADD1�T [ l �.� [ l �,r,, ;-; , , CITY. OF FRIDLEY , . , , - SINGLE FAMII.Y -AND DUPLEXES R-1 AND R-2 Effective 1/1/98 � � - . BUII,DING PERMIT APPLICATION , � . � , o. �. "� �C� - ,.. . - r. � ' � (LV �o��no�d�ss: �� 5 � � ��v , � a � �� .-, Legal Description: Owner Name & Address: Contractor: �� r� i Address: . LIVING AREA: �.�C� � ! � GARAGE AREA: DECS AREA: 01'HER: Tel. � '��i lP -,s� ��, � Nnv �cFavsE #1� ��s�� Attach to this applicadon, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. . DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length ` Width � � Hgt/Ground �. # >� Sq. Ft. Sq. Ft. Sq. Ft. � Construcdon T � ��J Estimated Cost: $ �� a,�� Ype: �— �-• - (Fee Schedule, on Back). Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE• � APPLICANT: �� Tel. � . CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: $ �' �� $ � �Z � 9 Q $ $ �'a � $ $ $ $ $� Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit � $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering ` Agreement Necessary [ ] Not Necessary [ ] . BUII.DING PERNIIT FEE SCHEDULE � � The Chief Building Official shall, before issuing permits for the erection of dny building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or ._ stntcture, 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 $501 to $2,0� FEFS $21 (Minimum Fce is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,OOU plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,� $5(�,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $349.75 for first �25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for °first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,OQ0 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 ox fraction thereof, to and including $1,(�0,000 $1,000,001 and up $5012:25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Itemoval and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. 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 tnnes $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 locatiom of the foundation once it has it has been constructed will be required before proceeding with the framing. SuBJFtT c�ty of Fr�a�� ` �7�-36d4 3 i 931 � A T T H E T O P O F T H E T W � N S � u I L D I N G P E R M I T ; � �� RE . � `y _____ COMMUNITY DEVElOPN1ENT DIV. �J��i�. ��v_ 1 �� j r � � PROTECTIVE INSPECTION SEC. i = i � �'�'1 � CITY MALL f RIDLEV SS132 NUMBEP REV D�T@ P�GE OF APPROVED 8Y �'""'� � �'� 612-571-3460 910-F15 6/25/O1 � � JOB AODRESS 7551 Gentral Avenue NE , 1 LEGAL LOT NO. 9LOCK TRACT Oii ADCITION SEE ATTACHED oescR. 17 3 Don's 5th Addition SHEET 2 PROPEHTY OWNER MAIL ADpR�S$ 21P PMONE Carl A erbeck 7551 Central Avenue NE 763-786-3668 3 CONTRACTOR MAII ADORESS 21P PFIONE LICENSE NO Same 4 AiiCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER AAAIL ADDRESS ZIP PHONE IICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION Q REPAIR O MOVE O REMOVE X B DESCRIBE WORK Reside House & Gara e 8 CHANdEOFUSEFHOM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyi. siding is not a weatherproof covering unless the manufacturer states this in their applicat�Lon guidelines. Call for inspect�on of wrap before covering. " TYPEO�CONST. OCCUPANCY GROUP OCCUPANCrLOAD SEPARATE PERMI7S AqE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WQNK OR CONSTRUCTIOM �+ONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED V�IITHIN 80 OAYS, OR If CONSTRUCTION OR WORK IS SUSPENDED OR ABANqONED fOR A PERIOD OF 120 OAYS A7 � ANY TIME AfTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I MEREBV CERTIFY THAT I HAVE pEAD ANO EXAMINEO THIS APPLICATION 1 S7ALLS GARAGES ANO KNOW THE SAME TO BE TAUE AND CORRECF. pLl PROVISIONS (�f LAW$ VALUATION SUq7AX AND OROINANCES GOVERNING TMIS TYPE OF WORK WILL �� COMPI,IED - WITM WHETMER SPECIFIED NEREIN OR NOT. TME GRANTING OF A PERMIT �S�OOO �Z.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pEqM17 fEE SAC CMARGE PROVISIONS OF ANV OTMER STATE OR IOCAL LAW REGULATING CON- @ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION y�111.25 Fir SC �S.00 PLAN CNECK FEE TOT EE 18.75 GNAT�q v q'a .,t A � qIjEO AGENT iOATE� HE PROP VA�IO E TNIS IS V Up P'R�Q ` «e a � � � $ T AE OF OWN �ii OWNER BUIL EA� � AfE� ' �, BL ��NSv � � � f�`iE NEVN [ ] ADDN [] ALTER [ j Effective 1/1/2001 CITY OF FRIDLEY (763) 572,3604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: .�� l ��,F�.�i ��,� �, C Legai Description: Owner Name & Address: L� ,C%d,,�-�� Tel. #_ 7f�—%��-��G� Contractor: _ ��/l[_ ��'�'��EcK MN UCENSE # Address:_�S-.�✓ C�A�4L � ✓U�: Tel. # _��7_�L 3�GcQ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LNING AREA: Length �fC� Width �`v� Height Sq. Ft � GARAGE AREA: Length �_ Width � Height Sq. Ft y,�p DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: �'�iD iti %��oi�1.c<'�t�Estimated Cost: $_ 5<X� p p Driveway Curb Cut Width Needed: Ft + 6 Ft = F $ _$ DATE: � ,� f> _ APPLICANT: Tel. #_�G� %/�6-� �� CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ l%/• �� Fee Schedule on Reverse Side $ �• � O .001 of Permit Valuation (1/10th%) $ �. S v $.50/$1,000 Valuation � $1150 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ ��cg . � � BUII.DING 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 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 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001, to $100,000 $100,001 to $500,000 $500,001 to $1,0�,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.� for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,0OO,OQO plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. 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 foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv ._ . . c�ty of F��a��y AT TME TOP OF TNE TW�NS � � � � • COMMUNITY DEVELQPM�NT DIV. � j V �"•� r � � PROTECTIVE INSPECTION SEC � . � � _ �"'1 � CIfY HALL FRIOLEv 53132 �---•� � �'' 612-571-3450 ElJ ILDING PERMIT NUMB@R REV OAT� PI�GE OF 910-Ft5 11/1/O1 � � �oe nooaess 7551 Central Avenue 1 LEGAL LOT NO. BLOCK TfiACT OR ADDITION oescR. 17 3 Don's 5th Addition 2 PROPERTY OWNER MAIL ADORES$ Z�P Carl & Rathy Agerbeck, 7551 Central Ave, Fridley, MN 55432 3 CONTRACTOR MAIL ADDRESS Z�P Kevin Anderson Exteriors, 6621 157th Ave NW, Ramsey, MN 55303 4 AFiCNITECT OR DESIGNER MAIL ADORESS Z�P 5 ENGINEER ADORESS 8 USE Of BUILOING Dwelling 7 CLASS OF WORK N� p ADDITION O ALTERATIQN � 8 DESCRIBE WORK Replace 6 windows & patio door 9 CMAN(3E OF USE FROM STIPULATIONS TO ✓ PERMIT NO. 32295 RECEIPT NO. �� APPROVED BY SEE ATTACNED SMEET 763-786-3668 PHONE IICENSE NO 763-323-0970 6058 PHONE LICENSE NO. SE NO ❑ REPAIR O MOVE • ❑ REMOVE Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking & flashing for all exterior openings. SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PIUMBING, HEATING. VENTILATING OR AIR CONDITIONING THIS PEFiM1T BECOMES NULI AND VOID IF WQRK OFi CONSTRUCTIOM ppNING AUTHORIZED IS NOT COMMENCED V111THIN 80 DAYS. OF IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANqONED FOR A PERI00 OF 120 DAYS A7 ' ANY TIME AFTER WOqK IS COMMENCED. ' NO: DWL,G. UNI I HEREBY CEfiTIfV 7NAT I NAVE REAO ANO E%AMIN�D THIS APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. AlL PROVISIONS Of LAW$ VALUATION AND ORDINANCES GOVERNING THIS TVPE OF WOFlK WILL �E CpMPLIEO WITH WMETHER SPECIFIEO MEREIN OR NOT. THE GRANTING Of A PERMIT �3 f 900.00 DOES NOT PRESUME TO GIVE AUTMOiiITY TO VIOIATE Oii CAMCEL TNE pEqM1T FEE PROVISIONS Of ANY OT R STATE OR LOCAL LAW REGUTATING CON• @ 9.� � 2S STqU TION OR T flMANCE OF CONSTRUCTION 'P /' PLAN CMEGK F i� �%�/ O/ Lice S S�GNSTUaE OF CON'anCTOp Op vUTNOp¢EO AGENT IDAfE� EN �� iDATE� �� SO. STALLS :YGROUP OCCUPANCVLOAD CU f T OiFSTREET PARKING GARAGES SURTAX ' $1.95 Fire SC $3.90 TOTAIFEE $5.0 $10 .10 PEp IDAT HIS IS YQU� PEFl � D � /� � ' � � �� Q6TE N� [ l Effective 1/1/2001 ADDN [] '; CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �� l �� 7L�� >� /�% Legal Description: Owner Name & Address: � R 2 � i��9 ��i ,2 � Tel. # 7� � -� 7� � - � Contracto . e/1�So.J � i� s MN LICENSE # �O ��' Address:�l�7 �� c/u/ �Q,�„�s� �y/,� � d� Tei. # 7_ �3 - 3�3 - 6 g 7p Attach to this application, a Certficate of Survey of the �� - 7`�l- � � �� e � lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width HgUGround Sq. Ft OTHER: Construction Type:�Q,O�� 'rJj;�%,�15 �,�,�d ��stimated Cost: $ � %�Oo o° 54 �c..e dreGaP°,�, ye o,�C,n, �s . , Driveway Curb Cut Wdth Needed: Ft + 6 Ft = Ft x$ -$ DATE:,� l 0( APPLICANT ��- / G' ✓ Tel. #�/�- 7�-f'/- d Lyr c�r/ CITY USE ONLY - Permit Fee _ _ Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ .�� Fee Schedule on Reverse Side � ��f� .001 of Permit Valuation (1/10th%) � /, � $.50/$1,000 Valuation $ $1150 per SAC Unit $ �^-�?� $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ " $450.00 Conservation Plan Review $ Fee Determined by Engineering � Agreement Necessary [ ] Not Necessary [ ] $ / ° . lc� BUII.DING 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 e�tisting 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 $5� $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3 .OS for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,400 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional a� $1,000 or fraction thereof, to and including $1,000,0� $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 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 $15.50. Altemate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet tunes $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minunum 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 foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv SuB�ECi , City of Fridley 3630 AT THE TOP OF TNE TWINS g � I L D I N G P E R M I T � ; � RE�IPT,NO. � • COMMUNITY DEVELOPMENT DIV. � � L - l l. r � � PROTECTIVE INSPECTION SEC ,� 1 . � �r i---.� ��"" �.� CITY HALL FRIOLEY SS132 NUMBEA nEV O�TE PAGE O� AvvnOVED Br � 763-571-3450 910-F15 6/20/03 / / J09 ADDRESS 7551 Central Avenue NE t LEGAL L07 NO. BLOCK TRACT OR ADOITION SEE ATTACMED oesca. 17 3 Don's 5th Addition SHEET 2 PFiOPERTY OWNER MAIL ADDRESS ZIP PHONE Carl Agerbeck 7551 Central Avenue NE 763-786-3668 3 CONTRACTOF MAIL ADORESS 21P PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL AODfiESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WORK O NEW C� ADDITION 0 ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 20' x 15' Deck 9 CHANGE OF USE FiiOM TO STIPULATIONS See notations on p�.an. Submit listed deck spec sheet. I►��'�� EPARATE PERNtITS �efore digging call for a�� utility locations � REQUIRED FOR: a�0002 iNIRING HEATING �� LA1l�l �LUM��P�� A�l1 SIG�IS SEPARATE PEfiMITS ARE RE�UIRED FOR ELECTRICA�, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD VEN7I�ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OF CONSTRUCTION ZONING SO. FT CU FT. AUTHOAI2ED IS NOT COMMENCED WITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OH ABANDONED FOfi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIfV TNAT I MAVE READ AND EXAMINED TNIS APPLICATION 1 57A�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yp�UAT10N SUqTAX AND ORDINANCES GOVEqNING THIS TYPE OF WORK WILL BE COMP�IED �3,726 �]..$( WITM WHETHER SPECIFIED MEREIN OR NOT. 7NE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEL 7NE pEqMIT fEE SAC CHARGE PROVISIONS OF ANY pTHEii STATE OR LOCAL LAW REGUTATING CON- @97�25 Fire SC �3.%Z STRUCTION Oli TME PERFORMANCE OF CONSTRUCTION � PLAN CNECK fEE TOiAL FEE — $102.83 NATU E F N'FA AO n � iZEDSGENt O�iE� MEN PROPERLV VALIDATED THIS IS VOU PERMIT � f� S�G E , E ��F OWNEpB 0.DE17i �OAiE� ip5o qctE a NEW ADDN ALTER j� CITY OF FRIDLEY Effective 1/1/2003 [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp [] SIIVGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: '�� L �v� �� Legal Description: Owner Name & Address: �� F�� s�r�� -s �-��e*� Tel. # >�.3-7�� -3�� Contractor. ��'� � ks�v G-�wP� � 2 MN LICENSE # Address: Tel. # LNING AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length �dth Height Sq. Ft. � Length �dth Height Sq. Ft. Length o� (� � Width /s � Hgt/Ground i� z� Sq. Ft.-��_ OTHER: �i� ��/a. � % t'G� -+� /�GASTIL �� t@d OSt. •C Ca .��02 Co , �� Canstruct�on Type: �/� �� /,� % Es m�i a C $ / Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � �-�' �� APPLICANT: Tel. # �� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control $ �% o�..� $ �. 7 Z.. $ /f�� $ .� $ $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL $ /� � •�.� •► �C` �T��^ � �%'Ll�� /Yfu� � �u/��t e L �/ ��l -�� / , _ - - _ __� , � BUII.DING PERMIT 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 applicant for such pemut of fees to the amount 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 $100,0� $100,001 to $500,000 $500,001 to $1,Q00,�0 $1,OQ0,(�1 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $1(� or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for eac�h additional $1,0� or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fracdon thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb 5treets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. 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. VERIFICATION OF FOUNDATION 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 GL.,�NZtry /9 �3 �' b..i� �, (tiTC(�i Q. I S �`yc,r: pr?o..1 yd''� Co,►�e.re.re. ?"v b c � � Q��c.�< e.�crc (,(oo b��s� /o ax�o x �8 T��.T� 3 8' �2.x t` x!(, Tr c�•.re� 020 o2x�o �o�sn c��•��rs 1 I �/ x�{ x S' T� ��,.r e.d. ,� o �� x 3„ �� 5 crcws y� /,t'� /✓4..skcrs 'Yb 3/dx 8'� C�..rrt�.�c belrs y� 31r� wwsk�.rs �v . 3�d"N�rs �S �/yx G x l8� e e�a.r D e. c.K ��S C�c,rl .T dv�'r /;,� o� �1l�4,r � o� w et.n T� Q. I�a: l i ti.� G�, ro o w d � lj e.�.K . T�� y v�. +� a..�. r i9- S�i�.�, b�r b r`�.:l�n.� �mosT CoM,koa) Yo� w� ll rv ee D �"�. �� 1 l �w �.�. � nti �► r art 4. c S� �� t.-f � C�. P� t k D r�. e.� l�u 1.,.e.a T c o k. e. ,z,a�S- atx.�x 3c:' e c�at4.� / 4 oZ x y x/ C.' L� e..d.cc.r _'_".. �, -, �. , . . �.../ HARVEY A. CARTWRIGHT C��G� & OiYiO� ANOKA COUNTY BURV[Yd • HtNN[PIN GOUNTY SURV6Y8 L�1 ND S UR V EYORS MINN[APOLIG iURVEtB , B4I0'PALM 9TREET N.W. -pLQ��TtqtD UNIO[I� LAW� OP •TATt OI MINN[SOTA BUNSEr 4•78s5 L�GtNitO SY ORDINANCt Or CITr OF MINN<ArOLI{ OWN[R ' 328 PLYMOUTH BUILDING FEDFRAI. 6-8721 INDUiT111AL — JUDICIAL HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA euslNEis - TOPOORAPMICAL $,Hrbe»or'g (ectiticatc CI?Y LOTS - PLATTING C �� Mike (3id o ,'�' ` 2z s m� � { � r' � � � •� ; � � � � �i �` ��` — — 4'6.! C�� So � , '� �// �I��/.`~ 1�'� ^�lr:� J.'7 1�1 .w'�� j jV ,^ t ' ' � ��' SPC� ia, r_�o, �� - ��9 I-S•r � ~ — Z5c — — 'sr ,-� b^�rPl!^9 �n'+,1 s,x j � . I � Jh t �i3 � ss"Q� 1 `! /p„ I "�P • i O ' � � so , `. -- � �, �� ,� . �o` �• 0. �, . . y��4t - --zs`�– COMBININO TME qECORDB OF J. E. HILL, Clvl� ENGIN6[R i�r�ausMSO ��a� C. F. SANDHOFF CIVIL EN61NR[R [OTASLIfMtO tYO� JAMES NELSON suRViroR [iTAOLt�M[D �aaa METROPOLITAN LAND SURVBYOR6, [l7ASLI�N[D �ae+ Invoice 19325 . _.._�-�., � ;,71-29 . . y�� o 0 'm ► ,Ci,�� Par•�>i!:;' ' ' � � ;' �ti��fr S�:�t1� 1��;�� Nl�1,"ia %►�1_ �.;. ,� � � ` ._ � — �fo�f/ /i�� iY<d¢�.�1 <<' J S�c. ,�,?, 7=.,�0,, h': • �4 ' ' � �� ..— _ __ _.__ ..` ._-- -- ---- � Plat of Parcel D�scription ass . • • ,4 That part of the Northtim.st 1/1� oP the Alortheast 1/l� o�' 5ection 12, Township 30, Range 21�, Anoka County, Ninnesota, described <<s follo•�; commoncinP at a point on the West linQ of said Northwest 1/1� ot the M�rtheast 1/L� distantl87.36 feet North irom the Southwest corner thereof; t}ience East a.nd p<�rallel with the South line of said Northwest 1/1� of tho Northea�t 1/4 a distance of�Qa fQet; thence North and parallel w3.th the �r;est line of �aid Northtaest 1/!� ot th� Northea�t 1/!t a dis- tance of 100 feetf thenco Wost arri parallel with the South line of 3aid 1Vorthwest 1/1� of the Northeast 1/1� a distance of 3� feet to the �Jast 13.ne ther�of; thence South on� the Vlest lxne of the Northwast 1/!t of the Northeast 1/1� �a distance of l00 feet t6 the po�t of beginning; subject to the rights of tho public over thA We3t �0 i'eot thereo for roa�d purposos. -�—. � � . TRL. JUNIPER 9•9p2g E IpID ��R H J. M. GIDEO CO. RE4LTOR - BUILDER MORTOAGE9 _ �„qND DLYELpp�1,�ENTH J1nA +.�� rnrJ �Vrw��r� ! � . Building Inspections 763-572-3604 DATE C�' a L � SITE ADDRESS �T �e THIS APPLICANT IS: PROPERTY O�VNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE V✓ITH APPI;ICATION PROPERTY TYPE PERNIIT TYPE �E oF woRx: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAII. ADDRESS C�QSS EZ I■ • .[ Ii-+i��i�7 ADDRESS: l S 5 � �{i�/�Ck,,. "r�v PHONE: STATE LICENSE # YriVN� - C� SINGLE FANID.,Y/NEVJ CONSTRUCTION ❑ TWO FAMII.,Y/NEW CONSTRUCTION ❑ ADDTITON ❑ GAR.AG ❑ BASEMENT FINISH ❑ ROOF ❑ DECK � SIDING ■ —, ■ .��—�� ■ u: i.r1�� : � ��_•�r ■ ;��•._ .i DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT� ROOFING � NUMBER OF SQUARES �� GARAGES - PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other Vi'INDOWS IN EXISTING OPENINGS OYes �No OR FOR NEW OPEMNGS-DESCRIBE S1ZE OF OPENING CHANGES & TYPE OF WII•TDOW TO BE INSTALLED ol��i LENGTH ❑ HOUSE ONLY ' �°HOUSE & GAR.AGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE OSoffrt ❑ Trim 0 Fascia LOCATION OF WINDOWS NUIvIBER Pernut No.: Received By: Daxe Rec'd: ITY �f�C C� I��! STATE�IP ��'E'{ � 2 �a �� o� CTfY �Z .�c� � STATE,�IP SS(( �- -�� -�o � 2 SIZE STORIES 0 WWDOWS O DRAIN TII E ° �'oT�x �Z�vv� � ��r � r�4' �e ,�/��c /�S , G� - j r � _� �.� f I f �+(t', (�0 ls� WIDTH HEIGHT S . Ft. B.ASEMENT REMODELING SUBMIT: 1. Fxisting Floor Plan 2. Proposed floor plan 3. List of strucdual members to be used FOR NEW CONSTRUCTTON INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: I. Site Plan/Survey showing the existing siructures and proposed project 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (LTSING THE 1997 B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �DDC�OCCUPANCY TYPE Permit Fee ocj � S" $ '", _ See Back Page for Fee Schedule Plan Review $ � 65% of Building Permit Fee Surchazge �� _� b $ (.0005) times the total job valuation — Minimum $.50 Fire Swcharge �_�j� $ .001 x Permit Valuation (1/10%) License Surchazge ��$ $5.00 (State Licensed Residential Contractors) SAC Chazge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft= ft x$20 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Cha.rge ,� Agreement necessary () Non Necessary () Total Due � 3� o� $ ___ ake checks payable to: City of Fridley Attach I hereby apply for a building conformance with the ordinanc pemut but only an applicatio�f plan in the case of all work v� THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED /and I aclrnow that the information above is complete and accwate; that the work will be in codes of th ity of ridley and with the Minnesota Consiruction Codes; that I understand this is not a �e anci�work is t to start without a permit; that the work will be in accordance with the approved approva.l of plans. �- �7 � / SIGNATURE OF APPLICAN'L�/�� q�/ i��'i PRINTNAME��?Q'E. � I�vS��. DA� 10 /r7 l� 5 Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official sha11, 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 VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 fo� each additional $100 or fraction, to and includi.n $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 ea.ch 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 ea.ch additional $1,000 or fi�action 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 fra.ction to and including $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 constructioa will be issued a minimum 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 Hou.ses Onlv City of Fridley Building Inspections Depariment 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977