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AF - 36268City of Fridley, Minn. BUILDING PERMIT �� .: - �,,, � ... , - .�� - ; . -�.,�.�� - ,�..�,�� . ,, — � . _, s - — _ �...�.�, . �� Address . , ,, �� LOCATI A BUI DING No. �sf�et . � �"'� �,� part o! t Lot .��_ Block ��,� Addition or Sub-Division �' ,�..._ � Coraer Lot _ Inaide Lot ��„r; --� Setback �_� Sideyard /�� Sewer IIevation Fouadation Elevatian � DESCRIPTION OF ' �BUILDING To U F�ont Depth - Height ..� Sq. Ft. +�� Cu. F't �� FrOnt DePth eight � Sq. Fk G31. F`k �� Type oP ct4on �=� �= =�"� F�t, Cost '�"""To be Completed - in consideral3on. of the issuance to m� of arpermft t� cons�ruct the building desEribed �bove, I��gfee.-tp do 'th� ProPQSed work fn ar.cordance with the d�scription abov� se;t forth and ia �ompliance with a11 psov�sions:;of ; or�iinanc�es oP the d,tY of �'ridley. . . , ; J ; : . . : e . � ,� � ' In conafderation, of the payment of a fe� of $,� , permit is hereby granted, to to construct the bffilding or addition a� described above. Thia permit is graated upon the express candition that the person to whom ft is granted and his agents, e�nployees and worl�men, in alY work. daae in, around aad upon said buiYding, or anypa,r� f,hereo� shali conforai in all respects to the ordinaztces of Fridley, Minnesota regarding lacation, construct�Ton, alteration, . maintenance, repair and moving of bu4laings within the dty ]im�tts and ttnaus permit may be revoked at any time upon violation of any of the provisions of said ordinancea -� ,. , � ,� -- , , � Huilding Inspector Nonce: 11ds peemh deas uo1 eowr fhs eensfroallon, iestallafioe fer vririe�. �hrm6teW Y+s 6af�0. snw� e� vraf�r. B� sun to ws t6s BuiWiuB Insp�ete� #or qp�raf� pormhi for f6�a hx�. , �� -°- �=r �� " -;;,_,� � . . t.— - � � � �'.� � �� OWATE' R ° $ P7L�'�C _ APPLICATION FOR BUILDING PERM'IT CITY OF FRIDL�Y, MiNIQES(�TA ADDRESS ADDRESS � � � � LOCATION OF BUILDING �a• � �� Street Part of Lot � Lot Block Addition or Subdivision Coraer Lot � Inside Lot�_getback �� Side-Yard�,� � SEWLR ELEVATIOAT FOUND�TION ELE9ATION Applic�nt attach to Chis form Two Certificates of Surveq af Lot and proposed build- ing locatfon drawa on these Cettificates. To be used as; DESCRIPTION OF BUI,LDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Coastiruction Estimated Coat To be Completed The underaigned hereby makes applicatioa for a permit for the work herein apecified, agreeing to do all work in strict accordance with the City of Fridley Ordinances anai rulings of the Department of �uildings, and l�ereby declarea that'all the facts and repreaentatioas stated in this appl3cation are true and correct. IYAiE .,�� _ S tGNATi1RE � (sch�dule of Fee Costs can be found oa the Reverse 5ide). �. � �„� � _ m 4 BUILD7NG PEIiMIT F13E SCHEDULE Section 2_ �he Inspector of Buildinga shall, before issui�ag any pe�mit for s_hF erect�.o�a of any building or structure, orc for any add�.tion �a any �x�.sg- ir.� bu3.lding or structure, or for any alterations or repai�°a to any e�iE�in� build�n� or scructure, upon agplication therefor, require the paymen� by th� applicant for such permit of feea t� the amounC herein below set fosth an� in �he manner herein provided to-wit: Z.1. For any such permit for �the esection of any fire-proof building, othes th?�� a garage! warehouse, factory ar grain elevator, or for the erection of any fire-proof addiCion, for sita�Llar occupancy, to any exiating buildi�.p shall be at th.e rate of $1.40 fox each one thousand cubic feet, os fraGe�.�n ti±ereof, in such cubical contents. 2.2. For any such permit for �Lhe erection of any fire-proof garage, warehauses 3'actory or grain elevator, or for the erection of any fire-proaf �ditiaz�, for simil�.r occupancy, to any'existing building shall be at the r�te of �1.25 f.or each oae thousand cubic feet, cl�ssified as °tfireproof" by Sectioa 502 of the Mi�neagolis Building Code. F;QUSES 2.3, For any such permit for the erectien of any non-fi�eproof buildiag oCher than a garage, warehouse, factory or grain elevator, or any non-firepraof addieion, for similar occupaacq, to any existing buildin� - permit $1.40 for each one thousand cubic feet. �A�tA�ES 2.t:�. For any such permit for the exection of anq non-fireprao� garage, warehouse, factory or grain elevato�, or for the erection,of any non-fa:seproo� addit�or►, for similar occupancy, to any exiatiag building or for each such muildi.ng or add3tion - ninety cents ($0.90) for each one �housand cubic fee� o� fr.action thereof, in Che cubical cantents thereof with a minim�tm o€ $4.OU. For the purposa of compu�ing fees for building permits, the cubical contents o.f any building ou additioa Co a uniform height throughout by multiplying �Ize g�ound area covered from a poimt s3x (6) inches below the floor line of tl�e b�sement or cellar to the average height of the upper surface ar to"the average height of the roof surface of the main gable of a g�.tched roof. Z.S. For repaixs or alterations to an existing structure, the fee sha11 be a* the rate o£ $3.00 per each Five Sundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee chargQd for any permit �s eet forth in Section 2 be less thaa $4.00. .. �. . � _ - - � � � �. y" _ Lmr�rlP/r�tntn� &Br3-H� �' ,t� ��'� . Min��nlis 2l, soils lestrn� . ��i �.7�' � ��.�.1 N \.7►� 1 � �s. �ban�wta Ctvil fr A�pv1 _ r .��/ritet�9-�60b6 . . �� , -- Fr��rjeers E Sc�rver�ors --- . �es��iCl�te o� Ss1i�Y �o� DL, AN��R�Ufi�J i�t�t��i�, . .� � .� . _ _ � i�ron ""° /2 , � .- trO�n : -�. t ,� C� . _, E 6 � � eG � w � : � �,. t,t.3 � . . �� ' �: — � . `� y b� i � � � f--= .�� _ , � �, : � .� � -� �, ,- � ��. �*� �� .� � �, � ; .1 I � . ,� � � `�.:. ..___ -- __...e. �- _ t�p� 9'" i'�'�.{,� �.-o�. � . T � ' _ �: - ,` - . .-: � : . `: - ,� . ' � � -� �� '�.��. l �a�� at��,�nl : ,�6y �y �� a o � �� a � �� '� �,� �►�d �,�d �rao�re�'�!1 G�,ddrir�s, �►, m�dott ris'�r �ciim�rfs,;�'ar�, jrnr, or ar�avd'lan�_d. 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C • . : a N � � � � o °o °o ° 0 rn va O � `G � a fD e-�� k y � i' �� M � ,:. �, � � � � � wM' � '��' f�D �: � �. �. `� � dw °� o� � � �' �.b a �� °� � � � � a�G� � ¢ ��y � � =� w bd �' �'��w � � �� p.°�°�� a�.�� ry ro ` ��py �� f�� f�DH s��n� �� o � � m �e � p' � ��, �O � � �' D � '� r" � "'� m H 2 m C r- m d w M � � � � r� � � O � �O� � � � O � �� '• O 0 � D Q 0. O� � ;• A� � H �� 3 � H Q � 0.� � ; • � � �. � �o �: � �• D � 0. '�•�� HEAT L�SS CALCULATIONS DEPARTMENT OF BUILDINGS �' ,� �/�0 � MINN. yy��R�pg A.S.H.V.B. TYP6 OF CONSTRUCTION 6uld� INSULATION I Windew� Doon R�f��na Out. W�11 Int. Wall Glllno Roof Fioor Kin C�tiinq yy�p — No �- No 19-�. O Y �— I �'� I � F6 Roo�n I.�nq1h / YVtdth �, j F FP�Igh1 � FI. Roorn � I.�nqth � Wtd+h � r H�Iq f WINDOWS and ORS — CRACKAGE and AREA I WINDOWS and DOORS — CRACKIIGE ahd �4REA I r� l��`� 6�d ��6 L� I � � Coef. B+u. ' Coef. Btu. lnfiltnftos p pn�� Infiltretion �ndow� Doon 6p. Wep Etp. Wall � 6la:s °� '� �� 61an .� Nst Exp. Wall ,�� /� � Nst Ezp. Wefl � �� tal'. W+11 In+. Wall - - �� l� � y �;� - - o� �oo� iri � Floor _ � Total Btu. Total Btu. �'– di Requirod sq. fi. D. R. or sq. 4ns. W. A. Leader erea Required aq. ff�. E. D. R or sq, ins. W. A. Leader area q, � m I i.�ngth � Wid+h / Height �� FL I Room I Length �/ �dth / Height WINDOWS and DOORS — CRACKAGE �nd l4REA WINDOWS end DOORS — CRACKAGE end AREA No. IWldth HeTqht No. of Lfnaal ff. Area Wtdth HeiqM No. of Lineal ff. Area of pene ot pans Itphfs of vaek � t4• f►• No. of pane of pane Iights of uack :q, ff. ?� Zd'� � � 2�,� �� -- � _ �v i' : � �, �1��/l/�� I /� wi� Infil�ra#ion p� Eip. Well 61au Nat ERp. Wall 1�. Wall i r Floor Total Btn. C � Coef.l Btu. Required s ft. E. D. or q. Yns. W. A. Leeder aree � � _ fL m I Lsngtb��/ �d#h- �/�//�leight ,--- � WINDOWS end DOORS — CRACKAGE and E4REA dtb I HeigM I No: of I Lineel ft. Area I No. ot pens of pena Iights of crock � sq. it. . I�'ilt►ation 6�p. Wall Glau Net 6cp. Wall 1�. Wall Total Btu. R�quirod tq. fi. E. D. R. or aq. ins. W. A. Leader area n-ss ion� a-sa �,s Coef.I Btu. II I�Iltration D�� " � 6tp. Wall � 61au � Net 6cp. Well let. Wall �eNtri�o� Floor � Total Bfiw Rsquired aq. ft. E. D. R or sq. ins. W. A. Leader erea � - - FI. I-- � Room.l_LeAgt �-/_ ----Width WIN OWS and DOORS — CRACKAGE end AREA I Wtdth I Hetght, No. oi Llneal ff. Area No. of paas of oane Ifahts � of ereek � se_ ff_ Cosf. Btu. Cosf. Btu. Infiltration wtndows � Doon r C:p. Weil 5 61ass � �O Z Net Ezp. Well � i j 1�. Wall / Floor �Q �� Total Bfu. �Z� Rsquired :q. ft. E D. R. or cq. ins. W. A. Leader erea � I 6RAND TOTAL�/�� . � M b � n � 'd �-�i o "� p� . M : 7i . � . m : M : o . � . � r7 . � : � • 1A d! N �� N � �A �.. H � H � � � � �. � o�� . o • O � : O . O . O . � . . � . . 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LJ W GJ .-� .� W °31 . °�., (•'7 : b' w �i ?; �i cNa� iv' �n' o b v �' ' � °' � i�� • � � ' ..tr► . av �cn at � 41'1 �. en v+ � ce �o M z• .'.Y _ �Z � � ►-i 'i � t� � � . � 'u.l � p � � p • ei p • O °i ! °j S � „ _ � � cn O �. y* ,� I � � � . Q . t" I � Q Q. � F . , � � •Z'� N . . , i�.i° . �+ . � �► � � - . � �;� � _ � • �D . ° � � . � � . � �� • tn . . . ' - � . � � p y n � �o L�� . �pr' %�c�. � � • N c a p, � A' o' � c � � t3 Fi t' Q � ; �r w � `p � o • � � � ; '�- p s.. ;+ � �` +. tt1 ' .'� n �p ryp " � q p, r+ o� �!9 .. a �D . . � 6]. � (A ' f0 � G , c 1 • • � . ' . � . . N . .� . " ' � ty �. b y H � ei:' �s � a oa � � g � ~ � � � � a m � Q � � � �. . � � O � '.L7 Q � � b � �� Z '� Z ? r+�i � �'. n �6 O • . � � M N � � S� � .C.� �� C�. � Q. '.* ' �� ;'� . ._i � " � °� b � � � �' s �. a � �' ►. .0 a c�, � o � � �ac�:; :� a � ��,� . . d. d ..�. tr� � �i � t= °� �. . �,,, •�� . . i� �° � �op� ' t� . w � �, ~� �, ;c c� � a�'�'m ��Gy C-: E� N � j� . . �' R' t"} �" sL`f IJ �- � . � tp' Zd '"' °' ,- - . O N � C�. a�- m O • ' ��' p ' � - �' � �' • ¢ v-., � o . ; �, a, 'y . n � �^y� � . • �'1 � �. �� . . :� CL � � a �r �;,; • • . � � � o • N : � Y � � � � R �0 ; iq o ' r it; ie ' � m • � Lt'. �' 1 a��" w . � � sus�ecr PERMIT NO. City of Fridley � ATTHETOPOFTHETWINS gUILDING PERMIT • �� ' ` � RECEIPT NO. � ; `L _ COMMUNITY DEVELOPMENT DIV. �� j, � PROTECTIVE INSPECTION SEC. i ' �l--__� �� ,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY y� L 612-580-3450 +"� 910-F15 4/15/77 � % JOB ADDRESS 6548 Channel Road N.E. �\"�k� € �_,._. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION ` DESCR. L,� ], DOri� S ZIlCI ACIC�i7.'t].OIl \ ` l' ��' SHEET�ACHED 2 PROPERTYOWNER MAILADDRESS ';� ZIP PHONE Charlotte C. Bona. 6548 Channel Road�N.E. ,�, . 3 CONTRACTOR MAILADDRESS `� ��ZIP PHONE UCENSENO. . Nliles Garages 4500 Lynda.le Avenue North',;. Mpls. 521-355 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP�'; PHONE LICENSE NO. � fr ENGINEER MAIL ADDRESS ZIP ` PHON�•; LICENSE NO. F�, ` > ,� 6 USE OF BUILDING �' Residential �` �' � - - - - ,� 7 CLASSOFWORK � ! �"" .� �'. X NEW ❑ AD�TIO �' � ALTERATIc�y O REP}1'�R ❑�MOVE ❑ REMOVE '\ 8 DESCRIBE WORK � Construct a 24' x 24' Gara e�` - t, �� EPERAiE ITS RE � iR� 1:. �: WIR� 9 CHANGE OF USE FROM `�cA��, PLU . 8lIVG A�i�9 S� .. � �:, _ STIPULATIONS �age to b�; located 18'� from back lot line and 8 feet from the side lot line. Provide aii,ard suxfac�.�driveway. driveway i.s improved prior to 1977-1 improvement pi�pject, no �iveway . pression charge necessa zY • . WAIi�tG 30 -DAY NC3TtCE TO ENG. Be��e diggittg caN �ocal ntii ties �"�''� D1Y. REt�UtQED R4R l7RB � TELEPHONE -ELECTRfC -�AS Etc. R- A1. AND R�PlL�4CEM T REQU1REa 8Y �lV AT ORf , Y �PEWING � SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, ��PE OF CONST. OCCUPANCY GROUP OCCUPANCY VENTILATING OR AIR CONDITIONING. WOOCZ FY'�R@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 1 576 5760 ANY tIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GAAAGES 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 �9`� 262.40 $2.13 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 CONSTRUCTIOId. � S23 • O4 � � PLAN CHECKFEE TOTALFEE �� - � x� $25.17 ' �GN RE9FCONfRAC70RORAUTHORIZEDAGENT cDaTEJ , WHEN PROPERLY VALIDATED THI IS YOUR PERMII t� � / � �i � Q .�� 3 -0�3 - ` SIGNATURE OF OWNERUF OWNER BUILDERI IDATEI BLOG INSP _ pATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS iNEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: C. � p n�� BUILDER: Address • � � y � C�,_,,,_,�� Address : %��7 p �,�i'�- � Tel. No. ,� �/ - 3 s S S�• n R No. : _� S � c� Street: �✓�y�� T: � BI,OCK: �_ ADDITION: � �� . ,� ;� . :� , CORNER LOT: INSIDE LOT: /� S;TBACK: �� SIDEYARDS: Applicant attach to this form �iao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: -P.� Front: A7`-( Depth: � Height: �� Square Feet: �%�o Cubic Feet: S'% �O Front: Depth: Height: Square Feet: CLibic Feet: Type of Construction: �� Estimated Cost: $�f� 6� �v To Be Completed: � � � � ,� Alt. A Alt. B Proposed Driveway Width If New Opening Is Desirec� /�/� �}` /� �/l,eJ /��.Pay�.� �.�'i ar� �'a /�7 7- / _____�,' $ $ f�p�pv��, �,��-�p- (SEE REVERSE SIDE OF SHEET) / The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for addit' al information. DATE: SIGNATURE: � ,/� Stipulations: C� � 2.��.�` , V �3 � o � .��`�� .r3 s" � �a . ��t.ut_Q� CS�- � c�r� � __ � � BUILDING PERt�IIT FEt 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 for any alteration or repairs to any exis ting 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: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRES5ION: (Concrete C�.irb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$15.40 �11 � :_ l �' : �l For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by mu�tiplying the ground area covered from a point six (6) inches below the floor line of the basement or the 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 in the cost of all proposed work. In�no case shall the fee charged for any permit as set forth in 5ection 2 be less than $7.50 plus $.50 sta.te surcharge. • j • � � 11: �l NOTE: Permits �or construction will be issued a minimimn 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 foundatian once it has been constructed will be required before proceeding with the framing. CtRTIFICATE OF �CCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupa.ncy 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. � � c�ty of Fridley AT THE TOP OF THE TWINS r i i ; �L � COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. � _ � �� ""1 � CITY HALL FRIDLEY 55432 "-•� � ``� 612-560-3450 SUBJECT BUILDING PERMITj NUMBER REV. DATE PAGE OF 910-F15 5/13/77 � � JOB ADDRESS 6548 Channel Road N. E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION DESCR. � 1 Don's 2nd Addn. 2 PROPERTYOWNER MAILADDRESS Da.vid Bona 6548 Channel Road N.E. 3 CONTRACTOR MAILADDRESS NLiles Ga.rages 4500 Lyndale Avenue North, 4 ARCHITECTORDESIGNER MAILADDRESS 5 ENGINEER 8 USE OF BUILDING Residentia.l 7 CLASS OF WORK MAIL ADDRESS r:'14081 RECEIPT NO. , APPROVED BV SEE ATTACHED SH EET Z�P PHONE LICENSE NO. 521-3555 21P PHONE LICENSE NO. Z�P PHONE LICEPISE NO. C] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE WORK � Construct a 24' x 24' 9 CHANGE OF USE FROM TO 'STIPULATIONS Appeals Commission approved variance to reduce side yard setback from 10 feet to 5 feet to allow existing attached garage to be converted to living area on May 10, 1977. Existing gaxage must be converted to living area by 10-1-77. Please conta.ct Del Zentgraf of City Engineering Department on new driveway opening when street is toxn up. Provide a hard surface driveway. �� . �efore digging ca{I ba1 ut�'ities �;�;��: ;ATE PERMfTS REQUIRED FQR W�RtNG, T��`EpHONE - ELECTRIC ��AS Et�. i.�;{ �!�c�, PLU�aiNG ar�� s4�nrs. R�C�I�t��D BY �.AV�( SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPI VENTILATING OR AIR CONDITIONING. WpOC� FY.�1e THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING S�. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPUCATION j, STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4�Z62.4� DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERF ANCE OF CONSTRUCTION. yy`23.0� '' PI.AN CHECK FEE ,'�' `� %3 �`% � SIGN RE OF N ACTOR OR AUTHORIZED AGENT ([j TE) _ 1/�IHEN PROPERLY VAI IDATEI °�I' Mv-� BLOG i GROUP OCCUPANCYLOAD CU. FT. OFFSTREET PARKING GARAGES SURTAX $2.13 SAC CHARGE TOTALFEE $25.17 ED THIS IS YOUF PERMIT � �- l�-`i% pATE tz� CITY OF FRIDLEY, APPLICATION FOR RESIDENTIAL BUILDING PER��ITS �N��, ALTERATIONS, ADDITIONS, OR REPAIRS) OWt1ER: �� - BUILDER: // 1 1 t ►tg V�i2-ie� L�S Address: `p�� C�.}(d��y,rt�, �,� Address: ��V �v�,n�F /U�, N�• =__ � �� Street: LOT: T BLOCK: � ADDITION: �� .p�j CORNER LOT: INSIDE LOT: Cf S;TBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: `✓�("� Front: � Depth: a`f Height: �� Square Feet: �%�o Cubic Feet: �%C�� Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: ��2a�w�nlf� Estimated Cost: $�262> �b To Be Gompleted: �> �— � � A1.t. A Alt. B Proposed Driveway Width If New Opening Is Desired N/7� $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: �� }� SIGNATURE: ` 5tipulations: P�.��,� `or L 2 ��- �� p� �� ,�- �',� � �. CJ� �r. d� iU� U�2�u�w� C�1°r.�Ptic, e.�tar,v S�ira2.��- /s ��ZN U�'.. ��.. a3,a�. � 2.+� , ��. � - ► ��s�� G ��. �� 'y1 �ss �� . L,�v�,,� �, �-j /o /.7� y'° �� BUILDI(JG PERt�1IT FEt 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 for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein belaw set forth and in the manner herein provided to-wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.. PLAN CHECK: 25 percent af building permit fee. pRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$11.75 Alternate B: Removal and replacement of concrete curb and � gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$15.40 ADDITIONAL INFORMATION For the purpose of computi�g fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or th� cellar to the average heights af the upper surf ace 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 in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. � VERIFICATIO� OF FOUNDATION NOTE: Permits for construction will be issued a minimiun 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 been constructed will be required before proceedir.g with the frami.ng. CtRTIFICAT� OF �CCUPANCY 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 pern�it has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. � r: �� 0 � �� i�SU - I � _ . Lond P/annrrr9 , ' 6�/S-Ni9h�rar� +CS ,�.E. . L�nd Surve,y;n� • So;ls Testiny ' M;n�vfw/s 2� Civi/ b Municipevl � � � � �. �nrxesofa o S!/nsef4-646� E�9;��n� --- En9one�rs � �ur veyors -�--: , _ _ �._ �' �'a� '� �� r• ,;:_ � `� � � � ��, .�; � ,' � � ri . �N i . � ' '' � 'i Sc�s.�- /"=3U' �� --- s �3.3s ---- �� .� �� _ _ ^ �O � Q/.�e7! � o !� -.. �� y' �.. , LiJ��/�..�.:n�'rsr'�. �� A � � ,� ,: ��, ��. ,_ � �,i I�f ; , ; ; -' , � i f � �� --_��' !a i � !l � , r __�-_ -- �`�°� �� - � _' __..- ` �_"�� --�� o� __ ___:-_ ��s: �'� , / s��y. �rc=m� �� ti, � - '�� f/�,..- < � �`' � �` ,. -_"__ _ � ( ` �4 � �� ,-,��::,.� - :: � � 9 �� ',�:� - � � :�� ! .. - _ � `�.. ' . � � � �e ',��- �`-� i � ' --� -- �..•� r � d`,�-�-��-� - ' __ /.�:.�..3� -•-- __ . _ -FRI . EY ' -- . ___ BOARD OF APPEALS �----_ � ---- EXHI�I1' Noo ��"� �. � . . ' � � . . . 4. � : MEEiING DATE �/d � �� (/ /�_ �/�Ij �--_ _ ,��/�/�`� C�T/ �.lF �R/l.�L�^/'� '- f —�.________--_..___�.�.__�_. C.. l✓L'i'y 7`y' C�F f%/�laf°1'f'1 __ Ihis is o ir� mid carrecf re qi rey eifhe bormdories n�'fhe /ond ob�►� d�su��bed ondn� fl� facafian o�'v/llwil�iii� s qrsenfofian a sur nd , ij'er� fherr�, wrd o/I risible en�r�avch��s .�'any/, �roin o,� an said ��d. Ti�t sc�y �s m�c�e a r v► �cfiarr �riffi �e mor/ f�► �, �"9 Pb�ed a, fhe�rop�erty c�rd nn /iQbi/if n oswvnned exie f%/be ha.�er e `�" e y w P �'sus�i morf�n�e or c�, 03� �nf or.��«t►d by� °�' sw/i mnrf�a�e. //�s undersfi�'re�d �'eed r�manum��ts /mre l� d /� r�ns�► , , J- � 1�' P'�� '�ab/sh�r9 /of /,v�es arbuurad' ccrn�.s. / � �fhis� � � �f'rCr--U.7r- � SUBURBI�N ENGINEERJtVG, /NC. �� . . Fn�ine� ,�tnd �re� S ` ,�``` ,/� , , ; ? by-�-- r'--- �—=-'�•��'.�f�a ��°�f,'fl. ��% ,:....::. , _ f : , . � , ,. _ , � _ �� , .- -�� ._ .. _ _ _� :.__. _ _�_ _: _ _ . � f� � : - - l ---- - -- - � "w ---- _ - Y �� /��i:�'�`� c..L�i�.S�4 � � /C�l.`� ad(�� -�%��•.�C- ��fiC.e•� 1.:�.'L�(,��1 /"0/�1 1 75��Z � c� �' ` SUBJECT � City of Fridley . 1440• AT THE TOP OF THE TWINS ;, ,� COMMUNITY DEVELOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. l� i � ._N� ��"" �� CITY HALL FRIDLEY 55432 � 612-580-3450 BUILDING PER IT RECEIPT NO. NUMBER REV. OATE PAGE OF APPROYED BY 910-F15 10/5/77 / / JOB ADDRESS 6548 Channel Road N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. !} 1 Don's 2nd Addn. 2 PROPERTY OWNER MAIL ADDRESS D�.�3.-�-�-Bc�na 6548 Channel Road N.E. 3 �ONTRACTOR - - _ _.__ . MAIL ADDRESS - ' __ _— - -- .- �`�G __& $ Construction `38 White Bear Avenue 4 ARCHITECT Oq'BE,�lGPFER-- � MAIL ADDRES� -_ 5 ENGINEER 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 8 DESCRIBE WORK 9 CHANGEQFUSEFROM MAIL ADDRESS ❑ ADDITION �.qe to liv: C� ALTERATION area TO ZIP SEE ATTACHED SHEET PHONE PHONE LICENSE NO. 429-5068 PHONE LICENSE NO. PHONE LICENSE NO. ❑ REPAIR ❑ MOVE ❑ REMOVE STIPULATIONS p�vide treated floor i joists. Provide ventilation in attic area. ��R�T� PER�iTS t��UiR�� F�� It�IRING, ��1��'tVb9s ��R.9�"��9�47�7 �Isi� �d�4.#��r SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. WOOCZ FY'dltlG THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORQED IS NOT COMMENCED WITHIN 60 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2� 4OO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVJ$FQNS OF f�NY OTHER STATE OR LOCAL LAW REGULATING CON- STRU�C.`T�ON O�bIE PERFORN�NCE OF CONSTRUCTION. � �`�. 'Jr . OO SIGNATU E OF CONTRACTOR OR AUTHORIZED AGENT �DATE) � 9 i OCCUPANCY GROUP OCCUPANCY LOAD SQ. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $1.20 TOTAL FEE $16.20 D THIS IS YOUF PERMIT _ �- �r . L =,� � 0 CITY OF Ff��L.�Y APPLICATION FOR RESIDENTIAL SUILY�ING.PERMI.TS iNEW, ALTERATIONS,. ADDITIONS, OR. REPAIRS) OWfJF�R: '+��'2c-�% f �� C�>e . Address:� S �� -�'� �,�` � No. : � S � �'' 5treet: BUILDER: � �� - (�2 ��-`1 Address : �� '��' � � �,� �� , � � Tel . No . �� % - � C � �'�``�" LOT: �_ BLOCK; �_ ADDITION: �� .�� CORNER LOT: IN5IDE IAT: SLTBACK: SIDEYARDS: Applicai�t attach "to this form Two Certificates of Survey of Lot and pro,posed • building location drawn on these Certificates. . DESCRIPTION OF BUILDING 2'o Be Used As: ��>l�i�� =C ��k��1� �� a . a � r j � � Front: /T_ Depth: �� Height: �"` � C�o v ��, �� Square Feet: Cubic Feet: Front: Depth: Heiqht: . Square Feet: �� Cubic Feet: �' ��i� �i�' � YL � Type of Construction: ' � ;� � �� p Estimated Cost: $ ��.�� `'� To Be Compl.eted: / %J�J�� Alt. A Alt. B Proposed Driveway iVidth If New Opening Is Desired $ $ . (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rula�,ngs of the Department of Buildi.ngs, and hereby declares fihat all the facts and representations stated in this application are true and correct. See reverse side or ,dditional information. DATE: [,�,z�;^�• ��' � � � STGNATURE: � �� Stipulations: 0 � �� C` % � (�� e l�� . �- � �� . c-�'� �„�,�,�„L. �.� �,�� .�,. �<< °-�.�,_ � � BUILDIt�G PERMIT FEt SCHEDULE • SECTION 2. The Inspector of Buildings shall, before issuing permits for the erect�on of any building or structure, or for any additiqn to.any existing building or stn:;ture, or for any alte�ation or repairs �o any existing�buildirig or structure, upon appli�atian therefore, require �.he payment.by the applicant for such perinit of fees to the amcin� herein below set forth arad in the manner �erein .provided to-wit: NEN1 CONSTRUCTION: Single Family Holmes and Garages: $4.00/1,OOQ cubic�feet. PLAN CHECK: �5 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete �:ur� Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus.6 �eet x$11.7� Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foat wide approach with - 6 inch depth; Driveway width plus 6 feet x$1�.4= i 1 1 � p � �' : � For the purpose of computing fees for building permits, the cubical con�ents of ar.r building ox addition, is determined by multiplying the ground area coeered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of �e 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 in tt�e cos't of a11. propused work. In�no case shall the fee charged for any permit as=set forth in 5ection 2 be less than $7.50 plus $.50 state surcharge. � • � � \�' �► NOTE: Permits �or construction will be issued a minim�n of 24 hours from the time of application to allow for proper review of the proposed structure and o£ the construction site. A Certificate of Survey of the lot, showing the location of the foundation oa�c� it has been constructed will be required before proceeding with the framing. CCRTIFICATE OF �CCLlPANCY_ Application far a Certificate of Occupancy shall be made ten (10) da�s priox 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 Occuparncyrhas been issued. . � _ .�.�., �� 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 812}57t-3450 1978 �olden � h. Avenue N. W . Cooh Rapids,:NIN:55433. �Re: Correction at 6548 Channel Road N.E. Dear Mr. Golden: �This is t� confirm;oux telephone conversation af May 22, 1g7g. The purpose of the conversation was ta call to your attention two probl�'mc that must be corrected at the above noted address. The two items of concern are the sagging patio door and the openings under the front windaws on the garage conversion. ' , - You stated that you liad alrea,dy rece.ived a call from Mr, Bona, the awner, and that your intention was to make the correc�ions in a short pe�i.od. o� :tiine arid foz sure Fay June 5,. I978. ' Your prompt attention to these matters will be appreciated. ' snaer Iy, DARREL G. CLARK - - Community Deuelopment Adm, � � , .. .. -. _ ° � ..:,�9GC/mh�_ . .. .. .. __ ' . CC: Mr. David Bona �� n� �: t <r��¢ :y� �� . ��• � = _�,. � �, .r � ,.. �^ '� � . P� ..," . :� .��z... ... .. },{... :':. . . ' . � .,,. June 6, 1978 � �, ;�: ; � ; 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. Gus Golden 952 - 89th Avenue N.W. Coon Ra.pids, 1+'.�T 55433 Re: Correcti.on at 6548 Channel Road. N.E. Dear Mr. Go lden : TELEPHONE ( 612)571-3450 We reins,pected the above on June 5, 1978 to determine if compliance to our. letter of May 23; 1978 had been. met. We noted during this inspecti.on that the two items to be corrected; the sagging patio door and the openi.ngs under the front w�indows on th_e garage conversion had not been campleted. We again request you to complete thi.s corrective work by June 16, I978, when another inspection will be made to determine compliance. Failure to correct the above items by the scheduled date may result in this matter being turned over the to City Prosecutor for hi.s leqal consideration. Sincerely, DARREL . Q,ARK Ca�munity Develo�ent. Adm. DGC/mh Lond Plannin9 Lorrd Surveyin9 Soils Testin9 r,�,i � ��pai � � /r ,� � � 68J'S-Hi9lim� sL5 �VE. � G 1�! E E.R I�l Ca I!�l C M;��,s 2: ' iGlmn,esofo fns�/teerin9 - r , Sf/ntef4-60&6 --- E�9'ineers � Surve ors -_._. � y �'e��+ci�f,�� o� 5�� o , „; r: _� _. N_ r ' � '�' G 1 �i; :L..d{ i:. ;,,�1= j �s i,;."!� �--�� ,�. 1.� irn _.�'v n, � • C N� � � �r � � �J -' __-_�--- = � � . % ? , --- � -----_ -__— _' _ __,_ -� --_- ♦ if :Y. �.� i ---�. L_ _ tt ; . ,:t gI � f �'� / jL,I �� ' /_`-t�--- -.'"_ � -�'_� % /� _�'��1� /��y cerfi,�y �sot �,s �S Q��,d �� f �e�esenf4fioi7 0 4 surve � /�4�Or' °�°I/ d`"�i"9s , ��on , �O/! risib/e t1r�roQrJ�menfs i!' � y �� D"ndories o,�'f/re o60� desuy � �,/ ,° , .` , . or aysoic/%d. As surveyed � me �/ed lcnd,� A.D !9=„ O1�' � S�/8 URBAN ENGlNEER/NG , INC. � . 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O O p � �mm�rt i � � �ro � a� •o �, ° O o O O 0 {n � �PVJN y 000o tr1 O O O O �� H 9 r ��ro U�i M � c:�wrt O W M •C �1 w r � 0 � M m m m � � '-e'i r � � �"� mx � � � 3y 'Q 'Q r • > -� O � -n 0 � 0 g m . � a �� O � GZ A � � o x z �n ., � � � � N �m n N O d � m m G Z � -f m � , . � -1 . 0 z � m � a G7 m a --1 O Z ' a a t7 .� c-� � 0 'n � C � n.�a � � � � �g�'�,-a�t� ��' r � -� ,'t% �/� �> II HEAT LOSS CALCUL,A'ITONS DEI�ARTMENT OF INSPECTION I Wcatheratrips A� Con�trnetion No. � � Guide Inanlation Windowa I Doors Refuence Out. Wall Int. Wall Ceiling Roof F]oor Kind yoM, qpp]� e No Ye No 19_ F1•� Room Len th �' W'dch oa H' s � 1 � e�ghc F1-I Room Length Width Hei�ght Wu►dows and Doors—Crackage aad Area Windows and Doora--Crackage and Area tVldth He1gAt No. ot Llneal f. Aroa Width 8efiht No. oL L1nea1 LL Aras Na of p:oe ot Dane Ilghts ot crack I�, fQ No. ot pane of pans 11 nts o! crack : �. LG . � � o� G..3. � ! �� s9.� a�c�_R Bn� In6ltration � Clasa Ezp. wall � Net s�p, waU °' 1mt, wa C�iling FDoor Total Btu. R�quired sq. ft. E.D.R, or aq, ina. W.A. I,.eader area FI.� � Room � Length Width Windows and Doora—Cracl�age and Area W/dth He1QAt No. ot Ltaeal it, J►cea No. ot pane of pane Itsht� ot crack p: ft - �� ` . D � � � r (P � � 1n51tratioa � � , � Gla�s 3 F.x�p.. wall / Ne¢ ezp: wall OD � Iat� wall Cenling � � SO 1 Floor � � � Total Btu. n . . . .. .� � _ • - - - - - - —.. _ �. ..,�. ..... ....�. a.caaur s�rca � � q��- � �I ' ri• � i�00m I LcAiiw. � lI I�U: . � � �il� ! �Vindowa and Doore—Crackage and Area Wldth Helght No. ot Llnsal tt Area No. ot yahe ot pans 1/ Ats ot orack rQ, fG � � � /. Coef. Btu In6lteaEion '� a � , �, � Glans - F.up. waU Net esp. wall Inc.— al� Ceilnag �lomr =l Tot�l B .ut n. r.a�.R. or x�. �na. WA. Leader area � ° / InfilUation II �� Fsp. wall Net esp. wall In� wall Ceiling II ��_ '� Total Btu. uired aq. ft. E.D.R. or aq. ina. WA. Leader area � I Bcn Fl.� Room ( Lens� Width HeigP�t Windows and Doors.—Crac]cage and Area WidtII He1�hL• No. oL LlAeal IL Area No. o! psae ot pans llght� ot crack eQ, tt b (. � f. W,taation G1au ""�Y• ^"+a . . .9 . Net e:p. walt Int. -wall Ceiling ' Fl�r Tota! Btu. Keqnired ii1: �t. E.D.R. or aq. ina. W.A. 4ader area �. tt�m � r�� w�aw� Heighc e Windows and Doors—Crackage and Area WWth 8a1s6t Na of LIaW tt Area No. otpans ot pans It�ht� oi crack p. !t Coef. &u Infiltzation Glau �F• �l Na ap. wall In� waU :Ceiling Floor 1'otal Btn. Re�Nired w. k. E.D.R. or sy, ins. QIA Leaekr area SUBJECT c�ty of Fr�aley AT THE TOP OF THE TWINS g U I L Q I N G P E R M I T i � � � ; i y__„_ COMMUNITY DEVELOPMENT DIV. f � � PROTECTIVE INSPECTION SEC. i---.� ��"' �•� CITY HALL FRIDLE� 55432 NUMBER REV DATE L 612-571-3450 910-F15 9/11/98 JOB ADDRESS 6548 Channel Rd NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. (� 1 Don's 2nd Addition 2 PROPERTY OWNER MAIL ADDRESS 21P David Bona Same 3 CONTHACTOR MAIL ADDRESS ZIP _ Westurn Cedar Supply 705 W Hwv 169 Plymouth 55441 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP 5 ENGINEER MAILADORESS ZIp 8 USE OF BUILDING Residential 7 CLASS OF WOpK ❑ NEW ❑ ADDITION O ALTEFiATION �1 REPAIR 8 DESCRIBE WORK Reroof house & garage (28SQ) Tear-off 9 CHANGEqFUSEFROM ISTIPULATIONS TO Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PIUMBING, NEATING, TYPE OF VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DW I HEREBY CERTIFV TMAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yAIUATI AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T 1 PROVISIONS OF ANY OTH R STATE OFi LOCAL LAW REGULATING CON- U ION OR THE PERF MANCE OF CONSTRUCTION. � 4 PLAN CH '' /'��'� Li SIGNATURE OF CONi ACTOR OR AUTMORIZEO AGENT IDATE� $�GNATURE OF pWNER pF OWNER BUILDER� �OATEi � m � . `/ G. UNITS STALLS N $2,399.60 iE $74.75 $5.00 27723 ��/ PAGE OF APPROYED BY / / SEE ATTACNED SHEET PHONE LICENSE NO. -0304 00��.�n PHONE LICENSE NO. PHONE LICENSE NO. O MOVE ❑ REMOVE iOUP OCCUPANCY�OAD CU. FT. )FFSTREET PARKING IGARAGES SURTAX �1.2� iAC CHARGE Fire SC $2.40 �OTAL F E $83.35 i NEw ADDN ALTER [] [l �� CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 ConstructionAddress: �Os�� C�1"I �l�lJ(�[,� �. Legal Description'��/eO�� Owner Nazne & Address: ��(J�a Q3lJ/l��' (DS��' �/k�t1�t/� 2.Q. Tel. # s% �`r �� Contractor: (,(��cS� �(1/o MN LICENSE # 2ESU !�{Z.Q 7 Address: jN, f-IGt! �4`4l/ Tel. # ��l-Q�Q� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. I.ength Length s DESCRIPTION OF IMPROYEMENT Width Width Width G Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. ' �) � � �� Construction Type��.6,� -��,E��d� Estimated Cost: �:�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ na� ,t.1/ � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee 3ewer Main Charge TOTAL STIPULATIONS: $ �� $ , �l� $ /a � $ $ �' LC� $ $ $ $ $ 3° 5 CITY USE ONLY 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.Q0 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] - - � . �'��a3a BUII.DING PERMIT FEE SCHEDULE The Chief Building O�cia1 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 $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62. 25 for first $2, 000 plus $12. 50 for each additional $1, 000 or fraction thereof, to and including $25,000 $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 $100,000 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 or fraction thereof, to and including $1,000,000 $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": Removal 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 times $15.75. VERIFICATION OF FOUNDATION Permits for constru.ction will be issued a minimum of 24 hours from the tune 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. �