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AF - 36547�i��e ef �rfdie�, �f�. , BI3ILD�6 F��T � N° ��� v�� of �ror�r�a� �� s�n+r�s . .y�l � . . - . � , � . Owner � �±+ ,, �� ;� Architect ' Frid?ey, Mfnn,, �'�:� � Buiider � t LOCA"�ON C3F B17� � No.-��� ��,�; street Part of I.atL,. ` i.ot Block Addition Qr Sub-Division : '-. :, �ES�P��P'�.'��3N f,�F FUiLDIt�G . . � . . . . . � . _ .. . � .�- ... < .... f .��ti -� � . . � .:. . - • Front I?epth Height �tories_ Manuer af Conatruetio++ ;;:_, � .4 "��� To be used as compTet t� Coa """ # , � # � , �, ' . , ,. : , - ' . � � . ,, :F : ' , ' � � � ,__ � . • � Permit is heret#� grazi c� to to_.r�wr��4��� i � : the bu�3din , � ' si �e abOVe stRtemt+2f� TliiB pei�itii ie g1r�i�ed upoa fhe expx cbndi� n h�t ty�on to wi:om it is granted, and i�is agenCs, empioy�ea a�d �t'k.�szen, f� �II . ihe work done in, aru d and u'pon, said buildt��, or any part th+ereof, shaii cs�afprm in a11're�pect� to the ordi- ' nattces of F'ridiey, 'Minn., regard�tig the constsucti4�� alier�t4as, mai�tenanee, rsg�ir �c3 zriov�nt�' af,'btiiidi�s-' veiihin ths Gtty limits, and this permit may be revoked at �,ny time u violat3;t�a of �y o�-tha p�wvisi�`Of �id: =• ordinancea. �� � �� � � ��� ` . �`����� �� � inapectpx��oi €$i�iTtlings. �° 1�.C'arRL�'P+1�IEl�i'Z' a�1�111.77'SW��1\T ST�'.�:MI'��T , `, In e�r�sid�rat%�� of �the fssue and deiivery to �e by th� Ix�spectc�r of ��c3�n� of Fr�d��y �f ihe alaca�e �►�rmit, I hei e�aY agr� to do �he �rrvpas�� t�ork in wec��rc�ance , wrth .:th� d�er���ic�n �b�ve �et ft�rt% and �cca�c�ing i:ci the provision�s. cf the Qrdin�ne� of F�Iey, �c�, 3aei�g ��u1�r sworn, I h�reb� sta�e anc� s�� that the facts st�ted by me ar�d canta,in� Yir� the abc�v� per�iit are true as thereia �tated. °, . .. � - � Sui�scri �.nd sworn to before me at F�idlEy, M. �- ta,, �. day a �_A.D. 19�. -.` j�� �� �> = � "- � � ��, � � ' �� , : ��: , . - � _ _ /„� �` � � - � _ �� � �._ _ , �. .. _ _ _, .., ,- _ -: � _ _ : � � ,. S: � .::' - � _"� .i i. , � , _ ., _s, �,..�,u.�:� � ,� ...a ._ . _ . ,srs�s.. . _,."_ _ . . . _.. ?�,� � � �F,�. �_�n�� +�. _. �_ � . _ _+� '_ . ..., x.� t A: . 4 ` Viilag� o� T'ridley, ��. �; B�►D:111�G' _P'Eli�� �� Y:� �, ' F �_ ��#�k1.:..� .�'"��.. �° � � �. _ . y. � ?Y3'- �,.� �� � ' . �_._ �Ilf�e2' ' , t � �'ss" , ���°'.` '�.' �:'`�i 'F�; Adar�ss � _� • �- � , � � � � �_ � f � ° �.c7CC�,-�r " � o� �u[La�r�� " . � ���� .. Stree� , : � F � ~; ...`: . . . . . . ... � 3`��:`t o� `�ot , , , . ._t.. � Blpe� � . . . �44�c�ition . or �u�-Div�s3on ' .. , . . ; . . .,. . , . ..,- xer �;cst , _ �z�d� T.ot . �R S�'tbs�cl� , Sideya�ii . ... ;: :' ° 1����lE��PTICEhi �3F' BU�L.DIi�iiCa� � � �- te �i'Sed �s;':. . ° r. , �_ ., : ': _ _ �. ; . : , �'ront:; r '� - • � � � �� Y • s f �• 17�e� -�E�� �. '� - - ," _ �; o : `� �'�ont �� �-.�= i�e��h � .- 3��ght � �. �'�. � ' � � _ . ._ ' of -Consf�t�adn � � . - : • ..�si. Cost� �� , ���.�. • � �. �o � � .� ...�� .,.,..: ��� - - , �aomplete �� ����� , ' „r� '�` '� � � ,�°� "`�' ,�� � ���„ � - - ,� �' � � ,�` �" ,��� � �'�" ",��',; � �. �� - � � _ _ , n c�asic�ra�tFni ,o£ ti� issuat��� � rn� af a P�� �o cons�rueti the T�u�diz�g "d�� i rdpos�d wor� iz� a�ccrc�ZCe vyifh �e d�.s�iptia� �bove'; s�t �ortk� a�zd �n txrmg�ce ,� a�tt�e� af ��Ehe v�ge qP F�idley� _ - _ , � - ��� !v• �ia�tyM tk C�1�QI'8.t10I1 t)i �,il@ �e � �� '' ` .. - �.�@tl$ O�' A �`�G O� �'t �'�.� s �@33SY�i iS �i��ij* gt`F{�1t�, �p �, •., -. " ,'�O �o2].�tt'llG� �18' i)F�iid321g qP $�ihf�2.&S : t�@BG1�l1�Qt� A.�dit'�. 1'h�6; � �CpI'�S E621�� �1&� '�8 �'SQi1 � W�IOITt �'� �,4 .�'6�.:8ilt�.j7�4; 8,��1]�Se ��Q�4'C$ 83ItZ.'Ci ir� around �anc� u�n seatd°�iuiid#ng, or auy� �r�i �t�qf,; st�,l eoziform: in a1i; re�p�.:t •Y� �?�tttesof.�, regat�g ��130�, �►ri�s�iCUie�+to�a. �:lteration� ]41t�tlte�ar�ee,� reAai�';`-arid ?�vax � vaLlage �ni� and � permit �y be: revoke4i a� anY„ tit�a� upo� viola#io� of aa� tif t'� �tzee� ''j , ' _ �, �� � � � � : �, � ^ '�� .-• �W •� `- aYti`� � � �^. ' . , ._ _ . ' ` . . �- -... ��� . _"'. �..:; . _ ... +�. • �. - t K aS-� e sf� � � ��. .'� ♦ �Yt �'�`� "�`�` ' _ - Tfi�s �serri�ti doe�-nat Ca�rer t(�e ��trirct�forir.�ffistalta�irHf ar al�en�tioe ��r� �►+i�in�, Fium rer ar wa#eF. i38 sure �o se� 'E f�dirig in��4t' fflr separ�ie p8r�ti�ts �#or-,�e _#t� A j' - ; a ,� ��779r �a$ ii$�'L'�I1�Jy '� �r[s, , � `: r - :l ,� i , � i .c�-->-, �rii �.�iii�iil� -- _--� _ � City of Fridley SUBJECT AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i ` � ' COMMUNITY DEVELOPMENT DIV. r j L � PROTECTIVE INSPECTION SEC. � � � l--N� ��"" �'� CITY HALL FRIDLEY 55432 NUMBER REV. Z 612-560-3450 910-F15 JOB ADDRESS 6710 Cha.nnel Road 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 2 rj Brookview Addition 2 PROPERTY OWNER MAIL ADDRESS James A. Peterson 6710 Channel Roa.d 3 CONTRACTOR MAIL ADDRESS same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW � �DDITION ❑ ALTERATION 8 DESCRIBE WORK 9 CHANGEOFUSEFROM TO STIPULATIONS DATE 7/18/75 ZIP PAGE OF � � PHONE PHONE PHONE PHONE PERM T° 309 RECEIPT NO. ��/�� APPROVED BV SEE ATTACHED SHEET LICENSE NO. LICENSE NO. LICENSE NO. ❑ REPAIR ❑ MOVE � REMOVE ��PER�tTE PER�IITS REQll1R�D F�R �I)RIN�, HE�T'I�IG. PLUMiBING aND Sl�N� l. Complete driveway within one yeax. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT S%2 S%ZO ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE 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 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pER I EE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � ZO.00 PLAN HECK FEE TOTAL FEE - 22.8% si�e�CONT/�TORORAU i iar ���� S HEN PROPER Y V I TED THIS IS Y��ERMIT � e� ....,..._..-----_G�'� _ � _ � -- ����J � N _ ^.+ 0 . . • '. „ . . •APPLICATI�N FOR RLSTDL'NTIAL., ALTL'RATION, OR AllllITION.BUILDING ��RI�IIT • ' CITY OF FRIDLEY, I�iINNESOTA . O�JI�tElt' S NA1�fE : � { :� BuiLV�x : ��''�� � ' � � ' ADDRESS : U � � - ADDR�SS : �� NO s . %iU STREET • `'�� . I�•OT: �%� BLOCl�: . ADDITIOn : „ �i����'LPi��' CORI�,'ER LOT : INS IDE LOT :�_SETBACK : ,'C SIDLYAP.D : Applicant 2.ttacr. to this for� T«� Certificates. �f Survey.of Lnt and.proposed building ].ocation dr�.wn on these Certificates. . . Ta Be Used As : BESCRIPTION OF BUILDING 0 �. / � �� �°�' Fron� : a� Depth :� �� H�ight : 4 Z 32. s�a •- • o Square Feet: � Cubi.c.Feet: • R��vo� � � � . � � �a'�aS��i � �,��nt : Degth • • Height : � ��IN6 ' - � •� . Square Feet; Cubi,c Feet: � •- • ' G�i � 3.j►pe .of �Canstruction: ,���" Estimated Cos�C:_ �� To� Be Completed: �� � � � �� '�11�a.� � ���. 42 3Z.$a . • . . � . � - Q1�tnaa,o� . " I� e �U . . . �� . � a � ' � i . � E s . _ �� The undexsisned hereby makes applicativn�for a permit for the work herein specifiea, agreeing to do all worlc in strict accordance t�ith the City of � Fxidley Ordinances and rulings ot the DepaxtmenC of Buildings, and her�by declares that all the facts and representations stated in this application 8xe true and correct. � � � ' . , � � • 1k4TE: � / � � i� SIGNAT[1ItE: , � �See l�everse Side Far Additional Information.)' ' � .• . lspU �c G�l��� ��U�. .° � . • . C.� i4� � ,�,��._. °�o � _ . . . ' . � � ` � ' �, "je i 1, ' �(� . �J D � • ' . � . �� '- , 7�'' ` 2 � �'% ° . . ' ' . ' .. . _ �r, � � � � ' • . . 6 q • , •Z f � � � , � . . . ., . BUlLll1N� L'.L'lU�ll 1 rLL ���1LliuLC . � 5ECTION 2. The Inspector oi Buildings shall, betoxe issuis�g pexmits tor the cxecCion of any building ox structure, ox iox any addition to any existing building or sL-xucture, or for any a1L-erntion or rcpairs to any exisent�b the building or struc.turc, upon app�ication therefore, requirc the paym y applicanC toi such pennit of fees to the air.ount hexein below seC f�rth and i;t the mannen c�rein pravided to-wit: . . . UNITOItM EUILDII�G COD�• Type 1, 2& 4-$2.15 for each one thousand cubic fee�, or iraction �hereof, in such cubieal Fontents. Type 3& 5-$1.85 for • each one thousand cubic feet. . .. � � . � ADDITIONAL INFOIt1�7ATI0N .�or the purpose of ,.omputing fees for building perm3.ts, the cubical contents of any building or ad.dition, is determined by multiplying�the gxound area . covexed from a point six (6) inches below the floor line of the basemen� ox the cellar ta the average heights of the upper surface or to the averagec height of the•xoof surface of the main gable of a pitched roof. • For xepairs•or alterat�ons to�an existing structure, the fee shall be at the • ra�e of $3.00 per each five hundxed�dol.Iars ($500.00) or fraction thereof in the cost of all proposed work. ' . � �� � In n� case shall the fee charged for any permit as set forth in Section 2 be � less than �5:00. •. � � .. . � �� . � i ; . � • 4 � , � � ' 1 . � . { • , .. ; . � . . � � � VERIFICATION OF`FOUNDATION � � . � �. AOTE: Pennits for construction will be issuect.a minimum of 24 hours from fihe time of application, to allo�a for proper review of the proposed structuxe and, of the construction sitee : � .. ' A Cextified Survey of the lot, sho�aing the location of the foundaCion, once it has been constructed, will be required before proceedin� with the fxairiirig. , CERT I r I CATE O�F � OCCUPANCY . d�pplication for a Certiiicate of Occupancy shall be made ten (10) days prior to the use or occupancy of any stxucture for which a building permit has been issued; �nd sa�id structure shall noC be used ar occupied until a Certificate of Occupancy has been issued.. . . • . i� � ' . . 0 l � , - . ^ • � , land Planning s�����Jt��,.? 6875 Highway No.65 N.E. Land Surveying �� • • �j Minneapolis� so�ts res��„9 r�y2l�Z�?PP�I��L�!� •f��2C• Minn. 55432 Civil Engi�eering Telephone 784-6066 Municipal Engineering Engineers & Surveyors A►ea Code 612 Mortgage Loan Survey ior JAMES PETER50N � Nor�h line o�'�ofi 25, Broo�view Addition £ _ ` � --135. �8 N � C-o►. d � �% M � a .o �� �� O 3' �'> �o d o 3� � � L.351 �_r� I � oA oio I � . � � . Z �° � - �► � �„ 0 s - � r � �� � �� � �� o� � � � . � � � � N a- - u, � - y _ �. 3 .� T'' , :c� �3ti N: � � -- 53.5 -135.68 -- , 5oufh line o.� fihe Nor�h g�.18�'Qeto�' l.ot 25,�rool�vi�w addi JUNE � 1915 Th�. EaSt l35:�8 �'eet o�' thQ North- 88. I� �'e�t o�' Lofi 25, grookviQw Addition� Anol�a �ounty , Minnesot�. � � � � � � � W z z Q � V �cale-iinch:3��'e¢f This is o♦rue and corract representation of o survay of the boundories of the lond above described and ofthe locefion oi a11 buildings� i/ onJr� fhereon� ond aIl visibla encroachments� if any� �rom or on soid land. -This survey is made only in connection wiTh o mortgage loon now Fseing placed on the proper�y and no liabilitr is assumed eaecepf to the holder of such mortgage or any other interest acquired by fhe reason oi such mortgnge. If is understood and agreed hpj monumep ts have been IPced for the p�rpose of estabHshing Iot lines or boundory corners. Oated this 1'��day of J�� �t- `' A. D. 19� . ' SUBURBAN- ENGINEERIN�, INC. En9��Be� � Su v �rors +'Js' � 6y � , ;di... Ls'�„���fi__..��.._�_ti..,_..., 35 � � � , � � ! 1 � � � � I � � I � oa ;o � .�°b` _ I m� I n� � �� 9e T � � A � � � � t� w 1 � _ a S� —• � v� � ; i � �� �Y � � � � '�. � a� �� N�� � t1i � P d � ` I a Z. - s�� �� � � , o �a� � � �. - � .- -- -- - - _ _ � _ __ : _ '� --- - h � � ( t I � � � � ; � �� �, ro :� � ��� a . �, _ � ; , � x •.�' r �J �; {, { � D o � p,.Y! . i � •q � � �1t p , � £ o � x �Rl � Y c �° i �� ��., c �a ��W � � ix c •���� ��� i�' °� �°� 6 d y+ O �. � �fi��, - `�� �A o���r ���^� 4 �, , ����� � ��a ,, � �-- . � �. r j i � � � ;.i I � � - - � I y � � - -- _ � � � � � t� 2 � �' �n � + � �� o I � ` �� � a ° � _ � � � � � ` r� � "� � ;- � � m � � � � �. 3 � �, � � � � �� �r ° �'� � � �s � .� �+ �'� �,�, C o 4>`a • � � __ � d � d ,� � � . � � �t •g� '�•f� � ��� ' r�� �� �� � c� � s e �4� �i � � � � � � !I Y � i � � �i °�' i • � � %' / � � j � r t7 I � lp;� i � i \ I � � � � I � a __ _ -o i � � � i � � C� � � c A 4 � � 4 � � � � Y � 0 1 � I � 1 I I +� 1 � ��-. �_._ .__.. . --.�.- �-, . ...�..��.^--.' .";.-°--___.._" --.�_ ._.�_ _. . �.'. _. ' .. � S��d� $� �g,�o�d 0�� �d��� ti , � . - � �r�d �-°7� ' � ��� ,� , �, '� � � �� . ,,,�.� �. � � � � � � C � ,r� � � 0 � 1 � � � P a � � � � � � � � � b ia u : � � � f a � � � � � � � °4 . Q �. � d ` �, i • �L, _ e % s s � 0 � � r � � s t � � x � � r 6 � `' o � O �A 1 � 6 �� �� fTp � e' � o � � �� �a �, � �° � �A -•A �m j r-� � � � � � � � � :i' � J � � L � � �P� � � ,(�' � � � �� T '�e, '� s '� � a� ���l��9�7' Sf�a � � �S �, � �T � s �-�L � R��F��s �!''� C.(�o A i���o�� � ����,'�% `�# � � � � �� ��� 9�� � �� h ��s �� G 0 �� �� � �. � "I` a� 3 � � � �� � � ; � � � � � � � � � � � � � � � '� � s � � � � � � � � � � � �� :,�� =c. � -�'.� 0 �� e� -� . �� � SuBJECT P NO. c�ty of Fridley � 2 7 2 9 2 AT THE TOP OF TME TWINS g U I L D I N G P E R M I T r � � COMMUNITY DEVELOPMENT DIV. RECEIPT N�%� i `1i - a.lV r � � PR��TECTIVE INSPECTION SEC. i i � � /"'1 � CITY HALL FRIDLE� 85432 NUMBER REV DATE PAGE OF APPROVED BY �'"'"� � �'� 612-571-3450 910-F15 8/19/98 / / 108 ADDRESS 6710 Channel Road NE 1 LEGAL �OT NO. BLOCK TRACT OF; ADDITION SEE ATTACHED DESCFi. 2S 12701 Brookview Addit on SHEET 2 PROPERTY OWNER MAIL AODRES$ 21P PHONE Ed Holland 3 CONTqACTOR MAILADDRESS ZIP PHONE LICENSENO. Town & Countr Ro fin _ 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house anil ara e 8 CHANGE QF USE FROM TO STIPULATIONS Underlayment mu�t comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITI�NING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED 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 CC+MMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HA\/E FiEAD ANO EXAMINED THIS APPLICATION STAlLS GARAGES AND KNOW THE SAME TO BE THUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOiiK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1501 . ZO .%S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOC AW REGULATING CON- STRUCTION OR THE PERFORMANC CO STRU TION �S I. ZS Fire SC I. SO `�j PLAN CHECK FEE TOTAL FEE v Licens 5.00 .50 S� UAEOF NTR CTO QRAUT IZEDAGENT iDATEI N OPE ALIDA THIS IS UR PE � ` SiGNATURE OF OWNER i�i OWNER BUILDEFi �DATEi BL iNSp pi E p' w AUG-13-1998 ....... � � ADDN ( ] AL1'ER [ ) 08�42 FRaM CITY QF FRIDI.EY CoasnuctionAddress �� Legal Description: Owner Aiame & Addr�ess: Concract�r• �I Aa��: �1 M �1 �.n TO CITY OF �'RIDLEY SINCLE FAMYiY AND DUPLEXES Yt 1 AND R-2 BiJILDING PERNIIT ppPLICATION 8589320 P.01i02 �lit�;LLVC 1/1/Jb �•l �� � LNING AREA: GARAGE AREA: DECK AREA: OTSER• �_Tel. �i �� �. � i���f MIv LICENSE �_��1Z.�i. � �r�i. � ,�,,J � �f � � �� Attach co this application, a Coitificate c�f Survey of t� loc, with the pmposed constiuctioa drawn on it to scale. Y�ESC�YQN 4F IDII�ROYEMENT � __, Width Height --^, S4. Ft. — �$�h = Width _ I�eight _ Sq. �t. �$� Width � Hgt/Ground Sq. Ft. Lc��� � � � � �� Consuuction Type• � -�-� � ` �stimat� Cost: $ •�°— � �'Cj �, � v (Fee Schedu2e on Back) Driveway Gurb Cut Width Needed: _ Ft. + 6 Ft a_ Ft x$ -$ � �- , . " -�; Per�mit Fee Fire Surcharge State Surcharge SAC Charge Licease Surchargc Driveway Escrow Erosion Con�oi Park Fee Sewer Main Charge roTar. STIP'ZJLoATIONS: $ S �� 2 S� $ /. � $ , o $ $ � Gc� $ $ $ $ � ��� 5�� Fee Scheduk on Reverse Side .001 of Permit Valuation (lllOth�) $.50/$I,OOQ Vaiwuioa Tel. �t � � -"��� $100D per SAC Unit $S.� (State Lic�ns�d Residcntial Contractors) Ali. 'A" c�r Alt. "B" Above $450•00 Conservacion Plan Reriew Fee Detennia� by Engi�ering Agreement N�► [ ) Not Necessary [ ] Building Inspections 763-572-3604 763-502-4977 FAX BUILDING � RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-08 DATE YOUR E-MAIL ADDRESS srrEaDDxESS , 6710 Channel Road Fridley, MN 55432 THIS APPLICANT IS: �OP/NER ❑CONTRACTOR PROPERTY OWNER/ TENANT Ed Holland 6710 Ch�anr pxox�: 763-571-7214 CONTRACTOR ADDRESS: SUBMIT A COPY OF pHn� YOUR STATE LICENSE STATE LICENSE # PROPERTY TYPE IXSINGLE FAMILY/NEW CONSTRUCTION ❑'I'WO FAMILY/NEW CONSTRUCTION PERMTT TYPE ❑ EtASEMENf FINISH ❑ I)ECK TYPE OF WORK: ❑ DIEW HOME CONSTRUCI'ION ❑ A�LAINTENANCE/REl'AIIZ DESCRIBE WORK BEING DONE: ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes m10 OR FOR NEW OPENINGS-DESCRIHE SIZE OF OPENING CHANGES & TYPE OF WIND{�W TO BE IIVSTALI.ED Permit N Received By: . Date Rec'd: � I � I �� CITY Fridley STATE�ZIP 55432 �-' �C�s���a'°'���N CTfY FAX EXP DATE SIZE STORIES ❑ ROOF . ❑ DRAIN T1LE ❑ SIDING ❑ OTHER ❑ SWIMMING POOL O REMODELING 17' ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACf�ED GARAGE HEIGHT ATE ZIP � BASEMENT REMODELING SUBMIT: I. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTI2UCTION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim 1. Site Plan/Survey showing the existing structures � Fascia and proposed project. 2. Two sets of construction plans 3. Energy Calculations LOCATION OF WINDOWS NUMBER OF ALL FEES ARE BASED ON VALUATION, INCLUDING 'THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ �� �—]N�cQ ��1997 UBC FEE SCHE OCCUPANCY TYPE Permit Fee Plan Review Fire Surcha.rge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due � ��c `_1e�1— $ � °-� o � $ � $ $ $ $ $ f $ �� �s � See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6�t= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( Make checks pavable to: City of Fridlev IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED Attach I hereby apply for a bui ermit an�i I acknowiedge that the informa6on above is complete and accurate; that the work will be in wnformance with the ordinances and codes of the City of Fridley and wi e Minnesota Cons ction des; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will in nccord ith th a, roved lan i e case of all work which requires review and approval of plans. SIGNATURE OF APPLICt� T PRINT NAME FDA//� �I�Q`�ist�f//% DATE �� . . . . � � : ��%��'i(�'�11`���;'GI.L� � . Page 2- Building l�esiden?tial Application BUILDING PERMIT FEE SCHEDULE The Chief Building O�cial 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: VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to a11ow 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 Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 ' 763-572-3604 Faz: 763-502-4977 \ . . , 0 t . 0. • � _ wr� +� { 1 (y i OO " � �� � ' y� � '°'` " �''� . �"n �� � � � � �I � � �.� � � � � a � � m X° �- m � W ° �_ _ � �' • m � a� p • 'c.y �.mc � a �x �n� �� .t v Z .�' � rna> > a G a�� � � � m � � � � i N N C � Z � ��owZ� �m ��W�mm a a , 6 s . ,� .� . . e • . ' i .' �: ,r �c; ;;� �r�.. � I .. (~ � ' � T° � � � a w N Z � ��$���� � o����� � ���o�� �! �� � , � � O "'� � ��� a _ �°8�� 'Tl � �� Z, p, m /� C.► •A` � "V �,D� � y O m 0 � N � m � . � � � o— � � � � � T�/ � �° � � � m ' r � � a � m m � � 0 � � ��� -, f � � � �M G � � � ^ � � � � � ,S � � \`L�� � � � n � 0 � � �•�� -.:. .: I � � . � +1 . ..�_ •.--� � r--. �' �