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AF - 37080r , _ City of Fridley, Minn.. BUILDII�TG PE�IT . .�: N° 511'7 .:- ;,r ; ,p+ ` ` � ,� . � � � � .+l�'' .r - -^' �..r1 �,- .r ..� ; I�r.+i! r' .- � � / �..� : ..riJ.L..�� • � � LOCAT1011l, O,E U DBNG No. �.��_�� 5treet �,:�{ � -�'-�� I..� _._... Part of Lot Lot � Block Coraer Lot Inside Lot Sewer IIevation . .- >-, ; .�:._:.._.�e...%+t�r..�t.,< . � �� Type of Construction Addition or Sub-Division Setback Sideyard � Foundation IIevation DESCRIPTION OF BUILDBNG Depth Height Sq. Ft. Depth Height �¢ Sq. F� —� .— F�t Cos� -�x��-'�-"""� -_ To be Completed ''�'' �� r � / Cu. F't C:u. Ft In con�deration oP the issuance to me of a permit to conslruct the building descrlbed above, I agree to do the proposed work in accordance with fihe description above set forth and fn compliance with all provisions of ordinanc�s of the dty of Fridley. � �� In consideration of the payment of a fee of $� , permit is hereby granted to to construct the buflding or addii3on as descxibed abone. Thispe rmit is granted upan the express condition that the person to whom it is granted and his agents, employees and worl�en, in all work done in, around and upon said building, or any part thereoE, shall conform fn all res�cts to the orrlinancea oE Fridley� Minnesota regarding lacat3on, construction, alteration, maintenance, repair and moving of buildings within the dty ]imits and this permit may be revoked at any time ugon violation of any oE the provisffons of sa3d oTdiIIBIICi'B. ,,,� BUil[73IIg IIIB�etOT NOTIC� T61s permit do� eot cover the eoea�rueNon, installallon far wiring, plumbine. ,g� 6eatin8, �vrer or water. Be sure fo see tha Bvildtug lespeetor for aeparate permits fo� these ttenn, ,�� 4 ''�, y � _ �, _ i; -_. . � . APPLICATION FOR BIIILDTNG PERMIT CITY OF FRIDLEY, M�TNNES�Tg ,..�� . . . . '' � a,�raer's Name ��' Builder . � • � �a��' � �aaraee �►��,�'`' G �� Address ! �-�`/ � �.• LOCATION OF HIITLDING No. ��►� St�reet ��`"r�- Part of Lot Lot Block Addition or Subdivision Corner Lot Inaide Lot 3etbaok Side-Y�rd SE'wER ELEVATTON FOUNIDATION ELEIiATION �pplicant sttach to this form Certificate of Survey of Zot and proposed buildin� location. DESCRTI'TIOld OF BUILUING � Gi�c.�it d�- /1Z�O'`r� �'°� ,�C To be uaed as : �'�� <r / +� f�y' �� 4�/ �xFY'dn't � AtU ----------H03.eYrt--- - — Sq. Ft. Cu. Ft. Front Depth Aei$ht Sq. F"t. Cu. Ft. � Type of . `� To be Completed ted Coat s�l�� .,y � � .ri'� G / The undersigned hereby makes application for a permit for the work herein epecified, agreeing to do all work in strict accorde.nce with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representationa atated in this application are true and correct. � . DAT� / d / ( / STGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) � . �. �� 0 � BIIILDING PERMIT FEE SCH�DIIIE � Section 2. The Inapector of Build3.ngs aha7.1, before issuing any permj.t for the erection of any building or structure, or for any addition to any euist3ng bu31d- •�° -� ing or atructvre, or for sny alterations or repairs to any exi�ting buil8ing or structure, upon applica.tion therefor, require ihe payment by the applicant for ° such permit of fees to the amount hereiu below set forth and in the �oenaer herein provided to-wit: 2.1. For any such peim3.t for the erect3on of any fire-proof building, other than a garage, warehouse, factory or grain elevator, or for the erect3on oi any fire- proof addition, for simi7.ar occupancy, to any exi.sting building shall be at the rate of �Z.LFO for ea.ch one thousand cubic feet, or fraction thereof, in suah cubical contants. 2.2. For an9 such permit for the erection of an� fireproof garage, warehouse, factorg or grein elevator, or for the erection of eny fireproof addit3on, for similar occupencar, to any existing building sha1Z be at the rate of �7..25 for each one thousand cubic feet, classified as "fireproof�� by Section 502 of the Minneapo].is Build3ng Code. HOUSTS 2.3. For e,ny auch permit for the tha.n a garage, warehouse, factory addition, for simi].ar occupaney� each one thousa.nd cubic feet. GARAGES erection of a�► non-fireproof building other or grain elevator, or any nor�fireproof to an� e�d.sting building. Perm3t �1.00 for 2.4. For an,y auch perm3t for the erection of eny nor�fireproof garage, warehouse, factory or grain elevator, or for the erection of axiy non-fireproof addition, for similar occupanc�t, to any existing building or for each such building or add3tion. Ninety Cents,for each one thousand cubic feet or f`raction thereof, in the cubical con�ents ther'eof with a minimum of �4.00. For the purpose of comput3ng fees for buil.ding permits the cubicel contents of any building or addition to a uniform height throughout by multiply3ng the ground axea. covered from a point six (6) 3nches below the floor line of the basement or cellar to the average height of the upper surface or to the average he3ght of the roof surface of the ma.in gable of a pitched roof. 2.5. For repa.irs or alterations to an existing structure, the fee she11 be at the rate of �3.00 for ea.ch Five Hundred Dollars (�500.00), or fraction thereof in the cost of all proposed work. 2.6. In no cs.se shall the fee charged for any permit as set forth in Section 2 ioe leas than �4..00. � ^ � __ � ,, � �� , . - i *- � R -4 - a� � ► _ _ . _ ; . i i I ; • . � � - - - -Ex.s�:,va. - Ii S �j il '� r. �., Ri � �c� eq_ p� \'� - �o 0 .�—� � � � City of Fridley, inn /"� � 1 � ' 1 , �� .:_ � � . • �_, � ; , /` / � s-- /� �;�.1� � s �_ . � ii _!� /L� � , - - �� ? � LOCATION B DING No. J(��1� str�et � Lot Lot ��__.__ Slock Addition or Sub-Diviaion � Corner Lot ._ Inside Lot ._.._� S.etback �� .�._ Sideyard __._.�__f� Sewer IIevatlon ^ Foimdation Elevation DESCRIPTION OF BUILDING T Used /as: Front DePth He3ght _��! Sq. FL�,�� Cu. F't L� Depth ITeight � Sq. Ft Ct1. F� Type of Constructfon 2.�_ Fst C'a�� To be Completed In consideration of the issuance to me of a germft to construct buildin bed above, I agree to do the proposed work ffi accordance with the d�scrlption above set fo and in ce with pra�vIafona of c�rdineaces oP the dty of Frfdley. � �� In consideration of the gayment of a fee of $T �� , permit fs hereby granted to to construct the buflding or addition as described above. Thiape rmit is granted upon the express condition that the person to whom it is granted and hie ageats, employees and worl�nen, in all work done fn, around and upon said building, or anypart thereof, shall conform in all respects to the orrlinances of FricIIey� Minnesota regardin� location, constructCon, alteration, maintenance, repair and moving of buildfugs witbin the dty Ifmits and thia permit may be revoked at any time up�n viola of any of the provisions of said orrlinan�. �-, f�f`V � Buflding Iaspector NOTICEz 'll� peneh doa em arorsr t6s eonsl�ocH�, tmtalWim fo� vrirl�, plumbiee, �as 6e�Nae, a�ru� e� rrater. B� wn to a� t6a Bulldtu� Imp�do� to� ap�ral� p�rm6s he t6a� (f�ns. r � a+ APPLICATION FOR HUILDING PERMIT CiT'�[ OF FRIDLEY, MLNIQESOTA � � Q� 1 �s�' S NAME �iC�� °'�l. � � BITII.DER �` � ��'�'a�"�°�� Ai3r.�,��5 lo �� %ra�r°'.��%�ADDRESS /�-�T�' L��-�- G� LOGATION OF BOILDING No. Street Part of Lot Lot Block Additton ar Subdivision C�rn�x Lot Inaide LoC Setback Side Yard SE6JER LLEVATIOAI 1�OUNDATION ELEVATION APplicant attach to thia form 7.t,�o Certificates of.Surveq of Lot and proposed �uiZd- ing location dra�m oa these Certificates. To be uaed as: c ,,� �``�,� DESCRIPTION OF $DILDING Sq. F't. ,��Il'�_ Cu . Ft . Front Depth Aeight Sq. Ft. Cu. Ft. Type o€ Construction � Estimated Coat /,� ��-� �� To be Completed � �� The uadersigned hereby makes application for a permit for the work herein specified, agree�ng to do all work ia strict accordaace with the City of Fridleq Ordinances �nd �ulin�s of the Depa�tment.of �uildiaga, and hereby decZares that.all the facts a�d sepresentations atated in this application are Crue and correct. � ` � � DA�`E`E � r � SIGNATULtE (Schpdule of P'ee Costs can be found on the Reverae Side). • • s _ �� . • "' .> - r _ � � BUILDJNG PEIiMIT FEE SCHEDULE Seetion 2. The Inspector of Buildiaga shall, befose isauiag any permit i�ar �he erecCion of aaq building or structure, or for any addition to anq exist- ing building or strucCure, or for any alterations or repaixs to any e�ia�3.ng building or stcructure, upoa application therefor, require the paqmeat by the applicant for such perm3t of feee te the amount herein below set forth end in the manaer herein provided to-wiC: 2.i. For any such permit for the erection o.f any fise-proof building, other than a garage�, warehouse, factory or grain elevator, or fc►r the erectioa of aay fire-proof addition� for similar occupancy, to any existing building shsll be at the rate of $i.40 for each oae thouaand cubic feet, or fraction thereof, in such cubical contente. 2.2. For aay such permit for the erection of any fire-proof garage� wasehouse, factory or grain elevator, or for the esecCion of any fire-proaf edditioa, for similar occupancy, to any existing buildidg sha11 be at the rate of $1.25 for ea�ch one thousand cubic feet, claes:ified �►s P1fireproof" by Section 502 of the Minneapolis �uildiag Code. SOUSES. 2.3. For any such permit for the erection of anq non-fireproof building other than a garage, warehouse, factorq or grain elevgtor, or enq noa-fireproof ac�ditioa, for similar occupancy, to any existing 1�uilding - permit $1.00 for each one thousand cubic feet. GAI3ACE5 2.�. �or aaq such permit for the erection of anq aon-fireproof gasage, w�rehouae; factory or grain elevator, or for Che erection of any non-fisepev�.f addit�or►, for eimilar occupancq, to any ex3sting buildfng or for each a�ch �j.ldiag or addit3on - niaety centa ($0.90) for each one �housand cubic feet or fracCion thereof, in the cubical contents thereof with a minimum of $4.OU. For the purPose of compueing fees for building permits, the cub3cal contents of any building or addition eo a uniform �ieight throu�hout by mi�ltiplyin� the ground area covered fr�n a point six (6) inchea below the floor line of t1�e hr�semeat or cellar to the average height of the upper aurface or to the a.veYage height of the roof surface of the main gable of a p9.tched roof. 2.5. For repairs or alterations to an exiating structure, the fee ai�a.11 be at the rate of $3.00 per each Five flundred Dullars ($500.00) or frection thereof in the cost of all proposed work. 2.6. In no case shall.the f�p chargAd for gnp p�rmft as eet forth 3n Sectioa 2 be les's than $4_(W. �\ , . . - r`\ � � -. - _ .. , � d � � � �. � � r a� : w : x° : � ' M . h : a : � . m �� : � � �a tH � � F~+ � � N Cn � � � r+ � � � � � � C� � �� .. N � . o • o � o � : o . . � : : � . . I I I � N pd 6C [� ►�+ � 0 0 0 � f» tsi H H � r � � � � � z � z x � �. � � � � � � y � � � � �m�� y � " : o � � �y '� � R" � t@A ¢ � : � � . � .. N . � �• . � W o : : � O . � . . � � : . : : : W : . . . : � : : : : � 0 D4 p4 �E �C 5S �9 w t.� e,o �-� r � � c�"i� °o c,n'n °c� o o y t» t» tta v� ffa �� H • O � � � � w �b" a � 1� D � r � � m �^ l' 6T'1 C r m � � � �'' p ~ �O �, �. m x 8 �' � � . � � p � � �� 8 � M �❑ O � o � � � � � � NCp' f� tn ��-b y � R. °� bi � o � � � � � � �' � � � g � � I � WATER aosErs uwwus � eI►S►NS SINKS W�, �� DRtNf4 FOUPIT. sHwas. FLOOR DRAINS C1ITCFI BASINS Auro w�e GAS APPL � RANGE GAS OPENINGS � • z : � � A n � �� j � q � �� f4 �o�� .� � ��°�' � ��.o � � � �� '-�� O O p �-b y� �, � � � � � � Ry O`'° �W p��'o � � � p � a, o H ��w m � � � R�� ►pi � �� N. � �o ��o � � � � ►+ �o ,.�y. � I i w�� y � � �_� � �' � �i y � � �ro a� Rz � � p � .�.. � � � � ,�a � �• �i � � � I � � .Oa, � � T G :L �' � G� � � � � � � . b � o� � � b �. . A O �� ' _ __ �«� _ r _ _ _ �� i"� City of Fridley, inn BUILDING PERMIT nate: June 30, 1965 N� 8078 owaer: Alv3n H3rchi B�� S. �. Templin'Constr. �o. Ad�r�s 6875 Channel Road AT. E. A� 1251 Gardena �nu� LOCATION OF BUILDING No. 667� � Street �h8iiitel �oad �. T. Part of Lot Lot l� Block Additton or Sub-nivision Brt�okvie'� Addition Coraer Lot Inside Lot Setback Sfdeyard g�� g�tq� � Frnmt7atfon IIevation DESCRIPTION OF BUILDING To be Used as: Front Front Type oP Con�tructton Depth I%ight �. Ft �. F't DePth i%iglit S9. Ft Cu. F't. � F�t. Cost �.8 �0•�4 To be Completed Storm Damage Repa3rs Rebuild Ia ca��sideratlon oP the 9ssuaace to me of a permit to conatruct the uilding descrit�d above I a,gree to do tha P�P� work ffi accordanc:e wlth the drescntption above set forth connpliance with afl provIsions of oidinaaces oE the dLy of Fridley. � � Ia ca�slderation of the paYment of a fee oP � 10•�---. Permit 9s hereby granted �o- � T�mn1 i n S'nnStP. 'L'O • to cxnstruct the building or addition as described above. This �ermit is gra�►ted nPon the euPress conciitfan that thepe�on to whom it is granted and his agents, emPlo3� and worl�nen, in all work done in, arouad end upon eaid building, or anYpa� ther+eof, shall c�nform in ail respects to the ordinances of FridleY� Minnesota loca'tlon, constructCon� alteratlon� maintenance. r+ePafr and movYug' of buflclinp within the dty ]imits� peraait maY be revoked at a4Y 'time upon violat[on of any oE the P�vfeions of said ordinanaes. 1�117.ea Jensen B�g � NOTIC� 7� pe�i1 doa �1 eora �6s eemfrodioe, tmtaqdioe �or rrWnY. P�+6+9� Yu 6ude�, awu a wNer. B� suro to � � Ba11dh� [n�e�e� im' aP�nN � for 1kK� it�. r R . � APPLICATION FOR $UILDING PERM[T CITY OF FRIDLEY, MIIVNESOTA r-,��–' �P - L � $ --�'�-s�"� � G� LOCATION OF BUILDIIVG =�� _ 3trest part of �,ot � L� ,% � �UOCR ADDITION OR SUBDIVISION�,!'"� A r� t�o, a��=�i _ �' Corner Lot`_Ins3de LaT Setback � Side,+Yard �EWER �LEtiATTAN FOIJNDATION EGEVi�IOK _� �� Applicant attach to this form Two Certificates of Survey of LoC snd proposed bi�ilding location drawn on these Certificates. � DESCRIPTION OF BiTILDING To be used as ; • �' -�' �— t� Front De Height Sq. Ft. Cu. Ft. Front Depth ��geight � Sq. Fe. Cu. Et. ' Type of Caastructioa EstimaCed Cost ., �� To be campleted �'he undersigned hereby makes application for a permit for the work herein apecified, agreeiag to do all work in strict accordance with the City of Fridley Ordinances and rulings of the IIegarCment of Buildinga, and herebq declares that a11 the facts and representations atated in ehis application are [rue and correcC. DAS'F,� SIGNATQRE � � .,_ (3chedule of Fee Costs can be found on the Reverse Side). � �� v, � � � y b ` � b � �� BOYLDS�G PERM�T FF�.. SCIiF.DUi�S - SE�. The Inspector of Buildings aha].l. before issuing aay parmit for the erection of any building or etructure, or for any additian to aaq eaisting build- ing or structure, or for any alterations or repaira to any esiatiag building or structure, upon application therefore, require the payment by the applicant for auch permit of fees to the amount herein below set forth and in the.manner'hareit�.. provided to-wit; 2.1. For any such peranit for the erection of any fire�praof buildin�, other tban a garage, warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for similar occupancy, to any exiating building, ahall be at the rate of�$1.40 for each one thousand cubic feet, or fraction thereof, in such cubical. cautents. 2.2. For anq�such permit for the erectian of any fire-proof garage, .�tarehauae, factory or gYain elevator, or for the erectioa of anq fire-proof addition, for aimilar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, claesified as "fireproof" by Section 542 of the Minneapolis Building Code. fl00SES 2�3_ For aay auch permit for the erection of any non-firepscof build�.ng, other than a garage, warehouse, factory or grain elevator, or aDy non-firepraof addition, for similar occupancy, to anq exiating building - germit $1.Q0 for eaeh one thousand cubic feet. GAitAGES .�� 2 4_ For any such perm3t for the erectioa of anq non-fireproof garage, warehou�e, facto;q or grain elevator, or for the erection of any non-f3reproof additioa, for similar occupgncq, to a�r enisting bu9.lding or for each such building or addition - ninetq cents ($0.90) far each one thou�and cubic feet or fraction th�:reof, in the cubical conteats thereof with the miaimum of $4.00. For the purpose of camputin� fees for buildin� permfts, the cubicai contente of any building or addition to e uniform hei�ht throughvut bq multiplp3ng the grouad area covered from a point six (6) inches below the floor line of the basement or cellar to tbe average height of the upper surface or to the average height of Che roof su,rfs,ee of the maia gable of a pitched roof. 2.5. For repairs or alCeratirnas to an existing etructure, the fee si�all be a he ra�e of $3.00 per each Five Hundred Dollars ($500.00) or fractioa thereof in the c�st of alI proposed work. . '� 2.6. In no case ahall the fee charged for any permit as aet forth in Secti n 2 be less than $4.00. •. .' �Z � � � _� � � �� M H �, x Y b a � � �0 �z � 0 � � O � � � � 0 �° c� �,o b P ��' � � �� c � � � � " a '� `� 'a cfDi s � � o ° '` t�r 63 rr �7 r* w r. r* c1 h r n � �a ►�i � .+ rt x GapL, tn y O �M+ y r O N o x tA irt ��t • O r^ � � it H Q G O te W R M�+�q � N O �t ►+ rt �.' � W rt O tt 1� f1 X � ti9 O O r O �0 � C 7 � �� O M � Ia ` �t X � � � �t � � � � � � � O � � G °o � �° �S t�ii � � � � °' � �n 0 0� m a o� �� H �t M 0 0 li ta t-� �o A r � n vxi °° " ►,r. . :° °0 5 '° � -�i � � � o � `o tn ..-. � `� m � r � � � • �..� . rn N c'� _�7 x C o rn ee x e� x se x x se x sc x x N N M N N N tA tN F-� tA N L/ N 81 tN VI O F� W ' Ut V� �l O U� tJ� N N W O O O O O � O O O O O O O O O ►� O G O O O o O o O o O O O O p� . N t/l N fA ♦A N tl1 fA � tl► fA i/l iq N � •H . � O 0 � � � O � � r � � � H � N V • O ra !d " N a O � a tl► N tA � � � � H • � � z ,�r� �ro �3 . . � � � � . ' H fA '� � � O � '��'. . tn i n ] m Storie� : :°. a a w �r � � a , '= „ � Closcha ,_,� � Urinals W (D G � 8�1�1 1\lb9 K =� � Basins � r O� ] o S�TkS � '� Wash Trays a r5.. Drinkinq '° ,7q ' Fountains ShOWCiS � Floor Dr � Catch � Basins y� m Autaanatic ''0 p' �Jasher r E ►+ � � ApPl� A . "'i Misc. Fixt p , Z Gas Panga 'n • y� O rr E 70 �° K Other � C � � �' �* 3 � W r f�p M �'_' Z � " � o � � ao 0 0 � � � y A t/� '�+J � ° � c c � �i � H y � G�] x � �' o tro9 H � 'Zr O �d t� � H 0 � � . � n z � d � c� •-� .. . a e � � � w� r�ro °v � ron r�m rr M � � � �e � � � � w� � .NiM� a GZ7 �° a a' m i►�s � � . a t°w m aao °� � ' m • a o rt r- u+ ►� ro � � M � � O� M „ �� a � � . md�r� � yro°m �a �ano�e � °1' 1 ��'a � � � �~ � • i9 M m O O f W m � a�c' � - g . ,.a. �crr � . � a,�� . r•a� 0� - ° � rta wo 5' W Q tl m • � M m�°nK �` ro°'oa � �`�°�'� ! � w�� W f�1 A O . � rarM � � � � ' � � ►�► � � � �a rt � x • �8 rn�a.►f0+ . � a �' � sue�ecr P-EAMfi1�T0"----- -� City of Fridley � ;� � �.�5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T, f ;, ,� o i • COMMUNITY DEVELOPMENT DIV. � � �: ----- � r � � PqOTECTIVE INSPECTION SEC. � � � °� � � � ��\ ' � �� CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE Of qPVROVED B� �""'�'� �'' 612-571-3450 910-F15 6/19/95 � � JOB ADDRESS 6875 CHANNEL RD NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. lO Brookview Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alvin Hirschi 6875 Channel Rd NE 571-0065 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Same 0 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO 6 USE OF BUILDING Construct a 10' x 9' Deck W/Roof 7 CLASS OF WORK ❑ NEW C� ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK See above 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. . SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTI�ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OH ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CEATIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALIS GAqAGES 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 ]. SOO . 7S DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 3S.00 Fire SC 1.SO PLAN CHECKFEE TOTALFEE 37.25 S�GNAT E OP CONTR , O�R AUTN I ED AGENT IDATEI PqOPERLY LID T IS VOLI%%�� T f � Ld SiGNATUREOFOWNEAi��OWNEABUILDERi �DATE� BLOG �NSP �iaTE NEW [ l ADDN [ ] ALTER [] ConstructionAddress � CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Applica.don � �� V� , . � �-� _ Effective 1 / 1/95 Legal Description: _ Owner Name &. Address: � � 1� � S Z� Tel. #. S�/ -�O� 5 Contractor: Q ��YI �b- " � _ MN LICENS�E �` � . . � . Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # � Attach to ihis application, a.Certificate.of Suivey. of the lot, with t6e proposed construction dra..wa on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. _ Leng�th Width Height Sq. Ft. Length _/� . . Width �. Hgt/Ground�� Sq. Ft. � - - 6��1 L IGr/Y� � W� Corner Lot (] Inside Lot [�,]� Ft. Yd Setback ,� 0��G Side Yard Setbacks � c� Type of Construction: g�, oo � Estimated Cost: $ l.�o D Approx. Completion Date: � ° S � (Cost on Back) Driveway Curb Cut Width Ne�led: Ft. + 6 = F x$ _$ DATE: � " � �- %�� ArrLICANT: � Tel. # .� 1/ ' a� � s Permit Fee Fire Svrcharge Sta.te Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park F� Sewer Main Charge TOTAL CiTY USE ONLY $�,� �� Fee Schedule on Reverse Side $ �, � .001 of Permit Valuation (1/lOth%) $ ` �,� $.SO/$1,000 Valuation $ $850 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $4.50.00 Conservation Plan Review $ F� Determined by Engineering $ Agreement Necessary [ ) Not Necessary [ ] � �� Sl STIPULATIONS: . • , IiU1LD[NG PI:RMI"[' rc� SCr�E�tlLr_ �I�hc Cl�ief i3uilding Otticiai 1hall, lx:lore issuing permits for the eroction of any buiWing or structure, c�r ti�r any a�iJiticm tu any existing t�uilding c�r struclure, or for any alteration or repair to any existin�; twilding i�r- swcwre, u�n a�plic:�tion therefore, rc:quire tfie payment by the applicant f"or such Permit c�t- ice;s to ihe anx�unt licrcin t�clbw �ct ti�rth and i� the manner i�ereia providcxl to-�vil: "1�0"I'AL VALU[: � I � to $500 � : �SO1 to . �2,000 $2,001 to $25,000 �25;001 co $50,000 - $50,001 to �100,000 $i00,001 to �500,000 $500,001 to $I,QOO,OQO�.- $1,000,001 and up r-r_��s $15 (Minimum Fce is $15 plus sUrcharge) $13 for first $S00 pius $2 for each addiaonal $100 oc firacrion � thereof, to and including $2,000 �� $45 for fiist $Z,000 plus $9 for �each additionai $1;000 or traction thereof, to and inclu�d�ng $25,000 • . $252 for fust $25,000 plt�s $6_SU far each additional $1;000 or fraction thereof, to. and including $50,000 -. $414.50 for first $50,000 plus $4S0 for each addifional $1,000 or fraditon �ea'eof, to and including $100,000 $63950 for €ust•-$1QO,OUQ ptus- $3_50 for each additional� � $1,000 or fraction the,reof, to and inclading -$500,000 . $2039.50 for ttie. first $500,000 pins. $3 for each addit�Qnal $1,OOD or fraction thereof, to and including $1,000,000 $3539_50 for the first $1,000,000 plus $2 for each additional $1,000 or fractioa �th�eof - DRI'VEWAY DEPRESSION ESCROW (Concrete Curb Sbreets Onty) Alternate "A": Removal and re�lacecQe.nt of curb and gubt� only - Dciveway width pius 6 feet times � 13.50_ Alternate °B": Removal and replacement of curb and gut�tter and install a 3 foot �vide approach with 6 inch depth - Driveway width pius 6 feet times $15_75_ VLRtF[CATION OF FOUNDAT[0[Y 0 l'ermits for constiuction wil! be issuod a minimum of 24 hou�s from the time of application to allow f�r propec revic�v of tfie proposc;ci Structure and of the cor�struction site_ A Certitic;:ite of Sucvey of tiie lot, sh�wing the iocation of the founciation once it has it has heen coc�tivcte,Yi will be rc;yuirul t�efpre proceeciiag with the framing_ � .� V � � �� v � � �� . � , � �. � � � � �' U � � - _ � .. �„� (�1 4 � � c� � �T4°'i :�;�;� ��'� � ..� ��. �....., �� ^-I� i :,. � —�� f f \1 � _ ��-� � y ��, � ..� r F� ' � �� t �F� 1 n t t � � J T;/ Slt �d� ��5. �.��: �y f `. y� . � r ` �1 w � . . , . '� r� ��: \ �) �-� � tJt. , . - . �� .. � . > � � : t �`' . _ �-�' � � _, � � � . � u � � . �Yj 'y.,, �.: , � � x ~�� '�� . ,. ;a ,,1� 9 O � � .�`� � � � � � �� %� :%,i -ll�i � --7'-�Y �� . 1 -� , ,� ; � � _--�— � �� , ---- -- --=� g i -1 �--i----A; -� � � �• __� -j �;- � t �.�..,--- � - -- #i '; ` - � � `�--� ;! '' � " - �` C ,• i 4 � � �! ��•?:;�.. '�` � � I .� Y -.�_,.. �( _._ _ ! �, , � �a.� -,� ,, �`�- 4 � . -'�� ',\` � � � �� , � . !� ---�r: .� .: .�.��_P ,�' �.r-- , o�. i— - �� .. / � � . ' . .� I � 0.. �• �� \� Q �� ,l�_ . ��'� , . � tl� d �. � � C � � .. � � �� = -. , :. t �- �R � � C C � � . � SuB�Ett City of Fridley AT TNE TOP OF TME TWINS g � i L D I N G P E R M I T i� � � � ; v __�� COMMUNITY DEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEG. , . , � _ �"'1 � CITY HALL FRIOLE`1 SS132 NuMBER REv �----� � �'� 612-571-3450 9/0-F15 ,oe aooaess anne 6875 ��1 Road NE 1 LEGAL �OT NO. BLOCK TRACT OF AODITION oescR. 10 (530 ) Brookvi ew Addi ti or 2 PROPERTY OWNER MAIL AODRESS , Alvin Hirschi � DATE 5/28/99 3 CON7RACTOfi MAILADORESS Burnsville 55337 ZIP American Bldg Contractors Inc. 12247 Nicollet Ave S. 4 ARCNITECT OR DESIGNER MAIL ADDFiESS ZIP S ENGINEER MAII ADDRESS 21P PAGE Of � � 571-001 PHONE _707_69! PNONE PHONE �� 3 APGAOVEO BY SEE ATTACMEO SHEET LICENSE NO ?0169383 LICENSE NO. LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOpK O NEW O ADDITION O ALTERATION i�C REPAIR O MOVE O REMOVE B DESCRIBE WOFK Reroof 1 side onl_v (7 S4) Tear-off 9 CHANdE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. SEPAfiATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING, HEATING, �PE �F CONST. VENTILATING Op AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTMORIZEO IS NOT COMMENCEO WITMIN 60 OAYS. OR IF CONSTFUCTION OR WORK IS SUSPENDED OR ABANOONEO FOR A PERIOO OF 120 DAYS AT ANY TIME AF7ER WORK IS COMMENCED. NO. DWLG. UNITS I NEREBY CEFTIFY THAT I NAVE READ AND EXAMINEO THIS APPLICA710N AND KNOW TME SAME TO BE TRUE AND CORREC7. ALL PqOVISIONS OF �AWS VALUATION ANO OROINANCES GOVERNING TMIS TYPE Of WOpK WILL BE COMPLIED WITH WME7MER SPECIFIEO MEREIN OR NOT. TME GRANTING Of A PERMIT $599 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TME pEFMl7 FEE ROVISIONS OF ANY OTHER STATE OR �OCAL LAW REGUlA71NG CON- S R C71 N R T PERfORMANCE Of CONSTRUCTION �Z6 e�j'rj ��'��,f,G, PLAN CMECK FEE `` � �� L'IC S S�GNATUpE O� CON'AACTOA Op AUTMOA�2ED dGENT �OATE� MEN RC S�GNATUAE 0� OWNEp�ii QWNEp BUILDEpi �D�TE� m .�..eo � OCCUPANCY GROUP OCCUPANCV�OAO SO. FT CU FT OFiSTREET PARKtNG STALLS GARAGES SUFTAX $.50 SAC CMAiiGE Fir SC $.60 TO A FEE i .65 �ALI �' ITMIS I$yQU�ERI�yIZ� / � ti I. ' s, a ..r .. l J s ALL� � J ALTER [ j con�a�wo�aaaress: _ ' _ .. . . , v� � � . � a, �� U � tJ I J J�.,t 1'" . tl li tJ� �riecave t!lly� CY'Y'1' OF FitIDLEY ,2 �-Z� SIlVGLE FAMII.Y AND DUPLEXES R 1 AND 1t 2 BUII.DING P�RNIIT APPLICATION �� 3 P o_� �� ._� 3as L Legal Descripcion: ' - Oamer Name & Address: ,��_ G+ � � Tel. # v�?l – Ob 6S, Cornractor: �}j_r1�U C/�- eJ /3 �( t t��n/� C�/?Yt� c7u� , u/c. MN T.ICFNSE # Zo/6 Q�� 3 Address:C2?�-� ^I 1Cv c.1,�T fh/ �'d ec rh s v r/� SS`3 3� Tel. #� iz ?d� 69.r� � Attach w ihis applicatio�, a Certificat,e of Survey of the lot, with the proposed consuuction drawn on it to scalc. • i ? LIVING AREA: '• GARA,GE AREA: � , nECK AatEEA: i � o�: AESCRIP'i'ION OF IltiIPROVEMENT Length � c� Length � � o Width f 6 Height ' Sq. Ft. Width `Z8" Height Sq. Ft. � Construct�on Type: RE —�bm � Estimated Cos[: $!�f��" v�� r e � (Fee Schedule on Back) Driveway Curb Cut Riidth Needed: Ft. + 6 Ft = Ft x$ _$ nATE: APPLICANT: Tel. #�� z.�8'S= �'6 G 2. Permit Fee Fire Surcharge State Surcharge SAC Charge Lice�e Surcharge Driveway Fscrow Erosion Control Pairk Fee Sewer Main Charge TOTAL � . ST�ZJL�ATIONS: CYTY USE ONLY $��--� -� J Fee Schedule on Revcrse Sidc $ .001 of Peaait Valuation (1/lOth%) $ � $.50/$1,000 Valuation $ $1000 per SAC Unit $ �° � U $5.00 (State Licensed Residential Cornracwrs) $ Alt. "A° or Alt. "B° Above $ $450.00 Conservation Plan Review $ Fee Determined by Engin�ering $ Agreement Necessaz�► [ J� Not Necessary j] , �� .� �