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AF - 37092City of Fridley, inn BUILDING PERMIT N� 5 0 8 4 Date: ,�'` � "_ � �0 "�' C,G' � °-- � i Owaer: �.�� a- �� Builder —..-.-- Address _._. Address , — �o�► � BV�LDO�G No. ..�t�� Street '�� ee�'�'�"�� L.�`---- —._ Part of �t '" . Lot —_.�.-_ Block � Addition or Sub-Divis%n _ ---- �� ' 1 Coraer Lot Inside Lot !�'� � Setback �..!�.—__.._ Sideyard ._� --- Sewer IIevation Foundai3on IIevation DESCRIPTION OF �UILDING To v�a � %j� /� Front .� Depth �� Height � Sq. Ft iClL��'` Cu. Ft�� ____— t Depth ...�� eight � �� . F't. — Cu. Ft Type oP Conatruction y�:��'�-�' �. �s --��__ To be Completed �. ° � .,��'�,,�p �°''`"ie�� k� .~��► f �.y .I ,.,r' .,_'�./•�� 'IF-�..."r' „"',�'•,�'.."°. �,•-�`� �'�"�'�°� � �� In consideration of the fssuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with tlie description above set forth and in compliance wlth all provisions of ordinances of the dty of Fridley. � - Ia consideration of the payment of a fee of �$.�{t�— , P�t 9s hereby granted to to construct tlie building or addition as described above. This permit is granted upon the express condition that theperson to whom ft is granted an.d his agent�, employees and worl�nen, in all work done in, around and upon said building, or any �a.rt thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteratioa, maintenance, repair and moving of buildinge yvithin the city limits and this pernut maY be revoked at any time upon violatac� of any of the pmvisions oE said ordinancea _ �./) ,` � ..�!'-,d�cs�' _'BuYldinBInspectar NOTICE: Thb parmi� does not eovee the eenslrueNoe, inttallaHoa fo� wirin& P�umbing, ges heating, aewer or water. Be sure fo ses �Iro Buildine Inspeetor fo� aeparate permiis for tl+ese hemL �� - �-.:? 4 �� I APPLICAT�bN FOR BIIILDIAIG PE�MIT CITY OF' FR�bI�Y, MIl�tNESOTg a�ner's ATame Harold E. Julien Bu�.Zder Har�l d _'I �� Rn �C].drese 1975 Bro�son Or.,Mpls. 21 Address 6886 Channcl Road. Vj,�pe o Fridle� LOCATION OF HIIILDING No. 6886 Street C„h�nnpl Rri _,�i 1 1 a9a „� Part of Lot Fridley � Lot 3 Block 1,_ Add3tion or Su'6dieisionyvi � o., ��i o►,, �na��l,_, Anoka County Corner Lot �Ins3de Lot Y 8et'back 3s ft Side-Yarti � n f+ SEWF� ELEVA�''tON FOUND8SI0� EL�VATION �pplicant e.ttach to th3.s form Certifice,te of Survey of Lot and propased building location. DESCRIPTION OF BIIILDING To be used ae: , .� �-` Front 40 Depth 26 Height story Sq. Ft. 1040 Cu. Ft. � Front Depth Height Sq. Ft. Cu. Ft. T�ge of Construction Frame Eati�ated Coat $15.500 To be Completed �,��,g�� The underaigned hereby makes appl3cation for a permit for the work herein specified, agreeing to do all �aork in st�rict accordarice with the City ardinances and rul�.itg of the De�rtment of Huildings, and hereby declares that all the facts and repre�e�itations atated 3.n thie appl3cation are true and correct. / � DAT� .h�'�-� ��- % �/ � SIGNgT'tIRE ��7�,�1 .� `Cf'� - — (A Schedule of Fee Costa can be found on the Reverse Side.) �"� �"1 . � � � .� � BII7Id)IlVG PERNffT FEE SCH�DIILE Section 2. The Inspactor of Buildings ahall, before issu3ng auy perm3t for the erection of any,building or structure, or for an�r addit3on to ang exiating build- ing or atructure, or for any alterations or repa3rs to any existing building or structure, upon applica.tion therefor, require the p�.ymen�,b� the applicant for sueh permit of feea to the amount herein below set forih and in the �aer herein provided to-w3.t: 2.1. For any such permit for the erection of an�r firo-proof bwtldin�, other than a garage, warehousei factor� or �ain e].eeator, ar for the erect3on of any fire- proof addition, for aimilar occupancy� to a,ny existing building s1na1]. 'be at the rate of �1.LFO.for ea.ch one thousand cubie feet, or fraction thereof, in such cubical .contenta. 2.2. For any such permit for the erection of any fireproof garage, warehouse� factory or grain elevator, or for the erection of sny fireproof adclition, for similar occupancy, to any exiating building ahall be at the rate of Q'1.25 for each one thousand cubic feet, classified as "fireproof'� by Section 502 of the Minneapolis Huilding Code. HOIIS�,S 2.3. For any such permit for the than a garage, warehouse, factory additiori, for simil.ar occupa.ne�r, each one �houeand cubic feet. - GARAGES erect3on of any non-fireproof 'buil.ding other or grain elevator, or any nor�fireproof to any existing building. Permit $1.00 for 2.4. For any such perm3t for the erection of any non-Fireproof garage, wa.rebouse, factory or gra3n elevator, or for the erection of an� non-fireproof addition, for similar occupana�, to any existing build3.ng or for each such building or addition. Ninety Cents for each one thousand cubic feet or f°raction thereof, in the cubical contents thereof with a minim� of $1�.00. For the purpose of computing feea for building permits,,the cubica.7. contenta of any building or addition to a uniform height throughout by'�multiply3ng the ground area covered from a point si�c (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the aeerage height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alteretions to an existing structure,� the fee shall be at the rate of �3.00 for each Five Hundred Dollars ($5�0.00), or fraction thereof in the cost of all proposed work. " � 2.6. In no ca.se shall the fee chaxged for any permit as set forth in Section 2 be less than �4.OD. , r"'� s. � _ /"� � �T,�� c 1 5_ ; - ��/�-�ae MF ,�rva.. Y� 'W . �7 3v+ `�:, n'..� ��,�.,�a, ��..=..�` k - �., r. . .:. ... , ,. .,, � / . �� . . . � � � . , . . € �-�us :,.� F � . . � - . . . �j � _ � �Of)d �017/)l/� . Lvad Su�et�ri� .. Soi�s kst,ir9 Civil b A-fim'Kipiol fr�rneerin9 ; � <. , . . . . . . � � �� ]y� �! � �i .' . . . yY'�iI y� °� IR�I, _ ' . � . �rarldp�l�{dr'�"% � y :� � . EN G 1 N�� -��►, ��. . �►� � �. M . � �,'�.� � � — En ineers E SurvetJors -- _ ��` ' � 9 ,� c��a�s�at� a� � �� N� � ��+A _ I �� . i ,�� ► �.> ( �\ IO � ( �� . I \ . 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FLOOR °°�° DRAINS �T� BASINS AUTO WASHER GAS APPL GAS RANGE GAS OPENINGS _I_"_� � • 2 • � ern. �i � � � aa� � � M � � fL H � {p � p� P N p � Fi R' � � O � � � ��o �, � �- �. o � � � � �� .� � � � � � � -`� � � � � o � � � p c� �i R, o k�' � � y � � �P,� W � -` a �0� � � O H{� � y fA '"� � � A �� p� � � � � m co ,., w c�o I� � p � \ � � � 5' w 0 -f+ :4 � �� _—� � �' d �''v n � �y wM rz � � p � M � � � � � � Q ' � � d � v' � °' r d �� . �- � � � o �, � �� 0 r� � ��a � �� . �A � \ � �. � � � � � 0 � � N � � � � �� p t� � � �� '` � � � r�+ c� � � � � � � � � o � H � � x x � v� � 6� O a�� `-„_- � M � o $�, � � m � � � 0 i ;� � � � 'c';��. .�� f� � �� v ,''� � , , � �� , ��, �. `� � fi �� • .q� �:�. R�� ? '�a `�+'`, ,�`_ � ,� : � � ^ � M, � y � fw/1 � � P°� � � x het � Ocl � k N F' � � � � 0 N � � 0 P ' O y • � . . � : : �e �e �e o � � o p o � rn � rn � O �� o w e? � � � � I � � � � o z m � � �� o� � ^ � �. � o � � � � � � _� � ro � � � � � ro � 0 O 0 � 5 � 0 0 �n � �� O r � � � � M I W � � w � � � F! b H.�' � � �� . �: �. �: �' m : � 0 0 ts> � � � � � � O . v � _ � '� � � � � o � � � 0 � � m �� ' � ' �� o ,�y z 0 � � � � � _�� w w � � � W A7 n � M aa `D fD x w n� � � „o,� o °o G � �� °�� m � l`'tD O O � � �� , �: �� : : �� : : o �n . . �. �" : ' � � : : � : N � � � cn w o 0 0 0 0 0 tn ss �n tn � z R � � � � 0 �. � � � � _� . 0 � Q b � g � � � � �° � � � �' �' � � R° R° � m � � ��`�� ' p' R� 0 0 � � � � o �- !� � � � 0 � C�' . (� D�"'i '' � � � : r � � � o: � �o. : Q �$: : o � � ' � � N � � N � o °c °o °o o° � � � Iv afD. ri � Q� O `% e � � � � � � � � � b � �� R°R°� �y � � � � � o � � � � � � o � � � � � � � � � � � a � • • ��:: �Q: � o�.: o�.. $::: N � � � � ca o 0 0 0 0 0 0 �n tn O t" �a� o M � � � � � ►�4 ►4 � �� ,� .. ��p � �� • � �� Q �. � �� in'nn p� �� g m id°'op ��,o �y�H � �� ro �.� �.� �C �� *y �� o �� ' > � r � � m y _ m C m d M � � pror � a � � V O � -�F-� V 0 � � � � � � �� d � � t0 � yy m � a' � :o vt e, � � � � �• � d � ". �� y � �`��.� �%�� -�� . ��-'��-�� ,��.; �� Dd6 "'; , a a �� HEAT �,LOSS CALCULATIONS DEPARTMENT OP BUILDINGS � FRIDLEY, MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows Doors Reference Out. Wall Int.. Wall Ceiling Roof F7aor Kind How Applied Yes--� ( Yes—� 19_ °� '� Fl.� � ,� m Room � Length � w�a�h � ) � Height � / FI.� ; , . ��' Room Lengt6 ,� Width �,�� Height � Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area �Vldth Helght No. oL Llneal t[. Ares Wldth Helg6t No. ot Llneal [L Area No. o[ pane oL Dane Ifghte ot crack eq. tt. No. o[ pane ot Dane Ilghte of crack ea. [t. � � t'.� �. i ` '� l � �- � 6 �' . `�' `� Coef. Btu In6ltratioa I � �� Q ' � ,/�'� Glass p � � � `� � � Exp. wall � � Net exp. wall � �' � � , � �p Int. wall Ceiling i 6 � �'�! I +'� �� Floor � �� `� � �� Total Btu. � � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / FI.� % �� Room ( Length � Width � Height Windows a d Doors--Crackage and Area Wldth Helght No. ot Llnea! tt. Area No. of pane ot Dsae llghte ot eraak eQ. tt. � �`�'.�`,� �? "a� � 1 � L' � � "=� �'�� B �i� �" � '�,, �' , P � �� Coef. Btu In6ltration „`� � � � �� Glasa �� ,,� �' � � Esp. wall � 1 � \ Net exp. wall � � � `. � � � �? Int. wall Ceiling ,� �� L�l� Floor �.' � � � � � � Total Btu. � � LI � Required sq. ft. E.D.R. or aq. ins. W.A. Leader area � F7. ti�,' �%i Room � Lengt6 /� Width J� Height � I Windows and Doors—Crackage and Area Wldth Helght No. ot Llneal Lt. Area � No. ot pane ot Dane Ilghte ot crack ep, tt. � �'� 1� �� d �� Q �, � � � � Q ,� 6: ra c _'� �' G- !� �� . � Cq � py� � r.c' o i�+ �li i� COef. Btu Infiltration � � � � � � � Glaaa P� ,�,;= . :-�.� � e�p. Wau -#e Ex ��,d c , Nec exp. wall � �,'� � Int. wall Cei�ing �"➢ �� " � f� � � ��' r°� � �' I00� ,- �J� <, �►' ! � � L Tbtal Bcu. � � � = Required sq. ft. E.D.R. or sq. ins. dV.A. L.eader area Infiltration C�laaa Eap. wall Net eap. wall tot. Wau Ceiling Floor Total Btu. Coef. Btu l_� �A�� IRequired sq. ft. E.D.R. or sq. ins. W.A. Leader area / � � �' / � 1 � � c� g FI.I --��°�;" Room ( Length I��-- Width )� Windows and Doora—Crackage aad Area Wldth Selght No. oL L1nea1 It. Area No. o[ Dane ot pane Iights o[ crack eq. [t� � .�� 1�' Infiltration Glaas Fap. wall Net eap. wall Int. wall Ceiling Floor Total Btu. r�� 0 � �� q'� E r � ! 1 �`�` , 9�� i �b�'� � 0 �� ^ A Ce .. `.t�" Requued aq. k. E.D.R. or aq. ins. WA. L.eader area �.� �� . �m � �o� � Widch � � �. Windows and Doors—Crackage and Area Wlfl�h Helgdt No. of Llneal tt. Ares No. ot pene ot ptne lights ot crack sQ. tG �' � �/ � � � � ��. lnfiltrat;on Glass E:p. wall Nec exp. wall Int, wall Ceiling F�OOi Total Btu. Coef. Btu �A � � �� ; � � � .�� E Required sq. k. E.D.R. or aq. ias. WA. Leader area ��j��,l � �J � � `� ri.�+�^i: r��9� 4 � � /'�^� n City of Fridley, Mirm. BUILDING PERMIT i.: -. •.: •. �i�_-• .'� • -��!_ _u- �� Y,,� •::• �.��- :•.• ��r�.: _u- LOCATION OF BUILDING � �� i� �T� 9954 No. �$$6 Street � Chanre? ,$oad _. part of Lot Lot .�___.�.�__ Block 1 Addition or Sub-Diviaion .—._ v��e��V'� ew Ma.x�.c�� Coraer Lot _ 7naide Lot Setback —.� Sideyard Sewer IIevation ___._,.. _ Fotmdation IIevation DESCRIPTION OF BUILDING To be Used as: Gaxage �t 20' Depth � Height l�' Sq. Ft. �_ Cu. F't 1�8Q0 Front Depth I�eight — Sq. F� � Cu. Ft 7.j�pe of Construction �'rame F��, Co� _.�5g�._89 __ To be Completed In consideration of the issuance to me of a pex�nit to construct the bwilding described above I agree to do the proposed work in acc�rr�dance with the descrlptton above set Porth and in com ce wi afl proviaions of ordinances of the dty oP Fridley. ��/�� In conafderation of the payment of a fee of $�� , Permit �s hereby granted to Fr .d A. nl o:el to construct the build9ng or addition as described above. This �ermit ia granted upon the express condition that theperson to whom it 3s granted and his agents, employees and worl�nen, in all work done in, around and upon safd building, or any part thereof, shall conPorm in all respecta to the ordinancee of Frldley, Minnesota regarding location, conatruct[on, alteration, maintenance, repair and mov3ng of buil�inBe wlthin the dty ]imita and this permit may be revoked at any tiine upon violation oP any of the provisiona of se�d ordinancea. � Nonc� 'this penaM doa eof cever tl+s cees�mcNoe, le�tallafioa hr �rhiae, P��9� 6a h�8� �n' �+ W�►. B� wn ro a� Hre Buildie� lesp�ctor ior aparat� parmNs fee th� ihms. APPZICATION FOR BUILDINC PERMIT CITY Or FRIDLEY9 MINNESOTA OWNEC o� N�lE � ��D , D��G�`� BUZLDER �� ` ADDRFiSS lr� ��(g — C/�/� /��/�`L � D� i��.�DDR�SS � � � � LOCATION OF BUILDID?� NO e �O � 4 `o S'I'REE'I' � � � �1 �!%� � � � � �� LOT BLOCK ( �DITION OR SIIBDIVISIO�T V �° � c � � �%l� w %� /�..1�� COR�'ER I,OT ITTSIDE I,OT�SEI'BA.C;Ir �I�EY'ARU SEWEE� ELEj%ATIOPI TOP QF �'OCTI?�G Appllca.rt a-ctiaeh -to this io�m. T�yo !'e�tificat�� of Survey oi Lot ax�d propo�ed buildi�.,g lo�a,tiorz d.rs.�,�:n or� �h�� Ce�ti�icates o DESCRTFT i ON ��' BIIII�IIVG To Be ��p�. A� : � l� � �° i�G� �o:�t � g � DP�tn �6l �� x�ignt /D �T. � �quare �'eet � Cubic Fe�t �� Fgont DEpth Height Square ��et Cubic Feet Type of Construction _�� %�'D Lra' Estima.ted Co�t �cJ �� To Be Completed � �. � � � �' 0 % � � Th� unde�eigned hereby ma,kps application for a per.°mit ior the vaork hereira. specii°icd9 ag�eeit�.g to do all work in �trict accordance with the City oi Fridley Ordinance� and rulings oi th� Depa.rtmex�.t o�° Buildin.g� 9 and hereby d.eela.res that alI the facts and rep�eaer�tations stat�d in this application are true a.nd correcto DATE _ �� d 6 � 4� a l� � � � �iG�TA'1T[TR.E � � � (Sehedule of Fee Cost� ca� be fout�d on the Reverse Sideo) �I °�d � � � '�e � �= �, � J �� 1 ,,¢Ge��Y�l�� ._ r . � �"'�� _> �; �� BUILDING PERMIT FEE SCIIEDTfLE SECTIO�T 2o The In�pecto� of Bu.ildings �hall, beiore iss-uing pernit� for the e�ection of any build�.n.g or �t�ucture, ov° ior any addition to any existing structure or buii�.i�gs or ior any a.lte�ation or �epairs to any existing bui�d�.ng or �-t�uctu�°� y upot� a�p�i�at�on therefo�� ec�uire the payment by the �,pplicaa�t fo?� such permit oi f�e� to the amount herei� belora �et io�th a.nd �.n th� ma,.:�.ner hereir.i provided to�wit s Uniiox�m Buildin Codeo Typ� �9 2, & 4-$1075 ior eaeh one thousa.nd cubic feet, o?� fraction thereoi, in such cubieal c:onte.r_t�a Type 3 8� 5- $1a50 for e�,ch one thousand eubic �eeta For the purpo�e of comg3uting fees ior build.i.ng permits, the cubical conte.nta of any buildin.g or addition. to a uniform height throughout by multiplying the ground area covered from a point six (6) inchea below the floox° line of the basement or the cellar to the average height of the upper surface or to the average height o� the roof �uriace of the mai.n gable oi a pitched roofo For repairs or alteratio:�s to an existing �tructu�e, th� fee shall be at the sate oi $3000 per each f"ive hundred dollars ($500000� or fraction thereof in the co�t of all proposed worke In no ease shal.I the ��e cha�ged ior an.y permit as aet ?orth i�. Seetion 2 b� less than �50000 NSSSD Co.nneetion Chas�ges ba�ed on location - Area 1 or 2e _ � ' ��'i _ 1 �. „_ - I �� 1� - -� �` ��;, \ _`� �q �;��--.:�, . --=� �.;_ �: ,, , , � � � � � _� �— � �� n l� � � �_,� � � � � � � � 0 � sue�ecr PERM c�ty of Fridley 2 i 2 3 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r REC,�IP� � i �l COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. ��' � _ � � .—__— r ; ; ' i ' � �'�'1 � CITY HALL FqIDLE� 55432 NUMBER HEV DATE PAGE OF APPHOVED BY �"'"� � �'' 612-571-3450 910-F15 3/20/92 / / JOB ADDRESS 6886 C�zannel Road NE 1 LEGAL LOT NO. BLOCK TFACT OR ADDITION SEE ATTACHED DESCR. 3 1 Valley View. Ma.nor SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PNONE Eleanor Dehn 6886 Clzannel.Road NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Contr. 633'l Riverv�iew.Terx NE, Fridley 574�9966 4051 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 6 USE OF BUILDING � Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Gara,ge {_2nd Layer) 23 ��a�,x'es . 9 CHANOE OF USE FROM TO STIPULATIONS Roo�i:nc� ca,n .be 2nd layer. but not 3rd, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR EIECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHOFi12ED 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. DWLt3. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION �- STALLS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1�21� $aCl WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $31-e OO Fire SC $1 � ZZ PLAN CHECKFEE TOTALFEE 'cense SC $37.83 SIGNATUREOFCONiRACTOfiORAUTMORIZEDAGENT IDATEI EN PRO E V LI ED THIS IS VOUR PERMIT ,� � SiGNATUREOFOWNER�IFOWNERBUILOER� IOATEI BLDG �NSP r1/•T NEW [ ] Effective 3/ U92 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Addr�: � � �' � � � � �/�v � � 1� � , Legal Description: . Owner Name & Address: �L��vo� �� N Tel. # C011tl'dCtOI: �� c`' i4 � i� l7�4 S�� 65 MN LICENSE #�o t�o S� Address: 6 33 / t� � �� ' �� w� `7—� �2 Tel. # S° � y- �9d� � Attach to this application, a Certificate of Survey of the . lot, with the proposed consiruction drawn on it to scale. DESCRIPTION OF IIVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft.. GARAGE AREA: Length Width Height Sq. Ft. DECR AREA: Length Width Hgt/Ground Sq. Ft. oT�: -- ��r�oa� �mus� �� 2�d �.�y� Z3 sy, v , Corner Lot [] Inside Lot [] Ft. Yd Sexback Type of Construction: �2�1`2 0 0 7= Approx. Completion Date: y/is%9Z _ Side Yard Setbacks �a�a co�: $ �a �9 (Cost on BackJ Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x$ _$ DATE: 3 Lo � Z APPLICANT: ��:,� Tel. # 57 �- S'�'� 6 Permit Fe,e $ � ✓, Ga C7 Fire Surcharge $ > . � � State Surcharge $ . � / SAC Charge $ License Surcharge $ .�. D � Driver�vay Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ �`%•�-� � �L Fee Schedule on Reverse Side .001 of Peimit Valuation (1/lOth%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licens� Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUII,DING PERMIT FEE SCHEDLiLE The Chief Building Official shall, before issuing permit� for the erectioa of any building or strueture, or for any addition to auy existing bnilding or structure, or for any alteration or repair to any existing buildiag or stiucture, 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-wi� TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,0� $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $5�,001 to $1,000,000 $1,000,001 and up FEFS $15 (Minimum Fee is $15 plus sarcharge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 � $252 for first $25,000 plus $6.50 for each additional $1,000 or fiaction thereof, to and including $50,000 $414.50 for first $50,0� plus $4.50 for each additional $1,000 or fiaction thereof, to and including $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or firaction thereof, to and including $1,000,000 $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction �thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Slreets 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 $15.75. VERIFICATION OF FOUNDATION Permits for consdruction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding writh the framing. City of Fridley �� 572-��THE TININS g� ILDING PERMIT � ; V �____ COMMUNITY DEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. i-__.� ��"" �'� CITV NALL FRIOIE� SSIJ2 NUMBEN � 612-5� �-3abo 910-F15 J08 ADDRESS 6886 Channel Road NE 1 LEGAL LOT NO. BLOCK TRACT OR AOOITION oescA. 3 1 Vallev View 2 PROPERTY OWNER MAIL ADORES$ Eleanor Dehn 3 CONTRACTOR MAIL ADORESS Ron Miller Const. Inc. 953 Mississi�vi ; d AfiCHITECT OR DESIGNER MAIL AODRESS 5 ENGtNEER MAII AODRESS REV DATE vAGE Oi 10/22/98 � � ZIP .� / 1 � PMONE -�514 PMONE PHONE 28377 R EIPT NO. l�� APVaOVED B• SEE ATTACHED SMEET LICENSE NO h354 LICENSE NO. LICENSE NO 7 CLASS OF WORK ❑ NEW O ADDITION � ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and �ara�e (23 Sq) Tear-off ___ 9 CHANdE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE fiE0U1RED fOF ELECTfiICAL, PLUMBING, NEATING, VEN7I�ATING OR AIF CONDITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHOR12E0 IS NOT COMMENCED V�1ITNIN 60 DAYS. Ofi IF CONSTqUCTION OR WORK IS SUSPENOED OR ABANDONEO fOfi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO DWLG. I HEREBY CERTIfV TNAT I MAVE READ ANO EXAMINEO TMIS APPLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS yALUATION AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMP�IED WITH WMETMER SPECIFIED HEREIN OF NOT. TNE GRANTING OF A PERMIT ] 1 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL THE pEqMIT FEE PROVISIONS OF ANY TNER STATE OR LOCAL LAW REGUTATING CON- STRUCT pR TME P RfORMANCE OF CONSTRUCTION PLAN CNEC $�GN4TUAE OF CON' CT A Op OUTr� IZED sGENT IDATE� S�GNOTUAE O� OWNEA��i OWNEp BWlO@Ai �DATE� B�0 SQ. f T STAILS �Y GFiOUP OCCUPANCV LOAO CU FT. OFFSTREET PARKING GARAGES SURTAX i IS YOUR PERMIT 1 D .r� � f�AtE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 . �� BUILDING PERMIT APPLICATION �� I�_ ConstructionAddress:�� (� ��,�`I�� , Legal Description: Owner Name & Address: �% �G�2 �1/ �G� /`�%y Tel. #� .�`— � / � � , Contractor: �e ��(�°��y',fL� fi� �'i Ce MN LICENSE #�� Address: �'i�� tij,�� l�� / Tel. # �� 5�� -s r a � o LNING 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. DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground �� Sq. Ft. Sq. Ft. Sq. Ft. � Construction Type: Estimated Cost: $ %�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: f� �� APPLICANT: Tel. # ��'� S� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TpTAL STIPULATIONS: $ . �� $ /, 9� $ o $ $ 5-06 $ $ $ $ $ .� CITY USE ONLY Fee Schedule on Reverse Side .QO1 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 Comservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �. « 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 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 $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,(}00 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,(}OO,OQO plus $2.75 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 $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 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 [ ) ADDN [ ] ALTER [ ] Construction Address: Legal Description: Owner Narr Contractor: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �%�-03�� Effective 1/1/2003 (763) 572-3604 Bidg Insp (763) 5T1-1287 Fax Address: 5�5� /Y�O.�Cl,f�A, ��'i.�/1J� ,!./'l/1.P�7'7i.� 553 �%3 Tel. # g5Z ' 935' QILOIe � � �� 95z � 9.3�" • 9s�y Attach to this application, a Certificate of Survey of t lot, with the proposed construction drawn on it to scale. LIVING AREA: C�7•_l:T[��_I:��F DESCRIPTION OF IMPROVEMENT Length �dth Height Sq. Ft. Length Width Height Sq. Ft. DECK AREA: Length OTHER: Width Hgt/Ground Sq. Ft. � � /, 4' 0 Construction Type: l� `� timated Cost: $�`��o / �� a� � Driveway Curb Cut V1/idth Needed: Ft. � 6 Ft = Ft x$ _$ . �F q DATE: I� � OS APPLICANT: Tel. #�� ' c� `/� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-128T if using credit card and we wilt call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ �� • �� $ /`% %/ � `�,3� $ $ �� $ $ $ $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.5(�/$1,��00 Valuation $1275 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 [ ] TOTAL $ ��'�°� STIP ATI�NS�