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AF - 37347^ City of Fridl.ey, Mi�.. � BgTILDING PE�T �0 4 3 94 Date: ___�� .-._.. ��.____.�� .._.___.— Owner: ----•---....._..........--------•---••---••----•--........-•- •----....._.......__..........---•--.......------- Builder ..---�• -----••-•-••--......._.. ........_....:.._ .... ............_._........_.-•- ---._. Address___.....__---.._..._.._.__..._.._.._.__._. _._...... Address .----...-- -----.....--.---•-----......____._.��Y.._..._.._.__......._-_•--_.._..___ LOC TOOIV F BUILDING No. ... ...,�.�.__.,�_�. Street _..._..�.��C�_� . . ....._._.._._ .. ..... .............� -------------.... Part o Lot .....-----.._..._......_...._.._._.-------------�.._... Lot ...... -- � ................... Block ..-----...........�..----- -......._.... Addition or Sub-Division �. . .... . ._. ��r � -" _" ---��'°"�! ---�-- - . ... __.......� . ..-•-------- ----- _. �. P e � �� Corner Lot .._._..--- ...................... Inside Lot ..._X................._......... Setback ._��.�.—.'�........---.. Sideyard ...I�..`�%.....-•-----......----------.......-- Sewer IIevation To be Used as: � Type of Construction Foundation Elevation DESCRIPTION OF BUILDING Front ..L_�=._��Depth .`��..7.:��Fieight ll..:f� Sq. Ft. /�6 / Cu. Ft. .�.�.36 Front _..._........... -.. Depth ._.._......... Height .................� Sq. Fk ..._.... ------- Cu. Ft. ........................................_.............. Est. Cos�<..�._�..�.f.�...... To be Completed ..................----•-� In considera,tion of the issuance to me of a�rmit to construct the building described above, I agree to do the proposed work ia accordance with the description above s forth and in compliance with all provisions of ordinances of the city of Fridley. ��, I ^,�� , _ `/�J In consideraLion of the a � P Yment of a fee of $.��........_...---_.--. Permit is hereby granted to.-----•--.---......_...------ -- .._ to construct the building or addition as described above. This permit is granted upon _.._.._.._�.---------......_..-�--�----._...._. _-- the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the orilinances of Frldley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. — Building Inspector NOTICE: This permh does not cover the wnstruetioe, installation for wiring, plumbing, gas heatfng, sewer or water. Be sure fo see the Building Inspeetor for separate permits for these items. 4 <� � � i:; . , ' r . ,, •1 . �PPLICATION FOR BUILDIldG PERMIT � , : � c�� oF �xmL�r, Mar�so� ... ,�.•. Owners Name � Bu3lder �. L . ��. �ddress . � Address 3o I 9 �- (�. Jo. LOCATION OF BUILDING " . .� No. �3 "� Street � �°�10�°' �� Fart of� �Lot Lot / Block ! Addition or 5ub.Div. � �"'�"' ��`'�• �� Q'�`'� � Corner Lot Inside Lot ✓�Set�Back � sr Side-Yerd SEWE1� ELEVATION � FOUNDATION ELEVATIQN. Applicant attach to this form Certificate of Survey of Lot and proposed building location. � � . ' - � DESCRIPTIOIV OF BUILDING � To be used as: ` SU'�''"`' �' ��p � Front Depth ` Height Sq�`.,:Ft. ' � `Cu. � Ft.: : � Front: Depth �:. I%ight � ;� . `'►�9„�: Ft. � ' Cu. �Ft. � Type of Construction, � Estimated �ost To. be completed �-/- G � �. , ` . . � �,. The undersigned hereby makes�application for a permit for the raork herein specif3.er1� agreeing to do all work in strict accorda.nce with the City Ordinances and ruling of the Department of Buildings, and hereby d�cla�es that aI� the facts and representa- tions stated in this applicat3on are true a.nd correct. �� DATE � y'�`f'�l 5IGNATURE c�"-� W (A Schedule of Fee costs can he found on the Reverse S3de.) �, /'�, r- 4 � �• BOII;DIlVG �PERMIT FEE SCHIDULE Section 2. The Inspector of Buildings shall, before issuin�„anx.permlt � for the erection of any building •or'"atra�cture, ��or for �any addition to _.any,_exis#aix�g-;building or structure, or for any alterations or repairs._ to any existing l�ui.lding- or structure-; upon applic8.tiori therefor, require � the..�� 1��r the� �.pplicant��for such permit of fees to the amount herein below~set forth and-in the manner:he�ein provided to-wit: � . , �` 2.1. For any such permit for the erection of any. fi.x�e-pr.00f tsuilding; -�other than a garage, warehouse, factory�or�'�raiii elevator, or for the erection of _.. �. , _ . --�� f'i.s�'�ep"roof addition, for similar : nqcupa.z�,��r; .to a.�y .existing build�ng'� � shall be at the rate.of •�1.40 for each one thousand cubic feet, or fractior�; � • • •�here�f, " in"" such cubical contenta. � � � � -- ... .. , �t • ;�,.� . .. � -�:2:• ��'t►Y� "'ariy auch permit , for the ere.ction of any.,.,firepr.00� �gaxage, ware- house, factory or grain elevator, or for the erection of any fireproof� .. ��:•� •�•a�dFiti.an�;`�'or similar occupancy, to ,any� existing'.building sha11 be at the . rate o� :�1;.2� for -ea.ch one thousand cubic feet, classified as '�fireproof" b,� Section 502 of the Minneapolis Building Code. HOUSES �� 2.3. For a.ny such permit for the erecti,on of any non-iir�proof.. bl�i l d; n� -. - other than a garage,; waxehouse, f��or� or� grain el��t�ator, or any non- firepro.pi. adrlitiori, fc�r�°simiiar occupancy, to any existing.�:i�uildin�.�__. .. Permit $1.00 for each, one thousand culaic fee-��. ' GARAGES - � __ -- .. . _.. . __ . .- .. _ ,:-_ _ .----...r_ � - 2.4. V For any such permit for the erection of �ny�noii-fireproof gaxage, warehouse, factory or grain elevator, or for the erection of any non- fireproof addition, for .simil�r• ;o��pancy, to an�r �existing building or for each_.s.uch--�u�.ld.ing or addition. Ninety Cents for each one thousand cubic feet„or fraction thereof, in the cubical conte�t"s thereof witl� a minimum...�.�.�4.00. • � � - . .. ..� �. � ��Y . Fo� tlie =p�pose of comput3�.g fees for �building permits the cubical contents of any bu�i�ing 'or addit�ion, to e.• uni�orm height . thraughout l�y multiplying the ground�area covered�from a point six (6) inches below the floor line of the basement or cellar to the average height of tl�e upper surface or.to the average height of the roof surface of the �.in gable of a pitched roof. 2.5. ��'or^repa3rs or altera,tions to :an existing structure," the fee ahall be at the rate of �3.00 for each Five Hundred Dollars (�500.00), or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for an�► permit as set forth in Section 2 be less than $4.00. � \ � . , F' : ,, :.i �: :,;•. L �. .,.;. „, � _ _ . _ __ ' , .. � . . . �? � `�- Q��` �-T�s - - - - -- - � - -'.I HARVfcY A.. CARTWRIGHT �� 0�� COMBINING TME RECORpB OP J. E. HILL, Gva ENGINEER ANOKA COYN71f SYRV�llB �eTaeLlgNeo �aaa N6NNEP1A1 GOUNTY suRVera LA ND S UR VE YORS MINNEAPpLUi suRV6YB C. F. SANDHOFF 8610 PALIM STREHT N. W. pg�{78TQRSD UNDBR LAWS QR iTAT6 OF MINN680TA CIVIL ENGINEER 68TABL18ME0 1Y08 SUNSer 4.7688 LtCBN�BD 9Y ORDINANC< OF CITY OF MINNEApOItB owNen JAMES NELSON 328 PLYMOUTH BUILDING FEDHRAL 8-8721 SuRVEYOR INDUBTRIAL - JUDICIAL WENNEPIM AT SIXTH • MINNEAP06I5 3. MINNESOTA L'67ABLI8H6D �vaa BUSUVEBS - TOPOORAPFIICAL �� Di'g �ertitKatc METROPOLITAF LAND , CPfY LOTS - PLATTING � SURVETOR6, E87A61,(9NED �A�t Lynd�1� Bv:iZaers �,� << r: � y � l. `• Invo 3.c e 20906 , . / �. I /� �/ 4..i : a l.,..% � : ti d / 33. S� � --� �-- � � s�' ��i� � �° .��'��r.�, {�:�.,� ° - -- — — l � � --�- - -- - �^ ~ � - 0 � \ � � . ,2��°2 /� J Q � � � � � / . �� 's ` � � � � �� ` �� -�/�: ��,� p o -�,�.�� .� .�,-�� I h�reby certif� th�.t �tdlis is a true and correct representation of a svrve� of the boundaries oi : Lot 1, Bloc�. 1, L3►ndale Bui].ders �.�th Addition hs surv�yed by me during t,he Aionth o.i September, 1959. � C 'j l� . sioNec a . �'� : t'T ' ,,.� ,,,�.=-,�..� , � �-� . _ _ - � �"�,"�'% �� AND 01.9OfM�- � � � � � ��4 - '�„ r �' i � eb � � � R7 t+ o � p � M : °x . � . m . m . y : o • O . m 0 ' � : � • � �� f 1� A • � � � � � r+ !'� .•� � � w � � O t,�,., � �a � �' � � N � • o � � � : o . O . o . . � : : � �d �d i4 W r�+ �! O Q O �' � �9 � H 0 � � y � r � � z� � z� z x � m � m � � � � � �. � �, � � � � � � � � � � � p+ y lD � 'd . �' ,� �' � �N: ��: � a o � � � : OG � . . . . � . . . . : � � ' : : � 5d iE �! PG iC C4 � � w n� Cn r � r+ C�i� p CNi1 O O P � tfl tsa t�a tfl tss � , " o �] � H a � �� 0 � a � x —�, m W � � � � � D � r � � T N � 2 � C r m �� ,. ■�i�\ ' : �� 1� _ ��1 � � ■■■�, �, �. ■��, : : �� ' �� O o m �. „i a � ° � � � `�° � o � ¢ � � � o � � � � � � .� �; � � � � I , � WATER CLOSETS URINALS enrH rues BASINS SINKS WASH rannvs DRINK. FOUNT. sr+wRS. FLOOR DRAINS UTCFI BASINS nuro WASHER GAS APPL GAS RAIVGE GAS OPENINGS � • z e vDi D m A m � � A � � � a� � �� y �a �� p �� a ��° � � �� °�°� �� b �� p��'o � � o p R' '�, o fD y i� �Q � � �U �� o�� ° � �� Q � �7 M ��-i �{D x yro p M � � � w ° � � C �' d x� � � wM � x � M p � M 1.0� � � � , � � 1�1i �i � '�i � � � � � �1 , T d � � � � r � � M. o� � `� �. o� �A �. �,. � � � , �, i �!' ' _ _ -_ _ - . ____-� . . � - �r sus�ecT PERM . ,, City of Fridley � 13591 ' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RECEIP � COMMUNITY DEVELOPMENT DIV. ^ r � v � PROTECTIVE INSPECTION SEC. y�� ' u 1 ; � �4 � �'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY ""'� � ,�� 812-580-3450 / / 910-F15 6/ 16/ 76 JOB ADDRESS �X 532 Cheri e Ci rCl e N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. � 1 Lyndale Builders 4th SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Art VanBuren 532 Cherie Circle N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hasting 6331 Riverview Terrace 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. Same 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK re-roof house 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED POR ELECTRICAL, PLUMBING, HEATING, roof i n VENTILATING OR AIR CONDITIONING. 9 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 OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. 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 $800. OO .�JO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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 CONSTRUCTION. 'C).00 PLAN CHECK FEE TOTAL FEE �� 6.50 SIGNATUREOFCONTRACTORORAUTHOHIZ AGENT IDATEI EN PROPERLY VALI ATED THIS IS YOU PERMIT �.;: ��* � /��/ � SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI BLDG INSP DA7E � i ` APpL1CATI0N FOR RL"-SIDENTIAL, ALTLRATION, OR AllDITION BUILDING PLRMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: (�t/(�( ��°�'t�� , BUILDER:�I ('�� G�.�� ADDRESS :__ �� 0 F � ADDRESS : cP ,�j 3� f �J�. �' NO;� STREET• � ZOT: ,�_BLOCK: ,/ ADDITION: � CORNER LOT: INSIDE LOT: SETBACY: SIDEYARD: Applicant attach to this foxm Two Gertificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As; � .,/�L�¢/l��vwr Front : Depth : Height : Square Feet: Fxont• Depth: Square Feet; Cubic Feet° Cubic Feet: Height: � - Type of Construction: Estimated Cost• $ �� U To Be Completed: O� '�/ �fjvl� 7(� y " �--r- �T The undexsigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all �aork in stfict accordance with the City of �ridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application axe true and correct. DATE : �'�c - /� � � S IGNATURE • v�'�f 1 ,a ` � (See Reverse Side For Additional Information.) � �, � �� -�`� �� .�� -�, �� .� � °. "�..-... �l3UILDING P�R1�iIT FEE SC�iEDULE 4 SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existi.ng building or structuxe, 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 below set forth and in the ma.nner herein provided to-wit: UNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. �pe 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing 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 ox 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 chaxged for any pexmit as set forth in Section 2 be less than $S.00o V ERIFICATION OF FOUNDATION NOTE: 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 Certified Suxvey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be ma.de ten (10) days prior Co 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 Occupancy has been issued. �- . .� � °�"'3 sue�ecT PE . - + City of Fridley � 4�� 0 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � �.: - ---- ��3 r � � PROTECTIVE INSPECTION SEC i = � � /"'1 � CITY HALL FRIDLEr SS432 NUMBER REV DATE VAGE OF APPROVEO BV �'""� � �'' 612-571-3450 9�0-F15 12/9/96 / / JOB ADDRESS 532 Cheri Circle NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Lyndale Bldrs 4th Addition SHEET 2 PROPERTY OWNER MAIL ADOFESS 21P PHONE John Dobrava 532 Cheri Circle NE 586-0897 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO. American Remodelin 3700 Anna olis Ln Pl outh MN 55447 553-0025 2406 4 ARCHITECT OR DESIGNEfi MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP pHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION Q ALTERATION O REPAIR O MOVE ❑ REMOVE x 8 DESCRIBE WORK Re lace 15 windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement bedroom windows must meet the State Egress Code. Install smoke detectors as per State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR EIECTHICAL, PLUMBING, HEAT�NG, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAiiAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED WITH WHETHER SPECIFIED HERE�N OR NOT. THE GRANTING OF A PERMIT $9,100 ��F. SS 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 PEFFORMANCE OF CONSTRUCTION. ],62.25 Fire .SCi $9.D�F PLAN CHECK FEE 70TAL FEE License SC 5.00 $180.84 S�GNATUFlE OF CONTRACTOA OA AUTFIOAQED AGENT IDATEI WHEN Pf;OPER�D THIS IS YOUR PERMIT � � �` 0 S�GNATUqEOFOWNERiiFOWNERBUiLDER� IDATE� OG �NS� OaTE NEW ADDN ALTER Il II (I Construcdon Address: Legal Descripdon: Owner Name & Address: Contractor:�'��j G, Address: LI�ING � AREA: GARAGE AR.EA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAM[LY AND DUPLEXES R-1 AND R-2 Building Permit Application � �f�� i �c� � x� �lJ�� ' � a ��/� ►� C�-t�e�, � � ' Effective 8/ 1 /95 :\ _ �� Tel. #��°1�� MN LICENSE # �l ' A�fiach to �is applica,tion, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length � � � Width Height Length Width Height Length Width Hgt/Ground Tel. #��3--�� Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks �� -�i��____ �� , ,_"�-� Type of Construction: ls �� ti� I��n ��e n.. ��r.� co�: ��-�-�-� ��c�-_ Approx. Completion Date: � � �� 1 � (Cost on BackJ Driveway Curb Cut Width Ne�ded: Ft 6 Ft = Ft x$ _$ DATE: �— ,�� APPLICANT: " ��,�`�, ,�. Tel. # Pernut Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � CITY USE ONLY �'� �� ) � � �� X$ T G 2. 1/S Fee Schedule on Reverse Side �� 1 �$90 � : �--0O1 of Permit Valuation (1/lOth%) ,oL� � x$i,lS� �,`�'.50/$1,000 Valuation �� C 31U, 1 � �� $ $S50 per SAC Unit �$ � c>a $5.� (State Licensed Residentiai Contra.ct�irs) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineeriag $ Agreement Nec�ssary-f-j��..,Not Nec�sary [ ] .� f-�;�,c�'�' � ,p f �-- .p � s � � �Y ��Z�J�'� ,�a � � �� _ � �� r l�- �"� � �-L—s�'� � ` ' � ^� t � '1 �1 �� %.r / � '� �`a�i. � �/ _ /G 2�. C: ' ��' _ SuB�ECi City of Fridley AT TNE TOP OF THE TWINS g U i L D i N G P E R M I T i� � � � `v �_�� COMMUNITY DEVELOPMENT OIV. r � � PIiOTECTIVE INSPECTION SEC 1 ; i l.-•- A �r��;'� CITY NALL FRIOLE� SSI$2 NUMBER NEv DATE OA t �� 612-571-34b0 s�aF�s 5/13/99 / JOB ADDRESS 532 Cheri Circle NE t LEGAL ��T N0. BLOCK TRACT Oq AOOITION oescR. 1 1 Lyndale Builders 4th Addition 2 PROPERTY OWNEq MAIL ADORESS ZIP Dobrava 532 Cheri Circle NE 3 CONTHACTOR MAIL ADDRESS ZIP Phalen Siding & Trim 1528 Lincoln Ave, St Paul, MN 55105 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP S ENGINEER MAIL AODRESS ZIP BUILDIN(3 Oi / 29460 � �� / AGPqOVEC BY SEE ATTACMED SHEET PNONE 586-0897 PMONE LICENSE NO (651) 731-2092 PMONE LICENSE NO 6216 PHONE LICENSE NO 7 CLASS OF WORK O NEW O ADDITION O ALTERATION . ❑_ REPAIR p MOVE O REMOVE X B DESCRIBE WOHK Aluminum soffit & fascia 9 CHANOE OF USE FROM STIPULATIONS TO Install soffit ventilation to meet the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR EIECTFICAL. PLUMBING, MEATING, TYPE Of CONST VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 2pNING AUTMORIZED IS NOT COMMENCED WITHIN 80 OAVS. OR IF CONSTqUCTION OR WORK IS SUSPENDEO OR ABANOONED fOR A PERIOD Of 120 DAYS AT ANY 71ME AFTER WORK IS COMMENCED. NO. DWLG. UNI I MEpEBY CERTIFV 7MAT I MAVE READ AND EXAMINED TMIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS OF �AWS VALUATtON AND ORDINANCES GOVEFiNING THIS TYPE OF WORK WILL BE COMP�IED WITH WHETNER SPECIFIEO MEREIN OF NOT. TME GRANTING OF A PERMIT ]. SOO DOES N07 PFESUME TO GIVE AUTMORITV TO VIOIATE OR CANCEI THE pEqMIT FEE PROVISIONS OF AN OTHER E OR LOCAL LAW REGUlA71NG CON- STRUCTION�M�ERFOR ANCE OF CONStRUCTION �S�F .00 •UTHOaiIED nGENJ/ IOAiEi SO. FT STALLS ROUP OCCUPANCVLOAD CU FT. OfFSTqEET PARKiNG IGAiiAGES SURTAX ' �.�5 Fire SG� $1.50 07AL EE 61.25 IS VOy�PEg�T v � � �i�TF NEw [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY AL.TER [] SINGLE FAMII�Y AND DUPLEXES R-1 AND R-2 BUII,DING PERMIT APPLICATION �� c�� / � � Construction Address: � � � �7 -�,�,, ' �> � r'G �—e. �' � Legal Description: � Owner Name & Address: CS t^ � l�/� Tel. #� �c�� G� 5' � Contractor: �/�. �� , � f- �' ,' -�-- MN LICENSE # � � � L Address: /�5�� ., �.c�G��i`-' �`� �� / Tel. � G� % �3/— �G !�'Z Attach to this applicaxion, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRII'TION OF IlVIPRO + � �TT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTI�R: fi S -�� Construction Type�� f,,,,..` Estimated Cost: $ �� Driveway G�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ '. DATE: �/� APPLICANT: t Tel. #�� l°� G�� Per�mit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �� $ .� $ , S $ $ dv $ $ $ $ $ �/ ��" CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valua.tion (1/lOth%) $.50/$1,000 Valuation $1050 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 [ ] � s_ . -- �� __ �, 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 alterarion 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,�0 $25,001 to $50,�0 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,� $1,000,001 and up ��l��.`� $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional$1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000, 000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been co��a�tte,� �vgll be required before proceeding with the framing. City of Fridley 6431 University Ave NE Fridley MN 55432 (763) 572-3602 or Fax (763) 502-4977 Water and Sewer Permit Application ❑ New Connection ❑ E�sting Date: �"o� �'� � s �1 `'�� 6� _ � Utility Line Repair/Relocation Water and Sewer Connection Job Address: S� C he�� C�� l� Name of Applicant (Plumber): _ � 7�-- �v� T� Name of Properly Owner: �v� 1v Eausting Structure Permit # Permit Type: Sewer Fee: `�O- °O Water Fee: Meter Fee: Repair Fee: Relocation: State Surchazge: � � SAC Charge: Special Assessment Fee: Tota.l: $ �%D• S^� G�✓ � Applicant Signature: C� Inspector approval: 04/04/OS jpy,y�t�'�.��,�,,� ,�;.�Fi� ,,��`.,'1f' I f . +a av#:r n. �. � " • -- � . . � .r J G Ki'�.y, ��e Wo. 602-05-0399 ' y ..F �i' i �� ` '� ;:,�.'° ,�� --- - _ � .��: •�.�,�s ; � � � t . v' < . _�Z„ ; �4 we .3 �y # ��'.m .� ,� . . r.�,.�. � . w� ,�" i �'�e. � ;. � t �. � 7.� • '� � � : .. .:. � :. . .,kr+�ai"' - I y y, . � $`4h, �t _ 4 � ., . )p/� "c= ��w�s+. „y fi K' � `Je r._ _ ,.'� � '. w .wro " w . ��. t. �� °�� '' " +'p�{, , �. ��%j�1�05 `� 2�� ,�. � �v.� � :. � . , . �L.�t+ . � - . . . . . . i,�. �'-�.. . .. '� �^ :�T dJy�s�r�y. . . _ �y Y . . . .�" ��t T��ys�f'� r' � t Y �� ,;. .,F � S' �9�fiAi@11� PUb1�C iiOrtB . ` �, �` < �'' g "tq � ��i1P.r x �4" � r � � � LoCBdon o! Sgryit� need 532 Cheri Cir HE Owner or ABent ot Property 8oto Booter Phone: (t� Name ot Citizen Phone:(H) Address �""1 Details Of Requ�St 8oto 800ter needs a sewer inspection. Appointment set for today (Tbursday� � July 21, 2005 @ 1:00 pM. Request Taken By: Jeana ... ....... . .:..,:..:......:_.:, ...... Department �r— 'erson respons,'ble for request S , „ �� ' \t� Title S�� .('� Action taken (nclude date � communication with citizen) � � _ n ic�l _ �h n , r �;�� w.S ��c,Ke �1ict. v`t�t SM (�cstS � i�� wV�S . � _�� t� �� p �vC_ W�� 11�� "'7 � r` 1 i ��i �v�1 �Ay . r Date Cleared � —'7 1 -- ;ignature of person dearing request e Citizen nodfied Yes No . �