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AF - 37355i�l �1 City of Fridley, Minn. BUILDING PERMIT No 4 3 2 9 Date: ....._.. ��! ._l�� _....._.....-•-----•••---...---- -• Owner: ----•--...--�----------._.....---•-----�- ...................•------.._._........_----------...--�----..._..... Builder .........LY�11D�I$.._B�_-----............._._._.--•---.._..._.___.... Addi�ess _:..--------------___:.._.__�.�...__.._.._.._..___....._...._...._. _._.._.._ Address ....._�19--�.� _�veane__�n.'F.�'i_------_.._..__.. Mi�eBp�].�8� MinneBh'�L LOCATION OF BUILDING No. .... ----5��----------. st�t __..........._Che�'i ._Cisc7.�-------._ ...... .......... ...••-- •-- ----.... Part of Lot ....._......._....--•-----_....___ ------._......--��----._..__ Lot ................. �......._........ Block .................--�----�,............ � - ---- �-- Addition or Sub-Division ............��?...:�.��!�1�-l�---��...,�5� � 31• Corner Lot ..__...-------...._..._........ Inside Lot ..........._a.---..._..---... Setback ....--------��-�-•.---.--..... Sideyard _..----�..---..._...------_. Sewer IIevation ..... Foundation IIevation DESCRIPTION OF BUILDINiG To be usea �: ...._�A�.�....----.....---�--. Front .-�----4�_,... Depth ........._.a'.`�T. .t. Height ........._19e. Sq. Ft. ..__1lO81 cu. Ft. ��539 ...._ .............._.._.................__.............. Front ....._.... --.. Depth ........._.........._.. Height .. -_..._......_ Sq. F� ..---................. Cu. Ft. ---.................-- Type of Construction ......._....._�......_ ............... Est. Cost.......��l�.....-----............ ;�o be Completed .---------......._..----................_........ . - ., b In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances oP the dty of Fridley. �'�} _�� ; /J —1 ,f'J �sLd� In consideration of the payment of a fee of $......_..�-�.....��........, permit is hereb Y 6�'anted t ....._......._..-�- .............-�----........_......--•- --.._.--•._-.--•------::--•-•-----------.-••-.-•----- to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is gran,ted and his agent�, employees and worlrnien, in all work done in, around and upon sa3d building, or ar�y part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regar�iing location, construction, alteration, maintenance, repair and moving of buildinga within the city limits and this permit may be revoked at any time upon violation of an��f the provisions of said ordinances. e l Building Inspector NOTICE: This permit dees not eove� the consiruNion, inslallafion for wiring, plumbing, gas heafing, sewe� or water. Be sure �o see fhe Building Inspecfor for separafe permits fo� these Pfems. 4 � � APPLICATION FOR BUILDING PERMIT CITY OF FRTDLEY, MINNESOTA . Owners Name . . Btiilder � ' , � � Aaares� :, � . �.,-�. �� , � � "gaaress � � 301.� L .So. ��_, , . . . . �. � `� - � � � ... � LOCATION OF BUILDINa , � , � . �� No. %:- � St,�ee.t Part of i;ot � . ,. „ . �. � � (�-• Y� Lot `� K � Bio� � Addition or �Sub.Div�. • Corner Lo� Inside Lo�t �✓ Set Be.ck ' � r� Side-Yard 3EWER EI�EVATION � ;FOUNDATION�ELEVATION'- Applicant attach to this loca.tion. To be used as: form Certifica.te of Survey o� Lot and groposed�building DESCRIPTION OF BUILDING �,Q,,,,�.� � �<� � � � Front ' Depth � Height Sq. Ft. Cu. Ft. . _. Front Depth Height Sq. Ft. Cia.. Ft. - . . . Type of Coristruction � Tstimated Cost To be completed �- " � � `' �� The undersigned hereby makes application for a permit for. the work herein specified� agreeing to do a11 work in strict accordance with the City .Ordit�a.ric�s .and .i�u].ipg of the Depar�aaent of Buildings, and hereby declares tha.t all the facts and repreaenta- tions stated in thia application are.true and correct. . . DATE � � " � �-r� SIGNATtJRE �" , . (A Schedule of '�ee'�costs can be found on.the Reverse Side.) .�'�,. _ (�1 � -'1 __ , � . , .,.,, . . s� BU�DING .PERN�IT� F�E -�SCI�ULE.. Section 2. The Inspector of Buildinga shall, before issuing any permit ,.. for the erection of any building or structure, ox i'o�.-a.�� additioii � to � any existin� building`or'etru�ture;�or for any alterations or repa.irs _, i:� -•- -••°ta "ariy�-existing building or structure, ;.upon app],�.cation therefo�r� "require the pa.ymen� , the applica.nt ior such permit of fees to the amount herain� -�:• � • �� b�low ' set . f�rth a:nd in t�ae manner herein provided to-�ait: � :-� , . . . . . .. _ . ... . . . . . _:'{� .. : �-••-�--� �2�.I. "��For any such permit for -the erection_ of any fi.�.e-proof b�.i.lding, other than a gara�e, warehou�se, factory or grain elevator, , or for the ereetion, •of ;� �` •-•-• �-��n�" fireproof addition, _for similar�.occupancy, to any existing building � _sY�.].�;be:�t ��he ra.te of �1.40 for�each one thousand cubic feet, or fraction �th.ereof, in such cubical contents. 2.2. For any such permit for the erection of any fireproof garage',� ware- house, factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to any existing bu3,lding shall..�e.a�t the - �rate of �1:25,for each one thousahd._cnbie feet,�classified as "fireproof'� . __. , by_.Seatioa��502 of the Minneapolis Building Code. _ . ...-. • � " ' HOUSES � _ _2,.3.,.... For- ang such'�SeTmi.t �for the erec�tian_ of any non-.fireproof bui.lding ' other tha.n a gasage, waxehouse, factor�r or�-grain elevator, or any non- , fireproof addition, for similax occupancy, to any existing buildift�. � Fermit $1r00 for each one.=thousan.�,._cubic feet. �� , .. ,,�_ � GARAGES .. .. ._ .. - . 2.4. For any sugh permit•.for� �3�e� erection .of any x�on-fireproof garage,� .�" ��a:�Lxhd�.�e, ' f�.�tory or. grai�� :e3.evator, or f or the ere�tion of .. any non- ` fi�g�ar�oof 'ac�dition,, for similar� .occu.�aricy, to any exi:sting �building or ' -for.:-e$cI� �s�uc��biiilding or additio�. Niriety�'Cents for each one thouaand cubic feet or fraction thereof, in the cubical..contents thereo#' with a °� minimum of �/..00. ... . . . _ For the purpose of comguiing-�fe�s for building permits the cubical contents of any building or addition to a uniform height throughout by multiplying the ground axea covered f°rom a point six (6) inches below the floor line of the ba.sement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the�fee sha11 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 sha.11 the fee charged for any permit as set forth in Section 2 be less than �/�.00. A i'`� t • � , �1 � .�"'�, .. , r�• � '� S3 � HARVEY A. GARTWRIGHT ANOKA COYNTY BURVS1/8 M6NNEPIN GOUNTT 9URYEYB MHVNEAPOLIS SURVEYB 8410 PALM STR&ET N. W� SUN9ET 4-7858 OWN6ft INOUSTRIAL - JUDICIAL BUBINE85 - TOPOGRAPNICAL CIT' LOT8 - PtATTIN�s Lyndale Builders \ , ;.. (,..�,i�• � �1 , o � ,� � �i � � � ,r U \ �s� Q R� �° . : C�i � �,, � o. � �s� ��G� � O�ON J�E. �HILL, CIVILEENOIN6BR' EBTABLI9MHD t!C! LAND SUR VEYORS C. F. SANDHOFF CIVIL ENOINEBR RE�SISTeR[D -NNDtR LAWi OF STATB OR MINNB90TA eetweusHEO tooe LICENitD SY ORDINANCt OF CITT OF MINNEAPOI_IS �AMES NELSON 326 PLYMOUTH BUILDING . FEoEan� B-B721 SuRVeroe HENNEPIN AT SIXTH . MINNEAPOLIS 3. MINNESOTA EBTABLIBMED »az �HT�1En Oi�� PTt1IE[at� METROPOLITAN LAND G SURV6YOR8, E6TABLI8FI8D 18�1 Ineoice #20�54 Pn 9 2. 9 2' -�'�� ►n pi.�/na� aE Ufi/i>y_u� , --- -- —�� '� � � � � � � �� w ti �� , ._...,., , , , ; . . � _. ' -' s 3� • �/ _ ,,� � �� °- � i� 1 1 1 ,� � ., ,.,� 1 s s ° / � / / �� / ��• / / . �C'�� I hez�eby c�rtify thmt thia is a true �.nd correct representation af �. st�reey Q� the boundn.rie s e� : Lo� 4, �laek 1� Ly�adale 3�lzild�ra 4t� Addition, Anok� County, P1liinn�sata. �s �eged by me this 20th da�► of August � 1959 e ,ve�'i :c.�,• � :� % �.� �� '� - � � , �;a . , r;:�� p�,� �. � , `,� u '� � f r�:' SIdN60f '�O� � � ,, �l � C , GMT AND 0690N , • ' J--� � � _ _ ¢ � � - � � M -•� � � � � F� � � � � � � � o � p � s � � : � � : . o o � : x o : : � ,� : : ; � i: � . . • N . . . . O . . . : a : ' : • m . . . �7 . � : � � � �� ('� N � � \ O iE �C ia N 1-� � O q O � V! H � � �� t" E� tro' � . � z � � z � z "x � m �, @ � � 8 ; �. 8 � � � .� � x � � � � bd a�� x : o � � b � � � 0 0 � � � � � a . � �. . � � . . bd o : �' 04 : � 0 ' � � . 04 0 . . . . ; � : : . : � � 6C 5E �C '�d �4 iC $H � Co na w r+ r+ � C�ii p, e�i o O G �.�.7 ifl t�i � ifl {Z� {!i � • � H � " H � � e C'b' c � o � �� x � � � nT� N � �T1 � � � � �� W N � p N D � r � m �^ ` J 2 m C r m aF • �' y p ''' CA � u. p. �' � 5tories 8 � � w�� @ CI.OSETS � �: URINALS san+ • � ru� ap �� SINKS � � WASH � rru�rs ORINK. FOUNT. SH1NR5. FLOOR DRAINS CATCH (i BASINS p AUTO � WASHER � GAS APPL GAS RANGE GAS I OPENINGS � v • I 2 i � � � N � � � A � ti � � ]� � I � ° � � y � i � � � � � f�D �p f! � � y � ¢ � � o� � � � � � ¢ � ua �' w � � � I � � . � IO �a� � �:�� p � t�D ��+� y oc�o 5' �' vi 1° O � � ��o � �� . � �� -b � b p. � � m p � � o � � o � e+ � A' ��'7 �� A � n � �. o��`r N � � y ��n� �� w �y�M d'i' A � y" Ci M � � 5' � M F-+ � � �' r'C � � a A � :1 O � � m � � � �i � � � � � � `'o �' �� , d o. °- � �� M � � �i 1� o � � � A a� �, � � 0 � � � City of Fridley, Minn_ BUILDING PERMIT N° 5936 Date: ��""� � � . ,�r Owner: ��-•'� _ Builder .•- �-'�' �`��' '/'' t A Aaar�g Aaar�s LO IQN BUILDIMG No. ��1 � Street ��:��.� Part of Lot ....r_��.__ Block _�� Addil3on or Sub-Division � _.._.._ Corner Lat — Inside Lot �+"""�' .� y � "�tback Si yard �� Sewer IIevation Fo�dation IIevation � - DESCRIPTION OF BUILDING To ve as: _ �.L Front �� Depth �.�"!%ight _�_ Sq. Ft �� Cu. Ft �� ,�� p Fro�t Depth Height � Sq. Ft. Cu. F'L � r- Type Of ConstructionR•. �'��-��'� F�t. C .�� __ To be Completed In consideration oP the issuance to me of a pex�mit to construct the building descri'bed above, I agree to do the proposed vvork in accordance with the desct3ption above set forth and in compliance with all provisions oE ordinanc:es oE the dty of Fridley. � Ea consideration of the payment of a fee of �.�_� , permit is hereTry granted to . to construct tYie building or addition as descrlbed above. Thispe rmit is granted upon e express condition that the person to whom it ia granted and kus agents, employees and worlunen, in all work done in, araund and upon said bwllding, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintena.nce, repair and moving of buildiuga within the dty limits and this perrnit may be revoked at any time u�n violsrtav�,of any of the provisions of eaid ordinances. � .� �'" �1 Bwtlding Iaspector NOTICE: • Thb permt! does eot wver fha eonshu�iloa, Gutallatioe Po� wiring, plumbie8, gas heaHae. sewar or water. Be sun ro sa� t6s Bufldieg lespeetor for separafe permiti for fh�s ttean. %"�� 4 �. � _ �.-� � ..- � . :.. .% >! -'- s Owner'S APPLICl�TIO�T i�'OTd BUII►D�NG PERMIT C3TY OF 1'R�DLEX, �� A�dress °��,, � iT � ..a�/��t�� Address _ - � ; �c��,� s �=��; LOCATION OF BUIT�DZL�TG No4_ � � � 8treet �;� ^� �..��Part of Lot Lo� ? Block � � Addition or Subdiv3.sion � f�,� . � � � Co�cne�c Lot Inside Lot �tbac ide-Yard � 9ECr�Ea� ELEVATION FOUNDATIOL�T ELEVATIOI�T ' Appl3cant atfiacli to t�is iornt Certi�3c�te o� Survey of T,ot ancl _ proposea building loca�ion. . . DESCRIPTYON OF BUILDING � o Ioe use �s�--=--,_ _ .� -�, � r� �'�-�::�. �� Front �.P� Depth � � � > Sq . Ft ._,_,t� �..�� Cu . l�t . �;,, ��.� � c � - - Front_ ep-�h xeight . Sq. Ft. Cua Ft. �ype o�E Construction__�-��„� � Estimated Cos� � '�� .> � lo be Complet The unders3gnecl hereby ma]ces application �or a pe�mit �or �the work herea� speci��.ec1, ag�ee�.ng to do all work �.n stric� accordance w�.th the City og Fridley Ord�tnances and rul3ng of the Depar�cment of Huild�- ings, and herehy declarea that all the facts and represen�ta�ions s�tated in this ap�lication aice true and co�cr��t. �� ,��° _,� . � (Schedule of Fee Costs cat� be found on the Reverse Satde) . i`-��, , � _ ..t -- r a lF. + F ,� BUYLDaNG PEit1�iIT FEE SCHEDULE Sec�ion 2. The Tnsp�ctor of Bu3ldings eha7.l, before issuing a�y pe�a►ii: for the erection o� any building or structure, or for any addition �o any �x�.ating building or stscuc�ure, or £or any alteratione or �epa�.rs to any �xist�ng bu�lZding ox otrucicure, upon application �hc�rregor, require the payment by the a�plicant fo�c such per�nit of fees to the amount heice�.n be�ow set �orth and �r► the mannor here�.s3 provided to�vito 2.1. For ariy such permit for the erection of any fire-proo�E building, o�cher thar► a garaqe, warehouse, gactory or grain elevator, or �or the erec�ion of any f�.�.�e-p�oo� adclition, �or eim�.lar occupancy, to any exis�ing building shall be at th� rate ot $1.9�0 for each on0 thousand cubic �eet, or fraction thereof, in such cuhical contents. 2� For any such pormi� �or the erection o�E any fire-proof garage, warohouse, factory or grain elevator, or �or the erection o� ar,y fire- groo� addition, ior similar occupancy, �o any existing building �shall be at the rate o� $1.25 �or each one thou�and cubic feet, c1a�s�.fcied as "�irep�cool° by �ect9.on 502 0� the �linneapoiis �uildirig' Code. HO... USES 2.3. For any such permi� for t�i� e�eetion o£ any aoa-fixeproo� build- ing other than a ga�tac�e, warehouse, �acicory or qrain elevator,. or any non-rireproo� addition, �or eimilar occupancy, to any existing buiiding Permit $1.00 �oac eacY► on0 thousand cubic feet. G�GES 2.�. &'or any such permit for the erection or any non-fireproo� garage, warehouse, ractory or gra9.si elevator, or for the erection of ariy noa-fireproo�E addition, �Eor sitai.lar occupancy, to any existing . building or �or each such buiicling or adclition. Ni.szaty Cen�s for each one thousand cubic �eet or fraction thereoi, in the cubical cvntente thereof with a mi.r��num o� �4.00. For the purpose or computi.ng fees for buiiding permits the cubical con- ten�s o� any building Qr addi�ion to a uniform height throughou� by multiplyinq the ground area eovered from a point six (6) inches bela�w the floor 1ine�o� the basement or ceilar to the average height of the upper surface or �o �Ii� average heigh�t o� the roof �urface of the ma�.0 gable o� a pitched rooi. 2`5,s For repaire or alterations to an elciati.rig etsucture, the �ee shall be at the rata of $3.00 per each Five Hundrecl Do1la�cs ($500.00) o�c �raction thereoi in �he cost o� all propos�ed work. 2�,6. In no case shaii the f�e charged for any permit a� aet �crth in sectio�s 2 be less th� $4.00. r"� _ � s a� ` ' c � j R A « r ' . �s t� e � }. � ' �� .� ,-k ¢ �� L � R ~ � � � � P Id3T N� � �" ' � .�`��,,�,�;;.� ,�t �, � -r .�,.�_ t: ��,� SIZF ,�=- �-, . -� �, BLO �`B�D�S'S �" `� �^' r"` � 1,�� , .� ` � -�- �+� � �` VAL�ATTpN R> � � ,9DDa ".�.�,�-��"^�.�. TyPE ��.��,. ,; 'a�4 {w,. � z� .� °� ., _.� -µ,:�° ,�., . .,�,.,�-- _�� ,�. - �,:. .e I' , � t:d� 4 r.e,% .=> �� i _. �� ' � V : �_y.; e�A_..�.�.. � �. _,� ,__.t,f '� "'-,�� ` *` G � F� � ' � �N j a .e n $ }k!, // 1$`' d_ 5N �sbaF3 Y' Mt a � 1 G �1" i 1 w T"' � `'`° '� �d O✓ —i �� t �[ �,� � k. u� f r °Ji� R a C 9P'.i a� � r ^ � .. � �� , ... -� f � I � � � 'I� + � � '.�� tl ,�Ik ;,r �� . - , ; �,��^,. "7 ��._� ---_ � a -- �:.._ �.o�.. _� .. .�� _ �....�_ � � '� _ __„ R .� w � p ._._�. �.:. � �� . s �>'a_> d �' � , .� , t . ,�� '�,�....__ �-,�y .zW�—=_�°:., � � � ..o ... �. _. . . i „ > �.' ��ab+�_ .`.>>r'p'�� a_ r`�„.:�,�:;� i'e� �qe�� '0.�� f - , �s'=- r ,�y ; .. a � �� „ �`'� �r-- . , s, � � ry. a- � 3-�., � � � °�% v', � �°�"r -- _ '� A '�, , �'� � s`�� .�'.Yt;, ;'z`j.. "�i' `,.� �,y�,� , _�� ,.. . � «-'. � � _ °L ° � _ !"^ _ �c t, r � �� 4 .'�� , -� f � �. .ss `i �, -�q � 1 F, t �, a..� . . ,• y � , - .-._ . �c.� o,d - ' ... ��> x= !r. ,%,.-, e y, �'.' ma? u� � kt !� a '� '1 i d.:� �<' � C� �' R�= 1(,o � ♦v� ',- ��n � :� ?' �. � l�,, � "� �* ,� � / 'i a s a-� F F" !� ojJ .+,� .,`',�...s e � .+� � !_ U 'f / �—_-` �� _� SUBJECT P City of Fridley � 9 614 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r � �`L _.____ COMMUNITY DEVELOPMENT OIV. CEIPT � r j � PROTECTIVE INSPECTION SEC. �� s � I . � � � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �----� � ,'� 612-571-3450 910-F15 5/1/81 / / JOB ADDRESS 538 N. E. Cheri C71"Cle 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Q� 1 Lyndal e Bui 1 ders 4th SHEET 2 PROPERTY OWNER MAII ADDRESS ZIP PHONE Ronald Hamen SAME 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION �(] ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOHK 24 x 16 deck and patio door 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE FE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Cedar 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ��jOO.00 .75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 9.00 PLAN CHECKFEE TOTALFEE 9.75 SIG EOFCONTRACTORORAUTHORI DAGENT IDATEI N PFiOPERLY VA D ED THIS IS YOU E MIT °l� ` �1 •�C.�..� . .� ~^ � � SIGNATUREOFOWNER�IFOWNERBULD Ri IDATEI BLDG iNSP f1ATE czrv ar F��io�.cv � . , At'f'(_IC/1'fI0'J FUft RLSIUI:i�ITIII�_ [3UIL[)I��G ('(�Ri�iTTS (tde►�r, A1 t;er�x�Li�ns, /ldditians, or Repairs) � Ot�llCR��k�� i.� �� ADDRESS : �S � � � � � � C� _ � �i �� TEL n►0: �/—�� LItILRER: 'oU �� f��'J � � . nndaes s : s � � �.� ��e� _ ( �= r�� r�o: �- �� -�s_,� � . _ � Construction Location ° . sxzt�c�e r�o: �.� � sa.�r�t:T: �h °� �' t.. � I 2C� � �� Lo�: �! BLO�c : l �.nnz�rzorr : � � � �Q /� ,` �e � � y -`'� Corner Lot: Inside Lot: �� SetbacY.: Sideyards: Ap�licant attach to this form twa Certificates of Survey oi lot and . propased building location drawn on certificates to scale. . DESCRIPTIOit OF COt•IST�',UCI"IOPd • � ��_ '�' � I'ront: �� -��i— Depth: � lD f' . Squa�e. Feet: LXib�c Feet: �� i � ��^ r ro�zt : � � Depth : Iieight: Height: Square� Feet: � Cubic Peet: . �l Type of Construction: �C�Qt �` Esi:ima�ed Cost: $��J�%l'% 7U $e Cbr,�pleted: � � �%� . . . . - T � ` . . ' Alt. li Alt. B Proposed . Drivec•�a�j Width If New Opening Is Des2red: $' � . . S,E� RF.VERSE SIDE OF SHEET 7.Sie undexsigned hereby ma}:e� applic�-�ticn for a permit �fcr the t:�ork� herein specified, agrceing to c� _al]. worl: in strict accardance �•iith the City of I'ridley Ordinances and ruliiig� ot i:lie Dcpartme,�it. of Bui.ldings, and hereby declares that all tlie fac�s and xcpresentations statc:cl 3n �.his �.pplicatian are true and correc�. � p�:T�: � 1 SI�NATUF.`r:: Stiz�ulz tions : � �-J �� 5/ . %y �� ; . . . � . ru�i_nri�lc i>r�r�t��r�r r-�� :;r.E�r_r.�ui_c� � . . :,l.:C:'t':i01�� 2. '1'1�� 7n�.:��ectc�r. of 13ui.TdS.u�� ;::1�r�7.J., t�efc�r.c i.r,�:tii.�icJ• ��ennits for l:hc crr.ct•i.on c�f �tUy 1�L1:i.l.�l.i.1�� ar: :;t:::uc:t:t�rc, w: fa�: ti»y adcli.i:i�>n !:a e�uy cr,a.:�La.�uJ 1�uilQincf cir :;txlict�ur_r_, ci�' i:c»� �,�;y �i.l.t.crc�Cion or. r.c�,��ir.:; t.o •any c::.i. .t.i.»�� }�ui.l.cli.�u1 or. sLxucturc, u��n ar�pli.c:aLa.on t1i�:r.�:f.'or.c:, �r.equ.i.�:c tJ�� l�ayrncr►t: J�y Llic ��r�p].i.�ar�!: far. ,�acli per.m9.L• o!' fc:e.^, tc� fil�e a�naunt� 11CX'ts1.11 }�C1.Ul•1 :iC:L fdY:1:,�1 iUIC� a.11 t:�1C' manrtci: hcrc.i.n ��l:OV).C�::cl 1:U—�•::I.L: ' . l.l:t•1 CUIJ�:!'1:UC'.CIOI�: Sit��cJ).L l.'amil.y llotr,c� and Gtir.�Zqes;: ;:4.00/]_,OOp ctzb�.c �ec:t:. • I'7..%:d C;Iil:C1.: 25 ��er.ce��i: oL- buf.lcli_n�J i:�er.miL- fee. URI:��l.l•,n1' llL•'L'I:i:SS30f•:: (ConcrcL-q C.il'f.}� uLrcet� On�.y) �' ' A].tern�-�i:e A: Itc�noval and reF�l..,.ccment oi concxete cur.b and ^ quL-ter. only; )�rivea�ay ��riclt}i pl_us 6 feet x$13.50 111teinate I3: 3;emoval and re�,��.acement of cancrete curb and • gut•ter and iiist�ll a 3 toot wide approach cait-h '' � .� 6�.nch dc:pi:h; llri.vcs•�ay �•ridth �pJ.us G feeL- r. $15_. 75 • . �DI T] O��/�L T��FOI��f�1T I 0� I�or the purl�se of co�npuL-�.n� fees for_ building rermits, i:l�e cubi.ca], coi.tents of any build�.ng or. addition, a.s detertni.tied by multip].yir,g t;he ground area covered fram a point sir. (G) inches belo:•� the floor ]_�.ne oi L•he baseznent or th� cellar to 't2ic avexage heights oi the •upper sw:face or L-o the average heicPub of the roof: surf:ace o% i:he nain gabl.e of a pitched roof. ' For. repai.rs or a].terations to an eyisting strti�cture, the iee shall Ue at the rate af $3.DO �ier each five hundred dollars°($500.00) er fraction'�here:a� a.n the cost of all proposed wor.Y.. . - In •no case sha�.l the fee cliargeci ioX any ppr►ni.t as set %rth xn 5ection 2 be less � than $7.50 plus $.50 state swrcharge. � • ' _ VGRTFICATI`0� �F r-ou,�Inn� ior� � � NOTE: Permits �or construcL-ion c��ill be issued a minimum oi 24 hours from tlie time oi applicatian to a].loiv for proper re��ie�,r of the proposed structure and o� the construction site. � l A Ceri:ificate � of Su�rve� of the lot, sho�ti�ing the loca�i.on oi the faundation once a.t has been cons�nicted �aa.11 be required before pr.oceeditiq �l�th the framinq. �.13TIFI(:ATE OF ��CUPAI�CI' � ' l�P��.i.cafiion for a Certiiicate o� Oceupancy sh�ll be mac�e ten (lOj c3�ys prior to �he tt� e ar. accup:�ncy ai an�� st�ructu�:e foi !J�11Ci1 d��121.It�J.11c� �CZI�l.7.� l:as been issued; and s�zirt striicture sliall. »ot bc t�ed a2- occu�,�ied L;n�i.l a Ceri:�.�ic�-�te of Occuj�ancl� has Ucen xssu�d. n .. � _ . •� I • ` sue�ecT P City of Fridley � 2 5 918 ' AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � ' . � • COMMUNITY DEVELOPMENT DIV. � Vy �'��'� r � � PROTECTIVE INSPECTION SEC. � /r� n� 1 = � ( L..•- A /��'1'� CITY HAIL FRIDLE� SS432 NUMBER REV OATE PAGE OF APPROVED BY � �� , 612-571-34b0 910-F15 4/9/98 / / �oe no�aess 538 Cheri Circle NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACNED DESCR. /{ 1 Lyndale Builders 4th Addition SNEET 2 PROPERTV OWNER MAIL ADDRES$ 21P PNONE Ron Hamen 538 Cheri Circle NE 572-9294 3 CONTRACTOR MAIL ADORESS IIP PHONE IiCENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK p NEW O ADDITION � ALTERATION ❑ REPAIR O MOVE ❑ REMOVE X B UESCRIBE WORK Remove existin deck• Construct a 12' x 16' Deck 9 CHANOE OF USE FROM TO . STIPULATIONS See notations on plan. ��G Before digg�nq c311 for etl utility �ocations REQUfREn � Y LAyy SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATIN(i, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONSTRUCTION OA WORK IS SUSPENDED OR ABANDONED POR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE HEAD AND EXAMINEO THIS APPLICATtON 1 STA�LS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUHTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIE� HEREIN OR NOT. THE GRANTING Of A PERMIT Y' 1 f 722 �. 86 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. y�SG.7S Fire SC �1. %2 PLAN CHECK FEE TOTAL FE $59. 51' � REOFCONT AC AUTMORIZEDAGENT IDATEI P OPE DATED T IS YOUR FMIT � �� ` ` �'3 . iGNATUREOF RpF WNERBUILDER� IDATEI Bl �NSP qaiE NEW ADDN ALTER [l [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �� '� � _F C ��: C • n � I� Legal Description: e � �/ , � �o � �(' % � � �,.. �� c � � . ;�e�� '��G �'�-}- Owner Name & Address: Contractor: � e �- Tel. # ;�:.:. �.� ► Address: • Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: I.�gt� >�� Width ?�' H�t/Gi OTI�R: Effective 1/1/98 �� , ,��,;�+� � ,,, Sq. Ft. Sq. Ft. `�i Sq. Ft. ��-�1 i�'( �� '%?,Z, �% Construction Type: I�� •� Estimated Cost: $ �f � 0. o o I 722, � y (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: y/�/9 �'' APPLICANT: r%-,.�o -- �%—•�-i Tel. # � �Z'' %19'S� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ,7� $ /�Z � ,�Z $ $ $ $ $ $ $ 3 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation a�41�� S�a",,'Zl� $1040 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 [ ] d 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 �nd in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 � $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,�0 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate B: Removal and replacement of curb and gutter and install a 3 foot wide " n 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. v - � � �..d..R�-•..,. --- -.. .R . / � �a ,f , �w�! ' \ 3 � • �/w✓� i � . � •;� .. . J HARVEY A. GARTWRIGHT ANOKA COYNTY suRVCrs McNMV�n couNYr suavErs MINNtArOLli •URV[YY 8410 PALM STRQET N.W. BUNS[* 4•7666 OWN[R INDUSTRIAL � JUDICIAL •USINESS — TOPOfiRAPMIGAL CiTT LOT! — ILATTINQ Lysdale Buildera \ _ r�al. 9 2. 9 2' � -�''� . � , � �n Or.r/aa� -� Uti/i�_�n • , _ \ ; — — — — � ��d�� 5 � �3� ,' � . ......� �, ' o (N , . U �i , rr 1 . � � � � '� � d � � U a �'� 1 �, o . �� so ; Q � � � � �o ; �,,,� 13 0 � • .� �� ,� - C'}"� �R � � a � , ,�, �,ti . � ~�� M�' � � �— � . :� .. , :!• Cj��G� � O�ON J�E. �HILL, C vi��ENa NeiR [�TA�LI�N[D 1�� L A ND S UR VE YORS c. F. SANDHOFF CIVIL ENGINE6R RiOIiT[R<D UND[R LAW� OF fTAT� 0I MINN[SOTA t6TA�LItN[D t�os LIC[NS[D �Y OROINANC[ OF CITY OP MINN[APOLIS �AMES NELSON 326 PLYMOUTH BUILDING . FEoErtn� 8-8721 Su11VtYOR HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINN6SOTA QsTwsu�NCO �aas �urbcpor�g �[TIIIi[dt� METROPOLITAN LAND SURVEYORS. [sTw�LUNeo io�+ ' Invoice /�20854 , � , .., .�,� � ,' � : �:. . ..• • i �� i _ 1 1 ,,. 15 ; `�" l i S � � � � / ,,^ / ��' � ,4 ; � � �S- , �.�. _ ��,'�� ,� , � s-, � � ,� ;� `� � �- � ,-� .�°`¢ �`_ I her�by certify that thia is a trua And correct r�preaeatation of a� aureey of the boundari�s of : Lot 4� Block 1� I�►ndale Buildera.4th Addition, Anoka . County, Minne�ota. . Aa surv�eyed by me thie 20th d,ay of August� 1959. ��' ' � � �t � � C>'+' � ,rJr�1. / J r� r , „� CJ 816NS0 . ° - GHT •-. " _ �0�� 0C` .t O'S' t,�4``k,a J �� -f S �, x� Q f//% G��r.�, V� O' 3 a�.� � Q�r'C r � b �� a��`5 C@tl"eI' �C�r�'�/i'id(l � , ' �U1/,� �` �o-�`,, 5� J 1� Y �) LLL� tG� �x % 1°a 3 �-.� �1� {�`" ��JVS S� - Je �3.� f.� �-,f�''s � fP�'� �� S��f '� � � �" F n� � �� 1 l� �G �,� � , ��' � `� �� /� �� "f _ w U� � � fs : �p � ;,,,, � ,. � x,� / �g'[' ,� �/�5 � � �� % c�9 � � ��"�' . �(�°,� � � , A��l�� V �o. s� ��- 5�� 0 � t�.iY�� `1 �' „ � �� f�� 1n1 ' '�, d� . Z� ,�,,� i� �� , G�- ,�, � v� �°� � �� ,j� ��lGl� . ��'` � � ; ,, „ � /� '� �/f��J GaLI�'��, n „ ., , �►•) ,��'��`��" �Y —3� / SuBJECT c�ty of Fridley 2 7 6 5 6 AT THE TOP OF THE TININS , g U I L D I N G P E R M I T r ; � RECEIPT NO. � • COMMUNITY OEVEIOPMENT DIV. � LV �� r � � PROTECTIVE INSPECTION SEC. � � 1 . � � � �"'1 � CITY FIALL FRIOLE� SS43Y NUMBEii REV OATE PAGE OF APPROVED 8Y �""� � �'' 612-57t-34b0 910-F15 9/9/98 / / JOB ADORESS 538 NE Cheri Circle t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 L ndale Builders �Ftil AC�.C�.�t�Ori SNEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PFIONE Ron Hamen Same 572-9294 3 CONTiiACTOR MAIL ADDRESS 21P PHONE LICENSE NO. Four Seasons Roofin & Remod 7930 Uni A 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PFIONE UCENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION L�? REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house & ara e 26S Tear-off 9 CHAN(iE Of USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCY(3ROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR Alq CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 12p DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTHEET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED $2 � 228 � OO � I. .], ]. WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PERMIT DOE OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pERMIT FEE SAC CHARGE PH IS ONS OF ANY TATE OR LOCAL LAW REC3ULATING CON- @ ST UC 10 R T RFORMANCE OF CONSTRUCTION. W74'.75 Fire .S�'. �2.23 � PLAN CHECK FEE T07 L FEE I � � Licens SC $5 0 $83.09 SIGNATUREOFCONT TORORAUTMO�i1ZEDAGENT IDATEi EN R P VALID T THIS IS UR PERMIT �_ ' / �� SiGNATUHE OF OWNER iiF OWNER BUILDER� iDATE� iNSP qqTE , _. . ,� [ ] .-- -:: , [ j � r�,,-:�h ,; ...CITY OF FRIDLEY .__.. . [ J SINGI;E` FAMILY •AND DUI'L�XES R-1 AND R-2 � �: ;'aUILDTNG PERMIT APPLTCATION :,. ;�:.3 . � � ;�� , �.j�. d � . . • , � i ,. ...�c:-uccionAddress: �� °��'` � ,,�` t� � � ' a �a -� ..+,�....+..... „ ;;,.... , •. JGSCi'lj�[1�11: • ,�; �.. Effective 1/1/98 ��s��. •a _ ., ...: N�rn� '� Address:�iDi� {�i.��rr� ' �3� lv� �1�� lei. �r � ic� - /a_� `y' ....._...:tor:�� S.��l��is l��;a�: �F'��.+.lP'. �;� /,,.� LC.G ' MNLICENSE�{_ , - �. ..._.._:;�: �Y��Yl� (IP,�I�SI� /¢✓�°;� /(f� Fr�� l-rc,t Tel. # �� %`i'l� . _"r_ , . .., , e 4,� . �� ,. � ,. �� Attach: Co �hiS; application, a Certificate of Survey of the :��:' lot, �with" the°pxoposcd coristruction drawn on it to scale. , ��- � , � Case'Jy',�i'"� .r�.. �'� . ��'�. Y; `'`DESCRTP'rION OF IMPRO'VEMENT ,, , � . . .. , _:�:i� r�.1:.�:A: Leng,th.. ;': ,'. • Width Height Sq. Ft. � ,. _. _: �;;L �f��: Lerigfh Width Height Sq. Ft. ��:�: A1t1;A: L.en tii � Width �� HgVGround Sq. Ft. �, .. ':" L12: _ a , �� . -°�� o ...:.r.:� cioi� `!'y�;;;: �„ �stinlateci Cost: $ � � - � . ��,�,� ;� (Fee Schedul e on Back1 � t � : . _ „ :;�� C:�rb Cut Width f�Teeded:�`�`��-��tiFt. �'+` Ft = Pt x - $ � �= _'i"�. � —� APP�.ICA�1T:��a,�i�° Tel. �#_�,—�' l� �.a � , 1 �;; . , ; ,, �a � � x �� `f �TTY USE QNLY ;� � T � w�� . ;�,�- ��;�,�'r a_ . .. � "�*� :� ;,;. ,;., � -..:.:: 1"ce W ��' �.� Fee Schedule on Reverse Side � .,� x�i � �:;;�•�,OOL: of Permit Valuation (1/lOth%) - -� :..._:;;::: �,v:� � •:r ,::::� Surcharge $ � �`�f ��f �"�'$'.SO/$1,t�00 Valuation ' r �' t c'.: l � , t c�� F; �.�_C Charge , $ ,L{��`� �'�.`��ur�� $1�000 per; SAC Unit , , , � ,� � . ,�,oa .': . . i . i' ,.� .., � .. ?-�. r��rtq!,... �. _.._;;r�s�; Surcharge $ d� - � � -�,;$5.04: (State Licensed Residential Contractors) _ „ ��;.. ....,ctivay Escrow �$ `;��`� x� �lt:�•"-A" or'Alt. °B�� Above � , .. - ' � ,. ,��;�- � \y'` �1:.. ; 1N ., : �.� , � y`+` _��:�;:i Con[rol $ ¢ � ��;:;$450.00 Conservation Plan Review -_... 1;,;� $ �`` g" "�Fee Determined by Enbineering w ,. , . ,, .. iviaiii Cliarge �� $ `�� d�N��'��b'pgreement Necessary [ J Not Necessary .[ J � � ` +-�,� . � ��. .. � � ��`5��tt��rM�. t .. �.s.S�ri'`G��i�b, ..,. tL ' � w�S� i3.�r a . . , . , F A` �t . � 1 \� .1,C.j.i,ql,, : $ �� r�=.] ,4� ' � .. . � . .. F��.� � r <,�:;� . ' 3�'V1 � � " ' �.' � , � ,•' •1f �y�J��aY �' � ,� � -� y F�� ` � . 1 ' _T pWA�'i(E� ,\ 1 � A 't� . .j: � 1v -.+: : i R �I . v�.}�i�Q d�'1 - � � r 1 y? d I*�,��>l�.q � �t ,�'t• ld��fe' >t:,• . . _'�nULATIONS , ,�A�,��;,��,:� , . � . � � 4, . � �t�, . . '� t . # Y �7'z'.�I�} :u-�- - � ' . �� ' q(�l s '/E" ��aj J�d u f' �es? xy xfj;��aK� ��;�t � . -� ��€f' �� s ��=:o .�,+ � i�'� .t � , z . -, _ . �., �.. • Su6�HCr City of Fridley AT TME TOP OF TME TWINS � � I L D I N G P E R M I T i � � � � ; v __�� COMMUNITY OEVEIOPMENT DIV. r � � PROTECTIVE INSPECTION SEC i � , L----� ��"' �'� CITY NALI FRIOLE� SS132 NutrBEp pEV D�TH i b12-571-3450 910-F15 3%2/99 108 ADDRESS 538 Cheri Circle NE t LEGAL LOT NO. BLOCK TRACT Oii ADDITION oescR. 4 1 Lyndale Builders 4th Addition PAGE OF � � P� �28968 RECEI T NO. 9' APPROV D 8Y SEE ATTACHED SNEET 2 PROPERTV OWNEp MAIL ADOR�S$ 21P PHONE Ron Hatnen 538 Cheri Circle NE 572-9294 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO Four Season Roofing & Remodeling LLC 7930 University Ave NE, Fridley, MN 55432 4 ARCHITECT OR DESIGNEN MAIL ADDRESS ZIP PMONE IICENSE NO 795-9410 20138780 5 ENGINEER MAI� AQORESS ZIP PNONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK � ❑ NEW O ADOITION ❑ ALTERATION [� REPAIR D MOVE � REMOVE B DESCRIBE WORK Reroof House & Garage (26 Sq) Tear-off 9 CHANGE OF USE FiiOM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARA7E PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, NEATIN(3, "rc vr a.vna� . VENT�LATING OA AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WOpK OR CONSTRUCTION ZONING AUTMORI2ED IS NOT COMMENCED YyITH�N 80 OAYS, OR IF CONSTHUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PER100 OF 120 DAYS A7 ANY TIME AFTER WORK IS COMMENCED. NO, DWLG. UNITS I HEHEBV CERTIFV THAT I NAVE READ AND EXAII�INED TMIS APPLICA710N 1 AND KNOW TNE SAME TO BE TRUE ANO CORRECT. ALL PqOVIS10NS OF LAW$ yq�UATION AND OROINANCES GOVERNING TNIS TYPE OF WpRK WILL flE COMPUEO @ WITH WHETMER SPECIFIED HEREIN Oii NOT. THE GRANTING OF A GERMIT `P2s228 OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA7E Oq CAMCEL TNE pEfiMIT fEE PROVISIONS OF ANV OTMER STATE OR LOCAL LAW REGUTATING CON- STRUCTIO R T E PERFORMANCE OF CONSTRUCTION �7�F.7S PLAN CMECK FEE 3� �n�5 S�GN T RE OF CON7FACTOp p UTHO �2E0 OGENT �DAfb EN P� / STA�LS 11 OCCUPANCVLOAD CU REET PARKING IGAFAGES $1.11 SAC CHARGE Fire SC $2.23 rOra�cEE ��'• �� `� �iO�U(ti /LJ� �D��E� B�D �NSP � � r 6 � i�t� y, � rrEw [ ] ADDN [ ] ALTER [ l ConstructionAddress: -� Legal Description: Owner Name & Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � Y, � � � Effective 1/1/98 � � , �. e� Tel. ## %IZ ) S" 7� - Contractor: �'UU r � �G � �6�, �c�.�'� e,� � �' �,,., �./P � r �- L C , MN LICENSE # e�t� f 3 U . Address: ��1�._�� %��a, f�Pr� , � �vP n� � � Tel. # %�G %G� - � A�% Attacfi to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTI�R: _ � � � _ �.��'.- � Construction Type: � �� ' „ � �� Estimated Cost: $ � �� e ��' (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � )� c� 3 �� APPLICANT: � Tel. �t �� . %��-%�� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Fscrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: � iy �� $ 3 $ � � $ $ �'� � $ $ $ $ $ b� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation 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 strucriue, 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: T'OTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $5�,(�0 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1, 000 or fraction thereof, to and including $100, 000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1, 000 or fraction thereof, to and including $1, 000, 000 � $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for 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. � � . , �,(�v � , __ _____.__c�_ _ _ _ _ _ _ ____._ - ^ � _____. _.__ _ . _ . ___. _ ._____.._._ . _ _ _ . _ _ . �_ _ _ _ _ :� .=...C..� _ � __::- . � � -��- __ __ . � __._______ �____�_-__ :___ ___ - � A. . - O . ........ .:.. . } ' s / � . /., %�. � � � � � - -� � �- / , ii i� -� � __ __� � i= � /_� : , � /_ ' � i /� % � i � ;��. � / � ��.� � �' �' ,i • � � , S. / � .� i / I r ! ,� ------__ ._ _ . ,.-- ---_---- � � �� • r • �� K N .�