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AF - 37420� � City of Fridley, Minn. BiJILDING PEI-�MIT N� Date: _.._.�� ...._.. /_._f..`�......_ _. � L.._._._.__._—._. Owner: Address Builder rr��^.? , ;� �. ..- --_.._. ..��a� --...___.____._�.._... _ _ LOCA IOiV OF BUILDING / , No. .....�..�..�....:�---...`_..° Street ..... ��.�"��....._.. ..�r�c�►`......---..._ .............. Part of Lot ---------•---_...._..__-_o.._._..._...._...___---•-- '�/�� Lot .....--.-.�T...---�...._........ Block ----�-••--�_........-._ ................. Addition or Sub-Division�G��#,��.��l......._��i - . -- ........... ... Setback ._�..3.^-._�--�..---... Sideyard ...��..'�� ~-�----......._............._........... Corner Lot ................. .................. Ias�de Lot .-.�- � � � � - Sewer IIevation To be Used as: � . ......------�� --- ---...... Type of Construction Foundation Elevation DESCRIPTION OF BUILDIio9G � -u f •►� j i s� Front .__..��....-� Depth �� Height _/_.��._`� Sq. Ft. �� cu. Ft. �...�f�9 % Front----��- -....... Depth ....__.......---.. Height .......�..... Sq. F� ....._....._......--- Cu. F� .....__:.. ---..._.. Est. Cost ....�� . �� ............. To be Completed --�---�•---�---•--------�---� - -• ............._............---......... _. . ......_........ 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 oE the city of Fridley. .�/) .�:_ �� a-� In consideration of the payment 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 ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _'��-•-----�-..��i%�-..__ Building Inspector iVOTICE: . This permh does nof cove� the wnsfruefien, installallon for wiring, plumbing, gas heatfng, sewer o� water. Be sure fo see the Building Inspector for separate permits for these kems. �� ss�s �� HARVEV A. CARTWRIGHT ��C� & Oii�iO� ANOKA COUNTY SURVtYB �aNN��N �o�NrY SURVEY6 LA ND S UR V'E YORS MINNEAPOLIi 6UItVEYB • 6410 PALM STREET N. W. pgp�eT[R`D UNDlR �LAWB OF BTAT6 OF MINN680TA � 9UNaer 4•7885 LICENSlD SY ORDINANGt OF .CITV OF MINNEAPOLIB OWNER 328 PLYMOUTH BUILDING FEDERAL B-8721 INDUBTRIAL — JuD�C1AL NENNEPiN AT SIXTH • MINNEAPOLIS 3. MINNESOTA BUBINE89 - TOPO�RAPHICAL $,�rbepor'g (ertittcatc GTY LOTS - PL.ATTING C�, �_e e , COIVIBINING THE RECORDS OF J, E. HiLL, Civi� ENGINE6R iBTnBLIBHED tlY6 C. F. SANDHOFF CIVIL ENOINEER EBTABLIBMED IY08 JAMES NELSON SURV6YOR E6TABLIBNHO 1 GEII METROPOLITAN LAND SURVEVORS. ESTABL16NED 1P91 Invoice 2090� LyndalQ Bw.ld�rs � '� �' ,� , n � +�. �'° � �, � -----__ .�.�-.�-...._ ,�� ,,, c � J �� . `�J o, - --- �1 oh � 'Q�� , —,S� — I � � ��, I �n � ►� v . �2 � � c�Y�° � S � � ra�,;.�. � � �-r' ��aii�`'��' ,�i`ts�r�;�� r. 9 -� _ %F E' , � _-�. — �._.._ ; d ` � �. �S � � s' � .� -� �_ u� � �r� � ��'��;'� � i�'�°a �� 1. � �� , o�,a I Y.�reby certiiy that this is a true and correci repr�sentation oi a surv�� of tho boundarios of: Lot 7, Block l, Lyndale Builders l�ih kddition .�s survey�d by rr� du°rir� 'the l�donth o£ S�ptember, 19�9. �,,,, <,�� . d ' `��`V , �,: ' ,!` - S1GNE0 , '�`d �!"_`��" .,� ��`� ��' � . �� tiw ` C�'� 'T RIGI'tT AND OL90N c,vf �._ i� ! " , i ;..�, �. : � ; ._ �.: �., . . .. , . APIrLICAZ'ION FOft BUI?�DIN�"'PFRMIT CITY OE FRIDLEY, MIl�]1�ESOT� Owner s Natne . . Buil�de�c' r3�' '. �aar��e�.:,. � . � . ._ : aaaress � olg L G4.,.,�`J�. LOCATIOlY OF BUILDING No. .SJ��+ S�k,reet � � �- �� . Part of Lot : . Lot 1 Block / Addition or Sub.Div. .�-n1�L" �� • y� �'°"� Corner Lot Inside Lot �Set Back 3.S � Side-Yard � SEWk� ELEVATiON FOUNDATION ELEVATION . lpplican� attach to,this form Certifica.te of Survey of Lot and proposed bu3.lding location. � DESCRIPTION OF BUILDING To be used as : `s �, �r �,� � F'i�on't . Depth Height � Sq. Ft. �:, . . �,... F�. • . � . � : . . , Front Depth Height Sq. Ft�: Cu. Ft. � Type of C�nstruction �� Estimated Gost . �, :. � .;;. <.: , . �. � ., ; . To be completec�. � ' . : 3 - '`� a -- ��►` o -- - . . . The undersigned hereby makes appl3ce.tiori for a permit for the work herein specified� agreeing to do all work in strict accordarice �►ith the City ardinances and ruling of the Department of Buildings, and hereby declares tha.t all the facts and represente.- tions stated in this application are true and correct. DATE /'V -S� � r 5 SIGNATIIRE � � . . (A Schedule of Fee costa can be found on the Reverse Side.) � � e � =a � �� BUILDING PERMIT FEE SCHEDULE Sect3on 2.. The Inspeetor of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repairs to a.uy existing building or structure, upon applica.tion therefor, require the payment,by the applica,nt for such permit of fees to the amount herein below set forth and in the manner herein.provided to-wit: 2.1. For any such permit for the erection of any fire-proof building, o�ther than a garage, warehouse, factory or grain elevator, or for the erection of any fireproof addition, for similax occupa.ncy, 'to any existing building shall be at the rate..af:.�1.40 fqr each one,thousand cubi.c feet, or fraction thereof, in such ct�b�ca`�� :�e��-�e-izzts: �� . •� -� � �•� . . �• . ; _.... . .. : . i. � 2.2. For any such permit for �he erection of any fireproof gaxage, ware- 'house� factory or grain elevator� or for the erection of any fireproof �°�-�•�--��.crn-;--��r s�milar occupa�c�t; to an.y � existing...bui].d�.rbg..s�11 be at:�.the � rate of �1.25 for each one thousand cubic feet, classified as "fireproof" - _. ... _. b�-�S�e��.on� •�0� of ..the-I�i�eapol�s �`Stxilding Code. .. . _ ..._._ ... .__ .. .. _ • . HOUSES 2.3. For any such perm3t for the erection of any non-fir�Fr.pof building --________ __.... ... other tha.n �a �garage, warehouse, factory or� grain �-�'i�vator; ` or`'arry non- � fireproof addition, fo�;•:similar occu�,nEy, to any existing,.bu3lding. ____.. _____ -- _ .. . _ _ . . , Permit �1..00��for each one thousand cubic feet.�� -- � ° ° -- • � �- ��-• � . .,. .. -----Y.. ._. . . .. � �. � �. .. . . -. � GARAGES . _ •- -� � : , . :; ...:�, . ,,..,.. � ..:.. •. � �•. •, :: _ ;�. r� � 2.4. For any such permit for the erection��o� ariy rion-fireproof garage, . ... � ::•�.... °�w�.r.rehouse, �'actory ,or . grain ele�ator, or .fp��, tY�e erection of any_ non- ... fireproof adclition, for similar occupancy, to any existing building or for each such building or.addition,. Ninety Cents for each one thousand cubic feet or fraction.-�hereof; in �he`cubica,l contents thereof with a minimum of �/�.00. For the purpQse of computing.fees for building permits the cubical contents - • • � of --any building -o� •a,dd�tio� �io a uniform. heigh�.. thro�.ghout., by .�pultiglying the ground area covered from a point six (6) inchea below the floor line of the basement or cellar to the av.era�e height af•.the�upper.surface:or to the aeerage heig�it of the roof s�urface of the main gable of a pitched roof. 2.5. For repa9ss.or alterations to an existing structure, the fe`e shall be at the r'ate of �3,00 for each Five, Hundred Dollaxs (�5Q0.00)., or fraction thereof in the cost of all.proposed work. .._. ____ .,... 2.6. In no ca.se shall the fee chaxged fbr any permit as set forth in _. .._ _.. Sect3on 2 be -�ESS- than .$4.00. . ,... . . ... : � .� .. �, . .. . ... _7 . ,... .. � _ _. �, , , � . � . . . . . . -. �� . : b - '� � � .:. �- ... , �. ' :, .. � � ,.� ,. � • -�: � G � � � � � p �'� : y :x :Y ' M . h : o . W . m '7 . � ; � • � .� N � � � � � ~ � `� � � o '� � � � � � � � m N . o � �$: o . o . O . . Q : : ,�a � � � � {9 �N r °o o a � � H �' �0 0 � rq 3 bs z � � z � z � � � � a � c� y �' � a� � Q �q � � � �+ P4 �o � � � � � � � � � � � ¢ ,� � � 0 0 : � `° � nyi a �, ; �o �• : ?r,� W O . � 04 . � Q � . � � . . . : � : : : : � 0 �a aa �a �a x m w tV W f+ r+ r .�LI c�i� °q cNn o 0 o y tfl tH rn � tsa tsa L*1 Q: �,% \ .yp " � H e � � � o � �: � x � '''1 ''� W W � � � � C4� � � � a —��i r � m �/'� t I _ m C r m .x. • �P. w � �-+ � "�� ¢ a. � � Stori� � �8 w��e �@ � }� �i URINALS e� � enr►+ � russ O p p a�+s�Ns � � I � SINKS WASH �° rrsnrs � � ORINK ,�� m ° m �. a o � o y � � � a o. a � � � � � � �� o c��e a ''° V � � � � fD �* � I � �> ' � `; "� p 01 ti� � � • �� I \ m FOUNT. s►+wRS. �FLOOR DMINS CATCH BASINS AUTO w�s►ien GAS APPL GAS RANGE GAS OPENINGS � • z • � � � m 7� n ��b �o. R. �D . � � � ro "��'� � ��m p ro� � � � � m�y � ;4 � � y' W o�� y � 0 � 'd � ��p � � � p �� $ ��o,o m � a' b �� p �' � o � a o p . � m W i-�j � � � w � �d �D ,O � �� y N (�p M �� ; � co m ��'1 �� m �. �� M w �� C �� ro a� �x &� � � M � M � � �� . D ii � � � � t� � 0 � r d O�i. �- � o � � .� 00 � �. �.° o �p �,� � � � A � a � �� —`r � �`> .� �� ;'� /� City of Fridley, Mi.rm.. BUILDING PERMIT i � , , _ � � ; i � i �.�' �'l '' � • a ./��..�'..��:�ic� �/� _�L�.�, ��!/-��;�.��--r :i � �' � ` s! ,� LOC�4T1 BU No. ��.�1! 5� st�t ^.. C� � Lot _.._�__ Block I� Addition or S Corner Lot ._ 7s�de Lot ,�� back � Sewer IIevation IIevation DESCRIPTION OF BUILDING �i�� y ! ` / , „ � , .f� -� � - %/�,� J ,: % . _ � _.s` : � • � - -G � +- ,� �� - , ^J _, � ' ' � .. � " '�" J .. �r-,+�i%:i:u/1 � .� �� _!�� : . -� � �� . . In consideration oP the fssuance to me oP a gercnft to construct the building des�ilxd above I agree to do th� proposed work in accrordance with tt►e descrlption above set forth and in ccur�plian with a�l prov3sions of or�iinances oE the dty oP FricIIey. � -- � In conaiderat[on of the payment of a fee of $ , permit ia hereby granted to to construct the building or addition as descrYbed above. Thiape rmit is granted uPon the euPress condition that the P�fln to whom it is graated and hfs agents, employees and worl�nen. in all work done in, around and upon said building, or any part thereof, ahall conform in all reapects to the ordinancee of Fridley, Minnesota location, construction, altera.tion, maintenaace, and moviag of bufldinge wit3�in the dty ]imits�� permit may be revoked at enY �e-�p��o� n of of the PT�visions of said ordinancxs. / � ly � ^ NOTICEa '11ds permit dea not eovsr ths eomlrueH�, 6ntaQaflon %� v+hie6. P�+�B� an huHeg, snr�� er w�ts�. 8� soro to ne fha BuiWioa le�etoe for apual� �armhs toe �has N�ms. : � ; � w � M � � � � � � 0 � l � � �� . x � � c � � � � � � � .� � � � � �i � �� . o � °p � �� y m � � � � �a�� °� � � � � W n � a � � � � K � c � � .+ � s� .�o �� . �: � � . � i � ': � � � � �« " � � � 8 a � y 8 « �. i � � � o � � � 1 � o. m C o w a � � '�° a � o � x • � � � �� O M � � x 0 r � ° < � �� Ws � o' �� '� � '�i y O � � o �c �^ � � E � � � � � � � 8 � � � 0 � 8 � � o� � � � �� ? p m dpa. � � �i ��o o °o � � y � � R° R° � x�� o �� x � � � � ��,� � � � � � o � � � � w a� o 0 g � g S �� I� ; �i � � O � � � � � � � � n � E � I � � 0° I � � � I o ; O � O � 0 � R7 �° ii. g I� I li ( � I I� r A � � � � ��,� �� ' a�� a�,�� 01 01 ~ � �' � �a�� m�� Oi� � s a� . � � � � � � : � � !w o� o► w o 8 g g � $ � «� i� � E w �. � 4 � � M . m a S � � z � � � �,�� a�� A o �� ~ R• � � � � �� a � � � � � � a � . � g . S $ . . 8 : . a w a, o� o � �$s8� r► �� m��° A a. a� � �� D � m�+ �o��, L � � om��' y do� � � s$ �° a �' �. � ° � m �� . ?o 0 �' ~ i4� b c��.� Cr�b 'd o�� p��,� �a�p �' � o � ;; � A � m �d a�� !► �� m�� 5 ; A � � �� u A � � r � � n T C T � M � �� 1 � �� _ � � �� 0 � �� `� � � � G - L� A � � � � � � U � r �, � � SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � � `L _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 . � �l _ �"'1 % CITY HALL FRIDLE� 55432 NUMBER REV. DATE L ��-'� � �'� 612-580-3450 910-F15 7/20/78 JOB ADDRESS 556 Cheri Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. % 1 Lyndale Builders 4th 2 PROPERTY OWNER MAIL ADDRESS Z�P Ray Cieseclski 556 Cheri Lane N.E. 3 CONTRACTOR MAIL ADDRESS Z�P Lloyd's Home Improvements 4911 - 4th Street N.E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P 5 ENGINEER 6 USE OF BUILDING RES ].CZE:ri1:ld�. 7 CLASS OF WORK ❑ NEW MAIL ADDRESS ❑ ADDITION 8 DESCRIBE WORK Reroof structure 9 CHANGEQFUSEFROM STI PU LATIONS � ALTERATION TO PAGE bF � � PE O. �' ° 1481 RECEIPT NO. �% 0`�/7 APPROVED BY SEE ATTACHED SHEET PHONE LICENSE NO. 560-4857 PHONE LICENSE NO. ZIP PHONE LICENSE NO. ❑ REPAIR ❑ MOVE ❑ REMOVE Roof can be 2nd but not third roof. Install ridged galvanized valleys. TYPE OF CONST. SEPARATE PERMITS ARE REQUIRED FOR ELECTAICAL, PLUMBING, HEATING, VENTILATING OR AIH CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $7�0 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 7,SO STRUCTION OR THE PERFOHMANCE OF CONSTRUCTION. $ ' (,: � �� SIGNATURE OF CONTRACTOR OR AUTHORI,�j GEkfi IDATEI ° a� cir.r.�eriieGncnwnicpnG[1WNFFRWLDERI IDATEI � a OCCUPANCY GROUP I OCCUPANCY LOAD CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $ .50 SAC CHARGE ITOTALFEE $8. 00 Y VALIDATED THIS IS YOUR PERMIT P � -ad�� DATE 0 0 0 0 0 CITY 01= FfZIll�CY 11PPLI C/1"f 10i�� FnR RES I ll[:NTIAL BU I I_D I NG PERI'I I TS i1�E�d, nLTERl1TI0(VS, �DDITI�fJ�, OR REPAIIZS) �• .�� OWtJ�R: /� L�� '�� nUILDER: ''�^ � ' � �l �„�_� , a �j . Address : ' � .,�- `= Address : _ ✓�� .P�- c;��`Z- �,�' �� Tel . tvo . : L`/G - G-,A �- � . No.: �� Sireet: 0 LOT: '� BIACY.: l ADDITION: COI2IQER LOT: INSIDE UJT: SLTBACY.: SIDLYT�FtL'S: ApPlicart attach to this form �ao Certi�icates of Survey of Lot and proposed bui.lding location dra4rn on these Certificates. . To Be Used As: DESCRIPTIOPd OF BUILDIIVG Front: Depth: Square Feet: Cubic Feet: Front: � Depth: � Square Feet: Cubic Feet: Height: Height: Type of Construction: ��2�°-�' ,L Estimated Cost: $��j.��r i 7.b Be Campleted: �� _- ,� �=��-y� Alt. A Alt. B Propo�ed Driveway Width If New Opening Is Desired $ $ (S�� REVERSE SIDE OF SiiEET) The undersigned hereby makes application for a permit for the wor1: herein s�ecifieci, agreeing to do all �vork in strict accordance with the City of Fridley Ordinances ai�d rulinc�s of the Deoartment oi Buildings, and hereby declares i:hat all the facts and representations staL-ed iii this application are true �id corrcct. See reverse side for additional information. `' ° li ��, .c`i`'. DATE: � - ,� p .� ? � SIGNATUP.E: Y�� t.(��P � /' ' � .Z� L 5tipulations: � ��► �(j �, �tc�1 _ �io.�.J�� 1�� C�YZ !�� .��Q '� � �'� . �� .�� ,,.��. r�� C-�� --e�� , � sua�ecr P RMIT NO. City of Fridley o 19872 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � COMMUNITY DEVELOPMENT DIV. R EIPT NO. iLL ��" r j � PROTECTIVE INSPECTION SEC. �,��. 1 . , � � /"�1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �----� � �•� 612-571-3450 910-F15 5/4/89 � � J08 ADDRESS 556 Cheri Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. % 1 Lyndale Bu:i.lders 4th. Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PH.ONE Ray Ciesielski 556 Gheri Lane N.E. 572-g2g2 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK �J NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 12' Shed 9 CHANGEOFUSEFROM TO STIPULATIONS Shed must be secured with anchor ties ox slab. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PEHMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IP 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 l HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1' 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 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT h��-►OOO qS`e.SO 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. $ZS.00 PLAN CHECK fEE TOTAL FEE $25.50 SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEi � .w WHEN PROPER�Y YALIDATED THIS IS VOUR PERMIT �.� C'��.�.� SiGNATURE OF OWNER 11P OWNER BUILDERI IDATEI �gLDG WSP qAT I�E,w [ ] �// "'", /�/� ) Effective 1/ ADDN [ j I�1 AND �2 AL�.'IIt [] Building Permit A�pli tion '� '� .. ., \ CorLStruction Addr+es�s: Lagal �escription: Owner Name & ��: �ntractor: ; Addres.s: � � � Z�e1. # .� � - o� % Z�el. # Attach to this application, a Certificate of S�irvey of the lot, with the proj,�osed �uctiaaZ drawn on it to scale. �•_- �V��•.—�,'/sv��+;�a LIVII�IG ARE�i: Length Width Heic�t Sq. Ft. Q�►RA� ARE�i: Ietigth Width Heic,�t Sq. F't. D�CR ARF.�: Iength Width Hgt/Groiurl Sq. Ft. ar�t: s / ° �',�--� p �' / � Corner Iot [ J Inside L�t [] Ft. � Yd Setback Side Yard SetbacJcs ZYpe of Cbnstruction: �G( �� Fstimated Cost: $ � U�� Approx. Caaepletion Date: Proposed Dtiveway Width If New Opening Is Desired: Ft. $ $ ° idth � 6' See Baak Page �ATE: 8 APPI�CANr: � �1. # � ��- �� CITY IISE �Y Permit Fee $ �� OCU state s�trhazge $ �?� SAC C�aYge $ Driveway �sc,.z�vw $ Park Fee $ sewoer Main Q1aYge S �� : $ �� J� Fee Sd�edule an Rever�.,� Side $.50/$1,000 Valuation $575 per SAC Unit - Alt. "A" or Alt. nB" Above . Fee Determined bY �.Jin�s'i�cJ �*�+' NeoessaYy [ ] Not N�ssary [ ] . • e � m i:_�1� � �,. a.�;.Y�y :�:�: : �:�:n�_�� _ Zhe Chief Building Official s�al.l, before issuing �*�++; ts for the erection of ar�y building or struc4�re, or for ariy additio�n to ariy e�dstirtg buildi.rig or structure, or for ar�y alteration or r�air to �ny existing building or structure, upon ap�lication therefore, require the payment by the applicant for surh pexmit of fees t.o the amo�n�t herein belvw set forth and in the manner herein pmvided to-wit: Z�0►I'AL VAIIJE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 t� $50,000 $50,001 to $100,000 $100,001 to $500,000 i � $15 (Mininam► Fee is $15 plus s�axge) $15 for fizst $500 plus $2 for each additional $100 or fractio�l theY+eof, to ar�c1 i�luding $2, 000 $45 for first $2,000 plus $9 for each a�litional $1,000 or fractiaaz thereof, to and includirig $25, 000 $252 for first $25,000 plus $6.50 for each acklitional $1,000 or frackion thereof, to ani including $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1, 000 or fraction ttiereof, t� and includi.rig $100, 000 $639.50 for fixst $100,000 plus $3.50 for each additional $1,000 or frackion thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction th�reof, to and irlcluding $1,000,000 $1,000,001 arid up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 Or fraCtion theteof �tIVF.[�lY D�PRESSIO�T ESQ�fJW ((bncrete Curb Streets On1Y) Alternate ��p,�� ; R,emoval and replacement of curb and gutter only - Drive�ray width plus 6 feet t�mes $13.50. 1�11ternate "B" : Removal at�d replaoement of c�irb arid gutter and install a 3 foot wide appraach with 6 inch depth - DriveWay width plus 6 feet times $15.75. �1�; �� ; Y •�� • ' :.�;U�i� _ Y •;�I P�ermits for �tn�ctica� will be issued a n�*+;imm, of 24 hours f�an the time of application to allcw for prc�er review of tl� p�ed structure ar�d of the oo�struction site. A Certificat� of Sluvey of the lvt, shvwirig the locatiari of the f�ation orice it has it has been oonstruct.ed will be required before prooeedirig with the framing. P a SS � 6 C� � ��.,, >C :�,_.� HARVEY A. GARTWRIGHT ��GgT & O�iON ANOKA CO�lNT1f BURVtYB MENNePIN COUNTY SURVEYS L� ND S UR ��E YORS MINNQ/1POLIY BURVEVB • B410 PALM STREET N. W. pLrp�STtR[D UNOtR LAW6 OF fTAT[ OR MINN�90TA • SUNee• 4•7963 L�CENY<D SY OROINANCt OF GITY OF MINN6APOLIB OWNER 328 PLYMOUTH BUILDING FEDERAL 6-8721 INOUSTRIAL - JUDICIAL HENNEPIN AT SIXTM • MINNEAPOLIS 3. MINNESOTA BUSINESS - TOP06RAPNICAL $,�cyepor'g tertiftcatc CITY L0T8 - PLATTING �`- � � •-' � Lyndale ruilders �1 C' � �'� _'.._ -- ---__._ �-- ��,� U\ _, �,7/� O r- ` . J �� '�1 i ._.. � �c � �j� I j j � ��.. V ,- % i t " �2' `� r�``�� S � .CS ��,�� v�; i�,��,, �-�.s � � , � _� � — _ , 1 ` �S -- ?-- s. ; G� ,.,� :� COMBINING TME RECOROS OF J. E. HILL, C�vu. EN�►HEeq [lTABlIBM6D ��as C. F. SANDHOFF CIVIL ENOINEER E9TABL1lM6D 190e JAMES NELSON SURV<YOR E6T4BLI8MC0 IYIIi METROPOLITAN LAND SURVEYORS, ESTABLIBMEO iP7� Invoice 2090: �... ,^�-;; �� / ,_ _ , .... ,, ,�, --_ ( �-- ��. � u, ., � ,,; � =- � �ti, ' , � r' ,J •... ,. � .Fj , � � %' � . � -� J � %' � 0' � I hereby certify that this is a true and cor��ct re�resentation of a surv�y of tha boundaries of: Lot 7, Block l, Lyndal� Builders ltth Addition -� as srurnayed by me during the P�ionth of September, 1959. a� r �'�' .�� "-- ` 9tON[D � - •.r.;�e�' , .-°t, ;•.....�, C • RIGHT �NO OL90N ��.�s�i /(�` MEMORANDIIM TD: John F1ora,�Public Works Director FROM: Paul Lawrexice, Public Worl�s Si�perinterxient DATE: De�nber 16, 1993 80BJECT: Sewer Servic� Root Problem Ray Ciesielski, 556 Cheri Iane, 572-9292, has requested that the City rem�ve a 10-12 incli bouleva�l tree that he feels is causing root pmblems in hi.s sewPs seYVice. Jim Brindley arid I looked at the tree, a healthy ash tree located just behind the curb. There is also another tree of s�mil.ar size between the curb and the house, plus one smaller tree. �ie City has no recorded sewer prc�ble� at this location. Jim called Mr. Ciesielski and advised him that it is not the City's policy to remave healthy boul�vard trees ber,ause of sewer root problems. Jim offered to f►, ;c Mr. Ciesielski cbpper sulfate (blue stone) ar�d about the City's policy regarding rena; r� to the sewer seYVice in the area betweeri the boulevard arid the main lir�. Mr. Ciesielski is very insistent that the City remave the tree and hunc! � on Jim when he refused to agree to Mr. Ciesielski's demands. In simm�y, the City has no evidence that root proble�ns exist ar�d if roots do exist, that the boulevard tree is the source of the roots as the other front yard tt�ee is in the same alic�rmtent. 'I'he propexty a�mer has been offered copper sulfate to help with controlling roots arid infornted about the City's dic�irig policy. In the past the 5ewer Department has only removecl tre�s that had to be removed to facilitate digging to replace sewer lin�s and services. The City has been successful in m�t irstances in stopping root problems� bY rePa��! � PiPe rather than removirig treas. Although it coul.d be more costly to Mr. Ci�sielski, the b�st �thod to pennanently solvirig his root problem would be to replace the defective sewex pipe. SuBJECT City of Fridley AT THE TOP OF THE NVINS g U I L D I N G P E R M I T � � . � �` _�_� COMMUNITY DEVELOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. � � � � �"'1 � CITV HALL FRIDLE� 55432 NUMBER �""� � ,'� 612-571-3450 9t0-F15 JOB ADORESS 556 Cheri Ln NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION REV DATE 9/14/98 DESCR. ] 1 Lyndale Builders 4th Addition 2 PROPERTY OWNEFi MAIL ADDRESS Ra.y Ciesielski Same 3 CONTRACTOR MAILADDRESS Owner Same 4 ARCHITECT OR �ESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADORESS 8 USE OF BUILDING Residential ZIP 21P PAGE Of � � PHONE PMONE PHONE 27753 RE . ��09 AVPROVED BY SEE ATTACNED SNEET LICENSE NO. LICENSE NO. LICENSE NO. 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION �E7 REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK uo,-�.,f t,�„�P f, aaraae (7_OSO) Tear-off 9 CHAN(3E OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCY GROUP OCCUPANCVLOAD SEPAHATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOFiK IS COMMENCED. NO. DWLG. UNITS I MEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STAIIS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVEfiNING THIS TVPE OF WORK WILL BE COMPLIED �], �] 1l}. OO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqM1T FEE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING coN- $56.75 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. OF N7RACTOR OA AUTNOp�ZED�G�T // � IDATEI q �� _ /'l ei� OFF �GARAGES TAX $.86 CHARGE Fire SC $1.71 AL FEE $59.32 �IS 1,r.�1y(�UR PE NEw ADDN ALTER [] Ll [] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ✓/� �(P � �lo� , � Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: � � Tel. # MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Effective 1/1/98 ��1 ��L ��0 Length Width Height Sq. Ft. Length Width Height Sq. Ft. Le gth � Wid �� Ground � Sq. Ft� � r' .� Construction Type: Estimated Cost: $ % ? � �� (Fee Schedule on Back) � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ ,l > •'` � � DATE: � I� "7 APPLICANT: � Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ �(� -%� Fee Schedule on Reverse Side $ � `% / .001 of Pemut Valuation (1/lOth%) $ ia $.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 [ ] �"I ��7j�� s ��j►! i � STIPULATIONS: BUII..DING PERNIIT 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 $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $SQ0,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $SOU 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 additiorial $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 foof 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. .� , `� "��,� _ � r _, , , ,�. . From: unknown Page: 2/2 Date: 11 /20/200811:00:26 AM , � , , . ` I Build'1t1g NiECHANICAL i Permit No.: ' Q[ � Inspections RESIDENTIAL APPLICATI�N Received :By: �.�°� 7b3-572-3604 �jTY OF FI�LEY ; Date� No� `� � 763-502-4977 FAX BFFECTIVE I-I-UB ! ___ YOUIt E-MAfL ADDRESS si� nuur�ss �]':]� v� �r�r � L�,,�� E ��s nrr�►cnNr is: a owr►�x ocoNrRncroR P[tOPERTY NAML: owN�w ,wo�s: TENANT --� � .. �.—� ^� (;l)I�I I KAl:1 V K COMPA7dY NAM£: � '��, pYy!� N01'C: SEPARA'fL� CITY �N'I'ACT PGRSON• � �Q,Q�, LICENSN.5 ARE STATE LIC �NSE N . I:XP DATE _ REQUIRBD FOR GAS ADDRESS: �`.Q.O �� 9- �C�' AND HVAC. SUBMTI' COPY OF RONd pypN� "`�( /}�,� q�, FAX AND INSUttANC� r'-� PCRMIT TYPE ��GLEFAMILY � TWO FAMiLY O TOW TYAE OB WORK: � N� �P(.AC�MENf Q ALT6RATION/R', DETAiGBD DESCRIPTION O� WO„i�K�O t(1Ci►ri. �1 � �,.("�C PER MS 16B.655 the permit fee is a minQmum oP $15.00 or 5% oi the total cast up to �s improvement, installation or rcplacament of a cesidantial fixture, e�.cludin� the fixtures. ('I` Ofl Labor cost under $300 =�15.00. Labor cost batw�n $300 to $S00 = cast of labor FOR PROJECTS WHER6 LAROR FXC�EDS $SOQ, FEES ARE BASED ON $10.00 PER FIXTURB, IXC�I'7' NUMBL�R OF EACH BP.LOW} R..quipment loshilled MFO: MODEI.: w,�..�„_,� MFG: MOD�4: MFG: MODRL: q�C �.pp FIRLPI.ACE (GAS) $I5.00 �AIRTOAIREXCHAiVQL'L'R$IS �F'1RfiPl.ACL�{WOOD)$35.�1 BOILF.R $35.00 �(JRNACE $35.�0 CwMNEI+ J,�j�,1� ��U.W GA3 DRYER $10.00 ;,. irr cirnnv c�n nn GAS PIP[NO $10.00 FOR Surcharge � TOTAL DUE � MINIMUM $15.50 i r. T�lR.,2ti'4I��N DQ, wNichever is greater, for the should reflect only the cost of Iabor ) x.05= NQTEP. r!X'fURES: (iNDICATETQTAL SIZIlBTU _________.�. sizrJU�ru____^� SIZE/t3'CU,_____,�� GI�.S RANGN70V�iV $10.00 �N�W QA5 GR1LL $10.�1 �dAS UNIT hITR $10,� �POUL HEATF.R $35.00 VHNTILATOR $15.00 Number offix ures @ $10.00 x $1�.� � $ Number of f x ures (u� $1 S.OQ _ x$1 S.flO =$�.,,_,�. pa Number of fi�res @$25.04 ,r, x$25.Od =$ Number of fl res Cu $35.00 ! x$35.00 -= $�„_„ � State Sprcharga = $. .� i M.tNIMUM $]�.SO'Gata! ° $ THIS IS AN APALICATIQN �ORA P6RMIT-NOT VAl.iq UN7'tl. I heraby appiy for u mecluinical pormi and I acknowledge Ihat tho infnmeation above is complete nnd accumte; und coda of d�e City of Fridley and iq� tlte Minnesom Co�struction Codes; thet I wwerstand this is irot a pern g(aR witltaut a petmlZ thet tbe wmk II be i�sccordance with thc e ved plun in tha case of nll work whic.h n SIGNA'I`URE OF APPLlCAN T NAM�`=� APPROVED BY �t the work will be in confc►rmwrce with the ardirmnces 6ut only an opplicetion for a permit und wark ts not to iires reviow end opproval of plans. Clty of rridley i Buitding lnspectioas Depertment 6431 University AvenueNE, Fridtey, MN 554�2 763-572-3604 FAX: 763-502-4977 ; DATE I' � Building Inspections 7. 63-572-3604 STT� ADDRESS ,� TFIIS APPLICANT IS: PROPERTY owr�w TENANT CONTRACTOR r� MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No. • , �,• �.� �' � ., ,:_ ��. � � ,jl :Jx c�_�, ❑ OWNER �fCON7'RACTOR PHONE• `IO L� � � � � � CoMPA1�Y .1•S.� SUBMIT A COPY OF ��'4� P�`'ON: YOUR STATE S'fATE LICENSE # EXP DATE LICENSE WI1'fi �D�S:rr��« ol�e�r��s-� -�_��-�� STAT��.ZIP��% APPLICATION PHONE `�!e°Z -� �(.�.�� S,r,l, FAX - PERNIIT TYPE TYPE OF WORK: �SINGLE FAMILY ❑ TWO FAMILY 0 NEw �REPLACEMENT DETAILED DESCRIPTION O�WOT I lt � � � rr ❑ TOWNHOUSE ❑ qLTERATION/REMODII. PER MS 16B.665 the permit fee u a minimum of $15.00 or 5% of the total cost up to 5500.00, whichever is greater, for the iznprovement, installation or replacement of a residential fixture, excluding the fixtures. ('Ihis should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost betvueen $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE I.480R IXCEEDS $500, FEES ARE BASID ON $10.00 PER FIXTURE, EXCEPT �'d1�RE NOTED. FIXTURES: (II�IDICATE TOTAL NUNBER OF EACH BELOV� MODEL: SIZE/BTU EquipmentInstalled . , MFG� SIZFJBTU IvffG: MODEL: SIZE/BTU �G. MODEL: G,� y�GFJOVEN $10.00 '�A/C $25.00 FIREPLACE (GAS) $15.� 1.1EW GAS GRILL $10.00 AIR TO AIR EXCHANGEER $IS FIREPLACE (W�D) $35.00 G� �� g10.� BOILER $35.00 _FURNACE $35.OD —CHIMNEY LINER $10.00 _GAS DRYER $10.00 MlOL HEATER $35.00 :' DUC'f WORK $10.00 _,GAS PIPiNG $]0.00 VEN'IILA'fOR $15.00 �.. . .... . , , -��"� __. ._. ,,_.,,.,,� �,.. . �or�wes,��r .��_.tir:�,.t� , �s�r_.1�1� , n_ < : � ; 3i .'�in��.�+.,�. ._ .4'� :,� �sFN, �-,.-k� .._ ..:. . _. __ _ __ ' ,....., , Permit Fee $ Number of fixtw'es @$10.00 x$10.04 = Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @$25.00 � x$25.00 =$� Number of fixtures @ $35.00 ' x $35.00 = $ State Surcharge = $_� .50 'I1-IIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSID I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota �Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all � which requires review and appro��al of plans. , . n . .i _ SIGNATURE OF City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ��llr�.��l �.. REQUIRED INFORMATION NEEDED TO PROCESS PERMIT � .. . ,�, p .`t ' � . RESIDENTIAL PERMIT APPUCATION HVAC � NEW HOMES/ADDI�'IONS ❑ EXISTlMG HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (S� note below) . a. Oil or solid fuel ]MC C;ha.pter 7 with MN Amendments b. �7atvral Gas� Psopane/IFGC �ha�ter 3 with NiN �mendme�.ts 2, Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting - a. Gas appliances IFGC Chapter 5 with MN Amendments � b. Fuel other than gas IMC Chapter 8 with MN Amen.dments REQUIRED FOR NEV1f HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation . � Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D , , NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for camliustion and make up ai� calculations � Building BUILDING Permit Ivo.: r�� '' �� Inspections RESIDENTIAL APPLICATION Received By. �' 763-572-3604 CITY OF FRIDLEY va�aSEP Q 763-502-4977 FAX EFFEC77VE 1-I-2010 DATE ai ' 2�'�� YOUR E-MAIL ADDRESS SIT'E ADDRESS SSG �=��= j" � �� '+ L THIS APPLICANT IS: � OWNER ❑CONTRACTOR PROPERTY OWNER✓ NAME: �� ✓2rt �a.�,, L C i e�.�� Gs/�o� TENANT pDDRESS: S� 6 G�e +. o L.�s, a-e CITY �r :,� �t� STATE�ZIP SS�i l/ PHONE:_76 `S°- $ 7 2' �1.2 9 2 CONTRACTOR N,�: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE pHONE FAX PROPERTY TYPE [�'SINGLE FAMILY/NEW CONSTRUCT[ON SIZE ❑ TWO FAMILY/NEW CONSTRUC7'ION STORIES PERMIT TYPE ��DITION ❑ GARAGE/SHED � WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE �( DECK � SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION '� ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: � C SIZE OF IMPROVEMENT LENGTH WIDTH /�f � HEIGHT � S FT�ZC� ROOFING O HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE I. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACNED GARAGE 3. List of swctural members to be used PROPOSED HEIGHT: �� (�� SIDING FOR NEW CONSTRUCI'fON INCLUDING DECKS, ❑ Virryl OSoffit �Zy � y( ��, (� �DITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ T� 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia �� and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Caiculations IN EX[STING OPENINGS OYes ❑No LOCA7'ION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WIIVDOW TO BE INSTALLED NUMBER OF WINDOWS ALL N'L:ES AKN; SA51:ll UN VALUATIUN,INCLUDING THE C05T OF LABOR AND MATERIALS: SING THE 1997 U.B.0 FEE SCHEDULE) JOB VALUATION $ �� (� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Petmit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks aavable to: Citv of Fridlev Attach THIS IS AN APPLICATTON FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT �� /� C„��'� PRINT NAME $ To ue ; C' 1 e s i� is.fl: DATE � 2� - l V � Page 2- Building Residential Application BUILDING PERNIIT FEE SCIiEDULE 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 FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surchazge) $501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $l00 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1� $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25�for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for l�` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1� $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 forthe 1� $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. 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SA'IVpWdFF' CIVfi, �WCdINEBR E8fA8L19H6G 1Y09 JAMES NEL30N 5UR VBYOR HBTABt18NQ0 194II METROPOLITAN LAND 3URVEYGRB, ESTABLIBM6D reei Tnvoice 20900 � s . � � �� ` . ----- ______ `�� - 9 �r, �;� , �r �� `�� : �� D' `� I hh�reby cex�if� �hat th�.s is a tru:e and corr�c� re�r�sentatior� of a svrv�y of �he boundari�� of: Lc�t 7, Biocic l, Lyra�a� Bt�ilders Ltth Addition �s starveyed by me during th� Tionth of ��p�emb�r, 19�9. �y ,,+ St6 N!D ;n �r��' 1.¢. A� ��a' ° =�i,. �� L f'�'`Y°�. t : . r-'