AF - 37445��"'� �
City of Fridley, 1Vli.nn.
BUILDING PE�IIT
.
Date: _.__.. �--.--•��.--�....�. �._.._..._-•-•-----_..
11�° 4416
Owner: .....------------.....---••--�-----•-- ......................._ ._....------•--....---... Builder --�--...._.... _.._.��A.��..��._..._�_._.
Address---._.._..._.__..-------.._......._..._....__.__..�.._._.__�._....._._..... Address
,/
OCATI N OF BUILDING
No. ----�....(��-- Street _._.__... ...-�- -••- - .._. ?� ..--- - Part o Lot - ------:......._......__.-�---•-- ---------•---�-�-_./.--f......._.
-- � - - ___.. ��„�_- --
I.ot ....._ ..............�.... Block .....---..... .�..- - - - -................. Addition or Sub-Division --...✓� . - -... .-- - --�a�E�� 7. ..��...
........---.....----�-�----.... -- -
7 � �
Corner Lot ...................._...._........ Inside Lot .._� ......_......._........ Setback ....��._..'...� --.... Sideyard ..�.(�.'._..�t..................................._---...---�-
Sewer IIevation
Foundation IIevation
DESCRIPTION OP �UILD9fe1G
To be Used as: �a,,
�.. . . . .. -• ... .............. Front ...:1..�:- � Depth ...�f..�: ��Height �.1.....'.�.,, Sq. F� !�-Ca'.�� Cu. Ft. ..�.."�'���
...-- ............._..........._......_................. Front ...---�-� --...._.. ' Depth ..........__....._.. Height . _ ...._..___... Sq. F� ................___.. Cu. F� ._.._._.----...._..
Type of Construction ..................__.............----........__......': Est. Cost...,�.��.�..��'...�....��o be Completed ....._...-----...------------_
In considera.tion of the issuance to me of a permit to construct the building described above, I agree to do
the pro�sed work in accordance with the description above se� fqrth an� '�C mpliance with all provisions of
ordinances of the city of FridleY• � 1i� � �� ��
� i� —
� 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 exp s condition that the person to whom it is gra.n ted and his agents, employees and workmen, in all work
done in, aiound and upon said building, or any part thereof, shall confoxm in all respects to the ordinances of
Fridley, 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. _ , i—�'
Bll1ICIlIlg IIIS�)CCtOP
^� �d
NOTICE: � v
This permH does nof cove� the wnstruetioe, installation for wiring, plumbing, gas heattng, sewer or water. Be sure to�see
a
the Buiiding Inspeeto� for separate permifs for ►hese items. '
4 _ f.,1.
` � ` APPLICATION F'OR ��Y?ILDIldG PERNtIT
� CITY OF FRTDLEY, MINNESOTA
�,'C3wnera Name . , �uilder �'"`' . �3'i'r'"'"'" .
Address Address . � / 1 �. � �.
- LOCATION OF BuILDING . � �
No. 'S�' `� Stree.t ���^". �G�n9`"� Part of Lot � . . .
Lot : .�' �,,,_� Block ' % .�' t " Ad.dition 1or S�a.b.Div. ` � r�� • y� �.
Corner Lnt �� Ins3.de i�ot ✓ 8et Back 3�� Side-Ysrd
SEWF'�i ELEVATION FOUNDATION ELEVATION �" �
Applicant attach to this
location.
To be used as:
form Certificate of Survey of Lot and proposed building
� DESCRIPTION OF BUIIDIlVG
� �p�b�/!? �
Front � Depth � Height
Sq. Ft. . Cu.� Ft. . - �
•Front � Depth Height `�
Sq. Ft.
Cu. Ft.
Type of Construction . Estimated Cost
. .
To be comple�ed' � �� !e -/- G v " . � . . . .
� ,
The underaig3ned hereby,makes applica.tion for a perm�t.for the work herein specified,
agreeing to do all work in strict accordance witM tYie Gity.Ordinances and ruling of"'
the Department of Buildings, and nereby declares tha.t a11 the facts,and representa-
tions stated in this.appl�.cat3on are true and correct.•:, . .
DATE C-/9 � G� SIGNATURE • W
(A 5chedule of Fee costs can be found on the Reverse Side.)
/ \
. A ! � \
�
�
=LI
�
�
e ,
� �T
$UILDING PERMIT FEE SCHEDULE
Section 2. The Inspector of Biiildirtgs.� �Y�a.11, be�o�e issuing an�► permi.t
for the erection of any building or structure, or for any addition to
.._any..�xisting building or structure, or for an� alterations or repairs
to an� exi.s�irig 'bu31d3:rrg ar. stru�tu:re�; upon application therefor, require
-.th�.�a.yment by th,e applicant for such permit `of fees to the_.amount herein.:,..
. . .��'�
below set fortfi"'a.�1d in• �he manne�. he�ein provided to-wit:
2.1. For any such permit for the erection of any fire-proof bu.ilding,� o�Yler' `�'�
than a garage, warehouse, factory or grain ele�a.tr�r.� or for the erection of
""�y� fireproof_ addition�, for: similar occupancy, to any existing. building .
shall be at the rate of �1.1�O�for each one thousand cubic feet, or fraction
. ._.. _..... .
""�°�i�ereof,���-�n . suc�i. cubical. contenta. , � �•--�
��"'°2:2: �-•F�-�any..su�h permit for the erection of any fireproof garagey waxe-.._.
house, factory or grain��elenator;•o� for the�.erection of ,any fire�roof
"'""'�di�-�e�l--f'or .si�ailar ; occupancy,, to ..any existing buildirig sha11 be at � the•
r�,t� ,of �1,�5 for each one thousarid ciibic .f�et, classified as "fire,proof��
b�r� SeCtion` 5n2 of....the. �Minne�.polis Building Code. - .... "_�_ . _ . . .
HOUSES �
, , ,;. .. . . .,.r
2.3. For any such permit for the erection.of any non-fireproof building
other tha.n a garage, warehouse, factory or grain elevator, or any non-
_f.�re roof addit�,on for similar occu anc to an existin building
.., •,
- -- . P � P Y� 3' g �. . .. , ..
Permit ��1.00 for�- eaeh-•�e�e - thoizsand_ cubic feet. _ �
GARAGES . ,
�� 2.L�. For�� any s�x�h �permit for the erection of any non-fireproof garage,
�arehouse, factory or grain elevator, or �ior tYie erectian of.ang non-
fireproof addition, for similax occupancy, to any existing building or�
—.._...for each such bu3lding or addition. 1Vi.nety Cents for each.one thousand
cubic�feet or fraction�theTeof, in the cubical contents thereof with a
......
-• •- __.minimum of �4.00. � . .
.. � •:�:
'�'F.or the: purpose of cpmputing f'ees for building permits the cubical �-contents
�� of an�::building or..a.ddi�ion- to a uniiorm heaght throughout by multiplying
�•� �he ground ar�a.covered fr'om a�po3.nt six (6) inches below the floor line of
the basement or cel�.ar �to the average height of �the upper surface or to .the _, �
average height of the roof�s�rface of the main gable of a pitched roof...:.
. _..._ , .. _ .
~2. 5. ��'or> �eg��irs or � azlterations to an exiating structure, the fee shall be
at the rate of �3.OQ..for each Five Hundred Dollars (��00.00), or fraction :�:,�.:.:
thereof in the cbat of al�i� pro.poaed wq.rk.., .
_._... _ .. . ...
.�_ ;'.
2.6. In no case sha.11 the fee charged for any permit as set forth in
Se�tion 2 be less than �l�.00.
_.
:�
� � �, � _ � /��
a'� '" y,k� � �,,)" e i�' a :. f�L � -" . '" t .ti� �� f
} � ��' ^a� Y+�aaV.: F € ' F ° z; J C �" .k..`�f` �i ••_ � y7.* � �p�q,,. � .
� �R, �� � �r W - t- '.,Y * ' ,� !7 'fr�. # � 17���"y�'
,r. .�• .- ' :.
'.'� .� ., , f `.�4 ' "" ... �•�s • .• .. . „� 4 �"i,.:., z ." ;y'^..,-_ v.d : .
.. . ' :`-'L 4 . .
:, y . •: C y � . ..
�� � � '� Y �5 -+w''y�4�+ � i tIF
�.y.��..,�� N :�`j� a
�.^�;,' :. . , � ' . �-. _ , .a:.s. S � � �,,"� �" .
�:�� l'� �� ' � ��� . ' �" r�,-��, � -
. rsto t��.�r �rr �: w: _ � y�; �� �► star�" �ar "�� �
su+�. .��i�►s ' ' � .aw4w++ri�11�i o► +tusa►-�x�' ��s . �
�� L�Q
.
� ;, - _
,
�
r�
,
_ ' o+�fs . � PN��1lN�"1"!�. �tL�i1NCi . .1��►'�, b�7 $i `�" ~
Ny �,'
, a�r�������.
� IMI�11#�� � r '�111.' FU=N:iK1�1 ",�'!`: �' . • i�iNT�� ,'�* ���A,:: �''
, �� luC� p� '`I��1����" !���1��" ��'^ ��til�i�l�l�it�Di�rs
' � '�'+��� �l�3'tE"""' ��� ,/� ': � � �A,y'�.�. �Q�
. �I �^`""'.""'_.,.,,,-- �/
. • V I „G,r
.
l � ..
,.,."r''*- —+...-.�., + r �~
Y' 3_ .. . � �. . � . ' .. � : . . , : .. .,. � �: - . ..: . � `` . . . . . . . . � . . . ' �. _ .. � -: . . ... .. . .. . . .
. _ . � � .. . . . �� . .
� � ' . � .. I .. . . . � � � � . . � � �� .
,'a£ _
.
, �:
.
, > � � : , . a..
. �
:
�. . .. ,.;
, .�
� . - -
. . . �,.
, .
,. � .
.
, ,
. .�� ,
_ . - ,',,��
. _ . .
: � � . ,� � f ���
. . ��
� �,� � . ���.�s
� : . R : �� �;�
. , ,,- ` , �� _
,� � , Q �
. , �l . - �
t-- X.7 .
� � ��_�
�
- : x�
� : ��
�
� �.��a,.� _ .
Q�� � .
� ��;r�� � � : .
_ � �-QS,��..�� ..
s- -- --- -- j
�
� ` �S �" ' �
� i�reb� aar#.i�y tk�at thi.a is a#a-me a�d correct represent.ation of a atal�s+�� �►�' the :��
b�du��� fl�s „ ` ;
I,�t S, B].cck 3, Ly�dale Bud].dsre itth �dditic�n �;
. �As $urve�►d by me d�ibg �e l�vnth of Seg�e�ber, 195g• ' � �
�,.
� M�
_ ,
iffiM�O � ' ��
,
/ 1 _ � ! ��d „3�^' �''
� � � f .�,
. _ . _ '.�� t . . � � - -
. � � � . � .. . . . . .. . . � . � .�. . _ ... ". _. , . � .. . ' "`a.�'ri..a _. . � . .. - -.... :..
�
�
d �
� �
o �
p �
: �
: °x
:Y
. m
: m
• M
. O
. �
. �
r7 .
� :
� '
�
�
C��
�
�
N
�
�
�
�
�+ �
� � w �
� p
����
o � a �
N �
o •
o �
o � :
o..
� . .
�
� � �
� ~ �
O Q O �
{� {p
H
�
H
�
z
�
Cro'
. �
�
z� � z� z x
m m m- m � � �
8 � � �
4� ''co�„� � � � � H
� � � � � �
� : O � � �
� � � o � �
�
¢ � : � �, : �
l� _°o : 0e :
O+ p � � .
� � : : : :
' � : : : :
. � . . . .
�
�a oe >C i4 i ia
�
W W G9 f+ f+ t+ Y
C,�j� p C�n O o O �
{fl {fl {!i {fl {4! {fl
H
O
L
0
�
x
�
�
��
�
�
p
�
�
D
�
r
�
�"'
m
�
n
_
m
C
r
m
� • �P w na �+ bp
� Q. p, � v�i
xM �
e�
�m
} o
� �
m
a �
�� � �
��
� �
O �
�H
o � o �
I � � � �
(�D fp f� � FO.h
8 � � �
� Q c`�o ¢
� .� ¢ ��
� � �
� I �
�
,o
�
�
WATqt
�
URINALS
enrH
��
s�s�Ns
SINKS
W�►+
T�,�
DRINK.
FOUNT.
SH1NR5.
FLOOR
DRAINS
CATdi
BASINS
nuro
ww�e
GAS
MPL
GAS
RANGE
GAS
OPENiNGS
'O •
2 •
N s
m
A
� �
�
� �'� �
� � � �.
� ��`C° �
po�p�, �
ir. � � `ti° ;e
� y � 0 �
�� ��o�
� �
a ����a
� �°°°�
�
�
� b ���
� b
oN��
p � � o
id ¢� �
�'�,o
H R1 y
����
��b
�� �
o���
���y
� ���
�. � �
�
� � y
:r �
v �
� ro �
w
� � � 5'
�
��
�A
� �
p "�'
a
�°x
� �
p �
��
� u�i
� -p
�
�
�.
�
�
� �
� �
`'o °'
� '�
� n a °-
m
� � ��
M
� `� �
� o �
, g �
� �.
V
�
� �°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�
� �• COMMUNITY DEVELOPMENT DIV.
, �� ------.
r � � PROTECTIVE INSPECTION SEC.
i �
� � �-"t � CITY HALL FRIDLE� 55432 NUMBER aEV DATE PAGE oc
�--"'�' �'' 612-571-3450 910-F15 10/17/95 / /
JOB ADDRESS 564 Cheri Lane NE
t LEGAL ��T NO. BLOCK TRACT OR ADDITION
oesca. g 1 Lyndale Builders 4 Addition
2 PROPERTY OWNER MAIL ADDRESS ZIP
Christie Peterson 564 Cheri Lane NE
3 CONTRACTOR MAIL ADDRESS Z�P
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P
5 ENGINEER MAIL ADDRESS ZIP
6 USE OF BUILDING
Residential
7 CLASSOFWORK Q NEW ❑ ADDITION O ALTERATION ❑ REPAIR
X
8 DESCRIBE WORK
Construct a 12' x 12' Shed
9 CHANGE OF USE FROM TO
STIPULATIONS
Shed must comply with City Code.
SEPARATE PERMITS ARE REQUIRED FOF ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZON�NG
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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1
AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND OFDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED ��OO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GiiANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $26. SO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
F� OF
E
AGENT
IDATE�
°��� — Cs°
�DATE�
�
SO.
STALLS
�
���a4
Ht(:tlYl NU.
���0
APPROVEO BV
SEE ATTACHED
SHEET
586-9702
PHONE LICENSE NO
PHONE LICENSE NO.
PHONE LICENSE NO.
❑ MOVE ❑ REMOVE
GHOUP OCCUPANCYLOAD
CU. FT.
OFFSTREET PARKING
IGARAGES
$.50
SAC CHARGE
Fire SC $.70
TOTALFEE
�2�.%�
D THIS IS YOUR PERMIT
�l.i�' /��L�—
qaTE
NEW
ADDN
ALTER
[c�'�
Il
[l
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Cffective S/ 1 /95
ConstructionAddress: _ ..� �v `i �/��'�r �+ �r -
Legal Description: �'f�,� I� -
Owner Name & Address: Cf�',��,�'��'� �� ��,o,s'p � Tel. # �,'�( - !%a �
Contractor: ��'�� R�Si DE� �`
�'�li N �� F� �'�ri � � MN LICENSE #
Address: � �'' ff,��/ � �i9- . Tel. # �5 �( - � %l��
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
6.IVII�TG AREA: Length
.I
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
(�ARAGE AREA: Length VV�idth Height Sq. Ft.
DECg AREA: Length Width Hgt/C�round Sq. Ft.
�TH�R: �S,�fE l� ,/o� � � � �'S � /7��'/ �i/� �' % /a�l Q D � r.//�CJ��1-iy a rtJ
�C;oraer Lot [] Insiiie Lot [] Ft Yd Setback Side Yard Setbacks
�'ype of Construdion• F.stimated Cost: $ �� ' ° �O
�-
�.pprox. Completion Date:
(Cost on Back)
�riveway Curb Cut Width Ne.eded: Ft + 6 Ft = Ft x$ _$
��ATE: G - - .S APPLICANT: Tel. #
�ermit Fee
�ire Surcharge
�tate Surcharge
�AC Charge
�icense Surcharge
d,�riveway Escrow
�aosion Control
:�ark Fee
��ewer Main Charge
TOTAL
aTIPULATIONS:
$ �� - �C�'
$ , %�
$ • � C)
$
$
$
$
$
$
�
$ �%�
CITY USE ONLY`
Fee Schedule on Reveise Side
.�1 of Permit Valuation (1110di%)
$.SO/$1,000 Valuation
$850 per SAC Unit
$5.00 (Stat;e Licensed Residential Contractors)
Alt "A" or Al� °B" Above
$450.00 Conse�vation Plan Review
Fee DeLermined by Engineering
Agreement N� [ ] Not Necessary [ ]
�UILDING PERMIT FEE SCHEDULE
The Chief Build.ing Official shall, before issuing permits for the eredion of any building or structure, or for
any addition to any existing building or strucdire, or for any alteration or repair to any e�sting building or
structure, upon application therefore, require the payment by �e applicant for such �rmit of fees to the amount
herein below set fotth and in the manner herein provided to-wit: �
TOTAL VALUE -
$1 to $S�
$501 to $2,(1D0
$2,001 to $25,000
$25,�1 to $50,0{l0
$50,001 to $1(�,U40
$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 $S00 plus $2.75 far each additional $100 or
fraction thereof, to and including $2,�
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or &action thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additionat $1,000
or fraction dier�of, to and including $50,000 .
$574.75 frnr first $50,000 plus �.25 for each additional
$1,000 or fraetion thereof, to and including $100,000
$887.25 for f�rst $100,000 plus $5.00 for each additional
$1,000 or fradion thereof, to and including $SOO,OQO
$2887.25 for the first $500,000 plus $4.25 for �ch additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for die first $1,000,000 plus $2.75 for each additional
$1,000 or fracti.on ther�f �
DRIVEWAY DEPRESSION ESCROW
(Concrete C�rb Streets Only)
Alternate "A": Removal and replacement of curb and gui#er only - Driveway width plus 6 feet times $13.50.
Altemate "B" : Removal and replaceme� of curb and gutter and in,stail a 3 foot wide
approach with 6 iach depth - Drivevvay width plus 6 fcet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construcbion will be issued a minimum of ?A� hours from the time of applic�ion to allow for proper
review of the proposed strucxure and of the constiuction site.
A Ceitificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before pror,eeding with the framing-
� � a
e410' PA�LI�A:;6TR�Q'� s?,�j �,� ' �° •�;
,
, ' BUNStr.4•7 66 'µ ' .�n
, � owNCw° �` ! „ ';-r
, -�� s. -'
� 4 I !
• INDUtTR1AL� r +JUDICr/►L 1
�.: 9 UB INES 8� '— - TOPOdpApNIC�L r:
CITY l0 _
>� . .TS..� r��rnN�,%.� �,:� � t,�n•�
� f s, �
'� L;�ndale; Builders;�— . � {,�
. ��y� ,
�,,
�"�' „�_ "
, /,i
` I , ,
-.. f �t'� :. j � #.1 ri � p['Y}�5 � � r � , . I [ .- -rp�; �.R .r. r. ` a. a, t .
��',,°, �� � ay r, r . r,�� � ,�.,,� t ��t. i .�� � �.; /�� h7` �`y1�, �� 't �,��
� J � -_r � � i�+�' �4 `• 'ri�l.Cie�'GV�y � � � ��
� / �F� t /j /� " -' d...
l , � '^ . • i ' V � '�� .F ' � , 4 ,
, .. . .. . . . . � . , . a.
.. 1 . . . . . .. . . � . . �
��` • . �
I
,oE
' �Z
• •B
r'
� L�
.,
� � ;ti
ll 1 r J
� e1 �
��
� ,.
l f
� �1
� � / �
� \,,•
�/
0
,,
�3Q.
� r,: I ' J�a�
/
c� C� ��, ,
�� � ��`� �'f��'
i`• ,
� O
�• /f�
N �Q�/%Q'� �p ' � � � � '
( S!./j1i� j�r �'45�� B / � . _ '
1 /1 7
:�� 1.� s� Y -:�, �
. �� ''� '�� � t �7 •
' ` .. T./ �� . . � . � � .
��/ . .. . � .' ; '_4 .� ..
. . . . _ 1 .. �� l� '°�.,,,ir `yrsP �r � : k'a i r �!�.
1
I her�by,certify that �h�.s; is,�ai tr�e �nd :cori`rect �g(presentat3:on ofF �a.� s�ve,y�of �the� fk� ;�
ba�uridaries :of a � t ' S 1. F i� '� �'i r 3 ,s i'� � e htr! :`�' S � ���1''��
� � > > /� � i �. � � N e t � �C wrya
. . . ,r v '� �.t s..It 1 b � � ���atF 4 � �' �g � ,��C . !i'J ' F :'. t �t r Y�}F�a. .:�.t "?'a
�(�-^} Q`� i �� �, � -.. t f�
� � . � � ++�Y V' .���C�e ,y� �~ � -r S1'.�.1 ktti T�y, �4` d' �� p . �� �`�,�.,'v �A,�a � t;tu� � ,�
- . � � � u`?,�3'nda�.e B�iXders l�t�h .�dditiori `t �, � x� a; � � ;, `. ��� �Y ���:
. . � . " � . . � i . `� ��F. i�� r �, 3 v° !f A �i:t ��;ti ,}� a �Y' ,�'�,s` .
•. °. : ;. .. �.': �:. , ,:i : , " , . ` S = .
• . As surve d b . ` � �
. Ye y me during the Aionth of 5epte�nber, �959. ti�� r' ,��'�� �
� � ��
� . i � t ;y17 � � t � �t �' � �' Aa� Y. - `' ��..i. � ''� h �;� y ��At .,•'��''�{�'i�.'Z;'r
. , 5:.� i }�l F , ( �' ti4Y,`��� F � "t !a!M .Px � �'"���r�4 �t ���p�y., �'
_ . . ty� C ��. �,Y , ��1 '� �{ti�-�
'�.• . �: .`. •�'. � ��,
{ r � i �
' e- A,
, . - f1ONtD •� . ` � ,;,- <P • ��`�
. Cw IQHT 'ANO. OLBON +' � tf
• � y, - �� �� +�
, `� � • '` �.,.,,
.. . , .. . .. , .. - � . . . , � ..e: .. : . -. . . .. _ . . . . . . ,. . . . .
q !
SuBJECT
City of Fridley 2 5 4 0 4
�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I
; � T NO.
� ' COMMUNITY DEVELOPMENT DIV. �� �
' j y ��'.�'�
r � � PROTECTIVE INSPECTION SEC.
1 ` �
, �"'1 � CITY HALL FRIDLEr 53432 NUMBER REV OATE PAGE Of AVPROVED BY
ti..__Jl.• ••� 612-571-3460 910-F15 8/21/9 � �
JOB ADORESS 564 Cheri Lane NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 8 1 Lyndale Builders 4 Addition SMEET
2 PROPERTYOWNER MAILAOORES$ ZIP PNONE
Vali Quarnstrom/Rick Cross 564 Cheri Lane NE 561-6517
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
•4 AFCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO.
6 USE OF BUILDINCi
Residential
7 CLASS OF WOqK
C� NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Construct a 36' x 26' Detached Garage
9 CHANOE OF USE FROM TO
STIPULATIONS If Special Use Permit for 2nd Accessory Building is denied,
attached garage door will have to be removed within one year from this
building permit issuance (8/21/98). Construction requires a hard surface
driveway.
SEPARATE PERMITS ARE FEOUIRED FOR ELECTRICAL, PLUMBING, HEATIN(i, TMPE OF CONST. OCCUPANCY aROUP OCCUPANCV LOAD
VENTIIATING OR Ali; CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NINd SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCEO WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OPFSTREET PARKING
I HEREBY CERTIFY THAT I NAVE FiEAD AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTA%
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT $17,306 � $B.GS
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �262.25 Fire SC �17.31
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
��� �.� � � � � I� q �ZSS.21
SIGNATUREOFCONTRACTORORAUTMOpIZEDAGENT IDA7Ei WNEN PROPERIY V IDATED 7NIS IS YOUR PERMIT
�
a �
SiGNATUAE OF OWNEAdF OWNEA BUILDENi IDATEI B�py Sp,• � 4pTE
NEW
ADDN
ALTER
[J
�l
��
CITY OF FRIDLEY
SINGLE FAMILY A1VD DUPLEXES R-1 AND R-2
BUILDING PERMIT A,PPLICATION
Effective 1 / 1 /97
��s��
�
ConstructionAddress: �(� � �� e � � � f�, � � �r,' C� � ��
Legal Description: O T � � � c�G � � �� n �a l e b, u : � �+ � � � � �� /y �c✓r` � � �o �'1
Owner Name & Address: ��a � � (�J � � �„ S�n,,,� ��,�c l� C� �ss Tel. #.S"v�/ - G S`I 7
Contractor: ,S`'e ( � MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
�.
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPrION OF IlVIPROVEMENT
Tel. #
�n8� Width Height Sq. Ft.
Length �� Width �� Height Sq. Ft. I�%, '�
�n� Width Hgt/Ground Sq. Ft. % G �/
o�
Construction Type:- ,(v'� � w Fstimated Cost: $ � �� _ ,�'fC. � `�
(.�'ee Schedule on Back)
Driveway C�rb Cut Width NPp�c�i- Fr �� r.� _ Ft Y� �
Ur, �f's'- �G�o
DATE: � � ` � � � APPLICANT: � �, C `C ��rc� Sf , l,� 4 � : �, c� r � S��BY, Tel. # �, S`��' /- 6 S' 1 �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY ��� �����'�
��
$ Z. �� Fee Schedule on Reverse Side lS ��� °
� , 3 . 001 of Permit Valuation (1110th % � G(/ d L� �
$ , � $.SO/$1,000 Valuaxion �L�� �� / � �0��
� $950 per SAC Unit � � �5� � � � ���1�
� $5.00 (State Licensed Residential Contractors) ��
$ Alt. "A" or Alt. "B" Above �° �� >
� $450.00 Conservat�on Plan Review
� Fee Determined by �ngineering
$ Agreement Necessary [ ] Not Necessary [ ]
� 2� , 2/
[3U[LDiNG PERMIT FEE SCHEDULl;
1�he Chief Building Oftiicial shall, beforc 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 buildinv or
structure, upon application ttierefore, require the payment by the app(icant 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
$S�1 t0 $2,00�
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,0U0
$100, 001 to $500, 000
$500,001 to $1,000,000
$1,OOO,Q01 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
e
$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,Q00
$349.75 for first $25,� pius $9.00 for each additional $1,t�0
or fraction thereof, to and including $50,000
$574.75 for first $30,000 plus $6:25 for each additional
$1,000 or fraction thereaf, to and including $1QO,ODU
� - --
�
$887.25 for first $100,(�?0 plus $5.00 for each additional
$1,OQ0 or fraction thereo��to and including $5�,000
$2887.25 for the first $5�,000 plus $4.25 for each addidonal
$1,000 or fraction thereof, to and including $1,�;000
$5012.25 for the fust $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.�0_
A(ternate "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
Pcrnlits for construction wi(l be issued a minimum of 24 hours from the time of application to allow for pm��r
review of the proposed structure and of the construction site.
A Certificate of Sur��ey of tlie lot, showing the location of the foundation �mce it has it has bcen construc:_::
«�i�? 4,;; reyuired hefc�re ��r�,cecdin�� «�ith the frainin�*.
AGREEMENT BETWEEN PROPERTY OWNERS
I, we � � � , owner(s) of the property
located at__ � � 7'� � , agree thatthe property line is at least
the minimum distance of (.� ft) from the proposed construction at
�1� d '`� ��� o��- ;� �'
I, we hereby give permission to construct the G� - without having the
req.uired survey of the property.
1, i ' % �
�,: � � ,�'�. �,.
..,. ,
,-
ROPERTY OWNER
0
L
�� 4--}.;:'.:.ni..
� y �'. . "�'M. �� ��•.: :. .� .�. 1 � �_�
�.S
. _ n" � " -
.. � � `fj '- � �, � � . .
1 . '_'"1 i 1 {' `
.
;-�:.'> . 4 , �•, � _. .
�. �;. .;��,, � '�' ...�� °,
r. .
,� ;:t
� �:
� � ' PU�N�:
scni.e:
�1AI�1 SPAINKLER DESIGN
$vSTE&1 STATIC F
�
�
C _ -
- . ;1� ) f � �% f )
� � .:
�
_ � - . _�..____.._.__ . .... __ ._.
i �
,
.� ' !
: ,
�
o , , -- . � - r
' I,�� �6 !�vJ�P
\
,
I
. �� , �.
f J � _
� . �1' ..1 .. . s" .f. � _ ' 4�' l•. �..
1 � }"�'�
_ f
6
„ _.._' _ __. � 1�} ' ° /1 � . _. ._ .__ .� ..-:: .-31 I I.. a� -
--' - �--� (�ar�aF
{ '�� L
�
i
� �g „ �,�,��s'
��° ��
�1 G vA,/
' 3' 6'`+� ��=o�.�
;.._ . __ _. . � ,
�'" (� 1.�. L1n. : i + � 1�` .
�IGNED FOR: , DATE:
�,,� � ,
L .�' p�:,'V, ,;r�_ �:, r1'vi'.
I, ' ' c.�
i --?� `?
''-A�. i� .. . � r . 1 :. . c. fo� .
� , �,i
-��� �' � ,�
, k \;y
� T � �; ��
� �'�` �,ia��°
t�
FORM �80-7538
�
�s;�°`.. . ..' �r
U
b �
�. .
1 1
LAWN SPAINKLEp
SYSTEM
.. i
� `s � L
� " � _, � J� `,,�-
Ofy�
��\k. �'� �1
. � r��s
, � E��`` ,��� � a �PS
� �"' ' �.�' \ � , � l,�' �,o�` J �SS
,� i� _ � �°�` ��,�%� � : � ` 1
�� ~' ` ` �''��,�y�
, � ` � ,,`:' �'1�'' �� `•� • '� .�'i .
`�—� ���,�'� ,,� �� �.�� B, ± ��'�L°��L�Y_I �Yl�""
�f \� � " ' � � � ��'. �� •� � � S U�
i� � _ ' '� i•` • ���
,-� i.�
���� 1 ��: , ,
���, � �,,
s' �r ��- ���
�
, :ti
� �J . w'• t ��"` ..
rG�'`� `�, �;d ° V" • ;, r..
� .. _ _. . _-------- —.. .-- --�_
�
y�� ►� r�,� "1 :�l,w �.
2 �, � �� �� �,
DESIGNED FOR: DATE: BY:
FORM 480-1538
0
s