AF - 37453�
�
I
�� 9i/
City of Fridley, Minn.
BUILDING PERMIT N• . s8s3
.: _ - s� �
�' �a = � � �
. , _ ,�i` .x �. �' _ -.v.. �r:�.. � s �/ � - �'
�le� ` L��c.�e.�
e LOCATION OF BUILDING
No. � Street ���-����.-�- P of Lot �
Lot _ Block � Addition or 3ub- vlsion
Coraer Lot _ Inside Lot � Setback `�,��� Sfdeyard
Sewer IIevation �3 � ° � 3�'a�zi'a�r'Elevation �° �` 6 � � f
'ia�� e�= �-orir��
. / DESCRIPTION OF BUILDING
obev / .
Fraat -��— f-- Depth ��� � Height � Sq. FL �����Cu. Ft a��/�
Depth _.��t IT�ght �. Sq. F't. Cu. FL
i
Type of Conatructlon �L�.� F�t. Cost � To be Completed
�
In conffideratfon of the issusnce to me of a perrnit to canstrucLy the g t�d above agree to do
th� proposed work in accordance with the d�escription above set rth ce with provlsiona of
ordinancea of the dty of FrYdley. ���,�-,
P�� .�
In camafderation of the �qment of a fee of $�a� , permit fs hereby graated to
to cwnstcuct the building or addition as d�cribed above. Thia �ermit is grante8 upon
the expresa condition that the person to whom it is graated and h3s agent9, employees and worl�nen, fn all work
done in, around and u�n eatd building, or anyp� ther�w� shall conform fn all reapects to the or8inancee of
Fridley� Minnesota regarding location, conatruct�on, alteration, maintenence, r+epair and moving of buildings
within the dty ]imits and this permit anay be revoked at any �lme upon violation of ar�y of the P��� of seid
�di�..��..
NOTiCEs
76h p�rmh d� nef eeva t6s eonalrudioe, tmfalltlion to� vrbin9. P��& 6a huNng, sswn er w�tsr. B� wro �o �
fla Boildiu8 losp�doe toe �puata p�rmHs tor t6�a Itu�.
. -0 r
OWNER'S
ADDRESS
. •
.
APPLTCATYO�T FOR BUILDING PE.1�i7CT
CI�Y OF FRIDLEY, MINNESOTA
�
ri
LOCATIOPT OF 8 DING �
No. �� Street '"� `� Part of Lot
�
Lot Block Addieion or Subd ision �� �
Corner L t Iaside Lot �� 5etback �i � Side Yard /°� ��i�
_.._� .-_
SEWER ELEVATION FOUNDATION ELEDATIOAI
Applicant atCach to this form Two_Certificates af Survey of Lot and proposed �iLilci-
ing locatioa drawn on these Certificatea.
DESCRIFTION OF BOILDIPTG
To be e ae:
� � �.�
Front B��i.th Height
Sq. FC. ��% a K' Cu. FC.
' I�out
Type cf Cone
�
To be Completed
Depth 8eight,
Sq. Ft. Cu. Ft.
i;
timated Cost ���� .,
-T
The uiedersigne�[iereby makea appiicat3on for a peroniC for the work herein specified,
agreeing to do a11 work ia eCrfct accordance with the City of Fridley Ordinances and
rulinga of the Department of Buildings, and herebq declares that a11 ehe facts �nd
represeatatione stated this application are t nd c� ect
�
ne�rw � / � � � eT�Ne�+rmrr. vs �/� . /%l� � �
�Schedule of Fee Cas.ta caa be found on Che Reverse Side).
�',.
. . _ - �1
. a.-,
0
Q
m
BUILDING PE:�T FEE SCFiEDULL
Section 2. The Inspector o£ Buildinga shall, before isauisg say pe*mit for
° , the erection of any building or structure, or for any addieion to aay e��ist-
ing building or strucCure, or for aay alterations or repaira to any egia���g
.buildin� or s�ructure, upon applicatioa therefor, require the gayment bp the
applicant for such permit of feea to the amount herein below aet forth ar_d
in the manner hereia provided Co-wit: _�
2.1. P'or any such permit for the erectioa o.i aay fire-proof buildin„ other
than a garage� warehouse, factory or grain e2evator, or for the erection of
aay fire-proof addition, for sim3lar occupaacy, to any zxisting building
ehall be at the rate of $1.40 for each one thousand cubic feet. or iractioa
thereof, ia such cubical contents.
2.2. For any auch permit for the erectioa of any fire-proof garage, warehouae,�.
factory or grain elevator, or for the erection of any fire-pzoof addition,
for similar occupaacy, to any existing buildiug shall be at the rat� of $1.25
for each one thouseind cubic feet, clasaified as "fireproof" by Sect3on SG2 of
the Minaeapolia Bu3lding Code.
HOUSES �
2.3. Eor any sucfl permiC for the erection of aay non-fireproof build�r� o!:HeS
thau a garage, warehouse� factory or grain elevator, or anq non-fi�ep�cco�
additioa, for similar occupancy, to any exietiag building - per�.t $i.GJ ��+r
each one thousand cubic feet. .
GARAGES
Z_ For anq such pefmit for the erection e� ?:�.� r..��s4��s.��r,c*o� gar.aQe, .
warehouse, factory or grain elevator, os :�r,�� +,-:;: ,_-:=::,r;vre �;� y�� n��.,=�,_.,�,�f
addi�3.oa, -�or--s3milar occupancy, to a^� �-z: :.:: ,:ti��, T>�: :. �.,?;.:-�o o�° �a�r each su�h
�_ ..�'�in.i].ding or addition • niaetq cents (';.,':_��'; �,�.:r �r;.�:a c:e thzc���.nd cuL�a� feet
� or fraction thereof, in the cubic�l �:.:��.;.L _��::.:: �.^2�_•�,;,: t.�3,tg 8��� of $4.0�-.-
For the purpoae of camput�Lag fees f+:sr ':�9. t:�:a.i��; �erF=���.s, the cubical contents
of any building or additioa Co a u:a�tc�.� L<a���:t tt;���L�;hout bq multiplyi.n� the
ground area covered from a point six (6) �.�a�:::�s be�.�.�,• �?�e floor liae oi ,ilRe
basement or cellar to the average height of ::�:� ;:���er e�::�:ace or to tbe �
average height of the reof surface of the mai.u� �;�:vie of a pitched roof.
2.5. For repairs or altera�ione to an existiag structure, tbe fee shall be
at the rate of $3.00 per each Five fluadred Dollars ($500.00) or frection
thereof in the cost of all propoaed work.
2�6.,L � Ia no case shall the fee__charged,#er.,aay perm,{.t a,�g 8et forth in
Section 2 be less. than $4.00.
r"1, �, .. ,� �"�
_ T
'� s N
�
7708 Lokeland Ave. (Brooklyn Partc), P. O. Osseo, Minrt. ,• Plione ��IA 5-�181
Soufhpor� Airporf Bidg., Route 1, Rosemount, Minn.- � Phone':GA-� 3-�}5d]
_ 'r .
CASWELL ENG�I�IEERING CO. : �= f.�
�, ..
Registered Professiona) Engineers and land Surveyors �- �-°�� :
�'� �'�"
CERTIFIGATE , OF SURVEY � � _ -
� For �OGL/G �2lGl�50/✓ _ �
.�4'S�. , . � . _ . .
G x '
. i;. . ' _ T_' ' , -. . ,
_,.� ....'_. . . '� .
�. " . '
I . �
1
s�d�e � _ _ l�w !� . s � ' �'� �o o . -
. ��.�ot�s .�,-o� ,
,
. , ,
, ,
to� g, �io� �
MuQ�ix i�A,QK
,4noka �v�..�f�, /✓l�n�.
t�
,�o-�� �u� .
d/2 = D�09 /(o _
� ��� � �; � ' .
�'�� .� �'�' .
�" _ - .
� - ; N �
o ,��XZ�' �;
� � �
�� � �""�'� �r��,�� ���
��
�
- 75� .
M
�' cyEQr � 1.4N�-
7
t hereby certify that this is a true and correct representatian of a survey of the boundaries of the land d�scribed above.
It does not purport to show improvements or encroachments, if an.y. As surveyed by me this:__�_ �th� day of
JA , i 9�.
CASWELL ENGlNEERING CO.
��
. � /
, 7 J/�J � Z __. i1 .J- � �� �� !�•, _ _ _- � ._ . .= __ � _
ZI .� ,fi . ,._'�.__ - � "
Eil�_No: _ __ Book L �Pa�e-�__� ____ M;nnesata ,�is�rcfiion Na:-_ � �� ._��
U �
A
r
r
�
3
N
N
�
�
�'
�
�
p
�
1
�n
�
�
� � � � � � �
'��� � � �, en r
d ,,�„ n `q W bd
y � �i � 4� � � y � �
o � � � y � " " � �
xxx� ��:�� �" � a�
vi 4� 4� O � h�'. � �
�' � m � c�o �', � � � e,,, o
� � � � ° � � � � w oa
ro � ��.� o ~�,
N � � • p f�D �'
� 0 � ; p � H
bd : Gd � �
� : : � � .
: � : . � .
. : . : ,� :
�� ; . . ; � ;
� : : : : � �
� . . . : �'. :
� ; � :
� • � •
H
� �, z
�e �, ,� o
� N �
°o 0 0 �
<A {fl {fl �fl �
W
� o
� �
Gi H f�
°- o�
� �
O `�
� �
�
� ¢
� �
Z �
�
.�
�
� b
� �
�
e
� � �
� ro °
O � �
"� 1
�'`
�
� �
�
0
O
�
� �
m � �y �y� � � t� �
�' �' q p 'O 'Ci 'CI �
��y��'� �
� �. � � � �
�.�.�,v� y ��� � v�
o °o G � � � � � � �
�c ;i R° f�' y � �° "' pa, �°
S��' � � � � O O F
� � � � � � �
� � � � � � � � 0 �
�''
� � � � � a � �
�. o w S' :
� � � � � � : �
� ' � .d, ,°o : '
y � � � � � . . O
� O
o �
: : o � � � : ; �
' : � � : : : : :
: : � : : : : : :
�, NN��
°o 0 0 °o °o
{fl {-i> {fl E3! fA
� �
� �
ro
y �
'O
V
I �
��
♦
� c� o
� �
�'� �
�i �� �
O
� Z
1 �
�
�
�
0
�
�
ro
O
�
�
�
�
O
m
�� �
� �
� �
�
m
� �
o �
0
a�
�
n
�
�
�
�
a
$�
�
��
i� �
�
N � � N �
C7� C O C O
O O O O O
{fl {fl <A QN �f!
�
�
�
� �a �.
� O "1
�
�
� 0
�'
�q � �✓
V
3 �. f° 1y� �
�� �
� �, �
�
I I �
�
�
� � � � �
�'����
� �
� � � � �
� � �
� � o �
� � "' R° �
O � �
� � �
� � � �
�
�, � : .
�, � . .
� . .
� •° : :
° o � •
Op . .
O . . .
N w � � �
O O O p
tfD
�
�
a.�� �
� �� o
A
A �
� �� �
p,o��� �
o ��� ;a
� aoni�
�fDO�
ai
��p �
�
�' � ��
o�
�,�y �,
�
����
t��.���
a� ��
m
��op
`� ��,0
G y � y
N p�
�� ��
�. ¢
�G� � �h
S'���y
n
e�+� N
��M
."�' 4�"i
N
�
�-i �S �'
�
�"'
r
�
i�ii
H
_
m
C
m
d
»
�
�
�
�
� �
"� A
� V
1 O
��
�
�`
�
�
_
�.
�
�
�
�
��
♦I �
�
�• �
� �
'
�
��
� �
0.:�
v<
e. �,.
� �
�
�
5
�
ii.
�� ��
�
�
d �
� �
'� L'�"
o '�
p „�,�
: y
0
: �
: m
. ~
: o
. �
. m
.
Y
,�.J��` `'
.
N
�
�
�
y ►•
GD � W n
�p �J
� �'
o � � �
N � .
o �
o � :
o .
� - •
� : :
i I I �
>4 i: aa
N N �
O O O �
e� r�a sn
�
H
I_ H
A\ '�'1
�
�
�
�l
�
�
t�
�
� � � � � � x
8 � � � f�
� � � � � �' �
� � p � � �
'� `' : O � � �
� � a O m
0 0 � � . �
w �, : �- �' ; Pn
A
� o : °� :
Q4 � . � . .
' � . . . .
: � : : : :
: � : : : :
�o
�a �e x k � x
W N W f+ r+ ►�+ �
e�i� p en o o O ..�a
C�
tn ts3 r�r tn t� fn
� y
� � �
0
V�
x
v -
�
�
�
D
�
i
D
�
m
�^
`TI
..1�
m
C
r
m
O �
a
w
� �
a
� �
� �
ro
�
�
� z
��
1
L ^
\1�
� �
a
�
�
�
�
� �
� �
� o
�
,
�
* � � i, p ~ �
� ,' a � � Stori�
8 � w��n
,� @ � acsErs
5 TS
� � URINALS
a►r►+
O � �
� ���
'O h� I SINKS
��
wnsr+
� \ ra�rs
��
8
8�
o m
� � � �
fi � �"b �
o �
fD �
� �•
$' `� �
� � �`
� �
� �
\ �
� .
�
�
�
DRINK.
FOUNT.
sHwns.
\ FLOOR
DRAINS
UTCH
BASINS
Auro
WASHER
GAS
MPL
G1S
RANGE
GAS
OPENINGS
a •
z s
�
� � D
A
n �
��b �
a.a�
� � � �
� � � ro
y a �y � �
�o�q�� �
� � �
W 1+ � W �
�HOC�
��
��° �
�
� � � � �a
� �°�°�
fG y
�
y b � �b
Ry
0=° �P�
p �' o
n p
� m o H,
�
� `� H A1 y
����w
w
����
¢ w
�o���
� � � ti
� ���
���
��o
�aa'
�
� x
� ro �
� 3��
�
�
ti �
� A
�ro
a�
�x
� �"
p �
M �
� �
�
m
W
�
�
�
�
4
�
,�a
�
�
0•
',
�
��
H" �
� -�'
3 '�
.
t� Rt. C"
ro w m
M {�, �
1
M w
M �
V �a
� A
A �
A
0
\�,
��
��
.� a � �.�-
City of Fridley, Minn_ N° 8 5 2 5
BUILDING PERMIT
Da�: OCTOBER 11, 1965
�r: GARY GEISTNGER H�d� S�
Adaress 5 9 0 Highway �100 N. E. Add�
Fridley 21, Minaesota
LOCATION OF BUILDING
No 59 0 s�t flighway �100 N.E , p� of Lot
Lot 9 -- Block 1 Addition or Sub-Diviaian .� ��IX PARK
Coraer Lot w Inside Lot x Setback Sfdeyard
Sewer IIevatfon — Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as:
DET. GARAGE �t 22 Depth 24 Hei�ht 10 gq. �-t, 528 �� 5,280
Front Deptt► ITeight Sq. �. Cu. F't
Tyne oP Constructton FF�tt, Cost �1 � 5 00. 00 To be Completed
In c�aideration oP the 9ssuaace to me of a permit to conalauct the building described ab�ve I agree to do
ths pmposed work fn accordance with the d�scriptlon above t forth in compliance wlth a'11 provisfons oP
ordlnances oP the dtq of Frldley.
Q1: � � '1�
Ea camafderatton oP the payment of a fee of $5 . 00 ��t fe he�eby granted to GARY
GEISTNGER to canatruct the building or adriition as described above. Thfs �ermit is greated upon
the expn�ss conditton that theperson to whom it is graatsd and hia agents, employeea and worl�en, 9n all work.
doae in, around end upon seid buil8ing, or anypart thereoP, shall conPorm 9n all respecfs to the ordineacee of
Fridley, Minnesota glocatlon, construction, alteration, anaintenance, repair and moving of bufltlings
within the dtq l9mits�an�ttiis permft may be r�voked at aqy time upoa violation of aqy of the P�vfaiona oP sefd
ordinances.
ALLEN G. JENSEN B�� �
NOTIC�
iWs p�emtf doa ee� eewr t6s comtruedoe, �m Mr �rUInY. P��+�e. 6� b�9. swa er vMsr. B� sue� to sN
t6s Buildieg le�eter im apuat� p�e�nhs Mr �6w k�mt.
, _ -^
DW1�R' 3 NAME 1-f A�,a �R <
���
APPLICATION FOR $UILDIATG PERM[T
CITY OF FRIDLEY, MINNESOTA
�
s n �n,
� T'�-� (%�a �-
SS
LOC�TION OF BUILDING
,�i _ �
��-�� � r��� Street ������_ y�>a�„ �„' � p�rt o� Lot .:
•*� .._.,_....
� , ,
• L� �R ADDITION OR SIIBDIVISION �''� s��� �`.� _ i,`��
._.�..r.._...
Corner Lbt`_rnside �getb�ck , S�.de-�'�ard
.SE6JER '
. ��� �'tl�A�`I0� ELEVi�`in
_ . � -...... ��.._.._. , �
Applicant attacit to t�is fdrm Twd Certi�icates of Slirvey of Loe �and proposed
building location drawn on these Certificates.
To be used as;
�
DESCRIPTIOAT OF BUII.DING
�� �
� r
Sq. Ft. �� �� Cu. Ft. � � �'�
F��nt Depth Hei�ht �
0
f�
� Sq. Ft. Cu. Ft.
Type of Coastruction � !
.__._; -� ^ E�timated Cast� � � ���
� —
To be completed �� �'�y �' `�� �
�e undessigned hereby makes application fo� a permit for t�e work herein specifierl,
agreeing to do all work in strict accordance with the City of Fridley Orc�inances
and ruliage of the Degartment of Buildinga, and hereby declares that a21 the facts
and representaCiona stated ia ehia application are true and correct.
HA ���� 9 � ��/ � f �, ^ � �
�_ �=�" SIGNATURE ��d��.� �� ��f � �'�-
_�
��
(9chedule of Fee Costs can be found on the Reverse Side).
q _ ° ` /"'� ' - � �, � ... � x -
BUTLDII�IG PERI�IT F�E _ .S�S •
SE` 2. The Inspector of B�ildiags ehall. before issuing ang permit for ehe
erection of any building or strucCure, oi for"any additioa to any existing build-
ing or atructure, or for any aleerationa or repaira to aay esiating building or
structure� ugon application theref.ore, require the paymeat by the applicant for
auch permit of fees to the amount herein be.low aet forth and in the..manuer hereia_..
provided to-wiC: .
� 2.1. For any euch permit for the erection of any fire �proof building,
other than a garage, warehouae, factory or grain elevator, or for the erectioa
of any fire•proof addition� for aimilar occupancy, to any existing buildin�,
shall be at Che rate of $1.40 for each one thousand cubic feet, or fraceioa
thereof, in such cubital conte�its.
2.2. For anq euch permit for the erection of any fire-proof garage,
Warehause, factory or graia elevatos, or for the erection of anq fire-proof
addition, for similar occupancy, to anq esiating building shall be at Che rate
o£ $1.25 for escb one thousand cubic feet, classified as "fireproof" by
Section 502 of the Minneapolis Building Code.
flODSES �_
2.3. For any auch permit for the erection of any non-fireproof building,
other than a garage, warehouse, fsctory or graln elevator, or any aon•fireproof
addition, for similar occupancy, to any existing building - permit $1.00 for each
one thousand cubic Eeet.
GARAGES
�—
2` 4. For any such perm3t for the erection of anp non-fireproof garage,
warehouse, factorq or grain elevator, or for Che erection of any non-fireproof
addition, for similar occupancy, to any exietiag building or for each such
buildia� ar add3tion - n�nety cents ($0.90) for each one thou�and cubic feet
or fraction Che,Seof, ia the cubfcal coateata.thereof with the miaimum of $4.00.
For the purpose of computing fees for building permits, the cubical contents
of any building or addition to a uniform height throughaut by multiplying the
ground area covered from a point six (6) inches below the floor line of the
basement pr cellar to Che average he3ght of the upper eurface or to the average
beight of`the roof su.rface of tbe main gable of a pitched roof.
2_.5. For r�paire or alteration� to an exietiag etructure, the fee ahall
be at the rate of $3,00 per:each Five Hundred Doilars ($500.00) os fraction
ehereof in the caet of all propoaed'v�t�rk.
2_.b. • In no case ahall the fee charged for any permit as set forth 3n
Section 2 be less than $4.00. '
, �- - � _ ,-., ^ `" ` - °°
�
�
�
City of Fridley, Min�n_
BUILDING PERMIT
Da�;_ JULY 19 1966
�: CARY GEISTIVGER Buflder g�
Ad�s 590_ HIGHWAY �% �100 N�E. A�
FRIDLEY, MINNESOTA 55421
LOCATION OF BUILDING
No. 590 3,�t HIGHWAY �100 N'.E. Part oP Lot
Lot 9 _ Block 1 Addition or Sub-Division M�� P�
Coraer Lot._ Inside Lot Setback � Sideyard
3ewer IIevatfon _. Foundation IIevation
/���- �
N° 8932
DESCRIPTION OF BUILDING
To be Used as:
CEMENT DRIVEWAY �t � DeP� Height 9q. Ft. (�u, FL
Front Depth fTeight Sq. Ft Cu, Ft,
Type of Conatrucl3on CEMENT �, �_ 200.00 To be Completed
In consideratton oP the fesuanc8 to me of a permit to c�
tha proposed work ffi accc�rodance wlth the d�ecription above
ordineaces oP the dty► oP Fridley.
�ead�fn�c a
��o �
i above I agree to do
wlth af l provlsfons oP
� .
In ca�fderation of the payment of a fee of � 4• 00� � permit fa hereby graated to �y
�EISTNGER to construct the buflding or addition ea deacribed above. This �ermit fs granted upon
the exAress condition that thepe�o n to whom it is grant�d and his agents, employeee and workmen, 9n ali work.
done fn, around and upon eaid building, or anypart thereof� ahall cbnPorm ia all reapects tfl the or8iaancee of
w�it�n the�lfmita�aa�� locatton� conatruction, alteration, maintenance, repafr aad movlag oP buildfa�
ordiaanc�. � P�t may be revoked at any time upon vfolal3on oP aay of the provieiona of seid
CLARENCE BELISLE 8��8 �
NOTiCBa
1'1� ptneft doa aot �r t6� comteuarloe, lestallafion �or Yd+teW PWm1+tnW 9q 6�dinW arn� o� wahr. e� am to a�
1ks l�rlWt� le�aela� }o� ap�rab p�nl�a hr Nua thna.
APPLICATION FOR BUILDiNG PER1�lIT
CITY OF FRII7LEY, MINNES6TA.
OWNER' S NAI+'!E �/i�� � �� /� `� � ��� t�, BUiS��ER
ADDRESS � G� lY =� h[.�f� e� ��• ADbRESS�d L G
LOCATION OF BUILDING
N0. S�REET PART OF LOT
LOT BLOCR ADDITION OR SIIBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDE-YARD
SEWER ELE�IATION FOUNDAZ'ION ELEVATTON
Applicant attach to th�.s form Two Cerrificates of Survey of Lot aad propoaed
building Iocation drawn on these Certificates.
�,
DESCRIPTION 01� BDII.DING �� ���'
� /
To be used as:
�
.� _�"+��-�� Front��� epth He3ght
Sq. Ft. Cu. Ft.
� �, Front , Dept � eight�
Sq. Ft. Cu. Ft.
Type of Coaetruction Estimated Cost ��� �� ��-��
To be campleted
The undereigaed herebq makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances aad ruliags of the Department of Buildings, and hereby
declares that a11 the f�cts and representa�ian� stated in this application
are t�+ue and correct.
DATL� �- % � ' � � SIGNATURE � . � � �
(Schedule of Fee Coate can be found on the Reverse 3ide).
'� �' `��'` . . _ , r, s n
R. .
� `� - :__ _ � -
BVILDING PE�CT FEE S�EIEDULE
SECTIOP 2. The Inapactor of Build�n$s �hall, before iseuing any permit for
the erection of any building or atructure� c�� for�any addition to any esisting
building or structu�e, or fnr any altexationa or repairs to aay euisting
building or structure, upon tlpplicstion therefore, require the payment by,the,
applicant for such permit of fees �g,t�e amount herein below set.forth.and in •
the mauner herein provided t�•wft;�` `
-2.1. For aaq auch permit for the erection of any fire•proof building,
other than a garage, warehouse, factorp ar gr'ain�eleva�or, or for the erection
of any fire-proof addition, for aimi�ar�occupancy, to any exieting building,
eha11_be at the rate of $1.40 for each one thousand�cubic feet, or--fraction ..
thereof, in auch cubical contenta. '
2.2 For any such permit for the erection,of any fixe-prao.f,garage,.,
warehouse, factory ar grain elevator, or•for the erection of any fire»proaf �
addition, for sfmilar occ,upancy, to any esisting building ahall be at the:.-
rate of $1.25�for each one thousand cubic feet, classified as "fi�reproof" �
by Section 502 of the �iinaeapolia Buildiag Code. . �
HOIISES
2.3. For auy such permit for-the erection�of any aon-�ireproof
building, other than a garage, warehouso, factory or grain elevator, or
any non-fireproof addition, for similar occupancy, to any esieting bui�ldiag,.-�, ,
permit $1.00 for each one thousand cubic feet.
GARAGES � . ' ` , _ ' _ _ .. . . ._ . ...
2.4. For any�auch permit foic the erection of aay non-fireproof garage, .
warehouse,.f�ctory or grain elevator, or for the.erection of any non-fire-proof
addition, for similar`occupancy, eo ariy egtsting buildiag or for �ach such- "�
building or addition - ninety centa ($0.90) for each one thous.and cubic feet
or fraceion Chereof, in the culiical contenta thereof with the minimum of $4.00.
. . � . � . . . � . . . • . • p � '.
., ,, ,�
For the purpose of computing fees for building permits,"the cu�iical conterita �
of any building or addition to a uaiform height throughout by multiplying�,,the „ �
ground ares cover�d fram a point'six (6) inches �elow the �Iooz'"line of the
basement or cellar to the average h�ight of the upper surface or to the average
hei�ht of the roof suzfa.ce .of the main g�ble o� a.pitched roof. � . � _
2.5. F.or repairs or alterations to aa.existing struc.ture, the ,fee, ,sha11: •, .
be at the rate of $3,00, per each Five flundred Dollare .($5Q0.�00) � or �Er�c�3.on
thereof 3n the cost of a11 proposed work. � � .� . ..
2.6. In no case �ha11 the fee charged for any permit as set forth in
Section 2 be Yess than $4,00. �
STORM REPAIR DAMAGE FEES;
Residential: Estimated Cost of work up to S�G�sO� -$5.^a
Estimated Coat of crc�r<<. c��e�- Y:i���:�+s�1 - Y�i„^0
Co�ercial; Estimate�oct of c����•i� uz���,� ���°': i3+� �����
u�
Eetimatec. „ost or ti�or�c ov�r $.,Ct�.UU � y�L_J17 �- �° �
_ ;2
� � t�
� � �
x �x
� � � � W z pe � � � � �
� � o n � L� '" � � � �' N
n �' � �, � � � m � � � �
� � � 5 � �.
. �° cm* ° $ °° �, °' " �o � '° �
: O � � � C � O � �
� �o Q, p � df
� ...0 � � p � � �
� � � oy� � �d � �. � �
; M W C . � $ °R
O
� � : : �
: ��: : �
�.
. �: . :
: N .
• � :
� .
��
0
0
~o 0
w oa �e " x k �e x �e �e
� � � � � � � � � � �
8 ay 8 � 8 "�' 8 €�i � � $ �
� � � � � � � �
W N O I O
� �� �
I r
� o
� �
�
d
�
�
� �,
C
.�'.. i�
� 1
� I
D i
� i�
0
�
�
�
b�
�
oa
��
'��.
i
/
�
�
r
D
�
m
�^
,/
m
v
�
m
�' o
� �
a�
ci '��„
� �
O.
�
w
� g
O
S �
�
�
Co
N
O
� o� w � �.' " pl�
�' I a, p, .� �wp
',� �s" 1�
� ��
� o
� �i
�
0
a
� 8 �
� � I
� ij
� N
a �
� �,
��+�
a
� �.
� �
� �m
�
�
M
�
�
w
� �
�
�
a,o�s
u�uw�
MTM
,�
swsiKs
sinncg
��
�
���
GTCM
!/\SINS
MlTO
WASHBR
�
�.
�
GAS
OPENINGS
..
:.
G1
N ;
y
e�`
n �
�a� a
��� �
�
M � �
o e�e � �
����
� o �
�
� �b
����
�
b ��b
� ,d
�. � �
��o�
�'�,o
���"
�� �
�
�. �
�.���
a����
����
��o
� �'
w
.. e�o
3��
�
N �'
� f�
�
� �
��
p°
P �
h ��
�
�
�
C)
�"
0
�
� �
o.
� �
� � �
M
� ,
�Tl
�z � �
�i �
. S
x
� �
O
O
�.Pl
w
�
C�D
�
�
�
�
�
�
..
' ' . ... ' ' S60•3A50
. • o . � • ! ' .
�1�� � � &'��6�8
� � - � �. � .
. � ...,..�..... .
At�IOKA COUt�ITY . � �
6439 UNIVCRSITY AVCNU[ NE 5eptember 2, 1975 , FRIDIEY, MINN[SOT.� 554;�
, AZinneapolis Post Ofiice Depar�menL � • • � •
Supexintendent of i)elivery � . .
lst & ri�xquette I�venue • . .
. �1.9.nneapolis, Minnesota 55402 • � ' . •
•� ., � . Re: Change o� Address - Effective Oct. l, 1975 �
: .Cit�� o£ Fxidley �
• Gen�lemen: � • , .
' iJe are• listing the foll.o�•*ing change of addxess in the City �f Fridley;
' NAl`� : Mr. Monte Greenwood � . •
� . • .
� �'ROM: 590 Highway #100 N.E. ,
• � � . TO ; 565 � Cheri � Lane N�. E . ... . -
.
•' • � L�GAL°D�SCRIPTTON: Lot 9, Black 1, Murdix Park ��
• .: � . • , � .
We have notified the occupant of this change a:nd we taould appreciate
� i� very much if you ��ou1a chanse youx xccoxds accordingly. . •
. . � Sincerely, • '
. . . • • /l,�L -`-
.. • . ' . . DAr�L G . CLl�I:K � -
�, . ' � Communi.i:y Development Adm. �
' DGC/mh .' . . • ' •
• � �CC: CiLy Water ]3i1].ins DepL-. • . �
� City Assessinb Dep��:��mcnC • , � �
� �Sinne.�polis G�s Coini�any - Bxoolclyn Paxk Otfice � • �
. - • Noxthcru SL•�tes Po�acr Company ' . ,
,Noxtl��aesLern Bcll Tcicl�hone •
. • • CiL•y Vo�cxs Re�istxa�ian � �
. . • ltomeo�ancr ' - • '
� " - . • � • ' . 560•3450
. ,�:I� � ' ' . ' .
, ���� �; �=T �Y . . . . ' • .
• ��..,; . .
� ,R.,.-!�., ��� '
: � , �. �in ;'r'; � `', ,.,.� . G � �"� � ��
. ii' � �
f� � .0 •
•�• jY'-1 l' i�� ..�u�i ' .
v�r t�,y���:t,^�ti,l � . .
r►; �� 1 ' � 1 .
L� ���• � � . . � .
..J'1 � /�
� J�'�.�`i;►��,:•�� � . ' . � �ANOK/� •COUNTY . .
. �' j
6� �,:�,'_T � � -!
. ' ' " `t; � �_ �:i'1�' �_ i
'� C" September 2, 1975 FRIDLEY, MINNESOTA 55421
� � �=` . 6431 Ut�IVERSITY AYENUE NE
�Ilt:; ' • �
. �/.-�,�,'' � - -
� E�i _, , � . ' .
Mr. Monte Greenwood , � ' �
� 590 Highway #100 N.E. . � �
• ._ ' Fridley, Mn. 55421 � •
.. �� Re: Chanqe oi House Numbers �
� Effective October 1, 1975�
Dear r'I�'- Greenwood: '
� It has been necessary for this of�ice'�to change the address _
of your house . �
FROi�I 590 Highway #100 N.E. Tp 565 Cheri Lane tJ.E.
I,�GAL DrSCRIPTI0I4 �t 9, Block 1, Murdi�c Park
-' •• I4e have notified tlie Po�t Office Departxnent, Minneapolis Gas �
Comnany, • Nori:hern States Power Cor,.�,pany, •ilorth�ti�estern Bell Telephone
, Company and var_ious departments in City hall of this change. .
` • � � S3:�cerely, -
� . � DARRLL G. CL11I:1� � � ,
• � � Conmunity Development Adm. �• �
' " DGC/mh • , � .
. , « .
. • � • . .
•� •� ' � : .
tn �
r :.
c_
°c -
z
�
G] b
nm � .�y � a � m v' �.�, � w a � m � �
h�„�',� y a rr W E rr rt rt E rt� �
a t�+ � µ w y � G� M O M �' "g N K ~
z
�� w 7 Mw H �� r�+� o a � ��� �
+� � 9 �~ �c n a Q' m°o m� m�� i�-,
0 0° r"' � M� m � m� ' n SC
� ry,y �� m � n�- K c� � O� �� C
°o � � K vi m ° rr o a� t�cf
o m .. w a o ��
n a o f° m� r� co w � a
rt"t co °tl � � :fl °o �' `a � �
� �c �, o o w � ,_,
� � °� ' �
� y�
C �
H ui --i
H �* m
E m N
t� � _
c� " � I � m
�n I I I I I I� I�� m
�
W
o x x x x x x x x x x x x
in �
iR i7s i-` N iA t? iA tA 1-' tA iA t/! :A N �
N lJ1 O F+ W U� U7 J O U7 U7 N N W
0 o O o 0 0 0 0 0 0 0 0 0 0 .-9
0 0 0 0 0 0 0 0 0 0 0 0 0 o hy
+� tn +n +n
�1 0
�
z
ri
�
�
t�
�
�
r
�
H
z
�
�
�
H
CA
V
�
O
ro
G
y
�
�
O
ti
�
M
m
�
�
tn
+a cn +n
�
�
C
�
�
M
� �
�
�
�
H
t�
H
N
ro
t� +� tn tn tn in tn +� v�
' 'd y
� r
O
t�
H
�
�
rt
�
N N- O
r � �
a �. �
� K I
��
i�y
V�
I
�
��
f
O t]
� H
� �
C
c �
C H
z
�
� '
�
H
o ^
t%1
�
H
O
09
m
�
�
G
H
s
� w N � Stories
,� z � a w `�
II R ' �
z Closets
c �,� Urinals
� m
�,7 � Bath 7.1ibs
m
� Basina
0
� � Sinks
� � Wash Trays
� N. Drinking
`a �q Fountains
Showers
� Floor Drai
� Catch
o Basins
� Automatic
g Washer
w Gas Appl.
�
N�SC. F1'dt
� m Gas Raage
cr S -
�t K Other
w n a
m �t �
0
C
t7 U
m �
C
H
�J �
1 z
J G�
� (�D A+ m �H,
� M fi 0�+ tD
fwi H+ F�° C
�J �A� °'m
� � m a K
M rn (�D �
� M��a
� m O h
�r°'s o�e
� w � w �
� �rtE�
M N�T M M �
W X R�
� F�+ f�D C F� N
'^ � •C �'' F� � Q
� - w a m w
'J' F�, 1'1' f'r
'� � rt W ��+- O
� W N rt M
ro °'o a
nrfDS��
H �C N
�aa�
w � n o
� r�ri
� � � E�
� � w � M
� 8 �a�
� M m
�, �
rr
m tn�- �
r� �
ff
� � �
�ao
tn F-' M
o� �
Fi
w
F+
w
m
O
tr�
G.
�
m
W
a
Rt
'O
r
n
a
�
0
Z
'rf
O
�
"�
� �
3 �
bo -,e
o a
"ri
a
�
r� `n
�
c-� .-•
a b
va �--
T �
�
2
Q
v
�
�
�-�i
sue�ecr p .
City of Fridley o 17908
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i �
� t
� `v ___�� COMMUNITY DEVELOPMENT DIV. � � ��
r � � PROTECTIVE INSPECTION SEC.
�
� � �
' ��"1 � CITY HALL FRIDLE� 55432 NUMBER REV. bATE PAGE OF APPROVED BY
ti.__.11.' '•� 612-571-3450 910-F15 4/TS/85 � �
JOB ADDRESS 565 Cheri Lane N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 9 �- 11rd].]C P��C SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Robert H. Fisher 565 Cheri Lane N.E. 572-9245
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUIIDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Above Graund Swiauai.ng Pool (16' x 40')
9 CHANdE OF USE FHOM TO
STIPULATIONS See stipulations on letter dated April 12, 1�85.
y� c�r��s� ;`:��.
���;�Jr��r�s�.: � ��PA��N� �p`�a�:�l�`�� R�'QUIR�D FOR
�efor� tl�,�gin� ���! lurul ui�li�i�;� 1�VI�I�'�, �-��d°�`���°v�i�� ��.�J� s��R�G e�N� �tG�9S.
TELEPFiOf�JE - ��.�Ci�d`il�; A ��5 Ei��
k�C�UI�E� �� �,���
SEPARATE PERMITS ARE REQUIHED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORI2ED 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. OWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND.ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED yfiSOO y�. rJO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFiANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAIVCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S�-S.00
_ P AN CHECK FEE TO7AL FEE
$15.50
SiG E UREOFCONTFACTOR 6NT �DnTEi WHEN PROPERLY V ATED THI IS YOUR P RMIT
/ � �
SiGN TUREOF ERUiOWNERBUILDER� DATEI BI�G WSP - qp E
� �
NEW [��
ADDN. [ ]
pLTER. [ ]
City of Fridley
R-1 ABD R-2
Buildirig Permit Applieation
Effective u/1/84
Construction Address: � � �t eV'i ( ��%e ��� ����`�, ;� �"� 'SsyZ,/
Legal Description:, �D o �� � �L.-0�� /� �Oet,?�.P� �����
Owner Name 6 Address : ���� �'�' /`� � `� S �i Q6''i � � - �S �Ie-1�` Tel . � J`�7.J — i' �/S'
<
Contraetor:�° v�� �l� s� �,'� Tel .#`T' l—�,�0�
Address: -sl 5' �r �Y'i r � % �P ili E, /c�'i���% , �� SS1�Z /
Attach to this application, a Certificate of Survey of the
lot, With the progosed construction draWn on it to scale.
DE3CRIPTIOIi OF IMPSOYF.I�NT
LI117J�G AREA: Length � Yidth Height Sq. Ft.
QARAGE AREA: Length Width Height Sq. Ft. _____
DECH AREA: Length Width ________ Iigt/Ground Sq. Ft. _
O'rHER t � 6 OU� =�' Y'O Cln� .S / �'/ /�l9 ,�G�O� ��� � � �i C� �
Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback
Type of Construction: _, °� � � � � �
Approx. Completion Date: �
Estimated Cost: � ���
Alt. A Alt B
Proposed DriveWay Yidth If NeW Opening Is Desired: � �
See Back Page for Explanation
DATE: !� �S^ APPLICANT: Tel. �✓r7�—�v�y�
r
CITY IISE ONLY
�
Permit Fee � ��� � Fee Schedule on Reverse Side
Plan Check � ��� 25x of Building Permit Fee
State Surcharge � � � �.50/�1,000 Valuation
3AC Charge � ��25 Per SAC Unit
Park Fee � Fee Determined by Engineering
Sever Nain Charge � --
� �� Agreement Necessary [ ] Not Necessary [ ]
?aTAL
STIPULATIONS:
� � �
�I �
�JI
�
BIIII.DING PERMIT FEE SCHBDIILTs
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 applicatio n
therefore, require the payment by Lhe applicant for such permit of fees to the amount
herein belour set forth and in the manner herein provided to-Wit:
?otal Yaluation
=1.00 to a500.00
Fees
�10.00 (Minimum Fee is �15.00)
�501.00 to a2,000.00 �10.00 for the firat �500 plus �1.50 for each
additional �100 or fraction thereof, to and including
�2�000.
a2,001.00 to a25�000.00
�25�001.00 to �50�000.00
�50,00,.0o to a,00,000.00
�100�001.00 and up
a32•50 for the firat �2�000 plus �6.00 for each
additional �1,000 or fraction thereof� to and
including �25�000.
a170.50 for the first �25,000 plus �u.50 for each
additional �1,000 or fraction thereof. to and
including �50,000.
�283.00 for the first �50,000 plus �3.00 for each
additional �1,000 or fraction thereof� to and
including �100,000.
�433.00 for the first �100,000 plus �2.50 for each
additional �1,000 or fraction thereof.
DRIVENAY DEPRESSIOA ESCRO�W
(Concrete Curb Streets Only)
. Alternate "A": Removal and replacement of curb and gutter only - Driver►ay Width plus
6 feet times B13•50
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot xide
approach With 6 ineh depth - DriveWay width plus 6 feet times �15.75
YERIFICATIOH OF FOIINDATIOA
Permits for construction Will be issued a minimum of 24 hours from the time of
application to al1oW for proper review of the proposed structure and of the
coastruetion site.
A Certificate oP Survey of the lot, shoWing the location of the foundation onee it
has been eonstructed vill be required before proceeding With the framing.
. �
. . � .
na �o�•{ond Aw. I«�1►n �ork), �. O. Oswo. Min�. - ... ��' IAo�i �iA. 3-21�1
SoulhpoA Airpoet 61do., Rovh 1, Rostmounl, Mien. ' �hon� GA. 3-SSO1
.�
CASWELL ENGIIeIEERING CO. =:-�T��=.
: - Registered Professionol Engineers and land Su�veyors . . - , - , ' ' r��
CERTIFICATE OF SURVEY -�- =-��- �
�� .
�tO�a �
• o�.�ot�s Iior!
Fo� po � c. � E E a �c,� s o n�
- - -r--- -
�
L o � 9, �3 /o�1c /
MuQ�ix %�AQK
,4nokQ G'o�•�fy, M���
HWr
,
,.
. �
,
- - o°� � � /D O
� .
��
�
i
� f�o. � ��!
o !�' ���'G
�/ " �
l� e , � �,
� •
�' �
�
� ��x i� h
M �
� e
0
�
�
�
c Z�
IG
L�'J
�
s90 /y, � r�/� '% o
.� y
¢ cyE,Qi L.4NE�_
�
! hereby certifr thot tf+is is a true ond correct representot�on of a aurvey of the boundar�es of the lor.d d sc.�bed above.
it doe: not purpor� to show i�np.overn�nh or enc►oachments, if onr As s�►�ey�d br me *h� —_ 7�? ---doy of _
✓A/J12�L� i v G�,
CASWEII ENGINEERING CO.
. �
. � • •
_ �
' N�; - - �9�G�
Pil� Nn Z��OB �..�L .� --- �_�...�_..__�-�•— - • . ..
r
I
+
i �
i
�
i
;
i
I `
f �_1
-
_ _. �
i
�--- �
..
1
�.�..
1 -•� �
1
1
�/� /Q .
c��
�
�=
� ,I
' ).
� `
� �
�
i
�
�
I
i
�
i
�
I
c
�
�
A
1
� t_
�
i �
.
�� _ `
�
� •�
6 . �
d` �
, � --
� �\.
� ��
�� ` ��
� _ �.
� r
� f� �
- � � � � �.,
�- � -- � :
� � � -�.� 1
� � �
J` �' ' I�
�---- � � I
.\
�
�— a
`�
—� ---- \
�
��_� i ♦
`,,�
�
�
�
.
�
��� i � Z � �
�� R Z � � �' , Q�
� � � J �
u � � � �
�
�� C �
' � �, . � �
� � � � �� � �
r 1� �
^ 4 n T
�.,,, •�. �-; .�
,
�
��`
� 1�
�
�
I
i
i
� �
1 �
I
�
i
_ - _ _ _ _ _ .._ _ !
� ( I
,
^� � 1
� . , � rl �
��
�1 � �� ^• � i
,, s � � �
� ,
�1 � ^ s ,.
� � �r j� I
I'�y a� �
� _
�� V[
FRIDLEY
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E., FRIDLEY, MINNESOTA 55432 • PHONE 1812) 571-3450
April 12, 1985
Mr. Robert Fisher
565 Cheri Lane N.E.
Fridley, NIlQ 55421
Re: Swi�ning Pool Construction at 565 Cheri Lane N.E.
Dear Mr. Fisher:
This letter is to make clear this departrnent's requirements for the
swimming pool construction at the above address.
1. As indicated, one (1) skia�►er approved by the National Sanitation
Foundation will be provided.
2. As indicated, one (1) inlet of approved design for fresh and/or
repurified water will be provided.
3. The filter and pump shall be approved by the N.S.F. and be of
sufficient capacity to provide a minimum turnover of at least two (2)
times in 24 hours. This depar�nent reconanends a turnover rate of 6-8
hours.
4. A deck of at least three (3) feet wide, measured from the pool
water's edge, shall be provided which extends completely around all
private residential pools. Above ground private residential pools may
be provided with decking of a minimum size of 4 feet by 4 feet at pool
entry points and provided that such decking has the approval of the City.
5. Fencing or other effective means including but not limited to walls
or buildings, acceptable to the City, shall be provided to positively
control all access to public and private residential swiauning pools.
Fencing shall meet the following criteria:
(a) The fencing shall prevent the entrance of children and be
without hand or foot holds that would enable a person to cliuib over
it.
(b) The fencing shall be at least 6 feet high a� entrances shall
be equipped with self-closing and self-latching gates capable of
being locked.
(c) Self-closing and self-latching devices shall be placed at the
top of the gate or otherwise inaccessible to small children.
(d) The opening between the bottom of the fence and the ground or
other surface shall be not more than four inches.
o �
Mr. Robert Fisher
April 12� 1985 •
Re: Swisoming Pool Construction
Page 2
6. An automatic chlorinator slmuld be provided with a suitable test kit.
7. Al1 electrical and plumbing installations shall be inspected and
approved by the City Inspection Depart�ent.
S. All overhead electrical lines must be a minimum of 10 feet horizontally
from the pool surface, and 18 feet straight line distance fra�n the waters
edge. An alternative is to bury said lines.
9: The pool fill spout must be protected by a vacuum breaker or air-gapped.
10. Suitable safety equipment to include but not limited to a ring buoy
and rope that is 1� times the pool diameter and shepherds crook pole must
be provided and maintained with the pool at all times.
Furthermore, these and any other requirements must meet the provisions of the
Fridley City Code, Section 115, Swimming Pools. The building permit is
approved contingent on final inspections and approval by the City.
If any questions or problems arise from this letter, please feel free to
contact me at 571-3450.
Sincerely,
D G. CLARK
Chief Building Official
DGC/a►h
, .. E
,� Y _ 4,
sue�ecr PER
c�ty of Fridley 18 8 7 9
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
� ' RE
� �
� `� __�� COMMUNITY DEVELOPMENT DIV. ��/�
r � � PROTECTIVE INSPECTION SEC. �
1 . ,
l---- �����;,� CITY HALL FRIDLE� SS4$2 NUMBER REV. DATE PAGE OF APPROVEO BV
i �� 612-571-3450 910-F15 4/14/87 � �
JOB ADDRESS 565 Cheri Lane N. E.
t LEGAL �OT NO. BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR. 9 1 Murdix Park SHEET
2 PROPERTY OWNER MAIL ADDFESS ZIP PHONE
Bob Fischer 565 Cheri Lane N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Nedegaard Construction 1814 Northdale Blvd Coon Ra. ids 757-2926
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING •
RES ]. C�CYI.'t].3�.
7 CLASS OF WORK
❑ NEW C� ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 44' x 12' Addition to Dwelli.ng
9 CHANGE OF USE FROM TO
STIPULATIONS
��� a'��"rya��q:��„�
�1&l� c,C S� 4�CC3� 4if�aL"::�
SEPAR,q�"E p���ITS Befiore di�„ � '
TELEPHt�i�� - �LECTRIC � Cr`�� ��-�a�
�@�'�;���, ��'�=.�7'9��, PL����� E� F�R °' ��
� � A��.� ���£���. �E��1��� ��' ���F�
SEPARATE PERMITS ARE HEOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO 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 j, STALLS GAqAGES
AND KNOW THE SAME TO BE TRUE AND CORFiECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT S3�-�OOO .,SI.S. SO
D� ES NOT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEfiM1T FEE SAC CHARGE
PR V SION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
ST CT RMA CE O TRUCTION. � $ZZO.00
e _a PLAN CHECK FEE TOTAL FEE
$ 55.00 $290.50
SIGNATURE OF CONTRACTOR OR AUTNOR12ED AGENT IDATEI
WHEN PROPER ALIDATED THIS IS YOU ERMIT
SiGNATURE OF OWNERIIf OWNER BUILDERI IDATEI BLDG �NSD � �� �
�AT�
NEW [ ]
ADDN. [ ]
pLTER. [ ]
� �
City of Fridley
�R-1 AND R-2
Building Permit Application
Effective 4/1/86
Construction Address: �� 5 C �l �rl �. �/le��
Legal Description: � � � � � `� eK ,
Owner Name & Address � � �� - r � `�-� ���-------- - Tel . #
Contraetor s `��°
daFe� • � o�'S�ru����,�-
Address• I � I � ����y �� �� � � �O �
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction draWn on it to scale.
. # �%S7-�9��
' DESCRIPTION OF IMPROYEMENT
LIVING AREA: Length � Width � Height �/ Sq. Ft. �
GARAGE AREA: Length Width Height Sq. Ft.
DECR AREA: Length Width � Hgt/Ground Sq. Ft.
OTHER:
�� ,�� � Id, �c � � �, l�4 �G �Z� � ��� , �'�
Corner Lot [ Inside Lot [] Ft. Yd. Setback Side Yard Setback
�e�
Type of Construction: � Estimated Cost: $ `T`"
Approx. Completion Date: �,�� � �
Alt. A Alt B
Proposed Driveway Width If Nev Opening Is Desired: ��r� $ $
See Back Page for Explanation
D�TE: APPLICANT: Tel. �
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Se�rer Main Charge
� ��
STIPULATIONS•
CITY IISE ONLY
$ �'Z'ZD, �
$ SSe�
.$ � �A��
� �
$ �
� �
$ �. ��
Fee Schedule on Reverse Side
25� of Building Permit Fee
$•50/$1,000 Valuation
$ 525 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
3�,ao�
O�S�Of) ° /���
I I X�.'Sd �.5�
� 'L'?.Os00
BOII.DING PERMIT FEE SCHEDULB
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 strueture, or
for any alteration or repair to any existing building or structure, upon application
therefore, require the payment by the applicant for sueh permit of fees to the amount
herein belota set forth and in the manner herein provided to-wit:
Total Valuation
�i.00 to $500.00
Fees
$10.00 (Minimum Fee is $15.00)
$501.00 to $2�000.00 $10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and including
$2,000.
$2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
including $25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,OOd plus $4.50 for eaeh
additional $1,000 or fraction thereof, to and
including $50,000.
�50�001.00 to $100�000.00 $283.0� for the first $50.000 plus $3.00 for eaeh
additional �1�000 or fraction thereof, to and
including $100,000.
$100,001.00 and up
$433.00 for the first $100,000 plus $2.50 for each
additional �1,000 or fraction thereof.
DRIVEWAY DEPRESSION ESCROiill
(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 construetion 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 onee it
has been constructed will be required before proceeding With the framing.
.•
��: �p •
! , QWF1�R.
Ex7ER10R EP�VELOPE AVERAGE "U" COMPUTATION
� /� • � > .
{ �Q;J`D a ��}��� /-�f?
, • ' ` Y \`'��'��• •�s'.A��� .
—�—.�_,
�'�• � SITE AODR�SS: � � • •
�'�: � . CONTRACTOR: ;C',,� . ''� i'�° �?�1:�. DATE : �.� �'.� PHONE : ��`'.7�' Z���
, �� ��
�� � . UETERMINE WORKI�JC SQUARE FOOTAGE OF EACH: •
�. .
. .
��: 1. TOTAL EXPOS�D WALL AREA
: . ........ ��� sq f t x ����� .11 %j��•�
.; . • "—� — ., _—�
,� . ' x. � TQTAL ROOF/CE I L 1 NC AREA. , ; . � , � . ; � �j Sq f t x "U" • 026 •
• ' � '����
,. �. _TOTA�. EXPOS�p 1rALL AREA CALCULATIONS:
i , . � ,
� '� �= ��- Total axposed wall �
are� above floo�,,,,,,�� �_' sq ft
:
' a) Total wall wi�dow area:
b)
, .
. . qlazed�..... �3 gy f � * 7i� (p�+
' L X uUn , � .
----. .. �._,_._�_
� glazcd...... • � sq ft x ����� . .
.
Total door area ,�,����.� � gq ft x"U" ���; �� ' . 2. .
,' . C) Tatal s11�inA �lass doo� a�ea: _ , . , �. +, . , , .
. -�'.t . . � , .
. � � � � glazed...... .�� sq ft x ����� , �' • � • �—
—._.__ .. -
"------� • �---- —r----�
., .. . qlazed _ ._ � . • ; '
. . . . . . ! _� sq f t x "U ' _1 . �
� . ------_..._,.
. di �- Total fireplace wall area � ' sq ft x"U" •�'�O
.
• 1t) Total wall framing area - �—
• . IAverage 10�) . . . . ... . .. . � sq ft x "U" � 49 Zi ��
. . �'
3.
i
;, -
i�
�•
f) Total nat wall area above �—
floo� (Insulated�....... ��� s ft x " " , �i
, u 3 - l�j,lo
g) Total rlm Joist area...... �� CJ% sq ft x"U" � �. . , �
�� ��
Tptal foundatdon � ���
area (Exposed).........� '�� sq ft •
h� Total foundatlon
. Nindow area ............. I� � sq ft x����� ,� •(p {�L,J
i) .Total net foundatlo� ¢, � `—r
araa above g�ade. . . . . . . . � v sq f t x "U" � 08�' . �.� �%
�
, TOTAL a) thru 1) • �� �?.
If ttem �3 is the same as. or tess tha� ttem �1� you have met the tntent of
S•A•C. Sectlon 600fi (c) 2.
►J
�, _
y .
,�. � G:' TOTAL, EXP�SED RQOF/C� I L 1 rIG cALCULAT I oris :
.... � . .. . . . _
��. :•,.
.�.: .. .. . , _.
�`. .
P� �
��� � �
.�: . .. . ..
'i, !
�-. . : • ' ' � •
'= 4.
i .
�•
Tota1 exposed ,�� � . ,
rooF/�ceil�ng area........ sq ft
.�
�� Total skyliaht erea.....�. � sq ft x"I1" •� � `�.
. -_
� k) Toarea�(Ave�aa�t��a�raminq ���; sQ Ft x "ll" ���. � � .���
+ � ! � — .___.�
•�... . s .
1) Total net lnsulated � -
..:,�;. �� �� . q �� „ D 2 Zi �.�, �:�'
�• •• roof/cetllnq area. ;.:...:____ .. s ft x U , 4 ,.
�-----�- _._
. . TOTAI. J ) �hru I 1 �?�
=. If total of gh Is the same as, or less than p:. you have met the intent of
� S.B.C. Section f+0A6 (c) 1. �
:.:
�
�. � . .
�:: , .
:, �
r- ^ .•;
;r . . .
a`. .._... , , -
. ?i ' • '
7;` � ,
t•
. ,
t
, ,�ALTE•RlIATE BU I Lp I �!C ENVELOPE �ES I C,N
To uttlize the total envelope system �ethod, the values established by the sum
. of ftems �3 and f14 shall not be greater than the sum of items N1 and �2.
� .. .. .• � ,� • �� I� � ! • I � �� � M S ��. � �.
:/. � ,
< ///111
./� ' , � �' • (�/ � '
� n . . . . � � �• ��� I 1 � � • � I / � V C � � ! � ��
�� ��_
. • l . . .r. .r�rr���
.'p.�! f. .. . .
i.
,.� . .. . � , . :
"s
;��� . � , � .
.i. - . . . . .
� ' .
� .
1
F
^ C E R T 1 F I r. A T 1 A N
: , . . ..
; � I hereby certify that I have calculated the "U" factors and "R"
values herein and that the buildinn here descrihed meets or exceeds the State
:.Af. �1in�esot,� Energy Co�servation Act. �
� . , .�... . _ ;� � . .
� . .
' . )
' . , i�nature
�� �������
. • ID---T--.__.
. � •
k�
1
�^ I `r '. .
�5� �
�
1
� -
RAMSVC sccri�ri: .
1 Incerlor F,�� �Iln► � n,f+A
?'� ' •�O ,�j�
� ��� ��hd5 SOf�C WOOf�+ �i.r
a �,�zs z e� ��i s►+�a-r�� �.�.'. o.�..
S � � i (o ' �
�i � Exte;rior al r Im n, 17
' � TOTAL R � p.
:,�� ' � � � �
, � ~ ��R � �.�92
. • . �
WA1LL SECTION (INSUI.A7E0) �
-----(I Inter.tor alr Fllm �,�,q
-------{z ' � ' � .
.
-.--c� � p :
---c a s.� ' ►,� t�.'s.,�1 '.
-=---( 5 , , �, .
----(i► Exterfor a r f i lm � �,17
, , , TO Al R' ■ ,��
. � � U� I/R• •D
RfM JOIST SECT��N: � �
--�--{1 Interior air fllm �,(,a
------(z ,�
---i 3 .
�----( 4 Z �
0
--� S :;r , � .6�
�----(h Exterior al r I lm n,�
' 7ATAL R � �+.'�
U � 1/R � ,G r
FOUMOATI01� SECTION: �, •� �
'--^--(1 Interior air ff Im - n.f,A�
-------lz —
---{3 ,1.1 ^ .� i.o � ��-
"""—��+ Exterf��r a r Ilm �.�;
� � �' �.TY�� �-�Z.�CL.
� Tn�rn� ii N 1?•la,
, . � '• 1/�t • . D`
SI.AR 01� GR/1D£
- . - . .� •
1 �' q + . . �• �• � v �
� •/ � � � � ,�• �'' •', � � 14'� � �, V
�.� � � , y � ��
d. .' •..
� , � • . , • �'' ��� � �1• � 1 �• • i �
S R
VENTED
CONSTRUC71��1
R V�L�lE ,
CEILINR SECTIO�J (I�JSULATED): �
1 Interio air film �,(�
2 � � � �
3 � t-A� n r,
4 E�xterior air film still) �.�1
TOTAL R = � q
U � 1/R = .�:��
CEILING FRAMING SECTION:
1 In erior air film
2 e-
� 3 " v
4 nterior air film
�4 ° , � i nches sof
n_6
. 5'
sti111 �.
TOTAL R m . ; �
U = 1/R �s,��O�S
CE i L I �u; SEr,T 1 o�i ( I �lSULATED) :
1' Interior air film t1.F1
2
3 r �.
4 f.xterior ai r fi lm sti 11 A. 1
- TOTAL R � �
� U � 1�R a. ;.
CEILINr, FRAMIPI� SECTIO�I:
1• I�nte�ior air fllm �,f+l
3 ._ . -
4 Exterior air f lm still �. 1
5 inches soft wood �' -
. � TOTAL R � �..
' U a lIR Q , .�
1 Inside air film n,�1
2
3
4
S Outside air film n,�7
TOTAL R a
U a �IR �
�
�`f
, ,.
• w ,�
� �
�
n � �
0
•
' � C
� � �
¢ w '
o � �
' o .^.
� � n
, `
� n 7
� y �
b 6 t
3 -� �
- o w
_ �
F f
� � �
' � �
a �
s ..
�- c
:. �
� '
a
r �
�
�
n
m
�:
M
CZ
(A M
N =
O �1
��
�o
��
s�
�
_
��
� .Z+
G�
��p
3
�
.,
H
N
0
0
0
�
�
�
�
:. N �
� s s
�e a �
� t �
b
0
.
<
�
�
�
0
F
> � g
o .°� �
<
~ i o
O � �
M � •
� �
� G
R � � �
�
�
�
m
s
r
0
•
Q
R
r
7
A
°s
H
r
M
O
o �
� �
0
n
s
� �
c
M
n
�
�
s
N H M
N
� o
�C�
C�
a � s � � '
� °: $ � «
a �- _
� O � �
� � w
w �
o � � ��
e n
a
z
� s Q e
o �
� �
$ i �
� M
� _
A � �
° = 2
A �
A �W
r �
� r � � a
4 6 S � � C
� � � �w �
~ � �
4 •
� ��
�
�
r
•
�
M A
a e�+
r
s o
M p
��
��
w
'� �
r
r
A
O
�
�
n
�
N
o � � N
s � a o
1 � D1 y
2 �! Q y
� O }�
w N �1
6 '' 8
n �
� � � �
� O I
� �
e
�
�
�
Ui
.
� �
�
r
�� O
N 4 d
�� R
.°� � o
ev r
O �w
� �'1
>� O
r d ~
os �
4 � �
00
N A
o �
�•
�
q
r
0
0
0
� c� c� m � �
i °oy: � h vn
� � ; � ry � y
O
�S'1 O � � ►�. ? �
o°�
a ,� r
� � O
� ��
� �g
A A A
; C ;
� O
3 a"
�.•
N N H N
r r� r N �
0 0 0 0 �
0 0 0 o t'
0 0 0 0
N N N H fA �
>
o r
O
r �
� �
p
� �
o � ° A ►�
� ••,•�
,^.a�� •�co
� = � °C s o �
7 7 .�I ^ �
67 � S ►��1�
.O A i w r
9 O w � �n.a. r
\ w n A d O 4�
.� A A � .�
4 s� d �
�° � �
�$o" � �
� � o < �
• � _ � a
�
(� V
1 ■ A r 0 ~C
4 6 w , � 7
� � m � 9 �
. � r � r I�
A
r.•- n °
� � d e • r
r►w rr �
7 �� "O Y.
r • w 7 �
•
� � � O
.� 7 ff w s
���� �
w
+!
�s � � �
r
�• � e�i O 6
�+
�j �
C � � �
L�:"s�� �
` M
T � O �
� A � � V
w
� � ���
�� �5
v �
V
0
0
$
�
A
m
Y
i
�
l'y'f
x
O
cr
f'�1
�
�
r
A
s
�
0
z
�
O
�o
0
z
T
�o
as�o
O N
2
O >Z
� v
O S
2 T
� �
< .c�'
3 O
N r
z c=i
o �
� T
< �
A
�^ s
N
�
0
_
.
�
m
�
�
�
�
a
>
�
�
z
�
2
O
�"1
-�
�
0
T
�
7C
O
r
r+�
�
�
�
�
<'
�
i
�
;
�
� SUBJECT PERMI .
City of Fridley � 820
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT N
� • COMMUNITY DEVELOPMENT DIV. ���
� �v __'�_.,
r � � PROFECTIVE INSPECTION SEC.
1 � �
� � /'�'1 � CITY HALL FRIDLE`1 55432 NUMBER REV. DATE PAGE OF APPROVED BY
1��"� � ,�� 612-580-3450
910-F15 7/26/78 � �
JOB ADDRESS 565 C'heri Lane N. }'.'�.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 9 ]_ Ml1YC1].X Park SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Robert Fisher 565 Cheri Lane
3 CONTRACTOR MAIL ADDHESS ZIP pHONE LICENSE NO.
Leo O. Sanders 7813 Jackson Street N.E. 786-2860
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO.
8 USE OF BUILDING
RL' S].CZEIl't18.�.
7 CLASS OF WORK
❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
S DESCRIBE WORK
Install dra.in ti.le
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WOHK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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 VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �lr 8OO $.�O
QOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PqOVISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION THE PERFORMA E OF CONSTF ION. � y��.2.QO
PLAN CHECK FEE TOTAL FEE
$12.90
IGNA7UREOFCONTRACT RoRA HoRiZEDAGEtvT IDATEI .WHEN PROPE LY VALIDATED THIS IS YOUR PERMIT
`1-����
SIGNATUREOF OWNERIIF OWNER BUILDERI � IDATEI BLDG iNSP �A7E
�
0
J
0
CITY OF 1=(ZIl)LCY .
�
APPLIC�TIOi� 1"Oft Rt�SIllt=NTI�L LUILDIh1u f'ER(�1ITS .
' (��L'W, �LTL"R/1T10(dS, �1L�ll1TI0(JS, O(2 REPAIRS)
� �. � .
. • ;, . ' . � � _
� � .
� ��C�
owra�R: 2.�� � nuzr.Ur•.�z: O � .�; �
kddres�: �1 ��: °� ��� l�ddre�s: � � � � �C ���
� .
Tel . Iao . �Q�� .— ,r' ��• �'
rio. � � 5treet: ��'(�!�� ( �.a` .
LOT: BLOCY.: � ADDITION : � � � / �C ��� �
COI:iJER L�JT: INSIDE LOT: SLTB2ICY.: SID�YARDS:
App�.ica'rat attach .'ta i:his fonn Tao Certiiicates of Survey of Lot and proposed
bui.lding locai:ion dra*r�n on these Certificates. •
To Iie Used As:
DESCRIPTION OF BUILDI�G
Front: Depth: � ' Height:
Square Feet:
Cubic Feet:
� I'xont: � Depth: � H�ight:
� Square Feet: Llibic Feet: '
Type of Construction: �i`' �,� �� d � Estimated Cost: $ ��D ��
xb Be Completed:
Alt. A Alt. B
Proposed Driveway Widfih It New O�ening Is Desirecl $ $
(SE� 12�VERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, aqreeing to do all ��ork in strict accnrdance �aith the City of
Fridle�► Ordinances and.rulings of the Department oi Euildings, and hereby
declares that all tlze facts and representations st-ated i�i i:his application
aze true and correct. See revcrse side �r aclditiona -ini'ozma ion.
Ul1TE: ��— ��'�� � SIGNATUP.E: � - �-� G `� _ CiG'
Stipulations :
i�-L�'�
.� q�j
� - 1 V°
., -
.,
BUILDI�JG PER��IIT FEt Si,NEDULE�
SECTION 2. The Inspector of Buildings 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 repairs to any exis ting building or structure, upon application
therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forih and in t17e manner herein provided to-wit: .
NEW CONSTRUCTION: Single Family Homes and Garages: $9.00/1,000 cubic feet.
PLAN CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
Alternate A: Reinoval and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x$14.50
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6�feet x$17.20
:11 � � � 1' � 1
For the purpose of computing fees for building permits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inches below the floor line of the basement or the cellar to the
average heights of the upper surface or to the average height of the roof surface
of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 gier each five hundred dollars ($500.00) or fraction thereof in the cost
of all prc+posed work.
In�no case shall the fee charged for any permit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge.
' � � � 1.1�� �l
NOTE: Permits for construction will be issued a minimtmn 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 been constructed will be required before proceeding with the framing.
_i ' � � ':l
Application for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a building permit has been issued; and
s�i.d structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
,�
�
� ,o
r
7o r t' C1 G] S = vl 2 7e A tr! 01 O '0 � r
'm„ � a d O or C �C a Y r o r G e �
� � m m r n e a►- n o m a n i
m Q m�o w� e s h c ,�
� � x v a� s M a a o w m Z
ti o 0 o c s o v�o m r �
� < K 7 R y M r p Of r� �. O M
d m m� m ti r � a ►. o� m,. ,�
; r n m ►t m 90 o m m �p r r G ,,,,
G y Oi m M 1+ m O O It rl x
ID 'i. G: R fl �. 7 d 9 �O R • �
� v m r m a r m m � m �
►� O r► �C < < p 7 M Z m �
� �' ro� n s� m m = m
v� r �f 'q � » �
8 K � b �0 ,,,�
C � r p k �
O ;O 7 Ir G y
O y o 0
M �
� v "�
m
n � e�• cn
n
n a ty+f =
„ , m
H G � � O C
O M O 4 ' �
H n Z
Y S Vf
r a
N N N N N N N N N N N N H N
ro w �
t� to r r
t7 O O t!� J V1 V1 N� V1 VI A F+ W yl �.,9„�
O O O O O O O O O O{J� t7� O �
0 0 0 0 0 0 0 0 0 0 0 0 0
�N N fn (n N N N N N N N N N N N N �
� o
-.�
� � . 1 e'
O (�
J
-�
b�
�_
� 3
'h
N R7
[=f
O "+J
3 �
:d �
[*� `C
aco c
i c�i
��
@7
�
1-�
H
N
�
N
F+
O
0
O
'q
� �
�1 M
r y
� �
�D
'0 �
M
� �
�
y � �° m
A
�� �
�: �
,�
g
p
� � �
r � e�n
� �(� �r
M�+ {I7 Mj
O y O
►+ /�y
C�' \� �3
b
M
m .. � �
�r � ? �� _
�
�
H
O
�
�
a i.r n� r Storiea
: �o �s a o. n
� � e
� Closets
z
� c
Uzinals
x °
�' S' serh �s
h
� � � Basina
o r
a � Sinks
; � Wash Trays
� ,°. Dzinkinq
,� Fountains
sho�ers
� � Floor Drai
5' Catch
1° 8asins
n
m Automatic
p' Washer
t
� Gas Appl.
Misc. Fixt
y y Gas Ranqe
a �o
r+ E
� ry Other
w a a
r � n
� ti
�
N Z
� o
� ro
c
�
�
rl _
� m Hf��
ma�� «r�d
�p .e M .� �o ti
n �wc �.°e�'
� t0 � fE �I �'1 K
� m�O f~o A Oi O
O� O �I "' u� F+ ►�
f�p � v. 1�0 O� C
h �� � r
�Ro� �
� � � � � �
o S � �
��"�
•� m�Too°'
h m M � �
G' R m w �
m ��-O n
.� raw d
",� M� R �
� � R �O r� O
S W A �
r- n
O :1 f�1 h
b a O a
' Q � O �
� o � m �
7 G� t
o n n o
N r S M
\` �a � N f► .T
Y f► � �S �
. � n n �
S r•
� 7 n � x
1 .� � ~ � �.
� m �
R
O
v
a
M
�
a
�
�
a
�
�
r
n
D
�
0
Z
�
0
�
'�
E �
030 �
2
� O
T
a
z
o �
c� --
D d
v� r
m
T �
�
-�
z
G'�
�
m
�
-�1
n
�
n
n
a
A
�
�
�
C
�
sue�ECr ERMIT .
City of Fridley 0 18 9 6 7
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
�
; � RECE .
COMMUNITY DEVELOPMENT DIV. `f
r � � � PROTECTIVE INSPECTION SEC. `� �� 7�
1 i �
� /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE Of APPROVED BY
�..__.Jl.' '-� 612-571-3450 9t0-F15 5/'28/87 / /
JOB ADDRESS 565 C",heri. Lane N, �.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 9 �. M11YY�1X ��Y'IC SHEET
2 PROPERTYOWNER MAILADORESS Z�P PHONE
Bob Fisher 565 Ch.er% Lane N, E.
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
Nedegaard Const�v.ction 1814 Noxtfidale B.lvd, , Coon R.a.pids, NIIJ 55433 ,
4 AFiCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENff_
757�-2�26 -
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residentia,].
7 CLASS OF WORK
❑ NEW �1 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 1Q � x 22 e Gaxa,ge �,,ddi:'�i:.an
9 CHAN(3E OF USE FROM TO
STIPULATIONS V�riance appxoved Qn Ma�y� 12 �' 1�87 tp reduce the side yalcd �rom 5' to
�-...
3. 33 t and front y�ard £�om 35 � to lb �'� ��ovide a fiard surfQCe drivet�zay. ,
�',:�;;
WAR�i���G
�e��re �igging c�it io� ��
S�p����`�,: �ERMITS REQUIRED FOR TE1EPi#fl�E.�,�;����,�
WIRING, HEATING, PL��lBING AND SI�NS. �������� �� ���`.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REQUIqED FOR ELECTRICAL. PLUMBING. HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PEHMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS. OR IF CONSTRUCTION
ON WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WOFiK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1. STALLS -4,� GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION >' URTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPUED $3 15� '! $],,• �jS
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT P ,•'
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- 444SO
STRU 10 OR THE PE FORMA OF CONSTRUCTION. $
�' n A�� PLAN CHECK FEE TOTAL FEE
Cp $46�08
SIGNATUREOFCONTRACTORORAUTHOR12EDAGENT IDATEI WHEN PROPERLY V IDATED THIS IS VOUR PERMIT
_ � 'a.J OC gJ
SiGNATURE OF OWNER�IF OWNER BUILDEfiI IDATEI BLDG iNSP 1l.TE
r.�
;:;,�
_
CtTYOF
FRIDLEY
• CIVIC CENTER • 6-331 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3�35p
�
APPEALS COD1�fISSION
ACI'IO\ TAI�'E\ NOTICE
On May 12. 1987 , the Fridley Appeals Commission officially approved
your request for variance requests, VAR #g7-16, by Robert Fisher, _
pursuant to Chapter �OS 07 03, D, 1, of the Fridlev Citv Code to redt��P
the required front yard setback fror� 35 feet to 16 feet• and. �ursuant to
Chapter 205 07 03, D, 2, B, of the Fridley Citv Code to reduce the sid�
yard setback between an accessory buildinv and side pro*�ertv 1_ine from '
5 feet to 3 33 feet, to allow an addition to an existin� garaQe, on Lot 9.
Block 1, Murdix Park Addition, the same being �565 Cheri Lane N.E., Fridley.
blinnesota, 55421,
�ith the folloking stipulation(s):
- NONE
If the Mork has not commenced kithin one (1) year after granting thi$ vaiiancc
then the �•ariance shall become null and void. •
I f you ha�•e an}� quest ions
Departr�ent �t 571-3�50.
rely,
�
Darrel Clark
Chief Building Official
regarding the above action, please cal] the Planning -
DC/ ln
Please re�ie� the noted stipulations, sign the statement belok and return one
cop}• to the City of Fridley Planning Department by Afay Z6, 1987.
�
I� , concur kith the action taken.
f _ ?
e
NEW [ ]
ADDN. [�
AL,TER. [ l
Construetion Address:
Legal Description:
Owner Name & Address:
t tor • ���Q
City of Fridleq
R-1 APD R-2
Building Permit Appliaation
..`�.� C�Prj �Qs�e
L�, � 9 ,� - /. �� 2 � sx �
�A�
.^---
� u �-�
�� �
C� � �S �'
Q�
Con rac . F
Address: � �f � �� ��� C�� �e C�c4d� �@ �?� /,�.�
LIVING AREA:
� GARAGE AREA:
DECB AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
e
DESCRIPTIOH OF IMPR00EMENT
Length Width Height
Length �� Width � �� Height �
Length Width Hgt/Ground
Effective 4/1/86
Tel. �
. �
Sq. Ft.
Sq. Ft. �a�
Sq. Ft. __
Corner Lot [] Inside Lot [] Ft. Yd. Setbaek Side Yard Setback
/e 1 � /QS
Type of Construction: l��v� �'� �l � Estimated Cost: $
bh-� ls`f �7
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Baek Page for Explanation
� �,�i�����
DATE:
�� � �r APPLICANT: Tel. �
CITY IISE ONLY •
Permit Fee $ '�{ ,�4 Fee Schedule on Reverse Side
Plan Check $ 25� of Building Permit Fee
State Sureharge $ %-�e $.50/$1,000 Valuation
SAC Charge $ $ 525 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
�� �� Agreement Necessary [] Not Neeessary L]
TOTAL $
STIPULATIONS:
E__. »
BUII.DING PERMIT FEE SCABDULE
The Chief Building Official shall, before issuing permits for the erection of any
building or structure, or for any add3tion to anq existing building or structure, or
for any alteration or repair to any existing building or structure, upoa applicatio n
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 9aluation
$1.00 to $500.00
$501.00 to $2,000.00
Feea
$10.00 (Minimum Fee is �15.00)
$10.00 for the first $500 plus $1.50 for each
additional $100 or fraetion thereof, to and ineluding
$2,000.
3
$2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
ineluding $25,000.
$25,001.00 to $50,000.00
�50,001.00 to $100,000.00
$100, 001. 00 ar►d up
$170.50 for the first
additional $1,000 or
ineluding $50,000.
$283.00 for the firat
additional $1,000 or
including $100,000.
$25,000 plus $4.50 for each
fraction thereof, to and
�50,000 plus $3.00 for eaeh
fraction thereof, to and
$�433.00 for the first $100,000 plus $2.50 for each
additional $1,000 or Praction thereof.
DRIVEHAY DEPRSSSION ESCR0T�1
(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 $15.75
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of
application to alloW for proper review of the proposed structure and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation onee it
has been aonstructed will be required before proeeeding with the framiag.
s : y
� � .� ��--- _
sus�ecr P , NO.
City of Fridley 2 8 � 8 8
, `�������� T"E �'"S gU ILDING PERMIT
R
� ; v __��_ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. ���
1 . �
� i �'�'1 � CITY MAIL FRIDLE� SS132 NUMBEF REV DATfi VAGE OF APVpOVEO BY
�-���� � �'' 612-571-3450 s�aF�S 12/30/98 / /
JOB ADDRESS 565 Cheri Lane NE
t LEGAL LOT NO. BLOCK TiiACT OR ADOITION SEE ATTACMED
oescA. g 1 Murdix Park SFIEET
2 PROPERTY OWNER MAIL ADORES$ ZIP PMONE
Robert Fisher
3 CONTRACTOR MAIL ADORESS 21P PHONE IICENSE NO
Master Remodelin Inc. 32 lOth Ave S Ho kins -
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADOFiESS ZIP PMONE LICENSE NO
8 USE OF BUILDING
Residential
7 CIASS OF WORK
O NEW O ADDITION ❑ ALTERATIpN � REPAIR O MOVE O REMOVE
B DESCRIBE WOFK
Reroof house and ara e 32 S T ar- ff• a s n• Gara e door
9 CHANOE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
inspection
Call for building wrap/before covering.
TYP�OFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REOUIRED FOIi ELECTFICAL, PLUMBING, MEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOIO IF WOfiK OR CONSTRUCTION ZONING S�. FT CU FT
AUTHOFiIZEO IS NOT COMMENCED WITNIN 60 DAYS. Op IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERI00 OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNI7S OFFSTFEET PARKING
1 MEREBY CEfiTIFV THAT I HAVE READ AND ExAMIN�O THIS APPLICATION STA�LS GARAGES
AND KNOW THE SAME TO BE TAUE AND CORRECT. ALL PROVISIONS OF LAWS yAI.UATION SURTAX
ANO OROINANCES GOVERNING THIS TVPE Of WQRK WILL QE COMPLIEO
WITH WHE7MEp SPECIFIEO HEREIN Oli NOT. THE GRANTING OF A PERMIT $5292 �Z. GS
DOES NOT PRESUME TO GIVE AUTHOfiITV TO VIOLATE OR CAMCEI TNE pEqMIT FEE SAC CNARGE
PROVISIONS OF ANY OTHEFi STATE OR IOCAL LAW REGULATING CON-
STRUCTION OR THE PERFOfiMANCE Of CONSTRUCTION �112.2.5 Fire .5�: $.5.29
PLAN CNECK fEE TOTAL FEE
License SC 5.00 125.19
S�GNATUpE OF CON'AACTOQ Op AUTMOpIZED oGENT iOaiE� WNEN PFOPERIV VALIOATED THIS IS VOUR PEAMIT
S�GN47U�7E O� OWNEp��� ON�NEA BUILDEp� IDAfE� e�Q( �NS� - ����t
NEW
ADDN
ALTER
�l
[l
[l
ConstructionAddress:
� �� -�.�
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUII.,DING PERMIT APPLICATION
�6 J� C fi�E2 �� G �Rn/ � , �,ei PJL E `'/ . ✓i'! n/
Effective 1 / 1 /97
Legal Description: /J / �.- �
-� � r
r-�+-�.- —�—rj�'r
Owner Name & Address: ly1RS7�ER ���,,� s�� e Tel. �# �57� —y.zs�$
3� Te�h A�� So�h MN LICENSE �#
Contractor: �o� �■�..�,� ��.,,
Address:
L1YING AREA:
GARAGE AREA:
1
Attach to this applicafion, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
Length Width Height
Length Width Height
Tel. #
Sq. Ft.
Sq. Ft.
DECK AR�A: Length Width Hgt/Ground Sq. Ft.
o�R: �s� = � ���• ��
/GN�%a..�'/' S�'tXfw9 NGw`4Qi.rw9e oQoo-/' �I�°�. "rl ° �r�J/s�C
Construction 'Type: �e��-� � �F ��%vv� Estimated Cost: $ � �'C7 �� � 92� `'`J
�
� • (Fee Schedule on Back)
Driveway G�.rb �ut Width Needed: Ft. + 6 Ft = Ft x$
=$
DATE: 02- �i APPLICANT: Tel. #� 70�-" ���%
. �
Permit Fee
Fire �urcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
j rZ. Z 5 c� usE o�vi.Y
$ Fee Schedule on Reverse Side
$ 3 �% � .001 of Permit �alua�on (1/1(Nh%)
$ , �� �� $.50/$1,000 Valuation
$
$ �. CS C�
$
$
$
$
$950 per �AC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ]. Not Necessary [ ]
_ -- �
TOTAL $ /�� � %. �
, ,.
- ,_. ,_,.
t>..
STIPULATIONS:
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or struc.ture, or for
any addition to any existing building or strudure,� or for any alteration or repair to any e�sting building or
sttucture, upon application therefore, require the payme� by the applicant for such permit of fees to the amount
herein belo�v set fortti and in the manner heisein provided to-wit:
$1
$501
TOTAL VALUE . �� � .
-°y.v,,�.,.�.+�N`- .
to $5� $21 (Minimum F� i�� _ ``s��h ''' e)
� �`�'�� � � y
to $2,�0 $21 for first $500 pl� �.�`c����additional $1� or
fraction thereof, to and including $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$62.25 for fu�st $2,0� plus $12.50 for each additional $1,�
or fraction thereof, to and includin$ $25,000 __- __-- -
$349.75 for.first $25,�0 plus $9.i?0 for each additional $1,�0
or fraction thereof, to and including $50,000
$574.75 for first $SO,OQO plus $6.25 €or each additional
$1,� or fraction thereof, to and including $1p0;000
•'- �'` --.
$100,001 to $SOU,000 : $887.25,for:first $100,000 plus $5.00 for each additional-.� � :
$1,D00 or. fraction thereof,_to and including.$S�,OOQ. .;
- . - 1- ,
$500,001 to $1,000;(�0 . .� $2887.25 for the fust-$5�,� plus $4:25 for each addllxonal -
_ . ,. . _ ,,
..M �C .� .. ..... . � � '-. l��,i
. . _ __,. _�_._. _ '. _$1,OQO or fiaction tliereof, �to and mcluciw'g $1`,(�?0,�0
_ '
_ _ � �, _ . _ � �
. - . __ ._:
. ... .. . _<. _.:,_ ��. _. _ _ ,,
_ ._ . .
$1,OD0,001 and up � $5012.25 for the first $1,0�,� plus $2:75 for each addittonal .
$1,OD0 or fraction thereof: �
DR�VEWAY DEPRESSION :ESCROW � ,
-- - --- -- _- - -
- -- - - (Concrete C��rb Streets On�y)
. ;�: , .
Alternate "A": Removal and replaccment of curb and gutEer only = Driveway�widtti plus b 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 $15 _75.
VERIFICATION�OF FOUNDATION -
Permits for construction will be issued a minimum, of 24. hours from the time of application to a11ow for proper
review of tiie proposed structure and of the co�ction site. _ �
�A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with ihe frarning_
i
�
�
Bui1 'ng
Tns�e tions
763-5 -3604
7G3-5 -49?7 AX
na� 1� I
From: 6516331549 Page: 2/5 Date: 2/12/20101:11:36 PM
BU�LD�1G
��IYIENTIAL APFLICA
CYTY OF FRIDLEX
��FECTIYE 1•1-2fii0
_ xouzt �-�nn nnnaESS rn ha t l,
5A"�li A.�7A�SS 5��'te r� lll� k E'Y' �O� �e M
'�'�#.iS A.1"� c�var �s: o ow� �yGi,bN1RAC70R
PROP O �R/ rrnl►�:___ E► b 94r �'1'►ot r� '�' h r'
N.A�IV'i' annr.ESS:�S � r � �t�$ ���.
� 1P,�0�: fr ��'7�. "�1�1i�'
YO[,�kt
�c
DESG�E
S�iNG
o vtny�
� A�Iba1n
iba
� Othex
OR FOR IV
OPEDIING
e9� COPX F STATE LICEIVSE #-�O b.�� b� 3
�'� L�i SE
�ca aF nAn�ss: ���d �Sfi s �
�N� �tI NE
iTY � G AA6w,. CONS�7,RU4"�Ob1
Pian Revie�v
�iure Surc}�e
�� �
I�icense Su�c��e
5AC Cbt
Cu�$ Cut E
Etvsiom Co trol
�ark k'ee
Sewer N� Chaige
�
� b�ere6y a ly for e
confarmaq� with the
permit but nly an �
aFP�� p� ua the <
SIGNA� F APPLIC.
o �vo F crnvs�vc�iox s�ro�
o AAT�1P�7lON ❑ GAIL4Gk75kf}iA ' r�
l] BASfiMENT FINISH O ROQ,F O
❑ DECK 0 SIDWG O
❑ SW1MM1�►G �'OQ�.
G NEW HOME CON$�UC'�'�[ON � ADDITlON
I7 MA�VT&NAMCF�/R.6PA� L'iTtEM�DELING
d HOUSE ONLY
O �Ot19E & fiARAtiE
O A'ITA,C�E.b GARAGE
❑ AE�'ACHED GARAGE
�7�
���� �vo.�
N �teceived By: �
T��F1tl71.�•r�. \_ � �
�,
rrdf
��
-•� i- lo
r�s I-� �•�•3
L Existiagk'lacr,Plan
2. Pmpaaed itoox pina
3. J.iat o� sauct�ual membe,s to bc us
rr�w c�oNS�ucriorr nvcLVn�v�
OSoffit ITtoNS. � PoxcyFS suslanT•
p T�, 1. Site Pl�u/Surny slawing the e
G Faseia � P� P�J�
� 2. Two �ets of �on pl�s
E7X�s DN+o WC,ATION OF WW1]OWS G.( ( t�S t rr � o� s 3, �Y Celo�tlatiior�s
n���� S� � F�3� $—�ROVaIE U-VALIJE A
ACTU� S�CICFR ON WIlVi1pw,
',INSTALLkP �'tl''1Gt�'S��aNU� ROF�WJNAOW3 �
tI% EASE,b dN VALUA,�YON, INCi,UD�TG '1�iE COS�' O�' R D�1.A,'I'ERI�►IS:
(US�1TG 7`HE 1597 U.�.0 k�E BCHEDULE)
'�ON S �. �o $• � OCCU�,t#,N Y �'XPE
� '�� See Be�ck Page ��ee Schedu e
$ 65% of Huilding �e�uit Fee
$ A�,�, �� .001 times the totai job valuati
� �'�9� .0005 x Permit Va�uation u�aoE .50
� � $S.QO (5tate �.iae�ased Resid at Co ctors)
� $2I00 ger SAC Uniit (Plans to C far detenooivaation)
$ ft+6�{� �} $22 $
� $450 Co�tservation P�� �evic
� F� Dete,�ined by E�eerisn
� A,�reemen8 neces�,�rY i ) Ni�al �1eGe
$ ��� �. i Make r�eelcs bte to: C" oF F �II () Attuch S' ul�tYo
T�S x3 AN APPLICA'�ON F4R A P��1'�'•�'OT vAL� [7N'Iy pRpG gD
«Idiin� �mit �nd I ackpowledge tlise the infornaa�tipn above is vim�l and accut�e; tYeat tT�e work ��71 6e '
xiin�ces en�d codes of the City of Fttdley and with th� �iAnesota o� 'on Codes; tha# I unders�td is no a
ica�ion fbr a pe�m,it and wo�� is not to sm,�tt witbout a pe�nmi�t�on s• th tbte work will be it► accatd8pc wit& e
a o�Fa11 work wh' h�ec1v��� r�'vi �aud �rov�l o�plsmg.
T �"�` �r t�,�4,ma� li'� llssa /Ea �� bArE �' / e'� -�o a