AF - 37468sus�ecr PER .
City of Fridley 1340�
, ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RE IPT NO. -
�
� ; L __�� COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. ` /r �
� i . «
(` /"�l � CITY HALL FRIDLEY 55432 NUMBER REV. OATE PAGE OF APP OVED BV
`•"'� ♦ ,�� 612-580-3450
910-F15 3/15/76 � �
JOB ADDRESS 581 Cheri �.IlE3 N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. % �. M1TCC�7.X Pdr�S SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Sunrise Construction Corp. 3106 - 61st Avenue North,Mpls.
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE N0.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
R0S1dEri'tld�.
7 CLASS OF WORK
�] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Construct a 42'S" x 26' Dwelling and a 20' x 24' Ga.rage
8 CHANGE OF USE FROM TO
STIPULATIONS
Enlarge bedroom window next to ba.thrpom. (Mini�nimm openable dimension
must be 22 inches1 I�ocate garage min�mum 3 feet from side yard prope�ty line
and 25 feet from front property line. Provide a hard surface driveway. Proeide
a verifying sur.vey before capping. Provide sod i.n the front and side yaxds.
SEWER LO�ATION: (Approx. 17' Deep) 155' East of Manhole (Inv. 883.00)
WYE ELEV: 883.65
TOP OF FOOTING: 888.15 Min�mum
WATER LOCATION: 13' West of Sewer Service, 175' East of Hydrant
The City of Fridley does not guarantee the accuracy of utility locations and
elevations. This data is for informat.i.on purposes only and persons using it
should verify the information on the site.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOCZ Fl^3IILC
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUCTION ZONING S0. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 1 1].O9 -1- �$O 22 �.BO '�' 4S O
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION l 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 $33 � 93O ° �-6.97
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUC OR THE P ORMANCE OF CONSTRUCTION. � $49.91 $350.00
� PLAN CHECKFEE TOTALFEE
`'g.. � $416.88
SI TUREOFCON7a O RAU7H0 DAGENT IDaTEI WHEN PROPEfiLY VA IDATED THIS IS YOUR PERMIT
4
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SIGNATUREOFOWNERUFO �NEFBUILDE IDATEI BLDG WSP DATE <=.,
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APpLICATION FUr RLSII�?iivTIAL, ALTERATION,
UR AllliITION ;3UILliING PF:P.NIIT
CITY OF FRIDI,EY, MINNESOTA
OSJNER ` S�I.AME :, S�waise �o�Sz. �os�,. BUILDrR.: Sa^�E
ADllRESS : ' 006- (o / j4 l�c w/ IMPtS. ADDItESS :
NO : S� I ��'�'�FE-� _.�;�_�� � A�1 E I�l G a
LOT ; B��?CK :�,� ADDITION : M lJl2'Q l X�i4 f�, (�
C���,��2 �,Cm; INSIDE L01':_,�S SETBACK: SIDEYL�RD:
Applicaat attach to �his `��n ��o Ce�,tificates oi Surve_Y or Lot and proposed
buil3ing l.ocation drak�n on �hese Ce�t�.ficates.
I)ESCT.IPTI0�1 OF BUILDING
To I3� Lised As �
•/ �
%�ES�O�n1TIA�. ��';GOn.�:_1'Z8 72gtht Z�o riel.�;;.,.i:: ---.-
�..�. /009 2� i�� � 3
w�;ua�e Feei:: ' a� � Cubic Feet: � ,
_.__�
Fron� m �2..� Dapth :_ �`� H�ight : / l�
Squa?ce �eet; / �� Cubic Eeet : z _�� � ,�
2'Y�c of Consi:rv.c�:ion: �2AME Fstireatecl Cost: $-�r�'o"
To Be �ompi�t4d: �
uNE � 9�4� �3 � 93�"-0�
The undexsi�ned r�c:reby ma.kes ap��lic�.tinn f�r a permi.t for �he worlc herein
specs.fied, a�;x:eeir.g fio d4 all F7oxk .i.r► sf-�i�ct accoxda.nce with the Ciicy uf
F�iciley Ord:ixia�.�ces and ��ul�r.,c�,s c� ti��: :.�e��xtment oi Tiuildin�s, �,nc3 }.iea-4by
d�cla.aes tha� aI1 �.1���� �ac..Ls �.xzd x�p:r°sentations stated in this app].icat9.on
are true �nd c�rxect,
.
PA'�E: ��� SIi.I1A'ri.TltE:
(�c.e Yi4ze;:s� vic�e For �ddit�.onal Tr►�ot:nation.) ' �`�''
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BUILDING PERMIT FEE SCHEllULE
SECTION 2. The Inspector ot Buildi.ngs sha11, before issuing permi.ts for th�
erection of any building or structure, or for any addition to any existi�ig
building or structure, or for any alteration or repairs to any existing
building ur structure, upcn applicalion thexefore, require the paymenL- by the
applicant for such permit of fees to the amount herein below set €orth and in
the ma.nner herein provided to-wit:
UIVIFORM BUILDING CODE; �pe 1, 2& 4-$2.15 for each one thousand cu�ic
feet, or fxaction thereof, in such cubical contents. �pe 3& 5-$1.85 for
each one �:housand cubic feet.
ADDITIONAL INFORDiATION
For the purpose of computing fees for building permits, the cubical contents
of any building or aduition, is determined Uy multiplying the ground area
covexed fxom a point six (6) inches below the floor line of the basement
or �he cellar to the average heights of the upper surface or to the a.verage��
•height of the roof surface of the main gable of a pitched xoof.
For repairs or alterations to a.n existing structure, iche fee sha11 be at the
rate of 43.00 per each fi�;e hundred dollars ($500.00) or fractioii thereof in
�ize c�st r�f a�l plagc�an wa;:k.
Tn no ca�e shall the fee charged for any permit as set foxth in Section 2 be
less than $5.00.
VERIFICATIOlVT OP FOUNDATION
NOTE: Permits for construction will. be 3.ssued a minimum of 2G• hour� from th.e
tisne of application, to allo�a for proper review of the proposed structuxe and
of the construction site.
�`� Ce1 Li�iecl S<<rve,y of �lie ioi, sliow;.i�� ie�a lucation o� ti�� :�usnc:a�iun, once iL
has been constructed, caill be required before proceedia�� �aith th.e �xasnia�.
CERTIFICATE OF OCCUPANCY
Appl.icatio�, for a �ertificate of Occupancy sl�all b� tnt�.de teri (10) duS�s prio�
ta the use or occupanc;* of any structure for which a build9.ng permit has been
issued; and said structure shall not be used or occupied until a Cezti�icate
af Oceupancy has been issueda
P
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CALVIN H. HEDLIIND
t,�nd Suw�ya � Civll E�Irnu
surv� ar`s �'�r�t� �cate
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d878 Owrtook L�Ice Cirel•
Blopminptorl. Mtnn�ts G543?
esa•aoeo
,o s �.
suRVEr FOp, Art Fr�tag
DES+CRIdl�D AS� Lat 7, Blac� 1 s MtTRDIX pAf�K A���Ti�JI�, C�.t,, c�f �'rid7.��, Anoka
Cour�t�, �'I�. �nd ��s�rvi�ng �h� d���.nage �n� u��ili�� e�sem�nt�
�� shawn on '�he r�����'d pla� th�reof.
~ �dc,.�c� �� �2 t�-�;��: � 75.a
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tF9� Ciflf OF P�IDL�1( DOES NOT
t9
�ecu�,eY o� u�n�mr �oc,�noNs
1't�13 �ATA IS FOR IPIFOiiMMAATION PU
PERSONS USING IT SHOULD VEWf1f
ON THE SITE
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_��IPORTANT—
NOTIFY TH� FRIDLEY ENGR.
DIWSION REG1�lRDING CUR�
R pT�DR VE�IAY OP NI GSNT,
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�fare dig�ing ca1� local utili�i+��
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('BRTII�'ICATE OF SURV�Y /pO.oc7
I hereby certi�y that on FE� f5r ��7� I surveped the property described above
and that the abo�►e plac i� a correct representation of s+�id survey.
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TM� �I'I� �P fRiDLEV DOES MOT GIdARAI�lT�E 'Bt�E
�iCCU�4�Y �� lDY1ll�'4( LOCATIOPdS ARdD ELEV�Y6�E�IS.
T6�fIS DAiA IS P�C� IPIFORMAiION PIJE'.POS�S �idL� �,:
P�RSOh1S USIIdG IT SWOULD VERlFY THE 8�9�QRMA�;�
o�y tH� SITE
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C A LV I N H. H E D LU N D 4818 Ovnlook Lake Gi►ele
l�nd Surveyor � Girfl E�In�a
Bt�minpton, Minn�sote 65437
888•2080
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�irrve ar � G'ertl �cate
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SuRVE�r rOk� ArL �retag �oe No.
oESCR�dED �S: L,at 7, Blc�ck 1, ML�T�. �`'AR� A��I�TTI�;�, �].t,� c,� �'ridle�, An�tca
Count�, 1�`Pr. �nc� rf�:�e,?�a�ng �h� dra�,r�a�� anc� utilit3� e�s�mer�ts
�c� shrwn Qri the ���c�;�r'd pl�t tYaer�c�i'.
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GER'rIIrICA1'E OF SURVEY /Oo,00
I hereby certify Chat on F�� f�,� �`l76 I survey�d the property described above
and th�►t the sbove plat ia a correct repreientation of said survey.
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Caivin H. Hedlund, Minn. Reg. No. 5942
1 r� �j / � ��Lp���J �� w p cf 73Y'� A � R.J /� ��" � I���S$ Q�
i� r Y �°� /7 O V cS C„
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Z .� �-XY"We� o r�AS
�� ����� n XTERIOR ENVE�E AVERP►GE "U"_COMPUTATION `
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OWNER
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SITE ADDRESS SS � �NEIe. / L AI 11%�
CONTRACTOR �?.w,.:.�. Co+..,� � DATE o'L �a1.�-� PHONE �toD - �%V -�
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Determine working square footage of�each. .� A
. � � 2 2 . �-�, ��190. �� _
1, Total exposed� wal l area .. e. o �'.�K�� sq. ft. � x U.17 = / S•.�
�/ / 2�, � �
2. Total roof/cei l i ng area o. e. o o �°- sq . ft o x �. 05 = y�S. s' S6.25
Total exposed wall area above floor = .. ._.
y�AS�i S�i�.
a. Total wall windou� areae.4oaoeoe,00.o.°000�ee.��.F qo.3� �
.��' �
b. Total door area o����oosez�eaoose,e ao�o.�� � ��.37.�7 ���
.,. .
c. Tota1 sl.iding.glass door area e.ee.oeo...000...... ��.� �: �.=:
d..Total fireplace wa�l area.....ae. . ..°oo..,..,.
e. Total wall framing area (aver�ge 10�)...e..e.....o ����y r� �p%����
f. Total net wal l area above f�oor° ..... e e.� o.....�.— q/, � ii� 81�1. � L
g. Tofiat rim joi st�area e., o 0 og;;� 4.°� :.,. o,.,
....... � �r��.�
Total exposed foundation area =� I 3'7
•
h. TotaT foundatier� windoum areae e. q.0 3eZSc� P e e e�..... � t3,
i. 7oa1 net foundation area above gr°ade e....00e.... _ �Zq,
Determine "U'° value of'each wall segment.
y �����
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h. �� X ����� �� �
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3 ............................o...o....Tota1
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��° 7 54
� 58.16
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= a?�a� , 0 8' l 9 d.BZ.
If item #3 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2. � �
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Total exposed roof/ceiling area = ,��°' //,25,
jo Total skylight area... ...... . ...o... ..
k. Total roof/ceiling framing area�(average 10�)... //,Z,S
1. Total net insulated roof/ceiling area...e....... �/ 9, p s� �;�,�
. Determine "U" value for each roof/ceil.ing segment.
�. X ��u�� _
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:1. A°0� X��U�� � 0 3 Z.oaL _�� . dZ/ 42.Sz5 .
4 .. . .. . . . . . . . . . . . . . . . . . e . . . . . . .Total = . z �i'j.�,�5�
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1. - -.
. �lternate Building Envelope Design
Tfl utilize the tota} envelope system meti�od, the values established by the
sum of i tems #3 and #4� s__�,hal l: �n�t be greater than the sum of i tems #1 and #2 .�����
�:= �- ,
1. 1 190. �4 + 2, � —��;��� '
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•` WALI� $ECTIONS
1�:�TE: t3se 10�a of opaque wall area for
fxame constructi_on
FIG. # 1
FRAriE c�AT T,
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�SLAB ON GRADE
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EIG. #3
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�onstruction R.-Value
1. Interior air film b.68
. —
2• 5H£�-r Rnc.M. O. 4 5
3� Z7�4"Ste�►p �SoFT ktoop� 4. 35
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8431 URi1VE6iSITY r4VE{VUE PI.E., FRIDLEY, PAIPIPJESOTA 55432
TELEPHORIE (612)571-3450
.Ms. Caroline Baldenow
Gentz-Fretag Realty
3106-61st Avenue North
Minneapolis, Mn.
Re: Final Inspection at 581 Cheri Lane N.E.
Dear Ms. Boldenow:
A,final inspection was made of the above property on Septemher 7, 1976 and
it was noted that the sod has not been provided in the front and side yards
as stipulated on the building permit. This will have to be completed
before the building pennit can be finaled out. We will expect this work
to be completed by October 20, 1976.
If you have any questions on this matter, or if the sod cannot be
installed by this time, please contact me.
Sincerely,
RON HOLDEN
Building Inspection Officer
RH/mh
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SUBJECT P E
City of Fridley _ 17 3 � 0
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
f
i � NO.
� ; v _ COMMUNITY DEVELOPMENT DIV.
j � � PROTECTIVE INSPECTION SEC. /�� I% 3
I , , /
i
� /"'1 � CITY HALL FRIDIEV 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�----� • •�� 612-571-3450 910-F15 10/20/83 � �
JOB ADDRESS SS�. C�.1P.1^]. L0S1@ N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. % 1 Murdix Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
David Van Havermaet 581 Chexi Lane N.E. 572-9266
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION l� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Finish basement axea.
8 CHANGE OF USE FROM TO
STI PU LATIONS
SEP�R�T� �£�R�iiT� �������� ��� I�fl��.��
�fE�4TIfV�, PL�1�1�9�� �N� �IGNS�
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTII.ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. 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 �S`I,� OOO ��` .�jO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �`].%. SO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECKFEE TOTALFEE
y4`�.8. �0
si �E o� COrv RA OR OR U" ORIZED AGENT ���D�� ��= WHEN PROPERLY VALID�D THIS IS Y� R� M��
SIGNATURE OF O ER �I O BUILDERi IDA EI BLDG iNSP n/' E
CiTY Or FItIDLCY
. Effective Auq. l, 1981
fiPPLICATIa� fOlt �CSIOL'i��T1/0I. I3UlLDli�G P�Fi�iITS
(I�chi, Alterations. Additions. or Repairs)
OF;NER: � �;� �� ret_�i,-�i�✓ta e f ,[3UILDER: �l � � �
AD�RESS: � �r� e'���, ' �� /� ADa'tCSS:
TEL k0: ,i 7� -�01 � G TEL I10:
Construction location
�
STTtTST A10 : s`� / STJiEF.T. ���°� , � v( � � .
L07': 7 BLO(9C: �,�� ADAITION: //'/<�r� � r�
Corncr Lot: Insicic Lot: Setback: Sideyazds:
Ap�licant attach to tl�is form ta.ro Certificates of Svrvcy of lot and
p_opo�ed building location dr�wn on certificates to scale.
��y7����� �� DESCRIPTIO�� OF CO���ST�:UCT10t�
����-±%�e�(,� Front: Depth: Height:
Squarc teet: Qibic Fcet:
Front: Depth: Heigl�t:
Sguare Fe�t: Gtibic Feet: _
. �
'.1�pe of Cor..tzuction: .�,��5� �/�se�P� � sc,%r �%/'zstimated Cost: S��v�
Zb Be Obr.�pleted:
Propes�d Drivc��ay tiidth If New Opening Zs Desired:
0
9
Alt. A Alt. 8
S S
S�� PEVF:R;� SIDE OF S}IEET
Ziie unc]eYSianed hereb;� mal:�� applic�ticn foz a per�it fcz the �:ozk he:ein specified,
agreein3 to c� .all �ork ir� strict accordance �ith the Ci�y of Pridley Orcii»ances eiid
ruli»�� of tl�e Delk�rtme��t of Duiiciincs. and hereby declares that all tl�e fact� and
rcpresc� t,.itiens statcd sn this applic.atio re true an co� ct.
D.�TE: /G�� �� sicarnZVrs: � �
Stii�ulations :
� /,� � �?
��
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e
, • _ �„ -- -
Tbe Chief Building Ofticial aball� before iasuing permits for t6e erection
ot any building or atructure� or for any addition to any ezisting building
or atructure or for any alteratioa or repairs to aay ezisting Duilding or
atructure� upon application therefore� require the payment by the
applicaat tor auch pe�it of fees to the amount herein belov aet torLb aad
ln tbe manaer berein provided to-irit:
totnl Valuation
=1.00 to =500.00
=501 to =2�000.00
=2�001 to =25,000
Fee�
;10.00 (hinimum �15.00)
;10.00 for t6e firat =500 plus a1.50
for each additioaal a100 or fraction
thereof� to and including �2�000
=32•50 for the first �2,000 plus �6.00
tor each additional �1�000 or fracLion
thereof� Lo aad including �25,000
;25,001 to =50�000 =170.50 for the firat �25 � 000 plus
=�•50 for each additional �1.000 or
fraction thereof� to and including
=50.000
�50,001 to =100,000 =283.00 Por the first �50�000 plus
=3.00 for each additional �1,000 or
fraction thereof� to and including
=100�000
=100,001 and up =433.00 for the first �100,000 plus
=2•50 for each additional �1�000 or
. fraction thereof
Plan Check: 25 percent of building permit fee.
Drivevay Depression Escrov: Concrete curb atreets only.
Alternate ■A": Removal and replacemeat of eurb and gutter only -
DriveWay vidth plus 6 feet times =13.50
Alternate "B": Removal and replacement of curD and gutter and
install a 3 foot vide approach vith 6 inch depth - Drive�+ay ridth
plus 6 feet times =15.75
.. . ..
Permita for construction vill De issued a minimum of 24 bours from the
time of application to allov for proper review of the proposed structure
snd of tbe construction aite.
A Certificate of Survey of the lot, shoving tbe 2ocation of the toundation
oace it has been constructed vill be required before oroceedina with the
framiag.
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sue�ecr PERMIT N .
c�ty of Fridley -
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
� �
� � •
� • COMMUNITY DEVELOPMENT DIV. � ���
' Ly �-���-�
f � � PROTECTIVE INSPECTION SEC.
1 i �
� /'�'1 � CITY HALL FRIDLEr 85432 NUMBER AEV. DATE PAGE OP APPROVED BV
�'""� � ,'' 612-571-3a6o et aFt 5 / /
5/12/94
J08 ADDRESS
581 Cheri L ne
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ] 1 Murdix Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Frank/Raren Danielson 581 Cheri Lane NE 571-7150
3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO.
D& B Home Improvements 1568 Ballant tte Lane NE� 5543 - 77
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAtL ADDRESS Z�P PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION � ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (23 Squares) Tear-off
9 CHANOEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST. OCCUPANCY(3ROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REQUIHED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OFi ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF I.AWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK Will BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1 � 7ZS .$F)
DOES NO PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIO S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
TRUCTI N OR T F MANCE OP CONSTRUCTION. ��FI..00 Fire
PLAN CHECK FEE TOTAL FEE
� � �� C �. '� � � License SC 5.00
SIGNATURE OF CONT TOR OR AUTNORI2ED AG N� �o E� WH N PROP VALIDATED THIS IS YOUR PERMIT
SiGNATURE OF OWNER UF OWNER BUILDERI �DATE� _ r �LDG INSP nATE
NEVv
ADDN
AL1'ER
[]
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[l
CITY 4F FRIDLEY
SINGLE FAMII.Y AND �DUPLEXES R-1 AND R-2
Building Permit Applicattion
Constcvction Address: ��'
Legal I�riptioa:
Owner Name $c Add�ress:
Conaractor: � ) �
A�res.s: �
/ � �rr'� r
����`"��`
._--
�' � l_ ,�Lr ,�!`)r
' � � U� �
��
S
Effe�tive 5/26/93
�i��,�
Tel. � � - 7/.S o
NIN LICENSE �i 7773
Tel. # ��
At�ch to this application, a Getificate of Suivey of the
lot, with the proposed cons�tion drawn on it to scale.
DESCRIPTION OF IlIRPROVEMENT
LIVING ARSA: Length Width Height
GARAGE AREA: Length Wickh Height
DECK AREA: Length Width HgtlGround
OTHER:
Corner Lot [ l �nside Lot [] Ft Yd Set�ack
Type o€ Constivction:
,Approx. Complerion Date: `� � � �
Driveway Curb Cut Width Needed:
DATE: � / 3 �
�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Sarcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ �� G��'
� 1- �,3
� �� �
$
� �- �`�
$
$
$
$
� ` c�", �9
F�
L� �--
Sq. Ft
Sq. F�
Sq. Ft.
�,?;S�
Side Yard S�ks.
F.stimated Cost: �-�--2 �--�7°— / J�S �,Z�
(Cast. on Back)
6 Ft = Ft x $
M. ' � .�1_ .
F� Schedule on Reverse Side
.001 of Permit Valuation (i!1(1th`Yo)
�.so�$i,000 v�au�r��
$750 per SAC Unit
$5.00 (State Licensed Resideatial Contractors)
Al� "A" or Alt. "B" Ai�re
Conservation Plan Review $450.00
Fee DeGermined by Engiaeexing
Agreement Nec�ssary { j Nat N�ry [)
STIPULATIONS:
.. � : .
�
��
Tel. # �� �'�� .
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure,
or for azry addition to any exis�ing building or structure, or for any alteration or repair to any e�sting
building or sh�ucture, upon application therefore, require the payinent by the applicant for such permit
of fees to the amount herein below set forth and in �e manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,0�
$25;001 to $50,000 - .
$50,001 to $100,000
$100,001 to $500,0(�
$5�,001 to $1,000,000 .
$1�,OOU,001 and up
FEES
$15 (Minimum Fee is $15 plus svrcharge)
$15 for first $S00 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$45 for first $2,000 plus $9 for each additional $1;000
or fraction thereof, to and including $25,000 -
$252 for first� $25,000 p1�as $6.50 �or each additioual $1,000
or fraction thereof, to. and idcluding $50,000
$414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fia�tion ��eof, �o and including $100,000
$639.50 for first $100,000 plus $3.50 for each additional �
$1,000 or fraction thereof, to and including �$500,000
$2039.50 for the first $500,000 plus $3 for each additionai
$1,OQ0 or fraction thereof, to and iacluding $1,000,000
$3539.50 for the fust $1,OQ0,000 plus $2 for each additional
$1,000 or fraction �thereof -
DRIVEWAY DEPRESSION ESCROW
(Coacrete Ctirb Streets OnIY)
Altemate "A" : Removal and repla,cemem 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 iach 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 l�ation of the foundation once it has it has been
constructed will be required before pr�.ing with the framing.
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ZO�ZO'� 800'oN 8�:t�t S6`6Z daS L8�1-IZS-Zt9 :�31 � J,3�QI21� �0 AlI�
Building
Inspections
763-572-3604
763-502-4977 FAX
DATE � �7 '�
SITE ADDRESS �
THIS APPLICANT IS:
■ • I�L '
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 1-1-08
�t
YOUR E-MAIL ADDRESS
Permit No.
Received By:
-Date��: �
/� � C��YI
PROPERTY OWNER/ NAME: � �1 r� S'�'fi ��Zr C�. � r1 p-�-
TENANT qpDRESS: �� � l GI P✓✓1 L h° CITY f" °"� � L� STA��I ZIP
�
PHONE:
CONTRACTOR ,4nDRESS: ��� i'n �' I S I f f S�`�" CrrY Y�p7ac�- �C�l STAT�°��Zrn SS3 7�
SUBMIT A COPY OF PHONE �L� �-�' 3 s-/ Gc � Fa,x %(e 3� ���-/cc�7
YOUR STATE LICENSE STATE LICENSE # � � > �J �� �'fr" EXP DATE v� �� � � �
PROPERTY TYPE L�INGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE � �DITION
0 BASEMENT FINISH
❑ DECK
TYPE OF WORK:
DESCRIBE WORK BEING
❑ NEW HOME CONSTRUCI'ION
0 MAINTENANCE/REPAIIt
.. �'1� J�o��
ROQFING
NUIvIBER OF SQUARES 2Z
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
� Vinyl
❑ Aluminum
❑ Other
WINDOWS
IN EXISI7NG OPENINGS ❑Yes ❑No
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
❑ GARAGE/SHED ❑ WINDOWS
�ROOF , ❑ DRAIN TILE
❑ SIDING � OTHER
❑ SWA�IIvIWG POOL
❑ ADDITION
❑ REMODELMG
❑ HOUSE ONLY
�I HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
Ff
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
OSoffit ADDITIONS. & PORCFiES SUBMIT:
❑ Trim 1. Site Plan/Survey showing the existing structures
❑ Fascia and proposed project.
2. Two sets of conswction plans
3. Energy Calculations
LOCATION OF WINDOWS
NUMBER OF
ALL FEES ARE BASED ON VALUATTON, INCLUDING THE COST OF LABOR AND MATERIALS:
S�SING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ �O,d+ OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surchazge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
Total Due
$ '
$ �
$ .
$ �
$
$
$
$
$
$ i�e� ��
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1825 per SAC Unit (Plans to MWCC for determination)
ft+6ii= ftx$2] _$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMTT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes
of the City of Fridley and with the Minnesota Construction Codes; that I understand 's is not a permit but only an application for a pern►it and work is not to start without a
permit on site; that the work will be in accordance with the roved p, iu� e case II work which requires review and approval of plans. r
SIGNATURE OF APPLICANT � _ RINT NAME J����� ����5�"� DATE � �-L��
_ � ,
• • � : ��ii��,/.,1/.i�i, "� � _
Page 2- Building Residential Application
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or
structure, or for any addition to any existing building or structure, or for any alteration or repair
to any existing building or structure, upon application therefore, require the payment by the
applicant for such permit of fees to the aznount herein below set forth and in the manner herein
provided to-wit:
VERIFICATION OF FOUNDATION
Permits for construction will be issued a m�inimum of 24 hours from the time of application to
allow for proper review of proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432 '
763-572-3604
Fag: 763-502-4977