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AF - 37570land Planning su'[vu/�[�n 6875 Highway No.64 N.E. Lond Surveying �Z /� • /�p/� •�/y _l�y% /+ Minneapolis� Soils Testing � n/Ziy��C'G�"l��,I�y) V�L� Minn. 55432 Civft Engineerir�g �� U Telephone 784-6066 Municipal Engineering Engiaeere & Surveyors • a�eo Code 614 Mortgage Loan Survey for � I C!-� �� J. ��'at�/ai ;` S � � T L �� s _� 9�� /�� T. � p�,, �.l Vd1 �- ��,.�¢. i � 73 �S C�'� .�"�/ .� _ .� a� �' ��E�� ► � � �� i� v� � h� � � � � f�,, .� - �col�: � 0'� ;�' �Q� � �l.�O�.l�, � � , ��IC�'I�I�C _��`� , ��)a�o COU�s� •• This is a true ond correct representction of a aurvey of fhe boundories of the land abova described ond of the •, location of all buildiegs� if anr� ihereon� and atl vi.sible encroachmeefs� if any� from or on said land. This survey ia made only in connecfion wifh o mortgage loon now being placed on fhe.prdpertr and no liabiliiy is asaumed eacept to fhe holder of such' mo'rtgage oF anr ofher interest acquired by the reason of such mprtgage. If is understood and ogreed�o rl�onur+�a,,nis have been I eed for fhe purpoae of estoblishing lot lines or boundary • corners. Dafed this ��` day of �'�lLIY A.D. 19� , , •• SUBURBAN ENGINEERING, INC. •y ' , ' Engineen � S e rs /� . . , . � � � by��^ VC-6'°" �� `C_. �...- „ 4� � � � L' � � � � W �. y � r �� : o : � • M a � o � L : , � : � ' � � i � i�n �rt � � y� o � ,� � � F� � � � q� � e�e � � � �i z � � x � � �t �' w 7C 8 � �� C n � � � � c� " � � � � �Ma�m�°��e� s ��a�� : �C c ' ° � � ao n b �, � ' � : ' : � �o o $ � � m . . . p0 � ; c�. � tA � , . : Q � _ . . � v . .� . 00 :w` : . . � : : : : �. . . . . . . :�. : . . . . : : : ~ � x z 0 0 � x o� M� x ae x � �a � 0�1 O � O � O � � � p � M M N tH M d! tA i M w N H �-1 � O C" ` l� � � � O w j � � � y � � � • D � 1'D- � -Di � � n m C r T �.. ■, � " ■■■■, �i , j ■�� ■��■ � � �� : ��1 �—�.�.. H � � � z � � a � p A 'd, E. � == a � � `� w � g � x o � o Q r O N � � � �; � � � o ; ,, �f � � fly. a y M � a � � . � . � M WATER o,o�s uau�u►�s � �� S�� wwv� ra►rs DRINK. FQYNT. � �� u� !1►SINS �uTo wwsna � � � � c�s OPEN�NGS w • i • G1 �n > a �� . a � a �� M � G � � � a � M � � �. � � �� a �' � � $, ° � �� v, � m°�Q b �� m; � � M O A M F"� �' � m � � , .� �� " �� S r � 7 m .. n I ( 3�� 6 a0 �� p � °~ pi � � � N 1 � � � �o � � � � �. � � � �, p�� S m t� � � S. � � � � � � s Caty of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT <. � -_ _ . i ��: August 4, 1972 Michael Abrams Style-Rite Buildera Owae�c: Bwllder �� 688 Sighway � 100 Ad�� 4517 Minnetonka B1vd. LOCATIOiV OF BUILDING No 688 st�t �ighway �100 p� of �� Loi t , glock 1 Addii3on or Sub-Division Murdix Park Corner Lot X Inside Lot 8ewer Elevaticsn Setback ._._�. Sideyard � Foundation IIevation DESCRIPTION OF BUILDING To be vsed as: Res ide ��.� �p� FIeight ._.._ Sq. F't. .._._ Cu. F'k Front Depth Hei�ht Sq. F� Cu. Ft ��q�luminum trim �� $1, 000.00 To be Completed August 15, 1972 Caulk the butt ends In consideration oP the issuance to ane of a permit to construci the building described above, I agree to do � proposed work in accordance with the desCript3on above set in compliance with all provisiona oE Ort7inancea oP the dty of Fridley. � .5 n e�..,.'' ��° Sur..H araA In considerat3on of #he payment of a fee of $ 6.00 ��t � hereby gra.nted toStyle-Rite Builders to construct the build3ng or addition as described above. This germit is granted upoII the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereo% shall conform. in all respecta •to the ordinances oi FiYdley, Minnesota regarding location, construction, alt@ration, maintenance, repair and moving of builtving� �th�� city ]imits and this permit may be revoked at any time upon violatioa of any oE tl�e provisions of Said �5�� NOTICE: This permit does nof eover the eonafruefion, installaHoa foe wlrmg, plumbing, gas heaHng, aewer or water, Be wee to ses t6e Building Inspector for separate permits for fheae item�. ��. $; `_ � AP.PLICATION POR RESIDENTIAL, ��T�RATION, OR AllllITION BUILD�NG ��jiN�IT CITY OF FRIDI.EY, MINN�SOTA OWNF�A�S �TAMEt ��4I.�C Ifiz g-�- N�;�/�1�7 .� BUILDER: S��/L/� —/I (//� 0� �� 1^ 1 � s s s ! 4 �D�ss: �� - -� l a � ��5: �i� � � l�� 1��'��4� � � s��r. �f r �i Ff �/�r- �/ % � i� �TO . . . � I,OT ; BLOCK : ADDITION t (.� �� /� � . ee6e�.�e � � � CORNER LOT: �' INSIDE LOT• SETBACR: SIDEXd1R�o � Applicant attach to thie form ltao Certificates of Survey of Lot and pxopA�e+d buildiag location drawa on these Certificates. HESCRIPTION OF BUILDING To �e Used As: , Front: Depth• Height: Square Feats Cubic Feet: ' Front: Depth: Height: Square Feet; Cubic Feet: '1�►pe qf Constructioa: ��-�-�—� ,�-,�-� Estimsted Coet: G� �� b"� � To Be Complated: / � " The undersigaed hereby malcea applicativn for a pes�it for ti�e _wp7�1� ��7c�� pecif�,ed, agreeing to do all work in et*ict accordance witii, the C�ty �� F�id].a� 0ldiasmces and rulinga of the Department of Buildings, sud �e��by d�+�laxes that all the facte aad represeatations etated in thie ap��.�,��,91p� a�re t�cue aad correct. • % � SIGNATURE v� c�-� �� • .`.. e e i� i !ieee (3e� Rever�e Side For AdditioaaY Information.) � . �.7� � / � L/G2.e;�1�/ �'�-� �O � _� � �, " _ �� , � a 0 $UILDING PERMIT FEE SCHEDULE SEC�ON 2. The Inspector of Buildings shall, before issuing permits f4x thg ezection of any building or structure, or for any addition to any existin� buildiag or atructure, or for any alteration or repairs ta any e�c�stiag build�ng or structure, upon application therefore, require the payme�� by �h� �pplicant for such permit of fees to the amount herein below set fo�th a�d iA the manner herein pravidad to-wit: TTNj�ORM BUILDING CODE: T�►pe 1, 2& 4-$2.15 for each one thousand cub�,c ��, or fraction thereof, ia such cubical contents. 1�►pe 3� 5-$�.85 fQr each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for buildiag permita, the cubical contents of aay building or additioa, ie determined by multiplying the ground area codered fsom a point six (6) inches below the floor line of the basement or the ce118r to the average heights of the upper surface or to the average� height of the roof surface of the msin gable of a pitched roof. For repaire or alterations to an existing etructure, the fee shall be at the rate of $3.00 per e$ch five hundred dollars ($500.00) or fractioa thereof in the cost of all proposed work. Ia, no case shall the fee charged for any permit as set forth in Secti,a� 2�e less than $5.00. VE�RIFICATION OF FOUNDATION 1�1pT�; Permits for eonstruction will be isaued a miaimum of 24 hours fra�p th�i �i.me of applicatioa, to allow for proper review of the proposed structuTe atid af the construction eite. �► Ce7ctified Survey of the lot, ehowiag the location of the fouadat�,p��, q�� haa been constructed, will be required befo�e proceedinA with the f�c�am�a�* CERTIFICATE OF OCCUPANCY Applicatioa for a Certificate.of Occupaacy ahall be made ten (10) days ��C1�� c� the use or occupancy of any structure for which a building permiC has b�sA issued; and eaid structure ehall not be used or occupied until a Certi�icaX� o� Occupancy has been isaued. � ` 4{ � SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � � ; L __�_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 = � � �"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE �""'�'� ``� 812-580-3450 910-F15 6/ JOB ADDRESS 688 Highway #100 N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. �- �. . MllrC�].X P3Y'It 2 PROPERTY OWNER r MAIL ADDRESS Patricia �� 688 Highway #65 N.E. 3 CONTRACTOR MAILADDRESS SaIII@ 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS I PAGE OF 4 � � G� 125'76 �/�� APPROVED BV SEE ATTACHED SHEET ZIP PHONE ZIP PHONE LICENSE NO. ZIP PHONE LICENSE NO. 21P PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK [� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 24' Garage 9 CHANGEQFUSEFROM TO STIPULATIONS Provide a haxd surface driveway. SEPERATE PERMITS REQutRE� FOR YVIRING, HE�ATl�6G, PLUM�ING AND S1GNS• SEPARATE PERMITS ARE FiEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOd FY'3IRe THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION R 1 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE QF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S3�O52•HO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO OR THE PERFOfiMANCE OF CONSTRUCTION. � $�-�..00 PLAN CHECK FEE � o . y y" SIGNAT REOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPE `" � J r� - SIGNATURE OF OWNER IIF OWNER BUILDERI fDATEI BLOG INSP 576 STALLS ROUP OCCUPANCYLOAD CU. FT. � 5760 OFFSTREET PARKING IGARAGES SURTAX 1. 52 12. 52 ^ IS YOUR � / f �' fi f \ � .�� / / � i / AP.PLICATION FOR RESIDENTIAL, ALTERATION, OR ADllITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : ^ 2!Q/y� y BUILDER : ��¢�.ry, � ADDRES S: Cp �j� - G��,�,r/ C� %/,t_'�' - ADDRES S: NO • . �o ��j STREET ° LOTt / BLOCK: / ADDITIONo CORNER LOT: � INSIDE LOT: SETBACK: � � SIDEYARD° Applicant attach to this form Tcao Certificates of Survey of Lot and proposed building location drawn on these Certificates. ^ DESCRIPTION OF BUILDING To Be Used As : ��f�� Front: � o2'Y�� Depth: o�`�� Height: �� Square Feet : � � �, Cubic Feet : � � � (� Front: Depth: Height: Square Feet; Cubic Feet: �pe of Constxuction: �C�Q� �ie� /{'j � , Esti.mated Cost:�S � / � O %/ To Be Completed: , �` o� � � � The undexsigned hereby ma.kes app�icativn for a permit for the work herein specified, agreeing to do a11 woxk in st�ict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated i.n this application are true and correct. � - DATE : �I � - S IGNATURE : �O_�i�,/o� . .�� .��U.��oi (See Reverse Side For Additional Information.) . Il �� / �� F� ;:��. ^rs ,I` ��'� .. � �s_ ' _�� . /-�r�. 0 O� , ; BUILDING PERMIT FEE SCHEDULE 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 stxucture, or for any alteration or repairs to any existing building.or structure, upon application therefore, require the payment by the app.licant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit; UNIFORM BUILDING CODE: Z�►pe 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. �pe 3& 5-$1.85 �or each one thousand cubic fee�. � ADDITIONAL INFORMATION . 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 �bx the cellar to the average heights of the upper surface or �o the aVerage:- �height of the xoof surface of the main gable of a pitched roof. For.repairs or alterations to an e�isting structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. Tn no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00e VERIFICATIOIV OF POUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from th.e ti.me of application, to a11oT,t for proper review of the proposed stxucture and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has be�n constructed, wi11 be required befoxe proceeding with the framing. CERTIFICATE OF OCCUPANCY � 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 said structure shall not be used or occup3.ed until a Certificate ° of Occupancy has been issued. �� . , ' ' • I BOARD OF APPEALS --^ Laed Planning CJu�aGG�G�%2 ITEM #1 .E. 1,� F lond Surveying • �f So,�s r@s�,R ��iyie�i�z��-.- , 8 J Minn. 55432 Civ(1 Engirreeri�rg Telephone 784-6066 Municipol E�irteering � Engineers & 3urveynrs Ateo Code 61Z Mortgage Loa,n Survey .�or � 1C I-�%� �.. J. �t31�/JM S �� • � � //V �. } ob' � , �r 1 � N i ----Z= �� ;! ;,64. / - i� �' 10.7 �� '�.� "n �f's 12.A� 4.0! P �' S?O{Z Y � uw � ��?1C I{ � .,,.�.� - �' � N * �CB� N .; �or 3a•I � � � r �:1f, �l ��., �. e �,.�` ,� a e�+�� : � � \ b 0 - ,�_ _ ---� 73 �S c�'� �/ �� . {, x � � it ��,�� I� � � � � � � � � � � � � Is�� .� ��a��: � d'p 3A' � .. < , . 1_._O-� �I ��c��. � � . i��( �i r�t� i Sc _ �� f��ok� C�ou�� This ia a true and correct representotion of a survey oi the bonndor'red of the land pbove described and o} the locofion of oll 6uildings� if arqr� fhereon� and all vidible encroachments� if any� from or on said Iend. This survey is made aniy ie connection with a tnorfgage loon now being placed en the prcperfy ahd no liabilitr is ossumed ''' ' except to the holder of euch mortgage or any other interest acquired by the reoson o1 sutb mortgoge. It is 1 underatood and aereed�o monu� ,n�s hove Iteen 1 ced �for the purpose ot establishing lot lines or boundary cornera, Oaled thiy :1 ` day ;of . f�U.\Y A. D. 19� � > ' . � • Sl�BURBAN ENGINEERING, INC. Enb nee s � ��yy _e_y��- L:''sZ/3 , . , . � : y� �� . �_,. - � ,„ . ,` ah i+ ., . f `1 e e . � � �� ,�1�� , � . c� . . . ............._ � • ANOI:A COUNTY • 6431 UNIVERSITY AVENUC N[ September 2, 1975 Ffi1DLEY, MINN[S�Ta :i�43� . ' � . . . ' � . Minneapolis Post Ofi'ice Departmenti � ' . • . , � ' Superintendent oi T)elivexy � • � . , 1st & �iarquet�e Aveiiue � • ' � Iii.nneapolis, MinnesnL-a 55402 . ,- , _ Re: Change ot Addxess- Effective'oct. 1, 1975 � ' City of Fridley • Gentlemen: . . i�e axe listing the follo�aing change of addxess in the City of Fra.dley; • ' ' � NAME : Mrs . P�. Abrams � ' p � - ' -� . - � ' - �x�Opq: 6�8 Highway #.100 N.E.' • ' , , �p; 691�Cheri Larie N.E. ' • . '_ L�G�L„DTSCRIPTxON• �t 1, Block l, Murdix Park � We l�av� noti�ied �he occupan� of this 'cl�ange and �ae would appxeci.ate . � i.t very much ii ��ou taould change your xecords accordingly. . , � . Sincerely, � � � . � . ' __ � " - . . .1, • • . • � AArS.I�L G . CL111:i: � ' , , � Community Derelopment Adm. ' DGC /snh . . , . ' CC: Ci.ty Water 13i11inb Dcpt. • ' ' • �CiCy Assessing Depax�.ment ` , • l�iinnc.lpolis Gas •Coropany - Bxoolclyn Paxk Of�ic�e ' � Naxtherii Stares 1'owcr GOlil��llj/ . � . ' Noxl:lit�esLern ]3e11 TelePhonc � ' . ' � �3.ty Votcrs .l:egistxati.on . • liomeor�ner ' . . . . . . • . . . . E . � • � , . • � . � . � � • � . _ . .. . - — .-�� 6 . . - , • � . � � . . 560-3450 . r.�, � - ' . . . �4�� ' ��? �-� . , , . • '". .':1. �; ��r ��~ , a • gp /� / � ^pq�[ � � /� • • , �� .�il:�ir _�'yS �./i��C'' � ✓ N ��QS� • ,�•= a �'•, � _ j � � • . � :�_t�,�:ii:��,�J�f� i . ' �' • _. � �� • . ' ' � r ` ' �h 3 ' ' ANOKA • COUNTY , - � �. �:-� , � , • i y,Y..- ;:�� J t' ��; �_�': . 6431 UNIYERSITY AV[NUE NE. septemYier 2, 1975 FRIDLEY, MINNESOTA 55421 , II t:;; • . . . .. E� � . �t u~ � � . . . � • � • Mrs. P. Abrams • �- � � 688 Highway #100 N.E. • � . � . Fridley, Mn. 55421 � . . � � Re: Change of House Numbers . ' � . , •Effective October 1, 1975' . Dear N1rs . Abrams : , � � ,. _ It has been necessary for this ofiice�to change the address of your .house . � � ' FR024 688 Highway #100 N.E. Tp 691 Cheri Lane N.E. ' � . LEGAL DESCP.IPTIOIQ �t 1, BlOCk l, Murdix Park . �-, � We have notified the Pdst Office Department, Minneapolis Gas . Company,•Norihern States Power Cor,.►pany,•Northwestern Bell Telepl7one `� .. Company and various departments in City hall�of ihis change.. . ' ' • �� Sincerely, . , `_--x-g1 � , � � DARREL G. CLAF.1� • � ' ' � � , Cor,imunity Development Adm. � • � ' � � DGC/mh . • . � . . � • . , . . ` , . , . . . . ;, . _ • . :t � �• . . SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � � �� COMMUNITY DEVELOPMENT DIV. ' VL ��-� r � � PROTECTIVE INSPECTION SEC. 1 . i � _ ��"� � CITY HALL FRIDLE� 55432 NUMBER RE� �"""�'� �'� 612-571-3450 910-F15 JOB ADDRESS 691 Cheri Lane NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION oesca. 1 1 Murdix Park 2 PROPERTY OWNER MAIL ADDRESS Tom Jorrissen 691 Cheri Lane 3 CONTRACTOR MAILADDRESS Maverick Construction 11227 River Road NF. x, 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS 8 USE OF BUILDING Res iden ti al OATE PAGE OP 12/20/93 / / ZIP ZI P �2267 �\' BY SEE ATTACHED SHEET PNONE PHONE LICENSE NO. 49s,�4oi PHONE LICENSE NO. PHONE LICENSE NO. 7 CLASS OF WORK ❑ NEW � AODITION ❑ ALTERATION OX REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Fire Repair 9 CHANOEQFUSEFROM STIPULATIONS See notations on plari. TO TYPE OF SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATIN(3, VENTILATING OR AIF CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT OCCUPANCY ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALlS ANO KNOW THE SAME TO BE 7RUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING TH18 TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT $28 � 8OO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 2.78• OQ STRUCTION O E PERFOR OF CONSTRUCTION. $ e� PLAN CHECK FEE A \.�i,,, �i��/ ��' �/ License SC $5. 00 OF �SN i PACTOR OR AUTMORIZED AG�f ��ATE� � .�..�.,.��o.�cnwucowiwncai iDATE� �� ='T �UP OCCUPANCY�OAD CU. FT. FFSTREET PARKING IGARAGES LFiTAX $14,40 AC CHARGE Fire SC $28.80 OTAL FEE $32b.20 i THIS IS YOUR PERMIT , �� f1A7E NEW ADDN AI,TER [l [l [l CiTY OF FRtDLEY SINGLE FAMILY AND �DUPLEXES It 1 AND R-2 Building Permit Application Consbruction Address: � � � � �'l � �� l ��,� Legal Description: Uwner Name & Address: � a j�l �� o Coatractor: i_ �i "� LNING AREA: Leatgth Effe�tive 5/26/93 � �� Tel. � �{�/ S"� MN LICENSE # o 0 0`J � ��.—� ��'� L�� li� ,I ��s��;�ar��- � ;��?�1�� Attach to this application, a Certificate of SUrvey of the lot, with the prc�posed coastruct� drawn on it to s�ale. DESCRIPTION OF II1�ROVEMENT Width GARAGE AREA: Length Width DECK AREA: Leng#h Width OTHER: I� L��. � � � � `Q � � Corner Lot j� Inside Lot [] Ft Yd Seiback Type of Constcucdon: Approx. Completion Date: Height Height HgtlGrcwnd Sq. Ft �. Ft Sq. Ft. Side Yard Setbacks F.stimated Cast: $ � � (Cost an Back) Driveway (�ub Cut Widt6 Needed: Ft. + 6 Ft = Ft x$ _� O ' C'�p I NT- , Tel. # ��C�� DATE: A PL CA . 6 Permit F� Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Maia Charge TOTAL ' S� r,�� K- � � ��J � �� 0 � i �/ � $ $ `�. —a $ $ $ $ � �/��2.� y.. _M. ' � � – - F� Schalule on Reverse Side .001 of Permit Valuatioa (1/i(�h%) $.50!$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Reside�ial Contractors) Alt. 'A" or Alt. "B° Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Necessary [ ] Not Nece�ary [ ] STIPULATIOI�IS: � , � , �, BUILDING PERMIT FEE SCHEDULE The Chief Buildiag Official shall, before issuing pemuts for the erection of any building or structure, or for any addition to any existing building or structure, or for au3► alteration or repair to any existing building or st�v�h�re, upon application therefore, require the pay�nent by the applicant for such permit of fee.s to the amount herein below set forth and 'u► the manner herein provided to-wit: ^ TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $?.5,001 to $50,000 . $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 . $1�,OOQ,001 and up �x� $15 (Minimum Fee is $15 plus surcharge) $15 for fust $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for �ch additional $1;000 or fraction thereof, to and including $25,000 $252 for first $25,000 p�es $(.50 far each additional $1,000 or fracbion thereof, to. and including $50,000 $414.50 for first $SO,OOQ plus $4..50 for each additional $1,000 or fraction thereof, to aad including $lOQ,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction ther�f, to and including $500,000 $2039.50 for the first $500,00p pias $3 for each additional $1,000 or fraction thereof, to and including $1,�0,000 $3539.SU for the first $1,0OO,OD4 plus $2 for each additional $1,000 or fractioa �thereof � DRIVEWAY DEPRESSION ESCROW (Concrete Curb Stre�ts Only) Alternaf.e "A": Removal and replaceme� of curb and gutter only - Driveway width plus 6 feet times $13.50. Alterna.te °B": Removal and replacement of curb and gut#er and install a 3 foot wide. approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the dme of application to allow for proper review of the proposed structure and of the construction site. A Certifica.te of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proce�ding with the freming. � , I � I � i � � � i I� I �� i ; � , � _ i I � � i j-- -- n—;---�--r— i- I�- �- i � � � � I � � � � � � i : � � i.— � � � � : ' , I ' � � ^� � � : _ . � I�� p ��; ��' 4 �� , � � , � , w � � o , � � ; � � � i V __I � � �. � �, ' � °v i � �� I I �� , f ' � � �� .. , ; � ' � �� ` �C...1--\�. � � �q � I , �� I ._._� -' \� \. i J 'I ` � C � `\� I � j '�"� ' , i � j I . . �� .__._'�° ; : � � �� ' ; � � � _ �,� . .�. 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' ( � � � � � � ° �' '� ' � 5 ' i'� � q �y,, ' •' - � � - - - ?•� ! i 1 Ir � 3 �� ; � • : V'`I` 'S � � �- � --- . . _ . . � � � � � i ; � � � ' ' .- d�c . � }' y � �. _ . ._ � � i ; =; e� � � � � � �+ � I � ? 3 ~ , I , � o i I � � � 4�� ( � � � � � I � � �+ w _ � � , i I j N . � A � � �.rj1.4 i � i i �N�.1► � � i � a 'r :�+`�--� i I I . rs ,, I i I ; i; , �� ; G; f . , , , ; � � , . , � , , , . ,. ' .��' � , � C�N�`il�l.:JC�`''IC�I'�I CC�IVI�ANY , 11227 �tiver koad Id.L. � Hanover,lV[N 55341 �$us. 498-7401 bec 14, 1993 � J` Tom end Jo�hid� . �7orisserl � . 691 Ch�ri La�i� � Fr�.aiey, � �t �:'�54z1 � , ' . � 1 �li`I � � R�►f �r�nCe s `�'� , . — -��„__ �'t� DI'�MAGE �� ;1t��Ib�NGE ` • �°. , � � , �7C%A1��1tt�I� � t�$ ( 2'�' g2�'' �7.r � �� ) . .. Shd��.' � �uppc5ict � ' Re�fib�i8 . & r�p��c� 22@2x6x16 rtlftere fttlmt�� &�`�p1�� 1$0 SQ 3/4 decking . it��►dv�9 ��' re�]�l�ce 2� LF 2x4 kneewall boub�� up 6@��C1ox12 floo� joi�ts R��it��t� � r'ep�;,�Ce 3/4 flooz, d��king S��ldbl��t li�ht �te�no��i & r�p],�Ce �heetrock �+�11�; & c��.ling ; .. Ha�l�spre� wal�`�� & ceii�ng� :�; : Ft�mdve & r' Lp�:f�� insulati�itl � � ��11g & ��13:lirtg � � ':� '� I it�ii�bV� & �'ep�:'�� in�u].�titiri ;: f loor ; � $tiCk�p��y op�i floo� �rloui�.�.�b � tt�i�ov'� � k� rep�,` '�� Z 4icZ 9 a��.�ldet� C�� 'Windo+� .� ,, µ� , ; 1.' b , .��3,�ii�h t�3.nclo �� 2 �ide� �°'ar�� ` �t��nntY� , & � ��ep��►�� ' 48�t48�g�� window �, �'��rtt� � ii�gder,�r�� tedo �tit��Ct�. ` , . � . ' C�ee , �'3.�ido�t :� 6 . .., . � �fni�� arirtdo�� 2 sia�g : , �t�mo�� & re��;`�ce p�n�l w�]:1g:. ltemo�v� & � r�p�;��e �ove , & �t�itn�. � P�irne c�ilit�t� - � �'`�4 '�� , �- ��. , �.. , . - P�fnt ��ili�i ��y''�� . }..: ... • RBihOi/E� 6� �� 1�C8 2�t4 t��.i�it�: f�rim�� & �iri��i railing �:^ , � � �tamov� c��tp��'�.. p�d ; %; � ' � � � �u�ni�h° ��r�� ( $leA� '' .�, ` .. Furnigh ��d �� i/ 5A, 7 a��+a i 1 : Ii��t�ll ��p� � � pad '. ,, � `� s` '� , � S�L ,�LLGTittC�' , �.� ''. , �,�;: + s , , , . . ; -,,.. :_��. . ,. 0 5� a .�k; . �1:. 1 ' � i�• �� j�,� �1. . S�!t j:. ,� . ,. ' . ;' �� i. ;; i; . . ;,r �EL � HEATING ";; ��• � �;�� 7CPA1�il��ON CL��L� y' R2 � � ( � . .�: . Rentdv� & rep�,��e closet f�Ain3ng � � RAmov� & rep�gc� aheetro�k , ' 'We11� & ��il.�ng �, ' 1i �t�mo�Ve & replec� pan�ling I �'tit�ti�h � in�tall cove & t�'im i pr�m� ag11s ��` 1� Pgiht �►g11s Q�J 11 Ftlrti3gh � ind.ttlll rod & �h�1f Rert1C►+�� & rep��Ce carpet S�E EXPI�NSION Ul SEL �LLC`�1��C�i, , ' . ,i . , , �, � , . BXPA1Q�t01� �L�88T ( 9' B3' ) ; � � ltbnlri�tA & �ep�:�ce �heetrdCk " ar�11� � ��31ing . , „ 1S . �ri�ne w�iis (�� Ceiling , lt p�int taellg �i`: ceiling 1S ft��iov� & Y��p ;Ace shelf & rod : ..�t�md�v� & r�p��e 2-8 ddor�, ;.:� , � � `, �urhi�h�� 3n :��ii P��s�g�,,,;�� . �'�,riig� �loo�' � �� : ��;: �; tt�mov�(� � r�yp `f�C� carpet �� : ��, � �xi�l�rts ioN v� '17Lr! rJ�.�Ir1�i�iV� . �a�'�'1+�{♦'A•t;: . , • �, 't . '- 6 4 � w1� r�� g��1�t�r�i�'� .��►Or�' � i� � �� ixl�?�� ' , ' i '� �t�mdv� : & 9r�p�� wa11� p�tl��.`ihq � 26 it��tt�v� `& r'��]��e t�'im � t�t�v�;�. �� ,' 5 � Cl��h � t��11� :�t,'� C�ilirig ';,U `" r a. ` 31 S��i ,+��i�� ili�ng P.i��K��. , J1 ��.nt ��3].in :' . i:",� � 4 ; 3 rr ,! A ;' . . ,�i��r�nv�� '�� ha�c��ii ��`�� , Cl��t� �ki�t i� �., ,; �.,��,��: , ; � � Ci��ri dobr '� 4 , ' ;•�� '' - '� �� ° �� i 1 i. , ' f ' ;p'(� e't � � �� lt�mbr�� ►� � �� & psd � . � �� ;,,�,k;°,� �,� . � �'u�'i��.Hh p�d ;: ��3 �'l5A) � a � ��" `x� . ,. , , �'v�tfi�h' ,��rp�� $igAj �` "��"��k`�;k. �. . , , ��r� � T�i��g�l�� t�t�� & pgcl � � a � � � s1fiL ��r�r�i�►; , . � ?� ,�� ` ' . ,� �p . , '� . , � � �; � �� • ��"��'6� �a� b : ;�� ; MMgR��t . ��1f�t ( ii �i� �� ,� : ;., � � °��u� � �� e��►�� h��t�d��9�n��i� � �`1�� . ` �t�ntciv�,' � ��it >��e �h�e�tb��;��3►ling : ,13 �t�mot�a � r�p a�e in�ul��bri��;,t��.lg , ��8 � , � , �.�*��'�� _ ,' . . � ,ti �., , . � _ :�� a ;,;' , � n.,, t( { y Y��E M`` •, u. 7L �% � • , �i,, i.l y,'',' , ' , � �r . 1 ��_. ' .�. b•. � ' �� d�. l �� F- `. k' �yn ,, ( ' ;1: , ��; � • 'f; Str4.p wallpaper--2 t�alls Remove & rep],�Ce base P'inieh be�� ' R��aegA 2 wi�ic�ow� Clestt 2 windo�te Ptim� wglls &":�ceiling P�int ceiling�'� , ', ' ` Fur�i�h & in�t�ili �v�llpapeY�, � $18A) Fu�hieh � in�`�all border � �.. c1��n 2 door�,,.: � rte��v� � �arpe�,�� p�d � �'v�n3.�h pad ��3.75Aj �'��n�.�h carp�� ( $1�A) ' I��C�1Y� c�rp��' & pad . SEL ,L*LLCTRYC�. . . . •��:.� , 1�lA�i��t BLDtt�t� C].��t� W�111� � ' 5��1 ��11� &�1 ,��ir�t�,wr�ll� � , ` � C'1�8h� dc�o� r ' � Cl�gr� . rt�d �c � �'irli�h �i�c� �� , f��rilbV`� � � ��p� . , . . ..,i • - . �,, �'. 1, �� .+��F ��v� � r��sg ci�e�i't�1Aii� 'R� ��itn��`a��li� � �aiti� �r�ii� ! ft�mnv� �grp�� ir�i�h;� ��d �i �'�t�t�i�h .�e�rp� � fr��t�lY ��rp� 3�L L�LC�'�ICi . � ,. . !. � .' as �i1�'�lttl�M, ( 4'; , ��m�rl�� & ' ��; � � �- ��~ ��.ii�9 �� 1��eV� ' & r��i ��i�a� ��ri� ;� ' P�it�� r�ll�' � Rbm��i� � r�� Ci��t ; wir�doa9 Cleai� 1/2 wg G'LOSFT ( 2� .' $6 � �I8' i ; C�iling '° ? � : � � , �ili�g i '��iling � � .�,� � � ' � ' � , ;: I .�lf �� ' '�, . � , , h�lf �� . � � � �� Cgtp+9t � �$'L � i�ASti'ER B� G • � k O` sti �T�r , :'i �� I � . .1� h �. �� . _ . � i • l�� he�tristtk';,,��i�.int� r;,�r�� a •. � �' S 0`�!'� i. y M I'.. , ��@i.�.�.tl(� , � ,,r?r� � �. . • .c�iling ,.�.,,,�.,�;,;';; . �& �gcl ,? �, ;. ;�.. �3.'�5Aj �,�r�T�4 ,., � , �'� ($1$A� , �,�;��+ � E �� = �; 6� p�lci , ;; t,d;�',,� ..�: . .� . � . . , r j{ . y d � �a,' ', ? '' �,, � k., �n , � 3' �t8 �� `�5 j �C�_! j � , �a� �h�etr��l�` �`r;� ' , �tl�'ti�l �W��►11'r`�,� � � ' �►c� in�ul��i�i�� : ;� r,C�ilirig, ;; �,:��; .'� � C�iling � : �;;j��;i,� � ��window� C��ii�.9, �e '�'�� .;, �, cerami� � � �_� � ;a � � " � '�..',� ' ; ; � �Ei � j ' ' ° ��! . , . ,;y: � , '•��: yc�� . a +�;; . � `�. ,?�: .; i, , :�i. . ,� f � �a I P a� n��• r C1�en mediciri�'cabinet � Cl�gn tub K�' � ' . Ci�an tailet ;�e�� Clean 2' �eni�y & �ink • G1e�n,� liqht� � Cl�an f loor ;.`ty; , , �. Cl�eri door '�� SLL �I,LCmRICAti , ,p b�bttOOM (12' �t1�' Xe' ) R�moV�' � replt�i�e eheetrock - 2wa11� , ' 1t�mov�' & repll��ca sheetrock c�eiling �.�mov+�, & rep1�� irieulatio�is�walis R��ia��; & irepl�lCe base � . Fi�i�ah ba�e " �;' . ' �tein�v� � re��'� case 2 windo�td R�i�civr� �, r�pl'i�Ce panel�.ng :�: •� �'t1�ni�h & �ng��ll trim & Cr�ve � pr3m� c�iling�,: =; P+�in�.�'��ilingra;. � ' ;,; ' �ri�r�. 1 r��ll �`` , , ' ' ', . � . �,, a p�int`' � �gll : , : , ;�t: � �, �sl�� d�� r, i`� r � . �t�n��v� ��r'pe�� p�c� ;'"',4� � . �. , � , F'ti�iii�h . p�d t � �'l5A) , "r, ,� ; , � �u�t��.s�ri.'��r��°,� ( �1�A� �,,;�f°�, i � � , �r��a11 ��arp�'�" � pad ;p t � ,� � . �t�L �I,LCTI2IC �' ' �'�`� � � ' � :,� , � � ;�: 1,9 ; . , J � 4I._ yp_��Frlt.', . � b$1��OOt� �."�ti6ir� ` �•. ( � � �� ' �, , �,, ,'; : i�eme�►1�;�� r�p�;`�'iCe �h�etro�� w�11 . �t��d�tb �& �`epL�t�e �heetrb�lt'. ��+a313hg i��r�'� �'r�p��`�� ii��ui�t3�a��'��.1 ;� � ,, i�rifae : waii� � &� :(�eiiir�g p�¢;�� c � . '',; , ��:�t `��11g� ��,��ilinc� , � �� ; „z ;, �. ': ' �'u�'ni�h & it��11 b��e �: ��`,��,�►,,;', i�ihi�h b�� ' � � ,� , _� �, � , Ite�� i�t� & ��i� ,�;��; . {' �^ ' ' � ; ;: i Pt f,+ �' �,G1�g�i'� z � dde�� ,Y� �,t �. � , � : � ' ,„��1 it�i�t�� `' ��pl�� & p�d '" , '' . , ; �'ti��:�i1' �i�d �'��1� `75�,) .�b r . � „� ,, . �'tt�n�.��i ��rp�'�"�:�; i $18A ) r .:�, ; u � � �. � . � , ��ig��11. ��p�i�'�.& p�d . •;�;�.�,�,;;• �' , , , . �,�� . �� . � k, � sf'. i.� / r � ��y�,� .�`��.t". .i i � '�� . i' �� . ;' 'r ,� . . � -, h � . � �` 1 ' i . �`�. _. , � � • �,t. , � , . �,�',' . ��' �;�a�, . :, o r�',3' i p: 1 �i �: � ' , y^ �,211I1�O RbOM �( f 3� 816' R�' j Cle�n� �eiling `6 3 walis sti�ip waiip�p�±�r walis � prim� �valls &�;.c�iling P83ri� w�llg &'' �eiling � � Furni�h � 3.n�t�ii wallp�p�� ($18A) Furnish � ingt�ll base . Fini�h b�se ��`. � C1ed�1 i Windt9�4 �Ox48 ` Cl+��rt 1 �WinddW 66x60 C1��1 2 c�irt�in rods C1�� C�ilinc�;;,fan itemb�+� o�rpe� � & pad Fu�'fiiHh pad ($�:75A) . 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P�:.°,,,��, "; , y�►11. �r�l ip�p�� ; � $ i �►A � �; � �� ,. . r ;� , .: �d', i irtl? ,�� t . ��' �n�tf� , }{f� 1��``�`tk � .` i�.r�e�� , � � �� . i �•,;'r� �''a.. ^ � ', ��►tt��' f ';• ^� , � ti. �r � � r ; , . N� �.� ' ,+' ;� a"� t I�� a �,'�� ; + 'il z � `' ' ' s , ,', d �' ' �� , ',� °' .�i "�� .. �,, �� , a , �; �; ��en�ling '«,�� ,. ��11 .1u�n ' ' � � : ,1 �°r �"� � � � f, ,i `'� ' .;� `i, � S�, , ; , . , .; ,` � � ��:tia��.' ��i � , . , �e . t I :' i';� �'urnish & inatall linoleum ( $1 Furn��h & ins�all sho� , Fini�h ehoe �;� � �EE ELLCTRtCA�, ' , �� BTAII�NAY DOWI��;� � 12' X3' X1(�' y C1eAn ��11s &�Ceiling ' Segl wglla & :i�eiling P�int walle 6;'ceiling Cl�afi gkirt ,��; , Cie�n carpet 'i� C1b�n door "�� , �'� LAU1Q�1tY' ( il' ��3' X8 � ) � . Cl��n w�11g &��,Ceiling � Cl��r► f lvor ��: Clb�h t��sher �`� � cl�ert drpeic ��, ,' . 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Paint walls 656 itOl'�1+' LLEVATftli� 8/ 12 PITCH ( 31' R20' ) 2 SIDE Remave 2 l�y�� ehingle� 14.5 Furnigh & ins�tgll ice/weter shield 60 Furnibh & indtall roof vents 5 Furni�h � in�tell �tacks 2 Furnish & in��all #24o asphalt 14.5 bebri� cleanit�p R��►lt LLLVATII�N & SOUTH ( 2h' 816' ) Remot�� & rep]:�Ce gubfacig & goffit Remove & repl,�Ce gteel fa�3s/soffit Clean �tucco';Wall 464 Cl+egn 2 winddt� awnings , �,u: �, 1�AB� �f,LVA'��C�1� ( 24' R18 ` ) Pbw�r wagh &��l�an stuc�b��xter3.or 432 Cl�an=�ip & d�brie removgl �tc�mov� � repL��e 2 window gwnings-�lum. �a, � POS�' �ONS�1�U�"!�ION CLEAN=Uf� DVC`1' CL$1�N & �I�OOT SET ' ' ' ' bEObOR��L COf�'L�'�E ' � � � bUMPS'�Lft � D��tIS REI�iO`VA� � • ELEC�'RYCAL ��' • P'IX7'tJ1tL ALL04��CE ' . � , � ' gU�LbING PLRNX�T � , � �. ;, � � p�!i � sye; f �' `. � �� a. ► ' � � i� � p�! d _ __ . _ .. .__.. . _. . . � q __.. __ .._ _. 1.. . _._ . ._ .. ... ._ . ._.. __. ...._- — � - - � � _. _ _ l � I I i �, - __�.i.. . �__�, . �!�.� ` �I - ' � ��.�,: - ��I��i - _ ��0► � � �� . ... __. __ �.�__ � t e� ,�� ■�► ., :�� __ � � , � : ,�s►�: � ,u� � , :, � �� ... � � _�� , � � _ _ _ _ ,. _, .; �. , � � � , - \ ; --- ��:� � �r�,4 � ��: ' , � � ''" ■� �t�■ � � �[�r■ ��. �� rrr�i � �� .�.��.__.�_ i ��s� � __� �,. __� , ., � � m � c -� � O � �_ (Q 1'I � m m 69 \� o D � � r �n � r � O � <_� - c � � m � � Z W � v � � o � am °o D � D � � m � � D � z v � --1 m � � O � •D v� < m a � � 0 c cQ � � � v � m � � m v � � � 1� � o°��gg��n�oA0000pZ � "i 0f N A► A► 0► N C A+ A1 p m � C Q (p y .-► .y .► � 7 ''� lD Q' � �' � � � m m m .� � � v 0 � � `D.o� � ==��o� oo�v, m�� °—° r. � � � � � � � � N � � � � � � m m� z. r- �� y ao u�i � < I i � � w � � Z . � � � m D � m m v m y � � 3 ' T �o � -, m �� ` � c � � Q � -< m N I � I I � I ( I 1 I I I I I� O � �y ti t� t� y� � ts� � tn �s �s t� tfl D' � O O O� O v V�I V(1t A V � � o00000o.000g.o ° o 0 0 0 0 0 0 0 0 0 0 . � O `� ►� Q � � � O � Z � � a � mv °D � co � 0o Z Q- c � � n N � y lD Q. � � N � D z � c� d� �s h_ � m r Z O J� � � � � � �� 'D m 7� � � Z O \ � � � i > > � � a. a m c� m c �• c � � � °- m� cc� m �' m � .7+ �. � (Q J � � � m. � O �D � Q N � � � � o � m Q Q- a- .+ � o .� a, m m � � o m� 3 y � fp m > > � . $ � � n � �- � � ��o o�� 3 m n -.. m � Q O � Q. sn �' � m � v c � � m. m � w � � � fl- r► 3 O Q S = � � , � p: m �- � � � � �—�� m o � I � m � � � � m 3 J � � W � D � � z C" � W m � O � � X � 7D m � O m Z � D r r v O Z � n _ T r 0 O � -' . . � � .. " . . � . . .�f.. .. , ... . . . . _ _ �OF FR[DLEY FRIDLEY MUMCIPAL CENTER • 6431 LTNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 May 6, 2002 TJ Jorissen & JR Klinke 691 Cheri Lane NE Fridley MN 55421 Re: Paved Driveways Dear Property Owners: In 1997, the City Council adopted an ordinance declaring gravel driveways a public nuisance. They were declared a public nuisance for a number of reasons, such as: they can cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the City's storm sewers and detention ponds. When gravel driveways were declared a public nuisance, the City Council gave property owners five years to have their gravel driveways paved. The five-year deadline is quickly approaching, which means all gravel driveways within the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002. If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at the Anoka County Courthouse. A misdemeanor citation is a criminal offense and is punishable by up to 90 days in jail and/or a$700 fine. If you've already paved your driveways, Thank you! Please call me at 763-572-3595, so I can update our files. For your convenience, a brochure on the City's loan program has been enclosed. You can use this loan program to acquire financing for your driveway improvement project. Please call Jim Hesnik at 612-335-2651, if you have any questions regarding this program. Thank you for your cooperation! As you successfully complete your driveway improvement project, please call me at 763-572-3595, so I can do an inspection of your property and update our files. If you have any other questions, please feel free to call me at the above number. Sincerely, �N� Stacy Stromberg Planner G02-53 3uilding :nspections 163-572-3604 )ATE_�� T7 (� ,ITE ADDRESS �� 'HIS APPLICANT LS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS �°-0WNER ❑CONTRACTOR PHONE: D 3—.J�% �— ✓� D 2 STATE LICENSE # E3� DATE Permit No.: Received By: Date Rec' d: � � �� ''� �i��z / ADDRESS: CITY STATE Z1P, vun� FAX ❑ TWO FAMILY/NEW ❑ ADDTI'ION ❑ BASEMENT FIN1SH ❑ DECK NEW DESCRIBE WORK BEING DONEc SIZE OF IMPROVEMENT. ROOFING � NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other �-ROOF ❑ SIDING ❑ SWIMMING POOL ❑ ADDITION ;PAIIt � REMODELING �_ LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATfACHFD GARAGE ❑ DETACHED GARAGE OSoffit ❑ Trim ❑ Fascia 0 DRAIN TILE � OTf�R HEIGHT B,ASEMENT REMODELING SUBMTT: 1. Existmg Floor Plan 2. Proposed floor plan 3. List of structural members to be used F� FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: l. Site Plan/Survey showing the existing structures and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS �Yes ONo LACATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE S1ZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WIIVDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (LTSING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY _ TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb C�t Escrow Erosion Control Pazk Fee Sewer Main Charge Due $ ,�� `` See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ e!�''l� .0005 x Pemut Valuation Minimurn $.50 $ $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$20=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ � � Agreement necessary ( ) Non Necessary ( ) $ � � �° �� Make checks payable to: City of Fridley Attach THIS IS AN APPLICP�ION FOR A PERMIT-NOT VALID UNTII. PROCESSED I hereby apply for a building permit an aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work wlri equires revi w and approval of plans. i i SIGNATUREOFAPPLICANT � /�iL�"�� 6�'a��- P�NTNAME �! � �� 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 amount herein below set forth and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits for construction will be issued a m;nimum 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 Fax: 763-502-4977 Building BUILDING Permit r�o.:�(,�I��-Cb(�� Inspections RESIDENTIAL APPLICATION Received By: ('n 763-572-3604 CITY OF FRIDLEY va d: 763-502-4977 FAX �r�cTTVe �-i-ZOio 0 � DATE �� ( S�' 1 YOUR E-MAIL ADDRESS C� �, `1'� -� C1 � ir Q Q� \ V� L N, C_ C� IN\ srrE �DxESS � � i L 1,• � � , L. ,,, � � '.c� t,� ... THIS APPLICANT IS: � OWNER �ONTRACTOR PROPERTY OWNER/ NAME: � � TENANT ADDRESS: �CL I C �� V� � �-^ h CITY -F+► C' e STAT�v � ZIP PHONE:_ � l Z C7 7ChJ •- Ll�� CONTRACTOR NAME: -�C� e�1 p_�v. a�. f` � VV� C5 rt'_ � v� SUBMIT A COPY OF STATE LICENSE # 3�i EXP DATE �- 3`- {� YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: I�, V_Z � �t � CITY � I v, m U•11-L� STATE ZIP �S ��{ INSURANCE pg�� F� PROPERTY TYPE �SINGLE FAIvIILY/NEW CONSTRUCTION SIZE TWO FAMILY/NEW CONSTRLJCTION STORIES PERMIT TYPE O ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASIIVIENT FINLSH � ROOF O DRAIN TILE ❑ DECK O SIDING O OTHER ❑ SWIMR�IING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDTfION ' ❑ MAINTENANCFJREPAIR ' REMODELING DESCRIBE WORK BIING DONE:_ � z G�ir - � W e w G O�C �a �c�. � C� �n � v�`� O 1P� lr� SIZE OF IMPROVEMENT � S l3 w t LENGTH WIDTH HEIGHT S FT ��-�� tOOFING �i �I HOUSE ONLY r�✓� � D�� BASEMENT REMODELING SUBMIT� NUMBER OF SQUARES �� ❑ HOUSE & GARAGE �, Existing Floor Plan GARAGES ❑ ATTACHED GARAG� 2., Proposed floor plan PROPOSED SIZE: ❑ DETACHED G�RAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING ��y 1P V'^e r C' � �---��,,, FOR NEW CONSTRUCTION INCLUDiNG DECKS, �� Vitryl ~ � �, s Q u='�1°' � S � � ❑Soffit �y� � �pITIONS & PORCHES SUBMIT• �� ❑ Trim ° 1• Site Plan/Swvey showing the existing structures ❑ Other � Fescia 1 and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXIS'lTNG OPENINGS OYes ONo LOCATION OF WINDOWS ' FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPENIlVGS-DESCRIBE SIZE OF MANUFACTURE STiCKER ON WINDOW. OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: NG TAE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ � __ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ $ $ 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) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but on(y an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of a11,,a��rk c requires review and approval of plans. SIGNATURE OF APPLICANT� L� PRINT NAME � C- � � � � �►� �S DATE_ v _ � � ^ �, L ,� �C�.-�� -�� y- Page 2- Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Of'ficial shall, before issuing permits for the erection oF any building or structure, or for any addition to a.ny existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1� $500 plus $3.05 for each additional $100 or fraction, w and includin $2,000 $2,001 to $25,000 $69.25 for l�` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $I0.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1� $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1� $100,000 plus $5.60 for each additiona.l $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 forthe 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for constcuction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department ` 0 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 � 1�3-a3 Building Inspections 763-572-3604 B►��..�� ESIDENTIAi. APPLI�ATIO�1 �ITY OF FRID�..EY __. UATF._.._�a-� " I O _ YtJUR E•MA[L ADDRF�iS , .— SI1ti /'�uuItESS � �0 9. / C 1� e P i L 0. h�C _. . _.. - THI�3 A�PIdCANT IS: ❑ OWNr.R �;QNTRAG'fUR �� pRAPEIt�t� owr� ,,,�;�e m a s � Sa �4 r. n e �o_r ; s s_e n... T'ENANT �nn��,s�:_ � 9! .. Cti e.r � C. an e t:rrv� rd I e�_ PH�NE: %�23 S�LZ � StI�MfT A GOPY Ul�' YOUR STA7'L LIC�riSL WI7H APFLICA'fi(]N i+�.RMIT TYPE TYPE OF W�RK: srn�re r.ic�sh a_ d U 1 co sy - a��ss:R'40 Lor•� oa� plso� Co �/ 90 5 0 0 O SINciI,F: CANIIL,YM6W CO1V.`iTRUC7 � 7'WO FAMII.Y/NEW Cx)�IS'flLUC:170 O BASEME1vTF'IMSH ❑ ROOF p p� ❑ SIDINtI UESCRIB� WOKK B�iN(; SlZE Vl� iMPROV�MENT_ NqM�ER OF S[�UAR�S •ASe �� PRO!'4�REQ SIZ�:_ . YROPOS�u i IEI�H'r: „ .�UING ❑ Viny1 ❑ Alwniuwn ❑ t7thoe _ �� 1N F:.7�ISTWCi (')PIt1VW(i� ,�Ye9 ONu Cnt POR N�W O1��MNGS-Ur'�SCI!]B� S�ZC C3F OPL�I�II'dG CHANGE:S & �'EES Pernit Fee Plan Kevie�v Fire Suroherge Surdiarge Liced►se Su�harge SAC +Gha+'ge Curb Cut f?acrow Ero�iaa Control Par� Fee 5ev�er Main Charg4 P�rmit �� - ;��,.�, � , , �� . ..� i�j 1i�j' '��I ` I' .. - ....: N . __ _ ._ � I i� � . , _ �na��:' 3-3�-ao� i-i�. /!y _ CITY_ .�,0.N r 5� 905 I7N5 ❑ 6r�mi �xt� ❑ O'IYi�it r� l 4 c � ih QXiS�in- p lulOUS� & n�RACi}'s b n rrACrrEU c;,�ncs� O IDEI'ACHF'.� GARAUF: a,'� bQ.58pItiQY47 asQmc ! - bedroorr. ! ❑ Ta�lu� � ... ��"/4,ro b »t I� H�cia t - 1�edroorr� a LULATION UF WINL7(7WS BASED ON VALUATl!UNi, IN4"LUDINC TH� COS7 OF jITRING E 1497 iT.B.0 �'EE SCHEDULEj !. Exiating 1 x. Fro�ed 3. List of se FUFt NL•V4 mtr! prop�se 2. ltvo �t� of 3. F.nesrgy C:�1c VALUA�ION $ °� OCGUPAIVC � • • L � g 5ee Sack Pa�e for Fee Sche+dule $ 6S% of Buildin� Pentiit Fee g _.OQI times the tatal jUb v�l.uxttian � � ' .OU05 x Permit Valuation Miniroum �.50 � $$.40 {St�te Litx.�nsed Residenti�l Contrau�ors) g� $IlG75 per SAC [Jntt (Fldas ta �IWGC for d�tenr $ - �.+6fl�°� _ftx$21 °�_— � ��SU Ccu�servat4�n �'!au Iteview - -- � F'ee petermiaed byEnglneerin� $ Agreement ne�easarY ( ) Nan Neceaas�y { ) .._ � :.. �, �-� �..1,e ..ho..kc nwvs�hle 402 ��V �� ¢Y a vw• +�r� . 71i1S L�i AA1 APPLtCAT1UN PUK A Pf�[tMTf-lVOT VALiD UIV'riL FRi�CC55ED I herebY applY �or a birilding permiC and f acknovNled�e thst d�e information abvve is complete and accm9 c,�armance with t�ne ardinanceg �ad eodeR of th� City o1� llridley and v� ith khe Mi�mesata C�onstruction Godes; pers►it but only an application for a permic and work is not ta sta�t witlxsut a perrnit; tb�t ffic worl� wil! be in � pla..7 in the case of a6! wcuk w��h requires revie�w or�d apprr�val of pla�ns• �� .4 a � � P.� �,e� Il _ A�n..�. _ SILiNrI't'IIItE OF APPLICRNI'C � ��p �s�a� . ' -_ � ,_..- �. FX 14j �iUfiMl'L' arl �� uumbcrs W ba a�{ )A' W�t.IlU11VG I}F.CXS, . �,��.. stmwin4lH� existing e�rucxur�s �jecl. qructlon pfnus th�t the work +aEill be in 1 undet�d t6ia is n�t fl rdance with the approved % tid Wd90:b0 Z0� €Z '��0 L�Tti�£9L: '�N XH� ha[A1�� .to h�t�' W0�