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AF - 37704� ti � �. � 'a N o � p � . M 0 �i : m . ~ : o . � �7 : � . � • � N � � � � � a� y p� � m�� z x � � w 7 � 8 � � � �' � 4] � p � � `� � Wj fD ri o m � � � .�-� � a ; � � � � � � 0 � � � � � � � � � � � w � 25 � � � a ° : '� �g�-" � �y : : b�d cCOO : �' �" : Q : : a 5� : � : . . C4 � . . . : : : : l�d : : : : : : : : � : : : : 0 0 �a oa �a " �a aa �a �a �e �a .G�i � N � � W W W t�+ � � � ��,��$��o�� .�.�� H H r" ` � � G° �' z � 0 Q x D � r � � T � � 2 m C r m a � � to � ��. � �- � � � 0 m � z 0 � � ��, : .�■' �: _ l�NI � � � ��■, • i. ■��■, � .��., ��t�� 8 M �❑ o � � � o� a a. Ci � �'�4 y � � b co i�+ R. 0�4, g I� � � I � �4 WATER � URtNALS nnr►i ruas 9AS�P6 SINKS w�+ rRnn DRINK. FOUNT. sr+wRS. ROOR ORAINS GTGi BASINS nuro dl/�QZ GAS �� GAS GAS OPENINGS �. Z, � � A � � � �, �n � �:�� a �, oa �� ! � P4• p ��,�� o � �' �° � �a � � � ��o m � bd b ��b � �b p � � � � O � � � � O � y � y ��w � a�� a� ��y �� w � � ��o � � � � m �3 `� � � ro � :4 � � � � � A a� � H a ►y $ � � � p � M � �� m � � � o' a � � • � � � �, � � � O. �- � b � �+ � ° UO � � �d ' �' � 0 _ m A �I � �. 1 � 0 SUBJECT � O. City of Fridley � 15 7 0 AT THE TOP OF THE TWINS g U I L D I N G P E R I T r � � RECEIPT NO. � `v ______ COMMUN�TY DEVELOPMENT DIV. � r j � PROTECTIVE INSPECTION SEC. � 1 . � i � /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE VAGE OF APPROVED BV �"'""� � �� 612-571-3450 910-F15 5/2/80 / / JOB ADDRESS 615 Cheryl Street NeE. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. S�•G�% W Ri.verview Heights SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Richa.rd Carlson 615 Cheryl Street N.E. 786-5971 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDHESS 21P PHONE LICENSENO. 8 USE OF BUILDING R�'S]S�.@Tl'tld�. 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WORK Construct a 25' x 26' Addttion to Dwelli� 9 CHANGEOFUSEFROM TO STIPULATIONS Electrical service must be ab.ove elevation 824.0'. � �� SEPEi�ATE PERMtTS REQ(�IREb FOR Wf�R�ctf`�,�,,; �.�p� �� `��f� 10�� u�flitie� HEATING, PLUf�BfNG AND StGNS. �r��`��tc° �� , � �� SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOC3. Fl"d'[Q@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OH ABANDONED FOR A PERIOD OF 120 DAYS AT 663 13,260 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 WI�L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 526�'4OQ yfi�.3.20 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 1S`S3. Q4 NONE PLAN CHECKFEE TOTALFEE $13.26 $79.50 SIGNATUREOFCONTRACTOR UTHORIZEDAGENT IDATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT R ` • �� SIGNATURE WNERIIFOWNERBUILDERI ID TEI BLDG �NSP �ATE u ��T�r or= r-e��v�_cY . ' /1Pi'LXC/1TI011 f=�« (2L:STU[=fVTIJ�L BUILT)IP�G PCtZ(�1ITS ' {E',[�1ti, �LiLR/1TIU,�JS, /li)DITIUIdS, 0(2 �CP11IRa) . , OWi1�R: N � � , Adrlx'es5: �__�_ .��; � � No. �� Str.eet:� a , /I ` I3UILU�R: r° P C��/�e► �'� , , • Addr.e�:s: -° ., j ?�b � Te1.. tQo. �C�l� '� / � ' y � 'C� �' �, : � . _ . iv � • �om: _,�'� a�r,ocr,: � w �nDZTZOra: CORNLR L�JT: I2JSTllE IAm: �_ SL°P�ACY.: _ SID�YAFtD5: Applicant zitach 'to this form ��o Certifi.cates of Survey of J�ot and pro�sed bu5.ldinq locatian drawn an these Certiiicates. c To Be Used 1�s : D�SCRIPTIOPJ OF BllILDThG fh(�,(%,�...._. _� F�r:l'�: ___._._+�-/ }'icj^��e;: _'�� ( ,�_�_II i.Li.�ila�".-.._,_� /-- -- o�.�..we�r square Feet: �° Cuk�ic �`Eet: � 13 'L(w� b �� i I'xpnt: � ` Depth: � Heiqhi: � Square Feet: Cubic Feet: � _ Type ai Constructian: ��,�11 �„�,R� Estimated Cost: $�(� �%.� ypd �_r_� _�_.�_ . 7Lb Be Comg?eted: &1�. A Alt. B Propased Driveway i�idth If IQew Opening Is Dnsired _ $ $ • (Sr^T }2�VERSE SIDE OF SHEET) Thc undersigned hereby makes applica�ion for a pennit for the work herein specifS.ed, agrecing ta do al.l work in strict acc�rdance wi�h the City of Fxidley Or.di.i�ances and, xulii�gs of the Dc��art.ment oi Bui].dings, and hereby declares �hat all �l�e facts ax�d re�.�r� ,cn�atians sta�.ed in L-his application are true ancl coirect. See r�vcrse side i'ar aclditional information. D11TE: p SIGI�ATUI'.E: , �� a , Stipulatia�s: . (o�i3%� ��•�?� ` Z•O� Si��;�. �''� 13,2G�� = S3. b� 4G3x $.Q/ � 5,��//•� �P � 13 . Z� ELr� 'S�n v, n�t�� f � y�� 13 "�-� f� r� �-60�.� l��E U. '' • ��v. . ,�q .sd � BUILDI(�G PER��IT FEt SCHEDULE SECTION 2. The In�pector 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 existing building or structure, upon application therefare, require the payment by t,he applicant for such permit of fees to fihe amount herein below set forth and in the.manner herein provided to-wit: . NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building pennit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets On1y) Alternate A: Removal and replacement of concrete curb and gutter only; Drive�vay 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 i.nch depth; Driveway width plus 6 feet x$17.20 'f1 � : � �' : �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 exista.ng 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. In �no c�e sha�l the fee ch��^7�� cr ang per�i.t as sst �orth in Seation 2 be less than $7.50 plus $.5� state surcharge. : : • 1 1 l�G �l NOTE: Permits for construction will be issued a minimtnn 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 Suxvey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. C : � � ':► l,pplication for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building pexmit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. � , a N.C. NOIUM AH� ASSOCI�TES, INC. P. 0. 80X 33026- COON RAPIDS, MINN. 55433 CERTIFICATE OF SU.RYEY: �rCH�1�� l ��. �%'�N ..- �'�.i . r � � ' ,:;: �• � r �� s /•� wr LANDSURVEYORS Tele hone 42T-7�8�2 �: SCfiLE : 1��-�' e�� .�.�'.�� "�� `�� . . .��Nc�?"ES �C.if� Lots 5-6-7, Block W, RIVERVIE4! H�IGHTS, Anoka County, Minn. , �-� --. � I � �� °�'��`�-' � I HER�6X ,CERTIfY THAT TH15 IS A TRUE AND CORRECT REPRESENTATIQN OF A SURVEY OF THE BOUNDARtES OF THE ABOVE DESCRIBEO LAND, AND THE LOCATION OF ALL BUILDINGS, THERHON, AND ALL VISIBLE �N- CROACMMEN�S, 1F ANY, FROM .OR ON SAID I.AND. AS SURVEYED BY ME TH1S....��..:.......DAY OF ......F�E.'�?i'�FJd.�n� .......................A.D. 19...$0........ N.C. HOIUM AND aCl S, INC. °��1� G, �� .. • Minnaf�ra Regiaatrotion•No. •.... �?�i�� .............................. . ...�:. SP #79-12 � �, 615 Cheryl $t. DRAWING USED TO 03TAIN Ri chard N. Carl son �pECIAL USE PF12M.zT � �.. �F � 1 � � L�f's 3 6� 7-��oak Ev -/�r've� G��w %ei��7�J /a' �x�st� �9 Strucf�ta e /fira i Tf 0 N 9 4� r �s � � � �� IC � ; �//� 7� ��,1 s� ,�� l i� �` � v%� 1:�..,, J� � / // `- � �l't �jad°!'so� ��s ��/ st .v� �iii�%� l�i� S's `l � 2 / � � �� . �— � �� ° �� , ? � �� e_,�,. . v...��. _ _.�—�-- I� ,�'�'� � � .4 L _.. _ . �� 3�-�� a�- -�e r � � Jn l� 1�. V T� � � " � ' � .. � `� `1 � �� ... � \ '' . 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O O O O O O O � i , .�,,�'� $q� rs�� F � �V' •',�`��,"� s •,�:�� .•P;"':4..i ;av,. ri3 tq N N � M M p N ��t;�";:r':"";°,� r � � = '� ';i W � � � � �` �� '� ':. � � � ;;F; � � � � �^ � � � � � � � N � � w ri Q w � • 1 t✓ �� M � � ��a� e � • � � �- 3 � + a$ '- � • �� iw� g �� c!; � �' � � w Q 7 ; � � #• � E'� �� $ � �� g � �� tv 5=iw �_ �� ~�. wZ ' � � r ��i � � � 0 � q M 7 "'3 ,� , .o� �, �, � � w � � � o� i K H s : � � w � r � � A � s M v � Y w N � ': �; a _ N • 7= � .r`y. . � �� -,� i � � '�.�. . _�.- • � --- � , � ';� .. � � '.: . � ' � • � ►� � �' �` .,� � � . _ � � ,� :. rt . � ' . � .. � �'. • . � .�.� sue�ecT p City of Fridley � � � `,� � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV �� VV �� r � � PROTECTIVE INSPECTION SEC 1 � 1 � �"'1 � CITY HALL FRIDLE� 55432 NUMBER REV OATE PAGE OF APPROVED BV �""� � �'' 612-571-3450 910-F15 8/9/96 / / JOB ADDRESS 615 Cheryl Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCF;. 5�(�] W Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Gerald Boots 615 Cheryl Street NE 786-3170 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same d ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDflESS 21P PHONE LICENSENO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION p REPAIR ❑ MOVE � REMOVE X 8 DESCRIBE WOFK Reroof House & Gara e(22 S) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR EIECTRICAL, PLUMBING, HEATING, TVPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING Sd. FT CU. FT. AUTHORI2ED 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 1 HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VAI.UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1�SiS �.9]. DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �S9.SO Fire SC �I.SZ PLAN CNECKFEE TOTALFEE $62.23 GNATUREOFCON'RACTOROAAUTHOAIZEDAGENT IDATEI WHEN PqOPEFiLY LIDATED THIS IS YOUR PERMIT _ �' y'� - �s� � -�� GNATUREOF W ERiiFOWNERBUILDERi DATEi BL G�NSP qpTE NEw ADDN ALTER [] [l [] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R 1 AND R-2 Building Permit Application Effective 3/1/96 ConstructionAddress: � / S � � � �c� l � T j%�0 Lega1 Description: Owner Name & Address: ,��' @,r�, j� � �'�'S Tel. # fn /� • � �'� ° 3 / 7 c.7 Contractor: ��,, .� MN LICEN5E #�'d3�3c) a 7s - 73v°� 3 Address: LIi�ING AREA: GARAGE AREA: DECg AREA: OTHER: Attach to this applica.tion, a Certificate of Survey of the lot, with the proposed. construction drawn on it to scale. DESCRIP�ION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Tel. # Sq. Ft. Sq. Ft. Sq. Ft. PcL� Corner Lot [] Inside Lot �j Ft. Yd Setback Side Yard Setbacks Type oi Construction: �� ; � ��/,�--- Approx. Completion Date: (Cost on Back) � Driveway C�rb Cut Width Needed.: Ft. + 6 Ft = t x$ —$ DATE: ,� i G APPLICANT: , s�`� r Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Mun Charge TOTAL STIPULATIONS: $ �. %�� c,�oZ � ��/ $ $ $ $ $ $ � ��- �-� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,(�0 Valuation $900 per SAC Unit $5. � (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] d„ . BUILDING PERMIT FEE SCHEDULE The Chief Building Official sha.11, 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 e�sting building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,0OO,Ot}0 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2. 75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fra.ction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each addirional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,040 $887.25 for first $lOfl,000 plus $5.00 for each additional $1,D00 or fraction thereof, to and including $5�,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,OQ0 or fraction thereof, to and including $1,000,�0 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fra.ction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter � only - Driveway width plus 6 feet times $13.50. Alternaxe "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 once it has it has been constructed will be required before proc�eding with the framing. � - � ,�