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AF - 37731� �� r� � �� City of Fridley, Minn.. BIJILDING PER:MIT �� 7 01 �. ��: �- -� �: Adciress Address LO TI F�ILDING o _,e_..�.. part Na 5trEet Iiot Lot __ Block Addition or Sub-Dfvi�s a� `!�� Coraer Lot _ Inside Lot �� Setback Sideyard ,�� Sewer IIevation �. — Foundat3on IIevation �A1Y�17� f'cL�V.YV�s� e'Y��l+a� °� oihV�iKt �LC�'- �Roqv �10.7�� '�a GttAUa Wh3� ia �N51 QaLI � �o DESCRIPTION OF BUILDING T V � / Front � Depth �� Height „�� Sq. E'�� Cu. F't�� Front Depth eight �� Scl. Ft Cu. F't. Type of Constructfon •��''� �– Faat._C'a§� .��.�._..__ To be Completed / In consideration oP the fsauance to me of a permit to construct the building described above I agree to do th� proposed work 9n accordance with the d�scription above set forth and in compliance with afl proviaions oP ordinanc�es oP the dty oP FYfdley. �K In camsfderation of the payment of a fee of $ � permit is hereby graated to to conatruct the buflding or addition as described above. Thi�pe rmit is granted u�n the expresa conditfon that the peraon to whom ft ia gra.nted and hia agents, employees and worl�en, ffi all work done in, around and upon said building, or anypart thereof, shall coffiorm fn all reapects to the ordinanc�s of Fridley� Minnesota regarding lacation, conatruction, alteration, maintenance, repair and moving of bufldinga within the dty limits and this permft may be revoked at aq�'�u/��/ / of any of the PTOViaiona of said ordinanc�. �' � NOTIC& '161s Reemh doa eot cewr f6s cona�eueHoe, leslal�im fer wfrtaa, pMmbiee, ea 6utieg, ssw�r or water. B� wre to ss� t6o &tllding lesp�eto� tor ap�raM p�rm6s for tha� hwa. _ _ . � HARVEY A. CARTWRIGHT - �� & O�O� ANOKA COUNIY BURVEYB NENIYEPIN COYNTT SURVE1f8 LA ND S UR VE YORS MINNEAPOLIB 8UIiVErB 64T0 PALM 3TREET N. W. R6mFlTBRQD YNDRN LAWd OF YTA7B Oi MINNESOTA BUNaet 4-7653 L�gNGEO BY OR�INANCL OF CITY OF MINNEAi►OLIS OWNER 32� PLYMOUTH BUILDING FED6RAL 8-B721 INDUSTRIAL -.1uDICinL �"�ENNEPIN AT SIXTH • MINNEAPOtI$ 3. MINN@SOTA BUS�NE88 — TOPOGRAPNIGAL ,��rbcpar'� ��L'itlKdtt CITY L0T9 — PLA7T►NG , COMBiNINO THE RfiCORD8 OF J. E. HILL. �IVIL EN�INEER E�TABLISNlD �OYi C. F. SANDHOFF CIYIL ENGIN66R 66TABL19NHD 1908 JAMES NELSON SURV6YOR H6TABLISNED tYQa ME7ROPdLITAN LAND SURVErORB. E�TABLI8MED 18�1 �,�-7 '�� I h+ereby ce.�tif�r that this 3s a tz�tYe and cor�ect repr�ser�tation o� a survey ofi Lots 8 and 9, �lock �J., Rie�r Tfiew Heigh�s As su.rveyed by me this i9th day of June, 19v3. e ,, � r� ,�-°° p�+� g � � ` � f�. °�'°L � �� '� �.}�P,'�#o x� 9 ;, . .. x �r � SIONE h .,�,...,�'.. � * „� � � � ,�_ � � � R�RIGHT AND OL'9bN .� � ..� � �- , - -- t ._ _. � � e � � � b r tx y p M . � : °x : � ' 0 . m . ~ : o . a o ' � � � � �s tn N 1� N � � � `• H � � w � � � � �n � ..' o � � � o � : O • O y . 0 o . � : � . . I I I � ia iE o4 l� r�+ � o° p o � s.+ va sn � y O � z � � � � � m z � � �7. 8 � � � � n � � � � � � 5' � � �a a y � � � � � ' O � b p' ,� � � ap � � �• � � N . . G1 _o° 0R : � � . � . � � . . . . � . . . . : � ' : : : � Q �a k x k x se w n� w � � � �d eN» c c�i� o 0 0 �r� M r» {n tss +n {n � H ' O � i� 0 A x \ ` � � I ` � / D � i � � m � � - 2 m C r m a � �� ' a � y � � � � n Z y O 7 D L � r I� �� I� ro i6- � � '► �� O I� � � � � � O � � 0 b � � a � � \ � • �. w p •- od � � °' a � � m � 8 � m � � O � a � � � � � � � \ � m '� 8 $ � �❑ a � tn h��y a � WATER 4.,�T5 UR�NALS e�rH � �� SINKS wnsr+ rennrs DRINK. FOUNT. sHwRS. ROOR DRAINS U7CH BASINS AUTO V/I�SHER GAS APPL GAS RANGE GAS OPENINGS a • z • � i m A n � Q �' C� � a' R. � 'K y � � � � M a� h � �� 0�5•�. � � y cb o �. Rpy1 � � ��''( a� � fD a� � M �l ¢ R��' �,� � � �� °�°� � � � � v� C 'd � � b � ro o�w�° �, p p �' o � �. � p � '" � y M f2, . ��d��w � �a � � p' R' � � �� O ��pj "J' � � W � ►C! � �� w : �o �av�' � � � �o M, � co I �� e m � � r`C � PA � � aM Rx & �°n p � M � �, �i � � � � � 0 D � C �: � � � -�' 3 � � � � � � •a � � � » � M �' � � � �. � o � W � A �j � V �� V � O � r \ � � �` \ � � � City of Fridley, Minn. BUILDING PERMIT Date: April 9, 1969 p�; Ma.rcel F. Templin g�� gama ,p,g� 627 Chery7,� Ad�ress Sa�e � � � ►I - � / i ' 1 :I LOCATION OP BUILDING No. 627 Stceet ��y1 Part of Lot Lot 8� 9_ Block W Addition or Sub-Divisian R�V�i7-�.��7 �@-��8—��8 Corner Lot _ Inside Lot Sewer IIevation Setback _._ Sideyard ,— Foundatton Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 16' Depth 22' Height 10' gq, �, 352 �, � 3520 Front Depth fTeight Sq. Ft Cu. F't. �pe of Conatruction Frame �, �_ 600 00 To be Completed In conaideration oP the issuaace to me of a permft to construct the building described above I agree to do the proposed work ffi accordance with the description above set forth and in compliance with a�l provlaions of ordinances oP the dty oE F'rYdley. �iJ t �sd � .61an � �—i�-vr�� In consYderattpn of the payment of a fee oP $ 6. 00 , perm3t is hereby granted to Marcel Templin to construct the buflding or addition as described above. This �t is granted upan the egpresa condition that the person to whom it fs granted and his agents, employees an worl�nen, ia all work done fn, around and upon said building, or any part thereof, shall conform in all reapects to the ordinances of FridleY� M9nnesota regardin� la:ation, construction, alteral3on, maintenance� repa9r and movYng of bufl�fn�s within the dty limits and tlus permit may be revoked at aTMy time upon violation of aqy of the provisions oP ea�d ord9aaacea /� � ;I , � Clarence Belisle r j • - � t„��.. t� NOTICE: flds parmh d�s eet eevsr �hs eoedrueHoe, 6uta1laHon te� wUiee, piumbte8, eas hadne, isw�� er wahr. B� wn to u� t6a Butidi� lespeeto� Por aparat� pamJts Por t6ess It�ms. e APPI,ICATION FOR BUILDING PERMIT � CITY OF EQIDLEY, MINNESOTA _ . . ow.� �s �.��f ��.� � � .� �) �/:�? B�zr�nn� , � - �,��y.�� i�- / f T ADDRF�SS ADDRE�SS NQ.C�a�,_! I,OCATION OF BIIILDI�iTG / � T � LOT ��►—�, �LOCK �e.� ApDITION OR SIIBDIVISION��--rz/'� ,�� CO�tNER LQT INSIDE LOT v�� SETBACK SIDEYgRU SEWER ET,EV�TTO�T TOP OF FOOTING �p�lioan� attach to tM�is fortu Two Certificatea o�' Survey o� Zot and propo�ed buildiri� location drawn on these Certificates. DE.SCRIP7'TON OF BIIII�DING To �e Used As:_. �� ,� ont r�-,�' Depth �� Height �� _....� . Square feet � {� � Cubic Feet � �? �=� � Fxoa�t Depth Height � Type Qf Conetrua To Be Completed Squaxe feet Cubic Feet Eetima,ted Cost � (�°� � � The undersi�ned hexeby makea application for a permit for the �rork he�ein $pec��ied, ag�eei�g to do all work in atrict accordance w�.th the Cit�r of Fr�dley Ordi.na.ncea and rulinge of the Department of Bui�.dings, and here'b�r deelares tha,t all the facts and representationa stated in thie appl�.ca�ion are true and oo�recte DATE '�j'�-�� y SiGN9TIIRE ��i��.�c�� -�' �. � � ., .. �� (S,�hedule of Fes Co+�'ta caxi be fourid on the Reverse Side. ) �� Y � . .�.-'a'ri/�•:- � � �1 �. ._ ■ � s. . a � ' i i � ._P � _ � �i�.� _ _.� i�.�� _ `�}' SECTION 2a The Inspector of Buildinga sha,ll, before issuin� permits for the erection of any building or struct�ure9 or for any addit�on to any �xisting �tructure or building9 or .for axa.y alteratiox� or repairs to e,ny existing buildirag or st�ucture, upon application therefo�e, require the payment by the �.pplieant for such perniit of fee� to.the amount herein below aet forth and in the manner herein. provided to-wit: IIniform Buildirag Code: Type 1, 2, & 4-$1075 for each one thousand cubic feet, or fraction thereof, ir such cubical c.�ntente. Type 3& 5-- $1 0 50 for each one thousa�a.d cubic feet o For the purpose of comgutit� feea for buildin$ permite, the cubical ° �ont�nts of °�ny'��i�:Y�diri�`o�"acTdi��:63�.°� a u`iii°�orm hei°�f-��"th�3ii�hout �y ` " multiplying the ground area covered fTOm a point six (6) inches below the floor line of the basement or the cellar to the average height of the upper surface or to the avera.ge height of the roof sur�ace oi the main gable of a pitched roof. For repair� or alterationa to an existing structure, the fee shall be at the �ate of' $3.00 per each f°ive hundred dollara ($500.00) or fraetion thereof ix�. the cost of all propoaed work. In no caee ahall the fee charged for at�y permit as set forth in Section 2 be less thaxa. $5v00o NSSSD Co.nnectiox� Cha.rges based on location - Area 1 or 2. r ��`. • � � ,�_- ,, . _ - - _---� � �_� _ U _ .. � ��' � � � � � . � � �._�_ _- _ . _� r,�� ,� � .. , � /"1 �_ . � � � � 4 ti ^ SUBJECT PERMIT NO. City of Fridley � 53� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • , � COMMUNITY DEVEI.OPMENT DIV. ECEIPT NO ; �.r------� � ) r � � PROTECTIVE INSPECTION SEC. � � i1 � , --_•� ��"'�;� CITY HALL FRIDLEv 55432 NUMBER REV. DATE PAGE OF APPROVED BY ti 812-560-3450 910-F15 5/25/76 / / JOB ADDRESS 627 Cheryi St. NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $,9 W Ri ver �ti eW Hei ghts SHEET : ,�. �_,..:.... 2 PROPERTYOWNER � - MAILADDRESS ZIP PHONE K.Gazda 627 Cheryl ST. NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. John son Co. 2513 Central Ave. NE 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. � , � �-•.., _ 6 USE OF BUILDING 7 CLASS OF WORK NEW 0 ADDITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE 8 DESCflIBE WORK ., Altam�.num Tri:m 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Tr�m 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 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 �rjOO.00 �. '�j0 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- �rCJ.00 STRUCTION OR THE PER� RMAN E OF CONSTRUCTION. � � PLAN CHECK FEE TOTAL FEE �� -�� -� � —. � ,� - � a ' % � " $5. 50 SIGNATUREOFCONTR CT ROHAUTHORI2EDAGENT IDATEI H- PROPEyRLY�ALI� fi�D.'�HIS IS YOUR. ERMIT:' ,�.? "r''� '�c..� �� 9 � 4 -°�iy�,� �� d /� ,i �- c SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI E6' BLDG INS� DATE Q , AP.PLICA'fION 1�OR RLSIllL'NTI/1L, ALT}:RATION, • OR Alll)ITION 13UILllING PL•RTIIT • CITY OE FRIDI.EY, h1INN�SOTA 1 �- . �r' . OWNER' S NAM� : / 1 , t `� • ` a�- BUILD�R : �'� i �'?� �.� � - �.1 � � �3 <�-� � � � ADDR� S S : � : � � f-� � r� �-�' � � � ��` � ADDRES S : � � � � ( _ f, � l 7-e�-.� � 0�� . N0: �' �� STRE�T: �'• r� t` !� � �S / . �'V �w , LOT : BLOCK : � • ADD�,TION : _ � � � � � � (� �G�(�j�� CORN�R LOT: INSIDI: LOT: SETEACK; SZD�Y1uD: � Appli�cant attach to this form Two Certificatcs of Survey of��,oL• and proposed building locat3.on dxawn on these Certi�icates. � d �ESCRIPTION OP BUILDII�TG To Be Used As: ' Fxont: Depth: Height; Square Feet: Cubic I'eet: . Fxont: Depth• Height: Square Feet; Cubic I'eet: �pe of Construction: A-�L ,�� ( Z; :i, Estimated Cost: $ � C�' .� 4' To Be Completed: The undexsigned hereby malces applicatinn for a permit fox the work herein ' sgeci€ied, agreeing to do all work in stxi.ct accordance with tlie City of. Fxidley Ordinailces and rulings of the Departmen� oi Buildings, and hexeby declares that all tr�e facts and representations s�ated in this application are ti-ue and corxect.. � � 1)ATE • � � � :�I . � � � `�" � SIGNAT[1RE : ��,�� . ' ` '1,-t . . � (See Reverse Side For Additiona7. Information.) ' h ��,�� 0 �� . s � �� • • _ . . . � .. . � .� �BUILllING PERMIT r�E SCIlL'llULL • " SECTION 2. The Inspector of �uildings shall, befoxc issuing permits for the execLion of any buildin� ox structure, or for any addition to any exisL•in� buildin� or structurc, or for any alteration or repairs to any existing buildin� or stxucLurc,.upon application thcrefore, require tlie payment by tl�e applicant for such pennit of- fees Co the amount herein below set iorth and in the mannex herein pr�vided to-wit; U1�iIFORM L'UILDING COD�: Type 1, 2& 4-$2.15 for each one thousand cubic feet, -or fraction thereof, in such cubical contents. 1`ype 3& 5-$1.85 for each one thousand cubic feet. �' ' � ADDITIONAL INFORb�IATION I'or the purpose of computing fees for buildir.� permits, �he cubical contents of any building or addition, is determined by multiplying the ground area covexed fxom a point six (6) i.nches below the floor line of the basement ox the cellar to the average lieights of the uppex surface or to the average.r �height of the roo� surface of the main gable of a pitched roof, For repaixs or alterations to an e�isting structure, the fee shall be at the xate of $3.00 per each five hunda-ed dollaxs ($500.00) or fraction thereaf in L-he cost of all pxoposed work. . � �Cn no case shall t�ie fee charged fox any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATIOi� NOTE: Permits for construction �aill be issued a mina.mum of 24 houxs from the �i.me oi application, to allow for pxopex revieca ot the proposed structure and O� tit1C: construction site. _ A Certiiied Suxvey oi the lot, shocaing the location ot the foundation, once it has been constructed, will be xequired Uefore proceedin�; 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 whicli a Uuildin� pexmit has been . issued; and said strucCure shall not be used or occupi.ed until a Certificate of Occupancy has been issued. • e � � • . . • • _ . ' �. a • w `� SUBJECT pE . . City of Fridley o 19472 �4T THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � EIPT NO. � ; v __�_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� i1 = � .--_� ��'��,,� CITY HALL FRIDLEw 55432 NUMBER REV. DATE PAGE OF APPROVED BV i 612-571-3450 9�0-F15 5/13/88 / / JOB ADDRESS 627 Cheryl 5treet N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescA. 8,9 W Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Z�eresa Gazda 627 Cheryl Street N.E. 784-1356 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 5ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDINCi Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION f� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK .Rexoof Dwelling 9 CHANGEOFUSEFROM TO STI ULATIONS Roof can be the 2nd la er but not the 3rd. Ir�tall rid ed y g galvanized val ley s . A� �11 ne�u roQfs or teac-offs and r�placement r�t�� C�AE �eq�ires that 2�ayei� of 1� �b, �Jt, �i�p��d t�gether, be installed to a�inf �44 ifi�h�� p f►am exterior wall �ine, or the use �f othrr ��r�ved underlayment membrane. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PLUMBINO, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 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 LAWS VALUATION SURTAX AND.ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PERMIT SSSO yS`.SO 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- S7RUCTION OR THE PERFORMANCE OF CONSTRUCTION. $23 .00 LAN CHECK FEE TpTAL FEE $23.50 SIGNATURE OF CON i RACTOR R THOR12E0 AGENT IDATEI WHEN PROPERL IDATED THIS IS YOUR PE MIT i � a�.�� 3 - �i�3 E � SiGNATUREOFOWNER�IFO NERBU4D i �DA E� � BLDG iNSP �pT � �� City of FYidley Effec:tive 5/L88 � � � R-1 AI�ID R-2 AL�R [ ] Construction Address: � � Building Permit Application Legal Description: '� ► � � - �. i2�� L- _ ��1' - /U r � c Owner N�ne & Address : �� s � � �- � fl � T�. � � �� - / 3 s� � Contr actor : �-2 l-F� Tel. # 7�`� - � 3 s-� . Address: Attach to this appl ication, a Certif icate af S�uvey of the lat, with the proposoed oonstructian drawn on it to scale. �LS�tIPPION OF II►"�120VII�TP LIVII� ARFA: Length Width ,,Height Sq. Ft. �� ;. : Q4RAGE ARF�• Length Width ;`� ' *%� �ic�t 9q. Ft. D� ARE'A• � � ,, � ��. LPI1Cjth W1C�1 � ;;ro�xl�%�Ip�'ICl'; SCj• Ft• �i. - - "�C� � ( 17 � ?�`�°`��f.;.;. f f✓.� � -.r, ' .r; `: y�,`'?i. , 'r, �.,� :. (brner Lot [] Inside Lot [] Ft. Yd Setback ";�S�+Q .e, yat�d . Setbacks , ..�rR„ � , �. c� �pe of Construction: Fstimate�(".ost o�_ S C�� "�' ,�, - . Z �`�: Appro� Completion Date: , ;;- -,f,, ; ��, ` � • �:;o `��;�,: =��i]:��y . �,� ' Alt. B Proposed Driveway Width If New Opening Is Desired: $_ �-� �• 4;~- $ Width + 6' See Back Page , DATE : � i � APPLICANP: �u-�-� . � (�.TY OSE �Y Permit rlee State Surcharge SAC (risrge Driveway Escrow Park F'iee Sewer Main Qzarge Z�� STIPUI�TIONS: S 3,�vO S S?) $ $ S $ � �J • c�� T�.. � 7�'�- �3�� F�ee Sche�dule on Reverse Side 5.50/51,000 Valuation 5550 per SAC Unit Alt� pAp or Alt. '�" Above Flee Determired by Ehgirreering Agreeaent Neoessary [ ] Nat Neaessary [ ] �= 1 - �_ �, � �; v14 �a� ��:i�!�. 1 �e C�iief 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 ap�].icant for such permit of fees to the amount herein belaw set forth and in the manner herein prwided to-wit: �'!'AL VALUE �1 to 5500 5501 to 52,000 �2,001 to $25,p00 525,001 to $50,000 -�� S15 (Minim�aa Fee is S15 plus surcharge ) � S15 for first �500 plus S2 for each additional $100 or f raction thereof, to anc] including S2, 000 S45 for first 52,000 plus $9 for each additional 51,000 or fraction thereof, to and including 525,000 5252 for f irst $25, 000 plus $6.50 for each additi�a]. S1, 000 or fraction thereof, to and including 550,000 550,001 to 5100,000 5414.50 for first 550,000 plus $4.50 for each additional 51,000 or fraction thereof, to and incl�ing 5100,000 $100,001 to 5500,000 $639.50 for first $100,000 plus $3.50 for each additional 51,000 or fraction thereof, to and including 5500,000 5500,001 to 51,000,000 $2039.50 for the first $500,000 plus S3 for each additional $1,000 or fraction thereof, to and including $1,000,000 51,000,001 a�d up 53539.50 for tlie first 51,000,000 plus S2 for each additional $1, 000 or f raction thereof D_�VE�y DEPRFS.GTnN _F..S['INW (Concrete Curb Streets Only) Atternate "A": Remwal and replaoement o� curb and gutter anly - Driveway width plus 6 feet times 513.50. Alternate "B": R�naval and replaoement of cvrb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times �15.75. ��; • � • ' ��: )�� ; �l • �I Permits for construction will be issued a minimum of 24 hours from the time of applicatia► to allow for proper review of the proposed structure and of the wnstruction site. A Certif icate of Si�rvey of the lat, shawing the location of the foundation once it has been o�nstructed will be required before prooeeding with the fraoning. NE1IV [ ] ADDN [] AL�ER [ ] Construction Address: Legal Description: Owner Nan Contractor: aor�S"-��.�o CITY OF FRIDLEY Effective 4/1/2004 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION ��,3 - 7�3-�63� ..... _....�..�� # � LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the � lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Length Width Length Width Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. < . Construction Type: �� Estimated Cost: $ �J � o�j � 'Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � �2 '� � � APPLICANT: KD/VYI ��c�yMs'; Tel. # � ��'' �g"[,�� p Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee PIan.Reviewr Fire Surcharge State Surcharge SAG Charge -License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � �9a. �� $ J' � 3�. o�/ $ / % Da $ $ � � Od $ $ $ $ $ �'7c� •v�/ CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC 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 [ j STIP.ULATIONS: � � J � �I � r � �� r � � ` ' ` � � �r - - � i� � � � �� _ �� •� /'�� , � �, , � � � � �� r � ' �' ' / �� i ` � � 1 � `��i�� 0i b � BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erecdon 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 siructure, upon application therefore, require the payment by the applicant for such pernut 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,()O1 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for ea.ch additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each add.itional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional •, $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $SOO,Q00 .�lus $4.75 for each additional -- - __ _ — - --- — $1,Ot10 or fraction thereof, to and including $1,OQ0,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof CURB CUT ESCROW _ (Conciete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate . Permits for construction will be issued a minimum of 24 hours from the time of applicaxion to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of S�rvey of the lot, showing the locadon of the existing foundation will be required before proceeding with the framing. New Houses Onlv