AF - 38537Village of Fridley, Minn.
BUILDING PERMIT �°• 14 4 5
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Date -`�. �'� ....... ' :� ::...
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O `� .�. ... . � ... .. ..... Builder .....................
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Address....................... _............. Address ....................................... ...
LOCAT[ON� OF B I DING
No.��..�: ,�. . Street . ��;��: �:':�.°`": :�:'�': . . .""�� . Part .of Lot . . . . . . . . . . . . . .
,,..,! ,� . .
Lot . . . . . . . . . . . . . . Block , . . . . . . . . . . . . . . . . . Addition or Sub-Divis�jROn ��":''": :�i �,+ . .�-, . �'.��y�',M4'��` +
Corner Lot . . . . . . . . . . . Inside Lot . .�f"�.Y�. . . . Setback .�,��. . . . Sic3eyard . . rn� . . . . . . . . . . . . . . . . . . . . . .
DESCRIPTION OF BUILDING
T ; ' Used as: � �r
x
.� . . . . . . . . Front .�.�,. . . Depth� �'.. . Height . .��"'�. . . . Sq. Ft. . . . .. . ._ Cu. Ft . .... ...
.... .. .�....�... .... F ont . .. De th :. Hei ht .. .. S . Ft. ........ . Ft ........
p .... y g .... q �
Type of Construction ��'`�"i:e�:�e,-:+.•t,�'�... �st. Cost . �::�3.� � .. ........ To be Completed �"°.:":.�::..... ���
��+�.���.� t t,c . .� �t't►.�'�L.era. � ti�IL '� �'' �
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In consid�ration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the village of Fridley.
.....................................................
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7n consideration of the payment of a fee of $��'::..., permit is hereby granted ii�»1=s�-�''::�"��i�':r:
................."........ to construct the building or addition as described above. This permit is granted upon
the e�cpress condition that the person to whom it is granted and his agents, employees and worl�en, in all work
done in, around and upon said building, or any part thereof, sha11 conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limit� and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
, ��,�:°: :" _ _ . . . �, �:� . . . . . . Building Inspector
NOTICE: "'
7his permit does not cover the construction, Installation or aiteration for wiring, plumbing, gas heating,
sewer or water. Be sure to seF��uilding Inspec'tor for separate permits fr�ve items.
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City of Fridley, Minn.
BUILDING PEI�.MIT
Da�; April 10, 1969
p�; 0. C. Gates g�� DeVac Sa1es
Ad��ss 5031 Clearview St. ft. E. ,�d�� 59A0 Waqzata B1vd.
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LOCATION OF BUILDING
No 5 031 S�t Clearview St . p� of Lot
Lot � 8 -_ Slock 5 Addition or Sub-Divisfon _ Carlsor��s Su�it Manor South
Coraer Lot _ Inaide Lot Setback — Sideyard
Sewer IIevatian _ Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as:
_ Porch ��� 12 � �p� 14' Height 8 Sq. Ft. ��_ C�. Ft 1344
Front Depth I�eight Sq. F't. Cu. Ft
Type of Constructton Frame �y�, ��fi4300.00 To be Completed
In consideration of the isauance to me of a germft to construct the bwtlding descrlbed above, I agree to do
th� proposed work fn accordance wlth the description above set Porth and in compliance with all provisions of
orclinances of the dty oP Fridley. �QDJ� ���
In conafderation of the payment of a fee of $ 5. 00 ��t fs hereby granted to DeVac Sales, Inc .
to construct the buflding or addition as described above. This peranit is granted upon
the express condition that the perafln to whom it ia granted and hia agents, employees an8 worl�en, fn all work
done fn, around and upon said building, or any part thereo� shall cbnform in all respects to the ordinances of
FridleY� Minnesota regarding location, construciaton� alteration, ma3ntenance, repair and. movin� of buildinga
within the dty lfmfts and this permit may be revoked at a�y time upon violation of any of the provisions of said
ordinaac�.
. �'.�'✓�' � ~/ Official
Hexuty . Muhich
�� — �'
NOTICE:
, 'flds psendt dosr nof �over ths coeatrueNon, InstallaMoe to� wUtee, plumbine, gu heeNng, �nr er watsa B� wes to se�
' tlro Buildiae lesp�eto� Po� �parafr parmib Po� t6sss h�ms.
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gPPLIC�TIQN FOR BIIII�DING PEE�MIT
CITY OF FRIDLEY, MINN.�,SOTA .. . .
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OWNECt ' S NAME � � %+r� � �`,G � BUIT�pER F ��'� .S� � �S
,.-._.� r,_.._—._ � � .
���s �'"0 3 ! � �. ��R���r�� ST �Dx�ss 5`4�� u/A�z � �°� 13a rr�
�y�'- �� � �
LOCATION OF BITILDING
No. �3' m 3 I smx�r � �l � � � � �
,�..�� , R� ,
LQT BLQCK �` .9DDITION OR S�'BDIVISION
CORNII3-LOT �1VSIDE LOT � SET�ACK SIDEYARD
� ��
SE�nTER ELEVgTION TOP OF FOOTING
App�.iQant attach to this form Two Certificates of Survey oi Lot and
proposed bui�.dLr�.g location drawn on these Certificates.
DFSCRIPTION OF BiTILDING
To Be IIsed ge:_
' � /
�� , ��! C,, i!� � Front .� 1 � Depth /'y � He�ght � '
,, Squa,re feet 1� & Cubic Feet ).���
Front Depth Height
Sg,uare feet Cubic Feet
ors
Type of Construction �i���� Eetima.ted Cost 'y.�� �-�
To Be Completed �� � � � �
The underei�ned hereby makes application for a permit for the work
hexein ap�oif'3.ed, agxe�ing to do all work in etrict accorda,.nce with the
City oi Fridley Ordinanees and rulinga of the Department of Buildinga,
and hereby �lec�.a,xee that all the facts and representations �tated, in
this appliaati.on are true and correcte
DATE '�� D ,�e��_� SiGNATURE -
��� �
(Schedule o� Fee Co�ta can be fou:nd on the Rever Side.)
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City of Fridley, Minn. ��������, N° 10256
BUILDING PERMIT
.. .- •.•
pwaer; Albert Gates g�� Same
AddT28g �.Cl aa_rvi a� .S�'I"7"PP'I' N j,+'.. AddPesB -��.�
LOCATION OF BUILDING
No. �n�� S�C22t - C:l aa.r�i at.r S-f��et 11T.E�— PBTt Of Lot
Lot __ Block
Addition or Sub-Diviafon
Corner Lot ._ Inside Lot _.. Setback ._.... Sideyard
Sewer Elevatian
Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as:
Firenlace �nt �p� Height Sq. Ft, (�u, F't
Front Depth �Teight Sq. Ft Cu, Ft,
Type of Construction ��k Es� Cost �.�.�-�...94_ _ To be Completed ��TPak
In consideration oP the issuance to me of a permit to construct the bwtlding descrfbed above I agree to do
the proposed work in accordance with the description above set fo and fn complian with proviaiona og
o�dinanc:es oP the city of Fiidley:
In consfderat[on of the payment of a fee oP $� , permiit fa hereby granted to
to construct the buflding or addition as described above. This �ermit ia granted upon
the express condition that the persfln to whom it is granted aad hfs agente, employees and workmen, in all work
done fn, around and upon said building, or any part thereof, ahall conform in all respecta to the ordinances of
FridleY� Minnesota regard9a�g la:ation, conatruction, alteration, maintenance, repa3r end moving of bufldings
wio��� dty limits and thia periait may be revoked at aTMy time u�a violation of any of the Provie�tons ep ssfd
BvildiaS Inspector
n NOT10Ea
'II� psm�M d�s not cerer t6e eonaracfion, Ieatapalloe tm whtee, P��+�9� 6a 6alteg, mra� e� wa1�r. B� ara h a�
Ha ButWiuB le�eto� fo� aperat� parmlti Po� thas hfea. ,-
A,PPZIGATION FOR BUTLDING PERMIT
OWNEEt'S NANlE
AUDR.F�S � ,�,
NO. � u� � STREEI'
CITY OF FRIDL�Y, M2NNESOT�.
LOCATION OF
�
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LOT BLOCK 9DDITZON OR SUBDIV2SION
CORN�3Ft LOT - 7.�TSIDE LOT SETBACK SI,DFY9RD
� _,.__,r_r.:�
SEW'ER ELEV'ATT�N TOP OF FOOTING
gppl�.can� attaoh t4 this form Two Certificate� of Survey of Lot and
pxopoaed bui.ldin� �.oaation drawn on these Cexti�icates.
DF�CRIPTION OF B[TILDING
�o Be Us�d s � . , , .
�� -
_ I�'x�ont Depth Height
5quare feet Cubic Feet
Front Depth Height
Squaxe feet Cubic Feet
�` .�-/ �°1
Type of Conetrua�tion Estima,ted Cost o� � C� `�—'
To Be Complet�d ! ���C-.
The urade7ce�,�nad hexeby makes application for a permit for the work
hereiri �peoi,��,ed, ag�eein� to do all work in strict acco�dance with the
City p� Fxidley Ordinancee and rulinga of the Depaxtment of �uil,d3n�,
and hereby deala;res that all the facte and representations stated in
thie appl7.aa.tio�t are �rue and eorrect e
D,A�'E SiGNATURE �
(Sahedu�.e of Fee Cpets Qan be fourid on the Reve�se Side.)
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BIIILDING PERMST�FEE SC�ULE
SECTION 2o The Irispector of Buildin.ga shall, before is�uing permits
for the erection of any building or etru.cture9 or for any additiqx� to any
��i�ting structure or building, or .for axiy alteration or repa,irs to any
existing buiZding o� st�ructure, upon application therefore, r.equire the
payment by the applicant for eueh permit of fee� to the amount herein
below set fozth and in the manner here�n provided to-wit:
IIniform Building Code: Type 1, 29 & 4-$1a75 for each one thousand
cubic feet, or fraction thereof, in such cubical c.�.ntents. Type 3& 5�
$1 0 50 for each one thousara,d cubic feet o
For the purpoae of computi�g fees for building permita, the cubice.l
, � �dia°t�nt� o�. �tig��i3�.iri��°addi�3��i-'L��°�, ut3�form. heY��tl�'u�hout `�y _. ._
multiplying the ground area covered from a poin.t aiu (6) inches below
the floor line of the basement or the cellar to the average height of
the upper eurface or to the avera.$e height of the roof eurface of �he
main gable of a pitched roof. ,
For repairs or alterations to an existing structure, the fee �hall be
at the rate of $3.00 per each five hundred dollare ($500.00) or
fraction thereof ir�, the cost of all p�oposed work.
In no case ahall the fee charged for aza.y permit as aet forth in Section
2 be lese than $5.00o
NSSSD Connection Chargea based on location -�rea 1 or 2.
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sua�ecr PERMIT NO.
City of Fridley °! 16 9 41
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � RECEIPT NO.
� ; L _ COMMUNITY DEVELOPMENT DIV. �
r � � PROTECTIVE INSPECTION SEC. �9'� �j
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� r���� � CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVED BY
�'""� � ��' 612-571-3450 910-F15 4/29/81 / /
JOB ADDRESS 5031 Clearvie�r N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR, $ S C�.�SOII � S S13ILIIII1't M3IlOr SOtl'�1 SEE ATTACHED
SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Douglas Anderson 5031 Clearvi�,r Lane N.E. 560-8495
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Dav-Ko Hcmme Ilnprovement 1325 - 42nd Avenue N.E. 788-5850
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Resis3ent `lal
7 CLASS OF WORK
❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof Hous.e & Gara e
9 CHANGE qF USE FROM TO
STIPULATIONS �f can he t�ie 2nd but not 3rd roof. Ins.tall rid ed
valleys. g g'alvanized
SEPERATE PERMITS REQUIRED FOR �iR1�44�G,
►�EAl`I�tG. PL11�1611�iG Afd� SIGIVS�
SEPARATE PERMITS ARE REQUIRED FOR ELECTRIGAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING 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 FiAVE 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`].�OOO yS�SQ
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO G VE AUT RITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROV ION OF ANY OT ST E OR LOCAL LAW REGULATING CON- $% � SO
STRU TIO OR THE PE O M C OF CONSTRUCTION.
_ PLAN CHECK FEE TOTAL FEE
�f $8• 00
SIGNATUREOFCO aCT a0R UTHORIZEDAGENT �OnrE WHEN PROPER , VALIDATED THIS IS YOUR PERMIT
- � � ^� � " �
SIGNATUREOFOWNERIIFOWNERBUIL�ERi IDATEI BLDG INSP 0
. , . ,�
CITY 0(' fftIDLEY �
� A('P[.TCIITIO;�d �Ok n,L"SI[)EF1TIlli_ I3UILDI�IG PERt�fI7S � �
� (iderr, A1l;eraLions, lldditions, or Repai� s�
� ��-v�� ��.� � �1c>
01JtJER: a.S�' � 6UILDER: . =�'/� � �%� ��
{IDDRESS : � n � .. , ; �- ' ,
/IDDRESS:
TE� �so: ��--P/�' �° � ��� TEL IdO: ��_�"' = � ��' C�
Consi;ruction Locatior� '
STRL•�T NO: STREET:
LOT: � � BLOCK : �� ADDITION : �.-l� �Sl`J� �.� �� ,,,� ��1 � % C� ��
Corner Lot: Insidc Lot: Setback: Sideyards: �U�
Ap�liaant attach to this form two Certificates oE Survey of lot and
proposed building location drawn an certi.ficates to scale. _
� ° DESCRIPTIOi� OF COPISTP.�JCTIOPd � �
Front: � Depth: Height:
Square. r'eet: Clxbic Fcet:
, _.
. Front: Depth: Height:
Square- Feet: � Cubic Feet: �
fl � �s �' �—
Type of Construction -� �
Zb Be Obnpleted: � �
` .
Pro,posed Drivec�ay Width If New Opening Is Desired:
�
Es�imated Cost: $ � �
Alt. A Alt. B
$� $
SE� Rr.VERSE SIDE OF SHEET
Ziie undexsigned hereby ma�:e� apglic�tian for a permit for the �:nrk� h�rein specified,
agreein� to c� ,all work in strict accordance �•�ith the City oF I'ridley OrdiiianG�s �aid
ruling� of the Department of Bui].dings, and ci:e declares that all . iact� and
rcpresen tations stated :n this �pplication ue and cor� .
D.iTE " � / SIGNATUf.E: �
� ..
Sti��ulations :
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� � • I3UILi)II�JG I'f_=fit�IT f=E:l� SCflf:t)ULE �
�__________ .
5ls�:Ti01�� 2. �'1'1�L 7n-.c��ccL•or. of' l►►�i.lc'.in�,� :::Ii:il.J., hctor.c: i. �,ui.ng Z�c:nnzL•s :f•�r i:1ic crccL•i.on
�f: .��iy )�u:;..l�l.i.i��� ax :�t::.-uct:urc, �r. ta�: uny �idQi.t:.i.�,n t:o any er.i�ti.�i�� l�uilcling or :;txucL•ur,r_,
. cir. l:a�� t,�iy til.tc:rati��n or, r.c�,air.:� L•o •any c.:.i..t:in�� hui.l.di.�u.1 or sL•i:ucturc, u��c.n ar>p1i.c:aL.ion
�tJicr.�Lor.c, r.cquar.c tlic paymcut: ?�y Uic aZ�p].i.�ar►t: Lor. such ��cr.r�i.l• of: £ecN L•o tlie a�nount
hc`�LL11 bcl.c��•� sc:t� for.t•h �uid i.�i thc mannez hcrci.n ��rovi.dccl L-�-wai.; .
t�il,i•� COIdS`PI:UCTI�tJ: Sing].e 1'amiJ.y tloiacs and Gar.aqc,; ;4,00/J.,OJO cubS.c tcct. .
1.'7d�.J CIII:CI;: 25 i�er.cc�,t: of bu�.lcling };�er.miL• fee.
UitXl�I;t•:111' ll�l'P1:55201•:: (ConcreL•q C�ixb �L•rceCs Onl.y) �'
' Al.tcrnat:e A: ltcmoval and replacement of concrete cuzb and
qutter only; nriveway ��idth p].us 6 fee� x$13. �0
Alt,�,_ernate II: Removal. and replacement of concrete curb and
• guLter and inst�ll �a 3 foot ��ide approaeh c.�ith ''
' ,• 6 inch dcpth; Driver�ay �•iidth �plus 6 feet x$15..,75
• . ADDI �' IOf�/��, I PJFO�`�1I1LI0_.�.._
I'or the purr+ose oF computing tees far. building permits,. L-he cubica3. contents of any
build�.ng or addition, is deL-er.�ni_ned by rnuli:ip.lyir►g the ground area covered trom a
��int six (6) inches below ihe iloor ].ine oi tlie basement or th� cellar to 'thc
average hcights of ihe •upper surface or to the average iieight of the roof surf_ace
of i-he raain gab].e o€ a pitched roof. �_
Fox repai.rs or Alteratio:�s to an exista.ng stnicture, the fee shall� be at the rate
.. af $3 .00 pex eacli five hundred dollars -• ($500.00) Qr fraction tllerc:of in the cost
oi all propased woxY. . , '
In �no aase sha�.l �the fee cIiarged fcsr any pPx�ni.t as set iorth i.n Sectian 2 be less •
tha� $?.50 p].us $.50�sta�e surcharge. . ' ' �
1�ERTFIC�TIO�! OF FOU��In/1TIOf�t
0
NOTE: Permits �or constxuction will be issued a minimtun oi 24 hours from the time
af a�plication to a].low for proper revie� of the proposed structurc and oi the .
construction site. �
� �
l� Ceri:ificate � of Suxvey of the lot, shoc,�ing the loc�ztion of the foundation oizce it
has been cons�ructed ��Till be required before pr.ocecdittg erith the iraminq.
�RTIFICATE �F OCGUPA�C1' � � '
' 1►pplication ior a Certificate ot Occupancy shall i�e mad:� ten (10) d�ys prior to the
u::e or oecug3ncy oi any structure for �ahich a 1�iuilclia�g permit hAS been issued; and
seiad struct.urc :I13�.J. I�O� I)C used or. occu�ied t;ntil a Ceri:�.iicate �i Occurancy has
bcen i.ssued.
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SUBJECT
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �
� �
i •y �'��� �
COMMUNITY OEVEIOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
�
i1 i �
_--.� �"' �'� CITY HALL FRIDLEV 55432 NuMBER
t 612-571-3450
910-F15
J08 ADDRESS
5031 Clearview ST NE
1 LEGAL LOT NO. BLOCK TRACT OF; ADDITION
DESCR.
2 PROPERTY OWNER MAIL ADDRESS
4 ARCHITECT OR DESIGNER
5 ENGINEER
B USE OF BUI�DING
RP,eid n i 1
7 CLASS OF WORK
8 DESCRIBE WORK
9 CHANOE OF USE FROM
STIPULATIONS
MAIL AODRESS
� Univers
MAIL ADDRESS
MAtL ADDRESS
27130
�/��
REV DATE PAGE Of APPROVEO BY
8/12I98 / /
ZIP
SEE ATTACHED
SNEET
PFIONE
572-8719
PHONE LICENSE NO.
PHONE LICENSE NO.
PNONE LICENSE NO.
� NEW ❑ ADDITION ❑ ALTERATION �] REPAIR ❑ MOVE O REMOVE
f
TO
Underlayment must comply with State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, NEATINa, rrP
VENTILATING OR Alp CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZOp
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VA�
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITFI WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2;
DOES NOT PR SUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pEq
PROVISIONS ANY OTH OR LOCAL LAW qEGULATING CON-
STRUCTION THE PERF AN OF CONSTRUCTION 7�
B ' w_ PLA
1 i�
IGNATURE OF CON'RACTOR AUTNORIZED AGENT 10ATEI
Ur pyyNER BUILDEAi IDATE�
OF CONST. OCCUPANCY (iROU
�G SC. FT.
)WLG. UNITS OFF
STALIS
4TION SUF
)B.�F� �1
IT FEE SAC
.75 Fi
CHECKFEE / TOL
OCCUPANCYLOAD
CU. FT.
ET PARKING
GARAGES
RGE
SC $2.17
E
OPERMIT
���/� ��
.;�:,� [ ]
-�.��r. [ ]
-- =�L�t [ J
CITY OF FRIDLEY
SIlV�LE FAMII.Y •AND DUPLEXES R-1 AND R-2
Effective 1/1/98
�
BUILDING PERMIT APPLICATION � l� �
� . � �:� O
'�.:s�ructionAddress: D �j l /.Q,� �/ i �P.t,�1 J-1- �. �
_ _ �:! Lescription:
� ,. .... Name & Address: ��> >a ��t� ��Yl d f�scr� 5� 3 / ���/1eu_1 Tel. �f J % ��%1 R
.....::��tur: ��a r.S-��l��,yrs ���o� d.l�.�•r��d�/,,., 6 LLG MN LICENSE #_ _
. _ ._.:��: . '���� /��� u'�s�� /�✓e. /11� �r�� l�t,� Tel. # ��� ��lv
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
. _:'ti`�- �l�t�:A:
�. _.:.�vi; t�1i�f�.o
�_:�'�� �.1Z�A:
_�": iii�;��:
DESCitIPTION OF IMPROVEMENT
Length ' ' Width Height
Length � Width Height
Lengtii � Width � Hgt/Ground
ti
�,o ..�►►n.�.� .p_ a� 2.p � �_P_ ,�1/ _� n •
Sq. Ft.
Sq. Ft.
Sq. Ft.
�..��r�:��io�i'1')'�;�: I��dJe.C�. I�p��'LCe �v� Estimated Cost: $ � i��� ��
, . (Fee Schedule. on Back)
,_,,:;y Ci!rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
_ _ _'�: g--� L � �P'lLICANT: Tel. � %�S-�9�/�
..,.:. f���e
.. . ._ _: ��char�;;
..: a�:rcharge
;.-�.�: Charge
Lic:;nse Surcharge
_ _ : , c �ti�; ciy Escrow
:�:���ion Control
• --,... 1't.'.G:
� � ., �:: tdlain Charge
'1'OTAL
, :'ia-ULATIONS:
CITY USE ONLY
� �� 75� Fee Schedule on Reverse Side
� �. �f -7 .001 of Permit Valuation (1/lOth%)
� ( � 6�6 $.50/$1,000 Valuation
$ $1000 per,SAC Unit � .
$ �`, pd ` $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 [ ]
�„�
/
i
BUII.DING PERMIT FEE SCHEDULE
'i'h� Chief Building Official shall, before issuing permits for the erecdon of any building or structure, or for
�r�}� addition to, a,ny existing building or structure, or for any alteration or repair to any existing building or
�i�ucture, upon application therefore, require the payme�t by the applicant for such permit of fees to the amount
i��rein belo�v set forth and in the manner herein provided to-wit: '
. T�TAL. VALUE
�; : co $SQa
�;SU1 [o �2,000
;'?,0�01 to $25,000
�;;�? 5 ,Ual to $50,000
��0,001 to $100',000
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,�0
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$3�49.75 for first $25,OQ0 plus $9.00 for each additional $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 $1�,000
;, it�J,W 1�o $�U0,000 $887.25 for first $100,000 plus $S.nO a� a$500 000 �1
$1�000 or fraction thereof, to and i g
r.;i;�U,OU? to �,1,000,000
�1,0a0,001 and up
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012:25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
:�lternate "A" : Removal and replacement of curb and gutter only �- Driveway width plus 6 feet times $13.50.
�.lternate "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
�e�-mits for construction will be issued a minimiun of 24 hours from the time of application to allow for proper
:�view of the proposed structure and of the construction site.
:� Cenificate of Survey of the lot. showing the location of the foundation once it has it has been constructed
�,vill be required before proceeding with the framing.
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