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AF - 38544BUILI)ING PERMIT Village of° Fridley, Minn. N° 2 4 21 �. Date 'L�( •'.�' .� "� �', .'"� . . . . . . . . . . . . . . . . . . . . . . . . Owner �.f:`�:`��`:�.`�':�. �--�.�t�'�i�;�;a�'_ �.��-�,��+' Builder�,...N°�s�r_rr'�-�' ... ........................ Address ,,,�,�„+t^1�' . :"'�: .�: :� �":s;�:� : �`. .�.�. :�'. �:�� Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LOCATION OF BUILDING ��• . ............. No. . !� � � . . . . . Street . . . : � :`�� . .,.,�:?� : . . . . . . . . . . . . . . Part of Lot . . . . . . . . . � ,t Lot . . . � . . . . . . . . Block . . . . :l�:'. . . . . . . . . Addition or Sub-Division �� x. . . . . . . "":��.�..l��,�t t`a!`=� . . . . . . . . . Corner Lot . . . . . . . . . . . . Inside Lot . .*.`": . . . . . . . . Setback :�!"�. �� . Sideyard ,�,G�.�. ,�i�.� � . . . . . . . . . . . . . . DES�CRIPTION OF BUILDING To be Used as: . b . . . . :��. . . . . Front . ?��: . . Depth „�� . . . Height ( �a'�,� . . . Sq. Ft. .�,'�.��' . Cu. Ft. . . . . . . . . .................... Front ........ Depth ........ Height ......... Sq. Ft. ........ Cu. Ft. ........ Type of Construction �.� i�.��x�: Est. CoS� .�:+��+�?�'. . .�'�". `�. . . . . . . . . To be Completed . �.��?`:�':�. In considera,tion of the issuance io me of a permit to construct the building described above, I agree to do f.he proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. ................................................... consideration of the payment of a fee of $. .,�:�. . , permit is hereby granted to �-:�N� . . . . . . . . . . . . . ,�d.��'��7�a:....... to construct the building or addition as described above. This permit i5 granted upon the express condition that the person to whom it is granted anfl his agents, employees and worlunen, in all work done ia, aroimd and upon said building, or any pari thereof, shall conform in all respects to the ordinances of F'ridley, 1Vlinnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violatfon of any of the provisions of said ordinances. � s � ..��. :'�"?r:.... Building Inspector NOTICE: This permit does not cover the construction, installation or aiteration for wiring, plumbing, gas heating, sewer or water. Be sura to see the Building Inspec4or for separaEe permits for these items. ,+�, +►. _� . � City of Fridley, Minn. BUILDING PERMIT �. ��TM��°�a 6189 Date: �� ' �� `"" � �'°�,� i Owaer: ��'�;+� � ,,�..�°'".�I `��.,�.�f r.,�i Builder Address Addr�sa LOCAt7'ION NG No. .�,��'�..�Street � .-__� p t Lo Lot �" � Block Additian or Sub-I� on �, ��r►,Fa�+w�r-''''��-T— Corner Lot � "~— 7naide Lot � ' �lback � ., ideyard � � Sewer IIevation — _ Fo dation Elevation DESCRIPTION OF BUILDING T � F'ront DeP� � Height � S4• �. �� G1. FL j�� Depth � ei —�_ S4. F� Cu. F'� Type of Conatruction �� Fs� Coat �� .�� To be Completed �� In consideration of the issuaace to me of a permit to construct the building described above, I agree to do th� proposed work in accordance with the d�scription above set Porth aad in compliance with a11 provisione oP ordinaaces of the dty of Fridley. � In consideration oP the payment of a fee of $� , permit is hereby granted to to construct the buiidin.g or addition as described above. This permit is grented upon the express condition tliat the person to whom it is granted and lua agenta, employees and workmen, fn all work done in, around and upon said buildiug, or any part thereof, shall conform in all reapects to 'tlie ordinances of Fridley, Minnesota regardiag lacation, construction, alteration, maintenance, repeir and moving of bufldinge within the dty limits and this permit may be revoked at ar�y time upon violation of any oY the provisiona of said ordinances. � ..�,�!;�t su�a�ns rns�ector r,,s'" NOTICE: ihb p�emh doa not eowr ths somhucH�, testallalloe fo� �o, �t�mb�ew �a 6..xea a�wr ee �a B� we� to sN fin BniWieg Iesp�eloe fo� aparafr p�rmtls for fha� I1�ms. '"'`, "--,. T � �.s -_ .� �--.,!�. ' ._ L� ��o �PPLICATTON FOR HIIILDTNG PERMIT CITY OF FR.IDLEY, MINNESOTA Owners Name ?'`' chaX c� Sch�ll�� Builder ��L�:3 CONSTi'.UCTION �Ot•�.'1�NNY �ddress 50��3 C1�a�:vzeS�a S�. N,i". r•��.dle� Addrees �L�� g.Lyndale ��lm. 21, �Z�nn. LOCATION OF BUILDING Ido. 50ef� Street C�E��-��°� Sr. N.�. Part of Lot�,! • iot ___:� _�; B].ock _,,,,,� Addition or S�a.b.Div, �_ ° Corner Lot Inaide Lot! Set Back Side-Yard SEWER ELEtlATION FOUNDATION ELEVATIOAI Applic�nt attach to this form Certificate of Survey of Lot and proposed bwtlding location. DESCRIPTION OF BUIIDING To be used ass _:a��.�_ F`ront ��:•' Depth 20' Height 7' Sq. Ft. � Cu. Ft. Front Depth He3�ht Sq. Ft. Cu. Ft� T3rpe of Conatruction G� Est3mated Cost $�00.00 To be completed �� oon as �os�ibl� _..___�.�.__ .---- The undersigned hereby makes application for a permit for the work herein apecif3ed, agreeing to clo all work in strict accordance with the C3ty Ordinanc�s and ruling of the Depax�tment of Build3.ngs, and hereby declares that al.l the facts and representa- tions at�.ted 3.n this Qppl3cation are true and correct. � . �''vt��`�"'�. �„�`-�`� a �t�� DATE S��atember Z7y 1962 SIGNATURE .,%�"��'�,�=--r��-'�.-�.�� . ... -•.._. (1 Schedule of Fee costa can be found on the Rsverse Side.) �i !'�`` .. � �_ v .= BIIILDIlVG PERMIT FEE SCHIDULE Seet3on 2. The �nspeator oY Buildin�s aha7.l, before issuing any perm3t for the erect3on of sny building or structure, or for any addit3on to a.�g existing building or structure, or for ang alterations or repairs to any existing building or structure, upon applicat3on therefor, requ9re 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: --- -- 2;� —F-a�.-an�r�lL�srmit for the erection of any: fire-proof bu3lding, • other than a garage, warehouse, factory or grain e%v�fi��; -o�-for-�he=er�'t.�.on of an�r fireproof addition, for similax occupancg, to any exi.sting buil,ding sha11 be.at the rate of �1.40 for each one thousand cubic feet� or fraetion thereof, in such cubica,l contenta. 2.2. For ang house�, facto addition, for rate of �7..25 by Section 50 HOIISES auch permit for the erection o� axiy fireproof gsrage, ware- ry or gra.3n elevator, or for the erection of ar,yy fireprocrf s3milar occupancy, to any existing building shall � at the for ea.ch one thousa.nd cubic feet, classified as "fireproof" .. 2 of the Minneapolis Builci�.ng Code. 2.3. For any such permit for the erection.of a.n� nou-fireproof bu3lding other than a garage, warehouse, factory or grain elevator, or e.ny non- fireproof addition, for simil.er occupancy, to any existing build3ng. Permit $1.Q0 for each one thousand cubic feet. � •a� �. 2.4. For any such permit for the erection of any nor�firepraof garage, warehouse� favtory or gra3n elevator, or for the er�ativn of any non- fireproof addition, for sim3.lax occupan.c�� to any existing buildin� e� far e��h suc� b�ildsag ar a�dd�tivn.- N�ne��r Cen�s �ar- e�eh �ne -�o�satie� cubic �eet or.fractioa .thereo�� 3.n the cubical contents thereof with a min3�num of �4.Q0. � For the purpose of computing fees for building permits the cubical contents of ang building or addition to a uniform height throughvut by mu].tiply�.ng the ground area covered from a point six.�6) inches helow the f'loor line of the basement or ce].lar to the average height of the upper surface or to the aeerage he3ght of the roof surface of the main ga.ble of a pitched roof. 2.5. For repairs or alterations to an exiatin� structure, the fee ahall be at the rate of �3.00 i'or each Five Hundred Aollars (�500.00), or f`raction thereof 3n the cost of all proposed work. � 2.6. In no ca.se shall the fee chaxged for any permit as set forth in Section 2 be less than �1�..00. � n � - � a. � , SLAB LOCATION AND BUILDING PERMIT SLIP .� Name � �bG �"1 � �. � � C,s° � l� j, �l�i �. � i�,, . .� ��! •Adc(�es s ��' `r �' �="_—t- �' pJ � �% � � !�d �� /�% +� • � � 1� 1� 1�� Home � � �� -. City or Village . Phone Work Home Home Phone Days Evenings Sclesman , Garage Siae �I%Xc�� Countour of Lot At Garage Site Permit io be obtained by: Permit No. Addition — Gradual Steep Flat � Slop� Slope ��. Mi les Customer Lot No. Lot Siae Block No. STREET � � � I N � � I `, � �. � 4.� � ; . I � �� " ��v�s jm �� ; < •. � s N 'O � i 41 � �� 'i .� � � - � In I I� I , � m'� I J' � J J I ! J � � ' \ � I ❑ Check h�^if alley � Paved 0 Not Paved j�dth � �.0#fi. .,,opy � Cement Copy � 1°� � � ' � SuB�EGT - � , . City of Fridley 2 814 0 AT TME TOP Of TME 71MINS g � 1 L D i N� P E R M I T r � � O. � • COMMUNITY QEYELOPMENT OIV. ' ��- 67 r � � PROTECTIVE INSPECTION SEG. �o � . , � _ �"'1 � CITY MALL FRIOLE� SSI$2 NUMBEA AEV O�TE PAGE Oc �PVapvED Br �----�� •� 612-571-34b0 910-F15 10/7/98 � , / JOB ADORESS 5048 Clearview Street ' t LEGAL L07 NO. 9LOCK TRACT OR ADDITION SEE ATTACNED DESCR. 25 6 �Carlson's Summit Ma.nor � S. Addn. SHEET 2 PiiOPERTY OWNER MAIL ADORQS$ Z�P PMONE 2- 3 3 CONTRACTOR MAII AOORESS Z�P PMONE IICENSE NO R& B Construction Inc. 1814 214th Ave - 4 ARCHITECT OR DESIGNER MAIL AODRESS 21P PMONE LICENSE NO. 5 ENGINEER MAII ADDRESS 21P PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADOITION 0 ALTERATIpN � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house (13 S) Tear-off• Reroof ara e 4 S 2nd La er 9 CHAN(iE OF USE fROM TO STIPULATIONS Underlayment must comply with the State Building Code. Roofing can be � the 2nd layer but not the 3rd. TYP�tSFCONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE fiEOUIRED FOR EIECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. TNIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. fT CU fT AUTHORQED IS NOT COMMENCED V�1ITHIN 80 DAYS. OR IF CONS7RUCTION OR WORK IS SUSPENDED OR ABANqONEO FOp A PEHIOD OF 1YQ DAYS AT � ANY TIME AF7Efi WORK IS COMMENCEO. ' NO DWLG. UNITS OFFSTREET PARKING I MEREBY CERTIFV THAT I HA4E READ ANp EXAMIN�D THIS APPLICA710N STA�LS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIQNS OF LAW$ VALUATION SURTAX AND ORDINANCES GOVERNING TMIS TYPE OF WpRK WIL� �� CpMPl,IEO @ WITM WME7HER SPECIFIED HEREI OR NOT. THE GRANTING OF A PERMIT �13%1 y�.68 DOES NOT PRESUME TO GIVE TMORITY TO VIOLATE OR CANCEL THE pEqMIT fEE SAC CMARGE PROVISIONS OF ANV OTHER ATE R LOCAL LAW REGULATING CON• STqU TION OR TME RF NCE F CO TR TION ��Fr7.75 ire SC. �1.3% �� P�AN CHECK fEE TOTAL FEE License SC 5.00 52.80 Si NATUpE OF CO pACT p AUTNO �ZE eGEhi �OATE� MEN PFOPERIY VA ATED 7M1S IS VOUR PERMIT � W' S�GNOTUAE 0� OWNEp��F OWNEABWLOEA� ��Ar�� B�DG� ` � � ��TE NEW ( ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [] SI'i�TGLE FAI�IILY AND DUPLEXES R-1 AND R-2 p BUILDING PERMIT APPLICATION � � o �� 1 � , � ConstructionAddress: _ �0 �`� �,e 2 �/i�c�� Legal Description: Owner Name & Address: Tel. # 5'%� �2'�S Contractor: P�.�� s �� (�,'� J��c ��¢y , � �, �SMN LICENSE # a�o7 �6S � Address: P 0 , �� 7'0 �i7�-/L 1�%,(� ��l� Tel. # 'y��7 � � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: 1��- DESCRIPTION OF IMPROVEMENT Length W idth Length Width Length Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. ,.�._..___ �...... - � — — _. (Fee Schedule on Back) �'� � / Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: D APPLICANT: Tel. # 3-..�� CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ��s� $ l.� $ � �� $ $ $ $ $ $ S. C�� jI Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 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 � [ ] BUII.DING PERMIT FEE 5CHEDULE 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: 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 $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $SQO 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 fraction thereof, to and including $25,000 $349.75 for first $25,000 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 $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $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) Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Altemate "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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. Building pL�ING Permit No.: j Inspections ��ENTI�L �P�LICATION R�i��a By: �� 763-572-3604 CITY OF FRIDI.�E� D� R�'d: v J�� " DATE YOUR E-MAII. ADDRESS SiTE ADDRESS � TF�IIS APPLICANT L5: ❑ OWIIER CDNTR SCHALLER, R.E. PROPERTY N�� 5048 CLEARVIEW ST NE �� FRIDLEY, MN 55421 ,�N� ADDRESS: (763) 572-8235 �ATE � PHONE: cor�.�,croR ,�; �.-R�[�M PL� �II�I�I�VVr, r±n SUBMIT A COPY OF STATE LI E3� DATE YOUR STATE ADDRESS: CiTi' STATE ZIP LICENSE WTIH PHONE • - APPLICATIOId PERMTI. .I.YPE SAfGLE FANID.Y ❑ TWO FAIvID.Y ❑ TOWNHOUSE TYPE OF WORK: � � ��r''°'� DETAII.,ED DESCRIPTION OF QVORK Y'� PI 2 C�- �U z'�" � h� z�'� --r PER MS 16$.665 the permit fee is a minimnm of 515.00 or 5% of the total c�st np to $500.00, whichever is greaier, for the improvement, �s�arion or replacement of a resideniial fixture, excluding the 5�ciz�es. (�his should reflect only the cost of labor ) La.bor cost uader $300 =$15.00. Labor cost between $300 to $SQO = cost of labor x.OS = � . FOR PROJE�1'S VJt�FRE IABOR EXCF�DS $500, FEES ARE BASID ON $10.00 PIItflXTCiRE, �CC,EFf WHERENOTED. F1XTtJRF,S: (II�IDICATE TOTAI. MJ1vIBFR OF EACH BEiAR� _ BATH SINK/LAV Fi.00R DRAINS SHOWFR WATER PIPWG BATHITJB GAS PIPING (� rarur�'j SWllvIIVID�T(i POOL WATER SOFCNF�R (S3S� CL01i�s R+ASf�R � KTTCT�N SINK WATER (�.OSET BACICFLOR► PREV. {$1S� _ DISHVJASI�R _ LAUNDRY TRAY �WATER HEATIIL ($3� FOR IRRIGATION _ WATEIt N1h'1FR _ OTf�R _. Permit Fee . $ Nvmber of fixtures @$10,00 x�10.00 =$ S e .50 Number of fixmres (� $15.00 x$IS.00 =$ TOTAL DLJE $ Number of fixtums @ $35.00 � x $35.� _ $ �iS"'c State Surcharge = $ .50 Total = $ �i.5.5��5'� THIS ]S AN APPLICATTON FOR A PER1vIIT NOT VALID UNT� PROCESSID I hereby apply for a building permit and I acla�owledge that the info�on above is complete azid accurate; that the work will be m conformance with the ordinances and codes of the City of Fridley and with the 1vlinnesota Consiruaction Codes; that I uaderstand this is not a permit but only an application for a it aad work is not to start without a permi� that the work. will be in accordance with the approved plan in the case of all 'c r review and approval of plans. SIGl�[ATURE OF APPLICANT PRINTNAME ��` l N�� u l dw t DATE� �� O��" City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604