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AF - 37933� � Ci of Fridle , Mi.nn. � � ��,. �� tY Y BUILDING PERMIT N� 7 0 2� Date: �i "" � '"' � Oavner: � ` Builder " ,� Address No. � �+'+o/�_ Street � Lot � _ Block Corner Lot �_L_____ Inside Lot Addrees _.... _.._. ri �oF IL ING -- I��'•�'-L P o! Lo Addition or Sub-Diviaia� ' ._ �► � Setback _�,�____ Sideyard _.._ �� '� Sewer IIevatian —_ ` Fo�mda.tion Elevation � DESCRIPTIOI�I OF BUILDING T �v�a /� / Front Depth -��i-- $eight ��•+�' Sq. F� V%! � Cu. Ft s Depth ght _��Sq. F� Cu, Ft, � Type of M3on Es� � To be Completed In consideration oP thc issuance to me of a permit to construct the buil'ding : described above, I agree ; to do the proposed work in accordance with the d+escription above set forth and in compliauce with all provlsions oP ordinances of the dty oP FY3dley. ` � In consfderatfon of the payment oP a fee of $ , permit is hereby granted to to construct the buflding or addition as descsibed above. Tt�is permit is granted upon the express condition that the persoa ta whom it is granted and h3s agente, employees and worlunen, in all work done in, around and upon said building, or any gart thereof, shall conform in all reapects to the ord9nances of Fridley, Minnesota regarding locatton, conatruct�on, alter�tion, maintenance, repair and moving , o� bufldings wi� � dty ]imits and this permit may be revoked at aqy time upon,,, ,,�tion of any of the proviaions of said Building Inspector NOTiCE: - � 'llds psneit dou eef eewr f6� eoas�roattoe, durallaHon fer �rie�, 'lumbtea �a h.aHa�, s�vwe e� wabr. 8� son ts a� t6� Boildie0 le�p�efo� fe� �parair p�netfs fee f6�a tt�s, ,i� �.�.� •�'" - _�.`'� r, -,� ,�__ ' � ��.n ._ _._ �;±�'..1 � _ � � ,. �PPI,ICQ.TIOIQ FQR BIIILDING PII�NIIT CITY OF FAIDLEY, �SOTA . � CLEMRON 9NCo , �� s u�� - �� a�.a� � 3619 �en RS �ddress Address lamin Sf, �!_ � No. Lot � �� Corner Lot Inside I�ot t�`- 3etback �5 �� S3de-Yerd� -�� minn, IACATION OF HIIILDING SEWER ELEV�TION � FOIINDATIOAT ELEVATION �pplicant attach to thia form Cert3.Eieate of Survey of I,ot ancl proposed buil.ding location. To be Type oP as: To be CompZeted DESCRTPTION OF' HIIILDING I sq. Ft / �' � . Ft. ` t .a,.+ � �/� $q. I''t,. �°� C11. F''t. _ . . ; �- �. ��=j�� 1� Ths underaigned hereby makes application for a permit for the work herein epecified, agreeing to do all work in strict accordance with the City ard3nances and ruling oP the Department of Bui].cl3ngs, and hereby declares that all the facts and represeutation� s�ated 3n tlai.s applic�,tion a�,�e true and correct. � "� �r- �// (A Schedule of Fee Costa can be found on the Reverse Side.) „ i'1� � � _ .�. ^„ � - � _ ,ti., . a� sui�n�G r�T � sct�nur� Se�t3ou 2e The Inapector of Buildings sha11, before �.ssuing a�r�q'perm3t for t�e erection of ariy build3.ng or structure, or for any addition to sa�► e�d.sf�ing build- in� or atructvre, or for any a].terations or repairs to any existing bu3lding or „'�:ructuro, upon epplics.taon therefor, require the pa�ment by the appl3cant for such permit of feos to the emo�:nt herein below set forth and in the mat�ner herein provided t¢-wit: 201. For an� such permit for the erection of aag firo-proof 'bu3lding� othes than a�arage, warehouse9 factor-y or g�rain elevator, or for the erection of sny fire- proof addition, fox� similar occvps.nc�, to any ex3.stin�_ bu�.ldia� ehell be et tlt� _ r�.te of �1.1,.0 for each on� v�eu�an� cubi.: feet, or fraction thereof, in suoh cubic.a7. contents. 2e2s For any suc:z permit fer �;hs c�rection of a,�y fireproof gara,ge, warehouae� fac�tor�► or gr�3.n ele�atnx, c�r x�M �i:.o e��ction o� a.ny fireproof addit3oz�, fos s�*ai.l�r occupanc�, to an� cxistir.,�, b-aild �.ne shall be st the. ra.te o£ �]..a5 for e�ca cne ti�cusa,nd cubic fa�t, cl��ified as "fireproof� bg 3�ct3�Qn �2 oP the Nlinneapolia Buil4ing C�deo EO`?c'"=�S 2 e 3, �'or a.ny suc� pErmi.t f�r the i�..� �. �. �r&ge, w�xxehouse, iacto �.� � ition, for s:;.m:ilar oecup�.nCy, o�.;h o:�� thouoa�ci cub3c feete G,f�,.�R,�Gra erect3on of any non-f3reproaf bui].ding othmr r3► oz� grain elevator, or aay nor�-fireproo� to any e�d.sting building. Permit �1.00 For 2OL�, Fo� anar such permit for the erection of an� norr-fireproof gsrage, wareho1�80i f�ctory or grain elevator, ar for the erection of a�„y noa-f'3regroof add3t%ni fe� simi].ar occupane�, to any existing building or for each $uch building or ac'lditio� Ninety Centa for each one thousand cub3c feet or f'ract3.on thereof, 3.0 the c�b�ea1 cor��ents thereof with a mi ni � of $1�, 00 e For the pvrpc°�^ Uf conputin� fees for building perm3.ts the cubiae]. con'�ents ot' e�I bt��.ldirig or addition to a un�:`:orn height throughout by multiplyin� �he �rounci elea covered irom a point six (6) inches below the floor 13ne of the baeemeot or �e�.1at� to the average height of th� upper surface or to the average height of the roef surface of tho ma.in gable of a pitched roofe 2R5e For repQirs or alterations to an existing structure, the £ee sh�17. be et th0 rwte of $3000 for each Fjve Hundred Dollars (�500000), or fraction thereet in the c� � of all proposod worke - �- 2,6a In no ca�o ahall the fee ehargcd for any permit as set �orth in Sect9.oa 2 be l�ss thari �/�v00. � •� �\ �� .. ` __ 7 i."J s ' ' - a . _' � 'e �, ; ; ?=1 Lond Plonnrn� L�1 Surveyiny Sods �eslm9 C�wl 6 Municipal En��neerin� 6875 Hr9hnQt� ;ts AcE. c— � , MmnevPn/s 2� n ENG I NEERI NG, � NC. �"��°'° ' SUn�f 4-6066 -- En9ineers � Surveyors cests�s ate o� z�• E�'�.3 8'S�'. p - — � �V . J c� � � � � �F �I�g�S � � A + � r � � � � �' �� su,t�eT �o: - E�.: M DEYELOF]�IF.�tT C0. No=E :- N ele.e, �;f .�roarJ F? l. Eleva'i'ions Skewn ura Proposzd �ousc �,��,-�a�rs 8�i.9 2. F(.si Cleo� sl. 2.5 �Fi. al»va gr�.�qd °�- G� heuse ca.�n¢rs • /,'� t_'.a � �` �'� � � � � ��• d71c,i � ° /�'c.� ,,� _ e1. &Zb.c� �� O DENOTE.S IRON � UENOTE5 DRAINAGE `� UTILITY EASEMENT LO T � o BLO CK � MELODY MAIitOR 2'''—n ADD I T I O.I�T ��noka Coun}� – Minrie�o-}�a� 1 hve6y urfi�y fYeof fhis is o frue ar�d mrrtcf �tPresenfotian a�'o su�-vetf �'lh�t ban►daries �'1iSe abo,v a(scr►6�d �a►s, end �loco�n o�'aU br�vldm, fc s,�hrean , ad d/ ns�b/e ax�v�vrh�ndi/s ,�!'or�, �nrn ar q swd /and. As surveyed � m� fbs - do� _� r i! A-D �. SUBURBAN ENGJNEE2/NG , 1NC. Lnqinerrs E sv�-rr�o�rs SCALE 1"= 30' �r�° � � " s � ,.'",,,,f , ��.� .'+H ri., .{'��."'� �,,� ` -{ .. .. � w _ ...-�-° ' _ _ � G � � � �r o� p � . tyi : °x :r ' M : M : o . a . m � . � . � • � .� 0 N � �y `• H � � W � �°� � �� o � � � � � N � . o � o � o � : o . . � � . � pa �6 aC � � � o O O � � � H �a 9 ,�'„ � !'' � z� � z� z x � m � � � � � � � � � �� ° �' � a �� . � N p 'C . ¢ ,d � ,�b oa ��° � � a N : �_ � ; � bd o : E- 04 : � o � � : °•° o : : : : : � : : : '. � k pE k k k 7C w � w o-+ ►� � 7�I � p e�i� o O o � r» t» tfl v� tsa t» . y O ' � o r�' � 0 Q x D � i � � m � _ m C r m # • �J p. p `'' � � R. � � Stories 9 � w�rEn � @ � c�.osErs � b: URINALS � � �� a �� p � � I SINKS � � ` W� rw��rs DRINK. Fourri. s►+wes. FLOOR DRAINS UTCFi A BASINS � nuTo w�sHeR � GAS APPL GAS � RANGE GAS � OPENINGS � • I I z e � tDi� D Rpi ° A O� N m � ][� I I `' \ ° � � y � p' � a. p. a � � N F��b y � a ° � �o � a �pF,' � i�+ aa. R � N Oq t�9 fi � � � Ra I � � cpD � � �� M �� d ��.p m ,iy O � ry � O � R+ � p � � � �� ro b � �b �. � w ,p � � o � � d .a, O ri, O � ,�,� M M � � � w � � a �� ►°� �� . � � �('� ~ r� `�'! C�.'�DG' A � � � � � � � � �" d �A � M iL 0 � � & h°n p � .�,. � �� m � � �p � �i � � � � � � � � �i � �' d o. °- ,� m � � � � M a �� b -�w � � w fA � A A 0 0 �� I I I I I i I .� 3� w i �r � /'� � C�.ty of Fridley, Minn. �UILDING PERMIT Date: _Jnne 15, 1965 pW„�; 8e��m3.t DaU]ke ,p,��7327. concer�o Cnrve B„�d� Al. G. Aadersoa �� °� N° '78�2 A� 998 Tr�ns3.t Ave. St. Pau7. 13 LOCATION OF BUILDING No 73e^1 Street �oIICeT�O �'�ae Part of Lot Lot u _ Block � Addition or Sub-Division - M�Ody M3IIOT �1d Coraer Lot Inslde Lot S.etback Sideyard 3ewer IIevation Foundation IIevation To be Used as: DESCRIPTION OF BUILDING F'ront Depth Height Sq. F't Cu. Ft Front Depth I�eight Sq. Ft Cu. F'k Type of Construcd[on Fs� Cost _ 7�is5EM� To be Completed Aepair storm damage Ea consideratfon of the issuaacae to me of a permit to construct the building described above I agree to do the paoposed work fn acc�ordance with the drescription above aet Porth and in campliance with a'li provisions of ordiaancea of the dLy oP Fridley. � � In coasideraiion of the payment oP a fee oP $ 1�� , Permit fa hereby graated to �7.• G. At�deY'SOrI to canatruct the b ufldiag or addil3on as described above. Thispe rmit fs granted upon �he exP� con�iitiam that theperson to whom it is granted and hia agents� employees and worl�en, in ali work doae iq around and upon said building, or anypart thereof, shall c:onPorm in all respects to the ordinanc� of � theM d�li�ami �and�this la�ifon, construction, alteration, maintenance. rePair and moving of bufldings ordinant�. tY P�t �Y be revoked at aqy time upon violaiion of any of the P�viaiona oP said �17.en Jeiasen su�la�ns � NOTICEa 7'6b pemdf doa �roe cowr �6s �nshucH�, �taQ�ien �o� �rrWeg, P�+�9� Oa 6�8. aanr er wNsr. e� sure to as ��olldin8 �r M* apa++t� � 1or t6�ss Nfnn. � � � ,;- �� y-�� r, ;, --. � �--�' � _�� . �,;- _ ., �� '_ � P�� ,�,�" �� Ci.ty of Fridley, Minn_ J � t BUILDING PERMIT nate: June 17, 1965 owaer: germ3.t Da3alke �� 97.. �. Anderac�n. � %32�. C011C6T1',O G�l='v6 Adciresa 8�i18 Ve. . N° '7940 LOCATION OF BUILDING No. 73��' 5fseet �AneeTto CuTVe Part oE Lot Lot �' _ Bl�k 2 Addition or Sub-Divisian �elOdg MBta.OP 211d Corner Lot Inside Lot Setback Sfdeyard Sewer IIevation Fo�mdation IIevation To be Used es: DESCRIPTION OF BUILDING Frnnt Depth Front DePth Type of Construction F�st, Cost n Repai.r s�tor►n damage a�'� �, � � � . � � . I3eight — fTeight _. �,,500�00 Sq. F't. C�. Ft Sq. F't. Cu. Ft To be Completed In �ronaSderation oP the issuaace to me of a permit to construct the building descrlbed above I agree to do th� proposed work in ac�rdance with the d�scrlption above set forth and in c�anpliance with afl provlatons of vrdinanc� of the dtq oP Fridley. Ia cro�deration oP the payment of a fee oP � 1Ua00 ��t is hereby graated to Al. �r. Atldei80II to construct the buflaing or addition as described above. This�ermi t fs graated nPon the exPress cbndition that the person to whom ft is granted and hia agents, employees anc� worl�nen, ffi all work doae in, aro�md and upon sa3d building, or anypart thereof, shall conform fn all respects to the ordinance� of Fri�IIey, M9nnesota la�tion, canatruction, alteration, maintenance, repair and moving of buildings within the dty lfmits� permit may be revoked at any time upon violation of any of the Provisiona oP eaid ordinsncee. A]1ea Jensen B�� r NOTI� TW permb dea eo1 cs� ths coestenetioe, 6ata1lattm ter YrWeg. plumbtne, �a h�aHeg, ievr�e er waHr. 8� wre to as da Bopdte8 le�utae tor a� pumNs hr th�a i[�m. � `.. _ , _.:o� �. . . � .. . . . . .. ;. APPLICATIOP FOR BUILDING PERMIT � CiTY OF FRIDLEY, MINNESOTA � �= =� �� OWNER ` S ATAI►� : �C��P��T�,�.�.�� BUILI�LR ; �.� � � �� "� ,_ � �.,�._ ADDRESS ,��i�� .� �,��.,Tv �r/�= ADDRESS,��.%��.��i1 lv�'��.�',�� i LOCATION OF BU�LDI�TG No. StreeC Part of Lot LOT BLOCK � ADDITTON OR SUBDIVZSION �a� � � V �I'%�'-' Ai' ��• fi'�c, �� Coraer Lot Inside �,aT 6eEback Side-Yard . .,..�._ SE6�ER II�EVATInN � FOUNDATIOP ELE�IATIOI� Ap�ilicaat attachlto thia form Two Certificates of Survey of LoC and proposed building locat;ton drawn on tt�ese.Certificates. � � To be used aa: DESCRIPTION OF BOII.DING. . . • , �ront Depth ___�__ Height r � Sq. Ft. �Cti. Ft. Fr.oat Depth • Height Sq. FC: Cu, Ft. Tqpe of Con�tructiou Estimated Cost ��°� ��' To be campleCed The underaigned herebq makes applicati�on for a permit for the work herein apecified, agreeing to do all work in strict accordaace with the City of Fridleq Ordinances and rul3n�a of the DeperCment of Buildings, and hereby declares that all ehe facta and representatiana stated in this appl3cation are°true and correct. DATE % ° /¢` � �O � � 0 (Schedule of Fee Costs can be found on the Reverse Side). �' � d � , �� .;�. BOILDING PERMIT FEE SCHEDDL$ h. � ��V_ SECT`I_ON 2. The Inspector of Buildings shali� before issuing any permi.t for Che �recCion of any building or structure, or for any addition to any existing build- in� or structure, or for any alterations or regairs to any existia,g building or structure, upon application therefore, require the paqmeat bq the applicant for surh permit of fees to the amount herein below s�et forth and in the manner here�a provided to•rait; 2. . For any such permit for the erection of any fire-proof building, other than a garage, warehouae, factory or grain elevator, or for the erection of any fire-proof addit3on, for simiiar occugancq, to any existing buiZding, shall be at the rate of $1.40 for esch one thousand cubic feet, or fraction th�reof, in such cubical contents. � 2,2. For anq such permit for the erection of any fire-proof garage, Warehou�e, factory or grain elevator, or for the erectiou of any fire-proof add3tion, for aimilar occupancy, to eny existing building shall be at the rate of $1.25 for each one Chousand cubic feat, classified as "fireproof" by Section 502 of the Minneapolie Building Code. HOIISES 2.3. For aaq such peranit for the erection of any noa•fireproof building, other than a garage, warehouse, factory or grain elevator, or aay non•fireproof addition, for aimilar occupancy, to aay existing building - permit $1.00 for each one thousaad cubic feet. GARAGES �_ 2`4. For any auch germit for the erection of any non-fireproof garage, warehouse, factory or grain elevator, or for the erection of any noa-fireproof addition, for s3milar occupancy, to any eaieting building or for each such building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction the�eof, in the cubical conteats thereof with the minimum of $4.00. For the purpose of computing fees for building permits, the cubical contents of any build3ng or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inchea below the fioor line of the baaement or cellar to the average height of the upper surface or to the average height of the roof surface of tbe main gable of a pitched roof. 2.5. For repaire o; alterations to an existing structure, the fee shall be aC the rate of $3.00 per each Five Hundred Dollars ($SOO.QO) or fraction thereof in the cost of a11 propoaed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. � ' - �, 3 � ; _.. ° e _ �.�[/ �.c !a /�.5.�-� %�J — Ls- �% /G/�.�i /� �-•°r►.� ��'c� , ��s�'�'si,�i c�y � /..3i • /C� �-ao-�� /L' /` . ��%- ✓_ 7G� Q % . � j � �� /� � � sue�ecr PER . City of Fridley 146�1� ATTHETOPOFTHENIINS gUILDING PERMIT � � � CEIPT N COMMUNITY DEVELOPMENT DIV. : �,; _ 9 A �� r � � PROTECTIVE INSPECTION SEC. i1 = � .--_� ��'��;,� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVEO BY L 812-580-3450 910-F15 3 31 78 � � JOB ADDRESS 7321 Concerto Curve N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. lj, 2 Melady Manor 2nd Addition SHEET 2 PROPERTY OWNER MAI� ADDRESS ZIP PHONE Kermi,t R. Dahlke 7321 Concerto Curve N.E. 786-4423 3 CONTRACTOR MAIL ADDRESS ZIP PHOWE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL kDDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING � Residential 7 CLASS OF WORK ❑ NEW ❑X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 35' x 24' Addition (Living Area & Garage) 9 CHANaE OF USE FROM TO STIPULATIONS g�Qye roof bearing from h.ea.der area in garage or Provide I-beam(steel) . Provide crawl space access (24° x 22"�. Ventilate crawl space. , SE�ERATE P�RII�tTS REQUIRED FQR W�NIN� � HEai`IN+G, PLUMBING AND StG{VS. �� ng c�H locet uti►iit+e� TEIEPffON� • EIECTRIC - GAS Etc. REC�U1RELi �Y-'lAVl/ SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBINQ. HEATINO. �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONINO. WQOCZ EidIIl@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCEO WITHIN 80 DAYS, OR IF CONSTRUCTION OF WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT �O �.�.� %GO 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 VAtUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED $12,662 �`F).33 WITH WHETHER SPECIFIED HEREIN OR NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VfOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $/�7 �� NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � PLAN CHECK FEE TOTAL FEE $11.76 $65.13 SICaNATUREOFCONTRACTORORAUTNOHIZEDAGENT IDATEI � WHEN PROP�RL� VALIDATED THIS IS Y�R PERMIT T,I � � ' �a ,��Q.�G�. 3 � � t3-�-�, �� ,� ,� SIGNATUREOFOWNERIIFOWNERBUILDERI IDATE�,.� !�_ BLDG iNSP " OA E � r CITY U1= 1=1tIllLCY . APPLIC/�TIOt� FO�t ItL"Slllf=tdTI/1L I3UILDIh�G f ERf'IITS � («L"W, �LTL"Rl�T1U(JS, �DllITIOiJS, OR RCPAIIZS) 0 0 0 QinR2ER: � �� liL'.�`�_ l3UILll�R: `° ,-�� '� '° ... : . r�aax�s�: �3� ( C�J-rcer� ��r✓z��ddress: ��'al%, yh1� , • Tel. IQv.: ��,lC�a �. tdo. : Strect: LOT: �l AIACY.: OL, 11DDITI�P7: i%Q%Od� 9%7�thr?Y- �12d /T�.�T��'► COi2IZER L�JT: INSIDE IAT: � SLTBl�CY.: STDLYARDS: Applicar.t attach to this for.m �ao Certiiicates of Survey of Lot and proposed bui.].ding location drawn on these Certificates. . • �� s DESCRI PTI OPd OF BUI LDI hG To �e Used 1�s: ) ' � � . . ��B � � � Fron�,,,,,j� � Depth : � �� • Height: ,�'� Square Feet: 8�� Cubic Feet: l0 �� Front: � Depth: � Height: � Square Feet: Cubic Feet: Type of Construction: EstimaL-ed Cost: $ � ��. � 7.b Be Completed: Alt. A Alt. B Proposed Drivecaay t+]idtiz If 2�ie�a Opening Ts Desired $ $ {SE� 12�VERSE STDE OF SHEET) The undersigned hereby makes apnlication for a permit for the work ]ierein specified, agreeing to do all �.ork in strict acca�:dance �aith tlie City of Fxi.dle�� Ordinances and ruluigs of the Denartment o� �uildings, and hereby deelares L•hat all the facts a��d representatians stated in i.his application are true and correct. See revcrse side i'�r aclditional iniormation. DATL�': �01 q s�� SxGIQATURE: �J1.��2� �r d�-%''��.... sti.pulations : • ,a �- �� ¢�. �. �, °w . �i�� t— � . �� ,) �i��,�,:�[, t°�,o�w�2 .r�-t- � .. 2y�Xtt �' a��Q.+ - • l°l,,o�,,..Q- �t.°*.t- • 31 �i�r�Ci . � � s �{�� ,�� 3�9�0� ' i ��,�� ,�� r� . �7.-0 ��,� � rr, 7� ;��a� �� a�c , G, 3� � , � .r_ � _"' n ��L° . ' � �� .� . . BUILDItdG PERI�IIT FFt SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing percnits 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 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: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway 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 inch depth; Driveway width plus 6 feet x$17.20 � 1 1 � � � �' � � � For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the qround 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 fihe main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3•;00 ,�er �each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In�no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. ��L' ' � � 1 � 1� � j NOTE: Permits �or construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. i G � � '�l Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any stxucture for which a building permit has been issued; and saa.d structure shall not be used or occupied until a Certificate of Occupancy has been issued. . _ i, � � ^ww' 0 � L ��: � u�e�n�aa � I! a�� fl�t 511 Gl?��li ,r.�.� ��.�� .. 1 t '.0 ��JaNQINEERINA a � ,� � ; � 1.+7 =_._ .. :_�M� �= -- -- -� — -._._ _. _ -_ .---- � ___�. __. �D _ -- - --_ .---. _ ___ __ — - - ----.:___-___—_.—_- ,.�,��,on � =.�R�u��iu � IY�vlS.61y,��,��p,tl£n�uu�irmR�S,�dT��t�nR�[,nnA.tiunr.�n�sLan.fP�.�vunQ.. ��1iCiC�ItRu.nl Burnai u .lhnrtesota 5533/ a� �Vlortga�e Loan Survey for ��- � � �� /1� L � � �'�'a..l % s. ,� V � . � �' ��G. �� J � �' �.�� h' ^�-�� ` �f u � � V � 0 � cx� �, ,» :. , � n � 4 � ;r t vJ �j �' �C � t, `'� �� 1) �..t `..\ ;. �� ,�: � ._ . �. G �� r- � ' i J� 0 F �Y 1 ' Q.� � 4 �r, .: � � ��' � ..�� ti ::,�$ ��,s`' �� ` � `� ! . '�� 0 : ti • 1.� J� i � � C�. Q � �. � (� f��\ lt� �RTH /� ,i � , 7C�'P : ��. �:O e �/ % I r / r. / �l� zn � �� i �� ,, T.. r� ' 1� �� . 1 '� � �_ � -�., 7 '�._ ��:, `L' /.�Pr, �f?S � r .rin �r��e � L�t�l+fY ��'�.�rr pn�: LoT 11 �, � o�K 2 ,.� � MCL.O,I�Y� M�l�t�� "�' %��(JIiION (Subject to easerne�,�t'� of reeord if ahy� ANOKA COVNTY ihis is o true ond coirvcv raprnsentution of a�urvey of �he boundariat of tha land abova doscribed und of fhe locafion of all buildings� ii any� +heraon, nnd qll viaible ancroacF�ments� i( ony� Orom or on said land. This survey if mode onir in conneclion with o mortga7a loan now baing ploced on the ropa►1y and no liabilify is atsumed � e�ccepf ta tha holder of such morigage o• any other iMeresl acquired br tbe reason of tuch morfgoge. It is undorslood ond ogread�o��monum q�s hovo b.ean p�as@d fo♦ Ihe pur�os ol establishing lol linos or bounda►r �orne►s. Dated ihis �,, dar o1��i ''' N. O. 14 � / � 3i1�U�R��R1��Ri IPdEERIA(�G, 16�dC. • �n�::+��/�� Surveyor• � � �' f ' by / _..�.. ., r j .� • �, o � �lc,r Publish�KJ: qll Rights Reservttcl �! i _-.._ .":�! $ r� " �iERGY CONSERVATION SUPPLE;MENT 7.'O BUILDING PERMIT APPLICATION p7,ANNING AND IN5PECTION DEPARTMENT CTTY OF FRIDLEY, MINNESOTA This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE A�IERAGE "U" FACTOR INFORMATION. This information is required so the BUILDING OFFICIAL can determine that submitted plans c�nply with the ENERGY CONSERVATIOL� DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; refl�ct the proper DESIG2J CRITERIA . in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. ,• JOB IACATION: T 1f' et ci OWNEI;/COIVTRACTOR : � V1� ec�` � , � � � ,�,��_ ADDRESS: S�� 1..0i�c_�v��rJro� o,��. B�I� PFiONE: /��'°� �� A. Determine the Total Exposed GVall Area as follows: 1. Total wall window area 2. Total door area � 3. Total sliding glass door arey 4. Total f ireplace wall area. 5. Total wall f'ra.ming area (average .10 0) 6. Tatal net wall area above floor(average 90%) 7. Total rim joist area Subtotal: Tata.l exposed wall axea above floor 8. Total foundation window area 9. Tota1 net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA "�;. � �� --�� ✓ ��._._:., . � � � �, �h Ee::� .� `�-'' „ m� . .� 1r -_�y�.� ,��'` � ti5 � � -'- j ' B. Multiply the GRAND TOTAL EXPOSED WALL AREA X.17 = C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total sk�light area 11. Total roof/ceiling framing area (l00) 12. Total net insulated roof/ceiling area GRAND TOTAL EXPOSED ROOF/CEILING ARFA D. Multiply the GRAND TOTAL ��_ � � - /CEILING AREA Y .OS o , e e . � ^ � � � Item I Item II 1 . r ` E. Determine the "U" value of each segment (1-9) and multiply by the area as fallows: � 1. X "U" _ 2. X ��U�� - . 3. X "U" _ 4. X "U" • _ 5. X "U" _ 6. X °U° _ � 7. X ��U" - � 8. . g ��U�� _ 9. X "U" _ ADD 1-9 FOR TOTAL WALL SEGMENT5 = ITEM III F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. 11. 12. X "U" _ X "U" '� _ X "U" _ ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV G. If Item III is the same as, or less than Item I, you have met the intent ,of State Building Code 6006 (c) 2. � H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. z. Aaa zt� z + zt� zz = J. Add Item III + Item IV = K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the C.ode for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above info rnnation has been prepared and submitted by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit application. � By: DATE: -- � � 63 �- /� •r d= G3°��e�7 x � ,, 3 � ,� . � s _ �� _ �4 � ��{� _. -� � � ��— V _ _� � �C�t� � 0 ��3 3I . � � � ► ��o 6 � ._ � . r �� ' , „- _ � `� �� 0 : _ �..,.. i i i .' , �; � t, a �.g _, �� r :__. _...�._ ._i � F `' � - . :; � I .-_,` .iv �. 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' � ,.��.� �► ; ,.�,.: .:, � �,1�. �;;, �� . _ ; . � � � , �, �'�; : � . _ � �'� i�a � i ,L+ � ta, i � i � �- f � �� __'� �' � �� i ri � , . -c �. � (�" -.�c. � o� N � Z `�,, iN. +� , r ' p, � usuwesN - �NOIN6HRINa INC � da Cu•r! & Mwunpmt Engu�eeru�g � Smf Teatueg � Land Sruuey�ng � Land P/mwng. Mortgage Loan MainOffice 571�6066 . 6875 H�ghway No. 65 IV.E. Mimreapohs, Mlnnesota 55A32 Sauth Of#ice 890 6510 1701 Cliff Road � � . BurnsriUe..Minnesota 55337� � t- � Survep for ��= � � �T �� - � � , `� ,�'�. t F � �:1 � �' � � 2� 2 O �� I�C� ,� �j' � � ' � � � � � fi� .4.!� � � , V �' �'; �`�` � �. � . o rr, :ti n ; � � ►� . � 4G� ��,fi� 4 �1 � ' � � � ,.: ;� ``�.�' �, �� i�o.00 !�� Q � � t ��' RTH 5c�r% � f� �� / / l� . � � / /� � �� 1�, � r� � _— -� --- �� •� -1 � � �n i�� . � --�.. � , — — -- - — — — %.�er � eS Dr Xir� �,�e � , , C1 fr��if� �q }err,� en�' L oT 11 ,-� L aC ��, � . . Mc��r�� r��rv�� N� ��r�,�-r�� 5ubjea-F ta eQSemer4`� of reeord if a�+y) A{�1QKA G'Gll11vTY This is a true artd correct representation of a.wrvar of �he ba�adarie� of the land a.bove dascribed aml of the locafi.qn of oll building�� if nnr� tFereon� and a11 visibte eeeroochrnertts� if any� from or on soid land. Thia surver is made only in`connec�ion witi� a morfgqge loan now 6eing plaeed on the roperty ond pe Iio6ilitr is assumed e:cepf to tl�e holder of sucK mortgage or anr otber ititereet oequimd b�i the reoson of such etorfgage. It is understood ond agreed 2q,�nonu a have 6ae� p a d for ►he purpas' of estoblishing lot Unss or bovndory coraers. Dated tbis1,�doy of l�i.�'��. D. 19 , SUSURBA EN INEER�G, INC. L�'? � s, Engf�nser a`.'�` Su►verors ,/� / by .t �. °" °� ;�f'g' : �G..� a M1fot Published: All Rights Reserved r,° �_ . p :.-_ �� , _ � ., _ ' ro M � � � O ro 'A . � M � m � � H N n ~ .`! �O o a � _ � I � �� Q � � m N � N y O M O � O p.� °z � �� n bh �' �' � m rM�� M y��o cn cn r �o .. ]c n �n o e� w p� t-' M O ►r C C C w Y. HaY✓ H M%v � rc m ►� H H C C1 b r"'� M �D � m n m M 7�.%7H w pa.n �� A O�� V7 L) G� ►-� r• 5' � �"v'v'� �o�n`n �K ao a�co.� �HHn � r� tM/� tn p aw �� h 9��y 0�� .. "�c o w� o�ob � p"� i/1 iA 1+ X• N M O N• F+ � r► N � � K � °o ~ �m °o -° o° r � o� m Co ►rof �' Ho0a0 � � x� cn cc�° o a� M � � � � � � p' I I I � � � xxx . � v, a, � r � � orw o 0o m�a�� O O O O O O O O O O t// Nf�/NNi/l iqNN �o N C O ti �. � N n � i � � ryt a � � a � � m, a � � ,� p M � ;� d z N �C c� � a � � ro � � r � � � xM � H z ci � � � ro r� ao ro � � � N � � H . Z x R "oT7 a c n F" n (� fD a �w � � � w � x O N N NN Nb1N N � \' � � � H � � � �Mr H�+ l�J1 H C y � z � �,v � �,`'o M `�? H � � O M � H 2 0 � N [� t� � � � � �° � O Rirob '� Nr w � � u~i m n m m H !� � S � a y � � H �N� C.►��+ �f r*no wr K M � � � a a M �n ��o�� M� Y• �'S 0 0 � o n 5 � a o n .. �ro�°„ � �Cx •°' o� o O O O O O O O o H c � �P. �1 V A N O O O O O O O O O O L/NN NN .i � � � . � robb � � � ��rw a Cr m m �e � � � a�+� � a �� ►°�� ~ ►9i a w � a � 'v � a ~ ��ag -�-1 W N W � ►� r�'-- n �W �O M � a � x � c� uyi O ' A ~ O o S O � 1 Z C7 O r O �'�� -ts 0 f +„ m r A A J �1 N y � � 0000 �'t7 �» � O O O O � 2 f'� --1 N tn vi tn O V� H d D H -� ZG c�- o s z m O rnN m ynp x � n w� H i�-' ir � ° � �nrv►°-m �n � A� 1�-� fM+- G l�i� M 9 m a� a a r�� Hr � 11 N N hS W w K L7 �D O K W VI 1-a� M z � m "' m � ° •�c eb � � �y a w � co a r , °��o n � � � oaa�°r �° ano�c m � �?�� r wro� �o ,' � `�C � C Y� 1%+ C: j� W 5 F+ . S �� saa w� � � a 5 n w � � W W A .7 � � w m o C r- a c1 p K x � � ►� m a ro � �� o a� � � � � � a � n � �� m�om a�r+►�-J a��x - �p � � � �� v "�� , � � � z --� c� ... z cn c� � ` N -i � m O 3 O 4 y r" p� ? Z b � j � a ' � K C� G � < z 0 r .�{ n .-. m � � '�i -� : �1 z '1.) � � m � .'O � � s � n n 'i b o � � a D C� � SUBJECT City of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I i � . i � � `� _�_�� COMMUNITY DEVELOPMENT DIV. f � � PROTECTIVE INSPECTION SEC. 1 . � i-.-.� �"' �.� CITY HALL FRIDLE� 55432 NUMBER NEV DATE �' 612-571-34b0 9�aFi5 10/22/97 JOB ADDRESS 7321 Concerto Curve NE 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION DESCF. I.1 2 Melody Ma.nor 2nd Addn 2 PROPERTY OWNER MAIL ADDRES$ ZIP Kermit Dahlke 7321 Concerto Curve NE 3 CONTRACTOR MAIL ADDRESS 21P Rite Way Waterproofing 448 Lilac St, Lino Lakes MN 55014 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PAGE OF / / PERMIT NO:� 25626 RECEIPT NO. �� APPROVED BV SEE ATTACMEO SNEET PNONE 786-4423 PMONE LICENSE NO. 786-0550 � CITY PHONE LICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO 8 USE OF BUILDINO Residential 7 CLASS OF WORK O NEW ❑ ADDITION C� ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Install drain.tile 9 CHANOE OF USE FROM TO STIPULATIONS Electrical extension cords can not be used as part of the power source to the pump. TVPE OF CON; SEPARATE PERMITS ARE REOUIREO FOH ELECTRICAL, PLUMBINf3, HEATING, VENTILATING OR AIR CONDITIONING. TFIIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTqUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. l I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 AND KNOW TNE SAME TO 8E TRUE AND CORREC7. ALL PROVISIONS OF IAWS VALUATION AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEHEIN OR NOT. THE GRANTING OF A PERMIT �3 s OSO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEFM1T FEE PROV�SIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �SJ . LS 51GNATUpE OF CON7RACTOR OR AUTMOR12ED AGENT IDATEI i OCCUPANCVLOAD FT. OFFSTREET PARKING STA�LS GAFAGES SURTAX $1.54 SAC CHARGE Fire SC $3.08 T AL FEE L�0 $91.87 VA�I D TNIS IS VOUR nPERMIT ��• !O�/�r f�nTF NEW ADDN ALTER [l [l �C � ConstructionAddress: L:egal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R=2 BUILDING PERMIT APPLICATION 7321 Cincerto Curve N Effective 1 / 1 /97 ✓lJ �od � �� Owner Name & Address: Kermit Dahlke Tel. # 786_QQ� Contractor: Rite-Way Water�roofing MNLICENSE# Address: 448 Lilac St Lino Lakes, MN 5�5014 Tel.# �g6-055n LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this applica.tion, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlV[PROVIIVIENT �n� Width Height �II� Width Height �n� Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: D r a i n t i 1 e i n s t a 11 a t i o n Fstimated Cost: $ 3, 0 8 0. 0 0 (F'ee Schedule on Back) Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft;x $ —$ DA1'E: 10-17-97 APPLICANT: Margo Petersen Tel. # 786-0550 Permit Fee � � °�� $ Fire Surcharge � Uo° $ State Surcharge /. S�! $ SAC Charge $ License Surcharge $ Exempt Driveway Escrow $ Erosion Control . $ Park Fee $ Sewer Main Charge $ CITY USE ONLY Fee Schedule on Reverse Side .(�1 of Permit Valuation (1/lOth%) $.SO/$1,OQ0 Valuation $950 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 [ ] TO"I'AL � `"! �. c�'J STIP[ 1LAT[ONS: p �S' � �� - / � G�� -�� . �D [3U[LDING PEI2M[T FEE SCE[ED[,`I.,l; 1�Ilc Chief Building Official sliall, beforc issuing perniits for [he erectioii of any building or structure, or f<�r any addition to any existing building or structure, or for any aiteration or repair to any existing buildina or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount h�rein be(ow set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2;000 $2,001 to $25,OOfl $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 $500 plus $2.75 for each additionat $l0U 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,(}00 plus $9.� for each additional $1,000 or fraction thereof, to and including $SO,OQO $574.75 for first $50,000 plus $6 25 for each additional $1,000 or fraction thereaf, to and including $1p0;0U0 $887.25 for first $100,000.p1us $5.00 for each additional $1,DOO�or fraction thereo��to aad including $5(�,(�?0 $2887.25 for the fust $SOO,ODO plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,�;000 $5012.25 for the first $1,0OO,OUO plus $2.75 for. each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Q�ly) Alternate "A": Removal and replacement of curb and gutter only - Drive�vay width plus 6 feet times $13.>0. Alternate "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 pm�er revie�v of the proposed stcucture and of the construction site. �� Cez�iif�icate of Survey of tl�e l�t, showing the location of the foundation c�nce it has it h3s hecn ci�n�tru�,.;�'. '.��i''� h: rc �, � , � �, . � _ ,° : . ','��. {�uircd h l�a��, ��r�u;ccdin�� «it.��_Ci��Z, �tamin�.'��'� � * Q O � � � O Z D � � _ D r r � m v � O < v m v 'D m � c � n � m c� -� 0 z � 0 A � D z v D � m � i a � z � c � � N m m � � z n x � O � � m m � m � c 0 � m cfl � D 70 J � � � Q N � �' m � m � 3 �m D � � z m � 0 A � � N c � � o o � _ D D v � v � — D c�i p m D r � m � 0 Z � N�l � l o .. c � D "� � < m a � 0 c � s I � a � � � S � � � m � � � z m v m r z 0 � � � o � � � $ � � � � � � a m "� � v � m m m ,D � � '� '� 0 � a � � � m m � � � � m � �a 3 v s m a m� Z. �� m� m r o� � cn � < I I �= � � � � Z m m D�° a- � f m � m a � m � � � � � 7J * � � � � -- R = � m m m Q. � � ^ I°111111111111 � i � 0 0 -O r C � 00 z O � .� � m � � � � � � � � � � � � � � � � 0 0 0 � o � � v.i cn A v � 0 0 0 0 0 0 0 0 0 0 0 0' m 0 0 0 0 0 0 0 0 0 0 0 0 -� 0 � -o m o0 C � C � � a W m . 3 m � Z a. , D n � n � � O .. � � ' a z � � � m � � � z O L � �' ��y� V O � � � to a+ � -i O 7 . 7 "� 7' a a m m � -� � A m c � � � m � ��m °v m � m a� m •�-• O• m � !� .-m► 3 7 � � �� `-Om � m � o'� G. n, m o+ 3 � � m ° m � x � m o �, n�? �v• a � � �' o o a � m. r� � s � o �n o m � � � � o 0 a� m a �, m c o o m � m m m.3 � �+ m � � ao:�o � o S 3 ► � » m � � m n m •.�-► � O �' �, a � c� � m � m 3 � D � � z C � �o m � O � T �--1 � � m � � 'O 00 m Z w D r r v 0 z T r O O � cn �1 rn p �a�� Gl K C Q " z � �" � � w � � � N � Z Z m -�o _ A � O Z v < a � � r n � 0 z � O � � r C � � z �i a z v 0 w � � Z � 'v m � � -i � m � < m O � � � n � J � � 01 SUBJECT P , City of Fridley 2 7 6 31 � AT THE TOP OF THE NVINS g U I L D I N G P E R M I T ; � RECEIPT NO. � ; y �_��_ COMMUNITY OEVELOPMENT OIV. r � � PqOTECTIVE INSPECTION SEC. �� i � � �"'1 � CITY FIALL FRIDLE� $:f4� NUMBEN NEV DATE PAGE Oi APPROVEO BY ti_._.11.' '•� 612-571-3460 910-F15 9/9/98 / / JOB ADDRESS 7321 Concerto Curve NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 11 2 Melod Manor Second SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PMONE Kermit Dahlke 7321 Concerto Curve NE 55432 786-4423 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ea leview Construction Inc 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WOqK O NEW � ADDITION O ALTERATION �7 REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & garage (36SQ) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE NEOUIRED FOR ELECTRICAL, PLUMBING, MEATINd, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANGY �OAD VENTILATING OFi AIR CONDITIONING. TNIS PERMIT. BECOMES NULL AND VOID If WORK OR CONSTfiUCTION 20NING SQ. FT. CU. PT. AUTHORI2ECY IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOA A PERIOD OF 120 OAYS AT ANY TIME AFTEA WOHK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBV CERTIFV TNAT I HAVE HEAD AND EXAMINED TMIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS ypLUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3, 085 . OO � Z. S4 WITH WHETHER SPECIfIE� HEREIN OR NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OH CANCEL TNE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $87 � ZS Fire SC �3.OH STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � PLAN CHECK FEE TOTAL FEE � � � � License SC $5.00 $96.87 SIGNATUiiEOFCONTRACTOROFiAUTMOpIZEDAGENi IDATEI WMEN PROPEFLV IOATED THIS IS �O`U�R PERMIT // /� W ,�—� (R% S�GNATURE OF OWNER i�F OWNER BUIlOER� iDATEi BLOG �NSD r�aTE rrEw ADDN ALTER [] �) [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 ConstructionAddress: �.3,�Z/ ��e�-�o ��criE Legal Description: Owner Name & Address: f�t'� U��G� Tel. #_ ��°<o ^ L/yz� Contractor: � c� ,/�Z� �� . MN LICENSE # 2ao � �v �3 Address: � 3 7 /%� � f��-� Tel. # � 7� - r`�� % LIVING AREA: GARAGE AREA: DECB AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. �� Construction Type: �u4 -e Es �ated Cost: $ � C-'�� . ��'�'`°`� lFee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �. . DATE: � �' � � APPLICANT: Tel. # �� f � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � `%. �� $ �.C'v $ � .S � . CITY USE ONLY Fee Schedule on Reverse Side . 001 of Permit Valuation (1 / l Oth %) $.50/$1,000 Valuation $ $1000 per SAC Unit $ S� ��/ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ $ � C� Agreement Necessary [ ] Not Necessary [ ] _ � BUII.DING 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: 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 $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 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) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "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. .� -