AF - 43160Y
MiNDER ENGiNEERiNG Co.,INC.
ENGi NEERS AND SURVEYORS
�.wNO sucivevwo
CIVIL Er. MVNICIDAI BNOINEERINO
6418-5PoTM AVENVE N.
MINNEAPOLIS 2T.M4NN.
KE 7- 363T
IC � Y�'�i 0 I� � �C�i �'i �� 0 I� !� 1� �''►�c `�
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301LS TE3TIN�
LANO PLANNINO
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WE HERE6Y CERT�FY TtIRi TH15 �S A TRUE AND CORIt£CT REPRES£NTATtON! OF A SURVEY •OF THE BoUNOARtiES oF TME
LAND A80VE QESGR►B�Q AN� OFTHE LOGATION OF AlL BUIIDINGS. IF PJ�tY, 7KEREON , ANO AI.L VISIBtE ENtROACHMENTS,
�F �,r, FRO� o�oN SAID tJ1ND. M�Np�R ENGINEERING CO., INC, ,
OATED TN�S OI+Y dF ��� � A.O.lyS .� �
E�1G�N�ECL$ AND� SIJ�YEYOQS
/� {„� ,�_- ...-r-� _;' 1 �'' �r �°_ � r,di•��. �; .,.F,..,�-• � /� s
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City of Fridley, Minn.
BUILDING PEI�MIT
Date: ---_....��..- __� _-- ---� .�,��_._...._�.---.
Owner:
Address
N° 4334
Builder _.�.��� .. -��.-t�,.��z%r���....---_._......_.._..._._.._...
Address...-----_......------.._......----.........•_-------------------- - -- - - - _
LO TION OF BUILDING
No. ... .I__�. �........ Street ....._._......------..._' ..-�------ �---••--- .. ���......-�--�-�-��---......... Part of Lot ....._ .............___..._...._.._.----------.._.._...._.......__.._.._
._.
.. . i-
Lot ............. .��............_.. Block .....__/---................................... Addition or Sub-Division -����........ _ .... ��
............... ...... .._._ .. ...
Corner Lot ..... .............................. Inside Lot ..... �............................ Setback�.�: �.._�. �
............. Sideyard .f�.d.....-�.........................._.
Sewer IIevation
Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as:
� 4 � � , v
.....�. � . - ��.- o. /��
- - - .. ._.._� . .............. Front ��:.'..�_.�. Depth ��.,. ._ .�.o_.. Height ..... .p�4 Sq. Ft. . � �-�------- ..._.. Cu. ���.��¢ �
.���.... Front �.-_---....._.. Depth ��!...�. Height .��._°..... Sq. F� ._�.-�_.C_� Cu. F't .���
ry �
Type of Construction ..........................- ...................-• -... Est. Cost...... ....�../.. �.�..�.._.�'.. To be Completed ....--��-.....----..._........_......._........
���� ��� .� � �`� � 6�� � ��� �.��
�
In consideration of the issuance to me of a�grz�i cons c e building described
the proposed work in accorda.nce with the�$cription above orth in com ' ce�
ordinances of the dty of Fridley.
. ........... :... ......._ ....~� ,
. _�
In consideration of the a �—'
p yment of a fee of $..s�..� ................... permit is hereby granted to.
agree to do
provlsions of
_.._..�...._._._.----------••----......----••-•-----•--....... to construct the building or addition as described above. This permit is granted ugon
the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, altera.tion, maintenance, repa.ir and moving of buildings
within the caty limits and this permit may i� revoked at any time upon violation of any the provisions oP said
ordinancea. _
Bwllding Ias�etor
NOTICE:
i This permil dees net cever the wnatrueHon, inatallation for wiring, plumbtng, gas heating, sewe� or watea Be aure �o see ,�
fhe Buildine Inspeefor for separafe permits for these Hems. �
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HfAT vLOSS CALCULATIONS :y ;�; , �r <�� =r DEPARTMFN'f OF BUIIDINGS ����• �•
Weatherstrips A.S.H.V.E, Construction No. Insulation
Guide
Wrn ows I Doors Reference Out. Wall Int. Wall Ceiling Roof F7�r Kind How Applied
` Yes,��No Yes—No 19—
�' Fl �,� ; � ,��. � Room Length � i„ - - Width Height � _- � Fl � _ �'�'%'� Room Length `'' - Width °:� Height,g'�
Windows anE1 Doors--Crackage and Area � Windows and Doors—Crackage and Area
�Vldth Helght No. ot Lineal [. Area Wldth HelBht No. ot Llneal ft Area
No. ot pane ot Dane Ilghta of crack eQ. tt. No. o[ pane ot Dane lfghte o! crack eQ. tt
5�' � ' �' � : _ �f - '" ` r, t � g� �r ''� i.�:G: '� � e.
'V, <j,� � :� ��-
� � W�, _:� e� � �� �' a;3��,
b ee
Coef. Bcu Coef. Btu
Infiltration r" �' � " ��A ;�- Infiltration � `' `s'�� a� ;fl
Glass �,,� � ` % � � _ �,, Glasa p� � £�e�..
Ex . waU � `� -
P "�,�"�U •�� '�" �,� " Eap. wall �° �,s � � � a'
F
Net exp. wa11 �� �?� � r- Net eap. wall -� t',�.: `-�" �-.-.
Int. wall jo�, M,a��
Ceiling = �'-� �. =s� , � � "�` t' � - o Ceiling - � e'�- �'^ `° L , ;'
Floor : < ��; ` � :;� Floor ' t ° '� _�,� ��°:
Total Btu. � ° ''� r°`° r Total Btu. �''' �;� : ' `�
Required sq. ft. E.D.R. or aq. wa. W.A. Leader area Required aq. h. E.D.R. or aq. ins. WA. Leader area
F7.� <';' � °�< Room � Length ' �� Width � r Height � "-� i � �,�`� �.;° Room ( Length,�":? �. Width e g` °�:. Height � �
Wiadows aad Doora—Crackage and Area Windows and Doors--Crackage and Area
WIdt6 Helg6t No. ot Llaeal tG Area Wldth Helgbt No. of Llneal tt. Area
No. ot Dane ot Dane IlBdte ot crack ep. tL No. ot yaoe ot pane llghts ot crack eq. tt.
e . .� . ..� . �.� -�� [,'�^ � . �s � � �.., �": . , C'� a�6.. "`� %° -
Coef. Btu
In6ltration � ° "`
;a `}
Glaaa � �°� ��'., Y� �" �
Fsp. wall �'� �` ��. '� -
Net e:p. wall .�,° ��,e`
Iat. waU
� a ; ,-,� *
Ceiling �`%t �' , . , `� �t: ' ct �_, �� �:
Floor �,�'q ,F � a,,° r :; ""
Totsl Btu. " � t' '°'
Required sq. ft. E.D.R. or aq. ins. W.A. l.eader area
�' F7. �=;�.� ,'. Room � Length f . � Width ' �' Height �" �a
Windows and Doora—Cracicage and Area
Wldth Helght No. ot Llneal !C. Aeea
No. of ysne o[ Deae Ilg6ts ot crack ep. ft.
? `� �� �� _..^� f.�� � �.. :d .eP y .�,� ' ��d
lnfiltration �,�r�" _, S�' i_. �° a>
Glaaa , �3 �;' �x ,:}: E-�
�::
Exp. wall ��°: `� �°"� � e _
Net esp. wall �' ' ;� : � �` 1. r �
Inc. waQ ' .
Ceiling .� _ -.� 4 „ �, ,�1 ;° -,
l� loor °" j° �: �l `
� ,.o,
Tbtal Bta ' �w :'
Required aq. ft. E.D.R. or aq. u►s. W.A. Leader ana
In6ltration
�a55
Eup. wall �
Net ezp. wall
Int. wall
Ceiling p
Floor
Totat Btu.
�
Iafiltration
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f � �,�, �,'t
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,� , ,,. .
,p '"� �-� � }" - �'r'''.�`�`
`;` ��: � �
,. k. E.D.R. or aq. ins. WA. l.eader area
� � w�a�, .,: �H��h� p�, �
Room I LenBth � ,� _�
and Doors—Crackage and Area y
h Hef�ht No. of Ltneal ft. Area
ie ot D�oe Ilg6ts ot crack aa. tt
' ::u � a�'+-?: n,'.�, f. ^� p� p' ,G�
Glaaa
Eip. WeU �'' �i . �� �°
Net ezp. wa�
Ia� waU
Ceiling
Floor
� Total Btu.
.
�
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Q
�
ired aq. k. E.D.R or aq. iaa. QIA. L.eader area
Btu
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u
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i
�F BUII..DINCS NIINNEAPOLIS. MIMV.
�. Insalation
i
Roof Floor Kind How Applied '
FI.�,�; e,�i .�°�t � �``.Room Length .�:�' � �Width `"' Height '" ''
Windows and Doors—Crackage and Area
Wldth Hetght No. ot Lfneal fL ' Aree �
No. oL yane ot pane IfBbte ot cTack eq. L ,
� � � � �F ;'�'� �' �;,��;;,r: '�
.. v
� � � ,�� , : � d�°" . �"�� • � ' :''"`
In6ltration �i' �
Glaas
Eap. wall „� � �',
Net ezp. wall - a� t'
Int. wall
Ceiling ,,;�,�� ".'+� ,f � <'�€! ,
Floor � ,
Total Btu.
Required aq. ft. E.D.R. or aq. ins. WA. l.eader area
FI.� Room ( Length Width
Wiadows and
Wldth ]
No. ot paae �
In6laation
Glaas
Esp. wall
Net ezp. wall
Iat. waU
Ceiling
Floor
Total Btu.
and Area
aeal tt. I
crack e�
ired sq. h. ED.R. or aq. ins. W.A. Leader area
B� ',
� �, � I
Fi,� Room � Leagth Width Height
Windowa aml - -
Width '
Na o[ pane �
IA�ti8tt0�
CaI833
Eap. wall
rr�� ��. Wau
io�. w�u
Ceiling
Floor
Total Btu.
and Area
neal tG /
:crack n
k. E.D.R or sq. ias. WA. I.eader area
� � �
B�U
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�;;�:L�:�4' �1.'�':;: �:I:�s/
M ' •:' ' 11 � 11 I I;r; • �'.
ADDRF�SS AI�ID I.EGAI, DES(RIPT�11: �A,� `� �`�!�'� ��$ta A,�. �, �, �t�, i �, ��'�,� j�
�� �: �L,,.'� �2 `,r-�,�l.! ��-,�e� e� �r J,t�.sl C�:� i� r c S
�
�I+iS1�CPI0N nATEs 6 / -� -.� �r ADDIT�TS:
�IFICATE OF •OOCUPAN(,'Y ISSUF�: yLS 1�D � npTE .
A. ZONIIJG ACTIONs ORDII�iJ(� 1�:
B. SPDCIAL USE PF.HMIT(S)s #
C. 1DT SPLIT (S) a #
D. VACATION(S) t� �-- ORDII�iJCE 1�A:
E. VARIANC�'S
APPEAI� �ISSION: APPImVID DISAPPRdVID - L1ATE 1�A.
CITY OOUNCILa
F. F1�+SII�IF�TIS:
Bikeway/walkway
Street right-of�way
IItility
Drainage
A11ey
Other (Specify�
G. LICF�]SE S) (List) s
. . ..t• �� � •,• �� � • •
��• � �:�• �� �
Date of Renewal:
8. STIPULATIONS (List) : p�� g�� �� api,�p�
I. MISGELT�INDOOS: " �
SUBJECT
c�ty of Fridley
AT THE TOP OF THE TWiNS g U I L D I N G P E R M I T
i �
� �
� ; L _._��_ COMMUIVITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
i--_- A��"" ,,� CITY HALL FRIDLEV 55432 NUMBER REV. DATE �AGE OF
i �� 612-571-3450 910-F15 10/10/86 / /
JOB ADDRESS 124 Craig Way N.E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION
DESCR. 2 1 Pearson's Craigway Estates
2 PROPEFiTY OWNER MAIL ADDRESS
Louis Shockley � 124 Cxai��Way N.E.
3 CONTRACTOR MAILADDRESS
$1IR2
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAILADDRESS
8 USE OF BUILDING
Residential
7 CLASS OF WORK
I 18694
R EIPT NO.
��. �
APPROVED BY
SEE ATTACHED
SHEET
Z�P 572 0140
ZIP PHONE LICENSE NO.
ZIP PHONE LICENSE NO.
ZIP PHONE LICENSE NO.
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WOHK
Reside Dwelling
9 CHANOE OF USE FROM
STIPULATIONS
TO
TYPE OF CONST.
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPEN�ED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTEF WORK IS COMMENCED. NO. DWLG. UNITS
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �-
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT S3QO
DOES NOT PqESUME TO GIVE AUTHORITY TO VIOI.ATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $�.S.00
OFCONiHACTOR
c � <
i
IDATE� �,,.
si .� �i7��
EN
SQ.
STALLS
GROUP OCCUPANCYLOAD
CU. FT.
OFFSTREET PARKING
GARAGES
SURTAX
$s50
SAC CHARGE
TAL FEE
$15.50
'HIS IS YOUR PERMIT
N� �� City of Fridley Effective 4/1/8c
ADDt:. [ l R-1 AIiD R-2 �
p1,TER. [ J Building Permit Application
Construction Address
Legal Description
O�rner Npme i Addzess :
Contractor:__
Addresa:
LIVING AREA:
GARACE AREA:
DEC1C AREA :
OTHER:
Corner Lot ( ]
�
��
�
Attach to this application, a Certificate of Survey of the
lot� With the proposed construction draWn on it to scale.
DESCRIPTIOA OF IMPROOEI''�h'T
Length �lidth Height
Length _ width _ Height
Lengtt,� _____—. � t � - Hgt/Cround
�i ) '
Inside Lot [ ] Ft. Yd.
Type of Construction:
pp�rox. Completion Date:
Tel . � � �f�
Tel. •
Sq. Ft.
Sq. Ft. .,._.__
Sq. Ft. _
Side Yard Setback
ted Cost: t ��� ��O
Alt. A Alt P
Proposed Drivewa�• k'idth Zf Ne� Opening Is Desired: � �
See Back Page for Explanation
DbTE: � �/� APPLICAKT: Tel . � `� �� � ��v
CITY OSE ONLY
Percit Fee :. �:��G'� Fee Schedule on Reverse Side
Plan Check � 25S of Building Perait Fee
State Surcharge S �S� �•50/�1,000 Valuation
SAC Charge � �u75 per SAC Unit
Park Fee � Fee Deter�ined by Engineering
Sexer Main Charge �
AgreemenL Necessarg [ ] Not Necessary [ ]
?OTAI. : /� - ��
STIPULhTI02:S:
�F ��
B�II.DING PERMIT FEE SCHEDDLE
The Chief Building Official shall, Detore laauing permits for the erection of ar.y
Duilding or structure� or for any addition to any existirtg Duilding or structure, or
for any alteration or repair to any existing Duilding or structure� upon application
tt.erefore� require the payment Dy the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-xit: '
Total 9aluation
=1.00 to �500.00
�501.00 to �2,000.00
52�001.00 to S25.000.00
t2:,001.00 to 550�000.00
�SG�001.00 to 5100�000.00
�100�001.00 and up
Fees
�10.00 (Minimuc Fee is �15.00)
�10.00 for the firat �500 plus �1.50 for each
additional �100 or fraction thereof. to and includin�
�2•000.
�32•50 for the first �2,000 plus �6.00 for each
additional �1�000 or fractior. thereof� to and
including �25�000.
�170.50 for the first �25�000 plus �4.50 for each
additional �1,000 or fraction thereof, to and
including �50,000.
�ZE3.00 for the first �50,000 plus �3.00 for each
additional �1,000 or fraction thereof, to ar.d
includinE �100,000.
�433.00 for the first �100,000 plus �2.50 for each
additional 51,000 or fraction thereof.
DRIVEiiAY DEPRESSION ESCRW
(Concrete CurD Streets Only)
Alternate "�": Recovsl an� replacement of curb and gutter only - Driver�ay Width plus
6 feet times �13.50
�lternate "E": Ae�oval and reFlacecer.t of curb and gutter �nd in�tall a 3 foot Wi�e
aFFroaci: with 6 inch deFth - DrivewaS width plus 6 feet times �15.75
VERIFICATION OF FOUIJDATION
Fercits fo^ construction uill be issued a air.isu� o.° 24 hours froc the time c.°
aFF;ication to allow for proper revieW of Lhe propose� structure and o:' the
construction site.
A Certificate of Sursey of the lot, shoWing LGe loc2tio^ of tre foundatior, once it
has Deen constructed vill be requir�d Defore proceed�r.g ait� the framing.
0
sue�ecT PE
City of Fridley 2 0 4 4 6
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
�
� �
� � '
� • COMMUNITY OEVELOPMENT DIV.
i ; V ������� �� ��. .Ps
r � � PROTECTIVE INSPECTION SEC. `�
`� ` �
.--•� �/'�',•� CITY HALL FHIDLE� 85432 NUMBER HEV. DATE PAGE OF APPROVED BV
i 612-571-3450 910-F15 6/26/90 / /
JOB ADDRESS 124 Craig TnTay N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2 1 Pearson's Craigway Estates SHEET
2 PROPERTYOWNER MAIIADDRESS 21P PHONE
Louis Shockley 124 Craig Way N.E. 572-0140
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PNONE LICENSENO.
5 ENGINEER MAII ADORESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroo� Dwelling (2nd Layer) 24.5 Squares
9 CHANGE qF USE FROM TO
STIPULATIONS
Roo� ean be 2nd layer but n�t 3rd, Install ridged galvanized valTeys.
TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD
SEPARATE PEFMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATINCi,
VENTILATING OR AIR CONDITIONING.
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 SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTHEET 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 SUHTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1 �2?5' $ a 6�-
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEpp�ITFEE SACCHARGE
PROVtSIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OP CONSTRUCTION. $31 e OO
' L�CHECK FEE TOTAL FEE
$31�61
SIGNA E oF CON'RaC R TMORI D Nr �DATEi WHEN PROPERLY I ATED T IS IS VOUR PERMIT
- - � -t.� � �`
SiGNATURE OF OWNER iiF O NER BUILDER� �DATE� BLDG �NSP flpT
� []
� [ ]
ALTIIt � �
Construction Acldz�ess:
Lagal Description:
owner rTame & Addr�ss :
Contractor:
Addres.s:
R-1 AND R-2
Building Pexmit Application
EffeCtive 1/1/90
� c� �s�
�. # �i �Z-ol �a
Te,1 • #
Attach to this application, a Certificate of S�zvey of the
lot, with the propc�ed oonstxvction drawn on it to scale.
LIVIIJG AREA: Ler�gth
GARAiGE AR�i: Le.ng�t�i
DF7GR ARF�i:
ORR�[t: �, _ .�� _ _ �
�; �+� •; •
Width Height
Width Height
Width Hat/Gr
�
Sq. Ft.
Sq. F't.
Sq. F't.
C.orner L�t [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Zj�pe of Construction: Estimated Cost: $ ���� . 07�
Approx. C7aa�letion Date:
Proposed Driveway Width If New Openirig Is De.sired: Ft. $ $
% 6' See BacJc Page �!
L1ATE: �IO r �,ppLIC�1NT: Tel # �l �� -U� �7�
.
CITY IISE �Y
Permit Fee $ � /. O d
State Surchatge $ le /
SAC C�aYge $
Driver�ray Fscraw $
Park Fee $
Seti►er Main Charge $
To►r�, $ � /_ � i
Fee Schedule on Reverse Side
S.5o/$l,000 valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined bY ����4
Agreement Necessary [ ] Not Necassaty [ ]
:�1 � � � • Ji'� � � " ]I" : k:171� 1 '
23ie Chief Building Official shall , before f c� � i m�r,,,; ts for the erection of any
building or structure, or for any ac�dition to any existirig building or structure, or
for ariy alteration or repair to ariy existirig buildirig or structure, upon ap�lication
ther+efore, require the payment by the applicant for such �*�++;t of fe�s to the atao�mt
herein belvw set forth and in the manner herein prwided to-wit:
ZO►rAL 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
i���:�
$15 (Minitmnn Fee is $15 plus suzrha�ge)
$15 for first $500 p7lus $2 for each additional $100 or
fraction thereof, to arid itzcluding $2, 000
$45 for fiYSt $2,000 plus $9 for each additional $1,000
or fraction thereof, to and including $25,000
$252 for fizst $25,000 plus $6.50 for each additional $1,000
or fraction thereof, to and isicludirig $50, 000
$414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,000
$639.50 for first $100,000 plus $3.50 for each additional
$1,000 or fraction ther�of, to ar�d including $500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, t� and including $1,000,000
$1,000,001 a� up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRFSSIO�IJ ESCL�DW
(Cbncrete Curb Streets On1Y)
Alternate "A": Removal ar�d replacement of c�rb arid gutter only - Driveway width plus
6 feet tinees $13.50.
Alternate "B" : Remc�val arid replacement of ctarb arid gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VER'�'IQ�iTI�T OF F�01�IDATIO�JJ
i
Pexmits for corLStruction will �be issued a mininann of 24 hours fr�n the time of
ap�lication t.o allow for praper review of the proposed structure and of the
��tr�tion site.
A Certificate of Survey of the lot, shcywing the location of the foundation onc� it has
it has been construc�ted will be required before pra�eding with the framing.
sue�ecr PE E4M1'f IVt7.
City of Fridley ;� 2 2 3 9 2 '
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
� � RE�ELP71V9: � _
� `y ____�_ COMMUNITY DEVELOPMENT DIV. �
r � � PROTECTIVE INSPECTION SEC.
1 = i
� /"'�1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE Of AP OVED BY
������ � �'' 612-5��-3a6o siaF�s / /
3/30/94
JOB ADDRESS
124 Crai Wa NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
SHEET
DESCR. 2 1 Pearson'
2 PROPERTYOWNER MAILADDRES$ ZIP PHONE
Jeffre Ward 124 Crai 574-0362
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADORESS Z�P PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ HEPAIR ❑ MOVE O REMOVE
8 DESCRIBE WOFK
Construct a 27'2" x 12'6" Deck (382 SF)
8 CHANOE OP USE FROM TO
STIPULATIONS
See notations on plan. Install smoke detectors as per UBC 1210 adjacent
to all sleeping rooms and in basement.
����� �
Before digging cal! for
all utility locations
454-0002
REQUIRE� �Y LA�°
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO
SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATIN(i,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CON3THUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEU FOR A PERIOO 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 1 STALLS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEF;EIN OFi NOT. THE GRANTING OF A PEHMIT �2 � 638 �].. 32
OOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S4. OO Fire SC �2. G�F
STRUCTION OR THE PERFOf;MANCE OF CONSTRUCTION. �
PLAN CHECK FEE TOTAL FEE
$57.96
S ATURE OF CON i RACTOR O UTNOf71ZE AGENT (DATEI W, N P ' LY V LIDA I$ IS YOUR PERMIT �
� � � � � �3�'`� �, o�� �� 3 -31-�
SiGNATURE OF OWNERpF OWNER BUILOERI 1DATE� BLOG WSP DATE
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CITY OF FRIDLEY TEL � 612-571-1287 MqR'z2 �9q 04:01PM06 NO .003 P.02/03
�lEl�i ` • r 1 � Eftcctive 1�1�94
ADDN [ � CiTY OF FRIDLEY �{! ��
Ai TCR (�' SINGI.F FAMILY AND DUPLCX�S R-1 ANn R-2 ��'I'�
Building Permit A�plic��liun
ConsUvcdcm Addr�sc: . _ IZ � ... G�/'�' y _L.✓.h. � �'� ��%��� y . _. �'1�! .�l.�.l�%� 2-
Ix�a( I�scripti�n: , _.
Owner Name & Address: _ ��r��l � f/l�yG, � .��<.�� ��) .. . . . Tel. �f _. �' ��O.��o�-
Cuntrt�clnr: ��NG✓ . _ ... . . . .. _ --.- ---- . . .. __ MN LIt;ENSG 1l . . . ._. .
Addrexs: Tel. �`
Altach to this application, a Certifi�.ate uf Survey c�f the
lot, with the pruposed �ns�truction drawn �n it to sc:ale.
LIVING AREA:
GARAGr�? AREA:
DCCK AREA:
OTHLR:
DESCRIPTION OF IMPROVEMENT
Length Width _. ,__ Heiglit .._ Sy. Ft.
Length _. . . . _ Widlh Height , _ . _ . . Sq. Ft:
Length .. 2�' L". .. Widtii Hgt/Ground ?1�" Sq. Ft -���
Corner Lc�t [] lnsicte i,ot ( � Ft. Yd Setha�k _ Sicte Yard Setbacks ,_ _
Type of Constructi�n: _. . . . .. ..- --... Estimated Co�: S_ .,� �' � �, � O ,
T� '
Approx. Completi�n Date: _ , . , . . ... . ..
' (Cost on Back) �
Drivewa Curb Cul Wi th Nccdcd: 6 Ft = Ft x$ _$, ��
]�,, �
DATE: y�" �� ' 9 APPLIC;ANT:. •i' l�.{���,,-'f _1���. .. ,.. T�1. 1l � %�-Q �7�C���
Permit Fee
Fire Surcharge
State Surchargc
SAC Charge
License Surcb�rge
Driveway Escrow
Erc�ion Contml
Park Fce
Sewer Main Charge
TQTAL
;'STiPULATIONS:
CITY U$�, OrTI.Y
$ zy _B �. F� Schedule on Rcverse Side
$ _ `� .001 uf Permit Valuation (l/lOth�}
$... _ _ __,1,�=_ 5.50/$1,000 Valuation
$ , .. $800 per SAC Utit
$ , $5.0p (5tate Liceatiext Rc�icienti�tt Ccmtractorc)
$ All. 'A" or Alt. "B" Above
$ $450.00 Cnnsenralion Plan Revicw
$ . . . _ , Fee Dctcrminccl by Cngine�ring
$ � _ _. .. Agreement N�c;essary � � Not Ncccs.sa�y [ ]
�� ��
$