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AF - 40816A i V < t � f�9 ��. y °. � �. � �R. ��'�O �. �; f0 m o��b �O �� . � �� C . ,c�,. s' o�.��. � � f3''U � c�0�� O �� `� O `�' �~.�„��„F'n'A �� a�b�a �o� � � a�.o �°,�0a� a � lb��.� �� ?�.� ob C A � � �'�:o �o� �� C �' �• �• � � �' � � �. o � � _ � � o � R, � � � � � . 1 � � � 0 � �� .i lV Y O V �i A � Q � lr. t� / 'b � (0 c0 O R. �► �.� A � �A�•�� wS N � � � � n. ti �b � � n � � �� ' �" o � � �, � � � � � �n�Qa ti � b � � � u�i O � Qy,`�'r. � � ��O'�� Q•��•� �o�� o'� co �' y �. ��''.,�o �« �' � � % � b � �' O � � � � 1�. � � � b �o'' � H �� N v ti � � � � � bd C� �. � � � oa 'b � � Q O O c � ti � O � O � co 0 � � � I � � a. ! 0 ti A. � a \ � � S�' �� S�r' p O to 0 i i � � �. O � � O � �S � 0 � � y 0 0 � � . � � � Z O � O . � � � �. � � I � � �G ti. � � � � � � ti � � � -�i. A � � � � � "H Q. � \ O � C � � D M � � � � � ' � � � —• � � 3 � O � ""� ,• � O � 0 "_ � O � � ' � � � ': N � 0 '� Q � N f A � Q. n� � _ y � � �• �� :: ' � O O � � ^, � � �� c? � � � � � � \ � � Fi� � � � �I � � :� � � City of Fridley, Minn. BUILDING PERMIT Date: October 15 , _ 1970 p�r; Charles L. Benzenger g��r Same Addresa 5 7- 6 2; Way Address �37 ��__ -_---�_ �1T° 10862�_ LOCATION OF BUILDING No. 6255 g�t East River $oad part oP Lot Lot 14 __ Block 17 Addition or Sub-Division Fridley Park Corner Lot _x Inside Lot Setback � Sideyard Sewer IIevatfon � Foundatfon Elevation DESCRIPTION OF BUILDING To be vsed as: Garage Front � Depth � Height �— Sq. F't. .528_— C�u. Ft 5.2.$0 Front Depth FTeight Sq. FL Cu. F't. Type of Construction —Frame �� $1, 000 _ __ To be Completed 1/1/71 Frost footing required (42"� Slab minimum 18" above street grade for drainage flard surface driveway required In con�deral3on of the issusnce to me of a permft to construct bwud th� proposed work in acccrordance with the description above set �qrth in ordinances oP the dty of Frldley. // In cons4deration of the payment oP a f� oP $�.4�. , permit is hereby d above, I agree to do , �, provia�tons of � to rharl es ,�er�,ziner. to conatruct the buiidfng or additlon as described above. Thispe rmit ia granted nPon We express condition that theperson to whom it is granted and his agents, employees and worl�nen, ffi all work done in, around and upon said buflding, or any part thereof, shall cronform fn all respects to the or8inances of F'ridley, Minneaota regardisg la:at3on, construction, alteration, maintenance, repair and mrn►iug of buildiugs witbin the dty ]imits and this permit may be revoked at anY t�e upon violation oP aay of the P�vtsiona oP said ordinances. � /"l ' �ctor SIM M. QURESHI, P.E.-City Engineer NOTIC� '�hb peemt� d� aot eover xhs eoe�feadt�, Iestallalloe tee wiriee, plumbtng, en 6aNeg, arra or wmr. B� wre ro ss� t6o Bnildiu8 laspsetor ior apvat� parmHs to� fhea It�mt. '��,-. _ . _- _�„t, �� r' � �� _� w �q � , c. , ► q ��'�i� � ��::- � :�v�_�:.��. - �� -�` `--�.j�� -�,��> .o��' °°� ° . �-�� .!� ,'a _ r �, �, j . �� " -�'.. , j! .� � 2`�-� �- -� ��y � L ,��-��'� � :�s�-� -t'�-i- �*�� - . � -9 � i� ; "' � � � �. C� � -�� T ��,�E, " f�`e- �'`��'"=�,��-t�. _ ,� �, � �`_ �'�� / �' - �t f� � � J ��'�`�1 • °=- � �,,� �=,'j'';: - _ �j-%G'� �` , %�'E`�� Z'' �� ,�+�� ,e��-�8�,° �r� - � �,, a� � . .-m—..a_. .FS``' � � � �'� �� ` �{, d.�`� 'R- `�` '�.:�-�� t<,��-�-�-s-� �''1�- ��,�-i;� d �a,,,,�,Q�," � '�� . -�1�'�n o 0 ��.� �- f � � ��, (�. C. ��ocuo� a�nd v�4ssoccates� ;�1�• LAND SURVEYORS � 10130 HIGHWAY 65 NORTHEAST — MINNEAPOLIS, MINNESOTA 5543� Telephone y 784-5480 �- : .� Certificate of Survey: C!y��L�cS ��/��' � � �l1- 0 � `Q � � � i` � � �;, �r �lLL �Y � /,20, v �z°�-' ��f� ,'i, ,.. � 4 �-�, �� i 90 i � �.� , _ Q� �I � I /,ZO, o �,z � 1y�� /�./� LEGAL DESCRIPTION: �� 'z z. n� I IN �� Q � � � Se��:%�',�D� ,2775- /63 -.si � OE.voTEs /.�.v �, � �' ; - ,� �. �� ; � Lots 12, 13, 14 ,:lock 17, Fridley Park, Anoka County, Minnesota. I HEREBY CERTIFY Tc�aaT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE ABOVE DESCR =_D LAND, AND THE LOCATION OF ALL BUILDINGS, THEREON, AND ALL VISIBLE EN- CROACHMENTS, IF ANY, . i20M OR ON SAID LAND. AS SURVEYED BY ME THIS...22nd......DAY OF............�JL1�t ........................A.D. 19..7D...... N. C. HOIUM AND ASSOC TES NC. _ LAND SURVEYORS '� �,i � �� ,. . y� . ...................�. �... .t. , ............................:...�........ � n �.r,..�,.,1. '��i -_ _ - 4 - � � � „ � � �� ,, �y , ,- �+ � IV , �x APLICATION FOR RESIDENTIAL, ALTERATION, OR AllllITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : V GLcXlb BUILDER: �nn�ss : � 7 _ �� r�� Annx�ss : �� ' �� ✓�.<,<...� � . NO • . �, STREET : � �(/ � C,, � '�, � � � - l_.�� LOT: BLOCK: / � ADDITION: _ �� CORNER LaT: ' INSIDE LOT:� SETBACK: SIDEYARD: Applicant attach to this form ltao Certificates of Survey of Lot and proposed build�ag location drawn on these Certificates. HESCRIPTION OF BUILDING To Be Used As: r �Froat: Depth: �� Height: �T Square Feet: �� Cubic Feet: $�� C� Front; Depth; Height- Square Feet; Cubic Feet: �►pe of Conatructioa: �JL�C4.�.� Eetimated Cost: $ / �dv To Be Completed: � �� o ' _� The undersigned hereby malces application for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and ruliags of the Department of Buildings, and hereby declares that all the facts and representatione atated in this application are true aad correct. DATE : � ( �G`��'�� S IGNATURE : ��2%G� / (See Reverse Side For Additional InfosZnation.) � �� .%'�- : ,�. �. „�, y � +�j�� ' "4 ;'�� ! +.'� .: � '�`� �4` � '�`� . �_:�, F, . , � o �J� , � �. , � ,-� ,�'' � ��" ;� ` c. � . �, r p _ � � �� - �+ ''7'"� ,✓ ' . . y � �,- ` � ', � �� " n �rr �': ��'� c�-�° � � � �� e ,. � BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing penuits 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 hexein prwided,to-wit: iTNIFORM BUILDING CODE: �pe 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground 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 aurface of the ma,in gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for a.ny permit as set forth in Section 2 be less than $5.00. V�RIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours fram the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey af the lot, showiug the locatioa of the foundation, once it hae been constructec�, will be required before proceed n� with the framing. . CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupaacy shall be ma,de ten (10) da,ys prior to the use or occupancy of any structure for which a building permit has beea issued; and said structure shall aot be uaed or occup�ed until a Certificate of Occup�cy has been isaued. • _ � _ _ � �, . . " n r� ,-+- ,-, z ♦ � � < � l0 � ti —�°. � � � � � � � � A 0 � � � n g � �:��'�� b �b�� ,s �� '�c� / � `� A�. � �o��:�� b• �• �' �� . I � � � � ' �$�t�o' � � A � ��.�� C � �• a�. �� co �" S��' � �. � ,�� ` s' � i� Q b �' � �� oi��.A,b . �'b��'� C � Q �"M � s:�,�•� s' '� � c� � 'ti �' � ` �' � �• � to ro O id ��° � o �, y � ��'� � � .�° A. � �Ai. � � � � � � �. � � W � � � � � � � � ; 3�. � � � arv 0 ►! � � ° � � � � � �. �. A � � � o � � � � � ��-�� 0 I . � WATER uetNnts BATH TUBS IBINKB � ' z .,� � � � IWASH � C , � � TRAYB vi p IDRINK � � � � � FOUNT. � O �' x � (`�� SNOWERB O O O C O � .� . i ` FLOOR O O p � IDRAINB �' � � �y+ � CATCH ^�' � � � IBASINS `� �' � � IRAINW. � m � LDRB. � � � � �: MISC. � �'• � , FIX. W� .. I6A8 Fi � � R � APPL. �+. 6A8 � � �,NaE M ro � �� °� I y y O f° m ua �' •� A V� I� � � O � �• � l p � � O n � � � � �, ., �• G� � M i � � � I �.� � � �. : �.. �'1 I �'V � i Ffl �, � � i \ � 6� � ��', � '' O w, � ' � � � � � � q� � � / � � � � b r O �� : O : � » • O . � r , � : � ' � , i \ � � � � � � �� m x � � r�i w x � � n � C �o � M � � � � � � � �, � � �� A � � � S � .°�. $ °' � � e � '° � � � : �i' c� • � � n z1 p �o �' 0 y Y a ; ; � a ° : � �• • i� � " : : � �Q ' � � : • ; . °•° 25 . � . . • • • • • v . • • • . . . • . . � .. . . � . . . . 0 0 M �1 M . M x K k x � k • � p � �,� �N � � � � � � g a� 8 ,;,� g C1i g �i � � $ „a � 4� M t' M 1R fA H! M dl tA 4 � v I I e 0 � � ^� I �L � ,� � W � � �� A � a D '_'1 � � '�'+ � � i m C r fT9 °. � E � a �� a � � � � \ ... Q �o �� OUI �* o ��. w iN � tz i � � ,� � � I a w � � �Seoslea � � WAliR � � G,OQlTS �• � � uauws MTM 0 � � '� ewU►es �! d StNK4 � � --..._ � wwv� rw►rs � � � � o � � � w o. f'1 N M � � b � � a a �e � � I S � � fou►rr. SMiM�S. ` ROC� DNAiNS GTCN e/�SINS �� WA4ME� GAS � � � cws OCENIIiK`i5 � • E • N � DT �" l n � � � � '° a o °' °' ; '�'1 f9 � � M ��E � � �pa� � ,� � ° � oo � �� a� �.� �.�� . � �M��. � �� ti � � �� $ �. � ; o � .1. .� �� . m �� .��. .. � f�p � f�p M � » � � �� A �X � .. �9 7 M � I� 3�� 9G � �� p M �� a � _ � � _ �. � � T � A• � � � m t� � �t � � � � � � � � � � � � t � � ��L�� \ � a ._ -� __ I ��S G- ��• HOUSE HEATING TEST RECORD su �� l ADDRESS s '� APT. OR CITY � � OCCUPANT`' OWNER HEAT LOSS DATE HTG. INST. GAS C0. METER BAD # SOLD BY INSTALLED BY , � Eleehieal Work By ' Gaa Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS ESIGN , CONVERSION i MAKE .,. �� '' � ��'� �►KE OF BURNER Model �° ��. E'� t�':2 �i _�� J Model �I Serial �-��'O--�J �'�'' �'� � Max. BTU Rating INPUT �_�� MAKE OF FURNACE Modet CONTROLS c/ THERMOSTA �� e Plug Vent Size .- Valve e �IND OF LINER " ZE NONE Limit ""� _ •� Droh Hood Regularor Limit Sbiting �� Filters Size Num r Fa� �tt��9 �' ��if/f� Chimney Loeation inside Outs�de Pilot TYpe � Chimney Construetion Pilot Moke � ��r � ,�� Smoke Bomb Wi►�^9 , Pilot Model �s/ �r. Pilot Timiris � � � Droff � � /�--- Test Tag � ,, . Lf htin Inst: �"�_ L.W. Cut Off oor Pressuro— ` 9 9 �s � �� %� Prossuro .�� r�� Per,�jen�_�? _ �" te Tested ' !. Input CFH �� Peofdi��v2 � � �mpany Testing " � �d � $ta�k Temp. —��'G�—Pe��nt CO � ��-� Name of Tester Form 235 SUBJECT PE . _ c�ty of Fridley 18 0 9 5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' � RE COMMUN�TY DEVELOPMENT DIV. f � L � PRO7ECTIVE INSPECTION SEC. I'] a� � 1 i ; � / � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED BV �""'� � ,�� 612-571-3450 910-F15 7/1/85 � � JOB ADDRESS 6255 East Ri.ver Road N.E. t IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 12,1�,14 17 Fridley Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Krueger 6255 Ea.st River Road N.E. 571-3430 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENQINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residen�i:.al 7 CLASS OF WORK ❑ NEW ❑ ADDITION C� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Tear off existing deck - Install a 16� x 12'.& 6'� x 6' deck and replace/rebuild existing deck. 9 CHANOE OF USE FROM TO STIPULATIONS ��R�11�tG Before digging call local T��PyONE . utilities SEPARATE PERN�ITS E�ECT��C_��.t� WIRIfVG, HEATING p REQUIREp F�R Rf C�V�RED gY L�, � LUMBIIVG ,�ND S�G�SH � SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TMPE 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 HAVE READ AND EXAMINED THIS APPLICATION STAl.LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES OOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN .OR NOT. THE GRANTING OF A PERMIT $1,450 S• 73 DOES NOT PAESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW fiEGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ZS.00 PLAN CHECK PEE OTAL FEE . 5 $ .98 �, GNATUREFFCONTRACTORORA�THO 12EDAGENT IDATEI WH PROPE LV A D E T IS S �OUR PERMIT �' r �- �GNATUREOFOWNERUFOW UILD I IDATEI � LDG �NSP OATE � p� [%a City of Fridley Effeetive �/1/84 ADDN. C ] �R-1 AKD R-2 pLTER. [ ] Building Permit Application Construction Address Legal Description: �PJf .- r `� �- � r. � owner Name & Address : ��'+/� (� I'1 • ��cl �Cr�� Tel . � S��- 3�{3C� Contractor: �� Tel. � Address• Attach to this applieation, a Certificate of Survey of the lot� with the proposed construetion drawn on it to scale. DESCRIPTIOA OF Il�IPROYEMENT LIIIING AREA: Length �Tidth Height Sq. Ft. GARAGE AREA: DECH AREA: OTHER: Length Width Height Sq. Ft. Length �� Width �z__ Hgt/Ground Sq. Ft. l�-�'� � ��°L a-�� ag.od�'��a� � t�ua-q.� Corner Lot [] Inside Lot [] Ft. Yd. Setbaek Side Yard Setback QS�'� Type of Construction: �/I,�IL�-e�� -� Estimated Cost: $ Approx. Completion Date: ! �� Alt. A Alt B Proposed Driveway Width If NeW Opening Is Desired: $ $ See Back Page for Explanation , DATE: � I '- �.� APPLICANT:, � � °� Tel. � ��l^-��-�� Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Main Charge TOTAL STIPULATIONS: CITY IISE ONLY $ 0��•� Fee Schedule on Reverse Side $ �u �o�� 25`� of Building Permit Fee $ �� $.50/$1,000 Valuation $ $�125 per SAC Unit $ Fee Determined by Engineering $ � Agreement Necessary [ ] Not Necessary [ ] $ � BQII.DING PERMIT FEE SCHBDIILE 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 strueture, or for any alteration or repair to any existing building or structure, upon applicatio n therefore, require the payment by the applicant for sueh permit of fees to the amount herein belo�r set forth ahd in the manner herein provided to-Wit: Total Valuation �1.00 to �500.00 $501.00 to $2,000.00 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for eaeh additional $100 or fraction thereof, to and ineluding $2,000. �32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraetion 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 ineluding $50,000. �50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and ineluding $100,000. , $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1�000 or fraction thereof. DRIVEWAY DEPRESSION ESCRO�T (Conerete 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 approaeh With 6 ineh depth - Driveway �idth 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 strueture and of the construction s3te. A Certificate of Survey of the lot, showing the location of the foundation onee it has been eonstrueted wi11 be required before proceeding with �he framing. f �� b c� — l� bC� l�xl�� ..: t.n°'o 1.c !.¢- 6 � — r�„�,�'�. r" � � 1� � � y� � : _. �� l%_�l � � \ � , � _ _ 'i '�. f :- _ ' � . � �� \ � V/ ( �♦ �� :; ; , � � �1 � � � � - ,- -, , � -� - ; � i .: � � j� �, ,� �..- � � i ti i �� ,. ( � x ,c � �- - � i ±- -i_.. . ;� � � -' . i ` � � (J N � � . � N� � � : � � �- ' - � ` � � �� , .�, x � � , � � r_ _ . � , „ � �� , � � , � � ., � ; , -fi �, � � - ; � 1. M I� � -s- t�, t� ,� M � , , � � � �� - � - - , � . � , '� , i i � � � � � r"-' � �- $ - �� I ' � � ' � ( ' 2 � � �Q ��C � � CJ �` ? � �' ! _ _� � _.. i C� � � � ~ h ` '� --� c� j . � o � N' � � � y M I o ' � `" � = 1= � � -�' 2 � h � � � � � .� -�_ . 3 I z- � � g �` � ------ f � - � � c� � � � ; - --- , I _ � ) --�-- , . � � -- -- -- - __ � -- -- -° - - - - , � , . � �1 � �_. _� _ � _ � � ;i � - � - . �. N __-- ; - � �:� � � � � ; � = " � �� --- - R - � - �- i � C-�1 ,� - -- - _ -__ : : i � � � . � - -- - - - -- , � `✓ _ � ,-, �. , k � �. � . ' H T 4 I ' — — — � --� � (1 _ � ; J� _ V` C' . � � � � `� � ) 'b — _ � ` _ �. ` ` i 'J � i � _;� \ �9 – — – – – \�` �. � I � J — – -- — — �--- �---�- ' , . - -' -_ _ _ _ _ _ – - � -- -- -- thi � �i �- , � % , ' • � � � � �. �y � � , � ' �� ' - X a�� N�� 0 _ . �� ,�� , �� . � nti � , � sue�ecT PERMIT NO. City of Fridley ' "� AT THE TOP OF THE TWINS gU ILDING PERMIT 22430 � i � ' COMMUNITY DEVELOPMENT DIV. � � PROTECTIVE INSPECTION SEC. �� ` _ � � .__•-� r , ; � i , � /�"1 � CITY HALL FRIDLEV SS43Z NUMBER REV DATE PAGE OF APPROVED BY �'-"� � �'' 612-571-3450 910-F15 4/19/94 � � JOB ADDRESS 6255 East r 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 12,13,14 17 Fridle Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Krue er 6255 East River Rd NE 1- 3 CONTRACTOR MAIL ADDHESS Z�P PHONE IICENSE NO. D& D Home Im rovement Inc 1 - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATIOId ❑ REPAIR O MOVE � REMOVE 8 DESCRIBE WORK Reroof Dwelling (16 S uares) 2nd La er 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTf;UCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK Wlll BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT HBO. OO . SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI THE PERF RMANCE OF CONSTRUCTION. Z.3.00 Fire SC . S PLAN CHECK FEE TOTAL FEE �� License SC 5. 00 29 . 38 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI N ERL VALI TED THIS IS YOUF PERMIT � ' i �� SiGNATUREOF OWNERI�F OWNER BUILDERI �OATEI BLOG WSP �aTE NEW [ ) ADDN [ ] �-'� [ l CITY OR FRIDI.EY SINt�LE FAMII.Y AND DUPI.EXES R-1 AND R-2 Buuldiag Permit Application Effective Si�'.6/93 ��3�� c��a� A�: ��'-� E�� '� �� I,egal nescripbon: O�vner Name dt Address: �1�f0'� �1�� Tel. #�� Conttactor: D& D Home ImRrovement Inc_ MN LICENSE i� 4840 Address: 7401 Central Avenue N.E., Fr�dley, MN 55432 Tel. �1 784-7543 Attac6 to this appGc�tion, a Certificate of Survey of the lot, with the pnaposed constnuction drawe on it to s�ale. DBSCRIPTION OF IMPROYEMENT LIVIN(i ARBA: Length Width Heigttt Sq. Ft QrARA(�E AREA: Length Width Height Sq. Ft. DECK AREA: Le.ngth Width HgtlGround Sq. Ft. 4TAER: Cosnea Lot [] Iastde L,ot [] Ft. Yd S�back Side Ymd Setba�ks ljrpe of Constiuctian: �S fil9�� ,� C.ost: � v�'b °� Apprax. Completion Date: ,��_,.� l�9� �� (Cost on Back) Drivea►ay Curb Cut Width Needed: Ft. + 6 Ft = - Ft x� _� DATE: � APPLICANT: Tel. # P�n'tit Fee Fire S�u�charge State Suncharge SAC Charge License Sarchazge Driveway Fscrow Er�nsivn Control Patk Fee Sewer Main Charge TUTAL K�� :i�� . UD Fee Sch�ule on Reverse Side � t ° .001 of Pe�mit Valuation (1/lOth96) � � �C� $.SO/a1,000 Valuation S S'/� per SAC Unit $ �. �O . SS.00 (State Licensed Resideatial Contractors) S Alt. 'A" or Att. "B° Abave s Conservation Plan Review $450.00 � Fee D�rmined by Engine�rivag S A�� N�► I l Not Nec�► I l � � �• . 3 v S'ITPULATIONS: � MAFt-�-2'�02 0@ � 40 �� `� a .� �� m �� o � � � °c � �� ? �� o � SQ � � � r � �n �� a � � � � � � � � 0 � � � m � � � �'i � z �" 8 � � FRQM CITY OF FRIDLEY TO -� �� w � � �� ro �v � � �'-�° �o�,�-� � �' zs� �� n�'.�� o�� 5�.��`-° �� ,� �'� z � �°�w� � �� -� N � � � m _ � �a � � Q � �m � N N .-. �� IQll�lllllllll ° «+� �+ �s +A � +�s �a � s� � �ia ia �a Cfl O C O V�+J �I V�1 CT �+ �+d � °o�c�io°��+vo°o��g � � � � z � � ,, � � � .� � �A ` � � � �� '�' � d r� � �� I � ii � � � � , �. � � m � e.�� m �� - � � �� . .�► � O "' �� m � �� , � ��: � 3 � r� $ ��.�� , �� - � $ �� o � � � � � _ I� � � Q � � C� m . .� � � � �' � � �945355 P.J1!J4 � _ � .. ��o � � Z � � g�,�v �n �� z v_ < � � � O � � :0 r � � � � � a � � � � � � m � J � , � sue�eei � PERMI? City of Fridley 3 4�� AT TME TOP Of TME TWINS g� � � D I N� P E R M i T r � RE � ; � ___.__ COMMUNITY OEVELOPNIENT DIV. ��y/� r � � PROTECTIVE INSPECTION SEC. U i . . � _ �"'1 � CITY NALL FRIOLEV lj,f' 132 NuMBEA pEV OAT@ v�GE Oc �vvnovEC Br �""'� � �'' 612-571-34E0 910-F15 3/6/02 / � J08 AODRESS 6255 East River Road NE . t LEGAL �OT NO. BLpCK TRACT Oq ADDITION SEE ATTACMED DESCR. 12,13,14 17 Fridley Park Addition SNEET 2 PiiOPERTY OWNER MAIL ADORQS$ Z�P PMONE Joanne Connor, 6255 East River Road, Fridley, MN 55432 612-388-5032 3 CONTRACTOR MAII AOORESS 21P PNONE LICENSE NO CCR Homes, Inc., 8925 County Rd 43, Chaska, MN 55318 95Z-448-2605 BC20130804 4 ARCNITECT OR OESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL AODRESS LIP PMONE LICENSE NO 8 USE OF BUIl01NG Dwelling 7 CLASS OF WOFiK - � NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside garage 9 CHAN(4E Of USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REOUIFED fOR ELECTRICAL, PIUMBING. HEATINa, TYP� dF CONST OCCUPANCY GROUP OCCUPANCV LOAO VENTI�ATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION 20NING SO. FT CU FT AU7HORIZED IS NOT COMMENCED WITMIN 80 DAYS. OR IF CONSTRUCTION y Of1 WORK IS SUSPENOED OR ABANqONQO FOR A PER100 OF 12Q DAYS A7 ' ANY TIME AFTER WORK IS COMMENCEO ' NO DWLG. UNITS OFFSTREET PARKING I NEFiEBY CERTIFV 7HAT I HAVE FEAD AND EXAMINEO TNIS APP�ICATION STA�LS GARAGES AND KNOW TME SAME TO BE TRUE AND COFiRECT. ALl PROVISIQNS OF LAW$ yp�VATION SUR7AX AND ORDINANCES GOVERNING TMIS TYPE OF WORK WI�L B� COMP�IED @ WITM WME7MEfi SPECIFIED HEREIN Op NOT. THE GRANTING OF A PERMIT W2aOOO.00 �I.00 DOES NOT PRESUME TO GIVE AUTMOiiITY TO VIOLATE OR CANCEL THE pEpMtT FEE SAC CMARGE PROVISIONS OF ANV 07HER STA7E OR LOCAI LAW REGUlA71NG CON- STqUCT�TME PERFORMANCE OF CONSTRUCTION �69.2� $2.00 FireSC P4AN CMECK fEE TOTAL F $5.00 L e se $77 25 S�GNATUpEO�CON'RACTOAOpAUTMOA4EDAGENT iDATEi N P PER � IOATED T S IS VOUR PEFM17 - ��' S�GNATUAE O� OWNEp�� OWNEp BU40Ep� �OAfE� � g�pG p q�Tf � �. MRR-06-2002 07�27 FROM CITY OF FRIDLEY TO 9524485310 P.04/05 NEW ( j CITY OF FRIDLEY . Effective 1/1/2002 ADON [] 6431 Unive�ity Ave NE, Fridley, MN 55432 (763) b72�6oa Bldg Insp ALl'ER () SINGLE FAMILY AND DUPLEXES R 1 AND R-2 BUILDING PERMIT APPLICATION Construc�on Address: � �' � � � � � � s� �°� � � �� C Legal Description: (o /2 � �� S �3 � Owner Name 8 Address: � Co�ractor. '✓�i. LMNG AREA: GARAGE AREA: DECK AREA: OTHER: � N�� %3 7�J I/U .E� f� Tel. # �� -� o� � MN UCENSE .� � � �/ � �� "��° , !r'%✓� � Tel. # Q's S� � �{�� G�/ Attach to this application, a Certfic�te of Survey of the �r o lot, with the propos�ed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length � V1hdtl� � Height _� Sra. Ft. ��(P Lengtlt � Width ,�,� � HgUGround �_ Sq. Ft �° ` � ConsVuction Type: Estimated Cost: $ �� QU � Oriveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ =$ DATE: � � �� ' APPLICANT• �/� Tel. # Call (T63) 5T23604 for Permit Fees if mail"rng in application or Fax to 763-571-1287 if using credit card and we will call you for card �umber. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Mai� Charge TOTAL $ co�. �� Fee Schedule on Reverse Side $ , O �.001 of Permit Valuation (1/10th%) $ /- D b $.50/$1,000 Valuation $ $1200 per SAC Unit $ .S OQ $5.00 (State Licensed Residential Corrtractors) $ Alt. "A" or A�. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by �Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ - �� STIPULATIONS: C� O � 0 Z C m z � Z � O O Z � n � � v rn � rt m � c � � � a � r � � m m �� a, �► �� m � �O � � �, 2 c�i d � � � � O Z � �v � �O V c � o � � O o m ?-� '0 DD v � v � � D �v � � m � O z � ��'�2 �� c d nni 0D m�D �' m � � `� �' m m m � � s � � p � � � � � � � o v, -o � � � `° � d � � � � W m �. c � � � p p �* � � � � � cp N "+ • -� -� � <, r y. N N � � � co �� N Z � m D c° rt d � v -� m i m N � � d � � * �. ' � � � �p � c � fp c Q.. .-. � m � � Z 0 I I I I I I I I I I I�I � ��c�r��n��+ cn o 0 0•� c � � v.i c�, �.+ � °o °o °o °o °o °o °o °o °o o° °o °o °o �� C � W � � °_ � � � � Z n C 7 A N :i y • a. � ^" D �a y a < C � rn � 3 � � � � �' � a Q. n m c =+i . Q N N tG � °� m 0: � N 1 � � � y W O � °• o a �° w � v � ? y. O fJ� O � d ? 3 � � � � a �, = m 01 � m �Q � � a w C� � � � `� � m d 1 j N �. Q ..► 3 � ` � � � m = � � � � � o � a _ v��i N N lO(\ \� � � �� . L:. .. YII � � ` G5 � � � r: �'. � � m � �� r-a, u ._., m � .n.. 6 m C � `' � � � � � � � �-- n: .� : a}eQ :/�g pau6ig �O� JNilb'�H - " - �Il�7l`L��+�t=F_1�i � ad�Cl ui �a�aweiQ � y}6ua� }} �y6iaH �o}�auuo� �uan � a�uei�ddy aditl w �a�aweia }� �6ua� }� �y6iaH �o}�auuo� �uan Z# a�uei�ddy ad/�l ui �a;aweia }� y}6ua� }} �y6iaH �o}�auuo� �uan �# a�uei�ddy say�w �a�aweiQ }y6iaH �uan ad�(1 �uan uowwo� �ndul n3A le�ol sa�uei�ddy 1�301 �eN �o pa�sissy ue� �ndu� �18 ad�l £# �uei�ddy }eN �o pa}sissy ue� �ndu� �l8 ad�l Z# �uei�ddy �eN �o pa�sissy ue� }ndul f118 ad�(1 �# a�uei�ddy ( ) oN ( ) sa� •sapo� �ua.un� aad se �(�a�e�edas pa}uan pue }uan uowwo� ay� wo� panowa� uaaq sey a�uei�dde ue �a}}e l��a.�o� pa��e�sui pue pazis s.�o�auuo� �uan pue �uan uowwo� ay� s� () oN () sa� �sa�uei�dde }�e�p �e�n�eu pue pa�sisse ue� �o� sa�qel 6uquan a�ewn� �e�ua� � NoBa}e� yWy�-y�y apn�ui saop siyl •suoge��}r�ads s�am�ae�nuew pue sapo� �ua.un� ay� s�aaw pue l��qwasse pa�si� e si �i �ey� sa�uan �qa�ay pau6is�apun at.� ` , , , uay/�/� ( ) oN ( ) SaJI ( ) oN ( ) SaA �suoge��ads s,�a�n}�e�nuew pue sapo�;ua.un� ay� �aaw o� pa��e�sui pue pazis aq ��u� �i , , , o� pa�mba� uay/N �suoq��}r�ads s�am}�e�nuew pue sapo� �ua.un� ay� laaw o� pa��e�sw pue paz�s si , , ,, ayl O oN O sa� •sa�uei�dde }�e�p �em�eu pue palsisse ue� �o� sa�qel 6uguan a�ewn� �e�}ua� � iGo6a�e� yWy�-y�y apn��ui saop siyl �suoge��i�ads s�a�n}�e�nuew pue sapo� �ua�n� ay� s�aaw pue �(�qwasse pa�si� e si }�un �uawa�e�da� ay�;ey� sa�uan os�e pau6is�apun ayl () oN () sa� •uogeuiutia� pue snnoq�a �o �aqwnu `y�6ua� '6ums 6uipn�ui suoqe��ads �a�n}�e�nuew pue sapo� }ua�rr� ��e s}aaw pue �nd�4se�d si wa�s�(s 6uguan ayl () oN () sa� •pa�mba� a�a�.�nn paddo}sa�� pue pa}�oddns /(�am�as si pue 'suog�nqsqo `uoge�oua�ap '}sru wo�} aa�� si pue pauiwexa uaaq sey 6uquan ay� �ey� sa�uan �(qa�ay pau6is�apun ay� ` ,, , uay/N a3Nt1�113� 38 IIIM NOLLb��lldd�d 3Hl ?�O S3�Mdlldd�d JNIN2lf19 �3f1� JNI�b�ld3tl N3HM NI a3Til� 381Sf1W MO'13A 3Hl sue�ett PERMIT c�ty of F��a�� 32491 � AT TNE TOP OF TNE TW�NS g u I L D I N G P E R M I T ; � RECEIPT NO. � ; v __��_ COMMUNITY OEVELOPM�NT DIV. r � � PROTECTIVE INSPECTION SEC. � � 1 = : G? � �"'1 � CITY MALL FFiIOLEV SS132 NUMBER pEV D�T� vAGE Oc Av ROVEO r ti.__.1�.� '•� 612-57�-3ab0 s�aF�s 4�2�02 / / JOB ADDRESS 6255 East River Road NE t LEGAL LOT NO. BLOCK TiiACT Oii AODITION SEE ATTACMED oesca. 12,13,14 17 Fridley Park Addition SFIEET 2 PROPERTY OWNER MAIL ADOfi�S$ 21P PMONE Joanne Connor 6255 East River Rd NE 763-571-5432 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO Same � 4 ARCMITECT OR OESIGNER MAIL AODRESS 21P PMONE LICENSE NO. 5 ENGINEER MAIL AODRE$S 21P PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK � � NEW O ADDITION C� ALTERATION �7 REPAIR O MOVE � REMOVE B DESCRIBE WOFiK Alter Bathroom and Change Stairway 9 CHANOE OF USE FROM TO STIPULATIONS See notations on plan. Stairway rise maximum. 8 inches and minimum run of 9 inches. Us2 approved handrail. SEPARATE PERMITS ARE REOUIfiEO FOFi ELECTRICAL, PLUMBING. HEATINa, TYP� OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION 20NING SO. fT CU FT AUTHOR12E0 IS NOT COMMENCED VjIITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR A9ANQONEO FOFi A PERIOD OF 120 OAYS A7 ' ANY TIME AF7ER WORK IS COMMENCED. ` NO OWIG. UNITS OFFSTFEET PARKING I HEREBY CERTIFV THAT I HAVE READ ANO El(AMINEO TMIS APPLICATION 1 STA�LS GAFAGES AND KNOW TNE SAME TO BE TFlUE AND CORRECT. ALL PROVISIONS OF LAWS yq�UAT10N SURTAX AND ORDINANCES GOVERNING TMIS TYPE OF WpRK WILL QE CpMP41E0 @ WITH WME7MER SPECIFIED MEREIN Ofi NOT. TME GRANTING OF A PERMIT y�JOO �.SO DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR C,Af�10EL TME pEqMIT FEE SAC CHARGE PpOVISIONS OF ANY OTMER STATE OR LOCAI LAW REGULATING CON- STRU 10 OF 7ME P FO NCE OF CON RUCTION �29.60 ire S �.7� � �� PLAN CMECK FEE TOTAL F �� $3 .80 �GNATUAE O� CON'RACTOA Op AUTHOpIjEO oGENT iD�iE� EN PR PERL ATE T S IS VO PE 17 � .�� S�GN4TUAE 0� OWNEA��f pyyNEA BWLDEp� iDATE� � ' g�pty i V� ryptE NEW [ ] ADDN [] �u.r�R Il Cohstruction Address: CITY OF FRIDLEY Effective 1h/2002 6431 University Ave NE. Fridley, MN 55432 (763) 5723604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R 2 BUILDING PERMIT APPLICATION Legal Description: Owner Name 8 Address: � Te1. #��4� �%��.5�.3� Contractor. LMNG AREA: GARAGE AREA: DECK AREA: orHeR: MN LICENSE # Tel. # ��,� � �� Attach to this application, a Certificate of Suniey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width H Ground Sq. Ft .Ei'%�Gl� /�LL�2 i�v �ll�-�. � /��.�� ,� `� ��°U.� _ Construction Type: Estimated Cost: $�� v Driveway Curb Cut �dth Needed: Fi + 6 Ft = DATE: • APPLICANT x $ _$ Tel. #_.�e!(G� �� J� Call (763) 572�604 for Permit Fees if �(a�,i�ing in application or Fax to 763-571-1287 if using credit card and we will call you tor card number. l✓ Pennit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Draveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - $��• � � Fee Schedule on Reverse Side $ •70 .001 of Permit Valuation (1/10th%) $ • S v . $.50/$1 �000 Valuation $ $1200 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 [ ] TOTAL $ ��•Cv_� �`'t�ic�✓ �/� � ��c ,�y� ��iG � .. STIPULATIONS: 8 �� /Yl�`1 � ,v 9/i � BUILDING PERNIIT 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 $1(�,001 to $500,000 $500,001 to $1,000,000 FEE5 $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,Q00 plus $10.10 for each additional $1,0� or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,0� plus $4.75 for each additional $1,000 or fraction thereof, to and including $�1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet��imes $17.(�. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv � su9�eCT c�ty of F��a�e� , � 325 �.4 � AT TME TOP OF TNE 71N�NS g � I L D I N� P E R M I T ; � RECEIPT NO. � �y _ COMMUNITY QEVElOPN1ENT 01V. � �� r � � PAOTECTIVE INSPECTION SEC. 1 � � � � ` � /'�'1 � CITY MALL FRIOLE� SSI3i NUMBEN 11EV OATE VAGE Of APPROVED BY �""'�" �'' 612-571-346Q 9�0-Ft5 4/19/02 � � 10B ADDRESS 6255 East River Rd NE . 1 LEGAL �OT NO. BLpCK TiiACT OR ADOITION SEE ATTACNED oescR. 12,13,14 17 Frid�ey Park Addition SNEET 2 PFOPERTY OWNER MAIL AQORES$ Z�P PMONE Joanne M Connor 6255 East River Rd NE 763-571-5432 3 CONTRACTOR MAII ADDRESS 21P PMONE LICENSE NO Same d AiiCNITECT OFi DESIGNER MAIL ADORES5 i1P PMONE LICENSE NO. 5 ENGINEER MAIL AODRESS 21P PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WORK O NEW O ADOITION O ALTERATION �J REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (19 Sq) Te�.r-off 9 CHAN(iE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. � TYp� dF CONST OCCUPANCY GROU� OCCUPANCY IOAD SEPARATE PERMITS ARE REOUIREO FOfi ELECTRICAL. PLUMBING, HEATIN(i, VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NUII ANO VOID IF WQRK OR CONSTRUCTIOM ZONING SO. FT CU FT AUTMORIZED IS NOT COMMENCED W.ITHIN 60 DAVS. OR IF CONSTRUCTION r OR WORK IS SUSPEN�EO OR ABANQONEO fOR A PERIOD OF 12Q OAYS A7 ANY 71ME AFTER WORK IS COMMENCED. ' NO OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I MAVE READ AND EXAMINEO TMIS APPLICA710N 1 STA��S GAFAGES ANO KNOW TME SAME TO 8E TRUE AND C0�IRECT. ALL PROVISIQN$ Oi LAWS yALUATION SURTAX AND ORDINANCES GOYERNING TMIS TYPE OF WORK WILI Q� CpMPI,IED WITH WNETHER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A PERMIT �2�0�% �I.OZ DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL T►iE pERMiT FEE SAC CMARGE PROVISIONS OF ANY OTNER STATE OR LOCAI LAW REGULATING CON• @ STRUCTION OR 7ME PERfORMANCE Of CONSTRUCTION W83.25 Fire SC �Z.D�F P�AN CMECK FEE TOTA� FEE 86.31 5 t E O� CO � CTOp OA AUTMOp D aGENt �0 Ei N OpE ALIDAT TMIS IS YO P MIT C � ��- 5 UAE �OWNEp�� WNEpBU0.DEp� �OA � ' � BL ��NSP � � � O��t A F - NEW (] CITY OF FRIDLEY Effecdve 1/1�2002 ADDN [ j 6431 Universiiy Ave NE, Fridley, MN 55432 (763) 572�604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R 2 BUILDING PERMIT APPLICATION Construction Address: (�� /%�L �� Legal Description: Owner Name 8 Address: �� )Jlei(1[1� Tel #� 3'J'��% �� Contractor. ,s� f MN UCENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: on�eR: Attach to this application, a Certificate of Survey of the lot. with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Width Hgt/G�ound Sq. Ft -a�� h��s� G �� ./ � s��.�� Construction Type: Estimated Cost: $ �i �� s � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. # 3� � � � Call (763) 572-3604 for Permit Fees if ling in application or Fax to 763-571-1287 if using credit card and we will call you tor card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �,o�V � � (�� $ �< � $ $ $ $ � $ $ Oia -3 � CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] � STIPULATIONS: BUII.DING PERNIIT 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 $1,0�,000 FEES $23.50 $23.50 for first $5(� plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first �500,000 plus $4.75 for each additional $1, 000 or fraction thereof, w and including $1,000, 000 $1,OQ0,�1 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feef times $17.00. 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. New Houses Onlv �