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AF - 40885i�illage o� �ri.diey, l�n.n. '�' l f' I: � 1�: ' '' -�I �_. � � i lf M *t N° 400 ' O�ee �f ��PE�OR OF �TJII,D�TG� Ovaner�,, . �� .�.�;,�'�+...`, t T �` .�. n� � f � '" � � ArChitect � Frfd'.ey, Niinn. �'� t� 19 � � Builder ' � ` �, � � L�CATION �F �UII..DING �Jt � � � , No Street -� a.. a-,.- " '� a. Part of 3nwi�p . �'°�". Lot_..�� Block �� __ Additioa or Sub-Division �� I�E�'C�.Ii'��All'J OF 3TP�l�ING Front � 4�� Depth �"*� liei�ht ,� '"�:� Stories 4' Manner of Constructio Ta be used as �'� ^ To be couapiet ��, � � 4. � ��` $: r`i � �s''. �, �i�,�r 4 ,f� � . # ..^ � , � ~` ; �� s.�„ .4 �<<,.., d� � i+' ,.� g �%..+� :�a�'`..k� A� � �. . . � '�y � Permft is hereby granted � � � �;,: ��.�, d ea n.,a+ �� ,�'S�^ay t. � the buildin � ��°� .F`'�* a:""�;,,�'k` �'��' �; , escribed in the above statement. This permfi is granted upon ihe express condi� that th�,�erson to w om it� s granted, and •his a.genta, effiployees and wor�en, in a11 the work done in, aro and upon sai8 build�Cng, or y part thereof, eha,ll coniorm 3n a,ll res�ects to the ordi- nances of Fridley, 1ldinn., regarding the const*uct3on, altera.tion, maiatenasace, repair and mov3ng of buildings within the city limits, and this permit may be revoked at any time upoa.violatioa of anq of the provisions of said ordinancea. � �.�` � ' � � , � ��' �y! ' � �� ' y �Q, _� *�,.�t��`�Inspector of Buildings: 1�GRE�T P,P� SVPO�t,IV �T1��102'ENT In consideration of the issue and delivery to me Lv, the F��ector �f �uilc�in�s of Fridley of the aboee perffiit, I hereb,y agree to do the progo��d work in accorr��.nce vrit�i the �escr�iystion above set forth and according to the provisions d� tre or�lin�.n�es of Frfldley, a.FZ�, bei�� first duly sworn, I hereby state and say that the facts stated by ffie a.nd contained i� the above percmit axe true as therein stated. � � � �'��'�i `7�`��—=�' _ i��.�.� ��.rt,�.�+,J � � � � � Subscribed and aworn to befo�e me at Fridley, I��inne�ota, t�h�s ,� c�ay o '°�`` :,�� * ��t .D. 19�. � �'` ° ,�---�. �� °�-��"�y�----- . ,�� , . ;,.� ,� _� , �� ' . sue�ecr PE O. City of Fridley 2 8 7 6 0 AT THE TOP OF THE TW�NS g� � L D i N G P E R M I T �� . � � RECEIPT NO. � `•�72!��NITY DEVELOPMENT OIV. � �� f � � PROTECTIVE INSPECTION SEC. � j � � /"'1 � CITY MALL FRIOLE� SS�SZ NUMBER REV OATfi PAGE Oi APPROVED 8Y �"""'�� '' 612-571-3450 910-Ft 5 � � �oe ao�aess 6811 East River Road NE 1 LEGAI �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 � Sh1EET 2 PROPERTY OWNER MAIL ADDFES$ 21P PHONE Gord Winber - 3 CON7RACTOR MAIL ADDRESS LIP PHONE LICENSE NO Nutzmann Bros. Const. 736 lst A - a ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PMONE IICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO 8 USE Of BUILDING Residential 7 CLASS OF WOHK � NEW O ADDITION ❑ ALTERATIAN � FiEPAIR p MOVE ❑ REMOVE B DESCRIBE WOfiK Reroof house and gara e(17 S) Tear-off 9 CHAN(3E OF USE FROM T� STIPULATIONS Underlayment must comply with the State Building Code. SEPARA7E PERMITS ARE REOUIREO FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT, AUTHOR12ED IS NOT COMMENCED WITHIN 80 OAYS. OFi IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO FOF; A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNI7S OFFSTFEE7 PARKING I MEREBY CERTIFV TMAT 1 HAVE READ AND EXAMINEO TMIS APPLICA710N S7A�LS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS Of LAWS yp�UATION SURTAX AND ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPLIED WITH WHETHER SPECIFIED MEiiEIN OF NOT. TME GRANTING OF A PEiiMIT $1456 .73 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pEqMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAI lAW REGULATING CON• STRUCTION R THE Rf MA E OF CONSTRUCTION /{8.,rjQ Fire .S�'i 1.46 . � � j� �� P�AN CHECK FEE TOTAL FEE � Lic se SC 5.00 55.69 S�GNATUAEOFCON'AACTOFO AUTMOQIzEDAGENT iDAiE� WNEN PROPERIV VA ATED 7 IS IS VOUR PERMI r � � arP $�GNnTUAE O� OWNEA�� OWNEABUILDEA� �O�iE� BLO �NS� �i��E _ _ ,. �_ NEw I ] EwDN I l �,�R I l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATION ConstructionAddress: �p � � � ,� �� Legal Description: Owner Name & Address: 1' l/` Contractor: Address: �/o - /� � /lllc�, �U�cJ� LIVING AREA: GARAGE AREA: DECB AREA: � .� � u Effective 1/1/98 �� a � Tel. # s7 7/ -C�3�i � MN LICENSE # ZC�� %/� Tel. # ��/ -� � - �/� Attach to this applicat�n, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IlVIPROV�MEN'I' Width Width Width Height � Height Hgt/Ground Sq. Ft. Sq. Ft. 5q. Ft. � � � �_ Construction Type: /l - �% Estimated Cost: $ � � �s � (Fee Schedule on B k) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: ' �,� Tel. # � �- C/�� G� CITY USE ONLY Pemut Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL S'TIPULATIONS: $ �{�: S^o $ 1�y6 � .73 $ $ �"- o 0 $ $ $ $ �i $ S 5• Fee Schedule on Reverse Side .001 of Permit Valuation (1/lUth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ,�� , BUII.DING PERMIT FEE 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 $SO,OQO $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,Q00 � $62.25 fo�r 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 $SO,Q00 $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 DItIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Altemate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required hefore proceeding with the framing. � � °: m � � � � � D �° r � T m m � �� 0 � � D -o v < � a � `�G � 0 c �o � � v m � � � v' O � o � �' m d � c � m °� v c � fD m o � DD v � -o � �v � � m � O z � N N p�j � C C` C N N � N � N � � n Nl f/1 .�i� rt.�i� � 7 n O � �� 0 � m m m -o � � O v -o �! o � m� m m� m°: d�� . c � � � m m °: �D �' � °1 � � m � �-, -, S <; r" N. m N m � � m� co � � m Z �D ? v � -a -� � � � � N � �°—. � �' 'n o � � � � c = c � � � � n. �. . .� m N � � Z 0 I I I I I I I I I I I I I � � � � � � � � � � � � � cn o 0 o y o v•� y � w;s v 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 � cn � m o0 � y � � �' � a � v W � � � � � � y O y a \ � M y ') D � � � C � -n m � r �? z v ° m G m � �� , � f�, 9" V -o m � � � � � , � .� � � N I�' 1 � r C W z � � c � m � -i m � z O � m -i O D r � W � -` � � C (� � : a}eQ :�(8 pau6ig �O� JNIl`d�H - • ' - � y��] � ��t- � 1 � 1�1 ad�(1 w �a}aweia }� y�6ua� }} ;y6iaH �o�aauuo� �uan �# a�uei�ddy ad�(1 ui �a;aweiQ }� y}6ua� }} }y6iaH �o�aauuo� �uan Z# a�uei�ddy acU(1 ui �a�aweiQ �} y�6ua� � �y6iaH �o�auuo� }uan �# a�uei�ddy say�ui �a�aweiQ �y6iaH �uan ad�(1 �uan uowwo� ��ul n38 le�ol sa�uei�ddy I�lol }eN �o pa}sissy ue� �ndul f118 ad�l E# �uei�ddy �eN �o pa;sissy ue� �ndul f119 ad�l Z# �uei�ddy �eN �o pa�sissy ue,� �ndul f118 ad�(1 �# a�uei�ddy �(�1Ml=dnll�al�l�(�}wY-PI�C�iil�l�r7AU�l=fl�t=)�t�l�]n�n(�I�1t=7�LY�1�1�1�1A�=1+1�1=�11�1�1: () oN () sa� •sapo� �ua�n� �ad se �(�a�e�edas pa�uan pue �uan uowwo� ay� wo� panowa� uaaq sey a�uei�dde ue �a}}e ��a�o� pa��e�sui pue paz�s s.�o�auuo� �uan pue �uan uowwo� at�} s� () oN () sa,� �sa�uei�dde }�e�p �e�n�eu pue pa�sisse ue� �o� sa�qel 6u�uan a�ewn� �e.�ua� � tio6a}e� yWy�-y�y apn�w saop siyl �suo�}e��r�ads s�a�n}�e�nuew pue sapo� �ua�n� ay� s�aaw pue /(�qwasse pa�si� e si }i }ey� sa�uan �qa�ay pau6is�apun ay� ' , , , uay�/� ( ) oN ( ) SaJI ( ) oN ( ) SaJI �suoqe��r�ads s,�am�e�nuew pue sapo� �ua.una ayl �aaw o� pa��e�sw pue paz�s aq ��w► }� , , , o� pannba� uay/N �suo�e��ads s,�a�n}�e}nuew pue sapo� �uat�n� ay; �aaw o� pa��e}sui pue paz�s si , , _, ay,�, () oN () sa� �sa�uei�dde }}e�p �em}eu pue pa�sisse ue� �o� sa�qel Buguan a�ewn� �e�ua� �/�o6a�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�daa at,g �ey� sa�uan os�e pau6is.iapun ayl () oN () sa� •uogeuiuLa� pue snnoq�a �o �aqwnu 'y;6ua� `6urzis 6uipn��ui suoqe��i�ads �aan�e�nuew pue sapo� �ua.�n� ��e s;aaw pue �nd�qse�d si wa�s�(s 6uquan ayl () oN () sa� �pa�mba� a�aynn paddo�sa�y pue pa�oddns l��a�n�as si pue `suog�nqsqo 'uoge�oua�ap `;sru wa� aa� si pue pauiwexa uaaq sey 6u�uan ay� �ey� sa�uan �(qa�ay pau6is�apun ay� ' ,, , uay/� a3NZ1f1J.3t138 T11M N011b��lldd�d 3H1210 S3�Nt�ddb� JNIIVZlf19 �3l1� JNI�b�ld321 N3HM NI a3T11� 391Sf1W MO"138 3Hl