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Wall Ceiling Roof Floor Kind Yea—No Yes—No 19_ II Fl.� /'�, f��,� �', Room Length Width O� Height Fl.� �.�,!� � t9"�` Room 1 Windows and Doora—Crackage aad Are� Windowa and Doors—Cr� Width Helght No. o� Llneal tt. Area Wldth Helght No. No. ot Dane o[ Dane IlBhte ot crsek eq. tt. No. o[ Dane ot paae 116'� � Infiltration �� � �' Glaas � ,� � F�cp. wall ; , ��4 Net e:p. wall , �' ,, �S�' � I_nt. wall Ceiling `� t� /�,� Floor 7atal Btu. Required sq. ft. E.D.R. or aq. ina. W.A. Leader area FI.� , r�, a� �± r�oom � Length �'g` VNidth ,// � F; Windows and D�ors—Crackage and Area Wldth Helaht No. o[ Lfneal tt. Are� Na. ot Dane ot pane 116ht� ot cractc sQ. tt. /i. � J e % es �c"� i�,,,, � `3 N� ��s� , lnfiltratioa � , �,� C.lau E-A ,�' ,��� E:p. wall ' ,� Net e:p. wall „ ;' ,;� Iac. wall Ceiling � �.i' � � �� Floor '�> �"� �`-' Total Btu. Required sq. Et. E.D.R. or sq. ina. W.A. I.eader area Fl. �;y°� ���'�: � Room �Length � Width �� Wiadows and Doora—Crackage and Area Wldth Helabt No. of Llneai tt. Area p Na ot Dane ot Dane 116bt� ot crack �Q. iL � �� � , � �� E� � ! Y' 1n61tration ( �f"`� Glass � -'� �� E�p. wall i',`'��' Net e:p. wall ��'� _ Int. wa6l Ceiling � P'� : . ° �� F loor ; � � � Total Btu. Required w• ft. E.D.R. or eq. ias. W.A. Leader area � Btu �� Btu Btu ���� � �� n � �; � F""� 1VIINd�IEAPOI.IS. NDMV. ' Insulatioa How Applied �� VPidth � Height ' and Area , nea� tc wre. 'crack aQ.ft. � �� �� / Coef. Btu In6ltration �d � �' , � � � Glasa �'�^ �� � � �' �' Eap. wall ?c�� - � @'i� Nec eap. wall � e a �` �u'a �� Int. wal! - - --- - - -, Ceiling - - ��' � �' � � �� � � Floor � !��n `� � : � 'fotal Btu. `� "� � '�, Required sq. ft. E.D.R. or sq. ins. WA. L.ead r area FI.� Room I Length Widt`�i Height I Windows and Doors—Crackage and Area � Wtdth He18ht No. oL Llneal ft. Aree No. ot ysne ot psne IlBhts ot crack ea. it. � �� f� ��' acB �� � In6ltration '"`�'� �� ''�`��� � ,, Glesa r�,� �ES �'�'G�tF:'�' Fap. wau �' �' `� �' 9 d " �- Nee e:p. wall � � � �'�`' � Int. wall Ceiling `'"��'�,' G� (:? =� �"� " � ,� �a ,� e ,� � Floor `�,� "� � Tocal Btu. ` � ` ` '"9 Required aq. ft. E.D.R. or aq. uis. W.A. L.eader area �,I q��, � �I,ga, Width Height Wiadowa and Doors—Crackage and Area Wldth HefQht No. ot Llneal tt. Area No. ot nane ot IIans Ilghts o[ cnck w. t4 � Infiltration Glaas Eup. wall Net eap. wall Int. wall Ceiling Floor Total Btu. Required sq. k. E.D.R. or aq. ins. QIA. Leader a�ra . Btu SUBJECT c�ty of Fr�aley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � � • COMMUNITY DEVELOPMENT DIV. � VL �'����� r � � PROTECTIVE INSPECTION SEC. 1 . i �` � ��"t � CITY HALL FRIDLEY 55432 NUMBER `••-'� � ,'� 612-580-3450 910-F15 JOB ADDRESS 1 LEGAL �OT N0. BLOCK TRACT OR ADDITION DESCR. 3 [.4 OSTMAN � S 2 PROPERTYOWNER MAILADDRESS 4 ARCHITECTORDESIGNER 5 ENGINEER 8 USE OF BUILDI MAIL ADDRESS tERRY, 70! MAIL ADDRESS MAIL ADDRESS REV. 1 DATE PAGE OF � � ZIP PHONE )T.'�g, MINNESO!' ZIP PHONE / � PER . . ° 13093 RECEIPT NO� // O `� �� APPROVED BY SEE ATTACHED SHEET LICENSE NO. LICENSE NO. ZIP PHONE LICENSE NO. 7 CLASS OF WORK � NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK CONSTRUCT HOU5E d2 x 25 x 2n �('ARA('F 7G! x 9d sr 1 n 9 CHANGE OF USE FROM TO �, �.,,��e ��`� ._,.a\ � �M_ STIPULATIONS �`��pQ,� R�C'�� Provide Verifying Survey 8e�°4�ONE'F'�"� �`( � ��Lv� RECONlN�NDaAeT TrURNeAROUND ON DRIVEWAY ��`� Qv`�`� t�� �` R� G� ` SEWER: � E�f M. 829 `819. 58 Inv. ) ��Q�` S;G�Cj• TOP OF FOOTING - 834.31 (Minimum) c���'�SG P�� WATER: 10' S. of Sewer Service ,�� Q������ �Q�� ��, Q�- CJ '�� ��P 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 CONSTRUCTION ZONING SO. FT.��� CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R_]. 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 VALUATION SURTAX AND OFiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMI$ $35,100 $1% . SS DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE p�RM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT N OR THE PERFO ANCE OF CONSTRUCTION. tiS`5%.4�. 325.00 PLAN CHECK FEE TOTAL FEE / � - 399.96 SIGNATUREOFCONTR RORAUTHORI � AGENT fDATEI /yV�H N P P Y ID D THIS IS YOUR PERMIT / /7 _ A ��— -- ' _ ' _ �. _ (DATEI n. _ . n ° _ ' . � � APLICATION FOR RESIDENTIAL, ALTERATION, OR AllllITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: c BUILDER: ADDRESS :��1�� .3 0� �'e/L;�eZE�,. ADDRESS : � G . /�/�/ �L�v y / __ � N0 : . �E L�� � S TREET : � � 'a�'° � � �o _ LOT: � BLOCK: '�" ADDITION: �i'MnJf�..1�5 �l�1�:eO. � CORNER LOT: INSIDE LOT:,��_SETBACR: SIDEYARD: AppliCant attach to this form lfao Certificates of Survey of Lot and propoaed building location drawa on these Certificates. HESCRIPTION OF BUILDING To Be Used As: r �� � � Front: Depth: ,� � Height: , �_� Square Feet: � Cubic Feet: � �- ��'��7�i�/ Front: Depth; �e Height:�� Square Feet; �� �Cubic Feet: _ �(� 1�rpe of Coastruati0n: �,(� ��� ��N�(� Estimated Coat: Q� To Be Completed: /--� --� ��„ � The uadersigned hereby �kes applicativn for a permit for the work hereia specified, agreeing to do all work in.sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildiaga, and hereby declares that all the facts aad repreeentations stated in thie application are true and correct. �' ,I � � DATE : � S '— � � S IGNAT[TRE (See Reverse Side For Additiona.l Inform ��� � �� � � �,C. = t� � S� S o9°� , � i ��`, o�� �►`e�� I.� ,S (I�G2t u� Q�cc��+�. �o A� �� '�3t���.��iV -rJ t��a �+� , , � / BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings ahall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or atructure, or for any alteration or repairs to a.ny 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 pravided to-wit: UNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thou�aad cubic feet, or fraction thereof, in such cubical contents. �►pe 3� 5-$1.85 for e�ch oae 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 fractioa thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth ia Section 2 be less than $5.00. VLRIFICATION OF FOUNDATION NOTE: PexYUits 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 coastruction site. A Certified Survey of the lot,.showing the location of the foundation, once it has been constructed, will be required before proceedi� with the framing. CERTIFICATE.OF OCCUPANCY Applicatioa for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy qf any structure for which a building pemnit has been issued; aad said structure shall not be used or occup�ed until a Certificate of Occupancy has been isaued. • � S' +1 s ' . ��"�.., �prsq- _ _ � � v r v\, _ _ � �n�s�1C, - - - - _ 4z� � � g ��_a_�_ s�� ---- -- -- - - - - -- � �� z y �,�,s'�__�.- -- _ _---- - - - - -/ �_� _S � - � �3 = _ _L'���'�?� G�.+� ___ — -- - =- -- - - - - -- - - - � - --- ---; ---- _ -- - - ----- --------- - ---- -- --- — - -- _ _ - - -- ' - ------ ---- - ��_ �:---4�� ?S = I�� � �'�_ -�---� �-- �?a�.c�v - C„�...� - - - -- � ; ------ , _. _ __ --- � -- - -- --- --------- � _ __. -- - I _ - - --- - - _��� -- - - - - - - _; ' _ � : Z��t Z�Q = �c� $�_�_o_r_°. � --� o ' _�'a��0 ----- _ __ i_ _ - ' __ _ _ - - i ' .'_ 1 Z._��1� - - - - , � - --- - -- � , ' 1�.Loe� -------- � - -- -- - , -- - - - -- ' - -- - - -- - I _ ; Zs-�'i� - - - - ! _. _. _ �°_� c.� - -- �- - - - - -: i � � ��_ � �- x_ __! ,4$'-- _ '%��_1 __ __ -- - -- -- --- -- -- - _ '� - � 1-�8� � _4,�'o L `��lzQ.�e -- -- - -- - I o�o s� ��, � - -- �3 �30 . �sl - _ _ _ -- - _ _ - - -- - - ---- - ��` _�_ _'�, �n_ -- _ -- '�»6'i - - -- -- -. - - _ '�_�' ��o`�_ =--��'-,�-�b-�--�o-=_ - �s ��_ - - - - - 1 . �_w� i � � . �_� _ _ _ _ - - - -- - - S , 4� _ . L I �e_ �� _ __ - - � � � -�'..'� Ov _ - _ -- '39�� �� _ , . . ����`� �'�, {�� ; ' " � � t�'�. ac K 4, C��^�-ti�,Q �r � ,�'��` �1 �� �� { �' _ � � . ��� �NO�.:�. � C. E. C O U L T E R ���.� � �ua��}j�i � � � � � � �?� �� c�rr�oTS � I.AND SURVEYOR TOrOORA/Itle�M/1rrIN0 R�G157EREC UNDER LAWS OF STATE OF MINNEiQTA �� _L�� .� 410ENSRD tY ORDINANpt OP CITY QF MINNWOLIf .� � ��� 3300 CYNDALE AVE. Sd. MINNEAPOLIS 8, MINN. �<��; � TAYLOR 4-0370� � � � � � ;; 3� �t���8 �Qtl��ft'dt x ry � � �� � % °.� O / fr / r $ � . Lo� � {� , � � . A� "�'qiv �'6'i ° I �''#� j r \ ��`� •° �'[�j � �( / a i3.f )� �ji /� �� _ . V .� y S' � � _ � ,� � �b^ `s � � � � � . ^�l �'�� �... � � o � J �•, � � / -4? ��s 7 � � _ � -?,9,� L v T .� '�°N� � s t '�� .: � � _ . ' _ / � �' � . � �`/ . / � / . .c�r pN , / `V� V � � � � - - - ------ --_ — --E �- � -------- - -- --- _ -- �- � - - - -- -- - -_ SCAL E 1,,_.30' l ,V .3. � ! !�� ��` � �S s� ��l / ¢J� �� � � � :: �y� / � � � � rya �RON // � �\v �� �ti � f � � 1 (1 � � �, � , ¢ � �. �`� 26 , ! � t� 0 � �(j � . .S�J'�691` , ����! . : � ,. �,y /�a ��� �� , _ ____ _ � k � � I'hereby certify that the a'bove is a true and correct plat of a survey pf= �� Lot Three ( 3) , Block Four (4) , OSTMAN' S THIRD ADDITION, Anoka �ouaty, .'��! � �Iinnesota . - �, � � . �� As surveyed by me this 3Oth. day of March 1959 A. D. ,� �" � h� �� 3igned ,��' �: �� � � � -��,.. M�innesota Regis�rat�.4n li�p►�. trk� -- ° �� = �, � :� � - � . � . ��. � � � �' S � . . . '%' ��" .,� �ev��, y �e�iy ' 79c ' �� � ' :. .z- " . . "', . � �@ � � yyr�y "�?',�. � � _ s . . � ..:, �: . . , _ __ . ` : � .. k a� z €� xi`, y� 7 .� )ya, . 4 ; � µ' 2 :. '-•� .-. 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Y�:L '1: Y ��J y I�! f .W'� ii i� �'U �i ` i� � �Sw � q ;t �r.� h ..1 ;; �' �� i.*: i�l� d4 t4 _ � .� t,� `� '� ? i �� . �. .� '� c � o a.fi :�t r_ , ,r �ifia`::� l�.�,�� I-� a ��,.} y " .,�� � �,;5 + ; i c�� ��" �.�,�:� y �q rd��� �A ; y, �. � ���i,'f�� � �'�>, id��M�-%.�, ` � +'�t;`,�i � fi K � �� rJ� �� � �,.��.,, ��"' yt � �c {`a 9 i d .r �..i� sf 42t , �. `:'������ .n,,::�i. 1�'�4��f 5�' .C�; E!� � �t `� ,_}' .5;�'�' ,h '`�?'�{P.� , . .. �-0;�` �d . ,'�' a' . ;�'.#f� i i4:���`� i �": `" '.��'_ s�r����� y�a;,"�.' i,7 B a.,..{� ������,, `' , ! ' �+, . ?�_ .''?/% nti r� -��e i -1�f eto a ..9 � k.�'����`''Ji'�7k�kJt?'��F:�;., �%1Yks+2y� '�'w''�i�uiik.�'Ll�+. LF. ��.u. '�:II �� ,r.-�.".f'. i�';q,' 3",:.; �" •:�:,. ,` �°l� � � Q � �� � � �s �. �� / . S� -�/u rJ. 9 �� � � ��.��� � � � �ao�'�NG - O �- �� 9 . � � �: .�--° /��>ara��,� � �' 3 ,31� � � ��'�� / ��S � �.� ��%�T��- %D ` �' � � ��c.� ��— � �� v� e � �., � �.. m e ��� � ���lle � � sso-3aso �,����o�N�� E3431 UI4�IVERSITI� AV�NUE NE �ch 2, 19�F � FRIDLEY, MINNESO�A 55432 , _ . , . Mr.`Be Ee �erry � � 709� H3.c]s��y Dtive N..Eo FriciZey: Mia�nesota 5543� Re : FinaL Tnspact3an at 692], East River �oad �T e E e ' Dear N1�o Ser�pa _ , , A fi�nai insgection was made aa March ].� ],976 �f �� above address. �.'he iollowing item� were noted and must be c�ple�ed befor� �a� �onst�ucfiion can be £inaled: out= l. Post house ntm�ers oa sttucture on or before iKarch 19, i976. 2. Sad tlie front a�nd side �raxds �n or bsfore �une 1.5, 1976. � 3. InstaZl hard surface driveway, with xeco�mnended turn-axound, on or before June 15, 1976a If any problem� ar�se that wi.11 prevent you from comple�.ng these items by the ap�in�ted dates� please contact use Reinspections will be conducted �o determine compliance. Sincerely, . � DARREL 'G. CI,ARK � Coamiunity Development A�ne DGC/mh I��Y .!. H�efVS�id 13�07 Sprin� l.oEca � L�etd Surv��+or ��� � � ���� p�p�s. �9inn. �5� ANO T@Iepholt� 93&SiYi Civil En�in+eer OF PROPER7Y OF Haxland Bszgy b921 E. River Road, Fr3.dley, Ai:� LOCATI ON OESCRIBED AS FOLL01N5 I,pt �. �IO�:{ �a Os±man's ?7'� Ei'�C�'�t30!i � / 33 �, / � � � � � , ` � i c�' / � / 33 CER'iI�'I�Ct#TE OF LOCATIOi�1 OF BiJiLHiIY11G CEdtYTF11�r�TE OF SURVEY !] � .:h�c�: y certiry tha� o��__ .�� �j+.. 191� I here►� c�rtiiy ti:at 19 ....,� . ..._._.. ..� .: "� .� _ •�,� - . .e, , -)' on_ ••.l ••• •• � i�:oi:Jl: u � ic Jui�uiuK,�� �ai iiic aiwrc a au�rn �cti u1C [U f[ dessribed aoove and ieat cae soove piac �::.=::.`.:3 J� .. _. . > P Pr Y y.::p�Cy �d •,.d. thc lucniion of sa�.l b��i3�ng(��.'y is �, a c�vrrec� represent2!ion oT said se!rvgy. cnrrecNy shc;wn or. ihe ?b��e plat. .� .�,.�. � , � �ov a. HAC�s�aa, ��c�sTE��� su�vEVO� �o. �e2aa •d . 1.1 � �� . � � r � � :+ "a w .a . .. .- •+ t'� � .� n :; � 7 .. �"� IA (:i .'' �, .� . r � � .. }x'� � �' n u ...i. R 'oL' `� :i E r � t� n ;r � } � 4 � ' �� � �•.: � tl' (7 " �"i n i6 .. �: �� „ trof K '1 ti p io p x •.�7. ~ �I y t4 ro " r I� .'. j°' �� x�.%. C �d .. � r~o 40 n LL � . �? � K •``% o a � � O � H rl �" , U �; �i • i � v • n' p .. Y � • 1` (�/� �1 �° : h � O • C � : ['1 � v • • (x • 'o • Vi � • M • L7. � :fl � • • . • :A tG • 5 � • � •\ � • • � � a : �i : � r e . . . p o • �`' '� . . . � , a • . • • , � � M ' • • • • • M • • • • • O • w • • • • � • ♦ • • (T . . . . . . . . . ' '-� •. . . . . .. . ., . , . 6 • • • • i • • ♦ • . � • • • • • • • • • • • • •• i • • • • . • N � • • � � • . • • • t . �1 I Z m . . : c� • H x C � • ' o � o r ' m � } . , x X K M x x x x x K . r : . �n . e� � �y �� ��.,,^� w . �'i �� � i� � �: ���:��� ��o��� t .� . • C� N �b0 �� Vv N W i i w r � O � ' O , .i �-i . o r ,� r . � �� � :� - . ' � � • . . . • . e . • ' N ,• . . . . . ��• 1+► w � w, ... I M 1 � � ,:r In. i� '1 h �Stot�c� • C 1 wwti� 4 I: r�.oti� � s .� v _ ------^-, 1; (i VRINALS I wr `i — � �, N1N • f� iVaS Q [� �, .,,s,� `� `/`vy1�I :n�cl Vl'• ��� (� n � 1� `7 �� i �nK �e�� �.__.— � pau�►, � «���. v�w�s. I l(YJ• • oan�Ns CwTCM � OASi HS � AU10 � W A`✓1:71 i1 I -- •♦ GAS h � � Ytl t1 ;S' tn c► � H P b � O � O 'n e O O �� '*1 ✓ 9 . . , • r .< � �� - �1 i .��. G RAHGC A ( � G 1S N ooE �+ulcs � . . v e •' z s :f . 1 � y E F.) �' cy `^ � . "r►' v � ° ' `� sN � ' � s � c� D❑ �. � . %• '`'�. v:o � ~'� "�j'0 v . ' � , . . . � . � . i; `• � �, • � M '-3 G' x w F' ,yd (i � L�. in'' � �' . a " ° � � Q n. a Y e ' p f3'� �G . ,1 � Q ♦ . . � � n 1/l M • �'l � � � � Y� t, � v / �� �y O � � � x � °' � W ' `�° �q �, � �• ' to �� � . ' I•' �' . ' � . . . ,� � • � � � . � , • n � �., � o C� a � a. a: `� . o a. � �+ -� ro 7 (j a. G N .�i W M�i 1~i1 � U �� • • � L.' �' • . ..; � � a i � � `° o� v� � � +¢::4 ov � N� o �t, � �r� . � o f� 'rod � ,� h . �; r Q, �, � \ � p: a� t� O' • t3 '.=:. p . � � � � � � W w� . tn 7 � � :� � � . ;� � . . � o � w �x� . �° � ��.n� - � ° �L �: u � � :�. ry , � t.. . � a ' ' � a M t.. . p � !°`a�� �, _ �+ ,� �,' •' . . »„ �lry. .. � � • e° � � ° � v ~ . � � � �� � � . • ... � . .;� a � � � � o a � �� � ry H .� � a � � • . �u� • � ' r � ' • , . N Q 0 � � r i� ►r - . r �, . 1� ;1� . . SUBJECT PERMIT City of Fridley � n �� AT THE TOP OF TME TWINS g U I L D I N G P E R M I T � �? A� r ; � REC � • COMMUNITY DEVELOPMENT DIV. ' j L'--��`-� r � � PROTECTIVE INSPECTION SEC � �� � � � � � /'��1 � CITY HALL FRIDLE� SS4$2 NUMBER REV OATE PAGE Of APPROVED BV �----� • •�� 612-571-3450 910-F15 8/29/95 / / JOB ADDRESS 6921 East River Rd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 3 4 Ostman's Third Addition SHEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE Muchtar Sajady 10482 Mississippi Blvd NW, Coon Rapids MN 55433 421-8579 3 CONTRACTOR MAIL ADDRESS Z�F PHONE LICENSE NO � American Construction M t Inc PO Box 29241, Brookl Park 55429 561-5370 d ARCHITECT OR DESIGNEii MAIL ADOHESS ZIP PHONE LICENSE NO. 7138 5 ENGINEER MAIIADDRESS ZIP PHONE LICENSENO. 6 USE OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION f�l ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Rebuild a 10' x 20' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. ������� Before digging caN for all utility locations 454-0002 REQUIRED BY LAW SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTFUCTION ZONING SQ. FT. CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], STAL�S GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PpOVISIONS OF �AWS ypLUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WIIL BE COMPLIED WITH WHETHEFi SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1 714 �. S6 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pEqM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S6.7S Fire SC �1.71 PLAN CHECK FEE T07AL FEE 59.32 � SIGNATUA OFCON�RACypRORAUTN RIZEDAGENT IOATEI WHEN PFiOP LY VA IDATED TNIS IS OUR PERMIT M1 �� SiGNATURE OF OWNEA i�F O LDER� ���� AT I - OG �NS �� TE < NEW ADDN ALTER C� [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstiuctionAddress: ( %Z I �Q S � ���i�V Legal Description: �= Owner Name & Address: /t/� Effective 8/ 1 /95 ;�3 2 � T� i v� �1���r/ , ; , Tel. # y/ Z/— aJ 7% 7�d -'�.��% Contcactor: /O G��� /� � S � 'f � �1`jr� �t v� �� ,� /►Q 1:;� MN LICENSE # Address: .� Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed consbruction dra.wn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECg ARE�: Length � p Width Z G Hgt/Ground � Sq. Ft. � C��i�s��1�� Corner Lot [] Inside Lot [] Ft. Yd 5 ack Side Yard Setbacks Type of Construction: f Fstim�ed Cost: $ T%%"�, `� _ Approx. Completion Date: (Cost on Baak) Driveway Curb C�t Width N�ed: Ft. + 6 Ft = Ft x$ _$ DATE: � �Z ��' � _ APPLICANT: � ` ,�a�, Tel. # 7�f '� / �- Z�.�"�/ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � , � ,, 5 $ / $ o $ $ $ $ $ $ $ �9 � CITY USE ONLY Fee Schalule on Reverse Side .(�1 of Permit Valuation (1/lOth%) $.50/$1,Oa0 Valuation $850 per SAC Unit $5.00 (State Licens� Residential Contractors) Alt. "A" or Alt. "B° Above $450.00 Consen►ation Plan Review Fee Detern�ined bY Engiae�ring Agreement N�y [ J Not Necessary [] 0 BUII.DING PERMIT FEE SCHEDULE The Chief Build.ing Official shall, before issuing permits for the ere�tion of any building or structurE, or for any add.ition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment b� the applicant for such permit of fees to the amount herein below set forth aad in the manner herein provided to-wit: � TOTAL VALUE $1 to $5� $501 to $2,000 $2,W1 to $25,000 $25,�1 to $50,000 $50,�1 to $100,Q00 $100,001 to $500,000 $500,001 to $1,000,000 $1,0�,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $S� plus $2.75 for each additional $100 or fraction thereof, to and includiag $2,000 $62.25 for first $2,� plus $12.50 for each additional$1,0� or fraction ther�f, to and including $25,000 $349.75 for first $25,000 plus $9.� for ea,ch additionat $1,(�0 or fraction thereof, to and including $50,000 . $574.75 for first $50,000 plus $6.25 for each add.itional $1,� or fraction thereof, to and including $100,000 $887.25 for first $100,0� plus $5.00 for each additional $1,0� or fraction thereof, to and including $500,000 $2887.25 for the first $5�,(m0 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,� or fraction thereof DRIVEWAY DEPRESSION ESCROW (Cancrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gut�er only - Driveway width plus 6 feet times $13.�. Altemate "B" : Removal and replacement of cwb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFiCATION OF FOUNDATION Petmits for construction will be issued a minimum of 24 houis from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the l�ation of the foundation once it has it has been constructed will be requir� before proceeding with the frdming. �20'Y .!. HAf�iS�N Land Surv�yor AND Civi1 En$ineer � � �"c.� 4�* Z ... � ._ . 4. OF PROPERTY OF H3TZdri(� ,�.,f;l:'?"�I b�21 E. River Rva3, Fx�idley o I:� LOCATIOv �ESGRt9ED AS FO�LO`NS T.Ot � �].JC�C r'rA (�s±nan's ?T'�. ii�^.'31'i.10»I C � / �t! Q.I � ` � / Cc/• / . jl! / / '33 � � / �I 33 / % 13�07 Sprin� Lvka Ra�d Hopkins. F�Inn. ��M13 7elephone 9�8-56T3 CERTIFICATE OF LOCATION OF BUII.DING CERI'T�ICATE OF SURVEY � i hcre;;y ce.rtiiy tha� or,__..�� _. _ 19,_,�. I h:reby c�rtiiy lnat on._ 19 1 ......,_ . _.. ._ < < <_ •,��_�.., . .,..:..� G. i:'.i �u:aiiJii 3i iuc viiiw�ug�� O�i iuC ni�urc a au�veycti �ito property described aoove anri [nat tao aoove piac ::.:.:.: �cd ;.tupeciy snd i� ai tt,r location of sa�d building(�t} is i. a c•arrect representation of said survey, c�rreccly Shr�wn or. the a1+�?ve plat. � � � ROY J. HANSEN, RfGiSTERED SURYEYRR RIO. 6274 k � --�"",.,� _ --�---- -- - . ._ . ...�`r^ ^_�- .. � � �- i `._ _. C fi��- �j ;iCta�- a. t� _ ' ��Ct� �-= i�c��`� � OST �'°��x�0 ��o � �'f S�*`'r,�; �% ,�'- y U / �x�-zo % ( � ;"� '1 . � . i t` �� ; v i // if j�x �'� �� �x� .�fi�4 , .,---,--.°........°": -' - ��� � v- - `s�v �6�,f���/NGi i� * i� � �� � � �a ,2 _.� ��v�sT ,. � :, �X�. .-> 1� �'1.� , �� l���� /�� � r] j ���` �> "� lC. '=J, � . f"J��t ',� } ! j> � i y, ...r , I l �'Sf '/s : �v} I� ' /"' . �' ,._ +--�_—_ � ,�°'� t� �t"������� �- /�,�. � � �� �� � � �� _. --. - - ;•. t ; � J � C � �, — q��� ',� �� ' j" " F'` � ,�'�Ji :��''i� I 1 II �� i�� � �f� 1� �� � ,. � --- ; - `�� � � , �... ��.� , . ��_�� �15��D ��K _ . . _______ ,. __ ,�_x. �__ __ _.. ,, � �x�' C.+�+�A�Q•E •16Ot-'t� d � � � E i : i..,�.d--.+ � .�1 _ .. -'��.::: � . _, --- ; .��� �' l��+n . a ' ° � a _ .--'= _ ; _ _ .. .::� � 6 „� , ,+ .� �J,r� e Ng 18r 1155 Building Job Report ADDRESS �s ' � / � � _ , OWNER BUILDER DATE PERMIT NO. DESCRIPTION � DATE 0 r iNCaFr.rinn� RGr.nan / / � / {�/ �`J �fC�V � �� � �/( J .� % /3Gy Gci�LC ����� G�,�r.� � / �-=� �-! OWNER - REP I u k' f l 6�- L� `� ,' J �'� C . �� .; � ��n . � �;,, / " C r'� � / !�' � � ( -� ,�� � � L-`` . . � � .� � =° s � N o�,�� � � � ;b A A o �. �A ' � m �?S Pa ° � � � � en � E � S �o�� a �,--m ^d � Q C� o i�` ^ c-� n O .�, � • � v � J � � eD � e p� V ;,� �, N .• o � � � �` � L Y � Q C � � � � � s C � m � Y N N ` � N � � O � m a � o � a � . I 1 � � � sue�etT IT NO. City of Fridl�y � 2 9 819 AT THE TOP OF TME TWINS g � I L D I N� P E R M I T r � � � ��L _____ COMMUNITY OEVELOPM�NT DIV. / ry r � � PROTECTIVE INSPECTION SEC. � „� i_-_-� ��"' �•� CITY NALL FRIDLE� SS132 NuMBEr+ REV D�TE v,►GE Oc �PVaovEO Br t 612-5��-3abo s�aF�s 7/6/99 / / J08 AODRESS 6921 East River Road 1 LEGAL �OT NO. BLOCK TpACT OR AODITION SEE ATTACNED DESCii. 3 4 Ostman's Third Addition SNEET 2 PROPERTY OWNER MAIL AOpR�S$ 21P PMONE Muchtar Sa ad 21-8 3 CONTRACTOR MAIL ADORESS 21P PFIONE LICENSE NO Owner a ARCMITECT OR OESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGiNEER MAIL ADORESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOFiK O NEW q ADOITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (22 Sq) Tear-off 9 CHAN(iE OF USE FROM TO STIPULATIONS � Underlayment must comply with the State Building Code. TYPE OF CON T. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PEFMITS ARE REQUIRED fOFi ELECTflICAL, PLUMBING, HEATINO, VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOIp IF WORK OR CONSTRUCTION 20NING SO. FT CU FT. AUTMOR12ED IS NOT COMMENCED V�IITNIN 60 DAYS. OR IF CONSTHUCTION OF WORK IS SUSPENDED OR ABANOONEO FOR A PERIpD OF 120 pAYS A7 ANV TIME AfTER WOpK IS COMMENCEO. NO OW�G. UNITS OFFSTpEET PARKtNG I HEREBY CEpTIFV THAT I MAVE READ AND �XAMINED THIS APPLICATION STA��S GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING TMIS TVPE OF WpRK WILI �E COMP�IED WITH WHETMER SPECIFIEO MEREIN OH NOT. TNE GRANTING OF A pERMIT $1923 $.9G DOES N07 PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TME pEpMIT FEE SAC CHARGE PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING CON- STRUCTIpN OR TME PERfOflMANCE OF CONSTRUCTION $69.25 Fire SC �1.92 PLAN CMECK FEE TOTA� fEE $72.13 S�GNATUpEOFCON:F CiOp AAUTMOA� � WM N P PERLY VA IDATED 7MIS S VOUFi PERMIT S�GN EO� W U�LDEii� iD�TEi BLQG �NS� latE ' �. r NEW � � ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R 2 BUII,DING PERMIT APPLICATION Construction Address: � �� �� �� �� r�� � c -�. �- � �� • � � - . � � - : � � � - // ,.:./► /I � ii • — /,i� /�' ' % , � , ,., f._�. �_.r�_r.�. � � .���%�+'�i� `� � � � - :%ly�: ��'� /�`� < <��� �'�+���'�� -� � � � .'�. -� � � � I l J- � � ' - LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length DESCRIPTION OF IlVIPROVEMENT Width Width Width Height Height f � V � Construction Type: �'.-�.-1�8� , Estimated Cost: $ � Sq. Ft. Sq. Ft. � Sq. Ft. / C./� 1. /l. � V' f 9 __------- ���� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ $�2 . ` � DATE: ,� APPLICANT: Tel. # � �"� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPLTLATTONS: $ q_�� $ . o� $ � $ $ $ $ $ $ $ �` /_3 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 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 $2,0(}0 $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 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,0� $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 $1,00� 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 $1,0� or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,(�0,0� plus $3.15 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 $15.50. 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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow %r 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 co��a�ied will be required before proceeding with the framing.