AF - 40334�
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yillage of Fridley, Mi�rm.
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BUlLDING PERAIIT
N° __ 7i � 0�6ce of INSPECTOR OF BUILDINQ�S .
owner � ����``�" -�� i. .�:.>��:�r�a�,�
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Architect Fridley, Mfnn., "�""'� � � `�' , ,�• f:
t� 18 � �� �
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Builder � �
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w//L'i� LOCATION OF BUILDING � � �'� �
No. ��. �3 � �-� r � �: A
� Street �3 ��'� ��,,,,'�.•. �"���'"�,�'' " `�. Part of Lot � � ° � ���'
f t�. ��r
I.flt ""` F Block Addition or Sub-Divlefon �� ar
� a�'�' � DESCRIPTION OF BUILDING
s �
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Front �� Depth�"' ��"' � Height � Storles �T$'�° Manner of Constructio �''�`�°'�-� ��p �
',
,�� r.��. �, ' ��.,a �. Jd � ,o ,, ,
To 'be ueed ae �`'° To be completed °�-s �' �� �� Estimated Coat !��•� `�''"��'
,
� � �.�;�� �'�'P,zi �.���c-d�i: ' °
Permit ie here�3► graated to �����',�`�,,:.-r.: ,.�°'�� � �����•'�,..-:•��;�p.�- �, � �.!,,.-���: �::.� ����: ,+� '
the building °°�' �- described ia the above etatemen� Thie permit ie granted
upoa the expresa condition that the gerson to whom it ie granted, and hie agents, employees aad worl�ea, in all ` o
the work done in, around and upon said Uuilding, or any part thereoP� ehall conPorm in all respects to the ordi-
nancea of Fridley, Minn, regarding tha construction, alteration, maintena.nce, repair and movtng of buildinge
within the city limits, and thie permit may be revoked at any time upaa violation of any of the provieione oP eaid
ordinaaces.
_ t��� "�' �Bw'&'°'yy�.$".4_�--C..,�
`s,�,� ',,,",'�,.�, insneetor oP Buildings.
AGREEMENT AND SWORN STAT�MENT
In consideraiion of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby ag°ree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Friclley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit axe
true as therein atated. � �.
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Subscribe�l and sworn to i�fore me at Fridley, Mm,z��s�ta; thi� ,_ �°
dao "� � � � ,� ` '` �°'�;�.�, � �
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City of Fridley, Mirm.
BUILDING PERMIT N� ,�F.T��� `
4'724 �
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Date: ..._�-.�._..�`'.. _.. _....._ _ .__.__.__.__..___ ._.....__.......__
--� .�
;. � �. .
Owner: 4"" !;�_._ . .� ..�'��� � -- -_ ., Builder ...__..__._.....__.
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f r . .__._.__._.._..__._..__.._.. ...
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Address _.:_. :� °` ...— �_!_-� . . • �� .�!:' Address .�� -r '�s.._"�-��-.+ �'_..._.._�.___
- " � ---�----....._----.. _- -
�� LOf-�ATION O �ING
��-.--�s�eet _._. � , _. _.. �.�r�-°-�--��!' � ... � ..�..__ Part c#�;;Lot .------- -�-----___.___._.-----._.__..__.......__
No. � - �':- - � t
r f ,�`
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� '..:. Block __...�'�_ .............---...._ ..... Addition or Sub-Divisio� ..(!.. ....: ... ._.. __.- •--��...---�-�.►'.•---• .::+�
. � ..
Corner Lot ._ ............... _�."�..."'"�. Inside Lot ....._..--_.... -� --..._.....--- Setback .....�.`'�,,.-------....._..--�--• Sideyard ..._��...-----�--•----.._..------........__.._...
Sewer IIevation
T� lae Us d as: _
�.-�.�" . �-�_:.�
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Foundation Elevation
DESCRIPTION OF BUILDING
Front��-�-.. Depth ....��..-- � I3eight �..._.. 39. F��._�,�__ Cu. r't,,,t ---�*_��
......�,;Y :............. ....... Front . . Depth Height . Sq. F� ...---_....:......... Cu. F�
- -....... ..... _.
;v � J ,+'."" �' _.
Type of Construction _^-.--�.y,-�'.�`:�!"'..-:�,,�'�% Est .. �� �/.. ._�'.'."` T be Completed .. ---....__------
THIS PE{�I�•11T D � � '
ION 0'r= /��'�Y r'�;; __���``,��`-' �'
EI�ILl7r,�v'"' � . ��1 �� l�
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In consideration of the issuance to me oF a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley. ,�
In consideration of the payment of a fee of $. .:...-----_--..._....., permit is hereby granted to....._....-.-----------.-----.__......--.-------.-----
_...__ _._.____...._._..__._..__.._..._. to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, azound and upon sa3d building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limif� and this permit may be revoked at any larue -upo� olation of` any of the provisions of said
ordinances. `!; � �`
Building Inspector
NOTICE:
This permif does nof cover the wnstruc�ion, installation for wf►ing, plumbing, gas heating, sewer oe wafe�. Be sure te see
fhe Building InspeNor for sepawte permits for these ifema.
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Qwners Name
�ddresa ,�
No.�,_
Lot �
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APPL�CATIORT FOR BIIILDTNG PF�MIT
(�ITY OF FRIDLEY, MINNESOTA
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Bu3lder r;�� �
Corner Lot„_�,,,Inside Lot �
SEWER ELEV�TION
Applicant attach to this form
loca.tion.
.s—�--�-
ro be ugea a8: �',, ��F�
�ont
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Sq. Ft. Cu. Ft.
Sq. Ft. Cu. Ft.
T3rpe of
To be
ss _, , �._...
oF gUILDING
_ �art of,��' � ,��.� ,_�..,.�
_ �
t3on or S�.b.D3v. , �
B�i,ck Side-Yard
ELEVATION
te of Survey of Lot and proposed building
DESCRIPTION OF BUII�Il�TG
�
ted Cost �� 4 dw, ,_,,._____
3'he underaigned hereby makes appl�cation for a permit for th� work herein apecified,
agreeing to do all work in strict';accordance with the City Ordinancee and ruling of
the Depertment of Buildings, and ereby declares that all the facts and repreaenta-
tions stated 3.n this appl3cation e true and co rect.
DATE �� � l._,_ ZGNATIIRE
(A Scheclvle of Fee costs can Foun the Reverse Side.)
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BIIILDING PERMIT FEE SCI�DULE
Section 2. The Inspector of Buildinga shall, before 3.sauing any perm3t
for the ersction of any bui.lding or structure, or for any°addition to
ang existing building or structure, or for any alterationa or repairs
to any sxisting building or structure, upon application therefor� require
the paa►ment by the applicant for such permit of fees to the amount hesein
below set forth and in the manner herein provided to-wit:
2.1. For aray such pex°mit for the erection of any f3xe-proof building� other
than a garage, warehouse, factory or grain elevator, or for the erection of
any fireproof addition, for si.milar occupancy, to any e�cisting build3ng
shall be at the rate of �1.40 for each one thousand cubic feet, or fractiori
thereof, in such cubical contents,
2.2, For any
house, factor
add.ition, for
rate of �1.25
b�r Section 50
NOUSES
such permit for the erection of any fireproof gerage, ware-
� or grain elevator, or for the erection of a.n� fireproof
similar occupsncy, to any existing building shall be at the:
for each one thousand cubic feet, classified as "P3reproof'�
2 of the Minneapolis Building Code.
?_03o For a.ny such permit for the erection of an
o-L-h�;r than a garage, warehouse, factory or gra3n
fireproof addition, for similar occupanc3r, to an
P;;r�i.t �1.00 for each one thousand c:ubic feet.
GARA.rEs
g non-fireproof building
elevator, or any non-
y existing building.
204. For any such permit for the erection of any non-fireproof gerage,
warehouse, factory or grain elevator, or for the erection oi �ny non-
fireproof add�tion, for similax occupancy, to ariy existing buildin� or
for each suc.'� building or addition. Ninety Cents for each one thousand
cubic feet or frac�ion thereof� in the cub3cal contents thereof with a
minimum of �4.00e
For the p4='pose of computing fees for bizild3ng permits the cubical contents
of any building or addition to a uniform height throughvut by multiply3ng
the grourd exea covered fron a point six.(6) inches below the floor line o�
the basement or cellar to the average height of the upper aurface or t,a the
average height of the roof surface of the main gable of a pitched roof.
2.5. For repairs or alterations to an exiating structure, the fee shall be
at the rate of��3:00 for each F�.ve Hundred Dollars ($500.00), or fraetion
thereof in the cost of all proposed work.
2.6. In no case sha11 the fee chaxged for any permit as set forth in
Section 2 be less than $4.00.
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SUBJECT pE
City of Fridley � 13651
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T •
' � COMMUNITY DEVELOPMENT DIV. ECEIPT .
i �y-- /Jol���
r � � PROTECTIVE INSPECTION SEC.
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--_•� �/"� �,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVEU BY
� 812-580-3450 910-F15 7/19/76 / /
JOB ADDRESS '�105 EdSt R1VP.r Road N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 21 ALId. $11�. #77 Revised SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
James Holman 7105 Ea.st River Road N.E.
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
REsidential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Install steel sidin
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REDUIflED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIOIdING. St@@�.
THIS PERMIT BECOMES NULL AND VOID IF WOHK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS; OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO 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 WILL BE COMPLIED.
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $Z�9OO yS`�..45
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-
STRUCTION O THE PERFORMANCE OF CONSTRUCTION. � y�`1.%.4O
PLAN CHECKFEE TOTALFEE
y��.8. $rJ
SiGd U EOFCO ACTOROR 7HORIZEDAGENT ATE WHEN PROPERLY VALIDATED THIS IS VOUR PERMIT .,
, ��J► 1t � � � � '� � l�1 � `� �.n
GNATUREO WN RUFOWNER U DERI IDA EI BLDG WSP `-� DATE ��
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL ALTERATION,
ADDITION, OR REPAIR BUILDING PERMIT
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OWNER' S NAME t�� ��S �����)�/� /�� BUILDER: °� ��,
,/ �
ADDRESS : /� �%�S�% /�/�2 � ADDRESS : = /���
NO•. STREET:
LOT : �� l BLOCK : ADDITION : AU�� Sl�� � 7� l� �U�-s��
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
i
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To �e,T�Tsed As:
BESCRIPTION OF BUILDING
Front• Depth: Heig,ht:
Square Feet: Cubic Feet:
• ��/� � Front�: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: �, p ��C_ Esti.mated Cost: $ �DC� ,�a
To Be Completed: J� �Li��/7%J�
The undersigned hereby makes applicativn for a permit for the work herein
specified, agreeing to do all work in stric� accordance with the City of
Fridley Ordinances and nilings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE : � '' I � �' �t0 SIGNAT[TRE : �
(See Reverse Side For Additional Information.)
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BUILDING PERMIT FE� SCI-IEllULE
SECTION 2. The Inspector of Buildings shall, before issuing pexmits for the
erection of any building or structure, or for any addition to any existing
building or structure, or for any alteration or repairs to any existing
building or structure, upon application therefore, require the payment by the
applicant for such permit of fees to the amount herein below set forth and in
the manner herein provided to-wit;
iQEW CONSTRiJC�10H: Si,ng],e Family Homes and Garages :$4. 00/1000 cubic f eet
PLAN CHECK: 25 percent of building permit fee.
ADDITIOIVAL INFORI�IATION
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 io the average�
•height of the roof surface of the main gable of a pitched roof.
For+•x'pairs 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 any permit as set forth in Section 2 be
less than $7.50. '
VERIFICATION OF FOUNDATION
NOTE: Permits for �onstruction 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 Certitied Survey of the lot, 'showing the location of the foundation, once it
has been constructed, will be required before proceedin� with� the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy of any stxucture for which a building permit has been
issued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued.
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