AF - 40465�illage of �i�.ey, l�nn•
�iT�Il9TG P�R�'IIT
1�° 4 3 4 ��� � f�s�e�c��� �� ��nvG�
�=�
a
�v�aner� � : y ��� .
Architect � �+'rid'_ey, �inn., .��� �p � , 18 � � t
. . $���.�� �-4
Builder
LOCA`I'g�l`�T OF BiJiLDIllTG
No.�� Street_� � ,L1�,� �'art of
Lot Block Acldition or Sub-Division
D�S��'��2�IOT'�T C)�+' ��T4�Ih7G
�'ront� Depih� ZIeight�� �tories � Bsa.nner of Construction�_�,..�,� �
To be*. �used as �` �� To be completed �� Est.imated Cost-��-F-�„i--�r...�•�
1,�-�/ s � �� S�. ..Ns1 ���� 1 - � .�.+ F�S.aJE A..d../Jf l fn� �� � .
£�,x. c
Perm.it i.s hereby granted to � '� �'�""'"`�
�
the buildin��: described. in the above statement. Tliis permit fs graateci
upon the expres�'� onditiott t the person to whom it is mranted, and his agents, employeea and worl�nen, in all
ihe work done ' around and upon eaic� building, or a,ny : p�,rt thereo�, s}zall coniorm in all reapecta to the ordi-
naneea of I+'sidley, Minn., regarding the construction, alt�.^a,tion, maintenance, repair and movin; of buildings
within the cfty limits, and this permit may be revoked at a.x►y time upon violation of any of the provisions oP said
ordinances. "`'�� , �i
._..,.� ,
� � °` ° Inepector of �uildings.
!�GR�E�ZE1�T� �� 5�10�.?'� ST 47'�MENT
In coasideraLior� of the issue and delivery to me b-,r the Irs^ne�t�r ni B�il�in.bs cf I'x'idle�l of
the above permit, I hereby agree to do the pro�m��� wor� zn aecor�anae w�.��+ t�.e deacx�ptio�.
, above set for�h �,nd according to the provisions �?f th� o�di�.����es of F+'ric�leV, �,nd., �ei�� first dta1�T
sworn, I hereby state asid say that tl�e facts sta�ed by r�e z,nd. contained. in the �.�aov� ��rrrait a'r�
true as therein stated. ��^, ;� �;.,�� -°LL"�'_ : �`�
Subscri d and sworn to before me at Fridley,
day o ` .' ' .D. 19�.
�,''� '"
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City of Fridley, Minn.
BTJILDING PERMIT'
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3302 �-- -�_
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Date: ...�....� .......... .............
..
� 1 � ��... 0
Own�r .... .....y..�,... .. .. .......... . Builder . ......... ......... . .
.
..
Addre�ss ..r�..%.�..� .::... .... ........ ... Address ................................. . .........
�, AT O�N OF BUILDING
� . .l�d.'. . : e �. .�� e . . . . . . . . Part o t
No. ���. `: �t � . . . Street . . . . . . . . . . . . . . . . . . . . . . p . . . . . . . . . . . .
....
Lot ..�::..� . Block .... ��.. .... ... Addition or Sub-Dfvision . . ...
Coraer Lat ............ 7nside Lot ............ Setback ............ Sideyard ...........................
DESCR[PTION O�' BUILDING �
�t� vsea �: � �
.
��r�om . � . � : ne� . �-: . x��nt . . . . . . . . sQ. � t. � . . . . . cu. �-t. � . . . .?s
. ... �........
.................... ........ ne�, .....�. �gnt�.�.... sQ. Ft. ........ r�t. ........
' ��� -
. . . . . . . . . . �at. Cost. . ���� • `�= . . To be Coiapleted . . . . . . . . . . . . . . : . . . .
Type of Construction ��.�.�.m�� `�
�
�
� ���A
In considera.tion of tihe is�uance to me of a permit to canstruct 'tlie building desribed above, I agree to do
the proposed work in acc�rdanoe with the descrlptton above�s forth d ffi ce with all pro ions of
ordinances of the dty of Fridley. ` ��
.� . �. . . . . . . . . . .. ' � . . . . . . .,� . . . �. .P. . . . . .
In consideration of the payment oP a fee o! $. .�.��. v`• ••••� Permit is hereby �ranted to�/.` :� �: �A�. ::�F:4�
�
......................... to construct the building or addition as described above. This p�t fs b�� �
the express condition that the person to whom it is �anzted and his agents, �Ployees and worlainen, fn all work
done in, around and upon said building, or any part thereof, shall csonform in all respecFas to the ordinances of
Fridley. Minnesota regarding location, construction, alteration, maintenance� repair and moving of buildings with-
in the dty limits and this permit may be revoked at a�y time upon violation of any of the prnvisions of said
ordinanc�. � ,
. . . . . . . ,��, ,�, �� ��:,:� .• Builtiing Inspecbor
NOTICE:
Thls parmlt does not aover the consiruaRlon� Installation o� alte�ation to� wl�ing, pl
t
sewer or water. Ba su�e to see the Buildlrtg Inspeator fo� separate parmN� for th�e i
heating,
sue�ecr PERM .
City of Fridley ° 16 3 8 3
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ��
�
; � RE .
i �L _._��_ COMMUNITY DEVELOPMENT DIV. ��w
r � � PROTECTIVE INSPECTION SEC. `�
1 i � l
i_---� �r���;,, CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
t 612-571-3450 810-F15 9/11/81 / /
JOB ADDRESS �155 East River Road N•}�-''.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �.�2 2 Hillcrest Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bart Friedhoff 7155 East Ri.ver Road N.E. 571-1341
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Sussel Company 1850 Como Avenue, St, Paul 645-0331
4 ARCHITECTORDESIGNER MAILADDRESS 21P PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
B USE OF BUILDINO
Residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 30 ° On x 24' 4" Addition to Dsrzzelli.ng
9 CHANOEOFUSEFROM TO
STIPULATIONS
yVAR��
$E1ae di�in6 c�A lac�1 util�Etc.
SEPE�AT� ��MI�$ � � Z�t.EPHONE-EIECTRIC-GAS
HEATING, P�,,(�1M81 ��U1REp FOR ti+�ryf?�f�� EQiJIRED g� �►W
�G ANp 5���� e , R
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOd FT'3IIL0
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION rpOO �.2�'OOO
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 �- 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 $4O�],OO yfi2O.OS
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES N T PRESUME TO GIVE UTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVIS NS OF ANY OTHER S ATE OR LOCAL LAW REGULATING CON- $'L4'�.e rJO NONE
STRUC ON OR THE PERFOPM CE F C STRUCTION.
Cy�/�� � PLAN CHECK FEE TOTAL FEE
� $60.63 $323.18
SIGNATUREOfCONTRACTOR RAUTMOHIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
^� � � �� �
SIGNATUREOFOWNER�IFOWNERBUILDEFI IDATEI �'� BLDG INSP �AT-
', ,.
,,r.
. EXfERIOR �NV�LOP� AVFRA�E "U" COMPUTATION
� � c�tt�r�e �......�l��-� , ,,,� 1 ��,�"�.
5I7'E ADDRE88 �0� ►� � • �1,0» ���
._.�
C'Orl`TRACTOB ��.� �,�Q . DATE % / PHONE � ��• �
DETERMINE WORKING SQUARE FOOTA}iE OF EACFi
i. Total espoeed wall area .... ....:. (�p��• �� Sq. Ft. x .185 m Z 9�•%�
_—_____
�• TQt81 =��f � ceiling 8i28 •a•.�.• �� SQ• r't� X �0�1 � '��
.�...
TOTAL EXPOSED WALL AREA ABOVE FLOOR � �
DETERMINE "U" VALUE OF EACH WALL SEGMEAIT �
S u n ;.�. •
s. Total wa11 window area ••••••••••••••• q� ft . �
b. Total door area ...................... , . X...;. . .. +... .�
c. Total eliding glaea door area ........ . X'��; � �' . �
d. Total fireplace wall are�a ...... ..... .�.— X � � •�
e. Total wall framing area iaverage.l0%) X"'� � -
f. Total neg wall area above flaor ...... X"�". � �"� �
g. Total rim joist area ................ —�— X...."'�=-. a..��.
TOTAL EXPOSED FOUNDATION AREA = �'`p .9 So
h. To[al foundation window area ......... '� X �— °'
i. Total net foundation area above grade , � X'��;��' d'••• ;
:14 ..............o..........................................................TOTAI.
If atem �3 ie the eame ae, or lesa than item 4t1, you have met the inCent of
ssc 600� (c) 2.
TOTAL EXPOSED ROOF / CEILING AREA � O'O
DETERMINE "U" VALUE FOR EACH ROOF / CEILTNG SEGMENT.
S "U"
.. ,:,.
j. �otal skylight area .......................... r-- R .� �
k. Total roof/ceiling framing area (average 10%) X"�.�� m��� 'f�
1. Total net insulated roof/ceiling area ........ X'��� _�
� ..........................................................................TOTAL Z�•3
If total of �4 is the eame as� or lesa than �62, you have met the intent of
�13�� 6006 (C) 1.
ALTERNATE BUILDING ENVELOPE DESING
7'o utilize the total envelope eyatem method, the values eatablished by the sum
af ft�me �3 and �4 ehall not be greater than the sum of itema �1 and 1�2.
1. �� 1�._!� + 2. f�r T ° rl��.�d.,
3 � e,�.�,'� •� �. + 4 . �,. � . � m � Z •��
.�..
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CITY nF FRIDLCY Effective Aug. 1, 1981
APPLICi1TI�`J FOI; RCSIDL"i�ITIl1� QU1LDIf�G PE�L'�fITS
(We►r, Alter:�tions, AddiLions, or Repairs)
�
QtlI�ER: [3UI LDER :
•o
ADDRESS: ���� �� �� ADDRESS:
TEL n10: S� I° J 3�/ TEL td0:
STItITT NO: �IaI��!
STREET:
Construction Location
� � � � �
LpT: .�� BLOQC: �� ADDITION: ��
, 1' ,
.
i ��- � � � i
�i � �' �� �
Corner Lot: Insic3e Lot: Setback: Sideyards:
Ap�licant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certa.ficates to scale.
. DESCRiPTiOtd OF COF�STRUCTiON
- -" - Front: � � Depth: �� y �� Height: �� ��`_�� �
Squane. Feet: � � Qibic Feet:
Front: Depth: Height:
� Square� FePt: Cubic I'eet: _ �
�. � 5 e R ��k�q �" �411� � /`�,'� !,� �'f'� `�-; �.�,� � � t � �� � '� C/ � ( 0 �
Rype of Construction : �'�"°L- Estimated Cost: $����� �
Rb Be Oor.�pleted: �� �
Alt. A Alt. B
Proposed Drive��ay Width If New Opening Is Desired: $� $
, SE� REVERSE SIDE OF SHEET .
�iie undersigned hereby makea application for a permit for the �:vrk� hexein specified,
agreeing to co ,all work in strict accordance ��ith the City of I'ridley Ordinances Pa�d
ruling� of �t11e De�lrtment of IIuildinqs, and hereby declares tiuzt al the facts and
representations stated :n this applicatio are true and co ect.
DAZ'�: �' ° �f SIGNATUFtE: �
• ` e
Stipulations: �4 ,
'� '�����
������� �
P`' �� � `�`
.� �� � ��
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- ��
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BUII,DING PERNlIT F•E�E SCHEDULE
The Inspector of buildings shall, before issuing permits for the
erection of any building or structure, or for any`addition to any
bxistinq l�uildi$q, or structure, or for any �lte��,t�on �or� repa�rs
to any existing building or structure, upon application therefore,
require the payment by the applicant f or such permit of fees to the
amount herein below set fortfi and in the manner herein provided to-wit:
�
TOTAL VALUATION
$1.00 to $500.00
$501 t�o $2, 000
$2,001 to $25,000
$25,001 to $50,000
e •
FEES -
.�� ,,,��
$10.00 Minimum 'ee $15.00 �lus surcharge
$10.00 for the first $500 plus $1.50 for each
additional $100 or fraction there�f, to and
including $2,000
$32.50 for the first $2,000 plus $6.00 for each
additional $�,000 or fraction th.ereof, to and
including $25,000
$170.50 £or the first $25,000 plus $4.50 for
eaclr additional $1, 000 or fraction thereof, to
and including $50,000
$50,001 to $100,000 $283.00 for the first $50,000 plus $3.00 for
each additional $1,000 or fraction thereof, to
- and including $100,000 ,
$100,001 and up $443.00 for the first $100,000 plus $2.50 for
each additional� $1, 000 or fraction thereof
PLAN Ci�CK: 25 percent of building permit fee
DRIVII�IAY DEPRESSION ESCROW: Concrete Curb Streets Only
Alternate "A": Remoneal and replacement of curb and gutter only
Driveway width plus 6 feet x$13.50
Alternate "B": Reaoval and replacement of curb and gutter and install a 3 foot
wide approach with 6 inch depth ,
Drive�aay width plus 6 f eet x$15. 75 -
VERIFICATION OF FOUNDATI.ON
Permits for construction will be issued a minimtm► of 24 hours from the time of
application to allow for proper review of the proposed structure and wf the
constru ction site.
A Certificate of Survey of the lot, showing the location of the foundation once it
has been constructed will be required before p�oceeding with. th.e framing.
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SUBJECT N IT .
City of Fridley ���� 17 5 7 7
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �
� �
� ; v ____�_ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
1 �
1
i__-_� ��"' �,� CITY HALL FRIDLEY 55432 NUMBER REV. DnrE
i 612-571-3450 910-F15 ��2
JOB ADDRESS �155 East River Road N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. l� 2 2 H].�.�.CrP.�^'t ACICZ].'t7.0I1
2 PROPERTY OWNER MAIL ADDRESS
Bart & Barb Friendho�£ 7155 East River Road N.E.
3 CONTRACTOR MAILADDRESS
North Star Builders 5408 - 84th Avenue North
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAILADDRESS
8 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW
8 DESCRIBE WORK
Retaove Detached Ga
9 CHANGE OF USE FROM
STIPULATIONS
�
REC�T NO
I�3� �
PAGE OF APPROVED BY
� �
SEE ATTACHED
SHEET
21P PHONE
571-1341
ZIP PHONE LICENSE NO.
566-1549
ZIP PHONE LICENSE NO.
ZIP PHONE LICENSE NO.
� ADDITION � ALTERATION ❑ REPAIR
TO
�t Clean axea of all debris �ram wrecking.
TYPE OF CONST.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROYISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S�-5O
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE
OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
S CTION THE PERFOFiMANC OF CONSTRUCTION. $�.S.00
� LAN CHECK FEE
6�- �
❑ MOVE � REMOVE
OCCUPANCY GROUP OCCl1PANCVLOAD
SQ. FT. CU. FT.
OFFSTREET PARKING
STALLS IGARAGES
SIGNATURE OF CONTRACTOR OR AUTHOR12ED AG NT IDATEI �_�, W:r-+EN PROPERLY
OF OWNER�IF OWNER BUILDER� 1
None
TOTALFEE
$15.00
TED THIS IS YOUR PERM
City of Fridley
r' �T T� ToP a► � rwa+�
i �
r rL'-�'-�-� COM1WN17r p!V[LO/MENT OIV,
1
� i MOT[CTIVR MI�CTI00{ OL�T,
� � �'_' � GT1r M�I.L /1q�.ir N4s
��....1t.� t.J W'bAQ'3N0
Effective Aug. 1, 1981
i1�itGT
WRECKING PERMIT APPLICATIO�J
Job �cldres s �� � �" ,L - /�f�l� /_ ��/
Legal Lot No. Block No. Tract or Addition
Desc.
Pr��a�e�t�� ��� e/t a d�d7`1- Address ��J�J� �.
Contracto�� � i i�� Address � �
!
Description Frono2t� Depth� Seight Sq
of Bldg. a�
�j�' No. of Dwelling Units Taxes Paid
�J
Estimated Coet of Wrecking ,�,� � To Be Completed
Permit No.
Receipt No.
�r �s�e� �al� 57/-/�
� Phone
� �� �
. �t.¢� Cu. Ft.
i�
Tax Receipt No.
�o � �y
Otilitiea to be Notified and date Sezvices Dieconnected
Mp1s. Gas �. N.S.P. Northwestern Bell Tel. Co.
Engr. Dept. Cust. Sus. �c. Bus. Of c.
372-4850 330-5540 332-4112
Date Dat� Date
Wreckinq Fees: S1.25 for each 1000 cubic feet or fracti�on
For structures which would be impractical to cube, the fee
shall be based on tbe total cost of wrecking such structure
at the rate of r each $500.00 or fraction.
MIIdII�IiII�l FF�a, 15.00 o State surc�arge on Wrec i Permits.
�'' �� � a e �� /
�
Approved By Water � Sewer Department:
All Bills Are Paid Services Are Disconnected
The undersigned hereby makea application for a permit to wreck the building
described above, agreeing to do all work in atrict accordance with the City
Ordinances and rulings of the Department of Buildings, and hereby declares that
all facte and representationa stated in this application are tiue and correct.
�!Py-Lai�� ��L��v��
Contractor
U��J� �� -
Date
a � �.
SuBJECT
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i �
� �
� ' COMMUNITY DEVELOPMENT DIV.
i i V �������
r � � PROTECTIVE INSPECTION SEC.
� . ,
i---_� �"' �,� CITY HALL FRIDLEY 55432 NuMBEa REV. DATE PAGE oF
i 612-571-3450 910-F15 6/25/84 � �
JOB ADDRESS �155 East Ra.ver Roa.d N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. ],� 2 2 Fiillcrest Addition
2 PROPERTY OWNER MAIL ADDRESS
Bart & Baxb Friendho��' 7155 East Ri.ner Road N.E.
3 CONTRACTOR MAILADDRESS
North Star Builders 5408 - 84th Avenue North
4 ARCHITECT OR DESIGNER MAIL ADDHESS
5 ENGINEER MAILADDRESS
8 USE OF BUILDING
��� R@S].CZEIl'�].d�.
7 CLASS OF WORK
ZIP
ZIP
ZIP
° 17576
RE PT NO.
�3���
APPROVED BV
SEE ATTACHED
SHEET
PHONE
71-1341
PHONE LICENSE NO.
�
PHONE LICENSE NO.
PHONE LICENSE NO.
❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
%
8 DESCRIBE WORK
Construct a 20' x 24� Garaae __
9 CHANC3E QF USE FROM
STIPULATIONS
TO
Provide a hard surface driveway.
� � ���`����G
ca111oca4 utl�ities
, � Etc.
gefore a�g��n�LE��R1C - � �
ZEIEPH��ER�D ��r �
�EQU�
SEPERATE PERMITS REQUIR�D FOR I�YtRIN�Cu.
HEATING. PlUM81MG AW� S►IGN�•
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOC� FiZ4le
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION 48O
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 OFDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S3 � �-OO yS`�.. SS
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHM1T FEE SAC CHARGE
OVISIONS OF ANY OTHER STATE OR.LOCAL LAW REGULATING CON-
S R CTION OR THE PERFORMANCE OF CONSTRUCTION. y�44. SO
PLAN CHECK FEE TOTAL FEE
� �S°� -SrV $46.05
SIGNATUR OF CONTRACTOR OR AUTHORIZE AGENT ` IDATEI —e �
WHEN PROPERIY LIDATED HIS IS YOUR P RMIT
� •� 8
ciGmeTlloCnCl1WNFRiIFf1WNERBLIILDERI IDATEI BLDG �NSP DATE
NEW [ ]
ADDN. [ ]
pLTER. [ l
Constructioa Address:
Legal Description:_
Owner Name & Address:
Contraetor:___���!
Address:�
LI9ING AREA:
GARAGE AREA:
DECR AREA:
OTHER:
City of Fridley
R-1 AAD R-2
Buildiag Permit Application
_ ���
Effective 4/1/84
�e�. # �"l�-��
Tel. # �� " S %
Attach to this application, a Certlficate of Survey of the
lot, with the proposed construetion dra�aa on it to scale.
DESCRIPTIOH OF IMPaOQEMENT
Length T�idth Height
Length f�� Width ,�_ Height �
Length _ iiidth _ �/Ground
Sq. Ft.
Sq. Ft. �
Sq. Ft.
Corner Lot [] Inside Lot [�] Ft. Yd. Setbaek Side Yard Setbaek �
Type of Construction: w a d� Estimated Cost: $ � l
Approx. Completion Date: l� � 1 - o� �
Alt. A Alt B
Proposed DriveWay Width If New Opening Is Desired: See Back Page for Explanation
6 �-5� �'s` ' � � - ��s'lg
DATE: � � APPLICANT: Tel.
CITY IISE ONLY
1
Permit Fee $��_ Fee Schedule on Reverse Side
Plan Check $ °-'�"° 25� of Building Permit Fee
State Surcharge $ �� � � $.50/$1,000 Valuation
SAC Charge $ $�25 per SAC Unit
Park Fee $ Fee Determined bp Engineeriag
S�rer Main Charge $
0 a� � Agreement Necessary [] Not Neoessary []
TOTAL � �l�
STIPULATIONS:
� _ � p
SIIII.DING PERI�IT FEE SCHEDIILE
The Chief Building Official shall, before issuing permits for the erection of any
building or strueture, or for any addition to any euisting building or strueture, or
for any alteration or repair to any existing building or structure, upon applicatio n
therefore, require the payment by the appliaant for such permit of fees to the amount
herein beloW set forth and in the manner herein provided to-wit:
Total ValuaLion
�1.00 to a500.00
Fees '
�.
�
$10.00 (Minimum Fee is �15.00)
�501.00 to $2�000.00 $10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and including
$2,000.
$2,001.00 to $25,000.00
$25,001.00 to $50,000.00
$32•50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
including $25,000.
$170.50 for the first $25,000 plus $4.50 for each
additional �1,000 or Praetion thereof, to and
including �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.
DRIYEiIAY DEPRESSIOA ESCROiiI
(Conerete Curb Stree.ts Only)
Alternate "A": Removal and replaeement 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 - Driveaay width plus 6 feet times $15.75
VERIFICATION OF FOUNDATION
Permits Por eonstruction Will be issued a minimum of 2�1 hours from the time of
application to allow for proper review oP the proposed strueture and of the
construetion site.
A CertiPicate of Survey oF the lot, showing the location of the foundation onee it
has beea oenstructed will be required before proeeeding with the Praming.
� ,s
� l C7 C� I� S
°Z- c' e.� �, � oi , a C�
�. C � °�' ¢..�' �
�� � �
����`� �
(
_�.' r�-
��
sue�ecr PER
City of Fridley 17 611
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
� Z ECEIPT .
� ; L __�_�_ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
l� � �
___-� � ���,,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
z 612-571-3450 9t0-F15 7/13/84 / / ��%/�
JOB ADDRESS �155 East River Road N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1 2 Hillcrest Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Baxt & Baxb Friendhoff 7155 Ea.st River Road N.E. 571-1341
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
l�orth Star Builders 5408 - 84th Avenue North, Br�klyn Park 55443 566-1549
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 23' x 24' Deck and a 12' x 6' Deck
8 CHANGEOFUSEFROM TO
STIPULATIONS
use all trea.ted wood.
�
�y,p��������, SEPERATE PERMITS REQUIFtED FOR WtR1l�
Before digging call local utilities �FAT�N�• P�UMl�INf; Aly{� S��NS.
tEtEPHONE - ELECTRIC - GAS Etc.
REQl11RED BY LAVI�
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. k'].x�C@C�C1i
THIS PERMIT BECOMES NULL AND VOID IF WORK 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 �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNIING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT $3,600 yS`Z.HO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTIQ�jOR THE PERFO NCE OF CONSTRUCTION. �44. SO NOI1G�
� � PLAN CHECK FEE TOTAL FEE
.13 $57.43
SIGNATU EOFCON7RACTORORAUTHORIZEDAGENT IDATEI yUHEt�J PRO RLY V LI ED THIS IS YOUR PERMIT
���
SiGNATUREOF OWNER tIF OWNER BUIL�ERi IDATEI G INSP �ATE
p� [] City of Fridley Effeetive 4/1/84
ADDN. [ ] R-1 AHD R-2 .
pLTER. [ 7 Buildiag Permit Application
Construatioa Address
�( 5 � �.- � ° l0-C r�
Legal Deacription: �� � �
Owner Name &
Contraator
Address
P
ddr ss : � -"/'r^-e c� rJ '
� � s� � i
� .� �� ��
2.c�t��� �-�1 ��`;E.3
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTIOH OF IMPaOYEMENT
Tel . # ��l
Te� . � -�� 6-/�'�9
LI9IHG ARBA: Length width Height Sq. Ft.
GARAGE AREA: Length Width __ Height Sq. F._____.— ��v
DE�:2 Length �" Width � Hgt/Ground ���9. F ^ �
��R: i a3xa -� t rz,��
�z,�o �.�► _ �,,�,u�l '
Corner Lot [] Inside Lot �('] Ft. Yd. Setbaek Side Yard Setback _._.
�
Type of Construction: �f^� � �� �� � -- Estimated Cost': $
� �� /_ g'� ��D�
Approx. Completion Date: �
Alt. A Alt B
Propoaed Driveway Width If New Opening Is Desired: See Baek Page for Explanation
DATE:
� � APPLICANT: r Tel. � �1�6 �
Permit Fee
Plan Check
State Surcharge
3AC Charge
Park Fee
S�er Main Charge
TOTAL
STIPULATIONS:
` CITY IISE ONLY
$�,.� Fee Schedule on Reverse Side
$ , 25� of Building Permit Fee
$ �.� � $.50/$1,000 Valuation
$ $�425 per SAC Unit
� Fee Determined by Engineeriag
� � 1
Agreement Neeessary [ ] Not Necessary [ ]
� � �
/ �. ; �
...,_.�...--_� "__�--^��
a
�
BIIII.DING PERMIT FEE SC�DIILE
The ChieP Building Official shall, before issuing permits for the erection of anq
building or structure, or for any addition to anq existing building or strueture, or
for any alteration or repair to any existing building or structure, upon application
therefore, require the payment by the applieant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-Wit:
Total 9aluation
�1.00 to �500.00
Fees '
i
$10.00 (Minimum Fee is �15.00) �
$501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each
additional �100 or fra�tion thereof, to and including
$2,000. ,
$2�001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraetion thereof, to and
including �25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each
additional $1,000 or fraction thereof, to and
including $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 fraetion thereof� to and
includirag $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.
DRIYEfiAY DEPRBSSION ESCROii
(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 eurb and gutter and install a 3 foot wide
approach With 6 inch depth - Driveway Width plus 6 feet times $15.75
YERIFICATION OF FOIINDATIOR
Permits Por construction will be issued a minimum of 24 hours from the time of
appl3cation to allow for proper revieW of the proposed structure and of the
construction site.
A CertiPicate of Survey of the lot, shoWing the loeation of the foundation once it
has been csonstructed will be required before proceeding with the framing.
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STATE OF MINNESOTA DEPI�TMENT OF�HEALTH
pBpMDONED I�LL. RECORD
MINNESOTA UNIQUE WELL N0.
(teave btank 1f not knorn)
County Name �p�
To�mthlp N Tornship Numbe� Range Num Er Seetion No. Frketiynof k
' N
Fridle 3� or Z�F �� 10 �' �' .SF'.
s
Numerlc 1 eat Address and Ctty of Well Locatlon or Otatance frcm Road
Inte tion
7155 ast River Road Fridley, MLV. 55432
Show exact locatton of rell
(in section grid rlth `X") Sketth meD Ot aell location
—�- : •— -� AI
. , � , N
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_ : _ . : : _ _' T � 7�r���
� � � I� iw,. � �V
, . ;_ :. .; . : 1 2 ' �,,,c ri
��=I wL—�r - --- -- - _ - — --- --
2. PROPERTY OMNER'S NAME Mailteg Address ti different than
proparty addresa lndicated abova
Barbara Friedhoff SAME
HARDf1ES5 OF
3. FORMIITIOH lOG COLOR FOItMATIOM FROM TO
If not knam, tndlcate formatlon log from ner �roll or nearpy rell.
�
REMARKS, EIEYATION, SOURCE CF DATA - CAS[NGS
4. MELL DEPTH (eompleted) Oate seated
LO� rc. %�/O�� �
5. DRILLING t4ETH00 (1I kiroim)
� Ceble taol 40 Raverse ][] Cr/ven 10[] Dug
2� Holiw Rod 50 A1r �] Bored 11(]
� �oc��y � aescea sp vo�re� a,��
6. OBSTRULTIGNS
liell obstwctsd Yes ❑ Mo
Obstruetions �emor �es ❑ qo li obstevstions canrrot be
I remored. contact MDH
hefore ssaltaq.
7. SE
�Domestic 40lfonitortng 8011est Loop
20 Irrlgallon � Pub11e � lrtdust�y
. � Tast Me11 60 MuniNpal 1� Co�ereial
_ Mr CondlHoninq 11[] —
B. CASIN6(S)
1[j Btack �Threaded 7Q
.T
�wi�. sp oie�aea
3Lj Plaatic 6j] Statnless Steal
� tn. u� 56 ts.
1n. to it.
0 60' °' �s m.�a �n r.� 56fc. u 60 rc.
ctr I�norn)
❑ Open Hola trao _ 1t. ta __ ft.
Grout 2" Well Approx. 60' Deep
2 BagS Ceemerit
4 Lbs. Bentonite
2 Men, Labor, Rig and Ce�ent Grout Pump
10. STATIC YATEd �EYE�
L � ft. belor ❑ above
lsnd w ca Oate Meesured �
11. YEILHEAD CGIIPLETIQII
10 Pitlosa Adaptar � Round Burled
� Basement oHaet 50
�Yeli P1t
ETC.
12�IN6 INFORMATION
Neat G�ent 2Q BentoMte �
6rout metaMal-�' from �Q„toQ it. cu. yds_
13. NfA9EST S�ES OF COIITAMIMATI6N
teat dlrectloa type
Yell dtsinfectad before saaliny7 ❑ Yes
14. PUM7 �Removed ❑ Mut Prosent , •
� Type: 10 Submerslble � L.S. Tu�b4n� Reciprocating
2� Jet � Centrifugal
15. E)IISTIMG YELLS (Pleau skatch toeetlons of abaodoned snd
setive wlls ia �a�ka ion or on hack.)
Othe� unusad r�ll(t) on pro�rty7 ❑ Yes No
Abandoned: ❑ Permanent � Temporary ❑ led
17. YATES YELL CONTRACTO� CERTIFIGTIOEI
TM s well wa aaled u�Ma� my jurtadictlan and thls raport
� is trua to the best of my knarledge end baltef.
iFFICIAL ABAN00lIEO MELL RELORD (17�q b� usad fo� Prop�rLy
I�TABTr PILS R�lTB DSSD
Addresa
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NOIld�I�I213A ��d1S GNtl A3�1WIH�
SUBJECT PE � �
c�ty of Fridley 17 6 4�
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
� � .
� �
� ; y ___�� COMMUNITY DEVELOPMENT DIV. ��Q
r � � PROTECTIVE INSPECTION SEC. �
1 � i
� r�"1 � CITY HALL FHIDLE� 55432 NUMBER REV OATE PAGE OF APPROVED BY
�"'"� � �'' 612-571-3450 9t0-F15 3/19/93 / /
JOB ADDRESS 7155 East Ri.vex Road NE
t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED
DESCR. �. & 2 2 Hillcrest SHEET
2 PROPERTYOWNER MAILADORESS ZIP PHONE
Harriett Holseth 7155 East River Road NE 574-1630
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Twin City Storm Sash Tnc 10825 Greenbrier Rd, Mtka 55345 546-8160
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS Z�P PMONE LICENSE NO.
8 USE OF BUILDING
Res identi al
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install � s.ashes
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHOR�2ED 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. OWLG. 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 OH NOT. THE GRANTING Of A PERMIT $S84 S. SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S�-7 � OQ FlY'G� �.S'C yfi e S8
PLAN CHECK FEE TOTAL FEE
License SC $5.Q.0 $23.08
SIGNATUREOFCONTRACTORORAUTNORIZEDAGENT IDATE� HE PR ERL VA ATED THIS IS YOUR PERMIT
�
_ .r a -� ��/!',�
�
SiGNATUREOFOWNERi�FOWNERBUILDERi IDATE� BLDG iNS� DATE
� $3 70
�W 1 ]
ADDN � J
�'►�-'r�R l l
Constivction Address:
Legal Description:
CITY OF FRIDLEY
SINGLE FAIYIILY AND DUPLEXBS R-1 AND R-2
Building Permit Applic�tion
Effective 1/1/91 � 7a�
Owner Name 8t. Addre.ss: �_ Tel. ���f �'/(0�0
���: TWI(d CITY TORM SASW, I C.
1�08?S �R��NBRIER RCO� TeL i�
A��: �, MINNE'fONKA. MN 5534�'
...., �n, e..
Attach to tbis �pplication, i C.ertificate of Stirvey of die
lot, ��vitb tbe pzoposed oonstruction drawn on it to scale.
I.IVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
� i�ESCRIP'170N �OF �A1:PRO�NT
Laagtfi Widih Height
Ltagth Width Height
I�en� Widfh HgtlGround
Sq. Ft.
Sq. Ft.
Sq. Ft
Corner Lot []� Inside Lot ] F� Yd Setback Side Yard Setbacks
?�►pe of Constrvction: Esti.imated Cost: S���
Approa. Completion Date: .
eae� ..�>
Driveway Ctin�b Cht Width Nceded: Ft. + 6 Ft = Ft x s � S
,
DATE: �- � ��� �P�.ICAlv'T: � �C���� Tel. ���'�.�
�•�r�r � .i
��t �� S �! Fee Schedule on Reverse Side
Fire SurcLarge S . � .001 of Permit V�on (1/lOth96)
State Surc,�arge S o� 5.50/51,000 Veluation
��be S s650 per SAC Unit
Driveway F.scmw S Alt. •A' or Ah. 'B" Above �
Parlc Fce S Fce D�mined by Eagineering
Sew ���e S Agroement Necessa�y [] Not Ne�y []
_ D�
TOTAL s
�� .
STIPtTLATIONS: w _
��o �� ,
sue�ecr M •
c�ty of Fridley � 21 � 91
AT THE TOP OF THE TWINS g U I L D I N G P E� M I T
� � IP
� � COMMUNITY DEVELOPMENT DIV. �
� •
� j V «'��'� .
r � � PROTECTIVE INSPECTION SEC.
� i �
� /'�'1 � CITY HALL FRIDLEV 55432 NUMBEA pEV. DATE PAGE OF APPROVED BY
�""� � ,'� 612-571-3450 910-F15 6/3/�3 / /
JOB AODRESS �155 East Ri.ver Road NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ]_ � 2 2 Iiillcrest SHEET
2 PROPEFTYOWNER MAILADDRESS ZIP PNONE
A. Holseth 7155 East Riuex Road NE 574-1630
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Bryant Constructi,on 1Q125 Hage Dr, Rogers, N!N 55374 498-7415 3411
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
Residential
7 CLASS OF WOF;K
❑ NEW 0 ADOITION D ALTERATION �7 REPAIR p MOVE ❑ REMOVE
B DESCRIBE WOHK
Rexoo� House (16 Squaxesl Tear-pf,�
9 CHANOEpFUSEfROM TO
STIPULATIONS
Unde�layment must com�ly rnrith ths State �uilding Code .
A
�� ��� � �.��
��� ,
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PIUMBING, HEATIN(i, �PE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. 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 TMIS APPLICATION �- 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 $g64 �, SO
WITH WHETHER SPECIFIED HEHEIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 23.OQ Fi�re SC yfi.BE
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $
PIAN CHECKFEE TOTALFEE
���,���_S� � ;,� %� License SC $5,00 $29.36
� SIGNATURE OF CONTRACTOR Ofi AUTHORI2ED AGENT IDATEI
WHEN P lY VA ED THIS IS YOUR PERMIT
SiGNATUFEOFOWNERqFOWNERBUILDERI �DATE� G - Oa7E
1VEVV
ADDN
AI.1'FR
Il
t7
[l
CITY OF FRIDLEY
SIN(�LE FAMYLY AND �DUPLEXES R-I AND R-2
Building Peimit Application
Effe�tive 5J26/93
Conshvcfiion Address: %r �� /�� ��f�f7` /Z� ��/Z �.� `
I,egal De.ccription: ��.� /�� /� '" J�-�'
Owner Name � Address: �ifL,�.�/D�" ��S�i"r� - �S/�i�'�= Tel. #.�75�/G.��O
Co�cactor: S�y� ��,� MN LICENSE �
Addres.s: 10.1 z.� �.� � /J�z Te�. # �'� >�//�"
Atzach to this application, a Certificate of Survey of the
� l�, with the propased caa�on draw� on it to scale.
DESCRIPTION OF IlUIPROVEMENT
LIVIPIG AREA: L�tgth Width Height
GARAGE AREA: Length Wi�h Height
DECK AREA: i..ength � W�clth HgtlCr�nd
OTHER: �2� - �oa� �/� �i. f'.� ,�� ,s'r l' �- %
Corner I.ot [ I Inside Lot {] Ft_ Yd setb�
'I'ype of cons�truction:
Apprax. Completion l�aate:
Driveway Curb Cut Width Need�: F�. + 6 Ft =
Sq. Ft
�. Fi.
�- ��.
�if.L�a % �
Side Y�d Setbacks.
Estimated eosc: $ c�� � d�
(Cost on Back)
Ft x $ _ $
DATE: — -�'�' APPLICANf: �i� �,�� Tel. # � -.���g
Pe�mit F�
Fire Surcharge
State Surcharge
SAC Charge
License Svrcharge
Driveway Escrow
Erosion Caatrol
Park Fee
Sewa Main Charge
TUTAL
S �.�. �O
$ • 8(0
$ � ��
�
$ �.�d
�
$
$
�
� � 9, 3 �
�Y_M. ' ! ..I _
Fee �e on Reve�se Side
.001 of Penmt Valuation (1/lOth�)
�.50/$1,000 Valuation
$750 p�r SAC Unit
$5.00 (State I.ice,nsed Resideatial Contractors)
Alt "A" or Alt. "B ° Above
Conservabion Plan Revie�v $45U.�
Fee �►e�.mi�i by Engiaeering
Agreeme� Alecessar3► I l Not Na;�sary I]
STIYULATIONS: �
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 bnilding or strucdrre, or for atty alteration or repair to any existing
building or suucture, upon application therefore, require the pay�nent by the applicant for such permit
of fees to the amount herein below s� forth and in the manner herein provided to-wit
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$2.5;001 to $50,000 - .
$50,001 to $100,00Q
�
$1�,001 to $500,(lU0
$500,001 to $1,000,� .
$I�,000,001 and up
I�o.
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $500 pins $2 for each additional $100 or
fraction thereof, to and including $2,000
$45 for first $2,000 plus $9 for each additional $1;OOU
or fraction thereof, to and including $25,000
$252 �for fust� $25,000 pl�s $6.50 far each additional $1,000
or fraction thereof, to and including $SO,U00 -
$414.50 for first $50,0(m plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,000
$639.50 for 5rst $100,00Q plus $3.SO for each additional
$1,000 or fiaction thereof, to and inclnding $500,000
$2039.50 for the fust $500,000 plus $3 for each addit[onal
$1,U00 or fraction thereof, to and including $1,(�0,000
$3539.SU for the first $1,O�,OQO plus $2 for each additional
$1,000 or fraction �thereof �
DRIVEWAY DEPRESSION ESCROW
(Concrete G�ufi Streets Only)
Alteraate "A" : Removal and replacement of curb and gut� only - Driveway width plus 6 feet times
$13.50.
Alternate °B" : Removal and replacement of curb and gutter aad install a 3 foot wide .
approa.ch with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for conslructioa will be issued a minimum of 24 hours from the time of application to allow
for proper review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showiag the l�on of the foundation once it has it has been
constructed will be r�uired before proceeding with the framing.
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CHIlIZNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chunney or stack:
1. Has been carefully examined Yes () No ()
2. Is free from rust or deterioration Yes () No ()
3. Has no foreign objects lodged within Yes () No ()
4. Is securely supported Yes () No {)
5. Meets all cunent Code requirements for size �
and total BTU's connected Yes () No ()
6 Has total heating BTU's of
All other BTU's
TOT�YL BTU's
7. Has a liner been provided for �vater heater Yes () No ()
8. Has combustion air been provided for water heater Yes (-) No () •
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
April 22, 1996
Building Inspector
City of Fridley
6431 University Ave NE
Fridley MN 55432
Re: Extension of Plumbing Permit #11332 for 7155 East River Rd NE
Dear Sir:
I am requesting a extension of the above noted plumbing permit
until October 1, 1996 as I have been unable to finish the work
before April 21, 1996.
If I have not completed the work by October l, 1996, I will then
obtain a new permit to complete the work.
Th you,
�
PETER PANCHYSITYN
7155 East River oad NE
Fridl�-- "" �""�"
/%�)�c
�1�
- ��- ��
SuBJECT . f, ��
City of Fridley 2 6� 8 0
AT THE TOP OF THE TWINS g � I L D I�1 G P E R M I T
�
; � RECEIPT NO.
� `y _ COMMUNITY DEVELOPMENT DIV. ����
r � � � PROTECTIVE INSPECTION SEC.
1 . �
L--_- � ��"�,.� CITY HALL FRIDLE� 85432 NUMBER REV DATE PAGE OF APPROVED BY
i �� 612-571-34b0 910-F15
7-13-98 � �
J08 ADDRESS
7155 E. ' e
1 LEGAL LOT NO. BLOCK TRACT OI; AODITION SEE ATTACHED
DESCR. � & Z 2 SNEET
2 PROPERTY OWNER MAIL AODRES$ ZIP PHONE
Pete Panchyshyn 571-6178
3 CONTRACTOR ' MAIL ADDRESS 21P PHONE LICENSE NO
Four Season Roofing & Remodeling, 7930 University Ave N., Fridley, 55432, 795�410
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO.
20138780
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION � ALTERATION Cxl REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WOfiK
Remove & Replace roof (10 Sq)
9 CHAN(3E OF USE FROM TO
STIPU�ATIONS
Underlayment must comply with State Building Code.
TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTIi1CAL. PLUMBINCi, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTpUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING
1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAM TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES VERNING THIS TYPE OF WORK WILL BE COMPLIED $834
WITH WHETHER CIFIEO H . THE GFiANTING OF A PERMIT $. SO
DOES NOT PRE E TO G E AUTHORITV TO VIOIATE OR CANCEL HE pERM1T FEE SAC CHARGE
PROVISIONS O ANY OTHER STATE OR OCAL LAW REGUL ING N-
STRUCT N O THE PERFO MA E CONSTRUCTION $3L .00 Fire SC $. S3
PLAN CHECK fEE TOTAL FEE
p��' License SC $5. $38.33
5� ATUREO ON'fiA OROR UTNOA�2EDAGENT IDAT 1 E PRO VALI D THIS IS YOUR PERMIT
• ��� �
r
SiGNnTURE OF OWNEAUF OWNER BURDERI IOATEI G`�NSP paTE
NEW [ ] . Effective 1/1/98
ADDN [ ] -,.. ; ,,, � ._ CITY .OF FR►IDLEY
ALTER [] � SINGLE� FAMII.Y •AND DUPLEXES R-1 AND R-2 o
� - : BUII,DING �'ERMIT APPLICATION . . � �j a � . .
, . .a �g� ..:
ConstructionAddress: ��� �.� �' . � ` �� � ' � , ` .
,
Legal Description: .
Owner Name & Address: ��-I� ;��.nCGI �/� L� v � Tel: �: �� / - � /_''7 �
Contractor: ��a � � � ��..s �� �oca-�� r, � d. t`�.e. mo c1 �. I ►�.�, L � C MN LICEN5E # � � � � R `���
Address• . �-� � � L.� l�t � �o� r � ��� _ l�,�' Tel. # ��� ����
LIVING AREA:
GARAGE AREA:
DECK AREA:
01'HER:
Attach to this application, a Certificate of Survey of the •
lot, with the proposed construcdon drawn on it to scale.
_ DESCRIPTION OF IlVIPROVEMENT
Length � Width Height Sq. Ft.
Length � Width Height Sq. Ft.
Length Width '� Hgt/Ground Sq. Ft.
Construction Type:� � � � Estimated Cost: $ �� �` "� �
�--- - � (Fee Schedule, on Back).� .
Driveway Curb Cut Width Needed; Ft. + 6 Ft = Ft x$,
_$ �
DATE:. — ��-�� APPLICANT: Tel. � '��J �y��
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
�� ,��7� c�c�
� • c� �
$ •�
$
Fee Schedule on Reverse Side
`.001 of Pernut Valuation (1/lOth%)
$.50/$1,000 Valuadon
$1�0 per SAC Unit �
$ .� C3 � $5.00 (State Licensed Residenti�l Contractors)
$ -A1t. "A" or Alt. "B" Above
$ : $450.00 Conservadon Plan Review
$ Fee Determined by Engineering �
$ . 4 � : Agreement Necessary [ ] Not Necessary ; [ l � ` _ - : , .
$ ��° .:�3
,
, . _ _
,,. �.a..' . .
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 alteradon 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 $2,400
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fracdon thereof, to and including $2,000.
$2,001 to $25,OU0 $62.25 for first $2,000 plus $12.50 for each addidonal $1,000
or fraction thereof, to and including $25,�0
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$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
$1,0� or fracdon thereof, to and including $S�,OQO
$2887.25 for the first $5�,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000 .
$1,000,001 and up $5012:25 for the first $1,0�,0� plus $2.75 for each additional
$1,000 or fraction thereof
DgIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets On1y)
Alternate "A" : Removal and replacement of curb and gutter o ay�� a 3 footlw de l� 6 feet times $13.50.
Alternate B: Removal and replacement of curb and gutter an
„ n approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION ..
Permits for consauction 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.
p Certificate of Survey of the lot, showing the lacation of the foundadon once it has it has been constructed
will be required before proce�ding with the framing.
f- �_ .,
RPF
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TOTAL P.G�2
Building
Inspections
763-572-3604
DATE
SITE ADDRESS
THIS APPLICANT IS:
PROiPERTY OWNER!
TENANT
CONTRACTOR
SUBMTf A COPY O
YOUR STATE LI E
WITH APPLIC ON
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
BUILDI�TG
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
OWNER �CONTRACTOR
� � � � �i��/=�_lC�CI
, � �
.
STATE LICENSE
EXP DATE
Pernut No.:
Received By:
Date Rec'd:
�
ADDRESS: CITY STATE ZIP.
PHONE FAX
❑ SINGLE FAMII,Y/NEVJ CONSTRUCTION SIZE
❑ TWO FAMII.Y/NEW CONSTRUCTION STORIES
0 BASEMENT FINISH ❑ R�F ❑ DRAIN TILE
❑ DECK O SIDING ❑ OTf�R
❑ SWIlvIIv1IIJG POOL
DESCRIBE WORK BEING
SIZE OF
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
wnvnows
IN EXLSTING OPENINGS �Yes ❑No
OR FOR NEW OPENINGS- ESCRIBE SIZE OF
OPENING CHANGES & '
TYPE OF WWDOW TO BE INSTALLED�
ALL FEES ARE BASED
TbTAL JOB VALUA'
Permit Fee
Plan Review
Surcharge
Fire Surchazge
License Surchazge
SAC Chazge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Chatge
Total Due
AIR
❑��/' `
LENGTH QVIDTH HEIGHT
❑ HOUSE ONLY
� HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Faccia
LOCATION OF WINDOWS
i'� �' NUMBER OF WII�TDOWS / 6
Ft.
�ASEMENT REMODELWG SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION 1NCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
1. Site Plan/Siuvey showing the existing str�ctures
and proposed project
2. Two sets of construction plans
3. Energy Calculations
VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDUI.E)
)N$ � OCCUPANCY TYPE
��-,f CU ��/��/.�See Back Page for Fee Schedule
$ 65% of Building Permit Fee
$ �(.0005) times the total job valuaxion — Minimum $.50
$ . �� .001 x Permit Valuation (1/10%)
$ $5.00 (State Licensed Residential Contractors)
$ $1450 per SAC Unit (Plans to MWCC for determination)
$ ft+6ft= ftx$20=$
$ $450 Conservaxion Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary ( )
$ . __ Make checks navable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construcrion Codes; that I understand this is not a
permit but only an applicaxion for a permit and work is not to start without a permit; that the work will be ia accordance with the approved
plan in the case of all work requ' es "' ie and approv�l of plans. � /� � j� �
SIGNATURE OF APPLIC ��/'iG C i`L G PRIlVT NAME � �`0\ C' �" L�� ��E s ���
Page 2- Building Residential Application
BUII..DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any buildi.ng 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 herei.n
grovided to-wit:
TOTAL VALUE FEES
$1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge)
$501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional$100 or fraction, to and
includin $2,000
$2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional $1,000 or fraction, to and
includin $$25,000
$25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction,
to and includin $50,000
$50,001 to $100,040 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and
includin $100,000
$100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to
and includin $500,000
$500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or
fraction to and including $1,000,000
$1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional$1,000 or
fra.ction
VERIFICATION OF FOUNDATION
Pemuts for construction will be issued a minimum of 24 hours from the time of application to
allow for proper review of proposed structure and of the construction site.
A Certifica.te of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977