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AF - 40472� ^ z � N r b o � o y O �..� vz � 7c� c� �v �' w H �� h7 ccoi E n ra�r � E�� a"- c�i� � w`�' y � � n o n x w��° z � N ,�„ w�� H o� o° m a rxr �� o° ��t N Crxt z � a c�r o rar N• n�e� �C� 'rf o � H ��,, �' N 'r7 h � � � � � p � � H t� o r. � �o ct � � r u� � °o � o� c�n w a o o "' � �i � 0 ° N ►�t C � � � � � D n (za H F' �o °o � t4 tz] --i o [ � o° o �4 � �-. o `Q m c� n r � C � H V� � y � m � m c-N-� m = t� w'/-� O � K I I I I I I I I I ( I I rn m x x x � x�c k x x o� x x � � i/1 iA �1-' iA {A i/l i/l iA I-' t/l iQ � iA N � N tl� O F-' W lJ� U7 J O ll� lt� N N W O p O O O O O O O O O O O p � 0 0 0 0 0 0 0 0 0 0 0 o O o tn trf tr� m � o . Z � � � yi 0 � � r � z � M � H H N � V � 0 in in in tn tn in +n tn in in in m � O c r � °c � � � H � � M z z N ro � i � \ � � � � O � H N ro � w N �' � Stories ;� � � a a rt ii �i a er z � Closets E � Urinals M I-�• N � o Bath Tubs m tu Hasins 0 0 p~. � Sinks o � � � Wash Trays � N, Drinking `4 w Fountains Showers � � Floor Drai 0 � Catch fD Basins � � Automatic p' Washer � Gas Appl. Misc. Fixt y Gas Range rt � �° K Other N N � � �n � L'�i . � O !A H `ri' N C7 H � � d � �� d � G � o � � C G y G �' o � � � m � � � i � � � o � o � �t . �. � a - V � � � � � ^1 0 �am y �rtro °v M h{ 1-��• N �� K � n N w G c�»r°+�� a �� a' m i H rt ufDi �� N�q N �P W O N � M N W O( D Mm rt m � `� G � m`° � a i �° ro ° m w , aMO� �' fi w rt ~ X E N � W rn X 'w0 b a m � w r K p'�� n W O+ N W � � K F" � 'J N q 'J y� � rt M a � o n nrmtamr� w� m a. o r* � faD W M � a n rt o m w � � rt N � � � � w o � � rt� x ��an i � � �- rt � .ti a '9 -o r n D � � Z 1l O � � E " 3 —I 00 -< � o T D z ty T � � � a d N r m T -G � �--1 z G7 "� m `�3 � sue�ecT P IT N O. City of Fridley � 15 7 4 0 , ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ECEIPT NO � � • COMMUNITY DEVELOPMENT DIV. � `..- �q�6L r j � PROTECTIVE INSPECTION SEC. 1 � 1 ' ��ti � CITY HALL FRIDLE� SS432 NUMBER REV. DATE PAGE OF APPROVED BV �"""'� � ,�� 612-571-3450 910-F15 5/23/80 � � JOB ADDRESS 180 East River Road 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 33 AUCI. Sllb. ��7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Smallwood, 7180 East River Road 55432 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Lloyds Home Improvement, 1012 - 42� Ave. N.E. 788-5602 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION �II REPAIR � MOVE ❑ REMOVE 8 DESCFIBE WORK Tea r of f� re raof 9 CHANGE QF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. R@i00f 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 R, � 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � �, 350.00 .6H DOES NOT PRESUME TO GIVE AUTHOFiITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 9•OO PLAN CHECK FEE TOTAL FEE '`w °�.3— $9.Ei8 SIGNATUREOFCONTRAC RORAUTHORIZEDAG � IDATEI WHE PROPER Y I TE T IS YOUR PERMIT � � � �3��5� SIGNATURE OF OWNEF iIF OWNER BUIIDERi IDATEI BLDG INSP �ATE CITY OF FRIDLEY • ARPLICA7IQN FOR RESIDENTIAL QUILDIPJG PERMITS p (New, A1 ter�tions, Additions, or Repa�irs j �) a� `� , /� / / � � �_� �..i �� . : �.� � i ; 1 1 ' t , ' � . _.i�..1 � y '/ TEL �VO: : 1 ' � / . �s.ir�� -� L �� //� � ,/1/ y�_ % , � ' � � > ,O! � /� � ,� � . Construction Location . ST�T NO: � STREET: � v �f'S� I,p�: 33 BLOCK: ADDITION: � �� . Corner Lot: � Inside Lot: Setback: Si.deyards: Applicant attach to this form two Certificates of Survey ot lot and proposed building location drawn on certificates to scale. DESCRIPTIO�d OF CONSTRUCTION � Front: Depth: Height: Squa�e. Feet: Cubic Feet: Front: Depth: Height: Square• Feet: Cubic Feet: Type of Construction: � . � 7.b Be Cbmpleted: / � Proposed Driveway Width If New Opening Is Desired: Esti_mated Cost: $ f � �Y� �. �1 � 7 Alt. A Alt. B $� S SEE REVERSE SIDE OF SHEET . The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City �f Fridley Ordinances and rulings of the Department of Buildings, and hereby deelares that all the facts and representations stated in this application are true an d correct. � DATE: SIC�IATURE : Stipulations: �",�� - �'�l� e y-u" � � , c �.3��p� � ( � �'e �� i. _ G S BUILDING PERI�IJT fEt SCHCDULE� SrCT201� 2. The 7nspector ot l3uilcling� .:halJ., befor.c i�,suing penni�s for the erecL•ion oi any bui].ding or :.;truct:urc, or �or any add�.L•ion to any cxi�ting building oz structure, or for any alterat-ion or repaa.rs i:o •any exititlllCJ }�U).1C�].I1CJ or structure, upan applicatian L-hexeiore, require i•he �aymenL• by tilie npp].icanL• L-or. sucli permiL- of fees to. the amount herein be.low set forth and.in the manner herein provided to-wit: �, N�Y7 CONSTRUCTIAN: Single Fami].y iIomes and Gazages: $4.00/1,000 cubic fe�et. PLJ�N C1i1:CY.: ?.5 �,�ercent of bu5.lding permiL- tee. • . D12iV��7AX D�PRTs'SS�OI1: (Concrete, Curb StreeL-s Only) � • AlternaL-e A: It�moval and replacqment of concre�e curb and gutter only; Driveway width plus 6�eet x Y�1�.75 Alternate B: Removal and replacement of concrete curb and gutter and instal]. a 3 foot �vide approach with �� 6 inch depth; Driveway width plus 6 feet x$17.85 � ;Il � ► �• �► For the purpose of computing fees for building permits, the cubical contents ot any building or addition, is determined by mu1L-iplying i:he ground area cavered from a po�nt sir. (6) inches below the floor line of the basement or th� cellar to the average heights of i.he upper surface or to the average height of fhe roof suriace of the main gable of a pitched roof . For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 Per each five hundred dollars-($500.00) or fraction thereof in the cost oi a].l gzaposed work. . . In •no case shal.l the fee charged for any permit as set forth 3.n 5ection 2 be less � �han $7.50 plus $.50 state surcharge. ' VERTFICATIO� OF FOUNDATION N4TE: Permits �or construcL-ion will be issued a minimLUn of 24 houzs from the time of application to allow for proper review of the propased structure and of the construction site. 11 Certificate of Suxvey of �he 1ot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. C : � • ':\ �� ' Application for a Certificate of Oceupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building pexmit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been i.ssued. • ,, . - .r , SUBJEC7 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 DEYELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � ` �"'1 � CITY HALL FFiIDLEV 55432 NUMBER AEV. �'""'�'� �'� 612-571-3450 910-F15 JOB ADDRESS 7180 East River Road N,E, t LEGAI LOT NO. BLOCK TRACT OR ADDITION oesca. Pt. 33 Aud. SuY�. #77 2 PROPERTY OWNER MAIL ADDRESS Richard 5mallwood 7180 East River Road N.E. 3 CONTRACTOR MAIL ADDRESS S antie 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL OATE 8/6/90 ZIP 21P PAGE OP � � _ .--•�_' " '� PE 20506 RECEIPT NO � (O APPROYED BY SEEATTACHED SHEET PHONE 571-1475 PHONE LICENSE NO. PHONE LICENSE NO. PMONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION � ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Constxuct a 10 t x 18 �'I'liree �eason Porch,�t�T �dows � Remo�e existing 8 tx8 ` Porch � SEPARATE P�RNit�°� R�c3o ss�E��n� 9 CHANGEOFUSEFROM WIRiNG;°HEATI(VG, PLl:MB1NG AND SOGNS. STIPULATIONS See notati.ons on plan. Ihsta,ll smoke detectors on both. levels of existing liome. On at! r�ew roofs or tear-offs and replacement roo#s, Staic Gode requires that 2 ialers af I5 Ib. feit, mop�d tQgether, be installed to a point 24 inches up from exteriar wall line, or the use of other appro�eA undec�ayment membrane. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINO, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON3TRUCTION ZONINt3 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 I MEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION �- AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL P�VISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $393.1 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PHESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $�3 �OO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. OSF�(ONiRACTO.ORAU �� AGEN� �' A AT�EI , � � / ��i�� Before diggi�g calt for all utility lacations 454•0002 REQUIRED �Y LAW OCCUPANCY OCCUPANCYLOAD CU. FT. OFFSTREET PARKINC STALLS GARAGES SURTAX $1.98 SAC CHARGE TOTAL EE 4.98 iR I A D IS IS YOUR P l .I Q=1ra � I � ( ] Effective 1/1/90 ��1 [ ] R-1 AND R-2 �'� [ J Bui.ldirrg P�rmit Applicatia�► Cbnstn�ctiaai Addres.s: _�� ,�� r/�/'� /� �' Legal Description: _ _.� . �� . S1>� , ,�7J1 �,S?Oi5/ '� '� owrx�i r�ame ac �aaY�s.S: �i�h�/�%��%% �s/v%�,�+,�r�t%o�� %1gi�2� Z+e�. # ��/��L��',1 �• r � . �f i,�� I � " •... � f ,/ ` _ < </� � Attach to this application, a Oertificate of S�vey of the lot, with the prq�ed ocnstniction drawn on it to scale. .;x «• .� .� � �• •.. � � �� LNII� ARF:�►: IP�gth Width Height Sq. Ft. Q�ti�,iGE AREA: Lengtii Width Height Sq. Ft. �7CR �: � L�sigth Width Hgt/Gronuxi Sq. Ft. o�: @��,s �'��- 3 .�'��, i ,�=��, /��'�' � .. �� y �$�jC a �. � �i /�Q � Oorner Iat [] Inside Lot [] Ft. Yd.Setback Side Yard Setbaaks - Type of Construction: ��.�c-� 7��.� Estimated Oost: $ �� T��i%� ,Appznx. O�letion Date: „ � �c� S� �� 3 �, �,. Prapo�ed Drive�ray Width If New Opening Is Desired: DATE: �J � - P'J �7 Piermit Fee $_ ��„ QR� State S�dzaYge $ 9 �� SAC Qzarge $ Driveway Esc.�vw $ Fark Fee $ Sew�er Main Criarge $ :� sri�vr�,zza�s: $ �� CTl'Y DSE �II,Y F't. $ $ Width + 6' See BacJc �age . #��j/ rl�l�,� Fee S�ule on Reverse Side $.50/$1,000 Valuation $600 per' SAC Unit Alt. "A" or Alt. "B" At�ave Fee DeteYmit�eci bY �9��J Ag�nerit Ne�ess,aYy [] Not Neoe.ssaYy [ J �S � �O ��— �.le�iJ �� 6 �� :�� . . • :�•. � � �- ;��:��.•� - Zt�e Chief Buildirq Official shall, before issuing permits for the erec.�tioa� of a� �;�ding or structure, or for ar�y additic� to any existirg buildir�g or struc4ue, or for any alteration or repair to ariy existing build.ing or structure, upon application �fore, require the payment by the applic�nt for suci� ��; t of fees to the amount iiex�ein below set forth and in the manner herein provided t�o�-wit: Z�OTAL VALITE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001, to $50,000 $50,001 to $100,000 $100,001 tA $500,000 i � s. $15 (Mini.narm Fee is $15 plus suz�c�arg�e) $15 for first $500 plus $2 for each adciitional $100 or fraction thereof, to ar�d ir►cludirig $2, 000 $45 for fizst $2,000 plus $9 for each additional. $1,000 or fraction thereof, to and iricluding $25,000 $252 for first $25,000 plus $6.50 for each additia�nal $1,000 or fraction thereof, to and including $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1, 000 or fraction the.reof, to arid inclwding $100, 000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and iuicluding $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additio�nal $1,000 or fraction thereof, to and includirig $1,000,000 $1,000,001 and up $3539.50 for the fizst $1,000,000 plus $2 for each additiona.l $1, 000 or flaction thez�eof D�Y �Pl�SI�T ESG'�W (Concrete �rb Streets On1Y) Alternate ��A�� ; R,e�aval and replaoc�ment of curb and gutter amly - Driveway width plus 6 feet time� $13.50. Alternate "B" : Remaval and replaceznent of curb ar�d gutter and install a 3 foot wide aPP�� 6 inch depth - D�iveway width plus 6 feet times $15.75. � �+• .- v� .; .l- -. u n= � !>>l Piermits for oo�vctio� will be is�sued a t�*+i,mm, of 24 ho�uts fr�n the time of applicatiaai to allvw for prc�per review of the pY,ogxsed �ne ar�d of the �iaai site. • A Certificate of S�zvey of the lot, showing the location of the fau�dation aaxe it has it has bee.n construc�ted will be required before prooeeding with the fr�g. _ '�-`�- �!-� ::: > f �' j' V �. t� i ':' c �'a' ' ::.f � �K� - .�...�.'__ I . .�..�.�.�.�.�,_� .-.__..��.. . -� �."��.r ii,i� � P � V� . S � �aiR r I;` � � ,�� h3 � � 1 v't�p i �� '�.�it�.�t _ . - � �' t� :zaa `:'�� N.�?" Y .,;. t"��!','' �_ 1. ��y \ � ' �µ x � S. . 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'0 � m � ►�t O �C m r �� c� + o �>�h sn e+n v �o:: 6 ? w 6 8 n� i� M 6 S � ^ r � � ( � • � W a � � C !� F�- h� O� O � N (0 1 'L3 W fD �� O 17 ap 0 � < �, a 1� � w < � ►t 0 �.. K � e � � � K � a� r � Z � � a W N O Q � M 0 � � � Z m � a ��o z �� N o Za � C z m a � =� < " � � 1�n !"f 3 O rn r C � m m .�r .�..� n m � H ..�. 0 Z � m T .� � m � > 1 � 2 a Z 0 � � 0 T T � C7 m -�C [r: rn M fD n r► < A v a � � � d 7 c a M � r r � �o N CHIMWEY ANJ STACK VERIFICATION The undersi'gned heretiy �ve'rifies`�Tia't� the existing chimney or stack; 1. Has been carefully examined Yes (, ) 2. Is free from rust or deterroration. Yes () 3. Has no foreign objects lodged within Yes () 4. Is securely supported Yes () 5. Meets all current Code requirements for size and total BTU connected Yes ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s No ( ) No() No ( ) No() No ( ) Canpany Signed By Da te HOUSE HEATING TEST RECORD � � �- . � -� ADDRESS '�-j' '' � k�%`s`` ''' `'` APT. FLOOR CITY SUBURB � '" ' - - OCCUPANT OWNER HEAT LOSS T_DATE HTG. INST. ` °`� METER SERIAL NUMBER SOLD BY ° a ��r _-�� _ �° t_� = i� .��. �r�?.� ,�- '.sr s��:��- � : �a ° � INSTALLED BY Elsehical Work BY � ` Gaa Line By 's �~ �f TYPE OF HEAT GA FA � HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN � CONVERSION MAK E �� ' ° -� MAKE OF BURNER Model t''��' .--� � .._,,�,r Model Serial - ' ' '- .'�.- ° Max. BTU Rating INPUT ' � -�' �'�"�� MAKE OF FURNACE Model — _ =� ,,,,.5�'ONTROLS rr THERMOSTAT � ` ,Heat Plug Vent Size �` Valve '�� "��'� KIND OF LINER "� �"�''�''��%^ SIZE �� NONE � Limit Drah Hood �" '+-�!'c Regularor Limit Sefting �' � Filters Size _ � �,_:�� '�� ` � Number �� Fan Settin9 �;' �' ' " t" Chfmney Loeation Inside�0utaide � Pilot Type ,' —� Chimnay Construdion �`°'''_",=:,' Pilot Make � �' ° Pilot Model � T �° � Smoke Bomb T Wiring Pilot Timing " °""° `�'" Draft '�� Test Tag °'"F� . _ _ -, ,, - L.W. Cut Off -_ -� Door Pressuro Lighting Inat. "' y ___ r � , � ,� Prossure ' �' Pereent CO2 ``" Date Tested " Input CFH ``� Pereent 02 5 ��j Company Testing -;l . �� Stack Temp. - Percent CO Name of Tester �a �`� Form 235 SUBJECT P -RMIT IVCT. c�ty of Fridley � � � .o� � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � i� � �`y __��_ COMMUNITY DEVELOPMENT DIV. ��% r � � PROTECTIVE INSPECTION SEC. 1 � � � �"'1 � CITY HALL FRIDLE� 55432 NUMBER AEV OATE aAGE OF APPROVED Br �.---�; �., 612-571-3450 910-Ft5 6/30/97 � / J08 ADDRESS 7180 East River Rd NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 33 ReV. Auditor's Sllb. ��77 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard/Dolores Smallwood 7180 East River Rd NE 571-1475 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Durabilt Assoc Inc 7343 Ann Court, Eden Prairie, MN 55346 938-9350 3004 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK �J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 32' Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notatias on plan. Provide a hard surface driveway. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOFiK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I MAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GAFAGES AND KNOW THE SAME TO 8E TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OFDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED 14,069 �7.03 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHM1T FEE SAC CHARGE PROVISIO S OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- �224.%S Fire SC �I�F.O% STRUCTI OR THE ERFORMANCE OF ONSTRUCTION. p PLAN CHECKFEE TOTALFEE � l License SC $5 00 $250.85 SIGNATUf7E FCON'R CTOa AUTMOA�ZEDAGENT 10 Ei WHEN PNOPER VALIDATED THIS IS V,�UR PERMIT /•v fFo SiGNATUHEOFOWNEA��FOWNERBUILDEA� IDATEI BL �NS� f�ATE NEW ADDN ALTER [� [l [l ConstructionAddress: ` Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �V� Effective 1/1/97 / - , Owner Name & Address: R��r� �,�o(oY,�t S r�� ,,,,00d Tel. # 5��-► �415 ' Contractor: �� .. h��f I�SSOG • MN LICENSE #� p � 4 Address: �� 4� �h� ,� V t" ��tih P��v�: R. S S 3 4 6 Tel. #� 3�-°� 3S a Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING A,REA: Length Width Height GARAGE AREA: Length �,4, .�Vidth 3 0�� Height 6 t �, DECK AREA: r r� �ng� Width Hgt/Ground OTHER: Q1,1►10 �+ L avt, 1,4�t�'i K� a av�4t Sg_ Ft. Sq. Ft. ( $ l � �� Sq. Ft. '-/��g � Construction Type: �pa 0� Estimated Cost: $ � � 6 0. � � _ / �Ge � % � (Fee Schedule on Back) Drivevvay C�xb Cut Width Nced�: Ft. + 6 Ft = Ft x$ -$ DA1'E: b a- A►PPLICANT: Lv� %qS 2 Tel. # -- �� t �356 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ . � $ s� $ �0,3 $ $ L� $ $ $ $ � � $ CITY USE ONLY Fee Schedule on Revers� Side ' .001 of Permit Valuation {1/lOth%) $.so/$1,00o valuation $950 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 Necessarq [ J [�UILD[NG PEKIVI[T FEE SCHEDL�t.l�: 'I'lic Chief Building Of�cial shall, before issuing permits for the.erection of any buiiding or structure, or t<�►- any addition to any existing buiiding or structure, or for any alteration or repair to any existing buildin� or structure, upon application therefore, require the payment by the applicanf for such permit of fees to the amount herein below set forth and in the manner herein provided to=wit: ' TOTAL VALLJE , ,. $1 to $500 $501 to $2,000 � � $2,001 to $25,000 $25,001 't.Q � �50,000 �EES _� . $21 (Minimum Fee is $21 plus surcharge) $21 for first $5{� plus $2.75 for each additional $lOD or fraction thereof, to and including $2,()00 $62.25 for fust $2,000 plus $12.50 for each additional $1,�0 or fraction thereof, to and including $25,� ; $349.75 for first• $25,OQ0 plus $9.00 �or,each additional $1,400 or'fraction thereof, to and including $50,�0 $50,001 to $100,000 $SZ4.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $1U0,000 $100,001 to $500,000 e$gg7.25 for first $100,000 plus $5.00 for each additional $1,DOU�or fraction thereof,.to and including $5�,000 $500,001 to $1,000,000 $1, 000, 001 and up �2887.�5 for the first $500,000 plus �4:25 for each additional $1,000 or fraction thereof, to and including $1,(�O,p00 $5012.25 for the fust $1,�0,000 plus $2_75 for each additional $1,000 or fraction thereof DRIYEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�0. ��ternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUl\TDATIOti :'�rmits for construction will be issued a minimum of 24•hours from the time of application to allow for pro�?er ;:view of the proposed structure and of the construction site. '� Cei-tificate c�f Survey of the lot, sha��ing the (ocation of dle foundation � mce it has it has been construc' _� '. ;`i h� rcquired hefore ��rc�cceding ��itt� tl�e fran�in<�_ � � r o.t�✓ i� v� y h �+� 0 5 c,a� t.._. ��0 <-! <_ ,C-d c-T- R� v r l�? R r� A t7 � ; � � -._ - � ,�, �� ,ti �e JUN-24-1997 0E�25 r 19151 �► � 4 ti qI 0 TMC TRUSS MFG. C0. 2a.o�0 stoRAGE COMN 74 11 612 497 4339 P.03iO3 I 1.P. ,1ACKlIT�{ tLK s Seo 201 B85 h11Tek InC -t.0.0 60 18.6.0 a 1do 66D 6a0 66d 8.60 1-0d 4x8 = 3 $.80 12 1.Sx4 n 2 � � .sxa u � 4 6 5 7 6x6 % 5x5 = 8Y8 = 6x6 � F � { ,�.p 240.0 �,p 92-0„p FrsG PIa:C OI:98I6 (X�� (1:o-�-tis.o-0-o�. �:a-o�.a+a}, fs:c.a.s,o-o�y �s;o�o�a.a�.a� LOADINOIP�I sPAClNO 2-0� TCLL 40A Piate:lnerease 1.15 TC� 10.0 tumeer Increa�a 1.�5 BCLL O.a Rep Suess Incr NO SCp� 10.0 Code UBG94 �UMBLR TOP CHORD 2 X 4 SPF 74SOF 7.3E BOT diORO 2 X 8 SPF � 6SOF 1.SE'6seePt• 1-B 2 X 6 SPF 210DF 1.8E WEBS a X d SPFS 5tud Cyi DEFL (in) (bc} U6e11 TG 0.89 veR(LL) 0.a7 7/6 61G 8C 0.86 VeR(1'L) 0.70 7/8 408 WB O.B9 Hoa{IL) 0.04 9 Ns Mtn ta+gth � LL aen ■ Zao REACTIONS Qbs/slze) 1=188710.�8, 5=1887ID�3�8 IMac Ho2 1�133(load c�ese 3) M� I„Fp�R 1=285Qot0 eaee d}, 5=285(load ease Q) iORCEB TOP diORD 1-2'- Z830, 23=-2825, 3�=2825. 4Sy2 '� BOTCHORD 6-e=2dd0.6-7�7A72, 1 7=2440 YY6g5 2-7=-584, 3.7=1483. 3�8�1463, d1�=58a PU1TES GRIP M20(ZOga) � 27r93 Weigl�t:184 (1DS) ARACING TOP CHORD SheattsM or 24•�a on ceMer punin spae'v�g. BOT QiORD 1 7:63�0, fr4:63-Q, 5-6:63�. yVBgS 1 Raw et midpt 73, 3-8 �� u� Iq 0 �ores 1� Tfris wss li8s been ahocke0 tor �mbalanced loading mndiUona aDOUt jart 3. 2y 711is tntss haa been dESl9►�ed for tl�e wlnd IoaGS 9��ted by BO.G m.p.k wlnds at 25A teet eba�e giound le�ei, us'v�g 5.0 p.s.(. lop cROrd dead load and 5.0 O.s.f Dolte�n d�ard �e0,10b.0 mil� tTOm �urricane oceanlir�, on a category i efttJosed buildtng. af dimensor� C5-0 try 24.0 witR e�sufe C(ASCE 7.83�. L�mbel U�creeae s 1.33, Plate br�ea �,3�. sot�, e�,a �e�tlealg are e�Do�ec. 3) Th;e 6u� has peen desi�xG far a 10.0 p.at bottom ehord fixe load nonransurrerd wdh anf� oU1er ih�e loads Der TeDle No. 76-8, UBG94. L4AD CASEiS} 1) Lun�Der lncrease=l.'15, Dlate Incfr.s��1.15 Urritortn L�ds (1� per ft) v�:�.x-tioo.o, z.�.-�oo.o. ��oo.o, a.�=9o0.0, s��zo.a, sa�o.o,,•7dzo,c �I Wncerttrated Leads (Ibs) VeRl=-100,U. S=-1�0.0 , ! nere�r esniry tnat m�a par.. spec+. tiralon or re�rt rs pr;.sea py mc er uaper nh �Vrec! suqrti3�n ane etiv f� e��Y aeq�erre0 Pra fp9liprlil EnQiNe�lr cnGO+ Q• ii�rr, ol tM i�9 Of �liftAes�.ti. r- '• r�• ��J�,�, �. .— SiEPHEN W. L�9�l:A DAtE ��;T 'L 2 ��5383 A W/1R11IDlIO - Ys�j/ draiQn pa+e,nrtpa and Ri� AQ!'68 011T TSrS ARD RZYLRSL �L BLF'OW. USB. �� i Def4� wG1Q IOt V� Onh' 1rR11 MR�k cann�eion. lAY MrQ� � EerQ OMy rp0� 00�� l�OrrR aed Y tp O� ti0M6ual Du�nQ GOTDay�1 10 � � tnlab0 aM IDOO�d wAkA1y. App/oo0:�y of 6sYpn Do�om�Nn ontl O��t NeaDaOlbn d een►Dorr^t � iw0� ol Dvminq da�»r - not tw� O�►�Ontt. NCaa19 NO1r11 t fOr IOhf01 qlD�ll Ol �1dMd�A1 �rlD i1NlAO�t� o�M. AdOR4n01 rnOorGM CiOCtiD lo Ywi� OGD�1►r Ou�MO CMOniclbn L Qw iw0on+�n� d nr �NCmr. �ddAlenm O�n�an�M boa��0 of tM etiaa� N�uehrN t tx. rapan�m�r et fn� Ouldinq G�siper�. Fe� p�n��W WIOv�e� �mar� �ueata,. �+aey eonnoe aorow, d�Mry. �faetbn and bacl�p, cerous Q�fJ6 OiaIDl� �tmdCrG. 0/ROY {radn0 �G«�d►. 0�0 MIi�7 M iTek� Nanearo waemn�e ane ��oew tioannwiae�en ava� nem trw viee� �mm��, aas o'dotb Ddw. �. wi as�t o. , ....,.. .... __...... .,_.�.....� ,,_.._...... _ ..� .... �-.:...-.�_�... . ..._.. _ . . _ . . — • . .., - . ...._..._ .- - .c,�'.v.L ,.- ... ... .. .. _.. , . � • • '. ,: ,; . . . _ . .. ....._ . . .: .. . . .. .. . . •�... :. .. .. : . � , : ~.. TOTAL P. 03 ;:; 3 „ , Name I��c.�o�radpo�ortS Sw,,�tj�Lv�or� P.O.# � Address �1�� 5�' R�V�✓ �.p�.� �d1�1'A�r�lt City r� �l� Zip Code s S 4� a �a�a�iBt o��ociaiea, 9�rc. Phone: H S 1� � 4�15 w� � ”` '� 7343 ANN COURT • EDEN PRAIRIE, MINNESOTA 55346 • 9389350 Scale �—�—� Date � v;�dd�, ip•.�d�l : ��w�ty ►�" �1��,. o.�. S 5�� Z % S�j,i(�� l ( t STATE �F MINNESOTA, DEPT OF COMMERCE, ' ?•Z °6 NM�t/ N'� . ` ` F\��1 RES(DEMTIAL-BUItDINGGONTqACTOR.IDND003O�t � z1�.r��f�� Q�u� �1V(u�V�. MINNEAPp(,ISAUfLDINGCONTRACTOfl,CLASSA;UQBW328 __ _ I"� MIryREqPOtIS CEMENT FINISF{, LICENSE l00079 � SA1Ni PAU� BUILDING CONTqACTOR. UC. N01499 SAINi PAUI. CONf;RETE d CEMENT FINISH, LIC. A'Z65� � .... • •.. • .. a�4 Sr�55�S _ rdf �a _ : . . ;._ :_ � __ : _ _ _ ,_. _._ _ �: ��o•�• _. _ a'.4 _ __ _ .. � �;�. Zw�.: ��t _ __ __ _ _ _ __ _ ; �-��:��. _ . _ _ __ . ___ ,. . . �,�� _. _ . _:_ ___ __ _ ; 1tbr5}��l S �. D�!��'g�i:�� ' t.� :��`►�1��5 . . _ '. ,. ...____ __ . ..: :�. _ , �,zt�4'k�,d�r _ ,DU�`��;��'_� jn._.�ii� r�i'rS 1��1C, _ _ _:. _; . .. _... . :. : __ _ _ .; . _ . _ 43 Coc��'t - , . ;. ; ?3 Ahn . 9 •o.u.D�r a '�, o. � a �' o. ,��r 1' ' �,a�r, ��::��., :{� 5:i344 Phon � y3£i-�� 350 �7�" t�l��+h-�- a axcz ��..d.��:A<< d�;rs � . o•tt. _ : _ __ _ __ ._ _ _ 10 l _ _ __ _ . Spr�,,du,�b ' F1�i �. � f �a, . __ _;. _�.I.�.�► ... . ... .. . �K� �.z .. ' �,,v�. _..__. _.... . :.... .. C��- �i�a�' �/I.�t��. S..k..r►,.l.t.. . ...__: .... , _ v�� _ _. . ,� S �d��,� I ZZ.�.1t.�� i .. Z?Xl�t-:l4i rs __ . . : �1�+1.14 .i. : . . a'�6�S.Q � �6� _ � ;_ _ _ _ zzt4 . $. . _ . _ ;_ _.. ... -.. _.._ . . . _ __ _ _ . _ � . . _ _. ! _. , .. � ' q f�1 8 ��1 ,� a a y,. ... ...�w �4 3a' ; _ __ _ . __ _ _ _ _; . _ I Io'1'�' ��4.va�.�io �i:�l�: �.��.Vh'�io a }.. � AO�. _ ..]_ '1 �l i �� ; k�. �.. r. ... f�Fti , S __ ._ R�;c.��r�I � DaLor�S Sr1�4�L�oat� �� : __ _ _ _ _ _ 3t4 F.-�i ; h��.rwl jr� i j �j"S��v�cr_ �i��6D �a�� ivi� �ow� _ a4�o-c. �4'�►�ul �,r�fp � _ r� �{ S� � a C�.rf-.�►�;hy �� S � �,�h� � 'r� y � �' _ _ __ �- �ii�' Ig-�5. _ �' w:�w��. 5 a _S+p�p ., _ _ : ow�� t- s�_� _._ ,_ ._ __ _ �AS �i�5 ' , _ ; .2- �-t4�a��t�.. _ ; __:. � _ � �r/�,. V�h� �: 5��,� _ . ___. _ _ __ _ _ _ _ �� _ : � � _ '� � � 1 �'�''� _ _ __ _ . : : _ _ __ a+4 ��d5 �6"o:c . _ _ __ _ . . -_ . _ : _ _, .. _ _ ;_. ; : _ ,� _ Y} o�__�- _�� _ _ _ ; _ _ :_ _ __ ; � � _ �� t,�wt� Sktith� � _ _ . . _ ___ _... �. `. L __... __. _ ,_. �11��1'\qh,�Z,L,(�- �� .V'� ��A7 � �cJ'�C�w/'�S '�-�G1��i . _ �" .... - ' � ��-��i�'�`�� _. ;. _. �a �i� � 4'' 40�o p��. F�o��, �, S Iqb �,�`l � __ : __ :.... , :y � y},<� $., 5.�.6. 6�b � o � 6�: w:w. �,_ ` „ ---�--�-- �-- - �— 4,� �: �Z A'�'C.or Rl, r ) g •,'� .:,%«-•.- ` _ � . ��.� _ t� ; �� . �,. _ � . 6� d��. F; Lc� g., a�} r, a� �► h��r; �,�+� r��; � �� a�� F ��es : S � �� 4� " �oo� � w�`�io''1 �._ .�V��"�� `'q�� sue�ecr PE O. City of Fridley 2 6�� 8�� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i • � � � ; y�_�� COMMUNITY DEVEIOPMENT DIV. O B� j f � ; PROTECTIVE INSPECTION SEC. �� '��1 � CITY HALL FRIDLE� SS432 NUMBER NEV DATE PA6E OF APPROVED BV �----� • •,, 612-571-3460 9�aF�s 7/29/98 / / JOB ADORESS �180 E. River Rd. 1 LEGAL �OT NO. BLOCK TRACT OFi AODITION SEE ATTACHED oesca. 33 (Parcel 5180) Rev. Auditor's SubDiv. �i�'77 SHEET 2 PROPERTY OWNER MAIL ADORES� 21P PMONE Richard Smallwood 571-1475 3 CONTRACTOF MAIL ADDRE38 21P PMONE UCENSE NO Four Seasons Roofin & Remod. 7930 Universit Fridle 795-9410 20138780 a ARCHITECT OR DESIGNER MAIL ADDRES8 ZIP PMONE LICENSE NO. 5 ENGINEER MAIIADDRESB ZIP PMONE LICENSE NO. 8 USE OF BUILDINO Residential 7 CLASS OF WORK O NEW O AODITION O ALTERATION W REPAIR p MOVE O REMOVE B DESCRIBE WOFiK Reroof house and ara e 18 S Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with State Buidling Code. SEPARATE PERMITS ARE REQUIREO FOR ELECTRICAL. PIUMBINCi, HEATINd, rrPE OF CONST. OCCUPANCY 6ROUP OCCUPANCY LOAD VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFiUCTION 20NIN(3 SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS pFFSTREET PARKING I HEREBY CERTIFV TMAT I HAVE READ AND EXAMINEO TMIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORiiEC7. ALL PROVISIONS OF LAW$ VALUATION SURTAX AND ORDINANCES GOVERNiNG THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHEq SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1 . 7S OOES NOT P ESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TFIE pERMIT FEE SAC CHARGE PROVISION f ANY OTHE OR LOCAI LAW REGULATING CON- STRUCTIO R THE PE RMAN OF CONSTRUCTION. 1 Fire SC 1. SO PLAN CNECK FEE TOTAL FEE �� SIGNATUAEOFCONTRACTO ORAUTMOR12EDAGEN� 1DATE� EN P PERL V ATED THIS YOUR PEAMIT - � ` � r S�GNATURE OF pWNEi1��i OWNER BUILDER� IDATEI �D INSp t�pTE i.;�� . . Effective l/1/98 ADDN [ J =�� 1}��a�,C��OF,FRIDLEY �:�, u.; � • . AI,TER [] � SINGLE FAMI��, AND� DUPLEI�S. R-1` AND R-2 � B[JII,DI�IC3 �P�R�ViIT �►PPLIC,�TIO,,N � .. - a�� 4(� ' ' :},1.. -iir,x,�.��+t+vf�:. N� �.: ' s�� Q,lj�.�y; :��;i�%��`cf a�� c,w�� :'�(nU 3 ,y,4 3�. ��..y W - • � /� t rY1Td b �; a��d��C?`;�d'��d .! t . . S�n� �i , � r ��,^��'SF��" � N . . , . . ,� ' �� ; '3 f , i ? � k � t� �'��f'� �.� �� j( � +� rcR� �i y yy.2y ConstructionAddress. •}' l'V � �•`�j�"'?r �� d t � �i %.�..{ .i. �.i'ir'3!��.+w"TTI�CtR;.v�'�"�Yj:i 3 +l�.^.� ....�� i�� 1 S � � cgalDescription: : "��:; „�c.r; ��; . . .��t . • '. .;� �,��,"�.►�:��5�;�." .�=a' .� � � Owner Name & Address: � ��.OnGT�c�c� ��v�t�t.i�t:��c�� T�1;��7� ��%� Contractor: �U cl ( s eCc.� [m 5�� o d-��, a��ew� od p(� ne 11� MAT LICENSE`# .�ddress: e%3 d .,. ,, . , . . . Tel. # '1��5"'�',��,//n z � � � � �� Attach to .this'application�� a� Certificate of,Survey of the , . �� • � _ ' ; , . ,,-. ,, :_� • , lot, with°tri�"proposed�`con'struction,drawn on��it,to scale. . . . , ; DESGRIP�ION, OF � IIVIPROVEMENT . . . ., , � � ';; ` f ;' ` � ';�7 nt.� ,`� • . , , LIVIlVG AREA: Length� . Width Height Sq. Ft. G�'�tAGE �ItEA: Length � � • • Width .Height Sq.�_Ft. DECK AREA: Lez�gth `,'' „� `. ;;, Width � - ' � HgdGround � $q. Ft. o�rx�R: i� � d J /�� . . • , . , . , . .. !,r .,, ;'i'I.�_,�,tt�;Se��`�"�;i;+'� . •� e,�L'S.ai :c•;� , :, , . . Construction Type: �.� r f�d, 1 i�o� �� Estimated Cost: $��. � • .. . �:: ... . .. , .�� t� a �. �3 ';. ; � , . . �. (Fee Schedul e, on ' Eack): , � . ;,� u _ .. . • . � .. h a. rA. . Driveway Curb Cut Width Needed. "''36' Ft:'`+`6 Ft = Ft x$ �$ � � ,:r :�....$ DATE:.��—�� A�'PLICAN'T: ,�. • � � ',Tel:?� �1��_,/ �6111 ,�e,,,�.,i�E , � � . ' � ' 4 .: t ' . � : : t 4 1 . �'� - • + t� J� V rT F ;.. 74 rJSa� �r��:' � i1sRa��'�`��..�r rv��*+��'�..� .�. � .!t{t,s�Y�� {��-� Y r A j�Jt.r ' � �rw�� ,Y1 • . • e t- �,�1� � ki�:�,�'1.4��.1bsR.,�' � �A �. �. �li.j. o .��.�� ?wi . �,�� - �3' : e l{b}� �,� '�" ��t y; it�St 4 .R, 8r: Pzrmit Fee $' .�:�`:��Fee Schedule.on Reverse Side�� `°''��'��$� x`��j``=��r;�;��r:: � ' �m 4.�'F.� 4 � ^ ., � . . , �i �i. d � ,. Fire Surcharge � $ f��, ��s��301�'of:Pert�iit;Valu2itioa (1/lOth%) ` - ' ; � `"�'' ` , i' � ; � r � •T'"i' ...w. '� • � .:�i,.t. �: A . S�ace Surcharge $ • �� $:50/$1;000 �Valuadon SAC Charge ;.:., $ � �. ;� ,$1�000 pex SAC, Unit. : , `��;,' z ' ; ' �� F,'a�rti ,�.�,�•,,}< ��.t4 `^v; .. , . � .,� ,. : � � rr `it�'�� '�'h�4� r ��?�t�... � . p r i i .. �. � � • ' • • } � 4 4 %. License Surcfiarge $'� S w�� ' �$5.04�(Stat�y L�eoused Res�d��l �o . " + (a� � - � 1 "� p � i� i ,� �9C�� . � L..� , .. �� r � � . �: �c.•4 �a t� n 5� Driveway Escrow $ r= °2�� *��,�,��'��"A" or�Alt:� "B"� Above ^ w F `�,� , ��f3,�� _ � ; � _ t�.yu.a-: (�.i . _: ., L `Y a ; . ... � �. t � o� �� q , . T � �rt'�rb iT�.i +�yy . . •.. Erosion Control $ •°v '�l'�J�?��IF" ��I �yYof ervation Pl�n �e,vy'ew � r 7,�j � 4d � DC'��• ��'4}' ��.�4,�j��j'1•�1'��S • ' ? �M. 1��'�:�:��.W�e`,�' . w'9L.- �,.��.I+k�k •`� ' `n-�•� �� i4i�. '� i�?8,'Mi��1''�I ° � tS aat '.< '�+'+,:r• I..s T� � .�" , Yark Fee $ ` �� `��,Y'� �ee Dete�ined by �g��C�g... ; �' � ��4�t�� " ; �r� �}s��'��'�'? :. . � , �, . , ,- : • {; "�+�5 -��:;f��, �.t ": , �, r �~ sa�p at� . Sewer Main Charge.� �$ `�`� }��`��Agre�ment.Necessary [ ] ..:Not�Nece � '�.hR�,�,�� #��,�:; {"• �Ni, '� �r"" ��;, +'` _i ' � � , „r ;�;F�`�� +.J. � � . . .. . . .. .. L� .. . � .. � r ..�� . phg,i ' . 2�f�!w: ; � . �� i��V'�."��r.�� `.�i�r] rt . ,1 5 � ,� �. � � aY y� 1 J, � ° °� "'1 �, dr .� x °"' ° 4 � . TOTAL � «:� y ,<„ ; � ;, � ' ' ��' �i��r t,�ii+�qs 1 ' . . . . . , �q.y� f 4�' t ., � `�,r'+fu atr:, r � . �M , '��'`�' � �� i i ' . . . 4.�:M1�� , � ... . � .. �. ' �r. Tye9 ,,�. R , a �,;G :4[ �� . . . . ��'�� i��`. STIPULATIONS: � r � , �, . • . , d r�17.;;�� <:, k .� � g�,.� 4p� ;� : «a.�+� F � 1` ��{� ' �°''�+�,tei•�{�'iik��',�4 ; . � . • 3 .Y i��,'"' v�4'Y � ;�i �� 'ti �a��.� �, . y rn �, � , �� ;� , �.�r� . � .��a,�, ��'� ''' � �.: � ' � �, r�� ' . . � � . � z.. , .� � s �� *�r��-.�„eDr.','�K� �w ;��+b��, , , � � �'' -, o a,,a� ' �: �,w�� J: . . � 1 . �. � .. �' ' � . ,� �.�.�ti�'tt� �'E�tii�tlT � k'EE SCHEIDULE '. - �>•- a.. _ t. _ �:_�:_� �::�. �i::� ��,_��::: �_�a11, �eic�r� issuing'permits for�the eiection�of �ny building or structure, u: ._ _.:�:�:::: ._, :z�:,- �:.��.::,,� ��:il�i�T�v �r scrcucture, or for any alteration or repair to any.existing buildin� t. ...:_ �._.. _:_ :.:�_ _e, _...__. ::__:,:?�:,�-�, i�.�uii� the payment by ch� applicanc for such permit of fees to the amo�w� --- = -- ., --. ' - -- -..._ ,_. .:_� �:.:.�u:rr ?i�rein pr�vide�l to-wit: _��_.__. ,___.�__ - �:'. .� . . -- �°%.�'-- -- �''�- -.. �-�.-�- �� -�-� -- . ��v'�i y �'J �'.�� : �...�. � . _J l�LES ,� _ L_;�siciiinurii Fc:� is $21 plus surcharge) ;'� �.'�v iirs� ��OU plus $'�.75 for tacti additional'$100 or ., :iu��i�:� �licreot, co and including $2,000. f��`?.'�� ror tirst $2,(X}0 plus $12.50 for each additional $1,000 _ _.,.;.:��:� [h�:tuf, �c atlu iii�ludiii� $25,000 ,;;:;-;�.',>j ior iirst $'15,000 �lus $9.Ot) for each additional $1,000 ,;: 3:,:.::;,,1� [herc:of, �o and includin� $50,000 �;:�'?=; .�;' � !�ar `iirst �SO,OOU plus $6.'l5 far each additional . , �� _ r �'r�:� :ioi�. �h�reor', to and iricluding $100,�00 ��`1.'�� for tlrs� �100,400 plus �S.UO for each additional .� e,v��,., �r rr•L�i�ii therevf, ro and including $500,0(?0 ,_��; .'�� ior �1:�:, tirst ��v�,�UU plus $�.25 for each additional ;::,v�� .:r Ira�tiuii :iiereut, w anci iiicluding $1,000,000 . ��ul'�:'�5 for the iirst $1,000,000 plus $2.75 for each additional :;1, E)UU ur fraction thereof �l�r.:�'�'�;i��l�'3� �EPItJCSSIOl�i ESCK�yi' ��: oncrete Curb Streets Only) _. _ i i�a.�� '_�ti" : l._::.� v:._ .:i.0 :��place�r��YC oi curb and gut[er only - Driveway width plus 6 feet times $l �.: . ..:_:�:::- "�.' :�t<<::�J�::� ::�:� r�placeii�en� of curb and gu[ter and install a 3 foot wide :.. , ,.. ,__�__,. ., _��; � i.r��!� c�c!,��l. Driv��vay width plus 6 feet tunes $15.75. , t,�,�� .��,��`1�I�I"� �.1�+� �+'�UI��X'�� .,..._ .._... .:;,;a;, . :�:�.�.; �'�r cu::�:r:�_�_�_: .,:ii Lc i��u�.� � rru�uinum of 2� hours from.:he time of applicadon to allqw.for pru;. _ _._ . . . ... , ;�.._�,�.. .. ,.�„ .,i �:.,: �,��;��:-�� .r��.::�c ::1;� �*' �::r construccion site. � ��ii�c:;�� i ��:: , �, �_ .:-::. 9ui, �huti�i�� ti�e loca�io�� of the foundation once.it:has.it has been eonstruc��: .. �.;� -- 'u---_ u_-�-� -..___.::i�� i �i �t�� i�ramin�� _ . ' CJ � ll.,.. . � ` �-�r sue�eCr PE : City of Fridley , 2 8 � 22 AT TNE TOP OF TME TWINS g u I L D I N G P E R M I T r � � COMMUNITY DEVELOPMENT OIV. RECEIPT� � � �y------ � � / r � � PROTECTIVE INSPECTION SEC. � l---- �;��" ,•� CITY NALL FRIOLEv jS1�z NUMBEp REV OATE PAGE OF AVpROVED BY L � � 612-571-345p 910-Ft 5 12/7/98 / / JOB ADDRESS � 7180 East River Road NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. 33 (Par.51 0) Rev. Auditor's Subdivision ��77 SMEET 2 PROPERTV OWNEi; MAIL ADDR�S$ 21P PMONE R. Smallwood 571-1475 3 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO Pacesetter Cor . 1110 New Bri hton Blvd. 4 ARCHITECT OR DESIGNER MAIL AODRESS IIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO 8 USE OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION � REPAIR O MOVE : O REMOVE 8 DESCRIBE WORK Reside house (hail dama e 9 CHANOE OF USE FROM TO STIPULATIONS � Call for building wrap inspection before covering. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAI, PLUMBING. HEATINa, TVPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONOITIONING. THIS PEFMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SO. FT CU fT. AUTHOq12ED IS NOT COMMENCED V�1ITMIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANQONED FOR A PER100 OF 120 DAYS AT � ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OfFSTREET PARKING I HEREBV CERTIFV THAT I MAYE READ AND EXAMINED THIS APPL,ICA710N S7ALLS GARAGES AND KNOW TME SAME TO 8E TAUE ANO CO�iRECT. ALl PROVISIONS Of LAW$ VALUATION SURTAX AND OROINANCES GOVEHNING LHIS TYPE OF WQRK WILL �E COMPLIEO WITH WHETMER SPECIFIED HEiiEIN Oii NOT. TME GRANTING OF A PERMIT �j2 O 3. 12 DOES NOT .PRESUME TO GIVE AU7MORITY TO VIOIATE OR CAMCEI TNE pEFMl7 fEE SAC CMARGE PROVISIONS OF ANV OTMER STATE OR LOCAI LAW REGUlA71NG CON- STRUCT O HE PERFORMANCE Of CONSTRUC710N ire SC 6. ZS PLAN GHECK FEE TOTAL FEE �GNOTUAEOf Orv RACTOpOpMUTMOp�2EDOGENT �DATEi MEN PROPERIY IOATED 7H15 IS YO PERMIT � �� S�GN4TUAE 0� OWNEA��F pyyNEA BWLDEA� iD�TE� � B�0 �NS� � p�rE NEW � ADDN ALTER �� [l [l ConstructionAddress: • CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �a � �� v�lz ,�.�o Effective 1J1/98 � �� d ' 1� ' I I.egal D�scriptian: - Owner Name & Address: ,/� .S/� p � � l,c,p�r� Tel. #�7� —� �'f �7� Contractor: ��G� s C� T%� � ��/i' U� MN LICENSE #�C�J � Y �� f Address: �( ��J /��Gv /.3.�f� �-l�� /��..(.% D ��STeI. # 3.�� '—� �U3 Attach to this application, a Certifcate of Survey of ihe lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVENIENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Widt Hgt/Ground Sq. Ft. OTHER: Q��l�. l�i� � � L�� f}G�� Construction Type: �� (� Estimated Cost: $ ��a (Fee Schedule on Back} Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: /o? ? � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ %�� 5�` r $ S $ . /� $ $ �- �O $ $ $ $ $ /� : l� CITY USE ONLY Fee Schedule on Reverse Side Tel. # ��1 � °l 30 � .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above � $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: � � BUII,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $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 $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing.