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AF - 40622� City of Fridley, Niinn. BUILDING PERMIT NA s 8� nate: �" :"�' � owner: ��±►�"�` suilaer � Adiire�ss � Addrese �, .., TIDN ILDING �� No. � Street � Part o Lo� �.-- — ti .._ Lot __ Block Addil3oa or Sub-Divislon Coraer Lot _ Inside Lot —� Setback ���— Sideyard Sewer IIevatian -- Founda.tion IIevat3aa DESCRIPTION OF BUILDING To Used � � y�+') � / _���„�,}` • Front 4��._.. Depth � Height � Scl. F't. �'�!'� Cu. F't%���G-`--� �o Depth ��Teight ._..__,�,,,�tj Scl. F't. Cu. F't. ����� ..� Type oP Construction .�. F�s� �_.�il�—_.._ To be ComPleted Ia consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work 3n accordance with the descripi3on above set forth and in compliance with all provisfons of ordinances of the dty of Frfdley. � Ia coasideration oP the payment of a fee of $�'� , Permit is hereby granted to— to construct the buflding or additaon as described above. Thispe rmit is granted upon the express condit%n that the person to whom ft fs granted and lua agenta, e:nployees and worlunen, in all work done in, around and u�n said building, or any gart thereof, shall coffinrm itt all reapects to the ordinances of Fridley, Minnesota regardfng locat3on, construction, alteration, ma3ntenance, repair and moving of buildinga within the dty lim�tts and this permit may be revoked at any time upon violation of aay of the provisions of said . ordivancea �"^*, � ,,� .'� Builciing' Inspector NOTICE: 76b ptre�h das eot cowr ths eonshneHoe, Ie�tallaMoa to� �o. �+t�a �•• eia�w s.� o� ..t.�. B� wn to a« th� BuiWtog lesp�etor fe� np�ral� p�rmtii Por 16w 1�. � _a , ,. � �. _ � � _ ;..�, � " � • _ � � � �" APPLTCATION FOR BUILDYPIG PE�T CITY OF FRIDLE'Y,� MII�NESOTA � � � % .9� .�:�:�'� �'. � - � F � '' � � A � ' �� - �'` s �.� ,l _ , � ,� �.� �. _ � ,. - ' � , �� � . . � - �t� / - .y . . ' � ,,t� LOCATION OP BUII.DING ��i� � . Al�—�-- Part of Lot •� No: ���� Street -� • e� r. Lot� Block ,� Addition or Subdivision � __ 1 � Corner Lot �_,Tn�ide Lot � Setback � � / , Side-Yard � � SEWSR ELEVATZON L+'OUNDATIOIV ELEVATION Applicant attach to this form Ztao Certificates of Survey of Lot and proposed building location drawn on thesa Certificaees, DESCRIPfiION' OF BU�DING To be used as: �� A � �B Frone �� Depth ��' fleight Sq. � Ft , �� � Cu. Ft . . Front Depth Seight __ Sq. F�. _ Cu, Ft. Type of Conatruction �efl6 Est3mated .Coet To be Completed � � � ��'��%�' �he uaderaigaed hereby makes appllcation for � permit •for the urork herein specified, agreeing to do all �aork in strict accordance wi�h the City of Fridley Ordinances and ruliags of the Department of Buildinge,'.and hereby declares that all the fac�a and representations sCated in this application are true and correct. • nA� D� �� � sicNa� < �� a � � ' / .� , (Schedule of Fee Coets caa be found oa the erse 33de). r _ . . , + ( 1 ��, . . � � � e .,�"' � . . — y � � � �. �— � �� � �� c BUg,D,r,NG pgR�if� FEE g�HEDULE Sect3oa 2 H$ the erection�e 1II8Pector . ing bui7,din °f gny.buildi�f Bu�ldings shail build�a� or �°r 8�tructure,� °r structure, o� gofore is�u3ag an aPPl3cant e�r�ture, u fo� attJ �lterat r g�� gddi�ion � pe�t for fn the m$ for 8uch pQ�t °n $PPlicat�� the �O� or repa3ra �O 8°y e$3et� nner hereia pro�i�°�d fee� ��, the am uat here qu�re tke t� 3� a� b s�3ng to� _ in be � SFoa any �such permit _ �it:, low set forth 8ndhe �Y fire- r8$e" warehouse for the erection ._ shall be proof additi °�. �, �for c8��1 r occ i� ele � or,� orProof building, ot thereoi, iu suc rate o� $$.�0 uPaac her � cubica �or eacH Y, to aay ex3stthe erectioa of 1 conte�ts, one thous,�d i�g bu�ild3n 2�2� For aay such ru��� feet g .. facrorY or pe�it . or fraction for Si grai$ e18�ator tar Che erectio for m3lar o�c�pBttC � or for the ' a°f $nY fire.� the eac}� on� t�ousana' to 8°y exist�n erectioa of � Proaf gerage ��n�$polis �ub�� feet g build as Y fire- , warc�house Bu�Id3ng Code� ' ciassif3�d n� sha e the E add3Cion, ' ZI b ar �'�__,USES fireproof'° rate of $1.25 . . bY Sectioa 502 of � 8Fg rany. $uch p� f eddi tion � � °r thQ � e �'e, ware�ouse rectioa o� each � for 83��Ia ic � factorp or �Y aoa-��re e thous occupeacq�,to �ra�a �leva�o Proof buildia sud cub fee[, any existing build�a8 ttq aon-firepr�� °ther G~' Pe�mit �1 � � for 2�4� For eay such warehouse, factorY orermit for - � - . additipIIa for �raia the erecti bufld,�n 8im3lar.occu elevat °n °¢ anY no�- �°r 8ddition - aiae �cy, t° ��r for the erectioa repr°°f �8rgge, or fract3on ther�df, in . Y cents .�$0 90) e�or� bu�ld�ag or fn fiz.�roof the Y aoa_ For the cubical �' each oae °r each auch of � puY'Pose o�E �� �tents. therepf w�tth �e min�d � . Y build3n Puting fees• ubic feet 8round are$ � or addition for buildiag pe �°f 54.00. basemeat or covered rO g�nifo� hei cellar tor� '� Po3at s�x ght rh�ue, the cubYcal average hei th@ i6) inchea ghout b ca�tents ght of the r� 8ver8ge heigh� below tbe fl��lt�ipxy3ng t,he 2�5. � sur�ace of t°f �he uPAer eur � Iiae of tt,e ---` For repairs or h� main gab3� of sface or:to the at thef 3a� of $3.00 �eree$tions ta. Pitched roof. . thereo � 2X�8t�A the cost of ch Five 8undred � st�ture . 2�6� aIl proFosed work� Dollar.a i$500.00 �he fee shsll be Se � a� ao case she � or fr�cr�[� 11 b2 less th�n $t�hp0fee char$ed for �y p�rmit _ � • � �� as ti �. �� ' ����, - _ • � � set forth 3n � ,� . . � � -- , . � �` `�X7h` ' � f�; _ ' - � � _ � . °: � �� ,�;, �.;�.::��tE+��► ' ���.�'i: �' c ��'� �`�f ���. , w+�m. c� Xaigt 3��#i l�t�rsf�on Pl; �k, �. i �8t�$ P�es�tsv� Qriv+� �� " ���' ������ ;'" �.%i►, �� � . . ".� V �� ���i�� .: ��+If����+��a��� . ���:JV1�nn, JNlF�rr�c+p+�ifa'��; At1�in�. � < -`,��f.:a��i-��ti4 � � � T312 - 42R�! l�v�enue N'Q, s - �e1. s��-82�+� � � : ` ��nn. Ra�. 1�v.4TaZ : �. � , � � ` �i#n1����►�:�s ?7, 1�1�nn�. Y: : � : , ; Mir�r�. Reg. No, 552� F < � �' .�-�° "Te�E.��5�7-b�4��' _ _ �.� ��, S � . - ti'� }" . . _ 4 ; �'• � L� � , �.. # ` '� �+�r��kfi�a��� of ~�.tr�y `_� - 1: � � fo� �ai � �f : � �, �' k. 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O tD • � M fA �p v' : � .Fy, y � � O � �'i fDW .l"'. � O � � ey � p� '�'� bd : : m � o x � � �o. � �'' R7 ' � �' �' � : �' D � [ : : � �,, y ' `"' � c o � w � ' � o a b, : : r . : : . io : � � :� , � p" e�i� : . ~ � o : : � S � � G . %G • .��� . . . ' � ; y . L�i � C _ � . � � o � . � • � : : : : � : : : � � ° : : : y $ : : : y � . . . -. � : : : o � : r : : Q : : : : (�' � � � � `° � : : � :� . � : : : � : : : m � � . - — -� ��-1 � x : : : : � _: ' . : ' : : � ' _' T � ,�',� m � p� � O . . : : : : : : : : : : : : 1'i� � � � t� � cn en t� t� ao w iv rn w� w ao t� ca o� m� '• � � o cn en o o e�, en o o cr o 0 0 o Fn o 0 0 � p O O � O O O O O O O O P O O O O O O w � � $� � ��.� � � � ���-� �.���, � � �� o d � R� � � � y �'.,4. a � � �� � � �_ � � " ` �• ;, � 'I . , � 3 � .�N ��1! a � � � � 0 < m m � (Z bd H A' H �1 H 4_ � y f� r" G � :? m o w ►r w p o, �y � Ct xr'�7 �. � - p • � �i w R; ��7 � a' R. p, p a a� `� � M �� �. � � �. � �i � t� �n � y � , � � t�-b O ph r F� � � � � z z � � � � � �' R, � 0 < �� � � � � � n '� � '/'�\ �om� � a f'p A A l' � ,y � O e(D-�- � V � 1-b'" � � r =� � " � � 9 ro � � � �' a � � �. � �..; 3 c�'e br n ° � �' � � aa °� � o � m � � � g � �' d � . � x � � ' ° ,� `�I � � " � '�� � , `� ��o� I 'q - `� f � V � � � � � � � �1 �� � pp�� V � �q F� !y� ,� � o �6 � � E V � p eF SF 7 � lD � � y �. � � • �n � � � � � � .�,� � � � � ��� . � � �' � � l�J �d � � � � b �5'w � ,� ��q� �' r� � ... � � � �i z � o � �;. m ' i � � � � p��o, � t�, � � �� -: � a � � �� � �:� p a, r m� �°y s A � q �� � � � � L v "� a � � � � � � � � a � � � � � o � � o �y "- O � v � `� J m � x 0 � � \ F y p��� � a� �a,� � �'�� � �y �M ��P" fi��D �°e �� ei� �r t�+ :� � iY m ��� � � €R 5' � '� � � �� I � ��� � " City of Fridley, Minn. BUILDING PERMIT Date: November 20� 1970 �r: James Sprungman �d� Same Address 7255 East River Road Adc�.,esa Same s�i3� N�i.� 10900 ; �=,` LOCATION OF BUILDING No. 7255 Street East River Road p� of 71ot � 3,4,N;5 _ glock 1 Addition or Sub-Division Aillcreat Addition Corner Lot Sewer IIevation Ins�tde Lot _._. x Setback �—._ Sideyard —. Foimda.tion IIevation DESCRIPTION OF BUILDING To be Used as: Gar��e & Family Rm�nt 22' �p� 38' H��t 12' �, � 836' �� 10, 032' Front Depth fTeight Sq. Ft Cu. F't. 1j�pe of Construction Frame ��, �_ 5 600.00 _ To be Completed Jan. ].971 H� Provide Hard Surface Driveway In consideratfon of the issuaace to me of a permf construct the the proposed work in accordance with the descriptton ve set forth a� orrlinaac�s oP the dty oP Fridley. , , above, I agr�e to do with all proviaions of Ea conaideration of the payment of a fee of $ l�, perrmit fs hereby granted to J• �'P�ngma.n to construct the building or addition as described above. This permit is granted uPon the expreas condition that the peraon to whom it is granted and his agente, employees and worl�nen, ffi all work done 3n, around and u�n said building, or any part thereof, slxall cronform in all reapecta to the orrlinances of Fridley, Minaesota regarding la:ation, construction, alteration, maintenance, repair aad moving of buildings wlthin the dty limit� aad this permit may be revoked at any tiine upon violation of any of the provisions of said ordinaaces. `� CLAitENCE BELI I NOTICE: This psrmN deas ee� eovsr �6s eoustroeHon, I�staUa�toa io� shiee, PMmbiee, ea hs�llag, s�w�r or wnsr. B� wes to a� 'i tlro Bnildtng lespeeter for aparaf� ParmMs to► fhsss (t�f. _ �� � A F r APLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S • � BUILDIIt : 5���''� ADDRE�aS :��� ���� �� ADDRESS : �• NO • . ' S TREET : /�� � � t��� �� � LOT: 3 �- ��12-BLOCK: I ADDITION: (`tr`ll���s�a��"�v� - CORNER LOT: INSIDE LOT: � SETBACK: SIDEYARD: AppliCant attach to this form �ao Certificates of Survey of Lot and proposed building lo�ation drawn on these Certificates. DESCRIPTION OF BUILDING To Be Uaed As : � � ���" ,� � �'�� / - � -� �- � Front • � � pth • �� �-° Height • � � � � �P � �- �� � - ��� Square Feet:� Cubic Feet: - � �,� "�� � Depth:�- � �_� �-�� - - Height: -���. Front : � � � � Square Feet;��=-_Cubic Feet: Z���-��_�. ��. T�ipe of Constructioa: �(�q�uf� Estimated Cost: $ -�( 6�•� To Be Campleted: c,� c�l�t.� �t f 7��— ' I�,�3z The uaderaigaed hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordiaa.nces and ruliugs of the Department of Buildinga, and hereby declares that all the facts and repreaentationa stated ia this application are true aad correct. �ATE : � 1 ^ l '� ��(U (See Reverse Side For Addition r rs- - � �� , _ - ��,��� �� � � � I � ���� � �� ��°� , � � BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing peYmits 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 paymeat by the applicant for such permit of fees to the amount herein below set forth and in the manner herein pravided to-wit: tJNIFORM BUILDING CODE: 1j►pe 1, 2& 4-$2.15 for each one thousa,nd cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the averager height of the roof surface 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 fra�tion thereof in the cost of all proposed work. , In no case shall the fee charged for a.ny peYVnit as set forth in Section 2 be lesa than $5.00. VERIFICATION OF FOUNDATION NOTE; Permits for conatruction will be issued a minimum of 24 hours from the time of applicatioa, to allow for proper review of the proposed structure and of the coastruction site. A Certified Survey of the lot,.ahowing the location of the foundation, once it hae been constructed, will be required before proceed *+ with the framiag. CERTIFICATE OF OCCUPANCY Applicatioa for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any atructure for which a building permit has been iasued; and said structure shall not be used or occup�ed until a Certificate of Oacupancy has been isaued. - y . ,�"� �'� � - ¢ .� ; t �i `�! 0 P C' m � N ^ L 7': h � n D _ _ ,,�•s` s� .. ;,: ;�*r � � a�.� r .3:,t�__�_�_s ;�_ 7 ` r � y , :=1 e. �" � y... V, ` _ s x (� _ �J - r- —��=� =�=-) y -1�= } L 1�/' [ ' �J =� v - � _ r R P 4 % p i � C � , , � I w�L� I f .. v .� 1+ u• C �+ n r r = � t 1 { � '� � � f: C ^ f1 ~ � " ....�.. I ' � � , I .�..1L`�C'� � i I r- - r .� � .••• P P �7 � 7 G L '!' _ G � � G V• C� C a � T �. 1 = . I ' i �� � L � �:. � � C � L F Y ^7 � � ( ' � L'_ :d1F • ;� � G ' Y� 1 J /'s O 4 P. L �' ► . .. ' � ' C r 7 2 L ,+ O n � r Y f '�' � e� � . I .� y, r C n ^ to O a � �c n r � � •- p — G -� w S � n - = C �.t � � �I I � L•a:l, Zuns G G y "� n ,s G e m �t n L C- � . p r w T R � 't y o O m m '� I [r."' �n � n . �' C � C a � p m L rn � O �` � G O �- ' r' I I I I I Fla 51T.5 � I O y ' n ln ee n O ^., C-; !. 0 0 _. o a o o R o� I I ° "' ° 0 a. m r a�o m .�. y S G o � � (� � 51 nr_s O�D ^ � G n r�- b o -- .i —1 z+ �l_' �. ", � p o o � imi, —i 2� c� I � I I tansh zTnys � n '' �' - • 3> r � I --- ~ '� y O� f— " •- I I� I 1 Uzinrinc 0 G y� ^ v �, F c�unt a: n'. � � ` � � ---- � - a �— i ► ----- N !, nc ,v cr s fT � �,. -(--� j- -�-- - j t F,�z ��7� (_ ) � r: � � j I � I I I Catth I ' L—' 2 I _ � Hzsins ; [ � , ' O r� a � I ( I � I Washer�1c R 1 x x lt x x x x K x fC x x Z � — n I ! � I I 'GSS 7\DU1 _ � � � N p 7 • � N iP Y N M N N 4n V N N VD M iq � I � I I ,..� N 11� O F' tJ lA {!� V O VI VI N M W � i llisc_ Fi�c`' O O O O O O O O O O O O O O Ll '--i � 0 0 0 0 0 0 0 0 0 0 0 0 0 0 �n I � � _ � Gas %anae a m G N in rn ali Vl N sIl 4!� Vl N N t/� Vn M Vl tA 1"( IS I I I I I � CiUSei . �� � � i � � ! �r; _� ` -� �' 2 '� — ao . . p o O � , w H 3 ' c r r. t` K, C c [� 'L� t': C �-a �-! M N � � U s r c � O V+ N "� !! C � � r1 R� r N C i" < 7 �"� r N � G ' 'C [': 4 p �-. p' ti G � nlG 0 g O N N '77 s - O � O 1 n C c ra r P L� . � . � .-; u, r� � f r L r u B "' . 7 � [� L � U 'G . [D K t ti' I � �' t'7 Z � Z �i m D � c� � � n 0 � I v� tn O u� ►a N G1 O O � m A O �-3 f7 � '� n o ° 5 `c ry o n r v. -3 C� y �n .� P G � C , � � � �"j �"�J �- � w I O � � 0 � 1 N � � � a � I I � � n I n� n rr pr m �� O Z o'a.Q a YR � � � � - •c w � .n n r � *1 L G +* � � �' [� r r = N 'T � r /-� fD � J ;J : � p. G. r � n V Q 1 K A a V. Or �'q ' t" �"' - u a :- a o O. O r, � �" �"� � r, u O � n r - �c � (n �, a c. � ^ - - L. r � . � �: - c.. C .ri n O n ^ � � L !� U C . u r.. J 9 G �T z 3 e1 p � r r _ � � U fi %' = 7 r 7c � � r_ c �c O O rZ' n �n n %' r u 7r � y � m '� f. G L r r r „G� � Y � (1 . _ .- Li m ta � .- r. F. � P1 �' � n v r- U _ ���.� r m' .. u n c� r � n R �--� �' CY t� , N c' n 1 `_ ., cn.. '; � I N n n i• �- � p R _, n � n cf r� � � n r r � .- .� u l: ,+ U w ✓ - '� D 4 ., r. r n tp ± 7 � _ � b s I C � . o .� n T r r D O r" � � > r '�i 7� � G . '. o n -' f7 O n C .- r n . r. � n ¢ n ' 4 0 � 5 G G a N (� ,N^ v l � I tx] • �r �"H � N � e�% � w � SUBJECT PERMIT N City of Fridley 20171 AT THE TOP OF THE TWINS g U I L D I N G P E R M.I T r ; � RE T NO. � `L _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVEJNSPECTION SEC. z[f�� p i i � �J / p � /"'1 i CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVEO BV �""'� � �'' 612-571-3450 910-F15 10/24/89 / / JOB ADDRESS �255 �i East River Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 3, 4, 5 1 Hillcrest SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gerald Graves 7255 East River Road N.E. 571-5999 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Sawhorse Construction 4740 - 42nd Avenue N., Robbinsda.le 533-0352 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 8 USE OF BUILOINO Residential 7 CLASS OF WORK ❑ NEW 0 ADDITION ❑ ALTERATION x❑ REPAIR ❑ MOVE � REMOVE 8 OESCRIBE WORK Remodel Interior o�' Ki.tchen/Bath_ 9 CHANCiE pF USE FROM TO STIPULATIONS See notations on. plan. ��ayide smoke alaxsns on both levels of PYl:sting dwellin�. . S��'�'.��iE �'���:�4�� ��!���9�?�� F�� IN9��i�9�G, �EA�"I�i�y p�UE�rr�lu�� �`��lD 51GNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE FiE�UIRED FOR ELECTRICAL, PLUMBING, HEATIN(3, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOFi 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 ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND .ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $33, 800 y�16. 9O WITH WHETHER SPECIFIED HEFiEIN OR NOT. THE GRANTING OF A PERMIT 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- 310. SO STRUCTION OR THE PERFORMANCE OF CONSTF;UCTION. $ LAN CHECK FEE TOTAL FEE � �p �� �� $327.40 ,SIGNA EOFCONTRA ORORAUTMORIZEDAGENT iDAT WHEN PROPERLY VALID TED THIS IS YOUR PERMIT � !4 - 1� SiGNATURE OF OWNERIIF OWNER BUILDERI IDA 1 BLDG �NSP r1A I��► [ ] AIDN [ 7 ��• ;, City of Fridley R-1 AI�ID R-2 �,i 1 ding Fermit Appl ication EEfec�ive 5/L88 Onnstructian Adaress: � � � � � � � v�,���'°� ���+-o� T �1 Descriptian: Ow�r�er Nane & Address: �°a��.����_ � �"�m a���%� ���<.� �� � Tel. # `� �/° � %��%` Q�ntr actor : — � a �- �'r' ���; e � d, �— Tel. # � � � `�`°.��� � Address: `°� �`�� � � f��� �' ��� 6 � �� �� �� ,��''�9 Attach to this appl ication, a Certif iaate o� Stirvey of the lat, with the proposoec7 constructias► dra��n on it to scale. � - •• r r, .:� i. •�• � ��, LIVi11� ARFA: Length Width 8eight St�. Ft. c�iRACE ARFA: I�gth Widt:: a... 9ei�nt st�. Ft. • D�IIt ARFA: Length Wi�th Hgt/Grot�d St�. Ft. S�'�B� %A.� � ��_�� lZ �1°t�� � i f � " �1��� Cbrner Lot [] Inside Lat I] Ft. Yd Setback Side Yard Setbacks 7jipe o� mnstruckian: Fstimatec7 Cost: 8 �� ��� Approx. domp].etion Date: Alt. A Alt. B Prop�sed Driveway Width If New Opening Is Desired: 8 S wi,dth + 6' See Back Page DATE: � � `� '� r APPLICAI�: _��--��' 7 .� ��L � �� ���� Tel. # � a ;� � ��a � s • (�.TY OSE Qa,Y Pe�it Free S �•J� t�ee Schedule on Rewerse Side State Surc�arge S 8.50/51,000 Valuation SAC marge S $550 per SAC Unit Driveway Escraw 8 Al� '�i" Or Alt. "B• Ab�ve Park �1ee S Plee Dete=mir�ed by Ehgir�eering S�wer !lain (1�arge S Agreenertt Neoessary [ l Nat Neaessary I] Z�AL S � � �s � ��(II�I�: 33, �, � �a�e4��' � ��� �� �.� �'�.5� M1 .. , � ��1� =:�1 � �. ' �+;�v 4 �[� ��:i��. 1 �e Qzief Building Official shall, before issuing permits for the erection of any building or structure, or for �y acY]itian to any existing building or �ructure, 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 6elaw set forth and in the m�v�er herein prwided to�-wit: �TAL �TALUE �l to S500 5501 to S2, 000 S2, 001 to �25, 000 S?5,001 to 550,000 550,001 to 5100,000 5100,001 to 5500,000 _�`--� S15 Q�linimtsn F1ee is S15 plus surcharge ) S15 for first 5500 pltis S2 for each additi�al 5100 or fraction therea�, to ar� incluc7ing S2, 000 S45 for first 52,000 plus S9 for each additional 51,000 or fractioai thereof, to and including 525,000 5252 for first 525,000 pl� 56.50 for eacti additiana]. 51,000 or fraction therea�f, to and itictuding 550,000 5414.50 for first S50,000 plus 54.50 for each additional �1,000 or fraction thereof, tro anc] including 8100,000 5639.50 for first 5100,000 plus 53.50 for each additias�al 51,000 or fractian thereof, to and including 5500,000 a:�;D,001 to S1,000,000 52039.50 for the first 5500,000 plus $3 for each additional Sl, 000 or f ractioa� thereof, to and ir�cluding Sl, 000, 000 51,000,001 mid up S3539.50 for the first �1,000,000 plus S2 for each additional 51,000 or fraction thereof DRVF.iA�� DEP F_QST[)N Fq!R(ia (Concrete (�rb Streets A�ly) Alternate 'A": Renwal and replaaement c� curb and gutter only - Driveway width plus 6 feet times 513.50. Alternate 'B°: Renoval and replaoement c�f c�rb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet t,imes �15.75. I �; � r• V ��� �i" �1�.U� � : �I �i�� P�rmits for construction will be issued a minim�a of 24 hours f rom the time of aPPlicatian to a]1aw for proper review a� the proposed structure and of the ocnstruction site. A Certif icate o� Slu�►ey of the lot, showing the location of the foimc7atic� once it has been constructed will be required before prooeeciing with the fraQning. �, � �u � r aa r• O ro M � � C m tn o �' � � � � O \ � M o r � � � 'n k p7 °o G �, � � � 0 n ro ° � ro � rr r � a N• y N � �n �n m H H O Z � x N r a n '+7 W e� � C9 oa n x � �p r fD E K C � M '� h � �e m .-. 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Drinking ,A Fountains Showers � Floor Drai � Catch m Basins n m Automatic �' � Washer E F" Gas Appl. � MisC. FiXt � y Gas Range � � M Other��' �' w rt m �S � � y � �� N C7 � C H � � � �a� r�ro �y roK w� � ��S} f�j � W C lJ� M 9 �n aa ���° � m W M W N, rt � �M� � Of~D M K m p � � r� „ � � a � c�N � (6 � K � � �u a �'�oK �' � � � � �] � rt � �' � moo K � M �, '0 w m � w r � a�� � - wcum w �wK� y� rt �a w o W � ft � a��nn i ro°'oa i � � � � w � m � o rt �S�xn � ���� . m (,,�* w � � d rwr � 7C � ��an � � � � �' rr 0 � � m m m (0 � a '9 'O r f� D � 0 Z �'1 O � � E �' 3 --~-I W -< � O T D Z C � G') �--� n r� � � T -< � � Z %i � m � m � � n c'h < N o°+ 3 a � � � � . . w :� r r q A � � S '� w �s � O � � � AP � � � 6 � w � a � � � 6 Q M • �Q � r � � «� S � 7 M � f '�0 � a d w n �m� a � r• G � � c �r � n a �O M y3 %n T o '0 N� HO e� a Ha n� �_ ��Z i'� � � M N N r O O 0 � N � � A p � a � m 1 > � g O h+ ? < ~ o 0 O � � n • • s!� � �r d 1 d R � � � � s r� � 0 A r► W � � °s w r � O O � � � d f'► s � C !�1 � � � .� N H N p_ � N^T � !J � C ^ � Y � g a � � � o, � s w A ►" � � �I .�c � � � o w s � 4 4 4 � a p � O � � � � � � � � N � � ;� �G 0 '� � C �p p A 2 � � � A � � � s m w ^3 m M r � � \ � O 6 � � � � ��� w� a � • � O r � _ � �' � V) �� • (q M � p !�" 1+ s o M � � M 'O � r ►� � O M � � N O �"1 � y � « m o � � � � z a � � o � � � C •�++ y C .. � Czf M � � O � Q \ 1 � , � � � y O � � � Kr � eC► O M � O� � O R G � 7 �� � M �'1 y� O �i+ O� ~ F► O �A s M f► ZO M O � � r O O O N y �' � �M � A � e M � � � C� C� C� 07 �0 tA � m�p m ti h C � ��� M � � M IC �� y ff1 L'i" � O � $ or hr M � � f�' ~ � � g A R fr M p i. � � M ` � 7C t!� N N N f. � r w► � O O O O � . . . O O O O �+1 O O O O N N N N � � � . r nd m �.�„�4 O O 7'� �, n7 ? '0�:� .o� � °a� a. a �� � m � m�°a � aao m r n h r�i f~C �C O � � f�C S � O � w r A� S r n � O � T �go� � � Y L� � � p � S q i' e�. `r e � � °' '" 5 '°o � < � ��°e � r � � � � � �rsdm o �' • r e+ e� � � v,�.^.o a ron> >, s $ s o o � ..�a� Z � �a�'4 - � .g�� ► � �Rno � r � � � ~ � ° s s � � ���5 � � .- e C 8,..�� � � w N w • 7 AI� � 1~+ � 7 � �U � � �y'f Sm C:: T � r A � � O 2 � O 70 O _ m �o a �70 O N Z v a -r v z > G� � i � N ` ��n f'1 3 O v+ r O � v � n+ m < � A � r N a � 0 2 � m T � G1 m �o D � 0 Z a z O ., e � � � O T T 70 0 r m -c � � � < � � r r � � � 0 CITY OF FRI�LEY . APPI.ICATION FOR HEATING REPLACEMENT CHIMNEY ANO�STACK YERIFICATION 0 THIS FOR�4 MUST ACC0�7PANY ST���04RD APPLICATIOP� FOR IIEATI��G PERMIT fORFi. LOCAT I ON %� ��� �' c� �Do DATE /1�� OWNER -�4-r�"�d ADDRESS �S',q� The undersigned hereby verifies that the existing chimney or stack: 1. Nas been carefully examined 2. Is free from rust or deterioration 3. No foreign objects are lodged within 4. Ttat it is securely supported 5. That it �reets all current Code requirements far size and total 67U connected 6. Total H�ating BTU All Other BTU TOTAL REMARKS �r�� � � �� %3/�� ,� ; , , �'� NEATING PERMIT � « • ,. � SIGNED�� ; ' � �,��'�� � L�censee G. by ���-r�� �i,� � �- ��� Address ��?� S/i,� �� � 7elephone '`��- 7 �c� � Fridley City License n / O � � c � Z � � � D r r � m � z < v m � � m � C n � n � O Z w .°p D D z v D W r m p � Z � c � N m m A z n _ m cn d � � C "'� �' D � r � � m m � � � ��c� o �v o �-w d � 7 � .1'I o�zc�Do � '� � m 0 o � � 'o � �. � � D �v � m � z � v d d� n�i � � �� o� o�—, � `�-i � v, y rn o c"c �� � f-, � � O � � 2 2 � � � W � 0 -� �1 � � � p�j p�j � � � y W "Q � C � � 3 � � 7 �� r = N � �• N � � � cQ � � 7 N � � m � � � � � � n � � �3;�•�, -n .o cu � c � a v f�D N .., Z 0 I II�-Illilllll � ������������ CJ� O O O y O V V�l �I C7i A�I °o o° °o °o o° °o o° °o °o o° o° o° °o � � � Z c a � � � � � � O � a � .� 0 � 7 d N � _n m � � r � d z v ° �: �- � � N � OJ.a � � � `� � � � GJ W m � � N a n 0 � � 0 � �� 'O m � � �1.: `i � � � �c a � � � T J � W � N � ,. O cn D u, � m � ��N� � � z � m � � m � � N 17 � c D O � A1 1 > > v a a � � m 2 � � � N N• � N fD (Q y. � � � ' o fD cc �, y W O � d a a Q .. � o .c a � � � v ���. S N� � � � ' � . '� � y '� �•na�'g � Q �, � cu o � m � �, d ,� a ° m � � � � °� � � �° � � a � � o 8 °: cc � � d �. � t"" "r*S � O N � � � � � N fD 7 '� C W Z �ii T C � m � m � Z 0 � m --I O D r � O W � v O .'i7 � � ��� � � Z C � m � � � � m � � W m Z � i r m v Z �D,� _ wo;�w; rn� ; � �Z`°�; U1 4�i ND� c� _ m� A � '� r C� -�i Z -n O � C � Z � v a N � � � � =i � c�D' O N � O a tC t0 co N�VIf [ l ADDN [] AI,.TER ( � Gonstruction Address: CI7Y O� FRIDLEY 6431 Unidersity Ave NE, Fridley, MN 55�432 SINGLF FAMILY AND DUPi.EXES R-1 AND R 2 BUILDING p�RM17 APP�ICATIQN �e 1!1/�004 (763) 572-3GD4 Btdg lr�sp (7G3) 577-1287 �ax�/�� � �.U" I �' � Legal Description: _ _ _ __ Owner Name � Addr�ss; ��' �' �` r`Gt✓j/ � - - _ _ Tei. ��`�,'� �.���� � • Confirador: MN LICEN$E # Address:. �l.A F�i�]�1N� & REi�On � ��vr, ��; Tel. # �/Z • 8�� .�'d � �41�rF�(CELSIQR BLVD_ �I.A C��l�I�iG & I��MODEL "��a�li� a Certific�te of Survey of the r ifi �1bo �xC�LSIOR BLV .���������d canstruction drawn an it to scale. ST. L�U1S PARK, MN 5541� D�SCFt1PTION QF IMP'ROVEM�N'i' _ !D i�000105[� . • --- - �. l,IVING AREA: Length Width H�ight Sq. �� GAR�►G� AR�A: Length � Width Meight -- ------- -- Sq. Ft. _ D�CK AR�A; Lengtt� � Width Hgt/Cround Sq. �t. � OTHER: �CC1St1'ltGt14l1 �L" Driveway Gurb Cut Vllidth Needed� Ft � 6 Ft = �t x �_ _ .. _ _ _____ _ � � � .`._–� % �" . .�r�• �+ b�►TE: l ` - r" �`''�PLICANT: �• ' � �! 7e1. # �.�Gt''� �`� ��. �Z Call (763) 57'2�604 for Permit Fees if mailing in application. Fax to 763-57'1-'I287 if tlsing cr�dit card and Yve.will +call you for carr� number. Permit Fee Fire Surcharge St�te Surcharge SAC Charge License Sur�harge Curb Cut �scrow Erasion Control Park Fee S�wer Main Charge � �3�� � � _ l�-l� $— �a � � $ $ • l� $_ , $ �— � cn,r us� �NLY - Fee Schedule an Reverse Side .�0� of Permi# Valuation (1!1 �th°�) $.�Q/�'I,UQO Valuatian �1350 per SA� Uhit $5.pQ {State l�censed Residentia! Contr�ctors} Alt. "A" or Alt. "B" Above $450.00 Canservatian Plan Review �'ee Detecmined by Engineering Agreement Necessary [ ] Not Neces�ary [ ] TOT,4L $..__ ��o��P� STIpULP,TION5: � ,�` � i� ° _ � � - ��� Zf S' d S ES ' ON S3�aS 9N I�00�1 ti�3S Wti9b : 8 500� ' L ti' h�iN