AF - 40959Village of Fri�ll.�y, Minn.
BiTII1DIN� PERMiT
N° _ 14 8 �ce o� iNSPEGTOR OF BIIII�DINGS
Owner � , �;���.��"�'� �
E�i1C�tCCt — --- �'T��eji, �/uIIII•r � "" {!� i � �'�` , y.i'i,�
Builder ��,
/�' � U LOCATION OF BUILDING
;� r°'_ ,
No. � 3treei �•���►�'�"�"i-: ��� Part of Lot
Lot Block Addition or 8ub-Divlaion
DESCR,IPTION OF BUII..DING
Front ��6 Depth,� Fleight.�_ Btorles Manner of Conatruction
� � �
To be used ae ��u�'1:,� �d,.�-++� To be compieted � � Q Est3mated Cost�
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Permit is Y�erebq,
the building `� �a-,- �.•• `�l w'��`�'�'`� described in the above statement. Thie permit ie granted
upon the expreas condition that e person t�whom it�ia granted, and his agents, employees and worlmaen, in a11
the work done in, around and upon said bui�lding, or anq part thereoP, shall conform in all respecte to the ordi-
na,nces of Fridley, Mfnn., regai�ding the •constructioa, alteration, maintenance, repair and moving of buildinga
within the cit� limita, and thfa permit may i� revoked at any time upon violatioa of any of the provieions of said
ordinancea. y� �� � A S �
ector of Buildings.
AGRFEIH�N7' AND SWOftN STAT'��MENT
In consideration of th� �issue and del�very to me b� the Inspector of Buildings of �ridley of
the abot�e permit, I hereby agree to do the propo�ed work in accorda;nce with the description
abpve set forth and according to the provis�ox�s of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that tb.e fac#s eta,ted by me and conta,ined in the above permit are
true as therein atated.
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Snbscribed and sworn to before me at Fridley, 1V�innesota, t` �'� "�'",�
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da,y o�' � �°�'.� A.D. 19�.
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sue�ecr PER
City of Fridley _ 15 9 8 0
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
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� `v ___��_ COMMUNITY DEVELOPMENT DiV. / � �
r � � PROTECTIVE INSPECTION SEC.
1 . i
i
� /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�""'"� � ,�� 612-571-3450 910-F15 / /
10/17/SO
JOB ADDRESS 7600 East Ri.ver Road N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ]. &]�j ]_ G�'tP.Yl � S Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Jeffrey Almen 7600 East River Road N.E. 574-0665
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Sd�@
4 ARCHITECT OR DESIGNER MAIL ADDHESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
X
8 DESCRIBE WOFK
Construct a 11'6" x 8� Addition to DHrelli
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERAiE PERMlTS REQUIRED FOR ti�v�� �.�,
I�EA�'1NG, PLUMBJNG .A�I�p ���[�
H/AR����
9�fae digging call I���I ��alj�je�
TEL�PHONE - EL�C��c� = ��� ���.
REC�9����� �� ����
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATINO,
VENTII.ATING OR AIR CONDITIONING. WOOCI Fi3IDt.'
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTflUCTION ZONING SQ. 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
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 $2,650 ,�']_s33
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE
PROVISIONS OF ANV OTHER STATE OH LOCAL LAW REGULATING CON- $],$.00 NONE
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECKFEE TOTALFEE
$ 4.50 $23.83
Si ATUREO iRACTORORA THOR �DAGENT IDATE�N� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
� �i'�9f�'�L_ �'� z.J %C� 1
m I T OF O IIF OWNER BUIL�ERI IDATEI BLDG INSP nA E
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CI7Y C�f� �ItIqLCY •
l;('PLIGII'fI0'J FO�t f;L5I[11"i�ITIAi_ QUILDI��G �Gf��TTS
(t�e►�r, Aller•aLions, Ituciii:ions, or (tepairs)
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� Ol-�%d�R: _�C';���r"-� � �z "�:-l�/ �UI LDER : � •
11D0i'.ESS: �� �G��� �!lG�t /� � • liDDRESS: �����I�G�C.. � ��
TCL �t0: � �- � � � ��drz �. TEL tl0: �� y —D'(',(Q��,
.� `3�' �� -9��'3 �s �
� ���- -ruction Locaiion '
• STIt��T PIO: � STREFT: �� / Cl�u� �� •
L07.`: 1 7�' G � � BLOQC : � I�,DDITION : � GTit.�'� � , /� �f .
Corner Lot: � Insir3e Lot: SetbacY.: � Sideyards:
0
Ap�lica.cit at�t«ch to this form two Certi.ficates oi Survey o� lot and
pro,posed building .locaiion drawn on certificates to scale. �
DESCRIPTIOit OF COidSTP.UCTIOi�i •
� a /
�� I'ront: � � Depth: �� Height: �
�quane. Feet:��,�_� (�bic Feet: ._
Front: Depfih: Heighi: �
Squar.e� 1'eet: Cubic I'eet:
/�• °�.� V �" � �� � , .
Type of Construction: �� .�/Yt.P_.+ Esiimated Cost: $�j ��
'ib Fe Cbnpleted:
� Alt. � Al.t. B
Pro�sed Drivecra�� Ttiidth If New �pening is Desired: $- $
., SEE Rc.VEI2S�: SID� OF Si1EE� ,
7iZe unclersigned hereby ma};e.s app].ic�itxon for a permit fcr �.he �:�ork� herein specifi.ed,
�gr.eeing to c.�o ,all worl: it� S'L'Y�.Ct ciCCOZ'C��Y10E.' �•�ith tlze �i4y of I'ridley Ordiiiances and
ruliiigs nf tlle Del�arime.��t. o� J3ui.�.dings, and hereby declares tha� all tlie iacts and
zepi:es�n tltions sta.`_ed ;n ihis ap�,�lic�tian are txue and corxect.
D:'�Ti: �(� ��/ ! Go `� Sx�tA`.CUR�':
T
5i:ig�ulations :
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;)ir"STOI•� 2. 7.'li� 7n�.c��ecLc�r. of 13►u.l.c?i�uT :::h;�).)., befar.e i.:,::ui.ncJ ��e»nit� far t:hc crecL•�.on�
af �iny ),u�.l_�l.i,r,�! ax :,;i:ruct:urc, w: fc,�: c,ny .�dcli.L•a�,n �.:� cu�y cr.i;;L�.�u� l�uilclir►g oi ::L•zucLur.e►
. cir. Ta�� r,i�y �i1.t:c:r�iLi�,u ar. r.e�,air.s L•� •a»y exS.�;t:i»�� Inii.l.di.ii-.J or. :;�t:ucture, u�,un ar>p�.i.ca::S.on
�tlicr.:f.or.c, r.cqu.iic t:l�c p�,ymci�L• 1�y tl�c app].i.car�!: �oi- such ��cr.mi.L• 01' fec; fia �li�� amount
)�eX�a.ti be.l.c�a� sct Lor.th �uul a.» �lic mannc�: hcrca.n provicl��ci L•o-�::iL: •
l.l?.t�� rpN�`�7:UC'�ION: 5ing7.e 1'ami.l.y lloine:; and Ga�-aqesa: ;:d.00/1,000 cul».c �ec:t:. •
3.'Lt::�; CII1:C1;: 25 perce»L• of bu�.Zcli�i�J J�er.miL fee.
U2tl:VrL•;11Y llLl'P:�5S20I:: (C��ncreL-c :.�trb �L-rcets Onlyj � '
' Altcrn�lt:e n; lt�moval and repZaccme►it of concxe�e curb and �
gui:L•er only; l�riveway �:�idth p].us 6 i'eeL• r. j:�,5.75
J�.7.ternate II: R�moval and repla�•em�•nt of concrete curb and
. ' gutter and insk��ll a 3 foot wic3e aPproaci2 t.�ii;h ''
' ,. 6 inch clepth; Driveway �•�ic:th �plus G feet x$17.85 �
• . . _ADDI i' 1 t?t�/1L I(�FOR��1/1T I or1
For the purl�se oi computin� tees far_ building permits,_ L-l�e cubical. contents of any
build�.ng or addition, is dci:er.n�ned by rnultiplyar�g tiie ground area cuvered from a
p�i.nt sis: (6) inches below the iloor J_ine of L•Ile basement or the cellar to 'thc
average hcights oi ihc •up�er sur.face or to the average height of t.he roof. surf:ace
oi the saain gable oi a p�.tched roof. �
For. re�ai.rs or a].terations to an existing stritcture, the iee shall be at the rate
of $3.00 rer. each five hundred dollars°($500.00) er fracL-ion thereo£ in the cost
oi all prc�posecl wor.k. . , '
In •no case sha�.l the €ce charged fcsz any pP_nnit us set iorth �.n Secti�n � be .�ess �
than S?.50 plus $.50 state surcliarge. � � �
_ VER_I F I CATI 0�! Q.F F�1.Ut�iDi11" I Oi�
NOTE: Pennits £or construction ��ill bc� issued a minim� c,i 24 hours irom tlie tixae
c�i ap��lication to al.locv for proper review of ihe pro��osed structure and oi the
construction site. -
T� Ce�_ t.ificate of SuLVey �f the 1ot, sho�,�a_ng the location of the foundation ouce it
has be�n cons�nicted t��a.11 be require3 bef.are pr.ocecding �rith the izaminq.
.�j3TT F1 C/� i E (1F �CCUP/1(�C�'_ � '
�PP�i.catic�n tor a Certificate of OceuZ�ancy shall be mad:� ten (10) da�►s prior to the
u� e or. accu�+sncy ot• an}• stz-ucture far ��rhich a L�uil��i�ig permit has been issued; and
stiicl sttuct.urc : hall �iot l�e used or. necupied L:ntil a Cer�.S.ticzL•e of Occul�ar.cy has
becn issucd.
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sus�ecr PERMIT .
City of Fridley 20052
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
�
' ' R
� � •
� `L _ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. �J � 3 �
1 � � �7
1 � /"'1 � CITY HALL FRIOLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�""'� � �'' 612-571-3450 910-Ft5 8/10/89 � �
JOB ADDRESS 7�00. East River Raad N,E.
1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. � 1 Gartenps Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
John McGinn 76.�0: Ea,s:t River Road N.E. 574-1909
3 CONTqACTOR MAIL ADDRESS Z�P PHONE IICENSE NO.
D& D Home Improvement 7401 Central Avenue N,E. 784-7543
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW � ADDITION ❑ ALTERATION � REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
IriSta�.l. Vlllj7l S1C�1�1�
9 CHANGE OF USE FROM TO
STI PU LATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATIN(i, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED 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
1 HEHEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS 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 $4 , 450 S2 • 23
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �"72 �OO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/� PLAN CHECK fEE TOTAL FEE
____�!����""'/.11.�r�ff. $74 . 2 3
I UREOFCONTRACTOR RAUTNOR12EDAGENT IDATEI WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT
� ..
SiGNATURE OF OWNER�IF OWNER BUILDER� IDATEI BLDG �NSP
nA
NEW [ ) Effective 5/1/88
ADI31�i [ ] R-1 AND R-2
ALTIIt [ j &ulding P�ermit Application
Cflnstruction Add�s:
I�egal Description: C � i /�} �, -�L�C.�! /� ��1-d2 � -� e� ' S �-d� � ti' �
Owner Name & A�dc�ess: � JFJ /!� . G��iU�/t� Te1. #
C�ritractor: / / / y�-� , �/l'1 ��'1_� -- - - Te1. # 7
Aaar�: ��� l �"���1�°�- �/'� i2�.
Attach to this application, a Certificate of Survey of the
lot, with the prapo�..,ed construction drawn on it to scale.
DESCRIP7.'ION OF Il�VII��
LIVIIJG AREA: Length Width Hei.ght Sq. Ft.
C�iR�GE ARE�►,: Length Width Height Sq. Ft.
DECR ARF.�1: Length Width Hgt/Ground Sq. Ft.
OTi�R:
Corner Iot [] Inside I�t [] Ft. Yd Setback Side Yard Setbacks
Type of Construction: �,�/� �� Fstimated Cost: $�� �
Approx. Carnpletion Date: - 3 R'9
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
W' �lth + 6' See Back Page
n�: —� �c�rrr: a,�2'r,�n-� _ T�.t. # 7S� 7.5�.3
Permit Fee S '%1. (� (�
State Surcharge $ =� • � �
SAC Charge $
Driveuray Escrow $
Park Fee $
sewer rlain c4�arge S
�, $ ����.�
� us� �
Fee Schedule on Reve'rse Side
$.50/$1,000 Valuation _
$575 per SAC Unit
Alt. "A" or Alt. "B" Abave
Fee Detennined by Engineering
Ag.r�nt N�ssarY L l Not NecessaYY ��
,t-
E:��1� � �,: a�+;�v�4 a��° : «:ia��.�� _
�e Chief Building Official shall, before ;��,; *±� ��+; ts for tlie erection of ariy
building or structure, or for at�y addition to any existitig buildirig or � structure, or
for any alteration or repair to ariy existiriq bu.i].cli.nq or staucture, upon application
therefore, require the paymEnt by the applicant for such �n++;t of fee.s to the amount
herein belc�w set forth and in the manner herein pirovided to-wit:
Z�AL VAIUE
$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
��.
$15 (1Kinimtmi Fee is $15 plus su�charge)
$15 for fizst $500 plus $2 for each additional $100 or
fracti.on thezeof, to and includirig $2, 000
$45 for first $2,000 plus $9 for each additional $1,000
or fractiari thereof, to arx] inclucl,ing $25, 000
$252 for first $25,000 plus $6.50 for each additional $1,000
or fraction theteof, to ar�d includinq $50,000
$414.50 for fixst $50,000 plus $4.50 for eacd� add.itional
$1,000 or fraction �f, to and includinq $100,000
$639.50 for first $100,000 plus $3.50 for each additional
$1,000 or fraction thexeof, to ahd includiilg $500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1, 000 or fraction tilereog� to arxl including $1, 000, 000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
�E�Y �PRE68��T ESCROW
(Concrete Curb Stxeets OnlY)
Alternate ��A�� ; Removal and replacement of curb arid gutter only - Driveway width plus
6 feet time.s $13.50.
Alternate ��g�� ; Removal and repla�t of curb arxl gutter arid install a 3 foot wide
aPP�� �-'th 6 inch depth - Driveway width plus 6 feet ti�s $].5.75.
' �+' �� �+. •) • � • �� i� • �;�J
Permits for constructi,on will be issue� a m;n;�„m, of 24 hours fr�n the t.inee of
application to allow for praper �eview of the proposed structure and of the
oonstruction site.
A Certificate of Survey of the lat, showing the location of the fowzdation or� it has .
it has be�n constructed will be requi.red before proceeding with the framinq.
_�.�.. ' ..
sue�ECr P
City of Fridley � � � L �
AT THE TOP OP THE TWINS g U I L D I N G P E R M I T
�
� �
� �
COMMUNITY DEVELOPMENT DIV.
r � V � PROTECTIVE INSPECTION SEC. �� ��
� � ���
1 � �
� � �"'1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE VAGE OF APPROVEO B�
�"'"�� �'� 612-571-3450 910-F15 7/7/95 � �
JOB ADDRESS �600 East River Rd NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. lA 1 Garten's Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jean McGinn 7600 East River Road NE 574-1909
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Sela Roofing 4100 Excelsior Blvd, St Louis Park MN 55416 823-8046 1050
d ARCHITECT OR DESIGNER MAIL ADDHESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WOHK
O NEW ❑ ADDITION ❑ ALTERATION �1 REPAIR O MOVE ❑ REMOVE
e DESCRIBE WORK
Reroof House (20 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL. PLUMBING. HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OFi 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 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 WOHK WILL BE COMPLIED @
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1 SOO W• 75
DOES NOT PRESUME TO GIVE AUTHOR�TY TO VIOLATE OR CANCEL TH� pEfiMITFEE SACCHARGE
PqOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR HE PEFFORMANCE OF C TRUCTION. 35.�� Fire S�'i �1..5�
s PLAN CHECKFEE TOTALFEE
-'� L cense SC 5.00 $42.25
'� GN U E OF CON'AACTOEI OA AUTMOR� AGENT IDATE� �I�I FiO LY V LIDATED TNIS IS YOUR PE^RMIT
^r ( �
\
SiGNATUAEO:OWNEAUFOWNERBU40EAI �DATEi BLOG � qqTE
NEW ( ]
ADDN [ ]
�.�R [ l
ConstrucdonAddress: f
Lega1 Description
�
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
� i � �}
,�' ✓fST �ii� L� �1�
,�
Effective 1 / 1 /95
U l�-�
Owner Name & Address: ���'� Nt � � �,v�f 7�vc �" �i�� /��� Tel. # .� 7 �� / i�l
Contractor: S�-�-� %�� i N�- MN LICENSE # %r�.�"�
Address: �(�� �=X c��S'iv� �Gt-� S� ��>�f 5'�'.f°' /'�� ��yf� Tel. # $.L�, ' �'�'� �'
Attach to this application, a Ceitificate of Survey of the
lot, with the propos� construction drawa on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width
Length �Vidth
�grh Width �
.. %O� � .�l i A O - �l Cs"c(/ /��'�"-'� \ iJ
Height
Height
Hgt/Ground
�` ��.1
Sq. Ft. _
Sq. Ft.
Sq. Ft.
Corner Lot [] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks
Type of Construction: �-_ �,� Estimated Cost: $ ��� �S^��U
Approx. Completion Date: � /� � �� '
(Cost on Back)
Driveway Curb Cut Width Nceded: Ft. + 6 Ft = Ft x$ =�
DATE: (p � APPLICANT: °�//vt �E'�s�-��� Tel. # /��� �'�' `r�� _
Perrmit Fee
Fire Surcharge
5tate Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ ��. �c�
$ /. � �
$ `7��
$
$ �- C�C�
$
�
$
$ -
$ � . ��
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuatioa (1/lOth%)
$.50/$1,0(m valuation
$850 per SAC Unit
$5.t� (State Licensed Residential Contractors)
Alt. "A" � Alt. "B" Above
$q.5Q.0p Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ l Not Necessary []
��
STIPULATIONS: ' � �''�' �
i�uii_u�rvc. rc�tn��-c FEL• SCI[EDUi_r_
"i�hc Clii�f t3uildir�g Utt7cial st�all, tx;lorc issuing permits for the ercction of any building or structurc,
��r ti�r any a�iclitic�n to any exisiing building or structure, or for any alleration or repair to any existin};
l�uiliiing <�r s�ructure, u�n aPplication therefore, require the payment by the applicant tor such Permit
�>I� iccs t<� t4c: amount hcrcin f�clow set fi�rth and in the manncr herein providcxi to-wi(_
"t'O"1'AL VAI_Il(:
� I to $S00
$SO1 to $2,IX}0
$2,001 to $25,000
$25;001 to $SO,IX?0 -
$50,001 to �100,000
rr_cs
$15 (Minimum Fee is $15 pius surcharge)
$15 for first $500 p[us $2 for each addi�ional $100 or
fraction thereof, to and including $2,000 �
$45 for firsf $2,0p0 plus $g for each additioual $1;000
or fraction �eof, to and including $25,000 �
$?S2 for first $25,OOp pins $(.SO for each addirional $1;000
or fraction th�eof, to. �nd including $50,000 -.
$41450 for first $SO,OOQ plus $q.Sp for each additional
$1,000 or fraction t�ereof, to and including $100,000
�100,001 to $SW,000 - $63950 for �irst -$100,0� �plas� $3_SO for each additional�
- --° . $1,000 or fraction thereo� to and including -$500,000
SS00,001 to $1,000,(�?0� - $203950 for dte first $SQ0,000 pMs $3 for each addition.al
$1,000 or fradion th�eof, to and including $1,000,000
$I,000,001 and up
$353950 for the first $1,QQp,ppp ph,s $2 for each additional
$1,000 or fradion thereof .
DRIVEWAY DEPRESSION ESCROW
(Concrete (,iui� Streets pnly)
Aiternate "A": Removal and replacem�t of curb and gutter oniy - Driveway width plus 6 feet times
�13_50.
Alternate "B": Removal and replacement of curb and gut�t� and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15_7S.
VCRIFICA"C[ON OF FOUNDATiON
Permits for constiuction witl be issued' a minimam oF 24 hours from the time of applicacion to ailow
for proper rcview of the proposed strvcturc and of the construction site_
A Certitic:ite of Survcy of the lot, showing the location of the founciation once it ha� it has been
constructeei wiil be re;yuirect t�ef�re proccc�eding with lhe framing_
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sue�ECr � P IT
City of F�ridley i 9 4 8
AT THE TOP Of THE TW�NS g u I L D I N G P E R M i T
r �
� � COMMUNITY DEVELpPMENT DIV. ����� �� �� I�
� ; V � �� �
r � � � PROTECTIVE INSPECTION SEC.
� _ +
� �"'1 � CITY MALL Ff1101E� SS�,i NUMBER pEV OATB VAGE Oi AiPROVEO BY
�""� � �'' 612-571-345p 910-F15 6/29/O1 / /
JOB ADDRESS 7600 East River Road NE -
1 LEGAL �OT NO. BLOCK TRACT Oq ADDITION SEE ATTACNEO
oesca. 1A 1 Garten's Addition SNEET
2 PROPERTY OWNEfi
MAIL ADpRQ3$ iIP PMONE
Jon McGinn 7600 East River Road NE 574-1909
3 CONTRACTOR MAIL ADORESS ZIP PHONE �ICENSE NO
Sussel Corp 654 Transfer Rd ,1�16B, St Paul, MN 55114 651-645-0331 1934
4 ARCHITECT OR OESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAIL AODRESS ZIP PNONE IICENSE NO
8 USE OF BUILDING
Residential
7 CLASSOFWOqK p N�y O ADDITION ❑ ALTERATION ❑ REPAIR O MOVE 0 REMOVE
%
8 DESCRIBE WOFK
Construct a 24' x 32' Detached Garage
9 CHAN(iE OF USE FROM TO
STIPULATIONS
See notations on plan. Provide a hard surface driveway. Permit for
existing garage conversion must be issued within 1 week.
SEPARATE PE � � �
REQUIRED OR�TS �efar� d�ggjng ���� foP
WIRING, HEATING �II �4 40I002 t�ons .
PLUMBING AND S�G�VS REQUIRED �Y LAW
" ' tYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE FiEOUIREO FOFi ELECTRICAI. PLUM6ING, HEATINti,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOIO IF WQRK OFi CONSTRUCTIOM zpNING SO. fT CU FT.
AUTHORIZED IS NOT COMMENCED VrITMIN 80 DAYS, Oii IF CONStRUCTION
OR WOi±K IS SUSPENDED OR ABANQONEO FOR A PERIOD OF 1� DAY$ A7
ANY 71ME AFTER WORK IS COMMENCED ` NO DWLG. UNITS OFFSTREET PARKING
I MEAEBY CERTIFV TMAT I MAVE READ ANO ExAMINEO THIS APPlICA710N 1 STA�LS GARAGES
AND KNOW TME SAME TO BE TAUE ANO CORRECT. ALl PROVISIONS 0� LAWS yp�VAT10N SURTAX
AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL B� CpMP1,lED �1(F,991.36 $7.�F9
WITH WHETHER SPECIF�ED MEREIN Ofl NOT. TNE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE Oii CANCEL TNE pEqMIT FEE SAC CMARGE
PiiOVISIONS OF ANY OTHEFi STATE OR IOCAL LAW REGUTATING coro- �251.25 Fire SC, �I�F.99
STR CTION OR TNE PERfOfiMANCE OF CONSTRUCTION
� PLAN CMECKFEE TOTALFEE
j�-� b.�.�a/� b ense S$5.00 $278.73
S�GN4TUAEO�CON'AACTOAOpA �NOp�2EDaGENt �O�rE� yyM PROP Rl`I VALIDATED THIS IS VOU PERMI
� ' �� �
S�GN4TU�7EO�OWNEA���OWNEpBU�LOEp� IO�T�1 . ' � � G �NS�' � - f���E
�
NEW [�
ADDN [
ALTER [ ]
Effective 1/1/2001
CITY OF FRIDLEY (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: �7 Cv �D ��t 3�' �i i v� 9�° l� �i
Legai Description:
Owner Name & Address: ��� �I %� C � ; a�t a� Tel. # S� � �l i �j � �_
Contractor: S r-c, 3 3� � � r� � C� . MN LICENSE #!�l3 tf
Address: � S� � � � �,C r� � � e a� � c� i (� � Tel. # � S� � � �i-�U -� /
LIVING AREA:
GARAGE AREA:
DECK AREA:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length -� � I Width �/ Height Sq. Ft. �
Length Width Hgt/Ground Sq. Ft.
OTHER:
� � 7�9 S 6t � -�C �` lJo�
Construction Type: �% .�.� . in �c, r � Estimated Cost: $ � ,/ � ��� �(Il
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
^ ' rei. # �.�'/ �y4'd =
DATE: � �-z -��' �'� APPLICANT: � � � �, { � � %
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
$ v�S�. �� Fee Schedule on Reverse Side
$ ��,� .001 of PermitValuation (1/10th%)
$ 7 . � $.50/$1,000 Valuation
$ $1150 per SAC Unit
$ r', � $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 [ ]
$ � 3 �C �� �'� �� i17r % �/L` ��.�e �a��
L-f�v'L-d cl � �'� �e � �C.�
��� �
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 e�tisting 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
$23.50
$23.50 for first $500 plus $3.05 for each additional $1Q0 or
fraction thereof, to and including $2,000
$69.25 for first $2,�0 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,(�0 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,OOU or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,OQ0 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,�0
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Pernuts for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site. ,
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will
be required before proceeding with the framing. New Houses Onlv
�&t o��Ew �d%C_ � �'���� ` c�'
#1498 E:
� 654TRANSFER ROAD, SUITE 16B Mr. Jon McGinn, . �
ST. PAUL, ann� ssi�a 7600 East River Rd. E�
- - Fridley, MN 55432
Permit by H763-574-1909 612-359-1690
Lsgal Descriptio�
Lo t.
Blk 32x24 Det. Alibilt W/Co qHIS JOB COPY SHALt BE
��'� 6/12/1 Dennis Jamot AVAILABLE ON THE JOL$�g
va►ue SITE FOR THE FRAMIN�
Type Const. ANO FINAL INSPECTION
SLAB: ! � # , d ' � �a s , . � �-' ' ! ;-�- �
�y SUSSEL � ; � '--rt--� ' - '_--�--��--i--{- i i ; + ; �.��_'.r_�. ...__��;_ i _�
❑ y Owner Approx. � ` � '-+--i ;--+----,�-� - ' � � -�-�-"-' - � �, o- t ; � -�-�-+ �_'#'_"1"'_'"t.�a'g '�
❑In � � ' ! � 5 1 ( , i � { � 1 {
2•STARTWG POINTS ONLY i � � � � � -,--�--+--�-' ' ' ' { ' " ' � r ' '
S.P.L. r : f ' � " � ' ; �, `_ 5 � � _�_: � � ' s s i ; j , ; , a_t.�.....,_
S.S.P.L. I ':-��C� i; i c ?+ t � i? ; i,._ i__i .�_ i' i!.
� � ; � � , � ; i i i ; ; : �
R.P.L. j �� �, � �; � �� i ; � i'� I� i � �� i y�
Alley � , t ,-�- � ; , � -�--�- �--i---!�j--�--�--;"�_�_.� �_�__,.��_..__ �_
i�suse � I ; , ' T � , T� � � ; j�-�-;-- �-�--�--*--i- ' �_� , , �
F. Street � i I �� � s ; �i ! , � , - ? � ; i , , . ` : �
Other R ; �"- i : ��' `"`�`
, r :�_ ��_ -;=---= -
❑Square With /S � � ; � � ` � � T ; � ; ; OIVE ROV1/ �LOCK (4�) S6DE.S ; ; ;M' �
D Sod Rem. By i i; � ; ! ;: �
oa,.s.u. ` � i ; � � ' ` OVERH D DOO .16'3" �. � �
❑ �I Grade Point !�i � ' � � 1 '
I]�ondui3 _ �' `� � � � �-"y SERVI D .41 �,' --
9locks: �Y Owner y Sussel ���' . � 1 � W
❑Wtr.proot: OBY Own. �By Sus. ! ' ! i � ! _
❑Backfill: �By Own. �By Sussel i '_�,_„_.., ' ; ! ' _' � _. �.,.
❑ Maintain 8' Total Wall Height � ' M� -. �^
Including Blocks OR t ' ! � - T--�--j- ` '--,--. ' - -: t � --�-�
�bllaintain 8' Wall Height on � ; ; � ` , � ` i � ' � ,
Tap of Blocks ` ' � � ; � '!""' V' - � � '
Block Size (Top course) j � ; ; � � � '��;� � , t� E 4 -i�"�, `-`�� �
❑ S•. �6,, p 4^ . -- � � , ; ; ; ` ' , I � � -- � ;
Wall He+ght other than 8' ; ;�! ; `�'- , F ^; .�p�, _, � � j
p , ; ; _`"���; ,7� �M 7�:�_
�
❑ , � � �, �___ i I �__i__�-t,_�._: _�� ; i
' ,/ � � 3j ? � ' � � � _ ! � i
� J� .L,1A-.S.__:._._}--.t�"'T—•-- ;'-'f- i-.. �.---y ' . . - . � .
❑ � � — —'f� i j -- � t-� �'� .'�p,il':,- � ��� . .
� � _ ....�� � : � _j.__..: ._..c_. ._ � —' � .
a: ( ~I i ! � _' i J!�/ a :.,.._�.—._�� - ; ' '
� �. .. s "r_' � l � i � i ' �� }
Existing garage• No O ,. -'-- � � ; -r -°�'=— i , �
O Detached �ttached Yes$� ' ; -'•'
; � ;
Size of existing: x � . j; i, i� t � ; ,����
Existing garage wiil be: � J "! i � ? •�, � �� '
CJ Left as is � _ ! ; ! ; , � � + � *{`T"' � ; �
�Converted to L.S. • By ow � ; � � � ; ` ` ` ,��,� � ; `
C�Removed By: Owner( . ; ' .__4 �_��____! _.._,-._�_.._.��._ : ��__.�. � f , ' ' -�-+ __} ' '
Suss WILPCIY Af — —�--�---� —r—� —r--+ ; i i; 3 ..�."_.`_.{�, i 3r_3._ ;-1"T"',' � .�- #�I_`'T.c s
q
Junk Must Be Remo r � � ' ; � - ; � ri
� , ,. � ; �i, , {
Stakes visible Yes o a ��i �����_���'����� ���'� ���� �' x
Survey available - Ye ` '
OSpecial instructio s o � ' �; ' + � '�°� ' � � $ . '
,.., _.�_�,.,.�a-�� -s- � -��,- � ' � � � ° :
Cement Pflan �� ----_-----,-�.. �.-T�:���..J.���ya �� � �,�,sii� _�"('� , � �
SJ j , � � ' �_'t _ ' . � ; ;""� �.
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� � � : i ; � _ �� ; :s i� . _ .��� -�_
r-- ------�---7� V
� ( f
5
��v�� ' ` ���� �
a Good ❑ F�ir ❑ Poor
PURCHASER'S IfVITIALS:
1��`JA, u•�ZY�.b`Ii:7
i�.�.'�`r�1 �r��� �. ,
�. . _
� ...
� � �
0
_�—.
., <• :_.
NOTE:
ROOF: GABLE REVERSE GABLE � HIP
. �
EAVE OVERHANG: . .�,�-
RAKE OVERHANG: �
SEAL DOWN SHINGLES WITH PLYWOOD OR
� 2 WAFERBOARD ROOF SHEATHING AND 15 LB F�.I T_�—
� FLASH CiVER ALL
.� u
RoofSheathing ��'��� ��� ° EXPOSE� �����lQ�
�` _ Of�E�l�ivf S
Seal Down Shingles —�---
Manufactured Trusses � 2" x 4" DbVfriple
Top Plate
1) Roof approved by Minnesota State Buliding Dept. as meeGng Minnesota State
Code Requirements of 40# snow load.
' ofs c nsist of " 6" ra 2" x" ss tie " O.0 "
hip . ans a ater truss .
RAFTERS: Trusses @ 24" O.C. VG�� ��� �
STUDS: 2" x 4" 16" o.�. � �3 � �� x 3
WALL SHEATHING: ��� d` ' �� � � ��
SIDING: �"�%����
t� w1 � �4�` � � ar
OVERHEAD DOOR HEADER: �°-��'�--���^�*�-�+�' - Y
�_ q �� � ��-s = I�u�
2"x a" studs �
Treated Bottom Plate
1 Row 6" Concrete Blocks
4°
����
�i�/ /�'o'otise�
3!4" Cove
�I �
2" x 4" Studs
- ,� � yoa
� �� X q���14/�
Sub Fascia .
1��1I�„ _
Fascia
/� 4�
► L
�EAGINEEf�ED �USS DESIGNS
AND LAYOUTS SHALL BE MA�E
' AVAiLABLE ON THE J08 SITE
FOR THE FRAMING INSFECTION
A11 openi��e ln 6earint walt sha
De framed with double �eaders ot
proper ai2f.
x 7" Anchor Bolt
W/Re-Ber lle,
2" x 4" Treated Bottom Plate
°-'_ Above Grade
� � % ;',' A
�'����i�l �/�S' /�vCo� �7�/�� ��ti ; ; -
� $.. °
� ( Grade
, ,� '+ ' �% �° (�� �// �/��e��% Ci�V �
� X % � � OC' , /� � �� . �
. ` PLOT PLAN
. ,,, ,.. . ,; ;
, - - - � ---+-- � . -. i -�--=-+ - -
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Mr. Jon McGinn � � -
� � �_ � �� r T " r �- � t --�-- T-+
�..� . � �-_.__ � .
7600 East River Rd. �;- _.. �_.� _..'. _.� .,_ .. ; ...� .p _;� � : _ _ : -� . � .
• � - - .
r_____ _�;_�-_-� _.._.,..,. . . —;--r -�.� :._� � ,... � `
Fridley, MN 55432 -` � ` ' �,�--�;�
ci nr
LEGAL DESCRIPTION
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sue�eti � MIT NO.,
City of Fridle� � 3203
AT TNE TOP OF TME TWINS g u � L D I N G P E R M I T
r
; � RECEIPT NO.
� `y ����� COMMUN�TY DEYELOp�ENT DIV.
r � � PIiOTECTIVE INSPECTION SEC. 5��-3604 ����iP`i'�
� _ ,
� /'�'1 � CITY HALL FRIOLE� �35132 NUMBEN pEV OATB VAGE OF ACCqOVED B�
�----� • •,' 612-571-3450 910-F15 7/24/O1 / �
lOB ADORESS 7600 East River Road NE -
t LEGAI LOT NO. BIOCK TRACT OR AODITION SEE ATTACMEO
oescR. lA 1 Garten's Addition SMEET
2 PROPERTY OWNER MAIL AODFiES$ 21P PMONE
Jon McGinn 7600 East River Road NE 763-574-1909
9 CONTiiACTOR MAIL ADDRESS 21P PMONE LICENSE NO
Same
4 ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WOHK
O NEW ❑ ADDITION C� ALTERATIQN ❑ REPAIR O MOVE ❑ REMOVE
8 OESCRIBE WORK
Convert attached garage to living area
9 CHANdE OF USE FROM TO
STIPULATIONS �
See notations on plan.
Provide smoke detectors in all sleeping rooms and on all leve�.s of the
dwealing per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk
and flash all exterior openings.
�E�EP T �'S
SEPqRATE PER�q�y� � � G
REaUIRED �pR. �LUMe��� ��
PLUM� gIN�(; qNDr��� '
SIG��
SEPARA7E PERMITS ARE FiEOUIRED FOR ELECTFICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO
VENTILATING Oq AIR CONOITIONING.
' TMIS PERMIT BECOMES NULL AND VOID IF WQFiK Ofi CONSTRUGTIO�I 20NING SO. FT CU FT.
AUTHORIZED IS NOT COMMENCED NJITNIN 80 OAYS. OR IF CON$tRUCTION
OR WORK IS SUSPENDEO OR ABANqON�� fOR A PERIOO OF 1�0 DAY$ A7 �
ANV TIME AFTER WOFiK IS COMMENCED. ` NO DWLG. UNITS OFFSTREET PARKING
I HEFEBY CERTIFY TNAT I MAVE READ ANO EXAMIN�O TMIS APP4ICATION 1 STAILS GARAGES
AND KNOW TME SAME TO BE TRUE AND C041REC2. ALL PROVISIONS QF LAW$ VALUATION SURTAX
ANO ORDINANCES GOVERNING TMIS TYPE OP WORK WILI �� COMP4�ED @
WITH WHETMER SPECIfIED HEREIN Ofi NOT. THE GRANTING OF A PERMIT W7,500 $3.75
DOES NOT PiiESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pEAMIT fEE SAC CMARGE
PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFOfiMANCE OF CONSTRUCTION $153.2,5 Fire SC �7.SO
PLAN CMECK F TO AL FEE
164.50
5� NATUpEOFCON'AACTOpOpAUTMOp�2ED4GENT i0�ip� N pq0 VALIDAT D THI VO p PEFIMIT
��(�`l�� ° ��� p � �y �-�,��- �
S�GN 7uaE O� OwaEp��i QWNEp BU0.0ER� �O�iE� � B OG �a5o Oott
a
G
NEVN [ ]
ADDN []
ALTER �
Construction Address: 1 � ��
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMITAPPLICATION
�;
Effective 1/1/2001
(763) 572-3604 Bldg Ins
Cn`) ���
V_ �
=..�0 �-� ,� � • ,�
Legal Description:
Owner Name 8� Address: 3'0 f� MG G� .L�c� ° �7 �DD '�, �.� - Tel. # �l (03 ° 5��_ ( G �C
Contractor: f�u.� ��- MN LICENSE #
Address: Tel. #
LNING AREA:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA:
OTHER:
Length Width Hgt/Ground Sq. Ft.
L' J �.lJ� � ���.�c� Cs-�Q�� "�-t7 4—.�J�.--�C�' E��-�
Construction Type: Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$��, �OD ��
DATE: � aJ C� 1 APPLICANT:� C3� �L �j�.�--- Tel. #�(s�v- `J� �-1�iO�
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
$/.�"'3. �S Fee Schedule on Reverse Side --
$ 7. Sa .001 of Permit Valuation (1/10th°/a)
$ �. 7✓` $.50/$1,000 Valuation
$ �'— $1150 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 [ ]
� G . z>
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 e�sting 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,(}00
$500,001 to $1,000,000
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,Q00
$391.25 for first $25,(�0 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $5�,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW � - �
(Concrete Curb Streets Only) � Q
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of apglication 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. New Houses Onlv
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, . .` ' .. � SUB�FGT . . . . . �
City of Fridley
AT THE TOP OF TME 71NINS � u I L D I N� P E R M I T
;,
� �
� • COMMUNITY QEVELOP�riENT DIV.
� � �. ----- �
r � � PROTECTIVE INSPECTION SEC.
l.___�� �"' �'� CITY NALL FFiIDLE� SS�32 NUMBER NEV
t 612-5� �-3a50 s�aF� s
10B ADDRESS �600 East River Road NE �
t LEGAL LOT NO. BLOCK TRACT OR AODITION
DESCR. lA 1 Garten's Addition
2 PROPERTY OWNER MAIL AOpR�$$
Jon & Jeane McGinn, 7600 East River Road, Fridl
3 CONTpACTOR MAIL ADORESS
Jon & Jeane McGinn (same as above)
d ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAILADDRESS
8 USE OF BUILDING
Dwelling
i/28/02 � /
32409
CEIPT NO.
��
OF AVPqOVED BY
�
SEE ATTACNEO
Sh1EET
JG /VJ��/�F�17V7
21P PHONE IICENSE NO
21P PMONE LICENSE NO.
21P PHONE IICENSE NO
7 CLASS OF WORK
❑ NEW O ADDITION C� ALTERATION O REPAIR O MOVE O REMOVE
B DESCRIBE WOHK
Finish attic above garage
9 CHAN(iE Of USE FROM
STIPULATIONS
See notations on plan.
TO
S�PARA�� P�RM�T�
REQUIRED FOR:
P�u��' N�" 4 ��� ���
� r rC air a.vna �.
SEPARATE PERMITS ARE RE�UIREO FOR ELECTRICAL, PLUMBING, MEATING.
VENTILATING OR Alp CONOITIONING
TMIS PEFMIT BECOMES NULL ANO VOID IF WORK Op CONSTRUCTION 20NING
AUTHOR12ED IS NOT COMMENCED V�!ITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANqONQO fOi1 A PERI00 OF 12Q DAY$ A7 "
ANY TIME AFTER WORK IS COMMENCED ' NO DWLG. UNIT
I HEREBY CEHTIFY THAT I MAVE READ ANO EXAMIN�D THIS APP�ICA710N
AND KNOW TME SAME TO BE TFlUE ANO CORRECT. ALl PFOVISIQNS OF LAW$ VAIUATION
ANO ORDINANCES GOVERNING THIS TYPE OF WORK WIL4 B� CpMP4�E0 � 12 � OOO . OO
WITM WHETMER SPECIFIED MEREIN OR NOT. TME GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIOIATE OR CANCEL TME pEqMl7 FEE
PROVISIONS OF ANY OTMER STATE OR LOCAI LAW FEGULATING CON-
STiiUCTIpN OR THE PERFORMANCE OF CONSTRUCT�ON �209 . z$
OF CON' C OQ OA uiNOpi2ED AGENi ��DATEi
� i�,�C�.� `°�-
)�OWNEA��FOWNEpB ILDEp� �OAfE1 '
SO.
STALLS
ROUP OCCUPANC�LOAD
CU FT_
OfFSTREET PARKING
IGARAGES
$6.00
SAC CMARGE
12.00 ire SC
TOTAL FE
$227 5
�DATE T IS VOUC E��� J
ri�� %
0
N� Il
ADDN []
ALTER (�"
Effective 1/1/2001
CITY OF FRIDLEY (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMITAPPLICATION
Construction Address: � ��� �.� � (�i�� �i��
Legal Description:
Owner Name 8� Address: _�OIJ �' �"���. M G��15. Tel. #`�T f�3° 5�( y_ I q��'i
Contractor. 5�.� MN LICENSE #
Address Tel. #
LNING AREA:
GARAGE A-REA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length ` i '° Width �� ��`� Height \�o r Sq. Ft c�5 0�
Length Width Height Sq. Ft
Width Hgt/Groy d
�r� � � � � Co,
Sq. Ft
�
Construction Type: Estimated Cost: $ �' � '
Driveway Curb Cut Width Needed: F� + 6 Ft = Ft x$ _$
�j( �
DATE: I �U'�� APPLICANT• � � � `i/�i Tet. # ���4 �r � � `7 -l� D �
r
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
��
Permit Fee �d�� $ � -— Fee Schedule on Reverse Side
Fire Surcharge l��$ , .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $1150 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Necessary []
TOTAL $
�� `�-��
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 applicadon 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
$1(�,001 to $500,000
$500,001 to $1,�0,0�
$1,000,001 and up
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.Q0 for each additional $1,000
or fracdon thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,(�0 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Altemate "B": Removal and replacement of curb and gutter and instail a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Sulrvey of the lot, showing the location of the foundation once it has it has been constructed will
be required before proceeding with the framing. New Houses Onlv
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THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
C:nMMnN VFNT� NT nNN .TnR AND (�MRl1STInN AIR RIFI .ATInN
- When re In acing an _xic+ing f�rance, the undersigned hereby verifies that the
- venting has been examined and is free from rust, deterioration; obstructions,
and is securely supported and firestopped where required. Yes () No ()
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes (�No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The eYi�nB ceme��en air is sized and installed to meet the current codes
and manufacturers specifications.
WheI1 �eqUl�ed to install a new cem6�etien airTit will be sized and installed
to meet the current codes and manufacturers specifications.
When inctallin4 a new ventinA c�- ��, the undersigned hereby verifies that
it is a listed assembly and meets the cuRent codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances.
Yes ( ) No ( )
Yes( ) No( )
Yes � No ( )
Yes � No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented ���
separately as per current codes. Yes () No (
ARnliance T� e and Si�e/Common Vent and Vent Gennecter Informatien
Appliance #1 Type pu�,he �r��o�r�c�. BTU Input �I c�, rx��
Appliance #2 Type BTU Input
Appliance #3 Type BTU Input
'fotal Appliances Total Btu Input
Common Vent Type
Fan Assisted or Nat �c�n ya%�
Fan Assisted or Nat
Fan Assisted or Nat
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
� �� �c t � r��e� �-�'� c ��e � � � ��s��—
�����- ��r- �'a���� c�nv�e�rS�oV� a °Fv�-n��-� 4�� ��b�s���. ���
Se p�e r4� e-� ro� e�u S� �� 5�S i e�
L c� � r�t.e � Cc�� .
HEATING CO: P
Signed By: ��Q �,¢� (SL� Date : �f ° 3'�a`
_
_
CIiYOF
FRiDL�Y
FRIDLEY MUNICIPAL CENTER • 6431 Ur1IVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
May 6, 2002
Jon & Jeane McGinn
7600 East River Road NE
Fridley MN 55432
Re: Paved Driveways
Dear Mr. & Mrs. McGinn :
In 1997, the City Council adopted an ordinance declaring gravel driveways a public nuisance.
They were declared a public nuisance for a number of reasons, such as: they can cause
erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the
City's storm sewers and detention ponds. When gravel driveways were declared a public
nuisance, the City Council gave property owners five years to have their gravel driveways
paved. The five-year deadline is quickly approaching, which means all gravel driveways within
the City of Fcidley must be paved with approved concrete or asphalt by December 31, 2002.
If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at
the Anoka County Courthouse. A misdemeanor citation is a criminal offense and is punishable
by up to 90 days in jail and/or a$700 fine.
If you've already paved your driveways, Thank you! Please call me at 763-572-3595, so I can
update our files.
For your convenience, a brochure on the City's loan program has been enclosed. You can use
this loan program to acquire financing for your driveway improvement project. Please call Jim
Hesnik at 612-335-2651, if you have any questions regarding this program.
Thank you for your cooperation! As you successfully complete your driveway improvement
project, please call me at 763-572-3595, so I can do an inspection of your property and update
our files. If you have any other questions, please feel free to call me at the above number.
Sincerely, �
Stacy Stromberg
Planner
C-02-53
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
163) 572-3604 FAX: (763) 571-1287
: 7600 E RIVER RD NE
: 103024120026
: UNAVAII.,ABLE
: LOT BLOCK
: HEATING
: RESIDENTIAL
: FIREPLACE
VALUATION .
NOTE: INSTALL A GAS INSERT (I�AT N GLO, 30,000 BTLT)
APPLICANT
FIlZESIDE HEARTH & HOME/ALLIED FIRES
2700 N FAIRVIEW AVE
ROSEVII,LE, MN 55113
(651)633-2561
� J�I :
MCGINN JON P& JEANE L
7600 E RNER RD NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or consttucrion
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. The
gra.nting of a pernut does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Bldg
�.1�..���a4
PERMIT NO.: 2004-00131 /����/
DATE ISSUED: Ol/28/2004
HEATING PERMIT MINIMUM FEE
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 606707
SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE.
25.00
0.50
25.50
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THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPUCATION WILL BE RETURNED
[_"fIL�IL"pl� t�l�'[� ��n!T CAI�I�ECT[]R AI�D GOMBIISTInI� AIR VFRIFICATION
When , the undersigned hereby verifies that the
ven�ng has been examined and is free from nast, deterioration, obst►uctions,
and is securely supported and firestopped where required. Yes ( i No ()
The venting system is plastic/PVC and meets all current codes and manufacturer
spe�f'ications including sizing, length, number of elbows and termination. Yes () No ()
The�undersigned aiso verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
indude AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appiiances.
The �Y �tina �eme ��en 9�r is sized and installed to meet the current codes
and manufacturers spe 'cif'ications.
When �@qUl�9d t0 f�a�� g n_w _emb �efien air it vyill be si�ed and instalied
to meet the current codes and manufacturers speciflcations.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
�� �� ne�=p�yMtPm, the undersigned hereby verifies that
it is'a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances. Yes () No ()
Is the common vent and vent connectors sized and installed correctly after
an appGance has been removed from the common vent and vented
separately as per current codes. Yes (. ) No (: )
�.. .� .- .�. .����.� -� .�. -� .��- . � .���.,.�
AppUance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appiiartce #1 Ver�t Connector Height ft Length ft Diameter in Type
Appflance #2 Verrt Connedor Height ft Length ft Diameter in Type
Appliance #3.Vent�Connector Height ft Length ft Diameter in Type N
� r � : � r • � (�T-�'-�'.�'.`I Ta
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J.�o rE�X�s tr� l�'��P�� /
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HEATING CO: �r�s f � � /����r,(� � /��.•� �
Signed By: �_�� � Date : / ��� C� �