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AF - 40983� Village of Fridley, Minn. BUILDING PERMIT Date: ..�`.� . ��.��... .. ... Owner . ��. . F:�� . . . . . .. .. /� . . ��" 'Bu�lder Address .� ' . � �. . �!!�Y. : . . A�� :� - . S `� Address � 0 � �� o � � . ! .i� � ° : " � � � _ , r. /" ��OCATION OF BUILDING No. `�. . �.e.� � . Street . . . . . . . . ��(":'° � : . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lot .............. Block .................. Addition or Sub-Division ....................................... Corner Lot ........... Inside Lot ........... Setback ........... Sideyard ............................. DESCRIPTION OF BUILDING T be tise � 0 0 . . . . . . . ront .°2 � . . Depth �.P.�`. . . . Height ,, . . . . . . . Sq. F't.�� Cu. F� . . . . . . . . .................... Type of Construction ........ Degth e Helght ... ... Sq. Ft. ........ CU. F� ... ..... . �� v.`-'�: . . To be Completed � �� . Est. Co ... ............. r � � �"- z� � �`� ; � � /'d' 'l � � ' '� '� ' �' , �. r � ` / /, l ; d � �� , �� In consideration of the issuance to me of a permit to c�nstruct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. O'� In consideration of the payment of a fee of $.�./ � � � � ( is hereby granted to � • . . . . . . . . . . . . . . . . . . . . . . . . to construct the building or addition as described above. This per�t 'is granted upan the express condition that the person to whom it is granted and his agents, employees and worlus�en, in all work done in, around and upon said building, or any part thereof, shall conform in all respect5 to the ordinances of �'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .. .—.. .,�/ Ijilildinb InsPector NOTICE: f�� " % . '. This permit does not cover the construction, installation or alte�ation for wi�ing,� Iumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate pe�mits for th,��` items. -- _ , � �- �„`'�"�. . � �-- �.,. , „- �,,,� � <-� '�- � - _ � � � �- � �- , ��. - _ � , ., .. _#� i ' ��- � � . ` �: .., � r I , - • --° ` � ��,� � 9 .a _ � :_;,,,,,� �"� . �' x- � . . , _ �o,r.. �.'''"� �` ' ��`. �� : � � � � - _ ,_ , � - : _ ;. 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' _ � � . _ . . � � °f-.a _: �1 -.4.. _�__� i_-- -� I � ' � .a;ei" _ _ _ i_-. _�_- .k ��` ��I `� � �- ti _..._i, , .. � r ._ �, �--. � _ "—a r—'et PRESS NEWS�PRINT ��I��UMPTION RERORT - Publication Da+A �t � -�+ Edi+iom - Signed _ Press No. /. _ _ ; �.. �� .� - � -� ,.... � d � �. � �� a � p . � : °x : � . m . m . y : o . � . m 0 ' � � � • � � ��.J� � N � � � H .. � � W � ��,�� O � �N � N � o � o $ : o . . 4 ' : I I I � �E i1 C4 � � � °o o c y � �*� H H � r � z� � z� z x � � � $ � � � y cs' � a• r� � � �' � � � � m � � P+ y �D � � � 0 � � � � o � � o a � � � � � �.�: � ��: � a o : � � : GG � . . . . O ' W : : : : : � : : ' : � �E �4 pC N >d >d w [� ta � r ►�+ � cNi� °p � °o 0 0 ,�a ts� tn tn tfl �a cn t*3 '�, `i H � � 1 � o x � � � 1 w � . � � � � a � � � � � � c y �• � p � D � r � m � � � C r m � a O � 0 a' � n � '� t'�P � g � � � � � � � bd � a � � Stories 8 � w�ren— � m C�osErs �p URINALS � enn+ ° n�s a � e�siNs � � I SINKS W,� � � rrsavs DRINK. FOUNT. sHwRS. FLOOR DRAINS �T� (i BASINS p AUTO m VI/�� GAS APPL � GAS RANGE GAS I OPENINGS "0� 8 i+ M �. � tJ � o� K � � ,� • z e � � � A m � � �� m � �y � ro� � � •€t�� 0 y � � �' � � �a � �� b � � ro � 0 � � � p � �' o �'i R' o p �o ��p' �, o �~ � y A � W � � � �. � �. � o�� a �� . w�fD �� ° e�. v _ � R �d �i � A aro a0 Rx � �°n p � M o � � � � � � �i � i � � � � � � �T �. � - v 4 �- tD � � � � M � � Y' �• . � A � HOUSE HEATING TEST RECORD ADDRESS �� r96��a..' (T��G APT. FLQOR CITY �SUBURB--_, �CCUPANT OWNER G � ��+��' HEAT LOSS � DATE HTG�. NST. SOLD BY ol ��`� ��t7'� � IPISTALLED BY �'��s� �� l ��=- ' � a� Elsetrieal Work By Gas Line By ✓`�'� '= r TYPE OF HEAT GA FA HW STEAM SPACE HTR. _ • GAS DESIGN M/►KE r° � w�`G MAKE OF BUF2NER _ Model " Model �►aa� �� 7 -5,�� Maz. BTU Rating— INPUT �� MAKE OF FURNACE Model CONTROLS THERMOSTAT ¢ a'�� Heat p�e�9 � I Valve � � � Limit �B/a�� Limit Ss4tin�� Fan Setting .�% �-� Pilot Typa %`Z�- Pilot Make �' � �'? �� UNIT HTR. OTHER CONVERSION Vent Size � II KIND OF LINE SIZE�NONE Drah Hood � � Regulator Fi IFers Size ��2��/ ��i mber � Chimnay Location Insida� v �Outside Chimney Cons4ruetion ��P C / ' Pilot Model Smoke Bomb Wiring � Pilot Timing �%� � � � Draft �� p � +� Test Tag�� ° 6 R' '� L.W. Cut Off Door Pressure Lighting Inst. �� '��'�L � Peessuro 7`� Pereent CO2 Date Tes4ed "�d Input CFH Pereent 02 Company Testing o� � ��.�E2 . Staek Temp. �� Pereent CO Name of Tsatar Form 235 sus�ecr P. RM12220 . City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � CEIPT N � • COMMUNITY DEVELOPMENT DIV. �� Ly �� r � � PROTECTIVE INSPECTION SEC. ' i ' �( /�"1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �•»� � ,•� 612-580-3450 910-F15 � JOB ADDRESS 1 LEGAL LOT NO BLOCK TRACT OR AD ITIOy SEE ATTACHED DESCR. 7-10 3 gpring Brook Paxk SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Ma. ard Schommer 7905 E t Ri o 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Richard H 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 8 CHANGEQFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR �CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORIC 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. �400.00 . SO 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 ANY OTHER STATE OR LOCAL LAW REGULATING CON- �S.OQ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � � PLAN CHECKFEE TOTALFEE $5.50 SIGNATUREOFCONTRACTORORAUTHORI DAGENT IDATEI �,-• EN PROPERLY VA�I TED THIS„IS YOUR IT �� /��, SIGNATURE OF OWNERIIF OWNEF BUILDERI IDATEI BLDG INSP �ATE CLARENCE BELISLE , A�PLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � OWNER' S NAME :-- - . � �„� _ �.� BUILDER : � �n �� annx�ss :_ 7 �v s � : � �� an��s s : G' .� � � - � �'°� �, � _ Z No : . i �'o s sz�� • �' � . �Z f LOT : �7 - t � BLOCK • � ADDITION s _� ,i�--� � (,�,�� - CORNER LOT: INSIDE LOT: SETBAGKo SIDEYARD: Applicant attach to this form ltao Certificates of Survev of Lot a.nd proposed building location drawn on these Certificates. To Be Used As: �ESCRIPTION OF BUILDING Front; Depth• Height: Square Feet• Cubic Feet• Front; Depth: Height: Square Feet; Cubic Feet: 1�ipe of Conatruction; �� Estimated Cost;_$ �% p, �� To Se Coiapleted; �%�� Thes undereigned h,ereby makes applicativn for a permit for the�work hereia speeified� a�reeiing to do all work in stfict accordance with the City of Fridley prdinatices and rulinga of the l�pag�ent of Buildings, and hereby declares that all the facte aad representations stated in t1�ia applicati.on are tru� aud coxrect, DAT� : _ 7�� f � � � S IGNAT[1RE : _ �-•.-� /�� "'~---�-- .,, (See Revezse Side Far �� . � �`� Additional Infozmation,) � � . � � �.� . ' , ' BU�L�ING PERI�I�T r�� CH�D�L� SECTION 2. The Inepector of Building� �ha11' befor� issuing pe�nits for the exection of any building or st3-ucture, o� for any addition to any exis�ing building or structure, or for any alteration or repairs to any existiag building or stxucture� upon application thegeforee require the payment by the applicant for s�ch permit of fees to tih� ano�nt he�ein below se� forth and in the �tanner herein provided to-wit: IINIFORM BUILDING CODEs 1g�pe 1, 2& 4-$2.15 f-ar e�ch one thousand cubic feet, or fraction thereof, in such cubical �ontentso Type 3& 5-$1.85 for each one thousand cubic feet. • ADDITIONAL INFORRqATION �°or the purpo�e of computing fees for building permits, the cubical contents of an�► building or addition, ia determined by multi�lying the ground area cdvered from a point six (6) inches below the floor line of the basement or tk�e cellar to the average heights of the upper surface or to the avera�e heigt�t of the roof surface of the main gable of a pitched roo�. For r�pairs or alterations to an exis�ing structure, the fee shall be at the rate of $3.00 pex each five hund�ed dollars ($500.00) or fraction thereof in the cost o� all proposed work. In no caee shall the fee charged for any �e�►it as set forth in Section 2 be less tha�n $5 a 00. VBRIFICATION OF FOUNDATION NOTE: Permits �or eonstruction will be issued a minimum of 24 houra from the time af appllcationy to a21ow for proper revfe� of the proposed strnctu�e and of fi�e conatruc�ion si��. A Certified Survey of the lot, showi�g the location of tiie f�undation, once it has been constructed, wi11 be required b�fo�e proceedin� with the framing. CERTIFICATE OF OCCUi'I�NCY Appli,catioz� for a Cextificate of Occupancy sha11 �� made ten (10) da.ys prior to the use ox occupancy o€ any structure for whicl� �, building penait has been iasued; and said a�xucture shall not be used ox occup3�ed until a Cextificate of Occupa�cy hae beett issued. , y ► 4 �°`v,� � �� sue�ecT RMIT NO. City of Fridley 31 446 , ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T� RE�E�PT N. � � `L _ COMMUNITY DEVELOPMENT DIV. � � � r � � PROTECTIVE INSPECTION SEC. 1 = � ,` ��'i � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BV L""� � ,�� 872-560-3450 910-F15 4/9/76 � � JOB ADDRESS 7905 East Ri.ver Road N.F;. 1 LEGAL LOT NO. BLOCK TRAC7 OR ADDITION SEE ATTACHED DESCR. 7-10 3 Spring Brook Park SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Maynard Schommer 7905 East River Road N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO. Inter City Builders 2510 Murray Avenue N.E. 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEEH MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW ❑ ADDITIOId ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 22` Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. Garage setback to be a mi.ni.mum of 25 feet from the south property line. SEPERATE P�i�M�T� RE(�t�l�tE� t=0i� �ttfBRlf��, HEATI(VG, PLUI��iNG A�iD SIGNS: TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOO(3 Fr3IIt@ 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 ABANDONED FOR A PERIOD OF 120 DAYS AT R �. 44O 3520 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 ANO ORDINANCES CiOVEHNING THIS TYPE OF WORK WILL BE COMPLIED $3 � 2c�6 $]_.63 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 LOCAI LAW REGULATING CON- $$�SO STRUCTION OR THE�'PER ORMANCE OF CONSTRUCTION. ► PLAN CHECK FEE TOTAL FE � L ,� ti � J- `� % $io. i3 IGNATURE FCONTRACTORORA THORIZEDAGENT IDATEI WHEN PROPERLY LIDATED THIS IS YOUR PERMIT � ///�� . �" �. �' f�� SIGNATURE OF OWNERIIF OWNER BUILOERI IDATEI BLDG INSP �� .___ . . _.. , ., .e • APPLICATIO�' FOP. RESIDEN'1'I�L, ALTERATION, OR 1�U1�ITI(.�I� BiIILDING PERMIT CITY OF FRIDLEY, MINNESQTA �p A OWNER' S NAME : ? L' o [�,BUILDER : /N/P/� L- / � I��/ �✓�- _ � 1��%' - _�7 �� I`�Y � ADDRE S S: �%S� °� ADDRES S• ��i,a �F v� NO • . STREET : / l � � � (/ /U �/� /7 � LOT •!' ��% BLOCK •�J ADDITION : s Il% R o 1' C� COR1�R T�OT: INSID� LOT: SE�BACK: SIDEY�RD: Applicant ati:ach to cliis foxm �ao Cer.tificates of Survey of. Zot and pxopose� building lacation cixawn on thes�: Ce�Lificates. DESCRIPTION OF BUILDING Ta Be Use�l As s ��/ a �� Frant • �lV Depth • � � Height • � ��- e/ 3 � Square Feet• 7� v Cubic Feet• � �� Fx�nt• vepth° Height• Squaxe Feet; Cubic Feet• . �� pe oi Construction: �� /yl � Estimated Cost: To BE Completed: � �_ �� ,�z�-� • - 'i}Ze°•undersigned hereby ma.ke.s applicativn for a.,germit. fox .the Work herein sgecified, agreein� to �o all ��ork in stxict accoxdance with the city of �xi.dley Oxdinances and xulings of t'r�e Depaxtmeni: oi Buildings, and tiereby declaxes that all the facts and repxesentations stated i.n this applicati�� re true and coxrect. � DA�E : ( � ( � �� SIGNP.T�.;RE • _ (See Iteverse Side For Additional Informa .on,) �j ( "" � �— � - � � , �-.� -- ��` .�i� . _ - � . . BUILllING PERMIT FTiF SCIIEDULE SECTION 2. The Tnspector of Euildings shall, before issuing permits for the erectiion of any building or structure, �r tor any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application the•refore, 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: UNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand. cubic feet, or fraction thereof, in such cubical,contents. Type 3& 5-$1,85 for each one thousand cubic feet. /�DDITIONAL INFORMATION For the purpose of compu�ing fees for bnilding permits, the cubical contents of any building or a�dition, is determined by multiplying the ground area cotTerect from a point six (6) inches below the flaor line of the basement ox the cellar to the average heights of the upper surface or to the average� �height of the roof suxface of the main gable of a pitched roof. For �apairs or alterations to an existing structure, the fee shall be at the rai:e of $3.00 per each five hundxed dollars ($500.00) or fraction thexecf in tihe cosi: oi all proposed work. In no case shall the fee charged for any permit as set forth in Sectian 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permi�s for construction will be issued a. minimum of 24 hours from �he time of application, to allow for proper review of the proposed structure and of the construction site. A Ccr�ified Survey of the lut, showing tlte location of the foun.ciation, once it has beezi c�r,.structed, will be requixed before proceedin� with tlie framing. CERTIFICATE OF OCCUPANCY �I�C��-cati.on for a Certific3te of Occupancy shall be made ten (10) days prior to the use or occupancy o� any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certifi�ate uf- Occ,ipancy has been'issued.- - - - - - _ . . _ . ._ � � +z - - �. � �_,_ � T^ ry^ �afg� � � �. 1Fy+ hp(!.� -}� .:, ° � �,t` :. ��,�y�; �, � _ .��'�. � 4 �;�r;t�A►�D�S�11FE�' �.e�s.�r �►v�°is � i � } 4 � �. - N ' -'� �1 � �'�+'. .. �i� ��~ . ._ . ,... � ... ec�ACRYOetP�: � i� II••. 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' .q, � � b ,� i '�. c� � .. r f r� yq.-,��c rR '.�. � . � � � � �. t �i �w �%,�S'g�,'�` �. ,\ � ir ,.-� � a :� � �.-.�s" F � J ir .�.� ; , 4 ..� . , -y ��.� �� y��r P�•�. , �" �1 rL�� , �; f � V ,�+� �,`�w`�� '2�` "`�� , Ck ,�g , ��r3t {� � ? t��m e , ...:�. „ .-1... � ... �"'�1'�..,�.:: rr �"ti4�.. . 'P+":�' . ��i" � ,.i�a.:.�°�,. Mi.�r .rizif�.. �... �,. . ^�C�(t...k�rkc°�.,�'�. . v ,�� C`. sue�etT • MIT NO. City of Fridley 29974 � AT THE TOP OF THE TWINS g � i L D I N� P E R M I T r ; � RECEiPT NO. � `y _ COMMUNITY OEVELOPMHNT DIV. �� ` � � • � PROTECTIVE INSPECTION SEC. � � . , � _ �"'1 � CITY NALL fRIDLE� SS132 NUTABEN pEV OATE P�GE Oc AVPROVED 8r �'"""� � �'� 61 �-571-3450 g10-F15 8/3/99 / / JOB AODRESS �905 East River Road NE 1 LEGAL �OT NO. BLOCK TRACT Oq ADDiT10N SEE ATTACMEO DESCR. %_ lO 3 S rin Brook Park SHEET Z PROPERTY OWNER MAIL AOpR�$$ ZIP PMONE Mike Klismith 2_29 J CONTRACTOR MAIL ADORESS 21P PMONE LICENSE NO Suburban Exteriors 9701 Penn Avenue S S a ApCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PFIONE LICENSE NO 8 USE OF BUIIDING Residential 7 CIASS OF WORK ❑ NEW O ADDITION ❑ ALTERATIpN X� REPAIR � MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (18 S Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS � Underlayment must comply with the State Building Code. SEPARATE PERMITS AqE REOUIRED FOR ELECTRICAL, PLUMBING, MEATING, TYPE OF CONST. OCCUPANCV GFOUP OCCUPANCV LOAO VENTILATING OR Alp CONOITIONING THIS PEFMIT BECOMES NULL ANO VOID IF WOIiK OR CONSTRUCTION IONING SQ. FT CU FT. AUTMOR12E0 IS NOT COMMENCED V�IITHIN 60 DAYS, OF1 IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED fOR A PERIOD OF 120 pAYS A7 ANV TIME AF7ER WOpK IS COMMENCED. NO. OWIG. UNITS OfFSTREET PARKING I MEREBY CERTIFY TMAT I HAVE REAO ANO EXAMIN�O TMIS APP�ICAiION STA�LS GARAGES ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIQNS Of LAW$ VALUATION SURTAX AND ORDINANCES GOVERNING TMIS TYPE OF WpRK WILI BE COMPLIED WITM WMETMER SPECIFIED HEiiE1N OR NOT. TME GRANTING OF A pERM1T $1573 $, %Q DOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOIATE Oii CANCEI THE pERMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- TqUCTION OR THE PERfORMANCE OF CONSTRUCTION .�S%.OS Fire SC �..5% P�AN CMECK fEE TOTA� E License 5.00 .41 5� ATUpEOFCON'AACTO OaauT iZEDaGENt iDnTE� EN OP ALIDA MIS i$�Q`�RMI � 0 ` S�GNaTUAE OF OWNEA��F OWNEpBUI�DEAi �DAT�i � g ��µgo � � p�TE � r r�w � � ADDN ALTER Effective 5/10/99 [ l CITY OF FRIDLEY [� SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII,DING PERNIIT APPLICATION Construction Address: Lega1 Description: � � c�s �" R..�,� b ,� c% . - � �� D Owner Name & Address: (Yl ,c�2.e, ,� R �-� Tel. # � � � - � �'1 � � Contractor: � ��-t�.��,b-,e ��...�en.a NIN LICENSE # �/ � � i Address: C� f ? C> 1 ��.�`vtiti �.� ..-� , .��2 � l d 7 Tel. # � �/ � � a a3 � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECS AREA: OTI�R: Construction Type: DESCRIPTION OF IMI'ROVEMENT Length Width Length Width Length Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ I fS� ,0.� �S �� Driveway Curb G�t Width Needed: Ft. + 6 Ft = Ft x$ —$ � DATE: ~7 - � � - � �'/ APPLICANT: � � ,,� �„�� Tel. # � �S� � � ��-� Permit Fee Fire Surcharge State Surchazge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPLTL,ATIONS: $ .� .bs� $ 5 � '7 9 $ � .� do $ $ $ $ $ �7. 7 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.so/$1,000 valuation $1050 per SAC Unit $S.QO (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ,.. BiJII.DING PERNIIT FEE SCHEDULE The Chief Building Official shall, l�fore 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 io-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,�0,000 $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,� $69. 25 for first $2, 000 plus $14. 00 for each additional $1, 000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1sOQ0 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1, Q00 or fraction thereof, to and including $100,000 $993.75 for �rst $100,000 plus $5.60 for each additional $1,000 or fra�tion 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. 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 applicaxion 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 coa�struct.�d vvill be required before proceeding with the framing. NEW [] ADDId [ ] ALTER [ ] �Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING P�RMIT APPLIC,R4TION ' ,�� s � ��e Effective 1/1/2000 (763) 572-3604 Bldg Insp o�\ % �. �� Legal Description: / X Owner Name & Address: G' ' S Tel. #�/�).S"3�- �-99 ��/ Contractor. MN LICENSE # �� `s �`�� '"� Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: �Ft. 6 Ft = �Ft x � � � _ $ � � �� , -�� DATE: � �/ APPLICANT: Tel. # (r�l �- � �� g9l� � CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in applicat�on Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1100 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 $ ;' '1 �. STIPULATIONS: G'( • l� - � � ` / C_ t-�/�V�� l"�' r 7 c% � e�. ��%�/�C��T��_':�l � �-- �.,_..—=---------�_ ____-- - ---__ � _ .�'� - �_^.. — ,------ - ------ ---_-- — �--�--" _ --- - ---� s� �( o� 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�cisting 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 $SQ0,�0 $5�,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,OQ0 plus $14.00 for each additional $1,000 or fraction 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 $SO,Q� 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 fracdon 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,OQ0, 000 $5,608.75 for the first $1,OOO,Q00 plus $3.15 for each additional $1,Q00 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Altemate "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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application �o allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv f = ,, , sue�etr c�ty of Fr�a�ey AT THE TOP OF TME TWINS g � � L D i N G P E R M I T r � � � ; y _.�� COMMUNI7Y DE�EIOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. L.--.� ��' '�. J CITY NALL FRIOLEV 651�2 NUMeEA pEv t 612-571-34b0 910-F15 JOB AOORESS �g05 East River Road NE 1 LEGAL LOT NO. BLOCK THACT OF ADDITION DESCR. %-lO 3 Spring Brook Park 2 PROPERTY OWNEA MAIL AOOR�S$ Mike F� Rachel Klismith 3 CONTRACTOR MAIL ADORESS Owner d ARCMITECT OR �ESIGNER MAII AODRESS 5 ENGINEER MAIL ADORESS 8 USE OF BUILDING Residential 7 CLASS OF WOFiK OATE 11/5/99 ZIP PAGE OF � � PERMIT NO. 30480 •� R EIPT NO. ��1� �PPNOVED 8V SEE ATTACMED SFIEET PHONE 786-5756 PMONE LICENSE NO PHONE LICENSE NO. PHONE LICENSE NO ❑ NEW � ADDITION � ALTERATIQN � REPAIR O MOVE O REMOVE B DESCRIBE WORK COIIStTtiCt a 12' X 24 � Porch t Cnnstri�ct a 1 h� Y d� Tlp�k • TntAr; n,• ,-o,.�.,ao7 8 CHANOE OF USE FROM TO STIPULATIONS See stipulations on plan. Variance 99-14 approved 8/11/99 to reduce front yard setback from 35' to 25' and to allow an accessory building in the front yard. 5��.1 r� n��R��'�'� �E I�IBR��t�, �� B6�Vs �L� �� . TVPE OF CONST. SEPARATE PERMITS ARE NEOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENT�LATING OR AIF CONOITIONING. TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS NOT COMMENCEO V�IITMIN 80 OAYS, Oq IF CONSTRUCTION OR WOiiK IS SUSPENpEO Oii ABANDONEO fOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS I HEREBY CERTIfY TMAT I MAVE READ ANO EXAMINEO THIS APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAW$ VAIUATION AND OROINANCES GOVERNiNG THIS TYPE OF WpqK WILL BE COMP�IED WITH WHETMER SPECIFIEO MEfiEIN OR NOT. TNE GRANTING OF A PERMIT .��.9,903.40 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOlA7E OR CANCEL TNE pERMtT FEE PROVISIONS OF ANV OTNER S7ATE OR LOCAL LAW REGUlA71NG CON- STRUCTION OR THE PERFOiiMANCE OF CONSTRUCTION �Z�.�I.00 S�GN4TUpEOFCON•AACTOpOpAUTMOp�2EDOGENT IOATEi GNATUNE O� OWNEp�� OwNEpBUi�DEA� iD�TE� p, � / �_ • . ��t'*? �� efo�e d;��9�g caf6 for all uta�i�y locations 454•0002 �fQUfRED �Y L�►►W OCCUPANCY GROUP OCCUPANCYLOAD SO. FT CU fT OFFSTREET PAqKING STALLS GARAGES SURTAX � $9.95 SAC CMAFGE Fire SC $19.90 TOi FEE . 85 ALIOA ' MIS IS V UR P IT i �L _ q6rE 1vEVV � j � ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R 1 AND R-2 BUII.,DING PERNIIT APPLICATION Constnrction Address: Lega1 Description: _ Owner Name & AddrE Contractor: � Address: � /� � • �- Tel. # % ��,� R '�' °7 5 � MN LICENSE # Attach to this application, a Certificate of Survey of th� lot, with the proposed construction drawn on it to scale: LIVING AREA: ��-� GARAGE AREA: ��el< DECS AREA: �C�vn�� OTHER: Tel. # DESCRIPTION OF IlVIPROVEMENT V 2(� � Length f� / Width Length � � Width Len�h oZ`' � Width �/ Height �_ Sq. Ft. �c�' � � _ Fieight � • Sq. Ft. L0� Hgt/Gro�nd Sq. Ft. .�/ (O I�� / �i' . Gi'D .3. �/G Construction Type: �Q%� 7�� Estimated Cost: $ � �i �� , �d —�p2 � I ��1, 7/ ��5 3 �,7-� � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �� / � �j �� DATE: � - //- � APPLICANT: G��/�� :�%i�l�%i Tel. # � , ;, , ° o�'f / Pernut Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Conirol Park Fee Sewer Main Charge TOTAL STIPULATIONS: crrY usE olvt.Y �R-�2 99 ��' �%/1.�J� 8 i� �i $ o� / % � Fee Schedule on Reverse Side � � � � D � �� '�� $ � , Q .001 of Permit Valuation (1/lOth%) r�� S( � ��/ $ ' . � $.50/$1,000 Valuation i�R�D i� �l.�j� � $ $1050 per SAC Unit . ��U � �� `�''� r'� � $ $5.00 (State Licensed Residential Contractors) ��j �� $ Alt. "A" or Alt. "B" Above $ $450.� Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � aCr ,�s a � a ,� BUII..DING PERMIT FEE 5CHEDULE 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,Q01 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 $100 or fraction thereof, to and including $2,(�0 $69.25 for first $2,000 plus $14.Q0 for each additional $1,000 or fraction 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 $1,000 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,(�0,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Ci�rb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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COMMUNITY DEVELOPMENT DIV. r � y � PROTEC7IVE INSPECTION SEC. ��360"1i' `�� . , � i �"'1 � CITY NALL FHIOLE� SS132 NUMBEA pEV O�TE v�GE Oc AvvROVED 8Y �""'�" �'' 612-57�-3a50 s�aF�s 4/13/01 / / JOB ADpRESS 7905 East River Rd NE 1 LEGAL �OT NO. BLOCK TiiACT OR AOOITION SEE ATTACMED DESCR. ]—lO 3 Spring Brook Park SHEET 2 PROPERTY OWNEfl MAIL AOOR�S$ 21P PMONE Mike Rlismith 7905 East River Rd NE 763-786-5756 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO Same d ARCHITECT OR DESIGNER MAIL ADORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL AODRESS 21P pHONE IICENSE NO 8 USE Of BUILDING Residential 7 CIASS OF WOIiK O NEW O ADDITION �l ALTERATION ❑ REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Renewal of Building Permit ��30480 (to complete porch construction) 8 CHANGEOFUSEFROM TO STIPULATIONS � See stipulation on Building Permit ��30480 SEPARATE PEiiMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, FIEATIN(i, TYPE OF CONSi OCCUPANCY GROUP OCCUPANCV LOAD VENTI�ATING Op AIR CONOITIONING THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTiiUCT10N 20NING SO. FT CU FT AUTHORIZED IS NOT COMMENCED V�1ITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOEO OR ABANDONEO FOR A PERIOD OF 1� DAYS AT ANY TIME AFTER WORK IS COMMENCED NO OWIG. UNI7S OFFSTREET PARKING I HEfiEBY CERTIFV 7HAT I MAVE READ ANO EXAMINEO TNIS APPLICATION 1 STALLS GARAGES AND KNOW TME SAME TO BE TRUE Af�lp CORRECT. ALl PROVISIONS OF �AW$ yp�UATION SUR7AX ANO ORDINANCES GOVERNING TMIS TYPE OF W iiK WI�L BE COMP�IED WITM WME MEii SPECIFIEO MEREIN OR NOT. TM GRANTING OF A pERM1T �2fSOO �1.ZS OOES NO ESUME TO GIVE MOFiITV T VIOlA7E OR CANCEI TME pEWMIT FEE SAC CHAFGE PROVISI OF ANY OTMER E O CAL LAW GULATING CON- @83.25 Fire SC �L.SO STRUC Oii TWE ERfOF A CE F NSTFU TI W PLAN CNECK FEE TO L FEE s� ��i �.00 5 O CON•WAC Op NoaiZEOa ENt iD E� pqpp �y THIS V R S�GNnTUAEOaOWNEQ��OWNEpBU40Ep� �D�fE� BLOGa�N f��Tt � NEW [ ] Effective 1/1/2001 ADDN �(j' CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � Construction Address: Legal Description: Owner Name 8� Address: i � Tel. �� %�"L :S%S�� Contractor. /�//J�{%1'+ MN UCENSE # Address:�sim� � Tel. # LIVING AREA: GARAGE AREA: 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 � Width � Height Sq. Ft. Length Length Width Width Height Hgt/Ground Sq. Ft. Sq. Ft ��'i1�/v��' �-�1��?��z/d.tl ��"�"3�0�86 Construction Type: Estimated Cost: $ �v�GY�. Bb Driveway Curb Cut Width Needed: Ft + 6,�t = Ft x DATE: 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 Te�.�i �g�� $�.3�� Fee Schedule on Reverse Side $ �, ,�""D .001 of Permit Valuation (1/10th%) $ /, a S�'" $.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 [ ] � ♦i � ` BUII.DING PERMIT FEE SCHEDULE The Chief Building O�cial shall, before issuing pernuts 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 VA�UE $1 to $500 $501 to $2,000 $2,�1 to $25,000 $25,OOlto $50,000 $50,001 to $100,000 $1�,001 to $500,000 $5�,001 to $1,(�0,000 $1,OQ0,001 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.OQ for each additional $1,QOa or fraction thereof, to and including $25,0� $391.25 for first $25,0� plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,� $643.75 for first $50,0� plus $7.00 for each additional $1,0� or fraction thereof, to and including $1�,000 $993.75 for first $100,0(}0 plus $5.60 for each additional $1,000 or fraction thereof, to and including $S�,OQO $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 DRTVEWAY 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 Pemuts for constntction 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 . _ .� sue�ecT PERM City of Fridle� � AT TME TOP OF TME TWINS �� I L D I N� P E R M I T 3 i 9 2 5 � �`y __�� COMMUNITY DEVELOPNIENT DIV. ��_3604 �� r � � PROTECTIVE INSPECTION SEC. � � _ � � �'��1 � CITY NAIL FRIOLE� SS132 NUMBEN pEV OATE PAGE OF APPqOVEO B� �'""� � �'' 612-571-3450 910-F15 6/22/O1 / / IOB ADORESS 7905 East River Road NE - 1 LEGAI LOT NO. BLQCK TRACT OFi ADDITION SEE ATTACMED oescA. 7-10 3 Spring Brook Park SMEET 2 PROPERTY OWNER MAIL ADpR�$$ 21P PMONE Michael/Rachel Rlismith 7905 East River Rd NE 786-5756 3 CONTFiACTOq MAIL ADORESS 21P PHONE LICENSE NO Same 4 ARCNITECT OR OESIGNER MAIL AOORESS ZIP PMONE LICENSE NO 5 ENGINEER IVIAII AODFiE$S ZIP PHONE IICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION � ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Install basement window (possibly egress - check on final inspection) 9 CHAN(iE OF USE FROM TO STIPULATIONS � If egress window, must comply with State Egress Code. SEPARATE PERMITS ARE REOUIREO FOR ELECTFICAL. PLUMBING, FIEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU fT AUTHORIZED IS NOT COMMENCED Y�1ITHIN 80 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANqONQO FOR A PERIOO OF 120 DAY$ A7 ` ANY TIME AFTER WORK IS COMMENCED. ' NO DWIG. UNITS OFfSTREET PARKING 1 HEREBY CERTIFY THAT I MAYE READ ANO EXAMIN�O THIS APPLICA710N 1 S7A��5 GARAGES ANO KNOW THE SAME TO BE TAUE AND CORRECT. ALL PROVISIONS (�F LAWS yAIUATION SUR7AX ANO OROINANCES GOVERNING THIS TYPE OF WORK WILL B� COMPLIED @ WITM WHETMER SPECIFIEO MEREIN OF NOT. THE GRANTING OF A PERMIT WSOO �.SO DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CAMCEI THE pEfiMIT fEE SAC CMARGE PROVISIONS OF ANY OTMER S7ATE Ofi LOCAL LAW REGULATING CON- @ STRUCTION OFi TME PERFOfiMANCE OF CONSTRUCTION y�23.SO Fire SC �SO PLAN CMECK FEE TOTA� FEE $ 4.50 S�GNGTUAEO�CON'AACTOpOA�UT Op�LEDaGENi _ �D�TE� HEN PR P ALIOATE FIIS IS �OUR PEiiMIT � < � � ✓ -a��,�,:- � � S� N4tUAE O� OWNEQ�� NEgBU IDEp� �O�TE� � Bl0 �NSP f��1E T N� I l Effective 1/1/2001 ADDN [] , CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: ��/.r`� � �dl.f I/@(/ Legal Description: Owner Name 8 Address: ��'�`��>, ,��.�(,� i(�%�� Tel. # 7�o - S� G Contractor: '�� i �� MN LICENSE # Address: �� ..� � �� Tel. # _ � � - �� LIVING AREA: GARAGE AREA: 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 Width Height Sq. Ft. Length Length Width r1��LCIli Height Sq. Ft. Hgt/Ground Sq. Ft Construction Type: � f�e 5� G�� A�'� � Estimated Cost: $ �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � ' DATE: �� ? �� APPUCANT: �� Tel. #_� � c�' "� �%� CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee , $ 0?3•.�d Fee Schedule on Reverse Side Fire Surcharge $ , S� .001 of Permit Valuation (1/10th%) State Surcharge $ . .�U $.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 Sewer Main Charge TOTAL STIPULATIONS: $ Fee Determined by Engineering $ Agreement Necessary [ ) Not Necessary [ ] $ ,�d BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, t�fore 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 $25,0� $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 $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 $25,000 $391.25 for first $25,000 plus $10.10 for each additiona.l $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.� 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 $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 , y .. 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 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. New Houses Onlv �